14386 (SFD)44.
P.O. BOX 1504 NO. 148
Buildi4 . 54-•220 .Ave. Vallejo 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner I Aaron Hamilton VN
BUILDING: TYPE CONST. OCC: GRP.-�3
Mailing P.O. Box 1771 774-213-011Address
A.P. Number
CityZip Tel. Lot 14 Block 283
La. Inta., . 92253 (619) 345-704 Legal Description
ContractorP�
Project Description
Address _
ty
State Lic. I City
& Classif. Lic. #
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) of Division 3 of the Business and Professions Code, and my license is in full -force and
-effect. -
SIGNATURE - DATE
OWNEWBUILDER 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, atter, improve, damollsh, or repair any structure, prior to its issuance also
.requires the applicant for such pemrrt`to Nle 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, 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 rive hundred dollars (5500).
❑ 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, Suisness 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.)
O 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 contractors) #tensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. ji B. & P.C. for this reason t
_ til
IL
Date �' Ownei �a
1 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 it the .permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of th0 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: h, •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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND.CIVIL FINES'UP TO ONE
HUNDRED THOUSAND DOLLARS ($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. -
This is a building permit when propeily filled out, signed and'validated; and is subject to
expiration if work thereunder is suspended for 160 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
City, State, ZIp
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 Lif)
FINAL DATE INSPECTOR%//
Issuedby. Date / ermit
Validated by:
t7�
Sq. Ft.
Size 16.15
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ - Repair ❑ Demolition,❑
Permit includes block Valle. Pool
permit to; be
o7ot.3ned separately.
Estimated Valuation
$102t475.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
297, 25
Const.
650.00
Mech.
612.00
Electrical
130.01
Plumbing
138.00
S.M.I.
10.25
Grading
20.00
Driveway Enc.
.00
Infrastructure
2.193.19
'PFe- cEse Plan 25..00
arr.s in, F515.1_.`.c
P.Laces 2 v
TOTAL
3,795.701
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 Lif)
FINAL DATE INSPECTOR%//
Issuedby. Date / ermit
Validated by:
t7�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. pL'4wml&�; fie—
1ST FL. SO. FT. ® $
UNITS
'
2ND FL. SQ. FT. ®
ROUGH PLUMB. BONDING
YARD SPKLR SYSTENI
_
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL) TEMP. POLE
WALL SO. FT. ®
GROUT
DRINKING FOUNTAIN
SQ. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FRAMING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
MESH
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/.c
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 �� 95
GROUND PL �S UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE i S
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS f G
SEW R Ij� ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL N /`V
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. J�� ���
ROOFING
REMARKS: fei
"� "
�
(/G �w l/&,'o /' 7
Iola1//j'J/%J /��%�j�Jj/�JJf✓iJ/`
/ F//S _ /� �/ 7 i C/ c•• �j�f.�Gfi
// /
VAICN
d� f
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND / 7
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated. 619-775-3500
Date 12/9/94 Type of Permit La Quinta
No; 13219 1 Permit #
Log
Owner Name Aaron Hamilton
No. 54-220 Street Avenida Vallejo
City La Quinta Zip .92253 Study Area 111
APN # 774-213-011 Tract # I Lot # 0 Square Footage 11615
Type of Development Single Family Residence No. of units
Comments
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 or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE ;
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 x 1615 or $ 2,777.80 * have been paid to D.S.U.S.D. 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 Aaron Hamilton Telephone 345-7659
Name on the check. .
By Dolores A. Ballesteros
r
Superintendent
Fee collected /exempted by Peggy Reyes
Check
pw"
Payment ReceivedSignature / Rfo'�•=.'2488,.
i.� rte
Collector: Attach a copy of county or city plan check application form to district copy for all waivers. --
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting
f;
,10
4'
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RECORDING REUUEST E'U By
Fri r,.,(�•.:
ANn WHEN nrCfMM:U MAq THI (N!1) ANP UNIT 5. ..
SHOWN (11.1 OW MAtI IAII $IATII MI NI IO Sat/'('IWC• 1
Nemw
Aaron D. Hamilton
`tr"" Kimberly Y M. Ham 1tr7n
city A I'•0• ]lox 1 771
Zip
state La Qu i n to , CA. 922,53
rtllr orarr u„ __ 574409
,&CTC t"Iot (a.e3)
15102
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- ^1iZ ADUVE THIS UNE FOR RECORDER'S USE
Gr
-. ant Deed��-
1'H!•: L'NUlRSI(iNliD (ikAN'{•Oklt UI-(.
INK. USIL•NTARY TRANS1 Ek '_ --
l A \ I S � _
14.2() ------._.-.
Limncnrrtrncd .1 X
(:'i(%02"01-()
il. III -it -Qu. nt,i
Farrel Nu.774-213-01 1 -4 TRA ;
clln7pulcd on full value of Interest Ill, rU2O-U 1 5
I : rlun{luled Iln lull �;Ilu( Ic%% value I, ( (ktl� rnncr)'e/l. ur
FOR I lu nUr rn, unthIalI%c. rcnlarnul'' ;q link• of %ale, and
A VALUARLI: C'ONS'l)ERATION
WILLIAM R. RILEY rercil)t ul Whtch i. hcrchv ac•kno%ictiged,
TRUSTEE OF THE WILLIAI`1 R. RII.F1' TRUST'
herchy GRANT(S)II, (1994) 1
AARON D. HAMILTON AND KIMBERLY M.HAMILTON, HUSBAND AND
WIFE AS JOINT TENANTS
the lidlawing dckrihed real pn,rwrl�• in the City of .
cl,uniy or La Quint a
Riverside
Talc "I'California.
LOT 14 IN BLOCK 283 UNIT 26 OF SANTA CARMF:I;ITA q
MAP RECORDED IN BOOK 20 PAGE 50 OF MARS 1
RECORDER OF SAID C'O'UNTY 1� THF T VALE LA Q(1INTA, AS PER
OI F'1CF. OF "1.HE COUNTY.
Dated _-_ June 14, 1994
STATE OF CALIFORNI
COUNTY OF �iverside
On .---.-_June 14, 1994 } S.S.
Cindy •Burgin-•- •----- before me,
a Notagf fEt tic in aa- fo- - ---•-- g _ . _
K . Younty inud., tta e' personalty aPPeered
personalty known to me -- - [ ---_ .---
evldance) to be the (or proved to me nn Ih' basis of sAllsfar..Inry
within instru persons) whose neme(s) ts/are subar-rl
ment and acknowledged to me the, hn/shenh- bpd In fila
I" same m h,yher/tf>r,n authorized capactlNtes), en(t that
signatures) on the instrument the y e■M:uled
Of which thePerson(s)
r O Person(s). or the enti� hton behalf
Pe sons acted, executed the instrument. y upon behalf
WITNESS my hand f tial seal
r
Slgnaturia
I ^ _
RileYr trustee—
ZC1N1D)y%RURGlN4 to?t uq
tVryar� RAI+r-f.3
} �y Rr%,TRV(IF r(il.NTN 6
Fx
Ilan area Irlr dlrlal rylrMyl MNI
t Professional Service Industries, Inc.
REPORT OF FIELD COMPACTION TESTS
TESTED FOR: ATTN: AARON PROJECT: 54-220 AVENIDA VALLEJO
AARON HAMILTON LA QUINTA CA
P.O.BOX 1771
LA QUINTA, CA 92252-3
DATE: January 26, 1995 -OUR REPORT No.: 073-50017-00002
TEST DATA: (00001) Silty sand fine grained OPT. MOIST. = 10.89.
TEST
NO.
TEST
DEPTHSOIL
ELEVATION
ID
NUMBER
MAXIMUM
LAB DRY *
. DENSITY
WATER
CONTENT
WET
DENSITY
DRY
DENSITY
1
811
-2
1
118.9
10.8
_
`119.1
_ _
107.5
2
8 11
- 1
_ 1
118.9
11 /4'
120.9
108.5
3
811
F.G. **
1
118.9
12.2
121.9
108.6
4
811
F.G. **
1
118.9
11.1
120.0
108.0
It5T LOCATION: Single Family Residence
North west corner
South west corner
North east corner
South east corner
PCOMMENTS*
PERCENT
COMPACTION Spec. 90$ Mi.
90.4 1 - A
91.3 1 A
91.3 1 - A
90.8 1 - A
NOTES: TESTS PERFORMED PER ASTM D2922-91 & ASTM D3017-88(93) 'COMMENTS:
DENSITIES SHOWN: Lbs. per cubic foot
1. FILL MATERIAL A. TEST RESULTS COMPLY WITH SPECIFICATION:
WATER CONTENT: Percent old ry weight
PERCENT COMPACTION: Based maximum dry
2. BACKFILL B. PERCENT COMPACTION DOES NOT COMPLY
3. BASE COURSE WITH SPECIFICATIONS
density obtained on samplee indicated by
soil ID number.
4. SUBBASE C RETEST OF PREVIOUS TEST
5. SOIL CEMENT D. MOISTURE IN EXCESS OF SPECIFICATIONS
* (00001). ASTM D-1557, Procedure A
6. OTHER E. MOISTURE BELOW SPECIFICATIONS
TESTINSTRUMENT: Campbell, MC -1
STANDARD COUNT M: 00 D:
REMARKS: PSI DID NOT MONITOR THE FILL PLACEMENT.
**F.G.
00
ADJUSTMENTDATA M: 00 D: 00
- Finsh grade***
TECHNICIAN: Marshal Hislop
Respectfully submitted,
Professional Service Industries, Inc
THESE TEST RESULTS RELATE ONLY TO THE SPECIFIC TEST LOCATIONS NOTED. PSI IS NOT RESPONSIBLE FOR ANY OTHER LOCATION OR ELEVATION.
REAORTS MAY NOT BE REPRODUCED. EXCEPT IN FULL. WITHOUT WRITTEN PERMISSION BY PROFESSIONAL SERVICE INDUSTRIES. INC.
t
PSI A-100-2 (3)F
42-240 Green Way, Suite C 0 Palm Desert, CA 92260 0 Phone: 619/341-5790 • Fax: 619/341-5794