The URL can be used to link to this page

0105-252 (SFD)LICENSED CONTRACTOR DECLARATION I I h'� py affirm under penalty of perjury that I am licensed under provisions of Chz�fer 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 /00.31/2( spate 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. ,(a) 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. STATE FIX -0) 154207-00 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify the; 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'll should become subject to the workers' comperhsation provisions of Section 3700 of the Labor Co"de, I shall forthwith comply with those provisions. f j �e�ate: r �. 1 Applicant,\ Warning: Failure to secure Workers' Compensation coverage is unlawful and .shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building at'd`S ety for a permit subject to the conditions and restrictions set forth I�o�ir' application. 1. Each person upon whose behalf this application is made & each 3son at whose request and for whose benefit work is performed under or pt US' nt to any permit issued as a result of this applicaton agrees to, & shall,demn fy & hold harmless the City of La Quinta, its officers, agents and er �ploye s. 2. Any permit issued as a result of this application becomes null a d void if work is not commenced within 180 days from date of issuanc of such permit, or cessation of work for 180 days will subject permit to can talfmr I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building - construction, and hereby -authorize representatives of"this City to enter upon the above-mentioned property for inspection purposes l� � i , Signature (Owner/Agent),.r -�-�' Date - 4' BUILDING PERMIT PERMIT# DATE VALUATION LOT 01 252 TRACT t s81..1.o 1 E17. DC2, JOB SITE APN ADDRESS e�� p�ry g 7� �Ary� sy �pv�q py; pp 151 -2w -W7 4n$aJ .&P S. Wf✓A.ft,B:r.�'VLwu LA OWNER CONTRACTORyy^/��y/DESIGNER/EN &11NEER��jj..yy- w'a t�++�� ggyy�T�y�.�y � 't,Y tl1Y ALSa F��bP�rA.�+B'y4.t.tJ&:+S �T (10 .:41�{'lI .,(_10s�f►,)iXLV�,..l,lf"11 , 110BOX.10P 78.150C.`A ZTATANCO:.3')ITER-236 S A C2` 1D3 i:A CA 92253 LA QL33WA CA 92253 (Y60)564.46N. MLO 2261 USE OF PERMIT SF,),, POOL, ON'. E9RJVEWA'V APP'ROA H (f ENCH 9ri./bS"3'ER MA -2 FLOOD PtAt' D TMCT f:ONS"I"T:?3C`t 0,14 %4fi9 od sI1' a:RA.GM,ARV00R°ii 5.1 9.04 Stt' 5M W0;11)P2 t CE, 'AIM Do LF E �`Z2EeIr Me �:O1�3:@'�1„I'4':'1.�{�N � '�.Q'y'�j�,�`� �+'` j,'j �"y �pyMU11'.A PERMIT tOP1lTn 101.OW-415.000 090M PI.tlN K:);3FIC PEE 101-000-439-319 W5.21 LEX-HANIOVt.'fzLFeK 101-000.421.000 $43.59 FAXPC;TRICAL ."01 401 K00014-11.0.000 $129.20 P"{.r'ED:M91,110 F.R. 101.000-41.9-000 $110115 :37Pi1 C31�K11lSLiFaCa °r : � 1 : 1i� )DI -000-241-000 SS.94 GR ADYNG PER 101.000-41.341200 $20.09 A:t.AWFAX)PER W}''.wA..C11' FLX 51,907.0 P;R :33JE V1JEi13 10 1 -x -441-S45 $104160 FIR, O 111, 101-000-439418 •$750.00 :j UG — 6 2001 su..... AL bORKIRTM'3i'PPON AND PL1W Mr $3,414.lo 1=3 PRIEW-PAW FEW _$250100 CITY OF LA QUINTA 'RY�l;A1.e P.Ef::Eil�s'8:13..,E �T's, D1'1:�a,6�'�►w FIFINANCEDEDEPT is�cl�•+a'€? RECEIPT. DATE BY E I A ` INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _ _ Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck —��-0 �� Exhaust Fans O.K. to Wrap �j_,Z�- O( SZ F.A.U. Framing 9/261p ( y� Compressor Insulation /Q2 D �3r Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath j Drywall - Int. Lath�- Final Final IZ7JZL ,� POOLS - SPAS BLOCKWAP LL A ROVALS "= 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,,pp ( Heater Final Water Piping 29�?i=Jla 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 6� Appliances Final COMMENTS: Final p Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole 8-73( �7 Underground Conduit Rough Wiring Low Voltage Wiring _ Fixtures Main Service Sub Panels Exterior Receptacles /.r1 G.F.I. jam' Smoke Detectors 2 Temp. Use of Power Final Utility Notice (Perm) _ BuildinSI-as I - a 5 Address .�_ •4 i ', P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C yc-N r - , ,\ �7 ,\ I Mailing f� Address City Zip Tel. L. ntractor _ `\ Address `,City (/� \\ Z(i�p Tel. 1 % ' 1 M G �M �.,1 . !'r.- 1 } " `` 4\ moi\ State Lic. f City & Classif.( ?�Aci t �' Lic. ff Arch., Engr., a� Q Designer Address Tel. City Zip (State I Lic. N LICENSED CONTRACTOR'&DECLARATION M N 1 hereby affirm that I am licensed der rovis ons of Chapter 9 (commencing with Section 7L)p0�,o1 Divis'�i ri 3.0lk',t,he Business And' s ns Code/,, andmylicense is in full force and effect. / fr •C _-t.�. SIGNATURE' DATE /J - OWNER -BUILDER DECLARATION I hereby affirm thayrl am exa 'pt from the Contractor's License law for the following reason: (Sec. 7031.5, 8(�sinass�a/id Professions Code: Any City or county which requires a permit to construct, akar, mp'rove, 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 thealleged 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). EJ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ntended 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 orimprovement 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 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.) I-1 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 177 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, alter making this Certificate of Exemption you should become subject to the Workers' Compensaticn provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 APPLICATION ONLY BUILDING: TYPE'CONST. OCC. GRP. A.P. Number - 11 - Legal Description --"\ . -7 Project Description . � r S IPA z Sq. Ft. ()n No. 4 Size \ Stories ` No. Dw. Units New [ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Estimated Valuation Issued by: PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. pLeVrical lu bing .I Rradg By E66.Y Infra tructure MIT Ur UR UUINIA 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: 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 8/6/01 No. 22357 Owner NameCoronel Enterprises No, 51-255 Street Calle Guatemala city La Quinta Tract # B7, DC2 Lot # 1 Type of Development Single Family Residence By Comments APN # 770-161-001 Jurisdiction La Quinta Permit # 0105-252 Log # Zip 92253 Study Area Square Footage 1409 ' 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 2.05 X 1,409 or $ 2,888.45 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 Telephone Name on the check Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Signature Payment Received $2,888.45 Check No. 246819 NOTICE: Pursuant of Asseftly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 01/09/01 10:25 FAX 17608049062 C01t1f0NWEALTH TITLE RECORDING REQUESTED BY: AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEIVIENTS TO: MrY &:sirs, Agustin Paz '7 - �10'rA SPACE A80VE THIS LIN_ FOR RECORDER'S USE The undersigned grantor(s)declare($): Grant Deed A•P,N, 770-161-001 Documentary transfer tax is S ( xF) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at.tine of sale. ( ) Unincorporated area: ( ) City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, William Thomas Buffin hereby GRANT(S) to Zeke Coronel the real property in the City of La Quinta County of Riverside Slate of California, described as fops Lot 1 bf Block 7 Unit No. Sante. Carmelita at Vale Lal i Quinta, as per map recorded in Book Pages of Maos, records of Riverside County, California Dated May 10 2001 / Slate of Californie ) County of _)SS' r On before me, personally appeared William Thomas Ruffin personally known to me (or proved to me on the basis of s2.tisfac!ory evidence) to be the person(s) whose name(s) islare subscribed to the within instrunenl and acknowledged to me that he/she/they ezeuted the same in his/her/thelr authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the'person(s) ailed, executed the instrument. WITNESS my hand and oKclat aeai. Signature MAIL TAX STATEMENTS TO, .. Signature of Grantor William Thomas Buffin City of La Qu i nta Plan Check Corrections Date: May 24, 2001 Project Address: 51-255 Calle Guatemala Project Description: Single Family Dwelling Status: First Review Plan Checked by: Greg Butler (777-7015) Respond in writing to all corrections requested below. Return.this list with next submittal. Tl L-6 1. This Project lies within a known flood zone. Provide a "Flood Plain Development Permit" from the City of La Quinta Public Works Department. Contact the Public Works Department directly at (760) 777-7075. In the course of acquiring the Flood Plain Development Permit, you will be creating several copies of a grading plan for this property. Once the Public Works' Department has approved that Plan, attach one copy of the approved Grading Plan to the front of the Plan set that will be stamped as your Job Set for resubmittal to the Building Department. Submit another copy of the approved Grading Plan to the Building Department for our permanent records. We are returning to you one Plan Set and the Assessor's Site and Floor Plans. Please resubmit both items. As further information is provided and reviewed, additional corrections may be required. END CORRECTION LIST Page 1 of 1 Feiro Engineering, Inc. Civil Engineering- Land Surveying P. O. Box 12980 Palm Desert, Ca. 92255 (760) 346-8015 FAX (760) 346-2548 Aug. 16, 2001 City of La Quinta 78-495 Calle Tampico La Quinta, Ca. 92253 ATTN: Building Er Safety RE: Lot 1 Blk. 7 Desert Club Tr. #2 APN: 770-161-001 Address:C51-255_Calle Guatamala This letter will serve to state that we have field checked the pad Er finished floor elevations for the above project and found them to be as follows: Finished Floor = 42.40 high 42.36 low 42.30 plan Pad = 41.9 high Q*gVESS/pN LU No, C-2417'6 �. �ya�ro�t ��9TF�� ca OF j 41.9 low 41.8 plan Sincerely, mes D. Feiro, ' Vice President RCE 24176 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760).777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE"AD" - DEPTH 1 -C), Ca COMMUNITY- PANEL NUMBER 060709 0005 B Map Revised: 8/19/1991 1 _ �� ' APPLICANT INFORMATION SECTION APPLICANT NAME APPLICANT P Q • �jok 3 bG� ADDRESS. (MAILING ADDRESS, NOT THE BUILDING SITE) DAYTIME TELEPHONE NO. SL14 -14LU1 INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise. Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the . Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. AUTHORIZED SIGNA URE DATE AUTHORIZED SIGNATURE DATE La Quinta Engineeriig Departm.9 t La Quinta Engineering Department FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant F090 REV -2. - 7/00 CHECKLIST FOR PRECISE GRADING PLANS IN "AO" FLOOD ZONE 1. Prepare Precise Grading Plan in accordance with Checklist for Precise Plans and the following additional. items. 2. All elevations shall employ the NGVD-29 convention. 3. Show and label elevation of "Highest Adjacent Grade" next to the building footprint. This refers to the highest existing natural grade next to the proposed building prior to constructing the elevated the building pad. . 4. Show and label the "Highest Existing Elevation on Lot" 5. Show and label the "Lowest Habitable Finished Floor Elevation". Note,this elevation shall be at least ONE FOOT higher than the "Highest Adjacent Grade" elevation. . 6. The following grading note shall appear on the plan: All fill material placed under the structure shall be compacted to ninety-five percent (95%) relative density. F080A 10/09 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: Occupancy Group: SINGLE FAMILY DWELLING 51-255 CALLE GUATEMALA R-3 Type of Construction: VN Owner of Building: CORONEL ENTERPRISES Building Official Bldg. Permit No.: Land Use Zone; 0105-252 RC Address: PO BOX 389 City: LA QUINTA CA 92253 By: GARY HARTMAN Date: DECEMBER 27, 2001 POST IN A CONSPICUOUS PLACE