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SFD (9903-064)LICENSED CONTRACTOR DECLARATION'\ l 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 . G43 49.41 � {�� f ��.LlC1U1 r7. _ g ` Ll_e 16a' teY 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 bate'. Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (<) 1 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 pe"rformance 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: Canter Policy No. ,Y�1,1.31,.S1i1>�G6.143YYN, i;V 4Y4.,ii<,i.VtSV 'J,G (This section need not be completed if the permit valuation is for $100.00 or less). O 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 provis Ions of..Sectio3,700 of the Labor Coded shall forthwith comply with �those eprovisions, . /Dater P)- , �I Applicant.--+ �� -• Warning: Failure to secure Workers'pensation 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 fora 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 I 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 th@above-mentioned property for inspectiowpurposes� F 7 n / Signature _(Owner/Agen4)fn� = �-f c t .. e:�% PERMIT # BUILDING PERMIT DATE VALUATION $89,413 LOT 23 TRACT 'OB SITE ADDRESS. +%s�S)fl A�r)<I�E� Alt i�.liU/i� APN 7iJ�-—Q�i2 OWNER 1 CONTRACTOR/DESIGNER/ENGINEER E:(�iUt :la Cts t"1i�1 i. COR(JNEL CONS7RUCTION 51-540 H1S6_-NkiQWER D.K. 51-540 CISE NHOWE R DR., LA t;)u1.WA. CA. 92253 LA Q1Jg1,l1`f`)i`ik CA, 9•YYQ.'.5_A ••L�S:I.L,A . C70)564-4604 604 2261 USE OF PERMIT W1R611E FAM:1•11S'`'OWL1..1..1h1 4 51-"D - PRIWI.! rAMS NOT i1vi.1.1li3)~.ike:,OCK WALLS DI R-D)OL. TRACTC0 SS'i"c2+,ICTsGkN 1,421.00 .sir i:'C>.CCcr11!#?AA'•tt":� 3�, ti+� SF QI11'eAGH(CAff`Pi).1Z.'1' 314,(JU ,5 1" :f'. WOOD F isNCE ,',U0.00 `i,1° Fgia}�M.A�IMIAA 11�D i..'1 ST OF CONS�.i S\��WM..1.•tl.M.. N, t'S-'%•,,M#.O�� . y�•g y,e �y y Fy PEE CONS`iR>s'ar1: M F 1111 -OW -418-000 f r,AN CHUCK3`%5%F'�?f�Dq�.7t1 11/(�fl..fggtlY)±[j�«d:iciv/�Yri,)tl� IYZ30'M>• 11CA1,. mm". 1CS'VIiE1�+w.�"VVI./ 0 �7. 1t Es1r ,J:3,,P-,A,AL Fein 01-000-420-000 1 PLUM.iiINUkf^- 101_000-419-000 `333.aU %7'Rf)"NO MOTRIN 101-( M-241 -W. $8,94 144ADAIN I-'1OE 1.01-000-11 3-•000 ItV9,00 iiVtl' ltj#y',1Ct.Cfl.1 ti t1:1'"M — 223-'000-443-342 $.1,962.� S 1'Etfrt'f 1f3 PLAN11 1-'000{ 441-345 Fi�F? ()F�C•+1V'1' liii_0fH!-4;i�?.iK-$2`�C!.( ,S'?E4.!rV3 +AI , C(YNF4'?.LJC1'.i0N AND K.AN CH CK. S3,424,44 LESS PRE -PAD FEES 42.50.00 '1'01"Al"O PEQtMI V1 EN' DUE NOW $3,.174.44 RECEIPT r / DATE By DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE . INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings 4 4 Ducts Slab Grade Return Air Steel Combustion Air Roof Deck / Exhaust Fans O.K to Wrap ` F.A.U. Framing —5 Compressor Insulation =2_9 _ G Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final BLOCKWALL APPROVALS Final POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping _ Heater Final 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 Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS 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 Q Final Utility Notice (Perm) COMMENTS: Building /^ Address Owner Address P.O. BOX 1504 (i) dJJ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 APP V71ATIOINNLY � I `" `"" BUILDING: TYPE'CONST. OCC. G1'RP. Tel F A.P. Number -7 1"K -3 r: Legal Description( ( Project Description %� # State Lic. City & Classif. 1, 7 LJ C/ Se / Lic. # Arcn., tngr., Designer Address CityI Zip I State Lic. # 12 LICENSED CONTRACTOR'S DECLARATION A hereby affirm that I.am licensed undevprovidiohs-of °Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my,2ense is in full force and effect. 4^ rr / SIGNATURE DATE �/ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5%siness 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 rile 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 or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars ($500). I: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) f 1 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor($) licensed pursuant to the Contractor's License Law.) i 7 I 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 thg 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 or 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 adplicant Date Mailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback froniCenter Line 11 Side Setback from Property Line FINAL DATE INSPECTOR Issued by:� D e Permit Validated by: FFP 1 9 1000 Validation: 11—V ir- WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft. Size ! 1 ( No. .7 No. Dw. -i Stories _. - Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ L Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. . 00 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure r TOTAL REMARKS i ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback froniCenter Line 11 Side Setback from Property Line FINAL DATE INSPECTOR Issued by:� D e Permit Validated by: FFP 1 9 1000 Validation: 11—V ir- WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 3/10/99 No. 18436 Owner NameEsequiel Coronel CERTIFICATE OF COMPLIANCE APN # 773-182-002 Jurisdiction La Quinta Permit # No. 51780 Street Avenida Mendoza Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 1421 Type of Development Single Family Residence No. of Units 1 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 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 uiit of � amo"" ^J . 1.93 X 1,421 or $ 2,742.53 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 ccNalley Independent Bank/Zeke Telephone 563-4604 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Adriana Gauto Payment Received $2,742.53 Check No. 183194 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 DoIlect them on the Distric('s)(s') behalf, whichever is earfier. 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 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: SFD Occupancy Group: R3. 51-780 AVENIDA MENDOZA Bldg. Permit No.: 9903-064 Type of Construction: VN Land Use Zone: RC Owner of Building: CORNONEL CONSTRUCTION T� Building Official Address: 51-540 EISENHOWER DR City: LA QUINTA CA 92253 By: STEVE TRAXEL Date: 8-18-99 POST IN A CONSPICUOUS PLACE RC District - Planning Review Form 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 applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correctiori list. Please attach additional explanations as necessary. APPLICANT: CORONM CONSTRUCTION PROJECT Avenida Mendoza ADDRESS: APN: 773-182-002 LEGAL: LOT, 23 ,.BLOCK 119 UNIT 12 S.C. @ V.L.Q. C K' D BY: STAN SAWA BIN NO: See Greg CASE NO. 99-44 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 I N COMMENT/CORRECTION I Case logged and number assigned Verify legal and APN information V ' Consistent with MDG on file (as applicable) �l MDG filing required (5+ filings since 9/3/98) Consistency--with-street/surrounding area: Colors Materials Architecture OTHER REQUIREMENTS: The zoning code, 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. RECORDING REQUESTED BY: i' f D RECORDED, MAIL TO: ` WHEN TITLE ESEQUIEL M. CORONEL P.O. BOX 389 LA QUINTA, CA. 92253 OW -Ol 385256 Ll . RECEIVED FOR RECORD AT 8:OOAM SEP 10 1996 Recorded in O(frJN Reaorda of Rfre"County, Caltlomle Recorder f:uw $ THIS SPACE FOR RECORDER'S USE ONLY ASSESSOR'S PARCEL NO.: The undersigned Grantor(s) declare(s) that the DOCUMENT TRANSFER I TAXIS: 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 QUITCLAIM DEED remaining thereon at the time of sale — OR transfer is EXEMPT from tax for the following reason: OFOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ILkZANY CORONEL, WIFE OF GRANTEE 1 <, hereby REMISES, RELEASES and QUITCLAIMS to Q 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 n Dated August 21, 1998 STATE OF CALIFORNIA, } HAz * CdR6NEL COUNTY OF Riverside } ss. T 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 the person(s), or the entity upon behalf of which the per � s) actedi executed the ins ument. WITNESS mi(ji d and ic' I eal. Signature MAIL TAX STATEMENTS TO: CONSTAtNCEGORSUCH 03 COMM. #1187728 NOTARY PUBLIC -CALIFORNIA —4 �• {,, �/ RIVERSIDE COUNTY of My Comm. Expires June 20, 2002 ESEQUIEL M. CORONEL - P.O. BOX 389, LA QUINTA, CA. 92253 NAME ADDRESS (chis area for official notary seal) CITY. STATE & ZIP