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9803-137 (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 591561 B 3/31/98 Date 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). 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, 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. UMCARE INS CO SC50-1197-14179 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 1 certify that in the performance of the work for which this permit is issued, 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 provisions Date: 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, 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. 1 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 purposes. Signature (Owner/Agent) Date ru .E BUILDING PERMIT PERMI CONTROLN "03-137 ' DATEVALUATION ,136,724.20 LOT 53 TRACT 2@076 1 6 i? 9� ADDRESS 47-965 VIA TRIESTE TOB SIT9 AP" 643-130-053 OWNER CONTRACTOR/DESIGNER/ENGINEER CANADAY & COMPANY CANADAY fit: COMPANY 1570 BROOKHOLLOW DRIVE, SUITE 208 1570 BROOKHOLLOW DRIVE, SUITE 208 SANTA ANA CA 92705 SANTA ANA CA 92705 (714)751-9151 CBL# 4485 USE OF PERMIT Sb',U - PLAN 3 (NO GUEST HOUSE) - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. GARAGEICARPORT 610.00 SF PORCH/PATIO 48.00 SF TRACT CONSTRUCTION 2,286.00 SF ESTIMATED COST OF CONSTRUCTION 136,724.20 PERMIT FEE SUMMARY PLAN CHECK FEE 101-000439-318 $643.16 CONSTRUCTION FEE 101-000-418-000 5769.00 MECHANICAL FEE 101-000-421-000 566.50 ELECTRICAL FEE 101-000-420-000 5164.71 PLUMBING FEE 101-000-419-000 $142.00 STONG MOTION FEE - RESID 101-000-241-000 513.67 GRADING FEE 101-000-423-000 $20.00 INFRASTRUCTURE FEE 225-000-443-342 53,061.93 ART IN PUBLIC PLACES - RES11; 701-000-255-000 591.81 FEE DEPOSIT 101-000-439-318 4250.00 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $4,972.78 LESS PRE -PAID FEES -$250.00 TOTAL PERMIT FEES DUE NOW 54,722.78 RECEIPT DATE BY DATE FINAL INSPECTOR M • . • ' 3 ,-,A Bin !i . City La Quinta 11 .of .' 'Building at Safety Division . Y ,. i y P.O. Box - 1504... , . . . Permit #i :.... 78-495 Calle Tampico • U QuincaCA 92253 %i .W.W. .Building Permit Application ,and Tracking Sheet , Project Address: y" ��p `1 � 4 T. -j 7 C 'Owner's Name: �G ., G' A 'i eo r., " A. P. Number: 3 Soo 553 Address: 1570 !30-00 4d11o.j ,0, #>08 Legal. Description: City,ST, Zip: '54, Y,. 9 -' , Cq . Contractor. C ' � �0 I'►•I L r' Telephone: hone: 7. s eP Address: 5 .D i -a O11 r 070 Project Description: r. .2615�, L1v� o City. ST, Zip: . 54,4& h4 64 9a7oS . /44r, z<' Qurh¢� L< Qfir%./.� r!!,-- Telephone: hone: % S s State Lic. # : <-q SFI 5-61 / City Lic. #. S. - /o !.t Y. 3 ' G Il < 0 r1 . Arch - Engr:. Designer, ^� k C. �Cn 6/O 24 " . , vV 6ue� Address: / = D. /5 V x / 5- , . . . , - . ' . . , City. ST. Zip: t013(i / �D/J r104 f e,4 - . Telephone: P O 6 60 3d 7 ti n T e: Occu anc : — onstru co c 3 PY YP n V N t . S tate L c _ w A d'n Al ter Re air Demo 1 one . Ne d Pro e ct e ctrc e P J tYP J) Name of Contact Person:, �j0 4 / � IGCC Sq. Ft.: � 7 8. 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To Canaday & Company Noma 1570 Brookhollow Drive poa,ew Suite 208 a+va wore Santa Ana, CA. •92705 Lo/ s3 41.9582 -- RECEIVED FOR RECORD ..AT 2.00 O'CLOCK NOV 14 .1997 Rewrder Fees S�Lc 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 $ IN computed on full value of, property conveyed, or 0 computed on full value less value of liens or encumbrances remaining at time of sale, O Unincorporated area: Z City of LA QUINTA and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP • / b. ' 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/ofd-Tract 26152 SEE EXHIBIT "A " ATTACHED WILMA-LA QUINTA L.P. A DELAWARE LIMITED PARTNERSHIP 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 State olio County of Gt 4— u' On I ( before me, 0411411A] A. \\ nn (here Insert name) Notary P.jbtit• Personolly oopeored .hAll e, U . (�/'Q%1Q.✓t Personally known to me (or proved to me on the bows of satisfactory evidence) to be the persons) whose name(s) is/ore subscnbed to Me within instrument and acknowledged to me ON shot he/s"/they exacuted the some In tris/her/thelr outhorized copocity(les). and trial by tris/her/their signatvre(s) on the instrument the petSon(s). or the entity upon behalf of which the person(s) octed, executed the instrument WITNESS my hand and official seat. ; h �RNDALYNN D r G�00yWN ON asu ME::Jw6it co"ISSI EXPS6, 2001. ThW �y�uJ kyd AW Signoture -- CA. wol woe n Oorda l d ZS 16 I SL V I L ANVdN00 AVaVNVO NOdA I" VE I: S 866 l l- 1 4I�JOL. �/i • ii 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 e of California, as per map recorded in Book 227, pages 77 City of La nuinta, County of Riverside, Stat 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 instrumeht no. 105176. n and at EXCEPTING THEREFROM all oil, gas and f 500 feetcarbon substances lying measu ed vertically from the surface of sand land said of said land, lying below a dept o. erved in deed recorded August 4, 1993. as instrument no. or into that portion of the subsurface, as res 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,'l 991 as instrument no. 415112. TRA: 020-024 APNos: 643-130-049-6 050-6 -05.1-7 -052-8 -057-3 -059-5 -055-1 -056-2 -054-0 643-140-001-3 -002-4 -003-5 643-130-05,8-4 -053-9 -063-8 .047-5 ZS t 6 t SL. V t L AI\lVdW00 AVOVNv:) Vlt1�:t'S R_ E;I-}.l-t 5% .%W PARCEL 3: 419582 A temporary nonexclusive easement appurtenant to Parcel 1.. 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 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 l 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 casements 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 ss 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 utilise 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 n tenancc 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 T0: 1. Tares and None Assessments: Nondelinquent general, special and supplemental real property taxes and assessment; 2. Restrictions of Record: 'All covenants, conditions, restrictions, reservations, dedications, casements, encumbrances, rights and rights of way of record. 3. Assirnment 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 aanexation 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 developrment'for purposes of constructions, development and sale of residences within ,thc 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 Decd. r ,j. ZS l6 l SL V l L ANV6100 AVOVNVO 110dA vivn l: S 866 i l- i f Notice: Document Cannot Be Duplicated Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/27/98 APN # 643-130-053 No. 16820 Jurisdiction La Quints Owner NameCanaday & Company Permit # No. 47-965 Street Via Trieste Log # City La Quints zip 92253 Study Area Tract # Lot # Square Footage 2286 Type of Development Single Family Residence Comments 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 2,286 or $ 4,411.98 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 tti�. ° it 1.�•. � Fees Paid By Cashier Check/Steve Santee Tel?hone t,771 -9636-,-"e Name on the check By Dr. Doris Wilson Superintendent 0 Fee collected /exempted by Juanita Green Payment Received f~,4 i 1:9'8 Check No. 01058148 Signature NOTICE: Pursuant of Assenjoy 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 collect 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 ce-it,'4 4. 0"' 78-495 CALLE TAMPICO — LA. QUINTA, CALIFORNIA 92253.– (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 February 3, 1998 Mr. Roger Moore Canady and Company 1570 Brookhollow Drive, Suite 208 Santa Ana, Calif. 92705 SUBJECT: Revision to units for Lot 53 nd 55, Lake La Quinta Dear Mr. Moore, The Community Development Department has approved your architectural revision to Plan No. 3 Palisades which consists of notching the front of one garage space to accommodate the front setback on the two lots (53 and 55) as shown on the plans submitted to our office on February 2, 1998. This approval is subject to your obtaining approval of the Lake La Quinta Homeowners Association. Please submit a copy of the approval to us for our files so that it does not holdup final occupancy. Should you have any questions, please call me at (760) 777-7064. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner sbs c: CG—reg Butler, "Building ,and Safety Department c:\Itr app mod lots 53,55 Ilq MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253 �� 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: 47-965 VIA TRIESTE "Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9803-137 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: CANADAY AND COMPANY Address: 17480 EAST 17T" ST. #106 Building Official City: TUSTIN, CA 92780 By: STEVE TRAXEL Date: 12-21-98 POST IN A CONSPICUOUS PLACE LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of F— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N w Professionals Code, and my License is in full force and effect. O =) ch License # Lic. Class Exp. Date ir�CiLO t` Z r /ate 2' Signature of ContractorLI l �O� J U C=) OWNER -BUILDER DECLARATION W Wil r` I hereby affirm under penalty of perjury that I am exempt from the Contractor's rn License Law for the following reason: Z_ ( ) 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). C0 () I am exempt under Section B&P.C. for this reason LO N Date Signature of Owner O0 Q WORKER'S COMPENSATION DECLARATION p 2 Z I hereby affirm under penalty of perjury one of the following declarations: Lin FZ p () 1 have and will maintain a certificate of consent to self -insure for workers' X W !:� compensation, as provided for by Section 3700 of the Labor Code, for the O J Q performance of the work for which this permit is issued. C0 Q L) (� �� I have and will maintain workers' compensation insurance, as required by O U Q Section 3700 of the Labor Code, for the performance of the work for which this H permit is issued. My workers' compensation insurance carrier & policy no. are: Z Carrier Policy No. J (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 D'ode, I shall fort with comply with those prowsi> ns. ate: P 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, 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 theabove-mentioned property for insp ction purposes. ` d � �d7ll Signature (Owner/Agent) - = `' Date PERMIT # CONTROL # BUILDING PERMIT VALUATION LOT TRACT 9 DATE.y /yy 1:�� L- JOB SITE ADDRESS �vC7�� d i�+� lv �! iD k �)41�•�W) -1i +y OWNER CONTRACTOR/DESIGNER/ENGINEER I 'A N.r- X1 E IR V*.`Y ` it��®� J.�q�a��1 i �1'!? �''I�� i3Oe51 �C\!,a7°I �:i ��Fi C, _/. �� i 't)?�`E `�L�ls�1{,2 .l r�� f.1 r\,wA USE OF PERMIT ljS° 9 0 v11 1 6'A'uL AR 199 �.c'Ty 01= 2i1: �:.�;-'J4JQ�@�thlf:.j•i,av":� i .0 j.C,,o L`?" LA QUINTA i�� S�,C..k�1"ia•d'le " a63.a_;yi aLv" )af.AT4k.i1'`i�N' Ifa 6-4)-414- �I14 94,4 ilii k�<"ani: Qd1� i1P'iRSi� eC� gt)D--fi3EfY41W1110 r a c it11i AL PH; i": t,1 f,INVOVi FFLI t � NU sYIf sN 1.1 V 11T pp14%F�� q'°aV�A> I .r;;1Fz;101WP �Ai,' 225-01i1-4-C-"s9?� y0 �'i° it ° 114,1rV -K-,"N R :� jl �til1 dig 4t►� 91 8 ?rK4� t r".•y�l )ti3'd° Iv31-41,tf#.:32it.,`�1� <'�`�tl ftiJ y�y . RECEIPT DATE BY DATE F AL INSPECTOR /_7 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings / 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 Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL A PROVALS 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 AP ROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover _ Sewer Connexion Encapsulation Gas Piping Gas Test / Appliances -, 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) Final COMMENTS: -