0207-089 (SFD).,� CITYPFLA QUINTA
U, AFETY DEPARTMENT
X77-7072
ECT16N REQUEST UNE
`..._ .'F v ..777-7153
Owner �
Contractor C�01ML CONSTRUCTION
Permit Number (207-089
POST 0JOi3 IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 73-270 AVIS A NUESTRA,
SFD-PERMIT ])OEs NOT INCLUDE POOH,
OR DLOCK WALL OR DRYyE`DVAY
APPROACH,
TYPE OF INSPECTIoN
" TPORARY POWER OATS
rMINSp
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING'
FOOTINGS / STEEL
CONCRETE S-
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC y ��
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
Q •J
COVER NO WORK UNTIE ABOVE SIGNED
INTERIOR GYP. BD, DRYWA_L
EA I tHIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEFTOR y
• t
MASONRY INSPECTIONS
FOOTINGS /STEEL '
BOND BEAM
POOL / SPA / WATgR FEATURE INSPECTIONS
PRE-GUNITE /SETBACKS
U/G'PLUMBlNG
wn ac
-RS
5
ABOVE APPROVALS DC�
TURN Ofd''UTIO-Wim. NOT INCLUDE RIGHT Tp
�p OCCUPY BUILDING -moi
d R88'ON wbsl: << zooa 'z11080
�1 n't >� iLo T tAs
C7ET5� �FDf T -�d it
Building
Address _
Mailing
Address
City \ Zip
Contractor t
&URz�ln?tA A-,DDe�' s
T&f "
P.O. BOX 1504
1 ` 78-495 CALLE TAMPICO
v/c. 1�/ V e(' ,!G LA OUINTA, CALIFORNIA 92253
D 1
CityZip Tel.
C.v. ,�� t a -a S
State Lic. „ City
& Classif. 6-3y c� Lic. q
Designer
Address Tel.
City( I—Zip ( State I
�Lic. N
affirm that I am lice ed d provisions of Chapter 9 (comlpenci wil
iv�3 of the Bu gess rolessions Code,_ and my license is It full
OWNER -BUILDER DECLARATION
I hereby of rm tha am exempt from the Contractor's License Law for the following
reason: (Sec. 31. siness and Professions Code: Any city or county which requires a
permit to constr , after, improve, demolish, or repair any structure, prior to *Its issuance also
requires the applicant for such permft 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 live hundred dollars ($500).
I 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
of 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;
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 contractor(s) licensed pursuant to the Contractor's License Law.)
I'! I am exempt under Sec. B. 8 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
(l Copy is filed with the city. ❑ 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 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.
Date Owner
NOTICE TO APPLICANT: It, alter 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. r
CONSTRUCTION LENDING AGENCY
Ihereby 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.
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
APPLICATION ONLY
ILDING: TYPE'CONST. OCC. GRP.
t. NumberTT'1-N. 6 -0 \ 1
)al Description \e111. 1 td��� • S f
Iject ascription S .,;;F
V
Sq. Ft.
Size
New
No. \ No. Dw. 1
Stories Units
Add ❑ Alter 0 Repair ❑ Demolition ❑
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S. M. 1.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Kecoroing rcc;yur-n�=u -�
CHICAGO TITLE COMPAtlf*
RECORDING REQUESTED BY:
CHICAGO TITLE COMPANY
AND WN_EN�-----ORDED MAIL TO:
CORONEL ENTERPRISES, INC.
P.O. BOX 389
LA QUINTA, CA 92253
ESCROW NO. 0152964 -KC
DOC N ZOOM -207928
04/22/2002 08:00A Fee:10.00
Page 1 of 2 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Gary L. Orso
Assessor, County Clerk 8 Recorder
I
111111111111111111111111111111111111111111111111111111
M S U PAGE SIZE DA PCOR NOCOR SMF MISC.
7 A R L COPY LONG REFUND NCHG EXAM
TITLE ORDER NO. 017055623
INDIVIDUAL GRANT DEED APN #773-214-001-1
THE UNDERSIGNED GRANTOR(S) DECLARE(s) Oa0 — D i7
DOCUMENTARY TRANSFER TAX is $30.80
[XI computed on full value of property conveyed, or .
[ I computed on full value less value of liens or encumbrances remaining at time of sale.
[ I Unincorporated area [X I City of -LA QUINTA, AND FT
f
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
BRETT ANTHONY NELSON and RAQUEL B. NELSON, Husband and Wife as Joint Tenants
hereby GRANT(s) to:
CORONEL ENTERPRISES, INC., a California Corporation
the real property in the city of LA QUINTA; County of RIVERSIDE, State of California, described as:
Lot 22, Block 2, Unit No. 1, Santa Carmelita at Vale La Quinta as shown by Map on file in Book 18 Page
46 of Maps in the office of the County Recorder of RIVERSIDE County, California.
commonly known as: APN 773-21.4-001 -(Alvarado), LA QUINTA, CA 92253
DATED February 20, 2001
STATE OF CALIFORNIA ,_//
COUNTY OF %�%✓.0/'5,Id-e
On F -Io r t; GLS' lel 2 Co y= .ZOO I _
before me, VL► i 014--t7f 2 0 - PLA 0 S --
a Notary Public in and for said State, personally appeared
S r e 4i i¢h�Lh o r u IV e l5 d CL f
keayel S. A/koken
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s) jOare
subscribed to the within instrument and acknowledged to me that
l6/sKe/they executed the same in .4rs/,Wr/their authorized
capacity(ies), and that by �j4,4&rltheir 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
Nzo� X2 $ 0
BRETT ANTHONY KELSON
QUEL B. N SON
(This area for official notarial seal)
Mail tax statements to: CORONEL ENTERPRISES INC. P.O. BOX 389 LA QUINTA, CA 92253
l! � f 1✓
�Z,Y „�kTJ ! r.,:e�JJIN I.A7�k..�
(This area for official notarial seal)
Mail tax statements to: CORONEL ENTERPRISES INC. P.O. BOX 389 LA QUINTA, CA 92253
-- vv - - - - UP. 03
INSTALLATION CERTIFICATE CF -6R
11fuc.51r4l G_
SiteAddress Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
__DUCT LEAKAGE REDUCTION _
Pressurization Test Results (CFM C� 25 PA) n
Test Leakage (CFM) _ 4 /
Fan Flow
If Fan Flow is Calculated as 400 cWton x number of tons-, or as 21.7 x Heating Capacity
in Thousands of Btuft, enter calculated value here
If fan flow is measured, enter measured value here
Leakage Fraction m `fest Leakage/(Measured or Calculated Fan Flow)
Pass if leakage fraction:5 0.06 C
_Pass Fail
❑ For AFROSOL TYPE SEALANTS ONLY The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ No ❑ Visual Inspection of Duct Connections �/❑ ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
eYcs ❑ No Thermostatic Expansion Valve (or Commission approved '
equivalent) is installed and Access is provided for inspection ❑
Yes is a pass Pass Fail
❑ DUCT DESIGN
l ❑ Yes ❑ No ACCA Manual D Design calculations have been completed,
Duct Design is on the plans and duct installation matches
plans. /j 1IX
Z• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow =
Yes for both 1 and 2 is a Pass Pass Fall
. I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in
conformance with the requirements for compliance credit.'(The builder shall provide the HERS provider a copy of the CF -6R
signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for
compliance credit.)
Tests Signature, Date Installing Subcontractor (Co. Name) -OR
Performed General Contractor (Co. Name)
COPY TO: Building Department .
HERS Provider (if applicable)
Building Owner ac Occupancy
in,
DISTRICT -PLANNING REVIEW .FORM
This form is to be used by CDD staff for review of single family'dwellings in the RC (Cove
Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine:
1) that the proposed house design does not duplicate the same architectural style of any
house within"200 feet of the applicant, and/or 2) if there is a need for the applicant to file for
Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please
transmitted this information to the Building and Safety Department as part of your correction
list. Please attach additional explanations as necessary.
APPLICANT Coronel Ent.
i
SITE ADDRESS 7- 8�?'?0=1Vue_stra
APN 770 _ 163 - 012
LEGAL: LOT
13
CASE NO.: 2002-682
BLOCK 5 UNIT 2 S.C.@V.L.Q.
CHECK AND APPROVED BY: Martin Magana 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.
REQUIRED ITEM Y N COMMENT/CORRECTION
Verify legal and APN information
Consistent with MDG on file (as
applicable
MDG filing required (5 filings since
9/3/98)
Architectural variety within 200 feet of
the surrounding area:
Colors
Materials AclJovedd e o
ty
O PI nnin Commission
O CiCouncil
Architectural design features C mmunit Dev. Dept.
1AA PTA
rQZ
Casc No. ------
Other Requirements:. Exhi l
Q . W th Conditions .- -- —�
Certificate of Occupancy
City of La Quinta
Building and Safety Department
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: 78-270 AVENIDA NUESTRA
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0207-089
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CORONEL ENTERPRISES Address: 78-150 CALLE TAMPICO, STE. 150
Building Official
City: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: DECEMBER 12. 2002
POST IN A CONSPICUOUS PLACE