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04-5043 (PAT)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 04-00005043 Date 6/18/04 Property Address . . . . . . 77770 CALLE COLIMA APN: 774-092-0.12-13 -000000- Application description . . . PATIO COVER - RESIDENTIAL Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation . . . . 1500 Owner Contractor v BISHOP JOSIE ADVANCE ALUMINUM AWNING, CO. 77770 CALLE COLIMA 2202 SANTA ANITA AVENUE LA QUINTA CA 92253 S EL MONTE CA.91733 (62 6) 575-0595 WCC: STATE FUND WC: 174.52322004 08/01/05 CSLB: 575140 08/31/05 CCC: D03 ------------=-----=--------------------------------------------------------- Permit . . . PATIO COVER PERMIT Additional-desc .Permit Fee . . . . 35.00 Plan Check -Fee 22.75 Issue Date Valuation . . . . 1500 Qty Unit Charge Per Extension BASE FEE .1<15.00 10.00 2.0000 HND BLDG 501-2,000 20...00 --------------------------------------------------------------- Special Notes and Comments 120 S.F. ALUMAWOOD PATIO.COVER ---------------------------------------------------------------------------- Other Fees . . . . . . . . . .STRONG MOTION (SMI) - RES .50 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total 6-a3- ° Stoll-,, . wL) T /D: 041 f�lG _ Charged Paid Credited Due ---------- ------ ---------- ---------- 35.00 .00 .00 35.00 22.75 .00 .00 22.75 .50 0©-- (510 .50 58.25 00 : 0'0 58.25 212004 CITY OF LA QUINTA a P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04- SO Date: -1$'0 Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Addr s /,4 Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals i n and ss Li I i full force and effect. �7 SI C� D icense Class 95 ,cense No. .,-Date G g D ontrector V �/L( —1 o ��- (.% /Vi l i M AtA1 /J 1 VG S/ Co. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business And Professions Code) or that he or she 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).): U 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date ' Owner. WORKERS' 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 lhe,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 iss Lej. M orkers' c9�ensatio urance carrier I certify that, in t e performance of the work for which this permit is issued, I shall not employ 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, 1 shall forthwith comply with those provisions. rai WARNING: FAILURE'TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAt4D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address Ox APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is no mmenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. I ag a to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the abo - ntioned property for inspection purposes. /date u �v Signature (Applicant or Agent): , '� 1 r 1 — S ...�.1� � ►�'i. � ! � tom, p -n 44"0'C1410 t5m n 09_rI2� at DAlAi iii rJAAiA®�i `+t 1 F�F as � c. ;FS r i r 1 — S ...�.1� � ►�'i. � ! � tom, p -n 44"0'C1410 t5m n 09_rI2� CITY OF LA QUi?!"i',- BUILDING & SAFETY DFS APPROVED FOR CONSTRUCTION DATE 'Q� BY 9!'l . iSNO11d33X3 ON lin a31(1 HOS d d03 311S 3H1 NO 10N 3yV UVO 80f GNd SNV.1d 03AOUJd 3H13i a3OddHO38111M 0E$ 30 111�I1.03dSNI-3d b at DAlAi iii rJAAiA®�i `+t 1 F�F �... c. ;FS r i K i 2381W bii- ;' ate. oC�fitG' glt: CAfi?ilt !�( CITY OF LA QUi?!"i',- BUILDING & SAFETY DFS APPROVED FOR CONSTRUCTION DATE 'Q� BY 9!'l . iSNO11d33X3 ON lin a31(1 HOS d d03 311S 3H1 NO 10N 3yV UVO 80f GNd SNV.1d 03AOUJd 3H13i a3OddHO38111M 0E$ 30 111�I1.03dSNI-3d b .00-%..A o .s t000��� co+�oe�t •ooh s s µ C�CID � a W v � s cs H / � Q. S F. HOOD RED INTERIOR DESIGNER W 5079 EXPIRES 9-24-05 = d0! i1�N00� 1siNN0illd�e � �,E,ry 1; , .;, �s- V0 PCE, _ , IPE If-onrED GG, l L Phone � Fax. No.: DSA File No.: COMPACTION TESTING DSA App. No.: (Nuclear Method ASTM D-2922 & D-2950) Branch Office: T;W1A1t Test No. _t fie --"Z. Density Count 99 ( 1$11 t20 ' Moisture Count Moisture Correction Mode & Depth Wet Density, PCF t��, j I( Z9.1. (-Z'7b A Dry Density, PCF �� , U9.6 � zo. % Moisture 41 Standard Dens. (MAX.) z Optimum Moisture �©- •� �-j % Compaction �� ��j • `� , Specified Density 90 9 J C® 1 Test No.: ` Station: Location Elevation: li MatT Test No.: �' Station: Elevation. MatT Location: Test No.: Station: Elevatio.n:F (2 MatT Location: u x 1 Je N Test No.: Station: Location: Test No.: Station: Location: Test No.: Station: Location: Test No.: Station: Location Elevation: MatT. Elevation: MatT. Elevation: MatT Elevation: MatT PROJECT NAME: -C4 t- �G'i1 PROJECT NO.: CLIENT: DATE: _ ' OS TECHNICIAN: All Gauge Serial No.: 7 Density Std.: `clo Moisture Std.: 1 Form No. 160 • Pioneer Printing (760) 353-5401 JUN -14-2005 CERTIFh 02-:12 PM Firm: '04-Aiaelw�s Street Address: -7-gLd A-,qW 1&4 Copies to: Builder, HERS Provider Plan Number Semple Group Number Sample House Number HERS Provlder. C /yj E X Clty/State/Zlp: L u �i7 /a ,j C 1 9.z-2- r P . 0 1 HERS RATER CQhdPA4ANCE STATEMENT The house was: jn .Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater prov . Wing diagnostic testing and field verlflcation, I certify that the houses Identified on this form con with the diagnostic Tested compliance requirements as checked on this form. Distribution system is fully ducted (I.e., does not use building cavities as plenums or platform returns in lieu educts) here cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow Is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ Check Box for Pass or Fail (Pass=t3% or less) ERMOSTATIC EXPANSION VALVE (TXV) or Commission Measured values 57 ;__ — equivalent S ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is Installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual, Installation matches values in CF -1 R and design on plan. 2. O Yes ❑ No TXV Is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = 13 ass Fail Pass Fail Yes for both 1 and 2 is a Pass Pass Fail Contractor Address T -df 4 4Quu�rw P.O. sox 150 76105 CALLS ESTADO LA OUINTA. CALIFORNIA 92253 Owner Job Address La Quinta City License No.: Expires: Bldg. Permit No.: This form shall be posted on the job with the Building Inspection Card and it shall be the duty of the General Contractor or if Owner -Builder Permit, the owner to see that all sub -contractors sign this card, giving his City of La Quinta Business License Number, Contractors License Number and a current certificate of Workman's Compensation Insurance Certificate when be starts the job. Failure to comply may cause Building Inspectors to stop work, or complaints to be filed against such contractors or owners. CITY CONT. SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRES 1. Grade i Excavate 2. Pipelines 3• Cement -Foundations 4. Cement Walks i Drives 5. Asphalt Paving 6. Framing 7. Steel Structural B. Masonry Plumbing W/C,6 L0.' Lathing Ll. Drywall L2. Plasterin 713 . HVAC w7, D K /1; 3 6 W 2 4. Electrical `6/�- Roofing 16. Sheet Metal 17. Floors -All Types 18. Glass - Glazing 19. Insulation/Weatherstrip 20. Sewage Disposal 21. Painting/Decorating 22. Tile 23. Cabinets -Installations 24. Ornamental -Metal 25. Fences/Blockwalls 26. Landscaping 27.. Others 26. DO NOT REMOVE THIS CARD Before Final Building Inspection Will Be Made This Form Must Be Completed and Filed With Title 24 Calms nd Plans DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 8/1/91 Type of Permit I La Quinta No. 10782 Permit # Owner Name Bill Stone I'Og # -1.7 -7-r-.)No. Street _MeA4nez city La Quinta zip 92253 Study Area 111 APN # I Tract # I Lot # Square Footage 11,676 Type of Development Single Family Residence No. of unite 0 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 the amount of Fi—.58­1 X 11.676 lor$2,648.08 have been paid to D.S.0 S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Bill Stone Name on the check James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett Signature Telephone :t Collector: Attach a copy of county or city plan check application form to district coapy ;ar sill waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Payment Re-ceiveaii "; ( Check r Ne: G03 :t Collector: Attach a copy of county or city plan check application form to district coapy ;ar sill waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting 17"T 7 7 7 67 C0 Approved bw Beso ❑ Planning Commission _ ❑City Council X.Community Dev. Dept Initials � Case No.fiq C•n-- Exhibit ❑ With Conditions (jl/�lL T2.) /S � /� u((T Crf.�ir•-7/1-C. L `9 /'� I 11/(CJJ,\ f' G `�\ �� � - . � � Pte,, s