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003427 (SFD)
T a 4ht 4 4Qatim Building Address 53-6$5 Eisenhower Owner Coachella ©alley Land Co. Mailing Address 247 E. Tahcmitz WAV 0 City Zip ]Tel. • Paint~ PrarkmTs X2262 Contractor Address swMe . jZip ITel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 State Lic. I City & Classif. 387934 Lic. # 895 Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter.9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and' effect.. SIGNATURE DATE OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from the Contractor's License Law for the following reasori: (Sec. 703 1..5, Business and Professions Code: Any city or county which .requires a i 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 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 a permit subjects the applicant to a civil penalty of not more than five 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 improve for the purpose of sale:) O I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Seo. 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.) O 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 O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate or 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 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 above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 003427 BUILDING: TYPECONST. OCC: GRP. A.P. Number 774-125-018 Legal Description Project Description Flan D '" Sinale Familv Dwa. S Ft. Size - -6.529 No. No. Dw. Stories Units ' New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ r- Estimated Valuationd,5fl5 PERMIT I 'AMOUNT Plan Chk. Dep. cI>rrrt Art Plan Chk. Bal. Const.: Mech. Q1 An Electrical 117 111 Plumbing i wz nn S.M.I. Grading 7� Driveway Enc. ?a� Infrastructure 1 P9.- (17 TOTAL /h.. 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: Date 10/8 Permit Validated by: Validation: HARD COPYI ,r r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE �� Z� �' ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMSSEWER I OR SEP IC A ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) ifleTEMP. POLE/b .09OJ,5-? / DRAINAGE PIPING CAR P. SQ. Ff. @ GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SQ FT @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation 01 // /L _ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 4 j� 2:3 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FFNrF FINAI 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 LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 61 ROUND PLUMBItWf - o-5 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� Z� �' ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSSEWER I OR SEP IC A ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. C) y }/ O GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) ifleTEMP. POLE/b .09OJ,5-? / GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. da FINAL INSP. %� FRAMING / FINAL INSP. 01 // /L _ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 4 j� 2:3 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FFNrF FINAI C91 REMARKS: INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL ;;:,,, �;�,,; �_ �. ,. � �.,- s`; �,rr z. .. RSA. .•d�` � .. ,.t ;,� . a ;�..:-,'--f-%+i'i'r•=� I• _i Z O_ H U W U) M Z O U w U) N Z O F— C) w U) s COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 7 %i 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 of1$37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address City State - Zip Code Telephone 'Job Property Address Z.City or ommunity Legal Description of Property. (Lot, PM, TR) S' Assessor's Parcel No. JVafer A yico e ! / Use of Permit" �{—//2W •�' 'Planning case # lot SI 4,ueV 1_41414h? SFD, MH Site Preparation Ec. Sigr at6ie of Applicant Date !� 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date 7 - �.l�li L Certification of Existing S.D. System required. ❑ Yes ❑* No {'(} - WQCB Clearance required. ❑ Yes ® No- i Soils feasibility report required. ❑ Yes .2J No, Detailed boring report required. ❑ Yes Lf Nom Detailed contour plot plans required. ❑ Yes © No 1 Staff Specialist approval required. ❑ Yes No Lot Inspection Date f Soils/boring report by / Project # Date Soils Map Page` o..- i 9 Soil TypeApproved by'CV�L Date�U' Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ElExisting New ❑ Additional ElReplacement `V f Gals. r .e_rll `-' ,l L,eeach line sq. ft. (2) Leach Sidewall allowance InstaI6, Lines) Ft. Long, Gr -. ,Lea,�ctr_beld Sq. r (Bmench area) ft. rock/ Sq. Ft. Ft�vide with min. _inches Ft. of bottorx�� per running ft. Q -N/A rock below drain lines area Leach lines/bed-special design for slope: Applicable •l"_ (3) Pit Diameter No. Pits Pit BI ! Seepage Pit total depth Nj/A � Overburden factor Q-'ga IPTI /! EJ Max. allowable depth uG �J This application is ppb-� rrooveed/denied for 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 installation of the above designed system. f Septic tank and sewer lines must b X50' from any wells rr (U �F'. j"` z,. :.Vzz.cl- "M~"�""� (2) Leach lines must be 100' min. from any wells including expapsfon,area t `��-�- (3) Seepage pits must be,150' min. from any wells including expansion area•j1(j i-T4'. ! %•!� ��., �_ % r� ��%—C� `(J s.� Signature of Health Official ' Date •' RECEIPT NO. -12&-) Issued by- _I)/� /` Date District: ❑ Riverside Ftof dio ❑, Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6186)' a4 A RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: Name OACHELLA VALLEY LAND CO. Street Address 247 E. TAHQUITS WAY, SUITE 2 city a PALM SPRINGS State CA 92262 Name Street Address City 6 State IJ MAIL TAX STA TITLE ORDER NO. ESCROW N0. 2 0 7 85 6 BK SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $ 8.80 ID computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale. ❑ unincorporated area E:) city of LA QUINTA AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DOROTHY B. KELLOGG, A WIDOW hereby GRANT(s) to COACHELLA VALLEY LAND CO., A CALIFORNIA LIMITED PARTNERSHIP the following described real property in the City of LA QUINTA County of RIVERSIDE State of California: LOT 9, BLOCK 245, UNIT NO. 23 OF THE SANTA CARMELITA AT VALE LA QUINTA, AS PER MAP RECORDED IN BOOK 20, PAGE 25 OF MAPS, RECORDS IN THE OFFICE IOF THE COUNTY RECORDER OF SAID COUNTY. 5 3" Dated September 11, 1987 STATE OF CALIFORN f COUNTY ✓ ISS. 011111-1 day of in the year l9 E7. before me, the undersigned, a Notary Public in and for said State, personally appeare r(V personally known to me (or proved to me on the basis of satisfactory evidence) to be the persoP __*� whose name tS subscribed to the within instrument, and acknowledged to me that he executed it. WITNESS my hand Xnofficial seal. Signature — " \_� NOTARY PUBLIC IN AND OR SAID STATE DOROTHYKELLO G OFFICIAL SEAL NANCY ASHLINE NOTARY PUBLIC - CALIFORNIA LDS ANGELES MOITY My wmm. expires MAR 16, 1990 ' (This area for official notarial seal) CO -441 (4/85) MAIL TAX STATEMENTS AS DIRECTED ABOVE. T Buena Engineers, Inc. AN EARTH SYSTEMS, INC. COMPANY . 79-811 COUNTRY CLUB DRIVE, SUITE *4 • BERMUDA DUNES, CALIFORNIA 92201 • (619) 345-1588 November 19, 1987 Starr Construction 732 Williams;'Road Palm Springs, CA 92264 Project: .53685 Eisenhower ------7" La ( uinta, CA Subject:. Report of Field Densities Single Family Residence B7 -0006-P1 87-11-770 On October 14, 1987; a representative of our firm performed density tests in the fill for a house pad on the above referenced project. Tests were performed at random locations in accordance with ASTM D 2922-81 and ASTM D 3017-78 Nuclear Density Test Procedure. Tests were performed as per authorization of Bob Cullen with Pomona Valley Equipment, for Starr Construction. Th'6 estimated locations of the tests are presented on the attached plan with their results being summarized on the attached test report sheet. A total of two (2) density test was performed. Test results indicate that a minimum of ninety (90) percent of relative compaction has been obtained within the areas tested. The maximum density - optimum moisture were determined in the laboratory in accordance with ASTM D 1557-78, Method A or C. Test results are as follows: Soil Description USCS Maximum Density -Optimum Moisture Light brown silty fine to coarse sand with traces of gravel SM/SP 120.0 pcf 9.5% VENTURA (805) 642-6727 .0.1 1 I BAKERSFIELD SANTA BARBARA (805) 327-5150 (805) 966-9912 LANCASTER (805) 948-7538 BERMUDA'DUNES SAN LUIS OBISPO (619).345-1588 (805) 544-6187 November 19, 1987 B7 -0006-P1, 87-11-770 1. The project is located at 53685 Eisenhower, La Quinta, California. 2. Prior to our.arrival at the site grading of house pad had been completed. 3. The purpose of testing was to observe compliance with the minimum requirements of the City of La Quinta, California. LIMITATIONS This firm did not perform asoils investigation, did not conduct any tests to determine the general condition, adequacy or stability of soils on the property, nor did it observe the backfilling or compaction operations which were already completed at the time our personnel were called to the site. The only services performed were the specific moisture and density tests summarized in this report. These test results provide only limited information about the surface materials observed at the locations and depths tested and cannot be relied upon for information about subsurface conditions or compaction, or to determine the appropriateness of any design or construction of improvements on the site. No inspection was made of the contractor's work and no guarantee nor warranty of that work in backfilling or compaction of the soils on the site is made or implied. If there are any questions, please do not hesitate to contact this office. Respectfully submitted, BUENA ENGINEERS, INC. D,Fl� Douglas F. Spielmann DFS/FR/ms X-22 COMP Copies: 2 - Starr Construction 2 - City of La Quinta 2 - PS file 1 - VTA file Reviewed and Approved Richard M. Beard Geotechnical Enginee BU ENA 'ENGINEERS, INC. GE 128 Exp. 12/31/89 \OF CAUF� w, l CONTRACTOR: ADDRESS: REPORT OF'RELATIVE COMPACTIONS Job No. B7 -0006-P1 DATE: 11/19/87 Report No. 87-11-770 JOB a LOCATION: 53685 Eisenhower TEST NO. DATE DESCRIPTION °,e MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 1 10/14/87 Per Plan 1.0 BSG 7.7 110.8 92 120.0 2 10/14/87 Per Plan FSG 7.3 111.6 93 120.0 BSG = Below Subgrade FSG = Finished Subgrade WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC,. di Z' 1,A � -� E- 101 9/1/87 r } 53-7,, J 53-G8.5. _,5 3= GIG 5 E1s'cnhowcr 53-685 Eiseh, Ow¢r o- t c 5 t La BUENA ENGINEERS, INC. OAT E18 NOUS] FILE"WOB7-0000-'pl i