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10-0782 (DEMO)P.O. BOX 1504' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application Valuation: ..'10=00000782 a 55605 PEBBLE BEACH 775-130-009- - - DEMO - COMML/OTHER. LOW DENSITY RESIDENTIAL 0 N N1 T4'�v 4 XP Q" Architect or Engineer: PIP ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Cla : B License No.: 903943 ate: oritract 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 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).: (_ 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.). (_ 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 contractors) 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: V 06 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1. 8/26/10 Owner: GIBBS FAMILY TRUST 75 GRANITE RIDGE CALGARY, AB T323 -B3 Contractor: D a D & R REPAIR, IN AUGc �O�O 44630 FRANKLIN C V LA QUINTA, CA 92 53 (760)218-6414 C17y OF LA QUINTA Lic No.: 903943 FKANCEQEPT ------------------ 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. 1 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 EXEMPT Policy Number EXEMPT t'r;?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_ anal agree that, if I sho ul ject to the workers' compensation provisions of Section _ 3 QOyLthe Lab odg,,V shall forth„jfthrotply with those provisions. WARNING: FAILUAE TO SECURE WORKERS' COMPENSATION 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. <F 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 court y ordin ces and state laws relatingto b r constructio and hereby authorize representatives of this ent on the above-mentioned for inspection r o Olt -e. ature (Applicant or ent Application Number . . . . . 10-00000782 Permit . . .. DEMO PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date 2/22/11 Qty Unit Charge Per Extension BASE FEE 45.00 ------------------------------------------------------------------------------ Special Notes and Comments DEMO DRYWALL .TO ASSESS STRUCTURAL STATUS FOR RENOVATION. NO NEW CONSTRUCTION OR CHANGE TO STRUCTURAL ELEMENTS. 2007 CODES Fee summary Charged Paid Credited Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 LQPERMIT - .. . August 12, 2010 GIBBS FAMILY TRUST To Whom It May Concern: 1 hereby authorize D & R Construction to act as our agent & applicant for all necessary demolition and building permits for all work relating to the renovation of the residence at 55605 Pebble Beach, La Quinta, California. Regads, }} 1' Patricia Gibbs Trustee t. RECORDING REQUESTED BY: Orange Coast Title DOC # 2010-0353631 07/29/2010 08:0011 Fee:18.00 AND WHEN RECORDED MAIL TO: page 1 of 2 Doc T Tax Paid Recorded in Official Records. The Gibbs Family Trust County of Riverside Larry W. Yard 75 Granite Ridge Assessor, County Clerk .& Recorder TCa�lgary Alberta Canada OUO No A 8210310 Escrow No.: 10242 A.P.N.:775-130-00th,4 S R U PAGE SIZE DA MISC LONG RFD COPY TIT% 0 oZ0 --GRANT M A L 465 426 O NCOR SMF NCHG E THE UNDERSIGNED GRANTOR(S) DECLARE(S)� 1f=S1N� T: aQ n UNI �r DOCUMENTARY TRANSFER TAX IS $ 1,155.00 j X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. ,(� [ ] unincorporated area [ X ] City of La Quinta f� r FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ' 05i Gilbert Marino and Patrice Marino, Trustees of The Marino Family Trust dated May 10, 2000 hereby GRANT(S) to • Patricia Cecelia Gibbs, Trustee of The Gibbs Family Trust dated February 17, 2008 the following described real property In the County of Riverside, State of California See Exhibit 'A* attached hereto and made a part hereof. Dated: July 22, 2010 STATE OF CAO I,,j� COUP TY OF a 18ti i, } SS. v v Debre me, 1�. The Marino Family Trust dated May 10, p rs Inally ppe red pjV.VVWW- 2000 ' w o proved to me on the basis of satisfactory evidence to be the person (s) whose name (s) is/are By,Gil rt Marino, Trustee subscribed to the within instrument and acknowledged to me that he/ she/ they executed the same in his/ her/ their authorized capacity (ies), and by his/ her/ their By: Patrice Marino, Trustee 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 my hand and ,official seal. Signatu W VVh VERONICA RODRIGUEZ Commission a 1721053 eNotary Public - California Rlveraide County bMVCanrM80WJon27.2Djj - (This area for official notary seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE OrdL- No. 210-1182103-10 Exhibit "A" Lot 17 of Tract No. 20717-2, in the City of La Quinta, County of Riverside, State of California, as per map recorded in Book 153, Page(s) 80 through 96 of Maps, in the office of the County Recorder of said County. EXCEPTING THEREFROM all oil, gas casinghead gas, asphaltum and other hydrocarbons and all chemical gas now or hereafter found, situated or located in all or any part or portion of the land herein described lying more than 500 feet below the surface thereof, together with the right to slant drill for and remove all or any of said oil, gas, casinghead gas, asphaltum and:other hydrocarbon, and chemical gas tying below a depth of more than 500 feet below the surface of but without any right whatsoever b enter upon the surface of said land or upon any land or upon any part or said lands within 500 feet vertical distance below the surface thereof, as reserved in the deed by as provided therein, recorded January 16, 1987 as Instrument No. 12626, Official Records. 08/09/2010 10:07 7607777011 LA QUINTA BLDG DEPT PAGE 02/02 sin" City of La Quints BWktnp it Safety DM ton P.O. Box 1504, 78.495 Came Taggw to Wnta, CA 92253 - (760) 777.7012 Dididing Permit ApplicatFon and Tracking Shut pmt Bn O' to Pmjed A&=: Owner's Mame A. P. Number. Address: 1' Legal on: Contractor: A l' PPP city, ST, zip: Tcl hone: Address: ® c Project Description: City. ST, Zip -.4 S cSS YGtL r Tc}ophoac. �' S State Lie. t< : Arch, EW.. Designer. City Lia q: Address: City, ST, Tip: Telephone State Lie Co�pucdotr typa Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contset Person: Sq. Pt: ij Staria: P Units Telephone F of Ceatset Pelson: -xt " 4>10 I&timated value of Project; APPLICANT: DO NOT WRRE BELOW THIS UNE N Submittal it�y d ►a TRACKtc PZRb T FEES Plea See Plan Mack submitted Iters Amount Stroesoral Cafes. Reviewed, ready for corrections Plan Check Deposit Ttoss Cale Coed Comet Person plan W e& Balance Tide 24 Gla. Flood plain pias Plass pieced ap Plain enunbmllted Cemtractlon Mabnuiteal Grading pias r Review, rady for eorreefioseAeaee EleabieN Sabeoabetor Llet Gnkkt Decd Cttied Contact Penn Plasspicked up Plemblrq g 11LL HOA Approval plains ressbaltted rwading IN HOtIS&- "" Review, evedy for oerrecourAftse navdoper Impact Fee Planing Approve) Called Cents" Person Pub. Wb. Appr demos Fen Date of permit Issue Tot•1 Permit rtes 5.23V3 ;AN"— EZ=AA— '�Lf'' 1 Vim' DEMOLMON PERMIT REQUIREMENTS Tt!e?ollFarielg 1i Ms are r"ujmd prior to um issuanc*of a Demolition WmTL Two swc% a! plaras shoviin# the cartPlele s of R-oc-1; cl prnj;�nly owrcrship Cr;RPll Deed). • 'Letter from propW-y owner auAllming dcrnzA?.iwt alth scan -o --'vimk Anbest.vys Repoo for -0 pre. -197!+ Properues. It re_- by a fcvi=4 Arbe7los Abatement wtramr • HOA Aprroval, ? aPPltQtD!e Puok WoAs PM -110 Approval. Page 2 of 3 k4dp,� 8/9/2010 �5 l 1 1 r s.