11-1024 (PLBG)1��CI�,IU
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO 44FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
..'BUILDING PERMIT
Date: 9/21/11
Application Number:11=00001024" Owner:
Property Address: _ 52433 AVENIDA VILLA WRIGHT JIM
APN: 773-273-024-10• -000000- 52433 AVENIDA VILLA
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL (7601)799-1643
Application valuation: 600
Contractor: "
f j
Applicant: Architect or Engineer: CAMPESINOS UNIDOS, INC.
P.O. BOX 39 IU_p < zU1'
C ��! BRAWLEY, CA 92227
(760) 344-4500 (;r�r
LiC.. NO.: 618140 t j'•��fa s _
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions. of Chapter 9 fcommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C36 License No.: 618140
"Datef _.Contract
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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-Contractnr'c 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).:
( _) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and, who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.)-
(_ 1 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ )A am exempt under Sec. , B.&P.C. for this reason
.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 and policy number are:
Carrier CYPRESS INS Policy Number 3330058264
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 becume subject to the workers' compensation provisions of Section
3700 of the Labor Co shall forthwith comply with those provisions.
[ "Dateeq�1 Applica�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN,
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Ouinta,•its officers,.agents and employees for any act or omission related to the work being
- - performed under or following issuance of this permit.
Date: Owner:. - 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
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that .the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - - city and county ordinances and state laws relating to building construction, and hereby authorize representatives
1,coamll to, er upon the above-mentioned pro cFy-ft>r s tion purposes.
Lender's Name:
-•-Date: Signature --.(Applicant'orAg
Lender's Address: - - -
LQPERMIT -
Application Number 11-00001024
Permit . . . PLUMBING
Additional desc .
Permit Fee 22.50 Plan Check Fee
5.63
Issue Date Valuation
0
Expiration Date 3/19/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 -7.5000 EA PLB WATER HEATER/VENT
7.50
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Special Notes and Comments
WATER HEATER. CHANGE OUT (l,) 40 GALLON
STANDARD GAS WATER HEATER,2010 CODE. y,
----------------------------------------------------- -----------------------
Other Fees . . . . ... . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 22.50 .00 .00
22.50
Plan Check Total 5.63 .00 .00
5.63
Other Fee Total 1.00 .00 .00
1.00
Grand Total 29.13 ..00 .00
29.13
LQPERMIT.
General Information '
•. I certify that this Certificate of Compliance documentation is accurate and complete.
Site Address:
Enforcement A e rO C_ Date: J ��
Building T Single Family El Multi Famil
Project Type: ❑ Re I cement or ..- an a Out of Water.Heater
TV tk a lurk merit t IM3
•. I certify that this Certificate of Compliance documentation is accurate and complete.
list newly installed water heaters and boilers for both domestic hot water heaters (D WH) and h%Vronic space heating.
DWH heaters and -boilers must be gas. ne, or use the esistin u tv e.
NeRlY installed
Water Heater
TypolFurl Type
Distribution Type
(Standard. Numb�v In Tank Energy Factor err
heat Efficiency
irculati System Capacity (gal) Tmr
-External Tank
Insulation.
R -Value
_
•
Signature:
Company:
Dau:
Address:
License:
t l
City/Stato2ip:.
Phone:.
1. Indicate Tvpe'(Storage Gas. Heat Piunp. Instantaneous. etc.)
2. Recirculating systems .serving multiple dwelling units shall ►met the recirculation requirements' of §150(n).
requiretnents do not allow the installation of a recirculating water heating system for single dwelling units.
i. The eiyernal water heating tank and Oipes shall Gr insulated to•nteet therequirements of § 1
The Prescriptive
Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement)
•. I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for. the building.design
identified on this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance
conform to the requirements of Title 24. Part 1 and 6 of the California Code of Regulations.
. The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design. on the other applicable compliance forms, worksheets. calculations. plans and specifications submitted to the
enforcement agency for
approval with this budding rmitlication.
