06411 (SFD)4
4
P.O. BOX 1504 N Q
Building 54-400 Va11e o 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
New Generation Bui3 cra
Address P. 0. Brix
City I Zip
Pal* Desert
Contractor
Cmt�
Address
State Lic.
& Classif. 352281
Arch.' Engr.,
-•.,Designer
Address
Lic. # 1230
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 N DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 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 constrict, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
eNthe 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 civilpenalty of not more than rive hundred dollars (S500).
❑ 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 knproves thereon and who does such work himself or through his ownemployees,
provided that such f nprovements are not intended. or offered for sale. If, however, the building
orImprovement 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.)
❑ 1, 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: 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.
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 cer fity 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
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774 -245 -PI( $
Legal Description
Project Description AIM
06411
Sq. Ft. 1600 No. No. Dw.
Size p Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $91.262
PERMIT
AMOUNT
Plan Chk. Dep.
$250.00
Plan Chk. Bal
264.1
Const.
514.86
Mech.
60.00
Electrical
112.90
Plumbing
160.50
S.M.I.
6.44
Grading
20.00
Driveway Enc.
20.40
Infrastructure
2,015.15
• f.
TOTAL
$ , 524.71
REMARKS
n^K�f a=f 4-_:, O r'Yii, JA_ 4
lW--ZlIJ41Ill 'I'_tt.0iHE. :L` :7Yr=aux
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 DATEINSP C�T�OR
Issued by: Date // Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE _� Q��
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
DRINKING FOUNTAIN.
WALL SQ. FT.
FINAL INSP.
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. @
GRADING
cu. yd.
$ -Plus-x$-=$
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
Q- /6%EA/%� 6/
D�, v 3/, RV
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
INSULATIONISOUND 3 Aa
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINISH GRADING
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
SETBACKQ� /vwi
LUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE _� Q��
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S R O EPTIC T NK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FINAL INSP. N 6 90
FRAMING x
✓
FINAL INSP.
ROOFING
1 ZQ
Q- /6%EA/%� 6/
D�, v 3/, RV
iiJlAli
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 3 Q Q
MESH
INSULATIONISOUND 3 Aa
FINISH GRADING
FINAL INSPECTION G
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
t
e Ord ei. UNION I.ANo Lt Uure� ria r
Escrow No.
Loan No.
.R
WHEN RECORDED MAIL TO:
New gen eAmt i.on z3u i-&zaz, Inc.
P.O. Box 2401
Pa& L7eze/Lt, CA 92261
MAIL TAX STATEMENTS TO:
.ba= ah agove
cc Lhi
O cam) lV .
H b cv
a ui . 1*
o,►",ac'
�-
4 b
SPACE ABOVE THIS LINE FOR RECOROS USE
DOCUMENTARY TRANSFER TAX $... ...........................:.
A ...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,
MEYER ERROS and 7KC/RESA CT -IROS, .11u Ak zd and Gl ide
hereby GRANT(S) to
NEG/ GCNE12A7ION BUILDERS, INC., A CALIT-OIRNIA CU/RPOIRA7ION
V �/4Lt (/�J
the real property in the City of Gf'
of California; described as
County of /2ive�t�ide State
Lott 17, 18; 19, 26, 21, and 22 in. Agock 290 o� Santa Ca&wzb. to at Va& La QU' 4 &J#
Un,U #26 a-6 12en map neco4ded in .hook 20, 12age 50 o� Nab z, IRecoAd,3 O� ,/Z ve z ide County,
Car?WoAn ia.-
Dated fel? waAq 23, 1989
STATE OF'ALI R,N)A )ss.
COUNTY OF -T/ 2D�/I
On ,t?, ► q 2S
before me; the undersigned, a Notary Public in and for said State, per-
sonall appeare
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s i are su ibed to the
within instrument and acknowledged to a that he he/ ey executed
the same./ /• /%
�,2A(EAOZ - � -
�/
/hei7e.4a EA0.6
RECEIvEn MAR 3 a 198F.
OFFICIAL SEAL r
• m T MOT,ARY PitBLIC—CALIFORMA .
K " FNIN''OPAL OFFICE IN
y'Y
�`• ;t NVERSIDE COLINTY
"'My Commission Expires Oct. 23, 1991
o
(This area for official notarial sea[)
1002 (6/82)'
TAX STATEMENTS AS DIRECTED ABOVE
COACHELLA VALLEY WATER DISTRICTJ
CASH RECEIPT DETAIL �7 z R `)
If Received From: / ! .� G C�� ` c� / %C �i J ",-j Date:
Address' L� c7 �' oT J G' /T> dJ'.-`.:' - /�-'c� U!
f Account No. rte' J l�A /j / "_-r®r J• LotO Tract
— J✓ ✓e YN
Service Address y cti. u y y %��t �' G.A. Code
D Meter(s) $
D Service(s)
❑ Backflow(s)"
O House Lateral(s)
O DetectorCheck(s)
❑' Meter Surcharge
---8 Sanitation Capacity Charge 6 7 5 17
❑ W.S.B.F.C. _
O Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
D Inspection Fee - Tract -
Fee - '
D Pian Check Fees Water / Sewer - -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
O Other
TOTAL $
Remarks:
❑ Copy to:
Cash Water Service '
Check
Money " Cashier
Order CVWD-438(11189)
3
American Engineering Laboratories, Inc.
58945 Business Center Dr., Unit A .� c
. Yucca Valley, CA 92284
Telephone (619) 228-1754 i
FAX (619) 365-6908
San Diego • Corona • Modesto 4 Yucca Valley
Apple Valley
December 4, 198.9
Acct. No 31091-E
To: New Generation Builders
P.O. -Box 2401
Palm Desert, CA 92260
Subject: In Place Density Testing
Single Family Residence
54-400 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 that 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,
AM ICAN EN INEERING LABORATORIES, INC.
Paul oerst'n
Branc nager Yu ca Valley
PRH/bf
RECEIVED 0" 6 198.
AMERICAN ENGINEERING LABORATORIES, INC.
❑ 7940 Arjons Orive. 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
(619) 6954730 (714) 272-4230 (209) 578-0813 (619) 228-1754
CLIENT: PROJECT: DATE
UEW GStJF?11011 5A- I.D.NO.:
PROJECT NO:
�V FN�Q � VaLLF�Q
REPORT OF FIELD COMPACTION TEST
T>SST S
LocAnoM op TesT
FIELD
MOISTURE
'A
- }
tJ
o 'a,
S \ t
PERClNT'
REL COMP.
REQUIRED
REMARKS ' ..
'
FIELD
MOISTURE
%
OPTIMUM
MOISTURE
%
FIELD
DRV OENSITT
P.C.P.
MAXIMUM
ORT OENSATT
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMB
REQUIRED
REMARKS
1
MOISTURE
OW DENSITY
ORT DENSITY
RELATIVE
REL COMP.
REL COMP.
TEST S
LOCATION OP TEST
FIELD
MOISTURE
'A
- }
2
F Xs7 S AE
S \DIE
PERClNT'
REL COMP.
REQUIRED
REMARKS ' ..
'
FIELD
OPTIMUM
FIELD
MAXIMUM
PERCENT
PERCENT
REMARKS:
MOISTURE
MOISTURE
OW DENSITY
ORT DENSITY
RELATIVE
REL COMP.
REL COMP.
1 `�
x
%
P.C.P.
COMPACTION
REOUIREO
REQUIRED
5
Q;
TEST 4
LOCATION O/ TEST
FIELD
MOISTURE
'A
.Y
1
3
1A
S \DIE
PERClNT'
REL COMP.
REQUIRED
REMARKS ' ..
'
FIELD
OPTIMUM
FIELD
MAXIMUM
PERCENT
PERCENT
REMARKS:.
MOISTURE
MOISTURE
ORT DENSITY
ORT DENSITY
RELATIVE
REL COMP.
1 `�
x
%
P.C.P.
COMPACTION
REQUIRED
5
Q;
TEST S
LOCATION OP TEST
FIELD
MOISTURE
'A
.Y
1
HELD
am OENS:TT
P.C.P.
71 i
S \DIE
PERClNT'
REL COMP.
REQUIRED
REMARKS ' ..
'
FIELD
MOISTURE
OPTIMUM
MOISTURE
!►
FIELD
DRY DENSITY
P.C.F.
MAXIMUM
Off DENsn!Y
PERCENT
RELATIVE
COMPACTION
PERCENT
REL COMP.
REQUIRED
REMARKS
�T
Q�•ss� o
C.
TEST S
LOCATION OF TEST
FIELD
MOISTURE
'A
OPTIMUM
MOISTURE
'A
HELD
am OENS:TT
P.C.P.
MAXIMUM
ORT DENSITY
PERCENT
RELATIVE
COMPACTION
PERClNT'
REL COMP.
REQUIRED
REMARKS ' ..
'