001573 (SFD)Building
Address
Owner
Mailing
Address V.0- Pzw MR
City I Zip Tel.
Contractor
Address.
Zip
State Lic.
& Classif.
Arch.; Engr., '
Designer
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
I Lic. # 202
Tel.
No., 001573
11LDING: TYPE CONST. 'tf N OCC. GRP. R 3
P. Number 773-282-001 Ut 2
gal Description
oject Description S.F.D.
Sq. Ft. M 1592
Size (rAR 440
New ❑ Add ❑
No. No. Dw.
Stories Units
Alter ❑ Repair ❑ Demolition ❑
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 i+ DATE
,
OWNER -BUILDER DECLARATION
Estimated VdIUatlOn
I hereby affirm that I am exempt from the Contractor's License Law for the following
81,447.60
reason: (Sec. 703J. 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 rile a signed statement that'he is licensed pursuant to
'PERMIT AMOUNT
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 Any Section 7031.5 by 'any for
Plan Chk. De p
alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). '
Plan Chk. Bal. 11
O 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
Const.
Professions Code: The Contractor's License Law does not apply to an owner of property who
_ nn
builds or improves thereon and who does such work himself or through his own employees,
Mech. -+{�
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
Electrical 70.12
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-
Plumbing 89.00
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
S.M.I. - 5.71
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
.❑ 1 am exempt under Sec..B. B. & P.C.- for this reason
Driveway Enc. 20.00
_ Date Owner
Infrastructure 1,221.71
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. O Certified copy is hereby furnished.
TOTAL 2,135.%
CERTIFICATE OF EXEMPTION FROM
REMARKS
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: If, after making this Certificate of Exemption you should become
ZONE: BY:
I subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE INSPECTOR
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.
-
1 certify that I have read this application and state that the above information is correct:
Issued by: Date Permit
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.
Validated by:
(� t
i Signature of applicant s Date "S V,- 47'
Mailing Address `' - t
Validation:
City, State, zip
A 1 6 5 7 b 1 9 X13566 CK._
HARD COPY
l
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
C
EWER OR SEPTI 5f;(EJ
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
f JEMP. POLE 6/
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to De used as property tax valuation
r FRAMING L
O
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
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.
SO. FT. RESID ® u+/a C
SEWAGE DISPOSAL
INSULATIONISOUND G�
SO.FT.GAR ® 3/4c
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
SETBACK
Tul GROUND PLUMBIN d
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
C
EWER OR SEPTI 5f;(EJ
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
f JEMP. POLE 6/
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
_$
LUMBER GR,
FINAL INSP.
r FRAMING L
O
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ., 6 Al N
`
MESH
INSULATIONISOUND G�
FINISH GRADING
FINAL, INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL
tX%FIED
r� �O
y BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS H
PALM DESERT
% LA OUINTA �a
�p INDIO
Desert Sands Unified School District
82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 a (619) 347.8631
,lune 19, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: 52-510 Diaz, La Quinta
Gentlemen:
The, developer of the above referenced lot
has mitigated its impacts on our overcrowded schools by -payment
of the amount of $628 per unit to be applied to th.e cost of
district educational faci'li'ties made necessary by such new
development.
Sincerely,
. A- L I. n ' J,
John D. Brooks
Assistant Superintende-nt
Business Services
JDB/crm
E C W E
JUL 15 191E5
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT
1731-A WALTER STREET VENTURA, CALIFORNIA 93003 9 PHONE (805) 642-6727
July 2, 1985
Rich Johnson
P.O. Box 2288
Indio, CA 92202
Project: 52-510 Ave. Diaz
La Quinta, CA
Subject: House Pad
Report of Field Densities
Job No. B -15181-P.1
85-7-47
On June 23, 1985 a representative.of our firm performed density.
tests on the fill placed in the building area on the above refer-
enced project. Tests .were performed at random locations in accor-
dance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density Test
Procedure. Tests performed as per authorization.of Bob McCallum.
The estimated locations of the tests are presented on the attached
plan with their results being summarized on the attached test re-
port sheet. A total of two (2) density tests were performed. Test
results indicate a minimum of ninety percent (90%) of relative com-
paction has been obtained within the areas tested. The maximum
density -optimum moisture was determined in the laboratory in accor-
dance with ASTM D 1557-78, Method A, five (5) layer curve.
Classification
Light brown slightly silty
very fine to fine sand -
THOUSAND OAKS
(805) 495.8484
VENTURA
(805) 64 2-6.727
BAKERSFIELD
(805) 327.5150
Maximum Density -Optimum Moisture
109.3pcf 13.1%
SANTA BARBARA
(805) 966.9912
LANCASTER
(805) 948.7538
PALM SPRINGS
(714) 328.9131
SAN LUIS OBISPO
(805) 5446187
July 2, 1985
LIMITATIONS
Job No. B -15181-P1
85-7-47
The compaction operations were completed at the time our personnel were called
to the site. The test results summarized.in this report present the moisture
and density only at the locations and depth tested on the specified date.
The summarized field and laboratory tests were performed in accordance with
engineering principles generally accepted at this time and location. No opinion
is expressed as to the uniformity of the material, compaction nor adequacy
of the material to perform -its intended function. No guarantee or warranty of
the contractor's work is made or implied.
Respectfully submitted,
BUENA ENGI ERS INC.
�Nporrnan G. Ja kson
Y �
NGJ/REB/kls
Copies:
4- Rich.Johnson
2- City of .La Quinta
1- P.S, file
1- Vta. file
Reviewed and approved
44,wll-07 4e"41, &- z¢5-�z
Raymond E. Brannen
C.E. 28966
Q S
-~3.
-ENGINEERING'?'
Y
CONTRACTOR:
ADDRESS
REPORT OF RELATIVE COMPACTIONS
.lob NO, g -15181-P 1
DATE: July 2, 1985 Report NO. 85-7-47
52-510 Diaz Ave.
JOB & LOCATION: La Quinta, CA
TEST NO.
DATE
DESCRIPTION
% MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
1
1
6-23-85
1.5 from grade Per Plan
10.9
101.4
93
109.3
2
6-23-85
Finish Grade "
9.6
I.
101.3
93
109.3
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES
BUENA ENGINEERS, INC.
pArim'Aj�lpl
i
Jr
52'S/o Avf D/AZ
BUENA ENGINEERS, INC.
DATE: FILE N0.
r�
4P
RECEIVED
JILL 151985
CITY OF LAQUINTA
COMMUNITY DEVELOPMENT DEPT
1.731-A WALTER STREET VENTURA, CALIFORNIA 93003 PHONE (805) 642-6727
July 2, 1985
Rich Johnson
P.O. Box 2288
Indio, CA 92202
Project: 52-510 Ave. Diaz
La Quinta, CA
Subject: House Pad
Report of Field Densities
Job Pio. .B -15181-P1
85-7-47
On June 23, 1985 a representative.of our firm performed density
tests on the fill placed in the building area on the above refer-
enced project. Tests were performed at random locations in accor-
dance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density Test
Procedure. Tests performed as per authorization of Bob McCallum.
The estimated locations of the tests are presented on the attached
plan with their results being summarized on the attached test re-
port sheet. A total of two (2) density tests were performed. Test
results indicate a minimum of ninety percent (90%) of relative com-
paction has been obtained within the areas tested. The maximum
density -optimum moisture was determined in the laboratory in accor-
dance with ASTM D 1557-78, Method A, five (5) layer curve.
Classification
Light brown slightly silty
very fine to fine sand
THOUSAND OAKS
(805) 495.8484
VENTURA
(805) 642.6727
BAKERSFIELD
(805) 327-5150
Maximum Density -Optimum Moisture
109.3pcf 13.1%
SANTA BARBARA
(805) 966.9912
LANCASTER
(805) 948.7538
PALM SPRINGS
(714) 328.9131
SAN LUIS OBISPO
(805) 544-66187
July 2, 1985
LIMITATIONS
Job No. B -15181-P1
85-7-47
The compaction operations were completed at the time our personnel were called
to the site. The test results summarized in this report present the moisture
and density only at the locations and depth tested on the specified date.
The summarized field and laboratory tests were performed in accordance with
engineering principles generally accepted at this time and location. No opinion
is expressed as to the uniformity of the material, compaction nor adequacy
of the material to perform -its intended function. No guarantee or warranty of
the contractor's work is made or implied.
Respectfully submitted,
BUENA ENGI ERS INC.
Worm"' 4
Norman G. Ja kson,
NGJ/REB/kls
Copies:
4-
Rich
Johnson
2-
City
of .La Quinta
1-
P.S,
file
1-
Vta.
file
Reviewed and approved
Raymond E. Brannen
C.E. 28966
BUENA ENGINEERS, INC
GORE "Encinearsilm.
MOW
REPORT OF RELATIVE COMPACTIONS
CONTRACTOR:
ADDRESS:
Job NO. B -15181-P 1
DATE: July 2, 1985 Report No. 85-7-47
52-510 Diaz Ave.
JOB &LOCATION: La Quinta, CA
TEST NO.
DATE
DESCRIPTION
% MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
1
1
6-23-85
1.5 from grade Per Plan
10.9
101.4
93
109.3
2
6-23-85
Finish Grade "
9.6
101.3
93
109.3
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES
BUENA ENGINEERS, INC.
� `r