12600 (SFD)P.O. BOX 1504 No. 12600
Building 51-978 Diaz 78-105 CALLE ESTADO
I Address LA QUINTA, CALIFORNIA 92253
Owner Esequiel Coronel
Mailing P.O.$�} 23$ BUILDING: TYPE CONST. OCC. GRP.
Address 773-162-016
A.P. Number
City Zip Tel.
Lot 24 Block 33
! La Quanta, CA
92253 50-4 —4604 Legal Description
ContractorSFD
Project Description
Coronel Construction
Ad*e� SAX 1238
Ct Quanta, CA Zip 92253 Tel.. 564-4604
State Lic. City
& Classif. B 634981 Lic. # 2261
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
C. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I a' m licgnsed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. * "t
�GNATURE 1 `--r / f 0 DATE
OWNER -BUILDER DECLARATION
I hereby affirm 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) or
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, 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 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.)
p 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.)
❑ 1 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
❑ 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
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.
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
I .r
Sq. Ft. 1280 No. No. Dw.
Size Stories Units
New ❑ Add ❑ . Alter ❑ Repair ❑ Demolition ❑
Permit does
hot include
block wall or
Pool. .
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATEI
(fCSPEC
1�
I
Estimated Valuation
$77,193.00
Date Permit
PERMIT
Validated by:
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
I n- fZ ! 1 4___
216.17
Const.
548.50
Mech.
55f. 50
Electrical
119.32
Plumbing
144.00
S.M.I.
7.71
Grading
20.00
Driveway Enc.
.00
Infrastructure
1,736.83
Precise Plan
1
TOTAL
3,115.03
Z, 065.03
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
FINAL DATEI
(fCSPEC
1�
I
.I
Issued by:
Date Permit
Validated by:
DEC 21
'f
Validation:
I n- fZ ! 1 4___
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. a
HEATING (ROUGH)
STORAGE TANK
FORMS /
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.j
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
WALL SO. FT. ®
WATER HEATER
DRINKING FOUNTAIN
FINAL INSP.
URINAL
SQ. FT. ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
ROOFING G,b
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SQ. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING t2 -Z? S/
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /
.661016W" SEPTIC TANK,2-3-,rv2FGH
WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.j
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING / -13
FINAL INSP9,,,e'S.-G)
6
ROOFING G,b
0
1
8
a ,
v� D
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL _ -z( zo
LATHING
MESH
INSULATION/SOUND G
FINISH GRADING
FINAL INSPECTION lIle-
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
T4ht 4
QUWCV
P.O. BOX 1504
No. 12600
Building5l-970 Diaz 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Esequiel Coronel
Mailing P.O.BOX 1238
Address
BUILDING: TYPE CONST. OCC. GRP.
7
A.P. Number 73-161-010
City Zip Tel.
La Quinta, CA 92253 1 564-4604
Legal Description Lot 14 Block 33
Contractor
Coronel Construction
Project Description SFD
Address
P.O. Box 1238
CityTel.
La Quinta, CAZip 92253 564-4604
State Lic.
City
& Classif. B 634981
Lic..# 2261
Sq. Ft. 1280 No.
Size Stories
No. Dw.
Units
Arch., Engr.,
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Permit does not
include block wall or
pool.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
,
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business 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 rile 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 rive 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
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. d, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burdenElectrical
of proving that he did not build or improve for the purpose of sale.)
Estimated Valuation $77,193.00
PERMIT AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. BBI. 216 , 17
Const. 540 . 5 0
Mech, 55 . 50
119 . 32
Plumbing
144 . 00
❑ 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.)
0 I am exempt under Sec. B. & P.C. for this reason
.S.M.I.
7 , 71
Grading
20.00
Driveway Enc.
.00
Date Owner
Infrastructure
1,736 . 8 3
Precise Plan
25.00
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
O Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL
3,115.03 2,865.03
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 thq 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: ff, 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
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.)
Lenders Name -
Lenders 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.
1 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
ateMailing Address
City, State, Zip
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
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
FINANCE
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 112/20/931 Type of Permit I La Quinta
No. 112582 1 Permit #L12600
Log
Owner Name Coronel, Esequiel
No. 51-970 Street Avenida Diaz
City La Quinta Zip 92253 Study Area 113
APN # 773-161-010 J Tract # I = Lot # 14 Square Footage 11280
Type of Development Single Family Residence INo. of units
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 1.65 x 1280 or $ 2,112.00 have been paid to D.S.U.S.D. 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 Coronel Construction Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Peggy Reyes
Payment Received
i y ti
Signature
Ci��ek No. 3056
Collector: Attach a copy of county or city plan check application form to district copy for. all^w,aiwers.
Embossed Original- Building Dept./ Applicant Copy - Applicant/Receipt Copy - Accounting
j
Fee collected /exempted by Peggy Reyes
Payment Received
i y ti
Signature
Ci��ek No. 3056
Collector: Attach a copy of county or city plan check application form to district copy for. all^w,aiwers.
Embossed Original- Building Dept./ Applicant Copy - Applicant/Receipt Copy - Accounting
1U
Tr
Zt
bk,k pantu
-17
of Ed. Muinta
lftuitbin�, dub �Safjot�r 31ftltwon
This Certificate issued pursuant to the requirements of Section. 306 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 51-970 Avenida Diaz
Use classification Single Family Dwelling Bldg. Permit No. 12600
Group R3 Type Construction Vn Fire Zone Use Zone SR
Owner of Building Coronel Construction Address P.O. Box 1238
Cit La Quinta, CA 92253 Lonnie Day
By.
oy'! Dote: February 15, 1994
Building Official
POST IN A CONSPICUOUS PLACE
r�i
JAN 17 '94 12:15 SCHMID INSUL INDIO 3421376
OWENS-CORNING
FiberIas
Building Insulation
The contractor named below certifies that the Owens-Corning Fiberglas Building
Insulation used carries the NAHB Research Foundation, Inc. label for assured
i thermal performance and that the Building Insulation is installed in conformance
1 with current energy conservation regulations, California Administrative Code,
Title 24, State of California, in the building located at:
51-970 AVD. DIAZ LA QUTAN7A
j Address City TraclNumber~
Exterior Walls BA77S6!" R-19
l Owens-Corning Fiberglas Type _._. Insulation
Thickness R -Value
Ceilings BAITS 12" �2-38
Owens-CorningFibergiasType Insulation
Thickness R -Value
Floors
Owens-Corning Fiberglas Type
Foundation Walls
Manufacturer
_ Insulation
Thickness R Value
type Thickness R -Value
i
CORONEL
CONS7.
General Contractor__.
License No.
By
Title. _ — Dale
(signature)
CHP1ID
INSULATION,. INC. 221517 C-2
Insulation ct
LicenseNo.- ..�
By
Title MANAOCR Date ---i- 18 - 9 4
Ifti "a)LEON
Homeowner Copy (White)
State Copy (Yellow)
Insulation Contractor Copy (Pink)
OWENS-CORNING FIBERGLAS CORP.
Pup No, 15 -OL -14725
Insulation Operating Division
U Nin US.A.,Sept,1967 Copyright-: 19870wana-Corning Fiberylaz Cmp. Fiberglas Tower, Toludo. Ohio 43659
P.1