11118 (SFD)4
P.O. BOX 1504 N o . 11.118
Buildingr Villa
CALLE ESTADO
52
Address 865 Villa LA QUINTA, CALIFORNIA 92253 ,
Owner
Roger Snellen.berger & Assoc. BUILDING 'TYP.E CONST. * OCC: GRP.
Mailing
Address P: 0. Box 1047 A.P. Number
City7_92253
ip Tel.
la Quinta 564-0793 Legal Description Lot � Block 14?
ContractorSFD
�r �, r,,,,, Project Description
Address tri ti_,
City Zip Tel.:
State Lic. City
& Classif. . 4/-1A 1/ Lic. #? Sq. Ft. No. No. Dw.
ArchEngr.,
c ' Size 166 Stories Units
.; '
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. P€ =it noes not include block wall or
City Zip State pool
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am license&undefprovisions of Chap[ r,/v9 (commencing with Section „ / �usr LT
7000) of Division 3 of-the.Business ariibProfessions'Co'de; and',my license is in full force and t7
effect. }/I.
SIGNATURE- I ° ---�' __ - _ .. . i, DATE
OWNER -BUILDER DECLARATION'7
1' -hereby affirm that I am exempt from the Contractor's'rLirense 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 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 five hundred. dollars ($500).
O 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 )
IEstimated Valuation 981555.00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
p I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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 S.M.I.-
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
O I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm thit 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. O Certified copy is hereby furnished.
TOTAL
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= 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 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
REMARKS
250.00
AMOUNT
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT. ®
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING -
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
REMARKS:
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
L7
I
P.O.'BOX 1504 APPLICATION ONLY
Building . 7&105 CALLE
Address S� —/Vo LA OUINTA, CALIFORNIA 92253
mantng
Address
City - Zip Tel.
Contractor
Address
City IZip I Tel.
State Lic. City
& Classif. ye 10) D3 V I Lic. # Z.
Arcn., t_ngr.,
Designer
Address Tel.
City IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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 Contractor's License Law for the following
reason: (Sec. 7031.5.Susiness 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).
1: 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 or 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. ff, however, the building
or improvement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I 1 I, asowner 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
F) Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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., It, 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
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
ame
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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
FINANCE
LDING: TYPE CONST. OCC. GRP.
P. Number
Description�_�7 &.,C 17 7 Pl eZg
Description
SFt. /// No.
Size
Stories D Stories ! Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infras cture
TOTAL
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:
i Desert Sands Unified School District
Notice: .82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 8/15/97 APN # 773-333-020
No. 15977 Jurisdiction La Quinta
1 ,
Owner Name Esequiel Coronet Permit #
No, 52865 Street Avenida Villa Log # '
City La Quinta zip 92253 Study Area
Tract # Lot # Square Footage
Type of Development Single Family Residence No: of Units 1
Coinments Pees originally paid on certificate #I I b42 in= permit expired.
New permit with a change in square footage of 1490 @ $1184' $274 .60 with a balance
owing of $191.48.
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 -ime due to the following
reason: ,F
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
0.00 X or $ 0.00 the property listed above and fiat building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By Coronel Construction
Telephcne . 564 4604'
Name on the check
a y f
By " Dr. Doris Wilson � !
Superintendent71
Fee collected /exempted by Pauline Pearson` Payment Received ° 1, 1:48
-t
(�Check No. cash
Signature , \� 1� a Q = o, Po AKA' A— /'A '
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) yr to another public entity authorized to
�llect 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
41
SALE ESCROW INSTRUCTIONS
l
THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS - READ IT. CAREFULLY!
TO: COMMONWEALTH LAND TITLE COMPANY Escrow No.: 97.6705KC
72855 Fred -Waring Dr. Date: 06/19/97
Suite A5 Page: I
Palm Desert, CA 92260 y
(760) 836-3726 "
Escrow Officer: Kelly Collier.
THE ESCROW HOLDER IS COMMONWEALTH LAND TITLE COMPANY WHICH IS LICENSED, '
BY THE CALIFORNIA DEPARTMENT OF INSURANCE.
Buyer will hand you additional. funds prior to closing in the amount of...`. ....... $ 15,000..00
.TOTAL CONSIDERATION,, $ 15,000.00
and any additional funds and instruments required from me to enable you'to complyy with these
instructions, which you.,are to use on or before July 17, 1997, and when ORANGE COAST T1TLE
COMPANY can issue a Standard Policy of Title Insurance Owners. form, with liability of
$15,000.00, on real -property in City of LA QUINTA, County of Riverside, State of CALIFORNIA viz:
Commonly known as- APN 773-333-020, LA QUINTA,.CALIFORNIA `
LOT -7 OF BLOCK 147. OF SANTA CARMELITA.AT.VALE LA QUINTA,.UNIT N0. 15, AS
-SHOWN BY MAP ON FILE IN BOOK 18 PAGE 92 OF MAPS, RECORDS OR RIVERSIDE COUNTY,
CALIFORNIA
Except any reservations of record of minerals, oil, gas, water, carbons and hydrocarbons.
Showing-title'vested in:
,. ESEQUIEL M. CORONEL,,A SINGLE'MAN
Free from.encumbrance except: ;
" A-. ' Current general and special taxes for the fiscal year in which't7is escrow closes; and
taxes for the'ensuing year, if any, a lien not yet -dub or payable.
B. The lien of supplemental taxes, if any, assessed pursuant -to the provisions of Chapter
3.5 (commencing with Section 75) of the Revenue and Taxation Code of the State of
Cali forni a .
C. Special improvement assessments, if any.
D. Easements, rights, rights of way, covenants,'•conditions, restrictions
record. and reservations of
t • ,rt.L a - :iy' .. - '7 ` - .ems •.. yj e
- phi.. � • : : '� : � .
a