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9710-0082 (SFD)LICENSED CONTRACTOR 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 Professionals Code, and my License is in full force and effect. License # • Lic. Class Exp. Date %/Dater f Signature of Contractor- OWNER-BUILDER ontracto 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. (A 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 Policy No. CC))..1.`t 74 VACLL I fS. 14,)mo (This section need not 6e 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 I should become subject to the workers' compensation• provisions of Section 3700 of the Labor ,6ode, I shall -forthwith comply with`fhose provisions. Date: ''l' 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 & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton.agrees to; & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. 1/gnature (Owner/Agent) Date BUILDINGPERMIT PERMIT" �°NTR°`# 1710-092 DATE VALUATION LOT TRACT Q /45 {f � ;i7i:;�OdV„�a JOB SITE APN x� �t tt ADDRESS Jr�yQ. i� t� ! 11,�l�i'• ALN! nArjo '774-203,-068 OWNER CONTRACTOR/DESIGNER/ENGINEER S ST.Qf w.1, coit"O'kim.. CORONM C.'ONS71,111:sr" ' ON P.O. BOX 3S9 P.O. BOX 389 1,A QU1NTA. CA. 92233 LA Qt INTA CA, 9 253 (760).564,4604 C111,11.4. 226 1 . USE OF PERMIT _ _ SFS 11111II1F_773 IE We D - PER111filt' DOES 1x'OT INt"%-iJi�L,k3i.�`ft,K. V11FaLLS OR POOL TRACT CONS'CiI1 CT.110N 1,400M 3 POltCHiVATIO M-00 ${r GAktlROLYUAi0,91d'1' 511.0.(H) St 6 Fr. WOOD ti ENC1% 0.0 .:f FS' DMATED CM,' ' O CO�z`�'rR 1;'T f 1 381 9.11130 PERMIT FEW SUANNIARY 'Vol F:R" J01-OW41MINI SaN�J.k MAN C'OV'CK, FF i(i l -1Jt) dale -3-E fi � • e c�"1/('. ««a �� �yy.tl�>,.. .1' G " MA- 74 31T - •4.11.-. J.VV a'a l ;a - MECHANICA],FFA iflI-i�tit3-�i�i-tklti y�t.su ME rn �, kI rC'1'RICAL F'F1? &M.711) ^� 0.1 malwo Ff?F- 101-O(1t)-419.00{) .STIZONIC 7VtCj!',<t7P31"13s - te:{;`;.lU 10k-000-2•71-000 $3.:1 O ADiiNG fTlfS O 1T{i+7RAt 'i'RIfurcf(tr. FEE ' 2,5 -QE 0443-3$2 Pft:.Xll?S) ill 'IN �€ $23 (K) I ti14�:r(yTA.i, C0N KI12.1 is TIT )N AN P AN Ci f Ivr 9 ' i.i✓5S i'I��:'�F'��f>� r'ft:��° ,t_ '-�'2.iJ.tTO ....� TOTAL PERMIT MOMS DIM -NOW RECEIPT DATE By, DATE F ALED INSPECTOR W INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 527 Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U.. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROV S Steel Set Backs 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 Heater Final _ Water Piping !/ ? �/J Plumbing Top Out ( / (( Plumbing Final Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation _ Gas Piping Gas Test Appliances "Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APP OVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) I ti Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 54-140 AVENIDA ALVARADO Type of Construction: VN Owner of Building: ESEQUIEL CORONEL Y, Building Official Bldg. Permit No.: 9710-082 Land Use Zone: RC Address: PO BOX 389 City: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD JR. Date: 3/3/98 POST IN A CONSPICUOUS PLACE y i.,.. 1 .� �'_ •�Yh.•.. 1 C,: e;``}�I i S`f -ISO A� vA�e,p.�aTIA P.O. BOX 1504 Buildin78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 C� (1 SEpL)Ile— Mailing n©� 3 Address 1 City Ei,_ Contractor n /-N i2— ress State Lic./ ?,fl � r I City 6 & Classif. 3,Y , fl Lic. n Z z & Arch., Engr., Designer Address Tel. City IZip I State LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ,M 7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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) of Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for thealleged 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.: 1, 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'I 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.) 1-1 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 Code.) Policy No. Company n 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 the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: It, 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 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 ateMailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE'CONST. OCC. GRP. A.P. Number J 7 1 U /� Legal Description Project Description -� J 0 Sq. Ft. C� No. No. Dw. ' Size p Stories Units New 120'r Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 11/3/97 No. 16221 IIIIIIIIIIIIIIIIIIIIIIIII 71 APN # 774-203-008 Jurisdiction La Quinta Owner Name Esequiel Coronel No. 54140 Street Avenida Alvarado City La Quinta Zip 92253 Tract # Lot # Type of Development Single Family Residence Comments Permit # Log # Study Area Square Footage 1400 No. of Units 1 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 This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 X 1,400 or $ 2,576.00 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 r..r Fees Paid By ccNalley Independent Bank/Coronel Construction :Telepsione X564-4604 Name on the check By Dr. Doris Wilson - Superintendent r_ . Fee collected /exempted by Pauline Pearson Payment Received $2,576.00 Check No. 151726 Signature PO J I IIA4P A1AA_6A(- 40TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval 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 for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to bllect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting CORONEL CONSTRUCTION P.Q. Box 389 LA QUINTA, CA 92253 OCTOBER 3, 1997 GENTLEMAN, 619-564-4604 FAX 619-564-4202 LIC.# 634981 THIS HOUSE REVIEWED IN PLAN CHECK AS 52-025 JUAREZ, WE WOULD LIKE TO BUILD IT ON ALVARADO INSTEAD. THE A.P.N. IS 774-203-008 AND THE ESCROW INSTRUCTIONS ARE ENCLOSED. WE WOULD APPRECIATE YOUR COOPERATION ON THIS MATTER. THANK YOU, LUCAS M. CORONEL -140 Ave Ai ma.4 0 Loj 1-7; .BL -4 Z5 �j vti►I f Z� N AVD 5, 70 IE 619-564-4604 FAX 619-564-4202 LIC.# 634981 THIS HOUSE REVIEWED IN PLAN CHECK AS 52-025 JUAREZ, WE WOULD LIKE TO BUILD IT ON ALVARADO INSTEAD. THE A.P.N. IS 774-203-008 AND THE ESCROW INSTRUCTIONS ARE ENCLOSED. WE WOULD APPRECIATE YOUR COOPERATION ON THIS MATTER. THANK YOU, LUCAS M. CORONEL -140 Ave Ai ma.4 0 Loj 1-7; .BL -4 Z5 �j vti►I f Z� N AVD 5, SAFE ESCROW INSTRUCTIONS THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS - READ IT CAREFULLY! TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 97.6907KC 72855 Fred Waring Dr. Date: 09/23/97 Suite A5 Page: 1 Palm Desert, CA 92260 (760) 836-3726 Escrow Officer: Kelly Collier THE ESCROW HOLDER IS COMMONWEALTH LAND TITLE COMPANY WHICH IS LICENSED BY THE CALIFORNIA DEPARTMENT OF INSURANCE. Buyer will hand you additional funds prior to closing in the amount of .......... $ TOTAL CONSIDERATION and any additional funds and instruments required from me to enable you to comply with these instructions, which you are to use on or before October 17, 1997, and when OLD REPUBLIC TITLE COMPANY can issue a Standard Policy of Title Insurance Owners form, with liability of $11,000.00, on real property in City of LA QUINTA, County of Riverside, State of CALIFORNIA viz: Commonly known as: APN 774-203-008, LA QUINTA, ICALIFORNIA LOT 17 IN BLOCK 253 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 24, AS SHOWN BY MAP ON FILE IN BOOK 19, PAGES 44 AND 45 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA Except any reservations of record of minerals, oil, gas, water, carbons.and hydrocarbons. Showing title vested in: ESEQUIEL M. CORONEL, A SINGLE MAN Free from encumbrance except: A. Current general and special taxes for the fiscal year in which this escrow closes, and taxes for the ensuing year, if any, a lien not yet due or payable. B. The .lien of supplemental taxes, if any, assessed pursuant to the provisions of Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation Code of the State of California. C. Special improvement assessments, if any. D. Easements, rights, rights of way, covenants, conditions, restrictions and reservations of record. y i.,.. 1 .� �'_ •�Yh.•.. 1 C,: e;``}�I i S`f -ISO A� vA�e,p.�aTIA P.O. BOX 1504 Buildin78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 C� (1 SEpL)Ile— Mailing n©� 3 Address 1 City Ei,_ Contractor n /-N i2— ress State Lic./ ?,fl � r I City 6 & Classif. 3,Y , fl Lic. n Z z & Arch., Engr., Designer Address Tel. City IZip I State LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ,M 7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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) of Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for thealleged 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.: 1, 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'I 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.) 1-1 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 Code.) Policy No. Company n 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 the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: It, 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 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 ateMailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE'CONST. OCC. GRP. A.P. Number J 7 1 U /� Legal Description Project Description -� J 0 Sq. Ft. C� No. No. Dw. ' Size p Stories Units New 120'r Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 11/3/97 No. 16221 IIIIIIIIIIIIIIIIIIIIIIIII 71 APN # 774-203-008 Jurisdiction La Quinta Owner Name Esequiel Coronel No. 54140 Street Avenida Alvarado City La Quinta Zip 92253 Tract # Lot # Type of Development Single Family Residence Comments Permit # Log # Study Area Square Footage 1400 No. of Units 1 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 This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 X 1,400 or $ 2,576.00 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 r..r Fees Paid By ccNalley Independent Bank/Coronel Construction :Telepsione X564-4604 Name on the check By Dr. Doris Wilson - Superintendent r_ . Fee collected /exempted by Pauline Pearson Payment Received $2,576.00 Check No. 151726 Signature PO J I IIA4P A1AA_6A(- 40TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval 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 for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to bllect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting