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BSPN2014-001678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BSPN2014-0016 45815 CAMINO VISTA 604440021 RELEASE POWER TO IID Applicant: 21 ST MORTGAGE CORPORATION 620 MARKET ST STE 100 KNOXVILLE, TN 37902 C& 0 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/5/2014 Owner: 21 ST MORTGAGE CORP 620 MARKET ST STE 100 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 Professions Code, and my License is in full force and effect. License Class: _ License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_) 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 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.). (_) 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.). (_) I am exempt under Sec. . B.&P.C. for this reason Kate: 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 Add KNOXVILLE, TN 37902 Contractor: Llc. No.: WORKER'S 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. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ 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. 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application is hereby made to the Building Official 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 to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ., ACCOUNT CITY . `AMOUNT PAID PAID DATE SPECIAL INSPECTION 101-0000-42404 1 $71.50 $0.00 'PAID BY: METHOD RECEIPT #, - CHECK# CLTD.BY Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $71.50 $0.00 TOTALS:• •0 Bin # s City of La Quinta Building 8'r Safety Division Permit # P.O. Box 1504, 78-495 Caffe Tampico . . La Quinta,CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Project Address: t� S $1� e.,Ml vb `S ner's Name: 4'9 A. P. Number: Address: Legal Description: City, ST, Zip: k 0e tj -3-?q �Z Contractor -Telephone: $ Address: ' Project Description: City, ST, Zip: w Telephone: • State Lic. # : City Lic. #: Arch., Engr., Designer. Address: City., ST, Zip: Telephone: cY: nstruction Type: Occupancy: JcttYP (circle one): New Add'n Alter Repair Demo State Lic. #:P Name of Contact Person: u `�� Sq. Ft.: #Stories: __T4/ Units: Telephone *,of Contact Person: 6�6l aq Estimated Value of Project: # Submittal APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd TRACMG PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2*'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:- ''a Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue SehoolFees Total Permit Fees Property Detail Report. Page 1 of 1 DIGITAL MAP :e�ro„ercppr Property Detail Report for: PRODUCTS 45815 CAMINO VIS, LA QUINTA, CA, 92253-7231 Owner Information: Owner Name: RESIDENTIAL FUNDING COMPANY LLC Mailing Address: 3232 NEWMARK DR, MIAMISBURG, OH, 45342-5421 Vesting Code: Phone Number: Location Information: Legal Description: . .17 ACRES IN LOT 21 MB 286/001 TR 27519 County: RIVERSIDE FIPS Code: 06065 Census Trct/Blk: 045215/3 APN: 604-440-021 Alternative APN: Map Ref: - Twnshp-Rnge-Sect: - - Legal Book/Page: Tract No: 27519 Legal Lot: 21 Legal Block: Subdivison: Last Market Sale Information: Sale Date: 6/10/2004 Sale.Price: $370,000 1st Mtg Amount: $296,000 Sale Doc No: 2004-0446200 Price Per Sq Ft: $173 1st Mtg Int Type: FIX Transfer Doc No: 2014-0125895 Price Per Acre: $2,176,471 2nd Mtg Amount: $37,000 1st Mtg Doc No: 2004-0446201 2nd Mtg Int Type: Sale Type: FULL AMOUNT COMPUTED Tax Exemption: Deed Type: GRANT DEED/DEED OF TRUST Title Company: OLD REPUBLIC TITLE COMPANY Assessor Acres: 0.17 Lender: WESTMINSTER MORTGAGE CORP Land Use Code: 163 Assessor Lot SgFt: Seller Name: REESE, JULIE Land Use Desc: SFR Property Characteristics: I Res/Comm Units: Building Area: 2,135 Total Rooms: Construction: 0.178 Living Area: 2,135 Bedrooms: 3 Heat Type: CENTRAL Garage Area: Baths: 2 Air Cond: CENTRAL Basement Area: Fireplace: Roof Type: Parking Type: No of Stories: 1 Roof Material: TILE Yr Built/Effective: 2001/ Quality: Style: Pool Code: Tax and Value Information: Assessed Value: $257,000 Assessed Year: 2013 Est Market Val: $283,166 Land Value: . $64,000 Property Tax: $4,203 Assessor Appd Val: Improvement Value: $193,000 Improvement %: 75.09 Total Taxable Value: Tax Exemption: Site Information: Assessor Acres: 0.17 Zoning: Land Use Code: 163 Assessor Lot SgFt: 7,405 No of Buildings: Land Use Desc: SFR Lot W/D: I Res/Comm Units: 1 County Use Code: R1 Calculated Acres: 0.178 Sewer Type: Calculated Lot SgFt: 7,754 Water Type: http://dcl.parcelstream.com/GetByKey.aspx?dataSource=%24%28ACCOUNT NAME%29... 8/5/2014 M O R T G A G E CORPORATION DAVID NICHOLS Remarketing Manager Office: 951-295-2555 Fax: 800-239-0966 email: davidnichols@21stmortgage.com P.O. Box 477 37901 620 Market Street - Suite 100 Knoxville, TN 37902 www.21stmortgage.com NMLS #2280