05-4347 (SFD)•_ •S. ll�Ir
r
P.O. BOX 1504
78-495 CALLE-TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Nufnber;
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00004347
78735 CALLE TAMPICO
770-144-004=126 .-000000-
DWELLING,- SINGLE FAMILY
LOW DENSITY RESIDENTIAL
199498
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LA QUINTA BUILDERS, LLC
79785 TANGELO
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION '
hereby affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the si and rofessionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 / LicenseNo.: 839002
`- Date: r / \Contracto
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).:
1 _ 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.).
(_) 1, 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.).
1 ) I am exempt under Sec. B.&P.C. for this reason
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
Contractor:
RIPARIAN ENVIRONMENTS
P.O. BOX 13990
PALM DESERT, CA 92255
(760)39879997
Lic. No.: 839002
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .5/31/06
D ° u
i u;N a 12006
CITY OF LA QUINTA
------------------------------------------------
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 STATE FUND Poli Number 1769754-2006
I certify that, in the performance of th ork for which this permit is issued, I shall not employ any
person in any man s to bec subject to the workers' compensation laws of California,
and agree that, ' shout becom s ject to the workers' compensation provisions of Section
)3/7.000 of the L or Code I shall f with comply with those provisions.
.`Date: ��tl Ipplican -
WARNING: FAILURE TO SECURE WORKER COMPEN ATION 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 toanypermit 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'Ouinta, 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 t abo infor ion is correct. I agree to comply with all
city and county ordinances and state laws relating to b ding constru ti n, an hereby authorize representatives
of this county to nter upon the above-mentioned prop rty f r inspe i n pur ses.
Date`�ignature (Applicant or Agent):
Application Number
05-00004347 "
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
989.50
Plan Check Fee
643.18
Issue Date . . .
Valuation . . . .
199498
Expiration Date
6/13/06
-
Qty Unit Charge,
Per
Extension
BASE
FEE -
639.50 .
100.00' 3.5000
THOU BLDG
100,001-500,000
350.00
Permit . .
MECHANICAL
Additional desc .
Permit Pee
90.00
Plan Check Fee '.
22.50
Issue Date . . . .
Valuation" . . . .
0
Expiration Date
6/13/66-
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 9.0000'EA
MECH.FURNACE
<=100K
18.00
2.00 9.0000
EA MECH
B/C'<=3HP/100K BTU
18.00
5.00 6.5000
EA MECH
VENT-FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH-EXHAUST
HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
155.04•
Plan Check Fee
38.76
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/13/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3125.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
109.38
783.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL'
15.66
1.00 15..0000
--------------------------------------------------
EA ELEC
TEMPORARY "POWER POLE
-----------------------
15.00
Permit _.:--PLUMBING
Additional desc .
Permit Fee . . .
172.50
Plan Check Fee
43.13
Issue Date . . . .
Valuation . .
0 .
Expiration Date
6/13/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
17.00 6.0000
EA PLB FIXTURE
102.00
LQPERMIT
Application Number .
. . . . 05-00004347
Permit
PLUMBING.
Qty Unit Charge
Per
Extension
1.00 15.0000'EA
PLB BUILDING SEWER.
- 15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
8:00 .7500
EA PLB GAS PIPE 5=5
6.00
1.00 15.0000
EA. PLB GAS METER
15.00.
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date
Valuation
0
Expiration Date
6/13/06
Qty Unit Charge
Per
Extension ~
BASE FEE
15.00
-------------------------------------------
Special Notes and Comments
3125 S.F. SFD PERMIT DOES NOT INCLUDE
BLOCK WALL,. POOL/SPA OR DRIVEWAY
APPROACH. FLOOD ZONE
-----------------------------------------------
Other Fees
-------------,----
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
64.32
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
19.94 ..
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
Permit Fee Total
---------- ---------- ----------
1422.04 .00 .00
14,22.04
Plan Check Total
747.57 250.00 .00
497.57
Other Fee Total .3780.26
.00 .00
3780.26
Grand Total
5949.87 250.00 .00
5699.87
LQPERMIT
Titt4t
P.O. BOX 1504 APPLICATION ONLY
Building/� 78-495 CALLE TAMPICO
Address 7 3 5 C_ U LA OUINTA, CALIFORNIA 92253
Owner
�C �y BUILDING: TYPE CONST. OCC. GRP.
Mailing / 7 �� 1 t L(�_ O„L/
Address q%`vi ��.m�� UrA.P. Number `y 7 y
City Zip Tel. Legal Description CIA1f - 9 2k& r1" CLj
UA
Address
& Classif. I Lic. #
Desig ergr&Ncv 1if 1 N
L
City Zippp State
G . 7 ?210 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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).
❑ 1, 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he 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 Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT, If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.) -
Lender's Name
Lender's Address
This is a building permit whenproperly filled out, sicned and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Project Description
ISq. Ft.?) 1� No. 1� No. Dw.
Size c7 a Stories Units
INew ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:
Validated by:
Validation:
Date Permit
YELLOW = APPLICANT PINK = FINANCE
Date 5/5/06
No. 28444
Owner Roper Homes LLC
Address
City Zip
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253-
(760)
2253(760) 771-8515
APN #
BERMUDA DUNES r
V% RANCHO MIRAGE d
INDIAN WELLS •r
PALM DESERT y
LA QUINTA
QINDIO yr��
a
770-144-004
Jurisdiction La Quinta
Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F.
