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6564 (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 Pr!,)fessionals Code, and my License is in:full force and effect. License # Lic. Class Exp. Date 634981 I,13 ji0D '. .Dated` Signature of Contractor :OWNER -BUILDER DECLARATION I hereby affirm under, penalty of perjury that I am exempt,from the Contractors 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 isnot, 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 Policy No. C -OLDEN EAGLE WS, 'WAR?4218920 (This section need not be completed if the permit valuation is for $100.00 or less): O 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 with those provisions....— Date l •. it Y Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall•subject an employer to criminal penalties and civil fines up to $100,000, in -addition to the cost of compensation, damages as provided for .in Section 37015 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a. permit subject to the conditions and restrictions set forth on his application. ! 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold. harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not. commenced within 180 days from date of. issuance of such .permit, or cessation of work for 180 days will subject: permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. kSignature (Owner/Agent)"`--°�""�'°"" Date PERMIT# Y. BUILDING PERMIT CONTROL# 6564 DATE VALUATION LOT TRACT ' SS9 :1.J» 10 .. F3214 i.7j+ IT 21u JOB SITE' } "� APN ADDRESS 53,445-AArENiDANAVAitRO J. 774-1194-021 OWNER CONTRACTOR/DESIGNER/ENGINEER ESEQUI L CORONEL CORONEL CONSTRUCnON P.O, BOX 399 P.O. BOX 389 LA QL UNTA CA 921253 LA QUINTA CA. 92253 (;Fx? 5t 1.: toO4 C'BLi; 226.1 USE OF rEnMIT SC 13 " A y SFD - ALAM, T :DOES NOT i?aC1.Lii F• RLOCK W J18 cyR PC,XDL. 79A N[.lily' CRECK REDUCTION APDL TED FOR WLTIPLE S1013N41TTAL PAILJ TRACT CON S7•'ttW(1014 1,421,00 SF PORCR AT1C) '36.00 SF ^} LAQUI TX (SARA MARPC�RT 514.00 3F VI GFT. WOOD MT CE 201:00 LT' 4 t+:�i'11Nt1.t►'ft�D t�'i7i�'.f' illi' C`LCfai4a 1't$i-it."$'lt)1�' ?19,11 4 5U . "' PERMIT FEE SiiA NURY CC)N3TItC1GT•1t3'j7FEts 101-000-41.8-000 $594.50 .PL.W CHECK FEE 101-000-439-318 $502.1110 C HANWAL LER 101-000-421-000 $53.50 _ .ELECTRICAL FEE 101-060-420-000 $123"52 PLUMBING FEE 101-000-419-000 $133-50 .313xONC 1410TION .F'FE - RE -SID 101-•000-241-000 GRADING FEE 101-000-423-000 $20,00 1NFRA,S`t,`RUC PURE FEE 22:-000-4.41-342 $1.962,78 PRECISE PIAN 10.1-000-441-345 $24.00 1,`Di1Posrr -$250.00 PLAN CF FQK Fn' f01-000-439-318 431117.03 ,f SU#S•`1"��i#"15._!.,(Y:(,�R"(�r:d1�.t,.f��"'.l�(UIo1.11:1dn �'1.11"� Ci1�Cf� . �3,4�'rd �i . . LESS PIMPAID FEES 461,7111113 TOTAL Pr('{�ERMITYEESt DUE NOW 5.2,797.41 RECEIPT DATE BY I DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck IV.Exhaust Fans O.K to Wrap F.A.U. Framing aL 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 70 Final Final 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 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 Y 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) COMMENTS: r, P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address ? //Q f ro LA QUINTA, CALIFORNIA 92253 Owner / -7 BUILDING: TYPE CONST. OCC. G/ RP. A.P. Number Te. // 3 .l. 7�6 Lega1.Description LG f- /Ui Project Description Mailing Address �0 3 City Zip Contractor+ /� Address City Zip Tel State Lic. City & Classif. �'�Lic. # Arch., Engr., Designer Address �--� Tel. City I Zip I State �r Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirmathat.l am licensed under pTavisions of Chapter 9 (commencin ,with Section 7000) of Division 3 of the Business and PSpfessions Code, and my license is in full forcerand. effect.E C� 2 Z SIGNATUR� 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 rive hundred dollars ($500). 17 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 Professions 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 employees, provided that such 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 did not build or improve for the purpose of sale.) I 1 1, as owner of the property, am exclusively contracting with licensed 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.) 17 1 am exempt under Sec. B. R P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company D 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 thg 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 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 when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 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, State, Zip BUILDING DIVISION TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback frcin Center Line Sq. Ft. 412 Size 7 No. Stories No. Dw. Units. ! New a, -Add ❑ Alter ❑ Repair ❑ Demolition ❑ F FINAL DATE � Issued by: Date Permit Y' Validation: .IAN 2 6 1998 Estimated Valuation PERMIT, o. C TY OF LA QUI TA AMOUNT Plan Chk. Dep. 7,— Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback frcin Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback fron Property Line FINAL DATE IMSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. S0. FT. @ $UNITS 2ND FL. SO. FT. @ POR. SO. FT. @ GAR, SO. FT. @ CAR P. SO. FT. WALL SO. FT. SO. FT. @ ESTIMATED CONSTRUCTION VALUATION 8 MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SO. FT. Q c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11A c SEWAGE DISPOSAL SO.FT.GAR ® 3l.c HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING d AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL GARDEN WALL FINAL OR'S blUNAIUNES/INITIALS Desert Sands Unified School District Notice: 82-879 Highway 1.11 92201- ` Document Cannot Be Duplicated K 619-77Indio, C5-3500 AA CERTIFICATE OF COMPLIANCE Date 3/11/98 APN # 774-094-021 No. 16712 Jurisdiction La Quinta Owner NameEsequiel Coronel Permit # No. 53-445 Street Avenida Navarro L.)g # city La Quinta zip 92253 Study Area Tract # Lot # Square Footage 1421 - Type of Development Single Family Residence No.. of Units 1 Comments At the present time, the Desert Sands Unified School District does not collect fees on garEges/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 tie'amOu' n+6f f y� J 1.93 X 1,421 or $ 2,742.53 the property listed above and'that'building : }- F permits and/or Certificates of Occupancy for this. square footage in this proposed project may rioi�6_rbe Issued t {' Fees Paid By CCNalley Independent Bank Telephone '564-4604 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Rosita Jones ,Payment Received $2,742.53 Check No: 158201 Signatur NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may prolestthe fees or other payment idenl�ed above will begin to run from the dale on which the building or installation permit for this project is sssued or on which they are paid to the Dislrict(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or.city plan check application form to district copy for all wai%ers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 02/06/98 FRI 09:3.5 FAX 16195689610 PACIFIC COAST X007 PaCMC Coast ESCROW CORPwati®n 74.920 HIGHWAY 111 INDIAN WELLS, CA. 92210 ESCROW INSTRUCTIONS TELEPHONE (619) 698-0344 Cindy Burgin Escrow Officer Escrow No. 1751I . Date: February 02, 1998 This e9cr6w company holds Department 963-04173. of Corporations Escrow License No. CASH THROUGH ESCROW...... TOTAL CONSIDERATION, ..............•.• •.••• .•. •••.•.••• .•......5 16,500.00 .. .........$ 16,500.00 Buyer shall deliver to you any instruments and/or funds required from 3uyer to enable you to comply with these instructions, all of which you are authorized to .lse and/or deliver on or before 03/04/98, and when you are in a position to obtain a standard Policy of Title Insurance through CHICAGO TITLE INSURANCE COMPANY, provided that said policy has a liability of at least the amount of the above total consideration, covering the following described property in the City of La 8uinta, County of Riverside, State of California: LOT 10 IN BLOCK 214 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 20 AS ON FILE IN BOOK 19 PAGES 38 OF MAPS, RESHOWN BY MAP CORDS OF RIVERSIDE COUNTY, CALIFORNIl1 PRO_PERTYiADDRESS -47-09-4 -2 y, -a Quints CA 922's311 SHOWING TITLE VESTED IN: Esequiel M. Coronel, a ;narried man as his sole and separate property FREE FROM ENCUMBRANCES EXCEPT: General and Special Taxes for current fiscal year, including any special levies, payments for which are included therein and collected therewith. Covenants, conditions, - restrictions, reservations, easements, rights of way, of record, if any; also exception or reservations of cil,gas or mineral rights, if any. 1). Buyer herein will pay All Cash for subject property and shall deposit into escrow prior to the close of escrow, the balance of total purchase price plus buyer's portion of escrow and recording fees as required in the form of a Cashier's Check or Wire. Transfer. 2). The parties herein agree that the closing of this escrow is:subject to the Buyer's approval of Preliminary Title Report., CC&R's, if applicable within 3 daps of receipt of same. Buyer's failure to notify Escrow Holder of any disapproval, in writing, within specified time limit, is deemed to be Buyer's approval of same and this contingency eliminated. 3). Covenants, conditions, reservations (including exception of oil, gas, minerals,, hydrocarbons, and/or lease without right of surface entry), restrictions, rights of -way, and easements for public utilities, districts, water companies, alleys, and streets. '. 4). Buyer is aware and acknowledges and accepts and holds Seller harmless for isaid property in regards to geological, flood hazard, seismic hazard and any special studies zones. Buyer has.satisfied himself as to making any further inquiries at appropriate government agencies, lenders, insurance agents, or other appropriate entities concerning use of the Property under local building, zoning, fire health and safety codes as may be applicable under the Special Studies zone act, seismic Hazards mapping azt, ani local geological ordinance(s). 5). Buyer and Seller acknowledge that state laws prohibit this eocrow from closing (recordation of Deed) until buyer's funds, including new loan proceeds, have began collected, as defined by law. The undersigned Bayer (Borzower) understands that: it is their responsibility to determined from lender of their choice what type of funding instrument will be used. Also per diem interest will be charged to buyer- and seller by their.respective lenders while Pacific Coast Escrow Corporation determines that: all funds required to close have been legally collected. It is recommended that Buyer have all funds wire transferred to close escrow without delay or additional interest expense. 6). SPECIAL CLOSING INSTRUCTIONS AND RELEASE FROM BLANKET ENCUMBRANCE: 'this eE:crow shall not close and funds shall not be released from impound until title to the lot has been conveyed to ,the purchaser free and clear of any blanket encumbrance(.e).