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05-3173 (SFD)q _1. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00003173 5 2 9 8 0--' LATROBE `' LN 770 -340 -022 - DWELLING - SINGLE F LOW DENSITY RESIDEN 412917 Tay/ " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ICETAC G BOWERS, TED & LORI C/O ANDREW PIERCE CORP HED 44935 DEEP CYN DR.'PALM DESERT, CA 92260 " V 2 g 1005 wrrpF ----y Architect or EngineesINAN QUINTA -------------------------------------------------- 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. Lice n jj lass: B License No.: 67/1203 Date: -11 2(WOT ntractor. ex AV`64 , Flk ( ,tom. 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.). (_) 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.). I—) I am exempt under Sec. , BAP.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 Contractor: PIERCE CORPORATION, ANDREW P.O. BOX 3420 PALM DESERT, CA 92261 (760)346-3228 Lic..No.: 671203 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 --------------- - - - WORKER'S COMPENSATION DECLARATION Date: 11/17/05 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 iKissued. 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 0014314-2005 _ 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 Lab Ce, I shall forthwi com ly with those provisions. te: icant: WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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 co my ordinances and aws relating to building construction, and hereby authorize representatives of this my to enter upon above-mentioned property for inspec 'on ur ses. ter ` \ Z ate: ` V ignature (Applicant or Agent): c IX Vr� Application Number . . . . .. 05-00003173 Permit . . . BUILDING PERMIT' Additional desc . Permit Fee- 1735.00 Plan Check Fee 1127.75 Issue Date . . . Valuation 412917 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 639.50 313.00 3.5000 ---------------------------------------------------------- THOU BLDG 100,001-500,000 ------------------- 1095.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 157.00 Plan Check Fee 39.25 Issue Date . . . . .Valuation . . . . 0 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA 'MECH FURNACE <=100K 45.00 5.00 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 7.00 6.5000 EA MECH VENT FAN' 45.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 " Permit" ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 217.58 Plan Check Fee 54.40 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 4665.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 163.28 1215.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 24.30 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . A Permit Fee . . . . 239.25 Plan Check Fee 59.81 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 25.00 6.0000 EA PLB FIXTURE 150.00 LQPERMIT Application Number 05-00003173 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 .7.5000 EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP ( 3:00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS.METER --------------------------- 15.00- ----------------------------------------- • C -------- Permit GRADING PERMIT Additional desc ' Permit Fee . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - 4665 SQ.FT. LIVING (INCLUDES 623 SF CASITA -MUP 2005-6721 R-3 OCC. TYPE VN CONSTRUCTION, 2001 CODES. **PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, SPA, WATER FEATURES and BBQ'S** " NOTE:COMPLIANCE WITH ALL FEDERAL & STATE LAWS, INCLUDING THE ENDANGERED SPECIES ACT.OF 1973 IF APPLICABLE,IS. REQUIRED. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 532.29 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 112.78 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES. 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 41.29 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ----------------------------------------------- Due ---------- Permit Fee Total 2363.83 .00 .00 2363.83 Plan Check Total 1281.21 500.00 .00 781.21 LQPERMIT Application Number . . . . 05-00003173 ' k Other Fee Total 3091'.36 .00' Grand Total 6736.40 500.00 r l LQPERMIT 00 3091.36 00 6236.40 CC aal� JoAq�O - 4 4 a `--t"0�� P.O. BOX 1504 Building 78-495 CALLE TAMPICO Aririraac LA QUINTA, CALIFORNIA 92253 VWIICI 8,j&,- o teze f. Meiling L-/1 935 C44 A)Address k1`9 A Contractor & Classif. I Lic. # Arch., Engr., ^ 9 G �� . I Designer {'✓-�+ Address f Te�' 1,04-Zr, NiN %&& ti l .9Z7(State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisionsof the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 (8500). ❑ 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION r I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST. "'�� OCC. GRP. A.P. Number Legal Description al A.-11TIJ15 ttDescription C 1jZ� Sq. Ft, No. Size Stories New Add ❑ Alter ❑ Estimated Valuation No. Dw. Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. r Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distance: FINAL Issued by: Validated by: Validation: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback.from Property Line INSPECTOR Date Permit YELLOW = APPLICANT PINK = FINANCE CERTIFICATE OF COMPLIANCE q��lFsc�o Desert Sands Unified School District 47950 Dune Palms RoadseRMuoaDUNEs O rA RANCHO MIRAGE (� Date 11/28/05 La Quinta, CA 92253 INDIAN WELLS No. 27$77 �i� PALMDESERT LAGUINTA (760) 771-8515 �INDIO Qyr)� p Owner Andrew Pierce Corp APN # 770-340-022 Address 44835 Deep Canyon Jurisdiction La Quinta city Palm Desert Zip Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street Unit 1 52980 Latrobe Lane Unit 2 Unit 3 Unit 4 Unit 5 Comments Traditions S.F. 4665 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 4,665 S.F. or $10,449.60 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/PDNB - Amy Rohrbach Check No. 095435 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGilvmy Payment Recd $10,449.60 Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting 0� 'I .may r "fiver/Un6er� ,- I( , NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting 0� Certificate of Occupancy Building &Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was 'in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS:.52-980 LATROBE LANE Use classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Owner of Building: TED & LORI BOWERS Building Official Type of Construction: VN POST IN A CONSPICUOUS PLACE Building Permit No.: 05-3173 . Land Use Zone: RL Address: 44-935 DEEP CYN DR. City, ST, ZIP: PALM DESERT, CA 92260 By: DAVID GATICA Date: 11-17-2006 BORM F June 30, 2006 Mr. Bill Burgess 44835 Deep Canyon Road Palm Desert, CA 92260 Re.: Framing Exterior Bowers Residence Subj.: Opinion of Construction RECD J U L 10 2006 STRUCTURAL ENGINEERS Dear Mr. Bowers: The staff ofour office made periodic visits to the Bowers Residence during the course of its construction. Visits were made to observe the work and determine if it had proceeded in general conformance of the intent of the construction documents prepared by our office. Reports were provided to your firm detailing deviations from what the documents had intended and providing recommendations�we had made to be implemented. Our visits included in part observation of framing configuration, material sizes and costa Mesa, CA grades, hardware installation, fasteners, and workmanship effecting structural ' performance. Modesto, CA ' 1 Based on our observations, it is our opinion the framing for the exterior was constructed in general conformance with the intent of the construction documents Pleasanton, CA prepared by our office. The content of this letter is understood to be an expression of professional opinion by Roseville, CA this engineer which is based on his/her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warrantee expressed or implied. Las Vegas, NV If you have any questions please contact our office_, Phoenix, AZ Very truly yours, PROFEgs� BORM ASSOCIATES, INC. ` %W-54� 'E Tucson, AZ Mohammad Douroudian Osj "' Denver, CO Senior Project Manager Ny �/� aa:/10774 063006 O In of Construction Frm Exterior cMl_ �� Beijing, PRC 1 P� Fes, ,�nP�.� cc: (3) Addressee via fax/mail (760) 777-4359, (760) 346-6263 (1) File # 10774 BORM S T R U C. T U R A L E N G I N E E R S l 1 September 21, 2005 Ms. Jody Jones Andrew Pierce Corp. 44-835 Deep Canyon Road Palm Desert, CA 92261 Re: Bowers Residence Subj: Structural Truss Shop Drawing Review Dear Mr. Jones: Accompanying this letter, we are returning (3) sets of shop drawings bearing the same imprint as at the base of this letter. The drawings were reviewed for general conformance with design concept of the project as indicated by the structural documents prepared by our office. We have not reviewed quantities or dimensions. We have not reviewed fabrication processes, techniques of construction, or coordination of the work with that of any other trade. We have not reviewed the manner in which the work would be performed or if it may be performed in a safe and satisfactory manner. Should we have made any comments or corrections on the drawings, these comments or corrections do not relieve the contractor from compliance with the structural documents. In as much as we have reviewed the drawings only for general conformance with the design concept, unless deviations from the design intent have been clearly indicated as such, we may not have made note of them and the contractor is not relieved from compliance with the structural documents. Our review of these drawings is not an indication of their preparation under our supervision. These shop drawings are being returned with no objection taken to their use. If you have any questions please contact our office. Very truly yours, BORM ASSOCIATES, INC. r Rachel Martin Project Engineer rm: 1/10774 0921057russ Review Distribution (3) Addressee via overnight (1) AC Houston Lumber Co. (1) File 10774 Enclosures: (3) Shop drawings, by AC Houston Lumber Co., dated 9/16/05 SEP" 2 1 2005 Structural Shop Drawings Refer to letter bearing to imprint for Woman REFERENCE # 10774- 01 ACCEPTABLE FOR BORM ASSOCIATES, INC. 555 Anton Boulevard, Suite 850, Costa Mesa, CA 92626 T: 714.513.7500 F: 714.513.7555 www.borm.com COSTA MESA PLEASANTON ROSEVILLE LAS VEGAS PHOENIX =1 �3in:iF��' . • G of La City Quinta Building U 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:' 4160 Cu&) Owner'sName:'r,Pcl S (. rl �>CXI- -1 A. P. Number: b w� a Address: 93 e Legal Description: S 1 Contractor: NILTelephone: City, ST, Zip: ? , Address: O , a Project Description: City, ST, Zip: TU L) TU Telephone: State Lic. # : �p 7 Id 0 City Lic. #: 6,7 r,— -Q Arch., Engr., Designer. —L, Address: Palm Cantian City, ST, Zip: 4 USS r0 Telephone:3/� -- Construction Type: Occupancy: State Lic. #: C: Project type (circle one): a Add'n Alter Repair Demo Name of Contact Person:Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACHING . 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 2°" Review, ready for corre ions 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:- 3' Review, ready for corrections/issue Dev oper Impact Fee Planning Approval Called Contact Person 3 A .P. Pub. Wks. Appr a of permit . School Fees '� '`G 6 Total Permit Fees P.O. Box 1504 LA QUIN`I"A, CALIFORNIA 92247-1504 78-495 CALLe TAMPICO LA QUIN`I'.A, CALIFORNIA 92253 November 9, 2005 Mr. Jody Jones . Andrew Pierce Corporation 44-835 Deep Canyon Road Palm Desert, CA 92260 SUBJECT: MINOR USE PERMIT 2005-672 52-980 LATROBE LANE Dear Mr. Jones: (7-6 0) 777-7000 FAX (760) 777-7101 Your request for approval of Minor Use Permit 2005-672, allowing the construction of a casita at 52-980 Latrobe Lane in La Quinta, is hereby approved. You may now contact the Building &Safety Department for your building permit. Enclosed is the approved original Deed Restriction for this Minor Use Permit. It.must_be� signed by the owner in front of a Notary Public. The original approved documents are.. then to be recorded -with the County Recorder, with are corded copy given to the City for l our files. _ The Community Development Department will sign the job card when the recorded copy is received, which would provide our clearance to the Building & Safety Department to issue the building final. inspection. Until the recorded copy is received by the Community Development Department, your Minor Use Permit is not complete and a final inspection will not be conducted by the Building & Safety Department. Should you. have any questions, please call me at (760) 777-7067. Very truly yours. JAY WUU Assistant Planner Attachments c $B.uilding.and {Safetw , ep- artment' ri. APPROVED BY COMMUNITY DEVELOPMENT DEPARTMENT BY C DATE �S EXHIBIT CASE NO. tv RECORDING REQUESTED BY: Mr. & Mrs. Ted Bowers WHEN RECORDED PLEASE MAIL TO: Mr. Jody Jones Andrew Pierce Corporation 44-835 Deep Canyon Road Palm Desert, CA 92260 COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT 52-980 LATROBE LANE, LA QUINTA, CALIFORNIA This Covenant and Agreement are made and executed this 9th' day of November by Mr. & Mrs. Ted Bowers, as the recorded owner(s) of the property described herein. The City of La Quinta, a Municipal Corporation, is hereby made.a party to this Agreement for, the purposes set forth below. The undersigned hereby certifies that he/she. is the property owner of the following described real property in the City of La Quinta, County of Riverside, State of California: ' LOT 22, TR 28867, in the City of La Quinta, County of Riverside, State of California . In consideration of the City of La Quinta .issuing a building permit' for certain improvements which will be constructed on said property, the undersigned does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: 1. The guest house may not be rented nor sold independent of the main single- family residence (Minor Use Permit No. 2005-672); 2. No kitchen or cooking facilities shall be constructed in the guest house per the provisions of Chapter 9.30.030 (RL Zone District) and 9.60.110 (Guest Houses) of the La Quinta Municipal Code; 3. All on-site facilities are intended.for the sole occupancy of the property owner(s), guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and, 4. The guest house shall be used primarily as a sleeping facility, and shall be maintained in accordance with all ,zoning and other codes as set forth in the La Quinta Municipal Code, as may be amended from time to time. This Covenant and Agreement shall run with the land. and shall be binding upon future owners, their successors, heirs, or assigns, and ourselves, and shall continue in effect while said accessory building remains on the real property or unless otherwise released by the authority of the City of La Quinta. All leases of said dwelling and/or property shall be subject to this restriction. This Agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law or equity. This Covenant and Agreement and the provisions hereof are irrevocable, except by the written consent of all parties to the agreement, including the City of La Quinta, a Municipal Corporation. The City shall have the right .to enforce each and every provision hereof and -the parties agree that the Agreement shall not be rescinded, revoked, modified, or otherwise amended or changed, without the expressed written consent of the City first being obtained. In the event that the owners, their heirs, assigns or successors in interest, shall fail to perform any obligation her they hereby agree to pay all costs. and expenses incurred by the City of La Quinta. in securing performance of such obligation, including attorney's fees. By: 1. 2. 3. Signature(s) Dated: Printed Name of all owner(s) Douglas,/3k. Evans Date Commu ity Development Director City of La Quinta S STATE OF CALIFORNIA ) COUNTY_ OF RIVERSIDE ) ss. CITY OF LA QUINTA ) On November 10, 2005 before me, Regenia Hensley, Notary Public, personally appeared DOUGLAS R. EVANS personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. RE.,QENIA HENSLEY Notary Public Commission # 1521423 Expiration: October 23, 2008 (Seal) �1� • \ir y 0 �• • NA µ PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS rte - Date: 8/16/05 Developer: Andrew Pierce Corporation Tract No: CZ (o i .Lot No. (s) Address(s): 52-980 Latrobe Lane 22 The following are the requirements for Green Sheet clearance to issue a building permit for the subject building lot(s): -4(CUSTOM HOMES: PROVIDE ITEMS #2, AND #3 BELOW. TRACT HOMES: PROVIDE ITEMS #1, #2, AND #3 BELOW. COMMERCIAL BUILDINGS: PROVIDE ALL ITEMS BELOW W 44) 1. Attach or previously submitted (current within 6 months) Pad Elevation Certificates in, compliance with the approved design elevation for uilding.pad (deviations of ± 0:1 foot). 2 roposed building locations are legal lots, final map recorded,. N ggd-5-J✓ Attach a complete Fugitive Dust Control (PM -10) Plan and packet. 4. Precise grading plan approved. I have reviewed and confirmed the requirements listed above and find the improvements to be sufficiently complete, except as specially provided below, for construction of the proposed structure(s) on the subject lot(s). Pursuant to -'my, findings, I find that the above may be release or buildinWe*rmitissuan Recommended b Dated: SPECIAL PROVISIONS: Building & Safety has been advised that it is appropriate to issue the Building Permit; however, the Certificate of Occupancy should not be authorized until the following issues have been addressed: F066 REV 11/04 Folder 11 :2� 1 ' /' . ' J,9: PE = 88 Dmnc iDr ua frm� Mc ut ;1� Rnnrt m.n xa (PE = 88) (PE - (PE = 88) 89) (PE = 88) / SCALE V ° 20 ,° so M Underground Service Alert r422-4133 TOIL FREE 1-800 --.-- I cmrllf.c�Rr.rA xrD �m.u,o an evo.e: You aw rw. 19oS1 EN K: BASIS .OF BEARINGS: vREPMm urwl nE AIPEInIDa+ Or: -_-_ __� M. CO. DEMaRWa lw-� 10. my , euaRxs HOIEa. AAE RASm .'1;. X �./..i ,vx:-n SR. KEITH y4 T Y O F L A U I N T A �:' a cont. num r I.v.:na uvon i E wEsr ura o< sx RRR k ffxRR2E —Wt� �� +�,Q,. TRADITION TRACT 28887 �L- � rnY W oln A.E. sx Arm M' CEY 1 Of $EC. ), TfiS, R)G �. REE W. .°IE8 M. ah Ix/n/xoox xa . 1m INTERNATIONAL "" m m a MK911RDf0R AV,, e• S -LY w��snown on A RETDM a SU � . """"' CEM: OATS: v vwu vac iv°evo Euv.-.o.�,. RS eY/Ae. REcoRos °v A� .wvRwm Rr onv r u ouw1. 4,ym INC. L.ATROBE LANE AND WINNIE WAY Ria w Amo AOB'06E v.ul oz�r Dm .....-. IA'r REGRADING ltss_ ,lensv_ \' , A POPMOR OF ITEC E ! SW 7, 7.85., R.7E.. SBM DYlC No. ST256411 REFER NCES DATE REV15ION'"a nD. «x>o °� ° 0° 10 °' '"""" TRADITION CLUB ASSOCIATES. L i. C SHEET 11 OF 15 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �F QKWC4(J PUBLIC WORKS/ENGINEERING DEPARTMENT (760) 777-7075 ' '!,I',F1'{."'`"_• FAX (76017155 �% AUG 1 r 2005 PUBLIC yV®RKI Fugitive Dust Control (PM -10) Plan Approval Applicant Contact: Piye4y— 6ageozAnar�l Applicant Telephone Number: '7b0 . 3q -b • 32i?.8' Approval of a Fugitive Dust Control (PM -10) plan is required prior to Building Permit issuance for the following project: Project Name: Project Tract No.: C _ Lot No. (s): a Project Street Address(s):�,�a Please fill out the attached forms and submit the entire packet to the Public Works/Engineering Department with your Green Sheet submittal. B Tdf 4 4Rumrw , ' Site Specific Construction Phase PM10 Plan ; The signature of the property owner (or authorized representative): ■ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to AQMD Rules 403 and 403.1; ■ Shall constitute an agreement to comply With all project conditions as identified in the approved dust control plan; The property owner (or authorized representative): Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the period of project performance, regardless of project size or status; ■ Shall ensure that each and every contractor/subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ■ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ■ Shall authorize representative of . the City/County to enter upon the above mentioned property for inspection and/or abatement purposes; and ■ Shall hold harmless the City/County and it's representatives from liability for any actions related to this dust control plan or any City/County-initiated. abatement activities.- Please ctivities. Please fill out this section: Property Owner or Authorized Representative Title: Company: a. o Signature: Printed Nam . Date: ,l Project Contact Information for (check one) o Owner XOwner's Authorized Representative o Environmental Observer xGeneral Contractor o Sub -Contractors) involved in earth movement and/or soil stabilization Instructions: Please enter information below, Name: Title: (If Applicable)' Company Name: (If Applicable) yr, a N Mailing Address: g City: VZT State: Zip Code: Primary.Phone: -1&0. 20 .8. ? 31t-0 37-Zk Fax: ?(ao• 3 �• (oZ�3 24 Hour Access/Emergency Phone:. 3t\\ e5S Cell Phone: ig r] Email Address: pf . UoaF Go Responsible for dust control d Yes construction activities? (circle one) No Responsible for dust control ' -off hours?. (circle one) Yes No *Where property owner is NOT the lead contact for the project, his/her authorized representative is responsible for' ALL dust control actions. Remember... 'DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS. Dust Control Actions Project Name- —M,Ao(fio'l 60ur CuA3 Contractor Name: Instructions: Please complete this form for each phase of the construction project. Identify the phase by number (e.g., Phase 2 of 5) in the spaces provided below. Phase of Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS :-Instructions to A plicitnt: P1 P ease enteirinformait.ionbelo'Was requested. F] Clearing/Grubbing Q Mass Grading Project Phase (check): ❑ Finish Grading INIConstruction Phase E] Other (specify: Anticipated Start Date:'// 5 /a.sr- Anticipated Completion Date: ZD/C�� Number of Acres under Active i Construction: Detailed description of dust control actions implemented during this phase (should match information provided on site plan; use additional pages as necessary): ' 1) Provide PM10 Fencing at perimeter of public roads and where applicable 2) Provide 24 hour street cleaning and track out system (approved by City) 3) Obtain PM10 Certificate Number (call Sharon Zamora @ 909-396-2183) 4). Within 10 days of ceasing activities, stabilize all disturbed areas by an approved stabilizing method. 5)' rContinuous watering is required to prevent dust . 6) Use signage as shown attached. Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS 'Feb Z!3 03 11: lai Tri-State 'Land Surveyors 760Sb4J2)� P f TRI-oSTATE I .ANd SURVEYORS & Civil ENg1NEERS f. 78,1:20 CARP. i:SZAdo, SuirE 102, LA OUINTA, CAliPOk,niA.92233 (760).;64.,0271 (boo) -.163.6306 F,LX (760) 364"-0279 r. r;hruary 3, 2006 Jesse firr e.^.ez CITE" OF LA Q1 JI -R' !"A ?8-495 Calle'lzmipico 1.r1aini<t. C.k 92253-1504* RFForm Certification for Tradi`ioris + Lor 22, Tract No. 28967 O be a Dear. ti1r..iimenez: -Jfktis ietter is w certify that a field survey was made of the. existing fonn in the City of La Quinta. Lot 22 of Tract :No. 28867 was foLnd to be in co:nfoimance with the approved Grading Plan. The fullowing are the results of our survey: LC:i;_ n PI..AN CJRwDE N1E,_NN ELEVATION- 22 89.5 "� 89.48 If you have any q—,iestions, please do not hesitate to call" Sincerely, Ken Nussbaum iS. 6298 f y �ANO N7.6236