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0209-023 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License #rLc t1 I Lic�. . ClaslsvExp. Date! P� °B 0345 4 M 11AM 11122 Date Signature of Contractor f OWNER -;BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). 4 ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700,of the Labor Code, for the performance of the work for which this permit is issued. ( ) -1It`have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STATE I�` PAD Policy No.i�1725 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,..j shall forthwith comply with those provisions. ,C to r' r2 Applicant v Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on hi`s application. .X s 1. Each person upon whose behalf this application -is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees., 2. Any permit issued, as a -result of this application becomes null and void if work is not commenced -within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for infspection purposes. :: q Signature (Owner/Agent)' �` Date BUILDING PERMIT PERM T# DATE VALUATIONLOT TRACT 17 E ^ � TMs."3 Bl:K*" 4 ' JOB SITE APN ADDRESS 51-250 CALAX EM01KNIX 7 i0-•Z:WI.-�7i1�'.% OWNER CONTRACTOR /DESIGNER /E.NIINEER jM$6LSLY,14" J.4%.1'as c. S;oa.q', A . 71-300 1t`X.DDTJD4''Bt,.°__ LdfqlRe PPUlW DExBElt' CA 92261 C960)777-972 u�-9 w ti USE OF PERMIT 1604 &F. SYD, PY€ M.T DOES NOT 1cWtyl.0W' i'3LDCX `tk7.rAL1,!PQ it,': R, DRIVEWAY A91PROA(;.H 'j'lAC` COAd'87R12CTION 1,6040 BJP PORCIWPA TIO 1 07 x 00 5"F atA1i.A63WCAR,'I'c"RT • 446,010 V 'X-T1"X,93.23' CO3T Cir' C01gYnrb M $r` 9'71394-qL1 CONSTRUCTION FRIt 101.000.418 -000 HUM ?L,Aw Cncr. F'ar, 101-000-439-328 $531.45 TM11 DEPOSIT 101-000.439.318 4250140 MRCHANJCA,L YZE, $73,00 1pLWT1110.FyL FEE 101.000, 420-000 $113A PLUMBING THEE 101-000419-005 STR.ONOMOTION FBI- RMID 101.00 4AI.001 $934 OPLADD40 F4 1(33 i>L1{ 3.6Jt3d} $l5,00 DEVELOPER IMFAC'T••..W,,' S�,4f)s,4i3 } 1l 3W`z(YrAL CC9083RAJ11'0leJ'Alfiyy�3•��:i��,�q..yyj•�i���yyd.�,,+ai;���";�.X $3,,9144ry.25 p�y��p .1LCi�l,7k7 ,P3".di"%�?.f.1.! Ty`77WfLA 4250,00 pCAL,rXXWY U1ESDNOW VW4.25 - F_n RE EIPT FINAN , T5EPT �, BY ` ATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & FootingsI Ducts Slab Grade Return Air Steel Combustion Air Roof Deck �_ Exhaust Fans O.K. to Wrap F.A.U. Framing ! . L Compressor Insulation V'Z�� Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath — Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Waste Lines - �l/ / Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral_ Pool Cover Sewer Connection y�%� Encapsulation Gas Piping Gas Test ` (J Appliances - Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Building 1tr. r Address ��.,;`i Mailing '+1t+:ri Address City BUILDING:'TYPE•CONST i Lr = OCC GRP. ��'�' `'• -• ` Contractor A.P. Number Legal Description Project Description Address Tel. r a r �� P. BOX,1504��; - } Q►PPLIC TONNLYS OW!,+ ' I� Pnil TllxxflrlYA _ CityZip Tel.; ( State Lic. City & Classif. - t Lic. # ✓trL Arch., Engr., " Designer Address` Tel. ` 1%(1" C?(i 1/- r'a , t} �ia.I A, Ar,- 7aG,-�� City Zip r 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 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, alter, improve, demolish, or repair any structure, prior to'tts 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 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 live hundred dollars (E500). lJ 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 or 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.1 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. 6 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 n Copy is filed with the city. O 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 ($100) valuation or less.) I certify that in the performance of thip work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: d, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ,of this city to enter the above- mentioned property for inspection purposes Signature ofaOplicant •�a,�tx-lh+ �• Date Mailing Address �'' u :A-V rtiY .$riraY, riYvtJr Y' �7c .Ar ••."�. City, State, Zip WHITE FINANCES` YELLOW Sq.Ft. No. No. Dw. Size /l(�,'�� Stories Units --�- New ®-"-- Add ❑ Alter ❑ Repair ❑ Demolition ❑ '+1t+:ri r,r{+�. BUILDING:'TYPE•CONST i Lr = OCC GRP. ��'�' `'• -• ` Plan Chk. Dep. A.P. Number Legal Description Project Description Const. Tel. Mech. Electrical • C7 V. S.M.I. Grading CityZip Tel.; ( State Lic. City & Classif. - t Lic. # ✓trL Arch., Engr., " Designer Address` Tel. ` 1%(1" C?(i 1/- r'a , t} �ia.I A, Ar,- 7aG,-�� City Zip r 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 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, alter, improve, demolish, or repair any structure, prior to'tts 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 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 live hundred dollars (E500). lJ 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 or 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.1 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. 6 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 n Copy is filed with the city. O 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 ($100) valuation or less.) I certify that in the performance of thip work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: d, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ,of this city to enter the above- mentioned property for inspection purposes Signature ofaOplicant •�a,�tx-lh+ �• Date Mailing Address �'' u :A-V rtiY .$riraY, riYvtJr Y' �7c .Ar ••."�. City, State, Zip WHITE FINANCES` YELLOW Sq.Ft. No. No. Dw. Size /l(�,'�� Stories Units --�- New ®-"-- Add ❑ Alter ❑ Repair ❑ Demolition ❑ ted by: — d tion 1. 1 ?'+' % �� " Tsl wrr...it•..,LYptS3► +� w,4 tr :'f 1i�1 ��s,�..-' _ �'+'d:!:�+�erC:.11x`�it4 FINK__ liU1LDINfa UIVI5,ry10�N T Lt� f7"'KY �rT - f s 1 � r. , ik Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure t TOTAL 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 Iceurarl h- /A\ 1I nat6AI Permit ted by: — d tion 1. 1 ?'+' % �� " Tsl wrr...it•..,LYptS3► +� w,4 tr :'f 1i�1 ��s,�..-' _ �'+'d:!:�+�erC:.11x`�it4 FINK__ liU1LDINfa UIVI5,ry10�N T Lt� f7"'KY �rT - f s 1 � r. , ik Unit 2 Unit 7 CERTIFICATE OF COMPLIANCE � F sc Unit 4 Unit 9 Desert Sands Unified School District Unit 10 47950 Dune Palms Road Z��.,cS�illlTlo Q BERMUDA DUNES r Date 9/10/02 La Quinta, CA 92253 rARANCHO CHHIAN MI d No. 23588 (760) 771-8515 IN LASE �.y> PALM DESERr LA QUINTA �y �INDIO YJ © J Owner James Belknap APN # 770-164-002 Address 51-250 Calle Hememe Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0209-023 Tract # BLK 4 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 23 51250 Calle Hueneme 1604 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,604 S.F. or $3,432.56 have been paid 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 OC/Wells Fargo - James Belknap Check No. 0737703489 Name on the check Telephone 777-9572 Funding Residential Z By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Signature $3,432.56 So.00 Payment Recd Over/Under NOTICE: Pursuant to vernment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identifin above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting t"a MAY.24.2002 10:32AMN0.045 P.1 _ RECORDING REQUMM DW =� American Tit1e Company AND ��P�WHEN RECORDED MAIL T"' 11 of Do"I " " James C. Belknap, Jr, o N aoo;,- 09 _ 32 Camino Arroyo Place 1141• Palm Desert, CA 92260 hft Not b' -M M"W90111 oft dook, si-ZsNu&NF A:P.N, 770-164.002-7 TRA #; Q20-016 Space Above Thio Line for Reeordar'i Use Only Order No.: 27059938-P'03 Escrow No.: 03-2320•KY GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLAREM THAT DOCUMENTARY TRANSPBR TAX IS: COUNTY $85.80 [ X) computed on full value of pnop«ty conveyed, or l` JJJ computed on full value less value Of liers or encumbrances unincorporated area; [ X ] City of retrlainjpg at time of sale, uin FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, William R, Riley, Trustee of The William R. Riley I994 Tryst hereby GRANT(S) to James C- )Nelltnitp, Jr., Trustee of The James Belicnap Separate Trust dated May S, 1992. (• the following described property in the City of La QuJpta. County of Riverside State of California; ' L40T 22 an23 Block 4, Desert Club Tract Unit No. 2, in the City of L-4 Quinta, County of Riverside, State of California, as per AMP recorded in Book 20, Page(s) 6, of Maps, 3n the Office of the County Recorder of said County. William R. Riley, Trustee of The William R. Riley 1994 T st By; William R. Riley, Truste Document Date: March 18, 2002 STATE OF CALrPORNIA )SS COUNTY OP RIVERSIDE ) On before me, /��� /` �. Personally Opp ed andPeracknowledged known to me (or Proved to me on the basis of pstis acrory ovlpenee) to be the person(s) whose name(s)100saiubseribed to the within Inarrumenr and acrnowledged ro me shot ho/siieAhey executed die same in his/heNst author) the person(t) or the entity upon behalf of which the persons) seteQ, executed the I ement hy(iea) and that by h1a1hw4duty aignsture(s) on the InatrutnenI ' WITNESS my h and official seal. Signatu a KATHRYN M. YASI This area for official notarial seal. V COMM. it 12214/0 NOTARY PUBLIC.CAIIFORMA RIVIIRSIDE COUNTY (� COMM. EXP. MIAY28, =I A Mail Tax Statements to: SAME AS ABOVE or Address Noted Below T4hr 4 4Clumrw 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION -I-/- -I-/- 2:S0 L4A LC.r I-lUEA16ME KtC:tIVED AUG 21 2002 by PUBLIC WORKS FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE "AD" - DEPTH 1 COMMUNITY- PANEL NUMBER t' 060709 0005 B 8/1 Map Revised: 8/19/1991 APPLICANT INFORMATION SECTION APPLICANT NAMET IQ APPLICANT ADDRESS • (MAILING ADDRESS, NOT THE BUILDING SITE) DAYTIME TELEPHONE N0. INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A)• The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been STEP 2 OF 2 APPROVAL All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. AUTHORIZED SIGNATURE DATE La Quinta Engineering partment AUTHORIZED SIGNATURE DATE La Quinta Engineering D ment Victor Monz Assistant Engineer I LII C. 11... C... n _____.._. __•___..-. _ 1Llliyftf�`�Z(% ��• vNv.a 6p aPPFGva , vnylnm yues In Hood rlaln Development ver�l AlUeC yl qQ licant PCN N Please use this Plan Check Number (PCN) F090on all correspondence while plans REvz are In plan check 7/00 J F CHECKLIST ` FOR s PRECISE GRADING PLANS a....._ .._. -_ _ . _ ..._.._. -.._ .._ IN "AO" FLOOD ZONE 1. Prepare Precise Grading Plan in accordance with Checklist for Precise Plans and the following additional items. 2. All elevations shall employ the NGVD-29 convention. 3. Show and label elevation of "Highest Adjacent Grade" next to the building footprint.. This refers to the highest existing natural grade next to the proposed building prior to constructing the elevated the building pad. 4. Show and label the "Highest Existing Elevation on Lot" 5. Show and label the "Lowest Habitable Finished Floor Elevation". Note, this elevation shall be at least ONE FOOT higher than the "Highest Adjacent Grade" elevation. 6. The following grading note shall appear on the plan: F090A All fill material placed under the structure shall be compacted to ninety-five percent (95%) relative density. 10/99 `^ REPORT Cr FIELD COMPACTION TESTS OUR REPORT NC: CLIENT: O 3 — Z� l LL�� ((++r� D`'1 p 1 yn - , p 0:aTf: � .©'Z PROJECT: '+� d••�c J. C.�/V11� VllL yw_ r T.:i•TOR INFORMATION SOIL ID •t J I '1JC�`.s '•JiVIPACTION l� EQUIREMENTS.'.o l VISUAL CLASSIFICATION OF SOIL I MAX. DRY DENSITY, PCE 116.o b101STUREL� I vENER+LLOCAT'ION:' nREQUIREMENTS.B AAJ. �l OPTIMUM MOISTURE.',; i cST .10 READING QUOTIENT: PCF SOIL 10 NO. TEST DEPTH. IN CLEAR GAUGE INFORMATION ANO OAILY STANUARO CALIBRATION NUM 8EAS 'I ARIATION, PEACENT,./• GAUGE AOJUSTr.1ErIT 'L VARIATION FRO ::•uBRA iION COUNTS fRom SHEETS a - SUOB.LSE O - MOLSTUnE IN C<CESS OF SPECIFICATIONS LAST USE S - SOIL CEMEJ(Y E- MOLSTURE 8ELOw SPBCIFTCATIOIIS 6 - OTIIEn I UGE TYPE: ROxIE AMPBELL •MOISTURE: :MOISTURE: :.IOISTV RE: .