15501 (SFD)44
P.O. BOX 1504 No. 15501
Building 81-845 %lountain VieW fan • 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Ownetyu„B Development Co. Inc.
MailinBUILDING: TYPE CONST. 1M OCC: GRP. R3
Address 75-594 Vista Del Rey
A. P. Number
cit Zip ITOy ' Sot 6 Tract 26369
Rdian• Webs, 92210 (619)773-3-783 Legal Description
CoaMe ntractor Project Description ,PD Plan 2R
5
Address The 'Estates at. La Quinta
City Zip Tel.:
State Lic.City
& Classif. 8 579005 Lic. # � Sq. Ft. No: No. Dw. ,
Size 3833 Stories Units
Arch., Engr., Len Nobel
Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑'
.edd,:e:s BOX, 16606 11.14) 559-4345 Permit does not- include block galls '.
t:A zip 927�t3 St Licto or pool
LICENSED CONTRACTOR'S DECLARATION r
,I hereb ffirm that Ism licensed under provisions of Chapter 9 (commencing with Section
000) of ivision 3 of the Busi nd Professions Code, and my license is in full force and
effect.
GNATII DATE ,
// OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following$220,102.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any'structure, prior to its issuance also -
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 . r
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.' . _ V. 00 -
subjects the applicant to a civil penatty of not more than rive hundred dollars (8500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 916.02.
do the work, and. the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 071 0,0 1.
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, Mech. - �� rj.�-
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 Electrical 221 �#�
of proving that he did not bull • or improve for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 220.501 �
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law r
does not apply to an owner or property who builds,or Improves thereon, and who contracts for..S•M.1_ �� • -
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec B. 8 P.C. for this reason Grading 20.04
Driveway Enc. .00
Date owner Infrastructure 40993.43
Arts in PUb icy Places' 320.26
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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
83
TOTAL ,15%. 2C 7,907.26
CERTIFICATE OF EXEMPTION FROM ' REMARKS
WORKEiS' COMPENSATION INSURANCE
(This section need not be completed it the permit Is for one hundred dollars (S 100) valuation
or less.) 4
I certify that in the perfor nce of the work for which this permit is issued, I shall not '
4employ any person in any magner.4) asto beco rav j t to the Workers' Compensation
,f L"aars of California �
Date Owner it
NOTICE TO APPLICANT: ff, riftei making this Certificate of Exemption .you should become ZONE: BY: '
subject to the Workers' Compensation provisions of the Labor Code, you must, forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from -Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND - •fir
Side Street Setback/from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE - I ✓/ -
HUNDRED THOUSAND DOLLARS ($I X),000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback frOm'Property.Line•
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND /4 '1 jY
ATTORNEYS FEES. FINAL DATE INSPECCTOR
This is a building permit when properly filled out, signed and validated, and is subject to �y
expiration if work thereunder is suspended for 180 days. 1
I certify that I have read this application and state that the above information is correct. Issued by: Date �� Perm(/
I agree to comply with all city and county ordinances and state laws relating h building ��
construction, and hereby authorize representatives of
this city to enter the above-. C7 /
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip \
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. F UMBINU FEES
IST FL. SO. FT. ® $
UNITS
`•
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. Ff.
ROUGH) ��
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN,
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
. AL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
10
AL INSP. �l
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING - t7S//
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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 ® 11/4 c
SEWAGE DISPOSAL
SO.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 14
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
-16B GRADE `Ll' L
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
GH WIRING/O ?7
VV �J
DUCT WORK
ROCK STORAGE
FOUND. REINF.�/L�' / CkA
L !i /FINAL)
ROUGH) ��
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
-� v
TEMP. POLE
GROUT
R HEATER
SERVICE
. AL INSP.
BOND BEAM
WATER SYSTEM
10
AL INSP. �l
F NAL INSP. • ��•0%
v� $
GRADING
cu. yd.
plus x$
,•
_$
LUMBER GR.
RAMING 16) 2_3 -'S
ROOFING - t7S//
✓
�/ A`/ � 1—
/ _�� �� / n, _
9
(3 cf
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
VVFLLATHING 11-13
MESH
NSULATION/SOUND U /1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
s CITY OF LA QUINTA
odOF - BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE.
,777-7�, 3
G �0,
Owner NRR Deye1 opment r
Contractor
2 Tg
Permit Number
�!4�i� S
POST ON JOB IN CONSPICUO ,S,�LACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 81-845 Mountain View Lane
SFD Permit does not include
block wall or pool.,
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACKl
FOOTING STEEL
MAIN GROUND SYSTEM �k-' A,
GROUND PLUMBING
i PRE-GUNITE
l DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN 1 NED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
{ ROUGH GAS_ & GAS TEST l
{t HEATING & VENT- A/C "'' • •_T
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING -
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL .INTERIOR
EXTERIOR LATH
\ POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
t FINALS '
ELECTRICAL 4L 16 a 6
PLUMBING
FINAL GAS TEST
i HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED — (�
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
095 TURN ON UTILITIES OR OCCUPY BUILDING A
COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE'
(Government Code 53080)" "
Project Name: The Estates at la Qui nta
Project Address: Monroe Street and Avenue 54
Project Owner's Name: NRB Developoment Co. - Bob Gibbs Phone No.(619)773-3783
Project Description: 3 Dwellings: 1 @ 3818 and 2 @ 3,833 SaFt
Building Type (Check o esidential XX (Include No. of Dwellings)
Commercial ustrial
Tract No.: 25769 . Lot No.: 4, 5, 6
(If tract attach Schedule "A" of all lots by tract, square footage for each lot and total.)
Assessor's Parcel No.:. 767-480-004-2, 3, 4
(If Schedule "A" is used show Assessor's Parcel No. for. each lot if one exists or Assessor's Parcel
No. for parcels before subdivided.)
Total square feet of Building Area: 11,484 Sq.Ft.
Certification of Applicant/Owners. The person signing certifies that the above information is
correct and makes this statement under penalty of perjury and further represents that he/she is
authorized to sign on behalf of the ov
. Dated: JUNE 16, 1995
City/County. Certification:
(Signature) Optional
(Title) .
SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN
OR WELL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:
(CIRCLE ONE)
V. Code Gov. Code Agreement Existing Not subject to
53080/65995 65970 prior to 1/1/87, _ fee requirements
AB 181, 9B 1 ) (SB 201) Note: FEES DILL BE PAID UPON CLOSE
OF ESCROW WITH COMMONWEALTH LAND TITLE
COMP T, CA 619-341-2229
Total Nuber of Sq./Ft. 11,484
Amount per Sq/Ft. $ 1.72
Amount Collected $ 19,752.A8
School District Officia . itle: Asst. Superintendent, Admin. Serv.
Fosis ate: JUNE16, 1995
Phone: (619) 399-5137 Ext. 235
Note: AB 2926 and SB 201 fees are capped at $1.72 per square foot for all residential
Construction,. and at $0.28 per square foot for commercial/industrial projects.
JUN 21 '95 05:39Fh1 COMMONWEALTH TITLE
RECORDING REQUESTED BY.:
FIDELITY TITLE. COMPANY.
95.5089DT 252888
WHEN RECORDED MAIL THIS DEED AND,
UNLESS OTHERWISE SHOWN -'BELOW,
MAIL TAR STATEMENTS TOa'
NRB DEVELOPMENT CO., INC.
75594 VISTA DEL REY
INDIAN..WELLS, CA 922.10
SPACE ABOVE -THIS LINE FOR RECORDER'S.USE
APN:
GRANT DEED-
The undersigned grantor(s) declareW.,
Documentary transfer .tax is- $343.775
XXX Computed on full value of property conveyed, or
Computed on full Value Less liens and encumbrances remaining at time of sale.
Unincorporated area: ( ) City of ,-and
FOR A VALUABLE.CONSIDERATION, receipt of which is hereby acknowledged,
PALM SPRINGS SAVINGS,BANK, F:S.B.
hereby.GRANT(S) .to
NRB DEVELOPMENT -(;O., INC., a California.Corporation
the real property in the City of LA QUINTA,'County of RIVERSIDE, State of California,
described as:
Lot 4,. S and 6, Tract 26769, asper map recorded in Book .235, Pages) 40 and 41 inclusive
of maps, in the office of the County Recorder of said County.-'•
Dated April 26, 1995
State of California
County of Riverside ) _S A
On June ,6, 1995
before me, Tina M: C », Notary Public
personally appearod
Stephen G. Hoffmann .& -Sue .Bdtts
personally known to t-v"Un
bssis-ev�d r:cto be
the person(s) whose .nime(s),Ware subscribed
to the within instrument and acknowledged to
me that bo/they.executed the same in
ADI r/their authorized capacity(ies), and
that'by hL r/their signature(s) on the
instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed
the instrument.
WITNESS my hand and official seal.
Signature ' -.4 "YrZ C'tu
*SAIL TAR STATEMENTS TO: �
PALM SPRING,$ SAVINGS BANK, F.S.B.
BY
Nie/Ti Le; Ste
ph Ho fiitam
Pre ent /C.E.0
,�yJ,
BY
Name/Title Sue Batts
Senior Vice President
` . TINA M. CRUZ
c'
COMM. '# 986173 "
* Notory Public Colifo►nia
R1VER510F COUNTY
MV Comm. EX001 FEB 28, 1997
(This -area for official notarial seal)
'. ?`+'; .r s ': s�. µm.�:�:.;"�..P .IST �-ti.o+i.•y,4,�. '-`.r£}���.LNu .��`;.t _ ��+�'.- -`2-:�' _
ASSESSOR'S PARCEL NUMBER
COUNTY OF. RIVERSIDE .HEALTH SERVICES AGENCY
DEPARTMENT.OF ENVIRONMENTAL HEALTH - < .
PERMIT APPLICATION FOR.�A SUBSURFACE SEWAGE •DISPOSAI. SYSTEM
APPLICANT: Submit this form with four copies of'a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list.
A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County -of R,ive✓siege� AQproya�of this applica69
tion shall remain valid for a period not to exceed one year from date.of:oayment. @1.
LOG # .,� ;" 1w�8 $486.
Agent, Contractor, contact Per}on
Address City State''! Zipf�?
'1'elephhone
Owner
Address City State Zip
Telephone
Z
'Job�roperty-Address t
�,� Q
� ,G_
City
�
Zip
_
C...� �•
�'S�
U
LU
Lot Size
_
-Water A ency/Well^ -T
G�/hJ1�
-Use of Pe-mlt, _P/P, SUP, PUP, etc f'
a
Legal Description
�' Lut G
Dwelling, MH Site_ Prep., etc.
Signature of Ap lice t t,
Date
C'
CHECK ErOX IF REQUIRED "
❑ Holding Tank Agreements Completed 4
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
LI -Cert'ificati'on of Existing, S.D. System Required • 7 '
❑ Grading ,Handout Provided
m
❑ WQCB ClearanceRequired
❑ Staff. Specialist Lot Inspection Required
Z
O
(Attach For DOH -SAN -007, Santa Ana Region Only
❑ Lot Inspection
U(J'
Soils Percolation Report Required I,I -
W-
❑ Special Feasibility Boring Report Required
❑ Date Lot Inspection Completed:- Initials
,
I+
Remarks:
❑ Maintenance Booklet Provided
Initials Date ' '
❑ Final Inspection by Department of Environmental Health is required.'
C/42 / Soils Percolation Boring Report by 5dll �i l�d9f0 1 UUppA F�Ny` Lic/Project # Date
''jam 17
Soils Map Page Soil Type Approved By L • . Date,
No of Systems
Type of System(s)
O'Holding Tank O Replacement
I -New O Addition
No. Dwelling Units
. Bedro ms, Fixtur Units
(�.!_ 14AL �c
(1) Septic Tank..
[-/fir)
Soil Rate
zap L
�U
Grease/Sand ''
Grease Intcp/Lint T �p_1+' +
/�
O Existing r
r
r ��((ii J
✓(/(J Gal.
�/ t
/^' Gal.
Sq. Ft.
Total Linear
Sidewall Allowance
Leach Bed sq. ft. of
Bottom Area
Ft.T
ft. rock/ sq. ft. running ft.
�p
Install /�- Line(s) �0 ft. long ft.'
Bottom Area
.7 wide with
9
�Q7✓ t
' i,�
U
Inlet Tested Depth F (�' NA
Depth
min inches rock below drainlines or
U
Proposed Bottom Tested
Z
Leach lines/bad special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (BI)
Seepage Pit.*
Maximum-
Other:
Total D -pth
Allowable
1-
U
Applicable
❑
�;
Depth
W
N/Ax Overburden Factor
5' 6'
�,,,�
TD
1
Well Review Approved: Date: Well Drilling Permit #
SIGNATURE _ -
v jr
Grading Plan Approved: Date:
SIGNATURE
Sewer Verification Approved: it Date:
REMARKS: L I I Y
IP1A
This application isAPPROVED DENIED for the category checked in SECTION'B
above, regarding th design o a subsurface disposal system as;indicated on the .
FOR OFFICE USE ONLY -
acompanied plot planSsln a requirements set forth in SECTION C above. A build-\
/2 �j I � Z ,'00
Ing permit is necessary for the installation of the above -designed system. No eon`struc-
Revenue code jj Fee $
tion is permitted in the required reserved 100% expansion area.
(� optic Tank must be 100' minimum from any ,wells. q
Check # /05
-
(2) each lines must be 100' minimum from any wells, including expansion area.
Date 61 - �"'A�wS�, Initial
D
(3) Sewer lines must be 50' minimum from any wells. ;if
un
C. , l" , T
Z
_
O
(4) Seepage pits must be 150' minimum from any wells,. Including expansion area.
W
U
i
�
Sign of Health Official V
155
,I
Date
DOM -SAN 122(HBV-VAIJ) - - .v.�., ,.....w....., ,,.�— ,. ,���.... ..r'....-_..., ....• _._�. –_�..,–____....__ .._.._,..___-__
REPORT OF RELATIVE 'COMPACTIONS
JOB NAME: Tract 26769 Lois 4, 5 & 6 '
LOCATION: La Quinta, California
JOB NO: B7 -2960-P3
REPORT NO: 95-10-707
Test No.
Date Tested
Description Elevation'
%Moisture
Dry Densit
Relative
Maximum_
In Place
In Place
Compaction
Density
Building Pad Grading
1
07-19-95
Per Plan 3.0 BPG
10.9 ,
10.9 ,
93
106.1.
2
07-19-95
Per Plan- 3.0 BPG
14.0
96.9
91
106.1
3 i
07-20-95
Per Plan 2.0 BPG
14.8
102.7
94
.109.0
4
07-20795
Per Plan- 1.5 BPG
15.1.
99.9
92
109.0
5
07-20-95
Per, Plan 2.0 BPG
16.1
100.8
93
109.0
6
07-20-95
Per Plan 1.5 BPG
16.6
103.0
95
109.0
7
07-21-95
Per Plan PG
5.8
103.3
95
109.0•
8
07-21-95
Per Plan. PG
,10.0
99.8
92
109.0
9
07-24-95
Per Plan PG
f
9.0
101.1
93
109.0
10
07-24-95
Per Plan PG
11.4
102.3
94
'109.0
11
07-24-95 •
Per Plan 3.5 BPG
12.7
104.1
96
109.0
12
07-24-95
Per Plan 3.5 BPG,
' 13.1
103.0
95
109.0
13
07-25795-.
Per Plan PG
13.7
100.2
92
109.0.
14
07-25-95
Per Plan PG
12.5
101.4
93
109:0
PG = Pad Grade
BPG = Below Pad Grade .
DATE: October 6, 1995 EARTH SYSTEMS CONSULTANTS
f.
' Earth Systems Consultants., Buena Engineers Dhdslon
ME Southem Califomla 79-811 B Country Club Drive
Bermuda Dunes, CA 92201
a (619) 345-1588
(619) 328-9131
FAX (619) 345-7315
October 6, 1995 B7 -2960-P3
95-10-707
NRB Development Company
75-594 Vista Del Rey
Indian Wells, California 92210
Project: Tract` 26,169 -,Lots 4, 5 & 6
La Quinta, California
Subject: Report of Field Densities
Building Pad Grading
From July. 19 through July, 25, 1995, a representative of our firm performed density
tests at the above referenced project. Tests were performed at random locations, in
accordance with ASTM D 2922-81 Method A or B and ASTM D 3017-88 Nuclear Density
Test Procedure. Tests were performed as per authorization of. Bob. Gibbs with NRB
Development Company.
The 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 fourteen (14)
density tests were performed.
Test results indicate that a minimum of ninety (90) percent 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
Gray brown slightly
clayey slightly silty
fine grained sand SM 106.1 pcf 14.2%
Gray brown slightly
clayey silty fine
grained sand SM 109.0 pcf 43.9%