The URL can be used to link to this page

04-4513 (SFD)`mow V BUILDING & SAFETY DEPARTMENT ` P.O. B 1504. (760).777-7012 'j S M495 CA LE TAMPICO r t FAX (760) 777-7011 INTA\ CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . .. <.-04y_0-- 0-04513 Date` • 2/18/05 Property Address 80250 VIA CAPRI APN: 772 -440 -071 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . 462415 Owner 'Contractor -� -------------------'----'"c - ,.• i — . FLOYD & YVETTE PICKRELL TAYLOR HOMES & ASSOC INC 4981 COPA DE ORO DRIVE P 0 BOX 5005 #99 ANAHIEM CA 92807 RANCHO SANTA FE CA 92067 (858) 759-8555 WCC: STATE FUND WC: 00022926422 10/01/05 CSLB: 776891 03/31/06 CCC: B - -------------------------- 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- # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 917:,00 PATIO SQ FTG ,720.00 '• `NUMBER' OF' UNITS i.00 1ST FLOOR SQUARE FOOTAGE 5382.00 r Permit ? r BUILDING PERMIT •„ -� " Additional desc ; Permit Fee . . . . 1759.50 Plan Check Fee .1143.68 Issue•Date . . . • . Valuation 419258 Expiration Date 8/18/05 Qty Unit Charge Per _ ,Extension BASE FEE'-- 639.50 320.00 3.5000 THOU BLDG 100,001-500,000, 1120.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee 176.50 Plan Check Fee 44.13 Issue Date Valuation . . . . 0 Expiration Date 8/18/05 r Qty Unit Charge Per 3� `, . ` ,E_x&nsion `15.00 BASEL FEE 5.00 9.0000 EA MECH'FURNACE <=100K -45.00 4 4 P.O. BOX 1504 • � " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &t: SAFETY DEPARTMENT Application Number: 014- 44513 Applicant: Applicant's Mailing Address: Date: •O 15 - Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 and Professionals C , and ss Lice sin full force and effect. — ;cense Class ;cense No/ � Date ontractor /' , OWNER -BUILDER DECLARATION L I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 dcllars ($500).): U 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 or 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.). U 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.). L) I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 wor ers' compensa ' n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued.My rkers' co ensation rance carrier and policy number are: arrierolicy Number �7eQ��2 Z I certify that, in the performance of the work for which this permit is issued, I a not of employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with, those provisions. iFAILURE TO SECURE WORKERS' COMPEN§ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND :S UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of erjury that there is a const tion lending agency for the perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name ��iG .!!/. So<=rL LC—._ Lenders Address 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 employeesfor 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 the above information is correct. agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize r resentatives of this county to en upon the abo e -mentioned property for inspection purposes. Date Signature (Applicant or Agent): Page 2, Application Number 04-00004513 Date 2/18/05 Qty Unit Charge Per Extension 5.00 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 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 236.71 Plan Check Fee 59.18 Issue Date Valuation 0 .Expiration Date 8/18/05 Qty Unit Charge Per Extension .BASE FEE 15.00 5382.00 .0350. ELEC NEW RES - 1 OR 2 FAMILY 188.37 917.00 .0200 ELEC GARAGE)OR NON-RESIDENTIAL •18.34 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . ... PLUMBING Additional. desc Permit Fee . . . . 210.75.' Plan Check Fee 52.69 Issue Date, Valuation . . . . 0 Expiration Date.. 8/18/05 Qty Unit Charge Per Extension _ BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 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 11:00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 15.0000 EA PLB GAS METER .15.00 ----------------- Permit -------------------------------------------------------_---= GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee x.00 Issue Date Valuation . . . . 