15780 (SFD)-4
Building 51-540 Eisenhwiver Dr.
Address
Owner Ewsequiel M. C€aronel
Address P.G. Dox 123$
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
i City
Zip
Tel.
La Quinta, CA
92253 (
Contractor
Coronal. Construction
Address
P.O. Box 1.239
City
La Qcxinth-, CA
Zip
32253
9i 564-4604
I#
State Lic.
ty&
TCL
Classif. B 6349-01
a 2261,
Arch., Engr., -
Designer
Address
Tel. r
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmm that I a'm licensed under provisions of ,Cf a�ipter 9 (commencing with St
7000) of Divis7on 3 of the Business and Professionss Cod%,t4nd my 111'se is in full9orc
effect. % ! E �L `l ,,t tet. Ut!✓�C ji' . /
I OWNEWBUILDER 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, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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 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 rove hundred dollars ($500).
❑ 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, 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. ff, 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 bu#d or improve for the purpose of sale.)
❑ 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
I'.Date Owner
WORKERS' COMPENSATION DECLARATION i
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.
u
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: It, 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($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. .
This Is a building permit when properly filled out, signed and validated, and is subject to'
expiration it 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
No. 15780
VVN UILDfNG: TYPE CONST. OCC. GRP..R3
.P. Number 773-135-013
egal Description Lots 22 6 23 Block 114
roject Description SED
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:
Sq. Ft. 1485
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
'-reit does -not include dock
walls or
pool.
Estimated Valuation$92,214.00
PERMIT
AMOUNT
Plan Chk. Dep.
',1`250.00
Plan Chk. Bal.
264.48
Const.
608.00
Mech.
-
55.50
Electrical
125.55
Plumbing
1.38.00
S.M.I.
9.22
Grading
20.00
Driveway Enc.
27()36T66-6(
Infrastructure
2,036.56
Wec1.se Plan-
25,00
TOTAL
3,532.31
3,282.31.
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWQ
1ST FL. SO. FT. 0 $
UNITS
t
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT.
TEMP. POLE
WALL SO. FT. ®
GROUT
DRINKING FOUNTAIN
SERVICE
FINAL INSP.
URINAL
SO. FT. ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ezr�a�v—
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
eP
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® I'A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
GAS PIPING
PERMIT FEE
CERT. OCC.
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. 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 SE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
/J
FOUND. REINF. O
GAS (ROUGH) /J�
!/
METE LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BONDBEAM /lp g�
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. /Z /
FRAMING
FINAL INSP.
ROOFING 6 S`
REMARKS:
ezr�a�v—
VENTILATION
FIRE ZONE ROOFING
eP
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/SStJGrt'�
LATHING vJ�3
MESH
INSULATIONISOUND �O
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
ftil
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TiN of 14a (out'n'ta
llxiflbtont� 11111 �'afQt� 31ilithsion
This Certificate issued pursuant to the requirements. of Section 306 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 51-540 Eisenhower Dr.
Use Classificotion Single Family Dwelling Bldg. Permit No. 15780
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Esequiel M. Coronel Address P.O. Box 1238
City La Quinta, Ca., 92253 By: Daniel P. Crawford Jr.
Dote: December 22, 1995
Building 0liciol
POST IN A CONSPICUOUS /LAC[
r
moommoommmiumemisp—owm
�.
(Prrz, . . .
P MiM
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TiN of 14a (out'n'ta
llxiflbtont� 11111 �'afQt� 31ilithsion
This Certificate issued pursuant to the requirements. of Section 306 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 51-540 Eisenhower Dr.
Use Classificotion Single Family Dwelling Bldg. Permit No. 15780
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Esequiel M. Coronel Address P.O. Box 1238
City La Quinta, Ca., 92253 By: Daniel P. Crawford Jr.
Dote: December 22, 1995
Building 0liciol
POST IN A CONSPICUOUS /LAC[
r
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 9/15/95 Type of Permit I La Q.ainta
No. 113686 Permit #
Owner Name Esequiel M. Coronel Log
No. 51540 Street Eisenhower Dr.
City La Quinta Zip 92253 Study Area 113
APN # 773-135-013 Tract # Lot # 22&23 Square Footage 11485
Type of Development Single Family Residence I No. of units 1�
Comments
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 1.72 x 1485 or $ 2,554.20 have been paid to D.S.U.S.D. 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 Coronel Construction
Name on the check
By
Dolores A. Ballesteros
Superintendent
Fee collecte exempted by Pauline Pearson
Signature
Telephone 564-4604
Payment Received
$2,554.20 Check No. 5431
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