0112-041 (RC)CV w
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
7'42569 >fi .e'er 111O.fli
X, ! J am• .�-/ J ".--'..^...r.•
7Date l Signature_of_`Contractor`
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of -Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
(-A I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier ST.A?,p
yMp Policy No. 1424997-01
(This section need not be completed if the permit valuation is for $100.00 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, and,agree that if I should become
subject to the workers' compensation provision"s`of Section 3700 of the Labor
Code, I shall forthwith comply with those Ovisions.
/Date:. Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to,
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
,Signature (Owner/Agent) Date rF
BUILDING PERMIT PERMIT#
013.2-041TRACT
DATE VALUATION LOT
JOB SITE
ADDRESS W,111 A•V'FJJM S2
APN
769-290-015
OWNER
CONTRACTOR/DESIGNER/ENGINEER
JAY BAD. (LAUisN .C'IM.Y TTtUSM)
. C101.1 i �a� � C:'C12�4""x"�+LTC:Id2�, INC.
80111 AVS 52
iiPO % TAHQU '1;G 9109
LAQTJ:1%3".tA CA 92253
M- USPTi."4NG0 CA 92262
-(76()j322n1553 tBL4 3962
USE OF PERMIT
(140,:YTMI RXNA$
L
twOMMV3:C)A,L)',F,Mt7D3;iatM-CL,.ASS1F1L.ATIt)N OF
TEMPORARY BANK FACILITY (B M -C UPANC`t') 3 OR 13 MONTHS PENDING
C OWS7'RUC11011 Cle 14EW BANx PAC:11,.)T Y,
CONTRACT AMOUNT 54000.00 1;v
SiA7a+MId,D C1.sbT O8: COSTSXMF.ra.dow`I
w 00 -0.W
PLAN CHECK M; 101r000439.319 $269.43
CONSTRUCTION' ION' MY, 101-000-418-000 $41.4..550
MEMA111C"Ai, FU 101-000-421-000 S$A,C11Q
> L,PR;7 @t10fi L f+1{1i 101 -OW -420-000 W-420-000 1 U50
i.)J +t%12 ti�P;4.1 103.000.419.000 $1910
GRADING "HE 101-000-423-000 $20.00
1 VEISTIOATION FEE 101-000-4,25-0 00 140,09
NOW
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I IIIIIII I III I I VIII IIII 46
IE
RECEIPT,
DATE
BY +
DATA FI LSD O
INSPECTOR
,'f�s
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.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
Gas Piping
PLUMBING APPROVALS
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
Appliances
Final
Final
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. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i
LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
f- Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
N W Professionals Code, and my License is in full force and effect.
O :D M License # Lic. Class Exp. Date
O In742569 B 11/30/1S
oZ ti Date Signature of Contractor
Zo Oti
1`-0 OWNER -BUILDER DECLARATION
W W r*- I hereby affirm under penalty of perjury that I am exempt frorh'the Contractor's
~ fl
fn License Law for the following reason:
Z_ ( ) I, as owner of the property, or my employees with wage's as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
I am exempt under Section , B&P.C. for this reason
O N Date Signature of Owner
rn
Z WORKER'S COMPENSATION DECLARATION
C:> Z I hereby affirm under penalty of perjury one of the following declarations:
O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W Y= compensation, as provided for by Section 3700 of the Labor Code, for the
O Q performance of the work for which this permit is issued.
m Q U ( ) I have and will maintain workers' compensation insurance, as required by
Q U QSection 3700 of the Labor Code, for the performance of the work for which this
d I— permit is issued. My workers' compensation insurance carrier & policy no. are:
`t Z Carrier STATE FUND Policy No. 1424997-01
co 5
CY
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
3 subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify.
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of Issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
• correct. I agree to comply with all City, and State laws relating to the building
I construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) Date
BUILDING PERMIT PERMIT#
0112-041
DATE VALUATION $50,000.00 LOT TRACT
JOB SITE
ADDRESS 80-111 AVENUE 52
APN
769-290-015
OWNER
CONTRACTOR/DESIGNER/EN (NEER
JAY BADEN (BADEN FAMILY TRUST)
LION HEART CONSTRUCTION, INC.
80111 AVENUE 52
3001 E. TAHQUITZ #109
LA QUINTA CA 92253
PALM SPRINGS CA 92262
(760)322.1553 CBL4 3.962
USE OF PERMIT
COMMERCIAL REMODEL
C
COMMERCIAL REMODEUtRE-CLASSIFICATION OF EXISTING R-3 TO
TEMPORARY BANK FACILITY (B OCCUPANCY) FORTS MONTHS PENDING
CONSTRUCTION OF NEW BANK FACILITY.
CONTRACT AMOUNT 50,000.00 LS
ESTIlVIAnM COST OF CONSMUCTION
50,000.00
PERI/DT FEE StUAn"RY
PLAN CHECK FEE 101-000.439.318 $269,43
CONSTRUCTION FEE 101-000-418-000 $414.50
MECHANICAL FEE 101-000-421-000 $50.50
ELECTRICAL FEE 101-000-420-000 $33.50
PLUMBING FEE 101-000-419-000 $18.00
GRADINO FEE 101-000-423-000 $20.00
INVESTIGATION FEE 101.000-423.000 $465.00
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$1,270.93
LESS PRE -PAID FEES
$0.00
TQTAL PERMIT FEES DUE NOW
$1,27093
IIIIIII III V I I I IIII 38
IE
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
Tom Tisdale
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
e•
Beaumont
Cahmesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
a
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Penis
4.
Rancho Mirage
San Jacinto
.>
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Tom Mullen,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto venue • Perris, California(909)940-69M---f-aX(909)940-691U-
December 21, 2001
To: City of La Quinta
Building Department
Re: Release for Building permit
0112-041 / First Community Bank
III II VIII III VIII
III 39
IE
The Riverside County Fire Department hereby releases the above referenced project for
issuance of a permit for the construction / Remodel of single family home into a temporary
bank.
Respectfully,
Dale A. Evenson
Fire Safety Specialist
MPEZGEPERALT-ORMS\Bldg P—I Refe -LOA.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Coachella Valley Unified School District
P.O. Box 847, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Date: danuary 3. 200?_
Owner's Name: Baden Fami Ty Trust. Phone No. 322-1553 340 0604
Project Address: 80-111 Avenue 52, La30ui nta . CA 92253
Project Description: Commercial Remodel and Addition of 185 Sq Ft
APN: 769 290 015 Tract #: Lot #'s:
Residential Commercial XX Industrial
Total Square Feet of Building Area: 185
Type of Development
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 owner/developer.
Dated: / Z Signature: X �2
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 185
Amount per Sq.Ft. $ .33
Amount Collected $ 61.05
Building Permit Application Completed: Yes/No
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
No charge for remo e e rarea.
By: Foch "Tut" Pensis, Assistant Superintendent Administrative Services
Administrator in Charge
Certificate issued by: Marcela Valdez Signature/J�%�i//�J/
Facilities Clerk —�
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1)itte notice to
the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether
payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
MV:c/mydocs/devfees/certificate of compliance 07/24/01
DEVELOPER FEES PAID
AREA:
AMOUNT:
RCPT k:
CK #:
CASH:
INITIALS:
DATE:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Date: danuary 3. 200?_
Owner's Name: Baden Fami Ty Trust. Phone No. 322-1553 340 0604
Project Address: 80-111 Avenue 52, La30ui nta . CA 92253
Project Description: Commercial Remodel and Addition of 185 Sq Ft
APN: 769 290 015 Tract #: Lot #'s:
Residential Commercial XX Industrial
Total Square Feet of Building Area: 185
Type of Development
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 owner/developer.
Dated: / Z Signature: X �2
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 185
Amount per Sq.Ft. $ .33
Amount Collected $ 61.05
Building Permit Application Completed: Yes/No
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
No charge for remo e e rarea.
By: Foch "Tut" Pensis, Assistant Superintendent Administrative Services
Administrator in Charge
Certificate issued by: Marcela Valdez Signature/J�%�i//�J/
Facilities Clerk —�
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1)itte notice to
the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether
payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
MV:c/mydocs/devfees/certificate of compliance 07/24/01
1 _X -JJ 2" / S_)1WK_
Bin.
OD
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 80 111 A-� �>
J_
Owner's Nime: )(--/A/ OAOr; Rt&
A. P. Number:
Address: )C
Legal Description:
Contractor: t< 1-1 cl\j kjE�,AfLr Cto
Address: '2
21 C� C-;� C— T * rQ—Z.
City, ST, Zip: y,
Telephone:
Project Description: Wepb i" 4 Cij
City, ST, Zip: k FA -L -m 2�0_4 C_rs Cft
f Z<ls I 0:15—� Cr lu 150W N —I
T -L I IF 4-
AM;:' ' L f�
Telephone: , Z"
.... ........ . ....
x...........
... ...... ....... .......
AY
iN
P State Lic. City Lic.
Arch., Engr., Designer: ✓iI�l�ytR___
I ct, vwol�,-a
131stizLe
�4A Tz
Address:
1j_C—U_ 4e
7 b G'M 1:z rY7 S; 1.
City, ST, Zip: ELLA tX�fXT
Telephone: ....... ...... ...........
S tateLic. . ...........
.... ...... ... . . —
Name of Contact Person: x i (, '(tzvo
Co nstruction Type: Occupanc\•:
Project type (circle one): New Add'n CAlter
_) Repair Demo
Sq. Ftj�' 12, CAS� # Stories: # Units:
Telephone 4 of Contact Person: )c -(5 (,C) q^
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
2 --Plan
Sets
Plan Check submitted
xItem
Amount
Structural CaIcs.
Reviewed, ready for corrections
I Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance •
Title 24 CaIcs.'
Plans picked up
Construction •
Flood plain plan
Plans resubmitted
Pechanical •
Grading plan
2"' Review, readv for correctiope;S's—u
ctrical •
Subcontactor List
Called Contact Person
umbing •
Grant Deed
Plans picked up
SAI.I. •
H.O.A. Approval
Plans resubmitted
........ . ..........
Grading •
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
I I
Total Permit Fees
Dec 10 01 02:15p Lion Heart Construction 760 322-1733 p.2
_ SK
STATE - r .. .Y�"., '"X4.r. • _ ��:•= :��.>-w, . .. .
COMPE►JSATIONF.O. BOX -007,. SAN. FRANCISCO;CA,is94t1.
a 1NSUKiANCid ^. y....Y.
" ND CERTIFICATE - tJ
`Ot= WORKERS-.. _
r
• E. , � COMPENSATI` 11�.5URANCE..:_; •: ' , -�, '�, � �
POLICY; NUMBEi —
ISSUE DATE: 12-01-01 - , :-.�.-�. 1424897 01 ,•'
:'y s'" +CERTIFICATE EXPIEiE&' 12-01-02
:'Lk Qb I MITA
Gd°NA
ELROY
'• .�ATT'iJ'=" MC;•�•�; .... ::;tiN:= -;-s.�.<�: �r�:.s_ -
78495' cALLE TAMP I CO
LA QUI NTA CA 82253
' -:: is -pit •/ -' _- `'? .iS'i.:: .., ... w,.:rf
This is to certify that we have issued a vaild Workers' Coniperisattorr-insurance policy in a form approved by the
California Insurance Commissioner to the employer named below.••tor'the policy.period indicated
This policy is not subject to cancellation by -the Fund except upon 10Ldays' adva c's vvri'an notice to the employer.
We will also give you, 10-days,advance notice should this 'policy.be,-cancelled• prior: fa�'its,noRnsl: expiration.
This certificate of<Insur'ince Is •tiot.an insbrance pollcy and'does':not amend, exieni? o� alter thertoverabe afforded
by the policies lifted Iter6w-Notwithstinding any requirement;:. term; or conditioh of anX"coittract or other document
with respect;to;which thi`i"Ceftificate of fisurajice"rii b'@ issued or may,pert1 tfie;insurance'af r oche orded bd curve"'"""""''w
th
policies described herein is subject to :all; the Perms, x'clu'sions:-and condltiohs,tif such. policies..
r '.fit". �. •,, .. r. :i s l
M - _ 4"'.:: ' PRESIDENT
EMPLOYER r5 LIABILITY LIMIT INCLUDING DEFENSE. COSTS::.
4, 006 , 000.00. PEW OCCURRENCE.
\':'•; F _''�'`.�.,-': n';'y: _:.. .%"'. (; ....L, s.• -tee. i•
it "�."'. ..- 14 i_v. -`}• .t,:.' \:.
any. a
_
EMPLOYER.:` >.;._• •
,..
.-.-
;tEOAL NAME
L""1O.N:-:11.t`ART CbW$TRU.CT"IAN...�?1EART
#109 :
CONSTRUCTION INC
A --a e"'�IN
3001 E TAHQUd TZ STE };
a
.C'ANYONyti~A;Y 1011
PALM SPR I NGS`•trA 922$2
PRINTED:^ 11-20-01 P0409
License Detail
License Detail
Contractor License # 742569
Page 1 of 2
CALIFORNIA CONTRACTORS STATE LICENSE. BOARD
DISCLAIMER
A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be
aware of the following limitations:
• CSLB is prohibited by law from disclosing complaints until they are referred for legal action.
• Per B&P 7071.17, only construction related civil judgments known to the CSLB are disclosed.
• Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
• Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base.
Extract.Date: 01/02/2002
* * * Business Information * * *
LION HEART CONSTRUCTION INC
3001 EAST TAHQUITA CANYPN
PALM SPRINGS, CA 92262
Business Phone Number: (760) 322=1553
Entity: Corporation
Issue Date: 11/13/1997 Expire Date: 11/30/2003
* * * License Status * * *
This license is current and active. All information below should be reviewed.
* * * Classifications * * *
9jiRl Description
® GENERAL BUILDING CONTRALTO
* * * Certifications * * *
Fc—er]tl Description
gdlHOME IMPROVEMENT CERTIFICATIO
* * * Bonding Information * * *
CONTRACTOR'S BOND: This license filed Contractor's Bond number 8000481 in the amount
of $7,500 with the bonding company
SURETY COMPANY OF THE PACIFIC.
Effective Date: 09/22/2001
License Detail
Contractor's Bonding History
Page 2 of 2
BOND OF QUALIFYING INDIVIDUAL(1): This license filed an exemption certificate for
the Responsible Managing Officer (RMO) STANLEY BURTON ASARO certifying that he/she
owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying
individual is not required.
Effective Date: 11/13/1997
* * * Workers Compensation Information * * *
This license is exempt from having workers compensation insurance; they have no employees at
this time.
Effective Date: 09/21/1997 Expire Date: None
Personnel listed' on this license (current or disassociated) are listed on other licenses.
Personnel List Other Licenses
License Number Request Contractor Name Request Personnel Name Request
Salesperson Request Salesperson Name Request
CONTACT US,
A public service of the Contractors State License Board. Copyright ®001. All rights reserved.
Last Updated 10/08/2001
PLANNING COMMISSION RESOLUTION 2001-13-9---.
A RESOLUTION OF THE PLANNING COMMISSION OF THE
CITY OF LA QUINTA, CALIFORNIA, APPROVING THE SITE
PLAN AND SIGN FOR THE CONVERSION OF AN EXISTING
SINGLE FAMILY RESIDENCE INTO A TEMPORARY BANK
CASE NO.: SITE DEVELOPMENT PERMIT 2001-716
APPLICANT: FIRST COMMUNITY BANK - BILL POWERS
WHEREAS, the Planning Commission of the City of La Quinta, California,
did on the 13TH day of November, 2001, hold a duly noticed Public Hearing to consider
the request of First Community Bank to approve the site plan and sign for the
conversion of a single family residence into a temporary bank in the Neighborhood
Commercial Zoning District, located at 80-111 Avenue 52, more particularly described
as:
PART OF PARCEL 1 OF PARCEL MAP 8961, APN .772-300-001
WHEREAS, said Site Development Permit has complied.. with the
requirements of "The Rules to Implement the California Environmental Quality Act of
1970" as amended (Resolution 83-63) in that the Community Development Director
has determined this request is categorically exempted by the guidelines for
implementation of the California Environmental Quality Act (CEQA) per section 15301,
class 1 (n). Therefore, no further assessment is deemed necessary.
WHEREAS, at said Public Hearing, upon hearing and considering all
testimony and arguments, if any, of all interested persons wanting to be heard, said
Planning Commission did find the following facts and reasons to justify approval of
said Site Development Permit:
1. Consistency with General Plan. The proposed conversion of the existing single
family residence into a temporary bank is located in the Neighborhood
Commercial designation (CN), and is consistent with the general development
characteristics in Table LU -4 of the City's General Plan in that the CN
designation allows for Banks serving the needs of immediate neighborhood trade
area.
2. Consistency with Zoning Code. The proposed conversion of the existing single
family residence. into a temporary bank is consistent with the development
standards of the Neighborhood Commercial (CN) Zoning District, and has been
designed to comply with the development standards. of the La Quinta Municipal
Code with regard to landscaping and parking requirements.
PAPC Reso & COA\FCResoSDP-716-1STCOMBANK.wpd
Planning Commission Resolution 2001-139
Site Development Permit 2001-716
First community Bank
Adopted: November 13, 2001
3. Architectural Design. The proposed conversion of the existing single family
residence into a temporary bank does not change the architectural design of the
single family residence.
4. Site Design. As conditioned, the conversion of the existing single family
residence into a temporary bank is consistent with the surrounding land uses.
5. Landscape Design. As conditioned, the proposed landscaping plan is consistent
with the landscape development standards of the La Quinta Municipal code.
NOW, THEREFORE, BE IT RESOLVED by the Planning Commission of the
City of La Quinta, California, as follows:
1. That the above recitations are true and constitute the findings of the Planning
Commission in this case;
2. That it does hereby approve Site Development Permit 2001-716 for the reasons
set forth in this Resolution, subject to the Conditions of Approval, attached
hereto;
PASSED, APPROVED, and ADOPTED at a regular meeting of the La
Quinta City Planning Commission, held on the 13" day of November, 2001, by the
following vote, to wit:
AYES: Commissioners Butler, Kirk, Robbins, Tyler, and Chairman Abels
NOES: None
ABSENT: None
ABSTAIN: None
a.C7ES ABELS, Chairman
ity f La Quinta, California
ATTEST: /
J HERMAN, Community Development Director
C ty La Quinta, California
P:\PC Reso & COA\PCResoSDP-716-1STCOMBANK.wpd
J
I-
PLANNING COMMISSION RESOLUTION 2001-139
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
GENERAL
1. The applicant agrees to defend, indemnify, and hold harmless the City of La
Quinta (the "City"), its agents, officers and employees from any claim, action or
proceeding to attack, -.set aside, void, or annul .the approval of this site
development plan. The City shall .have sole discretion in selecting its defense
counsel.
The City shall promptly notify the applicant of any claim, action or proceeding
and shall cooperate fullyAn the defense.
2. The permit is valid for two years, expiring on November 13, 2002. The applicant
can submit a letter request for a time extension to the Planning Commission for
their consideration as a business item.
The applicant shall develop the site as .illustrated on the approved site plan
labeled Exhibit "A", contained in the file for this application.
