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9905-086 (SFD)N W , ouC) W Q Z -F O co W ww I— a z 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 D' /�-6149&1E /.,r. 01/2M/M ate i /' Signature of ContractorZ,_, 1 �' �•r t 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' Policy No. , (This section need of be competed if the permit valuationisfor $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 t�,become subject to the--, workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions •of/Section 3700 of the Labor Code; l shal/forthwith comply withthose provisions. ate,—//' 1 Applicant ! t L 1'tK• A-----�, 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/duthorize representatwes of -this City to enter upon the -above-mentioned property for inspection; purposes. Signature (Owner/Agent�l (l I 1�� r Date,--'.' r BUILDING PERMIT PERMITH DATE t f VALUATION LOT 9""116 . TRACT S ' 1 &91612." "JOB,SITE APN ADDRESS I 5-L690 AVi111V11)A DIAZ '773.-222-RO4 O,wNER i CONTRACTOR / DESIGNER / ENGINEER CORONEL ENTCRMSES f CORONEL CONSTRUC MON 51-540 .EISENHOWER DR. 51-5540 EISENHOWER L,A Quik A CA. 92.25.3 .DR. LA QLttNTA CA 92253 (760).5644604 CBIA 2261 USE OF PERMIT s NOISY h 8 v a > . ,.a .,r ., a a✓ .v .aa .aa � . SFD - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. TRACT CONSTRUCTION 1.485.00 SF PORMPA'iTIO 10.00,SF GARA(WJCAR3:PORT 504,00 SF 5 FT. WOOD FENCE W30100 LF p ESTIMATED COST Cid+' Ct3ie34T-RUC't•ION 9.2,612.94) PERMIT FEE SyU1101ARSi CONS772U(. HON ARE 10.1-0011•418-000 $608,00 PLAN t ksECK FEE 101.000-439.318 $511,24 i41£0HANIC AL ,FEE 101-000421-4100 $53,50 -ELEC,17RICAL FEE 11.01-000-4204M $1255.416 PLUNISI.NG F FE .1014)00-4.19-d)t111 $127.50 STRONGlv(UrION FEE - RESID 101-000-241-000 %9.26 GR.AI NNG FEE 101-000.423-004 $20.00 i'Nt:ltik$11RUCi'URFIFEE 2?5-000-44'3-342 $4035,56 G'REC'ISE .PLA.Nd 101-000-1141-345 $125.00 'FE6 DEPOSIT 10.1-000.439-318 4250.00 SUB -TOTAL CONSTRUCTION AND PLAN CFf.ECK $3,516.1:2 LESS PR); -PAID I-P.ES -V50.00 TOTAL. PEltNIff FEES DUE NOW S3,266a:12 RECEIPT DATE BY {�� DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade W Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation —" Vents Fireplace P.L. Grills Fireplace T.O. Fans &'Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ Z — Drywall - Int. Lath ^ Final Final BLOCKWALL AP ROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings . ( °t s.T Main Drain Bond Beam Approval to Cover Equipment Location - Underground Electric Underground PIbg. 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 _ Q 9 Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Q Q ^J 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).. COMMENTS: ,o Building Address (� Owner Mailing ^� Address (J. D ,.l -... �- w+F,+ e • (gt2eL� - �, P.O. BOX 1504 PPL C N O Y 78-495 CALLE TAMPICO (r, Z_ LA QUINTA, CALIFORNIA 92253 City f Zip 11A Gb1t1 •'f—'-_1\ 1 9 2.2 J Contractor ] ( t \ r O ry 1 / �'T s� f'YU �7 u✓7 Address � 0.13 City �j L.kG l/I I. t 1��C/ 77SJ ,/'ti' State Lic. ) B Classif. Arcn., tngr., Designer Address BUILDING: TYPE'CONST. !!^^OCC. GRP. t A.P. Number �77J�'72,6 'y�� ! `�`�(� (_1 _ 5. 7 ib �/G(� 1 1 Legal Description � � � � � Project Description F' .6 ' Tel.Jb^ 11, x/10/( City Lic. q 22 1 CityI Zip I State 1 Lic. If LICENSED CONTRACEQR'S DECLARATION I hereb,,,yyy affirm that I am Ilce d under p(((i((.�Isions of Chapter 9 (commencing with Section all yI§j�on of the B sines andlPrgtess� .Code; anti y liceniiis 7! fo�e�nd effect.` 6 SIGNATURE \ DATE `j 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) 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 live hundred dollars ($500). I' 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. 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.) I 1 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 doesnot 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'7 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby affirrf'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 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. 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 it work thereunder is suspended for 180 days. I certify that I have read this application and slate 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 V Sq. Ft./ / r 05 No. 11 No. Dw. Size l �'( Stories --;' Units New _._ --,-----Alter 0--'-- p on PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from CenteriLine Side Setback from Property Line t FINAL DATE INSPECTOR Issued by: Date Ir-,* TPermita., IVi_ \. r tj Validated by: Validation: APR 15 1999 � y 1A 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 Date 5/11/99 No. 18719 Owner NameCoronel Enterprises No, 52-680 City La Quinta Tract # CERTIFICATE OF COMPLIANCE APN # 773-282-009 Jurisdiction La Quinta Street Avenida Diaz zip 92253 Lot # Square Footage Type of Development Single Family Residence Comments Permit # Log # Study Area 1,485 No. of Units 1 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 1,485 or $ 2,866.05 the property listed above and that build nga '.;., permits and/or Certificates of Occupancy for this square footage in this proposed project may -new be issued Fees Paid B CCNIB/Coronel Enterprises �r By rP Telep��one 1: Name on the check r ;L �. ,:e y ti By Dr. Doris Wilson { ;F Superintendent Fee collected /exempted by Juanita Green Payment Received $2,866.05 Check No. 195017 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RC District - P/annina Review Form This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correction list. Please attach additional explanations as necessary. APPLICANT: CORONM CONSTRUCTION PROJECT ADDRESS: 52-680 Avenida Diaz APN: 773-282-009 LEGAL: LOT 15 , BLOCK 165 ,. UNIT 17 , S.C. @ V.L.Q. CVD BY: Fred Baker BIN NO:. CASE NO. ' 99-60 .. CHECK -DATE: Inform. the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log .b.00k to track applications and assign case numbers. REQUIRED ITEM I Y N I COMMENT/CORRECTION {:.\.;{..4 :. 4 r,.,v \... �"1v:�.:�.{*:. •., .:.::y :}::,:.,.: •.£~4w: ^•::: k.::�: +`.v,:`Y. '.`,n••:{}••,{'v},.�, :'•.��: ..Y ..\p\:S^: itir,v: }:i):: x,:.�i:•:$'.:: ••:\,\n: A\, i?i<:S:'•'v x: T \ v'v:.in•, .\.:\4�:::\44 :.:.: \{\�:y,Q:.;>. M1•� ,X}{, {{,i{...::. w: {:{' \ti•{,l ?' \•. 2: {: •::\:.: v .C`•'•:: �: ��.:„n, l..{1{:..,{}?::{"{':{.: /�:tititi{iv�:��1i:.� { .\n.•� .n� :..:n::tivjv:t:..,::: \: }: �::.v; k::.1:.,..,�•,....{......\; •}\• \..:.:, \,.: '::} :h'{.E?; iwv \.ii �:::.`..:\\i�:P�{�f�: \: .'iY{}' •�•:.�r: ': •3. {�. {{-':.'.n,:::v �........... ...:.. ..�: .. ... :ii�}:?'•�?�ti }i'n,�:•i�:y:., •::.v4�?}�,�x.: 4$•,:<�.* �r^ : C+i..T�;ii\:.v4•{: \:.<�h::�n�.. '+'.4 ;: Yi:?� r:l .;{h^n\fin i2�j::$•i`{: v{\,::?i•\•:n �v:.4>{:`4i�:?:•\ 'i:: �i•:.::r•: ::....:: •. •.:ti, n::: :.. . Case logged and number assigned .Verify legal and APN information A NOT Consistent with MDG on file las applicable) MDG filing required (5+ filings since 9/3/98) t#Abr WV. Consisted y -with-street/surrounding area:. Colors Materials Architecture n 0 a OTHER REQUIREMENTS: The zoning code, architectural and landscaping manuals, and/or assigned inspector should be consulted where uncertainties arise. The completed checklist shall be maintained in the Building .& Safety address file. 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: Use Classification: SFD Occupancy Group: R 3 52-680 AVENIDA DIAZ Type of Construction: I VN Owner of Building: CORONEL ENTERPRISES Building Official Bldg. Permit No.: 9905-086 Land Use Zone: RC Address: 51-540 EISENHOWER DR. City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 10-15-99 POST IN A CONSPICUOUS PLACE