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0304-065 (BLCK)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 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: ( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is riot 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 pSignature 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 Policy No. (This section need not be completed if the permit valuation is for $100.00 or less): (,,fir I certify that in the performance of the work for which this permit is issued, 1=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 -provisions: ,,✓Date: ;LApplicant Warning: Failure to secure Workers' Compensation coverage; is unlawful and shall subject an employer to criminal penalties and civil fines up'10 $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) i 1 Date- BUIL ate BUILDING PERMIT PERMIT# 4-065 DATE VALUATION LOT{ TRACT JOB SITE APN ADDRESS 51-82_i.AVFYWA RAIA.R-F., 772% _165-•016 OWNER CONTRACTOR / DESIGNER / EN (NEER LUPE VASQM ©Wt RIZ 13U'17 -D" 51-825 A WIDA RA 2., LA QUI)WrA CA 92253 USE OF PERMIT GFHJUW..'--UII DD4C.t 23 LF 5` 8L0CK PJAU. ALONO FIXO ` TIS.IUE PROPERTY LINE PER CITY STANDARD. 5 FT. WALL 25,00 LF E91 A'I 1 ) COST OF COt` P I'.E2UMOR 1'.2S PERMIT LIME SUMMARY'' CONSTRUCTION FEE 101.000-418.000 S17.00 . FAP R 0 7 2003 CITY OF LA QUINTA FINANCE DEPT. Ml_f0TAL C0MMTJC`nOX ANL'► PL AM 4, f $17.00 $0,00 C3'�AA. PV-'RWrT'M DLTE NOW $1.7.00 RECEIPT DATE ,r1 BY DATE FINALED INSP R INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Stab 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 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final 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 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 Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Silo Panels Exterior Receptacles G.F.I. Crnoke Detectors Temp. Use of Power Final Utility Notice (Perm) OWNER/BUILDER INFORMATION Dear Property Owner: An application fora,building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you'should,be aware that as -"Owner/ Builder you are the responsible party of record on such a permit. Building. permits are not required'to be signed by property owners.unless they are personally performing their own work. If your work is;being performed by someone other than-yourself;you may protect yourself from possible liability if that person applies for the proper permit in his of her name. Contractors are required by law -to be licensed and bonded .by the,State of California and to have a business license from the City or'County. They"are also required by-law to put their license number on all permits for which they apply. If you plan to do your own work, with the -exception of various trades, that you plan to subcontract, you should be aware of the following information for your.bene5t and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire .project, and such persons are not licensed as contractors or subcontractors, then you -may be an'employer: If you are an employer, you must register with the State and FederalGGovernment as.an employer and you are subject to several obligations, including State and Federal. income tax withholdirig; federal social security taxes, worker's compensation insurance., disability insurance costs and unemployment compensation contributions. There may. be financial risks for you if you'do not carry out these obligations,•and these risks are especially serious with respect to worker's compensation insurance: r For more specific information about your obligation_ s under: Federal, Law, contact the Internal Revenue Service (and, if you wish, the U.S:'Srn'A'Busrness Adninstration). For more specific; information about:your obligations under State Law, contact the Department of.Benefit Payments and fh'e Division of Industrial Accidents. N If the structure is intended -for sale, pi•operty,ow- ners`who are not licensed :contractorsI are allowed to perform their work personally or through their own -employees', without a.licensed contractor, or subcontractor, only under limited conditions. A frequent practice of unlicensed persons'' professing to be contractors is. to secure an "Owner/ Builder" building permit, erroneously implying''that the property owner is"providing his or her own labor, and material personally. Building• permits are not'required to be signed by property owners unless 'they are performing their own work personally. Information about licensed contractors may be obtained. by contacting the Contractors' State License Board in your community or"at 1020 N. Street, Sacramento, California 95814. Please complete and return the.enclosed,owner-buildei verification form so that we,can confirm that you are aware of these matters. The building permit will not be issued'Uri till the verification is returned: Very truly yours, CITY OF LA QUINTA DEPT: OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7012 Y • 7G0) 777-70 OWNER'S SIG• ATURE/DAT 5T,-rZ Sy 7 PROPERTY ADDRESS, PERMIT NUMBER(s) January 15, 1999 Daniel Crawford Inspector City of La Quinta Department of Building and Safety 78-495 Calle Tampico La Quinta, California 92253 STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA.BERMUDAS... LA QUINTA CALIFORNIA 92253 760.564.0884 PHONE * 760.771.3606 FAX • WISH@CWIA.00M Regarding: Coachella Valley Housing —Phase 4, 514_25_A v_enid_aRamirez Dear Danny: In compliance with UBC Section 1702, a structural observation was performed on the structure located at 51-825 Avenida Ramirez. The Observation was performed on this building on January 12, 1999 at Time 10:30 AM. An inspection was performed for the load path elements including; shear panel type and nailing, shearwall to roof connections, blocking, drag and strap connections, general framing (in conformance to conventional framing standards) and mechanical anchorage. Excerpt from 1994 Uniform Building Code Section 1702 — Structural Observation: Structural Observation shall be provided in Seismic Zone 3 or 4 when one of the following conditions exists: 1. The structure is defined in Table 16-K as Occupancy Category I, II or III or, 2. The structure is required to comply with section 403, or 3. When so designated by the architect or engineer of record, or 4. When such observation is specifically required by the building official. The owner shall employ the engineer or architect responsible for the structural design, or another engineer or architect designated by the engineer or architect responsible for the structural design, to perform structural observation as defined in Section 220. Observed deficiencies shall be reported in writing to the owner's representative, special inspector, contractor and the building official. The structural observer shall submit to the building official a written statement that the site visits have been made and identifying any reported deficiencies which, to the best of the structural observers knowledge, have not been resolved. ❑ The structure was found to be in conformance with the design details, framing plans and structural notes. The engineer responsible for the structural design has certified to the best of his knowledge that the building complies with the design, drawings and details for the lateral resisting system. ❑ Structural corrections have been made and confirmed by the engineer responsible for the structural design on This letter shall be submitted to the building official to certify that compliance with Section 1702, and Section 220 of the 1994 Uniform Building Code and previous deficiencies have been corrected. The engineer -certifies tot.the ;. best of his knowledge that the structural deficiencies have been resolved and are in conformance with the intentions of the STRUCTURAL ENGINEERING FOR - CUSTOM HOMES - REMODEL - COMMERCIAL - LIGHT INDUSTRIAL - SEISMIC RETROFIT & REPAIR - UNREINFORCED MASONRY - RETAINING WALLS & FOUNDATION - REPORTS:,- DAMAGE EPORTS: DAMAGE ASSESSMENT -NEW ROOF -INSURANCE CLAIM -DENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983 s _ _ Page 2 structural design, drawings and details. ® The following deficiencies were identified. The local building inspector may verify the corrections at the time of the scheduled framing inspection. All other load path connections have been made in compliance with section 1702 Observation requirements. Corrections shall not require additional Observation unless noted otherwise or required by the building official. Number Description of Structural Deficiency 1. Anchor Bolts or MAS anchors missing at West wall of Northwest comer bedroom where track was cut for plumbing fixtures. Install epoxy anchor no inspection required) 2. Anchor Bolts or MAS anchors missing at the West wall of the garage where the track was cut for installation of plumbing lines. Install epoxy anchor no inspection required) , 3. Anchor bolts or MAS anchor missing at South wall of residence where bottom track was lapped to insure proper shear transfer. Install epoxy anchor no inspection required) 4. Plywood panel screw connection to Light Gauge Track is too close the ends of the flange at a couple of locations — North wall of the kitchen (adjacent to exterior entry wall), at South wall of residence near rear bedroom. Reinstall screws closer to center of flange width. 5. Secure non -nearing wall at West side of bathroom (adjacent to Southwest bedroom) to slab with power driven nails. Wall is not presently secured to slab. 6. GENERAL — CHECK ALL ANCHOR BOLTS FOR PROPER INTALLATION AT LOCATIONS WHERE THE LOWER TRACK HAS BEEN CUT TO ACCOMMODATE OTHER SERVICES. EPDXY ANCHOR INSTALLATIONS AT THESE LOCATIONS DO NOT REQUIRE DEPUTY INSPECTION. The quality of construction on this phase of homes is greatly improved from prior phases. I was pleased to see that all shear transfer connections were properly in place (drag straps from the trusses were properly and cleanly secured to shear walls). All tension anchors used to resist uplift on the shear panels were properly and cleanly installed All shear transfers and load paths were inspected and found to be properly in place. Therefore, I find the homes to be in compliance with the structural design pending the installation or correction of the deficiencies noted above. The job site building inspection may verify the installation of anchor bolts required by code or as noted on plans to satisfy this oJa!;�rvation. Additional Observations should not be required unless noted otherwise by the inspector of building official. S. Wish PE Structural Engineering Consultant ,'Dot SOLOI l 1/09/99 STRUCTURAL ENGINEERING FOR • CUSTOM HOMES • REMODEL • COMMERCIAL • LIGHT INDUSTRIAL! SEISMIC RETROFIT & REPAIR • UNREINFORCED MASONRY • RETAINING WALLS 8 FOUNDATION REPORTS: DAMAGE ASSESSMENT • NEW ROOF • INSURANCE CLAIM • DENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983'