001324 (SFD)PEBNIT APPLICATION I • �% (, �� sGt:%f�OlslK'
City of La Quinta
Department of Building and Safety
-This permit becomes void if work not commenced within 180 days from date ofissuance, OR, if work has been suspended -or -abandoned for a period of 180 days.
LICENSED CONTRACTORS DECLARATION: I hereby affirm that,I am licensed under provisions of:Chapter:9
(commencing with Section .100111) of Division 3 of the Business and Professions Code; and my license is in lull force —
and effect.
License Class Lic. N mbar
Date - Contractor A. `' r-7
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 perm8-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 is 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 &permit
ubjects,the applicant to a civil penaltyIof not more than five,hundred, dollars (i500.):
❑ L as owner of the property, or my employees with wages asJheir sole compensation; will do the.work, and the
structure is not intended or offered for saie(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 does such work himself or -
through his own employees. provided that sueh improvpmerds•are not intended or offered for sale. I1; however, the- -
building or i mprovemlatds sold'within one yeas of completion, the owner -builder will have the burden of proving that
he did not. build or improve for the purpose of sale.).,
0 I, as owner of the property. am exculsivelycontracting*ith licensed contractors to construct the project (Sec.
704E 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.).
' 0 1 am exempt under Sec. - . B. 6 P:C..(Attached Certificate).
Date Dwner
WORKERS' COMPENSATION DECLARATION: -I hereby affirm that I have.a certificate of consent to self -Insure; or a'
certificate o1 Workers' Cordpensation Insurance,,. or: a,certi ied copy thereof(Sec..38011. Lab. C:)..
Policy No. Company
O Certified copy is hereby furnished.
0 Certified copy is filedwith the City Building Inspection Department or City Department:
Date Applicant
APPLICANT (MME: (L, F. MI) Sick V T obrison DonsLR1L7\. •
ADDRESS
P.U. Box 2288
CITY/COe4MUNITY/STATE/ZIP
Indio, CA 92201
JOB SITE ADORESVSPACE
48 -860 -Eisenhower
crry/CO mLnTY/STATE/ZIP
La Quinta, Ca 92253
BOK
63
PAa M1C
32 004
C
TW"
RNo
SE
S
'TRACT
LOT
104
43.50
MOD
se
-
TRACT NAME
OWNER NAME (L. F. MI) -
. l.icaxtt
CONTRACTOR.FIRM'NAME -
liscant
ADDRESS '
a�
CITY/COMMLINITY/STATE/ZIP -
above
PHONE a
LICNC e
.
ARC/ENO FIRM NAME -
ADDRESS
CITY/COMmMITY/STATE/ZIP
PHONE a
•LIcHc•e
118E OF PERMIT
Single Ftirnily -A—M•
SL
ZONFSB
SSB
SSB SB R
OFC
ZONE ORD s .:
I.. LOT SZ'
END SIDE: -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE; This section need not be completed if
the:, permit is for one hundred ($100) o, less: [certify that.fn.the performance of the work.for which this permit is
issued, I shall hot employ any person in anymanner so as to become subject to the Workers' Compensation Laws of
California.
.Date Applicant
NOTICE TO APPLICANT: If, alter,making:tbis,Certificate of Exemption, you shou16berame subject to theWorkers'
Compensation provisions of the dabor Code; you must forthwithcomply with such provisions or this permit shall -
be deemed revoked.
DIVISION OF.INDUSTRIAL SAFETY PERMIT, CERTIFICATION:
0 1 hereby certify that no excavation five (5) or more feet in depth into.which a person is required to demndt will be,
made in connection with work authorized by this, permit; and that no building structure; scaffolding; falsework; or
demolition or dismantling thereof, Will be more than thirty-six (36) feet high. (Chap a2, Grp 2 Art Z Sec 341, Title 8,
C.A.C') .
0 As owner-0uilder, I will not employ anyone to do work which, would require a permit. from the Division of
• IndustrialSafety, as noted' above, unless'such person has a permitto do such work from that division. -
0 Divisionof Industrial Safety Permit No.
Date Applicant
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, Civ.. C.). t
Lender's Name
Lender's Address
1 certify that I have read this application and slate that the above iniormation.is correct. I agree to comply with all.
City and county ordinances and state laws relating to building construction; and hereby authorizesepresentatives
of this county to enter upon the abovo-memioned property,for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF -ENTRY: I certify I have ihid this application and state that
the information given is correct. I agrakto comp y with all state laws andicoumyordinances relating to buldlinq
construction, and authorize.a'representativepl'.!y% City ofLa Quinta Department of Building and Safety to enter
upon the pro�ppyyFlylor4hich I hays app •fopthis Oitnitfor the purpose of making inspections.