•
Signature:
Company:
Dau:
Address:
License:
t l
City/Stato2ip:.
Phone:.
Bin #
Qty of Lauin**�
Q iQ
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�'l•-1
"
Project Address;V A V
Owner's Name:
A. P. Number:
Address: S L)33 ,' l
1 Q
Legal Description:
City, ST, Zip: 4A
Contractor: l
Tele hone: 7 �— 9 � ' / �o •:,:;;•-.}:<::.�; >;:{rN:„{ -�;�:
p
Address: �� ,
Project Description:
City, ST, Zip: �x3` �2"�
0k1Q,& '& Gj AS
Telephone: � (�'" �i'7 '�(�8a :�•r•�•,.,,•.�r:r
State Lie. #: �'l ) (f j� City Lie. #.- 6 9
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
.<lf:zy«'•::>`�i'::nh l ”
>.^: •:;, ;:::•>:;•:. {{..;>:.:}:::{:;:}.:.:..
tit;{<.: ;:>:>_, +,:::{•.<n?.;
Construction Type:
yp Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: � 6
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Const uction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Devebper Impact Fee
Planning Approval
Called Contact Person
A.I.Pp,
Pub. Wks. Appr
Date of permit issue
School Fees
Totall Permit Fees
�14AT E /j ESTABLISHED IN 1918 AS A PUBLIC AGENCY
STRIC�
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711
DIRECTORS: OFFICERS:
JOHN W. MCFADDEN, PRESIDENTy STEVEN B. ROBBINS,
PETER NELSON, VICE PRESIDENT GENERAL MANAGER-CHIEF ENGINEER
TELLIS CODEKAS MARK BEUHLER,
RUSSELL KITAHARA ASST. GENERAL MANAGER
PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY
DAN PARKS, ASST. TO GENERAL MANAGER
REDWINE AND SHERRILL, ATTORNEYS
February 11, 2004
File: 1112.
Larry Barajas
52-433 Avenida Villa
La Quinta, California 92253
Dear Mr. Barajas:
Subject: 52-433 Avenida Villa
Account No. 606121,787.0.7
In. researching our. records, we found that the above-referenced property has not met the sewer
requirements.of .the, district.
The district has no record of receiving a signed petition for annexation or the payment of sewer
fees, which, would authorize connection to the sewer system.
If you have any questions please contact Rosie Anacleto, Customer Service Representative,
extension 2420.
Yours very truly,
Richard Shonerd
Customer Service Supervisor
RIA ra n` r
City of La-.Quinta ..
s � Post Office-,Box1504
La Quinta, California 92253
TRUE CONSERVATION
USE WATER WISELY
.78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 (619) 564-2246
April 25, 1989
Ms. Teresa Rowland
106 East Washington, Suite 200
Colton, California 92324
SUBJECT: ORDER NO. R-78810-1, LOTS 10 AND.11_, BLOCK 101
Dear Ms. Rowland:
Based upon the following facts, it has been determined that
Lots 10 and 11 of Block 101, Santa Carmelita at Vale La Quinta
can be sold as two separate dots.
Facts:
1. Lot 10•has a home constructed on site. This home was
finaled by the County Building Department on June 9 1982.
2. Lot 11 has an older home constructed on site. This home
was brought up to code on January 22, 1981.
3. A single grant deed identifies both lots.
4 Record of a lot merger cannot be found.
5. Existing 50 x'100 foot lots are permitted to have a 11
°single family home.
6. Two homes on one lot is a violation of current zoning
regulations
Should you have any questions regarding this.matter, ,please do'
not hesitate.to call.
Very truly yours,
erry Herman
Planning and Development Director
JH/ad
AD/LTRJH.026
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA_ 92253 -
JOB
SHEET NO. OF /
pp
/
CALCULATEDBY TAS DATE
QN. 3 27.; 3 940
CHECKED BV DATE
.. Zo
SCALE _
•
PRODUCT to&l � W Wt. rm 01471