�I OISTURE: �• •i0 EL.10.: 3 ktI_� OErISITY: I OErISffY: I OENSITY: I OEtISIIY: r T.:i•TOR INFORMATION SOIL ID •t J I '1JC�`.s '•JiVIPACTION l� EQUIREMENTS.'.o l VISUAL CLASSIFICATION OF SOIL I MAX. DRY DENSITY, PCE 116.o b101STUREL� I vENER+LLOCAT'ION:' nREQUIREMENTS.B AAJ. �l OPTIMUM MOISTURE.',; i cST .10 READING QUOTIENT: PCF SOIL 10 NO. TEST DEPTH. IN ELEVATION OF TEST :AOISTURE CONTENT. WETIORY 0E`1SITY. PCF PERCES^IT COMPACTION COMMENTS C - RETEST OF PIIEVIOUS TES•'T a - SUOB.LSE O - MOLSTUnE IN C<CESS OF SPECIFICATIONS S - SOIL CEMEJ(Y E- MOLSTURE 8ELOw SPBCIFTCATIOIIS 6 - OTIIEn I ' rIn- 8 9.3 FD — I I I I icy i IY1- i I l_ TEC!INICIAN: i iLiQ O _21. �e J 43MMLNTS: I - FILL MAT EFLIAL A -TEST RESULTS COMPLY Vi 11 SPECIFICAf10N; 2 - BACAF1LL 8-COMPAC7ION PEACDfTAGE DOES NOT COMPLY wffH SPECIFICATIONS - BASE COURSE C - RETEST OF PIIEVIOUS TES•'T a - SUOB.LSE O - MOLSTUnE IN C<CESS OF SPECIFICATIONS S - SOIL CEMEJ(Y E- MOLSTURE 8ELOw SPBCIFTCATIOIIS 6 - OTIIEn I ' REPORT•OF FIELD COMPACTION TESTS TESTED FOR: �S' -& Itc /' ,Q� DATE: 1 ZS OZ OUR REPORT NO.: 03 3' ZO Z y TEST DATA: TEST NO. DATE ELEV. DEPTH SOIL ID NUMBER MAXIMUM LAB DRY DENSITY WATER CONTENT IN PLACE DRY DENSITY PERCENT COMPACTION COMMENTS' av 9 J - 101•1 J 2 I C 05 i1 Z ►�e 3 pjZs�OL }►r4l..o ti g(ZS� b� ► �� j i��.o �Oo�' j06 6 ��• Q I,� f I REPORT•OF FIELD COMPACTION TESTS TESTED FOR: �S' -& Itc /' ,Q� DATE: 1 ZS OZ OUR REPORT NO.: 03 3' ZO Z y TEST DATA: TEST NO. DATE ELEV. DEPTH SOIL ID NUMBER MAXIMUM LAB DRY DENSITY WATER CONTENT IN PLACE DRY DENSITY PERCENT COMPACTION COMMENTS' 9 J •1. 101•1 2 1 01 C 05 i1 Z ►�e 3 pjZs�OL }►r4l..o ti g(ZS� b� ► �� j i��.o �Oo�' j06 6 ��• Q I,� f I TEST'LOCATION: NOTES: DENSITIES SHOWN: Lbs. per cubic foot 'COMMENTS: 1. FILL MATERIAL A. TEST RESULTS COMPLY WITH SPECIFICATIONS WATER CONTENT: Percent of dry weight 2. BACKFILL B: PERCENT COMPACTION DOES NOT COMPLY PERCENT COMPACTION: Based on maximum dry 3. BASE COURSE WITH SPECIFICATIONS density obtained on sample indicated by 4. SUBBASE C. RETEST OF PREVIOUS TEST soil ID number. 5. SOIL CEMENT D. MOISTURE IN EXCESS OF SPECIFICATIONS 6. OTHER E. MOISTURE BELOW SPECIF CATIONS REMARKS: • / ResPSI p7 tf 1 sub �tted, PSI A-100-2 (3) J O H N H A C K E R& A S S O C I A T E S ` CIVIL ENGINEERING DESIGN • LAND PLANNING • SURVEYING EN V I R ON NI E N•T A L SERV I CES rr October 2, 2002 City of La Quinta Public Works Department 78-495 Calle Tampico La Quinta, Ca. 92253 ATTN: Public Works RE: Lot 23, Block 4 ( Desert Club Tract No. 2 Site Description: '51 `250Calle Hueneme Builder: Belknap Construction Gentlemen, This shall serve as a pad certification letter stating that the grading for said lot has been done for the above mentioned property. A field inspection has been done and shows that the pad elevation has been graded as noted, Pad Elevation As -Built Elevation 101.8 Approved Elevation 101.8 These elevations fall within the standards for grading practice and tolerances. Sincerely, Hacker R.C.E. 14614 Exp. 3/31/05 68487 E PALM CANYON DRIVE • SUITE 44 • CATHEDRAL CITY, CA. 92234 (760) 324-0216 FAX (760) 321-5701 5.� 1'S 777 � f c , ` WOOD l:`�Nck 'fr I J` HIQH � 3 r is ;or PRP,75 WO OD F I`4GIM 41, 1'S 777 Certificate of Occupancy City of La Quinta Building and Safety Department OFTMf°`V This Certificate issued pursuant to the requirements of Section 109 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: 51-250 CALLE HUENEME Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0209-023 Occupancy Group: R3 Type of Construction: VN Land Use Zone:. RM Owner of Building: JAMES BELKNAP Building Official Address: City: By: KIRK KIRKLAND Date: JANUARY 29, 2003 s . POST IN A CONSPICUOUS PLACE'