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SFD (9907-543)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 .4119,41 0V31/20( D to !__' '4"1 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). ( ) 1, 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 Se'ciion 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. LOON' IWIL, [fire. F��ayu'-fti2ijtSSt,�r^ (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,iand agree that if 1,should become subject to the workers' compensation provisions of Section 3700 of the Labor Co Id all forthwith comply with: those'provision� l /De: '�`'°;+Applicant �rning: Failure to secure Workers' 'C ompensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of.work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building constWction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes f,s' signature (Owner/Agent) J Date _L i PERMIT# BUILDING PERMIT 01,4043 DATES VALUATION �eft LOT ¢$ TRACT 'JOB ADDRE S _'7'60AVENIDA MLN.00 APN i�3-RlJx-Q�9Y OWNER' CONTRACTOR/ DESIGNER/ ENGINEER i7tyt,"e�0'ft A fr d1/1'����SCr "CAR.etlA�rr1" CCJX * i"rsTrf"T"'iAl R 3A.�/1 1.. 1 JA `I k�I LA QUINIA f:A 92253 I..A e 01 INTA C.A 922w3 2261 USE OF PERMIT SI Nl,: U,.' f'%11.iYi10 i, JW!'AA4N1_i (,L04r`k �WW, t?>i: P ltiL d EiJUL- °d x'� elii' r°Av' '�'c tits%`lt sv "Wi s` Woo _ i +tit d3r �e�:t.f<:3 tea t,,i i ' ti G Ir; fi_ 4 QUIN .iV da��t�. A.�..Y A 6,s�'A C �s3 Y. •J�I;��L AA ��.v� i��vi�( �!.'+y.�i�.i.� ui A �y y j'7 �y g.� Y, }j ( i�iec�.i i'ONSi'kiOCTFtX4 pfh 101-900 4.(S-00 Pl"A f f'# V(_K" PVT! i.gg 101 VIM IP M18 i� L.t:'t�'+ZrLti`�i_ ��l;a.^; :fit: f «tJ(it1-��� •{M?4i ��a.+. �.3 „A,. �t,1u�'T1tt�;Ai,,4+k�i Ft(1-iW4Gt-��i�tiftt3 5i:�y,lwW irt,iftlft3f\;�"v Gt:'F: 1014litf)-4,19: ,PW 0°!f471 `,0;`dz ?;•len Ni('F l ►FJ '1".lz'I PI -11.1Z11) €t)! 3P "41-000 54.t INFRAICKUCTUXU FP -E 25-()tom-4i+-�34'ar N;�T't11111V"PY,AN 101-ittlf)=1141•- + 'o'tfilliii) IX&S PRE-t'AID I Uri �10 ef) 101AL PERMIT :(1'@1PN Dille, NOW .Vf.�• RECEIPT DATE BY ,JCS'; DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Q(� �� Slab Grade O �� -T Ducts Return Air Steel Combustion Air Roof Deck -/ - / Exhaust Fans O.K to Wrap - (y - f F.A.U. Framing - — Q`j Compressor Insulation �'!�'_�77 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath p - - Q Final Final / POOLS - SPAS BLOCKWALL APOROVALS 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 Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test 77 - - Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL PPROVALS Temp. Power Pole KLU Kr 57 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) /62 , RI Q Building) ,. Address leaning Address 0 P.O. BOX 1504 � 01� s 18-495 CALLE TAMPICOLoq"" ' QUINTA, CALIFORNIA 92253 /�2�� .-,—.. �.. .... V {I State Lic. City & Classif. (C Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION that I art lice`hsed under rovisi ns of Chd"`°� apter 9 j oro encing with Section 3 ofjthe Busiq@ss�ndjessions Code, and my lice se is in9ull forog aqd `'�....� i - \ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor'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) of Division 3 of the Business and Professions Code, or that. he 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: 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.1 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.) I'] I am exempt under Sec. B. & P.C. for this reason Date Owner e 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. 3900, Labor Code.) Policy No. Company F1 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 (5100) 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., If, after 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. 1 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 properly for inspection purposes. - Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE'CO!7NST. ./� A.P. Number 7-5 /W �.K - I "L /��.J � � Legal Description tnQ119. t • � J; ))—r Y it! ik rA _ C Sq. Size Ft. �� Stories _.— Units New Q,--' Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I., Grading Driveway Enc. Infrastructure TOTAL WHITE = FINANCE YELLOW = A REMARKS ZONE: BY: Minimr Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Sid�t Setback from Center Line , t ck from Property Line FINAL DATE 9RINSPE TOR Issued by: 0 Dat����Permit Validated by: h Validation: O J PPLICANT PINK = BUILDING DIVISION - Notice: Document Cannot Be Duplicated Date 7/21/99 No. 19055 Owner NameEsequiel M. Coronel No. 51-760 City La Quinta Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Street Avenida Mendoza Tract # B 119,U 12 Lot # 24 Type of Development Single Family Residence Comments APN # 773-182-001 Jurisdiction La Quinta Permit #9907-543 Log # zip 92253 Study Area Square Footage 1,461 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 .min the amount of 1.93 X 1,461 or $ 2,819.73 the property listed above atf,, that building Y. permits and/or Certificates of Occupancy for this square footage in this proposed project ay now be35issued Fees Paid By ccNIB/Esequiel Coronel 11: lephon•e', 564 4604 „- ' Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received . $2,819.73 Check No. 195210 Signature NOTICE: 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 collect 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 A-ARDING REQUESTED BY: D WHEN RECORDED, MAIL TO: ilE t �]R ESEQUIEL M. CORONEL P.O. BOX 389 LA QUINTA, CA. 92253 OW -01 385256 RECEIVED FOR RECORD AT ti:00AM -SEP 10 1996 tAefbrdad in Ofi'cW Reoorda of Riverside County. California Reorder Few $ �__ THIS SPACE FOR RECORDER'S USE ONLY ASSESSOR'S PARCEL NO.: The undersigned Grantor(s) declare(s) that the DOCUMENT TRANSFER TAX IS: TITLE ORDER NO.: 87009501 $ _ County $ City ESCROW NO.: 18112-002 — computed on the full value of the interest of property conveyed, or -- — computed on the full value less the value of liens or encumbrances Q U 1 TC LA I M DEED remaining thereon at the time of sale — OR transfer is EXEMPT from tax for the following reason: FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, HAZANY CORONEL, WIFE OF GRANTEE hereby REMISES, RELEASES and QUITCLAIMS to ESEQUIEL M. CORONEL, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY all that real property situated in the City of LA QUINTA County of Riverside , State of California, described as: LOTS 23 AND 24 OF BLOCK 119, UNIT NO 12 OF SANTA CARMELITA AT VALE LA QUINTA, AS SHOWN BY MAP ON FILE IN BOOK 18, PAGES 79-80 OF MAPS, RECORDS OF RIVERSIDE COUNTY STATE OF CALIFORNIA THE GRANTOR IS EXECUTING THISINSTRUMENT FOR THE PURPOSE OF RELINQUISHING ALL OF GRANTORS RIGHTS TITLE AND INTEREST INCLUDING, BUT NOT LIMITED TO ANY COMMUNITY PROPERTY INTEREST IN AND TO THE LAND DESCRIBED HEREIN AND PLACE TITLE IN THE NAME OF THE GRANTEE AS HIS SOLE AND SEPARATE PROPERTY Dated August 21, 1998 STATE OF CALIFORNIA, } HAZAUYI CORONEL COUNTY OF Riverside ) ss. On 9/4/98 , before me Constance Gorsuch Notary Public, personally appeared Hazany Coronel personally known to me (or 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 instrum t the person(s), or the entity upon behalf of which the per s) acted executed the ins ument. WITNESS m d and ic' I eal. Signature MAIL TAX STATEMENTS TO: A Cot, iALICEGORSUCH 4' COMM. #1187728 ,.:•. NOTAHYPUSLIC-CALIFORNIA RIVEP.`;;IDE COUNTY My Comm. 9x iros June 20, 2002 ESEQUIEL M. CORONEL - P.O. BOX 389, LA QUINTA, CA. 92253 NAMEADDRESS (This area for official notary seal) CITY. STATE & ZIP l RC District - Plannin4 Review Form U This form is to be used by CDD staff for review of single family dwellings in the. RC (Cove Residential) District, in order to determine the applicabitity of compatibility issues -6r need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correction list. Please attach additional explanations as necessary. APPLICANT: Coronel Construction )� PROJECT ADDRESS: APN: 51-760 Avenida Mendoza 773-182-001 LEGAL: LOT, 24 , BLOCK 119_ , UNIT 12-_, S.C. @ V.L.Q. ` CK'D BY: Leslie Mouriquand BIN NO:. CASE NO. CHECK DATE: Inform the assigned Building plan checker upon your assignment to this case. The 'CDD Executive Secretary maintains a log book to track applications and assign case numbers.' REQUIRED ITEM Y. N COMMENT/CORRECTION I ...,? \....•.�t,•::4,\� '2:.,4: >,\r. yiG ``' \.JJo�^ti."+`:?:^o-'ti::`,., .Jt n �:.i•:., '.i+.C•:\ti �tiQ�:4i.io:}}..,�,.,}..: i,`.••., •.r'?. `.,'a ,�,. S . �4'•`),.: \`'� 4::�}„!,$\..:\' }',\. t ,}„\' • No \'\\ \\� ., 3.. ^,\`i�,a'kYv 3; i. x• •1.'\n;'Sh`�:}`,.f�, '�.}�. tµ`., .y •��•}��(•Qn}i'•(,'}`'v\�ti`\::�'v?'.vC^,\`i,•.}.54..�q�YiSYN>.iritiiti:?S:\\:iZ',`?"•\�{::?�?::k:C:•T•'``Y.,'4^T. Case logged and number assigned Verify legal and APN information. Consistent with MDG on file las applicable) MDG filing required 15+ filings since 9/3/98) Consistency--- ith-street/surrounding area: - Colors Materials Architecture ®a ' OTHER REQUIREMENTS: The Toningcode, architectural and landscaping manuals, and/or assigned inspector should be consulted where uncertainties arise. The completed checklist shall be maintained in the Building & Safety address file. 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: 51-760 AVENIDA MENDOZA Use Classification: SFD Bldg. Permit No.: 9907-543 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL M. CORONEL Address: 51-540 EISENHOWER DR. Building Official City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 12-16-99 POST IN A CONSPICUOUS PLACE