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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensedounder 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
7S5
1/ k3T'GC112C
DatilSignature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am, xe pt 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:
Carver IPolicy No. SEF 1311's -LAST
(This section need not be completed if fhe-permit valuation is for $100.00 or less).
( ) I certify that in the performance,*olf the work for which this permit is issued,
I shall not employ any person in any ma nnerlso as to become subject to the
workers' compensation laws of Califo.mia, and agree that if I should become
subject to tfle workers' compensatio erosions of Section 3700 of the Labor
Code,{I ,shall forthwith comply wit�hai�ose provisions.
Date: I t� f f� f p Applicant�� X._ -�
i 1
Warning: Failure to secure Work`ers'ACompensation coverage is unlawful and
shall subject an employer to cnminal�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 reset 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 -1
I certify that I have read this
correct. I agree to comply N
construction, and hereby at
the above-mentioned Droner
nature (Owner/Agent)
i and state that the above information is
% and State laws relating to the building
)resentatives of this City to enter upon
Iction purposes.
ti9e;
BUILDING PERMIT PERMIT#
�`���-''�j �
DATE VALUATION LOT TRACT
109
JOB SITE
ADDRESS !Z-780,C)n ClA'rO DRI VY
APN
770.-370-010
OWNER "
CONTRACTOR/DESIGNER/EN INEER
R OBFZRT C1YW1MN'11I
EA; 'IOI 8131 fA'Y`F. ESS CORP3.1UM,014
PA1M'DESIMf CA 9=61
(760)346»5076 10117.4f 3,1433
USE OF PERMIT
SINGLE FAJIA U Y DW11..13NO
SW1:31.1MC1,tFDES WJLLJ.,VPOOL, DP VFVIAY,APPROACH/COMP.Li,ANCP WITH
ACT OF XM— Or APP1.It`.9 ULPyIS REQUIRED -2001 CDC,
CUSTOM CONSTRUCTION .1029100 8F
POR fYP.r TIO . 1,483.00 SP
GA RA OVC.,.P RP01C'f 11269,00 AIF
1ES3114Y1ATEb COST OF C:OSa)srRUMION
435,WL20
CONSTRUCTION F19 101<000-418-000
PJAN CHWX FEV. 101-000.439.1318 $1,474.11
FU DEPOSIT 101=000-439.318-3i,f0Um
MECI.-VAN)CA1.. FLIP 101-090-X1..2.1-000 $175,00
ELECTRICAL FEIN :101 "000.420.000 $283.10
Pill) M H NO FLP 101-000-4.19-000 $346,00
91101410 MOTION FEE . FP0MID 10).-000.0 1.000 9317
ORADiNO ne 101-000.423-000 $:15.00
DEVE1.01'ER IMPACT WISE $_005.00
A11T1341PUB IC VLACY 3 <RESIf 276.00 -0 -445 -00th 5k�.13
3D -TOTAL C0kFd1RUCff0.N' .AND PLAN CHECK.
$7,046.41
1.1 3 PRE -RAMP
.$1,w0,0G
(�t
::
DznnLW11!'i`T�'`,D�'9?'C1!.IV1"S1;v,i3i,.�11
DEC 2.2.2003
; ;f
CITY OF LA QUP ' k
LOPTEDATS
FINANCfl_: V :c ,
BYp`
DAT I E
INSPEC O17
C
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
O
Underground Ducts
Forms & Footings
_
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
=7� L _
Exhaust Fans
O.K. to Wrap
o ZL,7
F.A.U.
Compressor
Insulation
Vents
ire
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
- � eX
—
Drywall - Int. Lath
664W
Final
Final
BLOCKWALL APPROVA S
Steel
POOLS,- SPAS
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
t
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
—� t
Encapsulation
Gas Piping
Gas Test
G�
Appliances
Final
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 �� y
Final
Utility Notice (Perm)
COMMENTS:
j3-?8CP.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
_780J_ TO LA OUINTA, CALIFORNIA 92253
Mailing
Address
Cit Tel.
�
Contactor / - \f A
2_3 ,`
ZIpW,% ZfG / Tel3 i f -07
State Lic. I City
& Classif. 115 5 tib 3 Lic. a
Arch., Engr.,
Desi1711%
Designer
Te .
`� izril�lplm
-1� tat#
LICENSED CONTRACTOR'S DE TIO
I he affirm that I am licensed under provisions of apt r 9 o mencing with Section
7000) of Division 3 of the Business and Professions Co i ansa is in full force and
effect.