3. Prior to the issuance of a grading, construction or building permit, the applicant
shall obtain permits and/or clearances from the following public agencies:
• Fire Marshal
• Public Works Department (Grading Permit, Improvement Permit)
• Community Development Department
• Riverside Co. Environmental health Department
• Coachella Valley Unified School District
• Coachella Valley Water District (CVWD)
• Imperial Irrigation District (IID)
• California Water Quality Control Board (CWQCB)
The applicant is responsible for any requirements. of the permits or clearances
from those jurisdictions. If the requirements include approval of improvement
plans, applicant shall furnish proof of said approvals prior to obtaining City
approval of the plans.
PAPC
Reso & COATC-CoaSDP-716-1STCOMMBANK.wpd
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
The applicant shall comply with applicable provisions of the City's NPDES
stormwater discharge permit. For projects requiring project -specific NPDES
construction permits, the applicant shall submit a copy of the CWQCB
acknowledgment of the applicant's Notice of Intent prior to issuance of a grading
or site construction permit. The applicant shall ensure that the required Storm
Water Pollution Protection Plan is available for inspection at the project site.
4. Permits issued under this approval shall be subject to the provisions of the
Infrastructure Fee Program and Development Impact Fee program in effect at the
time of issuance of building permit(s).
PROPERTY RIGHTS
5. Prior to issuance of any permit(s), the applicant shall acquire or confer easements
and other property rights required of this approval or otherwise necessary for
construction or proper functioning of the proposed development. Conferred
rights shall include irrevocable offers to dedicate or grant access easements to
the City for emergency services and for maintenance, construction, and
reconstruction of essential improvements.
6. The applicant shall furnish proof of easements or written permission, as
appropriate, from owners of any abutting properties on which grading, retaining
wall construction, permanent slopes, or other encroachments are to occur.
7. If the applicant proposes vacation or abandonment of any existing rights of way
or access easements which will diminish access rights to any properties owned
by others, the applicant shall provide approved alternate rights of way or access
easements to those properties or notarized letters of consent from the property
owners.
IMPROVEMENT PLANS
As used throughout these Conditions of Approval, professional titles such as
"engineer," "surveyor," and "architect" refer to persons currently certified or licensed
to practice their respective professions in the State of California.
8. Improvement plans shall be prepared by or under the direct supervision of
qualified engineers and landscape architects, as appropriate. Such plans shall be
submitted on an approved 24" x 36" media.
PAPC Reso & COATC-CoaSDP-716-1STCOMMBANK.wpd
F
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
9. The applicant shall submit a "Site Development Plan," prepared by a licensed civil
engineer, showing all surface improvements, complete with grading and drainage,
all ADA requirements and parking lot improvements.
10. "Site Development Plans" shall have signature blocks for Community
Development Director and the City Engineer. All other plans shall have signature
blocks for the City Engineer. Plans are not approved for construction until they
are signed.
Plans for improvements not listed above shall be in formats approved by the City
Engineer.
11. The City may maintain standard plans, details and/or construction notes for
elements of construction. For a fee established by City Resolution, the applicant
may acquire standard plans and/or detail sheets from the City.
12. When final plans are approved by the City, the applicant shall furnish accurate
AutoCad files of the complete, approved plans on storage media acceptable to
the City Engineer. The files shall utilize standard AutoCad menu items so they
may be fully retrieved into a basic AutoCad program. At the completion of
construction and prior to final acceptance of improvements, the applicant shall
update the files to reflect as -constructed conditions.
If the plans were not produced in AutoCad or a file format which can be
converted to AutoCad, the. City Engineer may accept raster -image files of the
plans.
GRADING
13. This development shall comply with Chapter 8.11 of the LQMC (Flood Hazard
Regulations). If any portion of any proposed building lot in the development is
or may be located within a flood hazard area as identified on the City's Flood
Insurance Rate Maps, the development shall be graded to ensure that all floors
and exterior fill (at the foundation) are above the level of the project (100 -year)
flood and building pads are compacted to 95% Proctor Density as required in
Title 44 of the Code of Federal Regulations, Section 65.5(a) (6). Prior to
issuance of building permits for lots which are so located, the applicant shall
furnish certifications as required by FEMA that the above conditions have been
met.
o
PAPC Reso & COATC-CoaMP-716-1STCOMMBANK.wpd
g
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
14. Prior to issuance of a grading permit, the applicant shall furnish a preliminary
geotechnical ("soils") report and an approved grading plan prepared by a qualified
engineer. The grading plan shall conform with the recommendations of the soils
report and be certified as adequate by a soils engineer or engineering geologist.
15. Slopes shall not exceed 5:1 within public rights of way and 3:1 in landscape
areas outside the right of way unless otherwise approved by the City Engineer.
16. Prior to occupation -of the project site for construction purposes, the applicant
shall submit and receive approval of a Fugitive Dust Control Plan prepared in
accordance with Chapter 6.16, LQMC. The applicant shall furnish security, in
a form acceptable to the City, in an amount sufficient to guarantee compliance
with the provisions of the permit.
17. The applicant shall maintain graded, undeveloped land to prevent wind and water
erosion of soils. The land shall be planted with interim landscaping or provided
with other erosion control measures approved by the Community Development
and Public Works Departments.
18. A.Prior to issuance of building permit(s), the applicant shall provide building pad
certifications stamped and signed by qualified engineers or surveyors.. For each
pad, the certification shall list the approved elevation, the actual elevation, the
difference between the two, if any, and pad compaction. The data shall be
organized by lot number and listed cumulatively if submitted at different times.
DRAINAGE
19. The applicant shall comply with the provisions of Engineering Bulletin No. 97.03
and the following:
A. Stormwater falling on site during the peak 24-hour period of a 100 -year
storm (the design storm) shall be retained within the development, or unless
otherwise approved by the City Engineer. The tributary drainage area shall
extend to the centerline of adjacent public streets.:
UTILITIES
20. The applicant shall obtain the approval of the City Engineer for the location of all
utility lines within the right. of way and all above -ground utility structures
including, but not limited to, traffic signal cabinets, electrical vaults, water
valves, and telephone stands, to ensure optimum placement for practical and
aesthetic purposes.
PAPC Reso & COATC-CoaSDP-716-1 STCOMMBANK.wod
A
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
21. Utilities shall be installed prior to overlying hardscape. For installation of utilities
in existing, improved streets, the applicant shall comply with trench restoration
requirements maintained or required by the City Engineer. The applicant shall
provide certified reports of trench compaction for approval of the City Engineer.
STREET AND TRAFFIC IMPROVEMENTS
22. The applicant may be required to extend improvements beyond development
boundaries to ensure they safely integrate with existing improvements (e.g.,
grading; traffic control devices and transitions in alignment, elevation.. or
dimensions of streets and sidewalks).
23. Improvements shall include appurtenances such as traffic control signs, markings
and other devices.
24. Improvements shall be designed and constructed in accordance with the LQMC,
adopted standards, supplemental drawings and specifications, and as approved
by the City Engineer. Improvement plans for streets, access gates and parking
areas shall be stamped and signed by qualified engineers.
25. The applicant shall submit current mix designs (less. than two years old at the
time of construction) for base, asphalt concrete and Portland cement concrete.
The submittal shall include test results for all specimens used in the mix design
procedure. For mix designs over six months old, the submittal shall include
recent (less than six months. old at the time of construction) aggregate gradation
test results confirming that design gradations can be achieved in current
production. The applicant shall not schedule construction operations until mix
designs are approved.
26. The City will conduct final inspections only when the buildings have improved
streets, and (if required), sidewalk access to publicly -maintained streets. The
improvements shall include required traffic control devices, pavement markings
and street name signs. If on-site streets are initially constructed with partial
pavement thickness, the applicant shall complete the pavement prior to final
inspections.
LANDSCAPING
27. The applicant shall provide landscaping in required setbacks, retention basins,
common lots, and park areas.
PAPC Reso & COATC-CoaSDP-716-1 STCOMMBANK:wpd
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
28. Landscape and irrigation plans for landscaped lots and setbacks, medians,
retention basins, and parks shall be signed and stamped by a licensed landscape
architect.
The applicant shall submit plans for approval by the Community Development
Department prior to plan checking by the Public Works Department. When plan
checking is complete, the applicant shall obtain the signatures of CVWD and the
Riverside County Agricultural Commissioner prior to submitting for signature by
the City Engineer. Plans are not approved for construction until signed by the
City Engineer.
29. Landscape areas shall have permanent irrigation improvements meeting the
requirements of the City Engineer. Use of lawn shall be minimized with no lawn
or spray irrigation within 18 inches of curbs along public streets.
QUALITY ASSURANCE
30. The applicant shall employ construction quality -assurance measures which meet
the approval of the City Engineer.
31. The applicant shall employ or retain qualified civil engineers, geotechnical
.engineers, surveyors, or other appropriate professionals to provide sufficient
construction supervision to be able to furnish and sign accurate record drawings.
32. The applicant shall arrange and bear the cost of measurement, sampling and
testing procedures not included in the City's inspection program but required by
the City as evidence that construction materials and methods comply with plans,
specifications and applicable regulations.
33. Upon completion of construction, the applicant shall furnish the City reproducible
record drawings of all improvement plans which were signed by the City. Each
sheet shall be clearly marked "Record Drawings," "As -Built" or "As -Constructed"
and shall be stamped and signed by the engineer or surveyor certifying to the
accuracy of the drawings. The applicant shall revise the CAD or raster -image
files previously submitted to the City to reflect as -constructed conditions.
1
PAPC Reso & COATC-CoaSDP-716-1 STCOMMBANK.wpd
1
PLANNING COMMISSION RESOLUTION 2001 -
CONDITIONS OF APPROVAL - APPROVED
SITE DEVELOPMENT PERMIT 2001-716
FIRST COMMUNITY BANK
NOVEMBER 13, 2001
MAINTENANCE
34. The applicant shall make provisions for continuous, perpetual maintenance of all
on-site improvements, perimeter landscaping, access drives, and sidewalks. The
applicant shall maintain required public improvements until expressly released
from this responsibility by the appropriate public agency.
FEES AND DEPOSITS
35. The applicant shall pay the City's established fees for plan checking and
construction inspection. Fee amounts shall be those in effect when the applicant
makes application for plan checking and permits.
MISCELLANEOUS
36. The City Engineer is given the authority to remove conditionsthat are
unwarranted.
PAPC Reso & COATC-CoaMP-716-1 STCOMMBANK.wpd
r'.'r
111111111111111111111111140
IE
County of Riverside Health Services Agency
Department of Environmental Health
4080 Lemon Street, 2nd Floor
P.O. Box 1206
Riverside, CA 92502
4
ATTN: Land Use Section
P
i4l,
1. Certification of Existing Subsurface Sewage Disposal System. Date ofInspection: /a� -'/o " G/
Julian F. and An= F-. en,-17MUL,
$Ca • // / !a v E .ate is Quiata, Ca. of the Baden Revocable Tmat dated
(Property Address) ' ggi@ 5XQ 6 Med-=I- 23, 1999
(Legal Descrlptlon antl
FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT r
OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL.
2.
`Y3.
4.
5.
Show design and location (11 - 201, maximum scale) of the sewage disposal system in relation to attached dwellings,
structures, wells, etc. on required plot plan (see Item 11 of memo RE: Existing Subsurface Sewage Disposal).
a. I examined the existing subsurface sewage disposal system at the above location on (date) " /o -'a/
date and determined that the septic tank capacity ismgallons and that there is sq. ft.
of leachline bottom area. There are -3 bedrooms in the dwelling.
b. There are -490"' leachline(s), each -%*- ft. long.
c. There are seepage pit(s), each 1-5in diameter, /4 ft. deep.
d. The leachbed is -+�" ft. by -Q-' ft., total sq. ft. "a- of leachbed area.
a. Construction of septic tank (please check one of the following):
'concrete ❑ fiberglass ❑ steel
Lfother (explain):
b. Internal dimensions of septic (length__ 47 ft., width �% depth tp ft.)
c. -Condition of tank (please answer yes or no for each question):
Yes No
Inlet Tee''present?' ;W ❑
outlet Tee Present? 9 ❑
Two compartments? M ❑
Tank structure deteriorated?* ❑
*If yes, briefly explain and indicate appropriate correction suggested:
d. Condition of D -Box (if needed) Level ❑ Yes ❑ No replaced ❑ Yes ❑ No
full of septic effluent ❑ Yes ❑ No
I
a. While pumping the tank, did effluent flow back into tank from the absorption system? ❑ Yes XNo
b. Prior to pumping, was the liquid level in the tank above the outlet tee? ❑ Yes I[No
c. Was the area around the lids oxidized? ❑ Yes .W No
d. Is design of system gravity feed? VYes ❑ No
e. Were well(s) observed on this or adjacent property? ❑ Yes EV'No
' If yes, indicate distance of well from: Septic Tanl
Leachlines
Seepage P
f. Distance from springs, lakes Septic Tanl
and natural drainage courses: Leachlines
(circle appropriate item) Seepage P
ft.
ft.
ft.
g. Sewer is within 200 ft. of system and abuts property line
ADDITIONAL COMMENTS:
+ , '—
h. How long has dwelling been vacant? (if applicable) ? months weeks 7 N/A ❑
6. It is my opinion that the system appears to be in good working order and can be expected to function properly with
proper maintenance. ;p Yes (J No
If there are any further questions, feel free to contact the undersigned at:
3 6 o - '7 41
Telephone Number
under penalty of
"QLAA a XZk2 G
r Signature
t� UI S Gt1.
