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BRES2016-041478-495 CALLE TAMPICO D. VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT /Date: 4/4/2017 Application Number: BRES2016-0414 Owner: Property Address: 52204 AVENIDA DIAZ ' M/M WALSH APN: 773212009 52204 AVENIDA DIAZ 0 rn Application Description: WALSH RESIDENCE / ADDITION & TRELLIS LA QUINTA, CA 92253 G) Property Zoning: Z Application Valuation: $16,024.00 n rn Applicant: Contractor: m O _=0 CORONEL ENTERPRISES INC CORONEL ENTERPRISES INC Op 42760 MADIO STREET 42760 MADIO STREET ►ice INDIO, CA 92201 INDIO, CA 92201 k. ti o r a v (760)775-1234 Llc. No.: 727199 m ----------------- ------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION -1 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 Professions Code, and my License is in full force and effect. In. License Class: B License No.: 727199"1 11 n �l v- 1�_ ContrrrLI-1 .121 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).: (_) 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 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.). (_) 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 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. G.). Lender's Na Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one 8f 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: BENCHMARK INSURANCE COMPANY Policy Number: CSTS009346 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 sub'ect to the workers' compensation provisions of Section 3700 of the Labor Co e, I s all forthwith comply with those provisions. Date1-7 Applican 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 cit to ent r up the above-mentioned property for inspection purposes. " Datie'�i-�Z -�Signature (Applicant orAgent)r v z Date: 4/4/2017 Application Number: BRES2016-0414 Owner: Property Address: 52204 AVENIDA DIAZ M/M WALSH APN: 773212009 52204 AVENIDA DIAZ Application Description: WALSH RESIDENCE / ADDITION & TRELLIS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $16,024.00 Applicant: Contractor: CORONEL ENTERPRISES INC CORONEL ENTERPRISES INC 42760 MADIO STREET 42760 MADIO STREET INDIO, CA 92201 INDIO, CA 92201 (760)775-1234 Llc. No.: 727199 Detail: 43 SF ADDITION AND NEW TRELLIS. DEMO EXISTING TRELLIS 180 SQ. FT. INT REMODEL TWO BATHROOMS, KITCHEN AND REPLACE ALL WINDOWS AND DOORS & FIREPLACE, PER 2013 CALIFORNIA BUILDING CODE. z 2 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $307.04 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 1 $120.00 _ Total Paid for BLDG CITY STAFF - PER HOUR: $120.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16• DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.67 - DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY j AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT . VENT FAN PC 101-0000-42600 0 $15.21 Total Paid for MECHANICAL: $88.70 ' DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 / 0 $101.36 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $101.36 ` DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $228.06 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $68.40 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $54.72 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 Total Paid for REMODEL:- $316.16 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $2.08 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.08 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST 1 101-0000-42400 0 $101.33 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST•1 PC 101-0000-42600 0. $115.52 DESCRIPTION ACCOUNT QTY AMOUNT DOOR%WINDOW, RETRO/REPAIR, EA ADDITION 5 101-0000-42400 0 $31.92 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $63.84 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $62.32 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $374.93 'I 5� - ,� sJI 13 u w Date: 4/4/2017 No.: 17-0053771, CERTIFICATE OF COMPLIANCE Desert Sands Unified School District . 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 Owner: Walsh Address: 52204 Avenida Diaz City:. La Quinta Type: Residential Addition < 500 sq ft . Lot # Street No. Street Name 52204 Avenida Diaz Comments: Email: Jurisdiction: Tract #: Sq. Feet APN 43 773-212-009 •�:�� .asp 00 • °...b0 2 'r N OUNESi' M�w►ce:o r i►�nuwwEras,-y La Quinta Permit No. RECEIVE® APR 0 4 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT At the present time, the Desert Sands Unified School Districtdoes not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less Exem pt This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 43 S.F. or $0.00 have been paid for the property listed above and that building permits, and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: Exempt - Ish Coronel Check No.: Bank Name/Recipient of Certificate Telephoner 760-578-3367 Funding: Exempt By Kathleen Felci Interim Superintendent Fee Collected/ Exempted by: Sh Mc y Certificate Fees Due: O 00 Original ment(dRecd: $0.00 New 0ayment Recd: $6.00 w % 0vi /Under: NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notif yo that the 90 -day approval period in which u may protest the fees or other payment identified above will begin to run from the date on which the buil • g or installation permit for this project is issued, or from the date on which those amounts are paid.to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.