06-0530 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
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BUILDING -& SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00000530
Property Address: 80111 VIA PESSARO
APN: 772-550-025- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:' 364306
Applicant: Architect or Engineer:
uIA
Lic. No.: OOR SQUARE FOOT
Owner:
CARY RANEY
18797 VISTA DE MONTANA
MURRIETA, CA 92.562
Contractor:
GOODNO CONSTRUCTION INC
35712 LINDA ROSEA ROAD
TEMECULA, CA 92592
(951)302-0266
Lic. No.: 558626
VOICE (760) 777-7012
FAX (760,) 777-7011
INSPECTIONS (760).777-7153 .
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:
LQPERMIT -
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.
1 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 co'uuntt tt�$ye/�nter upon the above-mentioned property for ins poses.
Date: -"f- Signatu a (Applicant or Ages/y����
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Cass• B License No.: 558626
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
S.
Date: .J lContract AQ F
issued.
/L 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
L j
NER-
O BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FLTND Policy Number 10100
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California, -
peimit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's'State ,
.and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall comp!ywith those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by----
- - r
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.:
Date: ,� Applicant •
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
- ---� --- J
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees; provided that -the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
-APPLICANT ACKNOWLEDGEMENT -
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - -
7044, Business and Professions Code: The Contractors' State LicenseLawdoes not apply to an owner of
conditions and restrictions set forth on this application.
- _ property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for -
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
LQPERMIT -
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.
1 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 co'uuntt tt�$ye/�nter upon the above-mentioned property for ins poses.
Date: -"f- Signatu a (Applicant or Ages/y����
Application Number .
. . . . 06-00000530
Permit
BUILDING PERMIT
Additional desc .
• Permit -Fee- .-..
1567.00
Plan Check Fee
1018.55
Issue Date . . . .
Valuation
364306
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
-
BASE
FEE
639.50
265.00' 3.5000
THOU BLDG
100,001-500,000
927.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
132.50
Plan Check Fee
33.13
Issue Date'
Valuation . . .
.0
Expiration Date
10%22/06
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 . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
192.01
Plan Check Fee
48.00
-Issue Date
Valuation . . . .
0
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4054.00 .0350
ELEC
NEW RES -..l OR 2 FAMILY
141.89
1006,.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
20.12
- 1.00 15.0000
----------------------------------------------------------------------------
EA ELEC
TEMPORARY POWER POLE
15.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
232.50
Plan Check Fee..
58.13
Issue Date
Valuation
0
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
24.00 6.0000,EA
PLB
FIXTURE
144.00
LQPERMIT
Application Number
06-0.0000530
Permit . . . .
PLUMBING
Qty Unit Charge
Per
Extension,
1.00 15.0000
EA PLB BUILDING SEWER
15.00
3.00 7.5000
EA PLB WATER HEATER/VENT
22.50
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
15.00
Permit . .,
GRADING PERMIT
Additional-desc .
Permit Fee . . .
15.00 Plan Check Fee
.00
Issue Date
Valuation
0
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
4054 SF. SFD PERMIT DOES NOT INCLUDE
BLOCK WALLS OR POOL/SPA
------------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
410.16
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
156.70
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.0.0
DIP PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
36.40
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
2139.01 .00 .00
2139.01
P1an.Check Total
1157.81 750.00 .00
407.81
Other Fee Total
4299.26 .00 .00
4299..26
Grand Total
7596.08 750.00 .00
6846.08
LQPERMIT
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Building
Address g0( I( VIS P�SS�r(ty
78-49
LAQUIN
Owner
New Add ❑
Alter ❑
'*' Ft
Mailing
Address /
City
Zip
Tel.
Rv(ZP_f
Contractor
6,OoDNQ
Gt�+L 5 ► •
r ��•
Address
:35-7) z
L POO t
Cid
( M�e-W -
Zip
C �
Tel.
9T0302 -D2
Y
Po. BOX 1504 APPLICATION ONLY
5 CALLE TAM ICO
TA, CALIFORNIA 92253
State Lic. City 66
& Classif. 8 .S's Lic. #
Arch., Engr.,
p
Designer i) -V L L 4,v
Address Tel.
/05 -I'D 06-)728-96
City Z' State
F4t-L-52t,r= �ZaZ g Lic. #
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 file 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, 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 im-
provement 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' 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 the work for which this Permit is issued, I shall not
am Joy any person in any manner so as to become subject to Workers' Compensation Laws of
California.
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 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
WHITE = BUILDING DEPARTMENT
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 77oe'5f0 2025
Legal Description
Project Description wa-V S I)/(••Lc
C+
Q'm
Irl - - 5 % / y
Sq. Ft. 41000
Size
No.
Stories
No. Dw.
Units
New Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Q .
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc:.
