06-0348 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,•"CALIFORNIA 92253
c&ht 4 stP4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00000348
Property Address: 53276 VIA PALACIO
APN: 772-550-0.48- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 436818
Applicant: Architect or Engineer:
Lica No.: OOR SQUARE FOOT
l 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 Code, and my License is in full force and effect.
Li gnnsse Class: B icense No.: 744091
rte' /4' _ Contra or:
i -• OWNER -BUILDER DEC L RATION_-' -
• I hereby affirm under penalty of perjury that I amexempt from the Contra`tor'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.).
(_) 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 I am exempt under Sec. , BAP.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 Name:
Lender's Address: WA
LQPERDIIT
Owner:
AL & JUDY LAMPERTY
526 SAN PEDRO COVE
SAN RAFAEL, CA 94901
Contractor:
SUN VISTA DEVELOPMENT CORPORA
P.O. BOX 1144
LA QUINTA, CA�92247
(760)771-4722 ,
Lic. No.: 744091
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/04/06
q'
4 2006 �
"-.,A QUINTA
------------------
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 work.for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1705482 '
_ 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 agreethat, if I should become subject to the workers'. compensation provisions of Section
3700 of the.Labor Code I sh 11 f 1 ith compl with those provisions.
r ate:. P/''Y Applicant:
WARNING:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER EIS 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 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 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 suchpermit, 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 .nd county ordinances and state laws relating to building construction, and hereby authorize representatives
of is county to enter u on the above-mentioned prope y fo 'ns tion purpose
Dat ��! _"Signature (Applicant or Age _4
Application Number
06-00000348
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1819.00
Plan Check Fee
1182.35
Issue Date
Valuation . .
436818
Expiration Date
10/31/06
Qty Unit Charge
Per
Extension -
BASE
FEE
639.50
337.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
1179.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc.
Permit Fee . . .
227.21
Plan Check Fee
56.80
"Issue Date . . . .,
Valuation . .
0
Expiration Date
10/31/06
Qty Unit Charge
Per
Extension
.BASE
FEE
15.00
'5055.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
176.93
" 1014.00 0200
ELEC
GARAGE OR NON-RESIDENTIAL
20.28
1. 00'. .15.0000
----------------------------------------------------------------------------
EA ELEC
TEMPORARY•POWER POLE
15.00
Permit ... .
GRADING PERMIT
Additional desc .
Permit Fee
15:00
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date ..
10/31/06
Qty Unit Charge
Per.
Extension
BASE•FEE'
15.00
Permit . . . . . .
MECHANICAL
Additional desc .
Permit Fee
187.00
Plan Check Fee,.
46.75.
Issue Date
Valuation
0
Expiration Date
10/31/06
Qty .Unit Charge
Per
Extension
BASE
FEE
15.00
5.00 .9.0000
EA MECH
FURNACE <=100K
45.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
4.00- 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
66.00
7.00 6.5000
EA MECH
VENT FAN
45.50
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50
LQPERDIIT
-
�. •ter
Application Number . . . . . 06-00000348
----------------------------------------------------------------------------
Permit PLUMBING ,
Additional desc .
Permit Fee . . . . 228.75 Plan Check Fee 57.19
Issue Date *. Valuation 0
Expiration Date 10/31/06
Qty Unit Charge Per Extension
BASE FEE 15.00
24.00 6".0000 EA PLB FIXTURE 144.00
1.00 15.0000 EA PLB BUILDING SEWER 15.00
2.00 7.5000 EA' PLB WATER HEATER/VENT 15.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00
17.00 .7500 EA PLB GAS PIPE >=5 12.75
1.00 15.0000 EA PLB GAS•METER 15:00
a - Special Notes and Comments -
' SFD 5055 SQ FT. PERMIT DOES NOT INCLUDE 1
BLOCK WALLS, POOL/SPA OR DRIVEWAY '
APPROACH. `
---- -------
----.------�---------------------------
---- Other Fees, ART IN PUBLIC PLACES -RES 592.04
DIF COMMUNITY CENTERS -RES 74.00
DIF CIVIC CENTER - RES 480.00
ENERGY REVIEW FEE 118.24 '
DIF FIRE,PROTECTION-RES 140.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 355.00
DIF PARK"MAINT FAC RES 22.00 `
DIF PARKS/REC = RES 1. 1 1892.00
STRONG MOTION.(SMI) - RES` 143.68
DIF STREET MAINT FAC -RES` 67.00 `
' DIF TRANSPORTATION RES 1666.00
Y
'Fee summary Charged Paid Credited Due'
- ------- ---------- ----------
Permit Fee Total 2476.96 .00 .00 2476.96•
Plan Check Total 1343.09 500.00 ..00 843.09
' Other Fee Total 4449.96 00 00 4449.96
Grand,Total 8270.01 500.00 .00 7770.01
LQPERMIT
Coachella Valley Unified School District
This Box For district use only
83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398-5909 Fax (760) 398-1224
Y
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:'
MITIGATION AMOUNT:
COMWIND. AMOUNT:
DATE:.
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Mrs&'Mrs A31 Camped ` Date: April 7, 2006
Owner's Name: Mr. &.Mrs. Al Lamperti Phone No. (760) 275-9734
Project Address: 53-276 Via Palacio
a Project Description: 1 Single Family Dwelling
APN: 772-550-048 Tract #: - Lot #'s:
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Building Area: 5,055 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 of the owner/developer.
Dated: 04/07/06 Signature:
****************.******************************f************************
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
Number of Sq.Ft. 5,055 sq: ft.
Amount per Sq:Ft. $ 2.88
Amount Collected $ 14,558.40
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst..Supt., Business Services
Certificate issued by: Leticia C. Torres, Facilities Analyst
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. 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.
1.; f:�:511�°ticnc dcvtwes cereilictlte c f compliance lbirn tabh:s:CO t.1SE.doc 1/16/03 T
03022/2006 12:26 4154601865 LAMPERTI ASSOCIATES PAGE 02
F. RWIT "A"
Le scription
Famol No. -1:
Lot 239 (the "Lot') of Tract No. 29894-2 as shown on a Subdivision Map (the "Map") recorded
on October 1, 2001, in Book 309, Pages 18 to 50, inclusive, of Maps, in the Office of the
Riverside County Recorder.
EXCEPTING THEREFROM TO GRANTOR, and its successors and assigns, interest in
all water, minerals, oil, gas, petroleum, other hydrocarbon substances and all geothermal energy
sources in or under said land or which may be produced from said land.
FURTHER EXCEPTING AND RESERVING THEREFROM TO GRANTOR, send its
successors and assigns, together with the right to grant and transfer all or a portion of the same,
all easements and rights for access, ingress, egress, encroachment, maintenance,. drainage:,
support, and for other purposes over the Association Maintenance Areas and other portion of the
Lot, reserved to Grantor in the following instruments:
1. Tlae Declaration of Covenants, Conditions and Restrictions and Reservation of
Easements for the Country Club of the Desert Owners Association, Riverside County, California
• • as amended or restated. (the "Deciaeation") recorded on December 3.1', 2001, as Jnstrumcnt No.
652762, of Official Records of Riverside County, California (the "Official Records");
FURTHER RESERVING THEREFROM; the right to enter the Lot for term cf twelve
(12) months following the recordation of this Grant Deed, to complete and repair any
improvements or landscaping located thereon as detennined necessary by Grantor, in its sole
discretion, in order to comply with requirements for the recordation of the Final. Tract Map, the
grading of said Tract and/or in compliance with the requirements of applicable governs Wntal.
.� agencies. Such,entry by Grantor shall be preceded by reasonable notice to Grantee before such
entry. If this reservation of right of entry is not complied with. by Grantee, Grantor may enforce
this right of entry in a court of law. Grantee shall be responsible for all damages arising; out of
said breach including attorneys' fees and court costs. This reservation of right of entry shall
automatically- expire twelve (12) months from the recordation of this Chant Deed.
Parcel No. 2:
Nonexclusive easert ents for access, ingress, egress, drainage; maintenance, repairs and
for other purposes, all as described in. the Declaration.
SUBJECT TO:
1. Nondelinquent general, special and supplemental real property taxes and.
assessments.
03/22/2006 12:26 4154601865
LAMPERTI ASSOCIATES
PAGE 03
2. All other covenants, conditions. restrictions, reservations, easements, rights and
rights-of-way of record including, without limitation, the Declaration and the Map for Tit No.
29894-2.
Grantee, by acceptance and recordation of this Grant Deed, hereby (a) accepts and
approves all of the foregoing in this Grant Deed, (b) grants to Grantor and the Country Club of
the Desert Owners Association such powers and rights as, am set forth in the Declaration and (e)
accepts, covenant and agrees to be bound by and assume performance of all of the appli.Cable
provisions and requirments set forth in the Declaration, including Section 13.15 establkhing the
procedure for resolving disputes with Grantor, and the notice, which provisions and regtdrements
are acknowledged to be reasonable and incorporated hum by this reference thereto. 'lids grant
is conditioned upon the performance of such provisions and requirements as are to be ptxformed
by Grantee under the Declaration. ` The restrictions on use and- occupancy of the Lot are ;yet forth
in the Declaration to which this Grant Deed is specifically and expressly made subject.
GRANTEE HEREBY ACCEPTS AND APPROVES THE FOREGOING, grari ing unto
Grantor and the Country Club of the Desert Owners Association such powers and rights which
am set forth in the Declaration defined above, on September 6, 2002. .
ALBERT C. L R MI E.LAAAVERV
STATE OF California )
COUNTY OF Marin )
On -September 6 2003 2o02, before me, the undersigned, a notary public in and for said State,
personally appeared
Albert C. Lam erti and Judith 1r. Lam erti _
personally known to Mme (or proved to me on the basis of satisfactory evidence) to be the:
persons) whose name(s) is/me subscribed to the within instnmment and acimowledged to me that
he/she ltim executed the same in his/her/their authorized capacity0es), and that by hisAAM/their
signatures) 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 SEAL. r S, DARRINGTON � >
COMM. #1305402 D
' NOTARY PUBLIC -CA -1
0. '
MA COUNI"" 0
Signature [SEAL) Q Mr canm. Expll9� dunCAs
S. Darrington
0q.1112WE082 98: AGA
03.22/2006 12:26. 4154601865 rLAMPERTI ASSOCIATES PAGE 04
sy
>�T AME'10CN`: TRLE COII�ANy '
p�pwlNplto�nRn�srtZ DOC a 20®2--52AS 52
_ 09/20/2002 08:e8A F40:86.00
RecPageorded
of 4 Dae T Tax Paid
Raeordad in Official Raeerda
WIZEN RECORDED MAIL TO: cownGaryfL. OOr9aoid.
paawyer, County Clerk ! Recorder
Albert and Judith La»tperti
526 San Pedro Cove 11111111111111111
SanRafael,CA 94901 Illlllll1111111I
11111111111111
. 1111111
1
MAIL TAX'STATEMENT TO:
Same as above
��-�7567 n►�6c�
M
S
U
PACE
NOCOA WMIse.
A, �•
a
L
Copy I LONG REFUND NCMO EWA
DOCUMENT TRANSFER TAX $ 435.60 .
X Computed on the consideration or value of property eorveyed; OR
Computed on the considefmdoin or value less liens or encumbrances .
remaining at the time of sale. jl
Signature of ]Declarant or Agent determining tax - Firm Name
GRANT DEER
~ `
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 ALBERT C. LAMPERTI AND JUDrM E. LAMPERn, husband and w:lfe as
community property ("Grantee"), the real property located in the City of La Quinta, County of
Riverside, State of California, described as: '
See Legal Description attached hereto and incorporated herein as Exhibit "A".
SUBJECT TO all matters of record including, without limitation, the covenants and
agreements described in Exhibit "A" attached hereto:
Dated: September 6. 2002 .` ND LAQUINTA PARTNER5, LI,12,
a Delaware .limited liability company
By:,. Nationwide Realty Investor., Ltd:,
• an Ohio limited liability co:oipany
its man g mber
BY: �—
Name:
Title:
1-L.A/027969.1 1
t
031'22/2006 12:26 4154601865 LAMPERTI ASSOCIATES PAGE 05
STATE OF )
COUNTY.OF )
On QJ AfsK ?Ld" 1 , 2002, before me, the undersigned, a notary public in and
tate rsonall appeared lei&K J - E ' personally known to me (or
for said S , re y rr � .
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/she/they executed ti►e same
in his/her/their authorized capacity(ies), and that by his/her/their signature(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 OMCIAL SEAJ-.
�lq�ri0l�p6!�AbIOI'O '
LIE! /IIbfCIAydLNN
Signature gE
AL] - No" PtaK ssde dm
ESI/FM.E,Inc.
STRUCTURAL ENGINEERS
Sheet 8 C F
Date 09-15-06
JN. 1005-5365
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JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
EPDXY INSPECTION REPORT
Date—as—fj(.
Project Name: Project No:
IrR I �' .n . A r% el A 1�'%
Project Address: {) City:
{ C-)
❑X IBC
E] Title 24
Other:
Client: v Sub -Contractor: I
General Contractor:
+((l� Architect: Structural Eng•-giineer:�--
® Anchor Bolts ❑ Rebar
Epoxy Type: n� �Sn (1(a �^► r> 1 w •�, lor7. ,
Epoxy Shelf Life: c.\_0\_10 lt 'V_ Qc.��]
I
Hole Cleaning Method(s):%j „� (� „ %/ „� r� , (),c , ,� „ ' ,\� , „ �, .
Weather:
Unr olvems:
® None
❑ See Below
Description of Work Inspected:0. �'" 0, A
h�.
�!!!, ti. .., A`. rl1C 1F n C1 !"� -^1. n ��veyA ,. •.. R�. n .+"1.,1 , l\��...-nom n f! �"� Q
__ 1 �n `yam /�^��
Its n _ A�+�
,�1 n k+� 1l- A•�Sl. ,' V l R, F��/1 lC� T' n � 1 SR •,A, A ' \ � .-. � \ ti/v '�.t` l.� .,. .. _ . � .� ` . V
v. � u� ...
.� il,1�l1 .f, �AI'� �=o� 1 .+.�, MFR `\ 1 n\D\A �^ �fG'• 41e. 1
Work complies with written approval from Structural Engineer and ICBO Evaluation Report #
o
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Millin ICC Certific�ati�jon No:0842216�9
Inspector: Jack C. rt
� � , (- J - � \'. .1
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of