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0201-221 (SFD)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 # 1. Lic. Class Exp. Date A 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: (,)t 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 fof 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 « r a _ , Signature of Owner '�x..,..,.•.,,,.,..... G,.,�,�-•,,.,,,rte ""�,„,. WORKER'S COMPENSATION DECLARATION I, hereby affirm., 'under penalty of perjury one oft 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. i (This section need not Wcompleted if the permit valuation is for $100.00 or less). O ('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 employe(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 j application. ; 1. Each person upon whose behalf this application is made & each personat 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 • J 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. '4 Si nature (Owner/Agent)? �+ f`"'% �E' aDate'� " BUILDING PERMIT PERMIT# DATE f VALUATION 1 LOT f 0201;�22.1. - TRACT q r An�V -evs.4t'V°. 23 U2 JOB SITE ` ADDRESS • CA1.a.P...1>C' ILC ILO APN 770-165—(W OWNER CONTRACTOR / DESIGNER / EN (NEER MATR VMKU C.AtTDOL f ;'C:9NUD. OwAm' mriiz.0 z " 12 Oun'ONEWA•t.41., . " CM16 USE OF PERMIT VW- PERMIT EX&S NOT I:+i'i:LWYE BWCK W..AJIJ i, P.001,, f'aR 0)RX91XA.Y APPR ACH-MA014 Fit DA -A-2, TRAC°`I' C; UNST's1tlCTIONi Al k:'3oS�°oU BF 519,00 LIP 5 FT, WOOD FTINCE 200.00 LF Q11t C *RTHIdm.i I—M.0,24 ..gy _ -yytg 4'Y�T.s?�S.AGi �3 p •�p'p�,y yEymum"Cb,i'n7.i. ' .G��:&LL0 ,} .Y7ii3'e t1eJl'Y.7..1YAt0.!`4:R ?.110 3::1T11.tJMION FM 101-000-418-000 14090.00 Pum C?:p'a c F -WE 101-000.439••318 $493.21 M;~; WICAL IME, 101.000421-000 SS3150 iil.;�:'i'!?.I�^F.t.I�� 1�3'-tdi0•�t`3-flfiCl �IifO.aa PUMPING 1'0141 00.41.9.000 00--221:1-000 rR-0p-90pt�l��jOTION YEE - RMID 101-000--24,1-000 t�5; [asl4s. a i� ii8 =.fyM�f:irw2 WC�iiR�lit-1 Anet°vv DEVELOPER IMPACT F'EE $),W;.00 PRECISF, PLAN 1 v1 „C=441 • KS SI O0 CO ='la: i9L�POS3'I' 1.01.000.439, 18 R��i3.t3o •a T AIT(`�'.i,+�3.1�'AND I)I iSt' CM $5,414.50 a e .k) 4�.&-°l�°"$T: .70115 �°fET�s<:VlaNY S!3, h'6As0 FEB 12 7��2 r CITYQFLA.aUIHTA i RECEIPT DATEg;BY e-7 DAT FIN ED INSPEC,T\ART • ' /r g _ W"'y M�.a.Sa i/ °..m epi 4Vti� F'i � -`vJ' �� G t i4. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings .f% Underground Ducts Ducts Slab Grade Return Air Steel Combustion Air Roof Deck . D Exhaust Fans O.K. to Wrap F.A.U. Framing . a?� Compressor Insulation _ p Z_ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall -Int. Lath C Final Final POOLS - SPAS BLOCKWALL APPROVALS steel 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 Water Piping �D Heater Final 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 71 Appliances Final COMMENTS: ' Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fodures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final 70 77 Utility Notice (Perm) f'a T 71 1 . Building/ - 9 7U Address �- Owner a• , -'•`' � t . ...�. t �, ;.. �`1 t'':"!"Tr�Y� _ :.' �"7?.t�'`:I�i'F�' S4' .''"a r P.O. BOX 1504 78-495 CALLE TAMPICO 0 �! L p LA QUINTA, CALIFORNIA 92253 .l"Y/✓fir- S 7',A c.ai C 4f Mailing Address City Zip Tel. /ry/� �- y ;Lb S0 epi .3 Contractor rzL 9* f Address ty jZip I Tel. State Lic.I City & Classif. Lic. # Designer Address Tel. City I Zip I 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 I hereby affirm that I am exempt from the Contractors 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) 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 subjects the applicant to a civil penalty of not more than five hundred dcllars ($500). l; 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 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 of sale.) I I I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) l I 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, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company (7 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 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. 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 AGENC`! 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 APPLICATION ONLY BUILDING: TYPE'C'^O'�NST. rO-CC. GRP. p A.P. Number / % 0 �(r..1 , �✓ 2 7 Legal Description fit' 7 l � • l mow_ r ; "� 2- [ 1 f f"roject Description �` fi /N A .2 Sq. Ft. No. / No. Dw. Size Stories Units Newp: ,Aldd ❑ Alter 0 Repair ❑ Demolition ❑ 066 OCA09 1� ilii • 2 '1 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. t' Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructureyy 1 1 S 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 0 a. r Notice: Document Cannot Be Duplicated Date 2/12/02 No. 22928 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Owner NameMain Street Capitol Corp. APN# 770-165-001 Jurisdiction La Ouinta No. 51-270 Street CALLE ILOILO City La Quinta Zip 92253 Tract # BLK 3 U2 Lot # 24 Permit # 0201-221 Log # Study Area Square Footage 1409 Type of Development Single Family Residence No. of Units 1 Comments Construction 1409 s.f. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,409 or $ 2,888.45 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By OC/ Wells Fargo & Company Issuer- Bill Brandon Telephone 760-797-7044 Name on the check By Dr.' Doris Wilson T ;, Superintendent Fee collected /exempted by Nicola Wong Payment Received $2,888.4.5 Check No. Signature INOTICE: Pursuant to Assembly Bill 3081 (CHAP 549, SPATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District(s)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Oct 15 01 11:14a Centerpointe 10; 15/01 09:52 FAX 31945.78315 RIDELTTI` ESCROW 6, RECORDING REQUESTED BY: Fidelity Nationa! Title Company Escrow No. 881585344L Vila Order No. 2662'59 When Recorded Mail Document aid Tax Statement To: Mr. Daniel J. Grimsley 12 Stonewall Irvine, CA 92620 4 626-858-2849 p,2 4 CENTERFOINTE 00011/301 5 GRANT DEED SPACE ABOVE THIS LINE FOR 9ECOR0E?'S usf The undersigned grantor(s) declare(sl Occumentary transfer tax is $38.50 [ X I computed on full value of property conveyed, or ) computed on full value less value of liens or encumbrances rs msining at time of sale, Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mary R, Brown, Trustee of The Mary 9. Brown Trust LIMA dated July 10, 1967 hereby GRANTIS) to Main Street Capital Corpowion, a California Corporation the following described real property in the City of La Quinta County of Riverside, State of California: Lot 24, Block 3, Unit 2 of The Desert Club Tract, as per Map thereof recorded in the Office of tha Recorder of Riverside County, at Page 6 of Book 20 of Maps, DATED: September 18, 20171 STATE OF CA444:G� ��` `� .D Mary -R, 3rown, Trustee of The Mary R. Brown Tru t COUNTY OF.. ,i_ � u/d/t dated July 10, 1987 . ON .�C ..�� ? / before me, _ p .sone appeared By:% t�yZ�fy,,i� _� �f Mary R. C4wr1, Tru.,tee personally kncwn.to me (or prcvea to me or. the basis of satisfoctory Evidence) to be the cerson(s) whose names) `.s13re subsc•ibed to the within instrument and acknowledged to me that he(shelthey executed the sarne in h s/her(t!Meir authorized capacity(ies), and that by his!her/tlisir signaturels) on the instrument the person(s), or the entity upon behalf of which the per.ont,$) acted, executed the instrument. -^� OrFICIAL SEA;, Witness my hand and offic a, seal. ) / �1, 1.ie Brown MAIL TAX STATEMENTS AS DIRECTED ABOVE nRGNT Mr- rr7 4 4-aakraj 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITIE LOCATION FLOOD ZONE -Aq7 - DEPTH 1 COMMUNITY= PANEL NUMBER S/060709 C) G.4 �'f' ��0% L i0 0005 B Map Revised: 8/19/1991 APPLICANT INFORMATION SECTION APPLICANT NAME APPLICANT ADDRESS 64AILING ADDRESS, NOT THE BUILDING smil f y �/t% �r C DAYTIME TELEPHONE NO: 760 INSTRUCTIONS 1. A Flood Plain Development Permit is required by LGMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA *Elevation Certificate' form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL The Precise Grading Pian submitted for this application has been All requirements have been satisfied. This Flood Plain _reviewed and found to contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safaty Department requirements. 37OZ- AUTHORrZf� SIGN TUBE % TE AUTHORIZED SIGN RE TE La Quinta Engineering De rtment La Quinta Engineering Department ILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant TRI, - STATE LANd SURVEYORS & CIVIL ENGINEERS 78-120 CAltE ESTAdo, SUITE 102, LA QUINTAL CALIFORNIA 92253 QL (760) 564.0271 (800) 363.6306 FAX (760) 564.0279 March 4, 2002 Mr. Raoul Martinez CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, California 92260 RE: Finish Floor Elevation Certification: 5 1-2_70_Calle-I-to-I-10 Lot 24, Block 3, Unit #2 of the Desert Club Tract Dear Raoul: This letter is to certify that a field survey was made of the existing pad in the City of La Quinta. Lot 24 of Desert Club Tract was found to have a finish floor elevation of 39.5. If you have any questions, please do not hesitate to call. Sincerely, S Ken Nussbaum J oy LS. 6298 No. 62ss tP—FCALV�-001/ r OWNER / BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ?' If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his` or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78495 Calle T co La Quinta, CA 53 (760) 777-70 FAX: (760) 7 7 701/4 R, 51c;270 C.4z,&e _�rZo//o PROPERTY ADDRESS PERMIT NUMBER(s) r. OWNER / BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ?' If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his` or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78495 Calle T co La Quinta, CA 53 (760) 777-70 FAX: (760) 7 7 701/4 R, 51c;270 C.4z,&e _�rZo//o PROPERTY ADDRESS PERMIT NUMBER(s) 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT .BUILDING SITE LOCATION FLOOD ZONE "AO" - DEPTH 1 COMMUNITY- PANEL NUMBER . A A O C,4 LL &- /�O/ `Q d ! 005 8 060709 08/1 Map Revised: 8/19/ / 1991 APPLICANT INFORMATION SECTION APPLICANT NAME / AIA(4 L APPLICANT f S TO,y c, ADDRESS (MAILING ADDRESS, NOT THE BUILDING SITE) ��/�% C A - DAYTIME TELEPHONE NO. 0 . _ 70// INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • �. Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the I:±oveldp'm'ent Permit is approved. requirertments7 LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. XuTjHOR1Z0 SIGNATURE, D TE AUTHORIZED SIGNATURE DATE La Quinta Engineering Del rtment La Quinta Engineering Department FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant -7 . F080 REv.2 7/00 t CHECKLIST FOR PRECISE GRADING PLANS IN "AO" FLOOD ZONE 1. Prepare Precise Grading Plan in accordance with Checklist for Precise Plans and the following additional items. 2. All elevations shall employ the NGVD-29 convention. 3. Show and label elevation of "Highest Adjacent Grade" next to the building footprint. This refers to the highest existing natural grade next to the proposed building prior to constructing the elevated the building pad. 4. Show and label the "Highest Existing Elevation on Lot" 5. Show and label the "Lowest Habitable Finished Floor Elevation". Note,. this elevation shall be at least ONE FOOT higher than the "Highest Adjacent Grade" elevation. 6. The following grading note shall appear on the plan: All fill material placed under the structure shall be compacted to ninety-five percent (95%) relative density. ,_40 F090A 10199 v CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS ��` � -tO Q V 1_Lc-_ %L. / Lo PERMIT NUMBER 4ao(- AAA OWNERS -.1- BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authwIlAo work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade/ Classification Contractor State Contractor's License:. Workers Compensation Insurance : Gity Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) - CONCRETE (C-8)-0mr,0*0 IC �/ 3, v / �. ya 5 �6~�C �o�-� D � L S� spa FRAMING (C-5) STRUCT. STEEL (C-5.1) MASONRY (.0-29) PLUMBING (C-36)' LATH, PLASTER (6=35) DRYWALL (C-9) HVAC (C-20) ELECTRICAL"..(C T0)` : ROOFING (C:=39) . SHEET METAL FLOORING (C 151 INSULATION (C.'-2)'::: SEWAGE;DISP IC 42) .. PAINTING 1C=33) CERAMIC TILE (C-541 CABINETS (C-61 LAN I?SCAPING (C :27) POOL (C 531: CITY OF LA QUINTA SUB -CONTRACTOR LIST� 1'0 2 JOB ADDRESS '�_I PERMIT NUMBERp,a,, j -')-2Z OWNER .'1 ,-/N �i'2 tom) C�BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in 'a stoppage of work and/or the voidance of buildina permit. For each aonlicable trade. all informatinn rPniiPRtPd hPInW mimt hp nmmnlatarl by nnnfif-ant "r -In Min" m^# .,..x,4.1.. .., Trade / Classification Contractor State Contractor's License Workers Compensation Insurance City Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalCamp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date Ixx/xx/xx) EARTHWORK (C-12) r CONCRETE (C-8) FRAMING (C-5) i STRUCT. STEEL (C-51) r MASONRY (C-29) PLUMBING (C-36) LATH, PLASTER (C-35) . �y •� Co ® aZ a b S 7.�4 T� ^�. D - Ou �, m o zS y 0 `/ 7-4 DRYWALL (C-9) HVAC (C-20) ELECTRICAL (C-10) ! ROOFING (C-39) SHEET METAL (C-43) FLOORING IC -151 f GLAZING (C-17) INSULATION 1C-21 i r SEWAGE DISP. (C-42)' PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-8) FENCING (C-13) , LANDSCAPING (C-27) r POOL (C-53) SS/� d C 11ce .ALO;'/0 CITY OF LA QUINTA SUB -CONTRACTOR :LIST JOB ADDRESS 7 19 PERMIT NUMBER 0201- 2,Z1 OWNER /�%Alnl C',/D��AI �� BUILDER ��rc ji�6h?e ow "z) This form shall be costed on the job with the Building Insbection Card at all times in a conspicuous place. Only persons appearing on this list o'r their employees are authorized to Woffir on this job. Any changes to this list must be approved by the Building Division prior'to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance or pudding permit. For each ap ncaDie traae, an information requested below must be completed by applicant: "On File" is not an acce table -res onse. Trade ! Classification Contractor State Contractor's License Workers Compensation Insurance 1—City Business UcemW Company Name Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date Ixx/xx/xx) Carrier Name le.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxxl Exp. Date (xx/xx/xx) EARTHWORK (C-12) f�.t'G0.2�5 C,ruVAf - )` / (✓ ��-' // CnioOa3' o/3/ 03 -cdc Rw0 ow/ =0a4,,�*Oa�Q3/3 OVY4% CONCRETE (C-8) �e OGII wJ FRAMING (C-5) yjte D�/I,p� STRUCT. STEEL (C-51) MASONRY 1C-29) PLUMBING (C-36) LATH, PLASTER (C-35) DRYWALL 1C-91 OluitA// HVAC IC -20) LA �j utq fi// �0/b0 T1'�Il/ G'o20 r%¢-%.3 iZ- OS,�/ Oa- o�-�wr flC a�9a-o5"97-O,� 05�95"� ELECTRICAL IC -10) ROOFING (C -39)e �GU� SHEET METAL (C-43) FLOORING (C-15) GLAZING IC -171 INSULATION (C-2) SEWAGE DISP. (C-42)— PAINTING IC -33) �o &)Aj CERAMIC TILE (C-64) ' CABINETS (C -e) . e FENCING (C-13) LANDSCAPING (C-271 aC� POOL (C-53) xain Street �c February 9, 2002 :arty of LaQuinta 78-495'Calle Tampico LaQuinta, CA 92252 Re: 51270 Calle Iloilo, LaQuinta, Ca Dear Sirs, -Bto sign allnecessary documents to obtain a building_ permit on the above referenced property. If you ne # '! ne 4- - ie4 = - ytime) or (evenings). --