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04983 (SFD)i f 4 " .1 ' P.O. BOX 1504 "AN ADEQUATEL P DEB9498SR Building IS REQUIRED ON HE JOB -SITE DURING Owner Address 5'� §8Q Villa LA QUINTA, CALIFORNIA 92253 ALL PHASES OF CONSTRUCTION1 Mailing Address p. 0. $O?. 2.i ¢ 1 City Zip Tel. La Quina 32253 346-4614 Contractor Tela State Lic.I City „ >+ & Classif. � _ * * Lic. # Arch., Engr., Designer Address Tel. City IZip I State I 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 DATE OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Busirness and.Protessions Code: Any city or county which requires a 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) or 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 appiicant to a civilpenally of not more than rive hundred dollars ($500). ❑ 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 Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon mid 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 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.) ❑ 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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 r/ ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars (S 100) valuation or less.) I certify that in the performance of the 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." N, 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 for inspection purposes. Signature of applicant Date - Mailing Address City, .State, Zip 11LDING: TYPE CONST. OCC: GRP. P. Number 773-144-005 Legal Description Project Description S J. D Sq. Ft.���� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. g 9 q I R Const. . Mech. 0 . 00 Electrical Plumbing 1.2 _ 0 S.M.I. Grading qn. an Driveway Enc. 0 Infrastructure TOTAL $3,044.73 REMARKS ­., ` r ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback fro -n Rear Prop. Line Side Street Setback from Center Line Side Setback froln Property Line FINAL DATE -INSPECTOR 12/8%S8 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ' Y ARD SPKLR SYSTEM 2ND FL SQ. FT. (� MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAR. SO. FT. ® DRAINAGE PIPING CAR P. SQ. FT. ® WALL SQ. FT. ® DRINKING FOUNTAIN URINAL SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) 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,TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® 44c 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 JCI tlAlir� I � /J C SLAB GRADE / l FORMS FOUND. REINF. REINF. STEEL GROUT BOND BEAM LUMBER GR. G FRAMING/— p " 0 C ROOFING -2--12-4 VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING r! MESH INSULATION/SOUND �I' b ' X� FINISH GRADING (l FINAL INSPECTIONCf—,�L7— CERT. OCC. FENCE FINAL GARDEN WALL FINAL GROUND PLUMBING ROUGH PLUMB. SEWER OR SEPTI GAS (ROUGH) GAS (FINAL) WATER HEATER WATER SYSTEM UNDERGROUND BONDING ROUGH WIRING METER LOOP TEMP. POLE SERVICE FINAL INSP. FINAL INSP. IL2 41 �� -L 2c<< A.C. UNIT HEATING (ROUGH) DUCT WORK HEATING (FINAL) FINAL INSP. GRADING cu. yd. $ —Plus -x$ REMARKS: COLL. AREA STORAGE TANK ROCKSTORAGE OTHER APPIEOUIP. =S Desert Sands Unified School District CERTIFICATION OF PAYMENT OF NOTICED SCHOOL FACILITY FEES 1 ��°� ')OC��ooUMENT CAS. TO: City of QuiBE nt �9Q.sy��'�®� N®TDATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that Lr 14 (WI developer of lawhich is located at _ 0.. — , within this District, has paid school facility fees impose pursuart to the authority genera d by �vernment C de'Section 53980 in the amount �pf. UAX covering a total of /,P-0 Nbh&&square feet of,' w iden al or ( ) industrial/commercial development and that building permits for this footage in this development may now be,issued by your :urisdiction. (JC, fl6r DESERT SA S•UNIFIED SCFOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 %'*o ly c RECEIPT NO.—,`Issued BY S Dat a - DISTRICT: ❑ RiJerside Indio ❑ ,Hemet ❑ 'Perris 0 ~ Rancho Calif.. ❑: Blythe DOH SAN 122 (Rev.. 5/88). DISTRIBUTION:-. WHITE - ;Office file -..YELLOW - Applicant PINK - Bldg. Dept ` GOLC ENROD. Plans/Records :' �mt FA COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. — ENVIRONMENTAL HEALTH SERVICES 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 speculations asiindicated on the attached checklist. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATICN LOG' Z " Q gent Co r, Contact Person F _73 _ ! -yAddress & ne�.3C1 •OL Q ` C/� W Ow r ^ .1 nmEwa Phone ingA�qddresa P/State UA / �r,C �O o` X ICJ bProperty A f 1 ll esc riptio Prop. (PM `n E(b'fj Lot Size Water A nc _�: Use of Permit P/P, CU, etc. «Y ( Other WIT Dwell'" MH it� p, etc. v re of Applicant pars CATE, REV CODE FEE O� SUBSURFACE'HISPOSAL 1238 $45.00 CATEGORY: REV CODE FEE ❑ SITE EVALUATION UPON REQUEST 7349$42.00 m ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICA ION 7348 $11.00 0 a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) i5=-, b. Each Parcel after 4" 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) W ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $t36.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Sfte_Evalua*m Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 DATE � �� Holding Tank Agreements Completed ❑ Yes . / '� 0 X Certification of Existing S.D. System Required ❑ Yes :72o WQCB Clearance required. (Attach Form Yes m 0 DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes � Special Feasibility Boring Report Required. ❑ Yes j3'No Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes OwNro! Other ❑ Yes 0 o� Ro Staff Specialist Lot Inspection Required ❑ Yes Lot Inspecion Date Soils boring report by' tt Projec�# Date Q SolAl Page Soil Type � r r y Approved by 4 /L Date U No. of Systeme TypWof Systema) No. Dwelling Units (1 J (1) Septic Tank Soil Rate IkOmase/Sand 0 13Ing Tank ❑ Existing Replacement BedroomFixt s, ure lanit .„ _ Gftse I�nicp �t�� M ft /J H JiV —Gal W � (2) Leach Line Sq. Ft trench Hree Sidewali allowance Install Lines) ft long ft wide with Leach Bed sq: It. R rock/ sq.R per running ft j NA min. inches dreinlinea or om area ��► < _ Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below a See pegs Pit Tgtal Depth Applicabley��``/_ Into 481). O N/A Overburden factorQi—Ws qQ Max. FJIo Ike Depth No. 2 SystemN/A REMARKS: s This application is PPROVE ` ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied pot plan, using the requirements set forth in SECTION C above. A building permit Is necessary for the .installation of the Z` above -designed system. No construction is permitted in the required reserved, 100% ex anion•area. W JJ Septic: tank and sewer. lines must be "50' minimum from. any wells 0 f . ,� �✓ S "Leach lines must be 100' minimum from any wells, including expansio area • 63,:..Seepage pits must be 50'_ minimum from any wells, including expansion area��0 inature of. Health_op . Date ly c RECEIPT NO.—,`Issued BY S Dat a - DISTRICT: ❑ RiJerside Indio ❑ ,Hemet ❑ 'Perris 0 ~ Rancho Calif.. ❑: Blythe DOH SAN 122 (Rev.. 5/88). DISTRIBUTION:-. WHITE - ;Office file -..YELLOW - Applicant PINK - Bldg. Dept ` GOLC ENROD. Plans/Records :' �mt FA `^^rL"vvL�,;ar'l-i•('r•p—,i-^'�'y.titirc•��1'' :r.,-Ua. �.�-v4'K".. ,:r.r,�^.rwp , .,J ,. -Suene' Engineers, Inc. r <.► AN EARTH SYSTEMS, INC: COMPANY 79-811 COUNTRY CLUB DRIVE, SUITE *4 • BERMUDA DUNES, CALIFORNIA 922.01 • (619) 345-1588 0 Work Order BUENA ENGINEERS, INC., a California Corporation, (Geotechnical Consultant) and'Client agree to a work assignment for Geotechnical Consultant as follows: �4 /u%/ W Date: December 27. 198 iJ0a No. 67-1071-P1 Phone No.. 34-4614 Name of Project......... 51-580 Avd. vibba r• J Client Name ............... Now Generation BAa¢ers .e. Client Address............ 73-127 Sonora, Pala Desert, CA. 92260 Location of Job../..I.., %. La ouinta, CA- Description ADescri tion of Work... Nuclear Density Test r Authorized By............ Bob V a r tl TERMS: The Generat4onditions (attached) are incorporated in full as part of this agreement. Invoiees will be`submi'tted upon ;completion of work'or at two-week intervals and are due and payable upon presentation. A Late Payment Finance Charge R;y-'computed at the periodic rate of 1 1/2 percent per month (an Annual Percentage Rate of 18 per,ent) will be applied to any unpaid` balance commencing thirty days after 'the date of invoice. Submittals to governmental agencies are the responsibility of the Client. -Ga66ellation'of this contract by Clie must be in writing with'.seven days notice. Client agrees to pay for all services and materials provided up to the time of termination.• BUENA ENGINEERS. INC. 6L,lil2w 1 w� Gate PLEASE RETURN A SIGNED COPY TO BUENA ENGINEERS, INC. AGREED TO AND ACCEPTE-D: 1z'-wo Client Name (in print)- . � Signature and Title S. Date BAKERSFIELD BERMUDA DUNES LANCASTER SAN LUIS OBISPO SANTA, EARBARA (805) 327-5150 (619) 345-1588 (805) 948-7538 (805) 544,6187 .. '..(805),`966-9912 VENTURA.. (805)642-6727 GENERAL CONDITIONS BETWEEN THE GEOTECHNICAL CONSULTANT AND THE CLIENT SECTION 1: ENTRY AND PROPERTY CARE 1.1 The client will provide for right of entry of the Geotechnical Consultant and all necessary equipment, in order to complete the work. 1.2 While the Geotechnical Consultant will take all reasonable precautions to minimize any damage to the property, it is understood by the Client that in the normal course of work some damage may occur, the correction of which is not part of this agreement. SECTION 2: UTILITIES 2.1 In the prosecution of his work, the Geotechnical Consultant will take all reasonable precautions to avoid damage or injury to subterranean struc- tures or utilities. 2.2 The Client agrees to hold the Geotechnical Consultant harmless for any damages to subterranean structures and utilities which are not called to the Geotechnical Consultant's attention and correctly shown on the plans furnished. SECTION 3: SAMPLES 3.1 The Geotechnical Consultant will retain all soil and rock samples for thirty (30) days. Further storage or transfer of samples can be made at the Owner's expense upon written request. SECTION 4: INVOICES 4.1 The Geotechnical Consultant will submit invoices to the Client upon completion of services or at two week intervals, which are due and payable upon presentation. A Late Payment Finance Charge computed at the periodic rate of 1.5 percent per month (an Annual Percentage Rate of 18 percent) will be applied to any unpaid balance commentiog thiriy days after the date of the invoice. 4.2 Fee Schedules are periodically revised. Unless otherwise agreed, new rates apply to on-going work as the rates are issued. SECTION 5: OWNERSHIP OF DOCUMENTS' 5.1 All reports, boring logs, field data, field notes, laboratory test data, calcula- tions, estimates, and other documents prepared by the Geotechnical Con- sultant, as instruments of service, shall remain the property of the Geotech- nical Consultant. 5.2 The Client agrees that all reports and other work furnished to the Client or his agents, which is not paid for, will be returned upon demand and will not be used by the Client for any purpose whatever. 5.3 The Geotechnical Consultant will retain all pertinent records relating to the services performed for a period of five years following submission of the report, during which period the records will be made available to the Client at all reasonable times. SECTION 6: CLIENT CHANGES 6.1 In the event any changes are made in the plans and specifications by the Client or persons other than the Geotechnical Consultant, client agrees to hold the Geotechnical Consultant harmless from any liability arising out of such changes and the Client assumes full responsibiliy unless the Client has given Consultant prior notice and has received the Consultant's written consent for such changes. SECTION 7: STANDARD OF CARE 7.1 Services performed by the Geotechnical Consultant under this agreement will be conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions and in the same locality. ,No otherwaranty, expressed or implied, is made. 7.2 The Client recognizes that subsurface conditions may vary from those encountered at the location where borings, surveys, or explorations are made by the Geotechnical Consultant and that the data', interpretations and recommentdations of the Geotechnical Consultant are based solely on the information available to him. The Geotechnical Consultant will be respon- sible for those data, interpretations, and recommendations, but shall not be responsible for the interpretation by others of the information developed. SECTION 8: LIMITATION OF LIABILITY 8.1 The Owner agrees to limit the Geotechnical Consultant's liability to the owner and all construction contractors and subcontractors on the project arising from the Geotechnical Consultants professional acts, errors or omissions, such that the total aggregate liability of the GeotechnicalConsul- tant to all those named shall not exceed $50,000.00 or the Geotechnical Consultant's total fee for the services rendered on this project whichever is greater. The Owner further agrees to require of the contractors and his subcontractors an identical limitation of the Geotechnical Consultant's liability for damages suffered by the contractor or the subcontractor arising from the Geotechnical Consultant's professional acts, errors or omissions. Neither the contractor nor any of his subcontractors assumes any liability for damages to others which may arise on account of the Geotechnical Consultant's professional acts, errors or omissions. SECTION 9: INSURANCE 9.1 The Geotechnical Consultant represents and warrants that it and its agents, staff and consultants employed by it, is and are protected by workers' compensation insurance and that the Geotechnical Consultant has such coverage under public liability and property damage insurance policies which the Geotechnical Consultant deems to be adequate. Certifi- cates for all such policies of insurance shall be provided to the Client upon request in writing. Within the Ilimits and conditions of such insurance, the Geotechnical Consultant agrees to idemnify and save the Client harmless from and against any loss, damage, or liability arising from any negligent acts by the Geotechnical Consultants, its agents, staff, and consultants employed by it. The Geotechnical Consultant shall not be responsible for any loss, damage or liability beyond the amounts, limits, and conditions of such insurance. The Geotechnical Consultant shall not be responsible for any loss, damage, or liability arising from any negligent acts by the Client, its agents, staff, or other consultants employed by it. SECTION 10: TERMINATION 10.1 This Agreement may be terminated by either party upon seven (7) days written notice in the event of substantial failure by the other parry to perform in accordance with the terms hereof. Such termination shall not be effective if that substantial failure has been remedied before expiration of the period specified in the written notice. In the event of termination, the Geotechnical Consultant shall be paid for service performed to the termination notice date plus reasonable termination expenses. 10.2 In the event of termination, or suspension for more than three (3) months, prior to completion of all reports contemplated by this Agreement, the Geotechnical Consultant may complete such analyses and records as are necessary to complete his files and may also complete a report on the services performed to the date of notice of termination or suspension. The expenses of termination or suspension shall include all direct costs of the Geotechnical Consultant in completing such analyses, records and re- ports. SECTION 11: OTHER CONTACTUAL REQUIREMENTS 11.1 Neither the Client nor the Geotechnical Consultant may delegate, assign, sublet or transfer his duties or interest in this Agreement without the written consent of the other parry. 11.2 If the Client is a corporation or public entity, the individual or individuals who sign this Agreement on behalf of the Client warrant that they are duly authorized agents of the Client. The Client binds himself, his partners, successors, executors, administrators and assigns to this agrreement in respect to all its terms and conditions. Buena Engineers, Inc. 79-811 Country Club Drive, Suite 4 Bermuda Dunes,:,,CA 92201 - (619) 345-1588 328-9131 f Client Name Client Address Client Phone DATE JOB NO., 'REFERENCE CURVE TEST TEST LOCATION LOT 1*3 7 7 PROJECT DRY MAXIMUM MAXIMUM OPTIMUM NUMBER 'NO. ELEVATION..._,DRY 'C&TENT DENSITY LOCATION DRY MOISTURE % .CONTRACTOR DENSITY DENSITY CONTENT OWNER WEATHER Ibs./cu. ft. TEMP, t,10at AM 0 at ."IPM PRESENT AT SITE yk ' 37:9 8 CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE J;"Z%111 FIELD TESTING 'REFERENCE CURVE TEST TEST LOCATION LOT MOISTURE DRY MAXIMUM MAXIMUM OPTIMUM NUMBER 'NO. ELEVATION..._,DRY 'C&TENT DENSITY DRY MOISTURE % IbsjCu. ft. DENSITY DENSITY CONTENT % Ibs./cu. ft. % yk 7p ter. s A 'k REMARKS: 7-d /V ' 37:9 8 CLIENT REPRESENTATIVE SIGNATURE FIELD REPORT TECHNICIANS SIGNATURE J;"Z%111