06-0845 (SFD)L
lt,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Auulluatjun valu.ydun:
Applicant:
ll1::::eoo11aovoo,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
i!I) E 0000845ut'i�fY ,ti=.- Owner:
80 AVENIDA NAVARRO
774-065-008-16 -000000-
DWELLING SINGLE FAMILY DETACHED
COVE RESIDENTIAL
1U99bb
Architect or Engineer:
CANYON WEST ENTERPRISES, INC.
PO BOX 1828
LA QUINTA, CA 92253
Other"struct info
Contractor:
Owner
DITION
2001
VOICE (760) 777-7012
FAX (760) 777=7011 -
INSPECTIONS (760) 777-7153
Date: 4/12/06
t
e ,
APR 12 2006
----------------------------------------------------------------------=--------------------------
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:
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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 signedstatementthat 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
thathe or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensati6n, 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.).
(_ 1 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 contractors) licensed
pursuant to the Contractors' State License Law.). .
( 1 I am exempt under Sec. , B.&P.C. for this reason
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
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 3 . 00 Policy Number NO
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, 1 Oa1%forthwith corp kty with those provisions.
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 actor 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, an-!d•�hereby authorize representatives
of this county to enter upon the above-mentioned property fgf i%pection purttiu _0. .,
I
Application Number .
. . 06-00000845
Permit : BUILDING PERMIT
.
Additional desc .
Permit -Fee ,
674:50
Plan Check Fee
438.43
Issue Date
Valuation
109955
Expiration Date
10/09/06
Qty Unit Charge' -..Per
Extension
BASE
FEE
639.50
10.00 3.5000
--------------------------------------------------------
THOU BLDG
10.0,001-500,000
---------------
35.00
-----
' Permit ELEC-NEW RESIDENTIAL
Additional desc.
Permit Fee . . .
89.50
Plan Check Fee
22.38
Issue Date
Valuation . . . .
0
Expiration Date
10/09/06
Qty Unit Charge
Per
Extension'
BASE
FEE
15.00
1820.00 .0350
ELEC"NEW
RES - 1 OR 2 FAMILY
63.70
540.00' .0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.80
----� ---------------------------
----------------------------------
---------
Permit . . . MECHANICAL
Additional desc
Permit Fee. .
59.00
Plan Check Fee
14.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/09/06
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 . . PLUMBING
Additional desc .
Permit Fee . . . .
129.00
Plan Check Fee
32.25
Issue Date
Valuation
0
Expiration Date
10/09/06
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
LQPERMIT
..
Application -Number . . 06-00000845
Permit . . . . PLUMBING
Qty Unit Charge. Per
Extension .
1..0'0 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00 t -
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
----------------------
Special Notes and Comments
r- - 1020 OF.OFD RR-I33UE.OF EXPIRED
BUILDERS SQUARE PERMIT # 0309-253.
PERMIT DOES NOT INCLUDE BLOCK WALL,
POOL/SPA'OR DRIVEWAY APPROACH
----------------------------------------
- ------ ----------------------------
Other
Other Fees .. . . . . . . . . ENERGY REVIEW FEE
43.84
Fee summary Charged Paid Credited
Due•
--- - -.- ---------
Permit Fee Total 852.0.0 .00 .00
----------
952.00
P1an.Check Total 507.81 .00- .00
507.81
Other Fee Total 43:84 .00 .00
43.84
Grand Total 1503.65 .00 .00
1503.65
4/12/2006.1:34 PM FROM: Fax TO: +1 (760).777-7011 PAGE: 001 OF 002 =
Treovolos &• Associates
A Law Corporation
401 B Street, Suite 1160
San Diego, CA 921.01-4234
Telephone: (61.9) 696-0520
Fax: (619) 238-5344
l Fax Cover .Sheet
FAX NUMBER TRANSMITTED TO: +1 (760)777-7011
TO: Ed Randall
RE: Canyon West Enterprises
FROM: Sandra A. Terry
DATE:. 4/12/20061:34:25 PM
y
PACES: 2
COMMENTS:
Hello, Ed:
This being sent to you at the requet of Bill Shields. .
Kind Regards,
Sandy Terry
r,
The information contained in this facsimile message is information protected by attorney-clien_
and/or the attorney/work product. privilege. It..is intended only for the use of the individual varied
above and the privileges are not waived by virtue gJ'this having been sent by facsimile. If the
person actually receiving this facsimile or any other reader of the facsimile is not the named.
recipient or the employee or agent responsible to deliver it to the named recipien4 any use,
dissemination, distribution, or copying of the communication is strictly prohibited. Ifyou have .
received this communication in error, please immediately notify us by telephone and return the
original message to us-nl the above address via U.S. Postal Service.
THE NUIviBER OF PAGES INDICATED ABOVE INCLUDES THE FAX COVER SHEET. IF YOU
DO NOT RECEIVE ALL PAGES, PLEASE TELEPHONE US IMI\/MDIATELY AT 619-696-0620.
4/12/2006 1:34 PM 'FROM: Fax TO: +1 ,(760) 777-7011 'PAGE: 002 OF.002
OF
CMym Ws" ENTWWOUN, INC.
A Nevetda CorpoMdm
WMREAS, Wal m Shields was nominated and eleusd to tate ofoe of President in the
Spedel Mood% of the Hoard of I)ir+eetora held July 12,2004t, and
WHEREA& in the beet iumm of the corpotedon William Shields, m Pmedent, is
vahoriied to conduct any acrd all business on behalf of the cvrporadon; =d
WH RL44 far the a d"I opa-Adoa of tba bn umms, dra pmideat is 8Q&odaad to
modye acrd to aqua permits relaxed to the doveloptnect projects of the cmpo wive, spw&auy,
dw development of do Saba Seat propeatias; be it
REBOVLM that Willi= Shields is hereby recopiaed as the Prnidm of the
oarpoandou pan= to the Special M xdzil of .the Hoard of DkoMms doted July 12.2M as �
annexed;aad
MOLVED Mt1=& that dw President of the oorpondon ie berg authada d to
coaduot boniness on behalf of the ooepotatioa; and
RESOLVED FURTIMI, drat WMiam Shields, m Pttisidant, is aem'hy gftqad the
audmty to requeu ad rwWve permits ftm the local mabosity mlaaed to the dmeewpa umt
projects of .*a ompamon wide sped& emphasis on tM Salton Sea davWopcmz;
IN Wi°f'N W W [REOF. I have executed my name as Seccuaty aad have haamto
affixed due carpw to seal of the above-named avrpomdon this dueentb day of May, 2005.
Willlem Shields, Sea "ary
500/9001a 0000 07Y 921VIOMY 1 9070n03Vd .
VUS err 6T9 '9,L -.Z0 scoz,91..;W
V.
Bin•#
f-2
City of. La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trackin; Sheet
Permit #
Project Address: 5 3 -I,% Q p6vwao
Owner's Name: G� O►J. �Nc.+ I
A. P. Number: '7-1 - OGS -00f 16
Address: ti S- G n
Legal Description: 1-1-1 I6 13 Q-4 ;,0 Ll
Contractor: ��N
Address:
City, ST, Zip: N
Telephone: G Oa,.. L • ?N g 5 MV-,
Project Description:
City, ST, Zip:
n
l g 53 0t,-,hsV-Z0
Telephone:
K
State Lic. # :
-
City Lic. #:
Arch., Engr., Designer:
Address:
BtlJaFei SQd309•�$3
City, ST, Zip:
Telephone: � ��'' �, ��`
State Lic. #: s
Mame of Contact Person: 13,
Construction Type:" Occupancy:
Project type (circle one): • New Add'r• Alter Repair Demo
Sq. Ft.: r3jo
#Stories: �-
#Units: IL
Telephone # of Contact Person: GM -72.•1- Nc-I S
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec°d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
YZ
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
'
Energy Calcs.
Plans picked up
Constructioc
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:-
7r° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total PermitFees
RECORDING REQUESTED BY
New Century Title Company - Riverside Title
AND WHEN RECORDED MAIL TO:
Canyon West Enterprises,.lnc.
Larry Shields, Pres. ,
P.O. Box 3578
Palm Desert, CA .92261
Certified to be,a true and correct
Copy of the original,
By. NEW CE . RY TITLE COMPANY
A.P.N. 774-065-008-5 ORDER NO.: 2340084 ESCROW NO.: 33031134 -WA
GRANT DEED'.
THE UNDERSIGNED.GRANTOR(S) DECLARE(S),THAT DOCUMENTARY TRANSFER TAX IS $.00
( ) computed on full value of -property conveyed, or
( )computed on full value less liens orencumbrances remaining at time of sale
( X) City of La Quinta
FOR A VALUABLE CONSIDERATION, RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED,'
.Mountain Cove Development, Inc., A Nevada Corp.
hereby GRANT(S) to Canyon West Enterprises, Inc., A Nevada Corporation,
the following described real property in the City of. La Quinta, County of Riverside, State of California:
Lot 16, Block 204,of Santa Carmelita at .Vale La Quinta, as per map recorded in Book 19, Page 38 -of. Maps, in the Office
of the County Recorder of said County.
DATED: December 4, 2003
Mountain Cove evel ' ent, -Inc., A Nevada Corp
Larry Shiel s, President .
STATE OF CALIFOf�NIA
COUNTY OF
On t< ` �3 before me, the. undersigned, a.notary public in and for said County and State,
personally appeared
Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are.
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies) and that by his/her/their signature(s) on the instrument the persons) or entity upon behalf of
which the person acted, executed the instrument.
WITNESS myyhhand
,and. o Icial se
y�H/d�ZNppL.�A'DcK114S
Cojalr,3. tf 171!3677
0 wTARY PUBLIC CAUFORWIA 0
0 RpjERSICE COUNT2004 fl4
2. r comm. EXP. NOV. 9,
LI LVVJ 1J•J1 VVV 1-.. CJL
y -;a escrw;N No. 46050 -CB
Title Order No. 784437
EXHIBIT ONE
Lot 6, Block 208 of Santa -Carmelita at Vale La Quinta, Unit #20, as per map recorded in Book 19, Page 38 of Maps,
in the Office of the County Recorder of said County. APN #774-061-018-2
Lot 2, Block 212 of Santa Carmelita at Vale La Quinta, Unit #20, as per map recorded in Book 19, Page 38 of Maps,
in the Office of the County Recorder of said County. APN #774-092-014-4
Lot 16., Block 204 of Santa Carmelita at Vale La Quinta, Unit #20, as per map recorded,in Book 19, Page 38 of Maps,
in the Office of the County Recorder of said County.. APN 11774-065-008-5 373- 10 limawo,pt
/
'Lot. 15, Block 204 of Santa Carmelita at Vale La Quinta, Unit #20, as per map recorded in Book 19, Page 38 of Maps,
in the Office o'f the County Recorder of said County- APN #774-065-009-6 S3�Zap � �4L1,+A -�
' I IIIIII 111,,, 111Jill Jill
Q2/L,8/ 2
2? 8//2of122 WA
I IIII) IIIIII IIII IIII III
TOTAL P.02
APPLICATION.# (96 ADDRESS
VALUATION. SQ. FT.
lot .FLOOR �o
2nd FLOOR
COVERED PATIO
GARAGE'Y�
TYPE ;CONST : (/-,d
OCCUPANCY' 3
A/C
FIRE SPRINKLER.
AID-";'
# OF BEDROOM ` `
3
l?1�OOD ZONE :; .:
�o
# OF UNITS.
/
CODE EDITIONa
ROOF TYPE.
8 y
r
MECHANICAL
# VENT' FANS
# EXHAUST HOOD
/
A/C .<3 TON
A/C >3 TON
FAU <100,000 BTU
FAU >100,000 BTU
DUCT ALTERATION
PLUMBING
# OF FIXTURES
`U
SEWER
/
SEPTIC SYSTEM
ROOF DRAINS
WATER HEATER
/
WATER PIPING
/
LAWN SPRINKLER
/
GAS PIPING 1-4
GAS PIPING >4
GAS . METER
0
- .41
BY
DNI2 COUNTS. / GAS
.TOILETS
BIDET
SHOWERS
BATHTUBS
SINKS 3
BAR SINK
BBQ
OVEN
RANGE / q5
COOKTOP
DRINKING FOUN-
WASHER.'
DRYER
WATER -HEATER / 4AS
ROOF DRAINS
FLOOR DRAINS
KITCHEN SINK f
VEG SINK
LAUNDRY SINK
FIREPLACE
ELECTRICAL
SQ. FT.'LIV IfAD
GARAGE _ SQ . FT S410
TEMP. POWER
FIXTURE #.
GRADING
<50'CU'YDS /
>50. -:CU YDS.
CDD APPROVAL
ENGINEER APP. %--
REQUIRED INSPECTION MAINTENANCE
- _ SETBACKS
TEMP POWER
SEWERCONNECTION
UNDERGROUND ELECTRICAL
UNDERGROUND GAS
UNDERGROUND MECHANICAL
UNDERGROUND PLUMBING
TEMPLATE FOOTI N G
DRYPACK
GRADE BEAM
FOOTINGS
SLAB
ROOF NAIL
OKAY -TO WRAP
FRAMING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH PLUMBING
SHOWER PAN
INSULATION
LATH
DRYWALL NAIL
GAS LINE /GAS TEST
TEMP USE OF PERMANENT POWER
CDD FINAL
PUBLIC WORKS FINAL
ELECTRICAL FINAL.
MECHANICAL FINAL
PLUMBING FINAL
GRADING FINAL
FINAL
AQM D FINAL
BOND BEAM
CODE COMPLIANCE .FINAL
CVWD FINAL .
FIRE DEPT FINAL
11
FLOOR NAILING
GREASE INTERCEPTOR
HEALTH DEPT FINAL
PIERS
PRE-GUNITE
PRE -PLASTER
PRE -ROOF`
PPE -SITE..
ROOF DRAIN
SEPTIC. ABANDON-MENT
SEPTIC :SYSTEM
.. SPECIAL. -INSPECTION
T -BAR
WATER LINE
TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNERBUILDER 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/Budder" 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 an 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 include 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 under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State'
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts 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 enc)osed 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 7011
OWNER'S SIGNATURE/DATE
s3- I 1�0 Nd\j62g,3
PROPERTY ADDRESS
PERMIT NUMBER(S)