003843 (SFD)2
`Building
Address 53--255 'dal
Owner
44
P.O. BOX 1504 No, 003843
78-105 CALLE ESTADO
LA OUINTA, CALIFORNIA 92253
Mailing
Address 35 S. Pazkwoad #2
City Zip Tel. .321-4466
Pasadena 92207 -818---733-4345
Contractor
.mer/Bai.lder
Address
State Lic.
& Classif.
-Arch., Engr.; '
Designer
Address
Lic. #
Tel.
BUILDING: TYPE CONST. OCC: GRP
A.P. Number 774-082'013-0141
Legal Description
Project Description Single ]?amily pwelling
. 2.5' Retaining Wall & 65 high -yood fence
Sq. Ft. No.
Size Stories
New ❑ Add ❑ Alter ❑
No. Dw.
Units -
Repair ❑ Demolition ❑
City
Zip
State
Lic. #
. LICENSED CONTRACTOR'S DECLARATION _„
~
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
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
Any
`,? '
reason: (Sec. 7031.5, Business and Professions Code: city or county which requires a.
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
.PERMIT •• AMOUNT '
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,- and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
Plan Chk. Dep.
subjects the applicant to'a'civil penalty of not more than five hundred dollars'($500):
Plan ChkBal
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
.. . Aiw a a
do the work, and the structure is not intended or.offered for sale. (Sec. 7044, Buisness and
."Const. 50
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,
McCh.
. 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
Electrical -
of proving that he did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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
S.M.I. 11
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
-
Grading
❑ I am exempt under Sec. B. & P.C: for this reason
Driveway Enc.
Date L/— f.�%F owner ✓'r1 3
Infrastructure 1� 383.00
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
❑ Copy is filed with the city. - ❑ Certified copy is hereby furnished.
TOTALS
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit'is for one hundred dollars (8100) valuation
_ _ .: , ., . �_,
.r
or less.) . . -
I certify that in the performance of the work for which this permit is issued, I shall not
-Y
�' SS-. i f.V
if# 1i t Ti M I
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
ZONE: BY:
subject to the Workers' Compensation provisions of the Labor -Code, you must, forthwuh
comply with such provisions or this permit shall be deemed revoked.
_
Minimum Setback Distances: - '
Front Setback from Center Line
Rear Setback from Rear Prop. Line
_ CONSTRUCTION LENDING AGENCY
Side Street Setback from Center.Llne'
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) -
'Side Setback from Property Line
Lender's Name
.Lender's Address
FINAL DATE INSPECTOR
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.
4/13/88
I certify that Lhave read this application and state that the above information is correct.
Issued by: Date Permit
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.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
' HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB.
2ND FL. SO. FT.
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
METER LOOP
DRAINAGE PIPING
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER HEATER
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
INSP/ _�fi $
o //
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
^ ^ �4c
C� �� �` �L
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
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 0
GROUND PLUMBINq��. 74 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
`SEWER OR SEP ►�
_J ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd..
plus x$
_$
LUMBER GR.
AL INSP.//, �
u&FRAMING0 0_1INAL
INSP/ _�fi $
o //
ROOFING
�/, �✓�
►YYY►!'IQ\
�W V
L
^ ^ �4c
C� �� �` �L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�GTHING e-1 (3' �' /'Z
MESH
(ee1NSULATIONISOUN Ji
FINISH GRADING
PIAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES kA
(00
TO: City of La Quinta DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253 NOTICE: THIS DOCUMENT CANNOT
BE DUPLICATED.
This is to certify that1D.,
developer of which is
located at '01> within
this District, has paid school facility fees imposed pursuant to the
authority generated by Go ernment Code Section 53080 in the amount of
covering a total of square feet of ( >() residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
7%
for DESERT SANDS•UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
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RECEIPT NO. 3 Issued by Date -3
District: ❑Riverside Indio El Hemet El Perris ❑Rancho Calif. Blythe
Distribution: WHITE.Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending file
DOH SAN 122 (Rev, 8187)
CO-UNTY170F'-RIVERSIDE,'ENVIRONMENTAL HEALTH SERVICES DIVISION
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM -1-7
Applicant: Submit this form with four copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached chef k list.
A non-refundable filing fee of $40 is required when the application is submitted. Check must be made payable to the County of Riverside.
e. H4 h Building Department Application Log #
1
Name (Owner. Ageng Contractor. Etc.)
Madtng Address I
'PP•rLIk—Wp0
3S' S d 1
City
State
Zip Code
Telephone
f A s /1 o 0 A-
ch-
1 0)//0,7
'Job Property Address
'City or. CommunityL
gal Descnpuon Property. (Lot. PM. TR
+�. CAS, Al � e.- 1,1 ,
*Assessor's Parcel No
-% y v$ 2. 10 13- L-
Water Agency or Well
Lo Size
Use of Permit Planning Case #
- (3 cJ- Z 0 11-4-1-
SFD. MH Site Preparation Etc.
Signature of Applicant - _ Dale
' 'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
I ilial �\ Date
).�
Certification of Existing S.D. System required. El Yes No
WOCB Clearance required. ❑ Yes No
Soils feasibility report required. ❑ Yes No
Special feasibility boring report required. ❑ Yes No I
Detailed contour plot plans required. _ ❑ Yes No r
Staff Specialist approval required. _ El Yes No Lot Inspectiorn Date
Soils/boring report by g) Y\ Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic TankSoil
Rate ReAuired
[3Existing l&ew ElAdditional ElReplacement
��LXr_
1� � Gals.
