002445 (SFD)Building 5^ -+OS Aida J„ Z
Address "
WiMm pisack
Mailing
Address
City - Zip V Tel.
.. .
Contractor
. ..BW Sand QXZft=tiM 00.
Address
City Zip Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 002445
BUILDING:. TYPE CONST. OCC: GRP.
A.P. Number 774--143-016
Lot
, ., Legal Description 4
Project Description' '
State Lic.
City
U 1364
& Classif.. 472924
Lic. #
Sq. Ft.' ( 500 No. No. Dw.
Size «�W - Stories Units
Arch., Engr.,. .. - _..
Designer
x�xc� r.✓
New EJAdd ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
Y
_ LICENSED CONTRACTOR'S DECLARATION.
,l
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code; and my license is in full force and
effect..
SIGNATURE• - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec,. 7031.5,Business and Professions Code: Any city, or county which requires a
permit to construct, alter, improve, demolish, orirepair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed' statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section. -7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, ar`d. the basis
for the alleged exemption. Any violation of Section 7031.5 .by 'any applicant for a permit
- subjects the applicant to a civil penalty of not more than five hundred'dollars'($500).
❑ I, as.owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not=intended or -offered for sale. (Sec. •7044, Bulsness and-
„ • Professions Code: The Contractor's License Law does not apply to an owner of property, who .
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements ,are not intended or, offered for sale. If_ however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
. of proving that he did not build or improve for the purpose of sale.) ,
Estimated Valuation
• �ft
PERMIT AMOUNT
Plan Chk. Dep. - r4.J�i. Vtii
Plan Chk. Bal.. 50.35
Const. 31�# • 00
Mech.�
.
-_
«�.b
Electrical f -
Plumbing 99.00
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
• such projects withra contractor(s) licensed pursuant to the Contractor's License Law.) -
O 1 am exempt under Sec. B. 8 P.C. for this reason
.,
S.M.I. ' 5.01
Grading 20.00
Driveway Eno. 20.00
Date owner
Infrastructure 1,078.38
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. .Company
,0 Copy isfiled with the city. ❑ Certified copy is hereby furnished.
TOTAL 1.975.95 11725.96
CERTIFICATE OF EXEMPTION FROM
_ WORKERS' COMPEPENSATIONINSURANCE '
REMARKS
'
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) - – -
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation '
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you •must forthwith
comply with such provisions or this permit shall be deemed revoked. -
ZONE: - BY:
.Minimum Setback Distances: -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there isa construction lending'agency for the performance of the,
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
i C
Issued by: Date �f —1-86 Permit
Validated by:
Lender's Address
This is'a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct. '�
' I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter, the above-.
mentioned property for inspection purposes. /
Signature of applicant -Date
Mailing Address
Validation:
A59G8 I 2 296 CK
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. p -
GAR. SQ. FT. ®
CAR P.. SQ. FT.
WALL SO. FT. ®
SO, FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB. L
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER • • B.T.U.
SQ. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
% •C. FRAMING
FINAL INSP.//*/®%
v��/
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 2`L�
ROUGH PLUMB. L
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS .7 z-1
'(OR S PTI AN
v
ROUGH WIRING
kV R �JJ6
DUCT WORK
ROCK STORAGE
UND
F . EINF. 2 Z /Jl
�{�
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)T
P. POLE 7 a
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP. II ZG
% •C. FRAMING
FINAL INSP.//*/®%
v��/
ROOFING
//�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH,
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL
a
,0,%f1Ea S
C* '*1 \\ I o
= 0Desert Sands Unified School District
y BERMUDA DUNES r
RANCHO MIRAGE 82.879 HIGHWAY 111 0 INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
►' INDIAN WELLS to
PALM DESERT a
-P LA OUINTA *,
INDIO y�
June 30, 1986
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Qui'nta, CA 92253
Re: 53-805 Juarez
Gentlemen:
The developer of the above referenced lot
has mitigated its impacts on our overcrowded schools by payment
of the amount of $628 per unit to be applied to the cost of
district educational faci'li.ties made necessary by such new
development. -
Sincerely,
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
a
ti
7
P:
U
t
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM'% 7 Y /
Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to
County specifications required on the attached check list. A non-refundable filing fee of
x,,30 is required when the application is' submitted. Check must be made payable to the
ounty of Riverside
Building Department Application Log N
Name (Owner, Agent, Contractor, Etc. Mailing Address
/
1• / s mej
Cit r State Zip Code Telephone
*Job Prop`e y A ress
*Cfiy or ommun
3
Legn1 Description of Prpty. Lot, PM, TR)
A.P t tt/✓Gv
/i i
.� 'e. P
*Assessor's Parcel�No. Water Agency
Pse of Permit
Lot Sizef' e
.Or, ,_Jekl
SFD, . MH Site-Piep Etc*. r --r,
Planning Case N� 12_
.
S g"natiire of Applicant_ Date !
*The above information must be verified from Building Application
STAFF USE -'DO NOT WRITE BELOW THIS LINE
InJitial Date
Certification of Existing S.D. System reqd. Yes [ ] No V1,
WQCB Clearance reqd. Yes[ ] No[ -1
Soils feasibility report reqd. Yes[ ] No[,'
Detailed boring report. reqd. Yes[ ] No.rf],
Detailed contour plot plans reqd. Yes[ ] Ido rte] �.
Staff Specialist approval reqd. Yes[ ] Ido [/] Lot Inspection Date
I
Soils/boring report by /: Proj. N Date
Soils Map Page/,/49Soil Typea Approved by /,+ a,%/J Date
T--. ,
7`1
Type of System: t
No. of Bedrooms (1) Septic Tank
Soil. Rate Reauired
Existing New Addition Replacement
!oeZ= Gals.
(2 `Leach line sq. ft.
Sidewall allowance
Install Line(s)
Leach bed
(Bottom trench area)
t rock./--"-- Sq. Ft.
Ft. Lang Ftp _wide
Sq. Ft.. of
ning ft.
with Minim inches rock
bj o
ape
,N/A [ ]
below•,,drain lines -
.area �`r•.
Leach 1dnes/bed-special design
(3) Pit Diameter/ 'No.
6'
Pit
Seepage Pit total depth...,/,Pr
for slope: AA �lac�able
;],� [ 0]!^
Pits BI
t
N/A Overburdentifactor
I
Max. allowable depth (1 _
.d' �% sr�44,
. V
I•
This application is(approved/did for the design of a subsurface disposal s --stem as
indicated on the accdmpan'ied plot plan using the requirements set forth in Section B above.
A building permit is necessary for the installation of the above -designed system.
L(1)j S p is tank and sewer lines must be 50' from any wells
nf,U ,y
�(,2_) Leach lines must be 100' min. from any wells including expansion area
(3 Seepage be 1-50' min. from any -wells including expansion area -//U? zcz
4
`per/i-ts/must.
.n/
Signature of `Health O'fficiah r Date
RECEIPT N0. tg,,A21., �, 2 � Issued by c r! Date
District: RAO � de tf f V Indio [ � met [ ] Perris[ ] Rancho Calif. [ ] Blythe[ ] V
Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File
DOH SAN 122 (Rev. 2/86) t
k
�r
n0 Engineers,1m.
TESTING • INSPECTION
1731•A WALTER STREET • VENTURA, CALIFORNIA 93003 PHONE (805) 642-6727
July 28, 1986 B -16442-P1
86-7-405
Bay Sands Construction
6555 N. Palm Canyon
Palm Springs, CA 92258
Project: La Quinta Lots/53-805 & 53-825 Avenida Juarez is
La Quinta, CA
Subject: Report of Field Densities !:
House Pad
On July 15, 1986, a representative of our firm perf ormed density tests
in the fill for the house pads on the above referenced project. Tests w.
were performed at random locations in accordance with ASTM D 2922-81 .
and ASTM D 3017-78 Nuclear Density Test Procedure. Tests were
performed as'per authorization of Bay Sands Construction.
The estimated locations of the tests are presented on the attached
plan with their results being summarized on the attached test report
sheet. A total of four (4) density. tests were performed. Test ;.
results indicate that a minimum of ninety percent (90%) relative
compaction has .been obtained within the areas tested. The maximum
density -optimum moisture were determined in the laboratory in
accordance with ASTM D 1557-78, Method A or C. Test results are as
follows:
Soil Description USCS Maximum Density -Optimum Moisture
Light brown very fine
to medium sand with
trace gravel SW 112.7 pcf 8.2%
VENTURA LANCASTER
(805) 642.6727 (805) 948.7538
BAKERSFIELD SANTA BARBARA
,n— ncc nnIo
PALM SPRINGS SAN LUIS OBISPO
(6191326-9131 (805) 544.6187
July 28, 1986
B -16442-P1
86-7-405
I. The project is located on the west side of Avenida Juarez, south
of Calle Arroba, in the City of La Quinta, Ca.
2. Prior to our arrixYal at the site the grading was completed and the
pads were ready for testing.
3. :The purpose of testing was to observe compliance with the minimum
requirements of the City of La Quinta.
The test results summarized in this report present the moisture and
density only at the locations and depths tested on the specified date.
Y: The summarized field and laboratory tests were performed in accordance
with engineering principles generally accepted at this time and
location. No opinion is expressed as to the uniformity of the
material, compaction, nor adequacy of the material to perform its
intended function. No guarantee or warranty of the contractor's work
is made or implied.
If there are any questions, please do not hesitate to contact this
office.
Respectfully submitted,es
BUENA ENGINEERS, INC.. Reviewed and°d
L Q66
Phillip D. Clanton Crai S. Hill Exp. 3/31/87
Soil Engineer
[ PDC/CSH/sg
Copies: 4 - Bay Sands Construction lE OF Cis\-\TG�
2 - PS file
1 - VTA file
REPORT OF RELATIVE COMPACTIONS
Job No.
:ONTRACTOR: DATE: July 28, 1986 Report No
ADDRESS: JOB & LOCATION: La Quinta, CA
B -16442-P1
86-7-405
T NO.
DATE
TESTED
DESCRIPTION
. MOISTURE
, IN PLACE
DRY DENSITY
IN PLACE
RELATIVE
COMPACTION
MAXIMUM
DENSITY
7-15-86
Per Plan 1.0 BSG
10.7
109.7
97
112.7
7-15-86.,
Per Plan FSG
10.2
109.7
97
112.7
7-15-86
Per Plan 1.5 BSG
11.1
110.8
98
112.7
7-15-86
Per Plan FSG
10.6
110.298
112.7
BSG = Below Subgrade
FSG = Finish Subgrade
j
r
Yrc tCM I Ir T I MA I 11-11=5L TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES:
BUENA ENGINEERS, INC.
L •�
.53-BoSGnd 53-8Z5'
dYEN��q s�Ar�c.
GA CO--
i
BUENA ENGINEERS, INC.
DATE: T=ZZFILE N0.