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BRES2016-04204 .--4 •aw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0420 Property Address:. — -60499 JUNIPER LN LN - APN: 764380006 Application Description: CHI/ PERMIT EXISTING DEN TO BE USED FOR SLEEPING PURPOSES Property Zoning: Application Valuation: $900.00 . Applicant: EUGENE CHI 60499 JUNIPER LA QUINTA, CA 92253 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 Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: _ Date: Contractor: OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury 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 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 w thin one year of completion, the owner -builder will have the burden of proving That i r 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 ontractors' State License Law.). (' I am exempt under Sec. . B.&P.C. for this reasons - Date:0Owner: FV 6&l Ciq 1 l 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/11/2017 Owner: EUGENE CHI AND AMY CHI TRUST 60499 JUNIPER LA QUINTA, CA 9253 Contractor: OWNER BUILDER Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of -he following declarations: I have and will maintain a certificate of consent -to -self -insure for workers' compensation, as provided for by Section 3700 if 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: CarXnot Policy Number: _ I certify that in the performance of t ie work for which this permit is issued, I shmploy any person in any manner so a 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 3'A00 of the Labor Code, I shall forthwith comply with th a provisions. • Date: �. ' Applicant: L_ W16CG""- 11 `I WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00[). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORON SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby.made to the Building Official for a permit subject to the conditions and restrictions set forth on thisapplication. 1. Each person upon whose behalf this application is made, each person at whose requestand for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the ownei., and the applicant, each agrees to, and shall defend, indemnify and hold harmless the !:ity 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 6suance of such permit, or cessation of work for 180 days will subject permit to cancel'ation. I certify that I have read this application and st:,te that the above information is correct. I agree to comply with all city and county ordirances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -menti ned roperty for inspection purposes. Date: ( Signature (Applicant or Agent): 6114 Date: 1/11/2017 Application Number:. BRES2016-0420 Owner: Property Address: 60499 JUNIPER LN LN EUGENE CHI AND FMY CHI TRUST APN: 764380006 60499 JUNIPER Application Description: CHI / PERMIT EXISTING DEN TO BE USED FOR SLEEPING PURPOSES LA QUINTA, CA 92253 Property Zoning: Application Valuation: $900.00 Applicant: Contractor: EUGENE CHI OWNER BUILDER 60499 JUNIPER LA QUINTA, CA 92253 Ll c. No.: -----------------------------------------------------------------------------------,---------- Detail: PERMIT EXISTING DEN TO BE USED FOR SLEEPING PURPOSES, INSTALL SMOKE ALARM AND CLOSET, INSTALL DOORS WITHIN EXISTING OPENING AND EXISTING WINDOWS TO BE USED FOR EMERGENCY ESCAPE AND RESCUE OPENINGS. THIS PERMIT DOES NOT INCLUDE ADDITIONAL CONDITIONED SQUARE FOOTAGE, OR MECHANICAL OR PLUMBING INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33. Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION 101-0000-42400 0 $76.00 DESCRIPTION ACCOUNT •QTY AMOUNT PARTITION PC 101-0000-42600 1 0 $139.84 Total Paid for PARTI—ION: $215.84 DESCRIPTION ACCOUNT aTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.S0 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE S02-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # City. of La Quinta Building 8z Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico '- ---�- La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet ProjecfAddi�ess 60499 Juniper Ln Owner's Name:. EUGENE &AMY CHI A. P. Number. 