06-3554 (DEMO)r IIIIIIIIVIIIIIIVIIIIIII 49
P.O. BOX 1504 - - IE__. 1 4 �VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
- Date: 10/06/06
�. Application Number: 06-00003554 Owner:
Property Address: 80111 AVENUE 52 RJT HOMES - CODORNIZ
j APN: 772-410-021- - - P.O. BOX 810 �
Application description: DEMO - COMML/OTHER LA QUINTA, CA 92253
Property Zoning: NEIGHBORHOOD COMMERCIAL
Application valuation: 0
Contractor: OCT O 2UU6 06
Applicant: Architect or Engineer: EMERY LAND CLEARING G CI F QUINTA
P.O. BOX 1009 FINANCE DEPT.
THERMAL, CA 92274
(760)391-5840
LiC. No.: 600283
--------------------------------------------------------------------------------------7----------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C21 License No.: 600283 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i
issued.
Date: Contractor: _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND • Policy Number 046116532005
following reason (Sec. 7031..5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod I shal f hwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _1 / `f/vJ��n1L
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: a V'�6 Applicant:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and } r
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
( _ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
•' (_ 1 I am exempt under Sec. , BAP.C. for this reason 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.
Date: O Owner: 1% 2. Any permit issued as a result of this application becomes null and void if work is not commenced
�.�V within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LE ING AGEN Y permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pro ert or in ect n purposes
Lender's Name:
Date: G4�6-d6 Signature (Applicant or Agentl:
Lender's Address:
LQPERMIT
Application Number . . . . . 06-00003554
Permit
DEMO PERMIT
Additional desc
Permit. Fee . . .
. 45:00
Plan Check Fee
.00
Issue -Date
Valuation . . .
. 0
` Expiration Date
4/04/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and
Comments
DEMO TO BARE GROUND OF SFD THAT WAS
CONVERTED TO BANK.
iNCLUDES SEPTIC
ABANDONEMENT. PRE -SITE
INSPECTION
REQUIRED PRIOR TO
COMMENCEMENT OF WORK.
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 ,
CONSTRUCTION. NOTES N 89-46"Of. E 662.41'
(D' CONSTRUCT Cr CONCRETE PAVEMENT 287.32' I
/0
20 CONSTRUCT Cr CONCRETE DRIVEWAY I
CONSTRUCT 3- MIN: WIDTH CONCRETE SIDEWALK W/2.0% MAX.
RUNNINIG SLOPE (UNLESS OTHERWISE NOTED ON PLAN) AND
2.0% MAX. CROSS SLOPE PER LANDSCAPE ARCHITECT PLAN
AND Q
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CITY.OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT
GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR1=60INGTEMMS
Form updated & effective 8/25/2005 4D�' e✓L.7
Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to thePublic
Works/Engineering Department until ALL requirements listed below -'are complete. Incomplete
applications or applications which cannot be processed will be returned to Applicant. Green Sheet
approvals will be forwarded to the Building Department directly by Public Works.
Date: cj�.a Developer: kT_ 11014 Iff'S - COf04MZ
Tract No.: 3wDO Tract Name: CUDDx/,,/-Z Lot No.(s):
Address(s): _Q -/�/ A 7
The following are the requirements for Public Works Clearance to authorize issuance of a building
permit from the Building/Safety Department.
CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW.
TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 AND #5 BELOW.
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for
building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must
be current (within 6 months of current date). If a precise grading plan creates the pad for
approval, please withhold green sheet submittal until a Pad Elevation Certificate * can be
provided.
2. Attach geotechnical certification of grading plan compliance.
3. Attach recorded final map showingproposed building locations are legal- lots.
4. Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information
form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set
reference. number or hard copy plan. PM10 plans for commercial and residential developments
(beyond 1 lot) are submitted separately with grading plans and are subjec' to additional
requirements.
5. Attach an approved precise grading. plan for the building location(s). AO flood -zone
developments will require an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
I have reviewed and confirmed the requirements listed above as presented and find the improvements
to be sufficiently complete for construction of the proposed building(s)/structure(s). on the subject
lot(s). Pursuantde-my_findings, a 4ve project ma, a released for building permif issuance.
Recommended by: Dated:
r
Declined for approval for reasons) as follow(s), please correct and resubmit:
TAPWDEPTSTAFF\G0b1C\Green Shcet PW Re1=6050824GREEN SHEET COVERd.
IIIIIII VIII III VIII IIII 50
IE
City of La Quinta - PM 10 Project Information (<1 acre per Lot or Infill Project)* Page 1 of 3
Form updated & effective 8125/2005
* Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the
City of La Quinta.
T:\PWDEP7\STAFF\Gob1dGreen ShM PW Release\050824MIN1 PM 10 PACKET GREEN SHEET.doe
f
i
Project Information
Project Phase
Project Contractor:
Project Phase
(Check One):
❑ Construction
❑ Demolition
Project Name:
00
Project Tract
Number:
3 2-o�Cv
Lot Number(s):
Anticipated Start Date:
Project Street
Address:
Q O ^ (� vie
(J
Anticipated Completion:
Total acres in active
construction (<1 acre per
Project Contact
Information
Please Note: Dust control is required 24 hours a day, 7 days a week,
regardless of construction status. Person listed below is responsible for
dust control during business and non- business hours.
Name:
G, '_<'
Title:
Company Name:
c000 , LC-- C
.Mailing Address:
City:
Q,tli.�fl k
State:
CA
Zip Code:
c7s� 5'-3
Primary
Telephone
Number:
% 0 S6'?`- S S S
Fax:
SGP- S s
24 Hour
Access/Emergency
Phone:
Cell Phone:
-
PM10 Certificate
Number:
S - / - /Q� U
A. I -
* Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the
City of La Quinta.
T:\PWDEP7\STAFF\Gob1dGreen ShM PW Release\050824MIN1 PM 10 PACKET GREEN SHEET.doe
f
i
k
PM 10 (<l acre per Lot or Infill Proiect) Fugitive Dust Control Plan Page 2 of 3
Plan updated & effective 8/25/2005
This plan shall take into account applicable SCAQMD Rule 403 regulations. Training maybe obtained by
contacting SCAQMD (Sharon Zamora (909) 396-2183). This plan -shall consist.of the following action items:
• WATERING: Continuous watering is required to prevent dust and must occur a minimum of 4
times daily.
Water shall be applied to dry soils. to stop:
Visible dust emissions over 20% opacity
• Visible dust emissions that travel over 100 feet.
• Water source 3/< inch water meter at front (south) side of pad:
• EDUCATION: Responsible Dust Control Individual and key personnel shall attend SCAQMD .
PM 10 class and obtain PM 10 certificate number prior to construction activity.
• WEATHER MONITORING: Wind predictions shall be monitored.
• SIGNAGE: Use Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage
Guidelines.
• TRAFFIC: Construction traffic shall, not be allowed on the pad, unless absolutely necessary` If
vehicles operate on pad,. pad shall be kept firm and moist through hose. watering. or. sprinklers:
Fugitive Dust shall be prevented by fencing off site. to prevent unauthorized traffic on pad. '(15 mph
maximum traffic speed).
• PARKING: Parking is not allowed on the .pad. All vehicles must park on street (at designated areas
only).
• TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public
Works Inspector. (No dirt on public or private roads). Track out shall be cleaned up within .one hour
of incident.
is DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built `per California Building Code
grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will
require stockpile or grading permit.
• FENCING: Provide PM 10 fencing at perimeter of public roads - and where applicable. Wood slat .
fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply.
Block walls can replace PM10 fencing during the construction phase.
• EQUIPMENT: Extra hoses and sprinklers shall bemaintained on site.
• EXCAVATION MEASURES:, All areas to be excavatedbr graded shall be pre -watered. Water shall
be applied during excavation or grading operations also.
• DUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped prior to leaving site,
• INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as
required.
City of La Quinta - Site Specific Construction Phase PM 10 Agreement Page 3 of 3
Agreement updated & effective 8/25/2005
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;
1 • Shall constitute and agreement to comply with all project conditions as identified in the
approved dust control plan;
The property owner (or authorized representative):
z • Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout. the
R period of project performance, regardless of project size or status;
P
• 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/Courity and its representatives from liability for any actions
related to this dust control plan or any City/County initiated abatement activities.
a
S
t
Signature of Property Owner or Authorized Representative
Printed Name
�.
Title Date
Company
Bin #
IIIIIIIIIIIIIIIIIIIIIIIII 51
City of La 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 #
j J
Project Address:
A. P. Number:
Owner's Name: �-
''-GO !2 LL
Address:.
Legal Description:
City, ST, Zip:
Contractor:' 1-4-1
Telephone:
Project Description: 0
! kr,-c
Address:
City, ST, Zip:
Telephone: I
tJND e' k ;- % w L.Q I
l
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: f E
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 S �- 'e-0-3/Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
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'
2nd Review, ready for corrections/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:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
m
RECORDING REQUESTED BY
STEWART TITLE of California, Inc.
AND WHEN RECORDED MAIL TO:
NAME RJT Homes - Codomiz, LLC
ADDRESS 1425 E. University Drive
CITY Phoenix
STATE & ZIP AZ 85034
D 'i C N 2004-0658791
08/20/2004 68:00A Fee:36.00
Page I of 4
Recorded in Official Records
County of Riverside
Gary L. Orso
ssessor, County Clerk & Recorder
11, ILII !!I I II 1111 1111!11 Illll !II 11!1!11 111 I11lI I Ill Ilii
i
GRANT DEED
TITLE ORDER NO. 501247650 ESCROW OR LOAN NO.
THE UNDERSIGNED GRANTOR(S) DECLARE(S) ** SEE EXH[B11
DOCUMENTARY TRANSFER TAX is _ c4�--CITY TAX
® Computed on full value of property conveyed, or
❑ Computed on full value less value of liens or encumbrances
® Unincorporated area: City of La Quinta
FOR A VALUEABLE CONSIDERATION, receipt of which is hereby
RJT HOMES, LLC
hereby GRANT(S) to
RJT HOMES - CODORNIZ, LLC, AN ARIZONA LIMITED LIABILITY COM
the following described real property in the County of Riverside, State of
"EXHIBIT A" ATTACHED AND MADE A
Dated: August 18, 2004
STATE OF ARIZONA
County of Maricope) ss.
On August 18, 2004 before me Susan L. Allison, a Notary Public in and
for said State, personally appeared John D. Hensler personally known to
me (or 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 histher/thelr
authorized capacity(les), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s),
or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
APN NO. 772.410-021.8
772410-022.9
051-879-875.2
TRA NO. 020057, 020056
at time of sale.
HERETO
RJT HOMES,IC, AN ARIZONA LLC
By: RJT Inver ent, Inc., an Arizona Corporation
Its Manag r
By:
L.
CONN iY
I AV 125.2005
DOCUMENT PRDVIDED BY BTEWMT TITLE I 111 ORNTOEED
3(0
J
• NeWFICHNG INKIMUMT&O my
Robert C. Hooten
80-111 Avenue 52
Indio, Ca. 92201
AND 11146M R110011100D MAIL TO
co
rRoNrt ell
C. Hooton Q
01
80-111 Avenue 52
Indio, Ca. 92201
Order No: 31512-8
escrow No: 926-9774
-
Notice of pleflon
Com 6tion
Before %xiiiing this form refer to recommendird procedure stated an revert aide of this form'
NirrICE IS HEREBY GIVEN THAT:
1. .The undersigned is owner of the,interea os est-, stated below in & pro hereinafter described.
2. The full name 01.1he undersigned is ........... Aber.t ......... .. .......... ................... ..... : ........... ...... ...
3. The full addn#A of the undersigned i ............. 80:4 U.. Ayanue..52.... Ind io... . ... ............. .. ............
4. The nature uf the title of the
un
. .- Il
'"",, ..............
I Iib otlwr thu Ire, -trill `In tor" and Insert, la asample, "purchaser unCMir;�pUrchae "k�i .
S. The full nank-A and full addtft,,en of all persons, if try, who hold title with 11ii * undersigned - as joint tenants or
as tenants in roninuin are:
i
NAME' S
82-365 Highwalfff,"I
John P. HootenndiO. Cd' , .92201
. .......... ...... ....................... ......... .... ..... ...... : . . .................... ......
.... . ....... . ......... .. I .................. I .......................... ................ ........... ..... ..... ... ..........: . ........ .. .... ........... ............. .... ..
..... ....... .......... ... .. ......................... ...... .. ............... . .. ............ ......... : ......... ..... ...... ........ .............. . . ........ ..........
N. ...... ........ .. . ... ................... ...... .......... ... .......... ........ .............. ...... ....... ........ ...... .. ........... ....... ........... ............ .... .....
. ..... . ........ ...... .. : . ............. ... ..... ........... .............. ..... .. . ... .................. .... ... ...... . ....... ... .... . ..... ....... .....................
rJ
... ......... ........................... .e ....... ......................... t ..... ...... .... ... ........ .. ........ .. .. . .......
6 A work of improvement on the prolierty hen-inaller dr%cribed was eorripleted ......... ktbbir-16;71973
.. ........................ I .................
7. The. name of the original contraclur, if any, for i,urh work of improvement was!. .... Oqberl..M. Coln
. .... ............ . . . ........ ...... .. .................. .. ....... . ... ..... ... ... ............ .... ........... . ....... I . ......... .... .
11 — -w.m, for —L .1 improrrmem u a whole. insen 'A. ;".I
.8. Ile full 6arnri,1 and adds--Ir4l if ihr transferor(-) of the un*rmigned is 1.
NAMFiNi AM RFSSfF.S1
.... . .. . .... ....... . .. .... .. .. . ..... ..... . ........ : .......... : ........................ .............. ...... ..................... ...... ...
. . ..... .. .......... . . .... -:-- . ....... ...... .... * . .... ... ... ... : .. ..... ................. .......... .......... .......
