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0310-339 (SFD)LICENSED CONTRACTOR DECLARATION I her6by 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 Professionals Code, and my License is in full force and effect. License # Lic.Class Exp..,Date a34�£11 l� I,51. Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier STATE FUND Policy No. 13429"-03 (This section need not be completed if the permit valuation is for $100.00 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, and agree that if Vshould become subject to the workers' compel ation provisions of Sectron,3700 of the Labor Code, I shall forthwith comply wlthilthose provisions. `, Date:Applicant_ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & ea whose request and for whose benefit work is performed under or any permit issued as a result of this applicaton agrees to, & shall, & hold harmless the City of La Quinta, its officers, agents and 2. Any permit issued as a result of this application becomes null work is not commenced within 180 days from date of issuan permit, or cessation of work for 180 days will subject permit to c4tcI certify that I have read this application and state that the above inion i�correct. I agree to comply with all City, and State laws relating to tI Ing construction, and heretiy`authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent).: r•�\i•- % Date-! ' 5 -BUILDING PERMIT PERMIT# ` 0310-339 DATE. VALUATIONTRACT 7,1.20 LOT .. : f . t z JOB SITE ?. APN ADDRESS 53-•135 AVELI'.I3 A O.L•$RECW 77 4--044-019 OWNER',, CONTRACTOR / DESIGNER / ENGINEER CORONEL RISMLPRISF5 CCR0AM CO. MTR.t7CTTON PO BOXX 3119 51.103 AVF24MAVILLA, 0101 Lk Q'JWTA CA 92215? I.A QU N'TP, CA. 92233 (760)5644604 CI:+I t 2261 USE OF PERMIT STITC -LE FAM.1i Y DWFJ IIWG W69 SF. SFD PERMIT DOES NUT MICLUDE SL OCK WALIl. P0rJ1JSPA OR. DPJVEW.AY APPROACH T11J4,0 T CONSTRUCTION 1,408,00 SF PORCH/PATIO 36.00 S k v r! p. r F �{�r�A 1�(C� Sy 9� Qy„ App c� 0AI1AGEICAR PORI' 5 6 113 1 0 09? h V n ES't:I1VJ 1'1 D Ct h7_ or C+i NST£ UCIDI:ON 87,125.20 PERMIT FIM 911111Ii►MARY CONSTRUCTION FEE 101-000-418.0001 $S83,50 PLAN CHECK FEE 101-000-439-3113 f3 $4138.30 Y9E DEPOSiT 101-000.43.'-318 -3130.00 MECHANICAL, I?i0, 101-000-421-300 $52.150 EI&CTRICAL r , 161-000.420.000 SI0$,I@ , Pj.,tJJl613YN0 PER. 101-000-419-000 $118.00 STRONG MOTION FEE - R=D 101.000.241.000 33:74 ORAD1NO FFIE 101-000-423-000 $15.00 DE'i EWPER IMPACT FGA: 91,40S.00 PRECISE PLAN ] Ci'1-000-dfA 1 -SSS 3100.00 SB -TOTAL. CONZWC'` 1W ANIS PLAN MIEC K X3,88'1.19 LESS PPRE-PAW FIZZ -$2,50,00 23 2003 ixym. Pm,Rw.T mas DVT NOW F LA QUINTA NCE DEPT. RECEIPT DATE r BY ` ll Fl LED I CTOR =`1 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Q Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel 1 Combustion Air *Roof Deck _ _ Exhaust Fans O.K. to Wrap 1— F.A.U. Framing i Qli Compressor Insulation Vents Fireplace P.L. J Grills Fireplace T.O. Fans & Controls Party Wail Insulation 1 Condensate Lines Party Wall Firewall I Exterior Lath 1 Drywall - Int. Lath w Final Final - BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs I Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric ! Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines W Heater Final Water Piping } Plumbing Final Plumbing Top Out ! Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral ! `Pool Cover Sewer Connection — 'Encapsulation Gas Piping Gas Test ; Appliances 1 -final Final Utility Notice (Gas) } (j el - ELECTRICAL APPROVALS ' Temp. Power Pole Q Underground Conduit Rough Wiring Low Voltage Wiring Fixtures I Main Service } Sub Panels Exterior Receptacles 1 G.F.I. Smoke Detectors i _ Temp. Use of Power 10 Final Utility Notice (Perm) I ' .,COMMENTS: - Date 12/23/03 No. 25316 Owner Coronel Enterprises Address PO Box 389 City La Quinta Zip a92253 Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units o�t�sc�o BERMUDA DUNES r Cn RANCHO MIRAGE �+J INDIAN WELLS PALM DESERT y LA QUINTA Q INDIO L� O 774-044-019 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 53135 Avenida Obregon 1408 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,408 S.F. or $3,013.12 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may nowtbe°issued: Fees Paid By Valley Independent Bank Check No. 297774 Name on the check Telephone Funding. Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by ,James Kozero Payment Recd $0.0. $3,0.43.12 {, *funder Signature i_ .� NOTICE: Purs Government Code Section 6A20(d)(1), this will,serve to notify you that -the 90 -day approKal,period in which you may protest the fees or other payment Identified above will begin to run.from the date on which;the building or installation permit:forthis pigject is issued, or from the date on which those amounts are paid to the District(s) or to another .public entity authorized to collect them on.the,District('s),behi lf;,whichever is earlier. v NOTICE: This Document NGT;VALID}irsEf"Duplicated ±� Embossed Original - Building Department/Applicant Copy - AWicant/Receipt Copy - Accounting 10/29/2003 02:40 FAX. FIDELITY NATIONAL:'TITLE First Arnei-i; ars Tit!e. ,;om!.)anv RECORDING REQUESTED BY:. Fidelity National Title; Company Ercrow No. 410934 -CB ✓� �I'v (/ Title Order No. .. ' ��� _, • !rk✓OGrI //� When Recorded Mail Document - and Tax Statement To: (\('� Mr, Zeke Cor,onel 7:%� �L f✓� V 51 10.5 Avenida Villa, #101 ^ La Quinta, CA 92253 - (� (a002 DOC. t3' . 200,31---F30.470a 1e'iaa:izeea.eea .Faa:se. ee Page 1 of 2 Doc T Tax Paid Recorded In Officla,l Racor•ds. county'of Riverside Gary L Orso Aes�ssdr,_CounEy Clerk; 6 Recorder, �1111111IIIIII�lilllllllf�lllhllllllfallllilll111111111�11111 M ' s U °AGE 'SIZEOA NOCOR �II.F ! ia•;L. "PCOM T I A .,R L COPT LONG I REFUND HGNG EX A KIQT It U The underslgneed,gr2a tor(SY: .- lere(s) (� Documentary transfer tax Is. 4302:50 l I X ] . computed 'on full value. of property conveyed, or I ) computed on. full value less value of liens or encumbrances remaining at time of sale, SP I ] Unincorporated Area City of La Quinta FOR A VALUABLE. CONSIDERATION,.recelpt.of:which is hereby acknowledged, Frank M. Griswold, Successor Trustee of The Henry Griswold Living Trust dated June 19, 1995,, hereby GRANT(S) to Coronel Enterprises, Inc., a California. Corporation the following descrlbed real +pro perty In the I;,Ity of La Quinta County.of Riverside, State of California: SEE: EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: September. 19, 2003 STATE. OF CALIFORNIA Fr,arlk�M. Griswold, Successor Trustee of The Henry COUNTY OF t. .r _ Griswold' Living;,Trust dated e. 19, 1995 ON. before me, a sAparsonally appeared By.:. 1�/ir 171, 54 'C Frank M, Griswold, Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the personl-4 whose nameNLis/ate subscribed to the within`instrurrment and acknowledged to me thathe/sh>;Ltly:exec,uted the same in his/N/t�ir au thorized•'capacity(i�1,:l3nd that by his/h'4Utft�r signature(. on the instrument the person N, or the•entity upon behalf of which the person( acted;- executed the instrument. Witness my hand and official seal Signature FD -213 (Rov 7/96) 17 LINDAA':GAGNON' Comrrilssion f 1313093 NoUry'Publlc - Celltornis •� Orange County , My Comm, Expires Jul 13;2005 MAIL TAX STATEMENTS AS DIRECTED: ABOVE GRANT DEED nor prop - RV:2003 00804798. : I: 2 10/29/2003 02:41 FAX :r= a... Escrow No. 410934•CB Title Order No. FIDELITY NATIONAL TITLE 171003 EXHIBIT ONE Lots 2, 7 and 10;: Block: 175 of Santa Carmelita at Vale La Ouinta, Unit #.18,:.,as per map recorded in Book 19, Page 31 of Maps, in the Office of the County Recorder'o.f said County. known as APN #774-044-0.14-5, 774-04470.19-0 and 774-044 02'2 2 Lot 7, Block 281 of Santa Carmelita at Vale La Quinta, Unit #26, as per map recorded,,in Book 50, Page 20 of Maps, in the Office of the! County Recorder of said County. known as APN #774 -215 -007 -7 - Lot 8; Block 137 of Santa Carmelita at Vale La Quinti; Unitafl;,4, as per map recorded in Book 19, Pages 82 - 83 of Maps; in the Office. of the: County Recorder of."said'Gounty. known as APN #77.3-093-003-0 .-I (J. 2 APR -27-2004 07:40 AM P.07 l \'(,�l-l_.�1`f'IO. CERTYF�I�CATE . _ �� CF -6R . 5�--%5" �� ���►� Via• r - `A - - �ii� •1,!�Irt.s, Permit Number DUCT LEAKAGE ANn`�DESYGN .DIAGNOSTICS DUCT LEAKAGE.RfDUCTION •f e•>t Resuirs•(CFM',@ 2•5 PA) 6� Test Leakage (CFM). as 400:cfrNton x number of tons- ,.or,as 21;7 z Heating Capacity inThousands'ofBtu&,'entercalculate.d'valueherd p� Tuan now is me,asiired; enter.rneas,urc.d valkie here 1.v;i ge fr3cuo6,. - -Test Leakage/(Measured--or Cnlculaied.Fan.Flow) Pass.if'leakage'Fraction 5.0.06 Pass ' J!i F:-vt•,IWSOI. TYPE SEALANTS ONLY - T•h'e, fol.lowi Aiugn•ostic testing was completed: Duct Fait Pressurization -at rough -in measured leakagc'(CFM):-' . (. II F.t;'h .AFTER FINISHING WALL: :> ❑ Nu 13 Pressure pan test or House pressurizationaest '❑ ': V ❑ Nu ❑ Visual Inspection of Duettoi nnecfions NY ❑ ❑ Pass Fatl THERMOSTATIC EXPANSION VALVE (TXV) ❑ �',, Thermostatic Expansion Valve (or Commission approv.e:d equivaien ),is installed and Access is provided for.inspection' ❑ Yes is a'•pass DUCT DESIGN ❑ .i ❑ �ti RCCA Manual D De.st'gn.calcu'lation'slhavi'beeiicompleted, Duct Design is on the piens and'duct installation matches plans, ,,; ❑ �u rxv i`s installed or Fan flow:has been v,eri.fied. r If rio TXV, NIX verified fan, now matches design from CF- IR, . Meastired FariTlow = _ ❑ o Yes for both I and 2 is a Pass. Pass Fa verify Ihnt the above ciiagnostic, tesu result's and the work I performed associated with the tev(; t ,s Mta :!,C rc,lutrcmcnts for compliance credit [The; buildm-sl all provide the HERS provider a copy of the CF -6R rui!dCr cinploycrs or sub -contractors certtfyii g -,t* diagnostic testing and instillation meet the requtrements :or . ... ,r -,•till! .. Sikrrantre,.Datc Irisiell'iiig'Stbconrrector (Co Manx) OR Gcncral'Contractor.(Co ;game) - Ill:'; i'ry�,ucr til•applicabie) .. • _.._.-nu ^wrier a'c Occupancy - - r Certificate .o� - .of ;Occqp,a , :4t ra o ti , ..�.y 14 IraMORRA® ` OF, N Buildin` & Safet De " artm.ent - o '. Y; p. k This Certificate is issued pursuant. to'the 'requiremi e► ts_,of Section '1,09, of ,the- California Building .vr Code, . certifying that,- at . the "time fof issuance,', this structure .was in. compliance :. with ',the provisions of_ z &6',.Building ,Code `'and the various ordinances,- of. the =City. ;regulating building- construction and/or use.',,:, r - - IF 'BUILDING -ADDRESS: Z3-135 "ENI DA OBREGON - Use classification: -R3 Building Permit No 0310-339% , r j ; t T e of Construction.`VN Land Use Zone: RC r Occupancy Group:: SFD . • " yp _ j Owner of Building: CORONEL ENTERPRISES J- Address: PO BOX 389 City, ST, ZIP: LA` QUINTA CA 92253 _ . • ,. By: KIRK KIRKLAND ` s r • } -5-3-04: - _ ,Date: Building Official POST INA CONSPICUOUS PLACE