001631 (SFD)Builb4lg 54—M Avm-d a Berra=
Address
k w : rr. E -17
Mailing
Address P.O. B= 2288
City lZip
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Indio 1- 92202 1 564-2228
Tel.
State Lic. City
& Classif. Lic. # 202
Arch., Engr.,
Designer
Address Tel.
City Zip State
. I . 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.r'ti •, /r 1r / �' +_ {�' '/ r r
SIGNATURE 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
permfi to construct, atter, 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
Me 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; andthebasis
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 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 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 bnprove for the purpose of sale.) -
❑ 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-contractor(s) licensed pursuant to the Contractor's License Law.) -
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
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
0 Copy is filed with the city. ❑ 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 ($100) 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.
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 agreeto 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 applicants f % �ti / Date
Mailing Address
City, State, Zip
No. 001631.
BUILDING: TYPE CONST. N OCC. GRP. R. 3
A.P. Number 774-2144 IDL 21
Legal Description
Project Description Simu fwd2y dMalim
Sq. Ft. 1592 No. No. Dw.
Size 4gM 430 Stories Units
New.] Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
104•i
PERMIT
AMOUNT
Plan Chk. Dep.
Plan'Chk. Bal.
318.52
Const.
379.00
Mech.1
fiil
Electrical
Plumbing
89.00
S.M.I.
5_71
Grading
Driveway Enc.
20-00
Infrastructures
TOTAL
REMARKS
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:Dater ' ! Permit
Validated by:
Validation:
A 3 4 9 0- 12 . 6 2.i 3566 CK
HARD COPY I
- T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. S0. FT.
ORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK —�
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
I ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP. a
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED GONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. (/� r 4
S
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SO. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 14/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
ORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP. a
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. (/� r 4
S
FRAMING
TA FINAL INSP. a'
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
I NSU LATI ON/SOU N D
FINISH GRADING
IFINAL
INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
r�F1Ep
o
H BERMUDA DUNES r
RANCHO MIRAGE
r" INDIAN WELLS ti
PALM DESERT a
dP LA OUINTA
�O INDIO
Desert Sands Unified School District
82-879 HIGHWAY 111 • INDIO. CALIFORNIA 92201-5678 0 (619) 307.8631
December 6, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re 080 Herrera, 54-060 Herrera, 53-365 Mendoza, 53-615 Mendoza,
53-355 Mendoza, 54-435 Madero
Gentlemen:
The developer of the above referenced tots
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 facili-ties made necessary by such new
development.
Sincerely,
Q L �. .I. a
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
J�1
Buena Enoieeers,lnc.
1731-A WALTER STREET •
November 5, 1985
RECEIVED
NOV 18 1985
CITY OF LAUINTA
COMMUNITY DEVEL PMENT DEPT
VENTURA, CALIFORNIA 93003 PHONE (805) 642-6727
Rick Johnson Construction
P.O. Box 2288
Indio, Ca 92201
Project: 54-060 and 54-080 Ave. Herrera -La Quinta, CA
Subject: Report of. Field Densities -House Pads
B -15631-P1
85-11-45
On October 24, 1985 a representative of ourfirm 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 (907o) of relative
compaction has been obtained within the areas tested . The maximum
density -optimum moisture was determined in 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
VENTURA
(805) 642.6727
THOUSAND OAKS BAKERSFIELD
(805) 495-8484 (805) 327.5150
125.7 pcf 10.1%
SANTA BARBARA
(805) 966.9912
LANCASTER
(805) 948.7538
PALM SPRINGS
(714) 328.9131
SAN LUIS OBISPO
(805) 544$187
November 5, 1985 -2- B -15631 -PI
85-11-45
Limitations:
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 ENGINEERS, INC. Rev ewed and Approve
24 SS z_
orman G.6k n, Jr. Raymond E. Brannen
NGJ/REB/kis
F2
hnson Const.
La Quinta
e
BUENA ENGINEERS, INC.
Copies: 4 - Rick Jo
2 - City of
2 -PS file
1 - VTAfII
=_ G�
`
�- CE 28966
�f
Engineersjnc.
CONTRACTOR:
ADDRESS:
REPORT OF RELATIVE COMPACTIONS
Job No. B -15631 -PI
DATE: November 5, 1985 Report No. 85-11-45
JOB & LOCATION: La Quinta, CA
TEST NO,
DATE
TESTED
DESCRIPTION
% MOISTURE
IN PLACE
DRY DENSITY
IN PLACE
RELATIVE
COMPACTION
MAXIMUM
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
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPT ES
BUENA ENGINEERS, INC.
19 OF ri ERR EAB
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BUENA ENGINEERS, INC.
DATE: FILE NO.,d_f, L,j/-P/
14
_ ...
..
Q
V
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19 OF ri ERR EAB
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BUENA ENGINEERS, INC.
DATE: FILE NO.,d_f, L,j/-P/