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002926 (SFD)P.O. BOX 1504 Building,� 78-105 CALLE ESTADO ,,, Address Vallejo LA QUINTA, CALIFORNIA 92253 Guy Ak= Mailing - Address 41-740 VAGORWaU Ave. City Zip Tel. Bemida 92201. 345UOO Contractor sam City Zip - Tel. r_TMA State Lic. City & Classif. $84381 Lic. # appUed Arch., Engr., Designer Address Tel. City Zip State - Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) effectof Division 3 of the Business and Professions Code, and my license is in full fo-rrc?eYand_ SIGNATURE ( DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 any structure, prior to its Issuance also requires the applicant for such permit to file 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 thaLhe is exempt therefrom, 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). O 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 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.) . ❑ 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 with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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. 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 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. CONSTRUCTION LENDING AGENCY I 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.) 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 -of this city to enter the above- mentioned property for inspection purposes. ,' :4411,0 / I %r1 Signature of applicant /i �!� �+'Date Mailing Address r 14 City, State, Zip I/ HARD COPY No., 002926 BUILDING: TYPE CONST..00C.-GRP. A.P. Number 774-212-017 Legal Description T4* 6 Project Description %kitty lg! fo."tia dwmIllrom ZONE: BY: Sq. Ft. 427 M PM No 81. FE=,18 Size 1382 VM Stories No. Dw. Units New Ga . Add ❑ Alter ❑, Repair ❑ Demolition ❑ Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued.by: Estimated Valuation $ -74t3".00 Validated by - PERMIT AMOUNT Plan Chk. Dep.- ep.-Plan, Plan,Chk. Bal.3-�� Z 17 j77R66 R Const. 358.08 Mech. 30.00 Electrical 85.96 Plumbing 107.00 S.M.I. 5.21 Grading 20.00 Driveway Enc. 20.00 Infrastructure l,091.77 TOTAL 2,,029.66 ��� • fJ REMARKS ZONE: BY: Minimum Setback Distances: ' Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued.by: Date 1""3""83 Permit Validated by - Validation: A733Z Z 17 j77R66 R CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO, FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$71 LAUNDRY TRAY AIR HANDLING UNIT CFM FRAMING y �6 IKITCHEN 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER GAR. FIREWALL / LATHIN5 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 CaETBACK ?— 1 !/ 0 D PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. NDING 1-1-167 HEATING (ROUGH) STORAGE TANK (`r`FORMS SEWER O EPTI ROUGH WMIING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) U MP. POLE ?j GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. 7 ts� GRADING cu. yd. $ plus x$71 -$ LUMBER GR. FRAMING y �6 ROOFING �� 9 1W REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL / LATHIN5 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIG NATURE'a/INITIALS, GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES TO: City of La Quinta DATE: '/ 7 / Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer of a which is located at.,45'3--•, 4, 0, within this District, has paid school facility fees imposl9d ursuant to the authority generated by Government Code S ction 53080 In the amo4nt of c vo Bring a total of 9'7 square feet of residential or ( ) industrial/commercial development and that building permits fo,r this footage in this development may now be issued by your jurisdiction. for DESERT SANDS•UNIFI D SCHOOL -DISTRICT. White ,�,- Developer C � 5--40' (10)-37 Z Z O f— U W U) 100 Z O F U LU U) U) V Q 2 W Ir X Z O F- U W U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 71 IA _ -� ` 2 ©' ^� PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent Contractor, Etc.) kers � Mailing Address ql7q0 llqAve- arV e_ll City ge>^AUA A-111 1. S State C,4 Zip Code 0a0 I Telephone 1 �3 4/5-- #00 'Job.P�p� Address 1- � ��� 'Ciry or C� muniry � 'Legal Descrjption of Property. (Loi, PM, TR) Ua/(/e (/� l.J��� (` (/�/'u l„ U 'Assessor's Parcel No. Water Agency or Well Lot Size / 7Y—c-�' �, 0/ I Use of Permit Planning Case # SFD, MH Site Preparation Etc. c 06 Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date �� � � Certification of Existing S.D. System required. El Yes No � � l 1.,r •.� t WQCB Clearance required. ❑ Yes LP No I Soils feasibility report required. El Yes No Detailed boring report required. ❑ Yesq.]NO Detailed contour plot plans required. ❑ Yes No Staff Specialist approval required. ❑ Yes No Lot Inspection Date Soils/boring report by D V, ` Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing blNeW ❑ Additional ❑ Replacement •cam `Md x \vim Gals. (2) Leach line sq. ft. Sidewall allowance Install—Line(s)_Ft. Long, Leach be ,Sq. (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with n. inches Ft. o�botttttom per running ft. N/A rock below drain lines// area Leach lines/bed-special design f P slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable N/A Overburden/actor ❑ 5' 7E 6' j 1 `LL, 1 Max. allowable depth L4 01 J�^Q'^ C. 1n \OCA�>C('6\ASIL"\ 6 C -- i This application is approved/denied 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. (1)) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (—(3D Seep ge p1itsy u�st min. frorAJany wells including expansion area -bye- }1-5-0' . I by Signature of Health Official Date RECEIPT NO. I -� F5 , Issued by Y-,\ <Q. Date District: ❑ Riverside T Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe f Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6186) - J 0. AGRICULTURAL COMMISSIONER E. LEON SPAUGY 4080 LEIMO-N STREET, ROOM 19 COMMISSIONER CALIFO�tNIA 92501 JAMES 0. WALLACE (714) _787 .2561 ASSISTANT COMMISSIONER .g�� Y•9'r 1 Bq 7 % 46-209 Oasis Street, Room.14. Indio, CA .92201 (619) 342-8291 Dear Developer/Landscaper: Thank you, for inquiring with the Agricultural Commissioners Office regarding local quarantine laws, 9F Any diseases or insects associated with the plants/landscapin— material presented on your landscaping plans do not pose a threat to the Coachella Valley Citrus, Date, Grape, Vegetable, or Field Crop industry, .We therefore approve your landscaping plans. If however, any substitutions of plants/landscaping materials within your plans occurs between now and the actual planting date, you must contact this office within 48 .hours before delivery into the Coachella Valley. Also, the substituted Plants/landscaping material must be held for inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quarantine pests will be in1--nediately treated or shipped out of the Coachella Valley at -the discretion of the Agricultural Commissioner's Office. Under penalty of perjury, I.the undersigned I will comply with the above. Authorized Agent NameS. Z// �y Date (p d Signature �I Permit Number(s) ze- Developer Address y/ AGRICULTURAL CMMISSIONER' S APPROVAL Date_-%�—$ Authority cited: Agricultural Code; Sections 6301, 6461, 64 521- 65246 cc: 2 Plan Check, Indio Office, Riverside Office APPROVED By:, 'P� DATE: -!6- -7 Form A - 10/84 S 0 Buena Engineers, Inc. AN EAfRH SYSTEMS, INC. COMPANY 1731-A .WALTER STREET VENTURA; CALIFORNIA 93003 Narch 26, 1987 Pamona Valley Equipment Co, P.O. Box 457 La Quinta, CA 92253 • (805) 642-6727 B -17170-P1 87-3-780 Project: 53-585 Avenida Bermudas &5.4-=1'25 Avenida Val le io La Quinta, CA Subject: Report of Field Densities House Pads On February 19; 1987, a representative .of' our firm. performed density tests in the fill for the house pads 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 were performed as per .authorization of Bob Cullen of Pamona Valley Equipment Co. 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 five (5) density tests.were performed. Tests results indicate that a minimum of ninety percent,(90 0) relative compaction has been obtained within the areas tested. The maximum density-optirnum 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 Tan silty very fine to f ine sand sm 1 1 1.2 pcf 10.87 VENTURA (805) 642-6727 BAKERSFIELD ` SANTA BARBARA (805) 327-5150 (805) 966-9912 LANCASTER (805),948-7538 PALM SPRINGS SAN LUIS OBI;PO (619) 328-9131 (805) 544-6187 Narch 26, 1987 -2- B-17170-P1 87-3-780 1. The projects are located at the addresses noted above within the City of La Quinta, CA.. 2. Prior to our arrival at the site, the fills had been placed, compacted and were ready for testing. 3. The purpose of testing was to observe compliance with the minimum requirements of the City of La Quinta, CA. The test results summarized in this report present the moisture and density only at the locations and depths 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. . If there are any questions,.please do not hesitate to contact this office, Respectfully submitted, BUENA ENGINEERS, INC. Phillip D. Clanton PDC/JRV/th Copies: 2 - Gary Acres 2 - City of La Quinta 1 - PS file 2 - VTA file o��sS\OVAL fPvG- Reviewed and Appr o o r )bseph R. VenutiQ Civil Engineer � STAT E OF GP BUENA ENGINEERS. INC. �U�t1U Engineer§,inc. REPORT OF RELATIVE COMPACTIONS Job No. CONTRACTOR: DATE: March 26, 1987 Report No ADDRESS: JOB & LOCATION: La Qulnla, CA B -17170-P1 87-3-730 TEST NO. DATE TESTED DESCRIPTION % MOISTURE IN PLACE, DRV DENSITYRELATIVE IN PLACE. COMPACTION MAXIMUM DENSI_y 54-125 Avenida Vallejo 1 2-19-37 Per Plan 2.0 BSG 12:4 105.9 95 1 1 1.2 2 2-19-87 Per Plan 1.0 BSG 1 1.3 106.5 96 1 1 1.2 3 2-19-87 Per Plan FSG 9.6 106.6 96 1 11.2 53-585 Avendida Bermudas ' 4 2-19-87 Per Plan I 1.5 BSG 12.1 106.8 96 1 1 1.2 5 2-19-87 Per Plan FSG 11.7 103.8 93 1 11.2 .' BSG = Below Subgrade s FSG = Finish Subgrade , WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: