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BRES2020-002978-495 CALLE TAMPICO 7 i1ii[Mzil VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/19/2020 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: BRES2020-0029 LMR PROPERTIES, LLC. Property Address: 53775 EISENHOWER DR 53775 EISENHOWER DRIVE APN: 774165013 LA QUINTA, CA 92253 Application Description: LMR PROPERTIES, LLC / WINDOW & PLUMBING FIXTURE CHANGEOUT Property Zoning: Application Valuation: $10,000.00 Applicant: �� Contractor: JOSE MANTANO D OWNER BUILDER 5900 S. EASTERN Ij COMMERCE, CA 90040 Ir FEB 2 n 2020 �! CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1 5 ,.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 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: [i�'^� t-n 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 Name: Lender's Ad WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Pol Icy N u m ber: l 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 Labor Code, I shall forthwith comply with those provisions. Date:7,�r ,Zo_Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE NLAWFUL, 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: --W -ZD Signature (Applicant or Agent): Date: 2/19/2020 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: JOSE MANTANO 5900 S. EASTERN COMMERCE, CA 90040 BRES2020-0029 Owner: 53775 EISENHOWER DR LMR PROPERTIES, LLC. 774165013 53775 EISENHOWER DRIVE LMR PROPERTIES, LLC / WINDOW & PLUMBING FIXTURE CHANGEOUT LA QUINTA, CA 92253 $10,000.00 Contractor: OWNER BUILDER Llc. No. Detail: CODE CASE: REPLACEMENT OF (4) SINKS LOCATED IN KITCHEN, MASTER BATHROOM AND GUEST BATHROOM. (7) WINDOWS & (1) SLIDING DOOR CHANGEOUT. THIS PERMIT DOES NOT INCLUDE ALTERATION OR ENLARGEMENT OF ANY OPENINGS. ALL CHANGE OUTS ARE LIKE FOR LIKE TO BE FIELD VERIFIED BY INSPECTOR. NO OTHER WORK TO BE PERFORMED UNDER THIS PERMIT. PER 2019 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT INVESTIGATION FEE 101-0000-42400 0 $253.26 Total Paid for ADMINISTRATIVE: $253.26 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $53.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $53.68 Total Paid for PLUMBING 2019: $107.36 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 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 101-0000-42600 ($11.27) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($47.72) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($42.98) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($23.03) DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5 101-0000-42400 0 $11.27 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $19.90 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $47.72 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $23.03 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $42.98 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION 2019: $19.90 ta Qaiwra —';E&I tea, nUSF.RF — Project Address:.5 3 �s Eii APN #: Applicant Name: Address: SII Opp City, ST, Zip: C'C*g - GrL& Telephone: ) 3 Email: A, _ t n R �1 PERMIT # --i�> IEJ L07-0 — d02 PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech �73W Valuation of Project $� ►• r-S Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 �4 P-0. BOX 1504 LA QUINTA, CALIr-ORNIA 92247.1504 78-495 CALLF 'rAMFICO LA QUINTA, CALIFORNIA 92253 4a" BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 rAx (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT'+ NOTICE TO PROPERTY OWNER Dear Property Owner; An application for a buildingg ppermit has been submitted in your name listing yourself as the builder of the property improvctnents specified at 53775 Eisenhower Dr. La Quinta, Ca 92253 We are providing YOU with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder, We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our ofiiclal address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND'V>F;RIFICATION OF INFORMATION DIRECTIONS., Read and initial each statement below to signify you understand or verify this information. - I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally.1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property, My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. *I understand building permits are not required to be signed by property owners unless they are responsible for the 1�ction and are not hiring a licensed Contractor to assume this responsibility. `#. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit riled in his or her name instead of my 4 I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on pe is and contracts. tk. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value: y5construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. I understand if I am considered an "employer' under state and federal law, I must register with the state and federal go►ctnment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential strUctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed sunder contract with a licensed general building Contractor. I understand as an Owtier-Builder if I sell the property for which this permit Is Issued, i may be held liable for any Linn ictal or personal injuries suslained by any subsequent owner(s) that resull from any latent construction dcfccts in the workmanship or materials. I 1 understand i may olttain more information regarding my obligations as an "employer" from the internal Revenue ice, the United Statcs Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents, i also understand i may contact (lie California Contractors' Stale License Board (CSLI3) at I- 1.1 321-CSLB (2752) or www.csib.co.gov for more information about licensed contractors. 0. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that i am the pa ty W legally and financially responsible _ for proposed construction activity at the following address: _�L1 I. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. T2. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss You may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. if you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be Issued, this form must be completed and signed by the property owner and returned to the agency responsible for Issuing the permit. Note: A copy of the property owner's driver's 11cense, form notar/tadon, or other ver►flcation acceptable to the agency is required to be presented when the permle is issued to veryythe property owner's signature. Signature of property owner �� d Date: 02/19/2020 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Plumbing fixtures and windows Project Location or Address: 53775 Eisenhower Dr. La Quinta, Ca 92253 Name of Authorized Agent: Ruben Espinoza or Jose Montano Tc1No (562) 400-3613 (323) 378-4429 Address of Authorized Agent: 5900 S. Eastern Ave. Ste. 118. Commerce 90040 I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 02/19/2020 LMR Properties LLC 02/19/2020 RE: 53775 Eisenhower Dr La Quinta Ca 92253 I, Marina Rashkovsky owner of LMR Properties LLC and said property hereby authorize Ruben Espinoza to manage, maintain and handle all matters pertaining to property located at 53775 Eisenhower Dr La Quinta Ca 92253. Including but not limited to: pulling permits, retaining copies of previous records or previous permits, ordering inspections etc. Please fill free to contact me at 818-445-9413 if you have any questions or concerns. Sincerely, �'i'GG22.GtLC�. I� LMR Properties LLC by Marina Rashkovsky 4650MORSE AVE SI IERMAN OAKS CA 91423 T 818-990-1933 C 818-445-9413 LMR Properties LLC 02/12/2020 RE: 53775 Eisenhower Dr La Quinta Ca 92253 I, Marina Rashkovsky owner of LMR Properties LLC and said property hereby authorize Jose Montano to manage, maintain and handle all matters pertaining to property located at 53775 Eisenhower Dr La Quinta Ca 92253. Including but not limited to: pulling permits, retaining copies of previous records or previous permits, ordering inspections etc. Please fill free to contact me at 818-445-9413 if you have any questions or concerns. Sincerely, LMR Properties LLC by Marina Rashkovsky 4650MORSE AVE,SHERMAN OAKS CA 91423 T 818-990-1933 C 818-445-9413 w a a 4 W N � W d OOLU U m W w a � Z W 0 i�� STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R-ALT-05-E (Revised 0112.0) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 4 moJeee Name: / t7aE lZ'tiES ' f ` Uatr Prepared: ( n(s compliance aocument is only appucame to simple alterations that do not require HERS verification for compliance. When HERS with a HERS Provider Data Registry. a CF1R-ALT- 01 shall first be Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos, or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry. Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R-value greater than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R-value of 3.6 per inch, shall complete and register a CF1R-ALT-01 with a HERS Provider Data Registry. If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information 01 Project Name: L r,'': t A POLoVeS 1 L `C 02 Date Prepared: 03 Project Location: 3� �� 5 w�r �-. �i► S eh�o 04 Building Front Orientation (deg or cardinal): 05 CA City: f /-� 06 08 10 Number of Altered Dwelling Units: Fuel Type: Total Conditioned Floor Area (ft): 07 Zip Code: ,253 09 Climate Zone. �� 11 13 Building Type: 1 1�1 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - 12 Slab Area (ft) ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 01120) _ CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 03 04 Existing Maximum Maximum Allowed Allowed Fenestration Existing Fenestration West -Facing for All West -Facing Alteration for All Fenestration Orientations Fenestration Type Orientations (ftz) Area Only (ftz) (ftz) Area (ftz) ENERGY COMMISSION CF 1 R-ALT-05-E 05 06 07 Maximum Maximum Maximum Maximum Allowed Allowed Allowed Allowed U-Factor U-Factor SHGC SHGC (Windows) (Skylights) (Windows) (Skylights) Comments Page 2 of 4 F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)113) Note: Doors with greater than or equal to 25 percent glazed area are considered glazed doors and are treated as fenestration products. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Area Area Net Proposed Proposed Combined Fenestration Dynamic Orientation Removed Added Added Proposed U-factor Proposed SHGC Exterior SHGC from Tag/ID Type Frame Type Glazing (N, S, W, E) (ftZ) (ftZ) Area (ftZ) U-factor Source SHGC Source Shading Device CF1R-ENV-03 DNt P� ,� 0 �� 0,? .93 'It"s 0 Add Row Delete Raw 15 Net Added West -facing Fenestration Area CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations YrojeCt Name: at Do Not Require HERS Field Verification CALIFORNIA MMISSION CF1R-ALT-05-E Page 4 of 4 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: —' A. 41 Te Company: L Signature Date: �-1 a r r s L G Oo2 d� Address}:_ CEA/ HERS Certification Id nt' cation (if applicaWe): V ry� [ J City tatelzip: Phone7 t- s °tr (T .2 3 S+- 1 3 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is. required to be included with the documentation the builder provides to the building owner at occupancy. Responsiquvesign Name: S f Responsible Designer Signature: n al/ S 1 iJ Company: Date Signed: Address' License: —b Mor-se. koe- City�State ip: Phone: 0 A For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Rev-sed 011201 _ CALIFORNIA ENERGY COMMISSIONa� CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 4 Project Name: Oate Frmppred: 16 Is Net Added Fenestration Area <_ for west -facing fenestration? r Yes A No 17 Net Added Fenestration Area (all orientations) 18 Is Net Added Fenestration Area <_ 0 for all orientations? r Yes A No 19 Proposed Fenestration U-factor (Windows) 20 Required Fenestration U-factor (Windows) 21 Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor? r Yes t7 No 22 Proposed Fenestration SHGC (Windows) 23 Required Fenestration SHGC (Windows) 24 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? r Yes & No 25 Proposed Fenestration U-factor (Skylights) 26 Required Fenestration U-factor (Skylights) 27 Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor? r Yes PC No 28 Proposed Fenestration SHGC 29 Required Fenestration SHGC 30 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? r Yes b No CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020 •"' Secretary of State LLC-12NC Statement of No Change (Limited Liability Company) IMPORTANT— Read instructions before completing this form. This form may be used only if a complete Statement of Information has been filed previously and there has been no change. Filing Fee - $20.00 Copy Fee - $1,00; Certification Fee - $5.00 plus copy fee 19-C19248 FILED In the office of the Secretary of State of the State of California JUN 06, 2019 This Space For Office Use Only 1. Limited Liability Company Name (Enter the exact name of the LLC as it is recor is L�MEtIMX of State. Note: If you registered in California using an alternate name, see instructions.) Re�ivCvv � ] LMR PROPERTIES LLC FEB 19 2020 CITY OF LA QUINTA 2. 12-Digit Secretary of State File Number 3. State, Foreign Country or Place of Organization (only if formed outside of California) 200514110123 CALIFORNIA 4. No Change Statement (Do not alter the No Change Statement. If there has been any change, please complete a Statement of Information (Form LLC-12).) There has been no change in any of the information contained in the previous complete Statement of Information filed with the California Secretary of State. 5. The information contained herein is true and correct. 06/06/2019 Date MARINA RASHKOVSKY Type or Print Name of Person Completing the Form MEMBER�� Title Signature Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document, enter the name of a person or company and the mailing address. This information will become public when filed. (SEE INSTRUCTIONS BEFORE COMPLETING.) Name: 1 Company: Address: City/State/Zip: L J LLC-12NC (REV 01/2017) 2017 Califomia Secretary of State WWsos,ca,gov/buslnessibe DOC #2019-0478977 Page 2 of 3 AP#: 774-165-013-8 Dated October 23, 2019 SBR Empire LLC, a Texas Limited Liability Company BY: 5aa n, Auttzarized Signature A notary public or other officer completing this certificate verifies only the Idantity of the individual who signed the document to which this cartificefe is aitachad and not the Iruthfulnoss, accurac , or valt of That document. STATE OF CALIFORNIA COUNTY OF _ Y On "a' before me,� A Notary Public personally appeared who proved to me on the basis of satisfactory evidence to be the pamo (jpj whose nsmeA Is/aca subscribed to the wilhin instrument and acknowledged to me that helsWthey executed the same in his.fha44hei* authorized eapacity(jss), and that by hIs/had #sek signature(e4 on the instrument the parsGn*, or the entity upon behaV of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph Is true and correct. WITNESS my hand and official seal. • ASNi.I:Y L, t=RIG6S COMM. #2195222 z Signature x Nctary Public • Carifprnia (Seal) Riverside County o Comm. Ex Ires ltfa 1 2a21 r DOC #2019-0478977 Page 3 of 3 EXHIBIT "q" THE LAND REFERRED TO HEREIN IS SITUATED IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS; LOT" 2 IN BLOCK 246 OF UNIT NO, 23, SANTA CARMELITA AT VALE LA QUINTA, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 20. PAGE 2S OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, ASSESSOR'S PAR EL NUMBER: 774-1f5-Q13-8