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9806-175 (SFD)•. I LICENSED CONTRACTOR DECLARATION 'I hereby affirm under penalty of perjury that I am licensed under provisions of F Chapter 9 (commencing with Section 7000) of•Division 3 of the Business and N W _ Professionals Code, and my License is in full force and effect.. O License # - Lic. Class :_ Exp. Date r– Q Lf). p' µ r,� Gi:- / bs�iUkl B 1/S1%G4} Y-Al ~`Z r— ate. � v)Signature of'Contrad'or - _ H OWNER -BUILDER DECLARATION . W w I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~'a • License Law for the foll'o`wing reason: U) Z ( ) . 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). �F ( ) I am exempt under Section, Bul &P.C. for this reason -N Date Signature of Owner .O� U _Q WORKER'S COMPENSATION DECLARATION CL ' C) �. Z I hereby affirm under penalty off' perjury one . of the following declarations: Lo- <°.O ( ) .l have and will,maintain a certificate of consent to self -insure for workers' X, LI u- compensation; .as provided for by Section 3700 of the -Labor Code, for the < 0 _ Q performance of the work -for which this permit is issued. Q U (.) I have and will maintain workers` compensation insurance, as required by, ;-,;.o.,U Section 3700 of the Labor Code,.for the performance of the work for which this F_; permit is issued. My_workers' compensation insurance carrier & policy no. are: Carrier Policy No. �3RdE._ .t1.oia7:..� 11 �i�W�.'�.Y���'-r'.i•�. Y. J (This section neednot 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' compensationJprovlsionrf Section 3700 of the Labor Code, I shall forthwith comply with"those provisions/ VDate' I �.J) . �a�J Applicant Warning: Failure to secure Workers' Gbmpensation coverage is unlawful and shall subject an employer to crimin4l 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. L 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'[ have read this application and state that the above information is correct. I agree to comply'Aith 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. � t Owner/A e •fit) <� - � Date... „Signa ure ( g ;: i _ ` BUILDING PERMIT'S PERMIT# ' ` '1%: ')306 DATE VALUATION &9d 9� LOT 1�7 TRACT 87 6 T uq J(+ JI �} JOB SIT - APN ADDRESS 511-220 AMNIDA VJ;iiai,EJO 773-0631-010 OWNER _ l _ CONTRACTOR / DESIGNER / ENGINEER, 1AS'EQUM—I.. Ct�RONEL CO.f'LG EL C~ta�JSORLIC TION 5.t-3f+U T 15Ts�tH(��NFilt i�&t. SI'-546'USEN:�.Ei�'i ER DR. fa A QTJTN T.�C CA 9225.3 1.A. Q U 1'A. �`� CA 91153 (' ,60)564-�1f. 04 CBL# 7261 USE OF PERMIT SIRD sll) - PEx2:n�IT !JOSS NOT [NCLU"I E BLOCK. 3? i' LLS CJ.R P+30L. 'T`Tt.f�.t~",t' CO�d�;'l"E2Cii� ,1014 1„rj45.00 SF PORCEMPAY10 65.0 Sr. ciA(tf1l�NJt�i�F21%c<1.K'!' 463,01) S1% '11) CC?'ST OF € ONIS�"�:.t1MO1S” . ,.,�:, ",2�f2..80 CrA4t3't'W2t3r�".i30N D..�;`i.1 101 -00041R -OW $G:gI,�C► n11 A_ d d;'it�";t,��tt !-Tr 1 1� t�f:VO ST'IT 101.-000-439-318-SF50.00 t 11~x. IR_ I�CA 'r'f~1J 1Et:l RU r��r YN- 0x h FTR 01 -pf lf0-4 f .4-()C!T) t 712Al�}.1V�# (tai: 1111-i�11 1423-i;E111.1 raw .fNF AISTRUtc 110R�; FEBV 25-4MI-44 t-342 ty(pt?t'18B ?4.A_N b l_11.� k1.44. t-345 .9st}3-'t'%AT:,�'QN�►�t�Cf"fC11�.A:NDPLA.N r;Ft�;t;;ri �3,771.rTn LESS PRE-I�.t�.TT)FE� 'S _$25{1. X) ti 6 itTt�li,. PE�11ZMIT (TEES. �� � 4. NOW $$3, 521.06 J U L 2 1998 t : •e'—•,'3 -1 � ;: \ .ail.: ow, , RECEIPT I I b �!t DATE. :R i X I r' E 6 . BY y% DATE FINALED INSPECTOR 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 Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation j/ Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVA S POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. 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 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 P.O. BOX 1504 ZO r r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 vwne tt C00'Ca/ c - l Mailing P� Address L1 WiC SCI City Zip 01 Tel. Address [ Its- Its% ZIP f 72-�_ j Tel. State Lic. / City (cam b & Classif. 6 ��� i� / Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACq'TOR'S'DECLARATION affirm that I am licensed under oovisiaps.of.Chapter.9 (commencing with Section ivision 3 of the Buaines a tl P fessfons Code, and my'I� nse 's in full foc`iYre and b-- l= - OWNER -BUILDER DECLARATION I hereby affi, 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). l; 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, Bukness 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.) Il 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.) I'] I am exempt under Sec. B. & 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. ❑ 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 APPLICATION ONLY ILDING: TYPE'CONST. OCC. GRP. t. Number II �" Cvs— DtC) - % fat Description Kf) %��[7 -'9 Project Description 1b 1,b7l �j Sq. Ft. StoNo.ries Size Stories 11,,,,�,r No. s --� Units New b✓r Add ❑ Alter ❑ Repair ❑ Demolition ❑ 7 ! 5 e%4 U --I A 109 - Estimated Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bat. Const. Mech. Electrical Plumbing S. M. 1. Grading Driveway Enc. Infrastructure .. 1 TOTAL i .-/ 15 0 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 from Property Line INSPECTOR Issued by: Date Permit Validated by: nA Validation: rm JUN 1 1998 WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION IL I %A-11 Y Of- ► A QUIN i Desert Sands Unified School District�� 47-950 Dune Palms Road Notice: La Quinta, CA .92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/21/98 APN # 773-063-010. No. 17349 Jurisdiction La Quinta Owner NameEsequiel Coronet Permit # No. 51-220 Street Avenida Vallejo Log # City La Quinta zip 92,253 Study Area,, Tract # ~, Lot # Square Footage 1645,, 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 1.93 X 1,645 or $ 3,174.85 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 Cash - Esequiel Coronel Telephone 56:44604 Name on the check By Dr. Doris Wilson f Superintendent Fee collected /exempted by Ellen Patino Payment Received i Check No. CASH Signat b L OTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the 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 ollect them on the District('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 Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 01/01/1994 21:39. 6195644202 CORONEL CONSTRUCTION PAGE 02 SALE ESCROW INSTRUCTIONS Ti'iiS DOCUMENT WILY, AFTECT YOUR LEGAL AIGHTS"- REAi.) IT CARE FULLY! TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 98.7632KC 72855 Fred Waring'Dr: Date: 06/03/98 Suite A5 Page;`1 Palm Desert.•CA 92260 (760) 836-3726 +.A" ;� r Escrow Officer. Kelly Collier THE ESCROW HOLDER IS COMMONWEALTH LAND TITLE, COMPANY WHICH IS LICENSED RY THE CALIFORNIA DEPAR'T'MENT OF INSURANCE. Buyer, or- his agent, will hand you or cause to be handed you upon signing of these instructions a deposit in the amount,of...................................S. 500.01 Buyer will hand you additional funds prior to closing in the antount.Of.......... $MINIMUM Proceeds -from loan to be procured by Buyer (First Trust Deed) ................... SFHA MAX TOTAL CONSIDERATION S 141:04. 01 and any additional funds and instrumentsreqquired from me to enable you to comply with. -these instructions, which you are to use on or before September 2'5. 1998. and when,01.0 REPUBLIC TITLE COMPANY can issue a Standard Policy of Title ,Insurance Omrer­; form, with `liability of $147.000.00, on real. property iri City of LA QUINTA, County of Riverside. State of CALIFORNIA viz• Commonly known as: AVENIDA VALLEJO. LA•QUINTA, CALIFORNIA 9?2.53 LUT 13 IN BLOCK 71 OF SANTA CARMELITA AT VALE LA QUINTA. UNIT N0: 9: AS PER MAP "173-003 —010 -REQ IN BAR "PAGE 69 OF MAPS. RECORDS OF,RIVERSI L , r ALIFORNIA 5,!- 226 AYS . �i1U..EJo ` Except any reservations of record of minerals, oil, gas, water, carbons and hydrocarbons. Showing title vested in: ISAAC M. JUAREZ and BELIA L. GRIJALVA JUAREZ, husband and wife and MARTHA ARELLANO. Free from encumbrance except: A. Current general and special taxes for the fiscal year which this escrow closes. and taxes for the ensuing.year, if any, a lien not yet clue or payable. The Tien of supplemental-t,axes, if any, assessed pw-su,)nt to the provisions of Chapter 3.5.(Comnencing with Section •75) of the Revenue an(1 i,rxation Code,of the Slate of California. C. Special improvement assessments.'if any. 0. Easements, rights, rights:of way, covenants, con(litionc;, restrictions and reservations., record. E. Deed.of,Trust to record'in the amount of .FHA MAX. in favor' of a len6cr.to be determined a Seller Buyer Cer if t Hca te ofoc' cupanc y Citof L -a uinta .V rY Building and Salf6ty-b e art- ent 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 Cityregulating building construction or uses For the following: ` _ g: . BUILDING ADDRESS: - 51-220 AVENIDA VALLEJO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9806-175 Occupancy Group: R-3 = Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL CORONEL Address: 51-540 EISENHOWER DR o V" City: LA QUINTA, CA., 92253 t By: DANIEL P. CRAWFORD JR. 5 Date: 10/26/98 Building Official 4 Y riY POST IN A"CONSPICUOUS PLACE