The URL can be used to link to this page

0005-025 (SFD)w 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. Classy Y` Exp. Date 634981 B ate 1'~' Signature of Contractor -^ -A OWNER -BUILDER DECLARATION of perjury that I am exempt from the Contractor's I hereby affirm under penalty License Law for the following reason: t ( ) I, as owner of the property , or my employees with wages as their sole compensation, will do the work, and the structure is riot intended or offered for -sale (Sec;7044, Business & Professionals Code). as owner._of.th'e 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' t 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 FUND Policy No. IS4.143?-AA (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' compensation provisions of Sect on`t3700 of the Labor ~ Code, I shall forthwith comply'with)fhose'provtsions. Pe:/ •1 - u • Applicant' .*� APP'' 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, indemnify & hold harmless the City of La Quinta, its officers, agents and -employees. 2. Any permit issued as aresult of this application becomes null and void if work is not commenced within 1°80 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 constru�on,.,and'. reby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Sig ture (Owner/Agent) Date PERMIT# ` }' BUILDING PERMIT . c.. AT - .. VALUATION._,LOT.'�^ry� TRACT t, f S'5 2.926 BLK311 tTA+T28 JOB SITE' ADDRESS 454 A RWA VAIXFJO "1 APN 774-303-011 c, OWNER _ CONTRACTOR! DESIbNER / EN INEER ' rf� GC3kO1 %:i.CC+A38`I'EUC1T0Id CC9 H .'TTOW F40'C`i�7R, 51 p54KI1:I+i1OVt>Ii. � ` LAAII MTAs CA 92253 . � �1��C�J`-� CA 42253 X604 C 2261 �YY , USE OF PERMIT =�,rs•'�"-`' . S'I 4my,1`AI&L-Y jji)< a me SM PZR1 JT1 DOES NOT INC!. UDE BLOCK AR P010I:.; ~ TRACT CONSTRUCTION 1,469,00 SF f P&.zRC1 ATIO 303.00 SF f3ARAMUCARP:yRY (S &9?6.ffiA 3 FT. WOO[) FIrAiCE 200. Dly 111 ESM4AIED COST OF C"ONS'I'RUC710S 92,9.6.20 . PXMIT BWE Smoky _. 0'l OTRUC'I ION FELE 101.000.418.000 $608.00 PLAIN CRECK FEE 101.-0000-439-318 i$5I1.39 MECHANICAL FEE 101.000.421-000 moo ELECTRICAL FEE 101=M0-420-000 $1.29i94 PLUMBIAI0 PM 101.000.419.000 $116.73 STRONG NOT1014 FEE • RMID 101-000-241-000 S9.25.. GRA171` OFE,R 101400-423.000 120,00 DEVF,LOPER IMPACT IEE - $I,9Q7.00 - PRF41SE PLAN 101-00.0-441-345 $100.00 �: Dxrl�f�dl r 101-000L439-319 .$256.00 v ` ' si�3-TiYTAL. Ct?N8`1'I� C�23 AND PLAN' CHE:C�� $�3,d62.3? LESS PRE -PAD) PU.9 - -$2j ow 0 t, , JUL 2 . TOTM, P_:1Mf F S DUE NOW 2000 lr S3,212.370 .��IryOF `"1 qq UINT RECEIPT DATE BY ! DATE FINALED INSPECTOR OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs�� Forms & Footings _ Slab Grade -/ f Underground Ducts Ducts Return Air Steel Combustion Air Roof Deck LO - (Y• dd % Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation �e- oD '7 Fireplace P.L. Vents Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final o : 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 Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping g7 Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Cpo 97 Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) p p 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 3 I Utility Notice (Perm) COMMENTS: P.O. BOX 1504 APPLICATION ONLY Building `1`-3 \ \\ DINT CALLE CALIFORNIATAMPIO Address `i 1 Jc . V c� � • r . � QUINTA, ORNIA 92253 Mailing Address City CIO, Zip Tel. Contractor �U City Zip c n •. Tel. ��- c State Lia i 8 Classif. 1 City Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR�,OECLARATION 1 he eby affirm that I am licensed under Drovisio,Pa of Ch�A„r"9,(,commencIng with Section 1100�10 Division 3 of the Bysiriess and Professions Code, and my hc��tse 's•iA'full,}orce and I hereby affil that I am exempt from the Contractor's License Law for the following reason: (Sec. 703 S, Business and Professions Code: Any city or county which requires a permit to construct, Iter, 1r6prove, 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 thathe 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'll 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 of property who builds or improves thereon and who does lsuch 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.) II I, as owner of the property, am exclusively contracting with licensed contractors to con. strucI 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 contractors) licensed pursuant to the Contractor's License Law.) i I I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby affirm that 1 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 if the permit is for one hundred dollars ($100) valuation or less.) Icertify that in the performance of thV 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, alter 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 it work thereunder is suspended for 180 days. I certify that I have read this application and stale 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 alipficant Date Mailing Address City, State, Zip BUILDING: TYPE'CONST. h OCtC. GRP. A.P. Number ---II� - 10 " \ — 1 l Q Legal Description ,Yr.v Project Description �. v A o Sq. Ft. t 11 No. No. Dw. Size i Stories Units New 5r' Add_Q. Alter ❑ Repair ❑ Demolition ❑ WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION U! �' !� /i'/tel, ✓ts�� Estimated Valuation PERMIT 6-1 100 AMOUNT Plan Chk. Dep. Plan Chk. Bal. v Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure • i TOTAL �- • " ", t REMARKS - ZONE: BY: ' Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from CenterLine Side Setback from Property Line FINAL DATE ^� INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 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 6/2/00 ' APN # `774-301-011 ' No. 20508 Jurisdiction La Quinta Owner NameCoronel, Construction Permit #0005-025 No. 54-755 Street • Avenida Vallejo Log # City La Quinta _ zip 92253 Study Area Tract # BLK311UN2 Lot # 1 Square Footage 1465 Type of Development Single Family Residence No; -of Units 1 Comments PAID Fees by,CC#-222704 for $3,003.00 + Cash $.25 $3,003.25 . 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 2.05 X 1,465 or $ 3003.25 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 CC/Valley Independent Bank/Zeke Coronel Telephone 7.60=564-4604 Name on the check + ` 4d: By • Dr. Doris Wilson r i Y Superintendent Fee collected /exempted by Mary Ann L. Borja Tayment Received #-,� ; $3;003.25. Check No. .222704' Signature . NOTICE: Pursuant of Assdm 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 above 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 collect 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 CORONEL ENTERPRISES, INC., A CALIFORNIA CORPORATION the real property in the City of LA QUINTA, County of Riverside, State of California, described as: Lot (s)1 and 2, Block 311, Unit No. 28, Tract Santa Carmelita at Vale La Quinta,'as per map recorded in Book 19, Page(s) 59-60 inclusive of maps, in the office of the County Recorder of said County. Dated 'January 5, 2000 State of California . County of RIVERSIDE } S.S. On JANUARY 5, 2000 before me, CHRISTINA BOIVIN*************** personally appeared HARRIET JEFFS HILDEBRAND****************** �e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)<S�are.subscribed to the with' instrument and acknowledged to me that hethey executed the same in his/their authorized.capacity(ies), and that by hisgjer their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,'executed the instrument. WITNESS,my h d d� �ie Signature MAIL TAX STATEMENTS TO. HARRIET JEFS HILDEBRAND, TR STEE EXECUTED IN COUNTER—PART ARLA H. BROWN, TRUSTEE CHRISTINA 80hAN �t Commission 1146795 -� Notary Public.- California Z . Riverside County ` My CoIr mm. Expires Jul 14, 2001 (This area for official notarial sed!) ' DOC a 0000-057:2i54 02/24/2000 08:OOA Fee:9.00 Page'1 of 2 Doc T Tax Paid RECORDING REQUESTED BY: ii Recorded in Official Records I County of Riverside CHICAGO TITLE COMPANY. COMPANY, Gary L. Orso 948E5NKCR ''22077L0555H00I14 ,��>�:!.-;r1'• •Assessor, County Clerk 8 Recorder pE WHUNLE 00TH RWI E �HOWN B QO�ND° M L TA STATEMENTS T: CORONEL ENTERPRISES, INC. M s u PAGE SIZE DA PCO NOCOR SMF MISC. d 51-540 EISENHOWER DRIVE LA QUINTA, CA 92253 1- A R ' l COPY LONG REFUND NCHG _,.._ GENT DE - --... -- ..._.... y ED __ _---------------_ _-__ __- 0 The undersigned grantor(s) declare(s):. Documentary transfer tax is $41.80 ,{] (XXX) Computed on,full value of property conveyed, or I �� ( ) Computed on full value less liens and.en�V ( ) Unincorporated are : (✓') City of ri3cPG remaining. at time of sale. , and , FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, O HARRIET JEFFS HILDEBRAND, TRUSTEE OF THE TRUST "B" OF THE ROBERT LOUIS HILDEBRAND AND HARRIET JEFFS HILDEBRAND FAMILY TRUST DATED 12/14/81 and ARLA H. BROWN, TRUSTEE OF UNDER DECLARATION OF TRUST -DATED 12/15/80 (BROWN INTER VIVOS TRUST) hereby GRANT(S) to CORONEL ENTERPRISES, INC., A CALIFORNIA CORPORATION the real property in the City of LA QUINTA, County of Riverside, State of California, described as: Lot (s)1 and 2, Block 311, Unit No. 28, Tract Santa Carmelita at Vale La Quinta,'as per map recorded in Book 19, Page(s) 59-60 inclusive of maps, in the office of the County Recorder of said County. Dated 'January 5, 2000 State of California . County of RIVERSIDE } S.S. On JANUARY 5, 2000 before me, CHRISTINA BOIVIN*************** personally appeared HARRIET JEFFS HILDEBRAND****************** �e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)<S�are.subscribed to the with' instrument and acknowledged to me that hethey executed the same in his/their authorized.capacity(ies), and that by hisgjer their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,'executed the instrument. WITNESS,my h d d� �ie Signature MAIL TAX STATEMENTS TO. HARRIET JEFS HILDEBRAND, TR STEE EXECUTED IN COUNTER—PART ARLA H. BROWN, TRUSTEE CHRISTINA 80hAN �t Commission 1146795 -� Notary Public.- California Z . Riverside County ` My CoIr mm. Expires Jul 14, 2001 (This area for official notarial sed!) '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: 54-755 AVENIDA VALLEJO Use Classification: SFD Bldg. Permit No.: 0005-025 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC Owner of Building: CORONEL CONSTRUCTION Building Official Address: 51-540 EISENHOWER DRIVE City: LA QUINTA, CA'92253 By: GREG FOX Date: 01/17/01 POST IN A CONSPICUOUS PLACE