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10-0548 (DSF)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000548 Property Address: 56665 MERION APN: 762-023-024- - - Application description: DEMO - COMML/OTHER Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 c&t!t 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 License No.: 6848 Dater Contractor: 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 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 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 a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 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: LQPERMIT Owner: JEFF & NINI HILLEBRAND 56665 MERION LA QUINTA, CA 92253 Contractor: EDWARDS CONSTRUCTION INC, 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 VOICE (760)-777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/22/10 III, E ;q �3201171Y a; r ----------------------------------------------- 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 GRANITE STATE Policy Number WC 555-61-55 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, i eeldbeeom 'ect to th rkers' compensation provisions of Section 3700 of the La Code, I shall fo y with those provisions. DateV 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 (5100,0001. 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 1 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 relatin truction, and hereby authorize representatives of this count `V/.tt en%tteeerr upon the above -me propert spection purposes. Date: ignature (APPlica entl: Application Number . '10-00000548 Permit . . . DEMO PERMIT Additional desc . Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/19/10 Qty Unit Charge Per Extension BASE FEE 45.00 ---------------------------------------------------------------------------- Special Notes and Comments DEMO INTERIOR DRYWALL, ABANDON ELECTRICAL & MECHANICAL, REMOVE CONCRETE FLATWORK, LANDSCAPING, IRRIGATION IN PREPARATION FOR FAMILY ROOM ADDITION. 2007 CODES. 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 LQPERMIT RECORDING REQUESTED BY: TICOR TITLE COMPANY AND WHEN RECORDED MAIL TO: Jeffrey H. Hillebrand Trusts 616 Ridge Road D IL 60093 EllWinnetka, Order No.: 6273489 pp V! Escrow No.: PD -04161 -LH fiiiiil111111 A. P, N.: 762-023-024—). -TU, —'0;A 0'Z0—'0;A DOC # 2010-0183209 04/21/2010 08:00A Fee:18.00 Page t of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry U. Ward Assessor, County Clerk & Recorder 1111111111111111111111111111111111111111111111111111111 GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAXIS $ 709.50 [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] a- [X] City of La Quinta AND L FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Daniel Lee Schaller and Joan Marie Schaller, Trustees of Schaller Family Trust dated February 20, 2001 hereby GRANT(S) to Jeffrey H. Hillebrand, Trustee of The Jeffrey H. Hillebrand Trust dated September 30, 1992 the following described real property in the County of Riverside, State of California: See attached Exhibit "A" for complete Legal Description AKA: 56665 Merion; La Quinta, CA 92253 Dated: March 9, 2010 STATE OF CALIF9j2d)t A } COUNTY OF II jf (( 01 10 SS. On a,e, , J l c�2%� J01 G before me fir". t(r' a 1 N tary Public, personally tee ap scare k \Cy1j) /YIfi.![ e "-tqlV: 1 inr who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s), acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my --�hantl and official seal. Signature / T�Signature of Notary Commission Zxpidation Date: 1-/ -/U iler Family try:`[�an 2y: oar Schaller, Trustee rJ. A. MARKHAM 3 O COMM1651315 NOTARY FU. tl C. C1U:ORN1A D g MONO COUNTY 0 COMM. EXPM APRIL 10. 2010 j (This area for official notarial seal) MAIL TAX STATEMENTS TO: Jeffrey H. Hillebrand Trust, 616 Ridge Road, Winnetka, IL 60093 20, 0 Ott RELIMINARY REPORT Ticor Title Company YOUR REFERENCE: PD -04161 -LH ORDER NO.: 5273489-40 LEGAL DESCRIPTION EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: A CONDOMINIUM COMPRISING: (A) AN UNDIVIDED 1/13TH INTEREST IN AND TO REVISED LOT 7 OF TRACT 24801, IN THE`CIIYlOF.,LA., 'QUINTA,'COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 213, PAGES 76 THROUGH 81 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, AS DESCRIBED IN DEED RECORDED JUNE 5, 1990 AS INSTRUMENT NO. 206813. EXCEPT UNITS H-39 THROUGH H-51, INCLUSIVE, AS SHOWN ON THE CONDOMINIUM PLAN RECORDED JULY 3, 1990 AS INSTRUMENT NO. 246379 OF OFFICIAL RECORDS. (B) UNIT H-42 AS SHOWN ON THE CONDOMINIUM PLAN RECORDED JULY 3, 1990 AS INSTRUMENT NO. 246379 OF OFFICIAL RECORDS. SAID CONDOMINIUM IS SUBJECT TO THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS FOR P.G.A. WEST RESIDENTIAL PROJECT, RIVERSIDE COUNTY, CALIFORNIA. RECORDED AUGUST 3, 1990 AS INSTRUMENT NO. 288874, IN THE OFFICIAL RECORDS OF THE COUNTY RECORDER OF SAID COUNTY, AND ANY AMENDMENTS OR SUPPLEMENTS THERETO ("DECLARATION"), AND THE DECLARATION AND ANY AMENDMENTS OR SUPPLEMENTS THERETO ARE INCORPORATED AND MADE A PART HEREOF BY REFERENCE. EXCEPTING THEREFROM ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES LYING BELOW A DEPTH OF 500 FEET, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED IN INSTRUMENTS OF RECORD. Assessor's Parcel Number: 762-023-024-2 CLTA Preliminary Report Form - Modified (11-17-06) City of La Quinta Building Department Jeff Hillebrand ATTN: Greg Butler, Manager, Building Department 56-665 Merion PO Box 1504 La Quinta, CA 92253 La Quinta, Ca 92253 Mr. Butler, This letter is to confirm that I am the property owner of the home at 56-665 Merion, La Quinta, CA 92253 in PGA West. 1 authorize Bob Edwards Construction, Inc to perform demolition with a scope of: Phase 1: Exterior: remove existing landscape/turf/ irrigation/Concrete flatwo-rk as shown on the plans, cap off plumbing and electrical as required to keep the site safe. Interior: remove drywall/electrical in preparation for Family Room addition/rcmodei, replacement of four sliding glass doors and mise. windows. Phase 2 will include the removal of exterior stucco, in preparation of the improvements at the end of plan review. The site will be kept safe and at no time will the home be open to the elements other than when the actual reconstruction is occurring. This project has received HOA approval and a copy of their acceptance will be submitted with the verniXavOication. Yours truly, HiBebrand Jeff Hillebrand 56-665 Merion La Quinta, CA 92253 PGA WEST May 18, 2010 Jeff & Nini Hillebrand 616 Ridge Road Winnetka, IL 60093 PGA WEST H RESIDENTIAL ASSOCIATION, INC. 39755 BERKEY DRIVE STE A PALM DESERT, CA 92211 PHONE (760) 776-5100 • FAX (760) 776-5111 Reference: 56-665 Merion, La Quinta, CA Architectural Change Request—Patio Extension, Pergola, Room Addition, BBQ, Misting System, 5 new Sliders and Gate Color change Dear Jeff & Nini Hillebrand: The Architectural Committee for PGA WES TI Residential Association met on May 13, 2010 and, among other items, reviewed your Architectural Application for Patio Extension, Pergola, Room Addition, BBQ, Misting System and 5 new Sliding Doors and Gate Color change at your home at 56-665 Merion. The Committee approves contingent upon the following terms and conditions. • An Agreement and Covenant Running with the Land will be required, one will be sent to you for execution as soon as it is prepared, and the agreement stays with the property and conditions the owner as the responsible party for the improvements. • No work may commence until your contractor meets with Sunshine Landscape to review the property and all irrigation and electrical lines. Additionally, Bob Pantanella, Director of Community Services shall meet with you and/or your contractor to review safety issues on the property during this project prior to any work commencing. Mr. Pantanella may'be reached at 760-564-1032. • A new Architectural Drawing must be submitted showing the elevation of the Pergola with detail to show stucco pillars and stucco facia around the top of the wood members, no wood may be visible from the golf course of side of the Pergola. This new drawing must be submitted to management for approval prior to any work commencing. Stucco color to match the home color... • The only landscape approval is for the removal of landscape in the patio extension area only. • There is no approval for lighting changes with this application. If landscape and lighting changes are planned, a separate application must be submitted to the Association for review and approval prior to any work commencing in those areas. • All other Architectural Rules & Regulations of PGA WEST II Residential Association dated 8/01/07 must be followed relating to all items on this application. Review by the Committee is only for general conformance with the architectural guidelines It is the responsibility of the owner to fully understand and conform to the architectural euldellnes criteria whether or not all deficiencies are noted during review. It is also the owner's full responsibility to field verify all existing conditions. The Committee's decision with regard to prosect design will be final Please refer to the Architectural Rules for all required submittals. N 80' 36. 06' E 26.49' Ntll CLC _ re!_ C�C -----------1I f rr-- nI EENNERUY E FICIENT [}�-- --1 SLIDING GLASS DOORS rr -- - - - - - - -- 1 OR NULTI FOLD DOORS 1, [J_L-____-_-__ 4 PANEL C e iL_ [41-----------1 i dw CLL----------� NON SLA STF • .�CLC___ -______.T DASNEDF ry TO BE CLC______a ................ I.1 ................. J [ .................. C Tr__________y !l. .��:: Cram -------_---f FAMILY ROONrr. o C��__________� EXPANSION i rr---------- UNDER lEl 11 I C*F_____-_-__a OVERHANG IS' -0'7 LL ------Z:: - 73 ��-------- S0. FT. CEL- ________--� ADDED c_______ N n- --- _____ _ .�-•a N ----- 11 ' C I I I EXISTING PATIO =I N I N ' ;o aI .I 'I Q. NI •0 N'83' ;74 E •121.03 ®•��""O�••�.. ®•, �,r_ EXISTING RESIDENCE ❑ I 1 II lII I I I n NEW I �) CEILING ill I C`T �•� FAN 101 III 111 III C 10 LIJ M IIII Ill EXISTING RESIDENCE _ I N I 3 I I I N I N 4-4 EXISTING ASlip NEW 101-91X8'-0' ENERGY EFFICIENT SLIDING GLA55 DOORS OR NULTI FOLD DOORS - 2 PANEL Scope of Work for Demolition Permit: Remove drywall to expose bare studs on the interior by all openings that are being replaced. Abandon electrical in preparation for Living Room Addition and expansion. Remove existing A/C in preparation for all new units. Remove concrete outside of Family Room Sliding door in preparation for new addition. Remove Landscaping/cap off irrigation & "safe" electrical from landscape lighting. Note: Structure will not be "Open" or exposed to elements until renovation permit is issued. FLOOR PLAN .)(CW Y SCALE: = 1/4' = 1• -0 - NIKON REVISIONS 16Y7 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE_��?-/U By -,4640u �./%� //tel / J 2 RAHN CHECKED DATE NAY 4. 2010 IALE 1/<• 1._O. JOB NO. 9 0 1 3 1 9 BNEET PRELIMINARY __j I OF sneers Bin # * � Qty of La Quin Q Building 8r Safety Division L P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address;f-L 6 - Name:�P�F- NIV, 4r!//e6/zo,,,d A. P. Number: l _114 Address: Legal Description: U i (%N,� �i"r26l 7Tt zI/g0) City, ST, Zip: eA S ZZS3 Contractor: 0 � � � �/ 7✓ KiJ CO/✓,l %, .,Lr,/ C 'telephone: _� / •7•-�I %7- S 3� i;<>:<<>;<»;:::::?<:>::>:::«::<s>:>i:^<.,>'<;;:: Address: Description: O ccP��roject City, ST, Zip: GL-��A4,01--1 L, --UTA AL `.:? M1;:;isi'iii:k::,v':i:;:f.•::t::�tj?iiiJ.v.:i<i'vii}i. Telephone: ( _>:, ::s i:: .>#:<€:» :.::;:<;.:. 47 /p, L V /� 00 State Lic. # : G 6'1-/ b J 7 NCity Lic. #: G 2 7i �c(J rN �s� Arch., Engr., Designer: o b G J Address:¢ ��i//Y A/ /r City., ST, Zip: >Telephone: Construction Type: Occupancy: State Lic. # >: <:,>.:;:<:<:>;l'.'a»':'<<:>': < Project a (circle ' � typ ( rcle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7 6 - 7 Z 7 Estimated Value of Project: 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fe oay To 155V6 :%:Ucurla� µIT %"s fv,¢- Na[16s O'� TRA'"aG) / (pxZ lb