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0003-215 (SFD)P.O. BOX 1504 TEL 760-777-7012 78-495 CALL'—.TAMPICO INSPECTION REQUESTS LA QUINTA, CALIFORNIA 92253 760-777-7153 (Q (D -O i I O O Q N O i5 O (n N o N (D O •--. .� O^ w O•f n 3 W :03 COD O w (n (D w.. 6 '-' N 2' w (D O O 3 D `< O f1l - w o O GCi 3 r. - O N 3 (D (D �T. ¢3j!`u,�- N - - 3 °. (o D_ .O-. �"' O N (D N _ O w (D .O-. C O C `G 7 (n w '< 70 O. r 7 C 3 .n-. O - (n 1 0 (D ' - CD O- O' O- w _ -- O- N N cr ID (D m U (D (<D O ¢F1 Q O O H (n O - O (D D cr S (O n 0 O (D O =, N W 3 w (n w `< O< w p^' ID w N w r W -` X (n N w. NO CD O `G cD # _ (D - O D O C Z o 3 m W w o. 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O `< (D 7 C `2 w ((DD 0 N (�' O "' 73 O N (n C O < CDC m 0 `< w o 7 co O S r 0 O N 0 3 (D O O N O (D cD o m° QO O n Q N O •�-• O n 3 (D O- S N N w 3 0_ 3 w 00 N p O w (n 7 (a (n" S =: `G O (A `G O 3 O_ (D (D Q .� (D (n 6 O (n N (A O_ (D N Q O m m :" N m O op` o m m leycn m m- - }��Na rtl `�`q r �►y' >_r "f, vc yC� CC _- T D I m .Vt >40 rg c; z. b. fw t! �� 0 Le m _ > ram. m O _ m a o ~ - _ z m Z Z Z m m m wu D O O eN �x .fie INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framino Compressor Fireplace P.L Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath F POOLS - SPAS BLOCKWALL APPROVALS Steel I Set Backs I Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Flnai PLUMBING APPROVALS Gas Piping Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Final COMMENTS: Final j Utility Notice (Gas) ELECTRICAL APPROVALS Temp Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. 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Zip I State LICENSED CONTRACTOR'S DECLARATION I here%y aflirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ❑ivision 3 of the Business and Professions Code, and my license is In full force and �eftect- �`1GNATFlRE DATE ( OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec 7031.5,Buslness 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 mpulres the applkanr for such parm+f to Me a signad sialement that he is Ikensed pursuant to the provisions of fho Contractors License Law, Chapter 9 )commencing with Section 7000) of I7ivfsion 3 of Ina abefno3z and Prnfesslons Code, or thal he Is exempt therefrom, and rho 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). t: I, as owner of the property, or my employees with we gos as their sole compensation, will do the work, and the structure Is not Intended or offered for sate: (Sec. 7044. Bussness and Professions Code: Thu CW#racter'a Licanso Law does nor apply to an owner o1 property who builds or improves thereon and who does such work himsalf or througfl his own empioye". provideo that such kFWuverrrent5 are not Inlanded or offered for sale. I!, however, the budding or Improvement is sold within one year Of compI090. the Owner-buWar will have tha burden of proving that he did not build or improve for the purpose of sale.) i ) 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.) 11 1 am exempt under Sec. B. & P.0 for this reason Date Cwnr.-r 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 _ f7 Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE fThis section need not be completed if fhe pomrit is far one hundred dof m (5100) vaIvimban or iess.) I certlfy Ihal In the performance of the work for which this permll Is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws ai California. Date Owner _ NOTICE TO APPLICANT: 1!, after making this Certificate of Exo Ahdon you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions of ffri's pemlil sham be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 permlt when properly lilled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read Ihls application and state that the above information is correct. I agree to comply with at[ city and county ordinances and state laws relating So building construction, and hemby authorize representailves -of this city to enter the above - me nfionW property for inspection purposes. Signature of applicant - Date Mailing Address City, Stale, Zip BUILDING: TYPE'CONST. GOtCC. GRP. A.P. Number G4,(o��— o [-1 o " 0p09 Legal Description �� T• M • 27 6� Project Description Ft. (� C } No. No. Dw. 1 1 Sto 3ries Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ valuation PERMIT Plan Chk. Oep, Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS r AMOUNT ,!-�.