BMCH2019-0060OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
() I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, 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 Name:
Lender's
78-495 CALLE TAMPICO D[lu�[I VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/20/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0060 ROBERT CARPENTER
Property Address: 80335 MERION 80335 MERION
APN: 762200007 LA QUINTA, CA 92253
Application Description: CARPENTER /(2) HVAC CHANGE OUTS - 16SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $19,777.00
Applicant: D
Contractor:
IE INC. qn TIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA � 2 2019 72232 CORPORATE WAY
F
WESTLAKE VILLAGE, CA 91362 E THOUSAND PALMS, CA 92276
CITY OF LA QUINTA (760)770 4357
DESIGN &DEiOi'IdENT DEPARTMENT' Llc. No.: 920062
-----------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 fcommencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 920062 of t� rk for which this permit is issued.
r I have and will maintain workers' compensation insurance, as required by
Date: ZJii I Contractor; 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: NN RGI ARA INSURANCE COMPANY _ Policy Number: TIWC986097
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 Labor Code, I shall forthwith
comply with those provisions.
� \
Date: y ZZ • .�
1 Applicart
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:.?—)ZL� Icl Signature (Applicant orAgent)-S:�
Date: 2/20/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2019-0060 Owner:
80335 MERION ROBERT CARPENTER
762200007 80335 MERION
CARPENTER /(2) HVAC CHANGE OUTS - 16SEER/81AFUE SPLIT SYSTEM LA QUINTA, CA 92253
$19,777.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Detail: 4-TON, AND 3.5 -TON HVAC CHANGE OUTS -16 SEER/81 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
INFORMATIONFINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$160.10
Total Paid for CHANGEOUT: $240.14
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
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
itiL�iY1W
— GEM oj'rl r 14LSEWF —
PERMIT #�
PLAN LOCATION:
Project Address• 80335 Marion
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 4 ton / 80K & 3.5 ton / 80K complete HVAC systems
Applicant Name• Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com
Valuation of Project $ 19,777.00
Contractor Name: Timo's A/C & Heating
New SFD Construction:
Address: 72232 Corporate Way
Conditioned Space SF
City, St, Zip Thousand Palms, CA 92276
Garage SF
Telephone: 760-770-4357
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 920062 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Bob Carpenter
New Commercial / Tenant Improvements:
Address: 80335 Merion
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 403-318-3307
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
RECORDING REQUESTED BY:
WFG National Title Company
AND WHEN RECORDED MAIL TO:
Mr. and Mrs. Robert Carpenter
2978 162 A Street
Surrey, BC, Canada, V3Z 9X3,
02/15/2019 02:47 PM Fees: $26.00
Page 1 of 5
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
**This document was electronically submitted
to the County of Riverside for recording**
Receipted by: SILVIA #678
THIS SPACE FOR RECORDER'S USE ONLY:
Title Order No.: 19-249614 TRA No. 020-025 Escrow No.: 005139-LM
AP#: 762-200-007-4 GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $85
[X] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of La Quinta AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Terry A. Jackson and Bonnie A. Jackson, husband and wife as Joint Tenants
hereby GRANT(s) to:
Robert Carpenter and Vicki Carpenter, husband and wife
the real property in the City of La Quinta, County of Riverside, State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF
Also Known as: 80335 Merion, La Quinta, CA 92253
DATED: January 22, 2019
Signature Page attached hereto
and made a part hereof
MAIL TAX STATEMENTS TO PARTY SHOWN BELOW; IF NO PARTY SHOWN, MAIL AS SHOWN ABOVE:
L)Ukl 4+LU 1 W-UVVA.TFG rclya c V1 V
Title Order No.: Escrow No.: 005139-LM AP#:
TRA No.
SIGNATURE PAGE
Title of Document: GRANT DEED
Date of Document: January 22, 2019
41
%-- _ —
Terry n ABennie A ckson
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to wh{ch this certificate is attached. and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF Riverside
On January 22, 2019
before me, 0
A Notary Public personally appeared
Terry A. Jackson
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
Wll
Sig
(Seal)
UCoMm #ATPqjy2246642
114 Tucr w,a IC-CAmMIA
il"e'sOE 0owm �
MY CONY. EXP. JNLY I 2022
ESCROW NO.: 005139-LM TITLE ORDER NO.: 19-249614
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
certificate is attached, and not the truthfulness,
accuracv, or validitv of that document.
State of California
County of Riverside
On January 31, 2019
before me, M. L. Castanon
A Notary Public personally appeared
Bonnie A. Jackson
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/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.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
ISignatu
. LASIANQNCOM. 2246642ur PLOLIC • GLIFl7R14
ARIVERS)VE caUkTYiw;ow
UP. JUU 11. 2022'i
(Seal)
uuu *LU I y-uu0004Z rage 4 OT 0
Order No.: 19-249614
EXHIBIT "A"
LEGAL DESCRIPTION
THE LAND REFERRED TO HEREIN BELOW IS S{TUATED IN THE COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
PARCEL 1:
PARCEL 20 OF LOT LINE ADJUSTMENT NO. 96-235, IN THE CITY OF LA QUINTA, COUNTY OF
RIVERSIDE, STATE OF CALIFORNIA, RECORDED DECEMBER 11, 1996 AS INSTRUMENT NO. 467912,
OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA, DESCRIBED AS FOLLOWS:
LOT 30 OF TRACT NO. 28118, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 254, PAGES 99 THROUGH 104, INCLUSIVE OF
MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA, EXCEPTING THEREFROM THAT PORTION OF
SAID LOT 30 DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 30;
THENCE EASTERLY ALONG THE NORTHERLY LINE OF LOT 30, NORTH 89° 13' 40" EAST, 5.00 FEET;
THENCE SOUTHERLY PARALLEL WITH THE EASTERLY LINE OF LOT 30, SOUTH 0° 46' 20" EAST, 148.06
FEET TO A POINT ON THE SOUTHERLY LINE OF LOT 30; THENCE WESTERLY ALONG THE SOUTH LINE
OF LOT 30, SOUTH 89° 13' 40" WEST, 5.00 FEET TO THE SOUTHWEST CORNER OF LOT 30; THENCE
NORTHERLY ALONG THE EASTERLY LINE OF LOT 30, NORTH 0° 46' 20" WEST, 148.06 FEET TO THE
POINT OF BEGINNING.
EXCEPT ALL OIL, OIL RIGHTS, MINERALS, MINERAL RIGHTS, NATURAL GAS, NATURAL GAS RIGHTS,
AND OTHER HYDROCARBONS BY WHATSOEVER NAME KNOWN THAT MAY BE WITHIN OR UNDER SAID
LAND, TOGETHER WITH THE PERPETUAL RIGHT OF DRILLING, MINING, EXPLORING AND OPERATING
THEREFORE AND REMOVING THE SAME FROM SAID LAND OR ANY OTHER LAND, INCLUDING THE
RIGHT TO WHIPSTOCK OR DIRECTIONALLY DRILL AND MINE FROM LANDS OTHER THAT SAID LAND,
OIL OR GAS WELLS, TUNNELS AND SHAFTS INTO, THROUGH OR ACROSS THE OF SAID LAND, AND TO
BOTTOM SUCH WHIPSTOCKED OR DIRECTIONALLY DRILLED WELLS, TUNNELS AND SHAFT UNDER
AND BENEATH OR BEYOND THE EXTERIOR LIMITS THEREOF, AND TO REDRILL, RETUNNEL, EQUIP,
MAINTAIN, REPAIR, DEEPEN AND OPERATE ANY SUCH WELLS OR MINES, WITHOUT HOWEVER, THE
RIGHT TO DRILL, MINE, EXPLORE AND OPERATE THROUGH THE SURFACE OR THE UPPER 500 FEET
OF THE SUBSURFACE OF SAID LAND OR OTHERWISE IN SUCH MANNER AS TO ENDANGER THE
SAFETY OF ANY HIGHWAY THAT MAY BE CONSTRUCTED ON SAID LANDS.
PARCEL 2:
NONEXCLUSIVE EASEMENTS AND RIGHTS FOR ACCESS, INGRESS, EGRESS, ENFORCEMENT AND
OTHER PURPOSES AS SET FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND
RESTRICTIONS PGA WEST II RESIDENTIAL PROJECT, RECORDED ON AUGUST 3, 1990 AS
INSTRUMENT NO. 288874 OF THE OFFICIAL RECORDS OF SAID COUNTY ("THE DECLARATION"), AND
THE SUPPLEMENTARY DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS BY WHICH
THE LOT DESCRIBED IN PARCEL I ABOVE WAS ANNEXED THERETO (THE "SUPPLEMENTARY
DECLARATION") WHICH INCLUDE, BUT ARE NOT LIMITED TO THE EASEMENTS FOR DRAINAGE
IMPROVEMENTS IDENTIFIED UPON THE MAP OF TRACT NO. 28118, AS SUCH EASEMENT IS,MORE
PARTICULARLY DESCRIBED IN THE SUPPLEMENTARY DECLARATION AND THE EASEMENT FOR
INGRESS AND EGRESS OVER THE STREET EASEMENT AREA MORE PARTICULARLY DESCRIBED IN
THE SUPPLEMENTARY DECLARATION, AND
PARCEL 3-
.r ,...v Trw 1 d-VVJJJ`4L P-Qyc a ul a
Order No.: 19-2496114
NONEXCLUSIVE EASEMENTS FOR RIGHTS FOR ACCESS, INGRESS AND EGRESS AND OTHER
PURPOSES AS SET FORTH IN THE MASTER DECLARATION OF COVENANTS, CONDITIONS AND
RESTRICTIONS FOR PGA WEST RIVERSIDE COUNTY, CALIFORNIA RECORDED JANUARY 22, 1986 AS
INSTRUMENT NO. 15569, ❑F THE OFFICIAL RECORDS OF SAID COUNTY ("THE MASTER
DECLARATION".
APN: 762-200-007-4