Print N me'
a 41'se-
Address
!rjury that the foregoing is true and correct:
C-42 State License Number
/A "I
A 6t iA4 � �u W 1. d f ry y` «.L N C;..
br?��. X4,1 G',4616
Expiration Date
Name of Pumper Company and Receipt Number/Name o$'Company Holding C-42 License
Address
Date
DEH -SAN -184 (Rev 12/97) DISTRIBUTION: WHITE—Office; PINK—Contractor; YELLOW—Applicant
COUNTY OF [1IVERSIDE COMMUNITY HEALTH AGENCY ASSESSOR'S PARCEL NUMBER
1-7 -7
DEPARTMENT OF ENVIRONMENTAL HEALTH Z — 3 00
i'
APPLICATION FOR WASTE WATER DISPOSAL APPROVAL
APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' 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 Riverside. Approval of this
application shall remain valid for a period not to exceed one year from date of payment.
LMS #
Agent, Contractor, Contact Person
Address City State Zip
Telephone
L-Ws.G 13V;Hts3
W &joF1zejW16 1411r A%_1tr Gq qZXO
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Owner
Address City State Zip
Telephone
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0AVE*1 PplicWr
41,415 0.4 CtWwoo LA qvo '4511-40
Z
Job Property Address
�fi 1
City
j„A QUINT N A!�A2'ZS3
Zip
U
Lot Size
Water Agency/Well
Use of Permit, P/P, SUP, PUP, etc.
Legal Description
DBA
W
Dwelling, MH Site Prep., etc.
44
Signature -,of Applicant
Date
I 'lobi
'r/i,4,4&i-r
M f
/ u FOR OFFICE
USE ONLY
CHECK BOX IF REQUIRED
If any box is checked, this application shall be considered rejected until the
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
information is provided and the fee paid. Resubmittals later than 90 days
after date noted below may require repayment of fees.
❑ Other
❑ Staff Specialist Lot Inspection Required
m
❑ Holding Tank Agreements Completed
Z
❑ Certification of Existing S.D. System Required
Thomas Bros. Page Grid
f—
W❑
WQCB Clearance Required
❑ Date Lot Inspection Completed: Initials
U)
(Attach for DOH -SAN -007, Santa Ana Region Only)
Remarks:
❑ Soils Percolation Report Required
❑ Maintenance Booklet Provided
❑ Special Feasibility Boring Report Required
❑ Final Inspection by Department of Environmental Health is required.
❑ Rereview Required Initials Date
Please call 24 hours PRIOR to inspection.
C/42 / Soils Percolation Boring Report By f "`t r C Lic/Project # Date
Soils Map Page Soil Type Approved By Date
No. of Systems
Type of System(s)
No. Dwelling Units 1'7 il
(1) Septic Tank
Soil Rate
Grease/Sand
Ll Holding Tank ❑ Replacement
Bedrooms, Fixture Units 5
A
r^ 4
Grease Intcp/Lint Trap
Q.New ❑ Addition
��•X•(jN S
MSI
%QV
7
Existing El Connect to Sewer
/r-�'�
Gal.
1
Gal.
Sq. Ft.
Total Linear
Sidewall Allowance
Leach Bed sq. ft.
Bottom Area
Ft.
ft. rock/ sq. ft. running ft.
Install Line(s) ft. long ft. wide
of Bottom Area
Inlet Tested Depth ❑ N/A
with min. inches rock below drainlines
U
Proposed Bottom Tested Depth
or
Z
Leach lines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (61)
Seepage Pit
Maximum
Other:
O
Applicable
%
Total Depth
Allowable
H
WN/A
Overburden Factor
❑ 5' 0'6'
I'
11% f
TD
Depth
C/)
Well Review Approved: Date: Well Drilling Permit#
SIGNATURE
Grading Plan Approved: Date:
SIGNATURE
`
Plan Check Only Approved: Date: �J
REMARKS: l -U n U CYS/OI"�✓�I I%�p/r7
�� �+--.. �r/ri'�r� 471, f l ����
is u s r s��► �'-`,.��
1
�� �Yve % ,Ve �,� r.� �-� S / O,0►l S ►-Ile V%4 014.
--ra
This application is APPROVED/DENIED for the category checked in
SECTION B above, regarding the design of a disposal system as indicated
on the accompanied plot plan using the requirements set forth in SECTION
O
C above. A building permit is necessary for the installation of the above-
Revenue Code "7 Fee $ (.
designed system. No construction is permitted in the required reserved
100% expansion area.
/� t
Check #
r^
(1) Septic Tank must be 100' minimum from any wells.
Leach lines be 100' from including
f �
Date �•T'
Z
(2) must minimum any wells, expansion
Initial \u,_
O
area.
Q r/i ;t
� .3�——
Q
(~j
(3) Sewer lines must be 50' minimum from any wells.
X09 —•
W
en
(4)Seepage pits must be 150' minimum from any wells, including expansion
RIVERSIDE: 909-955-8980
,urea.
•
INDIO: 760-863-7000
���^����%�t
SOUTHWEST: 909-600-6180
Signature /
Date
DEH -SAN -122 (Rev 8/01) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROD—Plans/Records
EXIST P.P.
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aide . slope Z% t
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TFIFONAREA
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r e H S E R V I C S A'[�:._:
f t\DEPARTMENT OF ENV RONMENTAL HEALTH
1
I Fodd Sewage Disposal
Trailpr Park — — ^ 0 Gal. Septic Tank
—Motet Apt., Hotel/ I Sq: Ft.,of Leach Line
Dwelh / )-o F No. Dia 1�j E31 TD Vii; �.
PLCommercuilding Mpyo Connection to Sewer
Swimming PoolConnect to Existing.S.S.D.S.
