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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 (Prrz, . . . P MiM :b -M& % . . a 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 :b -M& % . . a 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