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04-4786 (SFD)53700 Avenida Madero 04-4786 ox. 1504. CALLE TAMPICO INTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY -DEPARTMENT (760),777-7012 FAX (76.0) 777-7014 INSPECTION REQUESTS (760) 777-7153 ' Application Number0.4-0000.4786 Date 6 23';/04 Property.Address 537-0-0—AVENIDA MADERO APN: 774-103-028-15 -000000- Application description DWELLING. -.SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL Application!.valuation .125487 Owner Contractor ----------------------.--. - - - - - - - r - - --- - - 7 - - - ---- - - - - - - POWER FINANCE CORONEL CONSTRUCTION R.0. BOX 134, P.O. BOX 389* LA QUINTA CA92253'' LA QUINTA ..CA..92253 (760) 564-4604 WCC: STATE -FUND WC: ::'.'"1:744453 01/01/05 CSLB: 634981 01/31/06' CCC: B -C13 ---------- ------------------- Structure Information --------------- ---- ------ ConstructiohType TYPE V = NON RATED - Occupancy Type . ... . . . DWELLG/LODGING/CONG.<=10 Flood Zone . . . . . ... NON -AO FLOOD ZONE Other struct-info -CODE EDITION 2001 CBC # BEDROOMS 3.00.. FIRE -SPRINKLERS. NO - GARAGE.SQ FTG 693 00 PATIO'SQ FTG 3.6.00 NUMBER. OF, UNITS ,6.00NUMBER.OF,UNITS 1.00 FIRST FLOOR .SQ FTG\- 1948.00 ------------ --------------- I ------------------------- Permit . . ... . . BUILDING PERMIT. Additional desc Permit Fee 730.50 Plan Check Fee 474.83 .Is -sue -Date Valuation. 125487 Qty Unit Charge Per Extension BASE FEE .639.50 26.00 3.5000 THOU, BLDG 100,001-500,000 91.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 Permit MECHANICAL Additional desc Permit Fee 5.9.00.. Plan Check Fee 14.75 .Issue Date Valuation n Qty.: Unit.Charge Per Extension P.O. Box 1504 • �i, rV VOICE (760) 777-7012 08-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Oy - 'y986 Date: o Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's 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 License !'�1�, ull force and effect. License Class '4-.?.�T6 '{1 r, License Nem C�14 `) SZ Date �'-\� - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 (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).): 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 1, 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. B.8 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 izedd ork�rs' compensation insurance carrier and policy number are: Carrier— n Z Policy Number ki�E44 �� I certify that, in the performance of the work for which thispe'Imit 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 s ul become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th s provisions. Date 4i -\1--Y 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 3708 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 performance 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, 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 co ply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coMtoenter upon the above -men ' n property for inspection purposes. Date �-L"L-"1 Signature (Applicant or Agent): "— r�. Page 2 Application Number . . . . . 04-00004786 Date 6/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C.<=3HP/100K BTU .9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 -EA MECH. EXHAUST HOOD. 6.50 Permit .. . . . . . ELEC-NEW RESIDENTIAL Additional desc .. .Permit Fee 11.2.04 Plan Check Fee 28.01 Issue. Date Valuation 0 Qty- Unit Charge Per' Extension ..BASE FEE 15.00 1948.00 0350 ELEC NEW RES - 1 OR 2 FAMILY- 68:18 693.00 .020'0 ELEC GARAGE OR NON_RESIDENTIAL• 13.86 1.00 15.00:00 EA- ELEC TEMPORARY,POWER POLE 15.00 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . 129.00 Plan.Check Fee. 32.25 Issue Date. Valuation 0 Qty Unit Charge. Per Extension. BASE FEE 15.00 10.00 6.0000 EA :PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.:00 7.5000. Ek PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM. 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT. Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . Valuation 0 Qty" Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments - 1948 S..F. SFD•PERMIT DOES NOT INCLUDE Page. 3 Application Number 04-00004786 Date 6/23/04 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH Other Fees .. . . . . . . ART IN PUBLIC PLACES -RES 00 DIF COMMUNITY CENTERS -RES 1.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 47.48 DIF FIRE PROTECTION -RES.. 97.00 GRADING PLAN CHECK FEE :00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC-- RES 5.00 DIF PARKS/REC -.RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION '(SMI) - RES 12.54 DIF'STREET MAINT FAC -RES 15.00 'DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee,Total 1045.54 .00 00 1045.54 Plan Check Total 549.84 250.00 .00 299.84 Other Fee Total 2469.02 .00 .00 2469.02 Grand Total 4064.40 250.00 .00 3814.40 R f - _ P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address QUINTA, CALIFORNIA 92253 Add State si . / 02 „ n I Lic. - & Classif. G ) h Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am Yi§ioa&of Chapter 9 (commencing with Section 7000) of Division 3 of a Busin a Code, and my license is in full force and effect. SIGNATURE DATE 4C -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, 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 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 Profes- sions Code: The Contractor's 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, provided that such improvements are not intended or offered for sale. 1/ however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address 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. 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 the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST. ' `-''OP. CC. GR A.P. Number I 103 -021V - Legal ✓ V' Legal Description T /15 Project Description v _ / o /L--7 Sq. Ft. Size No. No. DIN. / Stories Units Nev91!c— Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 25 ----' Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure A Ilu A 11111L 1 EPT. TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE 10 FitstAmerican Title Company 44-901 Vi//age cc►urt, Suite 4 Palm Desert C4 92260 (760) 340-7.245 Fax - (760) 568-0656 YOUR CCPD! TC KEEP SALE ESCROW INSTRUCTIONS To: First American Title Company Date: May 21, 2004 Stacey Lopez, Escrow Officer File No.: RPD -1473969 (sl) Re: Vacant Land, APN #774-103-028 - Avenlda Madero, La Quinta, CA.92253 ("Property") Terms of Transaction To effect the purchase of Property hereinaf ,!r described, Buyer will pay total consideration as follows: • Purchase Terms: Buyer(s) will de. osit funds, prior to 07/02/04, in the amount of $150,000.00, to complete a total consideration of $150,000.00: . all of which you may use when you hold for me a ::rant Deed executed by Ernest H. Nieto and Patricia A. Nieto, husband and wife as joint tenants and Buyer will deliver to you any instruments and funds required from Buyer to comply with.these instructions, all of which you are authorized to use or deliver on or before 07/02/04 ("pose of Escrow") provided instruments have been filed for record enabling you to obtain a form policy of title insurance with title company's exceptions, having a liability amount of at least the amount of the total consideration covering the following described property situated in the City of La Quinta, Cwnty of Riverside, State of California: LEGAL DESCRIPTION PER PRELIMINARY TITLE REPORT EXHIBIT "A" Vesting: Buyer directs that title to the Property be vested as follows: Power Finance Assodates, Inc., a California Corporation Title Approval: Buyer adrnowiedges that the Policy of Title Insurance for the Property will be subject to: 1. All general and special taxes, asses rents and/or bonds not delinquent. 2. Covenants, conditions, restrictions, reservations, easements for public utilities, districts, water companies, alleys and streets, rights and rights of way of record, If any; also exceptions of oil, gas, minerals and hydrocarbons, and/or lease, if any, without the right of surface entry. The following prorations and/or adjustments are to be made as of dose of escrow: (1) Taxes based on the arnount of the last tax statement of the Tax Collector issued prior to the close of escrow. (If the amount of the new tax bill issued by the Tax Collector after close of escrow Is more or les: than the amount used for proration purposes, the'difference, if any, will be adjusted by the parties hereto outside of escrow.) Seller will forward to Buyer any present or future tax.bills on property herein. Page 1 of 3 npv.To 'KEEP 'd 890'ON NIJJH WVI111M WdZZ Zl ti00Z.'t 'UM. CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 8/19/04 La Quinta, CA 92253 No. 26335 (760) 771-8515 Owner Power Finance Address 53700 Avenida Madero City La Quinta Zip 92253 Tract # Type Single Family Residence C tFtF sc 4c=ss o Q BERMUDA DUNES r RANCHO MIRAGE . INDIAN WELLS PALM DESERT .y LA QUINTA INDIO Q O APN # 774-103-028 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F. Lot # No. Street Unit 1 53700 Avenida. Madero 1948 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Paid $4,363 with check #319579 and .52 paid by cash. S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,948 S.F. or $4,363.52 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage,in this proposed project may now be issued. Fees Paid By ccNIB - Ish Coronel Check No. 319579 Name on the check Telephone /Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Recd $4,363.52 Signature K14 $o.00 Over/Under NOTICE: Pursuant to vernment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identi I d above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are rd to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt . Copy - Accounting EXHIBIT 'A' Date: May 24, 2004 File No.: RPD -1473969 ( s!) PARCEL 1:. LOT 13 AND THE SOUTH HALF OF LOT 14, BLOCK 193 OF SANTA CARMFLITA AT VALE LA QUINTA, UNIT 19, AS SHOWN BY MAP ON FILE IN BOOK 19 PAGES) 33 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA: PARCEL 2: LOT 15 AND THE NORTH HALE OF LOT 14, BLOCK 193 SANTA CARMELITA AT VALE LA QUINTA, UNIT 19 AS SHOWN BY MAP ON FILE IN SO -DK 19 PAGE(S) 33 OF MAPS, RECORDS OF RIVERSIDE COUNTY, 1CALIFORNIA. A,P.N. 774-103-028-0 • - 1 c ' r Initials. 9 d 9890•0N RC'DISTRICT —PLANNING REVIEW. FORM This form islo be. used bV ' CDD staff for review of single family dwellings in the RC :CCove Residential) District per Section..9.50.090 of the Zoning .Code. its pur:pgse is -to determine. 1) that the proposed housing design does not duplicate the same, architectural style of any house. within 20.0 feet of the applicant, .and/or 2) i# there is a need for the applicant to "file for Master Design Guidelines: If -the applicant does need to file .a Master Design Guideline, please .transmit this information. to. the Building and Safety Department as.. part of your correction list.Please . attach additional explanations as. necessary. APPLICANT: OBAX ► Y SITE ADDRESS:. 53-'700 ,QtX, APN 71. CASE NO.: LEGAL: LOT _ BLOCK q ' UNIT S.C.@V.L;Q. CHECK AND APPROVED..BY: DATE: Inform the assigned Building plan checker upon your assignment xo this case. The CDD Executive Secretary maintains a log book to track applications. and assign case numbers. REQUIRED ITEM Y N 'COM It/IENT/CORRECT Verify. legal and APN information Consistent with MDG on file' (as applicable) .MDG filing required .(5 filings since 9/3/98) :w Architectural variety within 200 feet of the surrounding area: ` ..Spprovea Planning'Commission Architectural design features -communj,ty Dev. Dept, . niiials Other Requirements: xhibit With Conditions .. ION rrtiR-ca-cnn ba : L4 HPI P. 03 INSTALLATION CERTIFICATE CF -6R Site Address 'r Permit Number , DUCT LEAKAGE AND DESIGN DIAGNOSTICS rDUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) q Test Leakage (CFM) Fan Flow v If Fan Flow is Calculated as 400 cfmlton x number of tons, or as 21.7 x Heating Capacity h, Ov in Thousands of Btuthr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction o Test Leakage/(Measured or Calculated Fan Flow) Pass if leakage fraction 5 0.06 ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections / ! ❑ ❑ 1 • Pass Fail AfHERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection jl _ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN l ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches .. plans. 2.Yes No TXV is installed or Fan flow has been verified. If no TXV, ❑ ❑ verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both l and 2 is a Pass Pass Fall I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -611 signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the. requirements for compliance credit.) Tests 47Signature, Date Installing Subcontractor (Co. Name) OR Performed: General Contractorr(Co. Name) COPY T0, Building Department HERS provider. (if applicable) f, Building Owner at Occupancy