0010-125 (SFD)LICENSED CONTRACTOR DECLARATION
CO I hereby affirm under penalty of perjury that I am licensed under provisions of
F_ Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 W '{"� \Professionals Code, and my License is.in full force:and effect.
O =11 M' License# Lic. Class Exp. Date
P4.
�
r` •• 674074 B 07/.))/2(
^o
Z. r-- Date �'' ' I'' Signature of Contractor ,
m -
U � '- � OWNER -BUILDER DECLARATION `
LUWd I hereby affirm under penalty of perjury that l am exempt from the Contractor's
U) License Law for the following reason:
Z ( ) 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, Business & Professionals Code).
( ) I; as owner of the property, am exclusively contracting with licensed
contractors :to construct. the. project (Sec. 704-4.,_Business',.A Professionals
(C), dI am^e*mp�under Section {B&P:C :for -this reasons ' I
c'o .
NDate f" ' ' a a Signature of Owner %.. I
d Q WORKER'S COMPENSATION DECLARATION
o Q I hereby affirm under penalty, of perjury one of, the following declarations:
O () 1 have and; will maintain a certificate of consent to self -insure: for workers'
X W LL compensation, as provided for by Section 3700 of the Labor Code,, for the
O J Q performance of the workfor which this permit, is issued.
m Q 0 ( have and will maintain workers' compensation insurance, as required by
O CJ Q S 3700 -of the Labor Code, for the performance of the work for which this
10� LOZ permit is issued. My workers_' compensation insurance: carrier & policy no. are:
It Carrier Policy No.
cb, O 2T,ATA T QJI+ti) f�96-p 4
g (This section need not be completed if the permit valuation is for'$100.00 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' not,
laws of California, and agree that-iN should become
• subject to the workers' compensation p ovisions of Section 3700 of the,. Labor
Code; I shall forlfiwith comply with,fhose provisions. f t
Date: ' r Applicant ; f
i
�,, .. Warninw.-Faitare,T6 secureWorkers'-Compensation coverage is unlawful and
shall
IS
an employer to criminal penalties and civil';fines.up to $100,000, in
addition to the cost of compensationi damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and -Safety
for a permit subject to the conditions and restrictions set forth on ,his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and. for whose benefit work Is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall; Indemnify
& hold harmless the City of La Ouinta, its officers, agents and employees.
2. Any permit Issued. as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such.
permit, or cessation of work for 180 days•will_ subject permit to cancellation:,
I certify that I have read this application and state that the above information. is
• correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes_r
Signature (Owner/Agent) ^ „u—Datell
BUILDING PERMIT PERMITS
DATEZ" VALUATION LOT 0010,.125 TRACT '
F� f
t'..f r •:..� ' � d
�~
JOB SITE" - , . ,••^ -
APN
ADDRESS
OWNER
CONTRACTOR /DESIGNER / EN (NEER i
LA QUINTA ORM'ARD P.4RIN RO
ISPMM CfaNSW[:!L'�f. ON,
A-) YJOX 1716
79-295 RANCHO 1A Q'U RT..M.DR.
LA QLTWTA CA 92253
ILA Q1J,TAHT++ CA 92253
(760)771-1941 CLOUT 29196
USE OF PERMIT
MRS, RAWLY DWYLLNG
SIj1�-PERDAIT D08M NOT INCI.AJDF& P001, OR BLr, K'SW'.A;,L OR D)rWKWAY•
APPROACK
iDI. WT CONSTRUCTION' 1%080,00 SP
PORCH/1pATIO 1,459.00 S!+
OARAtlifJt:ARPORT (0) 16,37."••80
E93MATE D t;OSI' (W C0N81r,1Vi'170N
312,2
C0149r,RUv'Y3ON Rh 101.000.413.000 51,3.14,00
;1•d.AW {;Ffi`..C.•.I: YVE 1014�00-439418 $1,164.61
DAEC'HIANIC.AI M 101.000-421-00 SIS0.00
D?1�F.CTn IL: 41 IF= 101-000-420-000 3277,61
PI,.ifMRI NO "Hit 101.000-419-000 $269,11
STRt:>'NO W)7 ON ii�'D;E - R:XSID 141-000-241.000 $31.22
ORAD THO PND; 101.000.42,3.000 $20.00
DEVELOPER, IMPACT FEE $1,907.00
.ART IN 1a13l;I;iS. PI.,AM - Mir "ICI -000.25'--000 $280.52
`FPti 'I3R�1y+7S11' 1014=439- 318 •.$350.n0
WB TOTAT 10011M T`RU`C`.t", ONT t441) PY-AN (=M.
):xev PRE -Ppm 3�m
-S230,00
T 1. FEES DIYEROW
1IDTT
7JUN7
2001
rECEr L I DATE„ �%
BY
DATE.FINALEDIN
SPE CTOR
'1
J
7- to,0
FINANCE DEPT
_47)
IN. PECTIC�N r�ECOO �L�
OPERATION
DATE
INSPECTOR
OPERATION
DATE
=INSPECTOR
' fill LDING APPROVALS
MEC@ ANiCAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings q
Ducts
Stab Grade /// G-
Return Air
Steel
Combustion Air
Roof Deck O d
Exhaust Fans
O.K. to Wrap
Framing 6
Compressor
Insuiation Z
Vents
_
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath /!J
Final
Find -' D
SLOCKWAL L APPROVALS
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBNG APPROVALS
Gas Test
Electric Final
Waste Lines �f _7 _
/
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final 14
Utility Notice (Gas
ELECTRf CAL APPROVALS
Temp: Power Pole
-Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) — /—
COMMENTS:
/Xie/
0616
Iding'Q qa C LJ�
Iress `�'
yy rr✓Ts� �/t C/¢
P.O. BOX 1504, APPLICATION ONLY
18-495 CALLE TAMPICO
LA.QUINTA, ,CALIFORNIA 92253
-7 -72- O CI b - co'Z
BUILDING- TYPE"CONST. OCC. GRP.
A.P. Number 2647 7 w o 0Z
Tel. Z'r,{,F-!'�' Z f-, �'-
�s� 7
� ? ;7/� � 4,, -/Legal Description
'-� Project Description
Aaare9s
�µ
City
CC)
Zip
>Zr/
Tel.
71l /it%r
State Lic.
& Classif. % % L�7��
City
Lic. # p^s'
Arch., Engr.,
Designer w". c ".J &
Addree S
7C %. uA %/t1
Tel. _
C, 7- r
City
,/t (,)
Zip
1 '77--
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 license.ls In full force and
effecL
SIDNATl1RE _ DATE
OWNEWBUILDER DECLARATION
I hereby•affirrn that I am exempt from the Contractors License Law for the following
reason:. (Sec. 7031.5.Bushess and Prolesanns Code; Any oily or county ivh/ofr requires a
permit to constnict;, affair Impiove demultah, or repair any structure, pdor to -its .issuance also
requires the applicant for such permR'to llle a signed statement that he • Is 8censed pursuant to
the provisions of Me Contractor's License, Law, Chapter •9 (commencing with Section 7000) of
aWwon 3 of the Business and Professions Code. of 4haL he is (commencing
and the basis
for the alleged,, exemption: Any violation of Section 7031.5, by 'any ,applicant for a Perim
subjects tAe appticant.fo a civil penalty of not more than five hundreddoimra�($500).
G' 1, as owner of the property, or my employees with wages as their sole compensation, will
do. the work,.. and the. structure Is. nobintended or offered for sale. (Sec. 7044, Buisness and
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,
providedthat such improvements are: not Intended or offered for sale. If, however, the bulkiing
or Improyemeni is sold within one year of completion, the owner -builder �wlli' have the burden
of proving that he did not b68d or Improve for the purpose of safe.)
I'1 I„as owner of the property, am exclusively contracting;with licensed contractors to con
Strutt the project. (Sec. 7044, Business and Professions Code: The Contractor's License Lew
does not apply 16 an owner o1 property who builds or i7tpmves• thereon„ani who contracts for
such, projects with a contractors) licensed pursuant to the Contractor's Llceiise Caw:% : , _.%7• L
i”! I am exempt under Sec. B. 3 PZ. for this reason,-- - t
Date Owner
WORKERS' COMPENSATION DECLARATION.
I hereby affirm; that I have a,certificate,of consent to selfAnsure; or a certificate of
WoftrIsCompensatlon Insurance, or a.certified copy thereof: (Sec. 9800; LaborCdde;)
Policy No. Company
n 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 it the permit is for one hundred doftm ($100) vaua0an
orless.p r
IUrllfythat'in.the Performance of the worli•for which this permit is Issued, 1 shall not
employ any person In any manner.so,as to become subject to -the Workers'- Compensation
Laws of Ca lfomia.
Date Owner
NOTICE TO -APPLICANT If, after making this Certificate of Exemption you should became
subject 10 the Workers' Compensation Provisions- of. the Labor' - Code, you must forthwith
complywdh'suchProvisions or this'Penna shall,ba deenred'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. (Seq. 9097, Civil Cade:)
Lender's Name
Lenders Address
This is a buildingpermit when property filled. out, signed and validated: and Is sublect to
expiration if work,thereunderis-suspended for 18D.days.
I certify that l "versed this application and ,state that the above Information Is correct.
I agree to comply"with, all city and county ordinance`s and state laws.. rotating tobuilding
construction, and hereby authorize representatives of thle city to enter the above-
mentioned propeAy for inspectlon purposes.
Signaturwofplicnt Date
Mailing Address
City; State, .Zip
TOTAL 4�
REMARKS,
Sq. Ft.
Size O
No: No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition
ZONE:-
BY:
Minimum Setback Distances:
Front'Setback from Center Line
Rear Setback from Rear Prop. Line
Estimated Valuation
PERMIT
AMOUNT
Plan Chk: Dep.
Issued by:
Plan Chk. Bal.
Validated by:
Const.
Mech.
,
Electrical
Plumbing
e
S.M.I.
Grading:„.
Driveway'Enc., -, v
infrastructure'
i,
If- ic— fi.A flit taff
TOTAL 4�
REMARKS,
a d
ZONE:-
BY:
Minimum Setback Distances:
Front'Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Set back. from, Property Line,
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
WHITE a FINANCE YELLOW a APPLICANT PINK a BUILDING DIVISION
e
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 192,253
Document Cannot Be Duplicated 760-771-8515'
CERTIFICATE OF COMPLIANCE
Date 6/20/0;1
No. 22146
Owner NameLa Quinta Orchard Partners
No. 50-425 Street Heatherglen
City La Quinta
APN # 772-040-002
Jurisdiction ,La Quinta
Permit #00,10-125
Zip 92253 Study Area
Tract # 26524 LotA 14 Square Footage 5080
Type of Development. SingleTamily Residence No. of Units 1
Continents
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered*
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from payih&school fees at this time due to the following reason:.
EXEMPTION NOT APPLICABLE
This,certifies that school facility fees -imposed pursuant to
Government Code 53080 in the amount of
2.05 X 5,080 or $ 10,414.00 the property listed above and that building
permits, and/or Certificates of Occupancy for this square footage in this proposed project;may now be;issued
Fees Paid By CC /Eldorado Bank - Judy Halpain Telephone
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exe pted by Annette Barlow .Payment Received $;10,414.00
Signature
Check No. 352472922
NOTICE Pursuant ot'Aasambly,Bill 9081,(GFtAP 549„STATS. 199 this will carve to no* you:that the eaday approval pertod'in which you mey protest the fees or other payment Identified
above will begin to run from tho date oq whlch the building or installation permit for this projeetts assued or on which they are paid to the Dfstricl(s) or to another public entity authorized to
collect them on the.D1strlWs)(Wj behalf, whichever is eadier.
Collector: Attach wcopy of county or city plan check application.form to district copy for°all waivers.
Embossed Original- Building Dept./Applicant Copy- Applicant/Receipt Copy .Accounting
Nov 14 01 10':28a Walling L McCallum Ltd 760 3600786
WALLING & MccALLUM/.LIMITED
A." Q M.1 T CT UN6 • PILANNI:NO . 0NO.1'N 6:6'AINO ,
68.780 CLI COME 161913604=60
de"AM,WELL9, CA 90910 FAX 19791 39040709
Novembcr 14, 2001
City of La Quinta
Department of Building & Safety,
Post Office Box 1504
La Quinta, CA 92253
Re: Cstaneias
Lot 14, Hcatherblen, La Qu'inta
Gentlemen
I have inspected the shear walls, posts and beams.and their connections to the structure for
This residence, and have fuwid them to be in reasonable compliance with the drawings.
Y trul
.lo G. Walling, A.I.A.
JGW/in m
\I\
March .28, 2001
WALLING & McCALLUM/LIMITED
ARCHITECTU-R.E • PLANNING r ENGIN.EMAINm
.43+100, CLUB 13RIVE
INOtAN WELLS, CA 86670
City of La Quinta
Department of Building & Safety
Post Office Box 1504
La Quinta, CA 92253 --
Re:
Lot 14
The. Estancias
Gentlemen
[619] �IBO-0660
PAX 16191'9904"M
I have reviewed the truss calculations and find them to be in compliance with the
drawings.
ours 1
n G. WallingtALA.
JGW/mlm
r
Earth Systems Consultants
Southern California 79-81IB Country Club Drive
Bermuda Dunes, CA. 92201
(760)345-1588
(800) 924-7015
FAX (760) 345-7315
October 1, 1997
Tri-State Engineers
78-035 Calle Estado
La Quinta, California 92253
Attention: Mr. Dale Grinager
Project: Tract 26524, Lot 30
Northeast corner of Heather Glen and Stonegate
La Quinta, California
Subject: Percolation Testing -for, On-site Storm Water Disposal \
Dear Mr. Grinager..
File No. SS -6620 -PI
97-10-703
As requested, we have performed infiltration testing for the, proposed on-site storm water retention
on the above referenced project.. Two tests were performed. in the area of the proposed retention.
basins. The, infiltrometer rings were set in place on September 22, 1997, presaturated on
September 23,, 1997, with final testing performed.on September 24,1997. Testing was performed
in general accordance with ASTM D 2285 utilizing a double -ring infiltrometer. Test results are as
follows:
Test Inches Per Hour
1, 1.7
2 5.8
The infiltration:rate provided is an ultimate value.and:has not had a,safety factor applied. Since the
water to be introduced into thesystem will be primarily stormwater runoff, the potential
accumulation of silt and other debris being washed into the retention basin should be addressed.
The site soils consist primarily of very fine to fine grained silty sands with a small_ clay fraction.
'The. percolation test was performed at approximate elevation of the proposed basin bottom. The
approximate test location is- indicated on the attached Site Map, Figure 2.
The analysis and recommendations submitted in this report are based in part upon the data obtained
from the two test holes. The nature and extent of variations between the borings may not become
evident until construction. If variations then appear evident, it will be necessary, to reevaluate the
recommendations,of this report.
Findings of thisreport are valid as,of this date. However, changes in conditions of a property can
occur with passage of time whether. they bedue to' natural processes or- works of man on this or
adjacent properties. In addition,, changes in applicabl&ovappropriate standards occur whether they
result from legislation or broadening of knowledge. Accordingly, findings of this report may be
invalidated wholly or partially, by changes,outside our control. Therefore, this report is subject to
review and should not b& relied upon after a period of one (1) year.
October 2, 1997 -2- File No. SS -6620-P1.
97-10-703
In the event that any changes in the nature, design or location of the development are planned, the
conclusions and recommendations contained:in this report shall not be considered valid unless the
changes are reviewed and conclusions of this report modified or'verified.in writing..
This report is issued with the understanding that it is the responsibility of the owner, or of his
representative,. to insure that the information, and recommendations contained herein are called to
the attention of the architect and :engineers, for the project and are, incorporated into the plans and
specifications for the project. It is also the owners responsibility, or his representative, to insure
that the necessary steps are taken to see that the general. contractor and all subcontractors. carry out
such recommendations in the field Itis further understood that the owner or his representative is
responsible for'submittal of this report to the appropriate governing agencies.
Earth Systems Consultants Southern California has prepared this reporrfor-the exclusive use of the
client and authorized agents. This report has been prepared in accordance with generally accepted
soil and foundation engineering practices. No other warranties, either expressed or implied, are
made as the professional advice provide_ d under the terms of this agreement, and included in the
report.
We thank you for the opportunity to be of service. If any questions arise, or if additional
information is desired, please do not:hesitate to give us a call:
Sincerely,
EARTH SYSTEMS CONSULTANTS
Southern California
�.,..
C• � 1 ce3x
Craig S. Hill, C. W 30MI
SER/pc
Distribution: 'Wrii-State Engineers
l/BD File
l/VTA File
EARTH SYSTEMS CONSULTANTS SOUTHERN CALiPORNIA
F
10
12 14 STONEGATE
AVENUE 50
9 8 7 6
BRIARWOOD
13
LEGEND
LOCATION OF PERCOLATION TESTS
#2
I. I
NOT TO SCALE
I-
SITE MAP
FIGURE 2
• ` He Name: Tri - State File No. SS -6620-P1
pl, I
S
VW
I
ONE SIDE
4" OIC
12" O/C (14)-M5F
MST60
2
ONE SIDE 2
4" OIC
12" O/C (12)-A35F
MST48
,3
ONE' SIDE
6" OIC
IT' O/C (4)-A35F
LSTA9
4
ONE SIDE 2
4" O/C
12" O/C (12)mM5F
MST48
5
ONE SIDE 2
4" O/C
12" O/C (13)-A35F
ST6224 West End
MSTA36 East End
6
ONE -SIDE i
4" O/C
12" O/C (3)-A35F
ST2122
7
ONE ,SIDE
4" OIC
1,21' O/C (I 0-A3517
ST6236
ONE SIDE
6"' O/C
-1:2" O/C (14)-A35F
A
ONE SIDE 2
47 OIC
12" O/C
(7)-A35F
ST6224
B
BOTH SIDES 2
6" O/C
12- O/C
(14)-A35F
CMST14
C
BOTH SIDES 2
6`0/C
12" O/C
(10)43517
MST48
D
ONE SIDE
6",O/C
1
.12" O/C
1
(5)-A35F
LSTA9 North End
. LSTA 18 South End
ONE SIDE -2
44 OIC
12" O/C
(4)-A35F
LSTA36
F
BOTH SIDES 2
6"-,O./C
12"' O/C
{13)-A35F
MST60
G
ONE SIDE
6" O/C
12" O/C
(9)mA3517
-0-
H
BOTH I SIDES 2
672 O/C
12" O/C
(4)-A35F
LSTA30
BOTH SIDES 2,
6,,.O/C
12" O/C
(7)mA351?
LSTA21 North End
WA18 SPuth End
BOTH SIDES 2,
6?'O/C
2"O/ I C
(6)-A3'5F
L 17
K
BOTH SIDES 2
4" 01C
12" O/C
(9)-A35F Up. - Roof
5)-A35F Lo-cr Roof
T172
'
2a 1'S
i ALL PANEL EDGES ARE BLOCKED
2 ALL FRAMING MEMBERS SHALL BE 3X6
LOT 14