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0206-150 (SFD)LICENSED CONTRACTOR DELL-ARi4TION 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 f Exp. Date/ �5a4981, B I31104 DateM7 ' ` I Signature of Contractor'" f -4 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 STATE FUND Policy No. I5'29.17-0; (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 to become subject to the workers' compensation laws of California, and,agree tha fif I should become subject to the workers' compensation1provisioris of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (Y�� Date:"7-2„ r d Applicant, 'JI, �..�.._. i 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 this ; 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�rauthorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent)`-41,'' L - Date BUILDING PERMIT PERMIT# 02tI64W, DATE VALUATIONLOT TRACT W911531K 10 14 ISM S JOB SITE ADDRESS W 4 0 CAf� i', 7J A.` A�.� L APN 770-3,63`•t3ll OWNER CONTRACTOR/ DESIGNER / EN INFER Ct7ROWldL ENTERPMES CORON-M C0.483,11RIT(NITION PCS IiOX 389 78-1 w,O CLLE'h°AM- PIIt..'0 WM�id'.� 30 Lik qUINTA CA 92253 i..k QTTx.NT,r'A CA 025.' (760)WH604 CBL# 2261 USE OF PERMIT MOLE leA1 Y VW:t+-'LLUTO ; K3, - TOT 14, STi+sNC2A11D SA'si`I•A M N£e2aS'MR. PERMIT DO&I NUf r9CLUDE HWCK A %, POOL, SRA OR DRiVd� APPROACH, 75% PLKH Cr•IE-CK "E RIEI51.?CTION T1YFLECr%0N DAY1' 1PLY IME AINCE OF TRAOT CONSTRUCTION 1,421,40 SF PORC.f+slg?A'TIO 36.00 SF ' 0ARAMCARPORT 5101150 OF E81VAA7XD COSO.F CO.NSTROCION •iT�/��t,�� SS3dL@T CU140TRUCTIO141E 103.000418.000 �s��•4n PLAN CHECK FLP% 101-000-439-31€s WrrH.t LAICAL M 101 -arc) -421-000 �a�vnQ t►.1AC EUC:iAL, FEE 101-000-420-000 $4 d4.44 PLUM1aINO FEE1 101.000.419.000 13 c i{t.i5 STRO'NIG MOTION FES - RESID 101-000-241-001.) R .n1A7 .fes Pi 101000.423.000 320,0a DFIV 1LOPI1zR13V1Ai?CT IZE $.405.00 PF"ISE PLAN 301-000-441-345 $100.00 FIDE DEPOSIT SUB -'DOTAL COMMUMM.PM) PI.��IT Cy",}MC�."ylr�� $3,l513g.61 rr_ [y�; f� AdS 133 P i1F_—.Pd'7!id,.� A'. uiM5 tPI 50, 00 t . 'L9dL+AviKSS,.A iY.'EA`i DN W,- n4A'ri'y v^+.1T14� CITY OF LA QUINTA . FINANCE DEPT. , RECEIPT D)ATEf~+ '`//% BY DA E FINALED 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 '.Z j -OZ_ 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 Drywall - Int. Lath _ 7% Final Final �l az {�l/( 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 Sewer Connection //��// (/ - /10"Z Pool Cover Encapsulation Gas Piping Gas Test =117-- Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole . - 2 _ 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) Zl e ' !moi COMMENTS: T4tyl 4 4 Ot" P.a. BOX 1504 Buildin 78-495 CALLE TAMPICO Addres LA QUINTA, CALIFORNIA 92253 Owner Mailing Address City I Zip Tel. Contractor Address Zip I Tel. State Lic. I City & Classif. Lic. # Arch-, Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I he"'yy affirm that I am licensed under provisione of Chap ter 9 (comma ncing with Section 7006} of Dlvtafon 3 of the Business and Proresslons Code, and my license Is in futl force and effect. SI�NATl3F» DATE OWNER•BUILDER DECLARATION I hereby allifmthat I am exempt from the Contractor's License Law for the following reason: fSac. 70,71-5.8ualness and Professions Code: Any Illy or county which req<uras a palmri to constrool. after, improve, demoksh, at repair any S:Wcrure. prior to Ira t95trahCe also requires the appbcml for such permit to We a signed stafemenf. that he is 4censed pursuant to the provWon: of the Canfractor's Lfcense Law. Chapter 9 fcommencinp with Section 7000) of rkvlsron 3 of the Business and Professiona Coda, or that ha is exampr therefrom, and the basis kff the alleged examplkm Any vhotalwn of Section 7031.5 by any nppliew? for a parmd sU*cfs the appiicanl Ib a aw penalty of not more than Wa.hundred dollars. fS500), IJ I, as owner of the properly, or my employees with wages as their sale compensation, will (Jv the work, and the structure IS not intended or offered for sale. (sac. 7044, Buisness and Professions Code: The Contractors License Law does not apply to an owner of properly who builds or improves thoreon and "a does such work hknsetl or through his own employaes, provided that such Improvements are not. intended or offered for sate- 11,, however, the buiWktp or Improvement is sold within one year or compteflon, the pwfrar-bur7der will have the burden of proving fhaf he did not build or improve for the purpose of sale.) I I I, as ownor of the property, am exclusively contracting with licensed contractors to con- slruct the projecl. fSec- 7044. Business and PrcW"Moijs Cade: The Cdntractbr'9 Licenure Law does not apply to an own" of property who buids or improves thareon, end who confiacls for such praimfs wlf7t a cMNacta{sJ 7icansed pursuan! to fha Cdnfracror's Lronse Law.) 11 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 (8100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any parson 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 la comply with all city and county ordinances and state laws relating to building consiructlon. 