764-380-006 i Address: .60499 JUNIPER LN Legal Description: 1,693 sq/ft house on-7,405 sq/ft lot. City,ST,Zip: LA QUINTA: CA 92253 ul a room,Dain..��; Contractor:Telephone: ;>•..0 :if¢ :'.3' Address: " Project Description: City, ST, Zip: CONVERT DEN INTO 3RD BEDROOM: Telephone: 949 444-9294 >sr �`'... • " ADD BEDROOM CLOSET ADD INTERIOR BEDROOM DOOR State Lie: # : City Lie. #; Arch., Engr., Designer: ADD INTERCONNECTED SMOKE ALARM AND Address: I CARBON MONOXIDE DETECTOR City., ST, Zip: Telephone: `� State Lic.#: c <:; rame: ype jY(� Unoccupied Con construction Type: ISO Class 1(kcul?ancy: 2 bedroom + Den Project type (circle one): New Add'n ter Repair Demo Sq. Ft-: 1,693 sq/ft # Stories: 1 # Unity: 1 Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: $900 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACENG PERMIT FEES- Plan Sets Plan Check submitted Item - r Amount Structural Caics. Reviewed, ready for corrections 1 Plan Check Deposit. . i Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Gimding plan 2nd Review, ready for correctionsfissueElectrical NS.M.L Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up ILOA. Approval Plans resubmitted Grading IN HOUSE:- 3" Review', ready for correcdonsRssae Developer Impact Fee Planning Approval Called Contact Person J.P.P. ft Pub. Wks. Appr Date of permit issue a : School Fees Total Permit Fees 7 a�InlzA CITY OF LA QUINTA SUB—CONTRACTOR -LIST _ Sut�tP� PERMIT N UMBEF JOB ADDRESS Lola-a�/zo OWNER ( ice_ Ce ;,BUILDEII This`'fbrn-i•shall bo posted on the ioh'with the Bi)iidiriginspection, Carcl at•all #imes`in a'•consL)icuous 1�lace. Only persons appearing on this list or their employees are authorized to work on this iob. Anv chances to this list must be approved by the Building Division' prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance ,of buildi:ng permit. For each applicable trade,all information requested below mush be completed :by-:ap.plicant. "On File" is not, an acceptable response :. .. l ....-R,:.K--... .. ..... wn.. 1. .... .. ... ... .... ....._\ .....: �, 1:.. _.. .,.... e ., ., ., ..._. _. _ ....,. .. �,............ .. _ ......... .. ,.. ...\.... . Ci. '13usiricss::Uc�'rt .:.. �,..... ,,�. ,.., >,....:...........:. .. . _...... ,;: � . _......... �.. ..._ ,. > .,.n .,,, s ,... , � `. i ' �hisur z:...... , _, ...., ., ...., ., .........,_...... > ._.... ... :. ,-. <Workers Com e��satori -� Contras or �� � >. t � 4 � � F �-;r. ._............_ .... < . .. , .,.... ..., ., .. S aCc.0 ntractor s L�cen e ... ••;. `,v:<�: E. ,.� tads Cl�ssi iC � e� � ,::. ..,.. ...... ..._,._ _....,........ Company Name Classification License Number Exp: Date Carrier Name •Policy Number '. Exp.Date License Number Ex .Date" > A, 8, C-8)'. (xxxxxx) '.(xx/xxlzx) (e.g. State Fund_, CalComp) (Format Varies) ^(xxlxx/xx) (xxxx) (xx/xx/xx) ,(e.g. N y MASONRY (C 75J) Ft j} I „PLUMBING (C ,! A PLAhSTEW C 35) • t _ i ~ DRYWALLJC 9) ,HVA>C (C'20)''�' � \: � ,r �:. •.. - _ rl .e SH1rF7 N11:TA1 (E _ • ...... fiL'OORING�IC��15) � -i ' - I Yom• • • rINSUt'AT)Of�j'{G 2)\ k. SEWlaG� DISn 94 e ,PAINTINC'(C G. 54)s _.. Og CEE;AMIC 111E ,CABINETS ;A \ ,','A N P I N W. (C.-227 RENCK REQUEST ---D BY UU1_ fF LU-1a—v411 f IOU 10/26/2016 03:58 PM Fees. $21.00 LAYERS TITLE Page 1 of 3 RECORDING REQUESTED BY, Recorded in Official Records Lawyers Title Insurance Company County of Riverside Peter Aldana MAIL T.AX STATEMENTS TO Assessor-CourrtV Clerk-Recoroer AND WHEN RECORDED MAIL TO: —This document was electronically submitted Eugene -.1- i &Amy Gni, Trustees to the :::Dunty of Rivers de for recorJing** THIS SPACE FOR RECORDER'S USE ONLY: Title Orcer No.: 216255159 Escrow N., 00 -1254 -JT AP#,. 764-380-006-4 GRANT DEED 7-iE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $357.50 [XI computed on full value o-'ProDerU conveyed, or computed on full value less value of liens or encumbrances remaining at ti Tie of sale. Unincorporated area [>c] Ci:y of La Quinta AND FOR A VALUABLE CDNSIDERATION, receipt o- which is hereby ack-lowledged, Stockpile Property Ventures L -C, a Texas Limited Liability Company nereDy CR.aNT(s) to: Eugene Chi and Amy Chi, Trustees of The Eugene and Array Chi Living Trust dated December 22, 2009 the real prcperty in the City Df Le Quinta, County of Riverside State o'Califomia, described as: LEGAL DESCRIPTION AT-TACHED -iERETO AS EXHIBIT "A' AND MADE P PART HEREOF Also Kn:)wn as: 60499 Juniper Lane, La Quinta, CA 92253 R E EXHIBIT TH:-: L!kr4D REFERR=__) TO I-EREIN IS SITUATED IN THE COjNTY OF RIVERSIDE, STATE OF CA-IFORNIA, AND IS DESCRIBED AS FOLLOWS: LIARCEL NO 1 OF i� � R, I IMF, Lc— 99 OF TRACT NO, 30023-2, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE& C-ALIzORNIA, AS SHDWN IN BOOK 330, AT PAGES 1. THROUGH 11, INCLUSIVE OF MAPS, RECO:DED IN THE CF=ICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPT. -NG THERE7FCt\l, A. ALL OIL RIGHTS., IMI -NERAL RIGHTS, NATURAL GAS RIGHTS AND RIGH -S TO ALL OTHER HYDRDCARBCNS BY oNHATSOEVER NAME KNOWN, ALL TO GEOTHERMAL HEAT AND TO ALL PRODJCTS DERIVED FROM ANY OF THE FOREGOING (COL_;ECTIVELY, "SUBSURFACE RESO3 FCES",; AND B. -HE PERPETJAL F-GHT -0 DRILL, MINE, EXPLORE AND DPERATE FOR,'N-, TO PRODUCE, STORE AND REMOVE ANY OF THE SUBSURFACE RESOURCES ON OR FROM THE LOT, INCLUDING THE €ZGHT TO WHIPS TIOCK OR DIRECTIONALLY' DRILL AND MINE FROM LANDS OTHER THAN THE _OT., WELLS,7UNN=_-S AND SHAFTS INTO, THROUGH OR ACROSS THE SLIBSJRFACE OF THE LOT, AND TD BOTTON, SJCH WHIPSTOCKED OR DIRECTIOINAIA v DRILLED WELT -S, TUNNELS AND SHAFTS WITHIN OF, BEYOND THE EXTERIOR LIM) Is LOT, AND TO REDRILL, RETUNNEL, EQUI-, MAINTAIN, REPAIR, DEEDEN AND OPERATLI bfl�- Sty:ri WELLS OR '4INES, BUT WITHOUT THE RIGHT TC DRILL, MINE, EXPLORE, OPUkAll.., 1`F0[lslJCF_ STORE OR R=MOVE ANY OF THE SUBSLP=ACE :ESOI_RCES THROUGH OR INI HE �,'URFACE JR, THE UPPER FIv_E HUNDRED (500) FEET CF THE SUBSURFACE OF THE LO'` , PARCPL ',10. 2 NOi\EX_-LUSlVE EASE'�IENTS FOR ACCESS, ENCROACHMENT, MAINTENANCE, REPAIR, AND FCR OTHEP PURPOSES, ALL AS MAY EF SH,.-JWN or4 TIME tv,,,AP, AND AS DESCRIBED IN THE DFC1_49ATION, ASSESSOR'S PARCEL NUMBER: 764-380-006-4 AAP. 764 -380 -006 - Stockpile Property Ventures, LLC, a T xas Limite Caied October 14, 2016 Liability Compa BY D d Authori d Sign IA -iotary public or other officer completing this certifica e verifies only the identity of the individual who signed the document to l wt-ich this certificate is at -ached, and not the truthfulne», accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF b '^ffe-k On appeared :basis of satisfactorevidb=_ the persons} whose name{s} islare subscribed #o the within instrument and acknowledged to -te that he/she/they executed the same in hislherltl�eir stAhorized capaoity{les}, and that by his'herl#heir signature{s} on the in:trumen- the person(s), or the entity upon behalf of which fie person(s) acted, executed the instriment. I certify under PENALTY OF PERJURY under the lGws of the State of California that the fcrecoin© paragraph is true and co-rect. ` MIEG1IN DUCAT VVITNESS my hand and official seal. Y COMM. #2113041 z :. •� Notary Public • California o jj Orange County Signature:4` t (Seal) Comm. es 24, 2019 WAIL TAX STATEMENTS TO PARTY SHOWN BELOW: IF NO PARITY SHOWN, MAIL AS SHC L'vN ABOVE r ,= CITY OF LA QUINTA Project: Den to Bedroom modification Address: 60499 Juniper Ln La Quinta, CA 92253 A P N : 764-380-006 BUILDING & SAFETY DEFt APPROVED FOR CONSTRUCTION DATE Py ,.------------------------- Tat M044 b& rb FQ���� , » WAILED A'S. ri.7ew♦ $WOiP►��4 TMAKCi� PAno 1 S�r •. � _•vo. xen M--� GREA OOK SUITE .. r. M -.l iDi • 1 . 40 t - ► • V a �7 d17•r4 ••W~ KITCHEN :I d ENYOL GUEST .- POR01 e►t.yv.. w�sx• w 2'CAA GA GE ------------------- ,�E32o/6 oK2o I 3`d bedroom modification REU"EIVED DEC 3 0 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT R•F Page 1 of 2 tsr 3rd bedroom modification 50499 Juniper Ln La Quinta, CA 92253 APN: 754-380-006 15' 33 -1>3 it w 70'(H New - Closet Install 36" W x 24" deep .tom Z3',(70' \ Smoke Detector Existing Egress Windows 10' gni( W f 1BTY OF LA QUINTA ILDINQ & SAFETY DEPT. APPROVED FOR CONSTRUCTION �Aj By & --- — 2-F,« X70/0 Legend Ceiling Fan w/ Light (� Existing 110 Volt TT outlets • Smoke Detector — New install Existing Windows New closet install Page 2 of 2