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PLBG (07-2790)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002790 Property Address: 51066 AVENIDA MENDOZA A APN: 773-075-003-8 -000000- Application description: PLUMBING Property Zoning: - VILLAGE COMMERCIAL Application valuation: 3500 T,it!t 4 4 Q" - - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HILL FAMILY TRUST 51066 AVENIDA MENDOZA LA QUINTA, CA 92253 I VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/07 ToC;�Ql 9 zoos D A.3 --------------------------7-------------------------------7-------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C21 C42 License Na.: 482180 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is' 11 s1 /� q issued. Date:/D � Contractor:�� / / C' �l (� �i [_ 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 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuiy that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).: 1 _ 1 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). - 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - Lender's Name: Lender's Address: LQPERM[T insurance carrier and policy number are: Carrier CALIFORNIA INS Policy Number 460093580103 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 provisions of Section 3700 of the Labor �Code, aI shall forthwith comply with those provisions. l APPlicant: L/Date: " f,e-Dru? WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. )1 R Dater i, ture (Applicant or Agent): c f �R �C))'�� ,. . Contractor: Applicant: Architect or Engineer: ALMS UNDERGROUN ^ / 38703 VISTA DRI CATHEDRAL CITY, (760)324-1911 ✓4� Lic. No.: 48218 I VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/07 ToC;�Ql 9 zoos D A.3 --------------------------7-------------------------------7-------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C21 C42 License Na.: 482180 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is' 11 s1 /� q issued. Date:/D � Contractor:�� / / C' �l (� �i [_ 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 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuiy that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).: 1 _ 1 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). - 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - Lender's Name: Lender's Address: LQPERM[T insurance carrier and policy number are: Carrier CALIFORNIA INS Policy Number 460093580103 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 provisions of Section 3700 of the Labor �Code, aI shall forthwith comply with those provisions. l APPlicant: L/Date: " f,e-Dru? WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. )1 R Dater i, ture (Applicant or Agent): c f �R �C))'�� ,. . Application Number . . 07-00002790 Permit . . . PLUMBING SEWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3500 Expiration Date 4/16/08 Qty Unit Charge Per Extension BASE .FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ------------------------°---------------------------------------------------- Special Notes and Comments SEPTIC ABANDONMENT / SEWER HOOK UP Fee summary Charged ---------=----------------- Paid ---------- Credited -=------------------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERMIT Bin # 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 Per # Project Address: Owner's Name: US' A. P. Number: Address: Legal Description: Contractor: uti de ig G go &AO r? City, ST, Zip: Telephone: Address: F �— Project Description: City, ST, Zip: e .- ? 14 Telephone: 3 t State Lic. # : �. 1 �. City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: "' Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'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 Energy 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 LIC. #661018 POST OFFICE BOX 2448 CATHEDRAL CITY, CA 92235-2448 (760) 360-7448 • (760) 321-7448 Time -In 9 _ r ' j.1 "} Date in 1.13 lo -7 Tune -out 'f Q 7s r`% Ordered by 1 Bill ToCust. t (A A t tin C' < e, Order # Address Ph. # City`D Mechanic. Job Name and Location -9—/-- i 'J ! ! / �. . 1 n %lit (i• •L Helper Description of Work tt 1 Amnt. Pumped Gal ❑ Septic Tank ❑ Seepage Pit ❑ Cesspool ❑ Grease Trap ❑ Other ❑ System is Failing ❑ System Passes Inspection ❑ Excessive Sludge ❑ Roots Quantity . Description of Work or Material Used Price , Amount :1-- Pump & Dump Fee per 1000 gal Locating & Opening Fee(per hour Septic Inspection Out of Area Fee Fuel Surcharge Snake Line ❑ Roof Video Pipe Inspection Camera 1st hour Additional hours High Pressure Water Jet Additional Hours Labor per hour ❑ After Hours ❑ Sat. Charge ❑ Sun. Charge ' A service charge of $20 will be due on all returned checks Total 18% per year will be charged on past due accounts over 30 days Paid By Check # ❑ MasterCard/ Visa Card #. ❑ Billing Exp. Date—/—/ Next Service Due On Signature Dat Completed o? 7/ 7 M T4ilf 4 4(4j " . 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 July 27, 1990 Palm Springs Savings P. O. Box 2716 Palm Springs, CA 92263 Attention: Julian or Nigg The structure located at 51066 Avenida Mendoza in La Quinta is in a "AO" Flood Zone, according to F.E.M.A. flood map, parcel numbers 060709 0005 A. Sincerely, BUILDING AND SAFETY DEPARTMENT Tom Hartung Building and Safety Director cc: Paul Julian State Farm Insurance TH:es LTRTH001 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 t. t• r M T4ilf 4 4(4j " . 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 July 27, 1990 Palm Springs Savings P. O. Box 2716 Palm Springs, CA 92263 Attention: Julian or Nigg The structure located at 51066 Avenida Mendoza in La Quinta is in a "AO" Flood Zone, according to F.E.M.A. flood map, parcel numbers 060709 0005 A. Sincerely, BUILDING AND SAFETY DEPARTMENT Tom Hartung Building and Safety Director cc: Paul Julian State Farm Insurance TH:es LTRTH001 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 t. 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 July 10, 1990 Mr. Ed Nigg 7540 Sunny Ridge .. Highland, CA 92346 SUBJECT: PLOT PLAN 90-445 51-066 Avenida Mendoza Dear Mr. Nigg: On July 3, 1990, the La Quinta City Council accepted the report of Planning Commission action for the above project with the conditions attached. Ifyouu have any questions, please contact the undersigned. Very truly yours, JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR Glenda M. Lainis Assistant Planner GML:ccs Attachment cc: Engineering Department .Bui ld.ing 'Of ficial LTRGL.0Ud1E5JG ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 �4 CONDITIONS OF APPROVAL PLOT PLAN 90-445 - ADOPTED JUNE 26, 1990 1. Comply with the Parking Ordinance stipulation that no landscaping higher than 30 -inches shall be placed within 10 -feet of the entry driveway to the parking area. The Heavenly Bamboo located in this area shall be replace by a lower shrub. 2. The parking layout shall be shifted three feet towards the existing building allowing the minimum three feet between the front property line and the parking area as required by the Parking Ordinance. The distance between the handicap parking stall and the planter alongside the building.will then be reduced. The five foot access ramp area of the handicap parking space located alongside this two foot access strip can be combined together to'make a satisfactory access area. No curb shall therefore be placed between the handicap space and the two foot entry strip alongside the building. 3. The Applicant shall be required to install a sidewalk along the length of the property excepting for the short section to the north of the entry point into the parking lot. 4. The Fire Marshall has the following requirements. a. Install portable fire extinguishers per NFPA, Pamphlet #10, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. b. Occupancy separation will be required as per the Uniform Building Code 503. CONAPRVL.053/BJ fa. 4 P.O. BOX 1504 No. 10070 Building 3-066. AVENIDA MENDOZA 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner EDWARD MGG Mailing BUILDING: TYPE CONST. OCC: GRP. Address 12786 LAUREL LAR RD, 713-075-003 A.P. Number City I Zip Tel. VICTORVILLI? 92392 1949-6133 Legal Description Contractor Project Description OWNER BUILDER Address—HANDICAP RAMP SANS City Zip Tel.: State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City JZip 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. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following $200reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permft, to construct, alter, improve, demolish, or repair any structure, prior to its .issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars .(5500). O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and OOrlst.3f% •�' Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees. Mech. 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 or proving that he did not build or improve for the purpose of sale.) Electrical p I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propertywhobuilds or improves thereon, and who contracts for S.M,I, such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & C. for this reason Grading ,'17 Driveway Enc. I/Date owner _ -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, ora certified copy thereof. (Sec. 3800, Labor Code.) t� Policy 0 Copy is filed with the city. 0 company copy is hereby furnished. nu��55 Laz, { 0 �a, �• 2-09-25-9t, - J. 4 TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of lhp wor which this permit is issued, I shall not employ any person in any manners so as to �or�osubjectet the Workers' Compensation Laws of California ' /Date - Owner Y NOTICE TO APPLICANT. ff, after makiiij 1s Certilic$tef "Exempti ou oyld-'become ZONE: BY: subject to the workers' Compensation provisions of th Labor Code, yo usI forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) 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 car ity that I have read this application and state that the above information is correct. Issued by: Date Permit I 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 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SQ. FT. ® $ 2ND FL SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. @ CAR P. I 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 STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FOUND. REINF. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REINF. STEEL KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,.TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID a 1% c SEWAGE DISPOSAL FINAL INSP. SQ.FT.GAR ® 31ic HOUSE SEWER ROOFING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING � REMARKS: VENTILATION7///44, FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL. LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL