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9982 (SFD)Building Address 53-640 �ilarez Owner Bar Cori Develop Mailing as ohn Address 41--625 Eclectic Hi City Zip Palm Desertl 92260 Contractor Sane as above Address rC( 'A P.O. BOX 1504 !�N,'' l� No. 9982 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Cl` a'ski BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774--111-007 773-9024 Legal Description Lot 18 Block 132 Unit 19 Project Description SFD City Zip Tel.: State Lic. City & Classif. B1 564202 iLic.# . Arch., Engr., Designer Address Tel. City Zip' State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section tt)DO) ofivigo—n 3,of a Business and Professions Code and �Y license is injfull fade and Y ect. S,.?i/, \\i! jrL!i S GNATUR DATE g 01WNER-BUILDER b&LARATION I hereby affirm that I am exempt from the Contrdctofs License Law for the following reason: (Sec., 7031.5,Business and Professions Code. Any city or,coumty w/dch requires a permit to construct, atter, Improve, demolish, or repair arty structure, prior to as issuance afro requires the applicant for such. permit .to file.a signed statement that he is rce sed pursuant to the provisions of the Contractor's License Law, Chapter 9 (co mtencig with Section 7000) of. Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the Gaffs for the alleged exemption. Any violation of Section 7031.5 by any appftW for a permit subjects the applicant to a civil penalty of not more than foe hurdled dollars (S500)- ❑ 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, Buisness and ' Professions Code:.The Contractor's License Law does not apply to art owner of pn%u" -who builds or improves thereon and who does such work hinsef or through his own enpbyees,. provided that such Improvements are not intended or offered for safe. 0, however, the building or improvement is sold within one year of co plelbn, the owner bidder wi have the burden of proving that he did not build or improve for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to cow struct the project. (Sec. 7044; Business and Professions Code., The Contractors Licese,Law. does not apply to an owner of property who bunds or iriprDves thereon, and who contacts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.) . . ' ❑ 1 am exempt under Sec. B. & P.C. for this reason Sq. Ft. No. No. Dw. Size 178E Stories Units r New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls or )poal Estimated Valuation 102, 9994.00 Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, LaborCode.) Policy No. Company ' Copy is filed with the city. . ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed If the permit is for one Modred dollars (1100) vadetion a 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 the Workers' Compensation' Laws of California. Date Owner NOTICE TO APPLICANT. 11, alter making this Certificate of Exemption you should became 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= 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 PERMIT .'-', _ AMOUNT Plan Chk. Dep. 00 Plan Chk. Bal. 299.15 Const. 650.00 Mech. 62.00 Electrical 134.60 Plumbing 141.00 S.M.I. 10.30 Grading 20.00 Driveway Enc. 20.00 Infrastructure r 2243.75 25.00. TOTAL M, 3r *.80 3605.80 REMARKS &M mow 9 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 1 FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES" 1ST FL. SQ. FT. ® $ 2ND FL SQ. FT. ® FOR. SQ. FT. ® GAR. SQ, FT. ® CARP. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET + YARD SPKLR SYSTEM ' BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE / KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Vi c SEWAGE. DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK �% ND PLUMBING / [ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE / GROUT WATER HEATER SERVICE FINAL INSP. ,BOND BEAM WATER SYSTEM FINAL INSP. 3 GRADING �cu. yd. $ plus x$ =$ LUMBER GR. FRAMING� 0 �/ 1 FINAL INSP. ROOFING�p1 / / 9/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING`f OJVIV �b MESH INSULATION/SOUND / �3 FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL �YA'6F .MZ !n,4 Building Address Owner Mailing Address LA City Zip Contractor Address__. City - State Lic. & Classif.g, Arch, Engr., Designer . Address . p Zip P.O. BOX 1504 `OAPPLICATION ONLY 78-105 CALLE ESTADO J u ALe Z LA QUINTA, CALIFORNIA 92253 kINJIC III-Ak, BUILDING:- TYPE CONST-%' fA' OCC: GRP. * t L A.P. Number acs1Tel. -7-13-90LA Legal Description �4 I Ps LiC. I 2 - �s� �•ti. G�(ZM�t_i A A� AL2 r v Project Description Z I Lic. # Tel. ityZip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commenci(g with ec 000) okDiviLsion 3 of th,kBusiness and PAfessions Code, andjpy lice))ge is in full force OWNER -BUILDER DECLIRATION I' hereby affirm that I am exempt from the Contr lor'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 Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 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, Buisness and Professions 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 con- struct 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 WORKERS' 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 Cede.) Policy No. Company O Copy is filed with the city. O 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 ($10C) valuation or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you shouki become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I��ereby 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 BUILDING DIVISION Sq. Ft. Size.