BLDG (0305-211)53935 Avenida Madero
0305-211
LICENSED CONTRACTOR DECLARATION r
I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business anc_
cel w Professionals Code, and my License is in full force and effect.
C) License # Lic. Class Exp. Date
LO
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Z P_aD to _ T y -r Signature of ContractorCID
f --°^—
J U C:) OWNER -BUILDER DECLARATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ a License Law for the following reason:
Z_ ( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) 1, as owner of the property, am exclusively contracting with licensed .
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
co () I am exempt under Section , B&P.C. for this reason
LO
C\1 Date Signature of Owner
O0)
d Q WORKER'S COMPENSATION DECLARATION
p 2 Z I hereby affirm under penalty of perjury one of the following declarations:
Cc
LO C O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W Y= compensation, as provided for by Section 3700 of the Labor Code, for the
O Q performance of the work for which this permit is issued.
m Q C) ( ) I have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
qt Z permit is issued. My workers' compensation insurance carrier & policy no. are:
M Carrier °TATE F 'i1 .s.I3 Policy No. X29-fl<i33 9- 0'
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(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
3 subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions: j
,/Date: %J")// -Applicant ` s :' .72
J
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.
n
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) X ! t- F _ Date t / r•
/ BUILDING PERMIT PERMT#
DATE/" VALUATION LOT , TRAC_T
`
JOB SITE .
ADDRESS
9.15 AVE MDA XWER0
APN
,-
OWNER
CONTRACTOR/ DESIGNER / EN (NEER
53-935 A'VFF3'1%)A1An1M.0
44.3061. $C;''CTrF_,DIR.
Li'l QLrANTA ,CA 92253
12M)T'AK WEMS CA 92210
Q60)7134487 CBL## 6645
USE OF PERMIT
GENERAL BUMV1110,
220 aria 5' B1..0C'1: `WALL WITH ENTRY ARC.'H PER EiPPRC I'VED
PLANS.x' DDITION,bi.lr &C'TRICAL(I.1ANDSCAPTH0. '
5 FT. WALL 120,00 LI:
Ma"M CFJ'A7:F. 0.01 CilNg-CR.F%\Id.7.O1V
lAr1iJ"Nfl/1J'
F'W4 C1IMIK P'L+E 101-000-439-318 $39.10
C:ONSTIVUCTION F79 101-000-4-18-000 534.00
ELECTRICAL F'Et . 101-000-420-000 SICSO
MAY 2 7 7003
CITY OF LA QUINTA
FINANCE DEPT.
U[. B -TOTAL C010TRUC"T7O AM PLM CMCI
!-SSS PRE -PAIL) FRES)
$0.00
RECEIPT
DAtTEf rf f
BY
DATE FINALED
INSPECTOR '
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
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls u
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond BeamZff
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Figl
Gas Piping
* PLUMBING APPROVALS
Gas Tt
Electrices 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 • -
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fb4ures
Main Service
b Panels
9b
Exterior Receptacles
.G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
-
;
010
p l Com..
CITY OF LA QUIo .
BUI NIG & SAFETY D
APPROuED
-
FOR CO ,
mm -y oj
8Y z l
New wood gale -.
New concrete
block wall
New concrete
block wall
Existing
concrete
walkway
1/
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' New concrete ' New wood
' block wall ' gate '
' Line of
' footing below; ; I
I B I I I LuSA
K1 ; I SK1 New wood and
1 ' plaster columns '
1 ' 1
I
Existing Driveway I - ,
1
1 L-- - D I
' I 1
1 Align w/ exist. 4'-0" New concrete I -
I driveway I I I block wall '
2.1 1/2".
g
I I I SK1 I W I
Line of I
'
Align w/ exist. ' ' footing below I
I 9 101/2" 1 I
L ----- driveway I L - - - - - ------------------
r-
1
PROPERTY LINE '
6'-2"
0
`" 50'NIM SK1
New wood gate
A
New concrete
block wall
Plan Street -curb ,
EXISTING ROOFPEAKL.11'-9"AG------------------- SK2,
New 4x8 Wood Lintel f New CMU wall
TOP OF GATEWAY L. 8'-0" AG - - - - - - - - -
T.O. COLUMN L. 7`-9'AG-------------------
TOP OF WALL L. 4'-8"AG-------- I n s t
Line of CMU
wall beyond
.. " -'I • .
GROUND L. 0'-00-- ---------- ----- :..,
L-- ---- New wood and--/` r- ----------9 ---------
New concrete Front elevation Plaster column 2" solid wood ate outline of
block wall Dconcrete footing
Outline of scalel/8"=1'-0"
concrete footing
6" CMU
fm= 1330 psi Fy= 40
#4 @ 24" vert @ CL
#4 @ 32" Horiz.
3" CLEAR -4—
# 4 HORIZ. AS SHOWN
2'-3"
A 5' on detail
Garden Wall section
scale1 /2"=1'-0"
4
6" CMU
fm= 1330 psi Fy= 40000psi
#4 @ 24" vert @ CL
#4 @ 32" Horiz.
Alternate bends
3" CLEAR
# 4 HORIZ. AS SHOWN
2'-0"
PROJECT:
La Quinta addition
CONTRACTOR:
N/A
ao o BUILDING OWNER:
io Sandra Clark
53935 Avenida Madero
La Quinta, CA 92253
I'L'K\ W
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9
OPTIONAL
30" OVERLAP
6 5' on detail
Garden Wall section
scale 1 /2"=1'-0"
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Clark Residence
Perimeter Wall
05.05.03
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SCALE: VARIES
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
Existing Garage
Ftt
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s
10 1/2" r
M;
i
- Existing pilaster
Construction joint
to be filled w/
flexible sealer
6" CMU wall w/
skimcoat stucco layer
/— Concrete filled void
w/ anchor bolt
3/4" Plywood
? 1/2" Stucco layer
Line of concrete
footing below
C Detail Plan as new gate pilaster
scatel "=1'-0"
Existing pilaster -
C1
' New wood
gate
' I \ 1-8 1/2" 5 1/2"
, r
4-4-
2'-1 1/2"
'-0"2'-11/2" 1, 2'-11/2"
SK1
X, ,
101/2" 1
a' '
,
6'-2"
5 1/2"
A Detail Plan
o
6 Detail Elevation
and
PROJECT:
La Quinta addition
CONTRACTOR:
N/A
BUILDING OWNER:
Sandra Clark
53935 Avenida Madero
La Quinta, CA 92253
1I.
Clark Residence
- Perimeter Wall
05.05.03
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SCALE: VARIES
7'
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4x8 Wood lintel
TOP OF GATEWAY z -------
L 8'-0" A G
4 x 4 x 6" Solid wood
blocking
TOP OF WALL L. 4'-8" A
i
Line of CMU wall beyond
ij
tae
GROUND L 0'-0(
New wood
/
r
i
plaster col
C1
' New wood
gate
' I \ 1-8 1/2" 5 1/2"
, r
4-4-
2'-1 1/2"
'-0"2'-11/2" 1, 2'-11/2"
SK1
X, ,
101/2" 1
a' '
,
6'-2"
5 1/2"
A Detail Plan
o
6 Detail Elevation
and
PROJECT:
La Quinta addition
CONTRACTOR:
N/A
BUILDING OWNER:
Sandra Clark
53935 Avenida Madero
La Quinta, CA 92253
1I.
Clark Residence
- Perimeter Wall
05.05.03
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3" hole
unter sunk
-les
9
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114 ZPLUU%:u
layer
1/411 steel F strap elevation Detail Elevation scalel"=1'-0"
5x8 nominal
wood lintel
114" steel strap
1/2" thru bolts
4x5 nominal
_-1
COCJU Spacai
caulk around
penetration @
steel connection
tx6 top plate
anchor bolt
ate lintel
scalel "=1'-0"
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FROM (M)Arch.
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PHONE NO. : 310 664 OE -51
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May. 12 2003 08:19AM P3
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OF LA QUINTA
G LA
DEPT.
PoR EI®C
DATE_- BY
FROM (M)Arch.
PHONE NO. : 310 664 OE -51
Existing Garage
10 1/2"
May. 12 2003 08:20AM P4
Existing pilaster
Construction joint
to be filled w/
flexible sealer
6" CMU wall w/
skimcoat stucco layer
Concrete filled void
w/ anchor bolVS)0/g-,Ar-.
4ev 0, JZ
115
3/4" Plywood
1/2" Stucco layer
Line of concrete
my of: LA QUINTA
PT footing below
BUILDING &!S4FEN DEPT
mnr
17
J=n
APOROVED
FOR C NSTRUCTION
ATE BY—