001634 (SFD)Al
4
P.O. BOX 1504 No. 001634
Building 78-105 CALLE ESTADO
Address 79425 VbZbeard 1b LA QUINTA, CALIFORNIA 92253
Owner
Mailing Rictg d BUILDING: TYPE CONST. VN OCC. GRP. R 3
Address P.o. B= 1003 A.P. Number 617-090- 011; T+link T.
City Zip Tel.
nUo 92241 342-5505 Legal Description
Contractor Project Description wiwle lid d9i1HUim
aipplicmt
Address
above
City Zip Tel.
State Lic. City jW 1789
& Classif. Lic. # Sq. Ft.No. No. Dw.
Arch., Engr.,
Size 384 Stories Units
Designer New E3, Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address 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 licenseis in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following A+� �n�
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires 'a 9!9 •
00
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 Plan Chk. Dep. M 250.44
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 Plan Chk. Bal. 7C
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. Q2'j 44
Professions Code: The Contractor's License Law does not apply to an owner of property who •
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 31.00
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical tf y�1
of proving that he did not build or improve for the,purpose of sale.) 83.31
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 97.40
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.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec. B. & P.C. for this reason 20 .00
Driveway Enc. 70.00
Date owner V f Infrastructure 1,460.07
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
O Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL a_d A 2_292.4A
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:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
Ihereby 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.
I 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 slate laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant 1 Date
Mailing Address Validation:
City, State, Zip
HARDCOPY A200b 7 19' 222248 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. Sp. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
Sp FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SEWER OR SEPTIC TANK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FOUND. REINF.
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
GROUT
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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
GROUND PLUM ING S 2/
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /3
(�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
V
REINF. STEEL do
GAS (FINAL)
I HEMP. POLE S
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
• CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
.,%fIEp
0
Desert Sands Unified School District
Q, BERMUDA DUNES r
RANCHO MIRAGE 82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
INDIAN WELLS ti
°r, PALM DESERT ' May 29, 1985
-P LA OUINTA
INDIO y�
0
City of La Quinta
Department of Community -Development
78-105 Calle Estado
La Qui-nta, CA 92253
Re: 7942.5 Westward Ho Drive -.,'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 the cost of
district educational facilities made necessary by such new
development.
Sincerely,
� rLJ-.v,�.
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
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COUNTY OF RIVE.3SIDE, DEPARTMENT OF HEALTH
PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM
Applicant: Submit this form with three copies Df a scaled plot plan drawn to county specifications required on the
attached check list. A non refundable filing feeof $15 is required when the application is submitted. Check must be
made payable to County of Riverside.
Name
c l Pt (Q t�' c C A ci c1�/
Mailing Address
0� u� 1 CSO S :L Aj v
City
7 ' /� /i i� s�
�2
tate / /L �i'
Zip Code
Phone
11 0 ;A//f,4 ,
/�
'Property Address
'City or Community
A
al Description of, Property (Lot, Parcel Map Tract
L�hotJOt N w i'46 4- N W yq -,I it/ ' Yu
'Assessors Parcel No.
Water Serving Property From
Lot size 01,4'1-7 '/ (,92
17
Signature of Applicant Date
'The above information must be verified from Building Application
Staff Use — Do Not Write Below This Line
Initial Date
WQCB Clearance required Yes ❑ No 0
Soils feasibility report required Yes ❑ No
Detailed boring report required Yes ❑ No E3
Detailed contour plot required Yes ❑ No Cb
Comments:
Soils or boring report by Date
Approved by Date
Soils Map Page Soil Type Tract File No. Z Other
Number of Bedrooms
Septic Tank Size (gall Dns)
Rate Required
Type of System
A..
New Addition Replacement
❑— ❑ Cl
Leach line sq. ft. of bottom area trench
Leach bed (sq. ft. of bottom area bed)
Seepage Pit Diameter
Number of Pits
Seepage Pit Depth B.I.
Total Depth of Pit
5' ❑ 6' ❑
)N
j ,
Location of System
Additional Requirements
A permit is approved/denied for the design of asubsurface disposal system as indicated on the accompanied plot plan
using the requirements set forth in Section B .above. A building permit is necessary for the installation of the above
designed system. ,- .�?, , .
