9810-048 (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 ;rr'
6�4981 13 ;/ /. / IJ317
ry ,
Date .45"'C2 Signature of Contractor , �" J
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`
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and jhe structure isnot intended or offered for
sale (Sec. 7044, Business & Professionals Code). ', - I
( ) I, as owner of the property, am exclusively contracting' with licensed
contractors to construct the project (Sec. 7044, Business &.Professionals.
Code). ^ '
O I am exempt under Section B&P.C. for this reason V
Date Signature of Owner "
WORKER'S COMPENSATION DECLARATION
I he 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 Policy No.yy{tq
�fF.IFs1.�C:�J1. hif�ii�.,{fa N.J. ,41�V�4..�ibb'a ;+'.k•.+YJ,�
(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 oSection 3700 of the Labor
Code, I shall forthwith comply withttho�e provi/Ions:
Date:,!? -9;-6,'<,- Applicant' • I.
Warning: Failure to secure Worke sl,Compensatlo cn ovverage'is unlawful -;arid .
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.
_,Signature (Owner/Ag t)r + F� 4 i_A �' Dat%/
V/ c:—rte :,
j BUILDING PERMIT PERMIT#
DATE {.11>@IS
3 VALUATION LOT TRACT
` S 103,(tl4.00 21 33LK 276 tU ti
JOB SITE
�� r�
ADDRESS 30 A-VENIDA,s'U. REZ
APN
774.2645-004
OWNER
CONTRACTOR / DESIGNER / ENGINEER
ESEQU E1.00R.OINFL
CORO'NIPL, CCS;`• TMZ..IJCTION
51-540 EISENHOWER M
51-54() EISE HOWEK Qf,.
LA QUI N I A CA 92253
LA QU iNTA, CA 92253
(760)M4-4604 "f l " 2261
USE OF PERMIT
9FN LY: �A 1LY UW"h.1J.r14G
!vM -1'F.:�t , T DOES NOT .l{vt:l.13T.11GBLOCK WALL3 OR POOL
TRACT C Oiv,a`t`RIJMON 5;i
PO€tC IVPAI 10
faAi�A,f;.t/C;Aii.Pt:+it1' ,�s9•.tE! 'i�
NCE �9fi. X►1 F
i
RVI M.MM CUST OF CONSTRUCTION
103,6041H)
_ Pp1r1F%Jill:
t�7?R°!.�t';t+q��i'���I�'LARY t tom. (; 2i 1� �'N� fie.
ti`i�'eY'it' U ION J>'_'.� 1.01-0i)F -44G,VW ' .Su 3150
P}•��N r;��Cr�. ��± gyp�3L+^/OyQ�i/�l-4�4r313i
• 1Y/•6:�.1/A3�1-1CAL FEL? .i VJ�,'\1l!'i!`k�Jr 1.' 110
# taL'Tf��C.�llr 1<Iu 1Qr^000<4i)-t30i3 S13$.37
"PM )Ik 11NOIF-01 101- 000-0419-000 5133.50
874ClTvC1,VFCY1`€01.1 PFE-T2Fs.810 1101-t3 i;741 -0M $.tt►.;t3
C,t7.Ai"J;NG rM I OJAti0.423-000 =110.60
F RA S°ITtt[3t:`i URE F 225-0300-44�-3 8'2 - $2.259.62
€ RCMISE:PLA3>t. �(1�•-€ifA7-44Z-3d,�► 525.�i)
NRY IN 1''UR IC P .ACES - iRTSM, V1 -4()i► -25i -Am $9.M
4 to&POsm, ,rzo. ►
STWYf^a AL C4aVFrR IG 1" ON .AN(:f? PLAI'(T�Cy:t tF,'OptTK
$?q;R599'M
C
ESS
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
74-
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
5•
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
BLOCKWALL APPROVALS
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Bea
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
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)
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) 357
COMMENTS:
tol- 9 �
Building
Address f5r/P30
Q14
P.O..BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing
Address
P,
3 F� s_
City Z , ip
BUILDING: TYPE'CONST
A.P. Number -7 7 L-1
JProject Description
-0#
_T F 3N
Address r. -. r -
Zip
Tel.
b
State Lic.
C2
& Classif.
Lic 111,
C�Q
Sq. Ft.
No. No. Dw.
---
Size
Stories Units
Arch., Engr.,
Designer
New Add 0
Alter 0 Repair 0 Demolition 0
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I a licensed'under provisions of Chapter 9 (commencing with Section
000) of b and Professions Code, and my license Is In full force and
7 Ivislon 3 of the Business Ch
effect. F
SIGNATURE DATE
ot
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contrac toes License Law for the following
•
reason: (Sec. 7031.5.Susiness and Professions Code: Any City of County which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior tolls Issuance also
requires the applicant for such permit to role a signed statement that he Is licensed pursuant to PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (comm6ncing 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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
Plan Chk. Bal.
a owner of the property, or my employees with wages as their sole compensation, will
C, 1, as
do the work, and the structure is not intended or offered for sale. (See. 7044. Buisness and
Const.
Li
Professions Code: The Contractor's cense 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, Mech.
provided that such improvements are not Intended or offered for sale. ff, however, the building
or improvement is sold within one year of completion, the owner -Wilder will have the burden Electrical
of proving that he did not build of Improve for the purpose of sale.)
VI 1, as owner of the property, am exclusively contracting with licensed contractors to con, Plumbing
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License. Law
does not apply to. an owner of probeAy who
such projects with a contractor(s) licensetl pursuant 6
171 am exempt under Sec.. B. 8 P__
Date Owner APF�`J
WORKERS' =
COMP,EN$A
certificate
I hereby affirm that I have8 To
Worker's Compensation Insurance, or a certlflqWd
Policy No. Company I
n Copy Is filed with the city. 0 Certified
IL
CERTIFICATE OF EX
WORKERS' COM PENS)
(This section need not be completed H the pe
or #a ss.)
I Ce rtiiy that'in the performance of thp wo"
employ any person in any IT nner so as to bec A. -r
Laws of California. IL
Date jjj
NOTICE TO APPLICANT. ff. after making this i
BY:
subject to the Workers' Compensation provlslcr e
comply with such provisions or this permit shall be
a
istances:
Front Setback from Center Lin
Rear Setback from Rear Prop. Line
CONSTRUCTION LE �
Side Street Setback from Center Line
I hereby affirm that there is a construction I
work for which this permit is issued. (Sec. 3097, 1
Side Setback from Property Line
Lender's Name
Lender's Address
. This is a building permit when property filled out, signed and validated. and Is subject to FINAL DATE
-INSPECTOR
expiration It work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above Information Is correct. Issued by:
DatePermitI
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 tot inspection purposes. Validated by:
Signature of a0plicant —Date — --------
Mailing Address Validation:
City, State, Zip
WHITE c: FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
� r
Notice:
Document Cannot Be Duplicated
Date 12/2/98
No. 18061
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
APN # 774-266-004
Jurisdiction La Quinta
Owner NameEsequiel Coronel
No. 54-830 Street Avenida Juarez
City La Quinta zip 92253
Tract # Lot # Square Footage
Permit #
Log #
Study Area
1647
Type of Development Single Family Residence No. of Units
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 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
1.93 X 1,647 or $ 3,178.71 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 Cashier's CheckNIB - Esequiel Coronel
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Ellen Patino
Signature
Payment Received
Teleptione
n
$3;178:71'
Check No. 177094
IOTICE: 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
SALE ESCROW INSTRUCTIONS
THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS - READ IT CAREFULLY!
TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 98.7855KC
72855 Fred Waring Dr. Date: 08/06/98
Suite A5 Page: 1
Palm Desert, CA 92260
(760) 836-3726
Escrow Officer: Kelly Collier
THE 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 .......... $ 17,900.00
TOTAL CONSIDERATION $ 17,900.0C
i
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 September 21; .1998, and when CHICAGO TITLE
COMPANY can issue a Standard Policy of Title Insurance Owners form, with liability of
$17,900.00, on real property in City of LA QUINTA, County.of Riverside, State of CALIFORNIA viz:
Commonly known as: APN 774-266-004-2, LA QUINTA, CALIFORNIA 92253
LOT 21—BLOCK 276, UNIT NO. 25, SANTA CARMELITA AT VALE LA QUINTA, AS
PER MAP RECORDED IN BOOK 19, PAGE 50-51 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:
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.
0
Seller
Buyer
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove
Residential) District, in order to determine the applicability of compatibility issues or 'need
to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to
Building & Safety as your correction list. Please attach additional explanations as necessary.
APPLICANT:
PROJECT
ADDRESS:
APN: ' bb
:a
LEGAL: LOT �_, .BLOCK_, UNIT 'S.C. @ V.L.Q.
CK'D BY:
BIN NO: CASE N0. 'fib CHECK DATE:
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.
or-ni i1Rr-11 ITEM Y I N COMMENT/CORRECTION
•tin'•\•n4ti:a;:.}}:S:{';:}y. .: .,}•: •:4Y:'v'
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Case logged and number assigned
Verify legal and APN information
Consistent with MDG on file (as applicable)
S ,�
MDG filing required (5+ filings since 9/3/98)
Consistency with street/surrounding area:
Colors
Materials
Architecturei�
OQ�
OTHER REQUIREMENTS:
PQQ
OP.
b` - 0M '
The zoning code, architectural and landscaping m0uhand/or assigned inspector should
be consulted where uncertainties arise. The comple,checklist shall be maintained in the
Building .& Safety address file.
T4ht 4 4 Q"
CITY 0j e A
�l �fE1I)-�i
Or✓ �� l 9 RfC`D
..
�Axyc ;V
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
October 19, 1998
Mr. Esequiel Coronel .
Coronel Construction
PO Box 389
La Quinta, California 92253
Subject: Assessor's Parcel Numbers 773-293-005 and 774-266-004
714
Dear Mr. Coronel: -9 10
The Community Development Department received building permit applications for two
houses in the Cove pursuant to Section 9.50.90 of the Zoning Ordinance. Our Department
is unable to approve the construction plans because these are the fifth and sixth houses.
in the Cove area proposed by your company since adoption and implementation of the RC
District development standards. These standards require, upon the fifth residence,
submission and approval of master design guidelines for your current and future houses
by the Planning Commission before any further building permits can be issued by the City.
Enclosed is a copy of the application requirements for your request. The filing fee for your
application is $250.00.
If you have any questions, please feel free to contact me at 760-777-7067.
Very truly yours,
JERRY H RMAN
COWIMUNITY DEVELOPMENT DIRECTOR
GAG WIJSDELL
Associbte Planner
Enc.
GT.
c: Community Development Director
Building and Safety Manager
C`Greg Butler—,BIS`Co inter Technician
LT Coronel(RC) - 27
t MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA.92253 a�J