Loading...
14-0453 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ,,4--0-000-453 Property Address: 7778.0=CALL'E SINALOA APN: 773-141-011-11 -000000- Application description: SPECIAL INSPECTION Property Zoning: COVE RESIDENTIAL Application valuation: 0 T4ht 4 4 Q" ApIplicqn� 11,314. Architect or Engineer: BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I herebyaffirm 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 Class: License No.: Date: 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 statement that he or she is licensed pursuant,to the provisions of the Contractor's State License Law si . apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 'that he' he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 whobuilds'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 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 Lip err5ea (_ 1 I am exempt under Sec. C. for tV t'reason _ v� I hereby affirm under penalty of perjury that t)(ere is a construction lending agency for the performance of the work for which this permit is issued_ (Sec. 3P7, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: VARGE RICHARD LEE 77780 CALLE SINOLA LA QUINTA, CA 92253 (540)272-6699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/14 Contractor: Owner i�-- ?(� APR 17 2014 CITY Gl I q WORKER'S COMPENSATION DECLARATION ' hereby affirm under penalty of perjury one of the following declarations: 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 - - --------- - - - - -- - - - - - - Policy Number 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 subjec/w�itters' orkers' compensation laws of California, d agree that, if I sho co a subject to tcompensation provisions of Section 00ofthe Lab ode, I Ifo hwith camthose provisions. WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,0001. 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 re�ad this application and state t the abov information is correct. I afire comply with all city and aunty or�(nances and state laws vela to building ion coon, and -here- autho a representatives of thi c ydty �oienter upon above -me ned prop rt or insp tion pur ses: �� V - '^.s Application Number . . . . . 14-00000453 Permit . . SPECIAL INSPECTION Additional desc . Permit Fee 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/14/14 Qty. Unit Charge Per Extension 1.00 71.5000 EA MISC SPECIAL INSPECTION 71.50 ---------------------------------------------------------------------------- Special Notes -and Comments SPECIAL INSPECTION FOR IID METER RELEASE. Fee summary Charged Paid Credited Due Permit Fee Total 71.50 00 .00 71.50 Plan Check Total .00 .00 .00 .00 Grand Total 71.50 .00 .00 71.50 LQPERMIT gin # Qty of La Quin to Building &r Safety Division , P.O. Box 1501,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application andTrackin Sheet Permit # . [`� Project Address 7 7 e-96 e,,,,j (^ c� jA/gt_6 ,4 Owner's Name: c e &I � 24 rs A. P. Number: 3 �� ` Address: Legal Description: City, ST, Zip:C 1-14- 7-4- Contractor: A(� % � s2.lJ 4 ez 4. � ' TelcphoneLj"ye - 27 2 - G G �'>�>' ;�:w:><.>-;.: ,.r!•:: Address: Project Description: City, ST, Zip: Telephone: .....:,:.�...,,::>.:>..;;:::.;:!!. r: � �G'—j- +(L� t` �- '1 -- State State Lic. # : City Lie. #•: Arch., Engr., Designer: Address: City,, ST, Zip: . ------------ Tele h 0 ne: P :<:i:: >''<=; ;::; :: s :<::::;«:<:;;:».:: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Rcq'd Rec'd TRACKING PERMIT FEES rif 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 god 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:- '"' Reyiew, 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 Pcirmit Fees / f e P.O. Box 1504 . LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMP[! --,,O. (7.60) 777-7:012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PJMki RTY'OWNER' S PACKAGE Disclosures & Forms for 0,v6i6r-Builders Applying. for Con tructlop.Permits .:. I ' TAlYT! NOT . JET. )P)itQPEIRTX OWNER Dear:Prnperty Owner Ari application-tfor ;a `buitding permit has. been=submiood in your name listing` yourself as -,the builder of" the.:pcoQ impmvemcnts specified at We are providing you -with an Owner -Builder Acknowledgment -and Inforaaation%Verification•Form to makeyou aware :of your resp( sibiliues 86d Possible risk you may incur by haivmg IW&petmit issued ur`yeut�naine�as'tlic Owner -Builder. We-,Willsnot.issueta'bWiding per -mit untd.,you-hive read; Wt algid your 'u dersta tiding of Back provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot ea6cute:thit4iotice unless you, the property owner, obtain the prior approval of the permitting authority. V I ` 1. 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 anis materialpersI. onally. 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 inj es. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on y.property. . Vk2. I understand building permits are not required to be signed by property owners .unless they are responsible for the co truction and are•not.hiring.a.licensed Contractor to assume this r nsibili h'.: 3. I understand as. an "Owner -Builder" I am the responsible party, of.record on the,permit I understand that 1 may. protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or lier,name instead of my ���4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on p1erm and contracts. V 5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of m construction is at least five .hundred dollars ($500), including labor and materials, I may. be .con'stdcred an "employer" and r state and federal law. Q� 6. I understand if I am considered an. -employee' under state. and federal.law, I must register with the state and federal government, withhold payroll ,taxes, provide woikers' 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 �7. 1 understand under California 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. V, 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, 1 may be held liable, for any fina cial or personal. injuries sustained by any subsequent owner(s) that' result from' any latent construction defects in'the wo anship or materials. 9.'l understand I may obtain more information regarding my obligations as an "employer" from the Int=wl 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- 800-32 CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. L 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I aru the party/ legally and financially responsible . for proposed construction activity at the following address: VI L I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all �l appli ble laws and requirements that govem Owner=Builders as well as employers. V_L1 12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the'mfotmatiou I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If ym contract with sorneone who does. not have a license, Bre Contractors' State License Board maybe unable to you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be iwcivil court. It is also important for you tounderstand that if an unlicensedContractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit.as Owner -Builder and wish to hire Contractors, you widl -be .responsible for, verifying whether or not those Contractors are properly licensed and the status of .their workers' compensation insurance coverage. Before x building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for uraifng.the:ptrmit. Nota: A copy of dte proputy owner's driver's Roer[sej faux iwtadvROWNt+ - or other verification acceptable to a ' ey is required to be p 'ented when the permit is issued to verify the property owner's signature. Signature of property, own 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 ACTON 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 agents) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit formy project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No 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 requiredto bepresented when thepermit is issued to verify the property owner's signature. Property Owner's Signature: Date: 77780 Calle Sinaloa, La Quinta, CA 92253 ADDENDUM TO PURCHASE AND SALE AGREEMENT (Lead -Based Paint) 00070858196 THIS ADDENDUM TO PURCHASE AND SALE AGREEMENT (Lead -Based Paint)" ("Addendum") is dated as of the 2 day of April; 2014, by OCWEN LOAN SERVICING, LLC, a Delaware limited liability company, ("Seller") and Richard Varge (`.`Buyer"), and supplements that certain Purchase and Sale Agreement between the Parties of even date_ herewith ("Purchase .Agreement").. LEAD WARNING STATEMENT. Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified .that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a.particular risk to pregnant women. The seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from. risk assessments or inspections in the Seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. 1. SELLER'S DISCLOSURES. Presence of lead-based paint and/or lead-based paint hazards (select one below): X Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. Known lead-based paint and/or lead-based paint hazards are., present in the .housing (describe): ' Records and reports available to the Seller (select one below): X Seller has no reports or records pertaining to lead-based paint and/or -lead-based paint hazards in the housing. Seller has provided Buyer with all available records and reports pertaining to lead . based paint and/or lead-based paint hazards in the housing (list documents below):. 2.' PURCHASER'S ACKNOWLEDGMENTS (Buyer initial) Buyer has received copies of all information listed above. Buyer has read and understands the Lead Warning Statement. Buyer has received the pamphlet Prolect Your Familyfi-om Lead in Your Home. �-�-� Buyer has (check one below): Waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards; or Addendum to Purchase and Sale Agreement Page I (Lead — Based Paint) 2013-10-03 (v2.2) 4 77780 Calle Sinaloa, La Quinta, CA 92253 00070858196 Received a 10 -day opportunity (or mutually agreed upon period) to conduct a - risk assessment or inspection for the presence:of lead-based paint and/or lead- based paint hazards. 3.. AGENT'S ACKNOWLEDGMENT. (Agent initial) X Agent has informed the Seller of the Seller's obligations unde(42 U.S.C. 4852(d) and is aware of the responsibility to ensure compliance. 4. CERTIFICATION OF ACCURACY. The undersigned Parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate 5. CONSTRUCTION. To the extent that this Addendum is inconsistent with the terms of the Purchase Agreement, then the terms of this Addendum shall control. Any capitalized term not defined in this Addendum shall have the meaning given such term in the Purchase Agreement. All other terms and conditions as set forth in the Agreement shall remain in full force and effect. SELLER: BUYER: OCWEN LOAN SERVICING, LLC Richard Varge a Delaware limited liability company By: Altisource' By:. its authorized authorized agent Name: U+A-Lb d A -L 60 Date: — 3 —14 By: Name: Its: By: Date: Name: Date: REALHome Services and Solutions, Inc:, David Judd (Agent's Name) 01 853923, CA (Agent's License # and State) , By: Name: Its: Date: Addendum to Purchase and Sale Agreement Page 2 (Lead — Based Paint) 2013-10-03 (Q.2)