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07-1304 (PLBG).. _1%.11 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-ittt 44Qur«rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/27/07 Application Number:` -07-00001304" Owner: . Property Address: 54860 AVENIDA DIAZ BILLER THOMAS S APN: 774-291-006-18 -000000- 54860 AVENIDA DIA a Application description: PLUMBING LA QUINTA, CA 922"t1 Property Zoning: COVE RESIDENTIAL Application valuation: 3500 .017t. R i o 7nn7 Contractor: I Clr���} Applicant: Architect or Engineer. ALMS UNDERGROUND 'CONST, FtSVvrCE QUINT!! one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERDIIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 count ordinances and state laws relating to building construction, and hereby authorize representatives of this co tWeer upon the above-mentioned prope r insp tion purposes. : ature (Applicant or Agent): �L^`�/ 38703 VISTA DRIVE "' '-=--•?tPT CATHEDRAL.CITY, CA 92234 (760)324-1911 Lic. No.: 482180 - ----------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License�QClass: C21 Lic]eensse'Nno.: 482180 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -C4422 , Q /" �,, �-7^ I /Z� �1C0 V��fUc�'[.-�:( ��i %� t..A/`" __5 � , /ate: ntractor: S issued. I 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CALIFORNIA INS Policy Number 460093580103 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any . construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, , permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor hall forthwith comply with thosh ns. that'he or she 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).: i.� X71 ate: t Z L pplicant: (_ 1 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 and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 0100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERDIIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 count ordinances and state laws relating to building construction, and hereby authorize representatives of this co tWeer upon the above-mentioned prope r insp tion purposes. : ature (Applicant or Agent): �L^`�/ Application Number . . . . . 07-00001304 Permit . . . PLUMBING SEWER Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3500 Expiration Date 10/24/07 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- .Special Notes and Comments SEPTIC ABANDON; SEWER CONNECT Fee summary Charged Paid ---------- Credited ---------- Due --------------------------- Permit Fee Total 30.00 .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERAIIT COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAINSlig.c Received From- Address: "I �-0 1;A1C I e Account No. �' Lot( U 02V112- L� / O Meter(s) ❑ Service(s) ❑ Backflow(s) ❑ House Lateral -(s) ❑ Detector Checks) ❑ Meter Surcharge Sanitation Capeclty'charge c �S ❑ W.S.B.F.C. ❑ S.I.W.S.C. ❑ Temporary Construction Meter ❑ Tum on Charge ❑ Uncollected Account - Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water / Sewer - react - ❑ Bond Payment - A.D. --Bond-,- Assmt ❑ Customer Deposit ❑ Other oeMa ASM (i1NuPiD ..Copy to: Cash Check d Money Order /' 7/G7 -17 OCI TOTAL $ / -- t - Water Service 0VWD438 (1/05) r I SANCO - 2502 Morongo Trail PUMPING SERVICE palm Springs, CA 92264 NO. 012871 (760) 327-8859 SOLLDjTO% SHIPP/� , 0 F.O.B. DATTE,, STREET STREET CITY STATE / ZIP Jr CITY STATE ZIP 1 uC �l t is CUSTOMER ORDER SAI ''f-SMAN TERMS F.O.B. DATTE,, /vow PAYMENT DUE UPON RECEIPT i� RECEIVED —Co JAN 101984 ITY OF LA INTA COMMUNITY DEVELOPMENT DEPT S O U T H E R N C A L I F O R N I A S❑ I L A N D T E S T I N G, I N C 6280 RIVERDALE ST. SAN DIEGO, CALIF. 92120 • TELE 280-4321 • P.O. BOX 20627 SAN DIEGO. CALIF. 92120 7 4- 8 3 1 V E L I E W A Y P A L M D E S E R T,C A L I F. 9 2 2 6 0 • T E L E 3 4 6- 1 0 7 9 6 7 B E N T E R P R I S E S T. E 5 C-0 N 01 D O, C A L I F. 9 2 0 2 5 • T E L E 7 4 6- 4 5 4 4 October 29, 1984 SCS&T .35087 Report: No'. "l Mr. Rick Johnson 45169 Paseo Sereno Indio, California 92201 Attention: Mr. Rick Johnson SUBJECT: Report of In -Place Density Tests, Proposed Spec Home, 54860 Avenida Diaz, LaQuinta, California. Gentlemen: In accordance with your request, this report has been prepared to present the results of the in-place density tests performed on the fill material at the subject site by Southern California Soil & Testing, Inc. These tests were performed on September 10, 1984. AVAILABLE PLANS Grading plans were not made available to us to indicate the elevations of our field density tests.and to define the general extent of the site grading. Therefore, we have provided a hand sketch indicating the graded areas and the locations of our tests. SITE PREPARATIONS Prior to the arrival of the Southern California Soil & Testing representa- tive on-site, it appeared one foot (1') of fill had been placed, therefore, preparation of the natural ground to receive the fill was not observed and no tests were performed -on the natural ground. S O U T H E R N C A L I F R N 1' A S 1 L A N D T E S T I N G, I N C. .T SCS&T 35087 October 29, 1984 Page Two FIELD TESTING Field density tests were performed by a representative of Southern California Soil & Testing, Inc. following compaction operations. The density tests were taken according to A.S.T.M. Test 1556-74 and the location and results.of those tests are shown on the attached plates. The locations and elevations of the in -site tests were.d.etermined in accordance with their importance and the ac-. curacy and proximity of .the survey control provided.by.other than Southern California.Soil & Testing, Inc. representatives. Unless otherwise noted, their locations and elevations were determined by pacing and hand level methods and should be considered accurate only to.the degree..implied by the method used. LABORATORY TESTS A maximum dry density determination was performed on a representative sample of the soil used in the compacted fill according to A.S.T.M. Test.1557-78, Method A. This method specifies that a four (4) inch diameter cylindrical mold of 1/30 cubic foot volume be used and that the soil tested be placed in five (5) equal layers with each layer compacted by twenty-five (25) blows of a 10 pound hammer with a 18 inch drop. The results of these tests, as pre- sented on Plate Number 2, were used in conjunction with the.fie.ld density tests to determine the percent of relative compaction of the compacted fill. CONCLUSIONS Based upon the results of our field testing, it is our opinion the relative density of the locations tested in the fill area exceeded 90% relative com- paction. This report covers only the work performed on September'10,.1984. Our opinions presented herein are based on our observations and the relative com- paction tests results. Due to possible variations in the uniformity of com- pacted fills, we only warrant that our work was performed in accordance with the currently accepted standards of practice and in such a manner as to have reasonable certaintythat the percent of compaction of the fill material be- neath the house pad complies with the job requirements. No other warranty, express or implied is given or intended. S O U T H E R N C A L I F O R N I A S 0 1 L A N O T E S T I N G. I N C. SCS&T 35087 October 29, 1984 Page Three If you should have any questions after reviewing this report, please do not hesitate to contact this office. This opportunity to be of professional service is sincerely appreciated. Respectfully submitted, SOUTHERN CALIFORNIA SOIL & TESTING, INC. Robert R. Russell, R.C.E. #32142 RRR:rm cc: (3) Submitted (1) SCS&T Palm Desert (1) City of LaQuinta Bldg. Dept. S 0 U T H E R" N C A L I F O R N I A S 0 1 L A N P T E S T I N G. I N C. ®1 54860 ®2 LEGEND: - ® IN PLACE DENSITY TEST LOCATION i—CU SOUTHERN CALIFORNIA SOIL & TESTING9INC. BY: sris JOB NUMBER: 35087 Tz NO SCALE DATE: 11-19-84 Plate No. 1 35087 FIELD DENSITY TESTS REPORT TEST NO. LOCATION ELEV. OF TEST (FEET) MOISTURE ( PERCENT) DRY UNIT WEIGHT ( LBS. /CU. FT.) SOIL TYPE RELATIVE COMPACTION ( PERCENT) DATE OF TEST 1 See Plot Plan Finish Grade 13.0 101.9 1 97 9-10-84 2 See Plot Plan Finish_ Grade 17.2 100.7 1 95 9-10-84 SOIL TYPE BOLITHERN CALIFORNIA SOIL & TESTING, INC. B ono RIVERDALE 6TREET • SAN DIEGO. CALIFORNIA 92120 OPTIMUM MOISTURE (PERCENT) 13.0 MAXIMUM DRY DENSITY ( LBS. /CU. FT) 105.3