... ..... ..... . ....... ..... ... ... ... I ........... . ..... . ......... .... .. ..................... ...... ............ ............... ...............
. ... .... ... . . . .. .. .. ... . ..... ........ . . . .. ..... ..... . .... .......... ...... I . . ..... ..... ... . ........ ..... ... ...................
... ..... .. . .... .. I . . . . .. ..... ........... .............. .. ..... . ........ .. . ................ ................... ...... ......................... ... I .. ....................
........ ..... ..... .. .... ... .... ........ .. .. ..... .. ......... . ........ ... .......... I ..... ......... ................. ... .... ........ .............. ......................
Ir, ondeo,ig;w& 6 .-- In owner ho ... imed iiap—..., It to 1� —Inwird I .
9. The prol- y wi hiA %aid ork inip,vernelt waii rompleted is in. the city
Cali(' rnia. and is*dewriW as Inflows:
...... ..... ....... ........... ..... .. rounil, ..... ..................... state of cali
. .... Th4t..p
... camr.u.n. 0e.:'.nQ.rAft.wo.sA ........ ...........
..qq4rter..q.f.5ection 9, ToWnShi
. jo.5.t. a.. s19
........ ........ . ......... . .
De.scri bq4_4A.. Parcel I g..jh.qw
11.. -I.n '! p..
po. r�.g. MO
. . .......... . 1.4p.. 67 &A.8
of Riyqrsidp..County..Rgpq!'Os.... ... .. ... .............. .......... ..................
........... . ................ ............. .. ...........
.... ..... . ..................................... ... ...
........... .... ....... * , 4% .............. * .. ........
Ill. 11W 4" aj,lrm, of �61 pf'.J.-My i—.. . .. ..... ..... . ...... ..... .. .. .
......... ..... ........ .... ......... I .................................. ........ ............................... ....... ...........
.. .. .... ...... ....... ................ ............ .......................................................................... ............................................... . ...
(if no sirrm address hsx 1,eri% ofFwially "go.r.d, inwit-amei.
• sill.ame of ..........
Wed.- 2 . ......................................
Verifiration for individi4d ownris
%TA.TK O"U . FORNIA. IS
Causer .1 A4
7%, wadrrsix-4, dale swore. sap; Tka be 6 t6
-- -1 " 4(senald I.Wmis im awe In " , -aim y-&wdbed
is the (mitaiiis satim; that �taii mad the saami. and kaoiss
dw esiumis 6—i, sad that " 1,ieu sL&W thesla an tow.
siwof awern eased le rapap6 2....._.......... .............. ..
............
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.. . ..................................... . .. . . .... ... . ........ ........ . ...... I . ........
SURSCRIBLO AND) TO before oroao.LXrJi&.1.w
. . ........................ I ..... ......... . ................ ......
........ .... ...... ........... . ................ ........ ...... ...... ... .................. . ......... . .....
Title Order
L -O& tQ.9.) ftV. 4.78
END RECORDED *DOCUMENT
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DONALDD. SULLIVARL COUNTY REC'ORDERt
ORDER NO: 501247650
ILLEGIBLE NOTARY SEAL DECLARATION
GOVERNMENT CODE 27361!117
I CERTIFY UNDER PERJURY THAT THE NOT' RY SEAL ON THE
DOCUMENT TO WHICH THIS STATEMENT IS A I ACHED, READS AS
FOLLOWS:
NAME OF NOTARY: SUSAN L. ALLISON
DATE COMMISION EXPIRES: APRIL 25.2005
NOTARY IDENTIFICATION NUMBER: NIA
(FOR NOTARIES COMMISIONED AFTER 01/01/19,,, )
MANUFACTURER / VENDOR IDENTIFICATION NU' BER: N/A
(FOR NOTARIES COMMISIONED AFTER 01/01/19.01
COUNTY OF COMMISION:
PLACE OF EXECUTION OF THIS DECLARATION:
TODAYS DATE: 8.19-2004
SIGh(AITURE
STEWART TITLE OF CALIFORNIA
EXHIBIT "A"
LEGAL DESCRIPTION
The land referred to herein is situated in t
County of RIVERSIDE, City of LA QUINTA, desc
PARCELS 1 AND 2 AS SHOWN BY PARCEL MAP 8961
PAGES 67 AND 68, OF PARCEL MAPS, RECORDS OF
CALIFORNIA..
End of Legal Description
501247650
State of California,
ed as follows:
ON FILE IN BOOK 44
IVERSIDE COUNTY,
EXHIBIT `B"
THE GRANTORS AND THE GRANTEES IN THIS CO YANCE ARE
COMPRISED OF THE SAME PARTIES WHO CONTINL TO HOLD THE SAME
PROPORTIONATE INTEREST IN SAID REAL PROPER',i Y, PER R & T 11923(D)