AR (05275)P.O. BOX 1504 No.,
- 1 Building - 78-105 CALLE ESTADO
a varra LA QUINTA, CALIFORNIA 92253
Address 52-022 Avenida N
•s: - • ., ,. ..
Mailing '
Address,
City
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number -
Tel. ..
Legal Description + "
Project Description _ d A 4 s
Address
{
City ]Zip
'
Tela
State Lic. _
City
& Classif.
Lica#
Sq. Ft. No. No. Dw.
.
Size 7,00 Stories Units '•
Arch:, Engr.;
Designer
New ❑ Add ❑ Alter O' . Repair ❑
Demolition: ❑
"
Tel.
,Address
City
Zip
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
• '
W. s ' , • ' OWNER -BUILDER DECLARATION , ^'
Estimated Valuation
I hereby affirm that 1 am exempt from the Contractors License Law for the following
• reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a
�
933.460
S 3 3 . G b 0
'
' permit to construct, after, improve, demolish, or repair any structure, 'prior to its issuance also
requiies'the applicant for•such permit to file a signed statement that he is licensed pursuant to
' the
PERMIT AMOUNT
'
provisions of the Contractor's License taw, 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
Plan Chk. Dep.
subjects the applicant to a crud penalty of not more than five hundred dollars ($500).
,t ❑ I, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal. 1.4201
+
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.
Professions Code: The Contractors 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,.
Mech.
.', provided that' such improvements are not intended or offered for sale. If, however, the budding
11n
or improvement Is sold within one year of completion, the owner -builder will have the burden
Electrical
• of proving that he did not build or improve for the purpose of sale.) -
Q
rT
❑ I; as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing `.
147
strucl the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
•"does
not apply to an owner of property who bolds or improves thereon, and who contracts for
S. M.1.
such projects with a contractors) licensed pursuant to the Contractor's License Law.) ,
• ❑ I am exempt under Sec B. & P.C. for this reason
Grading .
+'
Driveway Enc.
Date - 4A -AT-t',f owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
_
Policy No. company
❑ Copy is filed with the city. ❑ Certified copy ishereby furnished.
•
TOTAL $ fi 1 s
" CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
. (This sectfon'need not be completed if the permit is for one hundred dollars ($100) valuatfon`
- -
-
' or less.)
-
I certify that in the performance of the work for which this permit is issued, I shall not r
_
i
employ any person in any manner so as to become subject to the Workers' Compensation
Laws
of California
' Date ` -'Owner
NOTICE TO APPLICANT. n,�affer making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
ZONE: • `• •• BY. r<, ,— �+ � � - - .
FJ+w.r a t••n..r, s��f w= .• w k.
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"6413.71
comply with such provisions or this permit shall be deemed revoked. :
Min_imum Setback Distances§V`T''S+l_if i I�ty�YC t
Front Setback from Center Line
+.
Rear Setback from Rear Prop. Line r
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the.
Side Street Setback from Center Line
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lenders - Name
titi
Lender's Address
FINAL DATE INSPECTOR
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.
- 1 110/8
I certify that I have read this application and state that the above information is correct.
'
Issued by: Date - / Permit `
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.Validated
�.
by:
Signature of applicant " ` Date
• ,Mailing Address } -�:�/alldatlOn:
- -
-
City,. State, Zip`
_
r
cis.
C •n Si �t�..•~:c^.wti'• � �4 ;! I !,
r ;_`N., ;_I
r. t - i' -• Y
f .S i.�°l-�u*� �•. !,
a"3 � I•
•.ted
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR SQ FT ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SQ. FT.
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN.
FT ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ec
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
IVL% I—
'7, V,0.31?1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
'
GARDEN WALL FINAL
t
)Yn-ri
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
THIS DO
DWI
TO: City of a 'Q . � *� - ' ! -. a ^� DATE:
Department of CommurtViY velopment ''r�I�
78-105 Calle Estado
La Quinta, CA 92253
C.►.1
This is toe rtify that �� Oe
w ch is
developer of ✓ ►-�f'Y�
located at f within
this District, has paid school facility fees imposed pursuant to the
a thorit generated by G❑ ernment C de Se tion 53080 in the mo nt of )
covering a total f qu re feet of ( ) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
�Ox%0 0 k () U
CK --w-1 03
White - Building Department • Yellow
fo DESERT SA UNIFIED SCHOOL DISTRICT
Facilities Planning • Pink - Accounting 0 Gold - Developer
(10)-37
CITY OF LA QUINTA
CITY CLERK'S DEPARTMENT
PO Box 1504, 78-495 Calle Tampico
La Quinta CA 92247
Fax 760-777-7107
SUBPOENA FOR PUBLIC RECORDS
(THIS DOCUMENT COMPLETED BY CLERK DEPT. STAFIt- FOR RECORD ONLY)
DATE: O� • �S • � I_ � � � -!d�' �Stl�' ��$.5
NAME: _ -- -- PHONE: 9161 • sole • 4j1
COMPANY:
STREET ADC
CITY: STATE:
EMAIL:
DOCUMENT(S) REQUESTED BY SUBPOENA:
ZIP: q _qog
�- C►Myu� fia Gt-rye. " sc c.�., d,�t e- - —
The request will be processed in compliance with subpoena instructions, except with respect to public
records exempt from disclosure. Costs shall be charged in accordance with California Evidence Code
Section 1563, which states that costs shall include, but not be limited to: ten cents (1 OC) per page for
copies size 8'/2x14 or less; twenty cents (20C) per page for copies from microfiche; actual costs for
copies of oversize documents or documents requiring special processing; clerical costs incurred in
location and making records available billed at $6 per '/o hour or fraction thereof; actual postage
charges; and actual cost of offsite retrieval and return of records.
Statutory Date: 7 • 04P
Staff Member/ Date Records Provided:
N:\Forrns\Public Records Subpoena Request doc
Official Use OnlyQ ff +, ■4
Department & Staff Member: I• 0
Copy Cost:
9291 z,8-1+ SUBP-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name. State Bar number, and address): FOR COURT USE ONLY
MICHAEL R. KAISER (Bar# 74609)
MIDDLEBROOK, KAISER & POPKA o
801 EAST TAHQUITZ CANYON, SUITE 101, PALM SPRINGS, CA 92262 �
TELEPHONE NO.: (760) 322-0806 FAX NO. (Optional): (760) 322-8978
E-MAIL ADDRESS (Optional): n
ATTORNEY FOR (Name): LYNNDA KELLYry n
SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDEy c1� M
STREETADDRESS:46-200 OASIS ST (n
MAILING ADDRESS: p C m
T — F
CITY AND ZIP CODE: INDIO, CA 92202
BRANCH NAME: LARSON JUSTICE CENTER n Cr1
fT7 �
PLAINTIFF/PETITIONER: BRIAN PASSARO
DEFENDANT/RESPONDENT: LYNNDA KELLY
DEPOSITION SUBPOENA CASE NUMBER:
FOR PRODUCTION OF BUSINESS RECORDS INC 068605
THE PEOPLE OF THE STATE OF CALIFORNIA, TO (name, address, and telephone number of deponent, if known):
LA QUINTA BUILDING DEPARTMENT
78-495 CALLE TAMPICO, LA QUINTA, CA 92253
1- YOU ARE ORDERED TO PRODUCE THE BUSINESS RECORDS described in item 3, as follows-
To (name of deposition officer): COMPEX LEGAL SERVICES
On (date) : 07/06/2009 At (time): 09:45 AM
Location (address): 1836 COMMERCECENTER CIRCLE, SUITE A, SAN BERNARDINO, CA 92408
Do not release the requested records to the deposition officer prior to the date and time stated above.
a. by delivering a true, legible, and durable copy of the business records described in item 3, enclosed in a sealed inner
wrapper with the title and number of the action, name of witness, and date of subpoena clearly written on it. The inner
wrapper shall then be enclosed in an outer envelope or wrapper, sealed, and mailed to the deposition officer at the
address in item 1
b. by delivering a true, legible, and durable copy of the business records described in item 3 to the deposition officer at the
witness's address, on receipt of payment in cash or by check of the reasonable costs of preparing the copy, as determined
under Evidence Code section 1563(b).
c. F_X_1 by making the original business records described in item 3 available for inspection at your business address by the
attorney's representative and permitting copying at your business address under reasonable conditions during normal
business hours.
2 The records are to be produced by the date and time shown in item 1 (but not sooner than 20 days after the issuance of the
deposition subpoena, or 15 days after service, whichever date is later). Reasonable costs of locating records, making them
available or copying them, and postage, if any, are recoverable as set forth in Evidence Code section 1563(b). The records shall be
accompanied by an affidavit of the custodian or other qualified witness pursuant to Evidence Code section 1561.
3. The records to be produced are described as follows:
RECORD SUBJECT: PASSARO, BRIAN
DOB: 02/05/68 SSN: 156-74.5479 AKA: NOT AVAILABLE
XO Continued on Attachment 3.
4. IF YOU HAVE BEEN SERVED WITH THIS SUBPOENA AS A CUSTODIAN OF CONSUMER OR EMPLOYEE RECORDS UNDER
CODE OF CIVIL PROCEDURE SECTION 1985.3 OR 1985.6 AND A MOTION TO QUASH OR AN OBJECTION HAS BEEN
SERVED ON YOU, A COURT ORDER OR AGREEMENT OF THE PARTIES, WITNESSES, AND CONSUMER OR EMPLOYEE
AFFECTED MUST BE OBTAINED BEFORE YOU ARE REQUIRED TO PRODUCE CONSUMER OR EMPLOYEE RECORDS.
DISOBEDIENCE OF THIS SUBPOENA MAY BE PUNISHED AS CONTEMPT BY THIS COURT. YOU WILL ALSO BE LIABLE
FOR THE SUM OF FIVE HUNDRED DOLLARS AND ALL DAMAGES RESULTING FROM YOUR FAILURE TO OBEY.
Date issued: JUNE 05, 2009
MICHAEL R. KAISER ISI MICHAEL R. KAISER
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON ISSUING SUBPOENA)
ATTORNEY AT LAW
(Proof of service on reverse) (TITLE) Pap 1 of 2
Form Adopted for Mandatory Use DEPOSITION SUBPOENA FOR PRODUCTION Code of Civil Procedure, §§ 2020 410-2020.440:
Judicial Council of CaliforniaCivil Code. §
SUBP-010 [Rev January 1. 2DO7I OF BUSINESS RECORDS Government Code § 68097.1
www courtinro. ca.gov
n
PLAINTIFF/PETITIONER: BRIAN PASSARO CASE NUMBER'
INC 068605
DEFENDANTIRESPQNDENT_ LYNNDA KELLY
_ PROOF OF SERVICE OF DEPOSITION SUBPOENA FOR
PRODUCTION OF BUSINESS RECORDS
1. 1 served this:Deposition Subpoena for Production of Business Records by personally delivering a copy to the person served
as follows:
a. Person served (name):
b. Address where served.
c. Date of delivery:
d. Time of delivery:
e. (1) 0 Witness fees were paid.
Amount: ............ . $
(2) 0 Copying fees were paid.
Amount: .... ......... $
f. Fee for service:.. $
2. 1 received this subpoena for service on (date)
3. Person serving:
a. = Not a registered California process server
b. LI California sheriff or marshal.
c. Registered California process server.
d. Employee or independent contractor of a registered California process server.
e. Exempt from registration under Business and Professions Code section 22350(b).
f. Registered professional photocopier.
g. Exempt from registration under Business and Professions Code section 22451.
h. Name, address, telephone number, and, if applicable, county of registration and number:
I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
Date
SUBP-010IRev January 1, 20071
(SIGNATURE)
(For California sheriff or marshal use only)
I certify that the foregoing is true and correct.
Date:
II
PROOF OF SERVICE OF
DEPOSITION SUBPOENA FOR PRODUCTION
OF BUSINESS RECORDS
(SIGNATURE)
10
Pago 2 or 2
SUBJECT: PASSARO, BRIAN
AKA: NOT PROVIDED
DOB: 02/05/1968
ATTACHMENT -3 929158-F
SSN: 156=74-5479
ALL RECORDS AND DOCUMENTS INCLUDING BUILDING PERMITS, INSPECTION CARDS, NOTICES, PLANS
AND OTHER DOCUMENTS RELATING TO ANY CONSTRUCTION PERFORMED AT 52022 AVENIDA NAVARRO, LA
QUINTA, CALIFORNIA.
Legal Services, InG
COMPEX
1836 COMMERCECENTER CIRCLE, SUITE
SAN BERNARDINO, CA 92408
***DOCUMENT RELEASE INSTRUCTIONS***
When the requested documents are available to be copied or picked up, simply complete this form and
FAX it back to (909) 806=4785. If you are unable to fax, please call us at (909) 806-4161.
*****Please carefully read the attached Subpoena or Authorization for a complete description of
Documents being requested. More than one type of documents may be asked for, so he sure
to include all information listed.
ORDER #: 929158-F
RECORD SUBJECT: PASSARO, BRIAN
AKA:
DATE OF BIRTH: 02/05/1968 SSN: 156-74-5479
NAME OF YOUR FACILITY: LA QUINTA BUILDING DEPARTMENT
Please check the appropriate box(es) regarding which documents are ready to copy/pick up:
❑ Billing records are included ❑ Do you loan original x-rays for us to duplicate
❑ x-rays will be provided ❑ Do you duplicate films for a fee?
Breakdown of X-rays available (If applicable):
Type ofX-raysDate Taken Qty Cost Comments
❑ 0-1 Inch
❑ 8'/X11"
❑ Photos
Approximate volume of Documents/Document type:
❑ 1-2 Inches
❑ Loose
❑ Blueprints
What are your copy hours?
Monday
to
Tuesday
to.
Wednesday
to
Thursday
y
to
Friday
to
❑ 2-3 Inches
❑ Bound
❑ Other:
❑ 4 Inches +
❑ Oversized
Contact Person:
Phone Number :(_)
If copy address differs from address on
Compex Request, please indicate copy
address below:
11"E:Z:::>
10"E=:>
9"
8"==::>
7"=z:>
6"CZZ:::>
5"==>
4" C:Z:::>
3"==>
2"
1"CZZZZ:>
THANK YOU FOR YOUR ASSISTANCE IN COMPLYING WITH THIS REQUEST!!