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9805-047 (SFD)WI., ' F- N U) W O =) co r-- d LO �W; oZ� CD 0 F- c� W W F- a N Z 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 and effect. License # Lic. Class Exp. Date CV HC 12/308 Date 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: ' (y)' 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)'. (al am exempt under Section B&P.C. for this reason ate. 4' [ Signature of Owner 7 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. ( J I have and will maintain workers' compensation insurance, as required by Se`dtion 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: Carver Policy No. Ate? 437, 0 00 96 (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 thoe-provisions. V6ate: �Faure Applicant/��- Warniecure 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. 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 7thabove-mentioned property for inspection purposes. gnature (Owner/Agent) �/-•�^"'^ Date BUILDING PERMIT PERMIT918'�,��7 CONTROL!/ `7.4A DATE VALUATION $'7-7A,40;70 LOT 11 TRACT 1-171s7.44 ADDRESS 51-6660 AVE l.tWHAN APN 771125-008 OWNER CONTRACTOR/DESIGNER/ENGINEER PIRA "CINC.'D TA MAYO MER / B4111113ECV111w bND10 CA 92201 (1p�4.7-i5� USE OF PERMIT r 3tb17 (3 BF,DtWOM) KRMIT iE• S NOT 114CLGf N UOCK WIALLS OR 1100L. PLAN CHECK i'0Wr1(Jf4 OF FOES t2F1_)L?CRJ,) FC -k AIkfVf1PIX fSSiJAN(,F OF SAIVIR PLAN 11''Ph. ij Truer CO3.N-s1,R(ct"0N 1,66.00 SF MAY 14 1998 POTICFf/pATIO .102.00 .,F tvi�Et.ASihit:A€tF'C32t'f' 526.00 S% _ OF LA Qu %DI ESTIAUV1143) COST OF Clf INSTIZ ET OWN P6HT IX FEE SUM tAI.' RV CONS'iRITC TION FEE 101-000-418-UOt? t'�.,,'� (11_'F�f 1C $1114.03 Wif,10.IJtM AL. P13MA 1101 -OW-11121 0:50 ELECTRICAL FE 1101-000-420-000 it 16.S5 11,13Ml3ING FM t01.-000-419-000 5121.50 STRONG NMI0-NF1.;X - €fir SID VW -000-Z41-0001 $7.76 + � i •'�q7 N �,f�rII,+fidr F�.ijt� 10111,11-JJ:�"yV0 <9W.V<f 1A PV.A:31-1t1Jc,'iUli kE FEM 2115 -WO -443-542 S0 6.y) Wf.'Ct3E PLAN 101-000-4141-345 SUB -1'(Y.1A1, CON517RUt✓°1•±ON) AND P1,.AN C:iit.0�. �2,itt'1 `1 LESS PRE -PAID PEES so '00 � i'tj'rAt .PERM IT .E+.V,R% 1)L1E NOW i . LI RECEIPT DATE By/ DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DALE INSPECTOR OPERATION- DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs ` Underground Ducts Forms 8 Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck X.P// Exhaust Fans O.K. to Wrap 23 L F.A.U. Framing .� Q Compressor Insulation _ Vents Fireplace P.L. Grills Fireplace T.O. I Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 171F 'Y DryWall - nt. Lath 0 Final Final BLOCKWALL APPROVALS POOLS - SPAS 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 ot 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 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 t Final . W ility Notice (Perm) COMMENTS: T4hf 04" P.O. BOX 1504 APPLICATION ONLY Building n-161"(00 ry / (0o /�, ,� AMIR6� 78-495 CALLE CALIFORNIATAMPIO Address J / 10 �/V �'S LA QUINTA, ORNIA 92253 Owner Address City Zip Tel. UwAt&W 8611 LOJZ Address State Lic.I City & Classif. Lic. # Designer 69&?W' AOE�5) 6 Address Tel. 770 City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 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, and my license is in full force and effect. 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,Business and Professions Code: Any city or county which requires e permit to construct, after, improve, demolish, or repair any structure, prior to'Its issuance also requires the applicant (or 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 of 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 for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). 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 taw 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 of sale.) VI 1, 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.) 17 1 am exempt under Sec. B. & P.C. for this reason Date �' Sowner �r ralf- 0:U1W7Z— 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 t7 Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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. 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 filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of adplicant Date Mailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number -273 —2`2- 1-- 00 gj Legal Description c. Project Description J ; f C&NG Sq. Ft.�2 No. No. Dw. / Size 1,S Stories Units New Ilk' Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION GoOn/ THIS ATTIC HAS BEEN INSULATED T0: This attic has been insulated to - the R -value indicated above, with Cocoon" the high -efficiency insulation. Made from a minimum of 80% recycled materials, Cocoon is scientifically formulated to deliver greater efficiency per inch than other insulation materials. RESIDENCE ADDRESS: Wt ne, -5(o I� J e r r0. I� z L. -It � U. � rl-•4-cal �l Zz5 INSTALLED BY BUILDER: G V -y-- CERTIFICATION: This is to certify that attic insulation has been installed in conformance with the coverage chart reconlnlenda- tions on the opposite side of this card using �} O bags to cover L061 -sq. ft. to obtain an R -value of g R -value is a measure of resistance to heat flow - the higher the R -value, the greater the insulating power. If you would like to add more insulation to your Y I �� home, contact your Cocoon authorized dealer. IN TALL R'S AUTHORIZED SIGNATURE DATE thouffactured Ur. GREENSTONE:•:'" A to u IS I A Ii A. IAC I rt t Co w VA"Y NOTE: This coverage chart compensates for settling and is for estimating purposes only. Stated R -value is provided by installing the required number of bags per 1000 sq. h. at a minimum installed thickness. Imuillation of the mquired nun her of hags may )Meld more than the specified minimum thickness .Inc] mininmun weight per sq. ft. Actual coverage will be influenced by job conditions and application techniques. and may van' as much as 1045 without .significantly affecting the stated R -value. Failure of the installer to provide at least the required number of bags per 1000 sq, ft, and at least the minimum thickness may result in a lower installed R-y:due. Compaction may occur during installations above R-30. requiring more than the slued number of bags to obtain the minimum installed thickness. GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company. © 1997 GreenStone Industries, Inc. All rights reserved. Printed in USA. RV 30M 8/97. B-97-TT/G-A Cocoon Stabilized Insulation 30 lb. bag ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value at 19.4 Net Coverage No Adjustment for Trusses 56.7 75°F Mean Minimum Gross Coverage Based Maximum Net 30.6 Minimum Weight Temperature Thickness 2' % 6' Trusses on 16' Centeto rs Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Fool of Bags Required Insulation Should Not Be Square Feet Required Per Installed Square Feet Per 1.800 Resistance (R) of: Less Than: Pef Bag 1,000 Square Feet Insulation Per Bag Square Feet (inches) Snould Not Be Less Than: (lbs.) R-50 13.5 20.5 48.8 1.464 21.3 46.9 R-42 11.4 24.4 41.0 1.230 25.6 39.1 R-40 10.8 25.6 39.0 1.171 26.9 37.2 R-38 10.3 27.0 37.1 1.113 28.4 35.2 R-32 8.6 32.0 31.2 .937 34.0 29.4 R-30 8.1 34.2 29.3 .878 36.5 27.4 R-24 6.5 42.7 23.4 .703 46.4 21.6 R-22 5.9 46.6 21.5 .644 51.0 19.6 R-19 5.1 53.9 18.5 .556 59.5 16.8 R-13 3.5 78.8 12.7 .381 87.0 11.5 R-11 3.0 93.1 10.7 .322 102.8 9.7 Sidawallt fnressure filled-dlansity 2.0 PPCFI R-13 (2 x 4) 3.5 51.4 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 5/13/98 No. 17023 Owner NameFrancisco Tamayo No. 51-660 Street Avenida Carranza APN # 773-125-008 Jurisdiction La Quinta City La Quinta zip 92253 Tract # Lot # Square Footage Type of Development Single Family Residence Comments Permit # Log # Study Area 1,215 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 1.93 X 1,215 or $ 2,344.95 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project-rriyay_n,oy,,,be issued & Fees Paid By Cashier Check/Bank of America/Bill Standefer r lephgne Name on the check By Dr. Doris Wilson •rte ''� �� Superintendent • Jtrf, �,"fir �vs l `" Fee collected /exempted by Juanita Green Payment Received \12;344:95 Check No. 2009914079 Signature NOTICE: Pursuant of Asp6mbly 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 above 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 collect them on the District('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 Coachella Valley g Housin Coalition Plaza 1, 45-701 Monroe Street, Suite G., Indio, CA 92201 TEL: (760) 347-3157 FAX: (760) 342-6466 ATTORNEY-IN-FACT AGREEMENT I/We hereby appoint COACHELLA VALLEY HOUSING COALITION, and/or any of its authorized agents as my/our attorney -in fact for the purpose of executing any notices of completion, waiver, of liens and/or executing contracts with subcontractors, and/or release of liens and/or handling building permits relating to that certain real property described below. All that certain land located and being in the County of Riverside, State of California, described as follows: LOT 17 AND BLOCK 55 OF UNIT 5 OF SANTA CARMELITA AT VALE LA QUINTA, AS SHOWN BY MAP RECORDED IN BOOK 18, PAGE 63 OF MAPS, RIVERSIDE COUNTY RECORDS. q -()61,j Date Francisco Javier G. Tamayo Date fAsfamily\an na\miscfor\attnyfa May 5. 1998 Mr. Daniel Crawford - ]nspcclor City of La Quints Department of Building; and Safety 78-495 Callc Tampico La QuinUL California 92253 ftarding: CVKC Plan 320 and 420 - Truss Calculations Dear Daniel: STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA BERMUDAS. LA QUINTA CALIFORNIA 92253 760.564.0884 PHONE •760.771.3606FAX • WISH@JCWI !a1M . . r\ L. 1 have rc%ie%\•ed the truss calculations from hnperial Roof Truss which is to be used for the roof construction of the 3 bedrooin and 4 bedroom homes in La Quinta. The truss calculations labeled "320 Plan" arc for the 3 bedroom plan that is associated to the "96-051" job number listed in the lower right corner of the architectural plans. The "420 Plan" truss calculations correspond to the "96-052" 4 bedroom drawings. I have reviewed the truss calculations to confirm the calxacily of all design loads drags and bottom chord loaded girder trusses. 1 have found each to be in compliance with the intentions of the structural design. 1 have also verified ihat the roof dead loads used in the design of the trusses exceed the design loads on the structural calculations. The truss calculations arc more cwnscwati%,c and therefore acceptable. The Trus calculations will be used for the following addresses of the self-help La Quinta Group 4 Construction: 51-865 Ave. Ramirez AP#773-165-018 -Lot 6 Plan 420 51-885 Ave. Ramirez AP#773-165-019 -Lot 7 Plan 320 51-905 Ave. Ramirez AP4773-165-020 - Lot 8 Plan 420 51-945 Aire..Ramircz AP#773-165-022 - Lot 1.0 Plan 320 51-680 Aire. Carranza AN773-125-009 - Lot 16 Plan 420 51-656 Ave. Ramirez AP#773-131-008 -Lot 17 Plan 320 51-660 Avc. Ramirez AP#773-125-008 - Lot 17 Plan 320 51-560 Ave. Carranza AP#773-125-004 - Lot 21 Plan 320 51-540 Ave. Carranza AP#773-125-003 - Lot 22 Plan 320 51-790 Ave. Carran7a AP#773-165003 - Lot 22 Plan 420 Please contact me at your earliest convenience if you should have any questions or additional requirements. Sincerciv, Dennis S. Wish PE Structural Engineering Consultant STRUCTURAL ENGINEERING FOR - CUSTOM FIOMES - REtADDEL - COWAr:RCIAL - LIGHT INDUSTRIAL -SEISMIC RETROFIT R REWIR - UNREINFORCEO MASONRY - RETAMNG MWLLS & FOL14DATON - REPORTS: DAMAGE ASSESSMENT *NEW ROOF-19"ANCE CLAIM-DENNIS S. WASH P E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE TB8.: