003526 (SFD)Building 53-830Viil&
Address
Owner
James Laier Trust
Mailing
Address 53-7175 AUdas'
City Zip Tel.
Ta..0"int.1 " 92253. 554'
Contractor
-Address
Sam
City. ... Zip ...
State Lic.
& Classif. 328430 '
-Arch., Engr., '
Designer
Address
Tela
City
Lic. #
Tel.
� �Q�r«rw
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 003526
BUILDING: TYPE CONST. OCC: GRP.-
A.P..Ngmber 774-174-005
Legal Description
Project, Description Sit"'tcrit-_' ramilw lE l2 incir
6SQ .. , » , sq. Ft. 2453
Size'
New -D Add ❑
I
CityZip q State ?art Wirken
Lic. #
LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisionsof Chapter'9 (commencing with Section
7000) of Division3 of: the Business and Professions Code, and my license is in full force•and
effect.
SIGNATURE--..'•+.c^e• V DATE
OWNER -BUILDER DECLARATION
No. No. Dw.
Stories Units
Alter ❑ Repair ❑ • '
Demolition ❑ _
' I hereby affirm that I am exempt from the Contractor's License Law for the following.
Estimated Valuation.
7 .0
.: .
7
. reason: (Sec. 7031.5,Business and Professions Code: Any'city or county which requires a
-
f
.. PERMIT
-
-
- 'AMOUNT
permit to construct, after, improve, demolish, or repair any structure, prior to its 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 five hundred dollars ($500):
❑ 1, as owner of the property,;or my employees with wages as their sole compensation, will'
- Plan Chk.. Dep..
tom' tj( - { .
Plan Chk. Bal.
44.91 A"'
COnst.• 1.
370.00
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 of property who
Meeh.
�(jjj
!wilds 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 .:
Electrical
76 27 -
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.)
- Plumbing
MAO , -
❑ 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
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. for this reason
Grading
1.0 _
Driveway Enc.
20.00
Date Owner
Infrastructure
1,732.50
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. ❑ Certified copy is hereby. furnished. . .
TOTAL2
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for,one hundred dollars $100 valuation
or less.) .. .. .. . .._ - .. ( .) ..
certify that in the performance of thg work for which this permit is' issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
REMARKS
M
Kr�s1%', �' .-' � .. I'll
9 ifi' S."i'�«` T1i 6 r 11, !Sft
I
..
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become.
'subject to the Workers' Compensation provisions of the Labor Code_ you' must forthwith
comply with such provisions or this permit shall be deemed revoked. ' ' -
-ZONE: BY:
.Minimum Setback Distances: '
- -
Front Setback from Center. Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirin'that there is a construction lending agency for the performance of -the
work for which this permit is issued_ (Sec..3097, Civil Code.) -
Side- Setback from .Property, Line
Lender's Name
FINAL DATE
Issued by:
Validated by:
IAR�y
� ermit
DatebANSPECTO/ %$ t P • '
r•
Lender's Address 'Ak�) n. •ler
' This is'a'building permit when properly filled out, signed and validated,"and is subject to '
expiratioif work thereunder is suspended for 180 days.
• I certifythat 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 of applicant . -Date-
ateMailing
MailingAddress
Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES'
1ST FL. SQ. FT. @ $
2ND FL. SO. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. 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
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
OTHER APP.IEQUIP.
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
WATER SYSTEM
FINAL INSP.
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1Va c
SEWAGE DISPOSAL
//LUMBER
/
116RAMING /A `
!!!
SQ.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
VENTILATION
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
I SETBACK
��
GROUND PL BIN
UNDERGROUND
A.C. UNIT
COLL. AREA
,2/
SLAB GRADE, ��
&ROUGH PLUMB
/
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S E
I(�1OUGH
WIRINel-1?. �
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
7 REIN F. STEEL C- ��
GAS (FINAL)
TEMP. POLE
v'
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. G
GRADING
cu. yd. .
plus x$
_$
GR..
//LUMBER
/
116RAMING /A `
!!!
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
n/MESH
tl1( INSULATION/SOUND
CCC��� hFIINISH
GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS,
GARDEN WALL FINAL
24
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RECEIPT NO. .1 4 Issued by � �`- Date
District: ❑ Riverside -0 Indio . ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW —ApplicantINK—Bldg. Dept. OLDEN ROD— Pending File
DOH SAN 122 (Rev 8187) /
�Sc.
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION. n
�� — —
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: Submit this form with four copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached check list.
A non-refundable filing fee of S40 is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner. Agent. Contractor. Etc.)
Mailing Address
City
State
Zip Code
Telephone
'Job Property Address
°`"`Gtt Err. Community-
'Legal Description of Properlyy.,.iCL,01. PM�TR)+�� s�`11irr
it
`
'Assessor's Parcel No
Water Agency prr„„Well
\... /�
Use of Permit. 3 Planning Case #
Lot Size
�,
SQ
n�
SFD. MH Site Preparation Ett,(�E'Ct
S,gnature'ol Applicant Date
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
,,;-.Initial Date
i
Certification of Existing S.D. System required. ❑ Yes 2 k0___11'1..��"f' ” 2 �rl
WOCB Clearance required. ❑ Yes (No� T
El
Soils feasibility report required. Yes 0—No-"" !
Special feasibility boring report required. ❑ Yes END
Detailed contour plot plans required. ❑ Yes LJ�,No
Staff Specialist approval required. ❑ Yes '❑ No Lot Inspection Date
Soils/boring report by E" Project # Date
Soils Map Page/hw 11 Soil Typel.�C-� Approved by Dated 7'
Type of System:
E) ®fNew ❑ ❑
No. of Bedrooms
(1) Septic Tank
�� icr'y
Soil Rate Required
Existing Additional Replacement
Gals.
(2pbeach line sq. ft. '
om
Sidewall allowance
Install Line(s) Ft. Long,
�ide
Leach bed Sq.
(Bott1 trech area)
a�
ft. rock/ Sq. Ft.
-
with min. inches
Ft oftbottom
per running ft.
rock below drain lines �=
area
Leach lines/bed-special design for slope:
Applicable_.
(3) Pit Diameter
®»5 ®6
No. Pits
Pit BI
Seepage Pit total depth
Max. depth Vol
N/A Overburdenfactor
allowable
! � �.9 �:i� ;�T`+r.�'. ,•ys1e'�2�.� %Z.,G' : J•. ,.3'`""1 �6if;.'. (i !may(/=�'�`-�-^•.::.t;�
d
This application is;approv Adenied-for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building perms necessary for the installation of the above designed system
6)) Septic tank and sewer lines must be' 50' from any wells /0 — b-- �•"- r, (. -" e i
(2) Leach lines must be 100' min. from any wells including expansion area
(3))Seepage pitsl must be 150' min. from any wells, including expansion area,// l
�ca.0
%F �y:•-%c-t-: .J� C.'�j,,'.� ��i .y �... e ' .0^%
Signature of Health Official rat ���.-• _, o. -
RECEIPT NO. .1 4 Issued by � �`- Date
District: ❑ Riverside -0 Indio . ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW —ApplicantINK—Bldg. Dept. OLDEN ROD— Pending File
DOH SAN 122 (Rev 8187) /
�Sc.
OF R_
{ Q. o,�VF OFFICE OF E. LEON SPAT GY
Q
? , s AGRICULTURAL COMMISSIONER COMMISSIONER
AND
JAMES O. WALLACE` Q D Ay D ASS:S.ANr COMMISSIONER'
"�) WEIGHTS' �C MEASURES CLEMENT SENVENISTE
- - SEALER
-- 49 613 Hwy 86, Suite B-12
rip�„�f •'� Coactiell'a,CA 92236
'kq r 9, eQ 619-34'2-8291
DATE J 2- 21- T 7 CASE NO. R £f7RS 122-1 C
DEVELOPER,' S NAME:
ADDRESS
TELEPHONE: M) .57611- o o 9'6 ,
5-3-830 IJi
Dear Developer:
After reviewing your landscaping plans, all plant material listed is 'not, in
violation of quarantine laws.,governing the Coachella Valley. If substitutions
do occur and they differ -from plant material listed, this office,must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Z4
Agricultural Comigsioner's Office
cc: Indio and Riverside Office
13
Buena Engineers, Inc.
17, Emn w� AN EARTH SYSTEMS, INC. COMPANY
79-811 COUNTRY CLUB DRIVE, SUITE #4 • BERMUDA DUNES, CALIFORNIA 92201 • (619) 345-1588
March 15, 1988 B -70221-P4
-03-761
Pine Creek Property
tAR 2 21988
51-625 Eisenhower Drive
La Quinta,. California 92253 'CJTy'0F LA QUINTARECENL�'=_
PLANNING & DEVELOPMENT DEPT.
Project: MAR.2 2 '1988
LaQuinta, California, CITY OF LA OURN11:'
Subject:, Report of Field Densities,,
Single Family Residence
From February 16 -through February 26, 1988 a representative of our firm
performed density tests on the building pad on the above referenced project.
Tests were performed - at random locations, in accordance with ASTM D
2922-8 Vand ASTM D 3017-78 Nuclear Density Test Procedure. Tests were
performed as per authorization of Cathy with Pomona Valley Equipment.,
The estimated -locations of the test 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. Tests ,results indicate
that a "minimum of ninety `(90) percent" relative compaction has been
obtained. within the area's tested.
The maximum dentlty-optlmum moisture were determined 1n,the laboratory
In accordance with ASTM D_ 1557-78, Method A or C.'
Test results are as follow's:
Soil Description
Dark Brown Fine to.
Very Fine Sand
VENTURA
(805) 642-6727
0%
BAKERSFIELD SANTA BARBARA
(805) 327-5150 (805) 966-99) 2
MaximumDensity-Or)timumMoisture
LANCASTER
(805) 948-7538
BERMUDA DUNES SAN LUIS OBISPO
(619) 345-1588 (805) 544-6187
March 15, 1988 72- B -70221-P4
88-03-761
1. The project is located at 53-830 Avenida Villa in La Quinta,
California.
2. Prior to our arrival at the site pad grade had been made, but visual
observation indicated extremly wet conditions
3. On return visit testing indicated the required compaction had been
achieved. r
4 The purpose of testing was to observe compliance with the minimum
requirements of the City of La.Ouinta, California.
LIMITATIONS
This firm did not perform a soils investigation, did not conduct any tests to
determine the general condition, adequacy or, stability L of soils on the
property, nor did it observe the backfilling or compacting operations which
were already completed at the time our personnel were called to the site.
The only services performed were specific' moisture and density tests
summarized in this report. , These test results provide only limited
information about the surface materials observed at the locations and
depths tested and cannot be relied upon for information about subsurface
conditions or. compaction; or to determine the appropriateness of any design
or construction of improvements on the site, Ao inspection was made of the
contractor's work and no guaranty or warranty of that work in backfilling or
compaction of soils on the site is made or implied.
If there are any questions, please --do not hesitate to.contact this office.
Respectfully submitted, oQW3VESS.10�7
�l .`
FAtiDo1F
BUENA ENGINEERS, INC t� Reviewed and
Re- VC.0 - No. C 041210 a
. =1 Exp.
Wesley Arita Joseph R. Venu ' crvtl. Q
Field Technician Civil Engineer
OF CN
WA/JRV/kC
KR
Cop i es: 2- Pine Creek Propert 1- P.S. file
2 - City of La Quinta 1 - VTA file
BUENA ENGINEERS, INC.
Buena Engineem. Inc.'
AN EARTH SYSTEMS, INC. COMPANY
REPORT OF RELATIVE COMPACTIONS
Job No. B -70221'-P4
CONTRACTOR: DATE:' March 16, 1988- Report No. 88-03-761
ADDRESS: JOB & LOCATION: La Quinta, California
TEST NO. DATE DESCRIPTION -%MOISTURE DRY DENSITY RELATIVE MAXIMUM
TESTED IN PLACE" IN PLACE COMPACTION DENSITY
53-830 Avenida Villa,
1' 02-26-88. Per Plan EL - +0:5, 112. 0 13.8 96 116.5
2 02-26-88 Per Plan EL = -0.5 12.8 115.7 98. -116.5.
3 02-26-88 Per Plan EL = + LO-,, J2.7 108.7 93 116.5
EL = Elvation From Datium Point - . -
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES:
A
BUENA ENGINEERS, INC.
m