04-3336 (SFD)j .
1504
'ALLE TAMPICO
TA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 77-7-7011
INSPECTION REQUESTS (760).777-7153
y 11��rr®r�imb�er
04-_000_03336
Date 5/13/04
....
. . . 51150 CALLE QUITO
770-144-001-123 -000000-
Application- description .'DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . ...
. . .. LOW DENSITY RESIDENTIAL
Application valuation
202603
Owner
Contractor
--------------- ---------ti-
•---.--.------=----`
---
LUGO JERRY B
OWNER
79860 BOQUERON WAY
INDIO
CA 92201
------ Structure Information
NEW SFD 3133 SQ. FT.
' _----
Construction Type . .
. . . TYPE.V - NON RATED .
Occupancy Type . . .
. . . DWELLG/LODGING/CONE <=10
F1ood,Zone
. . . FLOOD ZONE AO
Other struct info . .
. . .. CODE EDITION
2001
# BEDROOMS
FIRE SPRINKLERS
NO
GARAGE SQ FTG
815.00
PATIO SQ FTG
558..00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG.
3133.00
Permit . . . . . .
BUILDING PERMIT INV FEE
Additional desc
Permit Fee
2000.00 Plan Check Fee
.00
Issue Date
°� Valuation .
. . 202603
Qty Unit Charge
6"
Per
Extension
BASE "FEE
1279. 00
103.00 7.0000
THOU BLDG 100,001=500,0.00
.721..00
-----------------------------------------------------------------------------
Permit . . . . . .
ELEC-NEW-RESIDENTIAL
Additional desc
.Permit Fee
155.96 Plan Check Fee'.
43.62
Issue Date . . . .
Valuation
0
Qty. Unit Charge
Per,
Extension
BASE FEE
15.00
3133.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
109.66
815.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
16.30
1.00 15.0000
EA ELEC TEMPORARY.POWER POLE
15.0,0
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
Architect or Engineer's Address:
66t 1AA)
Lic. No.: P-;-- S/"eL
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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 Lice is in full force and effect.
/ License Class = . ,-'---License No.
ntractorc���-ti�/�%�
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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,
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 or 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.).
U 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.).
U 1 am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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
Kof 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 and policy number are:
Cartier Policy Number
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'
compensationlaws of CalifDa►ia„and agree that, if I should becom�ybject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with tho provisi s.
WARNING: FAILURE TO SECURE WORK S' CO ENSAT OVERA1d9'1S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THO SAND LLARS 0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, IN , AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
1 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
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, indemnity and hold harmless the City of La Ouinta, 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 com 'th all city and county ordinances and state laws relating to building
construction. and hereby authorize representatives of this co enter upon Ihe. above -mention ro fly for inspection purposes.
/Date / Q 7 ignatum (Applicant or Agent):
i3 s
Page
2
Application Number .
----------------------------------------------------------------------------
. . . . 04-00003336 Date
5/13/04
Permit'
GRADING PERMIT
Additional desc ..
Permit Fee
15.00 Plan Check Fee
.00
Issue Date
Valuation
0
Qty. Unit Charge•
Per
Extension
BASE FEE
15.00
Permit . . . .
MECHANICAL
Additional desc..
Permit Fee
90.00 Plan Check Fee
22.50
Issue Date_
Valuation . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00`
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
18..00
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6..5000
EA MECH EXHAUST HOOD
6.50
•Permit . . .
PLUMBING
Additional desc
Permit Fee . . . .
223.50 Plan Check Fee
20..88
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
17.00" 6.0000
EA PLB FIXTURE
102.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
7.00 6.0000
EA PLB ROOF DRAIN
42.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3:0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB. LAWN SPRINKLER SYSTEM
9.00
10.00 7500
EA PLB.GAS PIPE >=5.
7.50
1.00 15.0000
EA PLB GAS METER
.15.00
-- - -
Special Notes and Comments'
- - - - - - - - - - -
$750 DEPOSIT.ACCOUNTED FOR BY REDUCING
BUILDING PERMIT PLAN CHECK.FEE, ENERGY
REVIEW FEE, AND PLUMBING
PERMIT PLAN
CHECK FEE BY A COMBINED TOTAL OF $750.
i
Page
3
Application Number
. . .
04-00003336 Date
5/13/04
Special Notes and
Comments
3133 SQ. FT. SFD PERMIT
DOES
NOT INCLUDE
BLOCK WALL , POOL/
SPA OR DRIVEWAY
APPROACH.INVESTIGATION FEE STARTING WORK
WITHOUT PERMIT.
-----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC,PLACES-RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
^_
DIF LIBRARIES - RES
225.00
DIF PARK MAINT.FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
20.26
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION = RES
1098.00
Fee summary'
Charged
Paid Credited
Due
Permit Fee Total
2484.46
00 C.O.,
2484.46
Plan Check Total
87.00
.00 C°0
87.00
Other Fee Total
2445.26
.00 CO
2445.26.
Grand Total
5016.72
.00 CO
5016.72
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosfwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 3,133 S.F. or $7,017.92 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed projec,: may now be issued
Fees Paid By CC/Valley Independent Bank -Jerry Lugo Check No. 30553.9
Name on the check Telephone 345-4236
Funding ResidentiAl
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon Mc rey Payment Recd $0.00
$7,017.92 OverlUnder
Signature (I
V
NOTICE: Pursuant to Govemm t Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period i i which you may protest the fees or
other payment identified above ill begin to run from the date on which the building or installation'permit for this project is Issued, or from the date on which
those amounts are paid to the istrict(s) or to another public entity authorized to collect them on the District('s),behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting.
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
10
47950 Dune Palms Road
z4�
¢ BERDADUNES r
MU
Date
5/7/04
�
La QuCA 92253
mtaf
rn RANCHO MIRAGE d
INDIAN WELLS
No.
25865
(760) 771-8515
PALM LA QUIN4�
�� TaTr,
.QINDIO
y7ti
0
Owner
Jerry Lugo
APN #
770-144-001
Address
Jurisdiction
La QLinta
City
Zip
Permit #
Tract #
Study Area
Type
Single Family Residence
No. of Units
1
Lot # No. Street
S.F. Lot # No.
Street S.F.
Unit 1
51150 Calle Quito
3133. Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosfwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 3,133 S.F. or $7,017.92 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed projec,: may now be issued
Fees Paid By CC/Valley Independent Bank -Jerry Lugo Check No. 30553.9
Name on the check Telephone 345-4236
Funding ResidentiAl
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon Mc rey Payment Recd $0.00
$7,017.92 OverlUnder
Signature (I
V
NOTICE: Pursuant to Govemm t Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period i i which you may protest the fees or
other payment identified above ill begin to run from the date on which the building or installation'permit for this project is Issued, or from the date on which
those amounts are paid to the istrict(s) or to another public entity authorized to collect them on the District('s),behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting.
RF�,OrO!Rlr, RFOUESTFD BY
F1D _i i Y it:)i�i •l.. i i i L.F: I''I :r'; -,.i 'CE CO:
INI.ANO EMPIRE DIVISION
RECORDING REQUESTED BY
DiXjr �+s ow
AND WHEN RECORDED MAIL TO:
Jerry B. Lugo
Isabel B. Lugo
79-860 Boqueron Way -
Bermuda Dunes, CA 92201
A.P.N.: 770-144-001-4 TRA #: O-Z.00(f0
DOC 89 2003-228296
04/01/2003 08:00A Fee:30.00
Page 1 of 2
Recorded in Official Records
County of Riverside
Gary L. Orso
Assessor, County Clerk 8 Recorder
111111111111111111111111111111111111111111111111111111
M S U PAGE SIZE un
l
1
A R L COPY LONG REFUND NCHG EA M
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 1_CA' eJe J �(
X ] computed on full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale, 60-4\L� ("r`�`
fes, unincorporated area; [ ] City of La Quinta , and
j9 FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
9 Roy Cook, L J
hereby GRANT(S).to Jerry. B. Lugo and Isabel B. Lugo, Husband and Wife as Joint Tenants
M the following described property in the City of La Quinta, County of Riverside State of California;
See Exhibit "A" attached hereto and made a part hereof.
Roy
Document Date: October 23, 2002
STATE OF CALIFORNIA )SS
COUNTYOF
On 25 t -2 0 0Z. - before me, �� -'f't SCS \R f�La- -C>
personally appeared 1L0`1 C bow
(or to me on a basis of sans actory evidency to be the person whose name's
and acknowledged to me th h / ey execute the same t i her/dtcfr authorized capacity and that by
die pers6n'Kor the entity upon behalf of which the perso14acted, executed the instrument.
WITNESS my hand and official seal. ,
Signature
subscribed to the within instrument
signatur on the instrument
This area for official notarial seal.
BRIANA DESIREE ALFARO
COMM. #1376B65 0
VNOTAFtY PUBUC-0AUFORNIA —1
mSAN DIEGO COUNTY a1
My C=m e*w September 27, 2006
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
d
,
Vis
R
Order No. 33065639
EXHIBIT "ONE"
.. Unit 5 of the Desert Club Tract, as per Map thereof recorded in the Office of the
Recorder of Riverside County, at Pages 61-62 of Book 21 of Maps.
' 2003-22-8296
Hill 11111111111111111111111111111111111111111111 IN 2 of 2
FT RECORDING RFOLIFSTFn pY
'FIDEL.I1'Y NA'I'10N -U.- I't l i..l !i`.;�'. ., +.• •il;L: CO.
INLAND EMPIRE DIVISION
RECORDING REQUESTED BY
Dixie Escrow
AND WHEN RECORDED MAIL TO:
Jerry B. Lugo
Isabel B. Lugo
79-860 Boqueron Way
.Bermuda Dunes, CA 92201
DOC q 2003 ,.
04/01/2003 08:00A —228297
Pape 1 of 1Doo T Tax Pa'
d
Recorded in Official Records
County of Riverside
Gary L. Asseseor, County Clerk d
Recorder
111111111111111111111111111111311101
11111111
A.P.N.: 770-144-001-4 TRA #: o- q f (p,
MGRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $74.25
[ X ] computed on full value of property conveyed, or
[[ ]] computed on full value less value of liens or encumbrances remaining at time of sale,
unincorporated area; [ J City of La Ouinta , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
JOHAN STENBAKKEN,
hereby GRANT(S) to Jerry B. Lugo and Isabel B. Lugo, Husband and Wife as Joint Tenants
the following described property in the City of La Quinta, County of Riverside State of California;
LOT 123, Unit 5 of the Desert Club Tract, as pere Map thereof recorded in the office of the Recorder of Riverside County,
at pages 61-62 of Book 21 of
I. n- /) n n ,
J
ment Date: October 23, 2002
STATE OF CAI 11`ORNIA 1 )SS
COUNTY OF h -o S /7tj& L 65 )
On A� DO before me, ,4-,,-ky 4- ;u•S q /UO 7A—le, Ilk a I c
pcisonaily appeared 1�t}Hhl STF %3f}�if'[7N
P` n'uX tine m. -(or proved to me on the basis of satisfactory evidence) to be the person % whose name( is/ahsubscribed to the within instrument
and kno( dgedor the
a me that n t al ey executed the san(vact d, ex L authorized mens.capacityGLs) and that by his/thdir signature(/ on the instrument
the rson ld'i or the entity upon hal of which the person(' acted, executed the instrument. 7
WITNESS my and official s
Signatu '��
This area for official notarial seal.
MUY
ComrtMklon • 1391273
'�to�YAnpew canal
My Cann. E> DOC 22,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
NEEMMMMMMM
mmm
A.P.N.: 770-144-001-4 TRA #: o- q f (p,
MGRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $74.25
[ X ] computed on full value of property conveyed, or
[[ ]] computed on full value less value of liens or encumbrances remaining at time of sale,
unincorporated area; [ J City of La Ouinta , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
JOHAN STENBAKKEN,
hereby GRANT(S) to Jerry B. Lugo and Isabel B. Lugo, Husband and Wife as Joint Tenants
the following described property in the City of La Quinta, County of Riverside State of California;
LOT 123, Unit 5 of the Desert Club Tract, as pere Map thereof recorded in the office of the Recorder of Riverside County,
at pages 61-62 of Book 21 of
I. n- /) n n ,
J
ment Date: October 23, 2002
STATE OF CAI 11`ORNIA 1 )SS
COUNTY OF h -o S /7tj& L 65 )
On A� DO before me, ,4-,,-ky 4- ;u•S q /UO 7A—le, Ilk a I c
pcisonaily appeared 1�t}Hhl STF %3f}�if'[7N
P` n'uX tine m. -(or proved to me on the basis of satisfactory evidence) to be the person % whose name( is/ahsubscribed to the within instrument
and kno( dgedor the
a me that n t al ey executed the san(vact d, ex L authorized mens.capacityGLs) and that by his/thdir signature(/ on the instrument
the rson ld'i or the entity upon hal of which the person(' acted, executed the instrument. 7
WITNESS my and official s
Signatu '��
This area for official notarial seal.
MUY
ComrtMklon • 1391273
'�to�YAnpew canal
My Cann. E> DOC 22,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
F
C NAR LES D. MAR LAN O
Architecture, Interiors, Space and Land Planning
Structural Calculations
23 December 2004
The City of La Quinta
Department of Building and Safety
78.495 Calle Tampico L
La Quinta, CA 92253
Project: Single Family Residence for:
Jerry Lugo
651=1 -50 -Calle Quito ,
La Quinta, CA
Regarding: Project'Observation ,
To Whom it May Concern,
On 21 December 2004 1 visited the noted project site to perform code required structural observations. At
that time I noted only minor blocking, nailing and strapping issues that were reso.ved at the time of my
visit. Now, I hereby state that the project's structure is in substantial conformance with the. structural
- design intent, as represented in the construction documents and the project is reaJy for final framing in-
spection and wrapping. .
If you have any further questions regarding this project please do not hesitate in'con-acting me.
Sin ely,
Charles D. Garlan , . � � D.
Architect
10/31/2005
EXP DATE, •.:
74854 Velie.Way, Suite 5 o Palm Desert, CA 92260 o Phone: (760) 340-3528 ❑Facsimile: 060) 340.3728
Fitch Engineers Inca
July 14, 2004
City -of-La Quinta
78.495 Calle Tampico
La Quinta; Ca, 92253
SUBJECT: 51 150 Calle Quito, La Quinta (Lot 123)
Gentlemen: _
I hereby certify this day that the pad elevation on.
the above referred to property is established at 38.40.
The approved grading plan established the pad elevation.at
38.40.
�p..
Respectfully, Q FESS/p �q
�PRVEy
1 r*+
,WM. H. FITCH No: 12571
RCE 12571 �a►�p ,��3i�05
4L •
JJ
CIVIL ENGINEERING — PLANNING — SURVEYING — DESIGN
P.O. BOX 455 I PALM DESERT, CA 92261
ti
(760),345-7667
T-da�w : ti 4....ryya u�s �, - ��_•
V E
78-495 CALLE TAMPICO
LA QUINTA* CA 92253 MAR 0 3 2004
(760) 777-7075
APPLICATION L PLwm
FIL I I ; --: Upon Step 2 approval, original ( Des in "Flood Plain Development Permit"
PCN
Please se his -Plan uCheckNumber(PCN)
F090 on all correspondence while plans;:
REV -2 are in plan check too
II
FLOOD PLAIN DEVELOPMENT PERMIT
BUILD.ING SITE LOCATION
FLOOD Z014E "AD" - DEPTH"
COMMUNITY- PANEL NUMB E
0601709 0005'B
It
Map Reused: 8/19/1991
APPLICANT INFORMATION SECTION
APPLICANT NAME
Lei
APPLICANT
L
ADDRESS
ADDRESS, NOT THE BUILDING SITE)
C)//
It
AILING
,V)U
DAYTIME TELEPHONE NO.
INSTRUCTIONS
1
A Flood Plain Development
Permit is required by LQMC Section 8.11 .0401Ai. The Applicant should compt
to the
Applicant Information porti
n of this application and submit it to the Engineering De0artme-it along with thi
required documentation noted
hereon at the same time the Precise Grading Plan is submitted to the Bu . ildin
I and
Safety Department for plar
checking.
Documentation
21
required fo-
STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuar
e
Copy of the proposed
Precise Grading Plan for review and approval containing all Kiformation requi
ed by
the checklist shown
on the back of this application.
Documentation f
-
3i
required o
STEP, 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit apt
roval.
Note, this approval occurs
after forms for the lowest habitable floor are set and before the Building & Safe
y
Department authorizes fou
idation construction.
• Submit a completed
FEMA* "Elevation Certificate" form to the Engineering Department.
• Submit 95% relative
density soils compaction certification to the Engineering Department.
S:I[EW
Tire
1 OF 2 APPROVAL
Precise Grading Plan submitted for
his application has been
STEP 2 OF 2 APPROVAL\ -
All requirements have been satisfied. This Flood Plain
revie
ed and found to contain all data
equire d to satisfy the
Development Permit is approved.
requ
recek
rements of LQMC B.11 The propo
e a.building permit upon satisfyin
ed dwelling is eligible to
all other Building &
Sf',111i e
V Department requirements.
011�
TE
AUITI-16RIZED
SIGNATURE
AUTHORIZED SIGNATURE DATE
1 11
I QUinta
LEI
Engineering Department
La Quinta Engineering Department
FIL I I ; --: Upon Step 2 approval, original ( Des in "Flood Plain Development Permit"
PCN
Please se his -Plan uCheckNumber(PCN)
F090 on all correspondence while plans;:
REV -2 are in plan check too