11-1195 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
1\11-00001195_
`51271 AVENIDA HERRERA
773-084-013-1 -000000-
REMODEL - RESIDENTIAL
COVE RESIDENTIAL
1500
c&ht 4 4 Q"
Architect or Engineer:
atP
O
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BANK OF AMERICA
51271 AVENIDA HERRERA.
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION �� V
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen ' g with
Section 7000) of Division 3 of the Business and Pr fessionals Code, and my License is in full force ar�d effect
License ass 13 Licens No.: 921518
ate: 0 r tractor:
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
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 (5500)•:
(_ 1 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.).
(_ 1 1, 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/03/11
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
A(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 GRANITE INS Policy Number 5171647
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
3/700 of the Labor Code, I s I forth wi q comply ,ith those provisions.
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 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 cons uction, and hereby a thorize representatives
;.ofhis my o enter up the above-mentioned prope for ins tion urpoie: ff . d ignature (Applicant or Agent):
Contractor:
O
GRISA ENTERPRISES INC
N
44695 SAN BENITO CIRCLE
ciz� �
PALM DESERT, CA 92260
Cb
(760)341-0555
Lic. No.: 921518
LICENSED CONTRACTOR'S DECLARATION �� V
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen ' g with
Section 7000) of Division 3 of the Business and Pr fessionals Code, and my License is in full force ar�d effect
License ass 13 Licens No.: 921518
ate: 0 r tractor:
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
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 (5500)•:
(_ 1 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.).
(_ 1 1, 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/03/11
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
A(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 GRANITE INS Policy Number 5171647
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
3/700 of the Labor Code, I s I forth wi q comply ,ith those provisions.
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 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 cons uction, and hereby a thorize representatives
;.ofhis my o enter up the above-mentioned prope for ins tion urpoie: ff . d ignature (Applicant or Agent):
Application Number .. . . . . 11-00001195
Permit . .
. BUILDING PERMIT
.Additional desc .
Permit Fee . . .
. 35.00 Plan Check
Fee
22.75
Issue Date . . .
. Valuation
. . .
. 1500
Expiration Date
5/01/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
20.00
----------------------------------------------------------------------------"
Special Notes and
Comments
INSTALL NEW CARPORT CEILING, 2010 CODES
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
2.28
STRONG MOTION .(SMI)
- RES
.50
Fee summary
Charged Paid Credited
Due
Permit Fee Total
35.00 .00
.00
35.00
Plan Check Total
22.75 .00
.00
22.75
Other Fee Total
3.78 .00
.00
3.78
Grand Total
61.53 .00
.00
61.53
LQPERMIT
Bin #
Ci ty
' of La Qumta
Building 8r Safety. Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
'
t
Permit #
erect"^ tXdd-r-ms �:o 2." !'.
(Owner's`Name:
A. P. Number:
Fddress:
Legal Description:rCity,
ST,=Zip
ontractor: S e
Telephone:
Address:' S
%Project Desscript
City, ST, Zip: nJOP 9zL (p�
Telephone: �Q
;::>..:,.:::.,:.;:.,�.;;.:..,•.;:.:.....,.:
.
State Lic. City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic.
.'<':: ! • `:~' ^:> ':>;:;r<
v�•ry?M1v:�'yfi.'^^.';:Ff;:j�:i
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>: :::z>
Construction Type: Occupancy:'
Project type (circle one): New Add'n Alter Repair Demo
dame of Contactperson-�
Sq. Ft.:
# Stories:
# Units:
ofConMct-Person:�
EstmateddueelePh-one#oject '
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p. Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7nd Review, ready for correctionsfissue .
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
n»
RealQuest.com ® - Report Page 1 of 1
Property Detail Report CoreLogir-
Fo7Property Located At ReaIQUest ProfE_'sSIQna]
5127.1 AVENIDA HERRERA, LA QUINTA, CA 92253-3036
Owner Information:
Owner Name:
BANK OF AMERICA NA
Mailing Address:
51271 AVENIDA HERRERA, LA QUINTA CA 92253-3036 H006
Phone Number:
Vesting Codes: / / AS
Location Information:
Legal Description:
LOT 1 BILK 65 MB 018/067 SANTA
CARMELITA VALE LA QUINTA UNIT 6
County:
RIVERSIDE, CA
APN: 773-084-013
Census Tract / Block:
451.11 13
Alternate APN: 773-084-013
SANTA CARMELITA
Township -Range -Sect:
Subdivision: VALE LA QUINTA
UNIT 06
Legal Book/Page:
18-67
Map Reference: / 849-E7
Legal Lot:
1
Tract #:
Legal Block:
65
School District: DESERT SANDS
INDIO
Market Area:
Municrrownship:
Neighbor Code:
Owner Transfer Information:
Recording/Sale Date:
06/06/2011 / 05/17/2011
Deed Type: TRUSTEE'S DEED
Sale Price:
$73,800
1 st Mtg Document #:
Document #:
247254
Last Market Sale Information:
Recording/Sale Date:
06/08/2001 105/04/2001
1st Mtg Amount/Type: $113,832 / FHA
Sale Price:
$113,500
1st Mtg Int. Rate/Type: 7.50 /
Sale Type:
FULL
1st Mtg Document #: 257554
Document #:
257553
2nd Mtg AmountlType: $3,447 / CONV
Deed Type:
GRANT DEED
2nd Mtg Int. Rate/Type: /
Transfer Document #:
Price Per SgFt: $89.23
New Construction:
Multi/Split Sale:
Title Company:
FIDELITY NATIONAL TITLE INSURA
Lender:
CALIFORNIA CAP
Seller Name:
WOLF DARYL R & LINDA A
Prior Sale Information:
Prior Rec/Sale Date:
02/21/2001 / 01/29/2001
Prior Lender: FLAGSTAR BK FSB
Prior Sale Price:
$80,000
Prior 1st Mtg AmtlType: $71,600 / CONV
Prior Doc Number:
67725
Prior 1st Mtg Rate/Type: I
Prior Deed Type:
GRANT DEED
Property Characteristics:
Gross Area:
1,272 Parking Type:
CARPORT Construction: FRAME
Living Area:
1,272 Garage Area:
Heat Type: CENTRAL
Tot Adj Area:
1,272 Garage Capacity:
Exterior wall: STUCCO
Above Grade:
Parking Spaces:
1 Porch Type:
Total Rooms:
6 Basement Area:
Patio Type:
Bedrooms:
3 Finish Bsmnt Area:
Pool:
Bath(F/H):
21 Basement Type:
Air Cond: CENTRAL
Year Built / Eff:
1977 / Roof Type:
Style: BUNGALOW
Fireplace:
I Foundation:
Quality:
# of Stories:
1.00 Roof Material
COMPOSITION Condition: AVERAGE
SHINGLE
Other Improvements:
FENCE
Site Information:
Zoning:
R1 Acres:
0.11 County Use: SINGLE FAM
RESID (R1)
Flood Zone:
X500 Lot Area:
4,792 State Use: R01001
Flood Panel:
0607090005E Lot Width/Depth:
50 x 100 Site Influence
Flood Panel Date:
08/19/1991 Res/Comm Units:
11 Sewer Type: NONE
Land Use:
SFR
Water Type: TYPE
yp
UNKNOWN
Tax Information:
Total Value:
$112,000 Assessed Year:
2011 Property Tax: $1,475.30
Land Value
$27,000 Improved %:
76% Tax Area: 20016
Improvement Value:
$85,000 Tax Year:
2010 Tax Exemption-
Total Taxable Value:
$105,000
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