The URL can be used to link to this page

0003-197 (SFD)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 # tic. Class Exp.. Dat 3491 e r -i X '3 Date Si nature of Contractor, 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). (�,)� 1„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.0 Date Signature of Owner for this reason 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. (,,)shave and will maintain workers' compensation insurance, as required by SEFction 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 p,., �,,, r,,y1 Policy No. „��1_ry y� WI All- 15. ZIi 101+ D (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 3700of the Labor I de, I shall forthwitfi�omply with -those provisions .' / ate: �/ /'i ,,/Applicant, � � - �-ir�(./f 0 a n �. Y ♦ ..�. .1^..r Warning: Failure to secure Workers' Compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to .the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby. -authorize representatives of this City to enter upon the above-mentioned,/property for inspection purposes jSignature (Owner/Agent)% �j� �- Date PERMIT # BUILDING PERMIT .. 0003-197 --;. DATE VALUATION ,S81,3MA0 LOT 21 TRACT B1.1%111.127 JOB.SITE 3�^�1�1� R�.>l.�Jyt'�1�d��%.� APN ADDRESS T14 O �NER v CONTRACTOR / DESIGNER / ENGINEER' j�C��LIT .1 i.�T9t4T��f 7 V a .7.1 It\Ja 4.d.r 1 01.10- -ET' �'n i.1>Tf/CT'j0Ar VV1R 1. L.aw 4U1 a v PO BOX 399 j1-3,101 ISFrx+i,'HON'v DR. Lt1.QIJrtVtf1. CA 12243 L A(,)Ulri'1'A CA t12253 (76Q),V-4-<1604v ? ., C .,# 2261 USE OF PERMIT# GLE FAMILY DWELLING �.' ,, Amay, I l! SF0- P3.:icWT i,+Gl.CS NOT i IlvCMiJ; �i BLv.:it WALL tXk POOL. �.� 4 g 20 00 7 ikAC L C:ONSI RL14CTION 1.321.0+; 3r PORCHiPA110 36.00 SF GAKAGfJrj: W.)1.'1' 510,W S.F W00t:? F } N(Mi 200.06111E {' �,+ �'v('��t j � lt.r3 AAl�s 1 11 N�`iJ'h]I,A a.i.li' i.'l/:�I�.�P��UCT1,019 }tea (q PERMIT FEE SUMMARY (X)N31'RILfC'r1t>'Id 1.EF 10i -M-41$-41100 PT qt`.f ("wrs For; 1fi1-!l()fi 11��-Z1.$ fi5flfl 1? AA 1-161!'1 �,1'► w�ii.nt :•1"7'! Mr -4111-0 A,AVK 31t�l VAG.. f Cl. %'510 AWA. V V .Pa1V .IKJ twt iC'-1'C< CAL th i 1Gi.-Criltt-d2C>_t1uG ii,49.44 'I:LIi�AI32INO FFw 10140.11-419-M 5110.75 rT�T tF�' . R1F'S1T) !(n11..(ltNn�n,�2:ry1 t.{A�af�lft�i '�l,R; U'3 G ^r^tttf AMINtiY:�� CI �cJ i'uVV`�t4�'VVU sLV.��i Ell 6VLLU�,i MP ACr FF—E .4j%vylli.tit9 1,Y-wISE P pths i01-000,441.345 tifU.t>t) 81 Sri P-ff"Ai, r'0N.Kf*FA KI ON AN f) PI—AN CI`IP,Ckr $z,,410 7A LESS PU,-;?,.` D 141 sU, $000 TU'.CAI..0't+,kh` ff 11'k IRS IDUK NOW $3,4.30.74 /) RECEIPT DATE BY DAT FI ALED INSPECTOR I I-. 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 _ yp—� Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation QjJ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ Drywall - Int. Lath Final Final BLOCKWALE.AP ROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings pv 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 L Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral_ Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test - Appliances Final Final _ Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole 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) toe COMMENTS: i Tity a C4" P.O. BOX 1504 A Building _ 78-495 CALLE TAMPICO Address �t� -.�� f— 1�� `�� •Y ll�� LA QUINTA, CALIFORNIA 92253 a BUILDING: TYPE'CONST. OCC. GRP. Mailing -y Address p 3r I-xv cl A.P. Number ! / fi, --k City ff� '' Zip Legal Description t Ci� �` i ) k. i� . t. to IT It )C' State Lic. city & Classif. /n A / I Lic. # Arcn., tngr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRPdTOR'S DECLARATION affirm that I am licensed under rovs oriisio rc—hapt-ee?'9•(rommencing with Section ivision 3 0j)hr#a0siQess anV P�fessions Code, and my fh;ensg•is in full force and I%...— l OWNER -BUILDER DECLARATION I hereby 41firm that I am exempt from the Contractor's License Law for the following reason: (Sec. VW,1h5;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 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 thealleged 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). l: 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. 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.) I 1 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 contractors) licensed pursuant to the Contractor's License Law.) 17 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 r7 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 ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, 1 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. 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 to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip - Project Sq. Ft. Size New L, ----Add ❑ No. '. 11 No. Dw../� Stories Units Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. „ZZ, � U r 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 Validated by: Validation: WHITE = FINANCE -YELLOW = APPLICANT PINK = BUILDING DIVISION a Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 4/4/00 No. 20249 Jurisdiction Owner NameEsequiel Coronel No. 54-310 Street Eisenhower Drive city La Quinta zip 92253 APN # 774-253-003 La Quinta Permit # Log # Study Area Tract # BLK300 U27 Lot # 21 Square Footage 1421 Type of Development Single Family Residence No. of Units 1 Comments 3FD - Permit does not include block wall or pool 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: P, c .. EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of.' 2.05 X 1,421 or $ 2,913.05 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/Zeke Coronel Name on the check Telephone By Dr. Doris Wilson Superintendent Fee collected /exempted by Olivia Aguirre Payment Received $2,913.05 Check No. 217746 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 19%) 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 sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('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 DeptJApplicant Copy - Applicant/Receipt Copy - Accounting RC DISTRICT - PLANNING REVIEW FORM This form is to be.used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determirie the applicability of compatibility issues or need to require the filing of Mastef Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your correction list. Please attach additional explanations as necessary. APPLICANT CORONEL CONSTRUCTION SITE ADDRESS 54-310 Eisenhower APN 774 - 253 - 003 BIN NO.: CASE NO.: 2000-206 LEGAL: LOT 21 BLOCK 300 UNIT 2 7 S.C.@V.L.Q. CHECKED BY: Lp G ; P Mour iguand DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED. ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and, umber assigned Verify legal and APN information Consistent with MDG on file (as applicable MDG filing required (5 filings since 9/3/98) Consistency with street/surrounding area: Colors Materials Architecture Other Requirements: VEtOPM ENT pEP1 VVROVEO BY rim Y E r.aSE N0. Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Bui/ding ' 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: 54-310 EISENHOWER DRIVE Use Classification: SFD Bldg. Permit No.: 0003-197 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL CORONEL Address: P.O. BOX 389 City: LA QUINTA, CA &7-1 Building Official By: STEVE TRAXEL Date: 09-21-00 POST IN A CONSPICUOUS PLACE 92253