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0207-071 (SFD)_ _ _.. _.--_ T _ — LICENSED CONTRACTOR DECLARATION BUILDING PERMIT 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 DATE.' VALUATION LOT Professionals Code, and my License is in full force and effect. I'll.7/(%//,' ',�, - 115,U �3 License # Lic. Class Exp. Date 1 JOB SITE 'I ADDRESS x4 3;5,�1YA?F3 1l� [ ,Li . �`/ Dated - i `' Signature of Contractof,' OWNER 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. ( ) 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 a'PXfF,1FUgD Policy No. 1:429,7 -01 (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 with1hose provisions. � Date:--^ Applicant e,`_ .., , n 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 Mis application. 1. Each person upon whose behalf this application is made & each persop gat 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. Signature (Owner/Agent), • Date: i 7 PERMIT # TRACT 7c"M RLX 2,36 TJ26 APN 774.204-0.24 CONTRACTOR / DESIGNER / EN (NEER ttiy P L:N1:.1AN1.L`e,[4.MN 4+It. ROIE'i l.: J -r CO.I.V SS L:C UC1 J.0.i!1 O 13OX 309 78-150 C'J LE TA1 '11C 0 S'C!%l.1*230 1A r,,Ymw& CA 92253 LA. Q1; WTP C'A 92.25-3 (760)564.4604 CK4 7761 USE OF PERMIT SW64I.:C.:FAMMY rye i WG SM PLPP.WT i, OES''N-OT. NCLUID4 '8VDCK WALL, P001. OR DRtv'fs`W' AY APk'ROINCH, TRACT CO2iS1'RIXTION 1,19340 SF PORCHMATIO 353.00 SF f. S.R1iZA.O3.,11."•.A,RPOWF WIN S L A 3 PLW CAGY,U08 IT -R -PAM MZ_ •2?(3,QQ Jut- I - 'Nul rj-r rplawnEs OVEI NOW 1 10,3&3,98 C� FC LAQUINTA RECEIPT DATE ti % �..I Y,`�+ . DATE FJ '\ INSP�'r� R 1"EVIfiff r ME SUMMARY 0XISTR1UC3`ION ME 1011000-418.000 $695.50 PLAN CkiXCX 1r_KF 10 1 _0004i-39-319 $571.91 Frwl DEPOSIT 101-000-439r318 4210.00 MECHANICAL ANICAL FILE, 101.000 21-000 $60.fto FIECTti;X.410 FEE 101 -OW -420-000 $126.09 P117JARSINO= 101-000-419-000 $112..€)d? STi;.OM MW 1014 FEE - RROID 10 1 -Qt 0441.000 $ 41.33 O AMNO FEE 1 GI -000-423-000 WAR, ?MLC i'.dC11.1MPAC:T FEE S11407.00 L A 3 PLW CAGY,U08 IT -R -PAM MZ_ •2?(3,QQ Jut- I - 'Nul rj-r rplawnEs OVEI NOW 1 10,3&3,98 C� FC LAQUINTA RECEIPT DATE ti % �..I Y,`�+ . DATE FJ '\ INSP�'r� R INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Z Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck /�� Exhaust Fans O.K. to Wrap Z _ _ F.A.U. Framing �% Compressor Insulation _ �D-10� 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 APPROVALS 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 Waste Lines—� _ ej Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer. Lateral Pool Cover Sewer Connection �_� (j Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole - - Q Z 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) ""'�_M�,cryt;.;.��;.,w,E•qr",f.i+►'"eYt'9i1Y.'�'�f+,v�'xrhdi'''ltji`+�" "".'.',�,ar-� 04 (//lam/ / - - - - _ , P:O" O ;1.504"_` Buildingg��Q11 Addressc, q L u l µa d Owner r Mailing ' Address City Zip Contractor,..- _ AOO rens City State Lic: & Classif. Arch., Engr., - .... Designer ~- - Address City _- �.._ IZip +78`49 CAL'L'ETAMPICO APPLICATION ONLY iJ�' _LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE'CONST. - j, OCC. GRP. A.P. Number I "k �� L �'i ";�E ^i y 1 . rel. y �I Legal Description+-_. D `-' Project Description "' Tel. _ C=_�, t u VITT City Lic. # Sq. Ft.`-" S S No. No. Dw. \ Size jj : Stories ti Units \ Tel. .State Lic. # Newr❑l�;.- Aid=O RS A `AlterO ,Repair ❑ t,. Demolition ❑ Date Owner--^''�JM��----"' �•^^ „_jnfrastruc WORKERS' COMPENSATION DECLARATION.F I hereby affirm that,l.have a certificate of consent'e'd se1L-insure;?or'a certificate of Worker's Compensation Insurance;,or.a,certified-copy thereof.' q09, Labor Code.).- _..- - -,,;x•wr.._:.,� Policy No. Company -� -- (7 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 lhE 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 Ihereby 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 Address City, Stale, Zip 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: Dat etmit t'. Validated by: r JUN Validation: r C00FLAQUINTA WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION - „_, LICENSED CONTRACTOR'S DECLARATION- -- - 7I herab of affirm that I am Ijcens'd u der provisions of Chapter f3 (commeris in wIMoSection 7000) of ivision 3 of the Busine s a d Professions Code, and my license is m full fo"rce and- kce and ' -,•..rte at ^T�Z..•....__./--- l./"_"ert:':'t' ,-�;• - « --. - __._.� �"-'--r"''e.t=.r„L++`x>3s... SIGNATURESIGNATUUE Jr DATE _ -__. ER�6UILOER`DECUIWATION' _ - icm that I em exempt from the Contractoas License law for`the.�fol[owing reason: (Sec.031. S:Business antl Professions Code: Any Iffy or County `wA1Cli'requlres : a > »" I herebykilcAnt permit to concalilter, improve, demolish, or repair any structure, prior to *its issuance also requires the afor 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 o/ Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). l: 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 Pro/essions Code: The Contractor's License Law does not apply to an;owner_ofiproperty_whou,_ builtls or improves thereon and who does such-work'himself orrthrough"his own employees, provided that such improvements are not intended or offered for sale. If, however, the building is sold within one year of completion„the owner -builder will have the burdr'• or improvement. of proving That he did not build or improve for'the purpose of sale.) r o ---•--;.,,, � Estimated-ValLatlon - '�'•`�« �...�,,,� -- PERMIT - ''^^�.•..,,,`�+s AMOUNT - Plan Chk. Dep. -=�_Jy/' i (.• Plan Chk. Bal. -,� , s--.--•�;c=� 5,=---'-'— - -- t -,J •.. X - fv s -Const:., ' Mech. V""'°"'� --- t-- -- �•`'""'^ ,,,„_,. -- ..��•+�-"""'-"-- - .:.Electrical.,,,,,,,,,.:,,,.,... _ PlUmbin g. 1 1 1, as owner of theproperty,am exclusive) contractin y g_wtth_lieehse'd 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. S. & P.C.,for this �'"=--•'"«.�,.....'._ . - ..- - S,M,f. —Driveway 1=nr �=---•--• �'.•-^'-'--�"”"-'", --. Date Owner--^''�JM��----"' �•^^ „_jnfrastruc WORKERS' COMPENSATION DECLARATION.F I hereby affirm that,l.have a certificate of consent'e'd se1L-insure;?or'a certificate of Worker's Compensation Insurance;,or.a,certified-copy thereof.' q09, Labor Code.).- _..- - -,,;x•wr.._:.,� Policy No. Company -� -- (7 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 lhE 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 Ihereby 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 Address City, Stale, Zip 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: Dat etmit t'. Validated by: r JUN Validation: r C00FLAQUINTA WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION SUUTHLANu. ESCROW OFFICER: Kelly Collier Escrow Division 45110 Club Drive #B Suite B Indian Wells, CA 92210 Phone (760) 345-5557 Fax (760) 345-2217 SMTP:KCollier@southiandtitle.com LOAN ESCROW INSTRUCTIONS NEW FIRST TRUST DEED TO RECORD: $165,000.00 ESCROW NO.: IN2604-KC DATE: May 09, 2002 The undersigned is obtaining a loan on the property described below in the total amount of $165,000.00 and will execute a note and trust deed to be used in accordance with these instructions which are to be utilized together with the Lender's instructions handed to Escrow Holder. Escrow Holder is to accept from Lender, the sum of $165,000.00 less fees, costs and charges made by Lender, and which deductions are hereby approved by the undersigned Borrower, provided upon recordation of any instruments called for in this escrow Escrow Holder and escrow holder IS NOT required to issue or cause to be issued a Policy of Title Insuranceon real property in the City of LA QUINTA, County of Riverside, State of California, described as follows: LOTS 7 AND 8, BLOCK 286, SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 26, AS PER MAP RECORDED IN BOOK 20, PAGE 50 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA SHOWING TITLE VESTED IN: CORONEL ENTERPRISES, INC., a California corporation PROPERTY ADDRESS: (Not Verified) APN 774-204-024-8, LA QUINTA, CA 92253 FREE FROM ENCUMBRANCES EXCEPT: 1. All general and special real and personal property taxes for the fiscal year 2001/2002. 2. A 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. 3. Assessments and Bonds, not delinquent, having an unpaid balance of 00. 4. Easements, Rights of Way, Covenants, Restrictions and Reservations of record. 5. Deed of Trust, securing a Note-inAhe amount of $165,000.00 A. NO POLICY OF TITLE INSURANCE: Lender waives search of title and Lender will not require your usual form of Policy of Title Insurance as Lendr is familiar with the condition of record title to the subject property described hereinabove. .Lender understands that Escrow Holder makes no representation or Guarantee as to the condition of Title. Lender further understands and accepts that Escrow Holder makes no representation or guarantee that the Grant Deed does or does not convey title to property involved, nor as to the validity of said document or genuineness of signatures thereon. The Legal Description for subject property was provided by the undersigned parties, has not been verified by a Title Insurance Company and is hereby.approved by the Borrower and Lender for use in the documents being created he . Escrow No. N Page 1 Initials / CERTIFICATE OF COMPLIANCE �FT�Sc Desert Sands Unified School District 47950 Dune Palms Road < BERMUDA DUNES r Date 7/18/02 La Quinta, CA 92253 rn RANCHO MIRAGE d INDIAN WELLS No. 23391 (760) 771-8515 �� ; PALM DESERT ,y LA QUINTA INDIOy7 Owner Coronel Enterprises APN # 774-204-024 Address PO Box 389 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0207-071 Tract # BLK286U26 Study Area Type Single Family Residence No. of Units Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 7&8 54135 Avenida Carranza 1755 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 50 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile home It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,755 S.F. or $3,755.70 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 VIB - Ish Coronel Check No. 270632 ame on tne cneCK Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Crystal Scott $3,755.70 Payment Recd Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which thos amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting KUH 1 Ut- ri��i_D CC)MPAC;T10N -:i E� i_ o 57 OUR RE➢ORT NO,. 013' i.! J Zr. �$T riEaOirVG CLI NY. MO15TURE ��w$Til R,f -- P5gC2_MT COMMENTS ;!O• J3— C.7NTb•"; T ( OE;151I-Y, Z;Q iPACT10N l ! r �n• � 1 d � � UCL2AR CAUCC WPORMAYION e.tO -'-- C+,t+' GT4"r.ARQ CAURR^rfOm vyM"AS vaMq:;IQN, �EA:fNT, •, (-e.r.".f A-OlUSTt,:[rIY S VwRfaYcpN;RO. C aU71RArlON COUNT$ IjI 1 CROAt Sh Eri$ t„15Y USE 1 � S=v6S h•pg- aOxL CAMPHtLL MOIStUaE: xatSTVAE: -- ^--`-`-- -� --- I '��O�arulvF: .�:b�SYUR2: a.�OiL;fO.: t'Ll DENSITY: .— } oins YY: ' r Ofu$ITY: ?LN try: ,,;'.Oft WRMA ION -._.. co.--�_.. •-._� 501L 10 VISUAL CLASSIFIC-AT100.OF ML � M I X. . CC44Y OE(I SI tY-�PC:� I OPYl,v wm mO(STuRE. ?; -� ;vIPAC i 1 O �•E4U1RE�1cNTS.','o Y�l i 141OISTURE „1 j CEtgdA,•:L LOCA T ION: � ^n.QU(REIv1Et•1Y5. ,:� ` -�ilA � � ,�.m �$T riEaOirVG CUOTI$NT! SQII TEST ! EL=VATIO•! MO15TURE ��w$Til R,f -- P5gC2_MT COMMENTS ;!O• PCF (O +f0. ciE�TN, IN OF TEST C.7NTb•"; T ( OE;151I-Y, Z;Q iPACT10N l ! r �n• � 1 d � � ` � I lis.sM -'-- �� FIA -- i D- i I A) hM i a - 1•'Y� �� i i y�' . O I r rd I I - I TEC:INICIAN: ViJNM i ItlMA EJaAi it?? -"I WeauLpsco MPLYVICTIt$PQCIEICUTO-a z - aACAFIL.L a -COMPACTION KACLNT&Cr DOEi NOY CO.taftr vvrr-m SPECIMAIIONS i _ a�sCOLIRsE C - Rt -•FST Of PIlevtovS rv-.-r a _ StrdeE J -G O - ..cviTI-C W =CESS OF SPICIACAra.0% S + SOIL CEMIDtY E- 640%MIt! Ci Low LPl61/tewnattl e - OTxEis 1 A 0815'ON 11JI,180:8 DZ00Z 'z1'gny** 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 54-135 AVENIDA CARRANZA Bldg. Permit No.: 0207-071 Type of Construction: VN Land Use Zone: RC Owner of Building: CORONEL ENTERPRISES Building Official. Address:' 78-150 CALLE TAMPICO City: LQ QUINT CA 92253 By: KIRK KIRKLAND Date: 1-31-03 POST IN A CONSPICUOUS PLACE