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001569Building Address Owner Mailing " 'Address L! iR 1 City Contractor Address City State Lic. & Classif. Arch:; Engr.; Designer Address 92201 P.O. BOX 1504 NO. 001569 78-105 CALLE ESTADO �} LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. V OCC: GRP.- - 3 A.P. Number 771—MA-014 =Tnt A Tel: 347-!- n Legal Description Project Description Tel.... .. Lic. # Tel. 202 Sq. Ft. = 1592 Size • d�&� • A.' New ©; Add ❑ No. Stories Alter ❑ No. Dw. Units.. Repair ❑ . Demolition ❑ 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.. Side Street Setback frDrn' Center Line hereby affirm thal.there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil code.) Side Set ck from Property .Line Lender's Name Lender's Address )% This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE'- // �� S INSPECTOR T1 expiration It work thereunder is suspended for 180 days. - I certify that I have read this application and state that the above information is. correct. ISSUed'by: Date 'Permit '1 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. Validated by: Signature of applicant sA Date - Mailing Address t_ Validation: City, State, Zip .. A197U 7 16 t135U R HARD COPY City Zip State Lic. # ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions ohChapter 9 (commencing with Section 7000) of Dlvision.3 of the Business and Pro/fesssifion,s��Code, and my license is in full force and effect:.lf ` - .. .. .. .. SIGNATUREv •: • ' DATE I - - • OWN ER -BU ILDER•DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. •7031.5,Bustness and Professions Code:. Any, city or, county which requires a. • '47 permit to construct, alter, improve, and, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement,lhat 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 therefrorri, 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 ($500).. ❑ I, as owner of the, property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. .7044, Buisness and _P(ofessions- Code: The Contractor's License Law does, not, apply to an. owner -of property who builds or improves thereon and who does such work .himself or through his own employees, provided• that such improvements are. not intended or offered for sale.. If, however, the building or improvement is sold -within. one year of completion, the owner -builder will.have the burden or proving that he did not build or improve for the purpose of sale.) -. .. 0, 1, as owner of the property, am exclusively contracting with licensed contractors to con-. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law - •. doesnot apply to an owner of property who builds 'of improves thereon, and .who contracts for such -projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Estimated Valuation Q `��14 -�' -0: PERMIT - - AMOUNT - PIan'Chk., Dep. .- • Plan Chk: Bal. �$,7 Const. 31.7 w V1J Mech. 31.E .- ' 'Electrical qq °: l 0a� Plumbingejit7 _. S:M.I. Grading Driveway Enc. .;0 Date Owner Infrastructure 1,2U.71 WORKERS' COMPENSATION DECLARATION hereby affirm that 'I have a certificate of consent to'self:insure, dr a certificate -6f Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. . ❑ 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. - TOTAL 2.1.35.06 REMARKS t .. 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.. Side Street Setback frDrn' Center Line hereby affirm thal.there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil code.) Side Set ck from Property .Line Lender's Name Lender's Address )% This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE'- // �� S INSPECTOR T1 expiration It work thereunder is suspended for 180 days. - I certify that I have read this application and state that the above information is. correct. ISSUed'by: Date 'Permit '1 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. Validated by: Signature of applicant sA Date - Mailing Address t_ Validation: City, State, Zip .. A197U 7 16 t135U R HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER REMARKS: VENTILATION 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH I NSU LATIONISOUN D FINISH GRADING FINAL INSPECTION /' ! CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREVINITIALS GARDEN WALL FINAL " 1ED I ° _ = = O Desert Sands Unified School District a BERMUDA DUNES r RANCHO MIRAGE 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 INDIAN WELLS to PALM DESERT July 16 , , %P LA OUINTA .1985 INDIO y� p City of 'La Quinta , Department of'Community Development 78-105 Calle Estado La Quinta, CA-92253 Re: 51-065 Velasco Gentlemen: The developer of the above referenced lot has mi.ti'gated its impacts on . our overcrowde.d schools by, payment " of the amount of-$628 per unit to be appli.ed'to th.e'cos.t of district educational faci-lities made necessary by such. new development. 4 Sincerely, J, John D. Brooks Assistant Supe.ri.ntende.nt Business Services' JDB/crm. 1731-A _WALTER STREET VENTURA, CALIFORNIA 93003 PHONE (805) 642-6727 August 16, 1985 Rich Johnson P.O. Box 2288 Indio, CA 92202 Project: 51-065 Ave. Velasco -La Quinta, Ca Subject: -Hous-le-Pad Report of Field Densities Job No. B -15181-P1 85-8-229 RECEIVE® AU G 2 11085 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPT On July 23, 1985 and July 25, 1985 a representative of our firm performed density tests on the fill placed on the building area on the above referenced project. Tests were performed at random locations in accordance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density Test Procedure. Tests performed as per author - of Rick Johnson. .The estimated locations of the tests are presented on the attached plan with their results being summarized on the attached test re- port sheet. A total of five (5).density tests were performed. Test results indicate a minimum'of ninety percent (90%).of relative com- paction -has been obtained within the areas tested. In areas of low dens.ity,.the soils.,were reworked and retested so'that the minimum requirement have been obtained. The maximum density -optimum mois- ture was determined in the laboratory.in accordance with ASTM D 1557-78, Method A, five (5) layer curve. Classification Maximum Density. -Optimum Moisture Light brown slightly silty very fine to fine sand 109.3 pcf 13:1% VENTURA LANCASTER .(805) 642.6727 (805) 948.7538 THOUSAND OAKS BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805) 495.8484 (805).327-5150 (805) 966.9912 (714) 328.9131 (805) 544.6187 August 16, 1985 Job No, B -15181-P1 85 -fol -229 LIMITATIONS The compaction operations were completed at the -time our personnel were called to the site. The test results summarized in this report present the moisture and.density only at the locations and depth tested on the specified date. 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. Respectfully submitted, BUENA ENGINEERS, NC Reviewed and approved R� Orman G. Jac son, J . NGJ/REB/kls Copies: -4- Rick Johnson 2- City of La Quinta 2- P.S. file 1- Vta. file Raymond E. Brannen C.E. 28966 BUENA ENGINEERS, INC. REPORT OF RELATIVE COMPACTIONS Job No. B -15181-P.1 CONTRACTOR: DATE: August 16, 1985 Report No. 85-8-229 Ave. ' Velasco ADDRESS: JOB & LOCATION: La Quintan CA TEST NO. DATE DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 1 7-23-85 3.0 from grade Per Plan 10.5 92.3 84 109.3 2 7-23-85 3.0 from grade 10.7 93.9 86 109.3 3 7-25-85 Retest #1 ". 17.9 98.9 90 109.3 4 '7-25-85 Retest #2 " 11.8 99.9 91 109.3 5 7-25-85 3.0 from'grade.' " 18.1 102.1 93 109.3 WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: % BUENA ENGINEERS, INC. AiAu Cf Q 3don . � 1 i § .l� 4 o � d . ti S w