0206-148 (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'.
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date)
634981 ''Y 13 1j31/04
Date --L,? ° s c-2 Signature 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:
( ) 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 ;1'1`P. TE FUND Policy No. 1342.037-01
(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 sbbject to the
workers' compensation laws oT California, and agree that ifi1 should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply withthoseprovisions. � �r
Date:`%- .,y ,r � ApplicantA/ , A.s k -'"".
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 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 purpo`'ses. S
s
Signature (Owner/Agent) �sf 4 Date -I
PERMIT #
BUILDING PERMIT..
0206-148
DATE }" > VALUATION' • s5gN . o LOT 10 TRACT But 5
I
I ` a
JOB SITE
ADDRESS 51-445C:R UX, HCI,�..�TE''+.I r`
APN
_
OWNER
CONTRACTOR //DDESIIGNER ENGINEER
40ipd,y 1PP-E.-
L`RCiL canN:LclolJV
PO BOX, 389
78.15 0 C.,,PUX, TPii4'.lPICC0 kAYCIE0230
LAQPPTA CA 92253
LA Q(YRTrA CA. 921.33
(76G)564-4604 ' CBW 2261
USE OF PERMIT
SF0,I LOT 10, 8.1 P44 &SS`PER. 9'tr.P2MIT ODES 'NOT INCLUDE 61A)CK
WALW, POOL, SPA OR WINWAVA1~ti'Rc7ACH
T AIM CONS1"RUCTION 1,492,00 i2F
POR,CFXf'P:ATIO 90.00 SP
.13ARAWCARPORY 463,00 12F
5 Y'r, WOOD FENCT 200.00 L
IYERMIT VVE 9UMM"Y
l ON:3TRUarlow roM, 101-00OP4'1-8.000 S608JI0
PLAN CHS£ K FEE 101. -40".31-318
M1 C,1g..MCAL C`U' 101.000-421-000 55.150
!
E.LECTR.11CAL IFF -E 101-000-420.000 $130,03
(
PLilMMO FEE 101,000-419.000 $1lk
S"P:fx.ONG MOTION FFP, • RENID 101-.0100-241.000 29,30
GRAD PNO FM $20,00
DWELOM?MPAL'T ME 0,405.00
;P:RWISR PPI M-0013-441-345 $100.00
FEE r ?,PDSZT 101,400- 439-318 42-910.09
.a•
r MM-'t"CYTAL CCl '1'14VC;"HOW AND ;P: N CHECY.
C�
E®UINr,�
EPT
RECEIPT
DATE 'r
'-BY' «
DATE INALED
IINSPECTOR
��',1
.' .... ~ �-iW'JY... w.r�'ty" k1l.rtir�•. A � y�,y� ' • ,�,`S i
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
.p
Ducts
Slab Grade
41
Return Air
Steel
Combustion Air
Roof Deck 4_
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
_G . Q /L_ 9_i/L
Compressor
Insulation-
��U (�-`
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
_
Final llO_L
BLOCKWALL APPROVALS
Final
POOLS - SPAS
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
b - Z- 2_
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 /rte- �/✓��
Appliances
Final
Final
Utility Notice (Gas) V,�%2
ELECTRICAL APPROVALS
S
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 _� 2-02-
0Final
Final
Utility Notice (Perm) �'�c�0-IZ7:7
COMMENTS:
Date
7/24/02
No.
23406
Owner
Coronel Enterprises
Address
PO Box 389
City
La Quinta Zip 92253
Tract #
BLK5
Type
Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
Comments Five Cashiers Checks from VIB
APN #
Jurisdiction
Permit #
Study Area
No. of Units
Til /'4, 77 y6j
'Q BERMUDA DUNES r
C/) RANCHO MIRAGE
INDIAN WELLS
PALM DESERT
QNDIO Ty
I����
La Quinta
0206-149
6
Lot # No. Street S.F.
Unit 6 12 ti 51485 Calle Hueneme 1397
Unit 7
Unit 8
Unit 9
Unit 10
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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It
has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 8,587 S.F. or $18,376.18 have been paid for 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 VIB - Ish Coronel Check No. see above
Name on the check Telephone 760/564-4604
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Crystal Scott $18,376.18 1$0.00
Payment Recd Over/Under
Signature6
NOTICE: Pursuant to Government Code Section 66=(d)(1), 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 issued, or from the date on which those
amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, Whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
Lot #
No.
Street
S.F.
Unit 1
11
•51465
Calle Hueneme
1421
Unit 2
14
451470
Calle Guatemala
1421
Unit 3
15
*51450
Calle Guatemala
1421
Unit 4
10
•51445
Calle Hueneme
1492
Unit 5
13
78270
Avenida Nuestra
1435
Comments Five Cashiers Checks from VIB
APN #
Jurisdiction
Permit #
Study Area
No. of Units
Til /'4, 77 y6j
'Q BERMUDA DUNES r
C/) RANCHO MIRAGE
INDIAN WELLS
PALM DESERT
QNDIO Ty
I����
La Quinta
0206-149
6
Lot # No. Street S.F.
Unit 6 12 ti 51485 Calle Hueneme 1397
Unit 7
Unit 8
Unit 9
Unit 10
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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It
has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 8,587 S.F. or $18,376.18 have been paid for 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 VIB - Ish Coronel Check No. see above
Name on the check Telephone 760/564-4604
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Crystal Scott $18,376.18 1$0.00
Payment Recd Over/Under
Signature6
NOTICE: Pursuant to Government Code Section 66=(d)(1), 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 issued, or from the date on which those
amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, Whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
F7�/ 1 b/ Lt7 k�L btS: Ly
May,15. 2002
Ibb/II/Uel
4 : 3 2 P MI
RECORDING REDUP,5TED BY:
AND WHEN PFCORPED MAIL THIS DIJED
AND,
UNLESS nTHERWISESHOWN OELOW,
MAIL TAX STATEMENTS T0!
CORONEL ENTERPRISES INC.
LA UWN I A
-..1..�..-..._.�..-..yy5_...
Lot 1 �-
Z/ e 5
PAGE 03
P1o.2618 P. 3
BPAGE ABOVE THIS 1.I1`19 FOR RP -00"E" U8F
Tho undergipna.d Brantvr(o) dEciar(a):
Brant Deed A.P,N, 770-1 63-022 _
DocumenlNrY transfer tax le S
computed on NII ValUe of property conveyed, or
( ) computed on full value lass value of liens end enoumbrances remaining at Ilrne or sale. end
( ) Unincorpofalod Brea: i ) city of
FOR A VALUABLE CONSIDERATION, receipt of which IS Hereby ecknoWtedp®d,
RETER WEINTRAUB -
hereby GRANT(S) to CORONEL ENTER PRISES INC .
the real pro'parV In the City Of LSI Quitica
State of Califomle, described as.
, County of Riversidc
T,ot
10/of Block �_ Unik X101 , Santa Carmallta at Vale La Quint &,
as par map T000rded in BookPages m Maps, RaCo>•ds of Riverside County,
Califot'nia .
April 26, 2002 Signature of Cr;(nlar
Ovate of Colirornla 1
county of -- ) PETER WRINTR 'UB
On ba(:ro me, _
—,personally appeared
"_,PETER WEINTRAUB
personillY kriown to me (or proved to me oh the bash of sallit2ciory
ovldenca) to bo tho person(e) whose names) ware aubror(bed tp the
within InAvurrernl And acknowladgad tv mo that hofaho/they /xeet,led
the tame In histhedtheir eUlhorized capaUty(lea)i And Ihet by
hlarhorllht it slgnalure(r) on tho Inofrvmont the peraonW, or the enllly
upon behalf of which the psrron(s) oddd, veaau o . the Inatrumont.
WITNESS my hand and otilotal coal,
Sign,turt
MMLTM ST.ATEMENT3 TO,
M
NOV-25-2002 10:01 PM
P.03
I,NSTALL,A� 1ON CERTIFICATE CF -6R
en .
Site •\ddre,s Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
_ DUCT LEAKAGE REDUCTION
I',i�iunr.at:on't-est kvsults (CFM c; 25 PA) r /
Test Leakage (CFM)
F.11! Flow
Fk)w is ('a;vulated as 400 dm/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands of Btu/hr, enter calculated value here
If fan now Is measured, enter measured value here
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = 7 e
Pass if leakage fraction S 0.06 ❑
Pass Irttil
❑ Fur AEROSOL TYPF: SEALANTS ONLY - The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
('Fli.(•K r%,FTER FINISHING WALL:
❑ )'es ❑ No ❑ Pressure.pan test or House pressurization test /lf�
❑ )'c•s ❑ :gin ❑ Visual Inspection of Duct Connections w/ ❑ ❑
Plss )"all
THERMOSTATIC EXPANSION VALVE (TXV)
eYc;' ❑ Thermustatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection
Yes is a pass
❑ DUCT DESIGN
1 ❑ Yrs: ❑ \'o AC:C:A Manual U Design calculations have been completed,
Dttct Design is on the plans and duct installation matches
Plans.
❑ Yrs ❑ Nu TXV is installed or Fan flow has been verified, if no "rxv,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
,A
0— Cl
Pass Fall
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
I. the undersigned, verify that the above diagnostic test results and the work I performed associated with the lest(s) is in
o!i!rrrn:ance with the requirements For compliance credit. (The builder shall provide the HERS provider a copy of the CF -611
by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for
denature, Date Installing Subcontractor (Cu. N3rne) OR
tuitmcd General Contractor (Co. Name)
('(A, 1' 'I0 Iluiiding Department
HERS Provider (if applicable)
I'A,:i16ir:c3 Owner at Occupancy
Certificate of Occupancy Qy �
City of La Quinta �
f
Building and Safety Department 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 following:
BUILDING ADDRESS: 51-445 CALLE HUENEME
Use Classification:. SINGLE FAMILY DWELLING Bldg. Permit No.: 0206-148
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC
Owner of Building: CORONEL ENTERPRISES
Building Official
Address:
P.O. BOX 389
City:
LA QUINTA, CA 92253
By:
KIRK KIRKLAND
Date:
NOVEMBER 26. 2002
POST IN A CONSPICUOUS PLACE
I