BSPN2017-0045C, h
78-495 CALLE TAMPICO
LA QbINTA, CALIFORNI'A'92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
BRANDY NELSON
41183 ROSEDALE ST
INDIO, CA 92201
SPECIAL INSPECTION/
BSPN2017-0045
51765 AVENIDA RUBIO
. ,
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
773161012
NELSON / ELECTRIC SAFETY METER RESET
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 10/12/2017
Owner:
CHRISTINE TRAUTNER
P O BOX 1077
LA QUINTA, CA 92253
Contractor:
LIC. No.:
. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one :)f the following declarations:
I have and will maintain a certificace 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 perfcrmance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shalhnot employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree fiat, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
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
Date: j0' 1 "1-1 fAp_—ph cant:�
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit C
____)
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( II; as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIM!NAL PENALTIES AND CIVIL FINES UP TO
compensation,.will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNDWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on tlis application.
c(6 I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this appication is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application, the owner, anc the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Cont actors' State License Law.).
employees for any act or'omission related to the work being performed under or
(li am exempt under Sec. B.&P.C. for this reason
following issuance of this permit. '
2. Any permit issued as a result of this appl cation becomes null and void if work is not
�u"I a
commenced within 180 days from date of issjance of such permit, or cessation of work
Dated l�l Owner:
for 180 days will subject permit to cancellation.
1. --
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the pefformance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
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 ord'nances and state laws relating to.building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
.Signature (Applicant orAg t): ''��
Date: 10/12/2017
Application Number:
BSPN2017-0045
Owner:
Property` cldress:
51765 AVENIDA RUBIO • !
CHRISTINE TRAUTNER
APN:
773161012
P 0 BOX.1077
Application Description:
NELSON / ELECTRIC SAFETY METER RESET
LA QUINTA, C4.92253
Property Zoning:
. Application Valuation:
Applicant:
Contractor:
BRANDY NELSON
' 41183 ROSEDALE ST
INDIO, CA 92201
Llc. No.:
Detail: ELECTRIC SAFETY
METER INSPECTION. PER 2016 CALIFORNIA RESIDENTIAL CODE.
.
ACCOUNT
CITY
cmAairiAl 1n1cnnnnAT1nn1
SPECIAL INSPECTION
101-0000-42404
DESCRIPTION-
ACCOUNT
CITY
AMOUNT
SPECIAL INSPECTION
101-0000-42404
0
$78.02
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION:
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
0
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sleet
Permit#
Project Ad&ess:
c
Owner's Name
%�`..d
1sD
A.P. Number
Address: LA .--
Legal Description:
City, ST,--Zip:V�
Contractor:
Teleph6ne:
Address:
Project Descripdon %
E,f +r, G O
City, ST, Zip:
ZL r�
On .
Telephone:
State Lic. #:
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:911111911MMIUMConstruction
Type:Occu
Proj. Type New Add'n
anc :
P Y
Alter Repair Demo
State Lic. #:
Name=of;Conta"ct: (� f \
SgFt:
#Stories
# Units:
Telephone-of Contact
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
130A Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
9M/2017 ;� - . .REOLlstingAokrw+nledgernent. .
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REO Portal Agent ,
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• /gent Menu REO Tasks Support Log Out
j' Return .
Exhibit Ato the Broker's Master Usti ng reement E.
Property Assignment Acknowledgement
To: , Broker Associate Brandy Nelson From: Blake Morrison
Property,ld: 1377501 Due:09/30!2017
Property Address: 51765 AVENIDA RUBIO, LX QUANTA, 92253 Task Id: , 47944731
Date: 09/2912017' "
Reference is made to that certain Broker's Master Listing Agreement (the 'Agreement) by and between Broker/Agent and Specialized `}
Asset Management LLC ('SAM') such that this Property Assignment Acknowledgment (the "Acknowledgment"), along with the terms of
the Agreement, the Broker Procedure Manual (the "Manual") and, N issued by the Seller, the property-specific Listing Addendum shall
govern this transaction.
As contemplated in the Agreement, this Acknow lodgment requests Broker/Agent to provide the follow Ing services w ith respect to the
t property described above. This Acknow ledgement does not constitute a formal listing agreement and is not an author¢ation appointing ,
Broker/Agent as the listing broker to sen the property.
1. RES.NET Tasks. Broker/Agent must execute this Acknowledgement and complete any and all open tasks assigned %da RES.NET
in accordance with the Manual. A copy of the Manual may be found in-the SAM Document Library (the "Document Lary') at �.
r, wovw.samreo.net. n
2. Required Forms. To corrplete the assigned RES.NEr tasks, Broker/Agent may retrieve the following forms fromthe Document
Library:71
t>
,.
• Personal Property Log - Upload to the Property inspection Task at time of Referral.
v
Broker/Agent must process all required forms in accordance w ith the Manual and upload to RES.NEr. f:
3. Formai Listing Agreement. SAM is responsible for establishing a list price in accordance w Rh client specific guidelines and at
such time, Broker/Agent may be provided w ith a formal property-specific Listing Addendum providing the specific list price and '
terns. J
4. Expense Processing. All expenses must be submitted in accordance w ith the Manual.
5.• Weekly Property Inspections. Broker/Agent must perform weekiy property inspections as noted in the Manual. Nbtify your
Asset Manager immediately if you notice a change in occupancy status, property condition and/or security. Weekly property A , ,
inspections must continue until the property is sold or reassigned.
6. Cancellation. Seller reserves the right to cancel the Agreement as a resultof the Broker/Agent's failure to perform 5s duties to
SANfs satisfaction, or in the event of an investor directive, or Service Release.
7. Miscellaneous: The Broker/Agent signing this Acknow, ledgment certifies they are responsible for the management of the
property as referenced above. r.
IN WITNESS WHEREOF, the undersigned approve, accept,-confirm acknowledge and agree to the terms and conditions of €lis 1
Acknow lodgment.
SERVICING AGENT FOR SE LE
q By: SPECIALIZE) ASSET MANAGEMENT LLC, a Delaware limited liability company accepts this agreement upon the date it ,
is executed unaltered by the Broker or Agent.
BROKER OR AGENT:
BY:
Name: Broker Associate Brandy Nelson J
Address: 73-725 E Paseo D•. Ste. 23A
Phone: (760) 592-1571
Listing Broker's Tax I.D.# or Social Security Number 27-1945737 r "
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httpsl/agents.res.rieUmp_FORM LA:1027253002:47944731 1n
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9/30/2017 REO listing Acknowledgement
Will
81 0� (if applicable):
By:
KI .,,.A•
I agree by typing ny name as my electronic signature, it is acknowledged and understood that it constitutes an acceptance of all the
tears and conditions contained in this agreement and is valid and enforceable in accordance with the "Bectronic Signatcres in.Clobal
and National Commerce Act"
I have read, understand, and agree to all the terns, disclosures, and conditions of this agreement.
By electronically signing this form I acknow ledge that all the information provided by me in this form is true and correct and authorize
RESNET Services to verify any and all information contained herein.
TYPE YOUR NAIVE AS YOUR ELECTRONIC SIGNATURE
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Name.,Brandy Nelson
CoFzyrkjM 2017 Res.Net
https://agents.res.net/mp_FORMLA-1027253002:47944731*