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BSPN2017-003878-495 CALLE TAMPICO `&Wr4lwQu!Krw LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSPN2017-0038 Property Address: 54345 AVENIDA CARRANZA APN: 774242016 Application Description: BIERMAN / ELECTRIC SAFETY METER RESET Property Zoning: Application Valuation: Applicant: MARGARITA MACEDA 77711 FLORA RD STE 202 PALM DESERT, CA 92211 A SEP 112017 CiTY OF LAOUIN TA COMMUNITY DEVELOPMENT DEF 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 ($500).: as owner of the property, or my employees with wages as their sole f `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 a 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 —C tractors' State License Law.). \ ' I am exempt under Sec. B.&P.C. for this reason 0ww,ner: 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 .Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/11/2017 Owner: BERNADETTE BIERMANN 92253 Contractor: OWNER BUILDER Llc. No.: 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: Car- Policy Number: _ K ertify that in the performance of the work for'which this permit is issued, I sh I 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 Dat ;' it 11 119 "n"n cant: WARNING: FAILURE TO SEC URE.WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO 'CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. . APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 upon the above- mentioned property for inspection purposes. 7770 -- Date: 9/11/2017 Application Number: BSPN2017-0038 Owner: Property Address: 54345 AVENIDA CARRANZA BERNADETTE BIERMANN APN: 774242016 Application Description: BIERMAN / ELECTRIC SAFETY METER RESET 92253 Property Zoning: Application Valuation: Applicant: Contractor: MARGARITA MACEDA OWNER BUILDER 77711 FLORA RD STE 202 PALM DESERT, CA 92211 LIc. No.: ------------------------------------------------------------------------------------- Detail: SPECIAL INSPECTION FOR AN ELECTRIC SAFETY METER RESET. PER 2016 CALIFORNIA ELECTRICAL CODE. ' DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT SPECIAL INSPECTION 101-0000-42404 0 $76.00 Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $76.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS:00 $5.00 04/20- 241W THU 12129 FA% 14156268189, TsLo O Ah00�838/039 OCL/��"I •- 0E-150 MI i . The Inst wig of the LETFERS decoded named a1mm homg boon pmve4 the am spPDjrjW {"am1 a eoearmr. kt [� r wflh thdl.. z C� The OXM appovhte (ter r t$ hdmmft agdmbdsVaW of the decedents estate. DqmW adRrirt mW of docedmft estate (1) 0 va USE spade! powers gxmitled In ON Cider far Pn*M (2) Q vm filar p&Am of a gn►a w (a) M lettats•va e* tee the on mate). 3.O Tf>a � !s atllrtirized to ad�rttr�ter gee estate artier ttte a�depeh>;dertt Aethlyntstraricn o! Etrtatee Act ©' wilh M arahotity Q whh Wnfted ettUr ft #m atahodtt, without COW supNviston, to (1) ed or eoidugw Md ptoperty or (2) WWO an opeon to pumhm feet Ply or (3) bonntrst money wah the loan silted by an erhatnrixa m upon mal propmVl w 0 The----- ropresadatm is not midmisadto talcs posaeaaion of mons)► cW arty other property without a ipedtic cow order. WriNESS. daft Of the amort, with sed of the MM dfbad 046: JUL 13 2017 Cera. by , NOM rano 0 P(1 M ADAABAiIfS O FFOVMTM 1.No affimm ion mgtrired (Prov. Code, § 7W(c)). 2. ( t] INDWUAL I eoteObaty MWMllug 1 VM perbM the d)Aas of personal fSpmWfdWm acoordatg to !etre- & M emmurKmALFmu=Rx pmm)- f adumay afitlrm am the madion Wis perform #m Win of pmond mprownt dhm aownbtg to law. 1 make this d trta m for mpsaU as of kdvtdual and on bahad! of the Ir> ftftn m ar•atr— ftmand00}: 4, Exeaned on d l*ma L1 It ---N 2a�i-a- iaUK emwnta C►TtOM 1 oertlry thea gfs dodwwd is a rOhreetaVy Of gra odgittd an tie In my otrhae end the Jauem Issued ate pereor d . gve abms hem been revo&ed. UWUWA ofset Wide. ata ate stil to em tonne and Out Dwe: p OUR a —9+ 4Wa i, �A DE440 ATTOMMY OR PA1MVW""WA?T0NCYjWW1w a MbviLwMwardaMeW TEtEPHOHEANOF/MM& MRADOWUMEGMY Paul Tour-Sarkissian (SBN 123467) /Trang La (SBN 227 415-626-7744 Tour-Sarkissian Law Offices, LLP 415=626-8189 211 Gough St., Ibird Floor San Francisco, CA 9410.2p E ATTY POR Petitioner Pierre Fran is Michel Dauzet su�oR!l00Wzr QF �� SUPERIOR COURT OF CALIFORNIA, COUNTY OF Riverside SMMTARD M. 46-200 Oasis St. COMnr of RWMSIDE JUL 13 2017 prYANoapcoDS: Indio, CA 92201 eRAmm MAME N. MEDRANO MTAiE OF Oftmp Bernadette Constantini aka Bernadette Biermann . DECEDENT ORDER FOR PROBATE CASE A MIM ORDER QExecutor APPOINTING; 0 Administrator with VWII Annexed f� ® Admintatratar Q Special Administrator / o� Q Order Autharftlng hull"ndent AdmintstmOon of ftb to Q with full authority Q with Ilrrrited authority WARNING: THIS APPOINTMENT IS NOT EFFECTIVE UNTIL LMERS HAVE ISSUED. 1. Date of hearing: -711311-7 Tlme: f #S. M DgAAoom: Judo: rPreS 4 . COX, THE COURT FINDS 2- a. All notices required by law have been given. b. Decedent died on (date): -Sept. 10, 2013 (1) m a resident of ths'Calibmia county named above. (2) 0 a nonresident of California and left an estate In the county named above. G. Decedent died (1) m intestate (2) 0 testate and decedent's will dated: 5/17/07 (French assets only) and esch.codicil dated: was admitted to probate by Minute Order on (date): �THE COURT ORDERS 3. (Meme): Margarita Maceda Is Inted. pamonal mpresentative: a. executor of ft decedent's hull} d. 0 special administnitor b. Q administrator with will annexed (1) Q with general powers �c m administrator (2) Q with special powers as spadfied in Attachment 3d(2) (3) 0 without notice of headng (4) (,] letters will expire on (date)_ and letters shag Issue an qua6famtion. �a m Fun authority is granted to administer the estate under the Independent Administration of Estates Act b. Q Limited atdhoft is granted to administer the estate under the Independent Administration of tststes Act (there is no alLdhority. without court supervision. to (1) sell or exchange neat property or (2),grent.an option to purchase real property or (3) borrow money'wlth the loan secured by an encumbrance upon real property). 5. a. Q Bond Is not required G/2 /J b. m gond is fixed at: $ / GjZ)71, QTj to be fumished by an authorized} surety company or as othamfiaa (� provided by law. c. Q Deposits of. $ are ordered to be placed in a blocked account at (specify insdh tion and location): and receipts shall be filed. No withdrawals shall be mads without a court order. 0 Additional orders In Attachment 5r - d. Q The personal representative Is not authorized to take possesslon of money ora other property without a speclfic.court order. LANWNfitis.appdn rotate refs e. Date: J3, LG/ P.O. Box'6710. CA 92W JUDGE OF THE SUPERIOW60URT 7. Number of pages attached: ice) X8883 Fax 78447ft ME RXLOUHS LAST ATTACHMEM .�L � dry, ORDER FOR PROBATE prawsoft* to em 04M D>:-1ap tRer. Jeln�q 7,1BB8] . ererbetor�r conn [lnnnool I C: r N O v 0' Margarita " Gigi" Maceda, CLPF #381' 'r California Licensed Professional Fiduciary & Notary Public A member of The Professional Fiduciaries Association of California r .ri 1 1 1 Trust Administration & Estate Settlement Services VanMar Executive Suites Cellular: 760-409-7322 77-711 Flora Road, Ste: 202 Fax: 760-989-4009 Palm Desert, CA 92211 gigimaceda@gmail.com e r r Y l l Margarita " Gigi" Maceda, CLPF #381' 'r California Licensed Professional Fiduciary & Notary Public A member of The Professional Fiduciaries Association of California r .ri 1 1 1 Trust Administration & Estate Settlement Services VanMar Executive Suites Cellular: 760-409-7322 77-711 Flora Road, Ste: 202 Fax: 760-989-4009 Palm Desert, CA 92211 gigimaceda@gmail.com e r r t r Tityl 4 4 a" P.D. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINT A, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE, , Disclosures & Forms for Owner -Builders Applying for Construction Permits • IMPORTANT. NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has. been -submitted in your name listing, yourself as the 'wilder of -the property improvements specified at 5 q 3 `} JN V eN, We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to rake you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,. signed, and returned this form to us at our official address indicated. An agent of the owner carrot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signs you understand or verify this information. I -understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder„ building permit that erroneously implies that the property owner is providing his or her own labor and Emterial personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for,any injuries sustained ty an unlicensed person and. his or her employees while working on my property. My homeowner's 'irisurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or ---ier name instead of my own. I understand Contractors are required by law to be licensed and bonded in California and to list Heir license numbers on permits and contracts. - 7yI understand if I employ or otherwise engage any persons, other than California licensed Contrac-cors, and the total value construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial risk. ��`AI understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with .the intent to offer them for sale, unless all work is performed by .licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed .general building Contractor. J I understand, as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small -Business Administraiion, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party alb , and fipancially responsible for proposed construction activity at the following address: �1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all appl cable laws and requirements that govern Owner -Builders as.well as employers. 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the .agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or .other verification acceptable to,the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date:. Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property.Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign; and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that i am the property owner for the address listed above and I personally filled out the above information and certify its accuracy: Note: A copy of the owner's driver's. license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature: Date: