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0003-198 (SFD)4� U) IL - 0, n CV LU �a� ' LU o Z l� O o HCID LLI U)Or_ U) Z LO CV ON U °) Q Tao LL Q J J m< O tl'rnH Z_ cb =) �0 J ' LICENSED CONTRACTOR DECLARATION (!hereby affirm under penalty of perjury that I am licensed under provisions of #Chapter 9 (commencing with Se0ion�7000) of Division 3 of the Business and Professionals Code, and my License is In full force and effect. i License # Lic. Class Exp. Date Date~Signature of Contractor` , L" k 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). ( ) 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. —(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 thatlif I should become supject to the workers' compensation provisions of Section 3700 of the Labor ,Code, I shall forthwith comply with those.provisions. I/ ate: Applicant— Warning: pplicant 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. .` Signature (Owner/Agent) Date—' "CW BUILDING PERMIT PERMIT# DATE VALUATION LOT 0 ,13-198 TRACT $92,692.70 20 B.LK 300 L7 27 JOB SITE APN ADDRESS��. 77¢7--� OWNER CONTRACTOR / DESIGNER / ENGINEER EZ1i:.QtZFL C©RuNn CORON..M C eON 1 i� UCUON 51.54.0 � EN14110VI t. DR 31-54010.SI� N :OWER DR, LF,.QUINTA C,'A, 92233 LAQMTI' , C:A, 92253 (760)564,,4604 arLff USE OF PERMIT 1)114GLF PAWLLW1ai J1d } SM -PERMIT DOES NOT INCLUDE BLOCK. WALL OR POOL TRACT WASTRUCTION 1,483.00 SF PORCHAIATIO 36.00 SF GARA.OWCARPORT CEO) 9X8,40 5 FF. Wool) I iCF 300.00 LF 1 F'STMATIF COST Or CONSTRUC"nO.N .92,692.701 PF,RA :[. T1i'1IE g:l3ilS1"RY. CONSTRUCTION M, I01-000.418.000 $603,00 PLAN CHECK PEE 101-000-439-318 $507.17 MECHANICAL FEF 101.000.421.000 553.50 MECTRICAL ISE ,'. ' 101-000-420-000 PI.0 MBINOFEE 101-000.419.606 t11ft.'i5 S RO140 MOTIC 14 FRE - R.ESID 1.01-000441.000 $9.7'7- (IRA.UING WE 101-000.423.000 $20,00 1.3PVis kPEI.IRaPACT "F, $),907.00 t•'3 G� PRECISE PLAN 101.000-141-345 $100.00 FEE DEPOSIT 101-000-439-318 4250.00 a- :s'IITEi- MAL C0>:`i' rRUC'i 0k? A&'1D PLAN CII EC``K $3,441.25 LESO PRE -PAM FES -$250.00 'F()1'AL PkN_ M_ `r F11 FS >OTi`E ! ow X41191.25 RECEIPT DATE BY /` J DATE FINALED INSPECTOR j� 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 Q - 00 ?. Exhaust Fans O.K. to Wrap no "7 F.A.U. Framing - ( . 'm cs-.7 Compressor Insulation 040 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath - 3 / - cra Drywall - Int. Lath A - 3D- 00 S Final Final BLOCKWALL APPROVALS POOLS - SPAS. steel Set Backs Electric Bond Footings Main Drain Bond Beam -Gc� S 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 S' Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Lo Oa Encapsulation Gas Piping. Gas Test W,17 cy.s R75 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) COMMENTS: • 1. 0 66�,�9Y G31cAa. Building SJ O Address QL I, Address Tel. IIF- )til-,% to 1 (1 & Classif a, Zi i ( '/ Gil I Lie. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 APPLICA §N NLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE'CONST. O�CC.. GRP. A.P. Number 7Z4/ �5,2 J+C. /of z CityI Zip I State I LIC. # LICENSED CONTRACTOR'S DECLARATION that I arrWicensed and€r provision 9,,IZha'pter9.(commencing with Section 3 of thd`Bus'ness andYProfessions"Code, and myli ense fs'9rt full force a d rr it -4 r 1. , ,. , � r I io OWNER -BUILDER DECLARATION I hereby a fZf0,that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 file 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 five hundred dollars ($500). t: 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. IL 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.) t 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.) 1! 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 1`7 Copy is filed with the city. O 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, 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. CONSTRUCTION LENDING AGENCY Ihereby 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 -of this city to enter the above- mentioned property for inspection purposes. Description Sci.Ft. Ly jZ No. Size _ �,,� Sto New Add ❑ No. Dw. Alter ❑ Repair ❑ Demolition ❑ " 1% C rrvr� AMIN PERMIT it AMOUNT u Plan Chk. Dep. " 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: Signature of aGPlicant Date Mailing Address Validation: City, State, Zip WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 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 7/13/00 APN # 774-235-004 No. 20721 Jurisdiction La Quinta Owner NameCoronel Cont. Permit # No. 54-350 Street Eisenhower Drive City La Quinat Log # Zip 92253 1 Study Area Tract # Lot # 20 Square Footage 1485 Type of Development Single Family Residence No.�ofUnits 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: c ' EXEMPTION NOT APPLICABLE ,n r This certifies that school facility fees imposed pursuant to Government Code 53080 in the amouni_of 2.05 X 1,485 or $ 3,044.25 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 cc Valley Indp. Bank Telephone Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by -Sheryl Simmons Payment Received $3,044.25 Check No. 222874 Signature JOTICE: 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 rbove 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 :ollect 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 Dept./Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY: COMMONWEALTH LAND TITLE COMPANY 99.9174KC 6007054ORD1I AA INNNLMLLOTAXRWT� EM�NTSDTOLDOWND, CORONEL ENTERPRISES, INC. 51-540 EISENHOWER DRIVE LA QUINTA, CA 92253 TQ/9 Opp -0/5 DOC N 1 9 9 9— 4 5 8 0 5 8 10/15/1999 08:00A Fee:6.00 Page 1 of 1 Doc T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk & Recorder illlllllll 1111111 illllllll II III IIII IIIIIIIII III IIIIIIII M $ U II PAGE I SIZE I DA I PCOR I .N000R I SMF I MIZ - A I R I L II I - I COPY I LONG I REFUND I NCHG I EXAM APN: i_774=253 ! 002/_003/0_ The undersigned grantor(s) declare(s): Documentary transfer tax is $42.90 (XXX) Computed on full value of property conveyed, or ( ) Computed on full value less liens and encumbrances remaining at t.:im?.of .sale. ( ) Unincorporated area: (>( ) City of Ln Qu l A!m , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FOUNTAIN VIEW DEVELOPMENT CORPORATION, a California Corporation hereby GRANT(S) to CORONEL ENTERPRISES, INC., A CALIFORNIA CORPORATION U the real property in the City of LA QUINTA, County of Riverside, State of California, described as: 1ot_(s) 20,�/21 and 22, Block 300, Unit 27, Tract Santa Carmelita at Vale La Quinta, as per map recorded in Book.19, Page(s) 82 inclusive of maps, in the office of the County Recorder of said County. Dated September 10, 1999 State of California County of Riverside } S.S. On October 14. 1999 before me, Kelly Collier personally appeared Thomas D. Miiasola personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of whichthe person(s) acted, executed the instrument. ) n I WITNES ,my han -an ',f ici seal. Signature= 1 MAIL TA FOUNTAIN VIEW DEVELOPMENT, INC. BY // ///' e -S ame/Title BY Name/Title ;; .. KELLY COLLIER (� r COMM. # 1223426 NOTARY PUBLIC -CALIFORNIA RIVERSIDE COUNTY l� ro COMM. EXP. JUNE 6, 2003 (This area for official notarial seal) 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 determine the applicability of compatibility issues or need to require the filing of Master 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 54-350 Eisenhower Drive APN 774 - 253 - 004 BIN NO.: CASE NO.: 2000-193 LEGAL: LOT 20 BLOCK 300 UNIT 27 S.C.@V.L.Q. CHECKED BY: Leslie Mour iquand 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 number 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: Certificate of Occupancy Cityofla Quinta Building and Safety De'p'artment This Certificate issuedpursuant 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: 54-350 EISENHOWE.R DRIVE Use .Classification: SFD: Bldg. Permit No.: .0003-168 Occupancy Group. R 3 Type_ of. Construction`. VN Land Use Zone: RC Owner of Building: EZEQUIEL CORONEL Address: 51-540 EISENHOWER DR. City: 'LA QUINTA; • CA 92253. By: STEVE TRAM Date: 12-14-00 Building Official POST IN A CONSPICUOUS PLACE