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0307-069 (SFD)LICENSED CONTRACTOR DECLARATION 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 634961 B ' r � 011"61.+3C Date - F i- 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 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. `a) 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: Carver SW;v PUND Policy No. 154203743 (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 thaMir' I should become subject to the workers' compensation provisions of Secti6n''3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant- Warning: pplicant 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 the above-mentioned property for, inspection purposes. t �Signature (Owner/Agent). _' � �• Date BUILDING PERMIT PERMIT# r� c DATE VALUATION LOT 040 1.469 TRACT 2 JOB SITE ADDRESS -.1 _M v I O.� .1d3A� 7 APN 454 01 OWNER. CONTRACTOR DESIGNER EN61NNEER C/ . .7TT.yr�yPptd4TdW L)AOS^7i©TdMIy7 0).4 51.105 AVENMA vI AA 0101 S 1-1 OS AW M.*A l.1;Ci'L,A4i101. LAQUINTA. CA 9723? 1fAQ:1IN A. ch 92253 (760)564-4604 C.,i'3u. 2261 USE OF PERMIT GUR FAMLY DWELUN O f 11118 S.F. VDPERMIT MIT DOL3 NOT JNCLUDE BLOCK, WALL, P00U3PA- OR, DRIVEWAY AY APPRO.P:CH TRACT CONSTRUCTIOIN" 11e19.0U OF S PORCHIPATIO; 19.00 SF CARAOE1GARPORT 480,00 SF ESTO 321D COW OF C;ON0E , C TIO17 113"8.10 CO'NO'l•RUC:TION ? .. 101-000-418-000 $688.50 ' PIAN fr4iFXIKI FrE 10I.wgOti-4?9+•318 $5619.1-14 FM DEPOSIT 101 -000439 -NIS •�2�O,tiO Iu IX11,AV tC^.ALN '101-000-421-000 $59,00 ELECTRICAL, YEF 101t400-420.000 PLUMf3rma fir'; 01-000-41.9-000 $124.00 STRONG MOVON KZ - RESID 101-000.241.000 ORAVI1NCq:ly1✓L" Cs1 .0(3t3- b2:3-d?�10 $A .OG DW&OPL.R IMPAC' t�tr,Cr . S�,�f05•QO PRtSCYSL+",Pt,.�t�.' 11C11••0t;()�id`I<3�5 'i1t7U,1i0 ' "Um-WrAC: OCjI~"Fm'Pluc.ff.CINPONM PIAN CHEICK $4,05111.45 L6233 PU�1 A1D FF -$250.00 e D A,]. DUS s PER MS 14OW JUL 10.2003 . . CI Y OF LA A j NANCE DEPT RECEIPT DATE BYD TE F L D , INSPE INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Vk Combustion Air Roof Deck - 0 Exhaust Fans O.K to Wrap , 07- F.A.U. Framing4 - - Compressor Insulation 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 4 BLOCKWALL APPROVALS 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 _ Heater Final Water Piping 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) (j 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 Final Utility Notice (Perm) - (�- 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,918 S.F. or $4,104.52 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/Valley Independent Bank - Ish Coronel Check No. 287319 Name on the check Telephone 760/5644604 Funding Residential By Dr. Doris Wilson Superintendent . Fee collectec Signature Payment Recd $4,104.52 $0.00 Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this 1�4 I�Fve 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 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 CERTIFICATE OF COMPLIANCE vFIFZsc Desert Sands Unified School District q�c�JR/yo 47950 Dune Palms Road O Q BERMUDA DUNES Date 7/10/03 q La Quinta, CA 92253 Cn RANCHO MIRAGE (� No. 24688 (760) 771-8515 �� INDIAN WEIRS PALM DESERT .y LA TA IN10 DIO yJ O Owner Coronel Enterprises APN # 773-154-014 Address P O Box 389 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0307-069 Tract # I Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 2 51805 Avenida Juarez 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, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,918 S.F. or $4,104.52 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/Valley Independent Bank - Ish Coronel Check No. 287319 Name on the check Telephone 760/5644604 Funding Residential By Dr. Doris Wilson Superintendent . Fee collectec Signature Payment Recd $4,104.52 $0.00 Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this 1�4 I�Fve 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 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 JAN -22-2004 08:28 PM P.06 INS"I'Al_LAriON CERTIFICATE 5/ �S CF -6R ✓�refc.- Permit INUITiber DUCT LEAKAGE AND DESIGN DIAGNOSTICS rDUCT LEAKAGE REDUCTION cst Results (CFM 25 PA) Test Leakage (CFM)_ " t-,t::ulatcd as 400 cfrtvion x number of Ions, or as 21,7 x Heating Capacity to Thousands of Bruft enter calculated value herr: hlt�qJ I f fan now is measured, enter measured value here' :,t;,kake 1=racnon = Test Leakage/(Measured or Calculated Fan Flow) a ; Pass if leakage fraction 5 0.06 ❑ ❑ Fur :AEROSOL, TYPE SEA-LANTS ONLY - The following diagnostic testing was completed: Pans Duct Fan Pressurization at rough -in measured leakage (CFM) t HECK-kF'I'Fl1 FINISHING WALL,: ❑ -, ❑ Nu ❑ Pressure pan test or House pressurization test D ❑ No ❑ Visual Inspection of Duct Connections Q ❑ THERMOSTATIC EXPANSION VALVE Pass F�ti TXV) ❑ .N, Tltennostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass F;j.; ❑ DUCT DESIGN ❑ Yo ACCA Manual D Design calculations have been completed, — - Duct Design is on the plans and duct installation matches plans. ❑ Yv,x/% ❑ Nc, TXV i's installed or Fan flow has been verified. If no TXV, verified fan (low matches design from CF. IR. Measured Fan Flow = Yes for both I and 2 ►s a PassEDC]Pass Fal. :ix '''��r''�'ncd• s'crtfy that the above diagnostic test results and the work I performed associated with thr test ?: 'vIA: t!:c rq iirrments for cornplionce credit. (The builder shall provide the HERS provider a copy ol•the t;' I.6R employees or sub-conrractors certifying that diagnostic testing and inslallauon meet the rryutremena ic:: .�'i ;!�ti:t ' Siknature, Datc . li_i'ding Drpanmrnl I•IFRS Proviget (il applicable) Domer at. Occupancy Installing Subconrractor (Co. !lame) OR General Conrractor (Co, Nome) JUL e4I •103 1 q : 00 I -N TO 9-5644202 , • . REPGRV:'OP 'FIELD .:`C0MPACTIO.N;tiT: {}OIJf�•%tEPerK NO,: -, Q % L �{ CLrENT_ •• c ..,®/�J PROJECT: sl_ P.02i02 I�XUCLEAR CADGE INFORMATION ANO DAILY STANDARD CALIBRATION NUMBERS VAA%ATION. PEF<: NT,•!• GAUGE AOJUSTMEX? -A VARIATION FROM S CALIBRATION ., . COUNTS FROM SHEETS LAST USE MOISTURE CONTENT, WET/DSY DENSITY, PCP PERCENT COMPACTION :.&CE TYP xLE AMPBELL I mOISTURS., 'MOIs7UAE: mOISTuRE: MOISTURE: ..µ ODEI NOOElvSIT'Y; I DENGRY: 06N SiTY: I DENS(fY; ' V!SUAL CLASSIFICATION QF SOIL I MAX- DRY DENSITY, PCF OPTIMUM MOISTURE. 4e ri,.-J - COMPAr'rI0NI MOIST URE REQUIR=MENTS. % �J,J REQUIREMENTS, GENERAL LOCATION: TEST NO READING QUOTIENT/ PCF SCIL ID N0. TEST OEPT», IN =LEVATION OF TEST MOISTURE CONTENT, WET/DSY DENSITY, PCP PERCENT COMPACTION COMMENTS 6 - OTHER M- EUMMENTS:�l1th�1L. - %+T ER:AI. T RESULTS CO -PLY wrrH sPLSIFi -non5: A zFll1 MPACTION Phi C>:ilYAGE DOES NOT CDMA Y VYt7'H SPE{fF1CAllONS J BASE COUF-_F C - PLET'FST OF PREVIQU$ TEST • t - SUSBAS5 0 - MOkIrinr LN nCCESS OF SP£CIFICATION5 S - SOIL CETd£KT E- MOL7RUAE BELOW SPl!CIf1GAT)OHS 6 - OTHER ** TOTAL PAGE.02 r_ Certificate of Occupancy U ry ��IVII'IN� G OF'L'19� Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 51-805 AVENIDA JUAREZ Use classification: SFD - Building Permit No.: 0307-069 Occupancy Group: R-3 U-1 Type of Construction: VN Land Use Zone: RC Owner of Building: CORONEL ENTERPRISES Address: P.O. BOX 389 City, ST, ZIP:'LA QUINYA CA 92253 By: KIRK KIRKLAND Date: 1-30-2004 Building Official POST IN A CONSPICUOUS PLACE