10-0398 (RER)f.
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P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO 4 FAX (760) 777-7011
LA QUINTA,.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/24/10
Application Number: 10-00000398 Owner:
Property Address: 55257 SHOAL CREEK MORSTAR HOLDINGS, INC.
APN: 775-142-023- _ - - C/O BRUCE HARRIS
Application description: REMODEL - RESIDENTIAL 604-290 WATERFRONT DR
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 100000. InD n
:---' ---------------------..---.. �_ _.-..---_..:_—Contractor:... .......-....._.-_....... (�.._......_.� _.... _ . .
,Applicant: Architect or Engineer: HJH CONSTRUCTION INC
UN -2 2Q
,0 68895 PEREZ ROAD, #9
CATHEDRAL CITY, CA 92234 CrrYOFQUWjA
Aw— (760) 324-0065 1'ri'tian�r�
gar.
Lic. No.: 691557
--------------------------------------------------------------------------------------------------
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 a Professionals Code, and my License is in full force and effect.
License Class: B License No.: 691557
Date: i /O 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
LicenseLaw(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 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 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
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
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 Policy Number 1780973
_ 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 W4ome subject to the workers' compensation laws of California,
and agree that, if I should bec me subje to the workers' compensation provisions of Section
3700 of the Labor Code, I s II forthw' comply with those provisions.
Date Applicant: -
WARNING: FAILURE TO SECURE W RKERS' 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 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 thea ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil g: ___'ruction, and hereby authorize representatives
of this county to enter upon the above-mentioned proper for 194ection purposes.
Dater Signature (Applicant -or Agent): .
LQPERMIT
Application Number
10-00000398
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . DWELLG/LODGING/CONG <=10
Other struct info . .
. . .. CODE EDITION
2007/08 eNERGY
# BEDROOMS
.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
6.39.50 Plan Check Fee_
415.68
Issue Date
Valuation
100000
Expiration Date
12/21/10
0
Qty Unit Charge
Per
Extension
BASE FEE
414.50
50.00 4.5000
THOU BLDG.50,001-100,000
225.00
Permit . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
43.50 Plan Check Fee
10.88
Issue Date•
Valuation.
0
Expiration Date
12/21/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00, .7500
PER ELEC DEVICE/FIXTURE IST 20
15.00
30.00 .4500
EA ELEC-DEVICE/FIXTURE >20.
13.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
68.00 Plan Check Fee
17.00
Issue Date . . . .
Valuation
0
Expiration Date
12/21/10 -
Qty Unit Charge
Per
..Extension
BASE FEE
15.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00
2.00 9.0000
EA MECH APPL REP/ALT/ADD
18.00
4.00 6.5000
-----------------------------------------------------------------------------
EA MECH'VENT FAN
26.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
63.00 Plan Check Fee
15.75
Issue Date
Valuation . .
. . 0
Application Number 10-00000398
Permit . . PLUMBING
• Expiration Date 12/21/10
Qty Unit Charge Per Extension
BASE FEE. 15.00 .
7.00 6.0000 EA PLB.FIXTURE 42.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 '
- ---------------------------------------------------
Special Notes and Comments
INTERIOR REMODEL TO KITCHEN AND MASTER
BATHROOM. 2007 CODES. 2008 ENERGY. R-3
OCC.-TYPE V-B CONSTR.
-- -
---------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473) 4.00
ENERGY REVIEW FEE '41.57
STRONG MOTION•(SMI) - RES 10.00
Fee summary Charged Paid .Credited Due
Permit Fee Total .814.00 .00 .00 814.00
Plan Check Total 459•.31 .00 .00 459.31.
Other Fee Total 55.57. .00 .00 55:57 a
Grand Total_ 1328.88 .00 .00 1328.88
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # nnQ
3
-Project Address: j 5 4 L C26AFK
Owner's Name:
A. P. Number: Ca I iNt;jj, Gam(, Z Z S
Address:C 462r
Legal Description:
City, ST, Zip: 4 , G2
v +� -?
Contractor: 7`8!
Address:
Telephone: ; 4 M: x •: '
Project Description:� trr' nL
City, ST, Zip:
Telephone:
vur•>; .>:,,.•:..;>� > ! •:++!
X.,.:>
-MME.;,,«.,,. 7.,
`j-1-f0[,v &-L ft d4,8 5 d -*,K
State Lic. # :
City Lic.
WC 2d.
Arch., Engr., Designer.
g,,- t4C
Address:�Lt(-
t O yt,
City., ST, Zip:
Telephone:
State Lic. tl:u:`?
yy
%> •!. x ., :. '>
Yr u�r:>: �<x>:fi;?�..<.::'• �.4�<:•>r
'Occupancy.
<:;H,:; :::+:::.,>.s
;
Construction Type:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �JUf�
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: O05 'j- 0
Estimated Value of Project: 4C90 ooa fir
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
-2—
Pian Check submitted
Item
Amount
Structural Cafes.
2--
Reviewed, ready for correctionsrr
v
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Tide 24 Cafes.
Plans picked up
ow
Construction
ti
Flood plain pian
Plans resubmitted
oi��p
Mechanical
Grading plan
2°" Review, ready for correction issu
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'^' Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
,88
s/9u5 �?fe-
��iv
.JUN -18-2010 13:20 FROM:MORSTAR 12049434361
TO:17607777011 P.2/6
the following described real property in the County of Riverside, State of California
DOC # 2010-0047792
RECORDING REQUESTED BY:
02/02/2010 08:00A Fee:21.00
Page 1 of 3 Doc .T Tax Paid
Or ngeCoastTitle
Recorded in Official Records
STATE OF CALIFWNIA
County of Riverside
AND WHEN RECORDED MAIL TO:
Larry W. bard
On t cA r 211 2-01 6 ' before me,
Assessor, County Clerk 8 Recorder
Morsta604-29 r Holdings, Inc.
6Q4-29 0 Waterfront Drive
Winnipeg, MB, Canada R3B OA6 — —
S R - U
I PAGE 51st un ,v,io.. , „ �• _71 •7
Order No.: 210-1138308-10 t
EscrowNo.: 9410 M A L
,A.P.N.:775-142-023-3
465 426 VC6NCOR SMF NCHG m
l N
to me that F d/ she/ tl)cy executed the same in I* her/
T:47
.CTY UNI
GRANT DEED
akb (( ss ((o'
UNDERSIG G NTOR(S) DECLARES)DOCUMENTARY
LZTHE
TRANSFER TAX IS341.00
[ X ] computed on full value of property conveyed, or
'
( ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] . unincorporated area [ X ] City. of La Quinta
Public - Callfornlo is
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Mildred Rinfret, a widow
paragraph is true and correct.
herebyGRANT(S) to Morstar Holdings, LTD , a canadian corporation
the following described real property in the County of Riverside, State of California
See legal description EXHIBIT "A" attached hereto and made a part hereof
Dated: January 2, 2010
STATE OF CALIFWNIA
COUNTY. OF �;w-r5 cCQ. SS.
On t cA r 211 2-01 6 ' before me,
,personally eared
s
T, rPa e
who proved to me on the bas% of satisfactory Mildred Rinfret, B "
aren Sheldon, Attorney In F
evidence to be the person A whose name W is/wd':
subscribed to the within instrument and acknowledged
to me that F d/ she/ tl)cy executed the same in I* her/
their authorized capacity (ies), and by hX1 her/ Mir
signature �4 on the instrument the person (pr), or the
entity upon behalf of which the person (pf acted,
executed the instrument.Y
uNOA MARTINEZ
'
Commission # 176826e
Notorq
1 certify under PENALTY OF PERJURY under the
Public - Callfornlo is
laws of the State of California that the foregoing
Riverside county -
arm•
paragraph is true and correct.
16.2011
WITNESS my qepd and official seal.
Signatur
(This area for official
notary seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
{
JUN -1e72010,13:21. FROM:MORSTAR 12049434361 TO:17607777011 P.3/6
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
t '
State of California
County of �-
On oc q l C7 beforel me, . .t..._l.lr�rla �- ht' �9 a. d t G.
Date Here Insert Name end Title of th 01106
personally appeared _ K�CP =V) VA -r- I d p rh
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) Ware subscribed to the
1 within instrument and acknowledged . to me that
1 he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the
LINDA MARTINEZ instrument the person(s), or the entity upon behalf of
commission # 1,768268 which the person(s) acted, executed the instrument.
< "-u Notary Public • California
x Riverside County ' I certify under PENALTY OF PERJURY under the laws
Convrl.El Yesse te,2ott of the State of California that the foregoing g g paragraph is
'true and correct.
WITNESS my h d and official seal
Signa ture
Place Notary Seal Above
Signature of Notary Public
OPTIONAL
Though the information below is not r4 quired by law, it
may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
�n- Pr
164
Title or Type of Document: •
i
Document Date: j
Number of Pages:
Signer(s) Other Than Named Above: I
i
Capacity(ies) Claimed by Signer(s)
Signers Name: t
Signer's Name:
❑ Individual
.❑ Individual
❑ Corporate Officer — Title(s): I
I. I Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ GeneralM.I
❑ Partner — ❑ Limited Ll General
❑ Attorney in Fact
"Top.1
❑ Attorney in Fact❑
Trustee umb here
11 Trustee Top of Thumb here
❑ Guardian or Conservator
L] Guardian or Conservator
❑ Other:
❑ Other:
Signer Is Representing:
Signer Is Representing:
02007 National Notary Aswdatton • 9350 De Soto Ave., P.O. Bwr 2402 • Chatsworth, CA 91313.2402 • www.NationaiNotaryorg Item #5907 Reorder: CallTo5free 1.800-876-6827
r
JUN -18-2010 13:21 FROM:MORSTAR I 12049434361 TO:17607777011 _ P.4/6
Order No. 210-1138308-10.
Exhibit «A„
i .
A Condominium Comprising:
(A) An undivided 1/16th interest in. and to Lot 1 of Tract No. 20717-3, in the City of La Quinta, County of Riverside, State of
California, as per Map recorded in Book 157, Pages 19 through 30,' inclusive of Maps, in the office of the County Recorder of said
County.
Cxcept Units A-241 through A-256, "inclusive as shown on the Amended Condominium Plan recorded December 10, 1986 as '
Instrument No. 86-315173 of Official "Records.
I
Except --therefrom-' all oid; •gas; -minerals and other hydrocarbons, below a -depth -of. -300-feet, without the right of surface entry, as
reserved in decd of record. l
(B) Unit A-245, as shown on the Condominiumi` Plan recorded December 10; 1986 as Instrument No. 86-315173 of Official Records.
• J
I
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