Qfte regenerating water softening devices may be discharged into the individual Sewage
herewith approved w0out clearance from the Water Quality Control Board.,
supply serving this installation must be from an approved source
cage al installation must conform with requirements of cu►rerd Uniform Plumbing C,,.•
% grading or filling in excess of two(2) feet will nullify sewage disposal approval:
ralfil9as been obtained from the Regional Water Quality Control Board for installation of the , •-' �
al system.
irwy that ' ' lth Services approves the subsurface sewage
it plan to obj�t.1s6i permltifof iat allauon, construction.
BY
� per• .
---1l�_ -- AREA r _DEPARTMENT OF PO LIC H
4P. RE1�J ON T IS VALID -FOR ONE (i) YEAR
%``- -- - - -1-- -1.: - 1 F PON1 DATE OF APPROVAL
p is tank and sewer lines must be SO it
from any wells, includir6a expansion ereas.
Imes roust be: 100 ft. minimum and
eqpqp pfts must be 150 f?. mi nimurra''€r
MAINTAON. 105-01a E A. MIN.
WIN 10. FROM, A. iY I-- E REE OR WA N.%�9 A6�1°�}W'n
A VENUE 52
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ORIl�4
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Monument Sign
— — -- —
REN
C New Lawn —
— — — —
T
ry_ �
� - Annual Flowers
Existing IOOOg septic tank
and seepage pit
nl
z
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a-
EXIST. EO OE OF PAVEMENT .
e
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TFIFONAREA
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I I
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r e H S E R V I C S A'[�:._:
f t\DEPARTMENT OF ENV RONMENTAL HEALTH
1
I Fodd Sewage Disposal
Trailpr Park — — ^ 0 Gal. Septic Tank
—Motet Apt., Hotel/ I Sq: Ft.,of Leach Line
Dwelh / )-o F No. Dia 1�j E31 TD Vii; �.
PLCommercuilding Mpyo Connection to Sewer
Swimming PoolConnect to Existing.S.S.D.S.
Qfte regenerating water softening devices may be discharged into the individual Sewage
herewith approved w0out clearance from the Water Quality Control Board.,
supply serving this installation must be from an approved source
cage al installation must conform with requirements of cu►rerd Uniform Plumbing C,,.•
% grading or filling in excess of two(2) feet will nullify sewage disposal approval:
ralfil9as been obtained from the Regional Water Quality Control Board for installation of the , •-' �
al system.
irwy that ' ' lth Services approves the subsurface sewage
it plan to obj�t.1s6i permltifof iat allauon, construction.
BY
� per• .
---1l�_ -- AREA r _DEPARTMENT OF PO LIC H
4P. RE1�J ON T IS VALID -FOR ONE (i) YEAR
%``- -- - - -1-- -1.: - 1 F PON1 DATE OF APPROVAL
p is tank and sewer lines must be SO it
from any wells, includir6a expansion ereas.
Imes roust be: 100 ft. minimum and
eqpqp pfts must be 150 f?. mi nimurra''€r
MAINTAON. 105-01a E A. MIN.
WIN 10. FROM, A. iY I-- E REE OR WA N.%�9 A6�1°�}W'n
A VENUE 52
.Wa
IIIIIIIIVIIIIIIVIIIIIII
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City of La Quinta
Developers Project Approval Form
U) s.
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: Commercial Remodel - Re-classification of existing R-3 to temporary bank
facility for 18 months pending construction of new bank facility
80-111 Avenue 52
Applicant Contact: Lew Bishop, (760) 340-0604
Application / Circulation Date:
ommunity
Department
Christine di Iorio, Planning Manager
Public Works Department
Date
Date
Steve Speer, en or Engineer at
L I' Fv iZ B4%_ P 15 R M IT O VT A/,o Coif 6 AQP L P A R k ING L di / M PROIhS N� FITS ARE
C=S* N rR v(:WD
Building and Safety
utler, Building & Safety Manager
Fits; Colt,^w�
Din # ScC r -CL -De -'p—
3D
•
City of La Quetta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0 I
n
Project Address: 8o I ( A Vrz '5�rL-
Owner's Ntme: x —JA t3ft0 `1J ii i 4g t
A. P. Number:
Address: K
Legal Description:
City, ST, Zip: K
Contractor: -T
x
hone:XX
Telephone:
Address: -ris
Project Description: eV6YA'nco A �g{q�j� Q� , �
City. ST, Zip: .�2 /
��S GH �et'Z
' I Ct' 7° t'!'i91N{� leu 3 @ 161 c 4L Aridw r L)
/aTCIG > L'K rl M Cf- - G-VAW 1b IL
TelP
e hone: x O-Z
...............................................
Cl/A- f C L"tv M't K l uCs'
AN fJ
//A -(a- FtiYI
GO P �S
ccs. F-
r State Lic. # : X, Z z City Lic. #: �
Arch., Engr., Designer: �(Kts IFL51ii'a1° �yj���,P°
GC."Oeyl t�iliS"1"►NG rLoa^� ldfCLs �jq�
I MV bws 0
1W lme- IFY t� s u�- ,-OpWlfW I IJ 4e6E1V fA To
u� t.l' v IiL0
Address: +5
to eVISt-1NCr- QMYLAcr+ Y »v1. e tr*+t N , #Pew 4a
h^ Pn K elAeZ . C C . < CW Nt Ori tJ Ca- t�tW C ✓� S` .
City, ST, Zip: AM ivrLs'�lL�' t�?iiE��
is ►+�
Telephone: hone• Ib 3 -0
Construction on T YP e: Occupancy:
State Lic. #: G - 6
Project ct e (circle rcle one): w
Ne Add' n Alter
J tY � Re ai
P ) r Demo
P
Name of Contact Person:
Sq. Ft.: 13 "S
# Stories:
# Units: 1
Telephone # of Contact Person: 7C SG-�O - p (o0 4r
Estimated Value of Project: x 156
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
�t/3o Item
Amount
Structural Calcs.
Reviewed, ready for corrections
,V-7Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction •
Flood plain plan
Plans resubmitted
lechanical •
Grading plan
2"d Review, readv for correctio
ctrical •
Subcontactor List
Called Contact Person
?i 2 umbing •
Grant Deed
Plans picked up
S.M.I. •
H.O.A. Approval
Plans resubmitted
Grading •
IN HOUSE:-
"d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
NtltsS'�jrq'ta� •
School Fees
10M -
Total Permit Fees
City,of LaQuinta' IE 42
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: Conversion and renovation of single family dwelling to temporary
Commercial Bank
80-111 Avenue 52
First Community Bank
Applicant Contact: Lew Bishop (760) 340-0604
Application / Circulation Date:
Community Development Department
Christine di Iorio, Planning Manager
Public Works Department
Steve Speer, Senior Engineer
Building and Safety Department
Greg Butler, Building & Safety Manager
Ed Randall
Building &Safety
12/5/2001er
Date
Date
Date
Date
Certificate of. Occupancy
City of LaQuinta
Building and Safety. Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following;
BUILDING ADDRESS:
80-111 AVENUE 52
Use Classification: FROM R-3 TO TEMPORARY BANK FACILITY
Occupancy Group: B
Type of Construction: V -N
Bldg. Permit No.: 0112-041
Land Use Zone: NEIGHBORHOOD
. COMMERCIAL
Owner of Building: JAY BADEN (BADEN FAMILY Address: 80-111 AVENUE 52
TRUST)
Building Official
City: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 2-21-2002
LICENSED CONTRACTOR DECLARATION
PIM CIECK SLEMM.
READY FOR COMECrM
CALLED OWNER...a...
PLANS PICKED UP,„
PLANS RESUBMITTED.-.-.
REVIEWED, READY TO ISSL
CALLED OWNER .................
DATE ISSUED ......................
BUILP"' PERMIT #
IIS
DATE VALUX
r.
-
SITEIS
'ESS 80-111.1
IE
......E.
....
............
1216
............
BUILP"' PERMIT #
DATE VALUX
-
SITEIS
'ESS 80-111.1
1216
Ael-7
J��J/
91
1
ote—
(2-
CA o t
43 City of La. Quinta
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: Conversion and renovation of single family dwelling to temporary
Commercial Bank
80-111 Avenue 52
First Community Bank
Applicant Contact: Lew Bishop (760) 340-0604
Application / Circulation Date:
Community Developmen.t Department
di j.6rio, Planning Manager
Works Department
Steve Speer, Senior Engineer
Building and Safety Department
12/5/200ler
Date
Date
Date
Greg Butler, Building & Safety Manager Date
Ed Randall
Building &Safety
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 80 + i '5(7,
Owner's Name: )(JA�/13At)EVJ
A. P. Number:
Address: X
Legal Description:
City, ST, Zip: X
Contractor: X liN j{1T CTelephone:
Address:ZjS Q p -r
Project Description: ewdyp ncN �j j� d es
City. ST, Zip: IV�TS C�}" ~ �/Z�' Z
�$ 1 « "ID K� - NeIV 1 R t WE 4 L (}T.,tW ( U
��G ^ 'e"�] L ' t Cr- - G�/IMib iL 2
Telephone: hone:
P x n
f� �S
t1 rw ; ' A -rt r` uG--
t
c r c Art
ti
t? 4? rte-- `AS
M
�.
i...l i I .C.'O; C
C c u a
State Lic. # : X, ��6 City Lic. #:
Arch., Engr.. Designer. (p�t5 �C� i A qtr Y°
('a
WG �. ow S rravt CS
I,�cu, �-'w-r 'Mrz - WL Pe c* I N r(' -A-M r Q -, MM IT
Hw tuF S u W I t/(- vt GLA v fee
Address: ®1 �C (�
I"1 53415 C�- Es c-- �� titin c t u u 4e
�^ A -r tJ petT-% is 4 ecu cT, r� S,1.
City, ST, Zip: IYt.ht Pa' � vim• J
Telephone: 1b D3a
Construction on TY P e: Occu ancv: Q
P
State Lic. #: 6
Pr o ect � e circle on .v
e N e Add' n Alter Re air Demo
1 h P ( ) o
P
Name of Contact Person: x
Sq. Ft.: 135
#Stories: (
# Units:
Telephone # of Contact Person: '&fO -Q (on
Estimated Value of Project: x 5Z �--
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
IIIIIII VIII III VIII IIII 33
IE
gav OF bA QUINTA
BUILDING & SA DEPARTMENT
�(j�� 7 12
JAN i� P 1O QUEST LINE
;—C eAai wnwa�.�. -T 53
Owner Yt �Y Ll \ 1 111111L 1 1 1\ V IJ 1
Contractor LION HEART CONSTRUCTION INC
Permit Number 0112-041
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-111 AVENUE 52
COMMERCIAL REMODEL/RE-CLASSIFICATION OF
EXISTING R-3 TO TEMPORARY BANK FACILITY (B
OCCUPANCY) FOR 18 MONTHS PENDING
CONSTRUCTION OF NEW BANK FACILITY.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK '- o
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING - 0 Z
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB - --C-E-7G
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC�—
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
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 Z5 -2-
EXTERIOR
EXTERIOR LATH -
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE AP!'RF fvp&_ I� 7
TURN ON UTILITIES OR OCCUPY BUILDING
Z Z�"0 Z
4a�
.
1�
PUBLIC WORKS / ENGINEERING
1982
'
ROY F. STEPHENSON, P.E.-
'
INTERIM PUBLIC WORKS
DIRECTOR / CITY ENGINEER
P.O. BOX 1504
Direct (760) 777-7042
78-495 CALLE TAMPICO
Office (760) 777-7075
QUINTA, CA 92253-1504
— Fax (760) 777-7155
RIVERSIDE COUNTY FIRE DEPARTMENT
FIRE PROTECTION
JOB CARD
THIS INSPECTION RECORD MUST BE
AT JOB SITE WITH AN APPROVED
SET OF PLANS
Owner fW e fj Date
Location 6* �l� �yf S� , �� Cur,>•�
Case No. 0/(2 - 0 V/
Sprinkler Company
Underground Static Date
(200. PSI For 2 Hrs. Prior to Inspection Tim(
(Center Load Pipe Only, Joints and Thryst i
Underground Flush / Date
Overhead Static Date
(200 PSI For �f1rs. Prior to Inspection Time)
Overhead Final Date
Fire Main Installer
/ Inspector
Must Be Exposed).
Inspector
Inspector
Inspector
Underground Static / Date Inspector
(200 PSI For 2 Hrs. Prior to -Inspection Time)
(Center Load Pipe ly, Joints and Thrust Blocks Must Be Exposed).
Flush Date Inspector
Extinguishing System Installer
Date Inspector
Fire Alarm Installer
aminal Date Inspector
Tank Installer
�Fnal Date Inspector
FINAL for OCCUPANCY
nspector
Date
DO NOT OCCUPY THIS STRUCTURE UNTIL
AFTER FINAL INSPECTION.
264-159 (Rev 10/97)
----- — -- ---- __ j
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