0101-170 (SFD)54715 Avenida Madero
0101-170
LICENSED CONTRACTOR 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
Professionals Code, and my License is in full force end effect.
License # Lic. Class i Exp. Date
Date t ' Signature of Contractor
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 4 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 I Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of1he work for which this permit is issued,
I shall not employ any person in any maner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation prIvisions of Section 3700 of the Labor
Code, I hall orth Ith comply with those/ visigns.
Dater Applicant
6 V
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 p t
whose request and for whose benefit work is performed under or pur
any permit issued as a result of this applicaton agrees to, & shall, in nif
& hold harmless the City of La Quinta, its officers, agents and em I ees
2. Any permit issued as a result of this application becomes null an id i
work is not commenced within 180 days from date of issuance f suc
permit, or cessation of work for 180 days will subject permit to canc Ilation.
I certify that I have read this application a d state that the above infor tion is
correct. I agree to comply with all City, apd State laws relating to the
construction, and hereby authorize repssentatives of this City to enter upon
the above-mentioned property for inspe c I n,',pq rposes. ( ;
Signature (Owner/Agent)
t
x
I BUILDING PERMIT PERM T#
DATE{ VALUATION LOT 0101 -110 TRACT
JOB SITE `
ADDRESS
f 91 A ¢yYt p sTC yet" y
5..' v^ 'f,Y.S,a9..w..' MJi.d J%MADFR O
R
0 0 —lri: •••(
EN
OWNER
CONTRACTOR / DESIGNER/INEER
(110k .,WA)e.YR)K TOME S
CO RAPORARY 11C3WS
L:A. C,>UOITA 0-A. 922N3
.tA QY3°. w. CA 92253
USE OF PERMIT
,MkP'JL 1?3+ IT ut; ws -NoT ;124i,C:urn, ElD 3 K'ENt1I.P 4 iJ =iT .PZ+ 'F W fi'i
APPRi'.3AC[a.
TUXT WIraSTRUC`.'TION 3,734,114'• NF:
PORCrEAI A'T1® 14.00 "F
6IARAyOF,: $12.00 UP
mvinum Con Ole c .'3fwm7d'."`nm
IN,377.60
00 MITAWC11110"N FRI MIA
t° LAM C'I iVI'IK- M 10 140)439- 18 $550.11
Tart. C.-WANXIAII PEE 101-1000421-000 S€00
KLAC TRiCAL kF". 1 1 Q(3LA b2C 61f 7 3t 14.43.
P1,YtMBIN0 ME $142,40
STRD110, AIOTa.31.4 MF, - RZ.W.ra 1011 -000 -241 -I'm $10*
OWWINO MR 101-0100-423,,,000 MOO
I:3'WX9,0jE'E IMPACT EIBET $1,9 oo
MEME PLAN 101-00.0-441-.445 S100100
`
W
SUB R . CO °R&M -10,09 AND PLAN CIM,"K
*3,165.96
?1133 PRYI-PAW
APA 2 2001
TVTAL'P3 o=: , KEN DITEJ now
5
CITY OF LA QUINTA
FINANCE DEPT
RECEIPT
DATE f By; ,
DATE I L
INSPECTOR
LL
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
_r
Y
Q
3
- Underground
-Underground Ducts
Forms & Footings
C
/
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
xhaust Fans
O.K. to Wrap
= -p t
`Z
F.A.U.
Framing
( Q/
s •
Compressor
Insulation
p (
Vents
Fireplace P.L.
(
Grills -
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
*Qrywall
2$/4!
ST
- Int. Lath
zMCI^
g7
_ _
Final
Final Xy,
Z
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
Gas Piping
PLUMBING
APPROVALS
Gas Test
Electric Final
Waste Lines
S
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
/
allglo/
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)
Z/ A QUINTA
UILDDING TY DEPARTMENT
012
Z ItJSPECT N QUEST LINE
7„7- 53
s. r Y HOMES
-Vrmit Nup"r 0101=170
? POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES':
�F JOB ADDRESS 54-715 AVENEDA A ADERO
i
�
SFD-PERMIT DOES NOT INLCUDE
BLOCKVVALLS/POOL/DRIVEWAY
AlPIPROACIT
TYPE OF INSPECTION DATE
,FOUNDATION & SETBACK - LF
MOOTING STEEL
MAIN GROUND`SYSTEM
GROUND PLUMBING
.� UNITE
-00 NOT POUR CONCRETE UNTIL dLL ABOVE HAS BEE SIGN D
;ONCRETE SLAB
.�-.--lOISTS & GIRDERS
4`KLECTRICAL GROUND WORK
AO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST T 72 --,-A5 21
HEATING & VENT, A/C
';IREPLACE
ROOF
BOND BEAM
l).K. TO WRAP ! -'
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION .
t PRE-ROOF,
COVER NO WORK UNTIL ABOVE.MAS BEEN SIGN D
DRYWALL INTERIOR
EXTERIOR LATH A
I POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK —O
i FINALS
ELECTRICAL - O.