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 60 APPLICATION ONLY D1P BUILDING: TYPE'CONST. OCC. GRP. A.P. Number Legal Description Project Description 6 S to Je Q+4T4t'i �� Sq. Ft. Size No. No. Dw. 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. Infrastructure 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 I Validated by: h Validation: Li WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Comments Five Cashiers Checks from VIB At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosANalkways, 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 760/564-4604 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 68=(d)(1), 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 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 CERTIFICATE OF COMPLIANCE &t(4 Z - Desert SandsUnified �o 47950 Dune Palms Road ° Q BERMUDA DUNES Date '7/24/02 La Quinta CA 92253 rn RANCHO MIRAGE b INDIAN No. 23406 (760) 771-8515S'3LA PALM DESERT .y IrQUINTA 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 patiosANalkways, 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 760/564-4604 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 68=(d)(1), 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 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 6011 b1 21062 bti: 2'd /bIJ / / / /bll May.15. M2 4:31PM LA UUlNIA PAGE 02 No.2678 P. 2 RECORDING REQUESTED BY. ?C �s�t.[. E' GuAT61�r)�3e ANP WHEN RECOMPIPMAI.THIS 10060 ANO, _ UrJLPSS OTHERW18E,590ft BELOW, MAIL. TAX STATSMENTS TO o t 13 �'� - go C.A C.GG tr UF1 "l Vin' CORONEL ENTERPRISES INC, SPACE ABOVE TH18 LING FGR REQ,0KORR'6' USA Grant Deed A,.P,N• 770-•163— Tha undersigned grentor(e) doolaro(o): /011 Documentary Iranefar taxis $ ( ax) cornputsd on full yalua of properly conveyed, or j( ) computed on Pull value fess VANO Of tipna pnd encumbrances remalning at ttnte of s aiq, Unincorporated Brea ( ) Clty of , and FOR A VALUABLE CONSIDERATION, raColpt of which f;g hertaby acknowledped, PETER.WEINTRAUB hereby GRANT(S) to CORONETS ENTERPRISES INC. the real propmrty In Iha City of LA Quince State of C®Utomla, descr14d es County of Riverside. Lot 'AE/ 1 4_PM of Block 5 Unit No, , Santa. Carmelit a at vale Iia Quinta, a6 per 'reap recorded im book Pagas 6f Mope, Records of Rivcreidt County, California Del�d April 26, 2002 SlgngtureofGrantor Slate of Colifornla ) County of PETER WEINTRAUB On beroro rno, -----�—+ personally appeared , W Y TER WE TRAUB persohalry known to me (or proved to me on the Mels of aetle(actory avidenoe) ie.. oe the parson(,) whose nama(s) is/are subsotibed io lha wllhin In.s(rumant and aoknowladpsd to mo that he/she/they ozecuiad the same In hla/her/ftIr outhorltod capsclly(Isa), anc thm by hislhanthelr slgnature(,o) on the Inetrymortl tha pen0n(s), or the enilly upon boholf orwhlch the person(&) anod, suecutad the Inetrumenl. WITNUS my hsno find gMclal smsl. 91®neturo MAIL TAX ST.ATEMENT6 TQ, I I 8 NUV-113-2002 10:05 PM P.03 INSTALLATION CERTIFICATE CF -6R -5-1-1-17a t o g-ro -iA Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS 'DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If tan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity i�7 in Thousands of Btu/hr, enter calculated value here / f If fan flow is measured, enter measured value here Leakage Fraction Test Leakage/(Measured or Calculated Fan Flow) = = Pass if leakage fraction:5 0.06 ❑ Pass Fail ❑ For AEROSOL TYPE. SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections / ❑ ❑ Pass Fail 0 -THERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN l ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. .1114 . ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -IR. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail 0— 1, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the test(s) is in conformance with the requirements for compliance credit, (The builder shall .provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] ? ,p• /Q1M=s �� s Al. �QYPi7 �°� hili S `/LC• //�l^ Tcsts Signature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Certificate of Occupancy City of La. Quinta Building and Safety Department n 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: SINGLE FAMILY DWELLING 51-470 CALLE GUATEMALA Occupancy Group: R3 Type of Construction: VN Owner of Building: CORONEL ENTERPRISES Building Official Bldg. Permit No.: 0206-150 Land Use Zone: RM ° Address: P.O. BOX 389 City: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: NOVEMBER 21, 2002 POST IN A CONSPICUOUS PLACE