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001636 (SFD)T4tyl P.O. BOX 1504 No. 00-11636' Building Address 54,,,060 A. a Herm= LA QUINTA, CALIFORNIA 92253 Owner . Mailing Address P.O. H= 2.2PAI City Zip Zca Tel. AMOUNT 92201 Contractor 318.52 Const. 379'00 Address . _. City aboVe ' - Zip Tel. State Lic. & Classif. Arch., Engr.; Designer Address I Lic. # Tel. BUILDING: TYPE CONST. OCC. GRP.' A.P. Number 77 214 3 144 22 Legal Description Project Description �1a �`j � "`�4,..,. 202 Sq. Ft...� Size New Eft City Zip 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 is -in full force'end SIGNATURE f DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business. and Professions Code: Any city or county. which requires -a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he iso 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 theapplicant to a civil penatty'of not more than five hundred dollars (8500).' • ' O 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 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 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.) _ - O 1, 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 . such projects with a contractors) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 O 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 (8100) 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. t 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 stale 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 'T�� ' '• d^' "t Date Y f Mailing Address City, State, Zip 2Vd 434 No. No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ HLMAHKS 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: A 3 4 8 7 1'L 6 21 35,66 CK HARD COPY J Estimated Valuation. :31,947.64 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.., 318.52 Const. 379'00 Mech. 31400 Electrical 701r i2 Plumbing x;9.00 S. M. 1. Grading Driveway Enc. 20.00 Infrastructure .221.71 1,221.71 TOTAL_,>' HLMAHKS 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: A 3 4 8 7 1'L 6 21 35,66 CK HARD COPY J CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. S0. FT. STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL) EMP. POLE o / WALL SQ. FT. ® DRINKING FOUNTAIN SQ. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER LL /#INAL INSP. d /!1 �/ ll GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER MESH 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 &0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE it FOUND. REINF. !/ 0 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL i GAS (FINAL) EMP. POLE o / GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. �#FINAL INSP. / 1 FRAMING // LL /#INAL INSP. d /!1 �/ ll ( ROOFING I I r� �Iv p VENTILATION►Jil��� G REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL :d " N1FIE� S ° �° r _ _ O r H BERMUDA DUNES RANCHO MIRAGE INDIAN WELLS to PALM DESERT a d` LA OUINTA 'gyp INDIO ti'3 Desert Sands Un&d School D1stTlct 82-679 HIGHWAY 111 • INDIO. CALIFORNIA 92201-5678 • 16191 347.8631 .December 6, 1985 U City of La Quinta Department of Community Development 18-105 Calle Estado La Quinta, CA 92253 Re: 54-080 Herrera ��4-06OHerrer 53-365 Mendoza, 53-615 Mendoza, 53-355 Mendoza, Gentlemen: The developer of the above referenced lots has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, QLD. 'A" a John D. Brooks Assistant Superintendent Business Services JDB/crm 0 Engineers,lnc. ec6 Nov 18 � 8 798 CpMMp�ITV pEVECS MENT DEPT i n i mu • morm I wn 17;31-A WALTER STREET VENTURA, CALIFORNIA 93003 • PHONE (805) 642-6727 November 5, 1985 8-15631-P 1 85-11-45 Rick Johnson Construction P.O. Box 2288 Indio, Ca 92201 Project: 54-060 and 54-080 Ave. Herrera -La Ouinta, CA - Subject: Report of. Field Densities -House Pads On October 24, 1985 a representative of our firm performed density tests on the fill placed for the building pads* on the above referenced project. Tests were performed at random locations in accordance with ASTM 2922-81 and ASTM 3017-78 Nuclear*.` Density Test Procedure. Tests performed as per authorization of Brain with Rick Johnson Construction. The estimated locations of the tests are presented on the attached plan plan with their results being summarized on the attached test report sheet. A total of four (4) density tests were performed. Test results indicate that a minimum of ninety percent (907) of relative compaction has been obtained within the areas tested . The maximum' density -optimum moisture was determined , n the laboratory In accordance with ASTM 1557-78, Method A, five (5) layer curve. Test results are as follows: Medium brown medium to coarse sand with gravel THOUSAND OAKS (805) 495-8484 VENTURA (805) 642.6727 BAKERSFIELD (805) 327.5150 125.7 pcf 10.1 LANCASTER (805) 948.7538 SANTA BARBARA PALM SPRINGS (805) 966.9912 (714) 328.9131 SAN LUIS OBISPO (805) 544-6187 • November 5, 1985 -2- Limitations: B -15631-P 1 85-11-45 The compaction operations were completed at the time our personnel were called to the site. The test results summarized in this report present the moisture and density only at the locations and depths tested 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 contractor's work is made or implied. If there are any questions, please do not hesitate to contact this office. Respectfully submitted, BUENA ENGINEERS1n,Jr. INC. Rev ewed and Approve G s Z- �. orman G.6k hnson Const. La.Quinta e BUENA ENGINEERS, INC. NGJ/REB/kiS F2 Copies: 4 - Rick Jo 2 - City of 2 - PS file 1 - VTAfil Raymond E. Brannen CE 28966 �''— U �t� Engineers,.1m. REPORT OF RELATIVE COMPACTIONS' Job No. CONTRACTOR: DATE: November 5, 1985 Report No. ADDRESS: JOB & LOCATION: La Quanta, CA B -15631-P1 85-11-45 TEST NO. DATE DESCRIPTION % MOISTURE DRY DENSITY RELATIVEMAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 1 10-24-85 1.5 from grade Per Plan 13.4 114.8 91 125.7 2 10-24'85 Finish Grade Per Plan 13:1 113.3 90-- 125.7 3 10-24-85 1.0 from grade Per Plan 10.0 - 116.8 92 125.7 4 10-24-85 Finish Grade Per Plan 9.2 120.4 96 125.7 e WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC.