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BRES2016-0320Applicant: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 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: B License No.: 53367700 Dater 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).: (1 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 within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, arr 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 Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153. Date: 1/23/2017 V Owner: MC DONALD 40101 MONTERE" AVE B1-214 RANCHO MIRAGE. CA 92270 Contractor: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 (760)773-6633. Llc. No.: 533670 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 pork 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 perfornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FWD Policy Number: 1948056 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 is 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 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORUN 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 tha work. being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicc-tion becomes null and void if work is not commenced within 180 days from date of isuance 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 representatves of this city to enter upon the above-mentioned property for inspection purpcses. Date:1 13 - 17 Signature (Applicant cr Agent) 78-495 CALLE TAMPICO 4wM1�il/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0320 Property Address: •80625 VIA MONTECITO APN: 777400011 .., Application Description: HIDEAWAY/ MC DONALD / SFD Property Zoning: Application Valuation: $721,817.60 Applicant: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 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: B License No.: 53367700 Dater 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).: (1 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 within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, arr 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 Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153. Date: 1/23/2017 V Owner: MC DONALD 40101 MONTERE" AVE B1-214 RANCHO MIRAGE. CA 92270 Contractor: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 (760)773-6633. Llc. No.: 533670 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 pork 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 perfornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FWD Policy Number: 1948056 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 is 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 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORUN 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 tha work. being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicc-tion becomes null and void if work is not commenced within 180 days from date of isuance 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 representatves of this city to enter upon the above-mentioned property for inspection purpcses. Date:1 13 - 17 Signature (Applicant cr Agent) <, .. Date: 1%23/2017 Application Number: BRES2016-0320 Owner. Property Address: 80625 VIA MONTECITO MC DONALD .APN: 777400011 40101 MONTERE\ AVE B1-214 Application Description: HIDEAWAY / MC DONALD / SFD RANCHO MIRAGE. -CA 92270 Property Zoning: Application Valuation: $721,817.60 Applicant: Contractor:. SUNROSE CORPORATION . SUNROSE CORPORATION 72-850 SOMERA ROAD . 72-850 SOM ERA FFOAD PALM DESERT, CA 92260 PALM DESERT, CA Y2260 . (760)773-6633 Llc. No.: 533670 Detail: NEW 7884 SQ. FT.. SFD, THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE FIT, BBQ, OR WATER FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,304.54 Total Paid for ART IN PUBLIC PLACES - AIPP: $1,304.54 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $29.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $29.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF- COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION, ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $116.28 DESCRIPTION. ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $47.88 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600. 0 $50.16 . Total Paid for ELECTRICAL - NEW CONSTRUCTION: $366.32 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT iz,RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $190.00 Total Paid for GRA3ING: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402: 0 $228.00 DESCRIPTION ACCOUNT QTY, AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $151.98 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $25.34 DESCRIPTION, ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $10.14 DESCRIPTION ACCOUNT OTY AMOUNT FURNACE 101-0000-42402' 0 $228.00 . DESCRIPTION ACCOUNT D.TY AMOUNT FURNACE PC 101-0000-42600 0 .$151.98 DESCRIPTION ACCOUNT •D.TY AMOUNT VENT FAN 101-0000-42402 0 $139.37 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $55.17 DESCRIPTION ACCOUNT IXTY AMOUNT WALL HEATER 101-0000-42402 0 $75.99 DESCRIPTION ACCOUNT CITY AMOUNT WALL HEATER PC 101-0000-42600 0 $38.01 Total Paid for MECHANICAL: $1,104.58 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $917.50 Total Paid for NEW CONSTRUCTION PEFZIVIIT: $917.50 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $567.00 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,967.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 10.1-0000-42401 0. $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 10 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT C.TY AMOUNT BUILDING SEWER PC 101-0000-42600. 0 $12.67 DESCRIPTION ACCOUNT CTY AMOUNT FIXTURE/TRAP 101-0000-42401 D $481.46 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $481.46 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT ' QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $152.04 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $152.04 •DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.20 DESCRIPTION ACCOUNT IZTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT. QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $1,439.29 DESCRIPTION ACCOUNT QTY AMOUNT SMI- RESIDENTIAL 101-0000-20308 0 $93.84 Total Paid for STRONG MOTION INSTRUMENTATION SMI• $93.84 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE .502-0000-43611 0 . $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 . Total Paid for TUMF - RESIDEN—IAL: $1,837.44 Building /0 ^ /r � C �/ - Address l/ V/� / V f, P.O. BOX 1504 APPLIC TI IG 6h&40016 F, _ 78-495 CALLE TAMPICO /J® �/ is }"A QUINTA, CALIFORNIA 92253 Ir Mailing 0/0 5 A/PWSE I Address ij,n �rnj M1-� 1. 9 %, Au f'Z 9 — 2 /Il% Contractor �V�V Address � V ' A- t_ City Izip JTel. marc uU.5336 �O Liny & Classif. Lic. # Arch., Engr, Designer ,a s `T / /l wae ILct# LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. 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 Contrac- tor'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 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). ❑ 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 Profes- sions 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). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of 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 Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if 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 t WHITE = BUILDING DEPARTMENT CITY Ur LhUUINIA �ry COMMUNITY DEVELOPMENT DEPARTMENT BUILDING: TYPE CONST. ` /�,� OC . A.P. Number 1_77 T— /ZV0 — 0(�/�(- Legal Description Lo ` 6�` ` J�v�i► t�- e/0, Project Description �1Mti� Z;. C'_ 64� 1! Sq. Ft. No. No. Dw. Size Stories a Units NewX Add ❑ Alter ❑ Repair ❑ Demolition ❑ 1 Pol4h - coo '24, .e --f7. Estimated Valuation 4 AAJ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line — FINAL DATE INSPECTOR Issued by: — Validated by: Validation: YELLOW = APPLICANT Date PINK = FINANCE �� .. _ •y � ��5 cello' [� 32-a Coachella Valle Unified School District Valley This Box For District Use Only 83733 Avenue 55, -Thermal, CA .92274. DEVELOPER FEES PAID I (760) 398-5909 — Fax (760) 398-1224 AREA: . ' ,... .' _:. .. .... AMOUNT .. .. -. . LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: . DATE: - ^ RECEIPT: ' CHECK #: INITIALS .It - CERTIFICATE OF COMPLIANCE (California' Education Code 17620) , Project Name: TheHideaway -'Date': January 23, 2017 Owner's Name: Pat McDonald Phone No. _. Project Address: 80-625 Via Montecito Project Description: New SFD APN: '777-400-0111 Tract #: Lot #'s: Type of Development: Residential ; XX Commercial Industrial Total Square Feet of Building Area-' 7,884 sq. ft Certification, of Applicant/Owners: The person signing certifies that the above information is correct:and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: January -23, 2017 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE. BEEN. OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE'ONE) Education Code.. Gov. Code Project -Agreement Existing:: Not, Subject, to Fee.: „- 17620 65995 " `� Approval Prior to 1/1/87 ''Requirement Pursuant to AB 181 any room additions or enclosures of 500 Number of Sq.Ft. 7884 sq. ft. or less are exempt from developer fees: Any mobile Amount per Sq.Ft. $3.48 ' homes being relocated within the same school district's Amount Collected $27436.32 jurisdiction a" a exempt from,developer fees... Building Permit Application Completed: Yes/No.. 1:Y By: Elsa F. Esqueda, Director of Facilities and. Maintenance , Certificate issued by: Laurie Howard, Secretary Signature..'. .�0 ( tiyCt�Si NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by. Assembly Bill 3081, effective Januaiya, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance.with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the.fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. ,As in the latter, the 90 days starts on; the date hereof. This Certificate of Compliance is valid for thirty. (30) days from the date of issuance. Extension will be granted only. for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/mydocs/devfees/certifiicale bf'compliance ibrn) Updated 3-2007 11/2010 • RECORDING REQUESTED BY: Title 365 AND WHEN RECORDED MAIL TO: Patrick McDonald 6315 77th Ave SE Mercer Island WA 98040 Order No.: 510-16004002-50 Escrow No.: ' FS1883 . A.P.N.: 777-400-011-3 TRA: 020-160 THIS IS To CERTIFY THAT THIS IS A TRUE DEC .2 ® 2016 AND CORRECT COPY OF THE OjiIGINAL HEREOF CITY OF � ', QU NTA BY:J FOUnSEASONSESCROW.IN COMMUNITY DEVELOPMENT SPACE ABOVE THIS LINE IS FOR RECORDER'S US GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S). DOCUMENTARY TRANSFER TAX IS $1,11.711. 50 [ ] computedon full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,. Joseph Giordano and Beth Lynn Giordano, Husband And Wife As Joint Tenants hereby GRANT(S) to Patrick McDonald and Andrea 'McDonald, Husband and Wif a as Community Property the following described real property in the County of Riverside, State of California See Exhibit "A" attached hereto and made a part hereof Commonly known as: 80625 Via Montecito Lot # 65D , La Quinta, CA 92253 Dated: June 23,,.2016 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this, certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF GAL�98hilA Pry , SS. COUNTY OF _� n o On1 before me, a notary public, personallx appeared Z"r 6'en __."j2_r I who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon -behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and COMMONWEALTH OF PENNSYLVANIA correct. Notarial Seal Marsha L . ' Blaslo,Notary Public WITNESS my hand and official seal. ' wliming Twp., Lawrence County My Commission � )res Nov. 24, 2016 MEMBER PENNSYLVANI/vASSOCIATION OF OTARIES rr eal) Signature1�J I,'' "(This area for official notary seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE `