13-0161 (PLBG)P.O.. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:1370'OOD0161 .
Property Address: 5.39bb1AVENIDA RAMIREZ
APN: 774-162-024-14 -000000-
Application description: PLUMBING.
Property Zoning: CONE RESIDENTIAL
Application valuation: 4850
Applicant:
Archite • t or E gineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BARNETT MIKE
53966 AVENIDA
LA QUINTA, CA
(619)888-8315
MRTINEZ
92253
Contractor:
TRI -STAR CONTRACTING
1.5501 LITTLE MORONGO
DESERT HOT SPRINGS,
(760)251-5454
Lic. No.: 909195
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS . (760) 777-1153
Date: - 2/12/13
-------------
UCENSED CONTRA TOR'S DECLARATION
- WORKER'SCOMPENSATION'DECLARATION
hereby affirm under penalty of perjury that 6 am licensad.un provisions Chapter 9 (commencing with .
I hereby affirm under penalty of perjury:ora of the following declarations: ,
Section 7000) of Division 3 of the BusinessProfessio ode, and License is in•full force and effect.
_ I have and'' ill maintain.a.certificate of consent to self -insure for workers' compensation, as provided
Ind
License C ss: A cense No.: 09195
for by Section,3700ofthe Labor Code, for the performance of the work for which this permit is
. Date, �41-++ctor: - -
issued. .. ., ."
_ I have and will maintain workers': compensation insurance, as required by Section 3700 of the Labor
Code,•foothe performance of;the work for which this permit is issued. My; workers' compensation
.. OWNER -BUILDER DECLARATION-
insurance'carrier and policy numlieraie:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the .a
Carrier E1/EREST "NAT' L Policy Number -760.0005937121
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.permi "'s.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 worker ompensation 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: ecome_subjecr t workers'c ensation provisions of .Section
License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and,Rrofessions'Code) or
` 3700 of the Labor C shall fort it o ly WAth a rodisions.
that he or sheds exempt therefrom and the basis for the alleged, exemption. .Any violation of Section 7031.5 by
11h
77 'I
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)-:
= at7e,: t 7Applicant1' •— .
(_) 1, as owner of theproperty, or my employees with wages as their sole compensation, will do the work, and
,�� �._ ,_ r•^`_'
the structure isnot 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.THEE.COST OF COMPENSATIONi. DAMAGES AS PROVIDED FOR IN
improvements are not are offered for sale. If, however, the building or improvement is sold within
" SECTION 37WOF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES., .' .
one year of completion, the owner -builder will have the burden of proving thit.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 anwwnerof
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 benefitwork, is performed under or pursuant to. any permit issued as a result of this application,
(_) 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
Date:
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 Name: _
Lender's Address:
LQPERMIT
of La Quinti, 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 corre I agree to co ply with all
city and c unty ordinances and state laws relating to building co struction, and here authorizer r sentatives
of this my o enter upon the above-mentioned propert sped'
Signe sr•cat:.Dat< lia
Application Number . . . . 13-00000161
Permit . .
. PLUMBING SEWER
Additional desc .
.
Permit Fee . . .
. 30.00 Plan Check Fee
00
Issue Date . . .
. Valuation . . .
. 4850
Expiration Date
8/11/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
SEPTIC ABANDONMENT
SEWER HOOK-UP
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
P
-----------------
Charged Paid Credited
---------
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------
Due
Permit
Permit Fee Total
30.00 .00 .00
30.00
Plan Check Total
.00 .00 .00
.00
Other Fee.Total
1.00 .00 .00
1.00
Grand Total
31.00 .00 .00
31.00
LQPERMIT
Bin. #
, ..
CrtYof La Qurnta
Butgng 8r Safety DWon
P.O: Box 1504, 78--,..S. (e Tampico
La Quinta, CA 92253 ' (760);777-7012
Building,Permit Application and: Tracking Sheet
Permit #
-- N��.
Project Address:E• 2�+t-i •:Owners I�iame:. ��
A. P. Number. ;Addrtiss:'Zr2- '
53:1
Legal Descrippon: City, ST, Zip:
Contractor. �f � ' Teleplione: "' 3
Address: (SS �/ Project Descrtption. -rj—L
City, ST, Zip:�iYi
-Telephone:
State Lic. # �-f `ij City I is
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: _Y
State Lia #:
Name of Contact Person:
Construction Type:, f Occupancy:
project type (circle one): • New Add'n Alter Repair Demo
',Sq. Ft.: # Stories: # Unita:
Telephone # of Contact Person: � 1�� -
° Estimaw Value of Projecit d0
APPLICANT: DO' NOT WRITE -BELOW THIS LINE
M Sobmittal Req'd 'Reed.. TRACMG. PERMIP FEES
Plan Sets
Plan Clieek submitted
=`. 'Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Pcrsoa
Plan Cheek Balance.
Title 24 Cales.Plans
picked up
Construction
,Flood plain plan
Plaas.resubmitted.'.
Mechatilcal
Giadlag plan
21' Revlcw, ready for correctiouriissue
Electrical
Subcontactor List
Called Contact Person,
P 1 mbing
Grant Deed
Plans;plcked op .
S LL
H.O.A. Approval
Plans resubmitted
Grading
IPI Ii01lSE:-
'"' Revtew' ready for correctlons/issae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP-P-
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
COACHELLA�VALLEY WATER DISTRICT
P-••O�. •922.36
, 1STFtt `. BOX.. 05 COACHELLA, iCALIFORNIA (760)
398-2651
:INVOICE Date 1.2/1;0/2012
":SUBJECT SCC ONLY:- 53966 AVENIDA RAMEREZ, LA:QUINTA LID"6891'56
BARNETT. MICHAEL, -Project
124264
r
53966 AVEN,IDA'RAMEREZProject-Date:
12/10/2012
Amount Due:
$4,231.00
LA QUINTA, CA ;92253. GEO:06,06-12-4
Planner: CAROL
PFANNKUCHE
T&INSURE PROPER CREDIT, PLEASE RETURN THIS; PORTION WIT H
`
;REMITTANCE ANbJNCLbDIi THE:PROJECT ON;YOUR CHECK
:. . ::
,::..:..,_r v._ _P,w.._.o..,..-t.�.-$,. ��;._ = •;bem._.i..:arr...` v:,..... -. .. ri. s+t'.. ,.a. .:Cr+r... r.;t �:...,...-,.,a.uy ,„..>. E-_:. s--..:: ,... :,.�.;:
Ml�. ••.®a • • •' o
• e
1, 00 SCC7,T OLLECTION ;: $1,836.00
$1836 0.0
:.
1:00 SCC TREATMENT, $2;395.00:
$2.395.00
f
$4,231.00
CKN.0
DEC '42012
6Z
r
SUB:IECTfSCC`QNLY :53966 AVENIDA RAMEREt;.LA QUINTA LID.689156
BACHELLA `VALLEY .WATER; :DISTRICT
P-0 BOX; 3058, COACHELLA,,, CALIFORNIA 92236 (760).39.8-265:1
Page 1
S AND G PUMPING SERVICE INVOICE # 5 3 5 5
73-680 Hwv 111. Suite 123 • Palm Desert. CA 92260
Cell (760) 766-5074 • (760) 404-6325
Description of.Work or -Material Used ? :
Bill o' 0<4 /y ^
PhD:
Address:
M�^nic:
row/` � ��
Hrs:
City:
Helper:
Job Name and Loocation:
Description of Work:
Amt. Pumpe .4abal ❑'Septic Tank ❑ Seepage Pit ❑ Cesspool ❑ Grease Trap ❑ Other
❑ System is. Failing ❑ System Passed inspection ❑ Excessive Sludge ❑ Roots
Quantity.
Description of.Work or -Material Used ? :
.,Price
Amount
Pump &;Dump Fee per 1000 gal (Grease Trap)
Pump & Dump, Fee,per 1000"gal (Septic Tank) .
Locating & Opening Fee (per hour)
High Pressure Water Jet (First Hour)
High'Pressure Water Jet (Addtional Hour)
Labor. per hour
Rooter Mainline
Rooter Lateral
Rooter On -premise
❑ After Hours ❑ Sat. Charge ❑ Sun. Charge
Fuel Surcharge
Thank You
Total
`Y
raid by: u GheCKB u Cut Id:
Signature Date Next Service Due
s
— Irruperty `. Ila racteristics
Primary Owner:
BARNETT MICHAEL.
Secondary Owner.:
BARNETT FLORENCE
Site Address:
'53966 AVENIDA RAMIREZ
1949
LA QUINTA, CA 92253-3592
Mailing Address:
PO'BOX 1749
1.0
BIG BEAR LAKE, CA 92315
Assessor Parcel Number:
774-162-024
CountyName :
Riverside
Tax Account,ID.:
Fireplace :
Phone :
'N/A
Census Tract:
0451.09
Housing Tract Number':
N/A
Lot Number:
13,14
Page'Grid
Zoning :
Legal Description:
Lot: 13,14 ; Block: 236 ; Abbreviated Description:, LOT: 13,14 BLK:236
LOTS 13 & 14 BLK`236 MB 020/024,SANTA CARMELITA VALE LA QUINTA
UNIT 22; City/Muni/Twp:;LA.QUINTA
— Irruperty `. Ila racteristics
Bedrooms:
3
Year Built:
1949
Square Feet:
1226
Bathrooms :
1.0
Garage :
.A
Lo'tsize :
9583 SF
Partial Bath :
0
Fireplace :
Y
Number of Units :
1
Total Rooms:
0
Pool/Spa :
N
Use Code :
Single Family Residential
Zoning :
N/A
3aie/i,oan .iniormation
Transfer Date: 03/09/2010
Transfer Value.: $130,000
First Loan Amt: N/A
)n
Tax Amount: $1,611:60
•Tax Status : ' Current
Tax -Rate Area : 20-015
Homeowner'Ezemption : N
Data Deemed Reliable, But Not Guaranteed. .
Copyright Q 2004-20 12 Lender Prnressind Services. Inc„ tail Rights Reserved. t111,piher trademarks and copyrights are the properly o` (heir
2"0012012 11:06:48 AM Customer Service Rep: Mike 6ewens
53966 AVENIDA RAMIREZ
LA QUINTA; CA 92253-3592
l Data Deemed Reliable, out Not Guaranteed. .
Copyright t9 2004-2012 Lender Processing Scrvl es. Inc. A" Rights Reserved. ; I.other Crademarks and copyrights are the properly of (heir respective holders.
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ORIORRY TITLE
RECORDING REQUESTED BY:
Pd"(YUUT CoMEED
AND WHEN MAIL TO:
Mr. and Mrs. Michael Barnett
P.O. Box 1749 PMB 140
Big Bear Lake, CA 92315
02"16
DOC #.2010-0105419
03/09/2010 08:00A Fee:18.00
Page 1 of 2 Doc T Tax paid
Recorded in Official Records
County of Riverside
Larry U. Uard
Assessor, County Clerk d Recorder
1111111 ilIIIII III lilllll111
IIIII 1111111 III IIIILIIILIiII .
R I U I PAGE I SIZE I DA I MISC I LONG RFD COPY
M. I A L 1 465 1 426 . CO N60RI SMF 11 NCHG exnM
``,,,,�� -T �j t
�'?r, l IT: a-0 I �iY UNI
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARES)
DOCUMENTARY TRANSFER TAX Is $143.00
[X] computed on full value of property conveyed, or
[ j computed on full value less value of Gens or encumbrances remaining at time of sale.
[ ]tirttrtr>,rparebe-ema [X] City of La Quinta AM
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Sean Murray, Trustee of the Ramirez Trust dated April 1, 2009
(hereby GRANT(s) to:
Michael Barnett and Florence Bamett,-TYuSkeS DF T+ e- eek- Ie.'Ef QM (y rv-IA, l-
Mpc}„e OcAO X 10, 2003
the real property in the"City of La Quinta, -County of Riverside, State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF
Also Known as: 53966 Avenida Ramirez, La Quinta, CA 92253
AP* 774-162-024-9
DATED March 2, 2010
STATE OF CALIFORNIA
COUNTY OF
On MAZCH
Before me,
A Notary Public to and for sal te, Personally appeared
who proved to me on use Dams or saosraaory evraenceto as ase
person(,) whose names) islat6 sub>sortbed to the within instrument
and acknowledged tome that helahei6ey executed the.;sarm In
hWhu& helr eLdhodzed capacity(les), and that by h
slgnature(e) on the Instrument the,pemon(a), or the eirtlty upon
behalf of which the persan(s) acted. exewted the itubumenL
1 certify under PENALTY OF PERJURY under the laws of the State
of Califomia that the foregoing paragraph is true and corned.
VMESS my hand and oftidal seal.
Sean Murray, Trustee of the Ramirez Trust dated April
1, 2009
BY:
Sean urray, Trustee '
WNoYtary
AYAN P. GHELANl
aOMM. # 1825490
gqRitft--CCMortsla
tpeas�ea'3i.2012
Signature (flus area for official notarial seal)
MAIL T ST TS TOIPARTY SHOW -BELOW, IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE:
8—,
Order Number: P47132 (CM)
Page Number: 6
DA BIT -i'A"
LEGAL DESCRIPTION
Real property in the City of La Quinta, County of Riverside, State of California, described as
follows:
LOTS 13 AND 14, BLOCK 236 OF SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 22, IN THE
CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF. CALIFORNIA, AS SHOWN BY MAP ON
FILE IN BOOK.20, PAGE 24 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA.
THE ABOVE LEGAL DESCRIPTION IS PURSUANT TO THAT NOTICE OF LOT MERGER RECORDED
MARCH 29, 1989 AS INSTRUMENT NO. 89-96074 OF OFFICIAL RECORDS.
APN: 774-162-024-9
Priority Title