BLDG (9911-042) + PAT (001699) + RPL (09290) + (SFD (001648)53425 Avenida Madero
9911-042
LICENSED-CONTRACTOR`DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chaoter 9 (commencing with Section 7000) of Division 3 of the Business and
Pro{essionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
762828 13 051311204
`Date ' signature of Contractor o.
`
OWNER -BUILDER QE C LARATION
I hereby affirm under penalty of.perjury that.l 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' compensatiori 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 that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: -!eci• !I Applicant-
Warning:
pplicant Warning: Failure to secure WorkerCompensation 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) i-= ^-•-- ' Date
BUILDING PERMIT PERMIT#
DATE I/O411"VALUATION LOT TRACT
JOB SITE ADDRESS i }" ' RO
APN M
OWNER
CONTRACTOR DESIGNER ENGINEER
'
,`+tHY ik SITUS AN 44{115JI4
1110
} j
3.12 .r1 n' tiCllr :t4I 3a'#?1
7756+4 0YU4tiTRY CLUB DRIVE #6:1:6
I-AQUINTA CA q;;4253.
PALM IMISERT CA 92260
(160)7722425: CRU 1194
-
USE OF PERMIT
G NPRA}s tJii,ft
g
'
z` s:
ME Dr v€!? 913 d2i Lk
VX_17A' 101 55',0M.0 LS
h
JS pIAT t"D COST OF (1VON131+-
.rYy
AVflog
PERAUT IFS'; S4i)1'1hQwtARY
C0NS`I'1tW,:I10N YEE 4.01-t?Uii418-000 $4 a].ilty
Of JI. ' f RR i 1 Fr-.1719t)S.d} i4) 'Si(? -411143 ? IN)
31'i.ON0 fy1011, 0N. FE - 110ND I0.!-10MI -2111-M $5.60
;+t.fRM 3 A1, C_04+F,7,rR(_,C J0N AI i3ya+PLANq CHECK
p 'v 50
7-p
ISS
RECEIPT
DATE
BY
E FINALED
":7, 00
INSPECTOR
.
INSPECTION RECORD
OPERATION
DATE I
INSPECTOR
OPERATION
DATE
I INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap _ _ G
Framing l �7 ��
F.A.U.
Compressor
Insulation � g 5
/
vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath �y�pp S7.
Drywall - Int. Lath10,7
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
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
COMMENTS:
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)
9
4-333 Old Woman Springs Road
Yucca Vallcy CA 92284
Telephone (760) 228-3060
TRUSS ENGIN, EERIN'G
CUSTOMER: 0AIO&OO-0
JOB NO:
JOB ADDRESS:
'A bo.h.,
ffmusvfme
®®® / SYS117m
Truswal Systems Corporation
1101 N. Great Southwest Parkway
Arlington. TX 76011
.CITY OF LA QUIN4A
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
BY,
job Name:- OAKWOOD CONSTRUCTION
'Truss ID: A.
10 Drw :
'
1MG X -LDC RUCr SIZE 'REQ'D
TC 2x6 DFL #2
Plating spec : ANSI/I'PI - 1995
UPLIFT RMMCN(S)
OF
1 0- 1-12, 913.50 1.50
BC 2x4 EFL #2
'THIS DESIGN IS THE O04PMrIE RESULT OF
t 1 -176#
2 6-.8= 0 1906. 3.50"' 1.66"
"'M 2x4 EFL SE*UPM
KLMIPLE LOAD CASES.
"H"(16 ga.), positioned per Joint Report. Circled plates,and false
3 37-10- 4 1190 -3.50" -1.50"
PLATE VALLES PER ICBO RUMVU4 REFCIU #1607.
E ARII4; R6Q71RRVIEN15 sl=,nh are teased ML,Y
.
_
"
Loaded for 10 PSF na•1-c ra>rrext. =7 .
on the truss r ate ;al at each baarir-q
®
This design is for an individual building component. It las been based on specifications provided by the component manufacturer and done bn
TC FM E•" AM .BID CSI
Interior support cr tetporaary sh=irg mast
Incaticn of interior bearings should be
accordance with the current versions of '1'111 and AFI'A design standards. No responsibility is assumed for dimensional accuaacy. Dimensions are to be
Ds ROX #LC = 4
g=:
1 895 .11 .34 .45
be in place before erecthrg this truss.
clearly narked on each tnos.
TC Live 16.0 psf
DurFacs L=1.25 • P=1.25
2 -595 .00 .34 .39
this design meet or.exceed the loading imposed by the locate building code: It is assumed that the top chord is Laterally braced by the roof or floor
-
sheathing'and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for Lateral
3 -1408 .01 .17 .18
®TRUSS .
support of components members only to reduce buckling length. This component shall not be placid in any environment that will cause the moisture
TC Dead 14:0 pef
Rep Mbr Bnd 1.15
4 -1410 .01 .18 .19
content of the wood exceed 19% and/or cause connector pl to corrosion. Fabricate, handle, install and brace this tnnss bn accordance with'ihe following
BC Live .0 psf
O.C. Spacing ° 2- 0- 0
TR 51j.A SYSTEMS
444SNonLp4rlt Ur., Culo Springs, CO WM)7
5 -2422 .02 .18 .21
`
r r , r a SUMMARY
(QS'I'->sa), '11ANDLINU INS'I'A -LINO AND BRACING MI:I'AI. I'I ATI. CONNLCI'1'.0 WOOI)'IR11551sS' - (IIIIf•91)'anJ
6 -2753 .04 .18 .22
Deei S eo
9n P
'
BC FUKE AXL HIID CSI
TpS,0 Version 06.05.99
Association (AFI'A) is located at 1250 Connecticut Ave, NW, Ste 200, Washington, DC 20036.
r
1 -802 .01 .21 .22
2 s-745 .00 .39 .39
3 ' 1035 .15 .66 .80
4 1960 .27 .66 .93
5 2556 .34-..42 .76
1EB RRC£ CBI lEB F= CSI
«
2-9 -1784 .24 4-11 552 .22
2-10 1530 .62 5-11 -842 .82
3-10 -980 .49 5-12 508 .21
-
3-2-1 306 .3-2 6-12 -390. ,11
NM LEFLE CN (span)
W999 IN NEAT 11-12 (=)
6-8-0 6-3-4 f
6-0-12' 6-0-12 6-0-12
6-10-8 "
IF -.13" D= -.20" rl'- -.34"
--t
' 6-8-0 12-11-4
19-0-0 25-0-12 31-1-8
.38-0-0
- .
= Joint Locations=
`
19-0-0
. 1 0- 0- 0 8 0-, 0- 0
1 2 3
I .19-0-11
4 5 6
7
2 6- 8- 0 9 6- 8- 0
..
3 12-11- 4 10 9-10-14
'
4 19- 0- 0 11 19- 0- 0
' r 4.'00
-5 25- 0-12 12 28- 1- 2
6 31- 1--8 13 38- 0- 0
5-7
7 38- 0- 0
T
T
;
2.5-4
2.5-4
I
-
6-10-1:
7-8
7-8
6-10-1
i.
•
SHII'
4-4
3.5-5
1w
P ESSrOAt
=061
=06
Fti,
3.5-4
5-7 2.5-4
2
3
6_x_
•
P.06i 0103 etc
38-0-0
CIV L
'
8 9 10 11 12 13
Tq
6-8-0 -t 12-4-0 t9-1 2 (9-11
OF
6-8-0 -19-0-0 28-1-2 38-0-0
10/26/99''
Truswal Systems Plates are 20 ga. unless shown by "18"(18'_ga.) or OVER 3 SUPPORTS Scale: 1/811, 1'
"H"(16 ga.), positioned per Joint Report. Circled plates,and false
frame.plates are positioned as shown above.
.
WARNING Read all notes on this sheet and give a copy of it to the Erecting Contractor. ,
TBF: .100.7 -
WO: 99058 ,
®
This design is for an individual building component. It las been based on specifications provided by the component manufacturer and done bn
Chile:
Customer Name:
accordance with the current versions of '1'111 and AFI'A design standards. No responsibility is assumed for dimensional accuaacy. Dimensions are to be
Ds ROX #LC = 4
g=:
OARWOOD CONSTRUCTION
verified by the component manufacturer and/or building designer prior to fabrication. The building designer shall ascertain that the loads utilized on
TC Live 16.0 psf
DurFacs L=1.25 • P=1.25
YUCCA VALLEY
this design meet or.exceed the loading imposed by the locate building code: It is assumed that the top chord is Laterally braced by the roof or floor
-
sheathing'and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for Lateral
®TRUSS .
support of components members only to reduce buckling length. This component shall not be placid in any environment that will cause the moisture
TC Dead 14:0 pef
Rep Mbr Bnd 1.15
content of the wood exceed 19% and/or cause connector pl to corrosion. Fabricate, handle, install and brace this tnnss bn accordance with'ihe following
BC Live .0 psf
O.C. Spacing ° 2- 0- 0
TR 51j.A SYSTEMS
444SNonLp4rlt Ur., Culo Springs, CO WM)7
st:mtL•ards: "1'RUSCOM MAN IML', by Trusva, 'QI)ALITY CON'1'R01. STANDARD FOR MI 1'AI. 1'L.ATIi CONNIi("I'IiD W(l01)'1'RUSSIiS' -
'1118•)1
UBC
r r , r a SUMMARY
(QS'I'->sa), '11ANDLINU INS'I'A -LINO AND BRACING MI:I'AI. I'I ATI. CONNLCI'1'.0 WOOI)'IR11551sS' - (IIIIf•91)'anJ
BC Dead 10.0 sf
P
Deei S eo
9n P
MEET' by'1'111. The Truss I'Lte Institute (TI11) is located at 583 D'Onofriu Drive, Madison, Wisconsin 53719. The American Forest and I'aperDefl.
Ratio: 14/240 TC: 1,/240
TpS,0 Version 06.05.99
Association (AFI'A) is located at 1250 Connecticut Ave, NW, Ste 200, Washington, DC 20036.
TOTAL 40.0'P of
job Name: OAKWOOD CONSTRUCTION
Truss ID: A -GE 1 Drwg.- C099299079-001
TBF: 134.0
WO: 99058
This design is for an individual building component. It has been based on specifications provided by the component manufacturer and done b
'IC 2x6 EFL #2
MS MYN IS THE CUvBiSrTE RE= OF
accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are lobe
BC. 2x4 rFL #2
MII,TIPLE LOAD CASES.
4nr
De ROX #LC 4
OAKWOOD CONSTRUCTION
TC Live 16.0 po f
DurFacs L=1.25 P=1.25
GBL ELK 2x4 EFL SI NID RD
EFARIM REIZLM sho,n are based CMY
—
Joint Lacaticns
PLATE VALLE4 PER ICBD 1 REPOT #1607.
on the truss material at each bearing.
1
0- 0- 0
31
1- 8- 0
Lecatirn of irrterior bearings shot 71 be
Insded for 10 PSF non-eananrent Bal,.
2
1- 8- 0
32
3- 0- 0
clearly harked m eadn trstss.
Inter or tatpcnary shorn g oust
3
3- 0- 0
33
4- 4- 0
be 1 plac>z befcse er cf1a •g this tress.
4
4- 4- 0
34
5- 8- 0
<It is assisted that ane faoe of this miss
5
5- 8- 0
35
7- 0- 0
< is sfinthed with pl CSB, Hood board
6
7- 0- 0
36
8- 4- 0
< sidirrj or siding. If not,
7.
8- 4- 0
37
9- 8- 0
< additional l cls trust be oansidered an
8
9- 8- 0
38
11- 0- 0
< MI -cam +3 '
9
.
11- 0- 0
39
12- 4- 0
use a3e me staples gable bloc).
10
12- 4- 0
40
13- 8- 0
(Mile blacks tiny requlse lateral bracing
due to wind applied to the face. See +
11
12
13- 8- 0
15- 0- 0
41
42
15- 0- 0
16- 4- 0
IYustal gable bracing detail(s).
dxxds have
13
14
16- 4- 0
17- 8- 0
43
44
17- 8- 0
19- 0- 0
Lateral 1 inline with the
not been considered tmless noted ethmNase.
15
19- 0- 0
45
20- 0- 0
These lobi and their connections are the
16
20- 4- 0
46
20- 4- 0
reepansibi1ity of the huildin3 designer.
17
21- 8- 0
47
21- 8- 0
18
23- 0- 0
48
23- 0- 0
19
24- 4- 0
49
24- 4- 0
20
25- 8- 0
50
25- 8- 0
21
27- 0- 0
51
27- 0- 0•
22
28- 4- 0
52
28- 4- 0
23
29- 8- 0
53
29- 8- 0
24
31- 0- 0
54
31- 0- 0
1.8.0 4-0-0 4.0.0 4-0-n
4-a0 4-0.0 4-a0 4-ao 4-0-0 4-4-0
25
32- 4- 0
55
32- 4- 0
- 1
1
26
33- 8- 0
56
33- 8- 0
1-8-0 5.8-0 9-8-0 13.8.0
17-8-0 21-8-0 25.8.0 29-8-0 33-8-0 38-0.0 -
'- 27
35- 0- 0
57
35- 0- 0
19-0-0
19-0-0
'r 28
36- 4- 0
58
36- 4- 0
1
29
38- 0- 0
59
38- 0- 0
,. 1 2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 17 18 19 20 21 22 1? 24 25 26 27 729 r
,1"
30
0- 0- 0
/
j
F-4.00
TYPICAL PLATE : 1.5-3
2-4 5-7 2.4
3031 32 33 34 .1.5 36 37 38 39 40 41 42 43 44 4316 47 48 49 50 51 52 53 54 55 56 57 .ftp
1.81.8 4-0.0 4-&0 4-0.0 4.0.0 4.0.0 4-0.0 4.0.0 4.0-0 4-4-0
1-8-0 5.8-0 9-8.0 13-8-0 17.8-0 11.8.0 25-8.0 29-8-0 33-8-0 38-0.0
Truswal Systeme-Plates are 20 ga. unless shown by "18"(18 ga.) or OVER CONTINUOUS SUPPORT
"H"(16 ga.), positioned per Joint Report. Circled plates and false
frame nlates are positioned as shown above. `
10/26/99
Scale: 1/8" 1'
WARNINU Read all notes on this sheet and give a copy of it to the Erecting Contractor.
TBF: 134.0
WO: 99058
This design is for an individual building component. It has been based on specifications provided by the component manufacturer and done b
C k
Cuet®ter Name:
accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are lobe
verified by doe component manufacturer and/or building designer prior to fabrication. The building designer shall ascertain that the loads utilized on
4nr
De ROX #LC 4
OAKWOOD CONSTRUCTION
TC Live 16.0 po f
DurFacs L=1.25 P=1.25
YUCCA VALLEY
this design meet or exceed the loading imposed by the local building code. It is assumed that the top chord is laterally braced by the roof or floor
sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for lateral
®TRUSS
support of components members only to reduce buckling length. This component shall not be placed in any environment that will cause the moisture
TC Dead 14.0 po f
Rep b1br Land 1.15
content of the wood exceed 19% and/or cause connector plate corrosion. Fabricate, handle, install and brace this truss it accordance with the following
BC Live . 0of
.0pof
O.C. ae 2- 0- 0
TRUSWAL SYSTEMS
Northpark Ur., Colo Springs, CO 210907
standards: 'TRUSCOM MANUAL', by Trusw-el, 'QUALITY CONTROL STANDARD FOR METAL PLATE CONNECTED WOOD TRUSSES' -
(QS"r-88), 'HANDLING INSTALLING AND BRACING METAL PLA'T'E CONNECTED WOOD TRUSSES' - (1110-91) and 'IIIB-91-SLJMMARY
BC Dead .10.0 psf
Design Spec , UHC
SI IEET' by Till. The Truss Plate Institute (rpl) is located w iR3 D'Onofrio Drive, Madison, Wisconsin .53719. The American Forest and Paper
Defl Ratio: 4/240 TC: 1+1240
TpS:O,Vero i'on 06.05.99
Association (APPA) is located in 1150 Connecticut Ave, NW, Sec 200, Washington, DC 2(X)16.
TOTAL 40.0 psf
job Name: OAKWOOD CONSTRUCTION
Truss ID: B Qty: 3 Drw :
BRG X -IDC R95LT
SIZE I;EQ'D
TC 2x6 DFL #2
Plating spec : PMI/PPI - 1995
1 0- 1-12
238 3.50 1.50
BC 2x4 EFL #2
THIS SIIN IS THE CII91C61TE RE51II.,T OF
L>"
2 7- 2- 0
1227 3.50" 1.50"
Wm 2x4 DFL SIS
n TIPLE LOAD CASES.
3 26-10- 4
757 3.50" 1.50"
PLATE VALLES PM ICP0 RESE7\RCI-1 REELia' #1607.
BEPRIM IUIZIM?EhffSIIS shamh are based aZY
o- o
10
Lorded for 10 PSF non-canorrre nt. BCLL.
on the truss material: at each
7C FCRM AXI
'BND CSI
Interior suppxxt or terporary slrsu,3 must
Incatiah of interior bearings should be
1 283 03
.35 .38
be in place before erectircJ this truss.
clearly narked on each truss.
2 -346 .00
.35 .35
alis S onbp rl Ur., Colo Spriagr, CO N09Q7
4445
standards: MANUAL', by'rrusaD al,
CONTROL S'rANDARFOR Mrm- PLATE CONNECrl-D WOOD'rRIJSSBS' -
3 -1214 .01
.20 .21
(QYI'-sx), 'IANDIINU INSTALLING AND BRACING METAL 1'IAL LONNI'iCliD WOOD - (11111 -JI) and '111 8 -JI Sl1MMARY'
4 -1518 .01
.20 .21
SKILL'T' by TPI. 'rhe'rruss Plate htstitum ('1111) is loused at .583 D'Onofrio Drive, Madison, \Visconsin 53719. The Amerism Purest and Paper
BC FCR E AXL
HID CSI
TpS. 0 Version 06.05.99
Association (APPA) is located at 1250 Connecticut Ave, N\V, Ste 24), Washington, DC: 2(X136.
1 -223 .00
-.21 .21
2 -192 .00
.41 .41
3 608 .08
.41 .49
4 1394 .18
.41 .59
VEB' k. CSI
VM FCRCE CSI
2-7 -1113 .16
3-9 698 .28
2-8 649 .26
4-9 -444 .09
3-8 -559 .39
MX EEF=CN (spare)
1,/999 IN ME14 8-9 (LSVVE)
L. -.09" D= -.13" 7- -.21"
= Joint T-t-irns
1
0-0-0
6
0-0-0
2
7- 2- 0
7
7- 2- 0
3
13- 6- 0
8
9- 3- 4
4
19-10- 2
9
17- 8-12
' 527-
o- o
10
27- o- o
7-2-1) 6-4-0 6-4-2 7-1-14--1
7-2-0 13-6-0 19-10-2 27-0-0
13-6-0 f 13-6-0
1 2 3 4 5
_4,00
5-7
2
6 7 8
7-2-0
7-2-0
9
1010
17-8-12
Truswal Systems Platee are 20 ga. unless shown by "18"(18 ga.) or
H"(16 ga.), positioned per Joint Report. Circled plates and false
frame Dlates are positioned as shown above
I -
5-0-1
SHIP C
P
10-6-
W
10 '
.9-34
27-0-0
OVER 3 SUPPORTS
ESS 0114e
Ftic.
)6/30/03
IVIL
10/26/99
Scale: 3/16" = 1'
®
WARNING Rend all notes on this sheet and give a copy of it to the Erecting Contractor,
TBF: 65.3
WO: 99058
This design is for an individual building component. It las been based on specifications provided by the component manufacturer and done hn
:
Customer Name:
accordance with the current versions of TI'l and APPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are to be
by the component manufacturer and/or building designer prior to fabrication. The building designer shill ascertain drat the loads utilized on
Dsgnr: ROX #Le = 4
OPRWooD CONSTRUCTION
TC Live 16.0 psf
DurFacs L=1.25 P=1.25
YUCCA VALLEY'
this design meet or exceed the loading imposed by the local building code. It is assumed that the top chord is laterally braced by the roof or floor
sheathing and the bottom chord is laterally braced by a rigid sheathing tnaterial directly attached, unless otherwise noted. Bracing shown is for Literal
®TRUSS
support of components members only to reduce buckling length. 'Phis component shall not be placed in any environment that will cause the moisture
TC Dead 14.0 psf
Rep Mbr Bnd 1.15
TRIIcontent
hvAL SYSTEMS
of the wood exceed 199 and/or cause connector plate corrosion. -fabricate, handle, install and brace this truss in accordance with the following
'TRUSCOM 'QUALITY
BC Live .0 s f
P
O.C. ae 2- 0- 0
SP i -n4
alis S onbp rl Ur., Colo Spriagr, CO N09Q7
4445
standards: MANUAL', by'rrusaD al,
CONTROL S'rANDARFOR Mrm- PLATE CONNECrl-D WOOD'rRIJSSBS' -
(QYI'-sx), 'IANDIINU INSTALLING AND BRACING METAL 1'IAL LONNI'iCliD WOOD - (11111 -JI) and '111 8 -JI Sl1MMARY'
BC Dead 10.0 pof
Design Spec UBC
SKILL'T' by TPI. 'rhe'rruss Plate htstitum ('1111) is loused at .583 D'Onofrio Drive, Madison, \Visconsin 53719. The Amerism Purest and Paper
Dail Ratio: 1:/290 7C: Lt/290
TpS. 0 Version 06.05.99
Association (APPA) is located at 1250 Connecticut Ave, N\V, Ste 24), Washington, DC: 2(X136.
TOTAL 40.0 psf
job Name: OAKWOOD CONSTRUCTION
Truss ID: B-GRDR Qty:
3 Drw :
EMX-LOC REACT
SIZE IT'D
TC 2x6 DFL #2
Platirij spec : ANSI/'IPI - 1995
Building Designer shall provide adegaate
bearit-g
1 0- 1-12 1494
3.50 1.50
BC 2x6 EFL #2
THIS IESI(V IS THE 0J4FCSrIE RE= OF
area and arjci .
.
2 7- 2- 0 13447
3.50" 4.41"
2x6 DFL . #1 & Btr. 13-1 5
M[ WPLE LOAD CASES.
BFARIIr, SIS shanaz are based CNLY
...EEARRr, AREA RDS.
ID Brg Size Nin Size -or- Min Area
3 26-10- 4 7241
3.50" 2.57"
VEB 2x4 EFL SIPNDAM
lu ix!r shear allonablea are per ND>; -97.
on the truss material at each bearing.
2 0- 3- 8 0- 4- 6 19.82 si
TC TiTdB AXL EM
CSI
Ice6ed fart 10 PSF nth-eznarrrant BOLL.
PLATE VALIES F R ICBO RESEMKH REFCVT #1607.
UPLgI RFACITIN(S) :
1 3772
.82
Interior stj:pert or tenperary shoru>3 nust
Locatiah of interior bearings should be
t 1 -200#
.13 .33
2 5762 .25 28
3 -5977 .02 .OS
.46
.53
.t)6 .
be in place before tirg.this truss.
3 -PLY! Nail w/lOd CINNCN, staged (N>CS-97
ft 2/ft
clearly narked cn each truss.
F natr nt lnacirg is ed (by others) to
rctatian/topp See HHB -91 and
----------LOAD CASE #1 )EBICil LOADS ----------------
Dir L.Plf L.Loc R.Plf R.Ioc Li IL
TL Vert 60.0 0- 0- 0 60.0 27- 0- 0 .53
4 -5977 .01 '.00
.08
Sect. 12) in: TC- 2/ft EC- 5 FABS-
prevent .
BC Vert 734.2 0- 0- 0 734.2 27- 0- 0
5 -10999 .07• .13
.20
Nail in layers or frau each face.
;SmimI 1-1995; 10.3.4.5 arri.10.3.4.6.
.39
6 -15371 .14 .24' .39
BC
FCRCE
AXL
BND
CSI
1
-3464
.00
.46
.46
2
-3535
.00
.46
.46
3
1157
.04
.34
.38
4
1183
.05
.38
.43
5
10067
.44
.38
.82
6
14381
.46
.19
.65
7
14564
_
.47
.35
.81
FEB I=
CSI
FEB FCrCE
CSI
2-9 2940
.40
4-12 3441
.47
2-10 -3880
.15
5-12 -5683
.26
3-10-11045
.45
5-13 4901
.66
3-11 1898
.26
6-13 -4421
.19
3-12 5815
.79
6-14 3084
.42
MAX IEFZ. CN (span)
1t/999 IN MFM 13-14 (LIVE)
I= -.09" D= -.13" Tom- -.22"
=
Joiu-r Locations =
1
0- 0- 0
9
5- 4- 8
2
5- 4- 8
10
7- 2- 0
3
9- 5- 4
11
9- 5- 4
4
13- 6- 0
12
13- 6- 0
5
17- 6-12
13
17- 6-12
6
21- 7- 8
14
21- 7- 8
7
27- 0- 0
15
27- 0- 0
8
0-0-0
TOTAL 40.0. pe f
,TC:
5-4-8 4-0-I2 i 4-11_ 12 4-0-12 i 4-11_ 12 5-4_8
5-4-8 9-5-4 13-6-0 17-6-12 21-7-8 27-0-0
13-6-0 t 13-6-0
3-PLYS 1 2 3 4 5 6 7
REQUIRED 4.00 -4.001
5-7
2.5-6
5-
27-0-0
8 9 10 II 12
5-4-8 _ 4-04-0-12 4-04-0-12
5-4-8 9-5-4 13-6-0
13
4-0-12 4-0-12
17-6-12 21-7-8
14 15
5-4-8
27-0-0
I
5-0-1
SHIP
0
I0-6-
Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.) or OVER.3 SUPPORTS
"H"(16 ga.),-positioned'per Joint Report. Circled plates and false
frame elates are vositioned as shown above.
4
10/26/99 .
Scale: 3/16" = 1'
®
YUCCA VALLEY
WARNING Read all notes oil this sheet and give a copy of it to the Erecting Contractor.
This design is for an individual building component. It has been based on specifications provided by the component manufacturer and done in
accordance with the current versions of TPI :rad AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are to be
terified by the component manufacturer and/or building designer prior to fabrication. The building designer shill. that the loads utilized on
this design meet or exceed the loading imposed by the local building code. It is assumed that the top chord is laterally braced by the roof or floor
TBF: 84.7
Com:
Degnr: ROX #LC = 4
WO: 99058 ,
Customer Name:
OARFi00D CONSTRUCTION
TC Live 16.0 pef
DurFaes L-1.25 P=1.25
TRUSS
she thing and the bottom chord is laterally braced by a rigid sheathing material directly aetched, unless otherwise noted. Bracing shown is for lateral
TC Dead 14.0 pef
Rep Mr Btsd 1.15
®
support of components members only to reduce buckling length. This component shall not be placed in any environment that will cause the moisture
content of the wood exceed 199 and/or cause connector plate corrosion. Fabricate, hurdle, install and brace this truss in accordance with the following
BC Live .0 pef
O.C. Spacing 2-' 0- 0
TRUIWAL SYSTEMS
standards: 'TRUSCOM MANUAL', by'rrtswal, 'QUALITY CON'T'ROL STANDARD FOR METAL PLATE CONNECTED WOOD TRUSSES' -
4445 N ortbpark Dr.. Colo Springs. CO 80907
(QST -88), 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (1118-91) and '1118-91 SUMMARY
BC Dead 10.0 psf
Design Sped UBC
SHEET' by'rPT. The Truss Plate Instinne upp is located at 583 D'Onofriu Drive, Madison, Wisconsin 53719. The American Forest and Paper
Daft Ratio: Lt/240 L/240
Tp! : Q Version 06.05.99
Association (APPA) is located at 1250 Connecticut Ave, MV, Ste ^_tx), Washington, DC 20036.
TOTAL 40.0. pe f
,TC:
Oct --25-99
10:31.A
P-03
t
!
1,H7,
j i
.0
7 7
P-03
!
1,H7,
2,1
Oct -25--99 lOt3lA
'31
• IOU-
P.O. BOX 1504 No. -
Building
o.Building 78-105 CALLE ESTADO
Address 53-425 AVeTAft tb&XO LA QUINTA, CALIFORNIA 92253
Tlmotw F. I'Mmm
Mailing.
Address
City Zip Tel.
Contractor
Crtl zil
Address
BUILDING: -TYPE CONJST. r OCC: GRP.•
A.P. Number
Legal Description
Project Description
'3
Ti?). -.fi-. . elf, . ;;,fnk t T -ti •ft zxr_-,_ ex: e. c
City
Zip -
Tel.._ .-......_
State Lic.
City
& Classif. ..
Lic. #
Sq. Ft.
No. No. Dw.
Size,.... .:...
Stories . ... ..._ .. .... Units
..Arch.; Engr.,
-Designer
New 9. Add.❑ .. Alter ❑ Repair ❑ Demolition❑
Address
Tel.
City
Zip
State
Lic. #
"'•
LICENSED C_ONTRACTOR'S DECLARATION -
- -0
I hereby affirm 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...:
. w
-
-
SIGNATURE DATE
"` ' OWNER -BUILDER DECLARATION " '
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buslness and Professions Code: Any city or ,county which requires a..-
permit to construct, alter, improve, demolish, or repair any structure, prior 4o its4 issuance also
requires the applicant for such permit to file a signed statement .that. he. islicensed 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 Seoflon 7031.5 by 'any applicant. for a permit
-subjects the applicant•fo,a civil penalty of not more than.five hundred dollars ($500).'• ' %- ' - • - _-
0
❑ I, as owner of the property; or my. employees with wages as their sole compensation, will ..
. do the work, and the. structure isnot intended or -.offered for sale: -(Sec: '7044. Buisness and.,...Const.
• Pro/essions Code:, Contractor's License, Law does-not_apply. to an' owner o/ property who
Estimated Valuation
-
q .
< • •
,.• PERMIT'
• • - - -- -
•• .• AMOUNT
--
- ..
Plan Chk. D@p. .
- • .. -
•-
Plan Chk. "Bal. .. '
21. E
'
h
.+ .•2.•51.! -
-
Mech.
-
builds or improves thereon and -who does such work himself 'or through his own employees, -
provided,that•such improvements are not intended or oflered.for sale.Jf„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.) -- • •, -_.
Electrical
Plumbing
• • _
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
•sslruct 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.)
t
❑ 1 am exempt under. Sec. B. & P.C. for:this'reason`
'
- r ,
S.M.I.
- --
Grading
•-
Driveway Enc.
Date owner
Infrastructure
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
O Copy is filed with the city. ❑ Certified.copy is hereby; furnished. .... . .. .
TOTAL
54.12
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE • --
REMARKS
(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' .y... 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 rriusf 'forthwith'
- comply with such provisions or this permit shall be deemed revoked. - • -
ZONE:'- BY: -
.Minimum Setback Distances: ”
- -
Front Setback from.Center Line '
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
hereby'affiim that there is a construction lending agency for the performance ofthe
work for which this permit is issued. (Sec. 3097, Civil Code.)
t._
Side Street SetbaCk..frorrl Center Line
' Slde'Setback from: Property Line
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. x • •4
I certify that I have read this application and state that the above information is correct.
Agree to comply with all 'city and county ordinance's andlstate laws relating to building-
. construction, and hereby authorize representatives" of this city to 'enter' the above-.
mentioned property for inspectiori'purposes. ;
Signature of applican \t. - 2 "' R 4 - n.te
Mailing Address r `'" r` '" _
FINAL.DATE..
•ISSued.by .
Validated by:
,Validation:
- -A `3406
J «_
Date b Permit
- ••
11 Z.? '4, 1 CK
City, State, Zip
f _
' - ' HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ,
1ST FL. SQ. FT. @ $
2ND FL. SO. FT. @
POR. SO. FT. @
GAR. SO, FT, @
CARP. SQ. FT. @
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH WIRING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
WATER HEATER
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR @ 3/ac
HOUSE SEWER
$
GRADING
cu. yd.
plus
x$
GAS PIPING
PERMIT FEE
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 OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
v
a
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus
x$
-$
LUMBER GR.
FINAL INSP./O /ff Sr
FRAMING
/ INAL INSP.(
/ C l
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
. (-FINAL INSPECTION /e I S
II
CERT. OCC.
FENCE FINAL
117JYtli1Vm J wurmiunrboim IIALJ,
WALL :FINAL,;
Building
Address
Owner
P.O. BOX 1504 No.
53'425 A V 78 105 CALLE
• LA OUINTA, CALIFORNIAORNIA 92253 ,
c3obn= Com. I
malting
. ...
BUILDING: TYPE CONST.%OCG: GRP.
Address P.O. B= n88A.P. Number 774-033-0519
City Zip Tel. - -
3 I' 5641-2229 ' Legal Description 3
Contractor Project Description
...-Address
.City _ . Zip Tela i
`State Lic.
City
•.& Classif. ,-.
Lic. # • 202
Sq. Ft., 2j2
No. No. Dw. "
Size •: •
Stories • Units
.. Arch. Engr., •-... ... , . . __ .. ...
•Designer
New p Add El
:Repair O Demolition ❑ .
:- Address
Tel.
^ City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION '• ,'
I
_
• herebyaffirm 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. s rs. y:., is ._ .y /a -,!"4, f:. ... ..^ - f. r
SIGNATURE - - - "" ` ""---' - DATE-
' -' OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby'affirm that I am exempt from the Contractor's License Law for the following
+ ,
3,'sS7 y
_reason:_ (Sec. 7031.5,Business and Professions Code:Any city or county which requires a.
permit' to construct, alter,= improve, demolish,•oi repair 'any structure, prior do its issuance- also--
tI
• requires the -applicant for,such permit to lila a signed statement that he is licensed pursuant'to
-PERMIT
.• '• 'AMOUNT " ••
-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 Any Section 7031.5. by 'any. for
...Plan Chk Dep.:.
exemption. violation of applicant a:.permit.
subjects the -applicant to a civil penalty of not more 'than 'five hundred.dollars (5500). " •
Plan Chk. Bal..` e
_
- - ,
0 Ias owner of the.property, or my•employees with wages as their sole compensation, will
' do.ihe work, and the structure is not intended or offered for sale. (Sec. 7044,1 Buisness and
COIISY.
' y
Professions Code: The Contractor's License. Law does not. apply to,an owner of .property who.:
e
_
builds or -improves thereon and who does such work himself, or. through 'his own employees,-
Meph..
- •.
.'•provided that g
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 .'•'
Electrical'
-
. _ of proving that he did not build or improve lor,the,purpose of sale.) . -, .. _
0- 1, as owner of the property, am exclusively contracting with licensed contractors to con:
Plumbing
struct the project. (Sec. -7044, -Business and Professions Code: The Contractor's -License Law.
does not apply to an owner or property who builds or improves thereon, and who contracts for
,S,M.I,
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
0.1 am exempt under Sec. B. &. P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
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
❑ Copy is,filed with the city. .C,Certified copy is hereby furnished.
TOTAL
64..02
CERTIFICATE OF EXEMPTION FROM .
- WORKERS' COMPENSATION INSURANCE
_
;`'REMARKS
'x T
(This section need not be completed if the permit is' for one hundred dollars ($100) , valuation
or less.) ... .. - .. _... ,. ..
certify that in the performance of thg work for which this -permit is issued, l shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. . . .
' Date " Owner'
NOTICE APPLICANT: •If,. alter making this Certificate or Exemption you should become _
'-the
ZONE:'
-' BY: '
subject to' o' •Workeis' Compensation provisions of the Labor Code; 'you must' lorthwith
comply with such provisions or this permit shall be deemed revoked.
; •,MII11mUrT1 Setback Distances: _ l
- - - ,
. `
Front Setback from Center Line
'
Rear Setback from.Rear Prop. Line
CONSTRUCTION LENDING AGENCY :• .. xr
Side Street Setback -from Center Line " `
-I hereby affirm that there is's construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property. Line
Lender's Name
Lender's Address
FINAL,DATE
INSPECTOR '
This'is a building permit when properly filled out, signed an0•Jalidated,.and.is subject.to
expiration if work thereunder is suspended for 180 days. .•., .
I certify that l have read this application and stale that.the above information is correct
Issued' by
G7 t
Date' t7 Permit
agree to comply with all city and' county ordinances and state'laws'relating to building r••
construction, and hereby authorize representatives ,of this city ,to enter the, above•r
mentioned property for inspection,purposes. ': -
_r v • • .
Validated by:
Signature of applicant's -'' '' + .%+r r ' "f * + Date
!,Mailing Address
-:Validation:
;
• City, State, Zip
o
- - iK
_
A`.2' 5:0 1.
9 4 . - 6 4, 0'2'.. .
_ HARD COPY-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. S0, FT. ®
GAR. SO. FT. ®
CAR P. Q. FT. ®
WALL SQ. FT. ®
SQ, FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR Q 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
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 OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION. t
CERT. OCC.
FENCE FINAL
MbFrc i UK'b WUNA I unrb11Ni I IATA,
GARDEN WALL FINAL
City
Zip
Tel.:
Palm P.Xprt
-State
9221()
UA -5474'
Lic.' -
City
& Classif. C A 4.
`
Lic. #
Sq. Ft.
Size
P.O. BOX 1504' _ ' ,
No
09290
Building
Tel.
78-105 CALLE ESTADO
+ `y
' CityJ
'Address
State
LA QUINTA, CALIFORNIA 92253 ..
,
Owner
L-ic. #
»
r
LICENSED CONTRACTOR'S DECLARATION
:*`3
I hereby affirm 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. 'i.
"/d.
BUILDING:. TYPE CONST..'
OCC} GRP...
. OWNER -BUILDER 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, 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
1`y the provisions or the. Contractor's License Law, Chapter 9 (commencing with Section 7000) o1
:•Division 3 of the Business and'Professions Code; or that. he is exempt therefrom, and the basis
.,' -for the the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
r•.. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). -
. 0 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
Mailing
-
}
15-500
--
. a
'
AMOUNT'
- • -
Plan Chk. Dep.
'
r Address $3IAr
x;11-. 15
11.00
Const.
A.P.
. Number '
Mech. '' • -
-
-
0
• City
Zip
Tel.
Plumbing _
.. ;'
' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
siruct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or properly who builds or improves thereon, and who contracts for .
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec: B. 8 P.C. for this reason -
S.M.I:
La Qrt nt+ t-
92253
Driveway Enc.
Legal Description -
,- Date Owner
Contractor
. '
WORKERS' COMPENSATION DECLARATION
'
Project Description
Allied Pools
hereby affirm that I have a certificate of consent to self -insure, or a certificate of.
Worker's Compensation Insurance, ora certified copy thereof..(Se_c. 3800, Labor Code.)
.. , i . ,.
Policy No. Company
CCo py. is.filed with the city.. - ❑ Certified copy is hereby furnished. ` c
,I
'
Address
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE -+: i'•
AM RIPA
(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 thg 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. - y
, ZONE:' ` "BY:
'Minimum Setback Distances:.
City
Zip
Tel.:
Palm P.Xprt
-State
9221()
UA -5474'
Lic.' -
City
& Classif. C A 4.
`
Lic. #
Sq. Ft.
Size
"No..' No. Dw.
Stories - •- Units• ";•
• - .. .. .. .. .. _
Arch., Engr.,
•. Designer .: '- .. .•
New ❑ Add O Alter❑ Repair ❑ Demolition ❑
Address
Tel.
+ `y
' CityJ
Zip
State
,
-
L-ic. #
»
r
LICENSED CONTRACTOR'S DECLARATION
t
;
I hereby affirm 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. 'i.
"/d.
' • '
'SIGNATURE'S - •.-is.•1-+"'' DATE
. OWNER -BUILDER 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, 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
1`y the provisions or the. Contractor's License Law, Chapter 9 (commencing with Section 7000) o1
:•Division 3 of the Business and'Professions Code; or that. he is exempt therefrom, and the basis
.,' -for the the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
r•.. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). -
. 0 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
Estimated Valuation
:
-
}
15-500
--
•-
. PERMIT
'
AMOUNT'
- • -
Plan Chk. Dep.
'
Plan Chk., Bal.
x;11-. 15
11.00
Const.
9 f et
- 1 d
Mech. '' • -
-
-
0
Electricaln
-
45- 0 0 -
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.).
Plumbing _
- 47.00
' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
siruct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or properly who builds or improves thereon, and who contracts for .
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec: B. 8 P.C. for this reason -
S.M.I:
Grading
Driveway Enc.
,- Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -insure, or a certificate of.
Worker's Compensation Insurance, ora certified copy thereof..(Se_c. 3800, Labor Code.)
.. , i . ,.
Policy No. Company
CCo py. is.filed with the city.. - ❑ Certified copy is hereby furnished. ` c
,I
TOTAL .
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE -+: i'•
REMARKS
(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 thg 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. - y
, ZONE:' ` "BY:
'Minimum Setback Distances:.
Front Setback from.Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
hereby affirm that there is'a construction lending agency-for.the performance of the
work for which this permit is. issued. (Sec. 309.7, Civil Code.)-,,' _.
_
;Side Street Setback, from Center Line
Side Setback-fromProperty Line
Lender's Name
FINAL DATE'
T INSPECTOR'-
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.
`1 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:
Issued by:
Validated by:
Date Permit
Signature of applicant Date-----------'
Mailing, Address
Validation:
City, State, Zip
: : ' Tra 1?" iti -_• •-i' >i -- Ex y . i \rd r ° `3E'i•; . :s2 Rv
s •-'` ...»: ... .? : , , :S •-1.r-... •,? fL• .i` f 7•:..'•' - a ,. +^" q. . - 1. ...'4' .. •, y .»
.1 ,Z; 'f •E > - n f S
' • .:. . ,, A .T- ,q"` "' ..r:~ .{ ... -ti _! Y; , !,4 x t,:F +. 3 ..., :,::`t 3.,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
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
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 3/ac
HOUSE SEWER
$
GAS PIPING
PERMIT FEE
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 OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) !
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
y x
Building
Address 53-425 Reda
t Owner
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address P.O. B= 2288
City ZipTel.
. 9 2 . . 564—MR
Contractor «
JMust
_.._ Address •f. .
BUILDING: -TYPE CONST. : OCC:.GRP. - _..ids 3
A.P. Number 774--033--019 Tom.
Legal Description
Project Description
...City _. _
atom
Zip.
State Lic.
City
Mr -2 I
& Classif.
Lic: #
_ .. 202
S Ft.
Sq a •.43
No. No. Dw.
Stories Units
Arch.;'Engr., ....
;'. Designer
New O -Add ❑-
Alter ❑:. Repair ❑ ' Demolition ❑
Address
Tel.
-
...
;
City
Zip
State
. _
Lica#
LICENSED.CONTRACTOR'S DECLARA•T,ION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the. Business and Professions Code, avid my license is in full force and
effect. :•:r` !y4r <' •wit .' r. ...
- •'
SIGNATURE.=- DATE
OWNER -BUILDER DECLARATION
' I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Seca 7031.5,Business and Professions Code:. Any city or county which requires a
permit to construct, alter, improve, demolish, or. repair ariystructure, prior to its issuance a/so-
..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, of that. he is exempt therefrom, and the basis
.for the alleged exemption. Any violation o/ Section 7031.5 •by.'any applicant for a -permit
subjects the applicant to a civil penalty of not more than five hundred dollars'($500). .• . .. ':
❑ 1, as owner of. the property, or my employees with wages as their sole compensation, will .r
do the and the structure is not intended, or offered for sale.-(Sec.--.76441-Buisness and'
Professions Code: The Contractor's LicenseLawdoes not apply to an. owner o/ property who
"who
Estimated Valuation .
"PERMIT•
"AMOUNT+
'
- -
Plan Chk. Dep..
..
.
Plan. Chk.. Bal..
work,
3.2.
.'Con St.
'• ° {
•
"Mech, -
♦ - .
31.00 "
builds or improves thereon and does such work. himself' or through his own employees,-
provided ,that such improvements are not, intended, or. offered for sale., if,, , however, the. building
'Electrical -'
.
s
•-or improvement is sold within one year of completion, ,the owner -builder will'have the burden
• o/ proving that he did,not build or vnprove for the purpose of sale.)
Plumbing
eq• 65
❑ 1, as owner of the property, am exclusively contracting with licensed contractors 4o con-'- '
• struet 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:)
❑ I am -exempt, under Sec B. ti P.C. for this reason
S.M.I. +- -•
'^ c 5.x"1
Grading
-
-
Driveway Enc.
20.011
Date Owner'
Infrastructure
39,221.71
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of'consent.to self -insure, or 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.
TOTAL
.- .
2,135 .016
i
_ CERTIFICATE OF EXEMPTION FROM
.. WORKERS' COMPENSATION INSURANCE • . , I.
"-'REMARKS
-
(This section need -not be completed if the permit is for one hundred dollars (S 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.
"'
..
c
Date .... .. Owner .. _ .. .
' NOTICE TO APPLICANT: ff. alter making thisCertificate o/ 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. •^ •-
ZONE: BY:
- ... `
Minm imuSetback Distances:
Front Setback from Center. Line
Rear Setback,from Rear Prop: Line
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: (sea. 3097, Civil Code.)•-' .. ^ -
Side Street Setback from CenterLine
Side 'Setback from ,Property Line
Lender's Name
Lender's Address°v
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:.00
. FINAL:DATE,
INSPECTOR' '
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 laws1relating to building
construction, and hereby authorize representatives of this city 'fo enter the -above-.,_
• mentioned property for inspection purposes.
%.
•-- Issued by:
Validated by: '
••Date - • Permit° ..
.
Signature of applicant (
✓ A +k{le 'r "/ • -n, Date
Mailing Address x' 4+
Validation:
A,.2.1.2.2
-
30 ij-3506`-4
"
City, State, Zip "
'
• ._ HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT. ®
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING .5 f1
FINAL INSP. Z% Q
II
GAS PIPING
PERMIT FEE
/v y
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
ST. FEE CONELECT. 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. rr
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
t!
SEWER OR SEPTI AA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP. ®4
BOND BEAM
WATER SYSTEM
GRADING
-c.. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING .5 f1
FINAL INSP. Z% Q
ROOFING t
G
L
r
/v y
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUNDS 6
FINISH GRADING
FIffFINAL INSPECTION /v
CERT. OCC.
FENCE FINAL
I bVtt, I UM"JWUNA I UKrWIN I I IALJ.
GARDEN WALL FINAL
w
1ED
C Desert Sands Unified School District
y BERMUDA DUNES r
RANCHO MIRAGE 82.879 HIGHWAY 111 O INDIO. CALIFORNIA 92201-5878 0 (819) 347.8831
INDIAN WELLS H
r PALM DESERT. a
%P LA OUINTA
O INDIO
July 29, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
....La Qui'nta, CA. 922.53
Re: 53425 Madero La Quinta`.
Gentlemen,:
The developer of the above referenced' 53425'Madero L& Quinta
Ca.
has mi.ti gated its impacts on our- overcrowded school s by payment
of the amount 'of $628 per-unit to be appl i.ed' to the' cost of
district educational faci'l-i:ties made necessary by such. new
development.
Sincerely,
John D. Brooks
Assistant Superintendent.
Business Services
JDB/crm