BDEM2019-001578-495 CALLE TAMPICO D 4o
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: DEMOLITION/COMMERCIAL/OTHER
Application Number: BDEM2019-0015
Property Address: 53443 ROSS AVE
APN: 767680057
Application Description ABADY / POOL, SPA, AND WATER FEATURE DEMO
Property Zoning:
Application Valuation: $10,000.00 n
Applicant: D
+� , 0 D
LINDLY'S POOLS OF CALIFORNIA INC
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276 JUN 2 8 2019
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
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 Professions Code, and
my License is in full force and effect.
License Class: C53 License No.: 83331;
Date: 1�Z�. 19 Contractor:
OWNER-BUl R DECLARATION
I hereby affirm under penalty of perjuryat I am exempt from the Contractor's State
License Law for the following reason [ 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).:
(_) 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 am exempt under Sec. B.&P.C. for this reason
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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/28/2019
Owner:
NATIONAL 26, LLC
53443 ROSS AVE
LA QUINTA, CA 92253
Contractor:
LINDLY'S POOLS OF CALIFORNIA INC
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
(760)343-0600
Llc. No.: 833313
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'
camps ation, as provided for by Section 3700 of the Labor Code, for the performance
of the rk for which this permit Is issued.
dve and will maintain workers' compensation insurance, as required by
Sec ti 700 of the Labor Code, for the performance of the work for which this permit is
issu My workers' compensation insurance carrier and policy number are:
Carrier: SECURITY NATIONAL INSURANCE COMPANY _ Policy Number:
_ 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 shouo become subject to the
workers' compensation provisions of Section 3700 of th abor Code, I shall forthwith
comply owith those provisions.
Date: 6—ZO ^ I Applicantl
WARNING: FAILURE TO SECURE WORKff COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER T RiMINAL 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 Building Official 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 this city to enter upon the above -
mentioned property for inspection purposes. e
Date: `� 7i� Signature (Applicant or Agent): �pr
Date: 6/28/2019
Application Number: BDEM2019-0015
Property Address: 53443 ROSS AVE
APN: 767680057
Application Description: ABADY / POOL, SPA, AND WATER FEATURE DEMO
Property Zoning:
Application Valuation: $10,000.00
Applicant:
LINDLY'S POOLS OF CALIFORNIA INC
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
Owner:
NATIONAL 26, LLC
53443 ROSS AVE
LA QUINTA, CA 92253
Contractor:
LINDLY'S POOLS OF CALIFORNIA INC
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
(760)343-0600
Llc. No.: 833313
Detail: DEMO POOL, SPA, AND WATER FEATURE AT REAR YARD ONLY -THIS -PERMIT DOES NOT INCLUDE ANY OTHER WORK OUTSIDE THE SCOPE OF THIS
-PERMIT.-PER 2016_CALLFORN IA_ _B_UILDIN_G_CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT
QTY
AMOUNT
DEMOLITION, EXTERIOR
101-0000-42404
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEMOLITION, EXTERIOR PC
101-0000-42600
0
$120.07
Total Paid for DEMOLITION: $160.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
L
--- GEYI ..J'rh` DESEERTI'4-1(,[/
PERMIT
PLAN LOCATION:
Project Address- Aqe AJ CL �
(LOSS
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Q - Pox, SPA IPn-�D
Applicant Name: L1 N oo S V oo Li 6PG�
•V A l v
Address: r�mS5 S�i '� k f 4) o
City, ST,Zip: 1-�*SAD p(�NqS CA
Telephone:
Email: Lk �/� 11 �,/�
Valuation of Project $
Contractor Name: � �S P S
New SFD Construction:
Address: J� 1 J� l� V
pI LIV) V ( L .
Conditioned Space SF
Garage SF
City, St, Zip�vVIJ
Telephone: b� _ �jt,�� -1/C 1����
Patio/Porch SF
Email: �L���-- 1 V � � , GaM
Fire Sprinklers SF
State Lie: � J City Bus Lie: I V (D 9 (-) - 1
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: f 114)P l J (
Address: �lj`�-43 fw) ] D C-A
City, ST, Zip �A 0 J` N%
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building
Construction Type:
78495 CALLE TAMP ICO
LA QU I NTA, CA 92253
760-777-7000
Occupancy:
SF
THE MADISON CLUB OWNERS' ASSOCIATION
June 271h, 2019
Madison Club Design Review Committee
RE: Remodel of Lot 32A at 43-443 Ross Avenue
Dear Alan & Monique Abady & Discovery Builders:
The Madison Club DRC met this morniti and reviewed the plans for the above property on Lot 32 A. The
committee does approve the denial' 'o of the existing pool, in order to accommodate the new proposed pool
on the property.
As the new owners of --4- AZ-Ros venue, the committee welcomes you to the community and looks
forward to working with you on a completion of your project.
Please contact the Madison Club Association Office by calling Steve Barrett 760-391-4564 or
email sb�,irreticr?iiia(liscnicILibowTicr-s.or{,, with any questions.
Sincerely,
MADISa CUB DESIGN REVMMlIEW CO TTEE
By: f
Title: �']�, ,,G � e l _ Date: o
cc: Tammy Jenkins
Scott Birdwell
DRC File
Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors
for the Association. If you wish to pursue an appeal, please contact the Association's property
manager so that you may be put on the next meeting agenda.
RECEIVED
JUN 2 6 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
IL
53035 MEBIWETHEP WAY, LA QUINTA, CA 92253 TEL q6o 391-4564 FAx 76o 391-4591 V
RECORDING REQUESTED BY:
EQUITY TITLE-LOS ANGELES
AND WHEN RECORDED MAIL TO:
NATIONAL 26,LLC
63443 Ross Avenue
La Quinta, CA 92253
Order No.: LA1960373
Escrow No.: BH-14786-BB
A.P.N.: 767-680-057-8
Tru ; b20 -
DOC # 2019-0114991
04/05/2019 08:00 AM Fees: $30.00
Page 1 of 3
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
**This document was electronically submitted
to the County of Riverside for recording**
Receipted by: MARY #420
SPACE ABOVE THIS LINE IS FOR RECORDEF'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $ 6,875.00 CITY TRANSFER TAX IS $.00
[ X ] computed on full value of property conveyed, or
X ] City of La Quinta AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Steven Goldberg and Elvia Goldberg, husband and wife as community property
hereby GRANT(S) to National 26, LLC, a California Limited Liability Company
the following described real property in the County of Riverside, State of California:
See Exhibit 'A' attached hereto and made a part hereof for complete legal description.
AKA: 53443 Ross Avenue, La Quinta, CA 92253
Dated: February 20, 2019 RECEIVED
Steven Go berg
SUN 2 6 2019 '
Elvia Goldberg
CM OF LA Ql1INTA
DESIGN AND DElELOPMENT DEPARTMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document.
STATE OF CALIFORNIA
COUNTY OF kq. ' m )SS
On 2.01 before me - forNotary Public, personally appeared
who proved to me on th asis of satisfactory evidence to �G'6xk\.�
person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their
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.
NICOLE S CODLING
- Notary Public - Czlilom a
Signature r ;�
_,s a Riverside Cour.N
Signature of Notary '�-�'' Commissions2224E1'
Commission Expiration Date: y� My Comm. Expires Dec 6. i(121
MAIL TAX STATEMENTS: To the parties as shown above
DOC #2019-0114991 Page 2 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
certificate is attached, and not the truthfulness,
accuracy. or validity of that document.
STATE OF CALIFORNIA
COUNTY OF Riverside
On March 18 2019 before me Nicole S. Codling Notary Public, personally
appeared Steven Goldberg and Elvia Goldberg who proved to me on the basis of satisfactory
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
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.
NICOLE 5 COOLING
- Notary Public - Califomia
Riverside County
Camm'issi 9 2224619
MY Comm. Ex*ft Dec 9. 2021
Affix Notary Seal Here
********************OPTIONAL********************
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
❑ Partner(s)
❑ Attorney -In -Fact
❑ Trustee(s)
❑ Guardian/Conservator
❑ Other:
Title(s)
❑ Limited
❑ General
Signer is representing:
Name of person(s) or entity(ies)
DESCRIPTION OF ATTACHED DOCUMENT
--Grant Deed --
Title or type of document
Number of Pages
02/20/2019
Date of Document
Signer(s) other then named above
DOC #2019-0114991 Page 3 of 3
EXHIBIT "A"
PARCELI:
ORDER NO. LA1950373
LOT 32 OF TRACT NO. 33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA, AS PER MAP RECORDED IN BOOK 388, PAGES 57 THROUGH 79, INCLUSIVE, IN THE
OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
TOGETHER WITH THE NORTHERLY 25.00 FEET OF LOT 33 OF TRACT NO.33076-1, IN THE CITY OF
LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK
388, PAGES 57 THROUGH 79, INCLUSIVE, IN THE OFFICE OF THE COUNTY RECORDER OF SAID
COUNTY.
PURSUANT TO APPROVED LOT LINE ADJUSTMENT 07-472 CONTAINED IN GRANT DEED
RECORDED MAY 8, 2007 AS INSTRUMENT NO. 2007-0305695, OF OFFICIAL RECORDS.
PARCEL 2:
NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE,
REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION.
***END OF LEGAL DESCRIPTION***
3
f.o.
Secretary of State LLC-12
Statement of Information
` (Limited Liability Company)
IMPORTANT — Read instructions before completing this form.
Filing Fee - $20.00
Copy Fees - First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees
iRY411% MCI
FILED
In the office of the Secretary of State
of the State of California
JUN 21, 2018
This Space For Office Use Only
1. Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)
NATIONAL 26, LLC
2. 12-Digit Secretary of State File Number 3. State, Foreign Country or Place of Organization (only if formed outside of California)
201812410685 CALIFORNIA
4. Business Addresses
a. Street Address of Principal Office - Do not list a P-0. Box
City (no abbreviations)
State
Zip Code
345 N Maple Drive, Ste 120
Beverly Hills
CA
90210
b. Mailing Address of LLC, if different than item 4a
City (no abbreviations)
State
Zip Code
345 N Maple Drive, Ste 120
Beverly Hills
CA
90210
C. Street Address of California Office, if Item 4a is not in California - Do not list a P.O. Box
City (no abbreviations)
State
Zip Code
345 N Maple Drive, Ste 120
Beverly Hills
CA
90210
If no managers have been appointed or elected, provide the name and address of each member. At least one name and address
5. Manager(S) or Member(S) must be listed If the manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is
an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC
has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions).
a. First Name, if an individual - Do not complete Item 5b Middle Name Last Name Suffix
Alon lAbady
b. Entity Name - Do not complete Item 5a
c. Address City (no abbreviations) State I Zip Code
345 N Maple Drive, Ste 120 Beverly Hills CA 90210
6. Service of Process (Must provide either Individual OR Corporation.)
INDIVIDUAL — Complete Items 6a and 6b only. Must include agent's full name and California street address.
a. California Agent's First Name (if agent is not a corporation)
Middle Name Last Name
Suffix
b. Street Address (if agent is not acorporation) - Do not enter a P.O. Box
City (no abbreviations)
State
CA
Zip Code
CORPORATION — Complete Item 6c only. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent's Name (if agent is a corporation) — Do not complete Item 6a or 6b
PARACORP INCORPORATED (C1082536)
7. Type of Business
a. Describe the type of business or services of the Limited Liability Company
Real Estate
8. Chief Executive Officer, if elected or appointed
a. First Name
Middle Name
Last Name
Suffix
b. Address
1 City (no abbreviations)
State
Zip Code
9. The Information contained herein, including any attachments, is true and correct.
06/21/2018 Alon Abady Manager
Date Type or Print Name of Person Completing the Form Title Signature
Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a
person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)
Name: I
Company:
Address:
City/State/Zip:
J
LLC-12 (REV 01/2017) Page 1 of 1 2017 Califomia Secretary of State
www.sos.ca.gov/business/be
L q+
Secretary of State LLC-1
e tea_.
Articles of Organization 201812410685
�. Limited Liability Company (LLC)
F0^F
IMPORTANT --Read Instructions before completing this form. FILED`
Filing Fee — $70.00 Secretary of State
Copy Fees - First page $1.00; each attachment page $0.50; State of California
Certification Fee - $5.00 MAY 0 4 2018 +5
!Vote; LLCs may have to pay minimum $800 tax to the California Franchise Tax Board
each year. For more information, go to hfips.IlvAm.ftb.ca.gov. C.V
� This Space For Office Use Only
1. -Limited Liability Company Name (see Instructions- Must contain an LLC ending such as LLC or L.L.C. 'LLC' will be added, if not included.)
National 26, LLC
2. Business Addresses
a_ Initial Street Address of Designated Office In California - Do not enter a P.O. Box
433 N. Camden Dr. #1010
City (no abbreviations)
Beverly Hills
Stale
CA
Zip Code
90210
b. Initial Mailing Address of LLC, it diRorent than Item 2a
City (no abbreviations)
state
Zip code
3. Service of Process (Must provide either Individual OR Corporation.)
INDIVIDUAL - Complete Items 3a and 3b only. Must include agent's full name and California street address.
a. California Agent's First Name (if agent is not a corporation)
Middle Name l last Name
SutCx
Alon
Abady
b. Street Address (if agent is not a corporation) - Do not enter a P.O. sox
City (no abbreviations)
State
Zip Code
433 N. Camden Dr. #1010
Beverly Hills
CA
90210
CORPORATION — Complete Item 3c. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent's Name (if agent is a corporation) — Do not complete Item 3a or 3b w
4. Management (Select only one box)
The LLC will be managed by:
One Manager More than One Manager All LLC Member(s)
S. Purpose Statement (Do not alter Purpose Statement)
The purpose of the limited liability company is to engage in any lawful act or activity for which a limited liability company
may be organized under the California Revised Uniform Limited Liability Company Act.
6. The information contained herein, including in any attachments, is true and Correct.
izer sign ere Print your name here
LLC-1 (REV 0412017) 2017 California Secretary of Slate
w%w.sos,ca.gov/businasslbe
Discovery Builders California
Tammy Jenkins
53-965 Humboldt Blvd.
La Quinta, CA 92253
June 28, 2019
City of La Quinta
Building and Planning Department
78495 Tampico
La Quinta, CA 92253
RE: 53-443 Ross Avenue - Pool Demo Permit
To Whom It May Concern,
This letter is to give Lindly's Pools (James Lindly) authority to pull the Pool/Water Feature permits
and Pool Demo permits for the home located at 53-443 Ross Avenue, La Quinta, CA 92253 (Lot 33A -
Madison Club) on behalf of Discovery Builders California. Discovery Builders was contracted by the
owner of 33A, Alon Abady, to complete the pool renovation.
If there are any questions or concerns, please contact myself, Tammy Jenkins (Discovery Builders
California) at 760-393-5286 or d.ei-ilcini(@discoverybuildersllc.com.
Sincerely,
c%nnmyi en)Cins
Tammy Jenkins
DISCOVERY BUILDERS CALIFORNIA, LLC
RECEIVED
JUN 2 6 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
Discovery Builders California, Inc.
80-955 Avenue 52, La Quinta, CA 92253 ❑ Tel: 760-393-5286, Fax: 760-398-5788 ❑ CL#915336
www.discovervla n d co.com
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Sheet No.
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