0210-194 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date /1113 Signature of Contractor ✓%
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: .
( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
F
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a`certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier STATEMOD Policy No. 16.764M- s0it'2
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of the 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shal forthwith comply with1l o e provisions.
;Date: sv�'T Applicant
s v
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his;
application.
1. Each person upon whose behalf this application is made & each persop ate
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnity
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180' days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
/•rte �- /
Signature (Owner/Agent) Date �%�1.01
'BUILDING PERMIT PERMIT#
DATEVALUATION LOT TRACT
a r .% 3 U-2
JOB SITE *
ADDRESS51-42 •ryA1y1a.IyyIM0
t,
APN
��o`�'•.��. `�F'-��a�i
OWNER
CONTRACTOR/DESIGNER/EN (NEER
X1 17
CR3RI7,1001? ARY Ht I&M
R0, WX 141.
513 7 0 AVMTIDA I3MMUDX1
LA 4yiissl=r Ery.,A -07-,2.5-3
'1 A r'vlme asa CA 92253
.'6()566.1404 CB 6255
-USE OF PERMIT
OWGIR
Saye � �7c�ty ri�/t��' rd� t� y II �y■7
1` jj++��qq c�}}Y��,+ry� �] ('y p 1�,rgr,� NOT
;7.4�?1 3'. I+. b:},"9J. C'Isk.?6E I DOES BVOT INCL+k+9. W, /'A ►Hr',6,.��. VV.e�i.:•r'q P -00L#: R �•�.�.,� .
DRIVEWAY APPROACH
` khM' C0N0TRUCT1ON 1,4, LOO OF
PORC: KPATIO 3:5.00 r,1''
Q4RA,C1)VCMPORT a1'r
1t�1.TED C6�mr Or . T�'i�''� uc ion
f 7,,425 10: ,
• g ��p qE
cgs FRE
FRAMU. A7 RE f3 CfYYA,L A 6nN
CONSY1.WrION PU 101.0004.18-000 MIMfia
1�1~.�1':, DUP01)1T 1014f00419a318250.04
M1 CPIrfA1111CA I, 101 -tM". 21-i100
WECTRICAL FER 101-000-00-000 W3124
6�.tt':I�q`� 011.1CDr��6�An��o ION FEE � �iO�t�i� 1-p0�001 ,. �' 210
.11.tait�11.000.24
�vslADINU i'rr 01-00iA'�tG�' 000 � MOO
'
MZ OPER IAPAP C"t I'C'E $7,405.0
'PUCISSPLAN 101 .?tit 4 1-� 5 '' 1iltffS.ltb
C;`G' m .t u. I°rox A,iti3��[;I'�TA
a, �t0
�} *t�q']��jY.'�'.+:ex 3
. AM
11
0
D Q
T01- PERIM R, USDIM
NOV 13 20102 ..
I it
CITY OF LA QUINTA
FINANCE DEpT
RECEIPT
DAT t � • r Z r BY�'��
DAT FINALED /G
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
'
Exhaust Fans
O.K. to Wrap
—
F.A.U.
Framing
Compressor
Insulation
2
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
_ �
Final
��� ,��
Final
POOLS -SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS •
Gas Test
Electric Final
Waste Lines
Water Piping
.AZ
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Z •a v Z ,S
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
--
`( r
Final`
Utility Notice (Gas)3
ELECTRICAL APPROVALS
Temp. Power Pole -
Underground Conduit
Rough Wiring
Low Voltage Wiring
.Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Finali
Utility Notice (Perm) !–
},p•�P;��,.:�„`�'AT�'.,ry�'�.�rTi,."�".m�'a�'�'..� :;x^—r'.-^--a--.,�..�,,.,:i;.�.--,•._..-.��..�,���•',�-�.�y��•Var>a'.r^1
BOX 1504
APPLICATION ONLY
Building 78'495 CALLE O
Address �sJC//Di//� LA OUINTA, CALIFORNIA
92253
Owner .0
" I I -c r `
Mailing /� /
Address V • /_? ,9v % #1
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number
Legal Description
Project Description �) �f Le I'G�� ! 1 % NI✓c ���^t
City jj
4 �% ;1 I /
Zip
�'�
Tel.
Contractor
Address
City
Vt;
Zip
Tel.
State Lic.r� �}
& Classif. / �`/ Z C.�
City
Lic. N
Sz e t I Gj cr Stories / Units
Arch., Engr.,
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City tier'
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm that 1 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 IJECLARATION
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,'or'.repair, arty structure, prior to its issuance also
requires the applicant for such permit to lila a signed statement that he is,licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing vilth:'Section 7000) of
Division 3 of the Business and Professions Code, or thathe is exempt :here%rum, , and 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 i8500).
I".1 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. (Sac. 7044, Buisness and
Professions Code: The Contractors License Law does not apply to an owner of property who
builds or improves thereon and who does such woik hlmself or,throurah,his own employees,
Pro
vided that such improvements are not intended or offered for sale., r, however,�(he 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.) / .>• .t J
I l 1, as owner of the property, am exclusively contracting with licen:.ed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
doesnot apply to an owner of property who builds or improves fhereor; and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
17 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self-insire, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3600, Labor Code.)
Policy No. Company
n Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(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 Exempficn you should become
subject to the Workers' Compensation provisions of the Labor Coce, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
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 sof this city b enter the above.
mentioned property for inspection purposes.
Signature of a0plicant Date
Mailing Address
City, State, Zip
PERMIT AMOUNT
Plan Chk. Dep. 6"(,,1. (12
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
'S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS ,
i
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Sid treet S k from Center Line
circ hnu �� Property Line
DATfr__A Ali QAAq-4MIWPECTOR
I ue4bv: Dake Permit
. _._, MOFLAQUINTA
Validation:
0
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
CERTIFICATE OF COMPLIANCE �FIED'sr'r��^�c
Desert Sands Unified School District �4�cS�1Rl?��oo
47950 Dune Palms Road Q BERMUDA DUNES r
Date 11/12/02 La Quinta, CA 92253 C/) RANCHO MIRAGE d
�+ INDIAN WELLS
No. 23862 (760) 771-8515 �? PALM LA QUINTA �y
�INDDIO YJ
Owner Buffin APN # 770-165-007
Address P:O. Box 141 Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street. S.F. Lot # No. Street S.F.
Unit 1 51418 Calle Iloilo 1421 Unit 6
Unit 2
Unit 3
Unit 4
Unit 5
Comments
Unit 7
Unit 8
Unit 9
Unit 10
At the present time, the Desert Sands Unified School. District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
a .
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 1,421 S.F. or $3,040.94 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CCNIB - Marc Kellogg Check No. 277920
Name on the check Telephone 760/832-4641
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Monica Guillen
Signature Q
$3,040.94
Payment Recd Over/Under
f
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
j
' SOMI, 2001 8:55AM
■
■ 1 MARCORDING REQUESTED -BY:
a THE ESCROW 90UltCE, INC.
■
AND MVH■N RICORDAD MAIL TO;
AND MAIL TAI( STATEMENT TO:
�LOSLU
GLINT DEED
THE UNDERSIGNED GRANTORS) DECLARE($) THAT DOCUMENTARY TRANSFER TAX IS 5
X computed on full value of property conveyed, or
computed on full value less Ilene or enoumbrances remaining at the time of sale,
„_unincorporated area; X LA QUINTA and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
' hereby GRANTS to T>EIO" BUFFIN
the following described real property In the County of RIVERSIDE, State of Californla;
PARCEL NUMBER 770.165.007
LOT 16 OF BLOCK 3_
Data September 10, 2002
STATE OF CALIFORNIA
No.fi884 P,
COUNTY OF
On , before me, the undersigned, a Notary Public In and for Bald County and State,
personally appeared
personally known to ms (or proved to me On the belle of satisfactory evidence) to be the person(s) whose neme(s) is/are
subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in hls/her/their
authorized capaolty(les), and that by his/her/their signalure(s) on the Instrument the person(s), or the entity upon behaff.of
which the persons) acted, executed the Instrument.
WITNESS my hand and official seal.
Signature
'd Ll6£'oN
Cf;Wq Agmn.a 14Vn7:n ;nn; 'n: •nac
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
(760) 777-7075
APPLICATION
FLOOD PLAIN DEVELOPMENT PERMIT
BUILDING SITE LOCATION FLOOD ZONE "AD" - DEPTH 1
COMMUNITY- PANEL NUMBER
060709 0005 B
/Z_ Q Map Revised: 8/19/1991
APPLICANT INFORMATION SECTION
{ APPLICANT NAME
APPLICANT I', %.. 11 �l L. ��.Ih �K 12 2 S
ADDRESS
tMAILING ADDRESS, NOT THE BUILDING SITE)
DAYTIME TELEPHONE N0. ;j� // j
C /I^ Fir ke
INSTRUCTIONS
1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the
Applicant Information portion of this application and submit it to the Engineering Department along with the
required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and
Safety Department for plan checking.
2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance
• Copy of the proposed Precise Grading Plan for review and a
the checklist shown on the back of this application. approval containing all information required by,.
3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval.
Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety
Department authorizes foundation construction.
• Submit a completed FEMA "Elevation Certificate" :form to the Engineering Department.
• Submit 95% relative density soils compaction certification to the Engineering Department.
STEP 1 OF GFRRAVAL
STEP DF APPROVA
The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain
reviewed and found to contain all data required to satisfy the Development Permit is approved.
requirements of LQMC 8.11 The proposed dwelling is eligible to
receive a building permit upon satisfying all other Building &
Safety Department requirements.
2, 2002 ,p
AUTHORIZED SIGNATURE DATE AUTHORIZED SIGNATURE , 7—
D,
,U
La Quinta Engineering Dep ment DA E
La Quinta Engineering De nt
Victor Monz Assis a
FILE: Upon Step 2 approval, original goes in "Flood Plain Development Perm' I " II I�,gp�glicant ,
PCN /
Please use !hi. _ r..l,Number (PCN)
c ,rresucndence while plans
410bi,G1"i bl Lei,. ------
INV !'� i t� 11
3o
1-07-1-9
/t/ e g
fPAD 64. O
I- o r /7
dol
b
�
GRADING NOTES
A
1. GRADING SHALL BE IN ACCORDANCE WITH THE ENGINEERED GRADING REQUIREMENTS OF TH
E UNIFORM BUILDING CODE, LATEST EDITION, AND SOILS REPORT, NO. ,
44
J
s
I
rIN6 GnQ,Lj,dE
ll
�•
.XXX •XX
InO
2. THE SOILS ENGINEER AND THE ENGINEERING GEOLOGIST SHALL EXERCISE SUFFICIENT SU
PERVISORY CONTROL DURING GRADING TO INSURE COMPLIANCE WITH THE PLANS, SPECIFICAT
3°
`LXX
ZXl$ r11V6 GOi1%7-0OR
�6
'
XXX—
G PERMITIS}
17. THE CONTRACTOR IS RESPONSIBLE TO PREVENT SILT CONTAMINATION OF STORMWATER IN
• _ .. FILTRATION FACILITIES DURING CONSTRUCTION OF SUBSEQUENT IMPROVEMENTSBY THE CONTR
ACTOR. IMMEDIATELY PRIOR TO FINAL ACCEPTANCE OF STORM DRAINAGE RETENTION/INFI:LT
RATION FACILITIES, THE CONTRACTOR SHALL CONDUCT, IN THE PRESENCE OF THE CITY TNS
PECTOR, A PERFORMANCE TEST DESIGNED TO CLEARLY DEMONSTRATE THE FUNCTIONAL ADEQUA
CY OF THE FACILITIES.
18. THE CONTRACTOR SHALL PROVIDE WIND EROSION AND DUST CONTROL MEASURES AS REQUI
RED BY THE FUGITIVE. DUST CONTROL PLAN APPROVED FOR THIS PROJECT.
1v/G/-1,6_67- �XIS`7"lr E1_,ci111 r/o1x.,1oA1 1_ o r - 3 9. 17z
,C.DWZ 5'7" 1-//1/3/ r.�r3� �`irvis,y® F� 00P vl-lr/01+✓- /7-/,/ S x
T"/-//5" Y -41c /I G4 X57-1,44'4 TL /5' Fe9,'
P,EIFIW17 ONX. Y C0//rk'IIC7_0F2
5114- /_ /_ a Io /- s/..5"1//,- F' r�
i DGt/�o.E R
,04 70A-7,61- V3. 77,2 - P,0- 102 -70
8 C7,4p. //v C4/vc, fit. 5 "/ /-,E 5 I/V
o,c' ✓4-i r1<-.sa1v sr. e //wr /// 7 .2. ra M//- 4 s
5&. 0A1911 -I S I-///1 /f rd AI Sr 91-67W LU. Det/ /-'MAF. ,O4
c
t/�_`iV/0.4 4 Aq F 0^11014
AN
1
AV-,gNVE 32
1//C//V/ rY
VO r ro 5C,444
GRADING NOTES
1. GRADING SHALL BE IN ACCORDANCE WITH THE ENGINEERED GRADING REQUIREMENTS OF TH
E UNIFORM BUILDING CODE, LATEST EDITION, AND SOILS REPORT, NO. ,
IE G .L .VI
DATED:
I
rIN6 GnQ,Lj,dE
PREPARED BY:
TELEPHONE NO.
�•
.XXX •XX
f`//V%SN C� f7�7 jjLc
2. THE SOILS ENGINEER AND THE ENGINEERING GEOLOGIST SHALL EXERCISE SUFFICIENT SU
PERVISORY CONTROL DURING GRADING TO INSURE COMPLIANCE WITH THE PLANS, SPECIFICAT
3°
`LXX
ZXl$ r11V6 GOi1%7-0OR
IONS, AND CODE WITHIN THEIR PURVIEW.
'
XXX—
F/N%sl/ CC7/1N�J��
3. THE DESIGN CIVIL ENGINEER SHALL EXERCISE SUFFICIENT CONTROL DURING GRADING AN
D CONSTRUCTION TO INSURE COMPLIANCE WITH THE PLANS, SPECIFICATIONS, AND CODE WI
"
OR/?/1Vi�1G,E 4'W,, 4,E
THIN HIS PURVIEW.
C1P,E.' CUT`/F/C �.
4. DURING ROUGH GRADING OPERATIONS AND PRIOR TO CONSTRUCTION OF PERMANENT DRATNA
GE STRUCTURES, TEMPORARY DRAINAGE CONTROL SHALL BE PROVIDED TO PREVENT PONDING W
7
r G•
rof OF CL1R e
ATER AND DAMAGE TO ADJACENT PROPERTY .
8,
F
14,4 DLV 4 M/l;
5. AFTER CLEARING, EXISTING GROUND SHALL BE SCARIFIED TO A MINIMUM OF 6" ON THE
9.
ENTIRE SITE OR AS RECOMMENDED BY THE SOILS REPORT.
�..�
rdP
/v.
�. P
6. THE MAXIMUM CUT AND FILL SLOPES SHALL BE 2:1.
�'v�,� of P,��•��.E/�r
�....
7. PADS SHALL BE COMPACTED TO A MINIMUM OF"9,6�RELATIVE DENSITY PER A.S.T.M. SPE
.5`L/h'hAcIE'
CIFICATIONS AND THE ABOVE MENTIONED SOILS REPORT.
8. MINIMUM BUILDING PAD DRAINAGE SHALL BE 2%. DRAINAGE SHALL BE A MINIMUM OF 0.
3` DEEP AND BE CONSTRUCTED A MINIMUM OF 21 FROM THE TOP OF CUT OR FILL SLOPES.
I�
E
lEX/Sr1iVG-GRZ4,0Z
'
THE MINIMUM SLOPE OF SWALES SHALL BE 0.50%.
A54
R/,C'
PP' 0PERT j-- 4 /N,E
9. ALL FILLS SHALL, BE COMPACTED TO A MINIMUM OF NINETY PERCENT OF MAXIMUM D
ENSITY:AS DETERMINED BY THE UNIFORM BUILDING CODE SECTION 7010 ,OR EQUIVALENT As
APPROVED BY THE CITY ENGINEER. FIELD DENSITY' SHALL BE DETERMINED IN ACCORDANCZ
WITH THE .UNIFORM BUILDING CODE SECTION 7002, OR EQUIVALENT, AS DETERMINED BY THE
17,
CEIVr'R
CITY ENGINEER. I ,EXc£F T 0,,VlJ,6R 5OIL DINV" P110 � 5�6.E IV,,, 7-.6 7) fl.
%�
CDNCR,E%E
10. ALL STREET SECTIONS ARE TENTATIVE. THE MINIMUM SECTION IS 3" A.C. OVER 4.b "
CRUSHED A.B.. ADDITIONAL SOIL TEST(S) SHALL BE REQUIRED AFTER ROUGH GRADING T
A9.
WA Z,/-
0 DETERMINE EXACT SECTION REQUIREMENTS. 'THE CITY ENGINEER SHALL APPROVE THE FIN
AL STREET SECTION.
�'°
�•%'
BOTTOM% Qf',Gj(/,Cj4
'WILL
11. THE CITY ENGINEER REVIEW FOR APPROVAL THE FINAL STREET SECTIONS AFTER S
UBMITTAL OF "R" VALUE TESTS FOR ROADYWAY SUBBASE.
12. LOCATIONS OF FIELD DENSITY TESTS SHALL BE DETERMINED BY THE SOIL ENGINEER OR
APPROVED TEST AGENCY AND SHALL BE SUFFICIENT IN BOTH HORIZONTAL AND VERTICAL :PL
ACEMENT TO PROVIDE REPRESENTATIVE TESTING OF ALL FILL PALCED. TESTING IN AREAS
OF A CRITICAL NATURE OF SPECIAL EMPHASIS SHALL BE IN ADDITION TO THE NORMAL REPR
ES£NTATIVE SAMPLINGS.
13. THE FINAL COMPACTION REPORT AND APPROVAL FROM THE SOILS ENGINEER SHALL CON'TA
IN THE TYPE OF FIELD TESTING PERFORMED. EACH TEST SHALL BE IDENTIFIED WITH THE
METHOD OF OBTAINING THE IN-PLACE DENSITY, WHETHER SAND CONE OR DRIVE RING AND SH
ALL BE SO -NOTED FOR EACH TEST. SUFFICIENT MAXIMUM DENSITY DETERMINATION SHALL B
E PERFORMED TO VERIFY THE ACCURACY OF THE MAXIMUM DENSITY CURVES USED BY THE FIE
LD TECHNICAN.
14. ALL UNDERGROUND FACILIITES, WITH LATERALS, SHALL BE IN PLACE AND INSPECTED P
RIOR TO PAVING, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: SEWER, WATER, ELECT
RIC, GAS AND DRAINAGE.
15. THE FINAL UTILITY LINE BACKFILL REPORT FROM THE PROJECT SOIL ENGINEER SHALL
INCLUDE AN APPROVAL STATEMENT THAT THE BACKFILL IS SUITABLE FOR THE INTENDED USE
16. BLOCK WALLS ARE NOT PART OF THE GRADING PERMIT. SUBMIT FOR SEPARATE BUILDiIN
G PERMITIS}
17. THE CONTRACTOR IS RESPONSIBLE TO PREVENT SILT CONTAMINATION OF STORMWATER IN
• _ .. FILTRATION FACILITIES DURING CONSTRUCTION OF SUBSEQUENT IMPROVEMENTSBY THE CONTR
ACTOR. IMMEDIATELY PRIOR TO FINAL ACCEPTANCE OF STORM DRAINAGE RETENTION/INFI:LT
RATION FACILITIES, THE CONTRACTOR SHALL CONDUCT, IN THE PRESENCE OF THE CITY TNS
PECTOR, A PERFORMANCE TEST DESIGNED TO CLEARLY DEMONSTRATE THE FUNCTIONAL ADEQUA
CY OF THE FACILITIES.
18. THE CONTRACTOR SHALL PROVIDE WIND EROSION AND DUST CONTROL MEASURES AS REQUI
RED BY THE FUGITIVE. DUST CONTROL PLAN APPROVED FOR THIS PROJECT.
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No./U60 P. 2/7
THE 44-421 TOWN CENTER WAESCROW E SUITE C, INC.
