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9907-527 (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 726552 C10 C20 B 08/31/20( Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l am exempt from the Contractor's License Law4or the following reason: ( ). I, as owner of the property, or my employees with wages as their sole Chi liensation; will"do the work, and the structure isnot intended or offered for sale (Sec: 7044, Business& Professionals Code). I .as.owner of. the property,: am.exclusivelycontracting with licensed .. contractors to construct. the.,project •(Sec. 7044, Business & Professionals Code): O I exempt`under Section:f3&P or thlgreason.• e Z - / 1_ 00 Signature of Owne . 'WORKER'S' PEN ION D WA - RATION I 'hereby affirm. 'under, penalty, of, perjury one of the following declarations: .,W,,.1 -have and:wlll maintalnza certrflcatefof consent to self -insure for b compensation as. provided for by. Section 3700 of the. Labor Code,.?for the performance of the work -for which this permit Is Issued ( ) T have and, will maintain workers compensation' Insurance as required by Section 3700. of thd,L'abor Code for the performance of the work for..- which this permit is 'issued. My,workers' 'donpensation -insurance carrier & policy no: are: Carrier Policy No STATE FUND 1424240 (This.section need not beIcompleted if the permif valuation. is for•$100.00 or less). ( ) ,I. ceitify-that in the performance of the.work for -Which this permit is -issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of Califorr is„`arid agree. that if I should become y tothe.workers' compensation provisions of Section 3700 of the.'Labor. 'shall forthwith complywith t e provlsioras— - !�'DD Applicant• �. Warning: -Failure. to secure Vhorkers G�nsation coverage is'unlawful and shall subject an employer;to. criminal penaltiesand civil fines up to $100,000, in add( i6n to the.cost of compensation,:damages as provided for in Section 3706 -of the LaborCode`interest and attorney's fees. `41VIPORTANT.`Application is.hereby made to the Director of Building and Safety ,,!or a`permit subject to� the`'conditions andrestrictions 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 o, 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 comrnenced within 180 days from date of issuance 'of such permit, or cessation, of work for 1.80 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 pope or inspection puipo es nature (Owner/Agent Date 2• �� PERMIT # BUILDING PERMIT. ."o7-527 I/ + DATEZI'�IV� VALUATION $205,273.80 LOT 71,76 TRACT LLA91-150 ADS 50=735 CALLE PALOMA AP” 769-063408 OWNER CONTRACTOR / DESIGNER / ENGINEER GEORGINA CLARKE LINVILLE-BIENEK, INC. 51275 CALLE QUITO 83900 AVENUE 45, SUITE C LA QUINTA CA 92253 INDIO . CA I��p(4h C60)342-3368 CBL#, 617 USE OIF PERMIT ' SINGLE FAMILY DWELLING SFD,- PERMIT DOES- NOT. INCLUDE BLOCK WALLS.OR POOL. PLAN CHECK FEE REDUCED 75% FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE.'. . TRACT�CONSTRUCTION 3,441.00 SF' PORCH/PATIO .,519.00,SF . OARAOE/CARPORT' '588.00, SF ESTIMATED COST OF CONSTRUCTION 205;273:80 PERMIT,FEE SUMMARY CONSTRUCTION -FEE 101-000-418-000 51,010:50 PLAN CHECK FEE 1017000=439-318 5865.37 FEE DEPOSIT r 101-000-439-318 -$250.00... MECHANICAL FEE 101-000-421-000. 5130.50 ` ELECTRICAL FEE : 101-000-420-.0001 S231.20 PLUMBING _FEE 10t-00%419-000 $209,75 STRONG MOTION FEE - RESID 101-000,241=000 S20 53 GRADING FEE 101-000423-000 320.00 DENEI:OPER'IMPACT FEE. 51,907.00 ART IN PUBLIC PLACES'- RESIC 701-000-255-000 $263:18 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $4,658.03 LESS PRE=PAID FEES -$250.00 TOTAL PERMIT FEES DUE NOW 54,408.03 RECEIPT DATE BY DATE FINALED INSPECTOR Building�f� -13 (p Address ll// l Y'tt.0 Owner ' d " V_ Y . ' u1;K,rcv �7 P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO (.(, iq LA QUINTA, CALIFORNIA 92253 mdnury Address" 7Z-7�j / City Zip Tel. L-A r 1-7 -71-9 7LL r Contractor j; %-%_ f+lNMlbA.iG —JJII my -c' G Address CityLJ6 I ' Zip Tel State Lic. City 8 Classif. A+ 7*Z//7 Lic. # O ) Designer Dz3b ( VW Address Tel. City j� ��r�� Zip State )r �f',>•=./l/73�RU Lic. # LICENSED CONTRACTOR'S DECLARATION TZrob affirm that I am licensed under Pro talons of Chapter 9 (commencing vv9gith Section effect. of Division•3'of'the-Bu mess agd rotes Ions Code, and my license is in fill f0rc rand effect. Q /J 71 11-t SIGNATURE -'"�'.. / L' ��— ��iCCC���.���a�lll / l DATE OWNER -BUILDER DECLARATION I hereby affirm that I am,axempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susin�ss�rs and Pro/essions Code: Any city or county which requires a Pe rmit to construct, after, prove, demolish, or repair any structure, prior to its issuance also requires the applicant /or such permit to file 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 thealleged 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). (: 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. fSec. 7044, Buisness and Professions Code: The Contractor's License Caw 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 contractor(s) licensed pursuant to the Contractor's License Law.) i:! 