12-0462 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _12-00000462
Property Address: 49505 COACHELLA DR
APN: 646-220-001- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 15000
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: License No.:
Date: 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 70001 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 a''''pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(Y4 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.).
(_) 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. , BAP.C. for this regon/ 1
ate: -/[� ner:
STRUCTION 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:
LQPERN1IT
Owner:
OCONNOR MATTHEW
49505 COACHELLA DRIVE
LA QUINTA, CA 92253
----------------------
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/12
------------------------`-- - - - - - -
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 Policy Number
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 becom ubject to the workers' compensation laws of California,
and agree that, if I should b com s c o the workers' compensation provisions of Section
�� j `3700 of the Labor Co • hall o i�omply with those provisions.
4ate:7% L cant:
WARNING: FAIL E TO SECURE WOR_ ER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN 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, indemnity 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 informat* is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructi an hereby authorize representatives
of thi county to5enter up;Ihove-mentioned propert r s urf aa� _ 7 7ignplicant or Agent):
,A O
Application Number . . . . . 12-00000462
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
162.00 Plan Check Fee
105.30
Issue Date
Valuation . . .
. 15000
Expiration Date
10/24/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2.,001-25,000
117.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
10/24/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 .7500
-----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE IST 20
3.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/24/12 .
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
,
3.00
----------------------7-----------------------------------------------------
Special Notes and Comments
16 L.F. 2' RETAINING
WALL, PRE -FAB BBQ
ISLAND TO INCLUDE GFI
OUTLETS,.GAS.LINE,
15 L.F. 3/4" GAS LINE
TO NEW FIREPIT.
2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
10.53
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due,
Permit Fee Total
198.00 .00 .00
198.00
Plan Check Total
114.30 .00 .00
114.30
Other Fee Total
11.53 .00. .00
11.53
Grand Total
323.83 .00 .00
323.83
LQPERMIT
;
j 4
t►'�'a1 f
• a
P.O. BOX 1504 .
LA QUtNTA, CALIP.ORNtA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNEW S P`ACK..GE
(760) 777-7012
FAX (760) 777-701.1
Disclosures & Porins for Owner-ftaders Apptying for ConstructtOu PO nits
lkw % Operty Owner:
6►ii. apviieation for a budding pocmit has boend irE Yovc sante the WON of ®s propctty
at -�Sv S" Go
taws � � VMan OvrW-Buildor A�ctatoiadadg�ttent and �i Pomo w mN1m Yu «� of yma
respe"AwmandPOWNe sok You may rami by '*1sit'i a yMwarn as the
Owwx-Buil. We wW not ta=e a buH4kq.prenA1 uaHf yawl have ready Wkwed yam'
dgmed, and rem med ab form to us at our. OfUcial eddseas indicated. An agent of the owe cmwt e'xecvft tis' notict
uotess You, the property owner, obtain. the prior approval of the pum sing aart wty.
Y I `• I.: i c
�'. 11! ..r 1• r,ll: •:1 f11 'i .: ! a�'<': - .i i ./•�Ii� ;.a J .. 1 1 �r a. A:a
1 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain au "Owns- Budde
Permit that e=roaoously implies that the property owner is providing his or her own tabor rmd matte Pte• 1,;
an Ovftw-Builder, may. be held liable and subject to setious financial risk for any Ugunes sustained by an unliom ed perm
and his or her employees while wrndring on my property. My homeowner's iastuaaoe may not provide coverage for dm
i[IOACL I am willfully acting as an Owner -Builder and am aware of the, Linnits of my inxwu ce cov=w for iejuries to woda
an ary pvopexty. .
/1 2. I understand building permits are not required to be. sigaW bowners unless they are r+espor�iiile for i
construction Y Pm'y
and arm not hiring a livensed'Cout�r to asstyme this ability.
3 i tmdesstaud a mi "pvrittiz Builder" 1am the Vesot, 'bte party of rwocd on the patmrt
myself from potential fieartcial risk by hiring a licensed Contractor and having tLe petmit filed !a bis of ° of
own.
AL4- I understand Contractors are required by law to be licensed and bonded in California and to list their license numbe
trots and contracts.
5.:I understand if I employ or otherwise.engage -any persons, other than California licensed Conttaewrs, and the tote)
my construction is at least five hundred dollars (1500j, including labor and materials, I MY be cousWered an u�
and state and federal law.
6. 1 undersUnd if I am considered an "emptoyee" under state and tbderal law. I must regal .with the zUft. and
govettwment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to ttmottlpl
compensation for each "employee." i also understand my failure to abide by these laws may subject me to serious f
risk
7. [understand under California Contractors' State License Law, an Owner -Builder who builds single-family re
s cannot legally build them with the intent to offer them for sale, unless all worts is pecfoYmod by
at tttractors and the number of structures does not exceed four within any calendar year. oc all of the work is p
under contract with a Licensed general building Contractor.
LI understand as an Owner -Badder if 1 sell the property for wtuch this permit is issued, l may be Wd "bLe for any
financial or personal, irk susaked by any subsequent • owner(s) that result from any latest ooh ��� in the
woriamanship.oi materia
ai9. I understand I may obtain.vaom information regarding my obligations as an "employee Emus the es
ROOM m the United States Small Bunam Administration, then California Departwtul of Benefit PaynntM. and trim California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CMZ) at 1-
800-321-CSLB (2752) or www.cslb.ca gov for more information about lie cused contractors.
C4. I am aware of and consent to an Owner -Builder building permit applied for in my name. and understand that I am the
party legally and financially rersponnbk for proposed construction activity at the following address:
�l I. I ager that, as the party legally and ft umially responsible for this proposed construction activity, I `"n abide by all
*ptk:abie laws and regWreortnts drat govern Owner-Btmlde.a as well as employers.
12.1 agree to notify the issuer of this form immediately of any additietoa, damns of obi �° l
have vided on this form Licensed 'contractors aro regulated by laws designed to protect the public• If YM etuatrad with
somome who door not have a limaase. tho C7o trucWts' State License Board may be unable to assts your with any &ORGM toss
you may sustain as a madt of a complaint Your only remedy against unlicensed Coatraetors Way be i>3vivt'I cora it is also
bWocat for You to =kMtvA alar if =.tttll cswd t)o MMc of =Vtoyeo OMA Wfividaal Of Bmis WALA while wotitk4
on yourprop�y, you my bo bdd fbr duw*m If you obtaia'a pefmit as ()*Qtr -Binder and wk to him C.oat*aiors
you will be for v m mat *MM Cowwwra, are &=Md =4 ft mus of a
:Q0mPCQsafiQQ
Before a bWMI" pa snit ern be hxatd, Sis form mast be completed and dyed by the propeEtY owner orad cetumed
the ateney res =sMe for i=WfttlbaVnaslt. Not&- A cW of $#A: ow4w'a dl e i fwnw ado ►
other verijk4Wau a so &a it r+e+gr d to bE token dho P is taw& tot dro gs+upe
owner's skaeatare.
Sivar, of property ovate Dater
Note: The foUowing Authorization Form is required to be compte(ed by the property owner catty when desipal
an agent of the property owner to apply for a eonsmwtrom permit for the Owner -Builder.
r s...tea w.c w.ra �Sr`S': C "
Euctuding.the Nedoe to Prooe ty Owner, the txa* tion of which I anderstand is any perMLal 0twond�tY. l hereby auth
the fallowing poratu (S) to as as my matff) is apply for, sigh. and Sk *a domnants neoaasaaY WQb% in an Ownct•Bttil
Permit far my Project-
Scope
rojectScope of Construction Project (or Description of Work): e 86!j14 UAA 4
Peeject Location or Address:
V
Name of Authorized Agent: C Tel No % �`
_
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out'
information and certify its accuracy. tote. A copy of the owner's drivers license. fora; notarization, or other va j ca
aomptable to the agency is required to be presented e permit is issued to verify the propertY carer s signapu
//
Property Owner's Signature: Date. / �/
WHEN RECORDED MAIL THIS DEED AND,
,ESS OTHERWISE SHOWN BELOW, MAIL TAX
fATEMENT TO:
Name: MATTHEW J. O'CONNOR
Address: 1641 N. HUDSON ST.
City & State: CHICAGO,. ILLINOIS
Zip: 60614
Title Order No. 349473 Escrow No.
SPACE ABOVE THIS LINE FOR RECORDER'S USE
QUITCLAIM DEED ( NAME CORRECTION)
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX IS $ N/A
Q unincorporated area ® Cityof LA QUINTA
- 001ParcelNo. 646-220=
.computed on. full value of. prcperty. conveyed, of -
L3 computed on full value less value of liens or encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MARTIN O'CONNOR, SUCCESSOR TRUSTEE OF THE EDMUND J.' O'CONNOR DECLARATION OF TRUST
DATED NOVEMBER 12, 1999 AS AMENDED AND RESTATED MARCH 5, 2007
hereby REMISE, RELEASE AND FOREVER QUITCLAIM to
MATTHEW J. O'CONNOR, A MARRIED MAN AS HIS SOLE AND SEPARATE
PROPERTY
the following described real property in the city of LA QUINTA
countyof RIVERSIDE , state of California:
SEE EXHIBIT "A" WHICH IS INCORPORATED HEREIN BY REFERENCE
[THIS QUITCLAIM DEED IS RECORDED TO CORRECT THE SPELLING OF THE
TRANSFEREE'S NAME AS SET FORTH IN THE QUITCLAIM DEED RECORDED ON
01/25/2012 AS DOC. #2012-00329141
Dated JANUARY 1, 2012
ACKNOWLEDGMENT ) d t
State of California ! �'
Countyof RIVERSIDE )O'CONNOR., TRUSTER
On FEBRUARY9, 2012 before me,
CAROL J. CURRY,.,notary public
%WERE INSERT NAME ASID TITLE OF i hE OFFICER)
personally appeared MARTIN M. O'CONNOR, TRUSTEE
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
tome that he/she/they executed the same: in.his/her/their.,authofted
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 handd o%ia�I.�r,"� /!,
i .. . -%
CAROL J. CURRY
Commission # 18A7751
z ,-as Notary Public - California i
z Riverside County D
My Comm. Expires Jun 3. 2013
4
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE
NAME STREET ADDRESS CITY 8 STATE
NONJG-012 Rev. 03/01/2009 QUITCLAIM DEED
06SEHNFORMS7 O'CONNOR, EDMUND J.
� IIIIIIIIIIIIIIIIIIIII
III II IIIIIII IIIIII III VIII /III /III 8
02t t04E�36R
2 of
EXHIBIT "A"
PROPERTY DESCRIPTION
PARCEL 1:
Lot 1 of Tract 3485 in the County of Riverside, State of California, as shown by Map on file in
Book 56, Pages 71 and 72 of Maps, Riverside County Records.
TOGETHER WITH: (1) All buildings and other improvements on said premises; and (2) the
following easements, each of which is appurtenant to Lot 1: (a) Easements for eaves or
overhangs as such exist as of March 15,`1'9.67, Whete Lot l adjoins'any-portion of any Lot or.
Trac: 3485; .(b} an-exctusiYe.zayernent_comiencing 1, fqpt below he. urfaceof i,ot: i 0 and as. ear .
below said. Lot as may be necessary for the installation and maintenance of any. underground
septic tank and related accessories, provided that such septic tank shall meet all applicable
government regulations, shall be no larger than necessary for the residential use of Lot 1 and
shall not interfere with the surface use of Lot 10; (c) an exclusive easement for encroachment and
maintenance of screen walls, wing walls, air conditioning equipment, and other architectural
features, primarily located upon Lot 1 into or upon any Lot of Tract 3485, as amended, as of
March 15, 1967, not to exceed 60 inches.
PARCEL 2:
An undivided 1/33`d interest in Lots 10, 36, B, C, D and that portion of Lot A adjoining Lots 10,
36, B and C of Tract 3485.
PARCEL 3:
An undivided 1/33` interest in Parcel 1 of Record of Survey on file in Book 50, Page 43 of
Records of Survey, Riverside County Records.
STREET=ADDRESS:..49505..Coaj�h411,--D v--,:I:?..Qu- ta; CA 9-2253.
ASSESSOR'S PARCEL NUMBER: 646-220-001
111111111111119aIIIIIIIIINNIIIINIIINl11 ��';•��°m-
DAVID A. DARRIN, ESQ.
AND WHEN RECORDED RETURN TO:
Name DAVID A. DARRIN
Street
801 E. TAHQUITZ CANYON WAY #100
Address
SIZE
City &
PALM SPRINGS
State
CALIFORNIA
Zip
92262
DOC # 2012-0083903
02/27/2012 09:35A Fee:21.00
Page 1 of 3
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
11111111111111111 1 1111111111111111111111
S R
U
PAGE
SIZE
DA
MISC
LONG
RFD COPY
M A
L
465
426 1
PCO
NCOR
SMF
NCHG EXAM
UNI
T:
CTY
QUITCLAIM DEED (NAME CORRECTION)
Title of Document
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
($3.00 Additional Recording Fee Applies)
I.The Management Trust
MONARCH GROUP DIVISION
THE ISLANDS HOMEOWNERS COMMUNITY
ASSOCIATION I
April 25, 2012
Matthew O'Connor
49505 Coachella Dr.
La Quinta, CA 92253
Via email: mattocota' )xcn.com
RE: 49505 Coachella
Architectural Request
Dear Mr. O'Connor:
The Board of Directors has reviewed aad approved your request to enlarge your patio.
You may proceed with the work and thank you for following the Association's
procedure.
Sincerely,
By Direction of the Board of Directors
R sie alla, CCAM
Co unity Association Manager
39755 Berkey Drive, Suite A, Palm Desert, CA 92211
CONNECTING PEOPLETOTHE PROMISE PH: 760.776.5100 FAX 760.776.5111
www.managementtrust.com
From: Rosie Galla Rosie.Galla@managementtrust.com
Subject: Islands I
Date: April 25, 2012 12:53 PM
To: mattoco@rcn.com
Hi Matt,
Attached is the approval letter for the patio enlargement.
Rosie Galla, CCAM@ I Association Manager
39755 Berkey Drive, Suite A • Palm Desert, CA 92211
P: (760) 776-5100 x314 I F: (760) 776-5111
EMAIL: Rosie.Galla@managementtrust.com I WEB: www.ManaaementTrust.com
'1 The Management Trust
MONARCH GROUP DIVISION
ARIZONA I CALIFORNIA I COLORADO I NEVADA I OREGON I WASHINGTON
kA Go green, keep it on the screen — think before you print!
i
RA
Irk44-Z
F � �i �
�- ��
i _
IL
1�4
,
.. ; .-
t t t
i-
,a
r
!
i
RA
Irk44-Z
F � �i �
�- ��
i _
IL
1�4
,
.. ; .-
t t t
i-
,a
r
Bin. #
Cityof'. U- Quin'• ..
Building &, Safety Division
P.O. Box.1504, 78-495 Calle Tampico
1.a.Quinta, CA 92253 - (760) 177-7012
Building Permit Application and Tracking Sheet
Perirr,t #
Project.Address:
Owner's Nameh
A. P. Number.
Address:
Legal Description: ZI� e-P
Contractor. Q'C()
City, ST, Zip: V ' Z Z
Telephone:
pp
Address: 60-A A&I 1 JDg--
Project Description: P.134Vl
City, ST, Zip.
Telephone-)6-0
1 /��4'
GJ
1: C.
l��p� r-57`:: �6J
State Lia #: City Lic. #;
Arch,.«
Address:
Z, L) --,� �
City, ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lia #: Project type (circle one): New Add'n Alter Repair Demo
Name of Con= Person: (G 1 Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: .. —1aq I Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal ReWd Recd TRACICYIHG PERMIT FEES
Plan Sets
Pian Check submitted Item Amount
SVMctuM Cales.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance.
Mile 24 Calcs.
Plans picked up Construction
Flood plain plan
Pians resubmitted.'. Mechanical
Giadlag plan
2'; Review, ready for correctiouslissue Electrical
Subcoatattor List
Called Contact Person Plumbing
Grant Deed
Plans pkked up S.M.I.
LLOA. Approval
Plans resubmitted Grading
IPI HOUSE.-
r
3" Review; ready for correttionsiissue Developer Impact Fee
Planning Approval.
Called Contact Person A.U.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees