09-0925 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tyl 4 4 Qum&
Application Number:
09-00000925
Property Address:
54920 AVENIDA CARRANZA
APN:
774-295-025-16 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2100
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: Cp3,6 License No.: 557026
Date: I t1 Contractor: L'\—
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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.).
I _) 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:
Vs -'-r,?. AZIANI PATTIE
pri(1 r I°,154920 NIDA CARRANZA
UINTfA, CA 92253
ALL -'i ERCITY PLUMBING
255 EL CIELO DRIVE, #411
PALM SPRINGS, CA 92262
(760)323-3455
Lic. No.: 557026
VOICE (760) 777-7012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/01/09
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 SUA INS Policy Number WESLTHPE0058350
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
L1f 37700 of the Labor Code, I shall forthwith comply with those provisions.
Date: 7'(G pY ' 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
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 inspection purposes.
Date:%[ r»— Signature (Applicant or Agentl: �-1 _ _
_—1T�`•�—oz,�1- - �—
Application Number . . . . . 09-00000925
Permit . .
. PLUMBING SEWER
Additional desc .
Permit Fee . . .
. 30.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
2100
Expiration Date
2/28/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.0.0. 15.0000
EA PLB BUILDING SEWER
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
SEPTIC ABANDONMENT
/SEWER HOOK UP'
----------------------------------------------------
Other Fees . . .
-----------------------
. . . . . . BLDG STDS ADMIN (SB1473)
1.00.
Fee summary
Charged Paid Credited
Due
Permit Fee Total
30.00 .00
.00
30.00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
1.00 .00
.00
1.00
Grand Total
31.00 .00
.00
31.00
LQPERMIT
#T>F COACHELLA VALLEY WATER DISTRICT
R�S P.O. BOX 1058, COACHELLA, CALIFORNIA 92.236 (760) 398-2651
INVOICE bate: 8/25/2009
SUBJECT: 54920 AVENIDA CARRANZA, LA QUINTA 606131,091..0.4
PATTIE ONEAL Project:
6230 WILSHIRE BLVD, #1770 Project.Date:
Amount Due:
LOS ANGELES, CA 90048 GEO:
Planner:
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
9-1878
8/25/2009
$3,995.00
06-06-13-1
REBECCA MILWARD
SUBJECT: 54920 AVENIDA CARRANZA, LA QUINTA 606131,091..0.4
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
k
Permit #
'Project Address: O
City Of La Qcrinta
Building 8& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
(Z Owner's Name: t
`� lJ (} C X} 2�2�}
A. P. Number:
Address: � q 9`ab �v \ �� (f6? ,A
Legal Description:
City, ST, Zip: L c� U ,vx a'a
CA
�(1 G�� �lNN'1 JJ
Telephone: " •as3.}> <���r ;��.:�'�
•�c�l•,�x •::a` s:�:'=%»tet%<•
Address: N C L C l GCO (
Project Description: C l` '' d
City, ST, Zip: SYRI
Cla L1 H
fl�-O r,\ �c
Telephone:--)
'SSS .�:.:.� .��.«.>:.:��. �.�•<�:t.>;
State Lic. # : j �Qa t�
City Lie. C
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telehone:
p;;c<
State Lic. #:
Name of Contact Person:
.fi»r`:r•
.. *. •: �;� Y' .1r o�•
;�,•• �.:}:;.>=.'.s.:.Fi�,.:.
•
Construction Type: Occupancy:
Project type (circle one): New Add, n Alter Repair Demo
Sq. Ft:
#Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project: lQQ
# Submittal Req'd
Plan Sets
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING PERMIT FEES
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Cales.
Called Contact Person Plan Check Balance
Tithe 24 C91cs.
Plans picked up Construction
Flood plain plan
Pians resubmitted Mechanical
Grading plan
god Review, ready for correctionstiissue 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 correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
' 4(4j �Gv
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 (619) 564-2246
�'F TH •- �
April 9, 1986
Mr. Clint Dougherty
P. O. Box 191
La Quinta, CA 92253
SUBJECT: Parcel Merger No. 86-027
Dear Mr. Dougherty:
Attached please find a copy of the recorded Certificate of Parcel
Merger No. 86-027, Exhibits A and B.
If you have any questions or need any further information, please
do not hesitate to contact this office.
Very truly yours,
COMMUNITY DEVELOPMENT DEPARTMENT
PLANNING DIVISIONN
Gary W. Price
Associate Planner
GWP:dmv ��
Atchs: Cert. of Parcel Merger No. 86=0,27
w/Exhibits A and B (Recorded) �.
cc: James G. Laier, Sr. and Kathleen Matovich
P. O. Box 6835, Santa Rosa, CA 95406
XDD, Building Division
IN.,
MAILfN'G ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
Recording Requested By
City of La Quinta
RECO
�Do �0C KA.
AT jj
Mien Recorded, Return To:
R E C EW E
Quinta Camu ity Development De`s ient
P. O. Box 1504
':; -',.a . 'i MO G - 21986
/-/
APR
78-105 Calle Estado /
Quinta, CA 92253
CITY OF LA QUINTA Recorded in Official RKvds
COMMUNITY DEVELOPMENT DEPT County, C41"ornl
of Riverside
No Fee, 6103 Government Code
-
Benefit of La Quinta Camlunity
Rlaco PAW
Development Department
Foac s
EXH I B IT'A
CERTIFICATE OF PARCEL MERGER N0.8('-0z�
Existing Parcels
Record Owners
Assessor Parcel Numbers
JAMES G. LAIER, SR. AND KATHLEEN MATOVICH,
AS TRUSTEES UNDER TRUST AGREEMENT DATED
774-295-010-7
JULY 1, 1973, FOR JAMES LAIER TRUST.
774-295-009-7
Legal Description of Merged Parcel
LOTS 15 AND 16, BLOCK 310 OF SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 28,
AS SHOWN BY MAP ON FILE IN BOOK 19,.PAGES 59 AND 60 OF MAPS, RIVERSIDE COUNTY,
CALIFORNIA RECORDS.
COMMIJN TV DEVELOPMENT
DEPT
Recording Requested By
City of La Quints
When Recorded, Return Th:
La Quinta Cc m mity Development Department
P. O. Box 1504
78-105 Calle Estado
La Quinta, CA 92253
No Fee, 6103 Government Code
Benefit of La Quinta Caaimunity
Development Department
RECEWE®
jAAR 71986
CITY OF I A OUINTA
COMMUNITY DEVELOPMENT DEPT'
EXHIBIT B
CERTIFICATE OF PARCEL MERGER N0. B_o=
-- i - - l°O TRERO f —
to go 24 0/ /3 / ° �• 1•
)is led
23 O QJ 2
H 22 0, /5 3 W
v
200 I /r 5
/9O lB 6
• O'
4 95 pi
m /e0
/70 B
. ..
160
RECUEi d-fi;,:n
APR 3
p INTA 1986
TY OF LA
COMMUNITY DEVELOPMENT DEPT
DEPARTMENT USE ONLY
daw.s-� Com• 1-•lvar Sr., K-tnite"#-A4 jovi�h
Record Owner At r—A- e5 -rn,i+ A LaMGw T This Certificate of Parcel Merger No. 86 � 0y 7 IS
Address R n. /K,* - R z� s a. is ku*, ca .15 `/5 hereby approved
G/,'A+. Dave , leer � icy rGd "L-1
Map Prepared By ,, �
Address (2•o. Qom I'I I LA Qvitita, G.4- 9 zz, Title QScoai a f•P to 1-4
Area/District Date 3 - to-- 9(,
SITE PLAN,
ICEflTIFICATE OF PARCEL MERGER NO
�
CITY OF LAUINTA
COMMUNITY DEVEL PMENT DEPT
Record Owner ��} M E? -s' L A I E 12 +%w a. st
Address Fo B 4,935' .LSArt+A _Ro a5 A Cat- Q 5 y v �o
Map Prepared By A.A.D.
Address
Scale 1 -
Assessors Parcel No.
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT