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DSF (06-1786)4a . P.O. BOX 1504 ^' VOICE (760) 777-7012 ._._, .--m_A 1 fnT/�!1_ _FAX (760) 777-7011 _�_ —— _ LA QUINTA, CALIFORNIA 92253 n BUPLDII�G�'&-SAFE,`F.1 DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00001786 51425•MADISON ST 777-030-004- - DEMO - SINGLE FAMILY VERY -LOW DENSITY RES 0 Architect or Engineer: 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: C21 License No.: 721687 �te: Contractor: OWNER -BUILDER DECLARATION q 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 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 anyapplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their solecompensation, 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'lier 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 a contractor(s) licensed pursuant to the Contractors' State License Law.). ' 1 _ I I am exempt under Sec. B.&P.C. for this reason Date: 6Owner: 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: t, - Lender's Address: It{ RMIT Owner: ROBERT SMITH 51-425 MADISON ST. LA QUINTA, CA 92253 (760)775-1729 Contractor: ACTION ENVIRONMENTAL ENT INC 160 N. YOY STREET CORONA, CA 92679 (951)7.38-9795* Lic. No.: 721687 ------------------ WORKER'S COMPENSATION DECLARATION Date: 5/12/06 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 STATE FUND Policy Number 1976757 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 shouldbecome subject to the workers' compensation provisions of Section 3700 of the Labor C e, I shall forthwith comply with those provisions. / O[`r�y�J i VDate:l_ 1/ pplica t:, 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 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 pro y for inspection purposes. , V11atlS v :Signature (Applicant or Agen 1 i LQPERNliT Application Number . . . . . 06-00001786 - --- ----- Permit DEMO PERMIT �T --- ---- --- Additional desc . Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 11/08/06 Qty Unit Charge Per Extension BASE FEE 45.00 Special Notes and Comments DEMO PERMIT ONLY FOR.UPPER FLOOR ROOF AND PATIO COVERS Fee summary Charged Paid. Credited Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 . Grand Total 45.00 00 00 45.00. LQPERAIIT PALM TREE TO REMAIN POND X I I _ I I I 1 1 � 111 n A i ✓ r j I I I i 1 — I t 1 I 1 I q L----------------- j - _---_---_---- _ - -- ----_ - .�- North g o WALL LEGEND NEW CONSTRUCTION z DEMOLITION PLAN FRAMING EXISTING CONSTRUCTION N SCALE 3/16°-11.011 TO REMAIN �'-----� HIDDEN LINE INDICATES EXISTING CONSTRUCTION 0 TO BE REMOVED 0 N .. # REVISIONS: F, I " , I �S,D A pC�i .� JUAN C. OCHOA c-28502 N 02/28/07 Q 9 � F Of CA�000 �� Cq co _ t31 r�l1i1cNN^r'o �y a 'V ca C)w V3 —• rn < 16- .COku cL .� 0 4 O co y 3 0 t� '(� �t! � h Q P. v ■ ■ I 0 z 0ca _ Q z Lu W O IP— u-, z ...i z O Q S2 u .j Q U 11-- t-t Z Air- LO 6■l.l � 1u 0 FILE: Active/ Bob Smith/ 0-2 Demolition Plan DRAWN: DATE: SCALE: SHEET. 4 OF SHEETS. II Bin #_ - - City of La Qunta Permit i Building U Safety Division P:O. Box 1504, 78-495 Calle Tampico ©�- Me La Quinta, CA 92253 - (760) 777-7012 Building /i Permit Application and Tracking Sheet g Project Ad"dress: 2 6-_ ��T� Owner's Name: i:. A. P. Number: V1 2. — 2 7 � `• O 4t — G . , Address: bf / c{ Z Legal Description: City, ST, Zip. ,( Contractoi,: J 1( o K Telephone: Address: ProjectDescri Description: P •-v-� City, ST, :',ip: G,V, o?_er �i q Telephone o� v, S/ �S: �r State Lic. it : 2 L �'� City7,ic. #: II Arch., Engx., Designer: Address: is City, ST, Zip: Telephone . Construction Type: Occupancy: State Lic.11: Name of Contact Person: Project type (circle one): New Add'n Alter Repair Demo J.K� Sq. Ft.: #Stories: # Units:' Telephone # of Contact Person: q 7 Zfl -Estimated Value of project: . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal . Req'd Rec'd TRACING • PERMIT FEES Plan,Sets Plan Check submitted ?i Item Amount Straiaural Cities. Reviewed, ready for corrections Plan Check Deposit Trus:�, Calcs. Called Contact Person Plan Check Balance Enemy Calcs. Plans picked up Construction Flooil plain plan . Plans resubmitted Mechanical Grading. plan 2n° Review, ready for correctionsfissue Electrical Subciintactor List { Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ?ro Review, ready for. correction u �. Developer Impact Fee Planning Approval 1 Called Contact Person ��, A.I.P.P. Pub. Wks. Appr Date of permit issue Scliool Fees t T'otal Permit Fees I 03/06/.2006 MON 17:07 FAX 760 777 9091 ProNet r 03/004)06 17:46 PA% 1 PEI XNG REf.*STFD 8Y IS19Y NATIOMI. TfrLE INSUgANCE CO I INLAND E RECORDING f1E�Q Fbdelity National Title Company Earerew No. 412982-C8 This Order No. 33293238 is When Recorded Mail Document amid Tax Statement To: Mr_ and Mrs. Robert Smith Po ag5Le J'ctcyt n i wY 83oot ,FNT PD'LaToya Q 001/001 IM 002 HOC So 2005—O5Q50�� /l0120eE QB:eeq pce:a7.00 si of I got T Tax Paid R4c1ded in Offietal Records County of Riverside Larry nssossor, C*—tU. yclerk d Recorder M s u ►Aee SIM ow PC" I Mown we wec. A R L ON. LOKO G®tq 14�. Ouw .. GRANT DEED The, undersigned grantors) dedamgsl Documentary transfer tax Is 42,090.00 T '[ X I computed on full value of property conveyed, or A I computed on full value less value of liens or encumbrances remaining at time of sale, +f I Unincorporated Area City of La Ouinta , FOR A VALUABLE COIIISIDERATION, receipt of which I8 hereby acknowledged, George P. Steams and Beth L. Stei'irns, Trustees of The Steams Family Trust of 7987 hmby GRANT(S) to Madison Bauch L.Y. G( !`ril��p►11 i'�l L-ru�• � �la'/�IQItl the 11ollowing described real property In the Cky of La Quints CoiRty of Riverside, State of California: Parcel 4 and Lettered Lot A of Parcel Map 16467, as per map recorded in Book 100, Page 48 of Maps, In the Office of lire County Recorder of said County. DATED: May 12, 2005 STATE OF CALM�V A George P. Stearns and Bath L. Stearns, Trustees of COUNTY OF The Stearns Family Trust of 1887 O before me, • -�An&jj --� Personallyaad y: Ge to; learns, Trustee " eaor proved to me on the basis By� .Trustee �,� r;r Of satisfactory evidence) to be the personts) whose a L. learns name�(s);s rP ubs�cribed to the within instrument and acknowledged to me that*efslte4t 1ij executed the same inA""Z6),authorized capecity(les), and that by .ws signaturafs) on the instrument the CgTHEAIHE AN 80YD personts), or the entity upon behalf of which the {� COmro.It38ti910 parsan(s) acted, execu the instrument N0r'w►PMrc"rAirrft4 o) ft Witnss my hand d tial sea(. - I Signature �f MAIL TAX STATEMENTS AS DIRECTED ABOVE ... FD-213' (Rev 7190) 43RANT t]EEp 3317147 p : Lot A of Book P100 - RV:2005 00525010 03/06/2 prop. 06 :45 0 04 PM 1 of 1 riuM °yf` VI;At, /19o3CIJ,00 (WED)APR 19 2006 12:33/ST. 12:31/No. 6' �I. gLl1 81 i 707939P 2 ' . rrwt d1 ASQLSTYIS D �+lO1S.[[iON D�RECT[OiN il>6PORT N0� Sd�9 . N, INC. saes Madbon St, La Qom, cA ?k Garden Grove aWCL. Suite 290 jh Gwen Grove, CA 9280 (714)530.1922 L Clog Action 1�r� Ft AtOre lrn. �r 160 N. joy St C aft CA 927MI320 IL Fmi t address. 51425 Madison St. , H Date oisuorvey. Apnl 5, 2006 IV. bnpeelor. Charles Ay, Ccrt t+ed Asbeatvs Caam&mt No. 93-1030 1residMO. The smumt id V. S&Vtmw9ar"m regtr",wL go p qcd involvca a sarBit'�7Y level cordi�a thA PROW on s hillside, - '(.ire MW and one b�vore are. the low', lovely the apPa j bvft acmes. rw c&w tepam *a the swamm is to be demotisbod The dtmoliduon oolodaotor Aould be aVmV of the possibi* that Pr' �matraiets may be uttcov�aed as xeoovt Ptah• If sash suspect mabo Js arc dmeovaod dw WAVeot mataiad shoe dd be scrupled end atradyaed PYW to ks daaubamoe. 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S-56" GMVe SWt9 290 G.,,., CA quo I 51425 Medina St, La Qum CA Dabofmmf Apw9S.2W6 ACUprimim bidb* OF IDR41u= OFACM i ABED SWACZ ACM N/A NO Acm- WAA1D 'WA I'mu Taw ic cot* udmw wh In c4unciom WA &C rmO*- our" 1i4raid* to 6tobvcwc(p) All A-00my" .wo* at the out.