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9801-150 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000),gf Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date i �`349R 1 1/31/00 _ !Date ` 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 Comp). ( ) 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. X) I have and will maintain workers' compensation insurance, as required by Sec ion 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: Cartier Policy No. (JOLMN EAt".INS. NWC421i iXi (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 shallnot 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: ,:._ _ — Oate: 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 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. . 77 Signalure (Owner/Agent) Date BUILDINGPERMIT PERMIT# CONTROL# DATE VALUATION LOT 98(11-1:5p TRACT UNTr 20 JOB SITE APN ADDRESS 33-425 AWNIDA NAVARRO 774-094.020 OWNER CONTRACTOR/DESIGNER/ENGINEER ESEQUIEL CORONEL CORONEL CONSTRUCTION P.0, BOX 389 P.O. BOX 380, LA QUR4TA CA 92253 LA QUINITA CA 92.253 (760)5&1-4604 CBLf: 2261 I ICF OF DFpneIT 11, 1 e i til SFD - PF.RI+'ilT 1 C)GS'NOT INCLUDE BLOCK W. IIS ORStPCX)L � '11712ACT CONSTRUC FION 1,4'31.00 SF MAR 111998 PORCWPAT.10 .36.00 SF GARAGE/CARPORT 514.{x0 S1< 6 FT. WOOD FENCE 2200.00 LF C1 ! LA .QUJl l41 :o �L t ESTUNIAl'ED COST O1+ CONSTRUCTION 89,413.50 PERMIT FEE 81—INiMNRY INSTRUCTION F fsli 101-000-4.18-000 $..59.1.50 I"LAN Ckl3 r`1i F►yts i1J1 fN )•�I::�tl.319 $5+(12."0 WCHANiCAL FEE 101-Ut3(i-121-U,ril $53.50 E1XC .R1C AL FF.E 101-000-4211-00(0 S123.32 PLUNf3 0 FEE 101-000-419-000 5133.50 iMRONO NICY ION FEE - .RES1D 101-000-241.000 $8.94 GRAD fNG FOP, 101-000-423-000 520.00 1N1V 1tA8TR0CI'1JRE F l;E 225•-040413-m2 $1,962.78 PRE SE PIAN 101 -000 -MI -345 $25,00 EEE .DEPOSIT 4250.00 SUB -TOTAL CONSMUC 1ON AND IRLAN CHECK $3,424.44 LESS PRE-PALD FEES -19250,00 TOTAL PERMIT FEES DUE NOW $3,174.44 A116. RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE I INSPECTOR OPERATION DATE INSPECTOR ' BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing 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 POOLS - SPAS BLOCKWALL APPROV LS 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 LateralOf Pool Cover Sewer Connection 1117 fEncapsulation Gas Piping Gas Test / Appliances Final COMMENTS: 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.1. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) . • .. - . %u�l'I,I tit/ . _ -,%�Dt •. - . P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address To� Q i%Q r- tr U LA QUINTA, CALIFORNIA 92253 Owner -Z:�s <!� / e, ox Oki Mailing e BUILDING: TYPE CONST. OCC. GRP. Address IP6_,5 7 J` A.P. Number 77 / "- OW— O ZO City / Z � ,) Zip Tel. / O f 9 ,L/ cr (-)/V,(-)/V,f- ZO (,I' -l��j ;kS3 Legal Description G ,� �1 ' Contractors Project Description ' C pkv c� e � !��✓ S Address City Zip Tel State Lic. City & Classif. 3 y��� Lic. # z Z Sq. Ft. jj No. NO. DW. Size /Z f Stories ✓ Units Arch., Engr., Designer — New Add O Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division`3 of the Business and Professions Code, and my licens is In full force and / •-f effect. _ r��_�. 77/ SIGNATURE �&2r a 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 0! 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 ($500). f7 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' 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 contractors) licensed pursuant to the Contractor's License Law.) 1-7 1 am exempt under Sec. B. & 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 17 Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip BUILDING DIVISION 9 >timated Valuation! PERMIT ' r AMOUNT Plan Chk. Dep. Distances: Plan Chk.. Bal. Front Setback from Center Line Const. Rear Setback from Rear Prop. Line Mech. Side Street Setback -from Center Line Electrical Plumbing S.M.I. INSPECTOR Grading Date Permit Driveway Enc. Infrastructure Validation: TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback -from Center Line Side Setback frcm Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE �t ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SO. FT. (ry POR. SO. FT. @ GAR. SO. FT. @ CAR P. I SO. FT. WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS 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.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SQ. FT. .@ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac 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 R 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./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x8 =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Notice: Document Cannot Be Duplicated Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/11/98 APN # 774-094-020 No. 16711 Jurisdiction La Quinta: Owner NameEsequiel Coronel Permit # No. 53-425 Street Avenida Navarro.. Log # 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 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 _A This certifies that school facility fees imposed pursuant to Government Code 53080 in >the E � ount of i 'v 1.93 X 1,421 or $ 2,742.53 the property listed above and that buildingf{ permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued°° Fees Paid By CCNalley Independent Bank Telephone 564-4604,. Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Rosita Jones Signature Payment Received $2,742.53 Check No. 158201 INOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting " t 02/06/98 FRI 09:34 FAX 16195689610 PACIFIC COAST Pacific Cast ESCROW CoapoRa,t(®n 74-920 HIGHWAY t 11 INDIAN WELLS, CA. 92210 ESCROW INSTRUCTIONS TELEPHONE (819) 668.0344 Cindy Burgin 2006 Escrow Officer Escrow No. 17510 Date: February 02, 1,998 This escrow company holds Department of. 963-0473. Corporations FSSaroW License No. CASH THROUGH ESCROW....... TOTAL CONSIDERATION.... •••••• •$ 16,500.00 .........$ 16,500.00 Buyer shall deliver to you any instruments and/or funds required from Buyer to enable you to comply with these instructions, all of which you are authorized to 99e and•(or d on or before 03104/98, and when you are in.a eliver o:Liey el position to obtain a standard P Title Insurance through CHICAGO TITLE INSURANCE COMPANYof , provided thatsaid PolicOlioy has a liability of at least the amount of the above total consideration, covering the following described property in the City of La Quints, LOT 9 County of Riverside, State of Californiat IN BLOCK 214,OF SANTA CARMELITA AT VALE.LA QUINTA, UNIT NO. 20 AS SHOWN BY MAP ON FILE IN BOOK 19 PAGES 38 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA PROPERTY ADDRESS.iLQTe9_, APN,*774-494-02O,La Quinta,CA:9'2'25'3 SHOWING TITLE VESTED IN: Esequiel M. Coronel, a married man as his solei and eeiparate 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, condLtions, restrictions, reservations, easements; rights of way, of record, if anyl also exception or reservations of oil,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&R19, '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 said property in regards to geological., flood hazard,seismic hazard and any special studies zones. Buyer has satisfied himself as to making any further inquiries art 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 act, and local geological ordinance(s). 5). Buyer and Seller acknowledge that state laws prohibit this escrow frim cloj9ing (recordation of Deed) until buyer's funds, including new loan proceeds, nave bimn collected, as defined by law. The undersigned Buyer (Borrower) 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 soller by their respective lenders while Pacific Coast Escrow Corporation determines that: all funds required to close have been legally collected. It is recommended that Bu?er have all funds wire transferred to close escrow without delay or additional interest expense. 6). SPECIAL CLOSING INSTRUCTIONS AND RELEASE FROM BLANKET ENCUMBRANCES This evcrow 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(s). Certificate Occupancy*,.- City, of La-Quinta Building and Safety Department*.OF This Certificate issued pursuant to the requirements of Section 109, of the Uniform Building Code, certifying, that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating.building construction or use. " For'the following: BUILDING ADDRESS: 53-425 AVENIDA NAVARRO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9801-150 Occupancy Group: R-3 -Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL CORONEL Address: PO BOX 389 -- City: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD JR. Date: 6/15/98 Building Official POST IN A CONSPICUOUS PLACE