05-4284 (DSF)P.O. BOX 1504
78-495 CAL LE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
050 0004284
52943 AVENIDA RAMIREZ
773-322-021-11 -000000-
DEMO-- SINGLE FAMILY
COVE RESIDENTIAL
0 I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D Owner:
Q CORONEL, LUCAS
51-324 CALLE TAMAZULA
LA QUINTA, CA 92253.
SEP
G 105
Qryn� .
VOICE (760)777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
FlAjc Q!#1Vdr�l Contractor:
Architect or Engineer:_ eAEp-r A CORONEL CONSTRUCTION
WCC: STATE FUND
WC: 174445305 01/01/06
W CSLB: 634981 01/31/06
Lic. No.: ---------------
LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under.penalty of perjury that 1 am licensed under provi . n of Chapter 9 (commencing with
Section 7000) of Division 3 of the BM and Profess' ajs Code nd y License is in full force and effect.
License Class: License o.'
r Date:�s Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury than) 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).:
(_ 1 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 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed
-�4 pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.C. for this reason
Date:
to
Owner:
CONSTRUCTION LENDING AGENCY '
Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMTT'
Date: 9/22/05
WORKER'S COMPENSATION DECLARATION
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.
x 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 B -C13 Policy Number
_ I certify that, in the performance of the work for which this pe - n is issued, I shall not employ any
person in any man so as to become sub'ect to the wor
ars' ompensation laws of California,
and agree that, if I h Id bec a subje to the worker co pensation provisions of Section
3700 of the Labor od , I she forthwi comply with th s revisions.
Dat0. -1�Qs 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 andstate the above informatie correct. ogre to comply with all
city and county ordinances and state laws relating t "d in
c structio and hereby thor a representatives
of this county to.enter upon the. above-mentioned pr y for i spection urposes.
Date'Signature (Applicant or Agent).
Application Number . . . . 05-00004284
.;Permit DEMO.PERMIT
Additional desc .
Permit Fee . . . . 45.00'
Plan, Check
Fee..'.
.00
Issue Date
Valuation
. . .
. 0.
Expiration Date-. 3/21/06
Qty Unit.Charge Per
Extension
BASE FEE
45.00
Special Notes and Comments
----_----------------
" DEMOLITION TO BARE GROUND OF EXISTING
SFD. SEPTIC ABANDONMENT. -
Fee summary Charged- Paid
-------------------------------------
Credited
----------
D'ue
' Permit Fee Total 45.00
.00
----------
:00.
45.0.0
Plan Che --k Total 00
.00
.00
.00
Grand Total 45.00:
.00
.00
45.00
LQPERMIT
_
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SEP 07 2005 15:09 FR FRIST AMER TITLE CS760 776 5562 TO 95644202 P.02
RECORDING REQUESTED BY:
Fidelity National Title Company
Eanrew No. 6866•KC
TWe Order No. 9738923/5
When Recorded Mall Document
and Tax Statement To:
Lucano S. Coronel
51324 Calle Tamazula
Le Quinta, CA 92253
DOC a 2004-07324$3
09/22/2001 08:06A F4e:1.00
Page t of t
Recorded in orflolal Records
County of Rivrrslde
Gary L. Oreo
Aasessor, Cou►ty Clerk 3 Recorder
1111111111111111 ILII 111111111111111111111111111
es
irA
ME
010"
0
MENEMI-MMMMMomsE'mJ
QUITCLAIM DEED
The undersigned grentor(s) declarels)
Documentary transfer tax Is $ 0.00
( ) computed on full value of property conveyed, or
1 computed on full value Jess value of liens or encumbrances remaining at time of sale, MC
l JCJ 1 City of La Quinta
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Guadalupe Coronel, spouse of
the vAthln Grantee
hereby remises, releases and quitclaims to Luceno S. Coronal, mi married man as his sole and separate property
the following described real property in the City of La Quinta,
County of Riverside, State of Celifomle:
Lot 9, 10 and 11, Block 157, SANTA CARMELITA AT VALE LA QUINTA, UNIT no, 16, COUNTY OF RIVERSIDE,
STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 18', PAGE 99 OF MISCELLANEOUS MAPS, IN THE
OFFICE OF THE COUNTY RECORDER OF SAID COUNTY,
DATED: August.12, 2004
STATE OF CALIFORNIA Guadalupe Coronal
COUNTY OF
ON 2 D before me,
E11R personally appeared
6rvA0A(.tJPF CORDA1EL
personally known to me (or proved to me on the basis
Of satisfactory evidence) to be the person(s) whose
name(saere subscribed to the within instrument and
acknowledged to me that she executed the
same in ' authorized capacity(ies), and that
by hig4ka–dAmir signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and official seal.
Signature
FRf~SCAS
COMIK 145
eDECOUNTYfcjON;ELIA
. DEC,1 6,2W -a
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FO -13F (Rry 9/94) QUITCLAIM DEED
Description: Riverside, CA Document -Year. DOCID 2004.752485 Page: 1 of 1
Order. 09-08-2005 03-10-00 PM Comment.'
** TOTAL PAGE.02 **
CITY OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT
GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS
Form updated & effective 8/25/2005
Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public
Works/Engineering Department until ALL requirements listed below are complete. Incomplete
applications or applications which cannot be processed will be returned to Applicant. Green Sheet
approvals will be forwarded to the Building Department directly by Public Works.
Dater,-Z(a OS Developer: C"\ .C7c
Tract No.: Tra�(t Name: Lot No.(s): �' \
Address(s): t1'I/'�/i I/
The following are the requirements for Public Works Clearance to au&nze' issuancM a
permit from the Building/Safety Department.
CUSTOM HOMES- PROVIDE ITEMS #2, #3, #4 AND #5 BELOW.
TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW.
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW.
I. Attach Pad Elevation Certificates in compliance with the approved design elevation for
building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must
be current (within 6 months of current date). If a precise grading plan creates the pad, for
approval, please withhold green sheet submittal until a Pad Elevation Certificate can be
provided.
-�5-- 2... Attach geotechnical certification of grading plan compliance.
3. Attach recorded final man sh�sed buildin�_lncati� �TTr�--_
Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information
form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set
reference number or hard copy plan. PM10 plans for commercial and residential developments
(beyond 1 lot) are submitted separately with grading plans and are subject to additional
5. Attach an approved precise grading plan for the building location(s). AO flood zone
developments will require an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
I have reviewed and confirmed the requirements listed above as presented and find the improvements
to be sufficiently complete for construction of the proposed building(s)/structure(s) on the subject
lot(s). Pursuant my findings, abo projec ay.be released for building permit issuance.
Recommended by* Dated: q IZ4 /0
a O N t� — i M ro Opp 2ov
Declined for approval for reason(s) as follow(s), please correct and resubmit:
\P\VDEPTSTAFRGoblc\Green Sheet PW Release\050824GREEN SHEET COVER.doc
/ mu .
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909) 624-1665 (760)323-7743
ASBESTOS SURVEY REPORT
Completed On
September 07, 2005
PLM0901#1101
Client: Coronel Construction
P.O. Box 389
La Quinta, CA 92274
Project: 52-943 Avenida Ramirez
La Quinta, CA
(single-family home)
On September 01, 2005 an asbestos inspection and bulk sampling was conducted at the above project
address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) at the
request of the client named above. A total of (11) bulk samples were submitted to Carolina
Environmental, Inc. located at: 107 New Edition Court in Cary, NC (NVLAP Code 101768-0 and Cal.
Environ. Lab. Cert. #2483) to estimate the percentage of asbestos by volume and determine the type(s)
present. Carolina Environmental's telephone number is (919)481-1413.
Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved
method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Bulk
samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified by using the visual
arena estimation technique and can only determine the approximate percentage of asbestos present.
After a thorough search is conducted and no asbestos is detected "none detected" will be noted in the
report. The essence of polarized light microscopy is not to emphatically determine that no asbestos is
present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample.
When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be
called for on additional samples to confirm or denounce the initial findings. The California Code of
Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A. protocol
provisions of 40 CFR Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable
surfacing samples from a homogeneous area be collected and analyzed before any building material is
determined to be non -asbestos containing. Scott Morrison & Associates conducts asbestos inspection
surveys following'the A.H.E.R.A. inspection protocol.
ASBESTOS INSPECTION BY: Scott Morrison, DOSH #92-0248
BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0
The results on the following page(s) indicate that asbestos was detected in 00 of the 11 samples
analyzed.
(1)
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
PLM0901#1101
Type of material: exterior wall stucco/ beige -white
Sample #IS -01
Type of material: texture coat/ white
Location: interior N. wall, NE living room
Friable:no
Area:throughout interior walls -1 st layer
Friable:no
Results: none detected
Sample #IS -02
Type of material: drywall
Location: interior N. wall, NE living room
Friable:no
Area:throughout interior walls -2nd layer
Friable:no
Results: none detected
Sample #IS -03
Type of material:texture coat/ white
`
Location: interior ceiling, S. -central hallway
Friable:no
Area: throughout ceilings -1 st layer
Frable:no
Results: none detected
Sample #IS -04
Type of material:ceiling drywall
Location: interior ceiling, S. -central hallway
Friable:no
Area: throughout ceilings -2nd layer
Friable:no
Results: none detected
Sample #IS -05
Type of material: exterior wall stucco/ beige -white
Location: exterior W. wall
Area:throughout exterior walls -1 st layer
Friable:no
Results:none detected
Sample #IS -06
Type of material: exterior wall (base coat)/ grey
Location: exterior W. wall
Area:throughout exterior walls -2nd layer
Friable:no
Results: none detected
Sample #IS -07
Type of material: exterior color coat/ green
Location: exterior N. wall
`
Area:exterior N. wall -1st layer
Friable:no
Results: none detected
Sample #IS -08
Type of material: exterior wall (base coat)/ grey '
Location: exterior N. wall
Area:exterior N. wall -2nd layer
Friable:no
Results: none detected
(2)
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
PLM0901#1101
Sample #IS -09
Type of material:tarred roofing/ black
Location: roof -1 st layer
Area:throughout roof
Friable:no
Results: none detected
Sample #IS -10
Type of materiaLrolled roofing/ grey & black
Location: roof -2nd layer
Area:throughout roof
Friable:no
Results: none detected
Sample #IS -11
Type of material: penetration roof mastic/ black
Locatiomaround N. roof HVAC, penetrations
Area:approx. 20+ total sq. ft.
Friable:no
Results: none detected
Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or
weight, must be removed by a state certified asbestos abatement contractor prior to any demolition or
renovation of the -property.
Inspector
Scott C. Morrison
Certified Asbestos Consultant
. DOSH#92-0248
'(3)
rd
HWAL, M
Car, NC 2M11
Fax:(919)4814442
LABORATORY REPORT
ASBESTOS BULK ANALYSIS
Client: Scott Morrison & Associates CEI Lab Code: A05-6041
31855 Date Palm Dr. Suite 3-507Received: 09-06-05. Analyzed: 09-07-05
Cathedral City, CA 92234
Reported: 09-07-05
Project: Cornell Constructioin; PLM0901 #1101 Analyst: Virginia Wilson
The following definitions apply to the abbreviations used in the ASBESTOS BULK
ANALYSIS REPORT:
CHRY
= Chrysotile
CELL
= Cellulose
DEBR = Debris
AMOS
= Amosite
FBGL
= Fibrous Glass
BIND = Binder
CROC
= Crocidolite
ORGN
= Organics
SILT = Silicates
TREM
= Tremolite
SYNT
= Synthetics
GRAV = Gravel
ANTH
= Anthophyllite
WOLL
= Wollastonite
MAST = Mastic
ACTN
= Actinolite
CERWL = Ceramic Wool
PLAS =Plaster
N D
= None Detected
NTREM
= Non-Asbestiform
PERL = Perlite
NANTH = Non-Asbestiform
Tremolite
RUBR =Rubber
Anthophyllite
Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used
for sample identification. The percentage of each component is visually estimated by volume. These results pertain only
to the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger
material in question. Unless notified in writing, to return samples, Carolina Environmental, Inc. will discard all bulk samples
after 30 days.
Many vinyl floor tiles have been manufactured using greater than 1 % asbestos. Often the asbestos was milled to a fiber
size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (ND) reading on vinyl floor tile
does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive
form of analysis for vinyl floor tiles.
It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation
Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA 1600 / M4-82 / 020 for
the analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 / 116 have been incorporated
where applicable. The detection limit for the method is 0.1 % (trace amount). Carolina Environmental, Inc.'s NVLAP
accreditation number is #101768-0. This report is not to be used to claim product endorsement by NVLAP or any agency
of the U. S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for
asbestos using PLM are not covered under NVLAP accreditation.
ANALYST
�1 kz&
Virginia Wilson
REVIEWED BY
s
Tianbao Bai, Ph.D.
Laboratory Director
Page 1
CARMMENVFQN MENrAt,M Project: Cornell Constructioin; PLM0901 #1101
107 New EdIdon Caul, Cay, NC 27511
Phone: 919481-1413 Fa)c:919481-1442
Lab Code: A05-6041
- - xs a,y
�<^ S`iw::>;;_:"�i_°'W:;:;T::_;c.;tv.;;;;_.:;;cruw�,'y;::7;::w_.„,,av;,'>;M»tii:=rti:.:;;;::
,.._._.:.r.,. ... ...........w,..:,�.....-..,N>...
:� '''1 ._' .:r. 'Fii' .•v:, ..n.�.i:.�'. -_ _...... -trc. �...x... :.., ., ,�. .. .. _ - :Tic r;4:. ;.._..... :eey:n:: ... :..U:u:e:-e ::.�. "
IS -01
A399285
TEXTURE
ND
Homogeneous,
White, Fibrous, Bound
BIND 85%
CELL
10
PAINT 5%
''IS -02
A399286
DRYWALL
ND
Heterogeneous,
White, Brown, Fibrous, Bound
GYPSUM 85%
CELL
15
IS -03
A399287
TEXTURE
ND
Homogeneous,
White, Fibrous, Bound
BIND 85 %
CELL
10
-PAINT 5%.
IS -04
A399288
DRYWALL
Np
Heterogeneous,,
White, Brown, Fibrous, Bound
GYPSUM 75%
CELL
15%
FBGL
10
IS -05
A399289
STUCCO
ND
Heterogeneous,
Beige, White, Non-fibrous, Tightly Bound
PLAS 95
PAINT 5
IS -06 `
A399290
PLASTER
ND
Homogeneous,
Grey, Non-fibrous, Tightly Bound
PLAS 100
IS -07
A399291
COLOR COAT
ND
Heterogeneous,
Green, Non-fibrous, Tightly Bound
PLAS 95-%'
PAINT 5
-
a
Page 2
CAROLINA ENlV (TAL,Na Project: Comell Constructioin; PLM0901 #1101
107 Naw Edon Cain, Cary, NC 21511
Phone: 919481-1413 Fac: 919481-1442
Lab Code: "A05-6041
IS -08 .
A399292
PLASTER
ND
Homogeneous,
_ Grey, Non-fibrous, Tightly Bound
PLAS 90%
MICA 10
IS -09
A399293
TARRED ROOFING
ND
Homogeneous,
Black, Fibrous, Bound
TAR 60% CELL 40%
IS -10
ND
A399294 .
ROLLED ROOFING
Heterogeneous,
Black; Grey, Fibrous, Bound
TAR 65% CELL. 20%
GRAV 15
IS -11
ND
A399295
PENETRATION MASTIC
Heterogeneous,
Black, Non-fibrous, Bound
RUBR 90% CELL <1
GRAV 10%
Page 3