Signature of Applicant or'Agent Date
Print Applicant/Agent Name
APPL/PRMr I n
". 41.-85
Permit to construct 2338 sq. ft. of h=se-
w�ith��7p,36 sq. ft.
and 6y7�5 sq.
ft. of
garage as per � plans.
•
meth. Fe
43.50
Plan CheCk Fee
468.63
C)anst. Fee
560.50
Elwt. Fee
101.08
SII Fee
10.54
PludDirng Fee
127.00
1. Fee'
600.00
TOFMTAL
1,911.25
A,0790 4 23
BLDG. DEPT.
1.9
VALUATION •30 °
NO.
OPERATION DATE INSPECTOR
NO. OPERATION DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Compart.
3
Steel
36 Inlets & Outlets
4
Grout.'Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 Appl. Clearance
7
Framing
40 1 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
❑
43Final
10A
Fireplace T.O.
❑
NWN ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 ,Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick Valuezo
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit L. Line
ELECTRIC APPROVALS
REAR OF PROPERTY LINE
Pit. Pi
STREET NAME
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
EnolnursAnt.
1731-A WALTER STREET
May 6, 1985
• VENTURA, CALIFORNIA 93003 •
Pomona Valley Equipment
P.O. Box 457
La Quinta, CA 92253
Project: 48-860 Eisenhower & 54-218 Ave. Mendoza
La Quinta, CA
Subject: Report of Field Density
Building Pad
MAY 161985
CITY pgVELOFMENT 1
COMMUNITY
PHONE (805) 642-6727
Job No. B -15255-P1
85-5-61
On April 22, 1985 a representative of our firm performed density tests on the
fill placed in the building areas 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 Bob Mc Callum.
The estimated locations of the tests are presneted on the attached 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 (90%) of relative compaction has been obtained within the
areas tested. The maximum density -optimum moisture was determined in the labora-
tory in accordance with ASTM D 1557-78, Method A, five (5) layer curve.
Classification
Light brown slightly silty
very fine to fine sand
Light brown slightly silty fine
to medium sand
THOUSAND OAKS
(805).495=8484
VENTURA
(805) 642.6727
SAKERSFIELD
(805) 327.5150
Maximum Density -Optimum Moisture
SANTA BARBARA
(805):9669912
T17.9pcf
120.4pcf
LANCASTER
(805) 948.7538
PALM SPRINGS
(714) 328.9131
6..8%
7.0%
•
SAN LUIS OBISPO
(805).5444187
F
May 6, 1985
LIMITATIONS
JobnNo. B -15255-P1
85-5-61
The compaction operations were completed at the time our
to the site. The test results summarized in this report
and density only at the locations and depth tested on the
The summarized field and laboratory tests were performed
engineering principles generally accepted at this time a
is expressed as to the uniformity of the material, compa
of the material to perform its intended function. No gu
the contractor's work is made or implied,.
Respectfully submitted,
BUENA ENGIN RS, NC.
Norman G. Ja son, J .
'NGJ/REB/kls
Copies:
4 Pomona Valley Equipment
2- City of La Quinta
1- P.S. file
1- Vta. file
personnel were called
present the moisture
specified date.
in accordance with
an location. No opinion
ction nor adequacy
arantee or warranty of
Reviewed and approved
J
Raymo d E. Brannen
C.E. 28966
EOl®glap rs,Inc•
REPORT OF RELATIVE COMPACTIONS
Job No. B -.1525.5-P1
CONTRACTOR: DATE: May 6, 1985 Report No. 85-5-61
Eisenhower & Mendoza
ADDRESS: JOB & L'OCATION: La QUinta, CA
TEST NO.
DATEDESCRIPTION
% MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
54-218 Mendoza
1
4-22-85
1.5 from grade Per Plan
8.0
114.8
95
120.4
2
4-22-85
Finish Grade "
6.8
113.0
93
120.4
48-860 Eisenhower Dr.
3
4-22-85
1.5 from grade "
9.0
111.5
94
117.9
4
4-22-85
Finish Grade "
7.5
116.0
98
117.9
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES
BUENA ENGINEERS, INC.
1
L/ &F P1 1)0C-204 _
$- rd 6 /5E H Yc' EA
g �, _ 2 i.� /.j ✓ � in E r� (%� 2'�
- BUENA ENGINEERS, INC.
DATE:,52-b5- FILE NOJ2,.jY ZSSil
%%%fIED S
o
o
y BERMUDA DUNES
RANCHO MIRAGE
INDIAN WELLS H
PALM DESERT
,PkA OUINTA
`gyp INDIO
Desert Sands Unified School District
82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 O (619) 347-8631
Ap'r i 1 23, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: 48-860 Eisenhower,
Gentlemen:
The developer of the above referenced lot
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 faci'li.ties made necessary by such new
development.
Sincerely,
�rL i. n �-k
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm