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05-3280 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003280 Property Address: 51040 AVENIDA VELASCO APN: 773-065-026- - Application description: DWELLING - SINGLE FAM Property Zoning: COVE RESIDENTIAL Application valuation: 117651 Applicant: Td4t aFlWw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Lic. No.: OOR SQUARE FOOT -------------------A0--------------------'--------- 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 License is in full force and effect. License Class: B C36 C42 License No.: 205031 Date:4&--A6 Contractor: � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that.) 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, 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 himselfor 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 pursuanttothe Contractors' State License Law.l ( 1 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: LQPERAIIT Owner: GRISWOLD HENRY C 30110 CROWN VALLEY PKY 203 LAGUNA NIGUEL, CA 92677 Contractor: BELKNAP, DOUGLAS W P.O. BOX 297 PALM DESERT, CA 92261 (760)902-7444 Lic. No.: 205031 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/05 ----------------------------------------------- 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 0, 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 and policy number are: Carrier STATE FUND Policy Number 1576785 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 forth h comply with those provisions. Date: I'V"wb Applicant: 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 I 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 inspe n purposes. Date: to- IC Signature (Applicant or Agent): � Application Number . . . . . 05-00003280 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 702.50 Plan Check Fee 456.63 Issue Date . . . Valuation . . . . 117651 Expiration Date 4/24/06 Qty Unit Charge Per Extension BASE FEE 639.50 18.00 ------------------- 3.5000 ---------------------------- THOU BLDG 100,001-50.0,000 7 --------------------------- 63.00 Permit ... . . . . MECHANICAL Additional desc Permit Fee 52.50 Plan Check Fee 13.1 ' 3 Issue Date . . . . Valuation. 0 Expiration Date 4/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <-100K 9.00 1.00 9*.0000 EA MECH B/C*<=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 ------------------------ 6.5000 --------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . .. . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . 104.79 Plan Check Fee 26.20 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/24/06 Qty ..Unit Charge Per. Extension BASE FEE 15.00 1875-00, .0350 ELEC NEW RES 1 OR 2 FAMILY 65.63 458.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.16 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . PLUMBING Additional desc Permit.Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/24/06 Qty Unit Charge Per Extension,. BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 LQPERAIIT LQPERAIIT ` Application Number 05-00003280 . Permit . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 •.7500 EA PLB GAS PIPE•>=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 Permit GRADING -PERMIT ; Additional desc . Permit Fee 15.00 Plan Check Fee .00 ' Issue Date . . . . Valuation 0 Expiration Date 4/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------------------------------------'----------- Special Notes and Comments' 1875 S.F. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH --------------------------- Other.Fees . . . . . . •DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 45.66 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 11".76 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1003.79 .00 .00 1003.79 _ - Plan"Check Total 528.21 250.00 .00 278.21 Other Fee Total 2462.42 .00 .00 2462.42 " _ Grand Total 3994.42 250.00 .00 3744.42 LQPERAIIT ` r.- O - c NNATER +� O/STRIG� r ESTABLISHED'IN 1918 ASA PUBLIC AGENCY COACHELLA VALLEY WATER DISTRICT. POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS: PETER NELSON, PRESIDENT PATRICIA A. LARSON, VICE PRESIDENT TELLIS CODEKAS JOHN W.McFADDEN RUSSELL KITAHARA September 9, 2005 Douglas and Cecilia Belknap 42-355 Washington Street Palm -Desert, CA 92211 y Dear Mr. and Mrs. Belknap: Subject: Assessor Parcel Number 773-065-026 OFFICERS: STEVEN B. ROBBINS, GENERAL MANAGER -CHIEF ENGINEER MARK BEUHLER, ASST. GENERAL MANAGER JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST. TO GENERAL MANAGER REDWINE AND SHERRILL, ATTORNEYS File: 0424.9085 In 1994, the City of La Quinta vacated the south half of Calle Tampico, and conveyed it to the adjacent property owners. In the vacation'resolution, an easement was .reserved for existing public utilities. The Coachella Valley Water District (District) has an 8 -inch domestic water line that provides potable drinking water within the vacated area: This domestic water line is 15 feet south of your new north property line. The water line has a 3 -foot minimum cover. We have enclosed a map showing'our domestic water line in relationship to your property. As an easement holder, we have the right to operate and maintain the pipeline without unreasonable interference.. Pools, trees, block walls and any permanent structures would prevent the District from performing its duties and perhaps endanger our pipeline. We are advising that you may be liable if any damage occurs to the domestic water line due to any current . or future improvements: In the event that we need to repair the line, any restoration to your improvements will be at your expense. We are certainly willing to work with you in the event you decide to make any changes or construct . improvements within the easement area.. s If you have any questions, please call Ruth Dearden, Right -of -Way Specialist, extension 2280,•or David, Keeley, Senior.Right=of-Way Specialist, extension 2279. Enclosure\l \as bc: Jerry Eagan (with enclosure) Redwine and Sherrill , 1950 Market Street ' Riverside, CA 92501 Tim -Jonsson (with enclosure) City La Quinta Post Office Box 1504 La Quinta, CA 92253 Yours very truly, Mark L. Johnson Director of Engineering Dan Farris, CVWD (with enclosureTRUE CONSERVATION Carrie Oliphant, CVWD (with encloWATER WISELY DK:ch\engVw05\sept\pwperty ownerscalle tampico w i1 Certificate of Occupancy G 0FT9�� Building & Safet Department . Y p a '. This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building ti construction and/or use. y. iE BUILDING ADDRESS: 51-040 AVENIDA VELASCO x tl� Use classification: SINGLE FAMILY DWELLING Building Permit No.:. 05-3280 Occupancy Group: R-3 Type of Construction:. VN Land Use Zone: RC A y Owner of Building: DOUG BELKNAP Address: P.O. BOX 297 r City, ST, ZIP: PALM DESERT, CA 92261 k By: KIRK KIRKLAND Date: MARCH 13, 2006 Building Official i; POST IN A CONSPICUOUS PLACE