Infrastructurewry
/a
OF
01A)V
MY
i
t
f
%
r
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:
YELLOW = APPLICANT PINK = FINANCE
I 11L
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)
J
Project Name: C1aRaney(Resi@rHw�deaway:) Date: 05/01/06
Owner's Name: Carey Raney Phone No.. (951) 232-5594
Project Address: 80-111 Via Pessaro, La Quinta, CA
Project Description: 1 Single Family Dwelling
APN: 772-550-025 Tract #: . Lot #'s:
Type of Development: .Residential XIX Commercial Industrial
Total Square Feet of Building Area: 4,054 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: 05/01/06 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
r
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft. 4,054 sq. ft.
Amount per Sq.Ft. $ 2.63
Amount Collected $ . 10,662.02
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 Dis rrct 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.
!:;!':c:inrc!oc itEevicLs:c rt.iiicalc o1'o1nP!:iam;, Jbrrn tsi ies:!ta (.`Sl:i.tl c 1/16/03 T
f.
a.
RECORbING• REQUESTED BY:
New Century Title Company - Riverside Title
ORDER NO.: 2357216 '` '
ESCROW .NO.: 33050898-SVO r
AND WHEN RECORDED MAIL TO: ,
4
v
Cary Raney
-18797.. Vista De Pbcitanw
Ndsrieta, CA 925Ei2 t r
A. . - (SPACE ABOVE THIS LINE IS FOR RECORDER'SUSE)
�i��'u 2� .. _ • ' GRANT DEE® ,
THE UNDERSIGNED GRANTORS) DECLARE(S) that donsmi ent"bansfer tm its
( X )- computed on full value of property conveyed; or a, '
( ) computed on full valueless liens or encumbrances remaining at time of sale
( X) City of La Quinta . r
FOR XVALUABLE CONSIDERATION, retelot of Whick is-heseby admowledged, Cynthia Maloney, -..a married .
woman as her sole and separate property '
hereby GRANT S) to Uhiry aidli�Iy Ra g, h and riife as jaunt iieoaiits . the following described real property, in the City of La Quinta, County of Riverside, State of Califomia: " y
P!ease see attached, Exhibit "AM • ..
"A"s-
Dated: July 8,`2005 ,..
STATE OF CAUFA
6-v V t --S i
COUNTY QF .
On zi s� zvyS before me Cynthia Maloney" ,
Personally appeared _C_VMMXQ Dnp '
ti
Personally known to me (or proved to me on the basis of wry
evidence) to be the persons) whose name(s) islare subscribed tD the
within instrument and ackwwtedged to me that he/'shelthey executed tate !± '
same In his/heritheir authorized capadtV(ies) and that by his/her/their- P ,
signature(s) on the instrument the persons) or the entity uport. behalf of b �� a I
which the person(s) acted . exec-uted the instrument ` ` -+ m
%► •. 3,
IJ
ee
Si nature '$4rQ��u�wa�e`����`
r (nomareafoo fi rmtary
MY CommfSSIQIu EXPIRES MAY 5.2QQ6
Grant Deed — IncrMdual,(290) 10-04, MAIL TAX STATEKENTS AS DIRECTED ABOVE � ,
` fEWCENTURY TITLE COtvi ALjy
„ PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY.-
AND
Y:AND WHEN RECORDED MAIL TO:
CG c
'®®C a 200r5-0810741,
10/03/2005 08:00A Fee `.16.00
Page 1 of 4 Doc T Tax Paid
Recorded in Official Records r•'
County of Riverside
Larry Y. Yard Y
Assessor, County Clerk 8 Recorder i
I�IIIIIIIIII
III oil 1111111 up 111111111111111111 1111
MS . U PAGE sm DA PCOR m, AM.
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SEP -28-2006 08:30 AM
09/25/2006 14:24 7607777011 LA QUINTA PAGE
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ertificate of 0ccaponC r y
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Building &' .ySafet Department ;
.
This is_: issued `pursuant to -therequirem' encs" of Section 109 of the 'California Building .
y
-Certificate
Code, certifying` that,- -at -the • time, of -issuance,J. this 'structure 'was yin compliance; with 'the
' - provisions of the Building 'Code :and the various ordinances`' of the City regulating building i;
construction and/or use:.
' BUILDING ADDRESS: 80-111 VIA PESSARO
4 - Iry / , ±.' c 1. • - .. -
Use classification: SINGLE FAMILY DWELLING,,' - Building Permit No 06-530
,
Occupancy Group: R3- Type of�Construction:�VN _ •Land,Use Zone: RL ;
[.
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._,Owner of Building: CAREY RANEY , ., n ` _- `I ` "Address: 18797 VISTA"DE MONTANA
Allr
_ t,City,7ST,;ZIP:'MURIETTA, CA 92562 ,`
1
By: ED'MUIR 1• ,_
/ 1,
'Date• JANUARY 29, 2007
Building Official
POST INA CONSPICUOUS•PLACE r `