9709-074 (BLCK)r . 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. '
Lii ense # Lic. Class h / Exp. Date
C-53 j `450;97
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.
(V" I have and will maintain workers' compensation insurance, as required by
Sec ion 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:
Canner Policy No.
qT 00231 s \ 6 c
(This section need not be completed if therpermit valuation is for $100.00 or less).
( ), I certify that in the performance oftthe work for which this permit is issued,
I shall not employ any person in any, anner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensatioAfprovlslons of Section 3700 of the Labor
/Code, I hall forthwi comply with jfose provisions.
J Date: � T 1. g' ~ TApplicant f �/
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 Vv,
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
t & 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 ; l
work is not commenced within 180 days from date of issuance of suchL
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 authors e.. representatives of this City to enter upon
the above-mentioned property for inspection purposes.
;Signature (Owner/Agent).,".V'- Date {
BUILDING PERMIT
PERMIT #.
,CONTROL#
1s�
DATE 9i1 -7r97 VALUATION S'2,1'i��i�:�III� LOT
TRACT
ADDRESSORSITE 51-"1462 l���ir..N'I.D,Ft1 �1.Y REGOl!1
APN
773-"1462
OWNER
CONTRACTOR/DESIGNER/ENGINEER
RAUR.I.N M11'YE t.
CAL.fi+ORN1A, P001...S
.&SPAS
51390 Ab'}::Tdl[3e\ 06FtEC-10N
7A-7.51tJ.PC L'1#CiYE, €fit\
LA (7LflNTA ("A 92253
PALM. DPSI.-.Xf
(1A 922160
USE OF PERMIT
R}3"1..1:.1K6
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$54,00
V
"i ha 1"CHN41T FEES DUE NOW
ONY
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C�1E /!/ /y�y
BYl6/
DATEFINA-
INSPECTOR
�e
1� .
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms 8 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 8 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 B
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
Utility Notice (Gas)
ELECTRICAL APPROVALSC74r
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
Final
Utility Notice (Perm)
COMMENTS'
��Final �
�
COUNCIL/RDA MEETING DATE:
- July 1,. 1997
Consideration of a Resolution to Vacate
a Portion of the Avenida Obregon Right -of -Way, at
the intersection of Avenida Montezuma, Street
Vacation Case No. 97-034
AGENDA CATEGORY:
BUSINESS SESSION:
CONSENT CALENDAR:
STUDY SESSION:
PUBLIC HEARING:
Adopt a Resolution approving Street Vacation 97-034, vacating aorti
Avenida Obregon Right -of -Way at the intersection of Avenida Mo p on of the
ntezuma.
None.
Karin Meyer is the applicant for the
Proposed street vacation and will be the
benefitting landowner if a. All of the documents describing the proposed
street vacation have been prepared. by a licenced professional, retained
expense. at her
The specific portion of Avenida Obregon proposed for vacation is located near the
intersection of Avenida Montezuma as generally indicated on Attachment 1
specifically indicated on Exhibits "A" and °B" and more
of the Avenida Obregon Right -of -Way is nottneededtby other property o the 'o- This portion
access or improved accessibility to residential properties. The roadway
owners for
is shown in Attachment 2. Y configuration
There are no street improvements within this proposed vacation area. The
surrounding street improvements were installed as part of the Cove Improve
Program, in which the City realigned the connection of Avenida Oregon merit
toAvenida
Montezuma in an effort to improve traffic safety and neighborhood coh enida
The subject location is a result of that activity. esiveness.
RESOLUTION 97-
A RESOLUTION OF THE CITY COUNCIL OF
THE CITY OF LA QUINTA, CALIFORNIA,
VACATING A PORTION OF THE AVENIDA
OBREGON STREET RIGHT OF WAY IN THE
SANTA CARMELITA AT VALE LA QUINTA
SUBDIVISION, UNIT NO. 2.
STREET VACATION CASE NO. 97-034
WHEREAS, the City Council of the City of 1a Quinta did adopt, Resolution 97-
41, declaring its intention to vacate a portion of Avenida Obregon, and setting the
date of July 1, 1997, at the hour of 7:00 P.M., in the La Quinta Civic Center Council
Chambers as the date, time, and place for the hearing of all persons interested in
presenting their views and .testimony in regard to the proposed street vacation; and,
WHEREAS, pursuant to Sections 8322 and 8323 of the Public Streets,
Highways and Service Easement Vacation Law, due.notice of the Public Hearing was
given by public posting in the time and manner prescribed by law, and,
WHEREAS, following its discussion of the street vacation application on May
13, 1997, the Planning Commission of the City of La Quinta has determined that the
vacation of said street portions is not in conflict with the Infrastructure Element or
other policies of the General Plan of the City of La Quinta; and,
WHEREAS, the City Council of',the City of La Quinta has conducted the
required public hearing upon due notice and, upon hearing and considering all
testimony and arguments of all interested parties and persons desiring to be heard,
did find the facts to exist justifying the approval and adoption of said public street
vacation, as follows:
1. Vacation of the subject portions of the public street right-of-way of Avenida
Obregon will not adversely affect the City of La Quinta or adversely impact the
Circulation Element of the City of La Quinta General Plan.
2. The affected portions of the Avenida Obregon street right-of-way are
unnecessary for either present or.prospective public use or purposes, including
use as non -motorized transportation facilities.
3. No local public agency has submitted objections to the proposed street
vacation, based on the City's request for comments issued May 6, 1997.
However, one agency has requested the reservation of an easement across a
portion of the proposed vacation area:
003
F:IPWDEPT%000NCIL\1997\970701 c.wpd
SECTION 4:, The City Council hereby determines that adoption of the vacation
will cause no significant negative environmental impact.
SECTION 5: The City Council hereby orders that the vacation shall not be
effective until a certified copy of this Resolution has been recorded with the Riverside
County Recorder, that from and after the date of such recordation said portions of the
public street vacated no longer -constitute a public street or highway.
SECTION 6: The City Council hereby determines and orders that the City Clerk
is hereby authorized and directed to record a certified copy of this Resolution in the
Office of the County Recorder of Riverside County, California.
PASSED, APPROVED, and ADOPTED. at a regular meeting of the La Quinta City
Council held on this 1 st day of July, 1997, by the following vote to wit:
AYES:
NOES:
ABSENT:
ABSTAIN:
GLENDA L. HOLT, Mayor,
City of La Quinta, California
ATTEST:
SAUNDRA L. JUHOLA, City Clerk
City of La Quinta, California
APPROVED AS TO FORM:
DAWN C. HONEYWELL, City Attorney
City of La Quinta, California
F:Yp M EFRCO LIN CIL%1887 %970701 c.wpd
005
"EXHIBIT B"
SHOWING THE VACATION OF A
PORTION OF AVENIDA OBREGON,
AS SHOWN BY M.B.18/55-56 IN
THE CITY OF LA OUINTA,
CALIFORNIA.
0
N 07.03' 53'
18.38
0
0
LOT 1
N 89.53'37'E
5.78
N 89.53'37'E 99.35
7g�4S'04'M
(R)
0
cr• 10.21 ' 19'
R-40.00
L-7.23
T-3.62
s
LOT- 2 (MEYER)
N
A.P.N. 773-081-002.
w20' GAS EASEMENT
N 89'53'37'E 100.00
SANTA CARMELITA AT
VALE LA GUINTA. .
UNIT NO. 2. M.B.18/55-56
LOT 3
-PROPOSED R/W AVENIDA OBREGON
EXISTING R/W AVENIDA OBREGON
prepared bY:
TRI-STATE LAND SURVEYORS
AND CIVIL ENGINEERS
78035 Calle Estado
La Ouinta. CA 9225
(760) 564-0271 _
v�Nal c. Mtm°i
L&4820
q
ATTACHMENTS
ft
r
on8
PROPOSED
STREET �
VACATION
LOCATION
ATTACHMENT'
f ` �FSF� L'-CSVci SCHOC
ELiPF �ftANO=
AV 50
_ �,'1
lE
¢a
uv
¢
0
� -
E�
." DESE UB OR "
LA QUINTA VILLAGE
SHOPPING CENTER
141's iTRE
ON SENIOR CENTER
RANCES HACK IN
FRITZ B. BURNS
PARK.
ITS FESTIVAL
IOUNDS
hAsl \
Ong
STREET PLAN
k -a
ATTACHMENT 2
T�
i
0.10