BSPN2014-0027wit
4 � a � VOICE (760) 777-7125
78-495 CALLE.TAMPICO Ct� 0 D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/1/2014
Application Number:
BSPN2014-0027
Owner:
Property Address:
51184 AVENIDA HERRERA
SELECT PORTFOLIO
APN:
773064010
3815 S. WEST TEMPLE
Application Description:
SPECIAL INSPECTION RELEASE METER IID
SALT LAKE CITY, UT 84115
Property Zoning:
Application Valuation:
Applicant:
Contractor:
ROSENTHAL & ASSOCIATES
72880 FRED WARING DR
89 0
PALM.DESERT,CA 92260
OCT, 0 1 2014
CITY OF LA QUINTA
COM MLINITYDEVELOPMENTDEPARTMENT
Llc. No.:
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 usin �s and Professions Code, and
my License is in full force and effect.
License Class: License No.: -
i
Date: � Contra
OWNER -BUILD 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).:
(_) 1, 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 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. C.).
Lender's Name:
Lender's Address:
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 o1
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:_ Policy.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 thoseprovisions.
Date: / Applica.
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 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 actor 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 informaon 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 ept , pon the above-
mentioned property for inspection purposes.
Date: ( Signature (Applicant or Agent) _
FINANCIAL .1.
t ' DESCRIPTION ': y
'ACCOUNT +tCtTY AMOUNTa PAID
PAID DATE
SPECIAL INSPECTION
101-0000-42404 1 $72.52
$0.00
PAID BY '
'METHOD,;,., RECEIPT # _ �` ._
CHECK #
CLTD BY
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00
TOTALS: $72.52 00
Description: SPECIAL INSPECTION RELEASE METER IID
Type: SPECIAL INSPECTION Subtype:
Status: SUBMITTED
Applied: 10/1/2014 PJU
Approved:
Parcel No: 773064010 Site Address: 51184 AVENIDA HERRERA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 70
Lot: 14
Issued:
UNIT 9
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: SPECIAL INSPECTION TO RELEASE POWER TO IID
Printed: Wednesday, October 01, 201411:36:40 AM 1 of 2
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6O N D INFORMATION
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••ATTENTS
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City of La Q rein to
'BuildrngBtSafety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
�rmir #
.oject Address: � /S
Owner's Name. C/�7—, t�i�
P. Number: /n r/4
Address:
;al Description:/Ly /7v//!fes
City.STZiS U7 l/I / J
9n tractor: —
� / Jc7�lt/C.IT7 /
Tele hone:
P
�x'!yn
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ctz M<i'%a 1' . Aru1.t f
dress: ix�e1 jD
Project Description:
ty, ST, Zip:
llc lione:
p l� 'l�3 X06 3
/w/V 1�;t_
City Lic. #. f3
Title 24 Calcs.
(dress:
jy, ST, Zip:
le hone:
do Lic. #:
2 :�6 r
;' % � s ,• s
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Construction Type: M7*Occupancy: 11
Project type (circle one): New Add'n Alter Repair Demo
me of Contact Person:
Sq. Ft :
# Stories:
#1 Units: y
ephone #,ofContact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction >
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2*' Review, ready for corrections/issue
Electrical
Subcontactor Lis(
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
7r° Review, ready for corrcctionsrassue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees
ZZ
9/25/2014 https://www.disposolutions.com/docpgs/dba_referralagreement.aspx?t=4734877&agreed=true
FEE AGREEMENT -Select Portfolio Servicing
Street Address: 51-184 AVENIDA HERRE, LA QUINTA, CA 92253
Property #: 0015239825
Seller: Select Portfolio Servicing
Broker: Candice Johnston
Date: 9/25/2014
Agreement Details
Item Detail_ item Detail
Minimum referral- $ 312.50 _ Administration Fee _-- 0
-- .............._..__._....._..-..._..._.__....._.......__............._._........_......_......_................-...............-._............... -.........._._.._.._......._..._........._._._....._._... ........_..... _ ....__.............. __..---... _......................----........ _.................. __..__......... _.__.._...._..._..-
lf sale price equal or less than 59999.00; 25.00% Technology Fe. S 0
then percent of Listing Broker commission""" "-' -
...... .......... ..... ...... ........... ............ ._..............._.................. ._.................. .........._........._....... .._...... ........... ........................................................ ..... ..........-........ .... .............. .................. ..... .._..................
........._....
If sale price is greater than 59999.00; 33.00%
then percent of Listing Broker commission
Mountain West Realty Corp.
Dear .,_gent.
i\-Iountain West Realty Corp. has referred your thin to Select Portfolio Servicing, Inc. (SPS) to assist in the marketing
ett:orts on. the above referenced riroperty.
As an approved REO Agent registered. with !NVO R, you Nvill be required to.pay a referral fee to �•1WR upon the closing of escroxv.
N•I4� R requires that the RefenaCFee Agreement, •attached to this document, be executed and returned as soon as possible.
:iWR provides RE® .Broker Referral Services for a wide variety of institutional clients. N4WR's success is rooted in its ability to
assign RFC) Brokers who possess unmatched personal aceountabflhty in their business practices. Your timely completion oi'the
toll6wing assiennwnt is vital to your continued success as a registered agent with ?v[ R..
Please tbrt'vard atE correspondence regarding the property to SPS.
\- e appreciate coir ;professionalism w-hile coiripleting this iniportant task. The specifics of this assignment are detailed in the
•"t'ert pa ` , : this referral.
l.
� i?i c-rc l v.
nnis rook. Prinlc;ual Broker
•1o:uintain West Reafty Cort;.
REFERRAL FLEE AGREEMENT
BETWEEN
0.1,C1C !TAI N WEST REALTY CORP. Al r
Firm
7-
ALent: ` the authorized rel) I sentatiye ot_Fii?n:o`agrees to pay directly to
v rout\ l : I RP., the following referral fee. -
Identit"ed as Select Portfolio_Servici ig, Inc. REO ,.
Property Address:
The rcterial fee due to MWR is as follows:
® A Referral Fee of 25 °/; of the: listing con,inission on allproperties witha sales price of $59,999 or less of the listing side
of the ss commission.
v Referral Fee of 13% oT the listin`_T col??inission will be impleinei?Ted oil all properties with sales price Of 6(1,titjn OC
are<aicr of the iiStirl side of the gross Commission.
This above rel.'erenced fee inust be noted on the related .111UP-1 and remitted (oavable) to Nfougtain West Realty Corp.; Federal
Tax .i
9/25/2014 https://www.disposolutions.com/docpgs/dba_referralagreement.aspx?t=4734877&agreed=true
nave read the shove terms and conditions of the Referral Fee Aureenient and s will fully complywith the said terms and conditions
:his A-reoment. and so indicate by in -v sianature below:
/'contact: J
11, !1 'l;1Y .
A C,
A, : ... : I
133,.-CA,er: .... -�.' L, --
Datc:
https://www.disposolutions.com/docpgs/dba_referralegreement.aspx?t=4734877&agreed=true 2/3