06409 (SFD)Building
Address
54-380 Vallejo
New Generation Builders
Mailing
Address P. 0. Box 2401
City Zip Tel.
same
Address
Zip I Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
State Lie. City
& Classif. 352211 Lie. # 1,230
Arch:,. Engr.,
Designer
Address- Tel.
CityI Zip I State
Lie. #
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
1 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 ne 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 five hundred dollars.($500).
❑ 1, 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 'reproves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. ff. however, the building
or improvement is sold within one year of completion, the owner -builder wig 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 Contractors 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
Workers 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 ff the permit is for one hundred dollars (E100) 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: ff, 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.) -
Lenders Name
Lenders 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 certity that 1 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
No. 46409
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-2 5-007
Legal Description
Project Description
REMARKS to
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Sq. Ft. 1604 1
Site
No.
"' Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition :3
Side Setback from Property Line
FINAL DATE
INSPECTOR
9/21/89
Issued by:
Date Permit
Validated by:
Validation:
Estimated Valuation
$91,264
PERMIT
AMOUNT
Plan Chk. Dep.
$75.00
Plan Chk. Bal.
264,80:
Const.
616.811-1
Mech.
60. 00
Electrical
112.90
Plumbing
I60.50
S.M.I.
6.44
Grading
20.00
Driveway Enc. •
2t3.00
Infrastructure
2,015..15
r �a
TOTAL
$3,424.71
.-1/ /' /1 149
REMARKS to
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
9/21/89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
'
COLL. AREA
YARD SPKLR SYSTEM
2ND FL. SO. FT.
ROUGH PLUMB.
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
FORMS
SEWE-QR-GEP+K�—
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
DUCTWORK
I
FOUND. REINF.
DRAINAGE PIPING
CARP. SO. FT. @
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
WALL SO. FT.
GAS (FINAL)
AlAr. POLE 2 -2/07
URINAL
SO. FT.
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation r
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
_$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.8
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1//. c
SEWAGE DISPOSAL
SO.FT.GAR ® V/ac
HOUSE SEWER
GAR. FIREWALL
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
ft �m BING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE-QR-GEP+K�—
NK
ROUGH WIRING.
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
AlAr. POLE 2 -2/07
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FINAL INSP.8
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING •f-OwN �Q A
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION Z !9O
c
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I
Orde6 go' -.7 t � \__4
Escrow I o.. D/�3
Loan No.
WHEN RECORDED MAIL TO: e�r.H b N�
New Gena.t i.ori Bui_Leir.Z, Inc. ,,qq
1z P.O. Box 2409 dd
Pa& D .3e2t, CA 92261
4 L
SPACE ABOVE THIS LINE FOR RECORDS USE
MAIL TAX STATEMENTS T0:l92 20
DOCUMENTARY TRANSFER TAX $ ... ........:.............. ......................
.carne ab agoue 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 ofwhichis hereby acknowledged,
MEYER CtIROS and 7/02CSA E7/20S, leu wand and Gl i/ -e
hereby GRANT(S) to
N& GCNCIRVION BUILDERS, INC., .,4 CALIfO12NIA' CORPO/RA7ION
the real property in the City of✓ (C%{ �(,(/� z.i
County of IR.iVvA'zide State of California, described as
Lots 97, 98, 99, 20. 29, and 22 in B.Lock 290 o� Santa Ca&w_, to at VaLe La Chu rota,
Unit #26 a,3 pee map �reco4 ed .in .Look 20, /gage 50 0� (7a��s, /Recoircl s o� /2 iue�.s•ic County,
Ca e4onni a.
i'
oate3. fo��:uari�; 23,._9989
STATE OF CALIPORNJA Iss.
COUNTY OF
On �I�i�. �3 Iq 159
before me, the undersigned, a Notary Public in and for said State, per-
sonal) appeare
iA,
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s ' are su ibed to the
within instrument a kno l dged to a that he e/ ey executed
/
the samej
- +'fie e2 C�oa
7he2e-6a. C/_aoz
RECEivFn MA2 3 1 19V
Commission Expires Oct. 23, 1991
/(This area for official notarial seal)
6nature
1002 (6/82)
L TAX STATEMENTS AS DIRECTED ABOVE
OFFICIAL SEAL
P'
L• LAINE F-LOA14 n
ani
y
NOTARY FUSLIC—CALFORMA' .
PAL%CIPAL 1
OFFICE IN
FlIVERSIDE COUNTY
Commission Expires Oct. 23, 1991
/(This area for official notarial seal)
6nature
1002 (6/82)
L TAX STATEMENTS AS DIRECTED ABOVE
I American ,Engineering Laboratories, Inc.
j 58945 Business Center Dr., Unit A
�. Yucca Valley, CA 92284
Telephone (619) 228-1754 Y '
FAX (619) 365-6908 �'�►''F_
jSan Diego • Corona • Modesto a Yucca Valley
Apple Valley,
s:
December 4,'1939
Acct No. 31091-D
To: New Generation Builders
P.O. Box 2401
Palm Desert, CA 92260
Subject: In Place Density. Testing
Single Family Residence
54-380 Avenida Vallejo
La Quinta, California
! Attn: John Hayes
On December 2, 1989, 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
and 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,
AME CAN ENG EERING LABORATORIES, INC
Q
Paul Hoersti
Branch M ager/ uc a Valley.
PRH/bf
CEIVED OC I,
6 198P
AMERICAN ENGINEERING LABORATORIES, INC.
❑ 7940 Arjons Drive, Suite A ❑ 1490 Rincon Street Unit Z ❑ 515 Galaxy Way 58945 Business Center Or., Unit A
San Olego. CA 92126 Corona, CA 91720 Modesto, CA 95356 Yucca Valley, CA 92284
(819) 695-3730 (714) 272-4230 (209) 576-0813 (619) 228-1754 OO..
CLIENT: PROJECT. DATE 12
5 �- - 3 8 V LD. NO.:
PROJECT NO.:
PSV FN1� � VaI.LF�O REPORT OF FIELD COMPACTION PEST
TesT 6
LOCATION OF TEST
C}
}
F.G.a
00.lA
S\'0t
FIELD
DINT OENSTT
P.C.F.
MAXIMUM
DRY DENSITY
FIELD
MOISTURE
OPTIMUM
MOISTURE
FIELD
ORY OENSITT
MAXIMUM
ORT DENSITY
PERCENT
RELAmE
PERCENT
REL COMP.
. REMARKS: •y `M :J �C1T
!�
!�
P.C.F.
MOISTURE
COMPACTION
REQUIRED
DRY DENSITY
S.3
REL COMP.
v R.
%
%
P.C.F..
TEST /
LOCATION OF TEST.
}
F.G.a
2
F�s�c S•���
FIELD
DINT OENSTT
P.C.F.
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
FIELD
MOISTURE
OPTIMUM
MOISTURE
FIELD
ORT OlNSITY
P.C.P.
MAXIMUM
ORY OENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REODUIED
REMARKS:
" 1
T.s t a
REMARKS:-
EMARKS:MOISTURE 1�
REMARKS:
MOISTURE
MOISTURE
ORY DENSITY
DRY DENSITY
TEST /
LOCATION OF TEST
' +
3
Sup �\A
FIELD
DINT OENSTT
P.C.F.
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
FIELD
MOISTURE
OPTIMUM
MOISTURE
%
FIELD
ORT OENSITY
P.C.F.,
MAXIMUM
ORT DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
REMARKS:-
EMARKS:MOISTURE 1�
REMARKS:
MOISTURE
MOISTURE
ORY DENSITY
DRY DENSITY
TEST S
LOCATION OF TEST
.t
F G
FIELD
MOISTURE
%
OPTIMUM
MOISTURE
%
FIELD
DINT OENSTT
P.C.F.
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
FIELD
OPTIMUM
FIELD
MAXIMUM
PERCENT
PERCENT
REMARKS:
MOISTURE
MOISTURE
ORY DENSITY
DRY DENSITY
RELATIVE
REL COMP.
v R.
%
%
P.C.F..
COMPACTION
REQUIRED
C)
TEST E
LOCATION OF TEST
FIELD
MOISTURE
%
OPTIMUM
MOISTURE
%
FIELD
DINT OENSTT
P.C.F.
MAXIMUM
DRY DENSITY
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
REMARKS:
rol-
77
=.r. •III
ant
OFTHE4� ♦ �I i iI
(fit of 14a Quinta.
anb $afet� t,
This Certificate issued pursuant to Rthe 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 Cit regulating building construction or use. For the following:
Y 9 9 9 9: �I
BUILDING ADDRESS 54-380, Vallejo
SFD 06409
Use Classification Bldg. Permit No. !� i
Group R-3 Type Construction N Fire Zone Use Zone SR I f
New Generation Builders P.O. Box 2401 �I
Owner of Building Address
City Palm Desert, CA 92260
- - BY.
Dote: S/23/90
Building Official -
POST IN A CON9PI000U9 PLACE _
ill
', II
�
F I
i jl.l
I
I
77
=.r. •III
ant
OFTHE4� ♦ �I i iI
(fit of 14a Quinta.
anb $afet� t,
This Certificate issued pursuant to Rthe 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 Cit regulating building construction or use. For the following:
Y 9 9 9 9: �I
BUILDING ADDRESS 54-380, Vallejo
SFD 06409
Use Classification Bldg. Permit No. !� i
Group R-3 Type Construction N Fire Zone Use Zone SR I f
New Generation Builders P.O. Box 2401 �I
Owner of Building Address
City Palm Desert, CA 92260
- - BY.
Dote: S/23/90
Building Official -
POST IN A CON9PI000U9 PLACE _