OWNER -BUILDER D CLAR O
I hereby affirm that 1 am exempt from the C tractor's icense Law for the following
reason: (Sec. 7031.5,Business and Professions Co : Any ci or county which requires a
permit to construct, alter, Improve, demolish, or repair stru lure, prior to ,its issuance also
requires the applicant for such permit to file a signed sta en that he is licensed pursuant to
provisions of the Contractor's License Law, Chapter 9 c mencing with Section 7000) of
ton 3 of the Business and Professions Code, or that. ha is exempt therefrom, and the basis
the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
acts the applicant to a civil penalty of not more than five hundred dollars ($500). .
1, as ownerof 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
orimprovement 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.)
I -I I, 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.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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
F71 Copy is filed with the city. ❑ Certified copy is hereby furnished.
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
Ihereby 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
rationif work thereunder is suspended for 180 days.
ertify that I have read this application and state that the above information is correct.
roe to comply with all city and county ordinances and state laws relating to building
nstruction, and hereby authorize representatives -of this city to enter the above•
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
ILDING: TYPE'CONST. OCC. GRP..
Number
J Description 2aa
roject
Sq. Ft. No. No. Dw.
Size Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. Q Q•a�
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure �lll� ;,,-•_ _
J'fl
TOTAL Clx'
REMARKS _FIfbAAr. �iUtlux���
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
YELLOW = APFILICANT PINK = FINANCE
OCT -23-2003 THU 02:53 PM 21NSHINE SUITES 5723878282 P. 03
RECORDING REQUE
ir Fidelity National Titli
Eoorow No. 9804 -CAH
This Ordor No, 9784334
When Recorded Mal
andTax Statement.
Mr. Hobert E• Clame
'63-780 Del Gato Dr!
La Quina, CA 972!
1'eundersigned gran -
Documentary transfer
( X 1 computed
(.. ) computed
[ I Unincorpo
TED BY:
Company
Document
s
DOC N 2 902-000 Taft
6412V24103 08:02A P00:7.00
Page ! of ! Coo T Tax Pold
paoordid in off4tdal Record®
County of 111~9140
Gory L, Oreo
j Asoaasor,County 0
,0 , a4
ligilifilloill"
fl
M. 8 Y P�a6 C2Y y p�pq wo,w MAW
• •I
A R l OOW L9N0 1104AD NCMO Lura
GRN T DEED
s use
s) declare(s)
:le 8742.50 .
full value of property Conveyed; or
full value less value of liens or encumbrances remaining at time ,of sale,
rd ,Area City of La Quints
C
n
FOR A VALUABLE C 'NSIDERATION, receipt of which Is hereby acknowledged, Dallas. W, Luby and Maureen
Luby, Tfuetees of the alias W. Luby Trust under Agreement dated January 17, 1992
hereby GRANT(S) to Robert E, Clemente and iriorjorieClemente, Buaband and MLf.e as -Coimmunity Property
the folowing describe reel property In the Clty of La Quinta
County of Riverside, tat® of California,
Lot 109 of 'Tract No. 8867, as shown by map on file In Book 278 pages 69 through 7'6,9f4 Maps,, records of
Riyerslds County, 'Caii ornia. '
DATED: February 14, 2002
STATE OF Port bA
COUNTY OF ^ee_
ON before me,
perwally appIaced
persorially known to (or Droved to me on the basis
eat factor eviden e) to ba the persons) whose
name(s) Is/are subscr d to the within' instrument snd
'acknowledged to me*** hat helshe/they e'ueouted the
some in his/her/their a horixed capacity(les), and that
by fiis/her/the.ir signs urels► on the instrument the
persoh(s), or the ant upon behalf of which the
pareon(s) acted, exec ed the instrument.
Witnes8 my and fsicial seal.
Signature
'FD•213 (Rev 7/38)
Dallas W. LAY and Maureen Luby,.TrusUes .of the
Fella,y. �� W. ��
Trust under Agre a dated January
-
�7, 11�9�
t• •
D W. Luby, Trustee
By:
M Teen Luby, Trustee
!, * QO 809361
°r�, r ��aae 1�4,rS009
• Adm Oo„ ]n•
MAIL TAX STATEMENTS AS'. DIRECTED A13OVE
GRANT DEED
;y �,,• gra.'.°�i�a��:.ta•,'.
'' %
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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes:- It has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 4,359 S.F. or $9,328.26 have been paid 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 CC/Palm Desert National Bank - Curt Dunham Check No. 086488
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exem ted Shar in McGjlvrey Payment Recd
$9,328.26 Over/Under
Signature C
NOTICE: Pursuant to Government Code Section 66020(d)(1), this wi serve to notify you that the 90 -day approval 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 for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building DepartmenUApplicant Copy - Applicant/Receipt Copy - Accounting
_CITY OF LA QUINTA SUB -CONTRACTOR QST n .
.•..kJOB ADDRESS �- 3 �'� �� I P PERMIT NUMBER WNER ' 0�'► I �-'l-e tm-;—.BUILDERloll) �v 1 d� •c
O -S`1
This form shall be posted on the lob with the Buiidinq Inspection Card at all times ln..n cn..o,.:,......... -�_ _ _
. .. y PCIS s appearing on this list or their employees are authorized rk
_.._..o_T ,.. M..J ���. ri�us� be approved by the Building Division prior to commencement of work. Fail a to comply will result in a stoppage of work and/or the voidance
01 buiidin ermit.' Foy each a piicable trade.'" information re uesfed below must be completed by applicant. •On File' is not an acceptable response
-rTrade'1 Classification`
.,�.<_...,...... yam:-,.,.:;-...
' � „ ' 'Contrectoi ' -` t `r `'' "State Contractor's License Workers Com nsstion insurance City Business License
Company Name
Classification
(e.g. A. S. C-8)
License Number .
(xxxxxx)
Exp. Date Carrier Name
(x /xx/xx (e.g. State Fund._C/allComp)
Policy Number Exp. Date License Number
(Format Varies) (xx xx/xx) (xxxx)
s d/
v�.
12,157-03
' 'CITYil-: OF LA QUINTA SUB-CONT114.CTOR DIST
ADDRESS L5.3 .. - '� �l P PERMIT NUMBER OWNER KObM 1 6 .BUILDER t A§NW4 w 1 c
This form shall be posted on. the job with the Building Inspection Card at all times In..x rne.�nt....,..... -�- = - ^
_ - _ _ .• y Nc� s s appearing on this list or their employees are authorized
on this inn ..e ..:.tip ::�
, :-,,, ,.�� .����� u� approves by the Building Division priorto commencement of work. Fail a to comply will result in •a stoppage of work and/or the voidance
of building permit. For each applicable trade, ell information re uesfed below must be completed by applicant. -'On File' is not an acceptable response.
'_Y_•.<
- Trado'1 Cbastikstlon'`;Stile Contractor's License4" `•._ -
Workers Com risstioii lrisu►anee Cit Business !ce
CONCRETE (C-8)
CTj
r+ssCompanyNarrsClaasificatlon
169
STRUCT. STEEL (C-51)
.
�a- �.� Certificate 'of Occuancy
Pfr
Temf 4 Cc
OF Building & 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
i'E
.4
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 53-780 Del Gato Drive
Use classification: Single Family Dwelling Building Permit No.: 0307-319
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Itw
Owner of Building: Robert Clemments Address:
By: Daniel P. Crawford Jr.
Date: 12/30/04
Building Official
POST IN A CONSPICUOUS PLACE
`x'? IM
ESI/FME,Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
FIELD REPORT
SITE VISIT NO.: O N E DATE April 26, 2004
PROJECT NO 1103-3796
PROJECT:
"Clements The Tradition- Lot 109 CLIENT NO: BBG
BUILDER
Easton Builders FILE NO 3796FR
LOCATION:
SHEET NO 1 OF5
La Quinta, California SHEET
L �a� D..
ARCHITECT:
BBG ARCHITECTS
rsD Q8'_�
ATTENTION:
Kurt Durham with Easton Bind
PROJECT SUMMARY
SITE
Single Family house is situated in a semi -developed area.
Field Observation on April 23, 2004
'FIELD OBSERVATION
The following structural items were observed and need to be addressed:
For location and clarification of items, refer to photo reduction of framing
plan on following sheet.
ITEM
General
1
Provide 5/8" dia threaded rod with Simpson Set Epoxy Tie embedded 4 1/4" into
foundation for missing anchor bolts or 5/8" dia. Kwik bolts with min. 2 3/4" edge distance
from edge of slab.
2 All 1 1/8" dia Hardy Panels are to have double nuts and drypack under Hardy Panel per
detail.
