0309-023 (BLCK)LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 0'(commencing with Section 7000) of Division 3 of the Business and
04 W Professionals Code, and my License is in full force and effect.
O =) c) License # Lic. Class Exp. Date
d
8'Z01,1421 B M _. 061,4 012r,
Z � Date CIS- r Signature of Contract it E?�
J U C)",. OWNER -BUILDER DECLARATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
Z_ ( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
C'')() I am exempt under Section
LO B&P.C. for this reason
N Date Signature of Owner
ON
Q WORKER'S COMPENSATION DECLARATION
CL
C) 2 Z I hereby affirm under penalty of perjury one of the following declarations:
Lo F2 O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W �= compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
Cal Q () ( ) I have and will maintain workers' compensation insurance, as required by
OU Q Section 3700 of the Labor Code, for the performance of the work for which this
rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
co 5 Carrier STAT COMPI-14SAI! Policy No. 174957003
�O
J (This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 forthwith comply with -those provisions.
,Date: C., APPlicant�`t. ,�_—
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent)' Date
PERMI
UILDING PERMIT T#
- w�
' 2
DATE VALUATION LOT TRACT
049A W-�.v.€
JOB SITE
APN
ADDRESS 411-:225 WASSIUNt.?ON i INEVaH (-
OWNER
CONTRACTOR/DESIGNER/EN (NEER
,11,1117 FRANCIS CI -MCS
I CrHAEL. DsWirt.i 039 CUM'17=17'0H DB
47-225 VtrAW.NG TJX i`S.l RY..0 '
69264 U32MU'rY Ti OAe�.,3
I A QL7TN rt, CA 922,53
CA'�7F.:f - AL, C...t'r F CA 92234
USE OF PERMIT
Sir L. F. 5' C@A DE14 'sA►ALI, ORCO SY s` RM
6 PT. WA" 99,00 LF
EMTM IXD C0VT0F C OJIJSTRUCTIO1N
CO STRUC TION FEE? 101-000-41&000 ,� $43.00
SEP .0 4 NO
OF LA Q61KYA
CIT(
FINAPICE DEPT.
SUB40TAL CtaNTMUC-170N AND PLAN CAECK .
� �� 3.00
IM93 PRE-PAT13 F;EZ
l3.ClC1
TOTAL -PERWIT ITEKS DUE NOW
S 4.5 01)
RECEIPT
DATE
BY
DATE FINALED
INSPEC�
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings of — a _
Main Drain
Bond Beam - / _ 3
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final /D —1-5,-
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
if
" .•'
BmlPj ,-04
L 00
C ' la wA`G City of La Quinta
1 uRLL Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
to La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �a23
p�
Project Address: -Z Z Cj �}cZ Sk ` �,� S+
Owrter's Name:S� t q4., c S 1^ v r
A. P. Number:
Address: Lf -I --Z2 5
Leeal Description:
Contractor. �t ��
Address: 0 a
City. ST. Zip: Lq
f Telephone: 53S-0-90-7 � . - -
Project Description:
City, ST. Zip: Q.o t.� o'� y. S
Z
J, s L r Vz.�t 4 Ga1�t�
Telephone: 3101
State Lic. # : gj'Z O S—L
City Lic. #:
O L ko 1
Arch., Ener., Designer. �•
Address: !a
City. ST. Zip:
Telephone:
4vi :. = ':'.,=
Consuuction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 0�,1 �o. el
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
rEstimated Value of Project: 21 —
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
2-
L
Plan Sets j �R�F
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
P' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
5.111.1.
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
Scbool Fees
Total Permit Fees
V f IoM �� ON keC,,a OF CaNin,+c-r 5401,,id y 2 0A oma.
l,KLA
T!I iE, S� SPi��/NaL �itoM G+/�iGG� /21.&1X • �K KAY oma,
VN�,�,� • -
YOUNG. ENGINEERING SER VICES
Engineering *Architecture *Surveying- Building & Safety Services
Letter. of Transmittal
To: City of La Quinta ' Date:
Project:
9/4/03
47-225 Washington St..
4' wall addition
Ann: r,a Kaman PC#: 0307-185 (1" Check)
Tel No.: (760) 777-7012 Tract No.:
We are forwarding: X By Messenger By Mail Your Pickup
No. of Copies Description:
1 Single page site plan
1 Set of struct calcs
Comments: Plans are acceptable.
Thanks
This Material Sent for: -
Your Files
Your Review
Checking
Other
By: Eric Frenzel
Phone # 760-360-5770
Per Your Request
z Approval
At the request of:
77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770
i. Bronz Young
{
• ' MCD C.onstr. action
License #, B-820821
11-600 Palm Dr. Ste. C .
Desert Hot Springs, Ca. 92240
Phone: (760) 329-7114 Fax: (760) 329-3119
Proposal submitted to: St. Francis of -Assisi Date: 9/3/03
Attri: Brian Devlin Project: 47-225 Washington St '
47-225 Washington St.
La Quinta, Ca. 92253 Fax: 760-564-0763
(760-535-0907)
PROPOSAL
We hereby propose to furnish materials and labor necessary for the complete block
walls as per plans: ,
600 LF 6X8Xl6 Precision Block on top of existing retaining wall.'
Patch all stucco cracks /re -stucco as needed /re -paint -eves /and repair all landscape by
block wall.
TOTAL PRICE $23000.00
Owner to supply the following:
Permits &- Fees
ALL OPTIONAL ITEMS TO BE ADDED TO THE TOTAL COST.
.................................. Y NT T BE FO WS.
...PA 1l%IE O AS LLO
Progress payments
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike
manner according to specifications submitted per standard practices. Any alteration_ of deviation from
above speculations involving extra costs will be executed only upon written orders, and all become an extra
charge over and above the estimate. Prices are also subject to field measurements and will be adjusted
accordingly. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to
carry fire, tornado and other necessary insurance: Our workers are fully covered by Workmen's
Compensation insurance.
Author e
Signature
' Note: This proposal may be withdrawn by if not accepted within THIRTY day
ACCEPTANCE OF PROPOSAL. The ab a prices speculations and conditions are satisfactory and are
hereby accepted. You are au orized to d " work as specified. Payment will be made -as outlined above.
Date of Acceptance: Signature:. 0
1
LAW OFFICES OF MATT H. MORRIS
MATT H. MORRIS, ESQ. -,STATE BAR NO. 132056
2
74-900 HIGHWAY 111, SUITE 211'
INDIAN WELLS, CA 92210
3.
TELEPHONE (760) 346-1332 / FACSIMILE (760) 340-4834 .
SUPERIOR COURT OF
4
CgtIFORD
COUNTY OF RIVERSIDE
s
Attorneys for Plaintiff Rebecca Shields
SEP 08 2003
6
•� C. Reed
7
_ Wputy
SUPERIOR COURT OF CALIFORNIA
8
COUNTY OF RIVERSIDE
- 9
10
11
REBECCA SHIELDS, as agent for JOSEPH J. Case No. INC 038006
MIJICH,
12
Plaintiff, TEMPORARY RESTRAINING ORDER
13
AND ORDER TO SHOW CAUSE
V.. REGARDING PRELIMINARY
14
INJUNCTION
ROMAN CATHOLIC BISHOP OF SAN'
15
BERNARDINO; ROMAN CATHOLIC
•BERNARDINO;'
DIOCESE OF SAN ST.
16
FRANCIS OF ASSISI CATHOLIC CHURCH;
and DOES 1 through 25, inclusive;
17
Defendants.
18
19
20.
On reading the verified Complaint, plaintiff Rebecca Shields' Application for Temporary
21
Restraining.Order and Order'to Show Cause regarding Preliminary Injunction, the related supporting
22
declarations and the Memorandum of Points and Authorities served herewith, and after hearing from
23
Matt H. Morris, Esq., counselfor plaintiff and Wilfred C. Lemann, Esq., of Fullerton, Lemann,
24
Schaeffer & Dominick, counsel for Defendants, and it appearing to the satisfaction of the court that
25
plaintiff has, established the probably validity of her claim and this is a proper case for granting the order
26
to show cause and temporary restraining order prayed for in the complaint, to avoid great or irreparable
27
injury which will result to plaintiff before the mater can be, heard on notice.
28
IT IS HEREBY ORDERED that the above-named defendants, and each of them, appear in
Law Offices of Mat
H.' Morris 1
OSC.wpd .
Order to Show Cause
I Department 2H of this court, located at 46-200 Oasis Street, Indio, California, on September. 12, 200
2 at 8:30 a.m., or as soon thereafter as the matter may be heard, and then -An d there to show cause, if an
3 why they and their agents, 'servants, employees, and representatives should not be enjoined ai
4 restrained during the pendency of this action from destroying, breaching or otherwise disturbing t]
5 chain link fence located .on the parcel which is the subject of this action which is located immediate
6 adjacent to'. and south of Rebecca Shields' property located at 46-885 Highland Palms, La Quint
7 California, from entering onto plaintiff's property for any purpose, and from attempting in any way
8 construct a wall, fence or other barricade between plaintiffs property line and St. Francis of Ass]
9 Catholic Church's alleged property.
10 ITIS FURTHER ORDERED that pending the hearing and determination of the order -to she
11 cause, the above ,named defendants, and each of them, and their officers, agents, employee
12 representatives, and all persons acting in concert or participating with them, shall be and hereby.a
13 restrained and enjoined from:
14 (1) Destroying, breaching or otherwise disturbing the chain link fence located on the pare
15 which is the subject of this action which is located immediately adjacent to and south of Rebec
16 Shields' property located at 46-885 Highland Palms, La Quinta, California;
17 (2) Entering onto Plaintiff's property for any purpose; and from
1.8 (3) Attempting in any way to construct a wall, fence .or other barricade between plaintif
19 property line and the subject parcel and/or -St. Francis of Assisi Catholic Church's property.
20
21 IT IS FURTHER ORDERED that this Order to Show Cause and Temporary Restraining Ord
22 be served on. defendants; through their legal 'counsel, via facsimile, not later than September 8, 200
23 IT IS FURTHER ORDERED that this order, shall have no force or effect after, 'September I
24 3002.
25
26
27 JUDGE OF THE SUPERIOR COURT
28
Law Offices of Ma H. Morris 2
OSC.wpd Order to Show Cause