9605-117 (SFD)LICENSED CONTRACTOR 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.
Licens,1751135 iic. Class Exp. Date] J9
' h
le -
Date • A.Signature of Contractor
OWNER -BUILDER DECLARATION Com'
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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.
( ) I have and will maintain workers' compensation insurance, assequired by
Section 37,QOVof6lF1e1.Latior Code, for the performance of theuWof MO which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00. or less)-
( .) 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 rovisions.
Date;- - ' %f Applicant 1ir5:� �; •s,^
Wargfng: Failure to secure Workers Compensation cove g Is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000,;,in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees:
IMPORTANT Application is hereby made to the Director of Building and Safety,
for a permit subject to the conditions and restrictions set forth, on 'his
application.
1. Each person upon whose behalf this application is made &'each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaion agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its•officers, agents and employees.
2. Any permit issued as a result of this application becomes null• and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
'correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above -i
Signature
6,15,,,,6BUILDIN�g2tP RIM IT PERMITa c ��, CONTROL#
3582
DATE VALUATION ' LOT.TRACT
935 196
JOB SITE •a L10.4—k
ADDRESS
APN %' = v
OWNER
1:l'UIRM R <,4k. C:HAR1 M -F133 Rlfift1.
CONTRACTOR / DESIGNER / ENGINEER
JOBB CONS1Tt:tJG"1'ION.
72,288 8ARMA.kA.13R,
RAAfC140 \41RAOI: CA 07270
RANCHO MIRAM, CA, 92270
8-4491.
(619)5N34491 CBiA 4044
USE OF PERMIT
NGiLE FAMILY' IWE~;s.UNG
PERMflV.#7QF18 N(Yf INC;IXIDU.BLOCK WALL 15R, Po()L.
r
%"f1.g11 V% 00Nfi"ITai(VF,11)f4 .,t 07AW) W
1'' IRCc11pTIO 550.00 `(A'
0ARAOC+1C11RPOI2T 625.00 31.
CST11MXf 1r i COST OV C ONS'1'RURUMON
319,823.4hi
Pl+ett.tl"1IT FEE SUNIMARY
:i�Q11-Qi#�(yi-��l#�.£nb1 S.L,44L K,
PLAW>,-�##.�C It 1t 1atllPii�439' 1#J 1.161.30
rEC1:#ri OS€'1' 4"734.W
MEC 4AN[CA1 Fa 101-000-421,0)0 598.50
esa QPAf$#N0 M 10P000.419,4100
�i1C3:NC mai.°1awr,r, i.RFSID to 1-000-241-000 S320
l' RADW r FEE 10,1-OW423-000 S21t.0U
2254 oo,43-342 $tS,t)(1tD.t1i3
2N � UMIC Pt; MIS - itt SM, 701.-001)-7.55-000 S 7 V7
SUW1VrAL CONSl' UC`!'aON AND PIAN CHWK
$%7e5(i.70
L.T?SS 1'1Z �Etie\.Ti) F#::1•,5
4150.00
'CO'1
LI P -CR ITC l+.C-914 DUE NO
5�1,1DIIG.23)
96
I
RECEIPTBY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
. BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
-f Li)'
Underground Ducts
Forms & Footings
Lam'
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L. -
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
C5
Condensate Lines
`
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
Final
1 l�
Final
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
LN
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
'
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final % ;_-7
Utility Notice (Perm)
777-7012
INSPECTION REQUEST LINE
777-7153
Owner RIBER
ContractorJOBE CONSTRUCTION
9605-117
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
78-835 LIMA
JOB ADDRESS
SFD-ONLY
TYPE OF INSPECTION D INSP.
FOUNDATION & SETBACK `
FOOTING STEEL -
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOV HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
-
DO NOT POUR CONCRETE U4ftIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT 0 4' O 8'
FRAMING - —
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH /
POOL PRE PLASTER
FENCE & GATE 42
SEWEP SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT M
1/96 TURN ON UTILITIES OR OCCUPY BUILDING
P.o'BOX 1504 APPLICATION ONLY
Building7 _���^ �1 7&105 CALLE ESTADO
Address 7� /.�J L��%/ LA QUINTA, CALIFORNIA 92253
-Owner
Mailing p BUILDING: TYPE CONST. G, �j OCC. GRP.
Address ���U �ffJ?��/e - A.P. Number -7b [ — J `O— 0
City Zip Tel. 2Ll
,--C:;, �Z2''� _ (5 ,y , fl. Legal Description l�b�.
Address
City �^„ Zip 0 1 Tel. S-&
State Ljc�� Fic.#
. 3 7S�f 3� ity
&Classif.
Arch., Engr.,
Designer C//,
Address Tel.
92-00 3117- 007T -
City Zips State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that(l.am licensed under Qrovisionsqoha �r9 (commencing with Section
7000) of Division 3 of ttie Busi e s and fes`slo s�d my license is in full force and
effect.
SIGNATURF DATE
OWNCR-BUIL-DER 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 tile 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).
[7 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. It, 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.)
I.-1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct 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.)
17 I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' 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. O 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: 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, thisNapplication 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
BUILDING DIVISION
Description
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
FINAIDATE n INSPECTOR
Issued by: v 2-1 ll crate Permit
II A/1A1. II Iii
VaWation:
L5 _ r�
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ , Demolition ❑
f
Estimated Valuation
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
FINAIDATE n INSPECTOR
Issued by: v 2-1 ll crate Permit
II A/1A1. II Iii
VaWation:
L5 _ r�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FE .
IST FL. SO. FT. $
2ND FL, SO. FT. CrA
POR. SO. FT. @
GAR. SO_ FT, 0
CAR P. SO. FT. 0
WALL SO. FT. f(r
SO. FT. rEr
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMlPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SO.FT.GAR n 1/4c
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
_
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
_
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC,
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Notice:
Document Cannot Be Duplicated
Date 6/11/96
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
No. 14578 Jurisdiction
Owner NameBurch Riber
No. 78-835 Street Lima
City La Quinta
Tract # Lot #
Type of Development Single Family Residence
Comments
By
APN # 769-590-016
La Quinta
Permit #
Log #
Zip 92253 Study Area 116
Square Footage 1
3970 sq. ft. - Grandfathered - Citrus Golf Estates - Citrus Country Club
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports,
covered patios/walkways, residential additions under 500 square feet, detached accessory structures or
replacement mobilehomes. It has been determined the above-named owner is exempt from paying
school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 628.00 x 1 or $ 628.00
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By First Bank/Burch Riber
Name on the check
Dolores A. Ballesteros
Superintendent
Fee collected /e mpted by Elle atino
Signature
Payment Received
Tele
phone +
z
n
$628.0`
Check No. 34788
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
Y„
TUM 28 '96 02: 05PM T M PETERS CO, .r..i r% P. c
CITRUS COURSE HOMEOWNERS ASSOCIATION
ARCHITECTURAL COMMITTEE
Mr. & Mrs. Rieber.
Re: Lot 24 24890-4, 78-835 Lima Road
The working, drawings have been approved to start construction. However the following
information will need to be provided prior to the completion of framing:
Complete Landscaping
f - Complete Pool Plan
{ - Sample Board or Sheet - Exterior Colors & Finishes
` - -
-proof-or receipt by the Association of $5,000,deposit
Attached are the appropriate portions of the Architectural Guidelines related to the
approval. If you have any questions please give me a. call.
President;' Citrus Course HOA
btczrgcut' Clttn2 Contac Hopi
sbbtonsi- ItAon pens auX dm2poua bi6a2s Finns urs a caii-
ytt psq ats tps a tobLra{s bott!OU? Ot;FG Cnrgsiiva2 Lsigtcq to ips
bLooL OL LGCGIbf PI tijs ymclinpu of 22'000 gsbo$tt
evwb16 $ouLq 0L gp66t - ExteLloL Co1oLa 4F ],iu12ps2
Cowbists boos bleu
- Cowbl6jc rvug2cabiug
!qpt uetrou Mrp ussq to ps bionigsq bunt to rps cowbjstrou %Lpmiug:
.Ipc motlaug gtsmjuf a paAs pssa abbLonsq to ataLI cou2rLncttou• HOtAGnst tpc L0110MIUR
gc: rat si mwi, ag-922 riwa goaq
M. T yl,a• grspeL:
G
YNCHIIECUBW COY171111EE
CL p M12 COULRE HOWE01AVIEn Va?OCIVIIou
0
CARLOS ELIAS
REGISTERED CIVIL ENGINEER
38825 Charlesworth Drive
Cathedral City, California 92234
Telephone (619) 328-7271
May 31, 1996
City of La Quinta
Department of Building & Safety
78495 Calle Tampico
La Quinta, Calif. 92253
Gentlemen:
This letter concerns the residence to be constructed at -
78 -835 Lima Road, La Quinta, California.
I have reviewed the layout and bearing points of the
roof trusses designed by Woodstock, Inc. and findthat their
design is in conformance with my design intent.
Very truly,yours,
Carlos Elias
CE:Je
05.!2 FA 96
Order No.
Escrow No.
Loan No.
TUE 15:49 FAX 15136242110, tR�IBER SSPQRTS-),IKTG..
1895634
1-9702
912-5566
WHEN RECORDED MAIL TO:
FirstBank, V.A.
73000 Highway III
Palm Desert, CA 92260
SPACE ABOVE THIS tJNE FOR RF;',;OROER-S USE
121001
DEED OF TRUST WITH ASSIGNMENT OF RENTS
(SHORT FORM)
This DEED OF TRUST, made this 25Lh day of August, 1994 between
.BURGH R. RI:BER, .JR. AND CHARLOTTE B. RISER, husband and wife as jo nt ten t
'herein Ca1PeVTRUSTOR,
whose address is
(Number and Street) (City) (State)
FIRST AMERICAN TITLE INSURANCE COMPANY, a California corporation, herein called TRUSTEE. and
FirstBank, N.A.
, herein called BENEFICIARY,
WITNESSETH: That Trustor grants to Trustee in trust, with power of sale, that property in the city of La Quinta
County of Riverside
, State of California, described as
See attached Exhibit "A" incorporated herein by this reference.
together with the rents, issues and profits thereat, subject, however, to the right, power and authority hereinafter given to and
conferred upon Beneficiary to collect and apply such rents, issues and profits for the purpose of securing (1) payment of the
sum of $ 115,500.00 --------------- with interest thereon according to the terms of a promissory note or notes
of even date herewith made by Trustor, payable to order of Beneficiary, and extensions or renewals thereof, (2) the
performance of each agreement of Trustor incorporated by reference or contained herein and (3) payment of additional sums
and interest thereon which may hereafter be loaned to Trustor, or his successors or assigns, when evidenced by a promissory
note or notes reciting that they are secured by this Peed of Trust.
Yo protect the security of this Deed of Trust, and with respect to the property above described, Trustor expressly makes each
and ai6 of the agreements, and adopts and agrees to perform and be bound by each and all of the terms and provisions set
forth in subdivision A, and it is mutually agreed that each and all of the terms and provisions set forth in subdivision B of the
fictitious deed of trust recorded in Orange County August 17,.1964, and ir, all other counties August 16, 1964, in the book
(continued on reverse side) 115a (1194)
Page T of ;
05/28-196 TUE 15:50 FAX 15136242110 � "'RIBER{ SPI RTS HKTG.
y�r
ZX5??Y^"All
LOT 24 OF TRACT NO. 24890-4, AS SEONI; By MAP ONT FILE IN BOOR 218
PACES ; T-iROIIGH 9 OF MAFS, RECORDS OF Rev yRSIDE COUN'T'Y, CALIFORNIA;
RESERVING UNTO LAN vXpX LAND COMPANv OF CALIFORNIA, INC . , ITS LEGAL
REPRESENTATIVE -S, SUCCZSSOR AND ASSIGNS, ALL WATER, M_NEF�,1 OIL,
GAS, P-71 ROLEUM., OTHER 3Y1)ROCA_aSQN SU-1:45TANCES zum ALL GE=T ERMAL
ENERGY SOURCES IN OR UNDER Ort MCF? Mr►`d BE PRODUCED FROM MEE ;SAND
W=-,C:i CENDERLIES A PLANE PARALLEL TO AND FIVE rFp-u-NDRED (5 0 0) FEE'
BELOW THE PRESENT SIIRFACE OF THE LA= TO WHICH L.A�L-DMA.R.R LAND
COMPANY OF CALI'PORN_A, INC. .AS ANY RIGHT, TITLE OR INTEREST. SUC::
RESERVATION SPEC_F_CALLY RESERVES TO LANbMAR:C LAND COMFAN"; OF
CALIFOa2NIA, SNC. TO
RIGFtTS OF PROSPECTING, EXPLORATION,.
DEV�'LOPMEN^_', PRODUCTION, EX.TvACTION LND TAR_'NC OF SAIZ) M=?ItERALS,
OIL,- GAS, PEn. D
OLEUM, H ROC.%R ON SUBS?ANCES, WATER AND GEOT ER,-v-kL
ENERGY (AND/OR ITS SOURCES) FROM T«c, i:rd'�ID By MANS OF MINES , WELLS,
DERRTCgS, �`''Z''/OR OTIEER EQUIPMENT FROM SURFACE LOCATIONS ON
A'tJOINING OR NEIGESORZNG LANE OR LING OUTSIDE OF THE LAND;
PROVIDED, 30WEtiER T,T Tl --Z OWNER OF SUCH MINERALS, OIL, GAS,
PETROLEUM, HYDROCAR30N SUMSTANCL`S, WATER AND GEOTFEgS�',L ENERGY
(AND/OR ITS SOURCES) , AS P.BoVv SET FORT?, SHALL ::AVL' NO RIGr"TT TO
=. UPON THESUR^ACE OF TEE LAM NOR TO USE TEE LA -10 OR ANY
PORTION
ON THEREOF ABOVE. SA1'D ?L -%NE PAR.;.LLZL TO AND FIVE HvNDRED (5 0 0 )
FEET BELOW T:i= PRESENT STJRFACE OF T
WHATSOEVER. LAND FOR ANY Pu'RPOSE
0003
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1)5/28,,96 TUE 15:51 FAX 15136242110 RIBER•SPORTS MKTG zou
DO NOT RECORD
The following is a cocy of Subdi•.lisions A and B of the fictitious Deed of Trust retarded in each county in California as stated in the foregoing
Oeed of Trust ant ;ncorperated by reference in said Deed of Trust as Doing a par, thereof as if set forth at length therein.
A. To protea: the security of this Deed of Trust, Trustor agrees:
1. (1) To keep said property in good condition end repair; not to rsrnove or demolish airy building thereon; to complete or restore promptly
and in good and wcri manlike manner any buridinr; :which may be constructed, damaged or destroyed thereon and to pay when due all claims
for labor performee ant materials furnished tharefor, to c.cmo!y .vith ail iaws affec rrg said proper"y or reou,ring any alterations or
improvement;. -v be made :hereon: not to commit :_r Permit ,-aste thereof; not to commit, suffer or permit any act upon said oroperty in
violatlon of law, :o cultivate, irrigate, ferrilize,tlimigate. prune and de all ether acts -which from the character or use of said property may
be reasonably necessary, me specific enumerations herein not excit;ding the general.
(2) To prrvice. maintain and deliver to BeneficlarJ fire insurance satisfactory to and with lots payable to Beneficiary. The amount
collected under any ;ire or other insurance Policy may be applied by Beneficiary upon any indebtedness secured heresy and in such Order
as Beneficiary may determine, or at Option of Beneficiary the entire amount so collected or any part thereof may be released to Trustor.
Such application o., release shall .not cure or waNe any default or notice Of default hereunder or Invalidate any act done pursuant Ic such
notice.
(3) To apcear in and oefene any ac:ior, or proceeding purporting to affert the security hereof or the rights or powers of Beneficiary
or Trustee: and to pay all costs and expenses. including cost cf eviderce of title and attorney's fees in a reasonable sum, in any .such action
or proceeding !n wnrcn Beneficiary or Trustee may apoear; and in any suit ::rcught by Beneficiary to foreclose this Deed.
(4) To Pay: at ;east ten days before delinquency all taxes and assessments affecting said properrJ, including assessrnen:s on
appurtenant water _tock; when due. all encumbrances. charges and liens. •sMh interest, on said property or any pa,-, thereof, ;mich appear
to oe prior or superior hereto; all ocsts, fees and exoensas of this Trust.
Should Trustor -ail :o make any payment or to do any act as herein providec. then Beneficiary or Trustee, but without obligation so
to do anc without nctice to or demanc upon Trustor and Without releasing Trustor from any obligation hereof, may: make or oo the same
in such manner anc t o such extent as wither may deem necessary to Protect the security hereof. Beneficiary or Trustee being autncriz_o
to enter upor, :aid .::.cparry to sr:..;, purposes; aupear in an, defenc any c:ion or proceeding purporting tc artect The secu'rir;, ;hereof c,
the rights or powers cf Beneficiary or Trustee: pay, purchase, - Pntest or compromise any encumbrance, charge or lien which in the judgment
of either appears to be pnor or superior hereto; an
his reasonable tees. d. in ex.erolsrng any such po,v2r5, pay r,ec scary axoenses, employ cOu,,sai and pay
(5) To pay immediately and demand all suss so exoendac cy Sanehc:arJ or Trustee, with interest'rom rate of expenditure
at the amount allow. eo by law in effect at the date hereof, and :c pay for any staterlent provided for by law in effect at the date hereof regarding
the oblication secur_b hereby any amount demanded by the Benefic:ar,,not to exceed the maximum allovfed by law at the time when said
statement is demanaed,
a. It is mutually agreed;
(:) That any aware of damages in cOrnzction with any concemnatfon for public use of or injury To said prcperrj or any part thereof
is hereby assioned and shall be paid to Seneficiary who may apply or releese such mcniez received 'cy him in IhG same manner and ,with
the same effect as above providec for disposition of proceeds of fire or other insurance.
(2) That by accepting payment of any sum securec hereby after its due date, Beneficiary dofv
es not aive ;his richt either to require
prompt payment when due of all other sums s4 secured or :o declare default for failure so to say.
(3) That at any time or from tame to tfma, withc_t liability therefor and 'Nit! -CM notice, upon written recuest of Seneflciary and
presentation of this Deed and said note for endorserne'":. and without auecting the personal liability of any person for payment of the
indeotedness secured hereby, Trustee may: reconvey any part of said prooemf; consent to the making of arnf mac or plat thereof; loin it
granting any ease -tent thereon; or ;Pin in any extension agreement or any agreement suoordinating the lien or c".arge nerecf.
(4) "-ha,, upon written request of Beneficiary stating that all sums _e"red hereby have been paid, and upon surrender of 'his Deed
and said rote to Trustee for Cance±latfon and retention cr ether disposition as Trustee in its sole discretion may choose and u_on _ayrnent
of its fees. Trustee shall reconvev, without warranty, the property then held hereunder. The recitals in Such reconveyance of any matters
or facts shall be cC'C:usive proof of the truthfulness :hereof. The Grantee in such reconveyance may ba described as "the person orpersons
legally entitlea !hereto,`
(5) That as aadiaonat seourirv. Trustor herecy gives to and con*'ers .icon Be-eficiar, the right. pov.er and authority, during the
continuance of these Trusts. to coilec: the rents, issues and profits of saic crocerty, reser�ing unto Trustor the right prior to any default by
Trustor in payment .^_•f any inciet�tecr,ass secured her_bv Or +n ; ar•'Crmance of any agreement hereunder, to collect ano retair, such rents,
issues and prc`its as they become dve -and payable, UC7r, any suc"i cefault, 5enefic;arf may at any time without notice, either in person.
by acent, or h,`J'a reC2iver .0 ce app•c: ted Jy a our , and v ithGut regard to he 2de:,L'aCV Pf dnJ s C" frlty fC,r f le Ic^deuieCnFss neret,,,.f secured,
enter upon anc :ai<e ^.gSSeSSIdn of said prvoerty or any part ':hereof, in his own name sue for or other,,,•ise cCllect such rents, issues, and
profits, inciudinc'hose past due anc _noaid, anc apply the saws iess costs and expenses of operation and coiiec'ion, including reasonable
attorney's fees. upon any indebtedness secured hereby, araC in such -roar 31-3 Berneficrary may determine. T "e entering upon and taking
possession of said properky, The cciiecticn of such rents. issJes and profits anc the applicauon thereof as afcresain, snail riot pure ar waive
any default cr notics of defaalt ihereuncer or invaiidaie any act done pursuant to such notic6.
(6) That upon cefault by Tnastor in payment of any ;ndebredness secured hereby or in-erformance of any agreement hereunder,
BeneficlarJ may declare all sums secured herby irnr riediateiy due and payac!e by delivery- to Trustee of written declaration of default and
demand for sale ano of written notice of default and of election to cause to be sold said property, 'wnich notice Trustee Shall cause to be
filed fgr record. Beneficiary also shall deposit with Tr;jstae this Deed, ,aid note and all documents evidencing expenditures secured hereby.
After the lapse or such :Imo as may the.-, be required by law following the recordation of said notice of defauit, and notice of sale having
been given as then required by law. Trustee, without Cemand on Trustor, shah sell said property at ,he time and Glace fixed by it in said notice
of sale, jeither as a vrhole or in separate parcels, and in such order as it may determine, at public auction to *he highest bidder for cash in
lawful money of the United States, payable at time of sale, Trustee may postpone sale of all or any portion of said property by public
(continued on reverse side)
05/2&4'96 TUE 15:50 FAX 151362421.16 RISER SPORTS )iKTG
[a 002
and at the page of Official Records in the office of the county recorder o the county where said property is located, noted
below opposite the name of such county, namely:
COUNTY BOOK. PAGE COUNTY h1n,.f�OOK� .PAGE •
Alameda 1288 596
COUNTY BOOK
PAGE COUNTY
BOOK PAGE
Kings 858 713
Alpine 3 130.31 Lake 437 110
Placer 1028
Plumes
379 Sierra
38 187
Amador '.33 438 Lasser/ 192 367
Butte +3230
166
Riverside 3778
1307 Siskryou
347 Solano
506 762
1287
513 Los Angeles T3878 874
Calaveras 195 338 Madera
Sacramento 5039
124 Sonoma
621
2067 427
911 136
Colusa 323 391 Merin 1849 122
San Benito 300
San Bernardino 6213
405 Stanislaus
768 Sutter
1970 56
Contra Cos1< 4634 1 Marlpaaa 90 453
Del Norte 101 549 Mendocino
San Francisco A-604
596 Tehame
670
x 585
457 183
667 99
EI Dorado 704 635 Merced 1660 7S3
San Joaquin 2855
Sen Luis Obispo 1311
283 Trinity
137 Tulare
108 595
Fresno 5052 623 Modoc 191 93
Glenn 469 76 Mono
San Mateo 4778
175 Tuolumne
2530 108
177 160
69 302
Humboldt 801 83 Monterey 357 239
Santa Barbara 2065
Santa Clara 6626
881 Ventura
2607 237
Imperial 1189 701 Naoa 704 742
Inyo 165
Santa Cruz 1638
564 Yoio
607 Yuba
769 16
398 693
672 Nevada 363 94
Kern 3756 690 Orange 7182 1S
Shasta 800
San Diego
633
SERIES S
Book 1964, Page 149774
shall inure to and bind the paries hereto. '.vith respsct to the proper'l'y above described. Said agreements, terms
and
contained in sad subdivisions A and B, (identical in all counties,
and printer cn pages 3 and 4 hereof) are
provisions
by the witnin
reference thereto, incorporated :herein and made a part of this
Deed of Trust for ail purposes
as fully as if set forth at length
herein, and Beneficiary may charge for a statement regarding tre oclipGl:ion eCUrcG I-,ereby. provided the charge
therefor does
not exceed the maximum ailcwed by law,
The undersigned Trustor, requests that a copy of any notice o'
default and any notice of Sale hereunder tae mailed to him
his address hereinbefore se* forth,
at
STATE OF CALIFORNIA
COUNTY OF __
On
personally appeared
berere rhe,
Personally known to me (or proved to me on the basis of sat;9facl ory evicence)
to be the persons) whose name(s) is/21e subscabea to the within !nstr ument
and acknowledged to me that "+er'sh9j!hey executeq the zame in his heritheir
authorized :apacitv(+as), and that by hishera'their signatures) on the insiru•
ment the peison(8) or ne amity upon behalf of wnioti ane parson(s) acted.
executed the instrument,
WITNESS my hand and official sea:.
Signature
Signature of Trustor
r �
7
BLl h R. er
;Yr.ot e R.iber
Mlis area for official netaria; seal)
(continued on next page)
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