Unit 1 78735 Calle Tampico 3125 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.63 X 3,125 S.F. or $8,218.75 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/PDNB - Douglas Henderson
Check No. 096898
Name on the check
Telephone 771.5378
Funding Residential
By Dr. Doris Wilson
Superintendent
f-,:
Fee collected /exempte by Sh fon Mc rey
Payment Recd:: $0.00 ,
$8,218.75 ' orer/under'
Signature C r'rr��ri r T'
0
Zrveotify
NOTICE: Pursuant to Government Code Section 66020(d)(1), this
you that the90-day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on
ing or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
RECORDINP REQUESTED BY:
Fidelity National Title Company
Escrow No. 10888 -KC
Title order No. 9902510
When Recorded Mall Document
and Tax Statement To:
uinta Builders, LLC
La.•.Q f
79785 Tangelo �.
La quint a, CA..92253 l
i
I`
• 1757171-016
k
M I S
GRANT DEED
Certified to -be a tr a and correct
copy of f
ant tE�d
Recorded C�Io
As Instrument No,
of Official Records of
County, California
FIDELITY NAT NAL TITLE CO.
,-10 V.,: I SQE I -- I -'-" I -=" I Stiff I tA54.
colt I WN6 I -No I NotO I EWW�
- _� �.�� rll.r 1 VII IILVVIIV LII d V.7c
- 1
The undersigned grantor(s) declares)
Documentary transfer tax is $352.00
I X I computed on full value of property conveyed, or
( I computed on full value less value of liens or encumbrances remaining at time of sale,
[ I Unincorporated Area City of La Quints .
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Roper Homes, LLC.
hereby GRANTS) td La Quints Builders; LLC
j .
the following described real property In the City of La Quints
County of Riverside, State of California: # COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP
Lot 126, DESERT CLUB TRACT, UNIT N0..5
RECORDED IN BOOK 21 PAGE 61 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF
SAID COUNTY.
DATED: March 20, 2006 I
STATE OF CALIFORNIA
COUNTY OF Riverside
ON March 22, 2006
Kelly Collier notary public, persona'
Roper as, L
before me, By:
y appeared Rope Morris, Me ember
personally known to me (or proved to melon 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 executed the
sameJ13
uthorized capacity('ies), and that
by hiature(s) on the instrument the
persotlty upon behalf of which the
persoecuted a 'nstrument. Icial se I..SignI
1_
FD -213 (Rev 7/96)
IOa.LY COLLIER
_ Commietbn # 1429114
Notary Public • COIUOM10
Riverside Counly '
1%r1MyCamm.ExPVWJd10.200i
r
MAIL TAX STATEMENTS AS DIRECTED ABOVE
r
GRANT DEED
09-29-05 16:41 From- 1
RECORDING REQUES,TE() BY!
Fidelity National Title Company
Escrow .No. 10435-1(C
Title Drder No. 9901274
When Recorded Mail Document
and 'fax Statement To:
Mr. Morris
47601 Manteca Court
Indio, CA 92201 9
-?0_
r,k}
T-458 P.001/001 F -T95
Y vvT vw-v v GRANT DEED SPACE ASOVETHIS LINE FOR RECORDER's USE
The undersigned grantors) dedare(s)
Documentary transfer tax is $286.00
[ X ) computed an full value of property conveyed, or
[ ) computed on full value less value of liens or encumbrances remaining at time of sale,
I l Unincorporated Area City of La 4ulnte
FOR A VALUABLE CONSIDERATION, recer'pt of which N hereby acknowledged, Peter Weintraub, as Trustee o1
the Peter Weintraub Revocable Trust dated'6/16/83
hereby GRANTS) to Roper Homes, LLC
the following described real props I in the City of La Quints
County of Riverside, Stevie of CBlifarnia:
Lot 126, DESERT CLUB,TRACT, UNIT NO. 3, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS. PER MAP
RECORDED IN BOOK 21', PAGE 61 4F MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF
SAID COUNTY.
DATED: August 15, 200b
STATE OF CAL
COUNTY OF ,
UNI before me,
60-117 If 01 "126K_ „_ personally appeared
e"
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the persons) 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 instrurhent the
Person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument,
Witness my ha nd iiici I seal.
Signature _ _
Peter Weintraub, as Trustee of the Peter Weintraub
fievocab Tru dated 6/16/83_/
Peter Weintraub; Trustee
Coy�m^m,la HOL�NCDER
L�•- N0101Y Public . egiya 1q
M Loa grgeW County
Y Comm. Expires Jon 2, 2M
TAX STATEMENTS' AS DIRECTED ABOVE
U-41 o %Mery iitid) ` GRANT DEED
Bin #
I +P
I City of La Quinta
I Building & Safety.Division
Division * '
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CX 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
o5-43�7
Project Address:
Owner's Name:
Address: —14,
A. P. Number:
Legal Description:
Contractor:
City, ST, Zip' QCC A -
Telephone: b-&.,--g44k
Address:
Project Description: 11AA-% gd%�LOAJ
City, ST, Zip:
Telephone:
City Lic. #:
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
is o�k6 0 a*3 0,055 (—,4 PC -5
Construction I Type: Occupancy:
Project type (circle .one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: A 4 14
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans Picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctioq0-,SU2e1
b
Electrical
Plumbing
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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 Permit Fees
712-�10(p
f5l 41 �
(9t,) OOA RD
- *y' LIA(A J
Certificate of Occupancy
O p
}
Building & Department.
.Safety
�;
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
`
S
BUILDING ADDRESS: 78-735 CALLE TAMPICO
M
tj
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4347
-
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
�K
E.
r
Owner of Building: LA QUINTA BUILDERS. Address: 79-785 TANGELO
}
City, ST, ZIP: LA QUINTA, CA 92253
ti
By: KIRK KIRKLAND
_
Date: APRIL 4, 2007
Building Official
POST IN A CONSPICUOUS PLACE
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_