The URL can be used to link to this page

9712-129 (SFD)M vJ N_JJ l O =) M r- oU-) ' W C) Z � OO F— ca W w F— a Z M LO N ON U °) Ca Lr) aCr 0 LL O _ `Q mUU O rn H It _Z oo 5 r` CO Q J 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 —?4981 F3 l n-1198 .Bate'�� L(Signature of Contractor f� / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, 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. GOLDEN EAULE INS. NWC42189200 (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 that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DAte: `'Applicant 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 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 authorize representatives of -this City to enter upon the above-mentioned property for,inspectio/n purposes. Signature (Owner/Agent) l/ % f�` Date 1 BUILDINGPERMIT PERMIT# CONTROL# 9712-129 6534 DATE VALUATION LOT TRACT 592,61298 JOB SITE APN ADDRESS 51-219 AVENIDA HERRFRA OWNER CONTRACTOR / DESIGNER / ENGINEER F.SEQUIEL hi CORONEL CORONEL CONSTRWfION PO BOX 389 P.O. BOX 389 LA QUINTA CA 92253 LA QUINCA CA 92253 (710)504-40)4 c. BL# 2201 USE OF PERMIT �Nn SFD - PERMIT DOES NOT INCI.UDE BLOCK WALLS 0R W xJL. PAIU JAN 6 1998 TRACT CON5TRUCrION 1,493.00 SF CITYOF Le QUlNTA PORCHIPATIO Ntl.i►tf SF GAR.AGSICARPORT 501.00 SF b FT. WOOD FENCE 200.00 LF a W11NIA'1'ED COST OF CON'i'1'Rl. MON 412,612.933 PERMIT FEE SUMMARY CONSTRUC ON F'FF 101-000-418-000 i(it►9.t►0 PLAN CHECK FEE 101-000.439-318 $511.36 MECHANICAL, FEE 101.000421-000 553.50 ELECTRICAL F3:13 101-000420.000 S I'_'5 56 PLUMBING FrE 1014K)0419.000 $12"'A' 51'RONU [MOTION FEE - REESID 101-01N)-241-000 S9..XJ GRADING FEL 101-000423-000 $20.00 fNFR.kSTRU(.'TURE FFY 225.)00-143-342 $2,036,16 PRECISE PLAN 101-000441-345 S25.0U kU, DEPOSIT -$'_'S(),00 PLAN CHECK FEE 101-000-439-318 4383.52 SUB- T:V. CONSTRUC'T'ION AND PLAN CHECK S3,5 16 74 LUSS PRE -PAID FEES 4633.52 TOTAL. PERMIT FEES DUE NOW 52,883.22 i RECEIPT DATE BY E FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set BacksUnderground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof De AM Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor _ Insulation Vents Fireplace P.L. j IFGrills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS 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 0 Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final `Utility Notice (Perm) T4ht44Q*m 4��2-�zq P.O. BOX 1504 APPLICATION ONLY BuildingS 7&105 CALLE CALIFORNIAESTAD9 �'" � � / / � 1 � �- UINTA, ORNIA 92253 Address LA Q Owner BUILDING: TYPE CONST. OCC. GRP. Mailing Address �(� �� a A.P. Number City Zip Tel. / Legal Description % t� T �� h �� % U� f Contractor Project Description S C Address City l �� • Zip 9.� Tel ► -- State Lic.City & Classif. C j 419 J-_ # Z z (� Sq. Ft. No. No. Dw. / Size �� Stories Units Arch., Engr., Designer New ®' Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION i\ I hereby affirm that I am licensed under provisions of Chapter 9 (commencing With Section of Divi 3 of the Busines'sand Professions Code, and my lit; se 7In full f , an effect. effect. •� , z 1 ZI 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,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 be 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). 1-1 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 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.) f 11, 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 l I am exempt under Sec. B. & P.C. for this reason Estimated Valuation PERMIT AMOUNT plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Date Owner Infrastructure 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. ❑ Certified copy is hereby furnished. TOTAL REMARKS 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. ZONE: BY: - Minimum Setback Distances: t Setback from Center Line r Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) r@ esilf aillback from Property Line Lender's NameDEC FINAL DATE INSPECTOR A , - ^' �, �y� ISS t (e_ Permit Validated by: Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to for 180 days. expirationcif work thereunder is application I certify that I have read this a licount 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 Validation: City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. 0 $ UNITS SLAB GRADE 2ND FL, SO. FT. @ BONDING YARD SPKLR SYSTEM POR. SO, FT. MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SO. FT. ® OTHER APP.IEOUIP. REINF. STEEL WALL SO. FT. TEMP. POLE DRINKING FOUNTAIN SO. FT. GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES o$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT - CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SPARK ARRESTOR SO. FT. rp c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID Q 11A c SEWAGE DISPOSAL LATHING SO.FT.GAR @ 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE INSULATIONISOUND PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.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 APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd, g plus xg o$ 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 SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201619-775-3500 CERTIFICATE OF COMPLIANCE Date 1/14/98 No. 16508 Jurisdiction Owner Name Esequiel M. Coronel No. 51219 City La Quinta Tract # Street Avenida Herrera Lot # Type of Development Single Family Residence Comments APN # 773-063-021 La Quinta Permit # Log # zip 92253 Square Footage Study Area 1485 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 1.84 X 1,485 or $ 2,732.40 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 ccNalley Independent Bank/Coronel Enterprises Telephone Name on the check By Dr. Doris Wilson ' Superintendent :r ` Fee collected /exempted by Pauline Pearson Payment Received ':k-,152.40 Check No. 158019 Signature &_'�_a_,LAA0 Lal�� 40TICE: 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 ibove 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 bllect them on the Districl('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 'Y 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: 51-219 AVENIDA HERRERA SINGLE FAMILY DWELLING Bldg. Permit No.:. 9712-129 R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL M CORONEL Building Official Address: PO BOX 389 City: LA QUINTA, CA., 9.2253 By: DANIEL P. CRAWFORD JR. Date: 4/11/98 POST IN A CONSPICUOUS PLACE