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9807-017 (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 vDat�e Sig nature of Contractor 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:-toconstruct the, project (Sec. 7044, Business & Professionals Code). () I am ex mpt 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 Lair Code, for the performance of the work for which this permit is issued. (y() 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. 1.1NICAW lav` CO Sh,5,0-1«97-'4179 (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 woAers' compensation provisions of%Section 3700 of the Labor Code, I slIf f rt wit t comply with those provision . ✓Date: v� �� Applicant h �/-. Warning: Failure to secure Workers' Compensation coverage overage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize repref'entatives of this City to ente upon t e above-mentioned property fo ' ins�iection purp ses. ' Signature (Owner/Agent) J'u/� Date t� •.. BUILDING PERMIT PERMIT# CONTROL# sw 9:17-Op'7 :'� •.• ':� DATE VALUATION -LOT 5g TRACT �'•{� «lfl4,0• .{4 JOB SITE a APN ADDRESS 78-905 WA�,I��! i C FhL��i Y�$�-���� OWNER CONTRACTOR / DESIGNER / ENGINEER CANt',DA.Y &C:CJMt)AN1' 3'.,.1iNti1")AY &COMPANY 1.57Q,B1t00K*101,;i,:0V-V- DPLIVE', W I'E.268 1570 B►di)f3KHOLLOW DAWE, SUITE 208 S.A: iTA.A:tIA. CA 92?05 SA'NTA..ANA. CA 92705 (7:14Y15 -R-9151 4485 . ti S USE OF PERMIT SN U - PLAN 41RT141—Wil, i' DOUNOT { Ivax—DE,u.. cll WkLug C)it k+o'L PLAN CHFC K @ FE RliOtUC°ED BY 730/9 F0fit V1U1.'# PLfs 1SSUANCh OF StCMS s ' t: fAs;�'l.AG&C AKPL1RT 624.00 kt.F ' T�'i)iCCt•4/]��diT.fC> St39.0+3 S:i° 1%LAC.'1 CCSf4S`1'RU .CION 2,9)•7.00 `F i or��3�vi�.�btucdmv. iai�Aaa� i.�{�i V1t,'Rh!1T PEE SUMiMA.t"1V - F i fs i�[?1 51',C - 101 -OW -439-318 4250.00 P1.•AN C 11, ;C`K NE t 0 -t (i-439-31 R 5173.73 CoKsfK,u `I:CiNgFri 1t011-000.4118-�0/0j0 �Q�/tjl,tU't1� •.fl.AYif.4A1''41CAJ.6•d:E 1 101.-W0421-000 S105•00 1,41-:EC'I TICAL i-rr H 10,1-001-120-000 $172.73 'PL-ON[131140 ITTE 101 -MG -40 -ow g- $162150 NG MIO`171014 FE -RES 10 10.1-0100-211-•000• $:1.5.09 GIRADI G i/EC. 101-400-423-000 $20.00 1NFRAS RUC7'1JRE FE- 22:5 -OM -443-342 $3,338.13, Awl, {731, J91_TC; .P1,ACE.3 - 701-000-255.000 $127,0 SL82T(YrA1. C()rISl'J(,-7110N kNDP1,AN01,fiF K. ESS PRE -PAID FEES �25i1.00 ' 4 TA!.:i' "EtSi1111' FE08.0UEN0W $4,682.35 k RECEIPT DATE BY DATE FINALED INSPECTOR In INSPECTION RECORD I a� OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings_/ 9 Ducts Slab Grade �� ReturnAir -Steel Combustion Air Roof Deck �/�— Exhaust Fans Wrap F.A.U. Frami 3-72- tCompressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior lath Drywall -Int. Lath _Q Final _ BLOCKWALL APPROVALS Final 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 Waste Lines Gas Test Electric Final 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 7 Final COMMENTS: Final Utility Notice ELECTRICAL APPROVALS I Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbctures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power t Final Utility Notice (Perm) C.. Certificate of Occupancy City of La Quin.ta 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: 78-905 VIA TRIESTE Use Classification: SINGLE FAMILY DWELLING 9807-017 Bldg. Permit No.: 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: 08-03-99 POST IN A CONSPICUOUS PLACE 4 2/7 P.O. BOX 1504 APPLICATION ONLY Building78-495 CALLE TAMPICO Address 78-905 Via Trieste LAQUINTA, CALIFORNIA 92253 Canaday & Company/LLQ, LLC Address 1570 Brookhol low Dr.. 0208 City Santa Ana Zip 92705 ITO. 714/751-9151 Contractor Canaday & Company Address 1570 Brookhollow Dr., 0208 CityZi Santa Ana X2705 Tel. 714/751-9151 State Lic. & Classif. 591561 City Lic. a 4485 Arch., Engr., Designer Len Nobel Company itltlff:s Box 16606 71114/559-4305 Cit i rvi ne Z' X2713 State Lic. a LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 thealleged exemption. Any violation or 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, 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. If, 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.) FI 1, 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.) I 7 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 CQr�p tion 1�syr n�� or 1lified co thereoVffrg 8 Policy No.3V:7Y-1 17�Coihpa�ijr�� cop, UI1lQf'C�li1�Q♦ n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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 or 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 ame Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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 ILDING: TYPE"CONST. OCC. GRP, 1. Number 643-140-002 Description Tract 26152, Lot 58 1t Description Single Family Detached Residence Sq. Ft. 2 507 No. 1 No. Dw. 1 Size > Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 frop Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Perrrdtw �q Validated by: Validation: p APR 2 919989 1990 L I 1. eIT OFF LX Q"Ul I NTA WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 41 Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF 'COMPLIANCE Date 7/15/98 No. 17329 Jurisdiction Owner NameCanaday & Company No. 78-905 Street Via Trieste APN # 643-140-002 La Quinta Permit # Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 2,507 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 2,507 or $ 4,838.51 ` the property listed above and: fhat>bui]ding permits and/or Certificates of Occupancy for this square footage in this proposed projec may now b e issued 4Gif`f, Fees Paid By City National Bank/Canaday &Company Tesepbone� 7L4=a-51-9151'. Name on the check R=h ` •4 By Dr. Doris Wilsonrt�' i Superintendent Fee collected /exempted by Juanita Green Signature Payment Received $4,838.51 Check No. 01058491 NOTICE: Pursuant of Ass);/nbly 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 frool 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 I Desert Sands Unified School District � Notice: 82-879 Highway 111 Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/27/98 No. 16818 Owner NameCanaday & Company APN # 643-130-051' Jurisdiction La Quinta Permit # No. 47-905 Street Via Trieste Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 2591 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 2,591 or $ 5,000.63 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 B Cashier Check/Steve Santee 1y '� By Telephone , 771,-•9636 Name on the check • 'r By Dr. Doris Wilson r<- _u Superintendent Fee collected /exempted by Juanita Green Payment Received. $5;000:63' r. l Check No. 01058148 Signature NOTICE: Pursuant of Assly 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 identifiedabove will begin to run fro 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 Dislrict('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 ;.''acordff5g Requested Ry CHICAGO TITLE COMPANY t. r� AND WHEN RECORDED MAIL TO Canaday &' Company °"° 1570 Brookhollow Drive 'i00'Os6 Suite 208 c1ty PA stota Santa Ana, CA 92705 ft- 100'(Rey. 4/94) J) 40 >L 5 41.9582 u RECEIVED FOR RECORD .� ,�,A„ �, r...� .,,_..• AT 2.00 O'CLOCK N O V 14 1997 ; V, Rowtvw in 001" pawde Rewrder Fees $___L�_ SPACE A80VE 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 13 computed on full value of property conveyed, or 0 computed on full value less value of liens or encumbrances remaining at time of sole, G Unincorporated area: 0 City of LA _QU INTA and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WXLMA-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 R'I V E R S I D E State of California: Lots 49 through 59, inclusive, and 98, 99; 100, and 104�ofa11 Trscct 26152 SEE EXHIBIT "A " ATTACHED WILMA-LA QUINTA L.P. A DELAWARE LIMITED PARTNERSHIP BY: CENTRUM.POFT PAVILION LTD., A DELAWARE CORPORATION, AS GENERAL Dated: October 29, 1997 PARTNER BY: WILMA SOUTH MANAGEMENT CORP., A GEORGIA CORPORATION, ITS ATTORNEY IN F C.T State ogia 76 County of Ck q l ss. ii� On (+ before m�Le, \\ nnLJ (here Insert name) Notory PvbllC, 2 Personally appeared— personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/ore subscribed to the within instrument and ocknowledged to me all that he/she/they executed the some In his/her/thelr authorized copocity(les). and that by his/her/their signatvre(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. RF{ONDALYNN D.1300OV N OKI. seal within borde, ZS L 6 L SL V L L ANVdN00 AV0VNb'0 NOdj L^tbl_ L: S 866 L -C L- L r - h MY COMMISSION 0 rx I'�Q814 :, Ae EXPIRES: June 8, 2001 k0ed TMU Notary PJ* tinder ftO Signature OKI. seal within borde, ZS L 6 L SL V L L ANVdN00 AV0VNb'0 NOdj L^tbl_ L: S 866 L -C L- L r - h EXHIBIT "A" Parcel 1: Lots 49, 50, 51, 52, 53, '54, 55, 56, 57, 58, 59, 98, 99, 100, 104, and 110 of Tradt 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 portion of the subsurface, asnd, lying below a depth ore reserved d in, deed recorded August 4, 1993 asasaid nstrumentland no. or into thatpp 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 -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 .� ZS I6 LSL V lL LI\IVdHoo AVGVNV7 HOd-d VNb;_ I S 866 1 L- I. 14%W* PARCEL 3: 419582 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 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. i under the Declaration of streets providing vehicular and pedestrian access to Parcel 1 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 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 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 T0: 1. Taxes and None Assessmen : Nondelinquent 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. Assi nment of DecInrant 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 property under the Declaration as Grantor prior to the date of recordation of this Deed. 1- ZS L 6 t SL V l L M)Vc-JH07 .,VV01VNb0 t OdA Hvv I.: S 8661. -CL -I.