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MISC (9805-062)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 Date 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. ( ) 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 Policy No. (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 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 $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon tvie-mentioned property for inspection purposes. the (Owner/Agent) Date BUILDINGPERMIT PERMIT# CONTROL# DATE VALUATION LOT 991)5 62 TRACT 7646 *113198 5.00 JOB SITE 51-52A �,V> idllA t�9FIYDCI'7'd� 7ADDRESS 77XI.43-002 OWNER CONTRACTOR/DESIGNER/ENGINEER RICHARD P & LESLE J VVENZE.L c- AWNER / BUILDER 51520 AWN10—A kslE?NDOZA LA QUTNTA CA t 2253 C$L# USE OF PERMIT diS!` &PEn SPECIAL WSPI CTTON - OBSFAVE COiraSTRi V-1-1 TON OF :i'! t'M REMODEL AT GAVAGE. PROVIDF Wb21T'I` N NOTICE: CORM"—IONS � REOW11FID TO 13RINQ STRUCTURF. TO CODE. MAII W12 11 IiY OF LA QUINTP S-(RUCTIO EYVIMATED COM'OF CONN dl.1 3 _ ri;itrMIT FEE SUMMARY SPECfAI.INSPECTION 101-000-42-VOOO $100.40 SUB2" AL CONSTRUCTION AND PLAN CRECK l�ttNl.t141 LESS Wl:.t -PAID ITES VIM; TO'i i%L PERN41T FEES DUE NOW 1 $100.00 RECEIPT DATE BY DATE FINALED INSPECTOR we 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 & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS Steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final 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 I Final Utility Notice (Perm) COMMENTS: 5/14/98 T4t!t 4 4aQ9mrw 78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 Richard P & Lesle J Wenzel 51-520 Avenida Mendoza La Quinta, CA., 92253 RE: Un -permitted remodel Dear Richard and Lesle, As requested,.a special inspection was performed for the un -permitted third car garage conversion to a bedroom. The following was observed and is required to permit your remodel. 1. Provide an "as built" plan for the remodel. 2. Add battery powered smoked detectors to the added bedroom, master,. second and third bedrooms. 3. Provide school fee exemption letter. 4. Verify type "X" 5/8" drywall at required occupancy separation between garage and bedroom. A no fee supplemental permit will be issued for the remodel when the above requirements have been completed . Li addition, un -permitted patio structures were observed on site in the sideand rear yard set backs. They have been constructed without a permit and inset back areas where such structures are not allowed. Please be.advised that these structures will be required to be removed. If you have any questions about permitting and the reconstruction of patio covers please contact me. Sinc ,ely, aniel Building Inspector I cc file 4 T. MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 9.j P.O. BOX 1504 / � No. 10436 Building Address SISRO Mendoza 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Sq. Ft. Size No. No. Dw. Stories Units Owner Alter ❑ Repair ❑ Demolition ❑ I Jeff Hines t Mailing Estimated Valuation 916.00 PERMIT BUILDING: TYPE CONST. OCC: GRP. Address 54035 Martinez Const. 25.00 Mech. Electrical A.P. Number City .10 Zip Tel. Infrastructure .La Quintd 92253 1 564-1236 Legal Description contractor I owner)Builder City State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City (Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by -any applicant for a permit s bjacts the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con• struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B.'&'P.C. for this reason Date Owner >• WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg,work for hich this permit is issued,,l shall not employ any person in any manner so as to become su apt to the Workers' Compensation Laws of California. f r Date OwnerN�_ J NOTICE TO APPLICANT: fVfter making1this Certificate - of E�emptlon you should become subject to the Workers' Compensation provision's1 o/- the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. !: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I 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 city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip roject Description 50' of 4' wood frame stucco wad. REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ L Estimated Valuation 916.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 25.00 Mech. Electrical Plumbing S.M.I. .10 Grading Driveway Enc. Infrastructure TOTAL 25.10 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES, 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET S' YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3hc HOUSE SEWER 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 APPJEOUIP. 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. ffAA ING FINAL INSP. ROOFINGREMARKS: //C • VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING L MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINRIALS GARDEN WALL FINAL v P.O. BOX 1504 No. 10339 Building 78-105 CALLE Add ess ��51-520 Mendoza LA QUINTA, CALIFORNIAORNIA 92253 Owner Jeff Hines BUILDING: TYPE CONST. OCC: GRP. Mailing Address same A.P. Number City Zip Tel. La Quinta 92253 564--1236 Legal Description Contractor Majestic Water Trends Project Description Address POOL ONLY 72446 Bob hope lir #145 City Zip Tela R.M.7771 92270 341-0950 State Lic. City & Classif. C53 560471 Lic. # 1428 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 off�the.Business and Prof esons.Code, and my license is in full force and .SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation 8000.00 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars (8500). Plan Chk. BSI. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. "� + r± Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon and who does such work himself or through his own employees, Mech. ;C4 + U U 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 Electrical S U • U U of proving that he did not build or Improve for the purpose of sale.) ❑ I; as owner of the property, am exclusively contracting with licensed contractors to torr Plumbing . C1 Strutt 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, . dU such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I a �xempt under Sec. B. & P.C. for this reason Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ,® Copy is filed with the city. 0 Certified copy is hereby furnished. 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 thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation , Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: 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 This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration it work thereunder is suspended for 180 days. I certify 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 ateMailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES N0. PLUMBDIG FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET > YARD SPKLR SYSTEM BAR SINK ROOF DRAINS I DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ic HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER 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 GC (( (/ /- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING NSPECTION FINAL INSPECTION- CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 78-105--CALLE ESTADO LA :QUIo. NTA, CALIFORNIA 92253 - (619) 564-2246 QY FAX (619) 564-5617 _ 219q November 21, 1991 - Majestic Water Trends - 42 -446 Bob Hope Drive Suite 145 Rancho Mirage, CA 92270 Dear Colleague: Subject: Setback Adjustment: 91-081 Location: -Cove 51-520 Ave. Mendoza Legal: :.-.Lot. 23 _ Blk 12 APN: 773-143-002'. This letter is to report approval of your recent application for a setback adjustment, pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations. The following setback adjustment has been approved subject to conditions and in accordance with attached Exhibit A. SETBACK ADJUSTMENT: Five foot side & rear yard setback reduced to three feet for the proposed pool and spa. FOR: Swimming Pool & Spa encroachment CONDITIONS: 1. The pool and spa shall include reinforcing and be designed per the Uniform'Building Code requirements. 2. The perimeter fence or block wall shall be five feet high' (minimum). 3. Self-closing gates shall be installed which prevent children from entering the property, etc. 4. A building permit shall be obtained. 5. GTE requires that a three inch (3 inch) PVC conduit, schedule 40 or better, be placed within the easement area. This would facilitate their assessing the area in the future, should the need to replace the. facilities arise. This conduit is to be capped off within five feet (5 feet) of the side property lines, and should be placed at a minimum depth of .thirty inches (30 inches).. MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 LTRGT.051/CS -1- NOV 2N, 19s1 After review it was determined that: 1. This adjustment is consistent with the intent and purpose of the zoning ordinance. 2. There are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify approval of the adjustment. These special circumstances are: a. The lot is approximately 50 -feet x 100 -feet therefore, the usable rear yard area is very _limited - to allow recreational opportunities abutting. the home (e.g. barbecue, sunbathing, etc.) and to. provide pedestrian safety between the pool and.the residence. b. The public utility companies will not be adversely affected by this action. Non -opposition approvals from the Imperial Irrigation District and General Telephone are attached. 3. This adjustment will not be detrimental to the health, safety; and general welfare of the community or be detrimental to property in the vicinity of the parcel for which the adjustment is .requested. If you have any.questions,please contact the undersigned. Very truly yours, Y &/DEVELOPMENT DIRECTOR C,xbusde1l Associate Planner GT: ccs Attachment: Exhibit A IID Approval dated November 19, 1991 GTE approval dated November 19, 1991 cc: Building & Safety Department LTRGT.051/CS -2- NOV 2 0 1991 77, L:.hJi/l�v November 19, 1991 Ms. Glenda Lainis City of La Ouinta Planning Department P.O. Box 1504 La Quinta, CA 92253 Dear Ms. Lainis: GTE California Incorporated 1500 Crafton Avenue - Box 1-18 Mentone, CA 92359 In Reply Refer -To San. Carm.VLO.No.12, M.B.18/79 APN 773-143-02 SUBJECT: EM330ACHMENT WITHIN PUBLIC UTILITY EASE -ENT, LOT 23, BLOCK 112 SANTA CARMELITA AT VALLE LA QUINTA, NO. 12, MB 18/79-80. GTE CALIFORNIA, Incorporated maintains a buried distribution facility along the rear property line at the subject location. The proposed construction of a swimming pool and associated support structures will encroach within this 5.00 foot PUBLIC UTILITY EASEMENT, as reserved by the above referenced Tract. Our company has no objections to the proposed construction, as proposed by Majestic Pools, or the subsequent encroachment. We do request, however, that a three inch (3") PVC conduit, svchedule 40 or better, be placed within the easement area. This would facilitate our accessing the area in the future, should the need to replace our facilities arise. This conduit is to be capped off within five feet (5') of the side property lines, and should be placed at a minimum depth of thirty inches (30"). Should you have any questions regarding this matter, please call me in Mentone, Area Code 714 at 794-8220. Very truly yours, MILLER Right of Way Agent cc JOSE MUVOZ R.C. 366OG CACI7NC. EXCEPTIONS AS NOTED IMTERIAL ILRT, "N DISTRICT Date- -9 APPBY PLANNING DIVISION BY DATE DATE -9z T NOV 1 1991 'JIM P-A.-NA-liG j*-PARTME4T EXHIBIT S4CASENO. 0 Building Address 5I-520 Mendoza owner Jeff dines Mailing Address— City lZip Contractor State Lic. City & Classif. I Lic. # Arcn., tngr., Designer Address Tel. CityI Zip I State Lic. # 414 QUM (V P.O. BOX 1504 No. 78-105 CALLE ESTADO e LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP.: 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 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose or sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. / B. & P.C. for this reason Date 04- r ,/ t, 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 ❑ Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip P. Number _ 771••1.A'4_ 0 Legal Description T rpt 21 1 lot -k 1 1 7 Description S - EX. r a a Sq. Ft. Size 1650 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMT DOES NOT INCIME bt= WALLS OR POOL Estimated Valuation 9273fl.4Q PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. v nvt �♦ Const. f1f1 fRs'1 Mech. C Electrical 55..159 Plumbing ` r � S.M.I. r• Grading • Driveway Enc. Infrastructure i /N 'Hifi „r Y i{dYt �. • V � / L J! (t Y TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES - r 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. FOR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN, URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM 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. SO. FT. RESID ® 11A c SEWAGE DISPOSAL d SQ.FT.GAR ® 3/.c HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK �� Q� GROUND PLUMBING�� �!/ NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �` ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ZE4Vf9 OR I A ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL `G GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$-=$ LUMBER GR. FINAL INSP. G FRAMING 2 �� ! FINAL INSP. G/ ROOFING,gAk y l� d l0f In O REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTIOq 6 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL s;� °'�'�►,� OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON SIREEI. ROOM 19 LEMEN CBENV NIS Aprk'ul alCommtrflonm RIVERSIDE,CALIFORNIA 92501_ CLEMENT eater ISIE Oheoier of WeIghis a Meomuef (714) 787.2561 Seater 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 DATE - / 3 - 90 CASE NO.—P C DEVELOPER' S NAMM ADDRESSt %deft� TELEPI fONE t Dear Developer: 0 � - 6Lg22Go After reviewing your landscaping plans, all plant material listed is not in violation of quaran Line -laws governing the Coachella Valley. if substitutions do occur and they differ fran plant material listed, this office IIUst be notified' immediately. Thank you for protecting and preserving the Coachella Valley's pest -free .envirormlent. �,;' Agr cultural CoInnissioneirs Off c� e cat Indio and Riverside Office o��aw t BUILDING & SAFETY DEPARTMENT � 9 ED RANDALL COUNTER TECHNICIAN DIRECT (760) 777:7012. P.O. BOX 1504 INSPECTIONS (760) 777-7153 78-495 CALLE TAMPICO FAX (760) 777-7011 LA OUINTA, CA 92247-1504 EMAIL: erandall@la-quinta.org i • ti : DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 9/13/90 1 Type of Permit I La uinta No. 110148 Permit #1 Owner Name Jeff Hines 10g # No. street See Below City La Quinta Zip 92253 Study Area 112 APN #i I I Tract N I Lot #i Square Footage 13155 Type of Development IrSingle Family Residence No. of units Comments _51-520 and 51-519 Ave_ MPndn7a 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 5300 in the amount of 11.58 1 X 13.155 or $ 4,984.90 have been paid to D.&U.S.D. for the property listed above and drat building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Hines Development Name on the check Telephone 773.3389 By John D. Brooks Associate Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett Signature Chacfc �e+o. 129 Collector: Attach a copy of County or City plan check application form to D!Ai icL{ cagy. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting COAStIM CO- ..'AkO WHEN RIKO DFD MAIL TO Jeffrey C.-�:flines C/o 17 blue River =Palm Detterti-, Val. 46 92260 aw ie, L;596=12 _&,.. Igo_ 1-3572 TAX STA77.MPWM TO .,,same an above SFACr AAOVF THIS LINK FOR RW'ORbV.R'S USP bM-tWP.W1ANV TIANIPPA TAX 0 48.40 --XX--..CCWAPUTFD M PML VALUN OP PROPPM CONV V20. nit Cn%OPMft ON PULL VALUE 11.1111111 UPON AND OWUMNIA"rIll 111IMA114111410 AT "ME OF SALE. -f oftletwo, m APW dabsom m taflFirm Maim CORPORATION GRANT DEED --fOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. ;DRANTFORD ASSOCIATES, Inc. California Corpewation hen -by GRANT(S) to FF*EY C. HINES$ a single man Y ng dewribed rtal property in the Z- IAA� Y Riverside state of California: and 24, Block 112, Santa Carmelita at Vale La Quints Unit �p.,-:-No. 12, as per map recorded in Book 18, Pages 79 and 80 of Maps, ;,-----i--,t,:records of Riverside County, California. *KK Co. Jdly 30,- 1990 Br iM; bated Brantford 'is 0 STATF OF . FORNIA 7' -j-, & - toum before ine. M a Notary Publk in I ate. Pamcmally ,,,f,,d n to ow in he the z=-- President, a N4i ktkmn to rm to he Secretary (If the corporation that executed 0 "W" Irmtru"Writ ' and t! I wirdled to me that arch 71'r by n , urrient purwant to its NwIt or tL.OwIluticon of it, TanqI1 It divectom -7 1 - Manic I T"rd or Printed) Wmary "k W wal for mid County and Stsar A!10rW A, SEAL M. IEIIIIIIC MIWWAL Woo a tFsas Ipw" MUM W1111 twu INN It off. (TWU Men 1W ddkid afterld Wd)