06408 (SFD)P.O. BOX 1504 N Q .
Building 5�_�ba Vallejo 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
New Generation Builders
Mailing
Address P. d. A= 2401
City Zip Tel.
Palo Desert 1 92260 346-4
Contractor
Address
State Lic. City
&'Classif. 352211 Lic. #
Arch., Engr.,
Designer
Address Tel.
BUILDING: TYPE CONST. 'OCC: GRP.
A.P. Number iii« -?.&•-d106
Legal Description
Project Description Rin
1230 Sq. Ft. 16,00
Size
CityI Zip I 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
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,8usness and Professions Code: Any city or county which requires a
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Me a signed statement that he is licensed pursuant to
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Cade, 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 civilpenalty 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, auisness and
Professions Code: The Contractors 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 Nat such improvements are not intended or offered for sale. If, however, the building
or improvement is sold wdhin 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) fcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B- & P.C. for this reason
Date Owner
a
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
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N the permit is for one hundred dollars ($100) valuation
orless.)
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: ft, after makrg 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
Lenders Address
This is a building permit when property 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
Signature of applicant Date
Mailing Address
City, State, Zip'
i � •
No. No. Dw.
Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
REMARKS Ax—
i Y4
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
Estimated Valuation
$91.264
INSPECTOR
PERMIT
9/27/89
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal
Validation:
$ 264.86
Const.
.514.86
Mech.
60.00
Electrical
112.9€1
Plumbing
160.5
S. M.I.
6. 44
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2,015.15
TOTAL
$3,424.71
REMARKS Ax—
i Y4
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
9/27/89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SQ. FT. ® $
UNITS
SLAB GRADE / %� �`
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT.
FORMS
SE OR EPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. ®
=$
LUMBER GR.
FRAMING
URINAL
SQ. FT. @
`/�
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
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(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
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.
SQ. FT. ® c
BATH TUB
FINISH GRADING
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4C
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 TPLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK �� �%(j
44Z*/ BING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE / %� �`
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SE OR EPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 7J
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FINAL INSP.
/
� j1
ROOFING K 3/2- J/ pe3/ro
`/�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�/
loryN Wjpa
LATHING f //
MESH
INSULATIONISOUND �G
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sa-ids Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
�I
B(DR
TO: City of La Quinta DATE:/0/I
Department of Community Development
78-105 Calle Estado q
La Quinta, CA 92253 NOTICE: THIS DOC�UMENT CANNOT
c�9
This is to ertify that `
developer of 3 which is
located at — Q Q within
this District, has paid school facility fee imposed pursu t to the
authoritt generated by Government Code Sectioii 53080 in the amo nt of
$ g , c Civ u - � �oG
co ering a total of 4 V'00square feet of ( ))'-re den ial r
( ) industrial/commercial development and that building `permits for
this footage in this development may now be issued by your jurisdiction.
�
- 1i
for DESERT SANDS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
'UHION I M TITLE CO�� Perim
Orde6l4o. .
Escrow N' o.D/�3
Loan No.
WHEN RECORDED MAIL TO: -
New 9enxAai ion Bu.LPrleitz, Inc.
P.0. Box 2401
Pa& Dez,mi, CA 92261
3
G�v
N
LiT 04
'4 3
SPACE ABOVE THIS LINE FOR RECORDS USE
MAIL TAX STATEMENTS TO:112 20
DOCUMENTARY TRANSFER TAX $ ..:........:....................................
same ass aAove- ...X. Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declarant or Agent determining tax - Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
(16yV2 UOS and MERF-SA UROS, flu sand and WA
4
hereby GRANT(S) to
N& 9tN&2A7I0N MrLDERS, INC., A CALIfOi2NIA COi PORAUON
the real property in the City of/ ((:{ �U 0-7 /tz-,
County of jzve•z,i, State;of California, described as
Lota 17, 18, 19, `20, 21, and 22 in Diock 290 o/ Santa Cam b:E to a.i Vaie La 6luirzta,
Una #26 a,3 peer- ma/? /tecoAded .in gook 20, /gage 50 o� Nalm, Records of kivelv.ide County,
Cai4onnia.
Dated 7&,4uarr-u 23, 1989
STATE OF CALIPORNJA Iss•
COUNTY OF 62LS - Q )
On Ce �3 1!9 g -1 .
before me, the undersigned, a Notary Public in, and for said State, per -
Is it appeared
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s yhehjlel
ibed to the
within instrument an knowledged to a thy executed
the same. �/ciat/se"al.
WITN S my an
a
7hezeza 61ir.o.6
RECEIVEn'M R, 3' 0 193-
. OFFICIAL SIZA
' ,, L LASHE FLO AN
�.� M,.. NOTARY PUBUC—CALIFORMA
FRLWIPAL OFFICE IN
RIVERSIDE COUNTY
laY Commisslan Expires Oct. 23, 1991 p
(This area for official notarial seal)
1002 (6/82)
M L TAX STATEMENTS AS DIRECTED- ABOVE
. . . . . . . . . . . . . . . . . . -,
f �J
it
COACHEILA VALLEY WATER DISTRICT
'4SH:R"EC'EI" DETAIL
g,1
Iva F, f
s
90Ze� .
A,
tpddreae
'Account No..� 6' o'
-416i Ad(?ress
a. Code -
10°�
S
-a M - ServI6
A&
-4
RZI
-'t 0' House
NeterS h
'ig
k'OzM.S.B.F_
n c on
jerhpora d'stru'il
O %Turn on Ch
arge
Uncollected Account -Name
0' Plan 'Check fi'ei Water) iew"er -
-'T
t
0 Bond Payiorid
1'cust6mer Deposit
.4
WOR
TOTAL $
Remarks mar i
7
A I"; water;S.1rv1111
Check
7,a
Cashier
Order
Nt
CVWD -438(11/89),,
e,
IT
IA
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�s7S.crO
p
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American Engineering Laboratories, Inc.:.
58945 Business Center Dr., Unit A r� '
Yucca Valley, CA 92284
Telephone (619) 228-1754 i
FAX (619) 365-6908
San Diego • Corona • Modesto 6 Yucca Valley
Apple Valley
i
December 4, 1989
Acct. No. 31091=C
To New Generation Builders
P.O. Box 2401
Palm Desert, CA 92260
Subject: In ,Place Density Tes'tin'g
S'ingle.Family Residence
54-360 Avenida Vallejo
La Quinta, California
Attn: John Hayes -
On December 2, 198.9, a representative of this company .visited
the above referenced project and performed in place density
tests. -
The results,of our testing indicate tha-t the embankment
placed as compacted fill was compacted to at least 90 -percent
of maximum density' at the locations tested.
The maximum density was determined per.ASTM Test Method D1557
an& the field density tests were performed in accordance with
ASTM D2922.
Please call this office if you have any .questions regarding
the above referenced project.
Sincerely,
AM ICAN EN NEERING LABORATORIES, INC.
Pau oerst
Branc anager Yu ca Valley
PRH/bf
RECEIVED
19�
r
AMERICAN ENGINEERING LABORATORIES, INC.
❑ 7940 Arjons Drive. Suite A ❑ 1490 Rlncon Street. Unit Z ❑ 515 Galaxy Way 58945 Business Center Or.. Unit A
San Diego, CA 92126 Corona, CA 91720 Modesto. CA 95356 Yucca Valley, CA 92284
(619)695-3730 (714)272-4230 (209)576.0813 (619)228.1754
CLIENT: PROJECT. DATE 12 • 2 - 8.9
w- ``\\ 5 A- — 3 (o p
' W G F N r R �j N d U 1 l iJ E R S PROJECT NO.:
SSV FN1tJ � V�•I.LF�O
REPORT OF FIELD COMPACTION tEST�
TEST 0
U=1"OM OF TEST
A P P R x
C+
}
2
F �s7 S �ZIE
y�
7 -
MAXIMUM
DRY DENSITY
MELD
OPTIMUM
MELD
MAXIMUM
PERCENT
P!RCENT
REMARKS
MOISTURE
' RE
ORT DENSITY
DDENSITY
RE{.ATIVE
REL COMP.
REL COMP.
J K 1
%
♦
P.C.P.
COMPACTION
COMPACTION
REQUIRED
QT,s,rh
(3 Ns 3t f)
REQUIRED
1\4
5
`io
05-5
pz�
9(3
i/
- T # /
LOCATION OF TEST
}
2
F �s7 S �ZIE
y�
7 -
MAXIMUM
DRY DENSITY
FIELD
MELD
OPTIMUM
FIELD
MAXIMUM
PERCENT
PERCENT
REMARK&
MOISTURE
MOISTURE
am OEMSTT
ORY DENSITY
RELATIVE
REL COMP.
V
%
♦
P.C.P.
COMPACTION
COMPACTION
REQUIRED
QT,s,rh
COMPACTION
REQUIRED
5
`io
TEST S
LOCATION OP TEST
3
Suv �`A
S �fJF
y�
7 -
MAXIMUM
DRY DENSITY
FIELD
OPTIMUM
FIELD
MAXIMUM
PERCENT
PERCENT
REMARK& ` tl�
MOISTURE
MOISTURE
ORT DENSITY
Day DENSITY
RELATIVE
ALL COMP.
M1
RELATIVE
REL COMP.
P.C.F.
1
COMPACTION
REQUIRED
P.C.F.
COMPACTION
REQUIRED
9 �-L)
05-5
pz�
9(3
TEST S
LOCATION OP TEST
.t
�� • 4
MELD
MOISTURE
%
OPTIMUM
MOISTURE
%
y�
7 -
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
FIELD
MOISTURE
OPTIMUM
MELD
MAXIMUM
PERCENT
PERCENT
REMARKS
MOISTURE
a" OENSITY
ORT DENSITY
RELATIVE
REL COMP.
V
1
P.C.F.
COMPACTION
REQUIRED
9 �-L)
TEST S
LOCATION OP TEST
MELD
MOISTURE
%
OPTIMUM
MOISTURE
%
Rom
a" DENSITY
P.C.F.
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
REMARKS:
GL-tJFRt�Z 101J �3���DERs
54 -360 N E VO v v.LLF�
I
T4 *of Ila Quinta
ut�t
an
�Safe.t�' .13 t t tiju
This Certificate issued pursuant to the requirements of Section 306 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 54-360 Vallejo
SFD 06408
Use Classification,- Bldg. Permit No.
Group R-3 —Type Construction N Fire Zone r Use Zone SR
Owner of Building New Generation Builders Address P.O. Box 2401
City Palm Desert. CA 92260
Date: '8/23/90 •
Building Official POST IN A CONSPICUOUS . PLACE