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• 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
s'S3=3 1 r f � J'Jlj 1.10
•Date n '' *- -7 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 w" .&TL.rUND Policy No. 1.3429;37.01
(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 tecome subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions ofrSection 3700 of the Labor
Code, I shall forthwith comply with those provisions% /I
Date:" r '� -t - � Applicant-,, . t h^''
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 01
to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application. ` '•.r
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 purposes.
Signature (Owner/Agentl,A__, ! . ,Date' -2 '7 4
BUILDING 'PERMIT PERMIT#
-- ; 02 1�1
TRACT q'
DATE„ J d; VALUATION $09,335,10�$09,335,10�.2$09,335,10LOT 7 35 .ITJ,I.Ch
B 77; il
r
JOB
ADDRESS 51,-4WICU.YYf GUA 1 �i�
APN 7 f *1A.fxC4.)2 3
OWNER
CONTRACTOR / DESIGNER / EN (NEER
CORU]~.iEI;. ENTERP.I tT'S
CORONEL Cf3MMUC 1110N
PO BOY 389
78-1 SO CfLi,':, T 'TCO SITX.I'.L?4230
I,A QUWT1A. CA 52253
LA QUW .A, CA 92253
(16()1364.4604 P`131t 2261
USE OF PERMIT
a` 1MC F;>!i1 MY 1iW4M T MG
3FD - LA+T 15, ST1}J: YARD KLAN 'A PF, MASTUFL PLFRMIT DOES NOT
114CIAIDE ULOCKWALLU, k'004 SPA OR t?RIV1•"'(�AYAPPROACH. 7SV;
PL CHFC;K FEE 13;rDUCT1014 ,1EMF=-TION MiiT,.1 ITILE I SU.ANCE OP
TRACT WN3TRUC'TI014 1,421A V
PtOAC.1-L!'idltTIO 36100 tiR
0.ARAMCIARPORT 310.00 31r
5 Fr. WOOD FEWC E 2O.D.V)1.T#
WrdlV4'ATM CONT OF CiASCF.CaLNITMN-5.E0.i'!
Mr. SIMMARY
ti".O3vS5°AICTION FTE 101-MO.418.000 WOO—
K,e W C:1i2CK FE -9 $125,03
MECKA N MAL ".F. 101.000.421-000 $60.30
ELiKICTRI L KRZ 101 •-OW-420-000 $199.44
P1,C,tIv/Drso FEE 101.000419•000 SIM7.5
STRONG MOT1011ltL-HES1D '161-000.241-000 $0.03
GRA17INOF.RE 101-000-423-000 3NA
T}EN ILOPER IMPACT YDS; $2,40f 110
PRECISE PLAN 101-000-441.343 3100.00
F1;L+' DHPMS1T 101-000,439-318 4250:0
SiIM' -Tt3:ALco1OTuf,*TToALN}1„01''CkE=
$3,S53,C-3
`
iC3 PVVPeW FMS
"V,..50` 00
rdm mlam rims 3nTz wow
.fi ii. � :3la�lll
CITYOFLAUINTA
FINANCEDEPT.
RECEIPT
DATE 7
7f f�'i
BY
D IN L
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
C.2
Underground Ducts
Forms & Footings
Slab Grade
T1�
Ducts
Return Air
Steel
Combustion Air
Roof Deck
_
Exhaust Fans
0. K. to Wrap
5;7/.L7_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
Drywall - Int. Lath
_
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
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
—��_
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
�_ .p /L_
Encapsulation
Gas Piping
Gas Test
_
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
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 _70-117 oz—
Final ZFinal
Utility Notice (Perm)
COMMENTS:
4
P.O. BOX 1504 APPLICATION ONLY
Building \ 78-495 CALLE TAMPICO
Address �� is �� t w� LA QUINTA, CALIFORNIA 92253
Owner \
OCr,-W r� BUILDING: TYPE'CONST. OCC. GRP.
Mailing
Address _ _C3-lpcspx � A.P. Number 7%y- IL3-Q) �.
City Zip Tel.
�� •�v �� � � ��3 �� � � � Legal Description � • � � _ `� . ��� .
ContractorProject Description
�•
l , r. .\ C_....c\
I- Z�aa53 Te�,
State Lic. City
& Classif.�`�y l g Lie. # as
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. q
LICENSED CONTRACTO S DECLARATION
I r farm },Ilat I am Iicense4xQlld)rr obvi ' ns of Chapter' -9 (comm
DO tvtsi of the Busine a Pr ass ns Code, and my license
r
�NER•BUILDER D�LARATION
I hereby affirm that I a exempt from the Contractor's License Law for the following
reason: (Sec. 7031 ,Bu ass and Professions Code: Any city or county which requires a
permit to construct, a 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
lot 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 (8500).
(: 1, as oner of the property, or my employees with wages as their sole compensation, will
do the wowrk, 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 of improves thereon and who does such work himself or through his own employees,
provided that Such improvements are not intended or offered for sale. It, 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
'1. as owner of the property; am exclusively contracting with licensed contractors to con-
slru,I 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 tot
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
11 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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
fl Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed tf the permit is for one hundred dollars ($100) valuation
Or less.)
Icertify 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: d, after making this Certificate of Exemption you should become
subject to theWorkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1hereby 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
P,_
Sq. Ft. No. No. Dw.
Size ` Stories Units
New'!!] Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
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 Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
I Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 7/24/02 La Quinta, CA 92253
No. 23406 (760) 771-8515
(,✓E'S-T�a ^-� iii �- S'CS
MIT
Q: BERMUDA DUNES r
V) RANCHO MIRAGE b
INDIAN WELLS
--// PALM DESERT
w�`s LA Q IOTA `.�.
3n y�
Owner
Coronel Enterprises
APN #
Address
PO Box 389
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit # 0206-149
Tract #
BLK5
Study Area
Type
Single Family Residence
No. of Units 6
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1
11
•51465 Calle Hueneme
1421
Unit 6
12 .v, 51485 Calle Hueneme 1397
Unit 2
14
•51470 Calle Guatemala
1421
Unit 7
Unit 3
15
*51450 Calle Guatemala
1421
Unit 8
Unit 4
10
•51445 Calle Hueneme
1492
Unit 9
Unit 5
13
78270 Avenida Nuestra
1435
Unit 10
Comments Five Cashiers Checks from VIB
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosAvalkways, 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
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Crystal Scott $18,376.18 1$0.00
Payment Recd Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other
payment ideniified 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 DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
Nov, 4. 2002 2:33PM
0
CITY OFIAi,WWA
BUILDING & SAFETY DEPARTMENT
'Y
777-701.2
Lu INSPECTION REQUEST LINE
Lu
, 777-7153
s.
Owner
Contractor CONEL CONSTRUCTION
Permit Number 0206-151
.,POST ON JOB IN CONSPICUOUS PLACE
INS"P GTOR-IMUS•T SIGN ALL APPLICABLE SPACES
JOB ADDRESS S1-450 CA•L1,,E+ GU,A,TEMA.LA
SFD - LOT 15, STANDARD SANTA FE MASTER.
PERINUT DOES NOT INCLUDE BLOCK WALLS,
POOL, SPA, OR DRtVEWA,Y APPROACH
TYPE OF INSPECTION 4ATE INSF
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL
INTERIOR GYP BD.DRYWALL
EXTERIOR LATH Q Cj
GAS TEST
SEPTIC ABANDONMENT
SFWER CONNECTION
SEPTIC /GREASE INTERCEPTOR
BOND BEAM
POOL / SPA / W
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS••/ B.
FI N
TEMP. USE OF PERMANFM
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORT
COMMUNITY EE
o • FINAL / JO13
L
TER FEATURE I
�RI1=R5
L INSPECTION!
POWER /e9.
EPARTMENT
ABOVE APPROVALS DO NOT INCLUDE 'RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
No,7655 P. 1
05/16/2002 08:29 7607777011
May•l5. 1002 4:31PM
RECORDING REQUESTED BY:
AND WHEN RECORpj(p MAIL THIS ogEDAND
UrJLFSS OTHERWISE 98OWN BELOW,
MAIL TAX STATEMENTS T0-
CORONEL ENTERPRISES INC.
LA QUINTA PAGE 02
No•2678 P. 2
SPACE ABOVE THIS LINE FOR RErQK0 R'G U$A
AREMW
Th& undarslgned grenlor(e) doolnro(o):
Grant Deed A,P,N, 770-163-01 0
Documentary Irartsler tax 1e 5y_
compuisd on full value of property convaygd, or
computed on Pull value leas valUe of lieno pnd encumbrances remaining at time of 9219.
Unincorporated area ( ) CIV of and
FOR A VALUAQLE CONSIDet1ATION, recolpt of which t3 he(moy acknowledood,
PETER METiVTRAUB
hereby GRANT(S) to CORONETS ENTERPRISES INC .
the raal property In the City of La Quinca Coun(y of Ftivergidc
Stale of Cellfomla, descrlbed es
Lot of Block S Unit No, Santa Cartnelita At Vale I;a Quinta,
as pRi: ro.ap recorded is book Pagas 6f ,idpa, Rtcords of Riversidt County,
CaliforniA
Del�d April 26, 2002
5180 or Gclifornla )
County of
On bafors rah,
ptrsonelly eppearad ,
SER WEINTRAUB_
personAlly known to me (or proved to me on the bets of 66114factory
evidence) to oe the parson(&) whose nano(i) Is/ere subsodbed to Ihs
wlthtn InsWmehl and aoknoMadpid to me that ho/she(Ihvy ixeculod
the same In hlsrherflhek ou(horizod capeclly(Isa), and Ihm by
his/her/ihelr eighslureta) on lho Inelevmont the psn0n(e), or the ertft
upon boholl o(which Iho porion(&) anod, execulid Iho Inolrumanl.
Slgnetur'e of Gronlor
. ..,,
PETER ➢OEINTRAUB
WITNIZ89 my hand and gfrlctcl Qesl,
Vgneturo
MAIL TAX STATEMENTS TQ ��roA•_gB above
I •
1-4 50
4�v
�A�L E
C�aLL r::'
Ca UP -7-4. �')A�
GvHr�
apt
4.9 O
O.A C. G t
SPACE ABOVE THIS LINE FOR RErQK0 R'G U$A
AREMW
Th& undarslgned grenlor(e) doolnro(o):
Grant Deed A,P,N, 770-163-01 0
Documentary Irartsler tax 1e 5y_
compuisd on full value of property convaygd, or
computed on Pull value leas valUe of lieno pnd encumbrances remaining at time of 9219.
Unincorporated area ( ) CIV of and
FOR A VALUAQLE CONSIDet1ATION, recolpt of which t3 he(moy acknowledood,
PETER METiVTRAUB
hereby GRANT(S) to CORONETS ENTERPRISES INC .
the raal property In the City of La Quinca Coun(y of Ftivergidc
Stale of Cellfomla, descrlbed es
Lot of Block S Unit No, Santa Cartnelita At Vale I;a Quinta,
as pRi: ro.ap recorded is book Pagas 6f ,idpa, Rtcords of Riversidt County,
CaliforniA
Del�d April 26, 2002
5180 or Gclifornla )
County of
On bafors rah,
ptrsonelly eppearad ,
SER WEINTRAUB_
personAlly known to me (or proved to me on the bets of 66114factory
evidence) to oe the parson(&) whose nano(i) Is/ere subsodbed to Ihs
wlthtn InsWmehl and aoknoMadpid to me that ho/she(Ihvy ixeculod
the same In hlsrherflhek ou(horizod capeclly(Isa), and Ihm by
his/her/ihelr eighslureta) on lho Inelevmont the psn0n(e), or the ertft
upon boholl o(which Iho porion(&) anod, execulid Iho Inolrumanl.
Slgnetur'e of Gronlor
. ..,,
PETER ➢OEINTRAUB
WITNIZ89 my hand and gfrlctcl Qesl,
Vgneturo
MAIL TAX STATEMENTS TQ ��roA•_gB above
I •
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:
51-450 CALLE GUATEMALA
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.:
Occupancy Group: R-3 Type of Construction: VN Land Use Zone:
Owner of Building: CORONEL. ENTERPRISES
Building Official
Address: P.O. BOX 389
0206-151
RM
City: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: NOVEMBER 4, 2002
POST IN A CONSPICUOUS PLACE
NOV-01-2002 07:40 AN
�i,� :�dtlress
. •.,Y rNNL rVPTIFICATE
'qTe
ermit Numoer
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
p� DUCT LEAKAGE REDUCTION _
I'r s :r:'i.a;u:n fesl Results (CFM (i
Test Leakage (CFM) 7 _
P-03
CF -6R
C•aleulated as 400 cfn�/ton x number of tons, ore ter calculated g alue here
in Thousands of Bm/hr, n
If fan flow is measured, enter measured value here _
Leakage p;action Test Leakage/(Measured or Calculated
a fd Fan Flow)
on S 0 06 3r
pass if leakage Pass Fail
❑ Fur .vE:ItU5U1. TYPE SEALANTS ONLY - T,he following diagnostic testing was completed;
Duct Fan Pressurization at rough -in measured leakage (CFM)
,%j"rF:R FINISHING WALL: I n
❑ 1'c ❑ No ❑ Pressure pan test or House pressurization test // C1 ❑
❑ YL,s C] No ❑ Visual Inspection of Duct Connections
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV
IBJ `'es ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection ❑
.Yes is a pass Pass mail
❑ DUCT DESIGN
I ❑ Y,, 0 No ACOA Manual D Design calculations have been completed,
Duct Design is on the plans and duct installation matches
Plans.
❑ No TXV is installed or Fan flow has been verified. if no TXV,
Yerified far. flow matches design from CF.I R.
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
I. ilio• under.ilgiwd. verify that the above diagno,itic test results and the work 1 performed associated with the test(s) is in
VC
collion„anc�, with the requirements for compliance cr'dit. (The builder shall provide the HERS provider a copy of the CF -6R
s:p.ned by the buil(',er employees or sub -contractors cetrifying that diagnostic testing and installation meet the requirements for
cArt phanee credit.,•
Signarure, Date installing Subcontractor (Co. Name) OR
I'ci?e�rme�i General Contractor (Co, Name)
TO. Bui!d:nb Department
ITERS Provider (if applicable)
Bui.iding Owner ac Occupancy