05-1554 (SFD)P.O. BOX 1504
'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05 00001554
Property Address:
77515—AVENIDA MONTEZUMA
APN:
773-082-001-24 -000000-
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
COVE RESIDENTIAL
Application valuation:
99448
Applicant:
.gyp I"
Coo
T&t aF 4Q"
Architect or Engineer:
LiC. No.: OOR
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT
Owner:
CORONEL ENTERPRISES
P 0 BOX 389
Q LA QUINTA, CA 92253
D � a
MAY 2 5 2005 Contractor:
CORONEL CONSTRUCTION
P.O. BOX 389
1 1CITY OF LA QUINTA LA QUINTA, CA 92247
A FINANCE DEPT. (760)564-4604
RE FOOT Lic. No.:'634981
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury I am licensed under provisions of Ch 9 (commencing with
Section 7000) of Division 3 of tha .s,n ss d Professionals Cr�Ae� and my L' se ' in full force and effect.
License Class: B -C13 ti Uc se No.: 6 98
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 ISec. 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).:
(_ 1 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.).
(_ 1 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.).
1 1 I am exempt under Sec. BAP.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 ISec. 3097, Civ. C.I.,
Lender's Name:
Lender's Address:
LQPER\1IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/13/05
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.
X 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 STATE FUND Policy Number 174445305
I certify that, in the performance of the work for which p mit is issued, I shall not employ any
person in any me er so as to become subject to t wort rs' compensation laws of California,
and agree that, if l uld bef a subj to he rker compensation provisions of Section
3700 of the Labor o , I shorth th comply ith ose provisions.
ti
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 Director of Building and Safety 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 r 180 days will subject
permit to cancellation.
I certify that I have read this application and state t the above information is cor ct. I ree to comply with all
city and county ordinances and state laws relating to ildin nstru and her y a horize representatives
of this county to enter upon the above-mentioned rop y f r nspec on purposes.
Date: S.�i`1- J ,Signature (Applican c, Age
_rte
Application Number 05-00001554
Permit
. . .
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
639.50
Plan Check Fee
415.68
Issue Date
Valuation . . . .
99448
Expiration
Date
11/09/05
Qty Unit Charge
Per
Extension
BASE
FEE
414.50
50.00
----------------------------------------------------------------------------
4.5000
THOU BLDG
50,001-100,000
225.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
52.50
Plan Check Fee
13.13
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/09/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
2.00
6.5000
EA MECH
VENT FAN
13.00
1.00.
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . 1.
93.71
Plan Check Fee
23.43
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/09/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1514.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
52.99
536.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.72
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
. .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
129.00
Plan Check Fee
32.25
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
11/09/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10.00
6.0000
EA PLB FIXTURE
60.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
LQPERA11T
Application
Number
Extension
BASE
05-00001554
15.00
Permit
-PLUMBING
1514 SF. SFD PERMIT DOES NOT
INCLUDE
Qty Unit Charge
Per
APPROACH
Extension
1.00
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA
PLB
GAS PIPE >=5
4.50
1.00
----------------------------------------------------------------------------
15.0000
EA
PLB
GAS METER
15.00
Permit . . . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Issue Date
Expiration Date 11/09/05
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
1514 SF. SFD PERMIT DOES NOT
INCLUDE
BLOCK WALL, POOL/SPA OR DRIVEWAY
APPROACH
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
41.57
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
9.94
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
----------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 929.71
----------
.00 .00
929.71
Plan Check Total 484.49
250.00. .00
234.49
Other Fee Total 2476.51
.00 .00
2476.51
Grand Total 3890.71
250.00 .00
3640.71
LQPEILMIT
CERTIFICATE OF COMPLIANCE v��rsc
Desert Sands Unified School District
47950 Dune Palms Road < BERMUDA DUNES
RANCHO MIRAGE CJ
Date 5/24/05 La Quinta, CA 92253 Y INDIAN WELLS
PALM DESERT
LAQUINTyNo. 27232 (760) 771-8515
�OINDDIO y7
Owner Coronel Ent APN.# 773-082-001
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street
Unit 1 77515 Avenida Montezuma
Unit 2
Unit 3
Unit 4
Unit 5
S.F. Lot # No.
1514 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Comments Certs #27231 and 27232 used for #349014 in the amount of $7,474.88.
Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosNvalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanftation) or replacement mobile ho
mes. 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 $2.24 X 1,514 S.F. or $3,391.36 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 now be issued.
Fees Paid By CC/Rabobank - Ish Coronel Check No. 349014
Name on the check Telephone 564-4604
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted b h McGilvrey Payment Recd 1$0.00
$3,391.36 Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project 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) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
J?UN-13-2006 08:02 PM P.03
14)
ask INSTALLATION CERTIFICATE CF -6R
ress
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
LEAKAGE REDUCTION
-....wnun0 kr'vt a LJ CA) -.
Fan Flow Test Leakage (CFM)
—
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands of Wir, enter calculated value here -L
If fan flow is measured, enter measured value here
Leakage Fraction . Test Leakage/(Measured or Calculated Fan Flow) = v
Pass if leakage fraction15 0.06
❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
11l
Yes ❑ No ❑ Pressure pan test or House pressurization test 1114
C3 yes 13 NO EJ Visual Inspection of Duct Connections ' ' JY
X, ❑
Pass Fail
❑ ❑
Pass Fail
4:�VJ THERMOSTATIC EXPANSION VALVE'(TXV)
Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access Is provided for inspection je 13
Yes is a pass
Pass Fail
❑ DUCT DESIGN
1' ❑ Yes ❑ No ACCA Manual D Design calculations have been completed,
Duct Design is on the plans and duct installation matches
plans.
z' ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow
Yes for both 1 and 2 is a Pass ❑ 13Paas Fall
I, the undersigned, verify that the above diagnostic test results and the work I performed associated with th
conformance with the requirements for compliance credit. a test(s) is in
ol,he C1-111
signed by the builder employees or sub -contractors certifying thatdiagnostictest ng a deinstal installation meet thHERS provider a cor requirements for
compliance credit.] e
Tests Signature, Date D'H c�"''�•
Performed Installing Subcontractor (Co. Name) OR— —
COPY TO: Building Department General Contractor (Co. Name)
HERS provider (if applicable)
Building Owner at Occupancy
r FROM,
CORNER RECORD
City of
FAX NO. :760-346-2548 May. 10 2005 03:37PM P1
Document Number
(^ County of I 't—c A'ZA4 California
Brief Legal DescrlptlonO iC'
a 7 QLk. k" -L
4 -L --4p
m
IfWfP J r S La Zwf.•, I ,
(Include: Sec., Twp„ Rge„ nAd,
Meridian or Rancho)
.7,%
5—'o
,, CSI
AP N
CORNER TYPE
COORDINATES
(Optional!
Government Corner ❑
Control
❑
N.
E.
_
Meander ❑
Property
Zone NAD270 NAD83❑
I�
I
Rancho
Date of Survey l
Other
�5
❑
NAD83 EPOCH
Elev. _
Vert.Dalum: NGVD290 NAVD880
Meas.Units: Metric ❑ Imperial ❑
Corner— Left as found ❑; Found and lagged ❑ Established ❑ Reestablished Rebuilt
Identification and type of corner found: Evidence used to identify or procedure used to establish the corner:
A description of the physical condition of the monument as found and as set or reser:
SURVEYOR'S STATEMENT
This Corner Record was prepared by me or under my direction in conformance with
the Lend Surveyors' Act on _ 2005
Signed L.S� umber 7a
COUNTY SURVEYOR'S STATEMENT
This Corner Record was received
and flied 20
Sioned TinA
County Surveyor's Comment
Page '1 of 2
L•\ DOM CHAR TS\F OR MS.DGN 13/001
20____ and examined
�`pNDstj
�a 9
U� FO
C
NO.
LP
t
FROM.-:�.
FAX NO. :760-346-2548 May. 10 2005 03:37PM P2
;LINE TABLE
LINE
'OEARING..
utL?
29.96. :.
.
i
Page 2 o/ 2
SCALE: 1 if 50'
La�� . `L•c
Certificate of Occupancy
INco MTFD 44i
c�
OF Building Y p & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 77-515 AVENIDA MONTEZUMA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-1554
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC
Owner of Building: CORONEL ENTERPRISES Address: P.O. BOX 389
- City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: JUNE 23, 2006
Building Official
POST IN A CONSPICUOUS PLACE