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I herebyaffirm that 1 have a certificate of consent to self-irisure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 380& Labor Code.) Po icy No. Company � - /1010 e V Copy is filed with the city. O Certified ccopy is hereby furnishe CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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 ame 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 state 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE"CONST. OCC. GRP. ,1 A.P. Number Legal Description Project Description Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add O Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. `� 21-50 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 Setbackfrom Center Line Side Setbackffrom Property Line FINAL DATE INSPECTOR P Issued by: Date.errr�, ito 1 Validated by: t. Validation: JUL 19 1999 WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION ��� Notice: Document Cannot Be Duplicated Date 2/14/00 Desert Sands Un h, 64iSchool District 47-950` Dune;-Palms°`Road; . La Quinta; CA;9225i.:;4 ` 76.0-771;8515 CERTIFICATE,,,OF !COMPLlANCE APN # 769-063-008 No. 20028 Juirisdiction` La Quinta Owner NameGeorgina Clarke Permit # No. 50-735Street City La Quinta Tract # LLA 91-150 Calle Paloma. zip 92251 Lot # Square:Footage, Type of Development Single Family Residence Comments 'Log # Study Area 3441 No:_ of Units 1 'Af the pre�senv-time,-the Desert' Sands .Unified School District does not collect;.,fees on garages/carports, covered paiios/walkways; residential additions under 500,squ4re feet,.:detached accessory structures or: ieplace'lentmobilehomes. 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 1.93 X 3,441 or ,$ 6,641.13 the property,listed above and thatb>�ildint; y� . �� F' permits and/or, Certificates of Occupancy for this 'square footage in this proposed project may,n&kb6'Issued' Fees PaidPBy. CCNalley Independent ffih' Wohn Kalogeris Tel'hone r_160-171-2394 Name on•,the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Ellen,.Patino Payment Received $6,641.13 Check No. 209661 Signature �� Z NOTICE: Pursuant of Assembly Bill -'3061. (CHAP 549, STATS. 1996) this;will serve:to notifyyou that the 90Lday'approv6l period,in which you may"protest the fees or other payment identified above will begin to run from the date on which the building or installation permit dor this project is sssued or on which they are,paid to the Districl(s) or to another'public entity authorized to collect them on the District('s)(s) behalf, whichever is earlier. Collector. Attach a copy of countyor city plan check application 'form: todistrict copy for all�warvers.. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - A'i' ling ... ., ti - 'y �•t6 -. �' w 7 .{�_as,c rA�,'4 � ".'�-z�'}t-�,k cAJ'%1 � 'f"^'k {'G1:.y.;�^�'- ��T Iy f• .. r� A r �:" ''J. - �� rs •�tF� Ig'a, w ; -� {+ .�.A t• b' r t r Oft .t :. , .t.. �' • ' _, vl. . �.. `may 78-495 CALLE'TAMPICO LA 'duoe A, CA 92263. c .¢� (760),777-70.76'- OF 780)777 7075OF{ �' APPLICATION FLobD PLAIN DEVEL®PWIENT PERMIT F. %ILDIN �y` SI E OCATIQ Fl000 zoNE Ao = oE1 �'< COMMUNfT� PANEL NUMBERqD6 709 0006 B ^ _,� ,� ... wk a •� �Y; _„�` i:�".'. 's 4�i'q�4 �,��* 'ty � �w 0 . t JJJ „ � ,, � �, > 3 Mep Rwled 13/18/1981 '_ „ �; � •.,>_ } 4.0 y, y t • , . q APPLkAlrT > `, a "i a• F',a ��+y,,� ' 1" '-"¢ Lk 4 ,:�:ri ' q r _ 4:` -.+1, r.t' r �;A * •..Ys.iL }Si }:• zk t /t _'�A.+` INFORMATION SiCT10N ,.� 'a ,tv ,�'. �, '• :'" •3.;. . � s. L., � s _ cdit .� •*� �f.� � <�,� �r`*�" ,1�;�"� �+'"� �.� �1�� �4 fr ' APPLICANT;NAME Tf APPLICANT ADDRESS L.. (MAILING ADDRESS,, NOT -THE GUILDING SaV '41 r.-� DAYTIME TELEPHONE NO.—,` ` .• , F.: 'bO �._ ` ;r: INSTRU: Ons e ¢. 1. A Flood PleNl<Development Permit is requiredfby LOMC Section 8 .11t040(A) The.Apphcant shouln�complete the ApplicanLlnfo'rmatlon;portion of this application aril submtt ;iY the'Engineenng Department along with -the required documencaUori'noted'hereon'et the same;time:the Precise{Gradirig Plan is'submitted to'the Bulldirz, and Safety Departmerr for plan ,checking. ,.•.. 2. Documentation' required pnor to receiving clearence for Building.Permit Issuance r r t'.. �, 7 . ,� � �r`,w. ! '�'.. ,saz"�' it>`�',;:�ry ky �'r�:•t'��n�, �'..,� �.r �s-;�'�, i���•#�'a'ikJ�` 1 3�y,.v7.n•'%4`F x�y'- i �' 1 ® `Copy.•oi the:proposed;Preclse'Grading Plen for rev►ew end approvelcontelning call information rE;3uirea oy ty 1 . s, P :y�, i 'T ' tX tie• tF the'checkllst shoLvn :on the beck of this appllcatlonY��r ` xfi"; �,' ;�%. „ - .. ;'. w,.. > 5 •_i-:'s�,,�t •.•'i« r ,.r: t''i 1-111) 7, p'K.}.•,^��, A Y s !' Vii! 3. Documentation required. pnor to receiving •Flood Plain Development Permltt approv®I. Note,'thls approval ;.ccurs r after the'dwelling is;eanstlucted, but before fhe Building ;Seloty'WpDrerrionVportorms its�Final Inspection �:. It e Submit a completed FEMA 'Devetion,CortJ►noerIng Department. The Preeise'Grading:Plan submitted for iNa appliootlon hes peers ml", as etro� , I Io eorrsetiefied.—This Flood Plein NefV,thi �i g1 ►t•botrTrfl lo'epproved. reviewed and found to contain all:deto r6q4irod to_ea requirements of LQNiC 8.t'.1 The propoeoA dwer►li !e etil+o bi Y gra receive a building pem�ltLpon aotlrtylnq B.►ttcllr+g} ��. Department requiromente. y �' } , j; . 19 ti WOLIP0 Wo NATURE DATE AVTkMn- loffic asOWrT Y.�, ' ke ' ay . r +r M dntc` Engineering Department La Oulnto [n�lrrooI tv pag strt►vW�# •✓T � i JI •� H K r C.t K. •- ICBG. Evaluation Service; Inc. r umou b 5360 WORKMAN MILL ROAD - WHITTIER, CALIFORNIA 90601-2299 n A subsidiary ccrPoration of the International Conference of EVALUATION REPORT Copyright © 1997 ICBO Evaluation Service, Inc. Filing Category: WALL COVERING (288) MAXIPANEL EXTERIOR SIDING AND SOFFIT PRODUCTS MEXALIT INDUSTRIAL, SJL.de C.V. 17141 KINGSVIEW AVENUE CARSON, CALIFORNIA 90746 1.0 SUBJECT MaxiPanel Exterior Siding and Soffit Products. 2.0 DESCRIPTION 2.1 General: MaxiPanel exterior wall siding is a noncombustible fiber -cement flat sheet material and incudes Ma)dPanel, MaxiSoffit, MaxiPlank and MaxiBacker products. The product is composed of cement, silica sand and cellulose fibers and is available with a smooth or wood grain exterior surface. The products can be cut with a power saw using a masonry, carbide- or dia- mond -tipped blade, hand guillotine or knife available from the manufac- turer. MaxiPanel and MaxiSoffit are flat sheet materials used for siding on exterior walls and soffits. MaidPlank is a lap siding board manufactured in �. 71/r, 8114-, 911r, and 12 -inch (152,191, 210,241 and 305 mm) widths and is used for exterior wag siding. MaxiBacker is a smooth floor and wall - tile backer board with square or recessed edges. Nominal dimensions arefisted in Table 1, maximum wind loads are listed in Table 2 and shear values are.fisted in Table 3. 2.2 Installation: 221 General: The framing assembly components are sized and constructed to meet local building code requirements and in accordance with the framing manufacturer's latest printed specifications. Wood fram- ing is spaced a maximum of 16 inches on center. Steel framing is minimum No. 20 gage (0.035 inch) spaced at 16 -inch or 24 -inch centers. 222 MaxiPanel and MaxiSoffit MaxiPanel and MaxiSoffit are installed in accordance with the manufacturer's instructions on wood or metal fram- ing designed to meet the code. One -quarter -inch -thick panels are limited to 164nch stud spacing in wood or metal framing. For wood studs, 4d gal- vanized box nails (0.094nch-diameter shank,'0218•inch-diameter head, 1.585 -inch length) spaced at 6 inches on center are used to -fasten the panel. For metal studs, RPI C -Drill No. 8 by 114 -inch. (minimum) self -dril- ling and self -embedding screws spaced'al 6 inches on center are used. Fasteners are placed a minimum of 2 inches from corners and 3/e inch from edges. See Figures 1, 2 and 3 for details. Panels are joined over framing. A gap of approximately 1/16 inch is allowed between panels which is caulked with an approved.exterior latex caulk. See Figures 4 and 5 for jointing methods. Metal or wood stops and flashing are fastened at all corners and open- ings. When installed as noted in this section,. the panels comply with Section 1402.1 of the code. V Building Officials . ER -5139 Reissued May 1, 1997 223 MaxiPlank- MaXiPlank is installed in accordance with the manufac- turer's instructions on wood or metal framing designed to meet the code. Aweather-resistive barrier complying with Section 1402.1 of the code is installed over the framing., Fasteners are used at each stud. Fasteners placed less than.2 inchestfrom the ends of planks are predrilled. For exposed fastening on wood studs,4d galvanized common nails or No. 11 gage (0.125 -inch (3.18 mm) shank diameter, 0275 -inch -diameter (6.98 mm) head, 2.087 inches (53 mm) long) roofing nails are used through both over- and undedapping planks. For metal studs, RPI C -Drill No. 8 by 1%inch self -drilling and self -embedding screws are used. See Figures 6, 7 and 8 for details. For concealed fastening No. 11 gage by I%4nch or No. 11 gage by 19/4 -inch galvanized roofing nails for wood studs and RPI C -Wing No. 8 by 11/4 -inch self -drilling and self -embedding screws for metal studs are used. The fastener is installed'through the top of the underlapping plank only. See Figures.9 and 10 for details. Two adjacent planks butt jointed together are centeredover a No. 26 gage galvanized steel idnt.plate. A small gap is left between planks and filled with an approved structural grade caulking. See Figures 11,12 and 13 fa details. Vertical joints are staggered a minimum of two feet from adja- cent courses. Plank overlap is varied to suit the particular height of the wall witha minimum of 1114 inch. Metal or wood stops and flashing are fastened at all corners and open- ings. 2.2.4 Maidbacker: In flooring applications, Maxibacker is installed over minimum %-inch exterior grade'plywood subfloor, mechanically attached to floor joists. The total floc system is designed so that maximum deflec- don in a plane, including live and dead`ioads, is 1AW of the span, in accordance withthe code. MaxiBaclker is.fastened with No. 11 gage by 11/4 -inch galvanized roofing nags or No. 8 by 11/44nch C -Drill screws. Nails or screws are spaced.at 6 inches on -center around the perimeter and in the field,.,minmum ale -inch from `edges, and 2 inches from corners. A 1/9-,inchgap is left between board and walls to allow for expansion. For wall applications, MaxiBacker is installed as outlined in Section 22.2. 2.3 Identification: 2.3.1 MaxiPanel: Each pant is marked with the product name, thickness and lot number. Each pallet containing 50'sheets of 1/4 -inch, 50 sheets of 5/16 -inch -or 40 sheets of 7/ia-inch MaxiPanels bears a label indicating the name and address of manufacturer, product designation, evaluation report number- (ICBO ES ER4139), lot number, and the name of the quality con- trol agency, Ramtech Laboratories; Inc. 2.3.2 Maxl Plank: One plank in each tier is marked with the product name and lot number. Each pallet containing 312 planks 6 inches (152 mm) wide, 252 planks 71/2 inches'(191 mm) wide, 228 planks 81/4 inches (210 mm) wide, 190 planks 91%2 inches (241 mm) wide or 160 planks 12 inches (305 mm) wide, is labeled with the name and address of the manufacturer, prod- uct designation, evaluation report number:.(ICBO ES ER -5139), and the name of the quality control agency; Ramtech Laboratories, Inc. Evaluation reports ofICBOEvaluation Service, :nc., are issued solely to provide information to ClassA members ofICBG, utilizing the cede upon which the report is based. Evaluation reports ars not to be construed as representing aesthetics or any other attributes not specifrcauy addressed noras an endorsement or recommen- dation for use of the subject report. This report ii based upon independent tests or o0er technical data submitted by the applicant. The ICBG Evaluation Service, Inc., technical staff has reviewed the test resuUs and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by [CBO Evaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report or as to any product covered by the report. This disclaimer includes, but is not limited to, merchantability. Page 1 of 4 .Page 2,of 4 ER -5139 2:3.3 MaxiBacker. Each panel is marked with the product name, thick- . thla:report comply with the 1994'Unkorm Bu/Id/ng.Code'" subject to ness and lot number. Each pallet; containing 100 -sheets of MaldBacker the following conditions: . bears alabel indicating the name and address of the manufacturer, product designation, evaluation report•number (ICBG ES ER 5139), lot number 4.1 The product Is manufactured, Identified and _Installed In and the name of the quality .control,agency flamtech Laboratories, Inc. accordance with this report and the,manufacturer's instruc- dons. 3.0 EVIDENCE SUBMITTED 42 A weatherieslstive barrier compiying.with Section 1402.1 of Reports of tests in accordance with ICBO: ES Acceptance Criteria for.Fiber Cement Panels for Use as Exterior Walf`Siding (AC90) dated September 1993, quality control manual and installation instructions. 4.0 FlNDINGS That the MaxiPanel Exterior Siding and Sofflt'Products described In u the code Is installed overataming with MaldPlank . 4.3 The product Is:manufactured by Mexallt Industrial, S.A. de CA, In Santa -Wai Estado de Mexico, Mexico, under a quality conUo. program with Inspections by Ramtech Laboratories, Inc. (NER-0A293). 1996 Accumulative Supplement: This report is unaffected by.the supplement. This report Is subject to r"xaminatlon In one year. TABLE 1-0IMENSIONS OF MAXIPANEL AND MAXIPLANK PRODUCTS PRODUCT WIDTH (Inches) LENGTH tt" THICKNESS Qnch) MaxiPanel: ; 48 - 8, 9;'10 . 1/41 '/16,'7/16 MaxiSof6t: 24,48- g, 9 10- '14,7/16 /16 MaxiPlank 6: 71/2, 81/4: 91/2; 12 10; 12 h6 MaxiBacker 36,48 4; 5, 8, 9,-10 '/4- /16 .-VI u1: 1 LUUU = ".4 mm� 1 toot = 3U4.8•mm. . TABLE 2-MAXIMUMNIND LOADS (Continued) MAXIMUM BASIC WIND SPEED PRODUCT THICKNESS (Inches) FASTENER TYPE FASTENER SPACING FRAME TYPES STUD SPACING �tyHT OF BUILDING Qnph) FOR EXPOSURE CATEGORY? B 120 C MaxiPanel 1/4 4d Box 1112 -inch. 6 inches O.C. , 2by 4 Wood3. hes 16 15 110 long milsl 20 120 110 40 120 100 60 • 120 100 100 110. 90 . 200 100 8S MaxiPanel . I16 Common 2=inch- 6 inches o.c. 2 by 4 Wood 16 15 120 to long nails2 110 20 120 110 40 120 110 60 120 100 100. 110 90 MaxiPanel 5/m, 7/16 -No. 8 by 11/4 -inch- 6 inches o.c. No. 20 ga:'by16, 24 200 15 100 85 120 long RPI C -Drill -35/g-inch by 20 120 100 90 screws 13/g -inch metal 40 110 90 C -Stud 60 100 80 100 93 80 MaxiPlank 6 inch /16 6d Common 2 -inch- long nails2 Through overlap 2 by 4 Woods 200 15 85 75 120 110 71/2 inch20 y (exposed)16 ever stud .. 120 110 81/4 inch 40 120 110 91/2 inch 60 120 100 100 120 100 • 2 00 . 110 95 MaxiPlank l_ inch /16 No. 11 ga. 2.087- inch -long Through oveilap 2 by 4 Wood - 16 105 80 galva- nized roofing nails3 :every stud (exposed) .00 20 100 8S 40 90 MaxiPlank 6inch /16 No. 11 ga. 13/4 -inch- Through top edge of 2 by 4 Woods 16 60 15 85 70 110 long galvanized 4 roofingnails plank every stud (concealed) 20 100 g0 80 81/4 inch 40 95 75 91/2 inch 60 90 70 100 80 N/A 200. 70 N/A MaxiPlank 6 inch /I6 No. Why 1=ig-inch.'- long RPI C' -drill Thiough overlap No. 20 ga. by 16, 24 15 : 120 100 71/2 inch screws every stud (exposed) 35/8-inchby 13/g -inch metal 20 120 190 81/4 inch 91/2 inch C -stud 40 60 120 110 85 100 100 80 200 90 75 (Continued) .Mage 3 of 4 ER -5139 TABLE 2-1VIAXIMUM".WIND'LOADS--(Continued) THICKNESS STUD PRODUCT (Inches) FASTENER.TYPE FASTENER SPACINGtRtAYE'TYPES .SPACING nches MaxiPlank /16 No. 8 by 11/4 -inch- Through top edge of. No.'20 ga: by. 16; 24 71,2 inch I RPI C ' 81/4 inch 91/2 inch MaxiSoffit Max 6d common long nails2 1140; &Dy^lA/a-inch=, 6 inches o.c. long RPI C=drill' screws 16 •2. by ,4 Wood 16 No. 20'ga. by 16,.24 35/g -inch by . 134 -inch metal For Sl. 1 inch – 25.4 mm, 1 foot =304.8 mm,1 mph ='1.609 km/h. 14d box nail has 0.09 -inch -diameter shank and 0.218 -inch -`diameter. head. 26d common nail has 0.12540ch-diameter shank and 0.265 -inch -diameter head. . 3No. 11 gage'nail. has 0.125 -inch -diameter shank and 0.275 -inch -diameter head. 4No. 11 gage galvanized roofing nail has 0.120 -inch -diameter shank and 0:385 -inch -diameter. head. SWyod is specific gravity 0.42 or higher. 6Wuod is specific gravity 0.49 cr higher. 7N/A—tot applicable. ong -wing plank every stud 35/8=inch by B screwscon ( cealed) 13/8 -inch metal 100 90 85 80 70 N/A 75 70 N/A N/A N/A N/A MaziPanel h6 6d cotninbn nail 2 inch long C -stied 105 80 20 100 80 4&box 11/ -inch- 6 inches o.c. 2 by'4.Wood 60 100 200 long hailsl2 70 N/A N/A 2 by 4 Wood 6d common long nails2 1140; &Dy^lA/a-inch=, 6 inches o.c. long RPI C=drill' screws 16 •2. by ,4 Wood 16 No. 20'ga. by 16,.24 35/g -inch by . 134 -inch metal For Sl. 1 inch – 25.4 mm, 1 foot =304.8 mm,1 mph ='1.609 km/h. 14d box nail has 0.09 -inch -diameter shank and 0.218 -inch -`diameter. head. 26d common nail has 0.12540ch-diameter shank and 0.265 -inch -diameter head. . 3No. 11 gage'nail. has 0.125 -inch -diameter shank and 0.275 -inch -diameter head. 4No. 11 gage galvanized roofing nail has 0.120 -inch -diameter shank and 0:385 -inch -diameter. head. SWyod is specific gravity 0.42 or higher. 6Wuod is specific gravity 0.49 cr higher. 7N/A—tot applicable. TABLE 3 --PERMITTED SHEAR VALUE LOADS'FOR PANEL SHEAR WALLS (pounds per lineal foot) MAXI YWBASIC WIND SPEED FIEf6HT'OF BUILDING (mph) FOR EXPOSURE CATEGORYr' ' B . C 4d boXiiail 11/Z inch long 15 20 40 •60 '100, 200 100 90 85 80 70 N/A 75 70 N/A N/A N/A N/A MaziPanel h6 6d cotninbn nail 2 inch long 15-. 105 80 20 100 80 40 90 70 60 100 200 85 N/A N/A 70 N/A N/A 2 by 4 Wood 15 20 105 100 80 80 40 90 70 60. • 100 200 85 N/A N/A 70 N/A N/A .15 20' 40 60 100' 200 90 85 75 70 N/A N/A 70 N/A N/A N/A N/A N/A TABLE 3 --PERMITTED SHEAR VALUE LOADS'FOR PANEL SHEAR WALLS (pounds per lineal foot) PRODUCT THICKNE88 (Inehb) FASTENER SIZE AND TYPE' MaziPanel /4 STUD -TYPE FASTENER SHEAR VALUI SPACING (Inch) (pit) 4d boXiiail 11/Z inch long 2 by 4',Wood 6 MaziPanel h6 6d cotninbn nail 2 inch long 2 by'4V66d. 188 MaziPanel /16 No: 8`by'11/4incti RPLC-Drill screw No: 20 ga by'35/8-inch by 13/g-inch'metal C -stud 6 188 6 MaxiBacker 1/4 '4d box nail 11/ inch long 2 B 2 by 4 Wood 130 MaziBacker /16 1 No. 8 by:1I/4-inch RPI C=Drill screwNo. 20 ga by.35/g-inch by•13/g-inch metal C -stud 6 188 6 For Sl: 1 inch = 25.4 mm-, l plf = 14.59 N/m. 130 1All board edges must be supported by framing. Panels are applied with the long 2The maximum height -to -length ratio for construction in dimension parallel or perpendicular to studs. All edges must be blocked. this table is 2 to 1. 3Wood is Specific gravity 0.42 or higher. 44d box nail has 0.09-inch7diameter shank and 0.218 -inch -diameter head. 56d common nail has 0.125 -inch -diameter Wank and 0.265=inch-diameter head. Page.4 of 4 2' min. from corners IIS I I IrW. L 3/6" min. - Maxi Wood IJ Com.Strip Batten 1 Id Corner studs Chalk Line 10, Back Lugs MAxt-,P-A-N-,E,L Fiber LICement Cover Stri Pane Fig: 2 Wood Stud I fvft�,� Ys' m in. I'W Fig. 3 'Metal Stud 01 8' max. approx. Fig. i Guide nails or screws Fig. 6 Fig. 11. Metal loint •Olate Shim strip Built Pal: W,.;,A C Metal Frame Fig. 4 Vertical joints CO -C4 od Batten min.3/6" min. I Z Flashing I . Wood Frame Metal Frame Fig. 5 Horizontal joints Send Lugs Down Concealed jointing.system Fig. 12 Fig. . 