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04-3647 (SFD)e • ° APR a 7 2004 flGlrlU�t/ IV ITY OF LA QUINTA FINANCE DEPT. >AUILDIN6 &"SAFETY DEPARTMENT Box 1504 (760) 777-7012 �OFT1�� 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 BUILDING PERMIT Application Number. 04-00003647 'l Date 4/23/04 Property Address . . . 5272-0-AVENIDA VALLEJO APN: 773-293-011-13 -000000- Appl-ication description . . . DWELLING - SINGLE FAMILY.DETACHED .Property Zoning COVE RESIDENTIAL Application valuation.. 95503 Owner Contractor. POWER FINANCE BRAUCKMANN INC P.O. BOX 134 P 0 BOX 517 LA QUINTA.. CA 92253 LA QUINTA CA 92253 (.760) 485=9269. WCC: NONE WC: EXEMPT, 07/31/D4 CSLB:. 781834. 07/31/74 CCC: B HIC 07/31/04 ----=--=------------------ Structure Information ------------------------- Construction Type TYPE V - NON RATED Occupancy Type DWELLG./LODGING/LONG <=.10 Flood Zone. . . . . . . . NON -AO FLOOD ZONE Other struct info 'CODE EDITION 2001 'CBC . # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 467.00 PATIO SQ FTG 50.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 1498.00 -------------------------------------------------------------------------- Permit BUILDING PERMIT -Additional desc.. Permit Fee 621.50 Plan -Check Fee 403.93 -Issue Date 3/24/04 Valuation 95503 Qty. Unit Charge Per Extension BASE FEE 414.50 46.00 4.5000 THOU BLDG 50,001-1-00,000:207.00 Permit . . .. . PLUMBING Additional.desc Permit.Fee 1.23.00 Plan Check Fee 30.73 Issue Date. Valuation D Qty Unit Charge Per Extension P.O. BOX 1504 s���w VOICE (760) 777-7012 7E-495 CALLS TAM►ICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 epa INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0-1/. 36 41 f Date: 'y -o2 •O Applicant: I Architect or Engineer. Applicant's Mailing Address: Architect Or Engineers Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLAMATION Code. and my Uoense k h U force and effect I hereby affirm under penalty d perjury that I am Goensed under Wvvikm of ChaPMr 9 (Commencing with Section 7000) of Division 3 of the Business and Processionals License Class License No.__2 9/ K Y Dote 0 ct Contrclor OWNEIWIVILDER DECLARATION 1 hereby altar under penalty at ply that 1 a n Imn" from •me Corrtracbrs' State License Law for the following mason (Sec. 7031.6. Business and Professions Code: Any dty or o xvty that rewires a Pemml b CWwbuct aper. brows. demoish, or repair arty druWse, stolemmePrior b ks kwarwoe. also requires the appicent tot fa penmmll b iM o sipnmed nt that he a she k licensed ptasurarmt b the provisions of M Contractors' State Licence Law (Chapter 9 (Cormbndn9 with Section 7000) of Division J of the Business and Professions; Code) or that to or she is azerrpt therefrom and the basic br the alleged e,,,Wk 4 Any violation of section 7031.5 by" appic" for a pan* subjects *0 applicant b a dvl penalty of not more than live hundred dollars U I, as owner of the property. or my Wnployees with wages as thea sole oompensatiam, wit do the wok and the structure k not' mlendad or offered for sale (Sec. 7044, . Business and Professions Code: The Contractors• State License Law does not appy b an owner of property who builds or improves themon• and who does the work sold elhirnselor � or iaagh his or her own employees, provided that the improvements am not WA or or artered for sale. M, hwvraver. the bridsp or irnproveme r k U I, as owner of on yo of d am the owner-bmnilder � h11e the burden of proving that he or she did not build or improve for the purpose d sa1e.). State License Law doepropertys not vely � m hicermsed wntracba b construct the project (Sec. 7044. Business and Professions Code: The Coc*oclore apply b an owner of property who binds Or inproves 9meison, and who contracts for the projects with a conbacbn(s) licensed pursuant b the Conbacbrs' State License Law.). U I am exempt under sec . S..& P.C. for this reason Dale z ° Y 1 hereby affirm under penally, at WORKERS' COMPENSATION DECLARATION Perjury one of the following declarations: _ I have and will maintain a certificete of consent b seg4nsuae for workers• compensation, as of the work for whicitis par.. k ksued provided for by section 3700 of the Labor Code, for e performanceh _ I have gOW Mwilill maintain workers' compensation Insurance. as re(PA by section 3700 of the Labor Code. for the pertor n ince of the work for vrtrM this penmmi k npentsft Cartier .57.0-TS—l� workers' ✓iion ksurance martian and poiry�urnber iI�e _ I oer4ty that, In the Poses Number performance of the work for VA*h this permit is issued. I shall not employ any Person in any manner so as to become subject to the workers' moon n taws of Caifonmia, and 09MO that, Y I should become subject b the workers' Compensation provisions of Section 3700 of the Labor Code. I shall hwNh ,/comply wlli those pmvMor,& Date Z% o 7 gppieant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL„AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CrM FINES UP TO ONE HUNDRED THOUSAND DOLLARS (=100.000), IN ADDITION TO TIME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY 1 hereby affirm ander penaly of perjury that imere k a oonstnrctien / l %*V agency tot the performance of the work for which Ins perm k issued (Sec. 309T. Civ. C.). Lendees Name / K T Lerden's Address IMPORTANT APpication is hereby mode b the Dirocbr ofAPPLICANT ACKNOWLEDGEMENT B'"ng and Safety for a permit subject b the cactitions and restrictions set forth an this appkaom 1. Issued as a result of Each person upon w� behalfDP S aPPication ft owner. &W�e. each Person at Whose request and for whose benefit work k Performed under or pursuant b any permit officers. agents and employees for arty act a omission metaled to the woapplicant. each w to and shall. defend. indermily and hold harmless the City of La Qulrmh. its 2 Any permit issued as a result of thk sppication becomes mutt and void I work is no t commenced eno�ed WF«t M 1190 ddaysfollowing �h mid ell Issuance ofsuch pentyl or cessation of work for 150 days will subject permit to cancellation. I certify that I have read this appicekm and stab that the above information k I 89, 7�7/7c? arize representatives of:7) b enterb cortply with cep uty srW county ondinanoes and sWa lows mlattinp b boldingData t^>4�°n purposes. si9nab•a (Applicant a< r U 6 Page 2 Application Number 04-00003647 Date 4/23/04 Qty Unit Charge Per Extension BASE FEE 15.0D 9.00 6.0000 EA PLB FIXTURE 54.0D 1.00 15.0000 EA' PLB BUILDING SEWER 15.0D 1.00 7:5000 EA PLB WATER HEATER/VENT 7.5D 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.0D 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.0D 6.00 .7500 EA PLB GAS PIPE >=5 4.5D 1.00 15.0000 EA PLB GAS METER 15.0D Permit .. . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 91,77 Plan Check Fee.. 22.94 Issue Date . . . Valuation . . . .. Qty Unit Charge Per Extension BASE FEE 15.0•D 1498.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 52.43 467.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.34 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.0•D ------------------------ Permit . . . ---------------------------------------------------.- . . . MECHANICAL Additional desc Permit Fee . . . 52.50 Plan Check Fee 13.13 Issue Date Valuation. . . . . N) Qty Unit Charge Per Extension BASE FEE 15.0-D 1.00 9.0000 -EA MECH FURNACE <=100K 9.01) 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.0.) 2.00 6.5000 EA MECH VENT FAN 13.0) 1.00 6.5000 EA MECH EXHAUST HOOD 6.5) Permit . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan,Check Fee .0-D Issue Date . . . . Valuation . . . . ..Qty Unit Charge Per Extension BASE FEE', 15.0-) Special Notes and Comments 1498 SF, SFD PERMIT DOES NOT INCLUDE: • t Page 3 Application Number. 04-00003647 Date 4/23/04 Special Notes and Comments ------------------------- ` BLOCK WALL, POOL/SPA OR DRIVEWAY. APPROACH ----------------------------------------------------------" Other Fees. . . . . . . . . . ART IN PUBLIC PLACES -RES - .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER.- RES 366.00 ENERGY REVIEW FEE 40.40 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 ' DIF PARKS/REC.- RES 502.00. COVE PRECISE PLAN FEE d 100.00 STRONG MOTION (SMI) - RES 9.55 DIF STREET MAINT FAC -RES 15.00 - DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 903.77- .'00 .00 903.77 Plan Check Total 470.80 250.00. 001 220.80 Other Fee Total 2554.95 :00 �.00 2554.95 Grand Total 3929.52 .250.'00 .00 3,6:79.52 oyT3�y7 P.O. BOX 1504 Building�/` '/ / 78-495 CALLE TAMPICO Address S2 72 J Qui 1/ 71,c e jo LA OUINTA, CALIFORNIA 92253 Mailing Address City Zip Tel. /_>fi0✓rte 5'61119ZI-9 Acaress so s ss rl �^ �• CityZI ��✓//� �� � Z2 J Tel.r/91 ! 2 6 /n State U. Q City? & Classif. O Y Lic. # Arch., Engr., Designer Address Tel. City(Zip I State 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 DECLA4A ON - I hereby affirm that I am exempt from the Contractors 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, demplish, or repair any structure, prior to 'its issuance also requires the applicant for such permit fo'file assigned 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 ademption. 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). 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, Buisness and Professions. 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 improvement 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.) II I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) I1 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I 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 n 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.) Icertify 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. Date Owner NOTICE TO APPLICANT: If, alter 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 Ihereby 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 when properly filled out, signed 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 aOplicant Date Mailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE'CONST. /` OCC. GRP. A.P. Number -173 2.93 C)/,' Legal DescriptiokA"/ 3 2 - Project Description .SF Sq. Ft./ Size New ❑ 9 No. No. Dw. d Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT l7 C;7 Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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: Val O ;N7A WHITE = FINANCE YELLOW = APPLICANT PINK CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 4/21/04 La Quinta, CA 92253 No. 25816 (760) 771-8515 • i 4����F1EDSC'S t .� ''„ o Q BERMUDA DUNES' h rn RANCHO MIRAGE INDIAN WELLS �i PALM DESERT ,y LAQUINTA INDIO Q1� 0 Owner Power Finance APN # 773-293-011 Address P.O Box 134 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 . Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 13 52720 Avenida Vallejo 1498 Unit 6 Unit 2 Unit 3 Unit 4 Unit 5 Comments Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. 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 $2.24 X 1,498 S.F. or $3,355.52 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 CCNIB - Mike Brauckmann Check No. 305488 Name on the check Telephone 485-9269 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by haron MCGllvrey Payment Recd 1$0.00 $3,355:52 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or 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 eopy -,Applicant/Receipt Copy - Accounting w No. Ap r . 27. 2004 No. r N RECORDED MAIL TO. 9:50AM WILLIAM BOFFIN er Finance Assoc. Inc. aliforinia Corporation . Box 134 Quinta, CA 92253 .N. 773-293-001 No 9125 .P. 2 i 1 -s—v--t.D—vva I )MENTARY 114ANSFER TAX $.................................... SPACE ABOVE THIS U VE FOR RECORDERS USE :omputed on Iha conalderation or value of property convoyed; OR ;omputed on the consideration or value less liens or enoumbranees omnlning at time of sale, ignature or Uectarant c r Agent detamdn no tau — Fiffn Ham GRANT DEED I A VAWA6L.E CONSIDERATION, receipt of which is hereby acknowledged, ,id B. Ortega, .a married man as. his soleand separat la *propeirty aby GRANT(S) to William Thomas Buff in a married -man as his sole and paxate property, and Power Finance ,Associates, Inc., a -California Corp. real 'proporty in the City of -La Quinta mty of Riverside . State of Califomia, described ae 13 Block 152 mb 018/099 Santa Carmelita Vale La Quinta Unit #16 20 Block 176 mb 019/030 Santa Carmelita Vale La Quinta Unit #1'8 led January 26t2004,___1 JE OF CALIFORNIA las• LINTY OF } before me, sonally apps d svneHr-kfloran-te-�ne- or pmvad to me on the basis of aatisfactory dencei to be the persotl whoas name(;] lslwo subsalhed to tho within trumant and acknowled®e0 to me mat holaheRkrycexecuted the same hislh~ authorized capaoitydesh and that by hItftrAl%Ir el na. a(sa on the Instrument the personN at the entity upon behalf of wwmh person(ft ectad, exaeuted the Instrument. TM MS my ha d offlolal saaL (nature AIL TAXSTATEMENT$ TO: David B. orte.ga "'6 0 EVERAN ZA CORM Commission # 1414446 Q-') Notary Public . California Riverside County My Comm. Exptres Apr 29.2001 fTrdv we4 for offlofal rm0al spy .V- 1002 0194) Apr•27— 2004 9:5OAM WILLIAM BUFFIN RECORDING REQUESTED BY F1 vW- #W v i. t6A —v'+L-k AND WHEN RECORDED MAIL TO; No.9125 P, 3 D04= ss .7-004--011!5 — 02/19/2004 08:00A Fee:30.00 Pege 1 of 2 Doc T Tax Paid Recorded in Official Records . County of Riverside Gary L. Orso assessor, county Clerk a Recorder 11111111111 1111 113 1111111111 GRANT DEED A,P.N.: 770.166-003-4 T.R.A. No. 020-016 File No.: RPD -1347321 (sl) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; computed on the consideratlon or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; [ ] City of La Qulnta, and t (� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknovvledged, Ann M. Richards, Trustee of the Ann M. Richards Living Trust dated September 3, 1997 and, Ann M. -Richards, Trustee of Charles �. L. Richards. Living Trust dated September 3, 1997 hereby GRANTS to Power Finance Associates, Inc., a California Ccirporation the following described property in the of La Quinta, County of Riverside, State of California, Lot 12 In Block 282, Santa Carmelita at Vale La Quinta, Unit #26 as per Map recorded in Book 20, Page 50 of Maps In the office of the County Recorder of said County. Dated: 01/28/2004 Ann M. Richards, Trustee of the Ann M. Richards Living Trust dated September 3, 1999977 ��-- Ann M. Richards, Trustee Ann M. Ric:hards,'Trustee of Charles L. Richards Living Trust dated September 3, 1997 Ann M. Richards, Trustee Mail Tax Statements To: SAME AS ABOVE MEN IMEMIUMINE MEN IMENEIMEM GRANT DEED A,P.N.: 770.166-003-4 T.R.A. No. 020-016 File No.: RPD -1347321 (sl) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; computed on the consideratlon or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; [ ] City of La Qulnta, and t (� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknovvledged, Ann M. Richards, Trustee of the Ann M. Richards Living Trust dated September 3, 1997 and, Ann M. -Richards, Trustee of Charles �. L. Richards. Living Trust dated September 3, 1997 hereby GRANTS to Power Finance Associates, Inc., a California Ccirporation the following described property in the of La Quinta, County of Riverside, State of California, Lot 12 In Block 282, Santa Carmelita at Vale La Quinta, Unit #26 as per Map recorded in Book 20, Page 50 of Maps In the office of the County Recorder of said County. Dated: 01/28/2004 Ann M. Richards, Trustee of the Ann M. Richards Living Trust dated September 3, 1999977 ��-- Ann M. Richards, Trustee Ann M. Ric:hards,'Trustee of Charles L. Richards Living Trust dated September 3, 1997 Ann M. Richards, Trustee Mail Tax Statements To: SAME AS ABOVE AP r 21. 2004 9: 50AM WILLIAM hr,lt . A,P 1v,: 770-166-003-4 Grant Deed - continued No. 9125 P. 4 File No.:RPD-1307321! (sl) Date: 01/28/2004 STATE OF Ga t� } COUNTY OF _Q_ } On a r � Lj e 2Oo LJ before me, personally appeared L)1 ,M , tG (or proved to me on the lasis of satisfactcry evidence) to be the personal whose name is/are-subscribed to the within instrument and acknowledged 0 me that be/5he%they-executed the same in hi6 tier/tbeWtuthorized capacity oi!sTand that Jail'JFier/,IbsW-signaturei ej-Dn the instrument the persorl(s�-or the entity upon behalf of which the person(sracted, executed the instrument. WITNESS my hand and official seal. rr"nrr��rrn.�,,,,TOWAO� Nrr'��r�� %/]%S c�/Lc� J`Or O/`�/C%81 Comm. 13t•2156 . x 9 " q Notary PubA A=Na � notar%a/ seal RMAtSldA O )linty ►� x My Canmtsutgn Bi5kesN Signature tura 2a..006 il' /� ' c,,.,.sn,rruunruu Urrrnurr�p�r Nr: My Commission Expires, e Page 2 of 2