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9710-080 (SFD)LICENSED CONTRACTOR DECLARATION C6 Ir" "rI hereby affirm under penalty of perjury that I am licensed under provisions of I— Chapter 9. (cdmmencing with Section 7000) of Division 3 of the Business and 04 W Professionals Code, and my License is in full force and effect. O M License # Lic. Class - —Exp. Date ILLJit i•Ilii�l Is 1�.til oZ r— y ate ' Signature of Contractor 0 t r— — J (-) �p O OWNER -BUILDER DECLARATION W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z_ ( ) 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). U'� () I am exempt under Section B&P.C. for this reason u7 N Date , Signature of Owner OC\I a< WORKER'S COMPENSATION DECLARATION o Ir I hereby affirm under penalty of perjury one of the following declarations: Lo H p () 1 have and will maintain a certificate of consent to self -insure for workers' X W compensation, as provided for by Section 3700 of the Labor Code, for the O _ Q performance of the work for which this permit is issued. m Q U (y) I have and will maintain workers' compensation insurance, as required by O U Q S ion 3700 of the Labor Code, for the performance of the work for which this rn H permit is issued. My workers' compensation insurance carrier & policy no. are: ? Z Carrier 1 // ��jj (( 11 Policy No. ) Ka ob5) 1V .RaL)4.N killiinf. IlV& 11 kv'L 'IL IC"l+r��i J (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 I should become Subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - c" Date: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. : 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon tfie above-mentioned property for inspection purposes. /Signature (Owner/Agent) Date BUILDINGPERMIT PERMIT# CONTROL# DATE (` VALUATION LOT t) TRACTI cvs JOB SITE ADDRESS y.3-695t�i�'ENI$JedCARR�'�!V'I. APN 774-145-x20 OWNER CONTRACTOR/DESIGNER/ENGINEER 3;1if l;f-'.fi ., C0 C(1,1110MI-1, Cf J*I51 ttliCE;!?N P Co. IYJX 3btk P Q. 1100 3w 1.A t)t,llN'1A t'A. 42VO #.AtiUIN)A l'A 02`S3 17601Si►R-4604 f RIAt ;'261 USE OF PERMIT 1 ANO 4.11ANOIN44 AIJ1?k!'SS. . �. �f: •.ice PERM f t+C h Sill I '1ti'1AM PLAN f.11I:I X FEE 411,11`0 N,'! •t'ROC-VON fart.: t+)4-tK3�n-.a{if;..;(i�f)'(�� .%in U +(`i- 0SA: `'IRICAL ITE] 1111 Gillv'-li0 000 32.31 PLUNIBINUFHE lot -000-119-1000 -si 25 h1FJ'3'ION FEE - 0:StD 101-00-24)-0(A) f;arltA���tfi��.t^t��l. hf�r: "�'�5_fNs�-dd�•'t�t'? _�,uE�a lU j O'lI`AI C'tlfitS"i'itl WTON ANI i�LAN ('1117(W a E t " i,Y'.` S VIN' V ,VAID 4-EI'S VV) W 31(W.. 00 130 RECEIPT`- DATE Bl ° '^ DATE FINALED INSPECTOR INSPECTION RECORD • OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 4-et Backs Underground Ducts Forms & Fofftiings /►� / _ G� "1 _ Ducts Slab Grade Steel Roof Deck O.K. to Wrap Framing Insulation Fireplace P.L. Fireplace T.O - .. .. ulation Party Wall Firevali Exterior Lath Dr4mtl - Int. Lath Return Air Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fans & Controls Condensate Lines Final Final 7� I POOLS -SPAS BLOCKWALL APPROVA steel Set Backs Electric Bond Foolings 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 2 Heater Final Plumbing Final Plumbin 04P Equipment Enclosure S - O.K. for Finish Plaster ral i ewer Late Pool Cover Encapsulation 1 Appliances Final Utll y Notice (t'9as) ELECTRICAL APPR ALS Temp. Power Pc1e Underground Conduit f Rough Wring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp_ Use of Power Final ComriF%Nl*riz W Final Utility Notice (Perm) Certificatel'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: 53-695 AVENIDA CARRANZA Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9110-080 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL CORONEL Address: PO BOX 389 Building Official City: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD JR. Date: 2/12/98 POST IN A CONSPICUOUS PLACE Desert Sands Unified School District Notice: 82-879 Highway 111 01 922 Document Cannot Be Duplicated Indio, C619 -77A A 922 CERTIFICATE OF COMPLIANCE Date 10/30/97 APN # 774-115-020 No. 16214 Jurisdiction Palm Desert Owner Name Coronel Construction No. 53-695 Street Avenida Carranza City La Quinta zip 92253 Tract # Type of Development Comments Lot # Permit # Log # Study Area Square Footage 1419 Single Family Residence No. of Units 1 Home has sq. ft., but is paying tees on 1419. The 71 sq. tt. tee is transterred firom Cert. X16142 which had an overpayment due to an incorrect square footage. 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 1,419 or $ 2,610.96 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/Coronel Const. Telephone 564-4604 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Pauline Pearson Signature Pft -A A 0 , Pn 'q I Payment Received $2,610.96 Check No. 151697 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 :ollect 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 Pauline Pearson Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253- October 2253 October 30, 1997 Dear Pauline, Hopefully this letter and the accompanying documents will bring a confusing issue to a close. On 10/2/97, Coronel Construction paid school fees for a 1556 square foot house at 51=100 Avenida Velasco (APN: 773-065-004, your certificate #16142, copy enclosed). The permit that we actually issued for that site was 1485 square feet in size (copy of permit enclosed). That should give him a credit balance with you for 71 square feet. Today, Coronel Construction wishes to pay school fees for a 1490 square foot house at 53-695 Avenida Carranza (APN: 774-115-020). Please accept this letter as certification of the parcel number and square footage of the proposed structure. He hopes to apply the 71 square foot credit and pay you for a net 1419 square feet (1490 - 71 = 1419). More than ever, if you have any questions about this matter, please call me directly at 777-7012. Sincerely yours, Greg Butler Counter Technician, Building and Safety Department 1WA5' 51-05 VCI-A-566 T4tyl 4 4 " P.O. BOX 1504 Building` 78-495 CALLETAMPICO Address J 3 - Lige - WZ,-, - LA OUINTA, CALIFORNIA 92253 Owner / /J / t" / / 0Jr oh Mailing Address City/ C -i IZIp 'Tel. � o /' o✓I ref l,.or, s Address 1#00 ? C8% City Zip Tel. State Lic./ q City & Classif. 6 3 y l P/ Lic. q 1Z Arch., Engr., Designer Address Tel. City (Zip (State Lic. # LICENSED CONTRACTOR'S DECLARAT I hereby affir 1 am licensed under provisions of Cha r 9 ommencing with Section 000) of Divisf of the Business and Mofegs_ions Cod and license and OWNER -BUILDER DECLARATION 1 hereby affl hat 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- 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 buildfnp 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 contractors) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. S. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the perrrft, 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., 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- Lendet'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 a0plicant Date Mailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE"CONST. OCC. GRP. A.P. Number 77-/-//-Y- —,OZO Legal Description Lot 9, A/C 233 (%W -f- ZD J Project Description 5• . Sq. Ft. Size New IS Stories / Units 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 15-3 - 69S SALE ESCROW INSTRUCTIONS �a e"-4 � THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS - READ IT CAREFULLY! TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 97.6937KC 72855 Fred Waring Dr. Date: 10/09/97 Suite A5 Page: 1 Palm Desert, CA 92260 (760) 836-3726 Escrow Officer: Kelly Collier ITHE 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 .......... $ 14,000.00 I TOTAL CONSIDERATION $ 14,000.00 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 14, 1997, and when OLD REPUBLIC TITLE -COMPANY can issue a Standard Policy of Title Insurance Owners form, with liability of $14,000.00, on real property in City of LA QUINTA, County of Riverside, State of CALIFORNIA viz: Commonly known as: APNv7i741-1*15t020; LA QUINTA, CALIFORNIA L0T9,JBLO,CK4 33 SANTA CARMELITA AT VALE LA QUINTA, UNhT NO.. 22, AS SHOWN BYJMAP ON FILE IN BOOK 20, PAGE 24 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: 15 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.