09-0360 (SPIN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
'109r 0000.0360
Property Address:
52330-AVENIDA HERRERA
APN:
773-264-004-19 -000000-
Application description:
SPECIAL INSPECTION
Property Zoning:
COVE RESIDENTIAL
Application valuation:
100
Ti&t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
1
LICENSED CONTRACTOR'S 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 th siness and Professionals Code, d y License is in full force and effect.
License Class: B-1213 License o.: 634981
Date:�{ -aSS - `1 ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ell
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: � \'
Lender's Address:
I,OPERMIT
Owner:
CORONEL CONSTRUCTION
42760 MADIO STREET
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/09
a °
Contractor:
CORONEL CONSTRUCTIO APR 2 8 2009
P.O. BOX 389
LA QUINTA, CA 92247
INTA
(760) 564-4604 CITYOFLAQ1UPT.
Lic. No.: 634981 FI�A.Y�EQgpT__
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
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 and policy number are:
Carrier AMER INS Policy Number 238527807
1 certify that, in the performance of the Lithcomply
which t pe it is issued, I shall not employ any
person in any manner so as to becomt to th work s' compensation laws of California,
and agree that, i hould come
sub
hew kers' compensation provisions of Section
3700 of the Lab de, I hall forth w h ose provisions.
,Ayate: ti��TOSECURE
WARNING: FAIL WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
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 t the abov information' -corre a ee to comply with all
city and county ordinances and state laws relating t b ilding c struction, nd here aut rize representatives
o_f this county to enter upon the above-mentioned pr a ty for i spection p rposes.
oats:-1-�-`l Si ature )Applicant or Agent):
r
LQPERMIT
Application Number . . 09-00000360
Permit . . . SPECIAL INSPECTION
Additional desc .
Permit Fee . . . . 100.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
100
Expiration Date 10/20/09
Qty Unit Charge Per
Extension.
BASE
FEE
100.00
----------------------------------------------------------------------------
Special Notes and Comments
SPECIAL INSPECTION TO RESOLVE ANY
ISSUES
CONCERNING THE FINAL ON THIS SFD.
FINAL
SFD PERMIT #0'6-3013.
Fee summary Charged
--------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 100.00
.00
.00
100.00
Plan Check Total .00
.00
.00
.00
Grand Total 100.00
.00
.00
100.00
APR -23`2009 THU 09 11 AM CORONEL ENTERPRISES FAX No. 160 115 5353 P-001
E
City of La Quilnta
3:f',
Building 8L Safety Division
P.O. Box l SO4
°L?srtnit ''- 78.495 Calle Tampico
s''°
T La Quinta, CA 92253
Qa Permit Application and Tracking Sheet
'Building
Project. Address: ��e � Owner's Name:
A. P. Nunxber:- Address: L{ La
Legal Description: city,ST, Zip:
[� \ Telephone: } 5'
Contractor
Address: Project Description;
G
Ciq,-,ST. Zip
Telephone:--7-,��\wloa
wte\�rJOL.�=b�c �Cr Y
State- Lic. : __7D'`^G 1 \
City Lic- k- b d w �.� 0 Q
Arch.. Engr.. Designcr:
Address: rix �5 6 t
City. ST, Zip: Q 30
Telephone: „:;: r{;j:iif si' a ��:,,t��`ga<i 'Construction Type: Occupancy:
i•,'>�,�.ai�: 1 )
project type (circle one): New Add'n Alter Repair Demo
State Lic,
Name of Contact Parson:�� �s. �� Sq. Ft.: # Stories: # Units:
Telephone of Contact Person: - �� Estimated Value of Project:
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JUL-30-2009 THU 12 06 PM CORONEL ENTERPRISES FAX No, 760 775 5353
r;
CITY OF LA Q
�c BUILDING & SAFETY DE AR
777.7012
j4SPECTION REQU IN
'777-715
Owner AUCHA,EL.- RCIA
Contractor RIVERS • E DEVELO
Permit Number 46-33
POST ON JOB IN CONSPI E
INSPECTOR MUST ;SIGN ALL APPL CA CE
ft�p 52-330 AVENID L ,+ R Ei RA
SPA, BLOCK WALLS OR DRIVEWAY
APPROACH.
TYPE OF INSPECTION DATE INSP.
-E:MPORARY POWER
iE'_TBACKS p p
1/G PLUMBING / WASTE
1/G ELRCTRICAL / GROUNDING . .A
'OOTINGS / STEEL _ 6 _ d , 7
;ONCRETE SLAB
.+v wv I rvvn LvN%,rlt I L UNI IL AbUVE SIGNED
IOOF NAIL/ PRE -ROOF
nnrvllllu (L vlvl0jIVAI lUN • A�_n
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
ISULATION d �/
COVER NO WORK UNTIL ABOVE SIGNED
ITERIOR GYP. Bp. DRYWALL
{TERIOR LATH
AS TEST
=PTIC ABANDONMENT
=WER CONNECTION
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MASONRYINSPE
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!E-GUNITE / SETBACKS
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FINAL INSPECT
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BLIC WORKS DEPARTMENT:
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TURN ON,UTILIl =S ,, i OCCUPY l U
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P. 001
F LA QUINTA
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60) 777-7012
ION 1,3EQUEST.LINE
601: 777-7153'
pwner CORONE 11 NTlFgPgTSFR
Ibntractor_C ;eJr'r"�i Tt•c�' �w ti7!t ,7(1I
I Permit Number -09-.360
POST ON JOB IN CONSPICUOUS PLACE
f INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESSHERREMA
II SPECIAL INSPECTION TO RESOLVE ANY ISSUES
CONCERNING THE FINAL ON THIS SFD.'FINAL
SFD PERMIT ##06-3013.
TYPE OF INSPECTIPN DATE INSP,
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
GH PLUMBING
GH MECHANIC
%TI O N
COVER NO WORK UNTIL ABOVE SIGNED
I INTERIOR GYP, BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
I SEWER CONNECTION
i SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
i
POOL / SPA / WATER FEATURE INSPECTIONS
I PRE-GUNITE ! SETBACKS
U/G PLUMBIN;G
U/G GAS
U/G ELECTRICAL
PRE -PIASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWE
� ELECTRICAI
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COMMUNITY DEVELOPMENT DEPT. I
FINAL/ CBOJ OMPLETED ������s�
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON.UTILITIES OR OCCUPY BUILDING