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9901-039 (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 GM VDate a 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: CarrierTRUCK pp Policy No. A=07 4 37 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 o tion 3700 of the Labor Code, I sh, a I f • rt With comply with those pro vi f'' Date: d* qi pplicant 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 re es' ntatives of this City to enter upon the above-mentioned property for i ectio urposes. Q Signature (Owner/Agent) r Y Date I PERMIT# BUILDING PERMIT 1 "01-039 DATE VALUATION LOT TRACT S77,640.74!fit .•;., ADDRESS 52-340 e'�'�:;;N1DA �t�,�!�' REY,i JOB SITE APN OWNER ,11f� CONTRACTOR / DESIGNERENGIINNEER/ ii (A� pp ff'++ AA �Y9jll !! y g �� ri. u.�:IANUIi`�.O 1..t14-�FICINUS i-t�i�i:\s1.;M, y/ [7 rt bi -VINEU / i ii7. DER �FV i�vi i 49 ��i':t •1961311,W ` 86 SP .22 43'701 MONROF ST S x: G OJACHELK1...(1 CA 922:30 1NDIC) CA. 92231. f7fflj147-1157 C1T1,N USE OF PERMIT S1Nti YGE TAMIL " DWE WNCr ,SV.rJ - PERMIT 1:it" NOT iNC i.UDU $1CK WALL 0R fes: L. i 1AN QMCK r'i� 1.t1.i0tiE.'�tL3 'JS'�b 1�f.)rL Mi..rt:i'i.t°1_13 i35UA,NC,'� Ol"' 3.�ti+4.fi AI.AA1 '1'Y17E. T K4 [7EFMtT 14.. Vel.ZlED fr111A T)AJACPA-5Z , r 7a.AC T' COmsTP,ucrIo N k,2,15.00 IR PUICCI KIIATTO 102.00 3b i.iA.i�A+ 1h..%C'ri€i3'U1tT 534,t►0 �' �'I,� .4 ED CCS 1 OF C:;i<:�'e'XLI,17TION �7�rrk)hh,,��yy ��,rr��qq�� TTpppp��gy�,� r ss MMIT FEE SWJAY�A!',1}pM-- L't)NS'IRUCT"l0NI•%E 101-O00-419-000 $340.59 PI -A-9 t; r4XV FTP 101-W-430-118 $1 W AA tI131.MANIC.' L. Eis 101 1100121-0v0 540.5 E,IX ,rRICAL PIT, 101-000-1420-000 SI1+5.55 PLlJfbi43i;`fCI.t11 *1" 101-000-4l 4-000 $1.21..3 ,97'110N(z K(t)'R 5N I TF— - RES'!!') 101 -(IM -741 -000 $776 GR.AD.INC M.3. 401.000-423-000 �20.ii4 IINFRA:111k(KxrURE TFL 225-00-443- 342 51.714.39 Pkfi,i:19hPLAN 101-00-441-343 $25,00 Nri43=rcY'1'A1,�"�3"rklSLry+tik"TTf�N �i�lnPl.,gNs"'11F'C"K?.7(Y>?z LESS TRE -PAID 17L'ES SO -00 TOT i10 , f' F, R.i1t14`t' $f'ii:E1,4 IliLJENOW 52,7412.23 -`a' RECEIPT.i� ?/ DATE l} �tR ! BY DATEFINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS/MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings-IlkDucts Slab Grade ti Return Air Steel Combustion Air Roof Deck 0 Exhaust Fans O.K. to Wrap 6 F.A.U. Framing Compressor Insulation —12- rjQ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath - y3— Drywall - Int. Lath _ Final Final Q � POOLS -SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings — 8 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 L Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection — 37- Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: , Final Utility Notice (Gas) 44 oa4 ELECTRICAL PP OVALS 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) 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: ( ) 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: Cartier Policy No. TRUCK INSURANCE 1 A2007 4370 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 those provisions:- Date: 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) Date BUILDING PERMIT PERM19901-039 DAT L qQ ' VALUATION $77,6�.70 LOT 18 TRACT B82 U10 oDRESS ` 52-340 AVENIDA RAMIREZ AP" 773-262-005 OWNER CONTRACTOR/ DESIGNER/ ENGINEER ' ALEJANDRO CARDENAS CARRASCO OWNER / BUILDER WITH CVHC 49613 HWY 86 SP 22 45701 MONROE ST STE G COACHELLA CA 92236 INDIO CA 92201 ' (760)347-3157 CBL# USE OF PERMIT SINGLE FAMILY DWELLING SFD - PERMIT DOES NOT INCLUDE BLOCK WALL OR POOL. PLAN CHECK FEE REDUCED 75% FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. PQM �'( c� �`9 $p1- 21'�' IJH tCN ls► pc'�;c.-jt;D >F�o►l pATr+61R5c _ TRACT CONSTRUCTION 1,215.00 SF PORCH/PATIO 102.00 SF GARAGEICARPORT 526.00 SF. ESTIMATED COST OF CONSTRUCTION 77,640.70 PERMIT FEE SUMMARY CONSTRUCTION FEE 101-000-418-000 3540.50 PLAN CHECK FEE 101-000-439-318 $114.03 MECHANICAL FEE 101-000-421-000 $40.50 ELECTRICAL FEE 101-000-420-000 $116.55 PLUMBING FEE 101-000-419-000 3121.50 STRONG MOTION FEE - RESID 101-000-241-000 $7.76 GRADING FEE 101-000-423-000 $20.00 INFRASTRUCTURE FEE 225-000-443-342 $1,716.39 PRECISE PLAN 101-000-441-345 $25.00 ` SUB -TOTAL CONSTRUCTION AND PLAN CHECK $2,702.23 LESS PRE -PAID FEES $0.00 TOTAL PERMIT FEES DUE NOW $2,702.23 RECEIPT DATE BY DATE FINALED INSPECTOR 11601- 24 Building 52_310 Address 1 P.O. BOX 1504 APPLICATION ONLY n 78-495 CALLE TAMPICO AVE _LA QUINTA, CALIFORNIA 92253 Mailing '-JCI l CI -- PrVC 8 (0 City Zip Te Contractor Address -(tiV-111" Ci . G40 BUILDING: TYPE'C'-O�NST. OCC:. GRP. .S Ps 2-Z— IA.P. Number 7 G 3 2-1,?,— ®Q-5- ,3 Cj -5- .3Gi7q 22 Legal Description Project Description 1�U2 City jZip ITel.. State Lic. City & Classif. Lic. # I Arch., Engr., Designer mam 5 s 1 A Address Tel. X79 City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I 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,Susiness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to'fts Issuance also requires the applicant for such permit to rile 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 five hundred dollars ($500)• C.1 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 of sale.) 1 1 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 contractors) licensed pursuant to the Contractor's License Lew.) i 7 1 am exempt under Sec. 71B. & P.C. for this reason Date i ,� � wnor i of lvev— 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.7 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 it the permit is for one hundred dollars ($100) valuation 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. 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. I certify that I have read this application and slate 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 aQplicant Date Mailing Address City, State, Zip Sq. Ft. Size New j5 No., No. Dw. / Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ n 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 Setbact from Center Line Side Setback from 3roperty Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION t r Notice: Document Cannot Be Duplicated Date 7/31/98 No. 17425 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Owner NameCoachella Valley Housing Coalition No. 52-340 Street Avenida Ramirez City La Quinta zip 92253 Study Area Tract # Lot # Square Footage 1,302 Type of Development Single Family Residence I Io. of Units 1 Jurisdiction APN # 773-262-005 La Quinta Permit # Log # 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 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>ne amount of 1.93 X 1,302 or $ 2,512.86 ' the property listed above'and that building -J J,.r permits and/or Certificates of Occupancy for this square footage in this proposed project may naw beAssued�� L� Fees Paid By CC/Bank of America/David Brudvik $Tefephone 647-1-3157 : Name on the check 0 By Dr. Doris Wilson - Superintendent Fee collected/exempied by • Juanita Green Payment Received $2,512.86 Check No. 2009916226 Signature ( a4v NOTICE: Pursuant of AssAbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which'you may prote-t the fees or other payment identified 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 wavers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting tt • Coachella Valley Housing 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,18 OF BLOCK 82 OF UNIT 10 OF SANTA CARMELITA AT VALE LA QUINTA, AS SHOWN BY-MAP RECORDED IN BOOK 18,. PAGE 70 OF MAPS, RIVERSIDE COUNTY RECORDS. /p Date Al 'andro Cardenas Carrasco , /V �j r / - Date Graciela Sandra Carrasco - 1 STRUCTURAL ENGINEERIWG CONSULTANT 54625 AVENIDA BERMUDAS. LA CUINTA CALIFORNIA 92253 760.564.0884 PHONE • 760.771.3606 AX • WISH CWIA.COM June 24, 1998 Mr, Daniel Crawford - Inspector City of La Quinta Department of Building and Safety 78-495 Calle Tampico La Quinta, California 92253 Regarding: 1( HC Plan 320 and 420 - Truss Calculations — Group 9 (Typical all La Quinta Projects) Dear Daniel: I have reviewed the truss calculations from Imperial Roof Truss which is to be used for the roof construction of the 3 bedroom and 4 bedroom homes in La Quinta. The truss calculations labeled "320 Plan" are for the 3 bedroom plan that :s 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 capacity of all design loads drags and bottom chord loaded girder trusses. I have .found each to be in compliance with the intentions of the structural design. I have also verified that the roof dead loads used in the design of the trusses exceed the design loads on the structural calculations. The truss calculations are more conservative and therefore acceptable. The Truss calculations will be used the self-help La Quinta Project - Groups 4, 5, 6, 7, 8 and 9.> Each gaup will use the same plans as those mentioned above that these .truss calculations conform to. I have provided a, separate letter referenced above for each group. These are intended to simply the City's records and allow, a separate approval -for each block of homes. Coachella Valley Housing Coalition can provide the addresses for each lot, in each of the groups listed Please contact me at your earliest convenience if you'should have any questions or'additional requirements. S* rely, ennis S. Wish PE Structural Engineering Consultant " F ES DENNIS S. WISH NO. C•04125-1 w STRUCTURAL ENGINEERING FOR • CUSTOM HOMES • REMODEL • COMMERCIAL • LIGHT INDUSTRIAL • SEISMIC RETROFIT 8 REPAIR • UNREINFORCED MASONRY • RETAINING WALLS & FOUNDATION • REPORTS: • DAMAGE ASSESSMENT • NEW ROOF • INSURANCE CLAIM • DENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIAMON OF SOUTHERN CALIFORNIA SINCE 1983