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9803-133 (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 # Lic. Class Exp. Date 341.iu1 f3 � :i13i1�i3 i nature of Contrac671.ate t r �� f' � 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 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 Sianature of Owner WORKER'S COMPENSATION DECLARATION ti 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. (fir) 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: Carrier Policy No. MI0V.' 7 INS CO aC5.0_1137-1417$ (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 SAject to the workers' compensationprovisions-.of S ction 3700 of the Labor code, I shall orthwi comply with those provisions � 11 Date: _ I.X/ / `applicant .� �•� �rw.. j � r Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the. above- mentioned property for inspection purposeess. �$ignature (Owner/Agent)Date 5Z 2/� BUILDINGPERMIT PERMITk °°NTR°`# DATE: %VALUATION .} 1.578 34 LOT. �4 TRACT 26,972 7r'i� - JOB SITE ADDRESS 4744-5 ViA TR TE APN 64S-130-049 OWNER CONTRACTOR / DESIGNER / ENGINEER CA i:?\:'A ' : Ct?i191?AN t' CAMDAY & C'f)MPAN 15707 BR001 t :0 ,10'W' 'DR. S"i`E 208 151013ROCKI- OLLOW DiUVE, SIJ FE 208 SA:1V'I KAt IA. CA 92705 SANTA ANA CA 92.305 (7.1.4)751 -?1.51 0111 10 44R.5 . . USE OF PERMIT SFD i &'ID -.1'1. AN 2 -PEWIT DOES NOT INCLLIDP. BL,)r-K WALLS'OR:POOL, TRACT COURTRUC TION 2,013.00 31.7 PO.RC10KC10 44.00 S17 0Att (AYCAR4'L' KI' 599.00 Sr. f 121,578.311 C'trAf&'1A%ilGI1pN1''[ 1.(!1 i1CiiJ'It -(?OU $716+.50 PAIAN 0413CK HW1 01-040-439-318 $599.41 D13-NDSff 4250.00 AItC, ANit`Ai,17� 10i-000-42.1-000 V16,50 'i LEC'YRICA1, M 101[ -OW -420 -OW $1,45,94. Ill,f�!►i#IiWrVFffR $136 M S'I'ONG AO`f]OR 17.1':E - R . E) 101-000-241-000 S12.16 ORADINO FE -E 101-000423-0(4 Saft.Uti TNFRASrRfJC1-0R1: AKE 225.000443-342 'rl3, 4 #" .fit PUB1.1C, —LACfiS - $53.95 SUB -TI Y: TAi.. CCiM RUC"f ON AND PLAN ('I11;CK $4,474.00 LESS PRE, -PAID [""US -$250,00 'i: C,1E I AI., _PE 1tii9IX FF. N 1.1% NOW $4,?Q4.00 . ,RECEIPT DATE BY/ DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Gra( Return Air Steel I Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing 717 Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath �o Drywall - Int. Lath Final• . Final - u - BLOCKWALL APPROVALS POOLS - SPAS 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 G 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 " Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power t Final Utility Notice (Perm) .. _ / Flo.—�_j��-�J COMMENTS: V [ /, t_:.�;, Bm !f r o La, I City f L �. �71, {yy ... " . 'Building 8I Safety Division Y . FI .. ' ,' P O. Box 1504 . , .e Permit 78-495 Calle Tampico :::.. ...... La Quinta, CA 92253 . . i nand Tr kln h .. P ` ' A licat o ac S eet Buildin ermlt g PP g { _ ....... Project Address: 7 8 j� . v/4 L T 'r , s TC Owner's Name:.:. G in G 1 ' 4 CO �"` ' , � A. P. Number: c0 / 3 1300 Al. I Address: 16 x.' .4 -M.&J -,Or #o%Qi , � E'E i' Legal Description: �O y� . . , Ciry,,ST, Zip: 54, J, 414 C4 . rtn�, ra t r. Co nt c o G• J L G O H'I le h ne: Te o S P 7 7 - • ' Address: 5 Q ro o I O,, r #d 0,f • Project Description: Y 126 / - o2 LO f ' / / CitY.ST,Zip: .JGrT� h4 c4 ga7os.. L4kt- ,& Q&I",il ''L.4 Q11,-,4, La- - • Y _% Tee o 7 P h ne:11: % %S / s , . M , ., State Lic. # : C- 4 S /�I 5-61. / City` Lic. #:. ........... [� Q ' . / G Yl I � P S.:. • ' r . Arch E,ier:, Designer: � M -L ,K f /�/ 1,1 �O LC . " • , .N - vi ` : _ Address: /-o. ljvx.. 9S , , F , _ t • . . City. ST, Zip: ofSCiT / /ls� I -r„ t 64 . , Tele h ne P 0 760' 3a 6 • Co s truction T e: Occu anc ::. .. n _ Y YP P 3 V N /C r . State Ltc . # ii�iiin W Project a circle one : Ne Add'n Altei Re air. •Demo J �P P . Name of, Contact Person: 13D `j G 1kit Sq. Ft.: �d 13 - # Stories: /� . , . 1# Units: . 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Notice: Document Cannot Be Duplicated Date 3/27/98 No. 16816 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Owner NameCanaday & Company No, 47-845 Street Via Trieste City La Quinta Tract # Lot # Type of Development Single Family Residence Comments APN # 643-130-049 Jurisdiction La Quinta zip 92253 Permit # Log # Study Area Square Footage 2013 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 1.93 X 2,013 or $ 3,885.09 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 Cashier'Check/Steve Santee ,Telephone 771-9636 Name on the check `l,1 N". By Dr. Doris Wilson. �f Superintendent Fee collected /exempted by Juanita Green Payment Received $3A0.1"9' Check No. 01058148 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 District('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. Recording Requested Ry 1, Ci=ffCAGO TITLE COMPANY AND WHEN RECORDED MALL TO 1i Canaday &'Company NATO 1570 Brookhollow Drive Aoa,ew Suite 208 e stats Santa Ana, CA 92705 slo TT- 100 (Rev. 4/94) 0 41.9582 �. RECEIVED FOR RECORD AT 2:00 O'CLOCK roe: Y►w:wjor r :, NOV 14 1997 t•, C,r% P., ... ROM*d in Off" Record. «„o.+.. r...•... of A nrnVe Courcy, CaWomW Rewrder Fees S SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED APN No. Title No. Escrow No. 01873CB THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX is S 616.00 CITY TAX S 19 computed on full value of property conveyed, or 1-1 computed on full value less value of liens or encumbrances remaining at time of sale, G Unincorporated area: IN City of LA QUINTA and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP /6 hereby GRANT(s) to CANADAY AND COMPANY, a California Corporation the following described real property in the County of RIVERSIDE State of California: Lots 49 through 59, inclusive, and 98, 99, 100, and 104�ofdTra�t 26152 an SEE EXHIBIT "A ATI ACHED WILMA-LA QUINTA L.P. A DELAWARE LIMITED PARTNERSH.Ip BY:'CENTRUM PORT PAVILION LTD., A DELAWARE CORPORATION, AS GENERAL Doted: October 29, 1997 PARTNER BY: WILMA SOUTH MANAGEMENT CORP., A GEORGIA.CORPORATION, ITS ATTORNEY TN FAci—,-pe State ofi ',a G�GY,GiQ County ofCk ss. On I ( before me. \1 (here Insert name) Notory Pvbllc, personally oppeored l Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/ore subscribed to the within instrument and ocknowledged to me oil thot he/st';e/they 0x0cuted the some In hIs/her/their outhoriled Copoclty(les). and that by `tis/her/their signatvre(s) on the instrument the person(s). or the entity upon behalf of which the person(s) octed, executed the instrument. WITNESS my hand and official seal. 4 RHONDALYNN D. GOOOWIN MY COMMISSION 0 CC 840914 ba ded�mu�i+orarr warn rxO rwtlmre Signature — orri. soot winmin cordo I d ZS 16 I SL V I L JANVdH00 J VCVNVO HOPIS Wbc l' S i. � ( JZ)0 EXHIBIT "A" Parcel 1: Lots 49, 50, 51, 52, 53, '54, 55, 56, 57, 58, 59, 98, 99, 100, 104, -and 110 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 APNos: 643-130-049-6 -050-6 -051-7 -052-8 =057-3 -059-5 -055-1 -056-2 -054-0 643-140-001-3 -002-4 . -003-5 643-130-058-4 -053-9 -063-8 -047-5 75 L 6 L SL. V L L AN ddNoo ),V(3 dNV3 VdOH� V VE. I. S �t�6 I. -L - L 419582 PARCEL 3:' A temporary nonexclusive easement appurtenant to Parcel I for pedestrian and vehicular access, ingress and egress over that certain real property more particularly described in Exhibit 1 which is attached hereto and incorporated herein by this reference. The temporary casement 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 I herein and the transfer of fee title to or an easement 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 easement granted pursuant to this Parcel No. 3, access to Parcel I of the Property shalt 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 u. pon-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 the construction, 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: I. Taxes and None AssessmentNondetinquent 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. A nment of Declarant Ri hts: 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 property under the Declaration as Grantor.prior to the date of recordation of this Deed. d Z9 L 6 1 SL V L L J,N V&400 .AlV0VNV3 Vt0a.� Hb'r I.: S 866 I. L - I. Certificate of Occupancy City of La Quinta Building and Safety Department 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: Use Classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: 47-845 VIA TRIESTE Owner of Building: CANADAY AND COMPANY Building Official vnl Bldg. Permit No.: 9803-133 Land Use Zone: RL Address: 17480 EAST 17T" ST. #106 City: TUSTIN, CA 92780 By: STEVE TRAXEL Date: 01-26-99 POST IN A CONSPICUOUS PLACE