14-0395 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:X14-00-0.0-0395
Property Address: 54885 AVENIDA JUAREZ
APN: 774-265-025- -
Application description: ELECTRICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 100
Applicant: ( *-
Architect or Engineer:
N4`�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LARRY FRENCH
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/08/14
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LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.:
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier Policy Number
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance oft he wor r which this permit is issued, I shall not employ any
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
person in any man
and agree that, if I
r soas to become ubj ct to the workers' compensation laws of California,
ould become sub' ct t the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor
Ct de, I shall forth ith c plypith those provisions.
that he�or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
ay,ta.ppplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( H 1 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 whontracls for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).) I am exempt under Sec. BP.C. for this re
Date:UV uD 1 T Owner:
\---_ V \
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
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 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 voi f work is not commenced
within 180 days from date of issuance of such permit, or cessation f 'or
fo 180 days will subject
permit to cancellation.
I certify that I have read this application and state that th bove information is orr ct. I a rel
to comply with all
city and county ordinances and state laws relating to buil g construction, an her y au orize representatives
of this county to enter upon the above-mentioned propert or inspection purp ses.
V-1
Application Number . . . . . 14-00000395 -
Permit . . . ELECTRICAL 2013
' Additional desc .
Permit Fee 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 10/05/14
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC POWER APPARATUS
23.83
----------------------------------------------------------------------------
Special Notes and Comments
CHANGE MAIN BREAKER ON ELECTRICAL PANEL
SAME FOR SAME.2013 CALIFORNIA ELECTRICAL
CODES.
-----------------------------'-----------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
23.83
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid Credited
--------
Due
-------------------------------------------------
Permit Fee Total 23.83 .00 .00
23.83
Plan Check Total .00 .00 .00
.00
Other Fee Total 115.40 .00 .00
115.40
Grand Total 139.23 .00. .00
139.23
LQPERMIT
I3tn #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
4
Project Address: S y25 �S I'tl/�^�% �(f (�t�t� z
Owner's Name: F 4^a - f
A. P. Number:? 7 L(— a G -- a
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: /,�,
Address:
Project Description: A
City, ST, Zip:
LL
('_ Gr �v ea-ke IL. O./v
Telephone: o e•
l � O
�e Ci /J
f e �
State Lie. # :
City Lie. #.-
:Arch.,
Arch.,Engr., Designer:
Address:
City., ST, Zip:
:»»Telephone: :«:Construction
:�':::•:?v i�<\L'n,{'�:iiF::'vi::�� ii�:%i::::y:y:;::"
'eY::;:.;,:
Type: SFrGK Occu an
State Lie. #:
Project type (circle one): New Add, n Alter epair Demo
Name of Contact Person:
Sq. Ft.: ( )'o L
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: (� C
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
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
Title 24 Calcs.
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 IiOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
F/I
o� 5T, /hvN j4
.y
�yeC c
��s�I
U�catc
Tit5'C�Cj
P.O. BOX 1504
LA QUINTA CALIFORNIA 92247-1504 BUILDING &SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY, OWNER'S PACKAGE
Disclosures & Forms for 0 W-ner-Builder's Appijing for Consiructiton Permits
1AWORTANT! NOME TO -PROPERTY. -OWNER
Dear Property Owner
Ari. application -Ior-a building permit has been submitted in your name listing yourself as the builder of the .property
improvements specified at. I S_ V g g� of (I&N TUc4w& Z_ C !.. 1 '
We am providing you with an Owner -Builder Acknowledgment and InformationNeHEicatibn Form -to make you awanof your
resix0sibiliftes and possible risk You may incur by having this permit issued 'in your name as the
Owner -Builder. We'witl not issue;a building -permit until -you -have 'read, initialed your understanding of each'provlsion,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless YOU, the property owner, obtain the prior approval of the permitting ing authority.
Read and initial e" statement below tv signify you understand or verify this inforrnation.
_�EI
i. I understand a frequent practice of unlicensed persons is to have the property owner obtain. an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not.provide coverage -for those
injuries. I am willfully acting as an Owner -Builder and am aware ofthe limits of my insurance -coverage for injuries to workers
on my, property- , , f I
2. I understand building permits are not required to - be signed by property owners unless they are responsible for the
construction and, are not hiring a . Licensed.Contractor to assume this responsibility..
LF 3. 1 understand as an "Owner -Builder" 1,am the responsible party of record on the permit- I understand that I may protect
myself from Potential financial risk by hiring a licensed Contractor and having the permit filed in hii or her name instead of my
own.
-IF-4. I understand Contractors are required by taw to be licensed and bonded in California and to list their license numbers on
permits and contracts.
1�_5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
_L6' 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk -
_C7. I understand under California
fornia Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, 1 may be hey liable, for any
financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in .the
workmanship or materials.
-` 9. I understand I may obtain more information regarding my obligations as an "employee' from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
--T-10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible . for proposed construction activity at the following address:
fu Vf;1W
_F71 L I agree that, as the party legally and fmaucially responsible for this proposed construction activity, .I will abide by all
applicable laws and requirements that govern Owner-Builderi as well as employers.
LF -12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the infcnmaEticm I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who doesnot have a license, Bre Contractors' State License Board may be unable to
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also
important for you to. understand that if an wllicenscd Contractor or employee of that individual or firm is injured while woddng
on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible forverd'ymg whether or not those Contractors. are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for h1uitrg: the.per Note: A copy of site property owner's driver'slrcense, farm notadcad i; or
other verification aeceptabie(�O the agen r�equw, d to be presented when the permit is issued to verify the property
owner's signature. I, I
'yob/
Signature of property owner _ Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand. is my personal responsibility, I hereby authorize
the following persons) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project_
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note. A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
Property Detail Report
Page 1 of 1
Detail Report
DIGITA�L'MAP eeyomerapyR+g
Property Detail Report for. PRODUCTS
54885 AVENIDA JUAREZ, LA QUINTA, CA, 92253-3742
Owner Information:
Owner Name: TRUST #1774265024 SILVERMOON ENTITIES INC
Mailing Address: 16033 BOLSA CHICA ST STE 104-154, HUNTINGTON BEACH, CA, 92649-2452
Vesting Code: COMPANY/CORPORATION Phone Number:
Location Information:
Legal Description: LOTS 8 & 9 BILK 275 MB 019/050 SANTA CARMELITA VALE LA QUINTA UNIT 25
County: RIVERSIDE FIPS Code: 06065 Census Trct/Blk: 045109/2
APN: 774-265-025 Alternative APN: Map Ref: E4-879
Twnshp-Rnge-Sect: Legal Book/Page: Tract No:
Legal Lot: 8,9 Legal Block: 275
Subdivison:
Last Market Sale Information:
Sale Date:
12/10/2013 Sale Price:
1st Mtg Amount: $
Sale Doc No:
2013-0572909 Price Per Sq Ft:
1 st Mtg Int Type:
Transfer Doc No:
2013-0572909 Price Per Acre:
2nd Mtg Amount: $
1 st Mtg Doc No:
1,204
2nd Mtg Int Type:
Sale Type:
Heat Type:
CENTRAL
Deed Type:
GRANT DEED/DEED OF TRUST
Baths:
Title -Company:
TITLE 365
CENTRAL
Lender:
Seller Name: MORTON, MURRAY; THE ANITA T MYKOWSKY REVOCABLE TRUST,
Property Characteristics:
Building Area:
1,204
Total Rooms:
Construction:
Living Area:
1,204
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:
GRAVEL/ROCK
Yr Built/Effective:
-1976/
Quality:
Style:
Pool Code:
Tax and Value Information:
Assessed Value:
$145,000
Assessed Year:
2013
Est Market Val:
$219,333
Land Value:
$64,000
Property Tax:
$1,908
Assessor Appd Val:
Improvement Value:
$81,000
Improvement %:
55.56
Total Taxable Value:
$1
Tax Exemption:
CA HOMEOWNER
Site Information:
Assessor Acres:
0.23
Zoning:
Land Use Code:
163
Assessor Lot SgFt:
10,019
No of Buildings:
Land Use Desc:
SFR
Lot W/D:
I
Res/Comm Units:
1
County Use Code:
R1
Calculated Acres:
0.2354
Sewer Type:
Calculated Lot Sq Ft:
10,254
Water Type:
http://dcI.parcelstream.com/GetByKey.aspx?dataSource=%24%28ACCOUNT NAME%29... 4/8/2014
ARTICLES OF INCORPORATION
ARTICLE ONE
The name of this Corporation is
SILVERMOON ENTITIES
ARTICLE TWO
3M340 '
ENDORSED - FILED
In the off od of State
of the State of Caiiiorrnia
OCT 112007
The. purpose of this corporation is to engage in any
lawful act or activity for which a corporation may be
organized under the General Corporation Law of California
other. than the banking business, the trust company business
or the practice of a profession permitted to be incorporated
by the California Corporations Code.
ARTICLE THREE
The name and.address in this state of this Corporation's
initial agent for service of process is:
Lawrence E. French
7755 Center Avenue #670
Huntington.Beach, California 92647
ARTICLE FOUR
This Corporation is authorized to issue only one class
of shares, which shall be designated "common" shares. The
total number of such shares that may be issued is 10,000.
ARTICLE FIVE
The liability of the Directors of the.Corporation for
monetary damagesshallbe eliminated to the fullest extent
permissible under California law.
ARTICLE SIX
The Corporation is authorized to provide indemnification
of agents (as defined in -Section 317 of the Corporations
Code) for. breach of duty to the Corporation and its
I tockholders through bylaw .provisions or through agreements
with the agents, or both, in excess of the indemnification
otherwise permitted by Section 317 of- the Corporations Code,
subject to the limits of such excess indemnification set
forth in Section 204 of the Corporations Code.
Dated: October 16, 2007
Lawrence B
Inc