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0007-035 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chajbter 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 Exp. Date 634981 f3 ° - �Qll31fZC DateSignature 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: ` y ( ) 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 Section 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: Carrier STATE F"D Policy No. 1542937-00 (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 agreerthat if I should become subject -.to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.( Date: 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 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. Signature (Owner/Agent) - •- 4 ` "r Date a BUILDING PERMIT PERMIT# DATE VALUATION LOT W017 -W354 TRACT 9,33S.I0 4 1 LX64 JOB SITE ADDRESS 51- AS� VA.Tci�SCO %U6 APN g OWNER CONTRACTOR / DESIGNER / ENGINEER CORONn EWERPRT1SE WC COROAIEL C0.99 `R1Janom PO BOX 389 51-540EMMIOWERDR, LA QUWTA CA 92253 LA QUWTA CA 92253 (760)564-4604 C—SU '2261 USE OF PERMIT M4GLL? FAIVELY DWRLJ WG SPD -PERMIT DOES NOT ['NCLUDE BLOCY'WALLS OR POOL.75% PLAN CHECK FEE REDUCTION POP. THE ISSUA14CE OF SAME PLAN N'YS'E. TRACT CONSTRUCTION 1,421.00 8F PORCHIPATIO 36.60 SIP QARAOEICARPPORT (SY) 9,996.00 5 F]'. WOOD FENCE. 300.00 LF ES�'1'B%4TM COsr OF CU1f��"�`t.. UC'T10N 89g33S.10 CONSTRUCTION PEE 101-000.418.000 $594," PLAN CHECK: FEE 101.000-439-318 $115.03 MECHANICAL FEE 101-000#421A000 560.0(1 W,CTRICAL FEE 101.000-420-000 $129'" PLUMBING FGRE 101.000.419-000 11,10,75 u I'RONO MOTION FEE - R&SID 101-000-241-000 $3.93 GRADING FEE 101.000.423.000 F20.00 DEVELOPER IMPACT FEE $1,907.00 PRECISE PLAN 101.000.441-343 $10+9100 FZ .DEPOSIT 101-000-439-318 4250.00 F ¢g - W13,TO'1'.AL COXMI10'11614 AND PLAIT MECK $3,035.0 Z PJM -PAM FEES -$250.00 PAW'rOWUL .C'LPW&U F1D' y DUE NOW JUL 19 2000 "' .CITY OF i.A uN `, RECEIPT DATE By r DATE FINALED INSPECTOR 2r; 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 -.�z 0,0 Exhaust Fans OX to Wrap - BO $_T F.A.U. Framing - -CAV Cs7, Compressor Insulation 27. Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath p • p - po 5 Drywall - Int. Lath Q- - Bl> Final Final — BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping v �? Heater Final 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 Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole :97- ow S� 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) dJ •,Z j -QU S7 COMMENTS: +`�"'-`�''"vT""r':�'!'- 'f1i�-1`�'(=i"r"'9�.� .. t,��w,^I�-•y�a•"+V�'�''`''�5i,;;�wsxrlT -`" �1�,,n••�r`>IC`••-' �,','i-�/r�`�,�'rr r,;ei'-<yv'�'.r.Y�:+.,.�.:glYa:�s-�G,,,,•..i`. t�ci�Gv At BOX 1504 PLC PION Building CC 78-495 CALLE TAMPICO �Address J ' Vc, ScV LA QUINTA, CALIFORNIA 92253 Owner CORONEL ENTERPRISE INC. Mailing -1BUILDING: TYPE•CONST. —0 b OCC//. GR . Addressp.O. BOX 389 A.P. Number-7-7-L9,S City Zip Tel. \—C>,, 4r LA ¢t)INTA 192253 1564-4604 Legal Description G ► Contractor Project Description CORONEL CONSTRUCTION P.O. BOX 389 City Zip Tel. nt T mA 4 . 4.. G(I State siiyCsi. (Bj 634981 c# 2261 t Arch., Engr., Designer Address Tel. City Zip State _ Lic. # LICENSED CONT`RACTOR'S DECLARATI I am liter�sed under)provisions of Chapter 9 the IBusiOess.and, to ons Code, and In, OWNER -BUILDER DECLARATION I hereby affill,thay am exempt from the Contractor's License Law for the following reason: (Sec. 7031.. 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.: 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 improvemenf 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.) V] 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 n 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 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 employany 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. 3 r 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 -of this city to enter the above- nlentioned property for inspection purposes. Signature of allpl Mailing Address - City, State, Zip - c `< \ \ G �-, Sq. Ft., Size No. 1 No. Dw. Stories Units New',C Add 0--' Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation r PERMIT A O ANT E9t� Plan Chk. Dep. 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 ide Street Setback from Center Line ide Setback from Property Line FIN�;T INSPECTOR Issuecfby: ate Permit Validation: I>3 It WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION }— Notice: Document Cannot Be Duplicated Date 7/19/00 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE No. 20737 Jurisdiction Owner NameCornel Enterprises No. 51-325 Street Aviendia Velasco city La Quinta Zip 92253 APN # 773-085-016 La Quinta Permit # Log # Study Area Tract # Lot # 4 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 This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount -of f 2.05 X 1,421 or $ 2,913.05 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 ccValley Indepent Bank / Coronel Telephone 564-4604��t4�'� Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Sheryl Simmons Signature Payment Received $2,913.05 Check No. 222910 NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 Me 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 Mem on the Distrtc(('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 DeptJApplicant' Copy - Applicant/Receipt Copy - Accounting Hartford . , 1555 So. Palin Canyon Drive D-106 Es Palm Springs, CA 92?64 crow, Inc. (760) 323-2237 • FAX (760) 323-9£339 • Escrow No. 11 -681 -JR Closing Date: June' -13, -2000 Reference: Lot 4, Avenida Valasco Page 1 /CH• La Quinta, CA 92253 • y Buyer CLOSING STATEMENT ' BUYER: Lucas. M. Coronel - - DEBITS - - - - CREDITS - - Consideration: Total Consideration 16,000.00 Deposits: Deposit By: Lucas M. Coronel ' 500.00 Deposit By: Lucas M. Coronel i 15,813.00 Prorations: County'Taxes 19.22 - at $ 192.20 per 6 months From 06/13/00 to 07/01/00 Title Charges: t Binder A 39.50 Record Grant Deed 9.00 Escrow Fees: Escrow Fees 225.00 Check Herewith $ 20,28 Totals $ -16,313.00 $ 16,313.00 • SAVE FOR INCOME TAX PURPOSES i 5 � V RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellirigs in the RC (Cove Residential) District, in,order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant.. It shall be transmitted to the Building and Safety Department as your correction list. Please attach additional explanations as necessary. APPLICANT CORONEL CONSTRUCTION SITE ADDRESS 5I-325 Velasco APN 773 0 85 . 016 BIN NO.: LEGAL: LOT 4 BLOCK 614 CHECKED BY: Greg Trousdell _CASENO.: 2000-254 UNIT 6 S.C.@V.L.Q. 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 Compatibility Review Case logged and numberassigned ' Verify legal and APN information Consistent with MDG on file (as applicable MDG filing required (5 filings since 9/3/98) Consistency w' s et/surrounding area: Colors O s h' tur zp Other Requireme t ':�'' L � -J- ' (�Irtr`x 4''D 0171 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: Use Classification: SFD Occupancy Group: R 3 51-325 AVENIDA VELASCO Type of Construction: VN Owner of Building: CORONEL ENTERPRISE INC. �!d4-X Building Official Bldg. Permit No.: 0007-035 Land Use Zone: RC Address: P.O. BOX 389 City: LA QUINTA, CA By: STEVE TRAXEL Date: 11-21-00 POST IN A CONSPICUOUS PLACE. 92253 uo