9907-214 (SFD)U)
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LICENSED CONTRACTOR DECLARATION
I herebyaffirmunder penalty of perjury that I am licensed under provisions of
Chaptgrl(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
6.372-3.2 S 02/,29120i
Date /- -1OSignature 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 enjpfoyees 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 _Sionature 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.
( d)rl'liave 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 /��f t Policy No.
,\ R £try a 11%,C Al55r'!,7
(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 pro s o s.
Date: '00 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
I
BUILDING PERMIT PERMIT#
4'31¢7-2:24
DATEr . ♦ VALUATION M(113,248.90 LOT i� ` TRACT
JAN +0 -
6 9nnnJOB
SITE
ADDRESS .9 t )C' �l�i�' iC.L .ii 4 i kC 1a..3.�
APN 649-030-020
OWNER
CONTRACTOR/DESIGNER/ENGINEER
{:."I-1ILLUS PIE !D1+,INTIM., C:;;t4LIUM]TIES,
IN( i;, 711;l LUL COk'.1'MUNFr!'ES,
�j
.3 1tLZ1 PLAZk SUITE 400
5 i'l�RK PLAZA, SO E: d 00
ikVINH CA 3261.4
IKV1.NE CA 92,61.4
049)251-1400 CRi,if 5()72
USE OF PERMIT
SiNGLE l'A.fvili,l' ;J1N I i.it�il*
;ii"`I:i.. LOT 45 PiAi+:T 114 ittiCLUD1,;l".)O K WiULL CR
J10u .,,75°,o PLAN( CAECK 1t1d1►UC1'K)N p0!'.t'1..W0 FOR NWILTiPLE
S[ itat�) I'I"t"AL.
"iRAC, CONS TRUC^310id 1,x`)3." • 3i
io 8F
i.lAit/ie{ll(;J�21�CJk'1' Q4i,INI :s,+
it?61R-a•F. i:.sus '� � Y'11►+0..t.di*i 'I&'* %- .b,kNo'1�
11itYii6W�.:�`0
*PT -M SUMMARY
CONST RUC TION FM`; 101-000-41841i0f) :5671.00
MAN � t'F;7t.i,1; t 014))!(10.419-131 t 9 Fyi.Clfet
�
cSlfl�
9q�117!`K
M3:.
t
ts5.ia ,:t< 0AL FUE, 101.-W-420-000 $120.4.3-
-;r
NS.UII ftlffl4F 1 101-000-41.9-000 8142.(9)
L
STRONG ) 40 IONVffj-,RF,Srrti )nt-IJOI?-7�I-OI1f! �IA.TZ?.
'• ,
G\V'WC FIEL1.01-00D-42 000
Afc'.i W.riissi iC PLACES - it sm. 7iri-w-2,s3-aoo 32U.te'2
%_:V0.0PCK UMPAr" FVF $11.9()1.00
t�
Ct fii-TiYFAt_, (`'gNS+"f+i{(:H';'f'JQN Nf) PLAN <-14 .CM
1.I 0441t R7
r.E.SS PRi,--FAfb (?EES,,
$0.00
'!ll'CF11,PCIM IT FEINS DIJE. N04 -V
53,098.87
RECEIPT
DATE
BY _ t f
DAT IN ED
INSPECTOR
J
I
N
INSPECTION RECORD
Ir OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
��u_
Ducts
Slab Grade
f� (!¢
Return Air
Steel
Combustion Air
Roof Deck
C
Exhaust Fans
O.K to Wrap1
�2�-Z�
F.A.U.
Framing
1 . - (�.d�
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
3 I s C
Drywall - Int.'Lath
(Z)
Finale
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
Neater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Lt
Pool Cover
Sewer Connection_
Encapsulation
Gas Piping
Gas Testes
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
/ �—
ELECTRICAfLl XPPROVALS
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)
WESTERN INSULATION, L.P.
4211 Latham Street, Rivuside, CatiCol-l-lia 42501
Tel. (909) 686-8760 Rax (909) 680-8786
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT-
TRACT / PHASE: MIRAFLORES/PHASE 2
LOT ff : 45
SITE ADDRESS: 47-875 BOUGAINVILLEA ST. LA 60INTA, CA
EXTERIOR WALLS @ 2X6 FRAMING: -
MANUFACTURER: JOHNS MANVILLE THICKNESS: k6 3/4 R -VALUE: R-19
EXTERIOR WALLS @ 2X4 FRAMING:
MANUFACTURER: JOHNS MANVILLE
CEILINGS:
MANUFACTURER:
CEILINGS:
MANUFACTURER:
BATTS
GREENSTONE
(� BATTS
JOHNS MANVILLE
THICKNESS: 3 518 " R -VALUE: R-13
BL '�
THICKNESS: 10.3 " R -VALUE: R-38
BLOW
THICKNESS: 13 " R -VALUE: R-38
GENERAL CONTRACTOR: DESERT CITIES DEVELOPMENT
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
, J
BY:
TITLE: D CTION. MANAGER
DATE jULY 12, 2001
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Vim, tel. ._QLil i1J. v_ IiVJ�J�VV_' iVll• 1J I ,���. _-
•/' =7177 rY /l T T T 7 T iY T 1 T /1 7 l T T T T
1!.`f CTU U V 11J EIV CTI NE E C11V Cr
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UUiORni�
F�}rrian� M ')Ani
C A ,L I F O R N I A •
E-MAIL TO - SUPPOR7-ka)GOUI7SGROUP.COM - SALES(.2GOUY/SGROUP.CObf
Guy CA mik-La el
ivesert hilts Developlilitai
78-600 i ignway 111
Main Office
La Quinta, CA 92253
Re: Miraflores
Plan 3 - Lot 44
Plan-2 - Lot-4-5—
I,-
.ot-4Sr_ r r 41 'Mr, I n
Hear 14f. Cafillic114G1.
this letter advises that we have observed the structural requirements that are visible
during construction at the time of our site visit.
Gouvis Engineering believes that the as -built construction at the time of our visit is in
general conformance with our structural plans and relevant correspondence issued by
our office relating to the above referenced dwelling.
This report is understood to be an er-pression of professional ^minion by this.office, which
is based on our best knowledge, information and beliefs. As such it consists of a report
for only structural elements (as above outlined) and is neither a guarantee nor a warranty,
expressed or implied for other trades or requirements of subject dwelling.
Respectfully Submi -
GOUVIS ENGIN C1'
No. 038276 ^'
t�::• Exp. 3-31-01 [ G 41 \.J V
ae -C I�� ►.Vz
Han_ie Vinoya d
President
QF C LIT Project Engineer
SJB:1 Y:VU
Cerd . LW 10
poUll1S CIdrIA/FRAIA/r C_ROL P ar C ALA d,j )L 3 l f Mxf orc� ` r. � Vii. WrD Cr
-.L0UYi5GA0UF. CGid
44000hfPUSDRIYE. SUITEA NEWPORTBEACN.. CALIFORNIA91660 • (0491752-1612 • FA.((y401 11.5371
2150 EAST TANQLIITZ CANYON, SurrE 9 : PALM SPR/NGS, CALIFORNIA 91262 • (760) 313-5090 • FAX 1760) 325-2863
FIELD. OFFICES • SIN DfEGO ' PLEASANTON ' INTERNATIONAL OFFICE: YIETNAXI
(KLrAIK MZ -VI IKA rLUKtJ rLAn c - rtSL, I�) r1x
REPAIR FOR TRUSS TURNED END FOR END.
REPAIR PROCEDURE
------------------------------------------------------------------
> SHORE TRUSS TO RESTORE TO PRELOADED CONDITION.
> ADD NEW WEBS AND CHORD WITH NEW CONNECTOR PLATES AS SPECIFIED.
> REMOVE SHORING.
[1](A)SCAB BRACE. 80% LENGTH OF WEB MEMBER. SAME SIZE, SPECIES
& GRADE OR BETTER. ATTACH WITH 10d NAILS @ 6" OC.
(C)ADO 2x6 SPF 2100f -1.8E BOTTOM CHORD OR BETTER.
ADD WEBS:(W1) 2x4 HF Std/Stud, (W2) 2x4 SPF #1/#2,
(W3) 2x6 SPF 2100f -1.8E, OR BETTER WEB.
(P)CONNECTOR PLATES TO BE ATTACHED TO BOTH FACES OF TRUSS
WITH A PLATE PRESS CAPABLE OF FULLY IMBEDDING CONNECTOR.
[1] REVISED 3/6/01 - PBC - (CHANGE BRACE TYPE, NOTES)
0-5-8
IMIJ UINU rKtrAMtu rMvrl 6vrlrultK INruI (LUAU) 6 UIf9tN3LV11J7 .,•...,,.,,�•. �, ••••..,.. ,��,..
BEARING BLOCKS: NAIL TYPE: 12d—box—nails
BRG X -LOC #BLOCKS . LENGTH/BLK #NAILS/BLK
1 23.208' 1 12" 4
BEARING BLOCK TO BE SAME SPECIES, SIZE & GRADE AS BOTTOM CHORD.
REFER TO DRAWING CNBRGBLK1299 FOR ADDITIONAL INFORMATION.
(R)ORIGINAL PLATE MUST BE REMOVED.
NOTE: SEE DRAWING CAUSR795 99144024 FOR LUMBER, PLATES, AND
OTHER DATA NOT SHOWN HERE.
AFTER COMPLETION OF REPAIRS, TRUSSES MUST BE INSPECTED BY THE
TRUSS MANUFACTURER OR LOCAL BUILDING DEPARTMENT TO ASSURE
COMPLIANCE WITH ALPINE DESIGNS AND SPECIFICATIONS.
(R)W6X8(R).= l 5
(P)W6X12
(P) W3X6 =(R) W5X7 (R) _ (P) W4X6 (R) III (N) WZX3 Ili W6X4
(E)W4X6(A1) (P)W8X8 (R)W5X6 = (p )
(R) W4X4 III (P) W8X8
(P)W3X6
—23-4-
-9-n
41>WAR1]
I 40-4-0 Over 3 Supports
R=1774/-1431 W=3.5" R=2842/-937 W=3.5"
Rh=8048/-8048
1-2-8
(R)W5X6(A1)
(P) W5X8 (A1)
0-5-8 9-1-0
R=1042/-838 W=3.5"
PLT TYP. Wave TPI -95 Design Criteria: TPI STD CA 2 1 R F Scale =.1875" Ft.
-WAR N ING— TRUSSES REQUIRE EXTREME CARE IN FABRICATION. HANDLING. SHIPPING, INSTALLING AND
BRACIG. REFER TO HIO -91 (HANDLING INSTALLING AND BRACING), PUBLISHED BY TPI (TRUSS PLATE
INSTITUTE, 583 O'ONOFRIO OR., SUITE 200. MADISON, WI 53719), FOR SAFETY PRACTICES PRIOR TO
PERFORMING THE SE FUNCTIONS. UNLESS OTHERWISE INDICATED, TOP CHORD SHALL HAVE PROPERLY ATTACHED
STRUCTURAL PANELS• BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGID CEILING.
OBD W. � (�`�
Gj �,Q� ��� C�
T C
TC
L L
"
DL
1 6,
14 .0
0
P S F
PSF
R E F
DATE
R795--31558
03/06/01
A L P I N E
`IMPORTANT_ FURNISH A COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. ALPINE ENGINEERED
'PRODUCTS, INC. SHALL NOT BE RESPONSIBLE FOR ANY DEVIATION FROM THIS DESIGN; ANY FAILURE TO
BUILD THE TRUSSES IN CONFORMANCE WITH TPI; OR FABRICATING, HANDLING, SHIPPING, INSTALLING AND
BRACING OF TRUSSES. THIS DESIGN CONFORMS WITH APPLICABLE PROVISIONS OF NDS (NATIONAL DESIGN
QO 5
P• 2
B C
BC
D L
LL
5 .
0.0,
D
P S F
PSF
D R W
CA -ENG
CAUSR795 01065001
PBC/PBC
SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND PAPER ASSOCIATION) AND TPI. ALPINE
CONNECTORS ARE MADE OF 20GA ASTM A653 GRAD GALV. STEEL, EXCEPT AS NOTED. APPLY CONNECTORS TO
# Mar D6 D1 *
TOT
LD.
35.0
PSF
SEQN
- 18807
Alpine Engineered Products, Inc.
P Sacramento, CA 95828
EACH FACE OF TRUSS, AND UNLESS OTHERWISE LOCATED ON THIS DESIGN, POSITION CONNECTORS PER
DRAWINGS 160 A -Z. THE SEAL ON THIS DRAWING IHDICATES ACCEPTANCE OF PROFESSIONAL ENGINEERING
RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT DESIGN SHOWN. THE SUITABILITY AND USE OF THIS
COMPONENT FOR ANY PARTICULAR BUILDING IS THE RESPONSIBILITY OF THE BUILDING DESIGNER. PER
ANSI/TPI 11995 SECTION 2.
CIVIL \P'
9
�or CALIfO�
OUR
. FAC.
1.25,
FROM
P S
SPACING SEE ABOVE
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:
Use Classification:
Occupancy Group:
47-875 BOUGAINVILLEA STREET
SINGLE FAMILY DWELLING
R-3 Type of Construction: VN
Owner of Building: CATELLUS RESIDENTIAL
COMMUNITIES
Building Official
Bldg. Permit No.: 9907-214
Land Use Zone: CR
Address: 78-600 HIGHWAY 111
City: LA QUINTA, CA 92253
By: GARY HARTMAN
Date: AUGUST 1, 2001