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04-5998 (SFD)DEPARTMENT BUILDING & SAFETY w4 P.O. Box 1504 (760) 777-7012 'oF - '9�S�CALLE TAMPICO FAX (760) 777-7011 � L-Q'pplhv`TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 i DEC 14 ZQQ$^. ,. _ , BUILDING PERMIT. ZG72, NETTL mber G04 0000-5958--- ~'� Date 12/08/04 Property Address 8008.0 -VIA PESSARO APN: 772-550.-022- - Application description.. DWELLING— SINGLE FAMILY DETACHED Property Zoning .LOW DENSITY RESIDENTIAL ..Application valuation 357188 Owner Contractor ------------------------ ANDREW PIERCE CORPORATION PIERCE CORPORATION, ANDREW P 0 BOX.3420 P.O BOX 3420 PALM DESERT CA 92261 PALM DESERT CA 92261 (760) 346-3228 WCC: STATE FUND WC: 0460014314 06/01/05 CSLB 671203 05/31/05 CCC: B -------------------------- Structure Information -------=----------------- Construction Type ... . . . TYPE V - NONRATED* Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone . . NON --AO FLOOD ZONE Other.struct info CODE EDITION 2001 # BEDROOMS. 4.00 FIRE SPRINKLERS NO GARAGE -SQ FTG 785.00 PATIO SQ FTG 694.00 NUMBER OF UNITS 1.00 1ST FLOOR :SQUARE FOOTAGE 3435.00 2ND FLOOR SQUARE,FOOTAGE 681.00 Permit . . . . BUILDING PERMIT Additional desc Permit Fee . : . 1542.50. Plan Check Fee 1002:63 Issue Date Valuation 357188 Expiration Date 6/08/05 -.Qty Unit Charge Per Extension BASE -FEE 639.50 258.00 3.5000 THOU BLDG 100,001-500,000 903,.00 ----------------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee •188.64 Plan Check .Fee 4.16 Issue Date Valuation. 0 Expiration Date 6/08/05 Qty Unit Charge Per Extension BASE' FEE i 15. 00 o:- r , P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Archit ct or Engineer: Architect or Engineer's Address: 20341 Irvine -Qy e 1 zo Sa^Nd Arc, . ;+ BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and myLicense is . full force and effect. License ClassLicense No. �� 1 Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty o rj that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires rmit 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 ,censed our to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. M orkers' om ensation insurance carrier and ppolicy numbqq�� ((e: Carrier CXa-� y r- �r p Policy Number OLl 9 n h 1 %K A _ 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 provis' ns 07 Date 14)A Applicant WARNING: FAILURE TO SECU W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED 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. 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 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 Ouinta, its officers, agents and employeesfor any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to a er upo above-mentioned property for inspection purposes. Date Signature (Applicant or Agent Page 2 Application 'Number .04-00005998 Date 12/08/04 Qty Unit.Charge Per Extension 4116.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 144.06 1479..00 .0.200 `ELEC GARAGE OR NON-RESIDENTIAL 29.58 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee.. 00 Issue Date Valuation . . . . .0 Expiration Date 6/08/05 Qty Unit- Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL Additional desc Permit Fee 132.50 Plan Check Fee 33..13 Issue.Date Valuation 0 Expiration Date.: 6/0.8/05 Qty Unit Charge Per Extension - BASE FEE' 15.00 4.00- 9.0000 EA MECH FURNACE <=100K 36.00, 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00.; 6:00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc Permit.Fee: .223.50 Plat Check Fee 55:88 Issue Date Valuation 0, Expiration Date.. 6/08/05 Qty Unit Charge Per Extension BASE. FEE 15.00 .22.00:, 6.0000 EA PLB FIXTURE 132.00 1.00 15..0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB-ROOF.DRAIN 18.00 1.00 7.5000 EA PLB WATER:HEATER/VENT 7:50 1.,00 3.0000 EA PLB WATER INST/ALT'/REP 3.00, 1.00 9.0000 EA PLB LAWN'SPRINKLER SYSTEM -9.00 12:00. .7500 EA PLB-.GAS PIPE >=5 9.00 1.00 15.0000 EA PLB GAS METER` h 15.00 Special Notes and Comments CUSTOM SFD-- 4116 SQ.FT. LIVING. MUP FOR s Page• 3 . Applicat.i•on'Number 04-00005998 Date 12/08/04 Special Notes"and Comments GUEST SUITE..'.R=3 OCCUPANCY, TYPE V -.N CONSTRUCTION. 2001 CODES. Other Fees ART*IN,PUBLIC PLACES -,RES 392.97_ DIF COMMUNITY CENTERS -RES 97.00 DIF 'CIVIC. CENTER - RES-' 366.00 -ENERGY REVIEW .FEE 100.26 DIF FIRE -PROTECTION -RES 97.00 DIF.LIBRARIES - RES 225.QO DIF PARK.-MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG.MOTION (SMI) -`RES 35.71 DIF "STREET MAINT.FAC-RES 15.00 DIF"TRANSPORTATION - RES 1098.0.0 Fee summary Charged Paid— Credited Due- Permit Fee Total 2102.14 .00 .00 2102.14 Plan Check Total 1138.80 500.00 .00 638.80 Other Fee Total 2933.94, .00 '.00 2933.94 Grand Total 6174.88 500.00 .00` 5674:88 ,.-.•-�---zF.._ .,�,,.,,.._.__>w-. t..�:...,�^rr-=:tw�c"v"'�"`t: r-.w.-r'�., :.,�.�,� .d-.,,,....,r,.,.,,v 4C...{.:_-►��'.s:x,.-��l..s+",,�'f'«-..� 6 I P.O. BOX 1504 APPLICATION ONLY Building78-495 CALLE TAMPICO Address U �l(� �'FCy<�U LA QUINTA, CALIFORNIA 92253 4 t�vr o !" rre7f CGS 4'� 1'�TiatJ Mailing Address �'G: r3,c X :AZO City I Zip Tel. r<I.NI t�?I'Clr_rr Contractor Address laty Lip l el. State Lic. City & Classif. ,'IJ 'j 1I .0 Lic. #,t,P Arch., Engr., Designer Address Tel. �G371 II��It�f �v�., �'t:lk�' 1.'14 7tA•�t3d-��,�N City Zip State ri•,�to dt+J� Ocv-11¢5 1 LiM7 Lic:# ,;d IFILC ILC LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I-]. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) "1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sac. 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.) 17 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1hereby affirm that 1 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 n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work -for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., U, after making this Certificate or Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you .must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip _ LDING: TYPE'CONST.''77 OCC. GRP. Number ��` .�GX)-G�Z' ` t 1 I al Description G } 2G� "�'•bC i NG. G%L G �( ject Description Sq. Ft. (� No. No. Dw. I Size Stories Units New'W Add ❑ Alter O Repair ❑ Demolition ❑ AUG :Stimated Valuation kt PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION in cs _ r 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- RFr.F.IPT, - rHF.CK 8- INITIAI- CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Resldenc "gggg Hideaway Date: December 14, 2004 Owner's Name: Andrew Pierce Corporation Phone No. Project Address: 80-080 Via Pessaro La Quinta, CA Project Description:. 1 Sfd APN: 772-550-022 Tract #: Lot #'s: Type of Development: Residential XXi Commercial Total Square Feet of Building Area: 4,116 sq. ft. Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjuy and further represents that he/she is authorized to. sign on behalf of the owner/developer. Dated: December 14, 2004 Signature: SCHOOL DISTRICT'S REQUIREMENTS'FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: . Number of Sq.Ft. 4,116 Amount per Sq.Ft. $ 2.68 Amount Collected $ 11,030.88 Building Permit Application Completed: Yes/No By: . Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by 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 I 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. Ty:c:: mydocs dceleeS/certiiicatQ oCcomphimce.. I'?rm 4tblQ TO USti.dvc 1/16/03 T �9 dam' NAI, 11 `CO1V1!'ANY DOC 83 2003-506076 N DEPARTM ENT' 07/08/2003: 08:00A ,Fee:42.00 t Page 1 of 26 Doc T Tax Paid Recorded in'Offieial Records WHEN RECORDED MAIL TO: County of Riverside _ Gary L. Orso Assessor,.County Clerk &.Recorder Andrew Pierce Corporation Pallm Desert, Ca 92260 ' IIIIIIIIIIIIIIIIIIII II IIIIII VIII III�IL III VIII IIII IIII MAIL TAX STATEMENT TO: SAME AS ABOVE DOCUMENT TRANSFER TAX $ 386.10 Xe X Computed on the consideration:or value of property conveyd; OR Computed on the consideration or value less liens or encumbrances remaining at the time of sale. SF S Signature of Declarant or Agent determining tax = Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S)to Andrew Pierce Corporation, a California Corporation ("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: May 8, 2003 ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd. an Ohio limited liability co its managing ber By Joseph L. Arenson Authorized Representative M $ - U PAGE SIZE DA PCOR NOCOR SMF MISC. A R L COPY •. LONG REFUND NCHG EXAM DOCUMENT TRANSFER TAX $ 386.10 Xe X Computed on the consideration:or value of property conveyd; OR Computed on the consideration or value less liens or encumbrances remaining at the time of sale. SF S Signature of Declarant or Agent determining tax = Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S)to Andrew Pierce Corporation, a California Corporation ("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: May 8, 2003 ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd. an Ohio limited liability co its managing ber By Joseph L. Arenson Authorized Representative M $ - U PAGE SIZE DA PCOR NOCOR SMF MISC. A t STATE OF California ) ss. COUNTY OF Riverside. ) On 2003, before me, the undersigned, a notary public in and for said State,;personally appeared Joseph L. Arenson personally known to me `(or proved to me• on the basis of satisfactory evidence) to be the person(s) whose name(syis subscribed to the within instrument and acknowledged to me that he executed the'same in his authorized capacity(ies), and that by his signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS MY OFFICI SE ' Signature CATHERINE A. HAMMON,'; Cmrriwon # 1258348Z $ \A r Notoy PUWC — Ca_fffan;u wvemwa CMM*y MW Com. 15, 2004 3 EXHIIBT "A" Legal Description Parcel No. 1: Lot 208 .(the "Lot") of Amended Tract No. 29894-2 as shown on Subdivision Map (the "Map") recorded on December 12, 2002, in Book 327, Pages 56 to 88, inclusive, of Maps, in the Office of the Riverside County Recorder. EXCEPTING AND RESERVING THEREFROM TO GRANTOR, and its successors, assigns, invitees, licensees and employees, 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. The Amended and Restated Declaration of Covenants, Conditions and Restrictions and Reservation of Easements for The Hideaway Owners Association (as, amended or supplemented, the "Declaration"), recorded on December 13, 2002, as Instrument. No. 2002- 745939, of Official Records of Riverside County, California (the "Official Records"); 2.. The Supplementary Declaration of Annexation of Property, recorded on March 21, 2003, as Instrument No. 2003-201647, of Official Records of Riverside Country, California. FURTHER RESERVING THEREFROM, the right to enter the Lot for a term of twelve (12) months following -the recordation of this Grant Deed, to complete'and repair any improvements or landscaping located thereon as determined necessary by Grantor, in its sole discretion, in order to complywith requirements for the recordation of the Final Tract Map, the grading of said Tract and/or in compliance with the requirements of applicable governmental 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 Grant Deed. FURTHER RESERVING THEREFROM, an easement for landscaping purposes' over the Westerly 11.5' feet, thereof. Parcel No. 2: Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Declaration. 8�0 3 o,n ,o SUBJECT TO: , 1. Non delinquent general, special and supplemental real property taxes and assessments. 2. All other covenants, conditions, restrictions, reservations, easements, rights and rights-of-way of record including, without imitation, the Declaration and the Map for Tract 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 Hideaway Owners Association such powers and rights as are set forth in the Declaration, and (c) accepts, covenants and agrees to be bound by and assume performance of all of the applicable provisions, and requirements set forth in the Declaration, including Section 13.15 establishing the procedure for resolving disputes with Grantor, and the notice, which provisions and requirements are j acknowledged to be reasonable and incorporated herein by this reference thereto. This'grant is conditioned upon the performance of such provisions and requirements as are.to be performed by Grantee under the Declaration. The restrictions on use and occupancy,of the Lot are set forth in the. Declaration to which this Grant Deed is specifically and expressly made subject. GRANTEE HEREBY ACCEPTS AND APPROVES THE FOREGOING, granting unto Grantor and The Hideaway Ownerrsssociation such powers and rights which are set forth in the Declaration defined above, on �� 2, ,'2003.' Andrew, Pi e rporation " s By: 1 �ieTP�fM.� STATE O ss. COUNTY OF ) ` On , 2003,b f ,the undersigned, a notary public in and for said Slate, personally appeared ' 2 ,personally knownt� me asis o to bet e persorw/whose namV.A subscribed to the within instrument and acknowledged to me that they executed.the same in their authorized capacities, and that by their signature on the instrument the person , or the entity upon behalf of.which the persons acted, executed the instrument. WI SS MY H OFFICIAL SEAL: ' 7 BECKY R. FERGUSON E� Commission # 1339215 iotary'Public - California Z D ignature Riverside coNunty @MY Comm. Expires Jan 12, 200& I I0�111 I�I�II �II�II ��I 111190 IMI 0,/ 08/2003 FieF,0A0 .. 111111111901911111111 S n£ F