* PLUMBING i
FINAL GAS TEST - 2
HEATING-A/C
HOUSE NUMBERS
! JOB COMPLETED
TEMP POWER `” i
F I
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 3/30/01
No. 21819
CERTIFICATE OF COMPLIANCE
APN # 774-264-008
Jurisdiction La Quinta
owner NameContemporary Homes
No. 54-715 Street Avenida Madero
city La Quinta Zip 92253
Tract # Lot # 8
Type of Development Single Family Residence
Comments
Permit # 0101-170
Log #
Study Area
Square Footage 1734
No. of Units 1
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
2.05 X 1,734 or $ 3,554.70 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may newbe issued
Fees Paid By CC / Union Bank of California - Marcus Kellogg Telepn�
Name on the check
/ `,
By Dr. Doris Wilson,,r.i ..
Superintendent
Fee collected /exempted by Annette Barlow
Signature 4� t�, wo
Payment Received $3,554.70
Check No. 7232217
40TICE: 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 Distriet('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
•d1-11 - / �10
i o`. "
4
P.O. BOX 1504
Building �� [
Address
Owner
Sale mmERo LA QUINTA, CALIFORNIA 92253
mauing
Address
City Tel.((
Contractor
ress
Zip
State Lic. I City
& Classif. Lic. #
Arch., Engr., t
CIL
j Designer
Address d � Tel. 7C'
City Zip, State
Lic. #
A � LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division � 4frt_IjpjBusiness and Professions Code, and my license is i� fu�l �f�Orce _, nd
effect �'.J�I�
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031. S,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
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 0! 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 /or a permit
subjects the applicant to a civil penalty of not more than live hundred dollars (5500).
l; 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
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 o/ sale.)
II 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 contractor(s)
licensed pursuant to the Contractor's License Law.)
I']
I am exempt under Sec. 8. 8 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 �' <' r_ of
Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars (E100) valuation
or less.)
1 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.
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. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly tilled 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 got this city to enter the above-
mentioned
bovementioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
iJ
.;t r, .I- �t
BUILDING: TYPE'CONST° ` OCC. GRP.
APPLICATION ONLY
A.P. Number
Legal Description l
Project Description
Sq. Ft. No. 1 No. Dw.
Size Stories ` Units
I New'6
Add O Alter O Repair ❑ Demolition ❑
Estimated Valuation
PERMIT I I
/AMOUNT
Plan Chk. Dep
Plan Chk. Bal.
Const.
Mech.
Electrical
S.M.I.
Grading -
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line # r
' Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side
,NO a
,Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation: v
3n I . '"'
Ill
WHITE =FINANCE YELLOW =APPLICANT PINK =BUILDING DIVISION
YOUNG ENGINEERING SERVICES
• L,ngineerirlg *Aichileclure•Surveyillg- 73zlilclir7g & Safely Services
Letter of Transmittal
To: &�� Date: 140/0/
Project: C m.�p Z - /70
flan: �
w. o..
Tel No.: Tract No.:
61% are forwarding.
No.
^of Copies
c
Collinlents:
This Material Sent for:
By Messenger
t)r�ci•r•inlinn
By Mail Your Piclulp
Your Fi1cs Per Your Request
Your Revicw Approval
Checking At the request ol'-
Other
4p:#I-tko/ /
Phone #
47-159 Younis Lane • Indio, CA 92201 • (760) 342-9214
-Brom Young •
YOUNG ENGINEERING SERVICES
47-159 Young Lane Indio, CA 92201 (760) 342-9214 (760) 342-6164 Fax
STRUCTURAL PLAN CORRECTION
Date: 01/30/01
Plan Taos 2K-4
54-715 Avenue Madero
La Quinta, CA
Plan check No.: 0101-170
Status: 1st check
Structural designer: Charles Garland
Plan checker: Marcell McElroy
1. Resubmit redlined plans. for next review. Failure to resubmit these plans may cause
delays, a new review, and/or additional plan review fees.
2. Respond to each of the below items with a written commentary as to where and how
the requirement was met. Respond to redlined items on the redlined set.
3. Manufacturer to provide calculation for drag truss A4 and C1.
4. Structural calculations incomplete. For seismic calculations submit soils report or
other documentation to justify Ca, C,,, Na, and N,, coefficients.
5. Provide overturning calculations for each shear panel in a line of lateral force
resistance.
6. The seismic base shear coefficient V from UBC 1630.1.2 shall be multiplied by
reliability/redundancy factor p (rho) per UBC 16330. 1.1 as determined by equation
(30-3). In lieu of a rigorous analysis whereby rmax is determined by calculating ri for
all lateral elements a p=1.5 must be used. A p (rho) of less than 1.0 is not permitted.
7. May not use shear panels with height to width ratios in excess of 2:1 unless deflection
calculation for the panels are provided showing that the allowable drift for the panel
height is not exceeded. CBC 1630.10 CBC 2315.1 Table 23 -II -G. Refer to UBC
standards for method of calculating shear wall deflection.
8. Provide a sketch in lateral calculations showing lines of lateral force considered,
diaphragms tributary thereto. The governing diaphragm loads, as well as the shear
walls under consideration along this line.
9. Provide calculation for beams greater than 8 feet in length.
10. Plans (all sheets) and calculations (title sheet) must have seal or stamp, wet signature,
license expiration date of an Engineer.
11. Provide note to require special inspection for all field welding, high strength bolting,
concrete placement with > 2500 psi compressive strength and masonry grouting per
UBC section 1701.5.
12. Additional corrections may be required upon subsequent reviews.
YOUNG ENGINEERING SERVICES
Engineering Architecture -Surveying- Building & Safety Services
Letter of Transmittal
To: City of La Quinta
Attn: Greg / Ed
Tel No.:
We are forwarding: By Messenger
Date: 2/26/01
Project: PC # 0101-170 (2" check)
54-715 Avenue Madero
W.O..,
Tract No.:
By Mail X Your Pickup
No. of Copies Description:
1 Plans (1St submittal)
1 Plans (2°d submittal)
1 Structural calculations
1 Truss calculations
Comments: Comment #3 of the Structural comments is the only remaining structural
comment to be addressed. (Revise truss calc's to show drag load at front entr j«;
This can be back checked at the counter.
Call if you have any questions.
This Material Sent for:
Your Files X Per Your Request
Your Review Approval
Checking At the request of:
Other
By: John W. Thompson
Phone # 760-342-9214
47-159 Youngs Lane, Indio, CA 92201 (760) 342-9214
Bronz Young
YOUNG ENGINEERING SEI
47-159 Young Lane Indio, CA 92201 (760) 342-9214
STRUCTURAL PLAN CORRECTION z -`/
Date: 01/30/01
VICES
(760)
,�-
v.
' gla�10
Plan Taos 2K -4S
54-715 Avenue Madero 45,
La Quinta, CA
Plan check No.: 0101-170
Status: 1" check
Structural designer: .�
Plan checker: Marcell McElroy
1. Resubmit redlined plans for next review. Failure to resubmit these plans may cause
delays, a new review, and/or additional plan review fees.
2. Respond to each of the below items with a written commentary as to where and how
e requirement was met. Respond to redlined items on the redlined set.
3.. anufacturer to provide calculation for drag truss A4an$£3.
4. Structural calculations incomplete. For seismic calculations submit soils report or
other documentation to justify Ca, C,,, Na, and N„ coefficients.
o� Provide overturning calculations for each shear panel in a line of lateral force
resistance.
The seismic base shear coefficient V from UBC 1630.1.2 shall be multiplied by
reliability/redundancy factor p (rho) per UBC 1630.1.1 as determined by equation
(30-3). In lieu of a rigorous analysis whereby rmax is determined by calculating ri for
all lateral elements a p=1.5 must be used. A p (rho) of less than 1.0 is not permitted.
N,6 May not use shear panels with height to width ratios in excess of 2:1 unless deflection
calculation for the panels are provided showing that the allowable drift for the panel
height is not exceeded. CBC 1630.10 CBC 2315.1 Table 23 -H -G. Refer to UBC
standards for method of calculating shear wall deflection.
Provide a sketch in lateral calculations showing lines of lateral force considered,
diaphragms tributary thereto. The governing diaphragm loads, as well as the shear .
Ij walls under consideration along this line.
eool Provide calculation for beams greater than 8 feet in length.
10. Plans (all sheets) and calculations (title sheet) must have seal or stamp, wet signature,
license expiration date of an Engineer.
' ,�,✓ 11. Provide note to require special inspection for all field welding, high strength bolting,
p� concrete placement with > 2500 psi compressive strength and masonry grouting per
UBC section 1701.5.
l,�0►1�� Additional corrections may be required upon subsequent reviews.
YOUNG ENGINEERING SERVICES
47-159 Young Lane Indio, CA 92201 (760) 342-9214 (760)342-6164-F
STRUCTURAL PLAN CORRECTION
Air.
�-
Date: 01/30/01 �LL fi•
Plan Taos 2K-4
54-715 Avenue Madero
La Quetta, CAJ,���
Plan check No.: 0101-170 �V
Status: 1" check
Structural designer: �rartes Gallai .� �(,�'J
Plan checker: Marcell McElroy
L'
Resubmit redlined plans for next review. Failure to resubmit these plans may cause
delays, a new review, and/or additional plan review_ fees.
2. 'Respond
to each of the below items with a written commentary asto where and how
3O
the requirement was met. Respond to redlined items on the redlined set.
Manufacturer to for drag @
provide calculation truss A4—and-G4. F(o ff01.Cj''Egl
4.
Structural calculations incomplete. For seismic calculations submit soils report or
�-
other documentation to justify Ca, C,,, Na, and N„ coefficients.
Provide overturning calculations for each shear panel in a line of lateral force
resistance.
The seismic base shear coefficient V from UBC 1630.1.2 shall be multiplied by
reliability/redundancy factor p (rho) per UBC 1630.1.1 as determined by equation
(30-3). In lieu of a rigorous analysis whereby rmax is determined by calculating ri for
w�
all lateral elements a p=1.5 must be used. A p (rho) of less than 1.0 is not permitted.
May not use shear panels with height to width ratios in excess of 2:1 unless deflection
calculation for the panels are provided showing that the allowable drift for the panel
height is not exceeded. CBC 1630.10 CBC 2315.1 Table 23 -H -G. Refer to UBC
standards for method of calculating shear wall deflection.
Provide a sketch in lateral calculations showing lines of lateral force considered,
el+,—O�K�diaphragms
tributary thereto. The governing diaphragm loads, as well as the shear .
walls under consideration along this line.
00,
Provide calculation for beams greater than 8 feet in length.
10.
Plans (all sheets) and calculations (title sheet) must have seal or stamp, wet signature,
101
license expiration date of an Engineer.
Provide note to require special inspection for all field welding, high strength bolting,
t;�11.
concrete placement with > 2500 psi compressive strength and masonry grouting per
UBC section 1701.5.
Additional corrections may be required upon subsequent reviews.
Rew
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 CONTEMPORARY HOMES
SITE ADDRESS .547715 Madero
APN 774 _ 264 00`8 BIN NO.: CASE NO.: 2001-393
LEGAL: LOT 8 BLOCK 275 UNIT S.C.@V.L.Q.
CHECKED BY. Stan Sawa DATE: 2 161
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
v
Consistent with MDG on file (as. applicable
v
MDG filing required (5 filings since 9/3/98)
Consistency with street/surrounding area:
Colors
Materials
Architecture
�►
Other Requirements:
�II--� 6VOAQ2 6 (p j l �"
ti ,
4P.O.60X.1504 APPLICATION ONLY
78-495 CALLE TAMPICO
Build
1 f l �� Rl'�� LA OUINTA, CALIFORNIA 92253 3
Owner
' �`J�•�\t1�S'r„i;�i� ii\°� , i���'1sI•�t{v
Mailing /1 BUILDING: TYPECONST.L OCC. GRP.
Address A.P. Number 77 4 26 v r' 0 1 w
City Zip c Tel{ f L'oT S ;1t (✓ } f 1
L \ QJ i :lit\ + J � % � `� Ott, � Legal Description
Contractor, 1� Pro]ec`t Description
Address L
City Zip Tel. -
ate Lic.
6tCla sif. 1 (J Elft Std. Ft. No. No. Dw.
Size �� Stories Units
Designer L S G v.,� New-4Add 0 Alter O Repair O Demolition O
11f X15-1 VC06 \fAkk S Tel,3��1
5ity I Zi� State
Lic If
LICENSED CONTRACTORS DECLARATION
I hereby affirm t 1 Iluasneed under provisions of Chapter 9 (commencing with Section
700q of Division Business and Professions Code, and my license is I7 f�laree
effect
SIGNATIRE
DAM '
OWNER -BUILDER DECLARATION Estimated Valuation
1 hereby affirm that 1 am exempt from the Contractor's License Law for the following -
reason: (Sec. 7031.5.8ushess and Professions Lode: Any city or county wWd requires •
permit to construct alter, Improve, demolish, orr repair any structure. prior to,Ns balance alsorequireAMOUNT
is visions off the for
tory Wiens �, Casptt� with Section Is Acansed
o of of PERMIT .
Division
a the
arWand yoJoof u3t��Mre�
for
the pedemronAnvfd n of Section i01s exempt therefrom,
r thebasis
Plan Chk. Dep.
subjects the applicant to a civilpenally o1 rrot more than five hummed dollars (6500). ' plan Chk. Bal.
1. 1, 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. (See. 7044, Bwsness and COr13t t
Profasslorns Code: The Contractor's License Law doss not &A* to an owner of property who c
buAW or improves thereon and who does such wore himself or through fire own employees, Mech.
provided that such mprovements are not intended or offered for s. h however, the buuatlWg - -
or improvement is sold within one yew of completion, the owner -bunter w8 have Me burden Electrical
of pmvfng that he did not build or improve for the purpose of sale.)
1'l I, as owner of the property, am exclusively contracting with licensed contractors to too- Plumbing -
struct the project. (Sec. 7011, Business and Professions Code: The Contractor's License low i
doesnot apply to an owner of 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 Lew.) Grading '
17 1 am exempt under Sec. S. a P.C. for this reason
Driveway Enc. F
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 cerWlad, Atrreol�(S!c. 3800, Labor Code.) <i
Policy No. Company
�(I Copy is filed with the city. ❑ Certified copy is hereby fumished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATIONINSURANCE
(Thisun
section need not be completed N the Permit Is for one hundred dohrs (S f 00) vataticn
I certify that in the performance of the work. for which this permit Is Issued, I shall not 1
employ any pa
Californiarson in any manner so as to become subject to the Workers' Compensation
Laws of }
Date Owner
NOTICE TO APPLICANT: N, after mating this Certlpcata of Exemption you should become ZONE.' BY: }
subject to the Workers' Conpansallon provisions of Me Labor Coda. you must Ibrthwth
comply with Such provisions or this permit shall be deemed revoked. Minimum Setback Distances: i
Front Setback from Center Line
Rear Setback from Rear Prop. Line t
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
1hereby affirm that there isa construction lending agency for the performance of the
work for which lila permit is issued. (Sec. 3087, CMI Code.) I Side Setback from Property Line
Lender's Name j
Lender's Address ` S
This is a building permit when properly filled out, signed std validated, and Ia aubjectto y•."FINAL""DATE —INSPECTOR
expiration if work thereunder is suspended for 180 days. 1
1 certify that 1 have read this application and state that the above Information Is -correct. Issued by: Date
I agree to comply with all city and county ordinances. and state laws relating to building O ?
construction, and hereby authorize representatives of this city to enter .the above Validated by: Zop
mentioned property for inapeclion purposes
Signature of a0piicant Date
Mailing AddlesValidation:
City, State, Zip -
- WHITE . FINANCE' YELLOW : APPLICANT PINK . BUILDING DIVISION ,
a
� 4Vv�ivr,9- �,Wlr'vG�-5- Jay 76,�'—/9lii5WoVz;0 /%Zo4V6WV.
pLAN cIIECK A D/D/ — /70
VALUA7,701 V
SQ..FT.
VALUE. , ?TOTAL VALUE
1 ST FLOOR
1 '�
2ND FLOOR
COVERED PATIO
GARAGE
A/C
-
FIRE SPRDaa ERS
7VTAL
MECH4NICAL
_
FANS
TRASH COMP.
HEATERS
I T
GARB. DISP.
_( ...: ,°--.;;•::;`
COMPRESSOR
OVEN
G
EVAP. COOLER
T
RANGE
APPLIANCES '._
COOK TOP.
REFRIGERATOR=
-
ELECTRICAL
ICE N AKEit
DRINKEJG FOUN
SQ. FT. LIV
WASHER
�-
SQ. FT GARAGE
DRYER
SUB PANELS
DISHWASHER
MAIN SER
FREEZER
eo L
- -----
PLUMBING
—
TOILET
Z
GAS PIPE FIXTURES
�o
BIDET
WATER HEATER
URINAL
SEPTIC SYSTEM
-
LAV
SEWER
SHOWERS
(
ROOF DRAINS
BATHTUB
_�
FLOOR DRAIN
SINKS
KITCHEN SINK
BBQ/BAR SINK
VEG SINK
:
TUB/SHOWER
i Iv
***
DATE:
CITY
1
OF LA QUINTA
1/24/011
*** BUILDING
DEPARTMENT ***
LOG FILE NAME:
0101-170
JOB ADDRESS:
54-715 AVENIDA MADERO
OWNER NAME:
10
MAILING ADDRESS:
10
CITY, ST ZIP PH#
10
USE OF PERMIT:
SFD-1734 SQ FT
CONTRACTOR NAME:
0
CONTRACTOR ADDR :
0
CONTRACTOR PH #:
0
LOT/TRACT:
0
ASSESSOR PARCEL #
0
(C)OMM or (R)ESID : R
** BUILDING CONSTRUCTION VALUATION
UNIT UNIT $ TOTAL
GOOD CONSTR (SF)
0
77.90
0
AVERAGE CONSTR (SF)
1734
54.30
94156.2
PORCH/PATIOS (SF)
14
13.30
186.2
GARAGE/CARPORT (SF)
512
19.60
10035.2
BLOCK WALL (HT/LF)
0
0
0.00
0
BLOCK WALL (HT/LF)
0
0
0.00
0
WOOD FENCE (LF)
0
8.50
0
SPRINKLERS (SF)
0
1.70
0
A/C -- RESID (SF)
0
2.90
0
A/C --COMM (SF)
0
3.50
0
CONTRACT
0
0.00
0
ESTIMATED VALUATION TOTAL
***SUMMARY OF FEES
UNIT
104377.6
CONSTRUCTION FEE
657.00
PLAN CHECK FEE
550.11
PLAN CHECK DEPOSIT
0.00
MECHANICAL FEES
60.00
ELECTRICAL FEES
119.43
PLUMBING FEES
142.00
STRONG MOTION (RES)
10.44
STRONG MOTION (COMM)
0.00
TOTAL VAL
GRADING
20.00
104377.60
DEVELOPER IMPACT FEE
1907.00
PRECISE PLAN
100.00
ART IN PUBLIC PLACES (RES)
0.00
TOTAL FEES
ART IN PUBLIC PLACES (COMM)
0.00
3565.98
Page 1
*** CITY OF LA QUINTA ***
JOB ADDRESS:
BUILDING DEPARTMENT'
54-715 AVENIDA MADERO
** ELECTRICAL FEES
UNIT UNIT $
TOTAL
FLOOR AREA (SF)
1734
0.04
60.69
GARAGE/CARPORT (SF)
512
0.02
10.24
ELECTRIC UNITS (EA)
0
3.00
0.00
SUB -PANELS
0
7.50
0.00
CONSTRUCTION POLE
1
15.00
15.00
SERVICE (AMPS) '
200
18/37/75
18.50
SWIMMING POOL (EA)
0
30.00
0.00
SPA (EA)
0
15.00
0.00
OTHER
0
0.00
0.00
OTHER
0
0.00
0.00
PERMIT FEE
1
15.00
15.00
ELECTRICAL SUB -TOTAL
119.43
** PLUMBING FEES
UNIT UNIT $
TOTAL
POOUSPA (0, 1 OR 2)
0
21/27
0.00
WATER PIPING
1
3.00
3.00
ROOF DRAINS
0
6.00
0.00
SEWER CONNECTION
1
22.50
22.50
GAS PIPING
6
4.50/1.25
7.00
WATER HEATER
1
7.50
7.50
FIXTURES
13
6.00
78.00
SEWAGE DISPOSAL
0
45.00
0.00
LAWN SPRINK. SYSTEM
1
9.00
9.00
OTHER
0
0.00
0.00
PERMIT FEE
1
15.00
15.00
PLUMBING SUB -TOTAL
142.00
** MECHANICAL
UNIT
FEES
UNIT $
TOTAL
DUCT ALTERATION (FF)
0
4.50
0.00
EXHAUST, HOOD,FAN(EA)
3
6.50
19.50
HEATING <=100000 BTU
1
9.00
9.00
HEATING > 100000 BTU
0
11.00
0.00
EVAPORATIVE COOLER
0
6.50
0.00
COMPRESSOR <= 3 TON
0
9.00
0.00
COMPRESSOR > 3 TON
1
16.50
16.50
SWIMMING POOL HEATER
0
24.00
0.00
OTHER
0
0.00
0.00
OTHER
0
0.00
0.00
PERMIT FEE
1
15.00
15.00
MECHANICAL SUB -TOTAL
60.00
Page 1
City of La Quinta
Plan Check Corrections
Date: March 16, 2001
Project Address: 54-715 Avenida Madero
Project Description: Single Family Dwelling
Status: Third review
Plan Checked by: Greg Butler (777-7015)
Note: The following correction remains unresolved from previous plan checks.
Respond in writing to all corrections requested below, noting where correction can be found.
Return this list and all red -marked plans with next submittal.
Revise plans and/or calculations as necessary, reprint as required and resubmit. All resubmitted
documents shall be stamped and wet -signed by the professionals who prepared them.
Clarify the drag load at "Line B" (Front Entry). Structural Calculations (page 4) indicate
"F=2.6." The latest Framing Plan indicates "Drag Truss — T=2.5." The latest Truss
Calculations for Truss "A4" do not indicate a design for any drag loads.' Reconcile Plans,
Structural Calculations and Truss Calculations.
As further information is submitted and reviewed, additional corrections may be required.
END CORRECTION LIST
Page 1 of 1
MOUNTAIN
gil%hnARCHITECTURE
ARCHITECTURE & ENGINEERING
BIG BEAR CITY AIRPORT • SUITE A-1
P.O. BOX 6167 • BIG BEAR LAKE, CA 92315
(909) 585-6311
John F. Acosta III, Architect, AIA
3/14/01
City of LaQuinta
Department of Building and Safety
La Quinta, CA
RE: "Taos 2K" plan s4 -7/s AUXIVIpA rvrnt0£R0
La Quinta CA
Gentlemen:
I have checked the revised truss layout plan on the above referenced project, and find that it -
conforms to the design intent of the project.
E
ARCHITECTURE
.costa, AIA �V
Architect " JOHN R ASS?A. Nt
t
AIA.
NO. C24Q55
,tom REN, 4.30 01
•q 4
°--0F CALF
CALIF. LICENSE #C24055 • ARIZONA LICENSE #28023 • CALIF. O.E.5. REGISTERED EARTHQUAKE DAMAGE ASSESSOR #5A1373
MOUNTAIN
gil%hnARCHITECTURE
ARCHITECTURE & ENGINEERING
BIG BEAR CITY AIRPORT • 51JITE A-1
P.O. BOX 6167 • BIG BEAR LAKE, CA 92315
(909) 585-6311
John F. Acosta III, Architect, AIA
3/13/01
City of LaQuinta
Department of Building and Safety
La Quinta, CA
RE: Taos 2K Plan
La Quinta CA .
Gentlemen:
The use of a drag truss with a load capacity of 2.5 kips will be acceptable, in lieu of the 2.6 kips
called out on the structural calculations.
MQUNTAIN ARCHITECTURE
oARC,
��F
Acosta, AIA
d Architect JOHN F ACOSTA, III
A.I.A.
NO, C24056
N REN. 4-30.0t
F CA1.�..
CALIF. LICENSE #C24055 • ARIZONA LICENSE #28023 • CALIF. O.E.5. REGI5T.EKED EARTHQUAKE DAMAGE A55E550R #5A1373
Certificate of Occupancy
City of La Quints
Building and Safety Department
This Certificate issued pursuant 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:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R3
54-715 AVENIDA MADERO
Type of Construction:
Owner of Building: CONTEMPORARY HOMES
Building Officiai
VN
Bldg. Permit No.: 0101-170
Land Use Zone: RC
Address: 51-370 AVENIDA BERMUDAS
City: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: JANUARY 10. 2002
POST IN A CONSPICUOUS PLACE