Signature of Health Official Date ^
J f
Receipt No. f Issued By
District: Riverside ❑
DISTRIBUTION: WHITE - Office File
DOH SAN 122 (Rev 10/84)
Indio ❑ Hemet ❑ Date
YELLOW - applicant PINK - Building Dept. GOLDENROD - Pending File
John H. Hacker � Associates
Civcl==Engineers
July 17, 1985
City of La Quinta
P.O. Box 1504
78-105 Calle Estado
La Quinta, CA 92253
Re: Mr. R. Pescador, Grading Plan.
ATTN : Mr. J ph 8-.--G sh
Tp...
Dear Mr. Gaugush:
The site plan on the architectural drawing scales the house setback to
be 20'. The broken dimension line shows the actual setback to be 60'.
Please accept this dimension.
Thank you.
Is ott B. Gorges.
Of f i . sager
SBG/jdh
4501 E. Sunny Dunes Road 9 Suite C • Palm Springs • California 92264 • (619) 327-4565
ECEriVE
AUG 2 o
COMMUNTY OF LA UTA
DEVELOPM
ITY ENT BEff
� r
TESTING INSPECTION
1731-A WALTER STREET VENTURA, CALIFORNIA 93003 PHONE (805) 642-67.27
August 20, 1985 B -15523-P1
85-8-285
MP .Construction
65-935 Pierson Blvd.
Desert Hot Springs, CA 92240
Project: qrive,-62CA�
Lot A
a Uinta,
Subject: Report of Field Densities - Residence House Pad
On August 2, 1985 a representative of our firm performed density tests on the fill
placed in the building area on the above referenced project. Tests were performed in
accordance with ASTM 2922-81 and ASTM 3017-78 Nuclear Density Test Procedure.
Tests performed as per authorization of Mike Pio.
The estimated locations of the tests are presented on the attached plan with their
results being summarized on the attached test report sheet. A total of three (3)
density tests were performed. Test results indicate that a minimum of ninety (90)
percent of relative compaction has been obtained within the areas tested. The
maximum density -optimum moisture was determined in the laboratory in accordance
with ASTM 1557-78, Method A, five (5) layer curve. Test results are as follows:
Soil Description
Light tan fine sand
VENTURA
1(805) 642.6727
Maximum Density
110.2 pcf
Optimum Moisture
12.1%
LANCASTER
(805) 948.7538
BAKERSFIELD SANTA BARBARA PALM SPRINGS
(805) 327-5150 (805) 966.9912 (714) 328-9131
SAN LUIS OBISPO
(805) 544.6187
G
W
August 20, 1985
Limitations:
B -15523-P1
85-8-285
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.
If there are any -questions, please do not hesitate to contact this office.
Respectfully submitted,
BUENA ENGINEERS, INC. Reviewed and Approved
�) ly j_F__ RdX�4 USA400�.,
Norm Jackson, Jr. Raymond E. Brannen
CE 28966
NJ/RMB/ms
X-2 COMP
Copies: 4 - MP Construction
2 - City of La Quinta
2 - PS file
1 - VTA File
BUENA ENGINEERS, INC.
N
Engin rs'Int.
CONTRACTOR:
ADDRESS
REPORT OF RELATIVE COMPACTIONS
DATE: 8-20-85
JOB & VOCATION:
.lob No. B -15523-P1
Report No. 85-8-285
79625 Westward Ho Drive. Lot A
TEST NO.
DATE
TESTED
DESCRIPTION
%MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
IN PLACE
IN PLACE
COMPACTION
DENSITY
1
8/2/85
3.0 BFG
7.7
104.4
95
110.2
2
8/2/85
2.0 BFG
7.6
110.5
100
110.2
3
8/2/85
1.0 BFG
12.8
107.0
97
110.2
BFG = Below Finished Grade
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES: .
BUENA ENGINEERS, INC.
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G.�
WESrwARD leo -DiZ\vl✓
777t
IA
�MPACtfON TEST L.eCATtONs eh
- a �vstPt4fl ,.+ 7�t62$ �p(estu.A�2.D
4o .��,�� a , LA ca .
,
BUENA ENGINEERS, INC.
c6 4 sS
DATE: FILE NO.13,55-2-31D'