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06-3150 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO , LA QUINTA, CALIFORNIA_ 92253' BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: r 06-00003150 + Property Address: 78502 TALKING ROCK TURN APN: 770-300-015- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 711851 Applicant:. Architect or Engineer: . • � is Owner: MICHAEL & ANN MOORHEAD 11 TORREY PINES PALM DESERT, CA 92260 Contractor: ENGSTROM CONSTR 77455.EVENING ST INDIAN WELLS," CA (760)668-3961 Lic: No.: 835648 VOICE (760) 777-7012 FAX (760) 717-7011 INSPECTIONS (760) 777-7153 Date: 4/20/07 - ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION -------------------=--------------------------— 4 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury at 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 B i ess nd Profes ionals 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,C ss: License No.: 835648 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is C actor: 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 ' 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 STATE FUND Policy Number 229-36824-06 . following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for 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 person in any manne so as to become subject -to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if kers' 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 Laboh those provisions. ��Iuld ' 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).: at plicant: ' . ( 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 WAR NG: AILURE TO SECkAE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL , _ Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND •• and who does the work himself or herself through his or her own employees, provided that the ' DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN • improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' ' one year of completion, the owner -builder will have the burden of proving that he or she did not build or - improve for the purposeofsale.). A • APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with -a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I _ 1 I am exemptunderSec. , B.&P.C. for this reason 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. ' Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. • I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify th t I h e read this application and state that information is correct. I agree to comply with all, work for which this permit is issued (Sec. 3097, Civ. C.). city and c y ordinances and state laws relating to b it g nstryy d hereby authorize representatives - of thi u ty t enter upon a above-mentioned prope fo ins pct, pos Lender's Name: ' .. ate, nature (Applicant or Agent): Lender's Address: LQPERMIT t.' LQPERMIT Application Number . . . 06-00003150 ------ .Structure Information 8-,383SF DWELLING/V-NR/RES-3/A-FR ----- Other struct info . . . ... CODE EDITION 2001/2005 # BEDROOMS 6.00 FIRE SPRINKLERS NO PATIO SQ FTG • 817.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . .. BUILDING PERMIT Additional desc . Permit Fee . . . . 2675.50 Plan Check Fee 1739:08 Issue Date . . . . Valuation 711851 Expiration Date 10/17/07 Qty 'Unit Charge Per' Extension BASE FEE 2039.50 212.00 3.0000 THOU BLDG 500,001-1,000,•000 636.00 Permit . . . MECHANICAL Additional desc . Permit Fee 202.00 Plan Check Fee 50:50 Issue Date Valuation . . . . 0 Expiration Date 10/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 4.00. 9.0000 EA MECH FURNACE <=100K 36.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 4.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 66.00 10.00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW.RESIDENTIAL Additional desc .' . Permit Fee 347.53 Plan Check'Fee 86.88 Issue Date Valuation . . . . 0 Expiration Date 10/17/07 Qty Unit Charge Per Extension BASE FEE 15,.00 8383.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 293.41 1206.00. .0200. ELEC GARAGE OR NON-RESIDENTIAL 24.12 1.00 15.0000 ----------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 LQPERMIT Application Number 06-00003150 " Permit . . . PLUMBING Additional desc . Permit Fee 302.25 Plan Check Fee.. 75.56 Issue Date . . . . Valuation . . 0 Expiration Date 10/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 34".00 6.0000 EA PLB FIXTURE 204.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 7.5000 EA PLB WATER,HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3:0'0 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 4_00 3.0000. EA PLB GAS PIPE -1-4 OUTLETS 12.00. 9.00 ..7500 EA PLB GAS PIPE >=5 6.75 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 10/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments. 