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BRES2015-0302
01� Tit tf " 0-- t'. P.O. BOX 1504 Building t ,7�'8' 495 CALLE TAMPICO Address T,%j - rj ZS �l Vl'I 601 Ci I ILIINTA, CALIFORNIA 92253 0 er ��((�� t,oee (�tZ- G�t i✓_�JI, U` Mailing �^ Address �� �(� n �'L'1 ✓ C� Sa3 C' Zip Tel. Re� 1 41 is ntraptor scz u"P�Lj Add© I / O � Lit tit. �J-F / 3 CA e1x-�+-t Lt t' R 1 ZS Tel. State Lic. I City & Classif. Lic. # Arch., Engr., a Designer to eA t?Y) Ji•U Aaaress lei. �jG1 s$ I V10 !&:A-6 a s h Gity Zip State 1 1�G�� O C�iI�Z?-0 ic. # �. 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 1 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 Contrac- tor'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). ❑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 Profes- sions 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 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) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S 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 []Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuati or less). I certify that in the performance of the work for which this permit is issued, I shall not empl any person in any manner so as to become subject to Workers' Compensation Laws of Califo,, �i. Date Owner NOTICE TO APPLICANT If, after 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 I hereby 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 certity 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 WHITE = BUILDING DEPARTMENT F_�i 100(?, 1 MAIL IC -OW APPLICATION ONLY BUILDING: TYPE CONST P-1 OCC. GRP. V Number 7 b -1 - -7 Qn - Q I V Legal De riptjon Lo t 3 `30i � �- DDI� Project "Description Sq. Ft. No. 1 No. Dw. Size % 1OS-D - Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 00 Const. Mech. Electrical Plumbing S.M.I. _ Grading Driveway Enc. LVIIJ Infrastructure 640PA1ENTpEPApT T4rAL NTACT INFORMATION AME: 0" `h— Pt � PHONE: C-76o) 4-f 2.y 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: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE lDd Ras zar5- Bin # Permit # c City of La Quinta Building er Safery Division La euinta, ,o ,rtrf! .'fri'J;;;i.i';?, Bu> B uilding Permit Application and Tracking Sheet C aJ5AectdressdProj vwOwner's Namc z 4 A. P. Number: 7 k Address: city, sT, zip yeContractor I Telephonc 0s3city, sT, zip Address 455 L;, {gtl20 S € StateLic. *;(/s%O City Lic. #: TArch., Engr., Designer: Address: City, ST, Zip: retephone:'?4) 713 Conshuction Type Occupancy State Lic. #Project type (circle one): New Add'n Alter Repair Demo Name of Contact Y*rronrlSAm%ru Sq. Ft.:# Stories:# Units: Telephone # of Contact Person:Z2/Estimated Value of Project: ufr Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs.Revicrved, ready for corrections Plan CIrcck Deposit Truss Calcs Called Contact Pcrson PIan Check Balance Title 24 Calcs.Plans picked up Construction Flood plain plan Plans resubmitted l\{echanical Grading plan 2nd Revioy, ready for corrections/issue Electrical Subcontactor List Called Contact Pcrson Plumbing Grant Deed Plans pickcd up s.tvl.I. II.O.A. Approval Plans resubmitted Grading IN I{OUSE:-r'{ Revie'w, ready for corrections/issue Dcvelopcr Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Datc of pcrmit issuc School Fecs, Total Permit Fees _=_a W,W 7- 7C7t/ l< Legal Description:0b 5z ProjectDescription, 5 Dqll frn, I APPLICANT: DO NOT WRITE BELOW THts LINE .t Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-s909 - Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID F r CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Ownerts Name: Meldan Family Partnership Discovery Builders California,lnc. I T-Star I I I Project Address: 53-525 Humboldt Blvd., La Quinta, CA92253 Date: January 20,2017 Phone No. 760-393-5286 AREA:AMOUNT LEVEL ONE AMOTJNT LEVEL TWO AMOUNT:MITICATION AMOLINT:COMM/IND. AMOUNT: DATE:RECEIPT:CHECK #:INITIALS Project Description: Supplemental Conditioning of Garage Only APN: 7677000 l8 Tract #:Lot #'s: Type of Development: Residential Commercial Industrial Total Square Feet of Building Area: 1,616 SQ. FT. Certilication of Applicant/Owners: The person signing certifies that the above information is conect and makes this statement under penalty ofpe{ury and further represents that he/she is authorized to sign on behalfofthe owner/developer. Dated:/'20'l+Signature: :*,* *,*:* *,i '* * r. '* '* {. *:t,} * {.,t :t,} * '} *,} '},*,*,} r. '},},t '} r. * 't *:a '} r.:} t {.:t *:},t * *,*,* * * * *,t,* * *,*,},*,*,1 *:* '* '},} * SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWNG: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 6s99s Project Approval Agreement Existing Prior to llll87 Note: CERTIFICATE OF PREPAID As of 0ll20ll7 Not Subject to Fee Requirement ARE FOOTAGE1,616 $3.48 PRE.PAID Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Si NOTICE OF 90 DAY PERIOD FOR PROTEST OF STA OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January l, 1997, requires District provide (1) a written notice to the project rppeurnt, at the time of pryment ofschool fees, mitig.tion p.yment or other exactions ("Fees"), ofthe 90-day period to protest the imposition of these Fees .nd (2) the .mount ofthe feea. Therefore, in rccordance with section 66020 ofthe Government code and other rpplicrble l.r1, this Notice sh.ll s€rve to adviae you that the 90dry protest period in reg.rd to such Fees or the vrlidity thereof, commences with the pryment of the fees or pe ormrncc of.ny other requirements rs de3c bed in section 66020 ofthe Governnrnt code. Additionrlly, the amount ofthe fees imposed is rs herein s€t forth, whether pxyrble rt this time or in whole or in prrt prior to issu.nce of r Certific.te of Occuprncy. As itr the l.tter, the 90 drys strnts on the d.te hereof. This Certi{icate of Complirnce k vrlid for thirty (30) days from the date of isaurnce. Extenaion will be grrnted only for good cause, ,s determin€d by the School District, .nd up to three (3) such extensions m.y be gnnted, ': 11/2010 Previous Sq.Ft. balance 3,337.04 Less Sq.Ft. this certificate -1,616 New Sq.Ft. balance 1,721.04 xx 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. RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Discovery Corp. California (Madison Club) Date: April 11, 2016 Owner's Name: Project Address: 53-525 Humbolt Blvd., La Quinta, CA 92253 Project Description: Single Family Dwelling APN: 767-700-018 Tract #: Type of Development: Residential XX Commercial Total Square Feet of Building Area: 7,656 Sq. Ft. Phone No. Lot #'s: Industrial 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 of the owner/developer. Dated: �-/ ` Ip Signature: &00 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. 7,656 Amount per Sq.Ft. $3.36 Amount Collected $25,724.16 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia C. Torres, Facilities Analyst Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES"XND STATAMMENT OF FEES Section 66020 of the Government Code asserted by Assembly 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. MV:c iti,rnl u11tl9ted 200 11/2010 T4hf °! .iWQnlxfa COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-701 l CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 53-525 HUMBOLT BLVD. APN: 767-700-018 DESCRIPTION OF WORK: NEW SFD SQUARE FOOTAGE: 7656 SQ. FT. OWNER'S NAME: DISCOVERY CORP. CALIF. For questions regarding this letter, please call: City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P0Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONST`I4QCTION DATEJd56Y Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. Sladden Engineering 45090 Golf Center Parkfvuy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 October 30, 2015 Project No. 544-15237 15-10-461 Discovery Builders CA, Inc. 80-955 Avenue 52 La Quinta, California 92253 Project: Proposed Rat Pack Residence 53-525 Humboldt Boulevard The Madison Club La Quinta, California Subject: Foundation and Grading Plan Review Ref: Geotechnical Update report prepared by Sladden Engineering dated September 15, 2015; Project No. 544-15237, Report No.15-09-389 As requested, we have reviewed the Precise Grading Plan prepared by Essi Engineering along with the Foundation Plans and Details prepared by Young Engineering Services. The plans reviewed were prepared for the proposed custom residence to be constructed on the currently vacant lot located at 53-525 Humboldt Boulevard within the Madison Club Development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update and the previous geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo or the above referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Ande-r9orr- Principal Engineer Letter/gvm REn L 760) R 4DERSot C4538 6 n tD ¢CIVIL �.�� EIQGtiVG�n•�-- a�. f 01= CALXF4 Copies: 4 / Discovery Builders CA, Inc. Building Permit Number. Project Description: ISFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Job She Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mall Address Project Manager's Project Manager's Phone N Project Manager's E-mail A 10/6/2015 53525 Humboldt Blvd. Meldman, Michael 80955 Avenue 52 Le Quinta, CA 92253 Tammy Jenkins 760-393-5286 tienkj ns0discovervbulldemilc.com Builder / Contractor Discovery Builders California, Inc. Number, Street or PO Box 80955 Avenue 52 City, State, Postal code La Quinta, CA 92253 Project Square City Approval By Date of City Approval To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items 7,650 Tons Not recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 1.53 0.00 1.30 0.00 19.13 0.00 14.64 0.00 0.00 2.52 0.00 0.61 0.45 0.00 Totals: Rec cle Trash 25.5 1 14.5 Projected Diversion: 63.7% I understand it Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the Jobslts waste Is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is Issued In the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bl-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner / Developer / Project Manager! Superintendant Date 1 &-'5 20/1,0 3oZ CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications orapplications pwhich cannot be processed will be returned to applicant. Date: Developer:( t7 Tract No.: 33K&'%Z Tract Name: lh(f 171"I' /-W (1Ijb Lot No.(s): Address(s): 53,5Z n? Phone Number: ( Q_) (�- ,?R s The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 #5 & #7 BELOW •:• TRACT HOMES: PROVIDE ITEMS #1 #2 #3 & #5 BELOW COMMERCIAL BUILDINGSIOTHER: PROVIDE ITEMS #1 #2 #3 #5 & #7 BELOW •: WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. FAN Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plan & are subject to additional requirements. A current PM10 certification number is required. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. Q6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: `"1 / Z27 � S Public Works Distribution: ( ✓) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: 2 1 ?nic T a- v I J T (Checklists - Forms & Applications Forms & ApplicationstGREEN SHEET cover & PM10 less than 1 Acre Revised 9-25.09 doc COMMUNITY Or L:%t QUIR T MMUNITY DEVELOPMENT City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 A reement (<1 acre/lot or Infill Project Project Information Project Contractor: Project Phase (check one) Construction ❑ Demolition �1 f/ Project Name: 1 A+ Project Tract/Lot Numbers: Madisom chub I �f 1oc0l3 Project Street Address:L1/,D Total Acres in Active Constructio < acre per Lot): Anticipated Start Date: i(i / /5//5- Anticipated Completion Date: PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non -business hours. Name: e Title: Com an Name: / I 60\ e( (Id 4v a ii. Mailing Address:rjri Ayenu e5Z City, State, ZIP Code: G3 3Q pi Primary Phone #: (0 © 5q,3 - 6 Z e)(,p Fax #: 9 Qj 24 Hour Emergency Phone#: Co Zli 4 Cell Phone #: -7(p () 2—lie)94 Email Address: ma I � '�% ( �Alf bO (des I I e . om PM10 Certificate #: \f1?,O1-1Oq57 The above stated property owner (or authorized representative): Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. *o Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; s• Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or ny City/County initiated abatement activities. / [ Signature of Property wner or Authorized Representative Date T %Checklists - Forms & Apphcations�Forms & ApphcationslGREEN SHEET cover & PM10 less than 1 Acre Reosed 9-25-09 doc RECORDING REQUESTED BY Ticor Title Company of California AND WHEN RECORDED MAIL TO: Meldman Family Limited Partnership W 14605 North 73rd Street �--t„- nW Scottsdale, AZ 85260 F- U5 4-1 CC � Lj 0R1)ERN0.: V �' ESCROW NO.: iIW DOC # 2014-0004023 01/06/2014 11:26 AM Fees: $18.00 Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder —This document was electronically submitted to the County of Riverside for recording— Receipted by: LCWEATHERS r � SPACE ABOVE THIS LANE. FOR RECORDER'S USE -� GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) Documentary Transfer Tax is $1,320.00 City Tax is $ 0.00 ❑unincorporated area X computed on full value of interest or property conveyed, or X the City of La Quinta ❑ full value less value of liens or encumbrances remaining at the time of sale Parcel No. 767-700-018-4 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Leonard Tweten, Trustee, of The Tweten Nonexempt Marital Trust created under the LET Revocable Trust UDT dated February 11, 2008 as to an undivided 50% interest and Leonard Tweten, Trustee, of The Leonard M. Tweten Trust created under the LET Revocable Trust UDT dated February 11, 2008 as to an undivided 50% interest hereby GRANT(s) to Meldman Family Limited Partnership, as to an undivided 66.667% interest and JLA Family Limited Partnership, as to an undivided 16.667% interest and Jennifer Crame, Trustee of The ** the following real property in the City of La Quinta County of Riverside. State of California. SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF Dated: December 5, 2013 **Coleman 2012 Gift Trust as to an undivided 16.667% interest, all as tenants in common The Tweten Nonexempt Marital Trust TheLeonardM. TwetenTrust Leonard Tweten, Trustee Leonard Tweten, Trustee STATE OF CALIFORNIA COUNTY OF eu ti e'4S' <- SS: On v !�z c.c,+t 6 c,t 2.0 /3 before me, J,n-C /C , jtn, t+s a Notary Public, personally appeared Le— o V .4 -,c� �LV e- f'e nJ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s}is;are subscribed to the within instrument and acknowledged to me that he/sh44kcy executed the same in his/hsr49ie4r authorized capacity(ies) and that by his/hezUa4r signature(B)on the instrument the person(s), or the entity upon behalf of which the person(,) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. JACK TRIANTAS / WtaW OMM. #1961657Signature // Public • CaNfornis overside Countymm. Ex Ires Ikc. 22 2015 MAIL TAX STATEMENTS AS DIRECTED ABOVE Page I G RAN rDEE DOC #2014-0004023 Page 2 of 2 01 /06/2014 11:26 AM PRELIMINARY REPORT Ticor Title Company of California YOUR REFERENCE: ORDER NO.: 00211368-993-SS l EXHIBIT "A" LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel No. 1: Lot 66 of Tract No. 33076-2 as shown on Subdivision Map (the "Map"), in the City of La Quinta, County of Riverside, State of California, recorded on November 29, 2005, in Book 393, Pages 61 to 80, inclusive, of Maps, in the Office of the County Recorder of said County. Excepting therefrom, all easements and rights of access, ingress, egress, encroachment, maintenance, drainage, support, and for other purposes over the Association Maintenance Areas and other portions of the Lot, but only to the extent of such rights are reserved in the below mentioned Declaration. Parcel No. 2: Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Declaration of Covenants, Conditions and Restrictions and Reservation of Easements for The Madison Club Owners Association (the "Declaration-), recorded on September 13, 2005, as Instrument No. 2005-754387, of Official Records of Riverside County, California. APN: 767-700-018-4 CLTA Preliminary Report Form — Modified (l 1/17/06) Page 3 VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA'92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/22/2016 Application Number: BRES2015-0302 Owner: Property Address: 53525 HUMBOLDT BLVD LEONARD TWETEN APN: 767700018 Property Zoning: Application Valuation: $699,404.80 Applicant: Contractor. AP; 2 2 2C`5 GORDON STEIN DISCOVER BUILD RS 51053 SORREL COURT 80955 AVE UE 52 INDIO, CA 92201 LA QUINT CA 92253 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEPAETMENT11 (760)393-5286 — —� Llc. No.: AEC252 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 Professions Code, and my License is in full force and effect. License Class: _ License No.: AEC252 Date Contra�� 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 owrier 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.). (� 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. Q. Lender's Na Lender's 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 thework for which this permit is issued. ave 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: _ Polity 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: H" Z7—' l �/ 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 et 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. Icertify 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: %�� �GV Signature (Applicant or Agent): DESCRIPTION FINANCIAL •1i ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $989.84 $989.84 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 $989.84 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 PAID BY. - METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 $24.