9608-073 (SFD)F—
N_ U)
W
AOA ::) M
i C) T
W
Z
O�
H rn
JLJWIO
Z
co
LO
N
ON
U °)
a 2'Z
r F— O
X W L:
ED Q U
OUQ
11 rnF—
,I Z
cb Z)
r` C)
Q
J
3
•
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 n Exp. Date t
Date 7 JSignature 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. 70,44, 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 s erdc vl g,*rkers' compensation insurance carrier& p is no: are:
Carrier • Policy No. `1i�' '.`Ng�'"
(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' compensa on provisions of`Section 3700 of,th6 Labor
Code, I.stSall forthwith°comply with,those provisions.
Date: ' -!,`� rmApplicant f
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, indemnity
& 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 authdrize representatives o!,Ihisf ity to enter upon
the above-mentioned proprrtty. for inspection purpOSe`s. .
e� 1�`" 1=�.- f.f
Signature (Owner/Agent) Date f ,}
PERMIT# CONTROLk
BUILDING PERMIT �IbUli-E17�
�A
f,�� �y
DATE iN2-2i76 VALUATION -319.80 LOT TRACT �,8�
JOB SITE ��-u!+�+F1sV.:%Ii.�tA >HiIyH,`Si:{y . ,
APN
ADDRESS `r
,
t
OWNER
CONTRACTOR/DESIGNER/ENGINEER
f�RON P% CON MT.UC,' 101rs,
P.Ci,BOX 3I}9
7179%6. VENIDAt1ONhI`.FIM1A,#
LA QUIXT-A Ck. 92253
€,;A QUINTA, CA 92253
6195644604 C1 L11 2266
USE OF PERMIT
SN(3Lh CA.M1LYrYW'P1:.L1NGT
°;r))-!'� ctt11YT i�iC&.UL)1?3 O L>l c T rS' f�kiA,f? a1N1.) SXl1' �'I�iZD! 1 IVCD, A37I5tTIUI!iN BLOCKw,%j,A
,AN.3 t:1R po& ou o[3"t'.oKED-IFTARATfiLY,
1'itAf'�1' f.>f�PF�S"k'lbtl�,pt'if;�N 1,:�►.i�F !31�
iAt rRr::fdfl A'.I'160 AO S
Gi11 3:1� i G'1 1 a "f M5.00
6 F!', W000VfSNfu'Ir dfN),1Ff! U.,
081111. ATED COST OF CONSTRUCTION
PNrRMIT FI:1i;,'3LINI'MARV
rrON'3's`.R;lzt '1'i(,YN•,FEFF I DO l&i Q u �.c ►
PLAN t, Z, 1116 , .. 101-L' O. -439i-51$ e !6� 1•t :�
NII: C ANICAL VW. 101-0004214M . 3433.50
rn
f 1,t10I`42 C"r�l.< 1 EI l.(t]i:4 ±R,�S
Ne,?
Ci )
� p{yfl�"§y'�(� � r►F
TOWM_C+°3'4E71• VX RES.IU 101-000-141-000
c�
C�§2A01:�lia l?i !? 1,01-()W 4'23-000 $20,00
(
a.l CD
f! '?2 AS I �ili� t'F►1�1i,1 a •4�iN)-tt�13 �34? $1,R01.17
PRIXISE PLAN 10 t-OW44-3x18 $25.00
SUB -TO` IkL +r t: MS FRUC'T ION' AND PLAN "CHUCK
I,FS PRE-PAIDi FE
-$2SO.00
MAI., PEAkiIff MMS DUE NOW'
� �,93�.�i •::
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APP OVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
SteelCombustion
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 / 3
Drywall - Int. Lath /O
a 9
Final
Final
POOLS - SPAS
BLOCKWALL APPROVAO
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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 41
Pool Cover
Sewer Connection
Encapsulation
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.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
Building
Address
Owner
Mailing
Address
P.O. BOX 1504 APPLICATION ONLY
J�6 ,4w. L 1, s
E L PC)&) A -
L019--l'(1-1p Ia
Address
,-_-) • u.,,
w_ �6 1
Zip Z2,5 Tel.
WV ` ,7 �, �c�—t rli✓�
vt FXV tV� ZiP C,
Tel bmf ,Ilb64/
Lic State c.( ��� City
8 Claate Lf. Lic. #
Arch., Eng?:;
Designer
Address Tel.
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
CityI Zip I State I
Lic. #
I h6reby affirm thfit I am licensed under provisions of Chapter 9 (commencing _with Section
D60) ��f Division 3 of the Bj/siness and Professions C de, nd my licen3e is in ull force.arid
ffec
I 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 five hundred dollars ($500).
17 I, as oner 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 or 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 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.)
17 1 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
F] Copy is filed with the city. D 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
1 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.
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
BUILDING: TYPE
''CONST .. ,OCC. GRP.
J
A.P. Number t � "> — cA:=o/of 6—,l'
Legal Description `-t �� �F� •�y
Project Description
Sq. Ft. C._0 No. No. Dw.
Size �'/ Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
/ Driveway Enc.
11
Infrastructure
TOTAL
REMAF
AMOUNT
��O•oo
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 DA
INSPECTOR
Issued by: Date Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
UNDERGROUND
NO. PLUMBING FZES--
COLL. AREA
1ST FL. SO. FT. @ $
UNITS j
BONDIN3
HEATING (ROUGH)
STORAGETANK
2ND FL. SO. FT. @
SEWER OR SEPTIC TANK
ROUGH WIRING
YARD SPKLR SYSTEM
ROCK STORAGE
POR. SO. FT. @
MOBILEHOME SVC,
f
BAR SINK
OTHER APP.1EOUIP.
GAR. SO. FT. @
POWER OUTLET
!
ROOF DRAINS
CAR P. SO. FT. @
WATER HEATER
i
DRAINAGE PIPING
WALL SO. FT. @
WATER SYSTEM
DRINKING FOUNTAIN
=$
SO. FT. @
FINAL INSP.
URINAL
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
ROOFING
WATER PIPING
NOTE: Not to be used as property tax valuation
VENTILATION
FLOOR DRAIN
MECHANICAL FEESWATER
FIRE ZONE ROOFING
SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LATHING
LAUNDRYTRAY
MESH
AIR HANDLING UNIT CFM
KITCHEN SINK
INSULATION/SOUND
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC i
s
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM `
FINAL INSPECTION
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
GARDEN WALL FINAL
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11A c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
I
GAS PIPING
PERMIT FEE
iPERM1T FEE I
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIP, COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDIN3
HEATING (ROUGH)
STORAGETANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.1EOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
g plus xb
=$
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
Y
Date 8/22/96
No. 14812
Desert Sands Unified -School District
82-879 Highway 111
Indio; C -A 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Jurisdiction
Owner NameEsequiel Coronel
No. 51-095 Street Avenida Velasco
City La Quinta zip 92253 ,
APN # 773-064-015
La Quinta
Permit #
Log #
Study Area 113
Tract # 51 Lot # 4 Square Footage 1290
Type of Development Single Family Residence
Comments
No. of Units 1
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 inobilehomes.-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 1.84 X 1,290 or $2,373.60
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 Esequiel Coronel/Esequiel Coronel Telephone 564-4604
-i
Name'on the check
By Dr. Carol McGrew 't
Administrator in Charge
Fee collected /exempted by Julie O'Neil Payment Received $2,373.60
Check No. 16664
Signature
Collector: At ?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
OLD iIE�SLID.101iiLE CO.
RECORDING REQUESTED BY: ,
OLD REPUBLIC TITLE COMPACOMPANY
96.5920KC .93213-13
WHEN RECORDED MAIL THIS DEED AND,
UNLESS OTHERWISE'SHOWN BELOW,
MAIL TA% STATEMENTS TO:
ESEQUIEL M. CORONET:
51-540 EISENHOWER DRIVE
TA QUINTA, CALIFORNIA 92253
COPY of Document Recorded.
on X-!2.9&- as No. 3032 3 !
has not been compared with
original.
FRANK K. JOHNSON
County Recorder
RIVERSIDE COUNTY CALIFORNIA
SPACE ABOVk THIS LINE FOR RECORDER'S
GRANT DEED APN: 773-064-015-1 O
The•undersigned grantor(s).declare(s):, G ��
Documentary transfer tax is $11.00 g J'
�XXX Computed on full value of property conveyed, or
Co
mputed on full value less liens and encumbrances remaining at time,of sale.
Unincorporated area: ( ) City of and
i
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
THOMAS BUFFIN, AN UNMARRIED MAN
hereby GRANT(S) to
ESEQUIEL M. CORONEL, A -SINGLE MAN
the real property in the City of LA QUINTA, County of Riverside, State of California,
described as:
LOT 4 OF BLOCK 70, SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 9, AS SHOWN
BY MAP ON FILE IN BOOK 18, PAGE 69 OF MAPS, RECORDS OF RIVERSIDE COUNTY,
CALIFORNIA, w
Dated July 19, 1996
State of California
County of Riverside � S.S.
On . August 9, 1996
before me, Kelly Collier
,personally appeared
Thomas Buffin
personally known to me (or proved to me on
the basis of satisfactory ev nce) to be
the person(4) whose name(A) is'are subscribed
to thein instrument and acknowledged to
f�°�tha � ,/�%he-/- 3—executed the same in`
(HisJ%har-es-r—authorized capacity(kes)-, and
tCat by i!�/her/t-he-i r—s i ature (s ) on the
instrume t the person(s , or the entity upon
behalf of which the p pn( a ted, executed
the instrument.
WITNESS kiny haul jaiUY b;Vakial ,*kLZ.
Signature
MAIL TAY
THOMAS BUFFIN
c
w
r•�
C0mnl..9 1057217
>�..�.:'.:•
T
NOTARY PUBLIC CAOF03NIA
CL �Cb��.
May 28r IM
�d\a
IN'' �.Ml:ii Fgn; os
.i
(This area for official notarial seal)
CORONEL CONSTRUCTION, P.O. BOX 389, LA QUINTA, CA 92253
y
JAMES O: WAtIACE
nWlov!hnol Corrmbslonnr
Dlrecloi of Welohls & Moosuies
OFFICE OF THE.
AGRICUUMAL COMMIZONER
P.O. DOX 1009
PIVEPSIDE CA 92502-1000
PHONE (904) 276-9000
rAx (909) 276-3012
CALVIN C; "INSKAS, .
Aislslonl Corrmissloner
i
DAN f2ILEY
soolor, Wolohle & Moonnos
(907) 276.3030
F/IX (907) 276-4729
83-G12 Avenue 45 Suife 7
Indlo, CA 92261;
(619)863-8291
bmic O a ` / 6 i" CAST' NO:
bEVELOPER'S NAME: /
ADDRESS : -S77- —5-160
S-- 3
TELEPHONE:
Dear Developer:
After .reviewing' your, landscaping plans, all 4)lailt material listed is not in
vlolatiof>, "Of cjuaranti►ie lows governing the Coachella Valley. If substitutions
do occur -and they differ ffom pIant*material listed, this office must be
notified immediately.
Thank you for protecting .and preserving the, Coachella Valley's -pest:-free
environment.
Agricultural Commissioner.' 19
cci lndio and Riverside
fice
r..
firCertificate-6f Oc'
cupancy
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: 51-095 Avenida Velasco
Use Classification: Single Family Dwelling Bldg. Permit No.: 9608-073
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: SR
Owner of Building:, Esequiel Coronel Address: P.O.- Box 389
City: La Quinta, CA., 92253
By: Daniel P. Crawford Jr.
Date: November 1, 1996
Building' Official
POST IN A CONSPICUOUS PLACE