0307-317 (DSF)•
Signature (Owner/Agent)
u LICENSED CONTRACTOR 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 is in full force and effect.
License # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
�r) 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 & Professionals Code). i
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
O I ;am_.exempt under Section B&P.0 -for this reason
ovate' ,, " .� Signature of Owne r•' a
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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
Q-) 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; Irshalllorthwith comply with.those provisions.
Date'"' ' ` V Applicant .,� ...,
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall"subject, an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to. .the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Date
PERMIT!/
• EUILDING PERMIT
DATE VALUATION ' LOT`'TRACT
`;� X0307 - 317.
JOB SITE'
APN
+, �7 /�� p+
ADDRESS 1&920 C,&L..T.t4. 'b" ALOE{%1A.
OWNER
CONTRACTOR / DESIGNER / ENGINEER
GLOM A, PAS
OWER lrtUdiMER
40-920 CALLS PA MA
LA QUI..NTA CA 92.253
i } - CRUZ
USE OF PERMIT
DOPMOM '019
DEMO tai+A1{S•N..lrslF.J0.H`r18XA", 4O'v'`3.t1LLS/CA,i3rAZT8JAPPUANCM, �
FLOORINQ PER PJ,,AICINVESTIGATION FFM ASMSED PPR 1903 UAC
J .9 ..F0R WORK BECIU'N WITHOUIr BUILDING PERMIT.
'ESU 12.1) COITT OF COi�l9119ricrJ.OR
Aa IT IrM MMMARY
1XVF,STIG.A,TION FRE 101-000-423-000 $43.00
DEMOLITION FrED 101-000-42:3-000 645.00
_ f)1+T TMUCT'ION AND PLAN CHECK
$90.00
' L03.9 PRR-PAUD 17,M3
M
nTOTAL
$Q00
—
J is
6Y
YgRM" FEENS.1111W ?40W
'LNIIAR 2 8 2003
CITY OF l l 565;IiA
DEPT. /
RECEIPT
DATE / ri
BY
D NA /
INSP
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms 8 Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bold Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines ^_� C�?
Heater Final
Plumbing Final
'Water Piping
Plumbing Top Out
Equipment Enclosure
St.mer Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduft
rough Wiring
Low Voltage Wiring
:Fixtures
thin Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
Biq>ilf
City of La Qui.nta
Buildirig 8E Safety Division
P.O. Box :1.504, 78-495 Calle Tampico
u Qui, b, -,CA 92253 - (760) 777-7012
Building Permit Application'and. Tracking Sheet
Permit #
3q
O
Proiect Address: �(� jLa, . 43 -, ��y�> O�+ner,'s Name-.
A. P.. Number: 7 7*a LO . C Q 'S: Address: '' I Q �/ E� , U v a 4
Legal Description: '' City. ST, Zip: Gt 4
Contractor: �� _ . `� tu.� FTeIephiine:,74,'�,_5
Address: '01 7 Project -Description:
Cin. ST. Zip: G `t p �.� v
P
Telephone: 3
State Lic. 1..Ciry Lic: :�: "° J.
ol
;Arch.. Engr.. Designer: ��L,' h- e, t
Address:
-,Cin'. ST, Zip: y
Telephone: 5
State Lic. R:
Name of Contact Person: V
Construction Type: Occupancy: 4- -----------
- --
Project type (circle one): Neje Add'n Alter Repair Demo
Sq..Ft;:. A Stories: Units:
Telephone of Contact Person: 3 J L�
Estitnate&Value of Proiecti
APPLICANT: DO NOT.-:WRITE;,BELOW THIS LINE
k
Subminal
Req'd
Recd
TR4CkING
PERMIT FEES
Plan Sets
Plan Check submitted
item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called'Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
;Mechanical
Grading plan
2nd Review, ready for corrections%issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
'Grant Deed
Plans picked up
SIAM.
H.O.A. Approval
Plans. resubmitted .;
Grading .;
[N HOUSE:-
'"' Review, ready for*corrections/issue
Developer Impact Fee
.
Planning Approval
Called Contact Person..
Pub. Wks. Appr
Date of permit issue.;
School Fees
Total Permit Fees
Recording Requested By:
D. GOODMAN
After Recording Return To:
COUNTRYWIDE HOME LOANS, :.INC*
MS SV -79 DOCUMENT PROCESSING
1800 Tapo Canyon
Simi Valley, CA 93063-6712
Prepared By:
S. HELMKEN
(Space Above This Line For Recording Daita]
46,126CB 400'2417976658078
(Escrow/Closing-11 [Doc ID #]
DEED -OF TRUST
AGN 1000157-0002007748-9
DEFINITIONS
Words used in multiple sections of this documebt are defined below and other words are defined, in Sections 3,
11, 13, 18, 20 and 21. Certain rules regarding'the usage of words used in this document air-e'also'providd'din
Section 16.
(A) "Security Instrument" means this docurnen . t, Which is dated'*FEBRUAR'Y
with all Riders to this document. .26, 2003 togdther
(B) "Borrower" is
GLORIA A PARKS, A -MARRIED WOMAN AS HER SOLE AND SEPARATE.PRO PERTY
Borrower's address is
78710 AVENIDA TUJUNGA, LA QUINTA, CA 92253 -
CALIFORNIA -Single Family -Fannie Mae/Freddie Mac UNIFORM INSTRUMENTVITH MERS
d!M -6A(C/A) (0207) CHL (09/02) Page 1 of 16 Initials:
VMP MORTGAGE FORMS - (800)521-7291
Form 3065 1/01
CONV/VA
2 3 9 9 1
0 2 4 1 7 9. 7.;,6 6'.0.0 -0 0'0 1 0
10'6 A
Im
rn UNIFOF, . RESIDENTIAL APPRAISAL REP :T
iptio
Description
0-1
LLE PALOMA
Borrower PARKS Current (iwnar Hni ir.wTRI im r"[-,-17.. r
UNKN
_ _ _.. _... _ ...._. .. �... , vwupan. I n i vwl ICI I I 1 enant I I vacant
m Property rights appraised I X I Fee Simple Leasehold Project Type PUD Condominium (HUDNA only) HOA$N/A /Mo.
v Neighborhood or Proiect Name N/A Map Reference 849-G6 Census Tract 0451 045
_
Sale Price $ _ 235,000 Date of Sale 02/2003 Description and $ amount of loan charges/concessions to be paid by seller N/A
Lender/Client COUNTRYWIDE HOME LOANS Address 74399 HWY I 11, STE D - PALM DESERT, CA 92260
Aooraiser DAVID BERNER Address P. 0. BOX 1173
PALM SPRINGS CA 92263
Location
Built up
X
Urban
Over 75%
X
Suburban
25-75%
Rural
Under 25%
Predominant
Single famlly housin
��I000)
Present land use %
Land use than e
❑Likely
occupancy
(yrs -
One family 75
❑Not likely
Growth rate
Rapid
X
Stable
Slow
X Owner
125 Low NEW
2-4 family _
X In process
550+ Hicih 65
Property value
X
Increasing
Stable,
Declining
Tenant
Multi -family
To: RESIDENTIAL_
Demand/supply
Shortage
X
In balance
Over supply
X Vacant (0-5%)
Commercial 10
Predominant
FROM VACANT
Marketing time
Under 3 mos.
X
3-6 mos.
Over 6 mos.
Vacant over 5%
245 15
VAC 15
LAND
Note: Race and the racial composition of the neighborhood are not appraisal factors.
o Neighborhood boundaries and characteristics: CITY LIMITS TO THE NORTH; CALLE TECATE TO THE SOUTH,• .1CFFERSON STREET TO
O THE EAST; NJOUNTAINS TO THE WEST.
= Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.):
0 EMPLOYMEN'r CENTERS FOR NEIGHBORHOOD APPEAR STABLE; CONVENIENCE TO EMPLOYMENTSHOPPING, SCHOOLS,
= LOCAL RECREATION FACILITIES, IS CONSIDERED TO BE TYPICALLY ACCEPTABLE AND SIMILAR TO THOSE OFFERED IN
LD COMPETING AREAS. ADEQUACY PORT
OF PUBLIC TRANSATION AND LOCAL UTILITIES_, AS ARE POLICE AND FIRE
_
Z PROTECTION IS CONSIDERED TYPICAL.
Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time
such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.):
MARKET VALUES IN THE AREA HAVE SEEN INCREASES IN THE PAST 3 YEARS. DEMAND AND SUPPLY ARE IN RELATIVE__
BALANCE_ LOCAL IvILS REPORTS THAT MARKETING TIME FOR SIMILAR PROPERTIES AVERAGES ABOUT 160 DAYS.
CONVEN'T'IONAL AND FHA/VA FINANCING IS PREVALENT IN THIS AREA WITH OCCASIONAL SELLER ASSISTED FINANCING.
NO UNUSUAL SELLER CONCESSIONS NOTED.
o Project Information for PUDs (If applicable) - - Is the developer/builder in control of the Home Owner's Association (HOA)? LJYes HNo,
R Approximate total number of units in the subject project N/A Approximate total number of units for sale in the subject project N/A
Describe common elements and recreational facilities: N/A
Dimensions PLEASE SEE A17ACHED PLAT MAP
Topography LEVEL
Size TYPICAL FOR AREA
Site area 10,148 SQ. FT. CornerLotLJYes X No
Specific zoning classification and description RI: RESIDENTIAL USE
Shape RECTANGULAR
Zoning compliance QLegal Legal nonconforming (Grandfathered use) Illegal No zoning
_
Drainage APPEARS ADEQUATE
Highest & best use as improved: X Present use F I Other use (explain)
_
View MOUNTAINS
Landscaping TYPICAL
Utilities Public
Other Off-site
Improvements Type Public
Private
� Electricity
NX
Street
ASPHALT_ X
_
Driveway surface CONCRETE
Gas
Curb/gutter
CONCRETE X
Apparent easements OF RECORD
X
_
Sidewalk
Water
NONE/TYPICAL
FEMA Special Flood Hazard Area Yes X No
Street
Sanitary sewer
X
lights MAJOR INTERSECTS X
FEMA Zone X Map Date 08/19/1991
_
Alley
Storm sewer
NONE/TYPICAL
FEMA Map No. 060709-0005-B
Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning use, etc.): NO MAJOR ADVERSE'_
CONDITIONS THAT WOULD SERIOUSLY EFFECT MARKETABILITY WERE OBSERVED AT THE TIME OF INSPECTION. TITLE
DOCUMENTS WERE NOT REVIEWED
_
BY THE APPRAISER.
GENERAL DESCRIPTION EXTERIOR
DESCRIPTION
FOUNDATION
BASEMENT
INSULATION
No. of Units ONE Foundation
CONCRETE
Slab YES
Area Sq. Ft. -0-
Roof
No. of Stories ONE Exterior
Walls STUCCO
Crawl Space NO
% Finished N/A
Ceiling
X
Type (Det./Att.) DET. Roof
Surface CONC.TILE
Basement NONE
Ceiling N/A
Walls _
X
H Design (Style) CONV Gutters
& Dwnspts. I'-2' OVHG
Sump Pump NONE
Walls N/A
Floor
Existing/Proposed EXIST. Window
LU
Type SL ALUM
Dampness NONE NTD
Floor N/A
None
M Age (Yrs.) 20 Storm/Screens
SCRNS/YES
Settlement NONE NTD
Outside Entry N/A
Unknown
> Effective Acie Yrs. 12 Manufactured
House NO
Infestation NONE NTD
_
� ROOMS
Foyer
Living
Dining
Kitchen
Den
Family Rm.
Rec. Rm.
Bedrooms
# Baths
Laundry
Other
Area Sq. Ft.
CL Basement
-0-
X
Level 1
1
I
1
1
3
2
X
NOOK
2,428
O Level 2
Z
O
CL Finished area above grade contains:
7Rooms• 3 Bedrooms • 2.013ath
s • 2 428S uare Feet of Gross Living Area
FeINTERIOR Materials/Condition
HEATING
KITCHEN EQUIP.
ATTIC
AMENITIES CAR
STORAGE:
N Floors CPT,TILE/AVG+
Type FAU
I RefrigeratorRVY
None
R
None
Fireplace(s) # IM,�,If.nrona
❑
W 1A/ 11I nn vu; A 1 I /A \l-1-
[:...I (: A Q
gonna/(lvcn
Chirc
parin r-rnm
7tt of rorc
City,intLa'Qa
o u
Developers PM-10 Approval Form
Prior to the issuance of a Demolition Permit for the project listed below, Public Works
approval must be obtained. Please return this form to the Building and Safety Department
only after approval.
Project Address: L0
Scope Of Work. ,i
,WING 27'bVjf/
Public Works Dep ent proval is eby granted;
Z 7103
John reeland, Senior Engineer D e
J
OWNER / BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as.the builder of the property
improvements specified.
For your protection you should be aware that as "Owner you. are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for'the proper permit in his or her name.
Contractors are required by law 'to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage. any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such ;persons are not licensed as contractors or
subcontractors, then you may be ao employer.
If you are an employer, you must register with the State and.Federal Government as -an employer,and you are subject
to several obligations including State and °Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation -contributions.
There may. be financial risks for you if you do not carry out these obligations,: and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations underFederal. Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration), For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the'Didision.of Industrial. Accidents.
If the structure is intendedfor sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed" contractor. or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own: -labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by, contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA. 92253
(760) 777-7012
FAX: (76*777-7011n
OWNER'S SIGNATURE/DATE
SSD L riJ/1
PROPERTY ADDRESS
D3o3-�1 �
PERMIT NUMBER(s)