13-1483 (SPIN)4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/21/13
Application Number: 13-00001483 Owner:
Property Address: 53496 VIA PALACIO WELLS FARGO
APN: 772-560-058- - - 53496 VIA PALACIO
Application description: SPECIAL INSPECTION LA QUINTA, CA 92253 D
Property Zoning: LOW DENSITY RESIDENTIAL (760) 625-7796
Application valuation: 0 7
Contractor: NOV 21 2013
Applicant: Architect or Engineer: Owner
CITY OF lA QUINTA
r,�/�j FINANCE DEPT.
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.
License Class: License No.:
Date: Contractor:
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
MEMEREMesthereon-
and
pter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code) or
exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
r of the property, or my employees with wages as their sole compensation, wilt do thework, and
ructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
actors' 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 thereo d who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Lic se La .1.
am exempt under Sec. , B. .C. for is reaso09
" 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:
LQPERMIT
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.
1 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
1 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: 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 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 ap ' tion beco null and void if work is commenced
within 180 days from date of issu ce of s ch per it or cessation of work r 18 days will subject
permit to cancellation.
I certify that I have read this application a state that ab e i formatioia is corre . I ee to comply with all
city and county ordinances and state la elating to di § con truction, and here thorize representatives
o this county to ter upon the abov ntioned o n for ins action purpos
Dffie� Signature (App ca t or gent)'
Application Number . . . . . 13-00001483
Permit . . . SPECIAL INSPECTION
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 5/20/14
Qty Unit Charge Per
Extension
1.00 71.5000 EA MISC SPECIAL INSPECTION
71.50
----------------------------------------------------------------------------
Special Notes and Comments
SPECIAL INSPECTION FOR ELECTRICAL TO
TURN ON POWER. 2010 CALIFORNIA BUILDING
CODES.
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00 .
Grand Total 71.50 .00 .00
71.50
LQPERMIT
Bin #
Qty Of La Quin to
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P
/
Project Adoress: Owner's Name:�j(f e1 s
A. P. Numb--r: Addressl�� %
Legal Description: City, ST, Zip: , A / of o4 -7.22
Contractor:
�
�
Address: Project Description:
City, ST, Zig:
Telephone:41P-
:r::,.:,`c •,:`. >r ``s';: r
f
State Lic. # : City Lie. #:
Arch., Engr., Designer.
Address:
k) ItIVJ6-
City., ST, Zip: 7 ! 1'
......:•rtri!iCr:!iC:!:i:Ci},••ii'Cii'C:Ci iii:!nii:C:
::ii�'iiY:'::•%C:i:ii;i:iiiA i:Ciiii:yC:•:ii:!!yi:!<}•
Telephone: ::.,.:;!:.>!•;;::.::<.:.:.;:.v<.,;,.,:;!:•;:::.:>::
P;<:��:;<;:.;::;<,::>.•,«;;:;.;::<.;r�:;:. Construction Type: Occupancy:
State Lic. #:. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq. Ft.: #Stories: # Units:
Telephone #,o' Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submitta;
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structure: Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cal s.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subeontacbr List
Called Contact Person
Plumbing
. Grant Deec
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSEr
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning AEproval
Called Contact Person,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Dave Bienek
From: PAS Agent Portal <DO_NOT_REPLY@pasreo.com>
Sent: Wednesday, November 20, 2013 3:46 PM
To: Agent (Primary)
Subject: PAS New Task - Accept Property Assignment
PROPERTY ASSIGNMENT / INSTRUCTION LETTER
PLEASE READ ENTIRE LETTER CAREFULLY BEFORE ACCEPTING PROPERTY
ASSIGNMENT
Premiere Assets Services (PAS), is the servicer of the above referenced property. We would like to request your
services as the Listing Agent for this property. Please read this letter carefully and provide your acceptance and
understanding of these instructions/terms for this property by completing the "Accept Property Assignment Task" in
the Agent Portal within 1 day
(https://iagent.aspengrove.nE-t/Portal/DefauIt.aspx?SelectedTab=Premiere%2OAsset%2OServices). Once you have
provided acceptance of these terms, you will be given tasks to complete in the Agent Portal that correspond to the
general instructions in this let-er. Instructions for completing the individual tasks in the Agent Portal are included with
each task. For actions outside of tasks in the Agent Portal, please follow the guidelines listed below unless told
otherwise from the Asset Manager. Current PAS representatives assigned to the property are available under Property
Details in the Agent Portal. Arry questions regarding this letter should be directed to the Asset Manager.
Occupancy Determination Task must be completed within 1 day of accepting the assignment.
Any technical problems using the Agent Portal should be directed to PASTechSupport@wellsfargo.com.
Communication
All communication regarding information about this property, its occupants, previous mortgagors, and potential
buyers should be conducted through the Secure Messaging feature in the Agent Portal. Secure Messaging allows you
to send, record, and receive sensitive information that is not appropriate for transmission through unencrypted email.
Sending such information through unencrypted email is a violation of our corporate policy and may be cause for
termination of our agreement and/or legal action. Any questions regarding information security/privacy policies should
be directed to PASTechSupport@wellsfargo.com.
REO Instructions
Using the Agent Portal
Most work. related to marketing and maintenance of this property will be communicated through the use of workflow
tasks. in the Agent Portal. Other work may be required to be completed outside of tasks assigned in the Agent Portal.
Agent
Reference No.:
00725680338
Company:
Fathom Realty
Subject
Address:
City:
53496 VIA PALACIO
LA QUINTAl/
/-
(� (/'✓�
State, Zip:
CA, 92253
Premiere Assets Services (PAS), is the servicer of the above referenced property. We would like to request your
services as the Listing Agent for this property. Please read this letter carefully and provide your acceptance and
understanding of these instructions/terms for this property by completing the "Accept Property Assignment Task" in
the Agent Portal within 1 day
(https://iagent.aspengrove.nE-t/Portal/DefauIt.aspx?SelectedTab=Premiere%2OAsset%2OServices). Once you have
provided acceptance of these terms, you will be given tasks to complete in the Agent Portal that correspond to the
general instructions in this let-er. Instructions for completing the individual tasks in the Agent Portal are included with
each task. For actions outside of tasks in the Agent Portal, please follow the guidelines listed below unless told
otherwise from the Asset Manager. Current PAS representatives assigned to the property are available under Property
Details in the Agent Portal. Arry questions regarding this letter should be directed to the Asset Manager.
Occupancy Determination Task must be completed within 1 day of accepting the assignment.
Any technical problems using the Agent Portal should be directed to PASTechSupport@wellsfargo.com.
Communication
All communication regarding information about this property, its occupants, previous mortgagors, and potential
buyers should be conducted through the Secure Messaging feature in the Agent Portal. Secure Messaging allows you
to send, record, and receive sensitive information that is not appropriate for transmission through unencrypted email.
Sending such information through unencrypted email is a violation of our corporate policy and may be cause for
termination of our agreement and/or legal action. Any questions regarding information security/privacy policies should
be directed to PASTechSupport@wellsfargo.com.
REO Instructions
Using the Agent Portal
Most work. related to marketing and maintenance of this property will be communicated through the use of workflow
tasks. in the Agent Portal. Other work may be required to be completed outside of tasks assigned in the Agent Portal.