05560 (SFD)Tjt�t 4 4(4j
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
July 13, 1990
Mr. Dan Featheringill
PO Box 1012
La Quinta, CA 92253
SUBJECT: 54-140 Avenida Montezuma
Dear Mr. Featheringill:
This letter will serve to verify this address as having been
changed from it's original assigned address, which was 54-135
Avenida Cortez. All further correspondence associated with the
old address shall reference the new address of 54-140 Avenida
Montezuma.
Should you have any questions, please contact the undersigned.
Very truly yours,
TOM HARTUNG
BUILDING & SAFETY DIRECTOR
cc: File; 54-140 Ave. Montezuma
LTRTH.0140NG ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
4
P.O. BOX 1504 No, 05564
Building 54_135 AVE.cAR1'L�Z LA gUINT
Address A, CALIFORNIA 92253
Wally FoatBerinRill
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-191-006
Address
City
Zip
Tel.
Legal Description
Project Description
Lot 6
SFD
Contractor
08II Featharizgill
Address
P.O. BOX 1012
City
Zip
Tela
La Quinta
92253
614/564-6478
State Lic.
& Classif. B-1 397 830
City
Lic. #
3
Sq. Ft. 1321
Size
No. No. Dw.
Stories Units
Arch., Engr.,
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Designer
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 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' J _ _ — .. _
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a
permit to construct, after, krprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to No 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 viofafion of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civilpenally 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 'reproves thereon and who does such work himself or through his own employees,
provided that such irprovements 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 igwove for the purpose of sale.)
Estimated Valuation
$$ 76�89fl•Q�
PERMIT
AMOUNT
Plan Chk. Dep.
250-00
Plan Chk. Bal.
211.57
Const.
536.00
Mech.
53.50
Electrical
•
lfl3 SS
Plumbing
157,50
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 contractor(s) icensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec B. & P.C. for this reason
S.M.I.
5.39
Grading
20.00
Driveway Enc.
20.00
Date Owner
Infrastructure
1,589.41
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure„or a, certificate of
Worker's Compensation Insurance, ora certified,copy4hereof. (Sec. 3800,_Labor code.)-
-Policy No. company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
t+`•t. aa, +t z- .> t.+ct•, r `+r.
_
(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: ft, after makig 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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
FINAL DATE
Side Street Setback from Center Line
Side Setback from Property Line
INSPECTOR
3/28/89
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.
1 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 property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES.
IST FL. SO. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
COUGH PLUMB �� ? �T
0
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SO. FT.
GAS (FINAL)
TEMP. POLE
WALL SQ. FT.
DRINKING FOUNTAIN.
SO FT @
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
CU. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SO. FT. RESID @ 1+/a c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
!!APL.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
COUGH PLUMB �� ? �T
0
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING,
-�` /
DUCT WORK
ROCK STORAGE
FOUND. REINF. 2
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING "(3
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALIbako
LATHING 6
MESH
INSULATION/SOUND✓ b
47
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Desert Sands Unified School District
THIS
CERTIFICATION OF PAYMENT
NOTICE: 1 HIS DOCUM�'A )OL 149 TY FEES �
BE DUPLICA `A
TO: City of La Quinta DATE: -'el le2 �Z/yq� cwax%�
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to c tify hat
developer of which is
located at — thin
this District, has paid school facility fees i posed pursuant toe
authority generat d by GoveiVnment Code Se tion 53080 in he ount of
SM A3 (wt)
co Bring a total of square f of residential r
( ) industrial/comme cial development and that building permits for
this footage in this development may now )69 issued by your jurisdiction.
d '-4 Ileg P 7
c DESEAT SANDS -UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0007
!t`S' ilydr'i ;� w"sv` ` r qty . T6
{
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH assessor$ Parcel No.
' ENVIRONMENTAL HEALTH SERVICES 177x- !f/ — Ooh'
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 speculations as indicated on the attached check list
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to.the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
Q VERIFY ITEMS IN SECTION A FROM BUILDING ✓! SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
0 Agee Contractor, tad Person Phone Address 8 Phone
N ea t� /w / SGy i:y7� z- r -o ✓//Asko
LU Owner Phone Mailing Address
IIIty State ' Zip Job Property Add rest;z � Legal Description Prop. (PM, Tract, Lot)
4 U'v�w,� 64 ?22r� S`�-F3s �dti��x L'o� � i�[��/ 25'9
Lot Size`/y/ elI U^s{ee offPPerrwmiit�P/PP, )C[U/y etc. ` Oche$.
�O r r �w / Dwelling, MH SiteiPrep, etc. /TV
_1� -�N&gnature of Applicant Data
CATEGORY: REV CODE FE CATEGORY: REV CODE FEE
9 --'SUBSURFACE DISPOSAL 1236 O SITE EVALUATION UPON REQUEST 7349 $42.00
O MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN)
m LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
Z
O a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year)
b. Each Parcel after 4 7344 $16.00 O PRELIMINARY ELECTIVE 7352 $45.00
Uj Uj ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53)
U) ❑ Stte Evaluation in Conjunction with Vii..-''- n • ❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than SYSTEM
10,000 Sq. Ft. 7347 $86.00
INR DATE
Holding Tank Agreements Completed O YesNo "
3- 9
Certification of ExisUng S.D. System Required [3 Yes Q2j
+ WOCB Clearance required. (Attach Form ❑ Yes No i
DOH SAN 007, Santa Ana Region Only) f/
Sills Percolation Report Required. ❑ Yes
Special Feasibility Bor(ng Report Required. ❑Yes 0"fiycr/
Detailed Contour Plot Plans Required (1 to 5 R interval) , O Yes D/N6
Other ❑ Yom❑/
Staff Specialist Lot Inspection Required O Yes No Inspection Date
Sills boring report byJ
Date
!/�/prof/end
Type '�" Approved by `"' �-
Date
Soils Map Page
Soil �!
U No. of Systema
TwO System(s)
Existing
No. Dwelling Unna(/
fixturekhdts
(1) Septic Tank
Soil Rate
Grease/Send
IInn+top,
Z
O
Holding Tank ❑
01= ❑ Replacement
Bedrooms
9 9 o�74 TN AW
�7
/ �U G�
q 1-- V %
Cie]'
U
LU (2) Leach Line Sq. Ft
Sidewail allowance
Install Lines)
R long ft wide with
Leach Bed sq iL
trench area
R roily sq. Rmin.
__M%rrockbelow
drainlines or
bottom area
per running fL
L.eachlines/bed special design for slope: (3) Pit Diameter No. Pits I Pit Below Seepage
Other
��,,/
N/A Overburden tactor ,Depth
ApplicableInlet (BI)
11=5° &,..-6/( /D ' Max. Allowable Depth
No. 2 System A11A _
REMARKS:
This application i �C PROVEDu LED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
0 on the accompanieds' ptoi" plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
0 above -designed system. No construction is permitted in the required reserved 100% expansion area. /
tSeptic tank and sewer lines must be 50' minimum from anywells O �kll_ . ,
( Leach lines must be 100' minimum from any wells, including expansion rea
3 Seepage pits must 15Q0' minim/um from any wells, 7n7u.ung expans' n ar �� ^Sinnafiva of HwwMh rWfria l'f/k/� (�A W 102: -
RECEIPT
02
RECEIPT NO. 500,7 Issued By--F--
DISTRICT:
JF --DISTRICT: ❑ Riverside, Indio ❑ Hemet q Perris O Rancho Calif. ❑ 1
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept
ne
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oBuena Engineers, Inc.
79-811 Country Club Drive, Suite 4 o O
Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-913-1
Client
Client Addres
Client Phone
DATE
,,It?/�l
JOB NO.
P_ -,-%1_-S (.)- P
PROJECT , AvE • Z e z cz
-
----
4LOCATI0N
jU Uw ,
FIELD TESTING
CONTRACTOR
OWNER
WEATHER
C(Pu/ ICOJI
TEMP.
o at AM
0 a PM
PRESENT AT SITE
VU,n E Ca'�&pv1*- 1
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TEST
NUMBER
TEST LOCATION
J y n n
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbslCu. ft.
MAXIMUM
DRY
DENS[TY
MAXIMUM
DRY
DENSITY
Ibslcu. ft.
OPTIMUM
MOISTURE
CONTENT
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OCLIENT REPRESENTATIVE SIGNATURE
FIELD REPORT
TECHNICIANS SIGNATURE