�5 77 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 Permit Validated by: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION O O c n n cn � 'N a 0 CD c to CD 0 ( � 4 n �� '% cu a p 1 M\ Q _0 � \ CD ftft VA c co i m W Do j' � y � �. it v Cb C) < w m t--, cb C < --1 o 0 y' D D � Q) Z CD ti � O craft 0i� n W ; b O Cb a h D `'� c Cl) Z, o z =. o � � Z C) cb cb O n d� 11 o D � cD ti CD CD m � cn �' � n m K G cn n m D O O� o < p C D a v o D C m �� CD D D < m 3. < c� q, m z 0 z m �, a r' Dv m ° cD D N O C � j C1Ty W o cb cn w c W p z oo 0 cn { ri n L y f Notice: Document Cannot Be Duplicated Date 10/26/00 No. 21142 Owner Nam eTerri Valdivia Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE No. 49-650 Street Date Palm Drive City La Quinta Tract # PM27681 Lot # 1 Type of Development Single Family Residence Comments APN # 646-070-009 Jurisdiction La Ouinta Permit # 0003-215 Log # Zip 92253 Study Area Square Footage 1874 No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,874 or $ 3,841.70 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Construction Voucher per P. Reyes/Terri Valdivia Telephone 760-771-1573 Name on the check By Dr. Doris Wilson Superintendent Fee collected /ex0pted by Annette Barlow Signature L ,� Payment Received $3,841.70 Check No. 005981 [DYKE Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified bore wdl begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to allect them on the District('s)(s') behalf, whichever is earlier Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting i1151 m ffL4&#alg&,ift> w vY First,American Title Ins. Co. AND WHEN RECORDED MAIL TO: Terri-,L. Valdivia 53085 Avenida Obregon La Quinta, CA 92253 No.: 646-070-009 TRAj;AtO—Q ZCj 07/25/2000 08:00A Fee: 6.00��� Page 1 of 1 Doc T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk & Recorder PAGE SIZE DA PCOR NOCOR I SMF MISC rz-� GRANT DEED COPY I LONG I REFUND I NCHG I EXAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $39.05 X ] 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; [ X ] City of La Quinta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CHARJACQ, INC., a California Corporation OK hereby GRANT(S) to Terri L•Valdivia , a single woman tine Fallawirig described property in the City of La Quinta, County of Riverside State of California; PARCEL)—C F FARCEL AP 27681, ASS OWN BY MAP ON FILE IN BOOK 180 PAGE(S) 31 AND 32, OF -ARC'FJ-MA'!f5, RECORD SIDE COUNTY, CALIFORNIA. CHARJACQ, INC., a California Corporation By: C'L�� Charles . Lester, President Document Date: October 5. 1999 STATE OF CAL NIA )SS COUNTY OF����. } On 18 +2LCQ before me, t In V\ personally appeared personally known to me (or proved to me on die basis of satisfactory evidence) to be the person(s) whose name(s) is/xel'subscribed to the within instrument and acknowledged to me that he/slat/they executed the same in his/hef/dierr authorized capacity(ios) and that by his/her/their signature(.-4-on the instrument the person(8j or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my band and official seal. CINDY BURGIN COMM. # 1180EI93 n V NOTARY PUBLIC-CALIFORNIA -4 in RIVERSIDE COUNTY 0) My Comm. Expires Apol 22. 2002 Mail Tax Statements to: SAME AS ABOVE EI Fred She u Structural Engineer Sep. 13, 2000 City of La Quinta Building & Safety Department Attn: Plan Checker Ref: Single Family Residence 49-650 Datepalm Drive La Quinta, CA Dear Sirs: 15475 Seneca Road, Suite C, Victorville, CA 92392 (760) 955-7522 1274 E Center Court Dr., Suite 208, Covina, CA 91724 (626) 915-8601 As the project engineer of record, I have reviewed the truss calculations prepared by the Truss Company for the above referenced property and found the design of the trusses are in accordance with my design intent. Should you have any questions, please feel free to contact me. Thank you. Sincerely, Fred Sheu, Ph.D. RCE 48562, SE 4111 Earth Systems Consultants Southern California December 9, 1993 General Contract Management P. O. Box 59 La Quanta, California 92253 Project: Parcel Map No. 27681 La Quinta, California Subject: Report of Field Densities Curb Subgrade and Street Subgrade Base and Asphalt Buena Errorneors Division 79-811 B Country Club Drive Bermuda Dunes, CA 92201 (619) 345-1588 (619) 328-9131 FAX (619) 345-7315 SC-4486-P8 93-12-705 Ref: Geotechnical Engineering Report by Buena Engineers, Inc, dated December 22, 1989; Report No. 89-12-833; Job No. 87-1978-P1 Geotechnical Engineering Report Addendum by Earth Systems Consultants dated August 9, 1993; Report No, 93-08-719 From September 23 through October 12, 1993, 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 Michael Bangerter. The estimated locations of the tests are presented on the attached plan as well as by station numbers with their results being summarized on the attached test report sheet. A total of fifteen (15) density tests were performed. Test results indicate that a minimum of ninety-five (95) 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 and ASTM D 1559 Marshall Test Method. Test results are as follows: oil ❑ezcri�tion USCS M xim m D nsi - tim m MQjgDM Gray brown very fine to fine sand SM 102.8 pcf - 15.3% Base Material --- 136.9 pcf 7.0% Asphalt (1 /2" cap) ---- 146.0 pcf --- f December 9, 1993 -2- SC-4486-PI 93-12-705 DISCUSSION: 1. The project is located on the southeast comer of Sagebrush Avenue and Date Palm Drive in the City of La Qu€nta, California. 2. Prior to our initial arrivals to the site, the curb and street subgrade had been made and compacted. 3. Prior to our subsequent visit, base material was placed and compacted. 4. Prior to our final arrival, asphalt was placed and compacted. 5. The purpose of testing was to observe compliance with the minimum requirements of the City of La Quinta, LIMIIMIONA The test results summarized in this report present the moisture and density only at the locations and depths tested on the specified dates. The summarized field and laboratory tests were performed in accordance with engineering principles generally accepted at this time and location. No opinion is expressed as to the uniformity of the material or compaction. No guaranty or warranty of the contractor's work is made or implied. The test locations are approximate and were determined by pacing and sighting from prominent field features. In our work, we have relied on topographic and surveying information provided by others, With any manufactured product there are statistical variations in its uniformity and in the accuracy of tests used to measure its quality. As compared with other manufactured products, field construction usually presents large statistical variations in its uniformity and accuracy of test results used to measure its quality. Thus, even with very careful observation and testing, it cannot be said that all parts of the product comply with the job requirements although the degree of certainty is greater with full-time observation and testing than it Is with testing only. Therefore, our opinion, based on testing the work means that there is only a statistically -based probability that the densities obtained comply with the job requirements. This report is issued with the understanding that it is the responsibility of the owner, or of his representative to insure that this report is submitted to the appropriate governing agencies. If there are any questions, please do not hesitate to contact this office. Respectfully submitted, EARTH SYSTEMS CONSULTANTS Jim Stokes Field Technician Reviewed and Brett L. Anderson, P PC/Compaction Copies: 4 - General Contract Management 1- VTA File coo rn No. C045399 ' * EXP.9-W94 ���TF C I V % OF CA��' EARTH SYSTEMS CONSULTANTS REPORT OF RELATIVE COMeACTIONS JOB NAME: Parcel Map 27681 LOCATION: La Quinta, California JOB NO: SC-4486-P1 REPORT NO: 93-12-705 Test No. Date Tested Description Elevation %Moisture Dry Density Relative Maximum In Place In Place Compaction Density Curb Subgrade Sagebrush 1 09-23-93 Station No. 11 +00 15.8 97.3 95 102.8 2 09-23-93 Station No. 12+50 16.7 98.0 95 102.8 3 09-23-93 Station No. 14+50 16.9 101.0 98 102.8 Street Subgrade Date Palm Drive 1 09-27-93 Per Plan 6.2 98.0 95 102.8 2 09-27-93 Per Plan 8.3 99.2 96 102.8 3 09-27-93 Per Plan 10.7 100.0 97 102.8 Bottlebrush Drive 4 09-27-93 Per Plan 6.8 98.2 95 102.8 Saguaro Drive 5 09-27-93 Per Plan 7.6 97.9 95 102.8 Street Base Date Palm Drive 1 09-28-93 Per Plan 7.0 130.4 95 136.9 2 09-28-93 Per Plan 8.1 131.2 96 136.9 3 09-28-93 Per Plan 6.7 130.7 95 136.9 Asphalt 1 /2" Cap 1 10-12-93 Per Plan 139.0 95 146.0 2 10-12-93 Per Plan 140.1 96 146.0 3 10-12-93 Per Plan 139.3 95 146.0 4 10-12-93 Per Plan 141.6 97 146.0 DATE: December 9, 1993 EARTH SYSTEMS CONSULTANTS - : "• •a.: ! ,;:' a, . • •• ,tCl;{PTL.GR[ .N ph't Poo Al SAGEBRVSM• ti •.•.rV.t» [ ..-`+ %» ' `" :u� : • � - ss_»,s'.; • 'r d l s » y_ �sl<ss . ;�r� `•. ' 1'r1VfNUC ..Ii-:}LG',R ` r '"t �T' S 1"' :• �} :- + ties. 11. �' n • . ,.' ly•., -aZ��: .4 �• • •$E��]H�E IIR rARCr.N� iti '. •. VZ�v �r'' - •ley . p'.g, •1i' r I ' � a IS rl7• ' • �� lft+,�!'�' ' 1 f .. . t o i• •PARCEL 3*Z� " irk ti }• 61 06 PARCEL • �� •s r $ ry I _' '�� �' • SC[ DETAIL 'A TLE BRUSH AVENUE r n 1+ rr�] Si LT' i. f • C) �L} z 'I t. � �1 } �► :I?] Cj• ..PriIiCEL -1�' - - . (3 AGUARO S .S '� ! f`y Y 'P• vD 7r BL'r1 •, 5iS(T. P TA=Eg is 7:1 id)/17-1e 9RIVE• • • ' � ram• ' l . .. :� i •- •.r'- - !lcl •I m'SJi•'1P. M/hwyC Poo r; MAMC ,FL VZ VSD 10R *J%E U = STR EET u L3� its F. = S-T,Rs--r AAS E PARCEL MAP 27681 LA OUINTA• CALIFORNIA EARTH SYSTEMS CONSULTANTS DATE: 12-10- 13 1 FILE SC-4486-P1