1 3,.,, Caulking of Plank joint C-WINGTM ii & "WWWW'. Fig. 14 q UTHLAND �4.r 04 *EOTECHN FOUNDATION ENGINEERS AND MATERIALS LABS mer 6 1 �,,, ' bCUE1 PROJECT: NljgfAtA ftC."4 CLIENT: 3 L PROJECT NO.: 'P99140 BRANCH OFFICE: 13A TECHNICIAN DALLY -REP , O'RT . CONTRACTOR/CLIENT RE,FRErSENTATIVE CONTRACTOR'S REP. ON SITE: OWNER'S - REP. ON. SITE: TIME IN:. Z_;L`lv TIME OUT. 3h3-STANDBTIME: LUNCH/BREAKS/ETC.: MILEAGE:.. BILLABLE TIME OBSERVATIONS:' NON-CONFORMANCE AREAS: PERSON NOTIFIED: SIGNATURE SIGNATURE OF TECHNICIAN , DATE: s F­ No. 161 - Ptaza PfWWS 344'?MS aye,,. .w 78-495,CALLE TAMPICO LA' QUINTA,, CA.82253 (766Y777'7075, APPLI'CATIO.N FLOOD PLAIN DEVELOPMENT,.P:EW17 BUILDING $LTE OCATI � ! 'N7 O �1U.��r. �� ; LO � �V FLOOD ZONE 'AD* DEPTH 1, COMMUNITY ' PANEL NUMBER 060709 B Ics • : 0005 Map Revised: 8/19/1991 N - APPOCANTiNFORMATION SECTION ' APPLICANT NAME :' r APPLICANT .. . "'7 Q; -P ADDRESS (MAILING ADDRESS, NOT THE BUILDING SITE) F DAYTIME TELEPHONE NO. (per= INSTRUCTIONS 1. A Flood Plain -Development Permit is required by LQMC: Section 8.1�1.040(AL The Applicant_ should complete the Applicant Information portion oi`this application and,gUbmit it to the Erigirieering'Department along with the required documentation noted hereon at the same'time the Precise' Grading Plan. is submitted to the Building and Safety Department for plan'checking. i 2. Documentation required: prior -to receiving clearance for'Bu.ilding-Perm it.iissuance • Copy, of the proposed Precise Grading Plan for:review and approval containing all information required,by the checklist:shown on'the back of this.application. 3. Documentation required prior to receiving Flood'Plain Development Permit approval. Note, this approval occurs after the dwelling is constructed, but before the`Building & Safety Department performs its Final Inspection. • Submit a completed FEMA 'Elevation .Certificate' form to the,;Engineering Department. The Precise Grading Plan submitted for this application has been satisfy All -requirements have been satisfied. This Flood Plain Development Permit is approved. reviewed and found ;to confain all' data re4uired .to the requirements of LQMC 8.11 The proposed' dwelling is eligible.to receive.a building permit upon satisfying Building& Safety Department requirements. AUT ORIZED SIGNAT RE DATA La Quinta Engineering Department AUTHORIZED SIGNATURE :. _ DATE L'a:Quinta Engineering` Department F090 10%89 'BOB HOFFNM , Structural Engineer 20 Sept 99 Re: Residence at 50-735 Calle Paloma, La Quinta Please be advised that the design of prefabricated roof trusses are in accordance with the intent of the completed structure. ej'o�V'%- of ESS/p4,9 O CZ No. 6145 q �UCT1110�P ",�OF CALkF Six Alfaro Drive, Rancho Mrage 92270 - 4758 Tel / Fax (760) 568 - 2967 ( Note, the change ) BOB VfMAN . Structural Engineer. ��+�� j�✓,/ C•"-'' -_', � •� �i �.l .,. .+:� C-:- � -7�1 SCJ c�' ��-,,. O , 3 (S ,Cly 7,C .:.0 - ' J E-' is r'. K�/�• // o ._ • z,, / l /� C-7 C, �/•t'7 r \% ` a tY ESSIOA, ' Six Alfaro Drive, Rancho. Mirage12270-4758 Tel /'Fax' ,(760) =568 - 2967 (Note the,chnnge) " -A BOB HOFFMAN Structural Engineer / /� �'' �� --' .� �_:y ;;� •�- ��••.• '.fir- • t.� �,. `j . � _ J`' c���rS_ / g'i�..%�.:�• mac= „� ��c.�•,.— a e � Gu �e r J �Q: •fes � /f, c�.: cz r-'. / _ � N2• = /• O ' .� cam/ r� r� J �� ✓�i /.25c"r� •�I `% L./i7 e. Q - ���' SGL►/'iiG _ 7/;7AAW CS rz �c� � � �. �/7C"% �% /' ., .,cam, G,: ���- / i•J Q_'. �� t\%2 c `J %..�, •� GT. c✓ `CLQ . /.,, � J.. / . �o 0 OVESS/p�J l p fi F -07 o �ri Six Alfaro Drrve,i'Itancho Mirage 92270,- 4758 Tel / Fax (760) 568 o 2967 (Note the'ehnnge) F OF ' C•�L\FO L7 BOB HOFFMAN, Structural Engineer 7 4?g z 74 3 0 75 5 7 3 X. z -7/ 57 >, C) ley.? X/C;F =.A X C' >e 14 ':57 .51>e- 6 41X 1. 80 zr C) No. 1145 OSx CD Six Alfaro Drive, Rancho Mirage, Cal 92270-4758 el / Fax (760) 668-2967 ( Note change uc-f\l =A rF OF C:ye I t�j 1 { BOB :HOFFMAN; Structural Engiizee`• Z" �` rte.-� /_ arcs CC1<�i/� S/ Psi �c 2'0' '-42� x _ .5 cry 37'7, '0_ c, F C=z Ar= Z _ p�5- X 3: X 21yoCc / /cct/ 2 =Z9,oOo Qoo X�I=Z9> //7 2 / e J 7-A _ 715 7z �6 a v e =� Pao. 1145 ST" Six Alfaro / F rive, Rancho Mirage, g- Cal .9227U=4758 T sT�U U�P�, ` Fax (760) 568=2967 (:Note change.) ,9 ` CT a _ 6 7;Cc'�" u 'N ME Travel Bob &'M.E. Fax 760-568-2967 Jul 16 13:07 BOB ]HOFFMA;N, Struciural.Engineer Coe .dam 5� O, -7 < r ?rpt o,i� gr W. /7y 2, 05 Mr3...�c� �¢o ��»'♦ ,. 47 47:0 P �s !% x3- 385 •x 2.`5r QrA.f /,5 ,5x 970 x s w 53?(; 9 /h�G.�ct�_ �� S�crr� L- ,- C QROf ESS/G'r 4l "\ V. NO F"',� F'I 'gziiQ. G. 'a� No, 1145 r 9i: Altera Drive. Raecho Tel/ F" (760) 51$.2967 ( Note . change) 9 Q� CA��F�4� .dam 47902 U 'N Int iravei bob &'M.E. Fax 760=568-2967 Jul 16 13:07 • BOB HOFFMAN? Structural Engineer G� 2.9dx �a��� aor Alcoom, 741m; S�ucco �e Ice CX 70eC' 2 = 5'2 er 4 T/t•f = <o G S X 2 � • Q� 2yg2o /� 0, in so' . a fid. /30 S .57/ o%�• (00 45 ;TAOe - (ts� -Z3 itX ifs A4.0 o a: Q YA, �•., Two o' fru a,. sr . — i r� �. �i ea, Q``a 1 • HOS, F, No. 1145 5GTel / FAe�(760 S6A-Z%7r( Note ne6A �e a47Sti q_sj�UCT�RA� .,6. 99azs 11 �1 Il��lllllnl \ �j 1 � } VNtr"j DW c - _ • i � X t v iv TIC. if`dVCL DUU a ri.r.. rax ; (bU-70a-2,�oc Jul lb 11);Uf /1 � '� � �o ''c �• /eg" .� �3 i a' it ��tf� �i�,c�.� q�► ir, W{ r►t a x; cs. sooa�, -ZAP /9' C. *1 o x 1-- 46- /.r 6 W/, tsOFES.TI C:5TAolt in x ig 7 ar /8, ?8S/ �,S E • �o ,� a e;klvl% Q Iv PIG II QVCI DUU a I'I.C. rdX ; fOU-JOO-2y0( JU1 ID 1J -U1 BOB HOFFMAN , Structural :Engineer i0-740_ /¢//iC e� r"" .>�rJ aci�. //�'� �" �I[ �'<!"'�. 7►� (, JI Cs. �1 � . C:� � y'"/J �.7! /r '°r%. " .t a.• A- .MF ar o., �� Hca;. / • ��i �� �� �a� �r�i�e��..o�ro=� �//'� CS`/ter-�vr•�/r�9" `fI7 ie' lJ�'G�j " �1 K '� �'�I�'�C'/%�C' /r" L.'��I /I"� r•a') �'�'/7 I►�` . '�'� /d0/� /y��'rr� � i�ry r 'moi � � �i�ca•� •'7��a�* Gv Ccxa` ca.. V rC,/ h i =�4 Orr, op O c-- igo . o r QROFESS/Q J�r1 �vlv/ s` L�(C" O �/ ce I"'ACS O �e.cY ado No. 1145 SI= AI(av Drive; Raae6o Afcgg4 92170.47SS 'Td/Fu (70),Sha-267 �►%p �P I 'L OF CAt1E •� 9025 u 'N [it Iravel Bob VM.E. Fax ?60=568=2967 Jule lb 16:U( SOB.- HOFFMAN , Fiructural Engineer �'- / 2 X / 5%0 � ��� �`/ � 255 '� �c�i-r► �, C // r r7 q t? Gs C i �? yCC Ore. a a ✓, ��i cP �-%i-c� c.� �'-� q�' r� �z �/�� c� v// .�'ii oma✓ /.7'9 c2 / CY e .v4= Ccz/ccs/czi o..-� r.. /� cz :-ca•,�� /7 o le- -67 G2 r� �•�p /'� y �'�Y _X C="e5lcv'009. /'Y% cm GYM SIz Albro Drive, Ruc6o° Mira 92270 o7sa Tel / Fir�x (760j- 29dT,(t�iote tbcctiaoioe ) o• 110.1145 �d �s 'MLIC4o ENSEDCONTRACTOR 0—'--rI hereby, affirm 6nd;7,pe�lty6ierjT� , thatr I'am:licensed uncleprovisions _hFpter, , . c2rnT�n of_._ 6 7�with�S;ctioi!�7060)"6f, Di�igiIi�'3 the Business and Protessionals Codeand my License is irNull force -and I 020 )3,1� Date h' ri-7vd,�,�.'Signature of Contractor 2 1.7 BUILDER DECLARATION ATION. 6nder penalty of perjury that I am exempt from the Contractor's - I hereby. affirm ,-icenseLaw fo-rthef-ollowing'reason �.',ti,-t*";.'*',;'�',f?.'-,..ff-� ),"-I,�;as-owner ,'oi,tHe,p'ropertyI prmy, employees ,�vith,,,Tge.s.as their sole will do �vork�"and the -structure is not intended or . offered -'f ­ �com?ensation,! w,or­ Ni P, f4ss V sale (sec. 7044,,'B Business ro io-nals Code),. er4o the . property,' am: exc usive y,contracting with,, I icensed,* . at-, -,- k-. __ � _ -, - I . _ ". . . — - ­ � hi..- . 7044, Business,&. Professionals contractors � to'. construct. t e,proje6t"(Sec.-, Code).�,, 6xe;�'�t'_6�66r,Secti��_Ilf I B&P.C: for this reason �Signature of -Owner,'*, SO -r 1, jP14j WORKER'S COMPENSATION DECCARATiON, 11. hereby.; aff 6m o �ndpir� penally�, of_ perjury one of �' th e.Jollowing declarations: - (a )hl have and will maintain a -certificate of consent 6n I s iint rto s eilf-irisiuie for i6rkers' !compensation,'.' as, provided I fa'r''tiySecti66 3760 -of the'Labbir' Code: for the performance -'o -f -the work fo_('vvhi_ch this permit is iss,6&d. ;I, have and w ll!ma ntain workers compensat on insurance,as required by SecW 6,3700 of 64,� Ca[563r� C6de,,-, for th`e"p'erf6`rma_nc'e`o'f, thei" w Dirk for Wh ich I th is permit is , Issued My,workers'-compensation'Insurance carrier: &" o I i c no. are: p ATE FUND, *, ST1424240 f(This section 'need 'not bec.ompleted if the p!ermit valuation is for,$100.00 or less). (;)Zl ceirtify*th`at in the performance of the work for,which this permit is issued, I shall not emploi any p6isbn: inanymanner so as to become subject to the workers compensation laws of California and agree that if I should become e-ct to the.worKers'. compensation provisions of Section 3700 of the Labor Code,, I'shall forthwith Comply" w ith'tho-se" provisions. i Date"'" Applicant lawful and {shall subject an employer to criminal penalties and civil fines up to 00,000, in addition to the -cost of compensation damagesas provided for In .ti6d3706' and Safety. r,permit, subject to the and 'restrictions .'set forth, on his I application.,,.":-,. personn-1-pbn whose behalf thisapplication is made &each person at gt-,'whose'_request and G.whbie benefit work is performed under or pursuant to _1 i-�.'ar`y`p_e_r-m­it issued _as a re's'ult 'o_f thiis-applicator agrees to,'&shall: indemnify &�h�lcha6m16ss thetiCity of La'Quinta;Jts6ffi6ersI'a6entsan emp loyees. 2.Any ,permit issued as a result of this application becomes null an'd'vo'id if '?, ' - 1 . , r ­__d , - - f issuahce of such .g rkJs;ri6t,66ifI'nW�6ed .��ithin - 160 days -from,' ate'o 6h permit, "oki,,cessation , of *work for 180'dgys will subjectpermitto cancellation. ( certify that I have read this application and state thaiike* above iniormation is ;corre-crt-I--agree comply ompIy 'w"-ith­ a I I'City, '.''a.n!d --S-t.'a-.t-'e­ laws ,- ' re1­ating 't, o the e' building construction"and ,hereby­uthorize repre-senta Ives 9fthisCity to enter up­ n',A' !the —:6vefmeniionedpropery'fo—,inspectionpu'poses': Signiatu_Ire',i(Owr4r/Agent) Date IJP•"?rj `kI,%-- -74W NiAx k,kt'-P-&T_, AV_�NV K -y, iV;P LAO' _ PERMIT BUILDING W!*VM WFtj M . W AT IfT )" - A '16 5,, 27 'JOB SITE ADORESS APe*" 7dqAIJF PALOT A X 709-00 W,­,','��t�,:tw50 OWNER CONTRACTOR/DESIGNER/EN (NEER GEORGU4A O�Mda '51; 75'(WIX OUTM) 3900 AVENT-TF, 45;3Uffk C QU.MfA CA-- 92253' INDIO' C TAf 617 BL' USE OF PERMIT. '20* IrWIM ilyv, W. =MZFA1sMYDWMJ_N. 0. • 0 Z! V-1 OOW P .SFD-P]tRMI'I',I)Cr,,SNO'PINCLUT)EHLOCK:WALI.SQP.P LAN CHECK FIFE REDUCED 13% FOR MULTIPLE ISSUANCE OF SAA49 fICAN "i rrym - 3RACT CONSTRUCTION -,3,441.00 PORCHiPATIO 0ARAWCARPO RT 5 81'. EsnwAnz c6sr oF coNsTRuchow. PERORT Fn SUMMARY CONSTRUCTION".E 101-000.418 000 $1010 50"' 205 27. PLAN 0-0= FEE 101-000-439-318 FEE DEPOSIT 101_000-439-:;1$ ."4459 ou P MWIL4141CAL FEE, ELECTKICAL. FFR 101-000-420-000, PLUMBINO FEE.. 101-000-419.7000. STRONG MOTION FEE MID 1014006241-000_' 4 GRAW '103-000-4-23 DL WELOPER IMPACT _ ART IN PUBLIC PtACES • Mir 701--()00-255-000 ".T -,q1M--f0rfA_L C61491RUC-11ONT AND PLAN "'FM $4.658 . "IM3,1PRE-PAID M-' $2 5 0, 0 t T(YEA L M. .5 DUF, NOW 4 14,' RECEIPT-<;r� DATE,61�'.,��r. y.,, OAT E FINALED INSPECTOR Nmw 4 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR - BUILDING APPROVALS MECHANICAL APPROVALS Set Backs I Underground Ducts Forms & Footings 1 I., S7 Ducts Slab Grade i Return Air Steel I Combustion Air Roof Deck ! .5-- _6v 17.Exhaust Fans O.K. to Wrap J . Z _ p F.A.U. Framing 1 Compressor Insulation Vents Fireplace P.L. I Grills Fireplace T.O. I Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath I Z do SZ Drywall - Int. Lath J I I Final • Final I POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs I Electric Bond Footings I Main Drain Bond Beam i Approval to Cover Equipment Location i Underground Electric Underground Plbg. Test Final f Gas Piping 'PLUMBING APPROVALS Gas Test Electric Final Waste Lines I Heater Final -Water Piping 1 Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans ; O.K. for Finish Plaster Sewer Lateral I Pool Cover Sewer Connection O7,57 Encapsulation Gas Piping I Gas Test o2 : /q•O 3 �T lZ - 00 S Appliances f 1 Final COMMENTS: M �Bvre arQ 0�ft.,1 C*_iR_7r op-70,07r-#eylu o e 1 I Final I Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring i Low Voltage Wiring Fixtures Main Service I Sub Panels i Exterior Receptacles G.F.I. I Smoke Detectors Temp. Use of Power I I _ Final i Utility Notice (Perm) a . 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 2052 C W C21 B 09M/20i 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 Dale"a - i 1_ - ngn Signature of OwnerlIX, ,v /C !� `WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (.)rl 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. 41, 1* lvrf,. f�>~fP i 1.111;':.10 .f 1 /'\ (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. VDate: Applicant I,//T. 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 - /rO f•/ BUILDING PERMIT PERMIT# �9407-&V9407-&VDATE VALUATION LOT TRACT �) „ '�r1. `7(s L,LA9I-150 JOB SITE APN ADDRESS ,501-735 CALIX .Y'ALX.3Mk J-648 769-"J-648 OWNER CONTRACTOR/DESIGNER/ENGINEER , lE'I)RG1*9 �t ,.r �.RK r a.A,..a 1 .1♦G' a... A..i 1 /..,. . ♦.a V � AG.'t. tA.. J4..t3� li,�,., 5-1'275 C ALLE QUITO 83900A`'i'M3l 45. SUI(E i:.'.- IAQt) 1NTA CA 922Sz INDIO CA 1760*)342 -33(5a f k3L # 61.7 USE OF PERMIT �ta�fl•;t.l~ 1�Ai�•1.1.L 19WL;E,,1-,1Ne�i 41 a PE ulal'::S N(i iNCL'UDE I:ti.u+: K WALLS OR POOL. PL��i C-11EC:E. k1i!6 R.fillLfCE1) 751"o, FUR A41LILTUPLk €SSUA.NC:1s QF SA1VI-E ALAN l 0.;V.. € coj4.1'% L k\,U ,., ! Iki J,•+• i ko 1'v'lLi l'vi'tit`i�i....• 319,04) SF tit\!•I.AC.`r3:;l�;ell�'vEt,'3' .�2is�siN1 SC T 1.I Y.1.2'A i. LY7 lr. OST Of'.., 1O TSTII4UC7117 VN ��)u.19 Ys Qls 6Y.ltl.9.1�, 1h 6!•J �(l ��te'0 �.P+H c ONSTPLUCT1.0N FHE. 101-000-418-000 S1,910.50 V14719I (() I_0011 -11.19-•i 17 1 A �pfyfi5 €r1((!!.��A,, N �,r^^`1.��1yyR-K / .91 M>YC; 4 A1v1€:;tU, i,'Li: 1014:M-42) -000 E,i.ti(_'i.'KIC AL FEE 101.•-000hr00-000 �2;i1:ZU P1 ifURt C; I'ITF Int -00(% -41U -Ry) a r •. ., • ,.: :10.11-000-241-000 'f'f:n',<f_.,Lir)�fr:+171�13is i'�:�ICt Ce<t13.t1Nli 1'L1:s 1l�f-4t1,'rJ--€:Li-limit) $st?.vU ". DEVELr_W1 N fMPA.0"1' I -EE 8.1.`1U7.00 , Aft•/ ft4 01fFt1 fr' P1.A(-F:;1 - RFSl1, 701-(�)0-1S.S ((ii1 �^.fia ?ft .. til tit•=I'(Y1'Af. (.,l..lAf�'1'1�.t 1�"f'i(-1N r>NIl fy1.AN /"'I1}?('±% ...9;11,(ifiQ•11Z €...SSS PRE -TIME) F17E,,, _ 42150,00 I'd, TAL 9°I+:Hil IA' 14 9,GS VIA, !NOW 54,408.0 RECEIPT DATE BY i DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab 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.Q. Fans & 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 Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm)