BRES2017-034278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
CORONEL ENTERPRISES INC
42760 MADIO STREET
INDIO, CA 92201
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2017-0342
52273 AVENIDA MADERO
773241019
HACIENDA GROUP / INTERIOR REMODEL WITH WINDOW
CHANGEOUT
$5,000.00
LICENSED CONTRACTOR'S 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 Professions Code, and
my License is in full force and effect.
License Class: B License No.: 72719
Date: i� 6 �� Contractor:
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.).
L—) 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 applyto 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. C.).
. Lender's
Lender's Address:
VOICE .(760) 777-7125
FAX (760)177-7011
INSPECTIONS (760) 777-7153
Date: 12/22/2017
Owner:
HACIENDA GROUP
77935 CALLE TAMPICO STE 201
LA QUINTA, CA192253
Contractor:
CORONEL ENTERRRISES INC
42760 MADIO STREET
INDIO, CA 92201
(760)775-1234
Llc. No.: 727199
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
1 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 perfo -mance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CST5009346
I certify that in the. performance of[he work for which this permit is issued, I
shall not employ any person in any manner sc 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 SMion 3700 of the Labor Code shall forthwith
comply with those provisions.
IL
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FQt IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tie Building Official for a permit subject to
the conditions and restrictions set forth on th s application.
1. Each person upon whose behalf this appl cation is made, each person at whose
request and for whose benefit work is perforned under or pursuant to any permit issued
as a result of this application , the owner, andithe 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 fie work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appli ration 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 sate 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 ofts cit to.enter up t a e -
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen
Date: .12/22/2017
Application Number:. BRES2017-0342
Owner:
Property Address: 52273 AVENIDA MADERO
HACIENDA GROUP
APN: 773241019
77935 CALLE TAMPICO STE 201
Application Description: HACIENDA GROUP / INTERIOR REMODEL WITH WINDOW CHANGEOUT
LA QUI NTA, CA 92253
Property Zoning:.
Application Valuation: $5,000.00
Applicant:
Contractor:
CORONEL ENTERPRISES INC.
CORONEL ENTERPRISES INC
42760 MADIO STREET
.42760 MADIO STREET
INDIO, CA 92201
IN 10, CA 92201
(760)775-1234
----------------------------------------------------------------------------------------------
Llc. No.: 727199•
Detail: INTERIOR REMODEL TO -LIVING ROOM, KITCHEN AND BATHROOMS, WINDOW CHANGEOUT
AND ADDITION, AND REPLACEMENT OF GARAGE
SLAB [CONVENTIONAL] APPROVED WITH INSPECTION NOTES. THIS PERMIT DOES NOT INCLUDE EXTERIOR IMPROVEMENTS, MECHANICAL ALTERATIONS,
OR ADDITIONAL CONDITIONED SPACE. ***INVESTIGATION. FEE ASSESSED PER 2016 CALIFORNIA RESIDENTIAL CODE SECTION R108.6 FOR WORK
COMMENCING BEFORE PERMIT iSSUANCE*** 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PLAN CHECK DEPOSIT- ADDITION/REMODEL
101-0000-42600
1
($100.00)
DESCRIPTION
ACCOUNT-
QTY
-AMOUNT
INVESTIGATION FEE
101-0000-42600
0
$100.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
INVESTIGATION FEE
101-0000-42400
0
$156.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
INVESTIGATION FEE
101=0000-42600
0
$54.99
Total Paid for ADMINISTRATIVE: $211.54
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
OTHER ELECTRICAL EQUIPMENT
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER ELECTRICAL EQUIPMENT PC
101-0000-42600
0
$26.01
Total Paid for ELE0 RICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT- ADDITION/REMODEL
101-0000-42600
1
$125.00.
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTUREITRAP
101-0000-42401
0
$65.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$65.00
Total Paid for PLUMBING FEES: $130.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($20.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.65
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000742600
($5.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR; FIRST 7
101-0000-42400
.0
$65.54
DESCRIPTION ACCOUNT CITY AMOUNT
.<,D.O.OR/WINDOW, RETRO/REPAIR; FIRST PC 101-0000-42600 _ .0 $63.98
Total Paid for WINDOW/SLIDING GLASS DOORIFENESTRATION: $129.52
TOTALS:
PERMIT #" Si 7r
PLAN LOCATION:
Project Address: C,,3 M cd.CCri
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
4 Lr v. VV ' h G w.. s SL e� t a r`- •.Jw
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ SF �� 0
Contractor Name: C0 co ,\ �wi
New SFD Construction:
Address: %, 7- w K - �I k 0 5 4 -
Conditioned Space SF
City, St, Zip �� CA, �� ,Z
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: -1 7.7) City Bus Lic:
Arch/Eng Name: S
ow J
Construction Type: Occupancy:
Address: U _
Grading:
City, St, Zip Qv��cA ct.� S3
Telephone: 7 ,44sT 5?'l Q -7
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: , G
"1'rW
New Commercial / Tenant Improvements:
Address: D -7 935Tftn rLJ
Total Building SF
City, ST, Zip-� 54`'Z°
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000