09-0311 (BLCK)4
P.O. BOX 1504 VOICE (760)' 777-7012
78-495 CALLE TAMPICO . FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/06/09
Application Number: .09-00000311, Owner:
Property Address: 54900 AVENIDA RUBIO LAIDLAW RESIDENCE
APN: 774-292-008-17 -000000- - 54900 AVENIDA RUBIO
Application description: WALL/FENCE LA QUINTA, CA 92253 �n
Property Zoning: COVE RESIDENTIAL
Application valuation: 2075 4ARV
Contractor: C�Ty E
Applicant: Architect or Engineer: AA MASONRY p&I J `
77530 DELAWARE PL ✓^!.i ;�''f {''.
I PALM DESERT, CA 92211
(760) 360-7388
Lic. No.: 804168
-----------------
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: C29 License No.: 804168
Date: Contractor:
OWNER -BUIL R DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
(_) 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 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 contractorlsl licensed
pursuant to the Contractors' State License Law.).
(. ) 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
--————————--———————————————————————————————————
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 ENDURANCE INSUR Policy Number DKRM12003885
_ 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
3700 of the Labor Code, I shall fort with comply, with to provisions.
Date: � Applicant:
WARNING: FAILURE TO SECURE W KERS' COMPENSATION E 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 repres awes
of this count to enter upon the above-mentioned property for inspection pur oses.
Date: Signature (Applicant or Agent):
Application Number
. . . . . 09-00000311
Permit. . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
54.00 Plan Check
Fee
.00
Issue Date . .
Valuation
2075
Expiration Date
10/03/09
Qty Unit Charge
Per
Extension -
BASE FEE
45.00
1.00 9.0000
THOU BLDG 2,001-25,000
----------------------
9.00
-------------------------------------------
Special Notes and
Comments
BLOCKWALL PER CITY
STANDARDS 83 L.F. X
6' HIGH.
-----------------_------------7---------------------------------------------
Other Fees
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid Credited
---------- -------
Due
-----------------
Permit Fee Total
----------
54.00 .00
.00
54.00
Plan Check Total
.00 .00
.00
.00.
Other Fee Total
1.00 .00
.00
1.00
Grand Total
55.00 .00.
.00
55.00
j
.
�q QVC 1�q c .
OVA -
®G &SAFETY �E
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a�o� BY
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APPROVED BY PLANNING DEPARTMENT
DATE -0.7
EXHIBIT
CASE NO.
From: 7607712999~ Page. 518 Date:.2/11/2009 3:37:35 PM
EXHIBIT "B"
LOT LINE ADJUSTMENT NO. 08-497
LINE TABIC
NO. BEARING DISTANCE
I . L 1 1 N89-59 00 -WI 20.00' i
jI L21 N00.0 I 00"El. 6,00, I
LOT 18
30' I N89'59'00"w I -
---- 100.00' 0 I—
u
PARCEL "A
5680 S4. FT.�'i6 p� I I 5' utr7ity easement M
6 `yp �Q I per M8 _19/50-51
oo (0.13 AC) 1�',�g!
a
i
Existing Lot V� 4p 1�� I o d •-
Line to be 1 $LW
T.P_0.8. Adjusted.
f'.:�N89759'00'W — — — — 100.00'—
L1y-
O S89 59 00
NEW LOT UNE -1
Cr I L
�I I ' utility easement
4I I per UR 19/50-51
PARCEL
Z
9J20SQ-FT. '
(0.21 AC)—
�' 9 I
� I � 0�,�,• IQ
in
yid I � I •
�,���,p. 9y�°ti9,y' I �l roc
�4� �� 1�a! I I o �A►NLl Sv�G
Fs -
30' 100.001
N89'5 No.
LOT UNE ADJUSTMENT No.SS.`i'�! _ I EXP, os /10
A PROVEO •BY &MOF LA.OUINT•koT 14
PLAN I DEPARTMENT CWF.
BY DATE LID' Q5 .
Exhibit Adik �2,,,
Prepared BY: Applicant:
l=EIRO ENGINEERING, INC. Robert M. Laidlaw
P. 0. Rex 12980 Stephanie M. Damadlo -
Palm Desert, • CA 92255 P. 0. Box 1970
(760) 346-8015 Shin le. Springs, CA 95682
(916 978-4643
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yu `v From: 7607712999 Pale, 6/8 Date: 2/11/2009 3:37:35 PM
EXHIBIT „C„
LOT LINE ADJUSTMENT NO, 08�497
LINE TABLE
MA OV'A191M . nrsTANCE
L1
N89.59'00"W
20.60'
L2
N0001 '00 "E
6.00'
LOT t8
PARCEL "A" 014 y0,9`'6pg II
5680 SO. Fr.
0 0 0 ' (0.13 AC.) 1'A11 1\1 0
CS
,�g4
senQCB opRidce
Ln
I .O.B.
?0' I o I
r.P
Nn►89•Ss DO'w diml
100.00• .
L1
OT LINE ADJ STMENT Nu. IT 59'00 -W
soo'1v
PROVED BY. CITY OF -.LA OUIN 14
PLANNING DEPARTMENT
DATE
Exhibit C'-
'5'
%
'5' utility easement r0
P;r MB 1�/50�51
� II
Lu
o
h �
j 1o�
Quay (typ) �
I ode
--.�' utr'lity edsameni
par Ad 19/50-51
�I �o
SU
i D: k�.,�F�
F too. �40 5
EXF. Of /'0/t o 'F
Prepared By: Applicanh
FE1RO ENGINEERING, INC. Robert M. Laidlaw
P. 0. Box 12980 - Stephanie M. Domadio
Palm Desert, CA 92255 P. 0. Box 1970
(760) 346-8015 Shinle Springs, CA 95682
(916 978-4643
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89'59 100"C4 :
O
I
I
NIL LOT LINE
Existing Lot '00I
,no io be
Adjusted. '1I
I
Q
PARCEL "B" I
9320 S0. rf. j
(0.21 AC) I
0 e I
b°'
3R'
700.00'
OT LINE ADJ STMENT Nu. IT 59'00 -W
soo'1v
PROVED BY. CITY OF -.LA OUIN 14
PLANNING DEPARTMENT
DATE
Exhibit C'-
'5'
%
'5' utility easement r0
P;r MB 1�/50�51
� II
Lu
o
h �
j 1o�
Quay (typ) �
I ode
--.�' utr'lity edsameni
par Ad 19/50-51
�I �o
SU
i D: k�.,�F�
F too. �40 5
EXF. Of /'0/t o 'F
Prepared By: Applicanh
FE1RO ENGINEERING, INC. Robert M. Laidlaw
P. 0. Box 12980 - Stephanie M. Domadio
Palm Desert, CA 92255 P. 0. Box 1970
(760) 346-8015 Shinle Springs, CA 95682
(916 978-4643
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.
0
EXHIBIT "A"
LOT LTNE ADJUSTMENT NO, 08-497
LEGALT)E CRIPTIO
DARCEL "A"
LOT 117, BLOCK 278, SANTA CARMELI TA AT VALE NO. 25, IN THE CITY OF LA
QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN ON MAP ON
FILE IN BOOK 19 OF MAPS, AT PAGES 50 AND 51; OFFICL .L. RECORDS OF SAID
COUNTY OF RIVERSIDE;
TOGETHER WITH THAT PORTION OF MERGED LOTS. 15 AND 16, BLOCK 278 OF
SAID SANTA CARMELITA AT VALE NO. 25, PER PARCEL MERGER 89-145
RECORDED JUNE 5, 1989 AS INSTRUMENT NO. 182483, DESCRIBED AS FOLLOWS;
BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 17;
THENCE S 00000'45" W, ALONG THE WEST LINE OF SAID MERGED LOTS 15 AND
16, A DISTANCE OF 2,00 FEET;
THENCE LEAVING SAID WEST LINE, S 89059'00" E, PARALLEL WITH THE SOUTH
LINE OF SAID LOT 17, A DISTANCE OF 20.00 FEET;
THENCE S00001'00" W, PERPENDICULAR TO THE SOUTH LINE OF SAID LOT 17, A
DISTANCE OF'6,00 FEET;
THENCE S 89059'00" E PARALLEL WITH THE SOUTH LINE OF SAID LOT 17,A
DISTANCE OF 80.00 FEE_ T TO A POINT ON THE EAST LINE OF SAIDMERGED LOTS
15 AND 16;
THENCE N 00000"45"E ALONG THE EAST LINE OF SAID MERGED LOTS 15 AND
16, A DISTANCE Of 8.00 FEET TO TIS SOUTHEAST CORNER OF SAID LOT 17;
THENCE N 8959'00" W A DISTANCE OF 100.00 FEET TO THE SOU MWEST
CORNER .OF SAID LOT 17 AND THE TRUE POINT OF BEGINNING.
CONTAD4INO 5684 SQ. FT. (0.13 AC) MORE OR LESS
NOTE: SUBJECT TO EXISTING EASEMENTS, ANp
COVENANTS RIGHTS, AND RIGHTS -OF -WAYS OF p
RECORD. U. =�P'�'i `7"°g�,
NO.. 4D r�
XP. 06/50/10,%
LOT LINE ADJUSTMENT
A �
–�—•..� � qT� OF 1-��G�.
APPROM-ay CA
�;,.(1lNTA
PLANlr-DEPAATMW '
BY 1X�'J
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yy `� From��07712999� Page: 8/8 Date: 2/11/2009 3:37_'5 PM
EXHIBIT "X*
LEGAL DESCRIPTION
PARCEL'S"
MERGED LOTS 15 AND 1. 6, BLOCK 278, SANTA CARMELITA:AT.VALE- NO. 25, PER
PARCEL MERGER 89-145 RCCORDED JUNE 5, 1989 AS INSTRUMENT NO. 182483, IN
THE CTTY OF LA QU NTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS
SHOWN ON MAP ON FILE IN BOOK 19 OF MAPS, AT PAGES 50 AND 51, OFFICIAL
RECORDS OF SAID COUNTY OF RIVERSIDE;
EXCEPTING THERE MOM THAT PORTION DESCRIBED AS FOLLOWS;
BEGINNING AT THC SOUTHWEST CORNER OF LOT 17, BLOCK 278 CF SAID
SANTA CAR.MELITA AT VALE NO. 25;
THENCE S 00°00'45" W, ALONG THE WEST LINE OF SAID MERGED LOTS 15 AND
16, A DISTANCE OF 2.00 FEET;
THENCE LEAVING SAID WEST LINE, S 89°59'00" E PARALLEL WITH THE SOUTH
LINE OF SAID LOT 17, A DISTANCE OF 20.00 FEET;
THENCE S 00°0100" W, PERPENDICULAR TO THE SOUTH LINE OF SAID LOT 1.7, A
DISTANCE OF 6.00 FEET;
TRENCH S 89059100" E ALONG SAID PARALLEL LINE A DISTANCE OF. 80.00 FEET
TO A POINT ON THE EAST LINE OF SAID MERGED LOTS 15 AND 16; .
THE, N 00000"45'E ALONG THE EAST LINE OF SAID MERGED LOTS 15 AND
16, A DISTANCE OF 8.00 DEET TO THE SOUTHEAST CORNER OF SAID LOT 17,
THENCE N 89059'00" W A DISTANCE OF 100.00 FEET TO THE SOUTHWEST
CORNER OF SAID LOT 17 AND THE TRUE POINT OF BEGINNING,
CONTA]NING 9320 SQ. FT. (0:21 AC) MORE OR LESS
NOTE: SUBJECT TO EXISTING EASEMENTS, AND Su -
COVENANTS,
..
COVENANTS, RIGEITS, AND RIGHTS -OF -WAYS OF <<,0 �` p; �
RECORD.
~ No. 4�
EXP. 06/30/ 10
LOT LINE ADJUSTMENT Nol.oc6ia1 9rFo>
APPROVED:-BY.'GIT!Y't9F,k�k,QUINTA = .
PLA G DEMf�TMENT
BY DATE
Exhibit
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Bin #
City of La Quinl.Q
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit-#
/%
Project Address: 5' J v . O
Owner's Name:
f
A. P. Number:
Address: _
gen tA.v
Legal Description:
City, ST, Zip: La a. SL6
Contractor: AA-Aabony
_
Telephone: Mwm,
Address: 7 7. 5 3 0 @ e— T \iltZ
Project Description: 3 l Ock
City, ST, Zip: 9ao� I
I j
Telephone: O % 3 gg
CityLic. #: t{ S
State Lic. # : 000LWA
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New A-9d'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: goo
Estimated Value of Project: 3 ('
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd -
Rec'd- .
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
r
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan C:ieck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Constuuction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue
Electrcal
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grad'ng
IN HOUSE:
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees