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BRES2015-041478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tw�t 4 4� Qabtz COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0414 Property Address: 80926 VIA PESSARO APN: 777380006 Application Description: HIDEAWAY/ PERKEL RESIDENCE Property Zoning: Application Valuation: $591,393.90 Applicant: ANTON MARINKOVICH JAN 15- 2016 CITY QFU-,Q(,yNi-- -_, C0M'A.U� EVELOPkEWDEPART!ENT 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.: 533670 /7 Date: l`l ' /G 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 Licensq 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).: ( 11, 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, 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 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 Lender's I llllll 41111111111- 49 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/15/2016 Owner: GERALD PERKEL 23945 SW 65TH AVE TUALATIN, OR 0 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 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 polity number are: Carrier: Policy Number: _ 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 workers' compensation provisions of Section 3700 of the L Code, I shall forthwith comply with those provisions. Date �✓r 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 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. Date: / 11 �G Signature (Applicant or Agent). FINANCIAL INFORMATION DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $978.48 $978.48 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for ART IN PUBLIC PLACES - AIPP: $978.48 $978.48 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS 561473 FEE 101-0000-20306 0 $24.00 $24.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 $24.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY : AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION 'CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 1/15/16 PAID BY METHOD - RECEIPT # - CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY 'AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT IPAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION "ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 1/15/16 PAID BY METHOD RECEIPT # CHECK #' CLTD BY SUNROSE CORPORATION CHECK- R12171 17643 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 $16.92 • 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $86.31 $86.31 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-02600 0 $35.56 $35.56 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY . AMOUNT PAID IPAID DATE RESIDENTIAL, FIRST 1,000SF. 101-0000-42493 0 $145.03. $145.03 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 $314.76 DESCRIPTION ACCOUNT QTY AMOUNT PAID - PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 $36.26 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 $181.29 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION. CHECK R12171 17643 MFA Total Paid for GRADING: $217.55. $217.55 DESCRIPTION ACCOUNT QTY AMOUNT PAIDPAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $253.82 $253.82 1/15/16 PAID BY METHOD RECEIPT .# CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $169.19 $169.19 1/15/16 PAID BY METHOD RECEIPT #. CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT.' PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17.643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $253.82 $253.82 1/15/16- /15/16-PAID PAIDBY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $169.19 $169.19 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171. 17643 MFA DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $108.81 $108.81 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-000042600 0' $43.47 $43.47 1/15/16 PAID BY METHOD- _ RECEIPT # - CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID , PAID DATE WALL HEATER 101-0000-42402 0 $49.42 $49.42 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for MECHANICAL: $1,088.82 $1,088.82 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $801.09 $801.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for NEW CONSTRUCTION PERMIT: $801.09 $801.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 $1,200.00 10/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY STRACTS INC. CHECK R10334 1144 MFA DESCRIPTION 'ACCOUNT QTY AMOUNT' PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $534.52 $534.52 1/15/16 PAID BY METHOD- "' RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,734.52 $1,734.52 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY '. AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $314.34 $314.34 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $314.34 $314.34 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION * ACCOUNT QTY" AMOUNT PAID : PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 1/15/16 PAID BY METHOD. RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 1/15/16 PAID BY -:,METHOD. RECEIPT # .:. CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $24.18 $24.18 1/15/16 PAID BY METHOD RECEIPT # .:CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $24.18 $24.18 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT - PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY'- SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT . PAID PAID DATE WATER HEATER/VENT PC • 101-0000-42600 0 $7.25 $7.25 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP' 101-0000-42401' 0 $12.09 $12.09 1115/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643. MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 1/15/16 PAID BY METHOD _ RECEIPT # CHECK.# CLTD BY , SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for PLUMBING FEES: $822.09 $822.09 DESCRIPTION ACCOUNT ,QTY AMOUNT . PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $76.88 $76.88 1/15/16 PAID BYMETHOD _ RECEIPT #: CHECK.# CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $76.88 $76.88 DESCRIPTION ACCOUNT: QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R12171 17643 MFA Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: Description: HIDEAWAY / PERKEL RESIDENCE /NEW SFD Type: BUILDING, RESIDENTIAL Subtype: DWELLING -SINGLE Status: ISSUED Applied: 10/28/2015 MFA FAMILY DETACHED Approved: 1/6/2016 JJO Parcel No: 777380006 Site Address: 80926 VIA PESSARO LA QUINTA,CA 92253 Subdivision: TR 29894-3 Block: Lot: 38 Issued: 1/15/2016 MFA Lot Sq Ft:. 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $591,393.90 Occupancy Type: Construction Type: Expired: 7/13/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 JIM JOHNSON Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ OR WATER FEATURES. THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. 170--/9 __j Applied to Approved IM Approved to Issued Printed,: Friday, January 15, 2016 2:47:01 PM 1 of 7 CRsysrcMs CHRONOLOGY TYPE STAFF NAME. ACTION DATE COMPLETION DATE NOTES PLAN CHECK COMMENTS FROM CONSULTANT JIM JOHNSON 11/17/2015 11/17/2015 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 1/6/2016 1/6/2016 STRUC APPROVAL 1/5/16 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 11/19/2015 11/19/2015 ANTON PLAN CHECK SENT TO MARY FASANO 10/28/2015 10/28/2015 STRUC TO YOUNG - DUE 11/18/2015 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE GUMPERT 12/18/2015 12/18/2015 OUTSIDE PC PLAN CHECK SUBMITTAL MARY FASANO 10/28/2015 10/28/2015 RECEIVED Printed,: Friday, January 15, 2016 2:47:01 PM 1 of 7 CRsysrcMs t. Permit Details PERMIT NUMBER �. City of La Quinta BRES20115! 4 ,. PLAN CHECK SUBMITTAL STEPHANIE GUMPERT 12/18/2015 12/18/2015 RECEIVED INFORMATION - TELEPHONE CALL C JIM JOHNSON 11/19/2015 PAID PAID DATE 11/19/2015 CHECK # .. CALLED ATON MARINKOVICH TO INFORM HIM THE PLANS PAID BY YD.... ARE READY FOR CORRECTIONS TELEPHONE CALL JIM JOHNSON 1/6/2016 $978.48 1/15/16 iJ6/2016 17643 CALLED ANTON MARINKOVICH TO INFORM HIM THE PLANS SUNROSE MFA RESIDENTIAL ARE READY TO ISSUE. CORPORATION Total Paid for ART IN PUBLIC PLACES - AIPP:' $978.48 $978.48 CONDITIONS CONDITION DATE DATE DATE 0 $24.00 $24.00 1/15/16 CONTACT 17643 STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE JIM JOHNSON 1/6/2016 PENDING CORPORATION CHECKLIST $24.00 $24.00 BSA: CONTACTS NAME TYPE 252-0000-43200 NAME $942.00 ADDRESSI CITY STATE - ZIP PHONE FAX EMAIL APPLICANT ANTON MARINKOVICH (503)880-5771 CORPORATION CONTRACTOR SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT CA 92260 (503)880-5771 SUNROSE.SEDONA@G •MAIL.COM OWNER GERALD PERKEL 23945 SW 65TH AVE j TUALATIN j OR j 0 1 (503)880-5771 Printed: Friday, January 15, 2016 2:47:01 PM 2 of 7 CRSYS7C•ti1S FINANCIAL INFORMATION - C DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # .. METHOD PAID BY YD.... ART IN PUBLIC PLACES - 270-0000-43201 0 $978.48 $978.48 1/15/16 R12171 17643 CHECK SUNROSE MFA RESIDENTIAL CORPORATION Total Paid for ART IN PUBLIC PLACES - AIPP:' $978.48 $978.48 BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION Total Paid for BUILDING STANDARDS ADMINISTRATION $24.00 $24.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION Printed: Friday, January 15, 2016 2:47:01 PM 2 of 7 CRSYS7C•ti1S Permit Details PERMIT NUMBER City of La Quinta BRES2015-0414` Printed: Friday, January 15, 2016 2:47:01 PM 3 of 7 CN sysrcMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CENTERS CORPORATION DIF - FIRE PROTECTION 257-0000-43200 0 $433.00. $433.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 1/15/16 R12171 17643 CHECK SUNROSE MFA. CORPORATION DIF - PARK 256-0000-43200 0 $40.00 $40.00 1/15/16 R12171 17643 CHECK SUNROSE MFA MAINTENANCE CORPORATION DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION DIF - STREET 255-0000-43200 0 $116.00 $116.00 1/15/16 R12171 17643 CHECK -SUNROSE MFA MAINTENANCE CORPORATION DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION TEMP POWER SERVICE 101-0000-42600 0 $16.92 $16.92 1/15/16 R12171 17643 CHECK SUNROSE MFA PC CORPORATION Total Paid for ELECTRICAL: $41.09 $41.09 RESIDENTIAL, EA 101-0000-42403 0 $86.31 $86.31 1/15/16 R12171 17643 CHECK SUNROSE MFA ADDITION 1,000SF CORPORATION RESIDENTIAL, EA 101-0000-42600 0. $35.56 $35.56 1/15/16 R12171 17643 CHECK SUNROSE MFA - ADDITION 1,000SF, PC CORPORATION RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 1/15/16 R12171 17643 CHECK SUNROSE MFA 1,000SF CORPORATION RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 1/15/16 R12171 17643 CHECK SUNROSE MFA 1,000SF, PC CORPORATION Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 $314.76 Printed: Friday, January 15, 2016 2:47:01 PM 3 of 7 CN sysrcMs Permit Details PERMIT NUMBER City of La Quinta BREs20115=0414 Printed: Friday, January 15, 2016 2:47:01 PM 4 of 7 V? SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK.# METHOD PAID BY BY RESIDENTIAL.PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION HOME LOT >7KSF RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0. $181.29 $181.29 1/15/16 R12171 17643 CHECK SUNROSE MFA' CORPORATION HOME LOT >7KSF PC Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 $253.82 $253.82 1/15/16 R12171 17643 CHECK SUNROSE MFA SOR CORPORATION CONDENSER/COMPRES 101-0000-42600 0 $169.19 $169.19 1/15/16 R12171 17643 CHECK SUNROSE MFA SOR PC CORPORATION EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION EXHAUST HOOD. PC 101-0000-42600 0 $4.83 $4.83 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION FURNACE 101-0000-42402 0 $253.82 $253.82 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION FURNACE PC 101-0000-42600 0 $169.19 $169.19 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION VENT FAN 101-0000-42402 0 $108.81 $108.81 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION VENT FAN PC 101-0000-42600 0 $43.47 $43.47 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION WALL HEATER 101-0000-42402 0 $49.42 $49.42 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION Total Paid for MECHANICAL: $1,088.82 $1,088.82 . NEW CONSTRUCTION 101-0000-42400 0 $801.09 $801.09 1/15/16 R12171 17643 CHECK SUNROSE MFA PERMIT CORPORATION Total Paid for NEW CONSTRUCTION PERMIT:' $801.09 $801.09 Printed: Friday, January 15, 2016 2:47:01 PM 4 of 7 V? SYSTEMS Printed: Friday, January 15, 2016 2:47:01 PM 5 of 7 SYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD -PAID BY BY NEW CONSTRUCTION 101-0000-42600 0 $1,200.00 $1,200.00 10/28/15 R10334 1144 CHECK STRACTS INC MFA PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0. $534.52 $534.52 1/15/16 R12171 17643 CHECK SUNROSE MFA - PLAN CHECK CORPORATION Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,734.52 $1,734.52 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA CORRPPORAATITION BACKFLOW DEVICE PC 101-0000-42600 0 '$4.83 $4.83 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION BUILDING SEWER PC 101-0000-42600 0. $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA, CORPORATION FIXTURE/TRAP 101-0000-42401 0 $314.34 $314.34 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION FIXTURE/TRAP PC 101-0000-42600 0 .$314.34 $314.34 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 1/15/16 R12171 17643 CHECK SUNROSE MFA OUTLETS CORPORATION GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 1/15/16 R12171 17643 CHECK SUNROSE MFA OUTLETS PC CORPORATION ROOF DRAIN. 101-0000-42401 0 $24.18 $24.18 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION ROOF DRAIN PC 101-0000-42600 0 $24.18 $24.18 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 1/15/16 R12171 17643 CHECK SUNROSE MFA PC CORPORATION WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA INST/ALT/REP CORPORATION Printed: Friday, January 15, 2016 2:47:01 PM 5 of 7 SYSTEMS Permit Details i PERMIT NUMBER ` City of La Quinta BRES2015-0414 y BOND INFORMATION Printed: Friday, January 15, 2016 2:47:01 PM 6 of 7 cg?uwEYLY SYSTEMS PARENTPROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 1ST BLDG STR (3 WK) JOHN THOMPSON 10/28/2015 11/18/2015 11/16/2015 REVISIONS REQUIRED 1ST PW GREEN SHEET. AMY YU BY WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 1/15/16 R12171 17643 CHECK SUNROSE MFA INST/ALT/REP PC 2ND BLDG STR (2 WK) JOHN THOMPSON 12/18/2015 1/7/2016 1/5/2016 READY FOR APPROVAL CORPORATION Total Paid for PLUMBING FEES: $822.09 $822.09 SMI - RESIDENTIAL 101-0000-20308 0 $76.88 $76.88 1/15/16 R12171 17643 CHECK SUNROSE MFA CORPORATION Total Paid for STRONG MOTION INSTRUMENTATION SMI: $76.88 $76.88 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 1/15/16 R12171 17643 CHECK SUNROSE MFA DETACHED CORPORATION Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: BOND INFORMATION Printed: Friday, January 15, 2016 2:47:01 PM 6 of 7 cg?uwEYLY SYSTEMS PARENTPROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS . NOTES.. 1ST BLDG NS (3 WK) JIM JOHNSON 10/28/2015 11/18/2015 11/19/2015 REVISIONS REQUIRED 1ST BLDG STR (3 WK) JOHN THOMPSON 10/28/2015 11/18/2015 11/16/2015 REVISIONS REQUIRED 1ST PW GREEN SHEET. AMY YU 12/8/2015 12/15/2015 12/10/2015 READY FOR APPROVAL 2ND BLDG NS (2 WK) JIM JOHNSON 12/18/2015 1/7/2016 1/6/2016 APPROVED 2ND BLDG STR (2 WK) JOHN THOMPSON 12/18/2015 1/7/2016 1/5/2016 READY FOR APPROVAL BOND INFORMATION Printed: Friday, January 15, 2016 2:47:01 PM 6 of 7 cg?uwEYLY SYSTEMS Permit Details PERMIT NUMBER City of La Quints BRES201 50414 Printed: Friday, January 15, 2016 2:47:01 PM 7 of 7 b?LJ L�► w. SYSTEMS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 11/19/2015 JIM JOHNSON SCHOOL FEES BRES2015- SCHOOL FEES BRES2015- 0 0414.pdf 0414.pdf 1ST REVIEW - 1ST REVIEW - DOC 11/16/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST REVIEW - 1ST REVIEW - DOC 11/16/2015 JOHN THOMPSON STRUCTURAL SOILS STRUCTURAL SOILS 0 REQUIRMENTS.pdf REQUIRMENTS.pdf 1ST REVIEW - 1ST REVIEW - DOC 11/16/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND REVIEW - 2ND REVIEW - .DOC 1/5/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf DOC 12/8/2015 STEPHANIE GUMPERT DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 PLAN 12-08-15.pdf PLAN 12-08-15.pdf DOC 12/8/2015 STEPHANIE GUMPERT GRANT DEED 12-08- GRANT DEED 12-08- 0 15.pdf 15.pdf PM10 APPROVAL 80758 PM10 APPROVAL 80758 DOC 12/11/2015 STEPHANIE KHATAMI VIA PESSARO 2-10- VIA PESSARO 2-10- 0 1S.pdf I 15.pdf Printed: Friday, January 15, 2016 2:47:01 PM 7 of 7 b?LJ L�► w. SYSTEMS _ PO. BOX 1504 APPLICATION ONLY Buildingq ;�7,8-495 CALLE TAMPICO Addresssc$ _� 14� �`'' . - -- LA QUINTA, CALIFORNIA 92253 7yA1r__ V - Owner - 57^64P_ BUILDING: TYPE CONST. j OCC. GRP. Mailing � / Address 2l_f�7 L/ E s- W, A.P. Number 7:7 7] - 1R0 ' �� ' �7 /� City Zip Legal Description LD7,37 �� f�% Zg�gif�- `� f}L Contractor Project Description ANG /Ly Address Tel. State Lic.I City I & Classif. Lic. # Arch., Engr., tr= I Designer Address Tel. @ r!2 P��'� 19� IuD. # y9 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 Pro'essions Code, and my license is in full force and effect. SIGNATURE DATE OWNEWBUILDER 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 (5500). OI, 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 ofsale). ❑ 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 appy 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 certiScate 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 ($100) 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, alter 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 susperded 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 WHITE = BUILDING DEPARTMENT Sq. Ft. No. No. Dw. Size %yg'?S` Stories Units New [D Add Alter❑ Repair❑ Demolition //9 / S Estimated Valuation 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 Issued by: Validated by: — Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: I COMM/IND.AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Qhe Hideaway Date: January 15, 2016 Owner's Name: Carol and Gerry Perkel Phone No. 760-773-6633 Project Address: 80-926 Via Pessaro, LaQuinta Project Description: New Single Family Dwelling APN: 777-380-006 Tract #: Lot #'s: Type of Development: Residential XX1 Commercial Total Square Feet of Building Area: 6489 Industrial 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 15, 2016 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 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 6489 $3.36 $21803.04 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Secretary Signature: 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 January 1, 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. i�iV:cnnydoes'devl'ees'Certilicate of compliance Form upchted 3-2007 11/2010 til FM ELITX NATIONAL Ti'ItLE COMPANY 5UROISION DEPARTMM ... . WHEN RECORDED MAIL TO: Mr. and Mrs. Perkel 1745 South Shore Blvd. Lake Oswego, OR 97034 MAIL TAX STATEMENT TO: SAME AS ABOVE DOCUMENT TRANSFER TAX $ 759.00 XX Computed on the consideration or value of property conveyed; OR DOC N 2004-0398117 05/20/2004 0a:00A Fee:19.00 Page 1 of S Doc T Tax Paid Recorded in Official Records County of Riverside Gary L, Orso Assessor, County Clerk a Recorder 1111111111111111111111111111111111111111111111111111111 M $ U PAGE 812E DA PCOq .N000R "'. M88 C, , COPY LONG I R.111ND NGiO I MWA A R L Computed on the consideration or value less liens or encumbrances remaining at the time of sale. Signature of Declarant or Agent determining tax - Firm Name '14 / 0 0493 0 TRA: 0 1w GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S)to Gerald R. Perkel and Carole J. Perkel, Husband and Wife, as Community Property with Right of Survivorship ("Grantee"), the real property located in the City of La Quinta, County of Riverside, State of California, described as: See Legal Description attached hereto and incorporated herein as Exhibit "A", SUBJECT TO all matters of record including, without limitation, the covenants and agreements described in Exhibit "A" attached hereto. Dated: A PR tL (1 ft4 �1v�® DEC 0 a JOS C� OF %jt ,L ,Pif ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd. an Ohio limited liability comps its managing ;be.r By• os h L. Arenson Authorized Representative Order: Doc: RV:2084 00398117 (DEO - 5/26/2004) Page 1 of 8 Created Gy: Gabe Cecchtrd Printed: 11/19/2015 10:44:14 AM STATE OF California COUNTY OF _Riverside On April 1, 2004 before me, K. Larbv, Notary Public (Name, Title of Officer) personally appeared Joseph L. Arenson personally known to me (or 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/she/they executed the same in his/her/their authorized capacity(ies), 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. WITNESS my hand and official seal. (Signatur of N rylic) L OFffCIAL SfAiCOMM � �26e79r Notary Public . Caiffomla RIV£RSIOE COUNTY MY COMMISSIM E*R9 JUNE 24, 2004 (This area for notarial seal) Order: Doc: RV:2004 00398117 (DEC - 5/26/2004) Page 2 of 8 Created By: Oahe Cecchh Printed: 11/19/2015 10:99:15 AM "GRANTEES HEREBY EXPRESSLY DECLARE AND ACCEPT THE TRANSFER OF THE HEREIN DESCRIBED PROPERTY AS COMMUNITY PROPERTY WITH RIGHT OF SURVIVORSHIP." Date: Date; D1P-Cq0" STATE OF GAttF9R1`4!k /J COUNTY OF �P�C�!/L"lam _jSS On Cw ( a OCA before me, (/Gt dec-,NotaryP bfic(here insert name antitle � offtcer)r personally appeared �v �C C/� ,eo 2 XX - personally known to me (or 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/she/they 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 persons) acted, executed the Instrument. WITNESS my hand and official seal. Signature. `�.. UFFIC iALSEAL EVA C.SPRECHER NOTARY PUBLIC -OREGON , cOMMISSION NO. 339198 fAY COMMISSION EyPIP£S OCi08� � Order: Doc: RV:2004 00398117 (DEG - 5/26/2004) Page 3 of 8 Created BV: Gabe CeccWnl Printed: 11/19/2015 10:44:15 AM EXHIBIT "A" Legal Description Parcel No. 1: Lot 37/38 of Amended Tract No. 29894-3, in the City of La Quinta, County of Riverside, State of California, as per Map recorded in Book 351, Pages 35 through 48, inclusive of Maps, in the Office of the County Recorder of said County and shown on Grant Deed recorded April 13, 2004 as Instrument No. 2004-026670of Official Records. Grant Deed reflects Parcel Merger No. 2004 -�as approved by the City of La Quinta. EXCEPTING AND RESERVING THEREFROM TO GRANTOR, and its successors, assigns, invitees, licensees and employees, together with the right to grant and transfer all or a portion of the same, all easements and rights for access, ingress, egress, encroachment, maintenance, drainage, support, and for other purposes over the Association Maintenance Areas and other portion of the Lot, reserved to Grantor in the following instruments: _ 1. The Amended and Restated Declaration of Covenants, Conditions and Restrictions and Reservation of Easements for The Hideaway Owners Association (as amended or supplemented, the "Declaration"), recorded on December 13, 2002, as Instrument No. 2002- 745939, of Official Records of Riverside County, California (the "Official Records"); 2. The Supplementary Declaration of Annexation of Property, recorded on March 4, 2004, as Instrument No. 2004-0151981, of Official Records of Riverside Country, California. FURTHER RESERVING THEREFROM, the right to enter the Lot for a term of twelve (12) months following the recordation of this Grant Deed, to complete and repair any improvements or landscaping located thereon as determined necessary by Grantor, in its sole discretion, in order to comply with requirements for the recordation of the Final Tract Map, the grading of said Tract and/or in compliance with the requirements of applicable governmental agencies. Such entry by Grantor shall be preceded by reasonable notice to Grantee before such entry. If this reservation of right of entry is not complied with by Grantee, Grantor may enforce this right of entry in a court of law. Grantee shall be responsible for all damages arising out of said breach including attorneys' fees and court costs. This reservation of right of entry shall automatically expire twelve (12) months from the recordation of this Grant Deed. Parcel No. 2: Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Declaration. Order: Doc: RV:2004 88398117 (DEC - 5/26/2004) Page 4 of 8 Created 8V: Babe CecchW Printed: 11/19/2015 18:99:15 AM SUBJECT TO: 1. Non delinquent general, special and supplemental real property taxes and assessments. 2. All other covenants, conditions, restrictions, reservations, easements, rights and rights-of-way of record including, without imitation, the Declaration and the Map for Tract No. 29894-3. Grantee, by acceptance and recordation of this Grant Deed, hereby (a) accepts and approves all of the for in this Grant Deed, (b) grants to Grantor and The Hideaway Owners Association such powers and rights as are set forth in the Declaration, and (c) accepts, covenants and agrees to be bound by and assume performance of all of the applicable provisions and requirements set forth in the Declaration, including Section 13.15 establishing the procedure for resolving disputes with Grantor, and the notice, which provisions and requirements are acknowledged to be reasonable and incorporated herein by this reference thereto. This grant is conditioned upon the performance of such provisions and requirements as are to be performed by Grantee under the Declaration. The restrictions on use and occupancy of the Lot are set forth in the Declaration to which this Grant Deed is specifically and expressly made subject. GRANTEE HEREBY ACCEPTS AND APPROVES THE FOREGOING, granting unto Grantor and The Hideaway Owners Association such powers and rights which are set forth in the Declaration defined above, on f`1 Z ( , 2004. era d K. Perkel Carole J. Perk STATE OF ) / . ) ss. COUNTY OF CL 6,& On /%7 C;)tl , 2004, before me, the undersigned, a notary public in and for said State, personally appeared Gerald K. Perkel and Carole J. Perkel, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signature on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS MY HAND AND OFFICIAL SEAL. [SEAL] Signature My commission expires: ®(��ioZae OFFICIAL SEAL EVA C.SPRECHER NOTARY PUBLIC -OREGON (. COMMISSION NO. 339198 t MY COMMISSION EXPIRES OCTOBER 8, 2004 Order: Doc: RV:290;1 0098117 (DEC - 5/26/2004) Page 5 of 8 Created By: Gabe Cecchini Printed: 11/19/201510:44:16 AM RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: Penny H. Serrurier Stoel Rives LLP 900 SW Fifth Avenue, Suite 2600 Portland, OR 97204 DOC # 2013-0353533 07/23/2013 08:00R Fee:21.00 Page i of 3 Recorded Ln Official Records County of Riverside Larry U. Hard assessor, County Clerk 6 Recorder 11111111111111111111111111111111111111013,1!!1 S R U PAGE SIZE DA MISC LONG RFD COPY 1..-D M A L 465 4284805'NCOR SMF NCHG exaa OAV T: CTY UNI GRANT DEED The undersigned declares that the DOCUMENTARY This conveyance transfers an TRANSFER TAX is S 0 and is interest into or out of a Living computed on the full value of the interest or property Trust, R & T 11930. conveyed; OR IS computed on the full value of liens or encumbrances remaining thereon at the time of sale. APN: 777-390-006 Signature of Declarant TRA: 020-160 FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GERALD K. PERKEL AND CAROLE J. PERKEL, husband and wife, as community property with right of survivorship, Grantors, grant to GERALD KENNETH PERKEL AND CAROLE JEAN PERKEL, TRUSTEES OF THE GERALD K. PERKEL REVOCABLE TRUST DATED MAY 14, 2013, AND GERALD K. PERKEL AND CAROLE J. PERKEL, TRUSTEES OF THE CAROLE J. PERKEL REVOCABLE TRUST DATED MAY 14, 2013, Grantees, each as to an undivided one-half interest, the real property located in the City of La Quinta, County of Riverside, State of California, described as follows: See Legal Description attached hereto and incorporated herein as Exhibit "A." SUBJECT TO all matters of recording including, without limitation, the covenants and agreements described in Exhibit "A" attached hereto. DATED: May , 2013. 73774780.10048370-00001 Gerald K. Perkel Carole J. Perkel La Quints, CA Order: Doc: RV:2013 00353533 (DEG - 7/23/2013) Pogo 6 of B created By: Cape CecchW Printed: 11/19/2015 10:99:16 AM CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC STATE OF OREGON COUNTY OFA18'100 -IL ) On May,±, 2013 before me, �/(��`f/� notary public in and for said County and State, personally appeared Gerald K. Perkel and Carole J. Perkel,'personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacity, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal OFFICIAL SE& 3a CERYL A lgnatur f otary Public) NOTARY PU UC -OGRE ON COMMISSION NO. 462213 MY COMMISSION EXPIRES SEPTEMBER 28, 2019 73774780.10048570-00001 Order: Doc: RV:2013 00353533 (DEO - 7/23/2013)Page 7 of 0 Created By: Gabe cecchN Printed: 11/19/201510:44:17 nM EXHIBIT A LEGAL DESCRIPTION Parcel No. 1: Lot 37/38 of Amended Tract No. 29894-3, in the City of La Quinta, County of Riverside, State of California, as per Map recorded in Book 351, Pages 35 through 48, inclusive of Maps, in the Office of the County Recorder of said County and shown on Grant Deed recorded April 13, 2004 as Instrument No. 2004-0266763 of Official Records. Grant Deed Reflects Parcel Merger No. 2004-455 as approved by the City of La Quinta. Parcel No. 2: Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Amended and Restated Declaration of Covenants, Conditions and Restrictions and Reservation of Easements for The Hideaway owners Association (as amended or supplemented, "the Declaration"), recorded on December 13, 2002, as Instrument No. 2002- 745939, of Official Records of Riverside County, California and the Supplementary Declaration of Annexation of Property, recorded on March 4, 2004, as Instrument No. 2004-0151981 of Official Records of Riverside County, California. SUBJECT TO: Non delinquent general, special and supplemental real property taxes and assessments. 2. All other covenants, conditions, restrictions, reservations, easements, rights and rights-of-way of record including, without limitation, the Declaration and the Map for Tract No. 29894-3. 3. Reservation in Grant Deed dated April 1, 2004, recorded May 26, 2004 as Document No. 2004-0398117. EXHIBIT A 73774780.10048570-0000) Order: Doc: RV:2013 00353533 (DEO - 7/73/2013) 1 Page 0 of 0 Created By: Gabe CecchW Printed: 11/ 19/2015 10:44:17 AM November 23, 2015 Mr. and Mrs. Gerry Perkel 23945 SW. 651 Avenue Tualatin, OR 97062 Re: Lot 37/38C at 80926 Via Savona Final Design Review #1 Dear Mr. and Mrs. Perkel, This correspondence shall serve as notification that the Hideaway Design Review Committee (DRC) reviewed the final construction documents as part of the November 17, 2015 meeting. The project has been approved to start construction, subject to the following comments being addressed prior to the start of framing at the lot: 1. Please refer to past comments from Gerry Tarsitano as applicable. 2. The landscape pots and roof tile samples were approved as submitted. 3. The guidelines indicate a requirement for a minimum of five — 48" box canopy trees to be utilized at each lot. Please upsize your trees as necessary. 4. The construction details call for the materials "to be selected". Typically the call -outs match the color board to ensure compliance by sub -contractors in the field. Please make certain all applicable samples, including hardscape, are provided in the field for review during construction. 5. Due to the circular driveway taller plant material should be utilized. The plan submitted indicates plants with a mature height of only 30" which is not sufficient to screen vehicles. Please make the appropriate changes so that larger/taller plant species are installed. The goal is to provide softening of the hardscape and appropriate screening of vehicles parked in the driveway. 6. Courtesy comment: The two primary trees selected for the front yard are both deciduous in the winter months and the Orchid tree was removed from the Plant List in the revised guidelines (July 2015) for this reason. The committee suggests the use of a Caesalpinia cacalaco if you are desirous of a flowering tree in the front yard. Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any questions or to schedule your Pre -Construction Meeting once a Builder Permit has been obtained. Sincerely, THE HIDEA WAY DESIGN REVIEW COMMITTEE IIn Title: cc: Stracts; EE, DRC File Date: Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. If you wish to pursue an appeal, please contact the Association's property manager directly. Riverside County Fire Department Fire Protection Planning Section Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955.4777 Fax (951) 955-4886 Murrieta Office: 39493 Los Alamos Rd., Ste A. Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164 Palm Desert Office: 77-933 Las Montahas Rd., # 201 Palm Desert, CA 92211.4131 Ph. (760) 863-8886 (760) 863.7072 Fire Department Clearance/Release Date: to -2u -16 To: LA 0 %i LN T. V, 4 S Fax: TracVParcel Map #: %�D"wft/Pe?pWL 'QE S' 3., "CE Permit/Lot #: LA G*- IC -'QS !0 co L', 37 Job Site Address: 9017t V/t* 'p F ss,-Ro 1�4"rA ��oVE Final For Recordation Q*:ct-j +At#%L. �7tQF �e2ta Ilk', C. SYS -M-1 Release For Building Permit(s) Shell Final Only (No Tenant) Final For Occupancy Building Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, pleasecontact the appropriate Riverside County Fire Protection Planning .office for further assistance. Authorizing Signa ure, For Release �— Print Name 4 Form C — Revised 7282014 t i � ;e 614t CITY CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 12 / 04 / 15 Developer: Sunrose Corporation Tract No.: 29894-3 Tract Name: The Hideaway Lot No.(s): 37-38 Address(s): 80-926 Via Pessaro Phone Number:76( 0 ) 773-6633 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #2. #3. #4, #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1. #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 #5 & #7 BELOW ❖ WALLS, SIGNS, OTHER: PROVIDE ITEM #S BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-ouinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings,. the above project may be released for building permit issuance. This section completed by City staff. Recommended by: A-YDate: 12-11,11 157 Public Works Distribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecklists - Forms & ApplicationsWonns & ApplicationslGREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Aareement (<1 acre/lot or Infill Prolectl Project Information Project Contractor: Sunrose Corporation Project Phase (check one) Construction Demolition Project Name: Perkel Residence Project Tract/Lot Numbers: 29894-3 Project Street Address: 80926 Via Pessaro Total Acres in Active Construction (<1 acre per Lot): 20,469 sq. ft 12 04 15 12 04 15 Anticipated Start Date: / / Anticipated Completion Date: / / PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non -business hours. Name: Jenny McIntire Title: Administration Company Name: Sunrose Corporation Mailing Address: 40101 Monterey Ave, #B1-214 City, State, ZIP Code: Rancho Mirage, CA 92270 Primary Phone #: 760-773-6633 Fax #: 760-773-6634 24 Hour Emergency Phone#: 760-773-6633 Cell Phone #: 760-702-0119 Email Address: sunrose.sedona@gmail.com PM10 Certificate #: CV1402-000405449 The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or City/Cou initiated abatement activities. S�ignatuiWof Prope& Owner or Authorized Representative Date T:\Checklists - Forms & Applications\Fonns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc 4 Building Permit Number: Project Description: SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Datai 12/4/2015 Job Site Owners Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E -Mail Address Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Address Builder / Contr, Number, Street or PO City, State, Postal C Project Square Lot 37/38 Via Pessaro Gerald & Carole Perkel 40101 Monterey Ave #B1-214 Rancho Mirage, Ca. 92270 780-773-6633 Jenny 760-773-6633 sedonahomesflbdc rr com Sunrose Corp 40101 Monterey Ave #B1-214 Rancho Mirage, Ca. 92270 6489 sq ft City Approval W" Date of City Approval 1 12.104' Materials To Be Discarded: Product Tons Trash 26.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brlck/Block 0.00 Recyclable Plaster 7.00 Recyclable Cardboard Commingled 0.00 Recydable 0.00 Recyclable Scrap Metal Tile (floor) 0.00 Recyclable 0.50 Recyclable Concrete 28.00 Recyclable Tile (roof) 0.75 Recyclable Drywall Donated / Reuse* 2.75 Recyclable 0.00 Recyclable Wood Landscape Debris 1 9.50 Recyclable 0.00 Recyclable *Describe Items Totals: Recycle Trash Projected Diversion: 48.50 26.00 65.10%- I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan, This DMP Is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to, a property owners) and general contractor shall be kept informed of the diversion progress through bl-monthly reports. if auling, all refuse material from this project site must be taken to an approved recycler or transfer 41 / Developt7roject Manager / Superintendent Date