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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