05-5071 (DEMO) " 1
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P.O. BOX 1504 _ _- - 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
' _Y, ._ Date: 11/17/05
Application Number: ( 05-00005071 Owner:
Property Address: 80085 AVENUE 58 CORAL RIDGE LLC
APN: 766-070-002- - - 78900 AVENUE 47 #102
Application description: DEMO - COMML/OTHER D d LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 0
?NOV 7?005 Contractor:
Applicant: Architect or Engineer: :! EHLINE COMPANY
CITYOF4gQiJIfYT 55375 MEDALLIST DR
01NgjyC�lot A LA QUINTA, CA 92253
(760)771-8130
1 Lic. No. : 482086
- -------- - ----- ------------ -- -,------------------------------ ------ ------------ -------------------
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
Licese'lass: B (,, t/� /'License No.: 482086 M for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
iss
1'16-11117102 ontractor: Eh line GO + V 1 haveandwill 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-BUILDCR 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 1814972
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 bar Code,I shall forthwith 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 '� �I_��N �O
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001: ate: Applicant: Grp •l
le(_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 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 I,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. ,B.&P.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: Owner: 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
CONSTRUCTION LENDING AGENCY 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 th ove 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 b 'di nstruction,andher by authorize representatives
of this county to enter upon the ove-mentioned pro o ins ection purpos
Lender's Name:. Q D I 0 ature(Applicant or Agent):
Lender's Address: ` '
LQPERMIT
Application Number . . . . . 05-00005071
------ Structure Information ABANDONED BUILDING -----
----------------------------=-----------------------------------------------
Permit . . . . DEMO PERMIT
Additional desc . .
Permit Fee 45.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/16/06
Qty Unit Charge Per Extension
BASE FEE 45.00
----------------------------------------------------------------------------
Special Notes and Comments
DEMO TO BARE GROUND ABANDONED BUILDING.
SEPTIC SYSTEM PREVIOUSLY REMOVED - SEE
SOILS REPORT
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
l
LQPERMIT
22
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12 .8 � � � iSiC1e 02/24/2004 08:00A Fee:25.00
Page 1 of 7 Doc T Tax Paid
WHEN RECORDED MAIL TO: Recorded in official Records
County of Riverside
EHLINE COMPANY e. Or7'{'3 Gary L. Orso
81-480 NATIONAL DRIVE 0 ' Assessor, County Clerk & Recorder
LA QUINTA53 II III VIII IIII IIII
MAIL TAX STATEMENTS TO: I IIII IIIIIII IIII IIII
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SMF MISC.
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ORDER NO. 5112 � A R L COPY LONG REFUND NCHG EXAM
ESCROW NO. 5 8 0 0 7 7 412 nt IG EJlAM
�; �. . a� GRANT DEED 620,o,3q
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''W1VC '/^�Mr� A.P.N.: 766-070-001
The tndersigned grantors) declare(s)' - City tax$
7�6- o?G—co'
Documentary transfer tax is $ ��
Monument Preservation Fee is $
( XX)computed on full value of property conveyed, or
( ) computed on full value less value of liens or encum grance�remaining at time of sale-
ted
( Unincorporated area: .(�( )City of /
FOR VALUABLE CONSIDERATION,LLC. ,
LC. , Aof CALIch 1s hereby acknowledged,FORNIA LIMITED !KSMADISON 58 PA
LIABILITY COMPANY
hereby GRANTS to CORAL RIDGE, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY
the following described real property in the unincorporated area
County of RIVERSIDE
State of California
SEE ATTACHED EXHIBIT "A"
FOR SIGNATURES SEE PAGE 2 ATTACHED
HERETO AND MADE A PART HEREOF
DATE: October 02, 2003
MAIL TAX STATEMENTS AS DIRECTED ABOVE
22
IE �-
�- � DOC �t 2004-012547�a
12 .8 � � � iSiC1e 02/24/2004 08:00A Fee:25.00
Page 1 of 7 Doc T Tax Paid
WHEN RECORDED MAIL TO: Recorded in official Records
County of Riverside
EHLINE COMPANY e. Or7'{'3 Gary L. Orso
81-480 NATIONAL DRIVE 0 ' Assessor, County Clerk & Recorder
LA QUINTA53 II III VIII IIII IIII
MAIL TAX STATEMENTS TO: I IIII IIIIIII IIII IIII
r
IIIIIIIIIilllllll
M S U PAGE SIZE DA PCOR NOCOR q
SMF MISC.
41060
ORDER NO. 5112 � A R L COPY LONG REFUND NCHG EXAM
ESCROW NO. 5 8 0 0 7 7 412 nt IG EJlAM
�; �. . a� GRANT DEED 620,o,3q
��T `
''W1VC '/^�Mr� A.P.N.: 766-070-001
The tndersigned grantors) declare(s)' - City tax$
7�6- o?G—co'
Documentary transfer tax is $ ��
Monument Preservation Fee is $
( XX)computed on full value of property conveyed, or
( ) computed on full value less value of liens or encum grance�remaining at time of sale-
ted
( Unincorporated area: .(�( )City of /
FOR VALUABLE CONSIDERATION,LLC. ,
LC. , Aof CALIch 1s hereby acknowledged,FORNIA LIMITED !KSMADISON 58 PA
LIABILITY COMPANY
hereby GRANTS to CORAL RIDGE, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY
the following described real property in the unincorporated area
County of RIVERSIDE
State of California
SEE ATTACHED EXHIBIT "A"
FOR SIGNATURES SEE PAGE 2 ATTACHED
HERETO AND MADE A PART HEREOF
DATE: October 02, 2003
MAIL TAX STATEMENTS AS DIRECTED ABOVE
ESCROW NO.: 580077412 Paget
GRANT DEED
MADISON 58 PARTNERS, LLC
A CALIFORNIA LIMITED LIABILITY COMPANY
By: `n
DAVID B. TURNER Y '
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MANAGING MEMBER
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ROB RT MCADAMS
MANAGING MEMBER
BY:
SUSAN HARVEY
MANAGING MEMBER
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entity upon behalf of which the person(s)acted,executed the instru-
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WITNESS my hand a f ial seal.
Signature
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State o 1 f
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OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer ❑ Corporate Officer
Title(s): Title(s):
❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General
O Attorney-in-Fact ❑ Attorney-in-Fact
❑ Trustee ❑ Trustee _
❑ Guardian or Conservator - ❑ Guardian or Conservator .
❑ Other: Top of thumb here ❑ Other: Top of thumb here
Signer Is Representing: Signer Is Representing:
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0 1995 National Notary Association•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 Prod.No.5907 Reorder:Call Toll-Free 1-800.876-6827
ESCROW NO.: 580077412 Paget
GRANT DEED
MADISON 58 PARTNERS, I,LC
A CALIFORNIA LIMITED LIABILITY COMPANY
By:
DAVID B. TURNER
MANAGING MEMBER
BY: r v— '
ROBERT MCADAMS `�—
MANAGING MEMBER
BY:
SU HARVEY
MANAGING MEMBER
STATE OF CALIFORNIA }
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COUNTY 0 ve }
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WITNESS my hand and official seal.
Signature
(This area for official notarial seal)