-. -I" l Q No. 11 No. Dw. Stories ` Units - New>4 Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. �Q o Const. Mech. Electrical Plumbing ' S.M.I. Grading ` Driveway Enc. Infras ructure TOTAL REMARKS 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: Date Permit ., Validated by: - Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTENot to be used as property tax valuation J FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE I PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347,8631 Date 9/23/91 No. 110883 Owner Name Bar Con Development/John Clapinski No. street see below city La Qunita Type of Permit La Quinta Permit # Log # Zip 92253 Study Area 111 APN # Tract # Lot # Square Footage .1 3560 Type of Development Single Family Residence No. of units 0 Comments 52-640 .hiaraz 1780 sq- ft_ 54-620 Disz 1760 sq- ft At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE 11is certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X ® or$ 5,624.80 have been paid to D.&U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Bar Con Dev/Irwin Golds Name on the check g� James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Diana M. Allard Signature Telephone 619 773.9024 11 • • Payment Receiv'gd. , 664"W"146.41-59/4155 Collector. Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building DeptJApplicant Copy - Applicant/Receipt Copy - Accounting ®® VqMM-M r'"M ffMn f.IrJ9.71 La" V=R!MM rvm mm s r"!^n P--"r" .n EMM 0!*Y 1� !�"1s71 d'lCt� State of On this the -i day of ��� " before me, SS. � County of tt �'I_ ''f S the undersigned Notary Public, personally appeared9tt , z� ' OFFICIAL SEAL ' M.E. TORRES ersonally known to me ' NOTARY PUBLIC—CALIFORNIA 17 proved to me on the bdsls of satisfactory evidence :4 cam' ihM�T� �M = PRINCIPAL OFFICE IN to be the person(s) whose name(s) �� subscribed tc the Rll'F�.'IOE COUNTY within Instrument, and acknowledged that ' My Ccmmi;; ien J--5 Dec 17, 1993 9 executed It. WITNESS my hTnd and official seal. 2q'lz"e/ Notary's Signature 1 RECORDING REQUESTED B, AND WHEN RECORDED MAIL THIS DEED AND, UNLESS M, OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: r -I NAME Barcon Development STREET ADDREss41-625 Eclectic Street, Suite H-1 CITY, STATE ZIP Palm Desert, CA 92260 L J Title Order No. Escrow No. QUITCLAIM DEED C(OPY ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ D computed on full value of property conveyed, or O computed on full value less value of lions and encumbrances remaining at the time of sale. Signature of Declarant or Agent Determining Tax. Firm Name John J. Clapinski and Nancy E. Clapinski (print or type name of grantorts)l the undersigned grantor(s), for a valuable consideration, receipt of which is hereby acknowledged, do hereby remise, release and forever quitclaim to Barcon Development, a California Limited Partnership the following described real property In the City of La Quinta County of Riverside , State of California: Lot 18, Block 192, Unit #191 Santa Carmelita at Vale La Quinta, as per map recorded in Book :19, page 34 of maps in the office of the County Recorder of said county. Assessor's parcel No. 774-111-007 Executed on / ' -� , 19 at ICr y and Slatel #1h n4J-la inski °L 1 Nancy Ei lapinski. STATE OF CALIFORNIA COUNTY OF SS On this day of --5.1L4 _I- In the year 191_L,before me, i. the undersigned, a Notary Public In.and for said State, personally appeared ( personally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name_ ' subscribed to the within Instrument, and acknowledged to me that ! -She_ executed It. s OFFICIAL SEAL WITNESS my hand and o I seal. -iy�� ; R H JONES n NOTARY PUBLIC -CALIFORNIA RIVERSIDE COUNTY My comm. expires JUN 29, 1993 Notary P Ic In and for said State. MAIL TAX (This area for official notarial seal) STATEMENTS TO Irk NAME ADDRESS ZIP WOLCOTTS FORM 790. Rev. e•e4 This standard form Is Intended for the Iypleal situations encountered In The field Indicated. However, before you sign, a QUITCLAIM DEED (price class J) read It. fill In all blanks, and make whatever changes are appropriate and necessary To your particular transaction. Consult a lawyer If you doubt the form's fitness for your purpose and use. ,e 1984 WnICnTTS INC -7 71 a. COACHELU "CAS Received .P-bm-- Address: Ol CALVIN C. KAMINSKAS Assistant Commissioner (714) 275.3000 DAN RILEY Sealer, Weights & Measures (714) 275-3030 . OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DATE g- l3 9 CASE NO. DEVELOPER'S NAME: ADDRESS: 3-7 - (O L -os Cc, �_c s lir E, �G a irc�cA- Z -7r, TELEPHONE: L t9 Q►x /o/2 - Dear Developer: "7 -7 3 - ?oma V' o v Lk -.0110 C Z 0. 0 w; w4q After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be not immediately. "Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agric t al omnissioner's Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 - FAX (714) 275-3012 EARTH SYSTEMS CONSULTANTS S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Client Phone DATE TEST LOCATION � o -km Ifs JOB NO. PROJECT LOCATION CONTRACTOR MOISTURE CONTENT % OWNER WEATHER MAXIMUM DRY DENSITY Ibs./cu. ft. TEMP. o at AM at PM PRESENT AT SITE OAP4S. 2 //2 • S TEST NUMBER TEST LOCATION � o -km Ifs LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRYMAXIMUM DENSITY lbs./Cu.ft. DRY DENSITY % MAXIMUM DRY DENSITY Ibs./cu. ft. OPTIMUM MOISTURE CONTENT % OAP4S. 2 //2 • S 2% 9.3 /13.1 ,S4 -62o JN4Z A � � `h Z REMARKS:,Qe� .LIENT REPRESENT TIVE SIGNATURE FIEID REPORT t TECHNICIANS SIGNATURE 3