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001725 (SFD)
P.O. BOX 1504 'v Q.. .001725 Building 78-105 CALLE ESTADO Address 52-� t30 AVe i& ViM LA QUINTA, CALIFORNIA 92253 Owner, BUILDING: TYPE CONST. X OCC: -GRP. Mailing 2 3 Address P.O. Box 1420 - A.P. Number M-274-002 City Zip Tel. �� —tD�s? Legal Description % 21 uintaContractor. Project Description girmfp farms 11im �- Address........ City Zip Tel." AI30f;!I?. State Lic. City DW1440 & Classif. - Lic. # 216 Sq. Ft. No. No. Dw. Size -�' Stories Units Arch., Ehgr ; Designer New Q Add ❑ Alter ❑. Repair ❑ Demolition ❑ Address Tel. City Zip State FCM N= PAW CF MS FUMM Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that'I am licensed under proGsions of Chaple�.9,(commencing with Section 7000) of Division`3 of hefBusiness and P�fessions Code, and my license is in full force and rr effect.��'/lq ,,a�,/-..rte/`•.4' SIGNATURE:i•- l - r DATE t' OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License taw for the following 75,524-00 � ta�� • reason: (Sec. 7031.5,Business and Professions Code: Any city or county which .requires a t permit to construct, alter, 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. 2M.AQ subjects the applicant to acivil penalty of not more than fivehundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.'3';, do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COr1St..� '�' 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, 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 - - lr1.r 1� 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�� 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.) - ❑ I am exempt under Sec.. B. & P.C.-Grading 210-A a for this reason. Driveway Enc. 20.00 Date owner Infrastructure 1.132.8 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 Q 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 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 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 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 forrinspecti�on pur oses. Signature of applicant+drr -�'� _ pate Mailing Address City, State, Zip HARD COPY TOTAL ,( €3 I..77RAR REMARKS. r 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 Issued by: Date Permit Validated by: Validation: A26.8.1. 9.. 24 177g.:9.8 ��. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. S0. FT. WALL SO. FT. ® SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EGUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: VENTILATION 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 PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI• IAFqrROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EGUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL { LATHING MESH INSULATION/SOUND FINISH GRADING NAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I 11 a,2�1 )- 0��- Desert Sands Unified School District w BERMUDA.DUNES r RANCHO MIRAGE 82.879 HIGHWAY 111 O INDIO. CALIFORNIA 92201-5678. 0 (619) 347.8631 t ' INDIAN WELLS ti PALM DESERT a ,r� LA OUINTA INOIO p y .. September 24, 1985 . � o sy • - 0 City of La Quints Department of Community Development. 78'-105 Calle Estado - La Qui*nta, CA 92253 Re: 52230 Villa Gentlemen: The developer of'the above referenced lot _ has mi.ti'gated i.ts impacts on our•overcrowde.d schools by,.p,ayment of the amount of $628 per 'unit to be .applied to the cost of district educational faci'li.ties made necessary by such new - development. Sincerely, ' �. ••^^ Pi John D. Brooks Assistant Superintendent Business Services' ' JDB/crm i COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached checklist. Anon refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. WNe Mailing AddressP.Se�' City State Zip Code Phone elpoh �.w.5"3 -s/- 'Property Address 'City or Community 'Legal Description of Property (Lot, PE..rcel Map, Tract) � a z.,,, o' -V71,7 e-14 ;/-- // `Assessors Parcel No. Water Serf ng Property From Lot size 7V-0ozle /©o 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 Eh Detailed,, boring report required Yes ❑ No } Detailed contour plot required Yes ❑ No ❑' Comments: Soils or boring report by Date Approved by Date Ute' t Soils Ma a Soil T Map Page Type Tract File No. ' f Other Number of Bedrooms Septic Tank Size (gallons) Rate Required Type of System Mew Addition Replacement 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 51 ❑ 612�, OA1C FL"j Location of System F Additional Requirements (%)a Iu. 1,4 ci �00vPr,��tc4� �Ct� r F1kt�v1 �iJt�'��. /C.>„ t��I�— X111'1 IL)��_� A permit -is approved/denied forthe design of a subsurface disposal system as indicated on the accompanied plot plan using the-req'Lire em nts set forth in Section B above. A building permit is necessary for the installation of the above designed systeir. Signature of Health Official Date Receipt No, cC;C)A;L District: Riverside ❑ DISTRIBUTION: WHITE - Office File D014 SAN 122 (Rev 10/84) Issued By ' i�" (; Indio❑'� Hemet ❑ Date 11 vim.' YELLOW - Applicant PINK - Building Dept. GOLDEWROD - Pending File � �' Of FEB p 41986 .. n Q INTA COMMUNITY DEVELOPMENT DEPT' , w�eji TESTING INSPECTION 1731-A WALTER ;STREET a VENTURA, CALIFORNIA 93003 PHONE, (805) 642-6727 January 9, 1986 + B -15923-P 1 •• Desert Design and Development 77-887 Ave Montezuma La Quinta, CA 92253 Project: 527230 Ave. Villa -La Quinta,. CA ,V ' Subject: Report of Field Densities -House Pad On December 20, 1985 a representative of our, firm performed density tests on the fill placed in the buildingarea on the above referenced project. Tests were performed at random locations in accordance with ASTM D 2922-81 and ASTM, D 3017-78 Nuclear Density Test Procedure. Tests were performed as per authorization of Clint Dougherty.. The estimated locations of the tests are presented on the attached plan with their results being summarized on the attached test rep3rt sheet. ,A -total of three (3) density tests were performed: Test results indicate that :7 s minimum of ninety percent'(90%) relative compaction has been obtained ; within the areas tested. The maximum density -optimum moisture were determined in the laboratory in accordance with ASTM D 155,-78, Method A. Test results are as follows: Soil Description Maximum Density-Ootimum'Moisture Light brown fine'sand with gravel 126.7 pcf.~ 4 8.0% VENTURA LANCASTER (805) 642.6727 w (805) 9484538 BAKERSFIELD SANTA BARBARA' PALM SPRINGS SAN LUIS OBISPO, (805) 327-5150 .(805) 966.9912 (619) 328.9131 (805) 544-6187 January. 9, 1966 72= , , 8-15923-P 1 86=1=179 Limitations: The compaction operations were completed'at the time our pErsonnel were ' called to the site. The test results summarized in this reportpresent the moisture and density only, at the locations and depths tasted , 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 contractors work is made- or implied. t' If there are any questions, please do not hesitate to contact this office.,'- Respectfully ffice.,Respectfully submitted, BUENA ENGINEERS, INIC. Reviewed and Approved Ui W. Andrew Wright a Raymond E. Brennen CE 28966 WAWIREBIkls E. Copies: 4 - Desert Design rt• `' „'Ari 2 - City of Le Quints 2 - PS file CE a85M. 1 - VTA file a.PVt� r� Of 4 , 811FNA PMriwFFRC IN[' A�7 �. 13X:3 Ct YS � 67 t9 �9n � mtl� � � i� • ,. .. . REPORT OF RELATIVE COMPACTIONS Job No. 6-15923-P.1 CONTRACTOR: DATE: January 9; 1986 'Report No. •,86-1-179 ADDRESS: JOB & LOCATION: - la Quints, CA TEST NO. DATE - DESCRIPTION , % MOISTURE DRY DENSITY - RELATIVE MAXIMUM • TESTED IN PLACE, .IN PLACE COMPACTION DENSITY 1 12-20-85 Per Plan. 0.5 BFG 2.5 126.5 100•` 126.7 2 ' 12-20-85 Per Plan 1.5 BFG 3.9 120.4 95 " 126.7 3. 12-20-85- Per Plan 2.5 BFG s 3.7 125.8 , 9.9 126.7 BFG = Below Finish Grade i WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: r BUENA ENGINEERS, INC. } AAA i