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9803-132 (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. License # Lid Class Zj`Exp. Date A is gi7y Signature of Contractor OWNER -BUILDER DECLARATION 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). ( ) . I, as owned ' ;of theproperty; am • exclusively contracting with licensed contractors to;construct the project (Sec. 7044, BusinessA. 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: , (•) 'Chave and will maintain a certificate of consent to'self,insure for worker's' compensation, as provided for bySSection'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 issued. My workers' compensation. insurance carrier & policy no, are;; t CarrierPolicy No=. fJ;:IF..QARE INS C 5 5�-1 `J7 ''79 . (This section need not be'completed if the permit valuation is for $100.00 or less). 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 wo kers' compensation provisi?ys sof Section 3700 of the Labor Code,, s alb o wjt comply with those pprovisions., . "+%Date: 2 -Applicant Warning:' Failure to secure Workers' Compensation coverage 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 applicaton agrees to, & shall, indemnity & 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 , tt e above-mentioned property for i spection pu oses. t YSignature (Owner/Agent)r �j &Vt`0 i PERMIT# CONTROL# + BUILDING PERMIT DATEi VALUATION LOT. 6 , ,, TRACT 7 R6`9 71 . JOB SITE` APN ur ADDRESS 1!�/ y4rJ *i Sal ✓l t� 4 {8 6343••120.033 OWNER CONTRACTOR / D1EnSIGNER / ENGIN�EyER, 1� 1 n V 'i .kAv..l `�R .3140, 6t CGI�r:i:Pil r:t. .. 1 CA�lk! 1)l Y: ct, COA ,i�ANY l5su 6K,04Iti:U 1,OW MUVE,SW- 1 1570 9R..00KHOLL0W DRIVE, SWE 20F SANTA ANA CA 92705 SANTA ANA < CA 9274b . . C`810: estWi USE OF PERMIT PO W; , It: is • Nt�i`eR��iT DES NOT WL0QX WALLS OR :PO ' 7 ;t7, !.. . Y� 3s tui 11W. -C t `t3ivS : i l3�N -z ��Orzr;�r��:kTIO zI,TY ®F t � �QUIN GAltAOFYi ARPOR7' Dims or CONST C710IN c t N37RUCTJOI 0-19- 101-000-419•00. 9856:50 PLA,N CHP_C ic. TFF.F. 401-W-439-318 snuuw 1*f 93;DM)b S", T•S25fl.t70 if WHANIOL, _' ," ]til tlEi(1-�1n'P.�t(iti 19" EWCTRIC��b; :t 101-000420-.000 i77.a S f'lte3 TG i�OT11.0' - -` £< 10 Ozt�lai1� I i(}:t-t(it2-�12�++-GiO �bo.0 :tzi 2A�l�ue;''ORE 'FEP W 000443-342',, K1,499.79 PItECst;F�I.At�E „.: . Y"'•i^;I,i:,f.�fOQ-4�I-SBS ��5.«J PUBUK fa:LNcG4,S n, 7101-000-4Z.S5.000 •'�Jlt- int 1, ©NS L6G?'[O'N.AN�IPLAN�f4'.1:.C.�. LESS -P.R&MD FEES G. A� W��9O .L0$J�daIii t� RECEIPT q DATE By' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade S Return Air Steel Combustion Air Roof Deck _ Exhaust Fans O.K. to Wrap Framing Insulation Fireplace P.L. 9 F.A.U. Compressor Vents Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath p Drywall - Int. Lath Final ' �' - 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 AP ROVALS Waste Lines- Water Piping Gas Test Electric Final _ Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral _ Sewer Connection Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: •` Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures ' Main Service Sub Panels Eixterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power c Final Utility Notice (Perm) f Desert Sands Unified School District Notice: .'82-879 Highway' 111 k Document Cannot Be Duplicated Indio, CA .92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/27/98 + ' - APN # 643-120-033 No. 16826 'Jurisdiction La Quinta Owner NameCanaday & Company Permit # . No. 47-715 Street Via Montigo Log # City La Quinta zip' 92253 Study Area Tract # Lot # Square Footage 2635 r Type of Development Single Family Residence _ No. of Units 1 Comments. 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 1.93 X 2,635 or $ 5,085.55 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may no,,w<b?�e4tssuedk, Fees Paid By Cashier Check/Steve Santee`� w TeleDtine 7..71-9636 r�, Name on the check n v By Dr. Doris Wilson Superintendent , .' mot t o 7 , ,n Fee collected /exempted by Juanita Green Payment Received $5, ?5 Check No. 161293 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to tolled them on the Distrid('s)(s') behalf, whichever is earlier. 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 *"wool , C LoT' r• Recording Requested By . 419616 CHICAGO Tl' COMPANY RAGE{VED AOR RECORD K • AT .2:ao o�c�.oc _ ... AND WHEN RECORDED MAIL TO �—`1997 . - ncme Canaday & Company, _ P A I©. NOV .14 Doe. Trartster Tax Add'esa ..1570 gi;ookhollow D> ive R��eonsw.CWA ROM* c°urtr CAffion+n city a Suite 208 i Riv.Co. R(-_-*,,!,- r � Recorder' SrO�e Santa Ana, CA 92705 Foes:.-.; SPACE ABOVE THIS LINE FOR RECORDER'S USE n.,ao ae,.41o4>n GRANT DEED APN No.- Title No. 7200662 Escrow No. 2-1872CB THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX Is $ 726.00 CITY TAX $ M computed on full value of property conveyed, or Q computed on full value less value of liens or encumbrances remaining at time of sale, p Unincorporated area: M City of LA Q U I N T A and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP hereby GRANT(s) to CANADAY AND COMPANY, a California Corporation the following described real property in the County of, RIVERSIDE , State of California: Lots 224,225,247,248, 260, 261 of Tract 26152 SEE EXHIBIT "A " ATTACHED Dated October .29, 1997 It WILMA-LA.QUINTA L.P. A DELAWARE,; LIMITED PARTNERSHIP BY: CENTRUM PORT PAVILION LTD., A DELAWARE CORPORATION, AS GENERAL, PARTNER BY: WILMA SOUTH MANAGEMENT CORP., A GEORGIA CORPORA T ON, ITS ATTORNEY IN FACT State of ec*eMio ;: I cria:.o.. ss. County of _bwm I On 11131 beforeme �+� ► ( � . -i dbCa�t� � (here insert name) NotoryPUblic., personally 000eoredi y • ' &," w personally known tome (or proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/are subscribed to the within instrument and acknowledged to me all that he/She/they executed the some In his/her/their Authorized capocity(ies)• and shot by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executea the instrument. WITNESS my hand ono official seal. ; 4 RHDNDAt.YNN D. t300DVU :i 1'.11441, �r'"'� N4Y COMMISSION / CC M14 I : ' OfPlRES. June 8.2001 •i M 1 tkxwsa i1Mu Notr tY l�nBo lbdeitiMttArn_ 94 Signoture CKR w0i wiftn W(der ZS L 6 l 9L V L L JANddHOO A,VGVNVO HOd-=1 Hd L L: 6 8661-E L- L ,f EXHIBIT "A Parcel' 1t Lots 224, 225, 247, 248, 260, and 261 of Tract no. 26152 in the City .of La Quinta, County of Riverside, State of California, as per map recorded in Book 227, pages 77 through 85 inclusive of maps, in the office of the County recorder of said County and amended by Resolution no.91-108, recorded March 26, 1992, as instrument no. 105176. EXCEPTING THEREFROM all oil, gas and other hydrocarbon substances 'lying within and under that portion of said land, lying below a depth of 500 feet, measured vertically from the surface of said land or into that portion of the subsurface, as reserved in deed recorded August 4, 1993 as instrument no. 303830 official records, Parcel 2: A nonexclusive easement for ingress, egress, use and.enjoyment of the common area as defined in the declaration of Conditions, Covenants, and Restrictions recorded November 27, 1991 as instrument no. 415112: TRA: 020-024 6 APNo.: 643-110425-2' -026-3 643-120-019-8 -020-8 . 032-9 033-0 Z d ZS L 6 l 5L V l L ANVdINO'J LVt7VNVO V40dd WdL 1. 01 866 1. -r, I. - l 4 1 'J b 1 b CC A6 PARCEL 3: A temporary nonexclusive casement appurtenant to Parcel I for pedestrian and vehicular access, ingress and egress over that certain real property more particularly described in Exhibit I which is attached hereto and incorporated herein by this reference. The temporary easement granted in this Parcel No. 3 shall automatically terminate and be of no further force or effect upon annexation of the Lots describe on Parcel No. 1 under the Declaration of streets providing vehicular and pedestrian access to Parcel 1 herein and the transfer of fee title to or an casement over said streets to the Lake La Quinta Homeowners Association, a California nonprofit corporation ("Association") for access and use purposes pursuant to the Declaration. Upon the termination of the temporary Casemeat .granted pursuant to this Parcel No. 3, access to Parcel 1 of the Property shall be pursuant to the nonexclusive easements granted pursuant to Parcel No. 2 above. RESERVING THEREFROM UNTO GRANTOR, is successive owners and assigns; together with the right to grant and transfer all or a portion of same as follows: A. All water rights or interest in water rights that may be within, under or on the property, whether such water rights are riparian, overlying, appropriative, percolating, prescriptive or contractual; provided however, that the reservation made herein shall not reserve to or for the benefit of Grantor any right to. enter upon -the surface.of the Property in the exercise of such rights, together with the right and power to use or utilize on any other property owned or leased by Grantor any and all water rights or interest in water rights no matter how acquired by Grantor, B. Easements over the property for theconstruction, installation and maintenance of electric, gas, telephone, water, sewer, private street, landscaping, trail and drainage facilities, provided that the construction and installation of such facilities shall not unreasonably. interfere with Grantee's development or use of the Property. SUBJECT TO: 1. Taxes and None Assessments.* Nondeliaqucnt general, special'and supplemental real property taxes and assessments; 2. Restrictions of Record_ All covenants, conditions, restrictions,, reservations, dedications, easements, encumbrances, rights and rights of way of record. 3.. Assignment of Declarant Rights- Effective upon recordation of this'Deed. Grantor assigns to Grantee with respect to the property, all of Grantor's rights, exemptions and entitlements as "Declarant" under the Declaration and any amendments or annexation documents recorded in connection therewith., including without limitation, all exemptions from Association, Architectural and other review and approval; development rights, entitlements and access over all portions of -the Rancho La Quinta development for purposes of constructions, development and sale of residences within the .Property; and all voting rights of Declarant with respect to the property. Upon recordation of this Deed, Grantee shall have the same rights with respect to the propeny under the Declaration as Grantor prior to the date of recordation of this Deed. d i✓S LG l SL V LL .�.N v&-400 : ,vo)vNbJ viae u vJ�jP. l Il• 1 666 I. -c: I. - l Certificate of Occupancy City of La Quinta Building and Safety Department f . 9 This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 47-715 VIA MONTIGO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9803-132 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL. Owner of Building: CANADAY AND COMPANY Building Official Address: 17480 EAST 17T" ST. #106 City: ' TUSTIN CA 92780 By: STEVE TRAXEL Date: 04-08-1999