05360 (SFD)Building"
Address
Z= CORONRL
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing I
Address .._
City lZip
Contractor
el.
State Lic_I City
& Classif_ Lic. #
Arch., Engr_,
Designer
Address Tel.
City I
Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 affmn that 1 am 1-uxosed under provisions of Chapter 9 (commencing with Section
7000) boh Wsion 301 the Business and Professions Code, and my license is in full force and
effect
SIGNATINIE DATE
OWNER -BUILDER DECLARATION'
1 hereby afrurn flat 1 am exempt from the Contractor's License Law for the following
reasorr (Sec 7031-5.8siless and Professions Code: Any city or county which requires a
Permit to construct, after improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to tae a signed statement that he is licensed pursuant to
the provisions of the Carmaclor�s license Law, Chapter 9 (commencing with Section 7000) of
&vimar 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the aIed exe ptioa Any viafation of Section 7031.5 by 'any applicant for a permit
subjects the appicaN to a ciWpenafy of Trot more than two hundred dollars ($500).
O 1, 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
Pfotessias Code: The Conbactors License Law does not apply to an owner of property who
buns or Improves thereon and who does such work himself or through his own employees,
provided that suchieyrovmre 1s are not kdended or offered for sale. It, however, the building
or rrprorernent s sold w>?hiI ne ayear of completion, the owner -budder will have the burden
of provkg that he did not buil orrrprove for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sec 7044, lisiress and Professions Code: The Contractor's License Law
does not appy to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R, & P.C. for this reason
Date 0i fR Owner;• f
Ile,
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy Na cgxnparxy
❑ Copy is filed with the city- O Certified copy is hereby furnished.
CERrIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
Oft section need not be completed ff the permit is for one hundred dollars ($100) valuation
I certify that in the performance of thg work for which this permit is issued, I shall not
employyny in any manner so as to become subject to the Workers' Compensation
Laws ofDate Owner s ,, P.1-: .
NOTICE TO APPL1CANr: I, after ma" this Certificate of Exemption you should become
sub(ed to the tMoriers' Compensation provisions of the Labor Code, you must forthwith
coney with such provisions or this Pem* slag 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, ONO Code.)
Lenders Name
Lender's Address
This is abuilding permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. -
1 certify that 1 have read this application and state that the above information is correct.
1
agree to comply wfth 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 applDate
Mailing AdarPCC
City, state, Tip
ILDING: TYPE CONST
Number 771-1711—M
Legal Description
Project Description k6l7x3
Sq. Ft. No.
Size 1319 Stories
No.
OCC: GRP.
05360
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
u
1
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
522,511
5.50
171_ 5ff
157.50
5.18
2n _ f'3f3
20.m
1.606.77
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: Date2/15/89 Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
B GRADE V,
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
P. POLE g
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
FINAL INSP.
DRINKING FOUNTAIN.
GRADING
cu. yd.
plus x$
_$
URINAL
SO FT ®
WOFING::
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Vi c
SEWAGE DISPOSAL
FINAL INSPECTION
SO.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE IELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK — , ��
ROUND uy PLUMBING
Pf
UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE V,
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)
P. POLE g
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FRAMING 3r
WOFING::
d, /Z�
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUNDI/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
luny
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
�� SCi1O�OfL4FACILITY FEES
� �p�DOCUAPIE 0 AA�,
TO: City of REQi3�i pp'i�r P-LiCA7 AIVIYO''DATE:
Department of Community e�Telopment
78-105 Calle Estado
La Quinta, CA 92253
Crl
This is to certify that kalca-" qr- �-
developer of which is
located at —O within
this District, has paid school facility fees imposed pursuant to the
authorit geneFateg by overnment Code Section 53080 in the amount of
covering a total of s are feet of (/K) residential or
( ) industrial/commercial development and that building permits for
nthis footage in this development may now be issued by your jurisdiction.
0.
for DESERT SAN16S.UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0 007
Order No. .
Escrow No. CHICAGO TITLE COMPANY
CIO
0 Loan No.
WHEN RECORDED MAIL TO:
Fq
0 Ua,
o
Esequiel M. Coronel C
1576 8th St.
Coachella, CA. 92236
i•
ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $..7 :15 ...................................
same as above XX.... Computed on the consideration or value of property conveyed; OR
—__..,_,..._Computed on the consideration.or value_ ess_fions-or-encumbrances. - - -
remaining at time of sale.
773
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BURTON A. BOBZIEN and
ALORA L. BOBZIEN, Husband and Wife
hereby GRANT(S) to ESEQUIEL M. CORONEL, A Single Man and ELIZABETH MACHADO CORONEL,
A Single Woman, Brother and Sister as Joint Tenants
Mthe real property in the City of La Quinta
•�� County of Riverside Stateof California, described as
Lot 1 in Block 62, Santa Carmelita at Vale La Quinta, Unit #5.as per map recorded in
Book 18, Page 63 of maps in the office of the County Recorder of said County.
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same.
Burton A. Bobzien
Alora L. Bobzien
OFFICIAL SEAL
C. ARTHUR NISSON 1R.
NOTARY PUBLIC _ CALIFORNIA
PRINCIPAL OFFICE IN
ORANGE COUNTY
My Commission Exp. Aug. 11, 1981
WITNESS my d a fficial seal.
l
(This area for official notarial seal)
Signature 1002 (6/82)
M IL TAX STATEMENTS AS DIRECTED ABOVE
7 7 --S?
-7;::P.
Dated
STATE OF CALIF I4-01
1
iss.
COUNTY OF /L
O
before me, the undersigned,
a Notary-P/4lblic i nd for said State, per-
Ze Al
sonally appeared
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same.
Burton A. Bobzien
Alora L. Bobzien
OFFICIAL SEAL
C. ARTHUR NISSON 1R.
NOTARY PUBLIC _ CALIFORNIA
PRINCIPAL OFFICE IN
ORANGE COUNTY
My Commission Exp. Aug. 11, 1981
WITNESS my d a fficial seal.
l
(This area for official notarial seal)
Signature 1002 (6/82)
M IL TAX STATEMENTS AS DIRECTED ABOVE
ti. •,�.�.�.�„—•. ;l,� f3� 4: �(Tf"{"� ^-""'V �'t.Y ..i_.. •sf'e..<".'N Tris •y�.p"`:, .,, �'ir. :,.,n.:'�7'�y ..y�. t p;}'i .�,rA. _
DAILY WORK SH EET
JOB NAME
JOB. NO.
DATE
TECH.
LOCATION
CLIENT
HOURS '
WEATHER
EQUIPMENT
: • `
NO.
TEST
LOCATION
ELEVATION
OR DEPTH
DRY
DENSITY
PERCENT
MOISTURE
MAXIMUM
DENSITY
RELATIVE
COMPAUCTIO
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COMMENTS
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SOIL TESTING, INC.
Phone (619) 340-9492