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SFD (003088)P.O. BOX 1504 No a$ Building f5r2-448 Avenida Navas, 78-105 CALLS Address LA QUINTA, CALIFORNIAORNIA 9 92253 Owner H'illiam Robert Baker. _ Mailing Address 52-119 Shady Lane City Zip Tel. .. Coachella . 92236. .398-569. Contractor City , , .1Zip State Lic. & Classif. Arch., Engr:, Designer Address BUILDING: TYPE CONST: OCC: GRP., A.P.,Number - 773-275-011-!-9.. Legal Description Project Description small r mnily D -Wel ]_lies til Ly Lic. # Sq. Ft. Size NewX) Tel. 1350 DAG No. No. Dw. AkI3 ia"Stories Units Add ❑ Alter ❑ ' Repair ❑ Demolition ❑ City Zip State 80S Porch c. Ihereby affirm that there is a construction lending agency for the.performance of the 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. �* work for which this permit is issued. (Sec. 3097, Civil code.) - ._SIGNATURE DATE Side Setback from.Property Line "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 peimit 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 or 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 or 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.) . ❑ I, 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.) O I am exempt under Sec: B. 8 P.C. for this reason Estimated Valuation .PERMIT . Plan-Chk. Dep. Plan Chk. Bal. COf1St. ' - .Mech. . Electrical ' Plumbing S.M.I.- •. _ Grading Driveway Enc. Date ' 7 Owner '» i .T--��I.-'q''t"^ --,r`s A�1_,f Infrastructure 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. O 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-- - - construction, and hereby authorize representatives of this city to enter the . above-. TOTAL REMARKS: Validated by: 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. um 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. It .209..50 AA � AMOUNT S 5(w4r3 358�5.00 J�3• w Q 7r -45 . - las. 00 20.nA 20.00 1082.20 005#R7 ifl A041. 0-^ -A7 ZONE: BY Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear P.,rop..Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the.performance of the work for which this permit is issued. (Sec. 3097, Civil code.) - Side Setback from.Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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 this , 47 281 , read application and stale that the above information in correct. - I Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. � SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM (TEMP. POLE 7 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 IN fi� SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE FIRE ZONE ROOFING PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE TUMB.FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING -/G_ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER -OR SEPTIC T N 1 // ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) (TEMP. POLE 7 GROUT WATER HEATER SERVICE NAL INSPd. ' V 0 BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR.C�F'INAL IN fi� FRAMING /O 2JI j>] FINAL INSP. ROOFING /O /d/f'7 J �p,Jkl REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING,,) MESH (/ jj NINSULATIONISOUND/0-ge-Q Cvl ',J— FINISH GRADING INAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT ' OF SCHOOL FACILITY FEES f{Tj TO: City of La Quinta. DATE: Department of Community Development 78-105,Calle Estado La Quinta, CA 92253 This is to' certify that �✓ �� developer of which is located -at.�- within this Dist'Cict, has paid school facilit ,fees imposed ursuant to the -authority generatedb Government Code Section 53080 in the amount of covering' a total of /35D square�eet ofj&o-�residential or ( )'industrial/commercial development.'and that building permits•for this footage in this development may now be issued by your.jurisd'iction. for DESERT SANDS.UWTFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • 'Pink - Accounting • Gold - Developer f7� (10)-37 M Z O U LU U) P U) Y Q 75 W CC U Z O i= U W U) r� Ah 1W 1W COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION % _� �� Q // 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 of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. W ! ill -t% tN^ L - P_ Building Department, Application• Log # Name (Owner, Agent, Contractor, Etc.) Mailing Address City State Zip Code Telephone Jo�b Property Address j'1 C � 'City of ComEnunity, Legal Description of Property. (Lot, PM, TR) /`C 01A i ov 1. p 1 'Assessor's Parcel No. Water Agency orsWell• Y �J ,�,�j Q,�, a Use of Permit fJl t f'Or G�12 (II '�'^ jRlanning Case # Lot Size �,�• SFD, MH Preparation sr (��� Site Etc. ��F ,i.rf �P �.•IM �eN�, � f '..li/ Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial J Date G 7 3-17 Certification of Existing S.D. System required. E] Yes L� Nom` t'�J%�C '0 ,/ WQCB Clearance required. ❑ Yes © No' Soils feasibility report required. ❑ Yes ED -'No --'o Detailed'boring report required. E)Yes I,J1No°'� Detailed contour plot plans required. E) Yes lJ No f Staff Specialist approval required. ❑ Yes E7 No Lot Inspection Date Soils/boring report by i� 1 ) Project # Date Soils Map Page ! /d/ Soil Type ! Approved by � '�� " 3 Date P Type of System: r, ❑ EI*IN w7 ❑ No. of Bedrooms M� (1) Septic Tank . Soil Rate Required <,4 Existing Additional f1❑ Replacemenf4 Gals. (2) Lech line sq. ft. Sidewall allowance Install---- Line(s)—Ft. Long, d'e'with�m Leach edSq. (Bottomxtrench area) �. ft. rock/ Sq. Ft. Ft. w inches Ft of -bottom y per running ft. E9 -16A rock below drain lines area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter <ELr§, No. Pits Pit ,BI Seepage Pit total depth N/A i�'""y Overburden ®6' / Max. allowable depth �0 factor � 6 �,� ,� !� t-H„r!l��e...r'�•t.+ .+�./""i7'R�_ .f�'�t f �4 � ��'�t•-t«t. This application is;,,p vedf enied�for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in in Section" above. A building permit is necessary for the installation of the above-designedsystem. (2,/ Septic tank and sewer lines must be 50' from any wells*(/o fvtell (2 Leach lines must be 100' min. from any wells including expa,slo area ( /� nr,�`r rf (3) Seepage pits must be 150' min. from any wells including expansion area f /(J�� t n. �+? v„cv , , !- ,• ~ A,, . Gam7_ ,G . Signature of Health Official ,�- Date -2—Z 7_,,, / 7,...,f 7 RECEIPT NO. �� / Issued by Date r District: ❑ Riverside ®-tndio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑,,Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) f 1 � i cky.� ,�f J• _2 G_ri ,.�r{;��;..y. J r..� `� r 9 r f. -(,t � -� ,..: r:.•-rf ,. �� f'r ( � , , J �N, �. (�/� ry,A t.!'.i; �t i. .•� ^ � � >. > .ri � . V� ft r i ��r b �.' ����' �i }7.t• l�.0 7 M� F .3 ./ 1 � J GJ?l, J �+J Y. �i'� 111f ;i%crr fv� .�i� � ,art j57•� r' yY'3 1. 1 � .i r� ij t ,<'1V: ,:wF,.! rl�s;., ilr.."•r,r .' a. ? _ 1 1...a'J ... r. yi-.i .,i .t�;i _ WYE, �:.l,l rr. .� ��'f.. J... .. -� ti: .,. . .. ,. � '..�.� J. I,L, �'� 1> �,.-.-C ,,, i�`� A ,.�r 7. L;• 0 Buena Engineers, Inc. AN EARTH SYSTEMS, INC. COMPANY 1731-A WALTER STREET August 31, 1987 VENTURA, CALIFORNIA 93003 William Baker 52-119 Shady Lane Coachella, CA 92236 Project: 52-448 Avenida Navarro La Quinta, California Subject: Report of Field Densities Single Family Residence (805) 642-6727 SEP - 2 1987 C'Ty OF LA QU1��-� PLANNINr, & DEVELOPt�EN1 DEPT. On August 3, 1.987, a representative of our firm performed density tests in the fill for the proposed residence 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 William Baker. 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 three (3) density tests were performed. Tests 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 MaximumDensity-OptimumMoisture Brown slightly silty very fine sand SM 115.1 pcf 10.2P VENTURA (805) 642-6727 LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805)327-5150 (805)966-9912 (619)328-9131 (805)544-6187 August 31, 1987 -2- B7-0104-P1 87-8-822 1. The project is located at 52-448 Avenida Navarro in the City of La Quinta, California. 2. Prior to our arrival at the site; the fill for the house pad was placed and compacted, 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 a soils 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 compacting 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 -or 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. Phillip Clanton PDC/JRV/rnea HD Copies: 4 - William Baker 2 - City of La Quinta 1 - P. S. 2 - VTA file Reviewed and W Joseph R. Venuti Civil Engineer BUENA ENGINEERS, INC. eo�ifESS/p�,91 RAN D01F ` F2 F` G! No. C 041210 n Exp. 3-31-11 CIVIL ke OF CA��F�� Nam Engin@nrs,im REPORT OF RELATIVE COMPACTIONS CONTRACTOR: ADDRESS: DATE: August 31, 1987 JOB & LOCATION: " I no, info r Job No. B7 -0104-P 1 Report No. 87-8-822 TEST NO. DATE TESTED DESCRIPTION - % MOISTURE IN PLACE DRY DENSITYRELATIVE IN PLACE COMPACTION MA%IK UM DENSITY 52-448 Avenida Navarro 1 8-03-87 Per Plan 2.5 BSG 11.7 108.0 94 115.1 2 8-03-87 Per Plan 1.0 BSG 11.3 108.0 94 115.1 3 -03-87. Per Plan FSG 11.2 107.4 93 1 15.1 BSG = Below Subgrade FSG = Finish Subgrade i WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES BUENA ENGINEERS, INC. I Q - d . 1 L,o �v..✓r� ceo2f�it? BUENA ENGINEERS, INC. DATE: /b FILE N0. . e y j7d whom 1 may concern a 1 I W..i.l.l.i.am-R-B.ak.er-w-1s.h_t.o-i.n:f_o.rm–yo_u_o_f_m_y=i.nt_e.nt.ion_to- 'take' full , responsibi,lity for the :cost and, semovai of cement .. r drive ,way located—at 5-2=44`8–Navarro':, - La Quinta„Cal-if . s.h.o.u.l.d_i t–b.e.c.ome ' n.e.c.es s a.r y due t.o–c.i t y c:o.n.s t.r_u.c t.i.o.n_. .. - .• • �, .� 1 1 ' f • • � • t' _ r 1, t.