06-1868 (ELEC)f..
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUIN'TA, CALIFORNIA 92253
Application Number: 06-00001868
Property Address: 55672 TURNBERRY WY
APN: 767-580-029-31 -29136 -
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7000
Applicant:
Tit!t'4 4 Q"
Architect or Engineer:
—;l, A",
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: B License No.: 811053
!""" Contractor:
OWNER -BUIL DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt fro the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions C de: 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 1, 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 awn 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:'
CALIFORNIA COVE COMMUNITIES
8105 IRVINE CENTER DRIVE #8006
IRVINE, CA 92618 �����'JJJj
Contractor:
CALIFORNIA COVE COMMUNITIE
8105 IRVINE CENTER DR STE 8
IRVINE, CA 92618
(949)453-1775
Lic. No.: 811053
Date: 5/09/06
MAY 0 9 1006 JU1
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 STATE FUND Policy Number 1659679
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
0f the Labor Code, I shall forthwith co ly with those provisions.
DApplicant
WARNING: AILURE TO SECURE WORKERS' COMPENSATION CO RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 5t ES 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 thissccounty to nter upon the above-mentioned property for inspection purposes.
Date' _Signature (Applicant or Ag
Y r
Application Number . . . . . 06-00001868
Permit . . . ELEC-MISCELLANEOUS
Additional -desc .
Permit Fee .33.50 Plan Check
Fee
.00
Issue Date Valuation
0
Expiration Date 11/05/06
;
Qty Unit Charge Per
-Extension
BASE FEE
15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A
18.50
--------------.--------------------------------------------------------------
Special Notes and Comments
ADD ADDITIONAL 100 AMP METER ON LARGER
PEDESTAL
Fee summary Charged Paid Credited
s--
Due
---------- ----------
Permit Fee Total 33.50 .00
----------
.00
33.50
Plan Check Total .00 .00
.00
.00
Grand Total 33.50 .00
.00
33.50
6
LQPERMIT
Bin #
City 'd La Quinta
Building 81 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:' S"1769A
&1R9X LJ
Owner's Name:
A. P. Number:
\
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address: 5
V=
_ ! $00
Telephone:
Project Description:
City, ST, Zip: S
Telephone: L 9 5
_ ,is
State Lic. # : / •Q 5
Arch., Engr., Designer:
City Lic. #:
w
Address:
City, ST, Zip:
t\ r 1
Telephone:
Construction Type: 1 Occupancy:
type (circle one): New Add'n Alter Repair Demo
State Lic. #:Project
Name of Contact Person:
ETT Lo #-S 16
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
5 -,q-1ILIEstimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Reed
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan'
2q' 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
A 1
Total Permit Fees
I LOT F
m
-00
TR. 29347 207
�a
29,
2 6 POR LOT B'
g
1.115 AC ML 28
19 T
34 62
'1.94 AC ML .�
livu
r7T64
A�
TR, 29196
31
14 SEP 2 8 200
22 I 23.
KDATE OLD NUMER NEW EN
tD 36,31
11,3fi 38
I
THIS WP WAS PR[PARED FOR ASSESSMENT PURPOSES ONLY. No LIA8ILITT 767-58
IS ASSUMED FOR THE ACCUSACY OF THE DATA SHORN. ASSESSOR'S PARCEL 32 SEC.15 ITAS. , R. 7E T.R.A. 020459
VAT NOT COVPLT ITN LOCA'_ 101-SPLIT OR BUILDING SITE ORDINANCES. CITY OP LA-QUINTA I j 767-33
o
5 !005 I 'I
I II
1
775
14 I I
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1 es 1627 °r'�zs
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ibr I I unse
6 36 25 azpj :ea0 I ' 45 II I IJ
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2 III I ..zawc I6
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2.20 4n I D -,.a. �A° DEER 17 POR 33
J 352." 1 PARK
A NULIL41 22
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POR LOT
_ 8
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r
32
POR LOT A
19
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,p m=09.7
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52
n5 52. , I - - - - - -- ' I 4sm r
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115. _ Lara 0C W: I � lOTM I I' aee,e
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21 22 aagacau 50 I ,sea° I 2U y I III I 23 ' 56
I
59 .eose 1 �R19°si i 7 e?e z.e.e III I 25 GOLF COURSE mxsa.> 27
I
.a 40 1 GOLFCOURsf I O I _ 1 I' I YI.Be C I - �„ _ 31
sY� zzaz Kna I I 35 uawc 34 I I vs° �?° I ],440 I >° 26' POR LOTS e7 28
6 2 i]2�9 a. N =92]9 a. B..N e: 1 Q ]Y 'e] ]. ei
�q-�� ''B a SEP 2 8 2005
$ A IB OW 11 N09�6e0E
LOTS �� m mi9,=e —
i 22 — — — —
E30
I — 22 23.
I �1s2 I � �.�
162 164 164 01,E ao z s®EI iEl aue6,
OAfA: LLA 91-131 29 I E , ,9 11.17
I w 33 I 03 04 ,,.;3 rc.63
l
y MB 285/4-16 TRACT MAP NO. 29136 ' , 12 .52
PR 9 63-85 l E,.11o-le sm•m
644' .PCR INSf. {SL69L - 4/39
ASSE SORIscui
BA767 PG.
Rs1I1 2 I _ MB 285/61-64 TRACT MAP N0. 29341 ] , 17
Rive s i doun ly, Calif. ,J` ! I ` MB 292/6045 TRACT MAP NO. 29657` is 43.44
Sep 2005 } �:.0 rs
I 44 6
MAY -05-2006 FRI 11:22 AM varadero cons.
' %AS
NTAT�AS
FAX N0, 3 P. 01 /01
4172
�r.
�9.
Sol
ite map
O models Las ventanas
81.665 brown Deer Park
please, La auinta, CA 92253
0 Fkase 2
(760) 777-663 1.
In our continuingoffort to meet consumer expe-dationn, Cnlifornin Cove Communities,'nr. rea�rves the. riSht to mndifg flonTlanti; cxtcriore, Features.
Friecs, spcciFicutions, and plans without Frior notice or olaligatinn. rloase see the rile:: reprrcsantntive. for J-taih. All Floorf+lsns, msPs and renderings are.
artist's concepts;�c�uarc Foot:�gcs me nFProxiniatc sod may vary. Window shade, ;.ize. nn� lni.ntinn may vsry with sFucifie elevations.
�y 7
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
TRACT. NO. 29347
E...
ol BEING A SUBDMSION OF LOTS 14
15, 22, 32 AND LETTERED LOTS G AND H. AS SHOWN BY TRACT
No. 29136, AS FILED IN BOOK 285, AT PAGES 4 THROUGH 16. INCLUSIVE OF MAPS IN THE
r7 OFFICE OF THE COUNTY RECORDER, RIVERSIDE COUNTY, CAIFORNIA.
MDS CONSULTING `AUGUST, 1999 GARY W. DOKICH LS.4693
w
x
w
lJ N 85.06'4J•V 93&31' iy !b
N� GOLF COURSE
CD 41:
29
SHEET 5 OF 5 SHEETS
= SHEET 4 �j
iR L% 8 76'N 87' -41'E
K. 31 1
I
ss
}I }
Ogg
6�7 lei
®D
8
y� N 87.3711'E 1000'
000'
1000'W
N 2'26'191V
'Y' - 87'33v1'E IODa F-
.q ,
a_
30 R'A,
Q R'
N
CD N 2126'19'V 21.46'
_119RAD9-T)
W
W
1
LOT D
N 87.33'41'E 17565'`
&'v
32 Ona All 3
a
LOT B
31
87'33'11' 0
6511'
N 87- -4 141b2'
A
LOT I
31 _
®® 650''
RAO N B7'3741'E 1411W
®T.URNBERRY I
33 I
I V)
WAY
1
\ Q}
\�\C..�� •dd
/
13550'
Z
PRIMATE SIREET V2
W
Q
31 X97
Ti-
��
0
i
24-V
I 4
37.47
p:
1
��
39.95
m
O
Q
`�,
5 45Y27
81000'
32
I
I
23 \� , ,. 0
39.95'
35
n
15200'
1
- DETAIL
-
116000'
N 87'33'11'E 165.40'
� PI
36
N0T.T0 SCALE
I
5000'
EASEMENTS
M- INDICATES A 10.00 FOOT EASEMENT FOR
PUBIIC UTIUN PURPOSES DEDICATED TO
IMPERIAL IRRIGATION DISTRICT.
®- EASEMENT FOR C.V.W.D. FOR DOMESTIC
WATER AND SANITATION PURPOSES.
M- INDICATES A 10.00 FOOT EASEMENT FOR
PUBLIC VMX PURPOSES DEDICATED TO
CITY OF LA OUINTA
SEE SHEET 2 FOR SURVEYOR'S
NOTES AND BASIS OF BEARINGS
45.208 At.
N
la
OT
SHEET 5 OF 5 SHEETS
= SHEET 4 �j
iR L% 8 76'N 87' -41'E
K. 31 1
I
I L
§J
N87933'4' 165.
Ogg
rx
8
N 7.3],'24 6968'
I o R3
I R.
1.41'
NVA '�
slR
29 Nay
1
LOT D
N 87.33'41'E 17565'`
&'v
32 Ona All 3
a
..
RAD��
3 CN 89'09'37 �� '
31
87'33'11' 0
6511'
N 87- -4 141b2'
�T-
LOY 1�
31 _
la
OT
RADIUS
ARC L
iR L% 8 76'N 87' -41'E
K. 31 1
I
I L
_ as
?: A60
1 10'2320'
/;o
+°
1967'
�$�yo 32 0'5,`: ® I
1-
W
JW
I >
2 �� /a-
N � � N 87'33'41' I
1 6.11'
jg5Y01'E
L
Q
1 Ex EC
_ =
166,50'
8667•
N
I
\
\\
33 I
I V)
\ Q}
\�\C..�� •dd
/
13550'
N 87'33'41' 00'
I
I
a
�E
34 � I
i
24-V
I 4
37.47
LO1.TAC. B
15OX
��
39.95
N 87.33'41'E 16500' 1
1
O
3077
1518'
5 45Y27
81000'
�
a� 1Z�
3
3611'
I
15000'
23 \� , ,. 0
39.95'
35
n
15200'
1
87.11'
\\�g s
\a 'L
116000'
N 87'33'11'E 165.40'
� PI
36
Q N
IN
I
5000'
\\
2414'
W
168.50'
17542'
96.60'
\�
48350'
p
Z N 87'3341' 16500'
z
5667'
19 51.3705'
80.00'
\
3867
1
3550'
17.04'
911'
�\ \
9450'
37
1567
20 24'18'21'
100.00'
43-V
SCALE 1'=80' \\
..
I-- I
1
7.15'
I
3550'
. \\ 4q\\�`�• _
I7J4'
u 8]334 2 6
I1}
367
181'
33 3'03'09'
13550'
722'
38 2�'
t0 90'00-40
1 I
1
3400'
22 8'28'01'
168.50'
1
e7 3741E 16500
12.47'
34110'16'10'
5150'
TRACT NO. 0'9136
13001'
N
16650'
0667'
44.34'
fMly .®.' a85/4i'160°.
13350'
88=<' ti a
2617
1
108.50
1967'
-
`® 39
e5 , J
m
13550'
4p91q
7768'
24 7-40.40'
13350'
1787
- B311'
36 51'3705'
37 51'33'05'
6150'
6550'
5807
5&97
31J5'
3163'
CURVE TABLE
-
$
187'31'
83.11' N 8 • -4- 164.40'
I
TAN
NO DELTA RADIUS PR[ LGT IAN
NO DELTA RADIUS ARC LGT TAN
o 7r
9.86'
11.34'
13 3'03'08' 13550' 722' 361'
11 29'4929' 13350' 69.19' 3555'
25 1'2521' 33350' 8.28' U4',
26 10'1857 33350' 6295' 3157'
N 87'33'41'E I N 82'02'59' V
6836'
IS 29'49.30' 13358 69.49' 3555'
27 79Y10' 10000' 1257' 629'
7031' 10.91'
NO OLLTA
RADIUS
ARC L
1 10'2320'
ID850'
1967'
2 29'49'30'
166,50'
8667•
3 57Y-42'
13550'
12663'
4113"35'13'
24-V
48.57'
37.47
16 29'4929'
15OX
7800'
39.95
28 17'36'14'
IOODO'
3077
1518'
5 45Y27
81000'
7218'
3611'
17 29.49'30'
15000'
7800'
39.95'
29 59'3959'
15200'
15824'
87.11'
6 11'284Y
116000'
23239'
116-V
10 51'3705'
5000'
44.99'
2414'
30 59.3059'
168.50'
17542'
96.60'
7 1722'16'
48350'
112117
5667'
19 51.3705'
80.00'
7L98'
3867
31 28'17'17'
3550'
17.04'
911'
0 51'3705'
9450'
0507
1567
20 24'18'21'
100.00'
43-V
21.99'
32 22-45'40'
3550'
1430'
7.15'
9 51'33V5'
3550'
31.94'
I7J4'
21 1'14'02'
168,50'
367
181'
33 3'03'09'
13550'
722'
3.61'
t0 90'00-40
7100'
5311'
3400'
22 8'28'01'
168.50'
21.90'
12.47'
34110'16'10'
5150'
9957'
13001'
II 274929'
16650'
0667'
44.34'
23 22.08'50'
13350'
SLW
2617
35 102720'
108.50
1967'
986'
E 59'38'57
13550'
14107'
7768'
24 7-40.40'
13350'
1787
&96'
36 51'3705'
37 51'33'05'
6150'
6550'
5807
5&97
31J5'
3163'
0 so 160 240 320
I II g�a
--------------J el
AIRPORT BOULEVARD tl
t�]I]IQ4w(4wIAMN74531)d6 10/W/49
0
g Aid
V
m
. . y
Ln
Ln
0
'
I
33
0
I
rn.xaaa
FOR
40
20
POA O
y
4
O
k r
I
MAt
r
W.pe
O
I
O 19
to
7S^ 3lrj
s
O
I
J Y0 _
5
as
°
OC-
55.3�t2'
19
I
55 -4e5
a
55 - 64;W
I
0
07 24
0
33 f a 2S
36
O 26
515 - 915
as
I
10 v
O
S
II 28
y
I"
O
J
12 29
aq
18
S5 -
AUSTRALIAN O
la 31
DRIVE I
e.
3
�
� IS 32
'b
33
O
" 17 84
IO
56
O
I
O
I V 100'
ANCEE = 90
g Aid
V
m
. . y
Ln
Ln
= M E' T R O S C A N P R O; P E R T' Y P R O F I L E_
Riverside (CA)
*
*
*
<<< OWNERSHIP INFORMATION >>>
*
*
*
*
Parcel Number '.:767 580 029 S: T:
�f:000
R: Q:
*
Ref Parcel # 000 000 Pos Interest:
*
Owner Name :California Cove Of La Quinta Llc
*
CoOwner
*
*
Site Address :*no Site Address*
*
Mail Address :8105"Irvine Center Dr #800 Irvine
Ca 92618
*
Telephone :Owner: Tenant:
*
*
<<< SALES AND LOAN INFORMATION >>>
*
*
*
*
Transferred :07/26/2004 Loan Amount
*
Document # :575803 Multi -parcel Lender
*
Sale Price Loan Type
*.
*
Deed Type :Grant Deed •Interest Rate
*
% Owned :100 Vesting Type
:Corporation
*
*
*
*
*
*
<<< ASSESSMENT AND TAX INFORMATION
>>>
*
*
*
*
Land :$550 Exempt Type
*
Structure Exempt Amount
*
Other Tax Rate Area
:20-059•
*
Total :$550 Taxes
:$20.02
*
%.Improved
*
*
*
<<< PROPERTY DESCRIPTION >>>
*
*
Map Grid
*
*
Census :Tract: Block:
*
Land Use :Y04 Vacant,Other
*
Legal :.17 ACRES INILOT 31 MB 285/004 TR;
*
:29136
*
*
Sub/Plat :Tr 29136
*
Book :285 Page:4
*
*
*
*
<<< PROPERTY CHARACTERISTICS >>>
*
*
Bedrooms Stories YearBuilt:
*
AgPreserve
*
BathFull Units Misclmprv:No
*
Bath3Qtr Bldg SgFt: Street
ADDITIONAL
*
BathHalf Gar SgFt Waterfrnt:
*
Fireplce :No Gar Type Elect Svc:
RmAddtns :No
*
Cntrl Ht :No Lot Acres:.17 Gas Svc
RmAddSF
*
Cntr1A/C :No Lot SgFt :7,405 WaterSrce:
AddGarType
*,
Pool :No Roof Type: SewerType:
OthrPkng
*
*
Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
DRAWING NUMBER �!
I DRAWING NUMBER pI.
J 91 3 q /3 771 # 29'136 �
04
IN THE CITY OF LA OUIMA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA SHEET( ian 13 OF 13 SHEETS
TRACT N0: 29136 I mOfIHQU.
PS.%.
e ND. I
BEING A SUBDMSION,OF PARCELS A, 8 AND C OF L.L.A. 91-134, RECORDED AUGUST 22. 1991 AS INSTRUMENT NO. 290433; glloTB
PARCELS 2 AND 3 OF PARCEL MAP NO. 8835, P.M.B. 33/53; PARCELS 1, 2, A AND 8 OF PARCEL MAP NO. 14286, P.M.B. -3,
Y PARCELS 1 THROUGH 7, AND E THROUGH H OF PARCEL MAP NO. 14791, P.M.B. 90/83-85: AND THE SOUR164&F eumffER ft -moles
V OF THE SOUTHEAST QUARTER OF SECTION 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNARDINO MERIDIAN.
MDS CONSULTING MARCH, 1999 GARY W. OOKICH L.S.4693
SEE SHEET 8
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N 89'16'50'1 2677.7[' (2637.18)
EASEMENT TO C.V.W.D. FOR PIPELINES. SOUTHEAST CORNEA SECIION 15 --
RECORDED FEBRUARY 6. 1961 IN BOOK FD. PK NAR ! FUSTIER,
2844. PACE 152, AS INS. No. 10110. O.R. FITS 2' LS 2606 TRS,
PER P.M. 14791, P.N.B. 90/83-8.5 -
CURVE, TABLE EASEMENTS
147 DELTA RADIUS ARC LGI
TAN
F9 DELIA RA01113 ARC LGT
TAR
NO DELTA RADIUS ARC LGI
TAN
.b DELTA
RADIUS ARC LGI
1AN
129'1729' 16650'
.._2 6 "4V21' I245T
8667'
41]1'
II _51'33'05' 6550
SB97 3163'
21 51'3705' 5000'
51''70$' __..Roy,
11.99' 121.11'
m 7'00'39' 2150'_ 129' OW'
-$ '
3116'16'21' 2150'
49.97
3980
13 51'37'05' 7550'
31.91'
17.14'
C'C
23 29'1930• 15200
71.98'
79.12'
51'7115
� 19-06'
2157'
1 11'0591' 3500
2SI9
131,
I/ 51'7705' 9450'
8507
4567
24 29'19'29' 15200'
79.17
1818'
1818'
73 56'1155'
31 311'08'
5150' 5051'
27.50'
5 11'01'52' 7509
2517
1311'
15 297729• 13350
69.49'
3555'.
25 5'//21' 81800
81.11'
12.11'
35 117'75'17'
24.50 1.36'
21.50' IBS7'
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6 3'0703' 17550'
7 29'1770• 16650
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29 21'48'21' 10000
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39 22./5'18'
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7.15'
1 291739 15030
7848'
39.95'
30 15527' 840W
7219
7611'
40 59'0082'
70000 308.97
169.77
[D- INDICATES A 10.00 FOOT EASEMENT FOR
PUBLIC UpUT3' PURPOSES DEDICATED TO
-- IMPQnAumK;A71QJ_I
02 - EASEMENT FOR CN.W.O. FOR DOMESTIC
WATER AND SANITATION PURPOSES,
❑3 - INDICATES A 10.00 FOOT EASEMENT FOR
PUBLIC UTILITY PURPOSES DEDICATED TO
CRY OF LA OUINTA
SEE SHEET 3 FOR SURVEYOR'S
NOTES AND BASIS OF BEAR!
0 BO 160 240 320
' .. eu:%v1lwcFnu4-1; v/IA/w
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
REQUEST TO DUPLICATE OFFICIAL COPY OF PLANS
Building Address: .S,�L 75" T c,� �e�/ �(/,oy �,o ( AJ7—A
Assessors Parcel Number: 79 -L) / y • `%
Person Requesting Duplication:
Name 'ZEO G/ao,--X �
Address 4eoo (/",v�j'/
,4Ce,01n,S,vrO ,
Telephone Number I/4) .6 Fax Number ( 9i6O yo p
Project Architect/Engineer:
Name
Address 2oy/ /Je ?,y o o t' 25�'4L'
Original or current owner of building:
Name �0 5ciy�/iv G
Address /moo V__
The following affidavit is required under Section 19851(c) of the California Health and Safety
Code as a condition of receiving a duplicate copy of official plans held by the City of La Quinta:
AFFIDA IVIT
in requesting duplicate copy of the official plans for the
AME OF PERSON REQUISTING DUPLICATION)
building at SS ;7.5 T,e.v%�se�j/ ,a y , La Quinta, California stipulate to all of the
(BUILDING ADDRESS)
following conditions as required by the California Health and Safety Code:
(1) That the copy of the plans shall only be used for the maintenance, operation, and use
of the building.
(2) That drawings are instruments of professional service and are incomplete without the
interpretation of the certified, licensed, or registered professional of record.
Page 1 of 2
(3) That subdivision.(a) of Section 5536.25 of the Business and Professions Code states
that a licensed architect who signs plans, specifications; reports, or documents shall
not be responsible for damage caused by subsequent changes'to, or use of, those
plans, specifications, reports, or documents where subsequent changes or uses,
including changes or uses made by state or local governmental agencies, are not.
authorized or approved by the licensed architect who originally signed the plans,
Specifications, reports, or documents, provided that the architectural service rendered
by the architect who signed the plans, specifications, reports or documents was not .
also a proximate cause of the damage.
I declare un r penalty of perjury that the foregoing is e and correct.
SIGNATLAE OF ERSON REQ STING DOPLICATICFN OF PLANS
QGyiv F� "
CAPACITY CLAIMED BY SIGNER
ACKNOWLEDGEMENT
State offQ��
County of
On 5 , before me, �J�� / re L r /o yj
Dae / Name and Title of Officer (e.g. "Jane Doe, Notary Public")
Personally appeared L'eD r•
Name(s) of Signer(s)
personally known to me
WITNESS my hand and official seal.
Place Notary Seal Above
2 -of 2
of Notary Public
❑ proved to me on the basis of satisfactory evidence
to be the person(s) whose names) is/are
subscribed to the within instrument and
acknowledged to met that he/she/they executed
JANICE L. MARLOW3
the same in his/her/their authorized capacity(ies),
by his
V COMM. # 1601315
and that signature(s) on the
0 SACRAMENTO PUB TO Co ORNIA
U TY
instrument the person(s), or the entity upon behalf
COMM. EXPIRES SEPT 1
of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
Place Notary Seal Above
2 -of 2
of Notary Public