0209-123 (SFD)77.
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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 ?t
Professionals Code, and my License is"in-full force and effect.
License ## Liic.Class Exp. Date
.568622 NIA
Date d _ 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 & 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 EXEMPT 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`provisibns.
Dater r Applicant
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.
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) "` ¢r' f Date % ' f
BUILDING PERMIT PERMITq
DATE VALUATION LOTS TRACT
JOB SITE
ADDRESS +fir �°i�FtiILnN1 �.
APN 774-294-03:7
!
OWNER
CONTRACTOR / DESIGNER / EN (NEER
,ed+ttt%ane lamer,
1,40JAVE x3LMUFaS
;'.O. )DOX 11335
P011KW 11335 .
I='.fsi.M.DMIMT CP, 92253
P.Q14��'. OT CA 9225:
i
(76 )485d7657 CBIS#' 4350
USE OF PERMIT
MIX 1, i3W Y 1*3 WEI,Me
Sui 9 ° 1423 SQ.M L,IV1.N*Q, 55.3 SQ. Fr. 0l`1RA09 P Aoer XdOT
114CLU1'iI' Blook Wwla FeooN Pool or ;-& Stpwav drivr:wAy
dd`l,ACT COSVi7rA LWUCTION 1,44.00 8F
POR.MP;t1`.!'IO. 66.00 SY
qA ZaA.1MC°A131°Mf MAI SIS
COST OF C;O�d�"d�TA'�'kION
��ff �y� ��;;vv��**r�ev {7�Y�'��wpINGTklli�A'A.3?�.l�
PEMNUd A .0 E L7 ViY�fYxAaC1.,7.
CONSTRUCTION RM 101-000-438-000 5590,00
PL" C:I^ EAC KFFF. 101-000-439-319 $501.56
KKE DEPOSIT 101,,000-439-318 4250A
MRCHANICAL• FZE 101-0300-421-400 486.00
RUCTIZICAL FEE 101.000,420.00.0 $109.35
P1,UMBIND PF:•Z 1011-000-419-000 $W30
STRO140 MOTION FEE - FtFAID 101.000-2A I -000 $3,90
4:1�'..t DINO I'''mo!' 101.,000.423-000 $15,00
DEVEWPER IMPACT MF 64401S.04
PRCCWZ PLA14
SUE',-IK`1xAL CO AND 11...gT C<'TIF? .
;x3,944,31
LEOS P E-P,AD3 77H,11
�'31.>�F�l"•I�r.Pe�.C.fT��1VLd'Y'F
4210.00
�a7g'I.i:'y`f�YaT�
�
JAN 2 12003
CITY OF LA Q1JINTA
F1 ANCE DEPT.
RECEIPT
DATE
BY
DA FINALE
INSPErTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab GradeReturnAir
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
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final �� ,
BLOCKWALL APPROVALS
Final
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
Gas Test
Electric Final
Waste Lines
- C7'01
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) J!%
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) (Qr��
COMMEN�TS:,2 � 27 a3
��� / t 6
Date 1/21/03
No. 24048
Owner Jeanine Brannen
Address P.O. Box 11335
City Palm Desert Zip 92255
Tract #
Type Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
- La Quinta, CA 92253
(760) 771-8515
����FIEDsc�o
Q BERMUDA DUNES r
rn RANCHO MIRAGE
INDIAN WELLS
PALM DESERT .y
LA QUINTA
INDIO
Y O
APN #
774-294-017
Jurisdiction
Palm Desert
Permit #
0209-123
Study Area
No. of Units
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 54845 Avenida Carranza 1423 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments "
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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 1,423 S.F. or $3,045.22 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/1 st Bank -Vince D'Ambra Check No. 66381
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Monica Guillen $3,045.22 1$0.00
Payment Recd OvedUnder
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
04/10/2003 08:17 FAX 7605646229
April 9, 2003
SANTA ROSA BUILDERS
1a002/002
To: Santa RosaDcvelopmenl V��� r�/C (
David B.
Contractor
La Qninta, CA
Re: 54-845 Avenida Cart=%, La Quinta, CA - Struct al Inspection Letter
Dave
Per my inspection on 4/08/03. I find the *arcing to be in accordance with the approved plans, and peT code,
I noticed several anchor bolts missing throughout -the house and reeormtend a Redhead fix on that Item.
If you may any qu ons, plcase feel free to call us at any time.
RN ar an
Concorde Consulting Group
Consulting Engin'
4511 E. Sunnydunes R d, Ste. # E
Palin Springs, C 4 92 4
Ph: (760) 3h.8626/
Fax(760)416-1893
I0 3Oyd 3adOONOO E18£ESTGGT9 0£:£0 £00Z/60/b0
��
CONCORDE CONSULTING GROUP, INC.
�'. f.ENGINEEERING & CONSTRUCTION MANAGEMENT
3505 CAMINO DEL RIO SOUTH, # 350
SAN DIEGO, CA 92108
PH: (619) 516-3377 FAX: (619) 516-3388
MEMORANDUM/FAX COVER SHEET
TO: FROM:
ANTONIO SANTA MARIA KRIPA
COMPANY:
DATE:
SANTA MARIA & ASSOCIATES
12/16/02
FAX NUMBER:
TOTAL NO. OF PAGES INCLUDING COVER:
1
PHONE NUMBER:
SENDER'S REFERENCE NUMBER:
YOUR REFERENCE NUMBER:
RE: CARRANZA RESIDENCE
X URGENT X FOR REVIEW X PLEASE COMMENT X PLEASE REPLY ❑ PLEASE RECYCLE
notes/Comments
ANTONIO:
THIS NOTE IS TO CONFIRM THAT THE TRUSS HAS BEEN DESIGNED FOR DRAG LOADS
AND THE PROPER ROOF LOADS
PLEASE CALL IF YOU HAVE QUESTIONS
THANKS
KRIPANARAYANAN
pf ESSIONgz
32654
Exp. 6403
TC 2X4 Opp is90!•I.at
BC 2X4imp 15501-1.311
im NU 2x4 B7 83UO
Loaded for 14 per man-aocaurrsat EC".
Tap chard supports 24.0 • of unifoaa load
at 29 pat live lead cad 14 Peg dead load.
Additional design considerations may be
required if sheathing is attached.
j+) indicates the regairestsnt for lateral
brazing ar
to the plaass ei f the ved by Oar at $I -int s isle.
"raving is a result of wind load applied
10 member.(C®bination axial plus banding)
This trues repair" adequate sheathiap, as
deaigaed by others, applied to tba truss
face nrav£ding lateral support for webs is
the truss plans cad areatiat shear wall
action to Tsaist diaphsaym loads
ID: Al
Plating span s AM1/TPS - 1495
TRU DRUM Z8 fila CMOs= t MUM or
XOLTIVLa LUD CABBB.
MTB VALDe8 PER 1'COO RZ93ABC7t MOW #1607.
-•----`--•----------------------------------
Designed for 2.7 R lbs drag load applied
evenly along the top 0haad to the bottom
chard at the beariags, concurrently with
dead Loads and D e lire load. Duration
1.13. Aar£sontal reaction r 2.7 R Us.
(emu bearing).
--------------------------------------------
This truse is designed using the
OBC -97 Cobs.
15169 enclosed • Yes
Tans Laaatlon - End Some
Ilutrriaame/ocean Lina . No an Category C
Bldg Le 411.00 ft, 0169 Width ■ 20.00 ft
Maas roof 'height - 16.50 ft,. 70 __4
DBC Bpeoial aecupaasy,'Dead Load.21.D pug
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TYP)CAL PLATE : 2.4
` OVER COWINUOUS BUPPM
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a�rr Joint Locations
WAR YJI1YV Read 711 nater on this skeet and givt a cagy of it to the EmUng Contactor.
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Phone(760)341.2232
PLA-MamNWmDwooDTRUSM'-(ED&9E)and'HiS41SUWURY5HE6TbyIP1.The 'hanrMwIrddtutu( f) IskCWedItEVwftlDDd%,
Fax 601 341.23
MatilgaN Waco „In 33719. TbeAt wkft Fem cad P%w AwocWon {AFPA) it twdall at 1111 191h St est M. Sm SM. Wasbbtpoe. DC20M
a�rr Joint Locations
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TC Dead 14.00 pef
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TOTAL 44.00 pat Y I segs T6.a.d - 0
A-1 Cesspool Service, Inc.
P.O.- Box 580188
North Palm Springs,- CA. 92258-0188
(760) 329-6875 FAX 251-3405
BILL TO
Santa Rosa Builders
78120 Calle Estado
La Quinta, CA 92253
Attn: Gail
Invoice
DATE INVOICE NO.
10/10/2002 7657
54845 Avenida Carranza, La Quinta
Ordered By: Gail
Date Ordered: 10/7/02
TERMS - — - PROJECT
Due on recpt 54845 Avenida Carranza, LQ
DESCRIPTION AMOUNT:::
Pumped Septic Tank (.1000 gallons) 145:00
Locating/Operiing Fee (3�hrs.) 174.00
Pumped Septic And Abandoned Tank.,
Total $3719.00
JAN -21-2003 10:32A FROM:
A-1 Cesspool Service, Inc.
P-0- IW: 5g018ti, North PRIM Wings, CA. 9n g
`Since 1459'
(760) 329-6875 Fax (760) 251-3405
State lAc. #265214
www.alcesspooi.com
TO:95646229
JOB INVOICE
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Lumaing sad Opca4 Frc (1 hr. M4)
•—
.Out of ArcaFcc
14
a ,
t7 THE LLACIIMu myer m HAS FAILED. -
(3 THGR5ISANQRSTYIXMIN J?MXLAM-0F11i&MEYIOTANK
It will k irormey to an"d a ua d.i4 woDaq.
❑ W1iYJWOWWWam,%wrENANcgPLWmOPTnKKEPrICTANK 5vEkY
❑ YEAR q (IIHER YBAA p Y) Y1t4kR::
7otaaaeOuiC�P.d.b Thsw11maeu!thetiko!Yw kw�ff8PAW
❑ THIS PUNPMWILL ALIVIDSONLYT YRSI.IkrANDNOT
SOLVE COSTOMEU AMC PROB" BECAUSE VF THE ABOVK
13 cummER HAS mpj4 VIVBN AN-nPLAiNArmw- PAL:tcrr.
ASRRVICK CK&MG9 OF $t2 Wird. RR DUE
UN AIX RRTREMD CURCA&
A rlk"4" CHAAGR OF 1 IZ% PER MONTH, 14% PEk YYML WILL RE
C11ARCXD ON PAST DV9 AccOUMd OVU JE DDYY.
N PAYAIWT UI RY OMCK
USMSMB Lk', i STATS
1 hwa6y advewhoir OP wldKnry imewmm d dw 640" 45801bed —w
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P: 1/1
Certificate -of Occupancy
City of La Quinta
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: 54-845 AVENIDA CARRANZA
Use Classification:
SINGLE FAMILY DWELLING
Bldg. Permit No.:
0209-123
Occupancy Group:
R-3 Type of Construction:
VN Land .Use Zone:
RC
Owner of Building: JEANINE BRANNEN Address: P.O. BOX 11335
City: PALM DESERT, CA 92255
By: KIRK KIRKLAND
Ak Date: JUNE 25, 2003
Building Official
POST IN A CONSPICUOUS PLACE