8,383SF DWELLING/V-NR/RES-3/A-FR._ THIS" PERMIT DOES NOT INCLUDE BLOCKWALLS, POOL AND SPA, OR DRIVEWAY APPROACH. February 12, 2007 8:33:24 AM AORTEGA Other Fees. ART IN PUBLIC PLACES -RES 1279.62 ` DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES, 995.00 ENERGY REVIEW FEE 173.91 DIF FIRE -PROTECTION -RES 140.00 GRADING PLAN CHECK FEE' 00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 71_18 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due LQPERMTT Application Number 06-00003150 Permit Fee Total .3542.28 00 .00 3542.28 Plan Check Total 1952.02 100.0.00 .00 952:02_" - Other Fee Total, 5999.71- -.00 .00 - 5999.71 "Grand,Total 11494.01 1000.00 .00 1.0494. 01' LQPERMIT - - - Date 5/9/07 No. 29418 Owner Mike & Ann Moorhead Address City Zip Tract # Type Single Family Residence Lot # Unit 1 9 Unit 2 .Unit 3 Unit 4 Unit 5 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 No. Street 78502 Talking Rock Turn Comments Traditions S.F. 8383 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 -IFIEDSC� a� o Q BERMUDA DUNES r CIO RANCHO MIRAGE CJ INDIAN WELLS d. PALM DESERT LA QUI TA i�y mo o. y� APN # 770-30-015 Jurisdiction La Quinta Permit # Study Area No. of Units 1 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 8,383 S.F. or $22,047.29 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/Wells Fargo Bank - Glenn Engstrom Check No. 0064309363 Name on the check Telephone 668.3961 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exe ted by harg cGilvrey Payment Recd $22,047.29Over/U.�itler Signature '';'!, ~ s NOTICE: Pursuant to Government Code Section 66020(d)(1),Fwille to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building 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 I 11/17/06 10:58 FAX 714 641 1091 RECORIPW RE=QUESTED BY_ SOUTHLAND TITLE _ INLAND EMPIRE (Title) AND WHEN RECORDED MAIL TO: Michael c. Moorhead and Ann Mo*rhend 11 Tormy Pines NOWPort Beach cA 92260 Order No.: B•460y6fi7 Escrow No,: INS290413 AP -N.: 77o-3004184 E T A 1?1 002 DOC Id Z004_084t5 10/28/2004 08 00p Pee: 10 Page 1 of 2 Doc T Tax Pa Recorded !n of4icial Id Records County of ivQrside Assessor.. Gary L• Oreo County Jerk d Re Illlllllllllllilt�rd.r IIIIIIIIIIIII 8 U PAGE e� I GRANT i DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX 1S $990.00 1 X ] Computed on full value of property conveyed, or � J carnputeo on full value less value of Piens or encumbrances remaining at tfrn ] unincorporated area X ] City of La Qulnta a of sale, FOR A VALUABLE CONSIDERATION, receipt of which is hereby admowledged, Jerry D. Hostetter and Anita F. Hostetter, husband and wife as Joint tenants hereby GRANT(S) to Michael C. Moorhead and Ann S- Moorhead, husband and wife as couu propertY-4th fight of survivorship the following described real property in the County of Riverside, State of California Lot 33 of Tract No, 28470-2, in the City as per map recorded'in Book 266, page(s) �) 57 of La thron through 60 County of Riverside, ou State i Cali^; of the County Recorder of said County. ecus Maps, Tri the Dated: October 1.3, 2004 STATE OF f f"A i? EP)`aJS COUNTY OF r')QAS - on O C�'op' I O G before me a Not Public in and forsaid County and Stale appeared Derr D. Hostetter andPersonally t Personally lmown to me (or proved to mean the basis of satisfactory evidence) to be the persons) whose name(s) Ware 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/et/their signature(s) on the instrument the person(s), or the entity upon behalf of Which the person(s), acted, executed the instrirrnenL nits F. ATEMENTS AS Dhis Prem for official IRECTED ABOVE notary seal) J� 11/17/06 10:58 FAX 714 641 1091 E T'A 0003 ILLEGIBLE NOTARY SEAT. DECLARATION GOVERNMENT CODE 27361.7 I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE DOCUMENT WHICH THIS STATEMENT 1S ATTACHED, READS AS FOLLOWS: NAME OF NOTARY: ��t'1Q�6YZQ.�I COUNTY WHERE BOND IS FILED; 4e_-r DATE COMMISSION EXPIRES: PLACE OF. EXECUTION OF THIS DECLARATION: San Bernardino DATE: 10 •2 5 - CA COMMISSION NUMBER: SO D TITLE JEN F LLIS - -w TITL SSISTANT Certificate of Occupancy. Tit IN��� G of9w5 Building & Safet Y p De artment 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 rt Code and the various ordinances of the -City regulating, building construction and/or use. _ BUILDING ADDRESS: 78-502 TALKING ROCK. TURN Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-3150, Occupancy Group: R-3 Type of Construction: V. -N' Land Use Zone: RL Owner of Building: MICHAEL & ANN MOORHEAD. - -Address: 11 TORREY PINES City, ST, ZIP.. PALM' DESERT, CA 92260 By: STEVE TRAXEL ' Date:.DECEMBER 4, 2008 Building Official - POST IN A CONSPICUOUS PLACE.