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BSPN2016-003978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: VINEYARD SERVICES 4201 N 75TH ST SUITE 101 SCOTTSDALE, AZ 85251 BSPN2016-0039 55475 LAUREL VALLEY 775181092 OCWEN LOAN SERVICE c&t�p 4 4o 0914t COMMUNITY DEVELOPMENT DEPARTMENT ' BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: Date: 3 Contractor:.C� 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 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 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 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.). 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.). (� 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 Lender's Address: Owner: RESI REO SUB L 55215 LAUREL LA QUINTA, CA Contractor: Llc. No.: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/13/2016 MAY 13 2016 QUI CiTf OF LA OUNTA.�J COMMUNITYDEYELOPME_NI DEPARTMENT 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_wckk for which this permit is issued. fWI 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 subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 5 3 % Applicant: WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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 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 upon the above-mentioned property for inspection purposes. Date: 5 113/40 Signature (Applicant or Agent): ._ `. DESCRIPTION FINANCIAL INFORMATION ACCOUNT , QTY AMOUNT PAID PAID DATE SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 5/13/16 PAID BY METHOD' RECEIPT # CHECK # CLTD BY VINEYARD SERVICES CHECK MR298 14415 RSE DESCRIPTION ACCOUNT' QTY: AMOUNT PAID PAID DATE SPECIAL INSPECTION PC 101-0000-42600 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $72.52 Description: OCWEN LOAN SERVICE • CHRONOLOGY DESCRIPTION ACCOUNT QTY AMOUNT Type: SPECIAL INSPECTION Subtype: Status: APPROVED Applied: 5/10/2016 RSE Approved: 5/13/2016 RSE Parcel No: 775181092 Site Address: 55475 LAUREL VALLEY LA QUINTA,CA 92253 Subdivision: TR 25500-1 Block: Lot: 2,1 Issued: Lot Sci Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ELECTRICAL METER RELEASE. THIS JOB CARD IS NOT FOR ANY WORK. ADDITIONAL • CHRONOLOGY DESCRIPTION ACCOUNT QTY AMOUNT CONDITIONS PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT VINEYARD SERVICES 4201 N 75TH ST SUITE 101 SCOTTSDALE AZ 85251 OWNER RESI REO SUB LIC 55215 LAUREL VALLEY LA QUINTA CA 92253 Printed: Friday, May 13, 2016 10:28:48 AM 1 of 2 SYS TElv1S • FINANCIAL•• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 5/13/16 MR298 14415 CHECK VINEYARD SERVICES RSE SPECIAL INSPECTION PC 101-0000-42600 0 $181.29 $0.00 Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $72.52 Printed: Friday, May 13, 2016 10:28:48 AM 1 of 2 SYS TElv1S TOTALS: $253.81 $72.52 PARENT PROJECTS Printed: Friday, May 13, 2016 10:28:48 AM 2 of 2 SYSTBnAS Bin # City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 (0 Building Permit Application and Tracking Sheet Permit # 5 PN '-o I b Project AddressL S L- kufxWVa L.c Owner's Name: � � CN (�eiA xa SE(ZJI C t A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: I f)cYA f C Telephone: e hone: ..........E?E� Address: 'qG-Of 51 SJ 1T'F .10\ :::::::::.::: Project Description: �(.CC`I�IC�Ic City, ST, Zip: &:071175 cA c,A� zS525 (. EL_ SE Telephone: y c� c� NMI oa L 2 C �y 3 State Lic. City Lic. #•: . Arch.; Engr., Designer: Address: City., ST, Zip: Telephone: e one: Construction Type: Occupancy: C P Y: A A N T State Lic. # Project type (circle one): : Ne w Add'n Alter Qe a'Demo Name of Contact Person: JCO-TT W A LV--e-Z, Sq. Ft.: -2�(00 # Stories: Telephone # of Contact Person: rj — Bq -T „ 4 LJ 3 Estimated Value of Project: UC7c > APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a 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:- '^! Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue, School Fees, Total Permit Fees im LIMITED POWER OF ATTORNEY . Ocwen Loan Servicing, LLC hereby appoints Altisource Solutions: Inc. (hereinafter called "Attisource"), as its true and lawful attomey-in-fact to act in the name, place and stead of Ocwen Loan Servicing. LLC for the purposes set forth below. Ocwen Loan Servicing. LLC is the Servicer of many securitizations (the "Agreements" see Exhibit A attached for a listing) now in existence and that will be formed from time to time. The said attorneys -in -fact, and each of them, are hereby authorized, and empowered, as follows: I. To execute, acknowledge, seal and deliver tax authority notifications and declarations, bills of sale, and other instruments of sale, conveyance, and transfer, appropriately completed, with all ordinary or necessary endorsements, acknowledgments, affidavits, and supporting documents as may be necessary or appropriate to effect its execution, delivery, conveyance, recordation or filing, including the marketing and sale of real estate owned. This instrument is to.be construed and interpreted as a limited power of attorney and does not empower or authorize the said attorneys -in -fact to do any act or execute any document on behalf of Ocwen Loan Servicing, LLC not described herein. Dated: December V% 2009 Witness:. \ Name: Juan Pardo (::e: Johnna Miller��- State of Florida ), . County of Palm Beach ) Oewen Loan Servicing, LLC Name: Scott W. Anderson Title: Sr. Vice President of Residential Loan Servicing BEFORE ME, Noemi Morales, a Notary Public in and for thejurisdiction aforesaid, on this 1 st day of December, 2009, personally appeared Scott W. Anderson who resides at Palm Beach County and who is personally known to me (or sufficiently proven) to be a Sr. Vice President of Residential Servicing at Ocwen Loan Servicing, LLC and the person who executed the foregoing instrument by virtue of the authority vested in him/her and he/she did acknowledge the signing of the foregoing instrument to be his/her fee and voluntary act and deed as a Sr. Vice President for the uses, purposes and, consideration therein set forth. Witness my hand and official seal this Iu day of December, 2009. My Commission Expires: 11/1/2013 Notar}-Public 4",+ NOQAIMORALES .r. , r MYOOKUSSIONfDD937193 EXFIRES Na wftr 1, 2013 '•'�p�ty, 8w4Ddi1runmeryt'uM UnOaM M Page I of 22