05-3777 (SFD)`4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TdY 4 4 Qulba
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
05-00003777
Property Address:
52943 AVENIDA RAMIREZ
APN:
773-322-999-2 -33415 -
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
COVE RESIDENTIAL
Application valuation:
119117
Applicant:
Architect or Engineer:
Lic. No.: ---------------
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perj that I. am license under pr isi ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the B si ess a d Prole ionals Cod an my License is in full force and effect.
License Class:. B -C13 License 634981
Date: —\00-O�s Contractor:
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 (Sec. 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).:
(_) 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, as owner of the property, am exclusively contracting with. licensed contractors to construct the project ISec.
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.).
( ) I am exempt under Sec: , B.&P.C. for this. reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
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.).
Lender's Name:
Lender's Address:
Owner:
CORONEL LUCANO S
51324.CALLE TAMAZULA
LA QUINTA,•CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153. '
Date: 12/23/05
Contractor: JAN 18 2006
CORONEL CONSTRUCTION ®p Lp QUINTA
P.O. BOX 389 �I a Dd:P1r.
LA QUINTA, CA 92247
(760)564-4604
Lic. No.: 634981
-----------------------------------------------
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 and policy number are:
Carrier STATE FUND Policy Number 17444530
I certify that, in the performance of the work for which this perm' is ssued, I shall not employ any
person in any mjea tobecome subjec the worker c pensation lawsof California,
and agree that, iec a subject t the workers' c n nsation provisions of Section
3700 of the Labsh forthwith mply with those ovisions.
Date: -�L Applicant:
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 work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state tha th above in rmation is c rect. I ree to mply with all
city and county ordinances and state laws relating to b ildi g cons ction, an hereby au horize r resentatives
of this county to'enter upon the above-mentioned prope y or insp ction puroses.
Date: 1 1'9::,2L Signature (Applicant or Agent):
LQPERMIT - yy
/ i
Application Number .
. . . . 05-00003777
Permit .. . .
BUILDING PERMIT
Additional desc .
Permit Fee
709.50
Plan.Check Fee
'461.18
Issue Date . . . .
Valuation.
119117
Expiration Date
6/21/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
20.00 3.5000
THOU BLDG
100,001-500,000
70.00
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
.106.73
Plan Check Fee
26.68
Issue Date.• . . . .
Valuation
0
Expiration Date
6/21/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1918.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
67.13
480.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.60
1.00 15.0000
-------------------------------=
EA ELEC
---------------
TEMPORARY POWER POLE
-----------------------------
15.00
Permit . .
GRADING PERMIT
Additional desc
Permit Fee
15.00
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date
6/21/06
_
Qty Unit Charge
Per
Extension
----------------------------------------------------------
BASE
FEE
------------------
15.00
Permit
MECHANICAL
• Additional.desc .
Permit Fee
.59.00
Plan Check Fee
14.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/21/06
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
3_00 6.5000
EA MECH
VENT FAN
19.50
1.00 6.5000
-----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
LQPERMIT _ .
Application Number .
. . . . 05-00003777
Permit
PLUMBING
Additional desc .
Permit Fee
123.00 Plan Check Fee ..
30.75
Issue'Date
Valuation
0
Expiration Date
6/21/06
Qty Unit Charge
Per
Extension'
BASE FEE
15:00
9.00 • 6.0000
EA PLB FIXTURE_
54.00
1.00 15.0000.
EA PLB. BUILDING SEWER
15.00•
1.00. 7.5000
EA PLB WATER HEATER/VENT
7.50
: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
----------------------------------------------------------------------------
Special Notes and Comments
1918 sq ft. sfd this
permit does not
include pool & spa block
walls or
driveway approach.December
12, 2005
7:46:00 AM jjohnson
.
Other Fees .
. . . . ART IN PUBLIC PLACES -RES
20.00.
DIF COMMUNITY -CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
46.12
DIF FIRE PROTECTION -RES
.140.00
GRADING PLAN CHECK.FEE
.00
DIF LIBRARIES- RES
355.00
DIF PARK MAINT FAC - RES
22.00 -
DIF PARKS/REC - RES,
892.00
COVE.PRECISE PLAN FEE•
100.00
..STRONG MOTION (SMI) - RES
11.91
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee,summary Charged
Paid. Credited
Due
Permit Fee Total
1013.23 .00 .00
1013.23
Plan Check Total
533.36 250.00 .00
283.36
Other Fee Total
3874.03 .00 .00".
3874.03
Grand Total
5420.62. 250.00 .00
5170.62
LQPERMIT
.t
Building Jca, 9 t f 3
Address
Owner /1 , n Ir, i >,
3 ;;?l
ap 4 4 a"
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing Ux c6q
Address IP -0 ,
k Duiwr Zt�7p'1 TE, 1 -SID
U4 --eq
HUMMIR MIM -121000"
State Lic. City r
& Classif. �� ` — Lic. # oL I
Arch., Engr.,
Designer
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
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, 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 (8500).
❑ 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 Profes-
sions 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 emptoyees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement 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, as owner of the property, am exclusively contracting with licensed contractors to construct
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)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSOIA DEC ATIO
I hereby affirm that I have a certificate o on nt o elf= s re, c i ' of Worker's
Compensation Insurance, or a certified co .her . (S L b r e.
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy I ereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (8100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employany person in any manner so as to become subject to 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 whenproperly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify'1h2fVhave read this application and state that the above information is correct.
I agree to.,rQVp,1ywith all city and county ordinances and state laws relating to building
constructionnd hereby authorize representatives of this city to enter the above-mentioned
pro{ eity for inspection purposes.
Signature:of applicant Date
Mailing Address
City, State,, Zip •'i e; e,,{' ¢,
WHITE = BUILDING DEPARTMENT
BUILDING: TYPE CONST. CCC. GRP. j
A.P. Number���
Legal Description I,Ot _q tTART OF 1 O
Project Description
SFt. i1 I
Size 1 �
New A
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
No. No. Dw.
1 Stories Units it
do
ZONE: BY:_
Minimum Setback Distances:
Demolition O
AMOUNT
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:
Validated by:
Validation:
Date Permit
YELLOW = APPLICANT PINK = FINAACE
CERTIFICATE OF COMPLIANCE JN�FIFDS�,
Desert Sands Unified School District
47950 Dune Palms Road < ER o
�} � BERMUDA DUNES r
AGE
Date 1/18/06 La Quinta, CA 92253
RANCHOIANWE LS
INDIAN WELLS �.
DESERT
No. 28038 (760) 771-8515 d� PALM LA QUINTA
vINDIO
O
Owner Coronel Enterprises APN #
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 52943 Avenida Ramirez 1918 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, coveredkwa
patiosMrd ys, residential additions under 5
00 square feet, detached awry structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanitation) 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 follomag 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 1,918 S.F. or $4,296.32 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. 366877
Name on the check Telephone 564.4604
Fwding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sh n McGilvrey Payment Recd
$4,296.32 over/u deP�: ."I
Signature C >�j✓..... .;;w"
''rt�Ict�r,;l
l
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
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 per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) .
that the proposed housing design' does not duplicate• the same- architec.'Eural'style of any house
within 200 feet 'of the applicant, .and/or 2) if there is a need for the applicant to file for Master
Design Guidelines: If the. applicant does need to file :a Master .Design Guideline, please transmit
:this information to the Building and Safety 'Department as- part'of your correction lista Please
attach additional explanations as necessary. '
APPLICANT:
SITE ADDRESS: Q-ActA .. -
APN �� - 3oZ o� - O oC CASE .NO.:
LEGAL: LOT BLOCK .6-7 UNIT \'(0 S.Cw@V.L'.Q.
CHECK AND APPROVED.BY.: DATE: 3�
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
Verify legal and APN' information
✓
.
Consistent. with. MOG .on file (as
applicable)
.MDG filing required (5 filings
since 9/3/98) ,
Architectural variety within 200...
feet of the surrounding area:
PROVED Y COMMUNITY DEVELOPMENT DEPARTIAENI
Y. DATE
HIBIT
ASE NO. C .��
Architectural design features '.
Other Requirements:
' . MAR -,29-2006 07:04 AM
P.03
'-r'-'- aww"I Run, ALM rMUV1DER AND BUILDING DEPARTMENT
HERS RATER COMMLANCE STATEMENT
True house was: V X Tested I O Approved as part of sample testing, but was not tasked
AB he HERS rater providing diagnostic teeting and Held vedfiostioa, l certify that the hoPrOtocolsuse ideadfied on this fbim complies
with all applicable requiremenu of the "High Quaty lastellation of Insulation,,
ACM, Appemdix RH ad as checked on this form. Note that to PASS ad rece as spec
pe jfied in the Residential
below may be checked "No" and the first three boxes also must be checked: oompheaae credit, NONE of the BOXES
deal of the builds i.c, a buildings do not have rim joists or there may bbeAno rete' onty sed lights .� )
I f-REQ"`RK"'E 1 S FOR "JUGH QUALITY IN
9TAL1.AT10N OF llYSULATION" COMPLIANCE CREDIT
1 0 -rhe building is wood ftarne construction with wall mud cavities, ceilings, and roof assemblies insulated with
miners! fiber or cellulose insulation in low-rise residential buildings.
6beecrip60 of insulation. (CF -6R. formerly !Gl) signed by the installer
Game, material identification, installed R-vahm, and for Woof ll inabdon: minimum weight ,s
foot and minimum inches. �"�
r
Cortiftte, (CF -6R) signed by the installer oertiiying that the installation meets all
applicable requirements ae specified in the High Quality laguMon lnstallajion procedures
(ACM, Appendix RH).
01
es No All floor joist cavity insulation installed to uunif my fit the cavity side-to-side and and -to -ad
:s No NA :t-
�ntaM with tho eubtloor or rim joism insulated
is No NA PrOWlY NuPPmted to avoid gape, voids, and compmgion
WALLS .
i'es.1
No
I NA
Wall stud cavity insulation uniformLy fills the cavity sidato-aide, top -to -bottom, and iivat-tabsok
ir
No gaps
No voids over W deep or more than 10'x6 ofthe batt surfnoe area.Hard
UNNA
tD access wall stud cavities such as; corner cbaannels, wall Interse,and behind tnbJshvwe
enclosures insulated to R-VebaSmall
spaces filled
-ioste»ueuls,RdWall
Mud cavities caulked or foamed to provide an air tight envelope
Realdent/a! Compliamce Forma
Ap I1200J
`MAR—.29-2006 07:05 AM
I
P.04
a4 Y
No NA All dmfs Stops in place to form a continuous calling and wall air barrier
No NA All drops covered with herd covers
NoHNA
All druft scope and hard covers caulked or foamed to provide an air tight envelope
t]All recessed light fixturbs IC and air tight (AT) ratedend scaled with a gasket or c
NohouAino anal fl,....:u«..
YesNo NA Flour cavities on tmrltiple-eiorY buildings have airtight drab Stops to all adloising aides
D O
Yee No NA ;ave Vents prepwed for blown ineuladm . maintain net five- b� am
O p..
Yee No A Knee walls insulated orpaeparod for blown insulation
O
Yes No NA '� under equipment platforms and cat -wallas insulned or semsble far blown hmistioa
n n
Yoe I No INA I Atdc rulers installed
No gaps
No voids over % in. deep or more than 10.6 of the batt surface stns
Insulation is oontaot with the airibanier
Reoeesed light 6xtureS covered
Net five-vintiiadon area nu inWned at eave vents
y� No Ineiiledon uniforndy coveor the entire ceiling (or roof) area fham the outside of all exterior wells
a
Yes' No A Baffles installed at eaves vents or soffit vents . maintain net 6me-ventilation area of can vent
O d
Yes No NA Attic access insulattd
0 0
Yes No A Recessed tight fixtum ooverod
O
Yes No NA ]nsalation at proper depth — ismulstion rulers visible and indicating proper deptlr and It value
0 . O Loose -81l mineral fiber insulation moats or exceeds num
requiremept for the target R•vahm. s t�uimum weight and Wbkaeea
Yes No NA minimum Target R -value Manufhctrrrer•S
foot . g �� weight fbr the target R -value � (Pounds-per�quero
mW Menufectut+ac'enwm °� nate foot .
Marn,fl;ctiuer'mum required tldel�s at time of installation (inches)
e mini
required settled thickness (inches Nuwber of days Since
>� ell insulation then
was iasWled _ (days). At the time of imWlation, the insulation
❑ a greater thea or equal to We maoufa fi= s�attnin1UM initial insWadon thidr urs. If the HM
Yes No A tater does not verify the insulation at the time of installation, and if the loose -6W inealadon has been is
place less thea sever days the tWcj= ss shall be greater (has thebri
, mmum raquirod
thiokses® at the time of insWlsdon lose 1/2 inch to account for settling. If the insulation in
place for Seven days or longer the insulation thiWMM has been
Shell be gr eater than or equal to the
maauibcturer'e minimum trod settled thicioress, Misimwm thielmasS ttgasurod inches .
Rer/de"'$Of Conp!laxce Forms
April 200S