04-4203 (ELEC) '� IIIIIIIIIIIIIIIIIIIIIIIII 73
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BUILDING & SAFETY DEPARTMENT
c - P.O. Box 1504 (760).777-7012
OF 78- CALLE TAMPICO FAX (760).777-7011
D TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
MAY 13 2004 BUILDING PERMIT
CITY OF LA QUII�TA
A >�! r . . . . 04-000*04203 Date 5/13/04
Property Address . . . . 80310 AVENUE 58 LOT G
APN: 762-240-999-G -30834 -
Application description ELECTRICAL
Property Zoning . . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 1200
Owner Contractor
--------------- -
MADISON ESTATES COCHRAN COMMUN. CONSTRUCTION
437 S HIGHWAY 101 NO 220 36630 CATHEDRAL CYN DR
SALANA BEACH CA 92075 CATHEDRAL CITY CA 92234
(760) 328-6778
WCC : STATE FUND
WC: 000826252004 01/01/05
CSLB: 478543. 08/31/05
CCC: C7
--------------- - -------------------------------------------------------------
Permit . . . ELEC-MISCELLANEOUS
.Additional desc
Permit Fee 33 . 50 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Qty . Unit Charge Per Extension
BASE FEE 15 . 00
1 . 00 18 . 5000 EA ELEC SVC- <=600V/<=200A 18 . 50
-------------------------
Special Notes and Comments
100 AMP METER PEDESTAL ADJACENT TO LOT
39
Fee summary Charged Paid Credited Due
--------- ------ ---------- ---------- ---------- ----------
Permit Fee Total 33 . 50 . 00 . 00 33 . 50
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 33 . 50 . 00 . 00 33 . 50
P.O. BOX 1504
78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: ig — 7 3 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: �lJ A Architect or Engineer' Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
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 Professionals
Code,and my Lice n a is in full force and effect.
Lig 1
cense Class — License No. 3
Date S' 3-2 Y Contractor Co 01� Go r.,^, (7a&A¢.
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors'State License Law for the following reason(Sec.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 Contractors'State License Law(Chapter 9(corxnencing 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. .BA P.C.for this reason
Date Owner
WORKERS'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.
_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. work'compensation insurance carrier and polis mm`rtmber are Oy
Cartier_ ---Policy Number C' b"L
_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 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall
forthwith comply with those provisions. o
Date 57 Applicant
WARNING: FAILURE 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the perfornance of the work for which this permit is issued(Sec.3097,Civ.C.).
Lender's Name
Lender's Address
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,indemnity 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 1 agree to comply with all city and county ordinances and state laws relating to building
construction,and hereby authorize representatives of this county to annterupon the above-mentioned property for inspection purposes.
Date
to`� 3�� Signature(Applicant or Agent):
r I IIIIIII VIII III VIII IIII 39
RECORDING REQUESTED BY: IE DOC 80 2002-407250
STEWART TITLE OF CALIFORNIA, INC. 07/28/2002 08:00A Fee:17.00
Page 1 of 1 Doc T Tax Paid
Recorded in Official Records
WHEN RECORDED MAIL TO: County of Riverside
Gary L. Orso
YaADISOYd ESTATES., LLC
Assessor, County Clerk 8 Recorder
437 S. ' IWY 101, SUITE 220
SOLANA BEACH, CA 92075
M S U PAGE SIZE DA PCOR NOCOR SMF MISC.
ORDER NO. 51196631
ESCROW NO. 580051254-KW
A R L COPY LONG REFUND NCNG EXAM
GRANT DEET) `7 '/ -- 0;Z_0 0 1-f�
The undersigned grantor(s) declare(s): pl A.P.N.:
Documentary transfer tax is $ ( City tax $ n J�
(--X-) computed on full value of property conveyed, or I
( ) computed on full value less value of liens or encumbrances remaining at time of sale.
( Unincorporated area: (NA )City of 4a_ qut,,,4,t , and
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
PALMER RIEDEL AND SUSAN RIEDEL, HUSBAND AND WIFE AS
JOINT TENANTS
hereby GRANTS to MADISON ESTATES, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY
the following described real property in the
County of RIVERSIDE , State of California
PARCEL 3 AND LETTERED LOT A OF PARCEL MAP NO. 8834 AS
SHOWN BY MAP ON FILE IN BOOK 75, PAGES 65 AND 66 , OF
PARCEL MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA.
DATE: March 26, 2002
STATE OF CALIFORNIA }
} ss. P Z EDEL
COUNTY OFC&Y }
OnawltRll v'3
before mem SUSAN RIEDEL
p sonally aoIleared
personally known to me (or proved to me on the basis of satisfac-
tory evidence) to be the person(g, whose name s(�3j isoub-
scribed to the within instrument and acknowled ed to me that
-��e executed the same i eir authorized
capacit ies and that by eir ignature on the instru-
me he persone or the entity upon behalf of which the per- t J COMM. 1 PERRY
� OMM.#1350408
son6/acted, executed the instrument. (i NOTARY PUBUC-CAUFORMA
m RIVERSIDE COUNTY
My Comm.EXpNes ApN 8.2008
- WITNESS my hand and official seal.
Signa (This area for official notarial seal)
MAIL TAX STATEME AS DIRECTED ABOVE
i.
- ..
STEWART TITLE OF CALIFORNIA, INC. DOC = 2002-40725907/25/2002 08:00A Fee:17:00
Page 1 of 1 Doc T Tax Paid
WHENRECORDED MAIL TO: Recorded in Official Records
County of Riverside
Gary L. Orso
YADISOIN ESTATES, LLC Assessor, County Clerk 8 Recorder
437 S. HWY 101, #220
SOLANA BEACH, CA 92075
i
I I I I
__ II
_ II
_ III
__ II
_ _ I
M U PAGE SIZE DA PCOR NOCOR.. SMF MISC.
ORDER NO, 511188257
ESCROW NO.. 5800512.07-KW
A R , L
COPY LONG REFUND NCHG
GRANT DEED -The undersigned grantor(s)declare(s): A.P.N.: 762-240-004-5 005-4
Documentary transfer tax is $__ Z_0 City tax$ TRA 020-040 ,ecO6 7
(
XX)computed on full value of property conveyed, or CITY OF LA QUINTA
( )computed on full value less value of liensor a tcumbr ces re=time of sale.
Unincorporated area: ( ) City of , and
FOR VALUABLE CONSIDERATION, receipt of w ich is hereby acknowledged,
OWENS-PARKS, LLC, A DELAWARE LIMITED LIABILITY COMPANY
hereby GRANTS to MADISON ESTATES, LLC, A..CALIFORNIA LII�STED LIABILITY COMPANY
the following described real property in the a
County of RIVERSIDE ' State of California
PARCELS 1, 2 AND 3 OF MAP 6377 ON FILE IN BOOK - 19, PAGE 77,
OF PARCEL MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID
COUNTY.
DATE: February 22, 2002
STATE OF CALIFORNIA } OWENS-PARK , LLC,
} ss. A DELAWARE LDUTED LIABILITY CO.
COUNTY OF 9_W4V)6 i Q.Q }
'l BY:��CC p,
before me K tc fLC V1 S .
ZeinCcS v
personally appearedphi c h cx�O51p0 t_�-V- BY:/
personally known to me (or proved to me on the basis of satisfac-
tory evidence) to be the person(s); whose name(s) is/are sub-
scribed to the within instrument and acknowledged to me that FUIREPI J. BEGAKIS
he/she/they executed the same in his/her/their authorized U RENCOMJ. 1219633
EGA
capacity(ies), and that by his/her/their signature(s) on the instru- NOTARY PUBLtC CALIFORNIA
ment the person(s) or the entity upon behalf of which the per- y SACRAMENTO COUNTY 0
-� son(s) acte4execute the instrument.
COMM.EXP.MAY 15,.2003''
WITNESSd and o seal.
Signature ` (This area for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
I LWART TITLE-Riverside'
RECORDING REQUESTED BY: DOC = 2002-407237
A Fee:
STEWART TITLE OF CALIFORNIA, INC. page�IZOfZl0Doe 0T Tax PaidO
Recorded in Official Records
WHEN RECORDED MAIL TO: County of Riverside
Gary L. Orso
MADISON ESTATES, LLC Assessor, County Clerk & Recorder
437 S. HWY 101, #220
SOLANO BEACH, CA 92075
M $ U PAGE SIZE I OA PCOR NOCOR SMF MISC.
ORDER NO. 514201914 i
ESCROW NO. 580054282-KW
A R L COPY LONG REFUND I NCNG
GRANT DEED _...-�eL 4 N 020C:),-AV T
The undersigned grantor(s) declare(s): SO A.P.N.: 762-240-010 JB
Documentary transfer tax is $ '-:;S-'�1 • City tax$
( -)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: ()4 ) City of , and
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
TRYON PROPERTIES, A CALIFORNIA LIMITED PARTNERSHIP
hereby GRANTS to MADISON ESTATES, LLC, A CALIFORNIA LIMITED
LIABILITY COMPANY
the following described real property in the
County of RIVERSIDE , State of California
PARCEL 4 OF PARCEL MAP 8834 AS SHOWN BY MAP ON FILE IN BOOK 74,
PAGES 65-66 OF PARCEL MAPS, RIVERSIDE COUNTY RECORDS, AND AN
UNDIVIDED 25% INTEREST IN AND TO LOTS A,B,C AND D OF PARCEL MAP
N 8834, IN BOOK 75, PAGES 65-66, OF OFFICIAL RECORDS OF RIVERSIDE
y COUNTY.
DATE: June 24, 2002
STATE OF C"`ircr�i-'vi�-c�iA Iv C ) TRYON PROPERTIES
COUNTY OF
�Q � ''� } ss.
BY
On Jul 2 Oa,-before me Damm
personally ap ed u a BY:
personally known to me (or proved to me on the basis of satisfac-
tory evidence) to be the person(s), whose name(s) is/are sub-
!f/ r
scribed 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 instru- ;• .�.�tt;
ment the person(s) or the entity upon behalf of which the per- -
son(s) acted, executed the instrument.
05
WITNESS
WITNESS my hand and official seal. rf:.��E� '; . :
Signature w Orin. ( 1193 (_TEuS a.,-fo of�iclal.notarial seal)
1,Y..
MAIL TAX STATEMENTS AS DIRECTED ABOVE