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9909-175 (SFD)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 . CVHC 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: J ( 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 . . O ' am exempt' under Section B&P.C..for this reason ate 1i c; 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. (Q 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: Cartier A[f.13»ENTtTRY .trfis G Policy No: B2 07143 70 (This section need not be completed if.the.permif 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 worker compensation laws of California, and agree that if I should become sub' ct to the workers' compensation provisions of Section 3700 of the Labor de, I shall forthwith comply with those provisions) < #Date: ry/.911''' Applicant— Warning: pplicant Warning: Failure to secure Workers' Comperisation 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 be 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 certifVhat I have read this application and state that the above information is corr pt. I agree to comply with all City, and State laws relating to the building co?struction, and hereby authorize representatives of this City to enter upon tl7e above-mentioned property,for.inspection purposes. Signature (Owner/Agent)%����r�ae�rL`''Y Date # .. PERMIT990-37. BUILDING �P,ERMIT DATE �. r VALUATION, V81,424.20 LOT 110'• TRACT . ' 3'77- ;M4 JOB SITE 51- 3 AIDA,IM.7 APN 77"62,603 ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER NtAMO 11 ICHACA. LUCERO OWNER / BUILDER WTH CVHC rND:10 CSL 92201 (760)347-3137 CBL# ' USE OF PERMIT SINGLE FAMILY DWELLING fi D (15.20.AGR) - P. iff DOVES N IO t iN't'r�:iFD�? B1 C. Al.�I.L OR PC C►L: . PLAN CHECK .PM MM) i -^+%FOR M12'Z"dPLE 135. LTA.I C'S OF SA N4F PLAN TYPE. '..RAC-TCONSTR(iMON 1,320,00 SF PORC'i: IPATIO 1.14.00 8F GARACIFICARPORT 420.00 SF ,.���,�pp��yyaa �.!!.Y-.11�.Wm.[•L.Ym,n).tl..Ni;/�Q VY' a.•0.Y29airri9'�1lR.A-wN +LB�ryW LJM�d4'f� &&s.7 q jCRA FEE >7M1716'.l1F'.tl.C•3.RY . CGNTMUC'I'iC7RM, 101-000-41.8-(IS30 $359.50 PLAN Cif ,CX FEE 1.01-1900.439.318 $118.61 1b iCHANWCAL FEE lit-vut�-X21-c1 tD 3,x.511 :ELE-C" RICAL FEE, $118.10 PLUMBING FEE 104-000-44.9-000 S.128.7s mom itoncorr rtx - siv 101-04'0-241-000 $0.14 (RArUNG.FEE 301,-000-423-000 520.00 DEVELOPER "AC`Y FEE $1.,907,60 PRECISE PIAN 01-60 P,441-345. �100,Qt} SUB -TOTAL C,C NSTRUCIR N .AICD KAN CHECK $3,012.60 LESS PRE-PAtt3 FEES $0,00 TOTu1:i, PERMIT FE FS DUE NOW 53,01.2.60 RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings z Ducts Slab Grade Return Air Steel_ Combustion Air Roof Deck 6 - - OCA Exhaust Fans O.K. to Wrap - 'e) F.A.U. Framing _/p - cup 13-7 Compressor Insulation -- _ '59 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath — e� .y R0 wQ —y—Ov Final BLOCKWALL A PROVALS Final POOLS - SPAS Steel Set Hacks 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 Water Piping _ p Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection l,q _ Vee 57 Encapsulation Gas Piping Gas Test _ _ 0/� 5 % Appliances (((( Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL AP(((PROVALS 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) � § 1pF n - RESIDENCE ADDRESS: 42 t,4 ., INSTA4&ff1- 5.F THIS ATTIC HAS BEEN INSULATED T0: ^F�81- 771Orcaandec-,Emit I �, In" CA 92201 BUILDER: U� 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. R -value is a measure of resistance to heat flow — die higher the R -value, the greater the insulating power. If you would like to add more insulation to your home, contact your Cocoon authorized dealer. CERTIFICATION: This is to certify that attic insulation has been installed 1 in conformance with the coverage chart recommenda- tions on the opposite side of this card using bags to covet��q. ft. to obtain an R -value of C i I T LER'S AUTHORIZED SIGNATURE DAT r TM Cocoon Stabilized Insulation 30 lb. bag ellanerjuelured By: GREENSYONE.•.'" A LOUISIANA- PACIFIC COMPANY 1 N09 -C: This coverage chart compensates for settling •'� and is for estimating purposes only. Stated R -value is 41 provided by installing the required number of bags per 1000 sq. ft. at a minimum installed thickness. Installation of the required number of bags may yield mom than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will be influenced by job conditions and application techniques, and may vary as much as 10% without significantly affecting the stated R -value. Failure of the installer to r 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 -value. Compaction may occur during installations above R-30, requiring more r than the stated number of bags to obtain the minimum installed thickness. r' T I GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company. © 1997 ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R-Valueat Net Coverage No Adjustment for Trusses 75°F Mean Minimum Gross Coverage Based on Temperature Thickness Maximum Net Minimum Weight 2' x 6' Trusses on 16' Centers Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Foot of Bags Required Square Feet Installed Square Feet Per 1,000 Insulation Should Not Be Required Per Resistance (R) of: Less Than: Per Bag 1,000 Square Feet Insulation Per Bag Square Feet (inches) Should Not Be Less Than: (los.) 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 15-, 78.8 12.7 .381. 87.0 11.5 R-11 3.0 ` 93.1 10.7 .322 102.8 9.7 �,1 a GreenStone Industries, Inc. All rights reserved. - Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) + u ' 8-97-Tr/G-A • L R-13 (2 x 4) 3.5 51.4 1 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 ft Cocoon Stabilized Insulation 30 lb. bag ellanerjuelured By: GREENSYONE.•.'" A LOUISIANA- PACIFIC COMPANY 1 N09 -C: This coverage chart compensates for settling •'� and is for estimating purposes only. Stated R -value is 41 provided by installing the required number of bags per 1000 sq. ft. at a minimum installed thickness. Installation of the required number of bags may yield mom than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will be influenced by job conditions and application techniques, and may vary as much as 10% without significantly affecting the stated R -value. Failure of the installer to r 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 -value. Compaction may occur during installations above R-30, requiring more r than the stated number of bags to obtain the minimum installed thickness. r' T I GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company. © 1997 ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R-Valueat Net Coverage No Adjustment for Trusses 75°F Mean Minimum Gross Coverage Based on Temperature Thickness Maximum Net Minimum Weight 2' x 6' Trusses on 16' Centers Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Foot of Bags Required Square Feet Installed Square Feet Per 1,000 Insulation Should Not Be Required Per Resistance (R) of: Less Than: Per Bag 1,000 Square Feet Insulation Per Bag Square Feet (inches) Should Not Be Less Than: (los.) 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 15-, 78.8 12.7 .381. 87.0 11.5 R-11 3.0 ` 93.1 10.7 .322 102.8 9.7 �,1 a GreenStone Industries, Inc. All rights reserved. - Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) + u ' 8-97-Tr/G-A • L R-13 (2 x 4) 3.5 51.4 1 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 ft �,1 a GreenStone Industries, Inc. All rights reserved. - Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) + u ' 8-97-Tr/G-A • L R-13 (2 x 4) 3.5 51.4 1 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 ft (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 ft ft S `Certificate of Occu*pancy City of.La Q dinta This Certificate`=issued pursuant to ' the require .Tents of, Section 109 of the Uniform Bui/ding Code, " certifying .that; attime'of issuance;°; this. structure was in-comp%lance with the various ordinances. offfi# City .regu/ating building construction or use. ' For t/ie .fol%wing: BUILDING ADDRESS: 51-080 AVENIDA-RAMIREZ Use Classification: SFD Bldg': Permit No.: 9909=175 Occupancy 'Gr up: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: RUTILIO & ALICIA TINOCO Building Official Address: 51-080.AVENIDA RAMIREZ . City: LA QUINTA, CA 92253 By: STEVE 'TRAXEL Date: 10-02-00 POST IN. A CONSPICUOUS PLACE