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 4/22/16 - PAID BY ' METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 4/22/16 : PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT' QTY, AMOUNT PAID PAID DATE DIF -FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 ' 4/22/16 PAID BY.. _ METHOD RECEIPT # CHECK # CLTD BY DISCOVERYAUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 4/22/16 PAID BY.. METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY" DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00. $2,048.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT ' PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 4/22/16 PAID BY. METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 4/22/16 PAID BY' METHOD RECEIPT # CHECK # ' CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE -TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $16.92 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $110.97 $110.97 4/22/16 PAID BY METHOD RECEIPT. # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $45.72 $45.72 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0. $145.03 $145.03 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: $349.58 $349.58 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 $36.26 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 $181.29 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for GRADING: $217.55 $217.55 DESCRIPTION. ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 $181.30 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 $120.85 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY'BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 4/22/16 PAID BY METHOD • RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT "PAID PAID DATE FURNACE 101-0000-42402 0 $181.30 $181.30 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-02600 0 $120.85 $120.85 4/22/16 PAID BY METHOD RECEIPT # CHECK # (YTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $132.99 $132.99 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for MECHANICAL: $807.34 $807.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ,NEW CONSTRUCTION PERMIT 101-0000-42400 0 $803.33 $803.33 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for NEW CONSTRUCTION PERMIT: $803.33 $803.33 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $539.64 $539.64 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 R5E DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 .$1,200.00 8/6/15 . PAID BY METHOD RECEIPT # CHECK # CLTD BY DESIGN MIND STUDIO CHECK R8271 5576 PIU Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,739.64 $1,739.64 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-02401 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695. RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE FIXTURE/TRAP 101-0000-42401 0 $362.70 $362.70 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $362.70 $362.70 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ' ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, S+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 4/22/16 PAID BY, METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $181.35 $181.35 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $181.35 $181.35 4/22/16 PAID BY METHOD RECEIPT # CHECK #, CLTD BY DISCOVERY BUILDERS CHECK R14915 2695 RSE `DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT = QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 4/22/16 PAID BY 'METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC .101-0000-42600 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # 'CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for PLUMBING FEES: $1,252.49 $1,252.49 - DESCRIPTION ACCOUNT QTY -AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $77.47 $77.47 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $77.47 $77.47 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1;837.44 Description: DISCOVERY CORPORATION CALIFORNIA NEW SINGLE FAMILY DWELLING Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 8/6/2015 PJU FAMILY DETACHED Approved: 11/16/2015 J10 Parcel No: 767700018 Site Address: 53525 HUMBOLDT BLVD LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 66 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $699,404.80 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: NEW SFD THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ PIT OR WATER FEATURE.THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. ADDITIONAL SITES Applied to Approved Printed: Friday, April 22, 2016 10:59:48 AM 1 of 6 C .,. SYSTr: AAS CHRONOLOGY �� �� CHRO.NOLOGYT�1(PG.,.. � � � �,.�:�� ��,..'STAFFNA'fvfl �,�,�� _,����... ACiItl��ryaTE� CO... _._..... LETION 6A MP DATE _.... . NOTES NOTE JIM JOHNSON 11/5/2015 11/16/2015 ESGIL TRANSMITTAL RECEIVED (APPROVED) VIA EMAIL, PLANS CURRENTLY IN ROUTE. ALL THIS INFO WAS ADDED ON 8/7 BUT ON MONDAY, 8/10 NOTE KAY HENSEL 8/7/2015 8/7/2015 NOTHING WAS THERE. ALL RE -ADDED ON 8/10 PLAN CHECK COMMENTS FROM CONSULTANT JIM JOHNSON 11/16/2015 11/13/2015, RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT PHILIP JUAREZ 8/21/2015 8/21/2015 PLANS NEED CORRECTIONS PER ESGIL RECEIVED PLAN CHECK SENT TO KAY HENSEL 8/7/2015 8/7/2015 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE GUMPERT 11/4/2015 11/4/2015 OUTSIDE PC Printed: Friday, April 22, 2016 10:59:48 AM 1 of 6 C .,. SYSTr: AAS PLAN CHECK SUBMITTAL FINANCIAL PHILIP JUAREZ 8/6/2015 INFORMATION 8/6/2015 RECEIVED . CLTD DESC DESCRIPTION A. ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD •PAID BY RESUBMITTAL STEPHANIE GUMPERT 11/4/2015 $989.84 $989.84 11/4/2015 CHECK DISCOVERY BUILDERS RSE RESIDENTIAL TELEPHONE CALL JIM JOHNSON 8/26/2015 Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 8/26/2015 CALLED.GORDON STEIN TO INFORM HIM PLANS ARE READY , BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 1 R14975 2695 FOR CORRECTIONS. I DISCOVERY BUILDERS I RSE Total Paid for BUILDING STANDARDS ADMINISTRATION• $24.00 $24.00 BSA: CALLED GORDON STEIN TO INFORM HIM PLANS ARE APPROVED PENDING HIS SIFNATURE, SCHOOL FEES, GRANT TELEPHONE CALL JIM JOHNSON 11/16/2015 11/16/2015 DEED PLANS SIGNED AND GRANT DEED RECIEVED CONDITIONS CONDITION DATE DATE DATE CONTACT TYPE ADDED REQUIRED SATISFIED STATUS REMARKS NOTES READY TO ISSUE JIM JOHNSON 11/5/2015 9/5/2015 4/22/2016 COMPLETE CHECKLIST CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT. GORDON STEIN 51053 SORREL COURT INDIO CA 92201 CONTRACTOR DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com OWNER LEONARD TWETEN 217 PALM RIDGE PALM DESERT CA 0 Printed: Friday, April 22, 2016 10:59:48 AM 2 of 6 I:%V SYS TEti1S FINANCIAL INFORMATION . CLTD DESC DESCRIPTION A. ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD •PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $989.84 $989.84 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE RESIDENTIAL Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 $989.84 BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 1 R14975 2695 CHECK I DISCOVERY BUILDERS I RSE Total Paid for BUILDING STANDARDS ADMINISTRATION• $24.00 $24.00 BSA: Printed: Friday, April 22, 2016 10:59:48 AM 2 of 6 I:%V SYS TEti1S Printed: Friday, April 22, 2016 10:59:48 AM 3 of 6 srsr(M5 CL TD DESCRIPTION ACCOUNT-:: CITY AMOUNT PAID' PAID DATE RECEIPT# CHECK# METHOD PAID BY BY DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF.- COMMUNITY 254-0000-43200 0 $129.00 $129.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF - PARK 256-0000-43200 0 $40.00 $40.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00. $2,048.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF -STREET 255-0000-43200 0 $116.00 $116.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for DIF -.SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 - TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE TEMP POWER SERVICE 101-0000-42403 0 $16.92 $16.92 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PC Total Paid for ELECTRICAL: $41.09. $41.09 RESIDENTIAL, 101-0000-42403 0 $110.97 $110.97 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ADDITION 1,000O5S E RESIDENTIAL, EA 101-0000-42600 0 $45.72 $45.72 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 .0 $145.03 $145.03 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 4/22/16 R14975 2695 CHECK [DISCOVERY BUILDERS RSE 1,000SF; PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $349.58. $349.58 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0. $36.26 $36.26 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE HOME LOT >7KSF Printed: Friday, April 22, 2016 10:59:48 AM 3 of 6 srsr(M5 Printed: Friday, April 22, 2016 10:59:48 AM 4 of 6 sysrcnts CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD _ PAID BY BY RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $181.29 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE HOME LOT >7KSF PC Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 • $181.30 $181.30 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE SOR CONDENSER/COMPRES 101-0000-42600 0 $120.85 $120.85 4/22/16 1114975 2695 CHECK DISCOVERY BUILDERS RSE SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 4/22/16 R1497S 2695 CHECK DISCOVERY BUILDERS RSE EXHAUST HOOD PC 101-0000-42600 0• $4.83 $4.83 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FURNACE 101-0000-42402 0 $181.30 $181.30 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FURNACE PC 101-0000-42600 0 $120.85 $120.85 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE VENT FAN 101-0000-42402 0 •$132.99 $132.99 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for MECHANICAL: $807.34 $807.34 NEW CONSTRUCTION 101-0000-42400 0 $803.33 $803.33 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $803.33 $803.33 NEW CONSTRUCTION 101-0000-42600 0 $539.64 $539.64 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $1,200.00 $1,200.00 8/6/15 R8271 5576 CHECK DESIGN MIND STUDIO PJU PLAN CHECK . Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,739.64 $1,739.64 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Printed: Friday, April 22, 2016 10:59:48 AM 4 of 6 sysrcnts INSPECTIONS PARENT PROJECTS Printed: Friday, April 22, 2016 10:59:48 AM 5 of 6 - syszrMS y CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID' PAID DATE RECEIPT # CHECK # METHOD PAID BY BY .,. BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FIXTURE/TRAP 101-0000-42401 0 $362.70 $362.70 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FIXTURE/TRAP PC 101-0000-42600 0 $362.70 $362.70 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE OUTLETS PC ROOF DRAIN 101-0000-42401 0. $181.35 $181.35 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ROOF DRAIN PC 101-0000-42600 0 $181.35 $181.35 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE WATER HEATER/VENT 101-0000-42600 0 $14.50 $14.50 4/22/16 R14975 .269S+ CHECK DISCOVERY BUILDERS RSE PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE INST/ALT/REP PC Total Paid for PLUMBING FEES: $1,252.49 $1,252.49 SMI -RESIDENTIAL 101-0000-20308 0 $77.47 1 $77.47 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $77.47 $77.47 SINGLE FAMILY 224-0000-20320 0. $1,837.44 $1,837.44 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:i'' INSPECTIONS PARENT PROJECTS Printed: Friday, April 22, 2016 10:59:48 AM 5 of 6 - syszrMS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS - REMARKS NOTES SUBDIR ETRAKIT ENABLED Attachment Type DATE OWNER ATTACHMENTS DESCRIPTION PATHNAME NON-STRUCTURAL - JIM JOHNSON 8/6/2015 8/27/2015 8/26/2015 REVISIONS REQUIRED DOC 3 WK AJ ORTEGA 1ST REVIEW ESGIL FEE REVIEW ESGIL FEE 0 STRUCTURAL - 2 WK KURT CULVER 8/6/2015 8/27/2015 8/19/2015 REVISIONS REQUIRED STRUC P/C ONLY - YOUNG DID THE CALCS . 1ST PW GREEN AMY YU 9/21/2015 9/28/2015 9/22/2015 READY FOR APPROVAL AJ ORTEGA STRUCTURAL SHEET 1 CORRECTIONS CORRECTIONS.pdf 2ND BLDG NS (2 JIM JOHNSON 11/4/2015 11/19/2015 11/5/2015 APPROVED WK) BRES2015-0302 -2ND 2ND BLDG STR (2 KURT CULVER 11/4/2015 11/19/2015 11/10/2015 READY FOR APPROVAL 0 WK) TRANSMITTAL APPROVAL.pdf Printed: Friday, April 22, 2016 10:59:48 AM 6 of 6 SYSTEMS BOND INFORMATION SUBDIR ETRAKIT ENABLED Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME BRES2015-0302 - 1ST DOC 8/25/2015 AJ ORTEGA 1ST REVIEW ESGIL FEE REVIEW ESGIL FEE 0 SHEET SHEET.pdf 1ST REVIEW BRES2015-0302 - 1ST DOC 8/25/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 1 CORRECTIONS CORRECTIONS.pdf 2ND REVIEW BRES2015-0302 -2ND DOC 11/10/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 TRANSMITTAL APPROVAL.pdf (APPROVED) DOC 11/5/2015 JIM JOHNSON SCHOOL FEES BRES2015- SCHOOL FEES BRES2015- 0 0302.pdf 0302.pdf DOC 4/22/2016 RAMSES SEVILLA HUMBOLT SCHOOL HUMBOLT SCHOOL 1 FEE.pdf FEE.pdf DOC 4/22/2016 RAMSES SEVILLA HUMBOLT DEED.pdf HUMBOLT DEED.pdf 1 DOC 9/23/2015 STEPHANIE KHATAMI PM10 APPROVAL 09-22- PM10 APPROVAL 09-22- 0 15.pdf 15.pdf Printed: Friday, April 22, 2016 10:59:48 AM 6 of 6 SYSTEMS