Loading...
9609-174 (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 'a Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date ti%t t 1/31/91 /ate ' •Si nature of Contract6r �•r � � ��' g OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l 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. 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 Sec -- n 3700 of the Labor Code, .for the performance of the work for which this permit is ; ssuedk%%Uworkers' compensation insurance calrriery,&-Holey no. are: Carrier Policy No. (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 agreeOhat if I should become subject to the workers' compensat9 provisions of Section 3700 of the'Labor Code, y_shalyforthyvi h comply with,t ose provisions ate: `% �.'`� ,Applicants / •Q Ati!( 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 upori 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 rep esentatiyes•of,this CIN-tQ enter upon the above-mentioned prop ' for inspection purposes. //)J iSignature (Owner/A/,V, i - D to e ? ' �C - LL �. BUILDING PERMIT PERMIT • °°NTR°`" ; 1609474 41 � � DATE 9fZ6/96 VALUATION $S?I9.61.S?,tilD ' LOT TRACT �,< JOB SITE % -.1j 2S �+�1.I.DA ���7.1; ASC APN . -rte n fiC s Y► , ADDRESS a�V Tn OWNER CONTRACTORDESIGNER(/ EN F /.?3.��•�Lk�s. 4.A\J'tV�t Ki ��' fG�IIN S�./ + r 1 t L�:I.�SJ 1`V I�t.I �..Ol-b�ly�AV �Yi'Ll�h•� • 77836.t1•ti1±:1vIDA tiu1TTEZIUMA iy !,,A QUIN I. A. CA 92253 1._,A (.; WN"1 A. CA 92'253 S64-460 ( O)564 41604 CRT t 2261 i USE OF PERMIT . 1* Wi3:t,} !31/13••PW1MIT '00t;S WW 1NC'3.UME 111,0t, WALT. O.1 A`00L. t'f�i'A£ihh:i>12P0i2,`1 51.5.00 SF E.N'ItF A .ED COTT V)!?'f..11iNS 1r UC, I'f,1N 9014, 9 -RI) PERMY11 FEE 8111NINIARY PLAN Ctf' C& Fi l? !_ tit-�:){3-�3��,31i� $469.91. 1=-T I:)1:'POSI`C 4..250.00 MtIC1•t'>i4.NICA1„ ! iLl 101-000 42.t-VIO $5:3.50 ELU r'1'12'!CAL'iff- . 13I } •1)t)ti-��?f?-t}Ut) S l i q.t5 lot _000-41.9-L :`>'t'v)!:1%� ssl��'"f'I.a�iv {^.uN-R1i..;il3 i.�i-Gvtl=•��lt-Ot}U $a.�u (4KAiJlNG i ? tb 1101.4)W7423-000 $28.40 F'F-k*, -• 22�5-d�{y)pt�►0-443=34' Sl..fssil3Q.!y7j ''1,�'N jj7tA((>!!3([��T.'4{Z:ji'JOAAI'�`tJRF • .. �?uLAvt,.7E A)f AK r. ' ' �'I'1d.UC' ON. .a Nti CHECK T1:$3,175. 3�, . . .!'1.Aid LESS PRE -PAW FEES 4251 400 L PERMIT FEKS DUE NOW RECEIPT DATE BY , DATE FINALED INSPECTOR 4 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Q Exhaust Fans O.K to Wrap Q / F.A.U. Framing 4 / Compressor Insulation / Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath /D Final Final / POOLS - SPAS BLOCKWALL APPROVA S steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final I Gas Piping - PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test // Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power G Final Utility Notice (Perm) 4 Addressding Add6/ 125 4y. Ue hoX Owner/+ Mailing Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip ) Tel Contr;3ctor Address CitykA aV f✓f ZIV7��� Tia 1�i 60� 1- l State-Lic.1? City & Classit. j ! �i 1 Lic. # 7e G Designer Address Tel. I City I Zip I State Lic. # LICENSE�CONTRACTO R'SAECLARATION I hereb a4N m that I em licens9d under provisio4s of Chapter 9 (commencing with Sec'ion 7000 of iv/l.$_fIon 3 of h!e Business and lrofessiol s,(�Yod ind m Ic'�C�C1�se is i!.t full IVe and effect/ 7 / �C y (j 7' SIGN 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 five hundred dollars ($500). [: 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.) 1-1 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 r.] Copy is filed with the city. O 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 (S100) 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 Owrier 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. 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 bove mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION APPLICATION ONLY BUILDING: TYPE '%CONST. ry� OCC.C. GRP. A.P. Number ! 73 /`�V�6''zl Legal Description �1 -/T' 17\ e k' - —7 0 Project Description 7 -! I Sq. Ft. I�7 tel' No. Size <G Stories No. Dw. Units New ®/-Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. _ C:;-0 . O U Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 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 fror((``n:��?r Ua tLine n FINAL DATE ll' PEC 1 I n Issued by: Validated by: Validati 'ermit 10 1996 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. (EP $ UNITS SLAB GRADE ROUGH PLUMB. BONDING Y01),SM&A SYSTEM 2ND FL, SO. FT. Q FORMS SEWER OR SEPTIC TANK ROUGH WIRING SVC. BAR SINK I POR. SO. FT. @MOBILEHOME GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. @ TEMP. POLE GROUT DRAINAGE PIPING CARP. SO. FT. Q FINAL INSP. WALL SO. FT. Q WATER SYSTEM DRINKING FOUNTAIN SO. FT. @ _$ URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN i MECHANICAL FEES WATER SOFTENER i VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) I APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. Q c BATH TUB SO. FT. Q c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SU. FT. RESID Q 1 I c SEWAGE DISPOSAL i SO.FT.GAR Q Sac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE SMI FEE PLUMB. FEE GARDEN WALL FINAL ]ELECT.FEE t a 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ 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 SiGNATURESANITIALS GARDEN WALL FINAL Notice: Document Cannot Be Duplicated Date 9/25/96 No. 14878 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # 773-064-016 Jurisdiction La Quinta Owner NameEsequiel Coronel Permit # No. 51-125 Street Avenida Velasco n Log # City La Quinta Zip 92253. Study Area 113 Tract # Lot # Square Footage 1290 Type of Development Single Family Residence Comments By 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 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 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 Bank of the Desert Name on the check Dr. Carol McGrew 1 -' Telephone 564-4604 t/ J Administrator in Charge {`T Fee collected /exempted by Ellen Patino Payment Received $2,373;60.0 " ­� / e , Check No. 16744 Signatur C a Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting R Sep, 10. 1996 2:31PM ULU rtPUBL1G i I i &.E 00. RECORDING REQUESTED BY: OLD' REPUBLIC TITLE COMPACOMPADTY 96.5996KC 93977-13 WHEN RECORDED MAIL THIS DEED .AND, UNLESS OTHERWISE SHOWN BELOUT, MAIL TAR STATEMENTS TO: ESEQUIEL.CORONEL 51-540 EISENHOWER DRIVE LA QUINTA, CALIFORNIA 92253 No. "849—P. 1!i COPY of Document Recorded cn q -9 9(, �," " r • �,. `,n;:?iii: "� ��J':1� .(;^IJN,TY CALIFORNIA .V GRANT DEEDAPN: 773-064-016-2 TRAoa0-Dice I USE The.undersigned grantor(s) declare s): Documentary transfer tax is ;;11.0 XXX Computed on full value of property conveyed, or Computed on full value less liens and encumbrances remaining at time of sale. _ .Unincorporated area: ( ..) City of _ _ and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ^� THOMAS BUFFIN, AN UNMARRIED MAN [n`U'� 0 hereby GRANT(S) to vis ESEQUIEL CORONEL, A SINGLE MAN the real property in the City of LA QUINTA, County of Riverside, State of California, described as: " LOT 5 OF BLOCK 70,'SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 9, AS SHOWN BY MAP_ ON FILE IN BOOK 18, PAGE 69 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA Dated September 6, 1996 State of California County of _ RIVERSIDE ) S.S. On SEPTEMBER 6. 1996 _Wore Tue. KELLY COLLIER , personally appeared THOMAS B N personally known to me (or proved to me on the basis of satisfactory ev M,pnce) to be the personal whose names) isyare subscribed to the instrument and acknowledged to prlta h executed the same in " authorized capacity(iW , and that b is . r` signature(44 on the instrument the person(,s7-, or the entity upon behalf of which the person(4rY e' executed the instrument. WITNES$ my hand aqd fic' 1 se S ignatur ' r', ~y f . MAIL TAX STA ,�.�, nAa�n��..y. n... aM.•,r,...�� .•Yv.�rww,..YgYl :.u�IniNA^N 1.a",. KELLY COLLI '1;44 k Comm. # 1051217 :!,;A NOTARY PUBLIC CALIFORNIA .: ��• ."�. a RmrsidecaLM, T *Cam, Expires" n. 1999.4 (This area for official. notarial seal) ivall furs . ' S, �r OFFICE OF T1 IE AGRICUL1URAL COMMISSIONER CALVIN C. "INS P.O. OOX 1009 Auhlonf ConvrAmio, .• • mvmslut- cn 92so2-Ioov DAN ttILEY. JAMES O. WALLACE PI IONE (909) 276.3000 So'alor, Weights IL Y AodoUlKnal Cor'niflulonor FN( (900) 276-3012 (Wei 2769030 Moo Olracloi of Wabhh EI Measures FAX (9(P) 276-472t 83-612 Avenue 45 Suite 7 ludin� CA 92201 (619)863-0291 dm'I;�=�_--- — CASENO . DEVELOPER'S NAME: GO°�o �� Costs LO TEL.CPHONE : Dear Developer: After reviewing' your ianclscnpillg plans, all plant mat pial listed is I riot in violation of yuaralitine laws governing the Coachella Valley. If substitutions do occur, and they differ from plant material listed, this "office must be notified immediately. Thank you for protecting and preserving elle Coachella Valley's pest: -free environment. Agr cultural Commission s Office cc' indio and Riverside ti. Ai Certificate of Occu�- pa'n.c''y 0j City.of La Quinta- Buflding. and Safety Department..��M_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 fol%wing: BUILDING. ADDRESS: 51-115 Avenida Velasco Use Classification: Single Family Dwelling Bldg. Permit No.: 9610-008 & 9609-174 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 18, .1996 Building Official POST IN A CONSPICUOUS PLACE _.m