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0308-215 (SFD)U E- W N �� O d LU � tY o Z c�o0o, F- J W W I— d N Z Co L0 CV O� UQ 0_ — Z LO Cr Q O X WL L— OJ m U U O 't„Z J 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 al 039 k` Date /1}�' ./ ” �' Signature of Contractor, f f !r,nay - OWNER -BUILDER DECLARATION I hereby affirun 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. M workers' compensation insurance carrier & policy no. are: Carrier STAT;�•,i��i` D Policy No. 000-164"23-02 (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 Section3700 of the Labor Code, (.shall forthwo comply with' hose; provisions?,.�'' JpatbA' - 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 D 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 suc4 permit, or cessation of work for 180 days will subject permit to cancellatio . I certify that I have read this application and state that the above information correct. I agree to comply with all City, and State laws relating to the buildi g construction, and hereby authorize representatives of this City to enter up the above-mentioned propertyfor,insjiection purposes. 0 1 -,,Signature (Owner/Agent) u '�-y ' /' ' % � Date f BUILDING PERMIT PERMITY -215 DATE VALUATION 3161AS4.W LOT f TRACT 2510153-i JOB ADDRESS`��F�ij��NGLJ�{}�,FJr/c APN ('o.�k.�U-�Ji�D OWNER CONTRACTOR/DESIGNER/EN (NEER PINI' » IRs' A1,1'G°'4 Luc'i taw �SITBOi'JSI TMD 99a8?�dlIXf IU -171.MV 102 9.98WDERT W' UTI lY SAW DIE60 CA 9 131 JANOpG0 CK 92131 USE OF PERMIT RING12. FANMAI 1YVV1&r1W0 •G J-„�) • 64 S: :y lf" a tYS.. CGtE2 lx /IJl:.nl AVVA" I1Y\,vl.."_f� LILwA\:��\ Vr.P' .zf.tir/ Pool, DRIVIKVIAF APPROACH. 766 R&DUCTr0W. -PIAYi C 11b'. M 1r2E DUE. 1.713 'ISSUANCE 0,7 SAANIF,101JAH T '�")E Y (If M,13TRtla,tIMq 71630.0 a21 x�IC.I/k'wrAi'.10 "x.35:00 Sir X8�:�x'k!'A:[•ld;D Coy:' OF c"a 7 rava17E.on C�id�`,fd.�;sv"i.'7a~i�''�11.??`. ]Q'1•t133aAAli3•(1�C� is'r~°��.54 ' pi 41d C��F�3 ie?Y-4�dlfAi-i/e y%/td"�L+ 4: y:�Cia �3ySt /yQ�y 1%f9CQ6�ll�LV1•�^.CRA1;t4F.f I•ir�.'�©�`7""1'�rl^1i1V !'f.QDM13IHO HIM, tfJi-t?t7f"�1��6��1 ��Ktr.SU 3i'.1{.tYNOMOTION „rER,-.RZ311:P t112.A1 YNG )"r`.i{- 7rK~`�- ,.t �•1,�}e�'?.'�• • ���3;1 �1?.Ia-2.A'ti:� �.1�,1s5i �(9,V�9 ' '0b.! L00Y.dV.29V FEES IgOW AUG 27 2003 C17Y OF - FINANCE DEPTTA RECEIPT DATE // CP_1.f BY L�.IJ / . DATE FINALED INSPECTO �J INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts 11. Slab Grade - %` 3 Return Air SteelCombustion `C3 Air Roof Deck 1 . Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor InsulationJ �� Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wali 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 I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines SE 72 —0 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 Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final w Utility Notice (Perm) ,5 (R_REA3A - T24 DRAG GIRDER) .REINFORCE TRUSS FOR BROKEN WEBS. REPAIR PROCEDURE --------------------------------------------------------- > SHORE TRUSS TO RESTORE TO PRE -LOADED CONDITION. > ADD SCAB WITH FASTENERS AS SPECIFIED. > REMOVE SHORING. (S) ADD 2X4x6-0-0 HF STD/STUD OR BETTER SCAB TO ONE FACE WITH SIMPSON SDS 1/4"x 6" (S6) FASTENERS SPACED AT 8" O.C. MINIMUM NUMBER OF FASTENERS REQUIRED SHOWN IN CIRCLES. l 3 COMPLETE TRUSSES REQUIRED-� EDGE DISTANCE, END DISTANCE AND SPACING FOR NAILS SHALL BE SUFFICIENT TO PREVENT SPLITTING OF WOOD. NOTE: SEE DRAWING CAUSR795 03182145 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. WEB BROKEN �Z<< AT MIDSPAN 4 — _ 4 6 6-10-4 0-10-1 6 0-11-4 T TI 12-0-12 11 6--9-8 �5-7-8�5-7-85-7-8--5-7-8�6-6-0 I_ 18-0-8 I_ 17-9-0 _I L 35-9-8 Over 2 Supports —I R=9881 R=4851 W=5.5" R_REN3A - T24 DRAG GIRDER) PLT TYP. Wave TPI Design Crit: TPI -1 95 STD UBC 6.13 CA/2/1/-/E/-/- Spates Fabricators 760-397-4122 85- 435 Middleton Street, Thermal CA ••WARNING• TRUSSES REQUIRE EXTREME CARE IN FABRICATION. HANDLING. SHIPPING. INSTALLING AND BRACING. REFER TO SCSI 1-03 (BUILDING COMPONENT SAFETY INFORMATION). PUBLISHED BY TPI (TRUSS PLATE INS11i,,q. 503 O'OIIOFRIO DR.. SUITE 200. MADISON. NI 57" " AND WTCA (HOOD TRUSS COUNCIL OF AMC0.ICA, 6700 C111CRPRI MADISON. NI 53]19) FOR SAFETY PRACTICES PRIOR TO PERFORMING THCSC FIINCTIONS. "IILCSS OIHERNISC IIIDICAIE0. TOP CHORD SHALL HAVE PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE A PROPERLY AT f Ar.11CD u. T C L L 16.0 P S F T C D L 14.0 P S F BC DL 7.0 PSF •`IMPORTANT•' FURNISH A COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. ALPINE, ENGINEERED ALPINE PRODUCTS. INC. SHALL HOT BE RESPONSIBLE FOR ANY DEVIATION FROM THIS DESIGN: ANY I-ARILHAE TO BUILD TTI[ TRUSS IN CONFORMANCE WITH TPI: OR FABRICATING. HANDLING. SHIPPING. INSTALLING A BRA f, ING OF TR I's S. * * B C L L 0.0 P S F Alpine Engineered Products, Inc. Sacramento, CA 95828 DESIGN CONFORMS MIT APPLICABLE PROVISIONS OF NDS (NATIONAL DESIGN SPEC. BY AFAPA) AND IPI. AI.PINC C01111 E CTOR PLATES ARE MADE OF 20/1B/16GA (W.H/S/N) ASTM A653 GRADE 40/60 (W. R/N.S) GALV. SILEL. APPLY PLATES TO EACH FACE OF TRUSS AND. UNLESS OTHERWISE LOCATED ON THIS DESIGN. POSITION PER DRAWINGS 160A7..Or ANY INSPECTION OF PLATES FOLLOWED BY (1) SHALL BE PER ANNEX A3 OF IPII-2002 SEC. 3. A SCAL ON 11115 DRAWING INDICATES ACCEPTANCE OF PROFESSI ORAL ENGINEERING RE SPONSIBILI IY SOLELY FOR TIIC TR11 SS CBMPD NC NI DESIGN SHOWN. THE SUITABILITY AND USE OF THIS COMPONENT FOR ANY 611ILDING IS TIIC RESPONSIBILITY Or INC BUILDING DESIGNER PER ANSI/TPI I SEC. 2. C1�� s /1 `CO ! {F��i TOT. L D . 37.0 P S F D U R . FAC . 1 .25 SPACING 24 . 0 " Scale=.187511/Ft. REF R795-- 67739 DATE 01/07/04 DRW CAUSR795 04007002 CA -ENG MEM/CWC SEON- 15073 FROM JR JREF- 1S9D795_Z01 ,- Certificate of Occupancy 4 I;vcaaonTm OBuilding & Safety Department This Certificate is issued pursuant to the requirements of Section 109 -of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. -BUILDING ADDRESS: 49-410 BRAN CT Use classification: S.F.D. Building Permit No.: 0308-215 Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: R-L Owner of Building: PM RENAISSANCE Address: 9968 HIBERT STREET STE 102 City, ST, ZIP: SAN DIEGO CA 92131 By: G.SHOWALTER Date: 04/08/04 uilding Offici POST IN A CONSPICUOUS PLACE