Loading...
002750 (BLCK)CAU Tity 4 sCP QamrA Building Address Owner Mailing Address 7't fir:} . City Zip Zip Tel. 56 Contractor Address p I Tel - State Lic. I City & Classif. ., Lic. # Arch:, Endr., Designer Address I Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip State Lic. # 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. DATE 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 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.) ❑ 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.) ❑ I 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (3100) valuation oriess.) 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. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation proviskins of the Labor Code, you must forthwith comply with such provisions or fh[s parmil ahali 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 certlfy that I have read thls appHratlon and slate that the above information is -correct. I agree to comply with all city and county ordlnances and state laws relating to bullding construction, and hereby authorlxe representatives of this city to enter the above - mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zin No. J r.. 0 7 `5 . BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description_ Project Description Tot. Sq. Ft. No. No. Dw. Size Stories Units New C Add ❑ Alter ❑ Repair ❑ Demolition ❑ (Estimated Valualion I _1t',fl iril PERMIT AMOUNT Plan Chk. Dep. Plan Qhk. Bal. ConSt. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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 "'_tr Permit Validated by: Validation: A688Z 1Z 9 �D.CG Ch HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN UHINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B. I.U. SQ_ FT, ref c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/i c SEWAGE DISPOSAL SQ.FT.GAR ® 3Ac 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. 24110 BEAM 2 r� 7� WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'$ SIGNATURESIINITIALS GARDEN WALL FINAL Buena Engineers, Inc. AN EARTH SYSTEMS, INC. COMPANY I T } P` 1983 CITY OF LA QUINTA 3� �# ,�,,, y nFk1n �Ws��t+fT M.. 79-811 COUNTRY CLUB DRIVE, SUITE #4 • BERMUDA DUNES, CALIFORPI %22t71 (619) 345-1588 December 31, 1987 Pinecreek Development 51-625 Eisenhower Drive La Quinta, CA 92253 Project: Lot 16 and 18 /Avenida Diaz La Quinta, California Subject: Report of Field Densities Single Family Residence B7-0221-P1 87-12-824 On October 13, 1987, a representative of our firm performed density tests in the fill for the proposed houses 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 of Pomona Valley Equipment, 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 five (5) 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 Light brown slightly silty fine to coarse sand with gravel SP VENTURA (805) 642-6727 MaximumDensit -O timumMoisture 124.0 pcf 8,4 F LANCASTER (805) 948-7538 BAKERSFIELD SANTA BARBARA (805) 327-5150 (805) 966-9912 BERMUDA DUNES SAN LUIS OBISPO (619) 345-1588 (805) 544-6187 December 31, 1987 -2- 137-0221-P1 87-12-824 1. The projects are located at Lot 16 / 54-880 Avenida Diaz and Lot 18 / 54-430 Avenida Diaz in the City of La Quinta. 2. Prior to our arrival at the site, the grading on both sites 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 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, Q�KOFESS1p�r BUENA ENGINEERS, INC. Reviewed and raft.. ? L Phillip D. Clanton Sr. Technician PDC/JRV/mea Copies: 2 - Pine Creek Development 2 - City of La Quinta 2 - P.S.f1le 2 - VTA file C11 a �r CO Joseph R. b'en s Civil Engineer r, No. C 012i0 P. ii .0r Criv\ BUENA ENGINEERS, INC. Buena Engineers, Inc. AN EARTH SYSTEMS. INC. COMPANY REPORT OF RELATIVE COMPACTIONS Job No. B7-0221-P 1 CONTRACTOR. DATE: December 3 1, 1987 Report No. 8 7-12-824 ADDRESS: JOB & LOCATION: La Quinta, CA TEST NO. I DATE DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY 54-430 Avenida Diaz/Lot 18 10-13-87 Per Plan 3.0 BSG 10-13-87 Per Plan 1.5 BSG 54-880 Avenida Diaz/Lot 16 10-13-87 Per Plan 3.0 BSG 10-13-87 Per Plan 1.5 BSG 10-13-87 Per Plan FSG B5G = Below Subgrade FSG = Finish Subgrade WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: 12.1 I 112.4 ` 91 J 124.0 13.0 112.0I 90 j 124.0 9.4 114.2 92 124.0 9.1 113.5 92 124.0 11.0 1 141 92 124.0 BUENA ENGINEERS, INC. r i sy-{/3o 1 za-r - zw.57' �zis y C4u.5-1 76-1 tz t.I LA sy xtto E-Cxuu- � OL-7clsTrw�� f+zdc+f � r rle�rsE t E x•Jrrry� /"-/Z- /B 551- 41 Fo plc-yvr p � O/� BUENA ENGINEERS, INC. ���z�/&� �70z�ip1 DATE: FILE N4.