0 Expiration Date 8/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------- Special Notes and Comments SFD - 5382 SQ.FT. LIVING W/ GUEST HOUSE. R3 OCCUPANCY, TYPE V-N.CONSTRUCTION, Page 3 Application Number 04-00004513 Date 2/18/05 ------------------------- Special Notes and --------------------------------------------------- Comments 2001 CODES. --------------------------.-------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 656.03 DIF COMMUNITY CENTERS -RES 97.00 D.IF CIVIC CENTER -.RES 366.00 ENERGY REVIEW FEE 114.37 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 46.24- 6.24DIF DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due' Permit Fee Total 2398.46 .00 .00. 2398.46 Plan Check Total 1299.68 500.00 .00 799.68 Other Fee Total 3221.64 .00 .00 3221.64 Grand Total 6919.78 500.00 .00 6419:78 r• �� ^I t I + • all, P.O. BOX 1504 0' APPLICAT ON O�N ON , �,) F Buildin G 76-495 CALLE TAMPICO Address " 2 J �a. LA QUINTA, CALIFORNIA 92253 Owner I J R�P�+r� "t BUILDING: TYPE'CONST. U�_OCC. GRP. Mailing �1 Address 4901 C be, Oro r. A.P. Number a 2" - -?5 ,2'4!�Q -Quo-4B C jt Tel. / „1i 53 AP. mIzigp'2007 — 1252-53Legal Description U/ Contractor Project Description 1 2_.-xL_440 - O 7 Address City Zip Tel. State Lic. City 3 2 & Classif. Lic. N S. t f Stories No.UniDw. I Arch., Engr., Designer 4:4* H PdricvoNew Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 2- I S5 a j rrle(+-� 76D- 710- b 8 is l►�vl t Zt1122_100 ��t# C 2�S+l 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). l_ 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.) I l 1, 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 Lew does not 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.) 17 1 am exempt under Sec. B. 8 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 (l 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 the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., If, atter 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 applicant Date Mailing Address City, State, Zip Est PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure If1 a TOTAL _AMOUNT svo U ZONE: BY: Minimum Setback Distances: Front Setback from Center Line a5 Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224• This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE- RF.CF.IPT- CHECK A. INITIATS, CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence 1s at-TherHideaway Date: February 18, 2005 Owner's Name: Floyd & Yvette Pickrell Phone No. Project Address: 80-250 Via Capri La Quinta, CA Project Description: 1 SFD APN: 772-440-071 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 5,382 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf o the owner/developer. Dated: Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 5,382 Amount per Sq.Ft. $ 2.68 Amount Collected $ 14,423.76 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services C1 - Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by As Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such. Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School .District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. t'�':c:`mydocs:'de� leesic�rtitieate o.rcompliatnce. 10rm Uible Tt) L1St:;;.doe 1/16/03 T 06/29/2004 13:49 FAX 7607771233 LA QUINTA COMM. DEV. Z601/005 00 �i i a�ti20 2003 Fa2t�t0932 FIDELITY NATIONAL TITLE CUMT'A1vY Pass t of s SUBDIVISION DEPAR'T'MENT Recardedi o f ficialRiversRecords vary L. arse WHEN RECORDED MAIL TO: Assessor, county Clerk a Asoerder ND LaUinta Partners, LLC Q IuU�lil�111�1111�� , 375 North Front Street, Suite 20U Columbus, Ohio 43215 M a U GAGE SUE 0A PC04 NWOR 3W NBC DOCUMENT TRANSFER TAX Sx a i . ! «r AUuwo r.c,ic ' ,P,w, Computed on the consideration ur value of property conveyed: OR __Computed on the consideration or value less liens or encumbrances Lk remaining at the time of sale. Signature of Declarent or Agent determining tax — Firm Nam KW 030 -oma GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S) to ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company ° ("Grantee"). the real property located in the City of La Quinta, County of Riverside, State of California; described as: y See Legal Description attached hereto and incorporated herein as Exhibits "A" and "B". THIS GRANT DEED REFLECTS PARCEL MERGER NO. 2003-420, AS APPROVED BY THE CITY OF LA QUINTA. Dated:—fip,LL ?CO ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company � I By: Nationwide Reals vellum. Ltd.. an Ohio limit it y com { its managing r By: _ Brian'). Ellis President and Chief Operating Officer APPROVED BY THE CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEVI*. by: Title: Date: �dses•t�e s•LrVM1h5522 1 Description: Riverside,CA D0evment-Y9Ar.DOaID 2003.260932 Page: I of 5 Order: Nary Tetra Tech Cennent: i' 06/29/2004 13:49 FAX 7607771233 LA QUINTA COMM. DEV R 002/005 STATE OF ss. COUNTY OF FRANKLIN On t7 , 2003. before me, the undersigned, a notary public in and for said State, personally appeared'personally known tome or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to Ine that he/she/they executed the samc in his/her/their authorized capacity(ies), and that by his/her/their signaturc(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS MY HAND AND OFFICIAL SEAT.,. fiASignature (SEAL) REGO RHOAt)S ORMOM i Aftimy al taw i notary P46k. State 01 OMo WGdnrtld=1tinet�lalbn Samloo t4r.a3 R.C. or M I oil 1111111111111 nescriptxon: Riverside,CA Document-YAar.DoOZD 2003.260932 Page: 2 of 5 Order: Mary Tetra Tech Comment: i OG/29/2004 13:50 FAX 7607771233 LA QUINTA COMM. DEV. a 003/005 i ' ak GOVERNMENT CODE 27361.7 I HEREBY CERTIFY CINDER PENALTY OF PERrURY THAT THE NOTARY SEAL ON THE DOCUMENT TO WHICH THIS 1S ATTACHED READS AS FOLLOWS: NAME of NOTARY: REGINA RHOADS ORMOND COMMISSION NUTABER: N/A DATE COMMISSION EXPIRES: COMMISSION HAS NO EXPIRATION COUNTY WHERE BONDED: N/A PLACE OF EXECUTION: FRANKLIN COUNTY, OHIO DATE: 4-11-03 TURELITY NATIONAL TITLE BUILDER SERVICES I ��II'fl� ILII IIS VIII ��i I��IiI OI INII ISI II� 04,114/2693ZB 52986 Description: Riverside,CA Document-Year-DoclD 2003.260932 Page: 3 of 5 Peder: Mry Tetra Tech Con®ent: 06/29/2004 13:50 FAX 7607771233 LA QUINTA COMM. DEV. IA 04/005 ' M EXHIBIT "A" LOT NIFERGER LEO -AL DES IPTION: LOTS 52 AND 53 IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA. AS SHOWN ON A MAP OF TRACT NO. 29894-2 FILED IN BOOK 309, PAGES 16 THROUGH 50 OF MAPS IN THE OFFICE OF- THE COUNTY RECORDER OF SAID COUNTY. ALL AS SHOWN ON "EXHIBIT B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. \a1/►L LANpS 4H.ILLIA 4DVID S• P.L.S.4131 a ;N p EXPIRES: JUNE 30, 2004 4 ft 4131 3 * FW 6-342004 � CAL PARCEL MERGER No. '��3� LOT LINE ADJUSTMENT No. APP VE Y CITY QF LA QiJINTA CO EV ENT DEPART ENT "4 BY DATE —o Exhib P:1LI3nMSURVEY1P029131LOT MERGER LEGAL DESCRIPTION,doc ! ��1! II I IIV! INI IINI11NI INIDI Ili Ihl! IIS NII 4Qi4 of 00 099 5 Description: Rivorside,CA Document-i•®alr.Doc= 2003.260932 page: 4 of 5 Order: Mary Tetra Tech comment? 4 06/29/2004 13:50 FAX 7607771233 LA QUINTA COMM. DEV. EXHIBIT "B° G-0Lr COUF�s_ _147.68 ,3g" , l 974 8,430'00 L.74.58 �. 9056 j 4 (a —fir r_r L.134�Za' t ', l�l��, ;� % J jy;,;� 9 � t tW Io r-: t i N �) n 1 11 cx 53 w ,z o 5 \ o 0 0 ,��r Utz N I zo 1' >, LOT LINE I o REMOVED a f O. N, � � ,oe• Cl t 1 \ �� 11 A, / ��'. -501 - 2 3 -39 L \� 26 �t p 1 C21 a3 p2. 5Z' '�1 49' 2 L 0058 22" 2"" 010 CURVE TABLE CURVE LENGTH C71 31.41 RADIUS 780.00 DELTA 6°25'37" PARCEL MERGER No. LOT LINE ADJUSTMENT No. APP VED Y CITY OF LA IOUINTA COM NV PMENTDEPARTME NPL �A�,�"`'� DATE Ex tl �� No. °131 p 20 47 127 » EIIP 6-30-04 • GRPPH IC ;GALE: 1'-401' glF`or cnttF� 0005/005 "AAIAR-11 LO 8+05 j�9_11ca + TETRA TECH INC. IRVINE N ARID 714 39^ 7090 PR ARE uN_)ER 11"1E CIRE(:f1pN CF =1770 CANT'AiRICHT (75C;- 674-5629 QUITE Sflfi, 17VINL PALM J -A ( CA 97�t4 pA�40ENA 8'$j 693-005GaII /�t0 999-?:m0-ti)R6 SAN O-E•3U (619) G73-5505 •A\7! L I LS 131 LICENSE EXPIRES P:\LonO\P02913\5001\5u.,,cy\t. lb-lz\LL L.,t52.53-EH.avq Description: Riverside,CA Document-Ysar.DocZD 2003.260932 Page: 5 of 5 Order: PQry Tetra Ta&h Comment: y