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06-0819 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000819 Property Address: 52345 VIA SAVONA APN: 772-480-026- - - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 763589 Tihf - 4 4 Qu&& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LAUERMAN PROPERTIES LLC 3009 W 118TH ST DETACHED OVERLAND PARK, KS 66211 Architect or Engineer: E � f -------------------------------7------------------ 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 Bu 'neWo ssionals Code, and my License is in full force and effect. Lic se Class: B License No.: 820066 Date: G b� Contra o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur 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 155001: 1 _) 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 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.). (_ 1 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 Contractor:I L ALPHA OMEGA COMMUNICATIONS INC 42829 COOK STREET SUITE 104 PALM DESERT, CA 92211 .1_2c (760)568-1712 Lic. No.: 820066 Date: 6/14/06 n JUN 27 2006 , LA ----------------------------------------------- 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, 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 AON RISK ' Policy Number 1488491 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any m$=workers' eco a subject to the workers' compensation laws of California, and agree that, e bject to theworkers' compensation provisions ofSection 3700 of the Lf with comply with those provisions. ate:Z plicant: WARNING: F URE TO S, UOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. INADDCOST 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 toe abovq44gormation is correct. I agree to comply with all city and county ordinances and state laws relating to bW1ditr1ctjbn,,nd hereby authorize representatives o�county to enter upon the above-mentionedposes. ate: i s gnature (Applicant or Agent): Application Number . . . . . 06-00000819 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 2831.50 Plan Check Fee 1840.48 Issue Date . . . . Valuation . . . . 763589 Expiration Date . . 12/11/06 Qty Unit Charge Per Extension BASE FEE 2039.50 264.00 3.0000 THOU BLDG 500,001-1,000,000 792.00 Permit . . . MECHANICAL • Additional desc . . Permit Fee . . . . 226.50 Plan Check Fee 56.63 Issue Date . . . . Valuation 0 Expiration Date 12/'11/06 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 9.0000 EA MECH FURNACE <=100K 54.00 6.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 99.00 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD' 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 368.10 Plan Check Fee 92.03 Issue Date . . Valuation . . . . 0 Expiration Date 12/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 8500.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 297.50 2030.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 40.60 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . .. Permit Fee . . . . 344.25 Issue Date Expiration Date . . 12/11/06 Qty Unit Charge Per BASE FEE 39.00 6.0000 EA PLB FIXTURE LQPERMIT Plan Check Fee 86.06 Valuation 0 Extension 15.00 234.00 Application Number . . . . . 06-00000819 Permit . . . . . . PLUMBING Qty Unit Charge Per BASE FEE 15.00 Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00. 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 17.00 .7500 EA PLB GAS PIPE >=5 12.75 1.00 --------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 ==----------- Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 12/11/06 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 8500 SQ.FT. SFD.- PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL/SPA OR DRIVEWAY APPROACH.June 14, 2006 12:57:15 PM SRUBIO ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 1408.97 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 184'.05 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 76.35 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total 3785.35 ------------=----------------- .00 .00 3785.35 Plan Check Total 2075.20 500.00 .00 1575.20 Other Fee Total 5365.37 .00 .00 5365.37 Grand Total 11225.92 500.00 .00 10725.92 LQPERMIT OCT -06-2006 FRI 09;15 AM GORDON ROSS FAX NO, 760 341 76'21 P. 02 WEDDLE `�/ �� S'ITRVEYING MAPPING, INC. Boundary, - Conslrueiion - Tnpographic -Aerial Surveys -A PA Surveys.