C1 I
S /
(2) Leach line sq. It �
Sidewall allowance
Install Lines)� Ft. Long,
Leach bed Sq.
(Bottom trench arca)
tt. roc Sq. Ft.
Ft. wide w mih n. inches
Ft. of/bottom
/
per running tt. ❑ N/A
rock below drain lines
area
Leach lines/bed-special design for slope:
Applicable �/
(3) Pit Diameter
No. Pits
Pit BI t
Seepage Pit total depth ? O
❑ 5'
I
`
Max. allowable depth
N/A Overburden factor
,v�p,t�, tit ��� /• C�CC'G'^S�c,ti GAS
This application isprovedAnied for the design of a subsurface disposal system as indicated on the accompanied 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(Ja)Septic tank and sewer lines must be 50' from any wells
t
(2) Leach, lines must be 100' ruin. 'from' any wells including expansion area 's i f hvQ `,-P v t t^ G
(3P Seepage 'mst 150' min. f om any wel including expansion area t 1 M ' C-�
pit be
Sigat Date
RECEIPT NO. 3 Issued by Date -3
District: ❑Riverside Indio El Hemet El Perris ❑Rancho Calif. Blythe
Distribution: WHITE.Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending file
DOH SAN 122 (Rev, 8187)
OtrICE OF
AGRICULI URAL CONIMISSIONER
AND
WEIGHTS Fi MEASURES
49-613 Ilwy 86, Suite B-12
CoaclleJ.l�, CA 92236
619-342-8291
DATE 41,x„/ 2.
DEVELOPER'S NAME-
ADDRESS:
E. LEON SPAUGY
CO'•I�nS i�0`EA
ZANIES 0 WALIACE
A5S:S;A.'.f (?)NIMISSIONER
CLEMENT BENVENISIE
SLALER
CASE N0.
TELEPI IONS
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ frun plant mterial listed, this office must be notified
itnnediately.
Thank you for protecting and'preserving the Coachella Valley's pest -free environment.
Agricultural Camrission 's Office
ccs Indio and Riverside Office
LEIGHTON AND ASSOCIATES _
Geotechnical and Environmental Engineering Consultants
y
- May 24, 1988
Project'No. 5880808-01
TO: Darren Elkins
P. 0. Box 1073
Morongo. Valley, California. 92256
SUBJECT: Report of Compaction Test Results, Building Pack, 53-255 Avenida
V.a1A-ej , La Quinta, California
At your request, we have performed four compaction tests on the near surface soils'
at the subject site. The test results and approximate test locations are shown on.,
the attached sheets (Figures l and 2). The maximum density and optimum moisture
were determined as per ASTM.Test Method D1557-78. The field density tests were
performed with a nuclear densometer in accordance with ASTM Test Method D2922-78.
The scope of our work was to perform compaction tests only -and not to provide soil
or foundation engineering recommendations. Our services were performed after the
building pad, was completed. The scope of our work did not include observing the
grading operation during placement of fills to check for uniformity of materials
used, 'construction methods, etc. Therefore, we cannot make any, statement about
conditions below or beyond our test locations.
Should you have any /questions regarding this report, please contact us.
Respectfully_ submitted, s _
LEIGHTON AND ASSOCIATES, INC.
V 1
Paul Hoerstin Brent J. Inghram, RCE 40264
Supery Tec nic an Chief Engineer FES
PH/BJI/cwm
Distribution: (3) Addressee.
Enclosures: Figure 1, Compaction Test Summary
Figure 2, Sketch
74-240 HIGHWAY7111, PALM DESERT, CALIFORNIA 92260
Y%IU 01
y� BPENT J. �0
IILGN, ,A,M $
CM
W No. 40264
Exp. /x -31-9v
CIVIL ..� — ----
0 C Wf� )341 -7490
;.
DAILY FIELD REPORT
No:
Job Name: pKVI.U.r 3
.'EL.\<SNS
Project No.:5g808a8-0j
Date: 5-.2�-816
Location; Sa - 265
V Ki-LE 50
Weather:
Day: Z Q E S
Contractor:
Foreman:
Field Technician: p \qk
--
Miles :
Hours:
Equipment Working:
Inspection /Testing of
lbwt•o vmG P
Test
No.,
Test
Location
Elevation
or Depth
Soil
Type
Optimum
Moisture
Field
Moisture
Maximum*
Density
Field
Density
Rel.
Comp.
1
S'EX s\cF�cv�
Y•6 -\' =
10 .5
11:'1
12.5
\�5. ►
90
92
3
8 .1
119 •o.
93 .
,�
t�•+
\19 5
94
Summary of
Operations: IF
SN GQ K10 F
S0L 't PE A
vrFO\�� GRa�w�f0 S�.t,OSorwIt
S\LT BRoWr.1
L p•S3c0.o.'coR. Mt`�c. \Mvvn OR pFNs�t �Zl .5
P•C•F•
'
Supervisor :
Engineer:
Geologist:
Todays Yardage:
Yardage
to Date:
LEIGHTON and ASSOCIATES
[nT 17975 Sky Park Circle, Suite E., Irvine, California 92714
Tel: (714) 556.1421 556-1422
100A.(4.'7T)
WHITE —File Copy YELLOW —Client Copy PINK —Field Copy GOLD —Office Copy