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002528 (SFD)
Building�t Address- 52-530 AvaWAa Vi'U Owner T4h f44 P.O. BOX 1504 N o .. 002528 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Javier 10 Mailing Address a 7 aVV)M,3a iei City Zip Tel. _ :..'LA2235 398 -5131 Contractor Address. City Zip Tel.. State Lic. City & Classif. Lic. # Arch:, Engr. Designer Address Tel. City Zip State . . . Lic. # ,. LICENSED CONTRACTOR'S DECLARATION, „_- I hereby affirm that 1 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 BUILDING: TYPE CONST. OCC:'GRP. A.P. Number 7i3-304" 002 Legal Description hot 22 Project Description S=le faird ,fit' dMI11M 3 1585 Sq. Ft. 46 No. Size. Stories New ❑ '-Adder ' - Alter ❑ W OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation' l reason: (Sec. 7031.5,Business and Professions Code.. Any:city or county which requires. a. a�2yi .permit to construct, after, improve, demolish, or repair any•structure, 'prior to its issuance also S.M.I. 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 •r.• Division 3 of the Business *and' Professions Code, or that: he is exempt therefrom, and the basis WORKERS' COMPENSATION DECLARATION for the alleged exemption. Any violation of Section 7031-.5 by 'any applicant for a' permit Plan-Chk. Dep., ' subjects the applicant to a civil penalty of not more'than fiveWindred dollars ($500).'- ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk..Bal. do the work, and the structure is not intended or offered tor.sale. (Sec. 7044, Buisness and Const. 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, provided that such improvements are not intended or offered for sale If however the buildin Mech. ' 9. or improvement is sold within one year of completion, the owner -builder will have the burden or proving that he did not build or Improve for the purpose of sale.) + -_ Electrical Plumbing' . ❑ 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 projectswitha contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under Sec. B. 8 P.C. for this reason. Grading Driveway Enc. Date Owner ' • . �4 r Infrastructure WORKERS' COMPENSATION DECLARATION Side Street Setback from Center 'Llne I hereby'affirm that I have a certificate of consent to self -insure, oi.a certificate of ' Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) . , work for which this permit is issued. (Sec. 3097, Civil Code.) ' Policy No. Company Side Setback from Property Line 0 Copy.is filed with the city. ❑ Certified copy is hereby furnished. TOTAL Lender's Address 1 _ • CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS This is a building validated,'and when properly filled out, signed and validatedand is subject to (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 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 No: Dw. Units - - Repair ❑ -Demolition ❑ AMOUNT 379.00 30..015 S-71 0 .01i 20.00 x.219.52. Date Owner NOTICE TO APPLICANT: If, after making this Certificate or Exemption you should become ZONE: BY: ' subject to 'the Workers' Compensation proiisioris 'of -the Labor -Code, you must forthwith - comply with such provisions or this permit shall be deemed revoked. - :Minimum Setback Distances: - Front Setback.from Center.Line Rear Setback from,Rear Prop..Line • CONSTRUCTION LENDING AGENCY Side Street Setback from Center 'Llne 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.) Side Setback from Property Line Lender's Name Lender's Address 1 FINAL DATE r INSPECTOR ' This is a building validated,'and when properly filled out, signed and validatedand 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 0' Permit 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. Validated by: Signature of applicant > • •. 4 Date " Mailing Address E ' Validation: City, State, Zip A615% 8 7 194U26 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEL•"S 1ST FL. SQ. FT. ® $ 2ND FL. ' SQ. FT. ® POR. SQ. FT. ® GAR. SO. FT. ® CARP. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. ROOFING 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SEPT �KNK tt77 ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) E POLE r GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL I P. FRAMING FINAL INSP. ROOFING /� it �/ W� C� G - /� ! f _ /L. DEC REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL `j 2L,r" /&THING MESH INSULATIONISOUNDr FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IIVJYCV I V M"J JIU MA 1 UNCJIIMI I IALJ, GARDEN WALL FINAL has mitigated irs Impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to th.e'cost of district educational fac,i*li.ties made necessary by such new development. , Sincerely, John D. Brooks Assistant Supe.ri.ntende.nt Business Services JDB/crm ' i ° r Desert Sands Uni ¢ied School District, a BERMUDA DUNES - RANCHO MIRAGE 82-879 HIGHWAY 111 0 INDIO, CALIFORNIA '92201-5678 O 619) 347-8631 INDIAN WELLS ti PALM DESERT a S LA OUINTA 'gyp INDIO y7 August 7, 1986 City of La Qui nta Department of. Community Development 78-105 Calle Estado La Qui-nta, CA 92253 ' Re: 53530 Avenida Villa Gentlemen: The developer of the above referenced lot has mitigated irs Impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to th.e'cost of district educational fac,i*li.ties made necessary by such new development. , Sincerely, John D. Brooks Assistant Supe.ri.ntende.nt Business Services JDB/crm ' i 04 Z O F_ U W U) W Z O H U W rA cn Y Q 2 W cr X Z O H U W C0 ' COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 off$301s required when the application is submitted. Check must be made payable to the County of Riverside. aliop y /0 Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address City Slate t Zip Code Telephone Job Property Address ^'`City o Community Legal Description of Property. (Lot, PM, TR) a a V0. 'Assessor's Parcel No. Water Agency omWeiho �� ,,,qQ /}�� (�� .� i/n Use of Permit°' 0 `FL(.ZT '.Tfr•"lop Planning Case # #PA �� Lot Size /j/{j f% AV "y Y� (!// j j SFD. MH Site Preparation Etc./ /) �� ��V dY •� _ z�C, -4 Signature of Applicant Date 'The above information must be verified from Building Application . STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. 1771 Yes D No —7- ;2 34 e WOCB Clearance required. ❑ Yes [2 No Soils feasibility report required. ❑ Yes E No Detailed boring report required. ❑ Yes ❑�No Detailed contour plot plans required. ❑ Yes El No Staff Specialist approval required. ❑ Yes 12 No Lot Inspection Date_ r Soils/boring report by / �+,ef� Project # Date Soils Map Page{! Soil Type`- -7, R 3 " _Approved`by _Date Type of System: ❑ Existing (]' e ❑ AfJditional El Replacement No. of Bedrooms (1) Septic Tank �Lr Gals. AML rSoil Rate Required/ (2)'Eeach line sq. .ft' (Bolt m�trer area) Sidewall allowance _ft'R'oc, ✓ _Sq. Ft. Install Line(s) _ Ft. Long, Ff`wide•-with min. _inches Leach bed Sq. Ft of`bott, m per running ft. ❑ RPA—_. rock below drain lines area Leach lines/bed-special-design for slope: licable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depthApp N/A__ Overburden factor " ©� / Max. allowable depth �U r+"�-/� ,�,,::`. J•'?-, �? ;"2'2 �. ,... ''�-�+'-. fir- t�-•�l / (/r'ii�u �� s•./.�G�"i.� V This application'is approved7deniadTfor the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B a Ove. A building permit is necessary for the installa ion of the above -designed system. Septic tank lines r% /0 ✓ f��/ +ori, and sewer must be 50' from any wells t ��y Gv�,h.�r o u1m;(",Leach lines must be 100'min. from including �' d�-r dG@�Seepage 02) any wells expansion.area t pits must be 150' min. from any wells including. expansion area /0 �j "yam � (� 9�G�t%� !^.�rz L,,, N r Signature of Health Official , y °r - / T. i� Date RECEIPT NO. �` Issued by Ste- Date District: ❑ Riverside ©'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev. 2186) "--Fitch Engineers Inc. E® October 19, 1986 DEC 11 �9a6 CITY OF LA QUUINLAT DEPT COMMUt!M CEJ = P"" Mr. Javier Loredo #10 Coachella Heights Coachella, Ca. 92236. SUBJECT: Report of In -Place Density Tests- 52 530 Avenida Villa, La Qu-inta, Ca. .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 Fitch Engineers Inc. .These tests were performed on. 10/18/86. AVAILABLE'PLANS To assist in determining the locations and elevations of our field density tests and to define the general extent of the site grading .for, this phase•of work, we were provided with a grading plan by the., owner., FIELD-TESTING Field density.tests.were.performed by a representative of Fitch Engineers Inc. upon completion of site grading. The density tests were taken according to A.S.T.M:-Test.1556-74 •and the loca- tion and results of those tests are shown on the attached plates.. The locations and elevations of the in-situ tests were determined 'in accordance with their importance and the accuracy and proximity of the survey control provided by other than Fitch Engineers 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. CIVIL ENGINEERING —PLANNING SURVEYING — DESIGN P.O. BOX 4551 PALM DESERT, CA 92261 (619) 345-.7667 t -2 - LABORATORY TESTS A maximum dry density determination was performed om a representa- tive sample of the soils used in the compacted fills 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 cub=c 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. presented on Plate Number 1, were used in, conjunction with the. field density tests to determine the percent of relative compaction of the compacted fill. This report covers only the work performed on 10/18;86. Our opinions,presented herein are based on our observations and the relative compaction tests results. Due to possible variations in the uniformity of -compacted 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 certainty that the mass grading complies with the job requirements. No other warranty, express -or implied is given or intended. 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, FITCH ENGINEERS INC. WM'. H. FI CH R.C.E. 12571 JOB NAME 52" 530 Avenida Villa,'La�Ouinta,- CaY '+ '� �;z JOB NO Javier Loredo ' ELEVATION OR MOISTURE DRY DEN. SOIL" REL. COMI .ST NO. DATE LOCATION DEPTH OF TEST, IbS/cu.f. t. TYPE 0/0 . l 10/18/86 See Sketch -2' 7.5 106.0 124.2 85.4 2 Retest of 71r1 -2' 12.4 118.8 124.2 95.6 3 See:�Sketch -1' 9.9 115.0 124.2 92.6 4 �� �� F.G. 11.1 122.0 124.2 98.2 .SOIL TYPE #1 124.2 lbs. cu. ft. @ 11.9% Moisture I • Vie. e 1 Plate No.l I, . BY