• CPS - (,On:ullinb October 2, 2006 Mr. Timothy R. Jonsson Public Works Director / City Engineer City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-1504 Re: Pad/Forrn Grade Verification City of La Quinta LAUREMAN RESIDENCE Lot 119/120 Tract No. 29894-2 Amended 52-345 VIA SAVONA THE HIDEAWAY APN 772-480-026 Dear Mr. Jonsson: We have performed a field survey to determine the vertical location of the building paid and form for the above referenced project. The elevations observed are as'ollows: PAD (DESIGN) 1010.4 FORM (DESIGN) 1010.90 PAD (AS -BUILT) 1010.4 FORM (AS -BUILT) 1010.91 These field observations are in Substantial conformance with the precise grading plan prepared by FEIRO ENGINEERJNG, INC., dated 5/9/06 and the building horizontal location substantially conforms to the required setbacks and site layout as shown on the approved site plan. Sincerely, WE, DDLE SURVEYING MAPPING, INC - David L. Weddle, President L.S. 5570, Exp 9/30/05 PO. Boz 10418 -Palm Ucsr.rf. CA 9225i-0418• llury. 111. Ste. 6 - Palm he•serl, CSI 92260 - 7G0.3 -1<i. 3748 E -Mail; 1TrdSurv(�i)Anl,cont - Fax 760-346-3740 d� Building 9 MEEM111111FAMYOMOV61M (&4 4 4 a" o/- K17 P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO 16 0a LA QUINTA, CALIFORNIA 92253 Ci01M Vf 1.� ZIp01Z2I1 Tel. - 1-71Z I & Classif. r)� SIS I / 11 11111) 1 Lic. # Designer 9 `"MAIM W, rt 1' °1221 I J`°`C LIc. # LICENSED CONTRACTOR'S DECLARATION I 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). ❑ 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 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). ❑ 1, 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 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 employ 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. Vinmm OCC. GRP. V, A.P. Number 1 // -U 2�4 n Legal Description V ✓ "� 11� wT 12-0 Project Description Sq. Ft. No. / Size Stories New N/ Add ❑ Alter ❑ �i W , M/ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc Infrastructure TOTAL REMARKS No. Dw. Repair ❑ Demolition ❑ AMOUNT FYT-- ZONE: BY: Minimum Setback Distances: Front Setback fram Center Line Rear Setback from Rear Prop. Line Side Street SetbEck from Center Line Side Setback from Property Line FINAL DATE_ Issued by: Validated by:— Validation: YELLOW = APPLICANT fNSPECTOR Date Permit PINK = FINANCE , `Cokhella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: This Box For District Use Only DEVELOPER FEES PAID AREA: AAOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE: RECEIPT: C--[ECK k: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: April 5, 2006 Owner's Name: Tom Nancy Lauerman Phone Yo. (760) 568-1712 Project Address: 52345 Via Savona, La Quinta, CA 92253 Project Description:. 1 Single Family Dwelling APN: 772-520-051 Tract #: Lot #'s: Type of Development: Residential IRK Commercial Industrial Total Square Feet of Building Area: 8,500 sq. Ft. Certification of Applicant/Owners: The person signing certifies that the above information is corre-,t 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: 04/05/06 Signature: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * k * * * * * * * * * * * * * * * * SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 8,500 sq. ft. Amount per Sq.Ft. $ 2.88 Amount Collected $ 24,480.00 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificaie issued by: Leticia C. Torres, Facilities Analyst Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District 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 -da- 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 an 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. i_;i':� nndl�� 'ticvf�es cert.iti�<de ofcompliance Plum tablesa.'rl l`SE.doc 1/16/03 T JUL-20-2005 03:17 PM TOM & NANCY LAUERMAN RaCORDINO itilQUBMD BY., New Centwrry 5T;0e��Cogggmpany - Riverside Title waaw No.t &WAVO AND WHIN RICORDID MAIL TOt Thomas E. Lauernm Nancy D. Lauerman 3009 W. 118tH Street Leawood, KS 66211 M I s 913 345 2159 P.O� DOD q 2P�®g�0440648 06/02/2006 eA:eeA peo;18,08 0a98 I x paid Recorded clnaOfficial Doc T aRecords Co4nty of Riverside Larry Aaseeser, countu yClark dd Recorder 111111111111111111111,111111111111111111111111111111111 PACT Olid DA PCO ,-OR OMP —••.Mise. AT I IT., COPY LONG RfPUND NCNC Ef,pM v7�~ GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARES) that doctltnRttt#tY trarrfer tax Is f 1102 •S'° ' I () ,County) $,00 (City) ( X) computed on full value of property conveyed, or ( X) City of La Qulnta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael Wallace, an unmarried man hereby GRANT(5) to Lauerman Property Management, LLC;- a•- California Limited Liability Company the following described real property In the City of La Quinta, County of Riverside, State of Callfbmla: Please see attached Exhibit "A" w Dated: April 7, 2005 STATE OF CALIFORNIA ' COUNTY OF U r- f On before me Michael Wallace Personally appeared - br 1 c,.h m..L jj 1.2j�L.A" ' ' Personally known to me wAdenee) to be the person( whose name(j) is/are subscribed to the within instrument and acknowledged to me that he/shi/Ay executed the same in his/40/tOOr authorized capacitypa9, and that by his/bWjtWIr . . signature(p) on the Instrument the person(Ary or the entity upon behalf of which the pemon($ acted, executed the Instrument. WrMESS my hand and official seal. Slgnd6ure� Grant Deed - Individual (290) 10-04 d`"iSAME N CN Commollon N I"ISO MNobvvor"a 0QW* M Comm. haft 9, Mia ew for af6dal I). MAIL YAX ATAT@MIII NU A6 DIRIall) ABOVE 0 'LODE JUL-20-2005 03:17 PM TOM & NANCY LAUERMAN 913 345 2159 P.03 Order No. 5150038 Exhibit "A" PARCEL 1; LOT 119 (THE "LOT") OF AMENDED TRACT NO. 298942, AS SHOWN ON A SUBDIVISION MAP (THE "MAP") RECORDED ON DECEMBER 12, 2002 IN BOOK 321, PAGES 56 TO 88 INCLUSIVE, OF MAPS, IN THE OFFICE OF THE RIVERSIDE COUNTY RECORDER, PARCEL 2; NON-EXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. Order,No, Escrow No. Loan No. '^THEN RECORDED MAIL TO: ,uerman Properties, LLC C/o 42-829 Cook St., Ste. 102 Palm Desert, Ca. 92260 .,, ... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances DOC # 2005-0904596 11/01/2005 08:00A Fee:16.00 Page 1 of 4 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder 11111111111111111111111111111111111111111111111111 IN M $1 U PAGE SIZE DA PCOR NOCOR FSMF MISC. 1 AR L Ia COPY LON4 ;w NCMG I JP EXAM remaining at time of sale. Signature of Declarant or Agent determining tax -Firm Name GRANT DEED TP FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lauerman Properties, LLC, a California Limited Liability Company, formerly known as Lauerman Property Management, LLC, a California Limited Liability Company hereby GRANT(S) to: Lauerman Properties, LLCaa California Limited Liability Company, formerly known as Lauerman Property Management, LLC, a California Limited Liability Company, the real property in the City of La Quinta, County of Riverside , State of California, described as Lots 119 and 120 of Amended Tract Map No. 29894-2, in the City of La Quinta, County of Alverside, State of California, as shown on map on file in book 327 of maps at pages 56 through 88, inclusive, official records of said County of Riverside. HIS DEED REFLECTS PARCEL MERGER NO.6S-4??- AS APPROVED BY THE CITY OF LA QUINTA V Dated_ / 0-// 'Z 0{ STATE OF 6AL /�R fu�i� )ss. COUNTY OF. On J before me, personally appeared personally known to me (or proved to me'on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In hls/her/their authorized capacfty(les), and that by his/herRheir s)gnature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my h d and official s /1 Signature (� MAIIr TAX STATEMENTS TO: Lauerman Properties, LLC LAU/ERRMMM PROPERTIES, LLC ?'�I►tiA--S G , LA�I�Q�'1AN C �R7x/��(, (This area for official notarial seal) SHARON MCGILL Notary Public • - too a as My Appt. Exp.