DESERT, CA 92260-0000
(760) 776-4640 • Fax (760) 776.4650
Escrow No.: 02-3496-SASQ
Escrow Officer: SARA QUINTERO
Date: September 10, 2002
ESCROW SUMMARY:
Broker has on deposit for account of buyer $
Buyer will deposit prior to close of escrow 1,000.00
$ '47,000,00
TOTAL CONSIDERATION:
48,000.00
Escrow holder is instructed to close on or before October 25, 2002.
TITLE/VESTING
Buyer to hand you any additional funds and instruments necessary for you to comply with
instructions herein. Obtain an Owners/ALTA Standard Coverage Form policy of Title Insurance
from ORANGE COAST TITLE with their standard exceptions and provisions. This policy is
to have Iiability for an amount not to exceed $48,000.00. The policy is to be issued on real
property in the County of RIVERSIDE, State of California, as follows:
PARCEL NUMBER 770-165-007-S
LOT 18, IN BLOCK 3 OF DESERT CLUB TRACT, UNIT NO, 2, AS SHOWN BY MAP ON FILE IN
BOOK 20, PAGES 6 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA,
Property Address: APN: 770-165-007-5, LA QUINTA, CA 92253 — CALLE ILOILO
The title policy is to show the tine to the property to be vested in:
MICHELLE EICHSTEDT AND/ OR ASSIGNEE
ENCUMBRANCES/EXCEPTIONS
The policy is to be free of encumbrances except as follows:
(1) General and Special Taxes and Special District Levies not due or delinquent; this will include
the lien of supplemental taxes, if any, assessed pursuant to Chapter 498, 1983 Statutes of the
State of California.
(2) Covenants, conditions, reservations (including exceptions of oil, gas, minerals, hydrocarbons,
and/or lease without right of surface entry), restrictions, rights of way, and easements for
public utilities, districts, water companies, alleys, and streets.
(3) Assessments and bonds of record, if any, not delinquent.
INSTRUCTIONS
CLOSE OF ESCROV��•
The "Close of Escrow" shall occur 45 days after acceptance, Buyer and Seller shall deliver signed
escrow instructions to Escrow Holder within 10 days after acceptance.
DEP OF FUNDS INTO ESCR
Each . of the undersigned hereby acknowledges and understands that pursuant to State of
California Assembly Bill 512 ("Good Funds Legislation") which became effective January 1,
1990, funds deposited into escrow and/or deposited with the Title Company for usein this
escrow by the Property Owner, Buyer or New Lender in any form other than a wire transfer may
cause a delay in the close of escrow and/or disbursement of funds at the time of closing. Each of
the undersigned hereby -indemnifies and holds THE ESCROW SOURCE, INC. and its
***SEE ADDITIONAL INSTRUCTIONS ATTACHED HERETO AND MADE A PART HEREOF***
Initials
Each of the above signed states he has read the foregoing instructions and understands and agrees to them.
APR -Apr • 15. 20031( 1 : 26AMiM CONTEMPORARY
I a�L
No.1281 P- 2 P. o2
G CF -4
D
ala /
Builder Nene
Plan Number
Sample Group Number
�C. �',47Sf'®Gi ample Hours Number
Firm:
- �-._ HERS Provider, -T-CAL s oG S
Street Atldress: 7 �r City/Stato/Zip; L
COvies to; Builder, HERS Provider
H O P 1
The house was: Pr Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I cortlfy that the houses Identified on this form
cornDly with the diagnostic tested compliance requirements as checked on this form.
Distribution system Is fully'ducted (I.e., does not use building cAvltles'as plenums or platform retut•ns In lieu
Of ducts)
Where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbends are used In combination
with cloth backed, rubber adhesive duct tape to seal leeks at duct connections,
I�MINIMUM REQUIREMENTS FOR DUCT LEAKAOLe REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Rasulta (Maximum 6% Duct Leakage)
Duct Preseuriz®tion Test Results (CFM Q 25 Pe) Meeeured
T values
Test Leakage Flow In CFM`
If fan flow is calculated as 400cfm/Ion x number of tons enter
. calculated value here
If fan now Is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) r
Check Box for Pass or Fall (Paes60% or less)❑
Pees Feil
g THERMOSTATIC EXPANSION VALVE TXV or Commission approved equivalent
ICJ Yes ❑ No Thermostatic Expansion Valva (or Commission approved
equivalent) Is Installed and Access Is provided for Inspection ❑
Yes Is a pass Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 D Yes O No ACCA Manuel D Design requirements have been met
(rater has verified that actual Installation matches values in
CF -IR and design on plan.
2. Q Yes O No TXV Is Installed or Fan flow has been verified, If no TXV, " ,�"%/)w
verified fan flow matches design from CF -1 R.
Measured Fan Flow10
a
Yes for both 1 and 2 is a Pass
Pass Fail
Certificate of Occupancy ;�K
City of La Quinta
building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:' {
BUILDING ADDRESS: 51-418 CALLE ILOILO
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0210-1 4
Occpancy Group: R-3 Type of Construction: VN Land Use Zone: RC
Owner of Building:
WILLIAM BUFFIN
Building Official
Address: P.O. BOX 141
City: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: APRIL 22, 2003
POST IN A CONSPICUOUS PLACE
I
v � _
�_-----------------
TO BLZZZCl� On
IP71
Engineering • Consulting • Testing
REPORT OF FIELD COMPACTION TESTS
TESTED FOR: CONTEMPORARY HOMES PROJECT: 51-418 ILO ILO
PO BOX 1141 LA QUINTA, CA
LA QUINTA „ CA 92253
DATE: December 10, 2002 OUR REPORT NO.: 073-20348-2 -
TEST DATA: (1) Very fine gray silty sand.. OPT.'MOIST. = 13.01
I t5 r LOCATION: House pad
1 NW corner
2 SW corner
3 SE corner
4 ( NE corner
NOTES: TESTS PERFORMED PER ASTM D2922-96 8 ASTM D3017-96 *COMMENTS:
T
TH
ELEVATION
SOIL ID
NUMBER
MAXIMUM
LAB DRY *
DENSITY
WATER
CONTENT
--
WET
DENSITY
— ---
DRY
DENSITY
PERCENT
COMPACTION
5. SOIL CEMENT
* (1) AST
FG
1
112.0
6.3
115.4
108.6
97.0
21811
_
FG
1
112.0
6.6
116.3
109.1
97.4
3 —
8" -�
FG
1
112.0
7.2
117.6
109.7
97.9
4
8" _
FG
1
112..0,
7.0
116.5
108.9
97.2'
I t5 r LOCATION: House pad
1 NW corner
2 SW corner
3 SE corner
4 ( NE corner
NOTES: TESTS PERFORMED PER ASTM D2922-96 8 ASTM D3017-96 *COMMENTS:
DENSITIES SHOWN: Lbs. per cubic foot
1. FILL MATERIAL
WATER CONTENT: Percent of dry weight.
PERCENT COMPACTION: Based on Maximum dry
2. BACKFILL
3. BASE COURSE
density obtained on sample indicated by
4. SUBBASE
soil ID number.
5. SOIL CEMENT
* (1) AST
6. OTHER
M D1557-00 METHOD A
TEST INSTRUMENT:
REMARKS: PSI did not monitor the material placement
*Flood plain = 951 compaction requirement.
TECHNICIAN: Vinnie De Souza
THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC LOCATIONS NOTED AND MAY NOT REPRESENT ANY OTHER LOCATIONS OR ELEVATIONS.
REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC.
PSI A-100-2 (41F Professional Service Industries. Inc. • 42-94x1 r.00., w.,.,
COMMENTS'
Spec. 9!
A. TEST RESULTS COMPLY WITH SPECIFICA
B. PERCENT COMPACTION DOES NOT COMI
WITH SPECIFICATIONS
C. RETEST OF PREVIOUS TEST'_; ."
D. MOISTURE IN EXCESS OF SPECIFICATIO
E. MOISTURE BELOW SPECIFICATIONS`:•:"
STANDARD COUNT M: D:
ADJUSTMENT DATA M: D:
Respectfully submitted,
Professional Service lndustriE