Garage and Mudd Room:
3 Front of 2 -Car Garage: Screw Simpson straps per Detail P/SD1 to Hardy Panel.
4 Girder Truss over Mudd Room: Add studs under girder truss at right side. Add strap to
girder truss at left side of girder truss per Detail B1/SD2.
5 Wall btwn Nook & Mudd Room: Add A35's @ 8"o.c. from, drag truss to wall per Detail
R-4/SD1.
Kitchen, Nook, Service Rm, Entry, & Grand Room:
6 Front of Nook: Add shear panel #15 over header and add, vertical straps from beam to
Hardy Panel.
7 Shear wall in front of Entry: Add vertical straps from header to post per Detail K1/SD2.
Shear nail shear wall and add CS16 above and below opening per Detail
E1/SD2.
8 Front of Entry Porch: Add strap at each end of beam per Detail C/SD1.
9 Shear wall btwn Kitchen & Service: Add Simpson A35's @.24" o.c. per Detail R-2/SD1.
1800 E. 16th Street, Santa Ana, CA 92701 9 (714) 835-2800 • Fax (714) 835-2819
ESI/FME9Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
FIELD OBSERVATION": "Clements" / Tradition - LOT109 Date: April 26, 2004
Easton Builder ESI/FME J.N. 3796
Sheet No.: 2
Kitchen, Nook, Service Rm, Entry, & Grand Room:
10 Shear wall at right side of Service Rm: Add shear panel #10 above & below window
per Detail E1/SD2-and add Simpson A35's @ 48" o.c. per Detail F/SD1.
11 Shear wall at rear of Grand Room: Add 1/2" plywood or shear panel #12 on both sides
and vertical straps from header to post per Detail K1/SD2.
12 Hardy Panel at rear of Grand Room Patio: Provide 6" long screws in lieu of 4" long
screws from top of Hardy panel to beam above and add vertical straps
from beam to hardy panel per Detail 3/1-1-4.
Office, MBR, MBA, Exercise Rm, & BR#2:
13 Shear wall at rear of Loggia: Missing anchor bolts. See item #1 for fix.
14 Wall at rear of Office: Add 2x flat blocks across double top plates of double walls.
15 Front of BR#2: Add Simpson H7 & strap to header at two drag trusses
16 Loggia in Front of BR#2: Add Simpson A35's @ 48" o.c. per. Detai R/SD1
17 Shear wall btwn BR#2 & Exercise Rm: Provide Shear panel.#12 both sides, since 3/8"
plywood has been used.
18 Beam in Front of Exercise Patio: Add double studs under beam.
19 Rear of Exercise Patio: Add shear panel #10 and provide (2) CS16 to expose rafter to
three shear plywood blocks in lieu of Detail O/SD1.
20 Hardy Panels in Front of Exercise Rm: Add vertical straps from header to Hardy Panel
per Detail P/SD1. Add shear panel #11 over header.
21 Rear of MBA: Add 4x6k.post under girder truss over header.
—0911147710 1 - . - :: c ::
23 Shear wall at left side of BA#3 & MBR : Change to shear panel to #11 and add Simpson
HTT16 at each end of 5-6" shear panel with 4x6 posts.
24 Hardy Panel at rear of MBR: Add vertical straps per Detail 3/H-4
Casita
25 In Front of Casita Garage: Add Simpson A35's per Detail F/SD1.
26 Girder truss at rear of Casita Garage: Add double studs under girder truss and add
strap per Detail B1/SD2.
1800 E. 16th Street, Santa Ana, CA 92701 9 (714) 835-2800 Fax (714) 835-2819
ESI/FME,Inc.
STRUCTURAL ENGINEERS &CONSULTANTS
FIELD OBSERVATION: "Clements" /Tradition - LOT109 Date: April 26, 2004
Easton Builder ESI/FME J.N. 3796
Sheet No.: 3
Casita
27 Rear of Garage: Add hangers from truss to girder truss.
28 Left side of Garage: Add Simpson A35's @ 24" o.c. per Detail F-2/SD1.
29 Garage /. Opt. Casita: Add Simpson A35's @ 16" o.c. over shear wall at right side per
Detail R-3/SD1.
30 Rear of Entry Tower: Add Simpson A35's @ 48" o.c. per Detail F/SD1.
31 Shear wall at rear of Casita: Add Simpson A35's @ 8" o.c. over shear wall per Detail
R-4/SD.
32 Each side of Covered Terrace: Provide strap per Detail G1/SD2.
33 In Front of Casita: Add 2x4 with plywood gusset in lieu of Detail X1/SD2.
34 Shear wall in Front of Casita Bathroom: Add Simpson A35's @8"o.c. over shear wall
per Detail F-4/SD1.
DISCLAIMER: THIS WAS A WALK-THRU REVIEW. WE DID NOT INSPECT THIS
BUILDING. OUR OBSERVATION WAS ONLY FOR OBVIOUS PLAN OMISSION. A
DETAILED AND COMPLETE REVIEW WAS NOT PERFORMED.
ISSUED BY• SS/0,
ESI / FM
STRUC
BY:
91
COPIES TO:
(3)
(fax) Attn: Steve
(1) BBG ARCHITECTS
Attn: Anton Marinkovich
1800 E. 16th Street, Santa Ana, CA 92701 9 (714) 835-2800 Fax (714) 835-2819
I
c
------- --- ------------
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STRUCTURAL ENMWERS
I= E. t6N STREET
SANTA ANA. CA 92701
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Mc GEE SUR VEYING, INC.
79-301 Country Club Dr., Ste. 102 � Bermuda Dunes, CA 92:01
Phone (760) 345-3828 — Fax (760) 772-5705
January 22, 2004
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
Re: Pad Certification — Lot 109, Tr. 28867
Pursuant to your request a field survey was conducted on the above referenced project to
determine the vertical location of the building pad. The above mentioned was found as
follows:
LOT
ADDRESS
PAD (DES)
PAD (FIELD)
109
53-780 Del Gato
144.0'
144.0'
E� SND SUgv�
Sinc rely, s
A.
MOO
5479
Wayne cGee
L.S. 5479
0
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF -4R
Project Title
I 790 41��
Pro jec Address
i
Builder Cont ct Telephone
_19 57;3
HERSAater �. _ TelpphQne
v.
Da e—
Builder Name
Plan Number
Sample Group Number
ifying Signature V N'te y Sample House Number
Firm: 'TC. HERS Provider: J-C"4-A'oGlfjZs
Street Address: 7Y6G0 City/State/Zip: Lel Qglara G6%' U-2,53
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: LrTested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
corrtiply 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
of ducts)
Where 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=6% or less)
Measured
values
4?
Jvo
Z�:g7-v 15; ��-v12,79I7-f I53fo
10—THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
Yes ❑ 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. O Yes O 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 D 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 =
Yes for both 1 and 2 is a Pass
❑
Pass Fail
Cl
ss Fail
40.
O O
Pass Fail
R
r �
h\[E S I
ESI/FME9Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
2nd PLAN CHECK REPLY
PLAN, CHECK BY THE CITY OF LA QUINTA DATE Nov. 18, 2003
PROJECT NO: 603-3796
PROJECT "CLEMENTS RESIDENCE" - LOT 109 CLIENT NO BBG 272-0100
FILE NO 3796PC2
DEVELOPER: BRITTANY CAPITAL SHEET NO 1 OF 1
La Quinta , California
ARCHITECT: BBG ARCHITECTS, INC.
REGARDING- PLAN CHECK BY Eric Frenzel, P.C.-NO. 0307-319: Dated: 10-10-03; ph:(760) 360-57
:.ITEMS FROM. PLAN. CHECK. CORRECTION.,LIST
ITEM PL SHT REPLY
SECTION I - STRUCTURAL
1. See below for response to stuctural correction list .
2 Developer to provide truss calcs.
3 Engineer of Record to stamp truss calcs with shop drawing stamp when
reviewed.
Complete set of calculations for the above named project is behing
plan checker response.
STRUCTURAL COMMENTS
1 Truss engineer to provide drag truss. Engineer of record to review to be
sure drag truss has been provided.
2 Truss engineer to revise drag truss. Engineer of record to review to be
sure drag truss has been revised.
ISSUED BY:
ESI/FME IN
STRUCTURAL 2
go
Danny Mats
for ESI/FME.
0
o?
1800 E. 16th Street, Santa Ana, CA 92701 -
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATE 17313N5
,ei3 -7eo1_ralely�
(3) BBG ARCHITECTS
Attn: Anton Marinkovich
if 1t -
Orf 40F
(714) 835-2800 - Fax(714)835-2819 �.
3 c�'
DEC -19-2003 15:14 ESI/FME 714 835 2819 P.02i02
E S I/ F M E, I n C r
STRUCTURAL ENGINEERS & CONSULTANTS
Dec. 19, 2003
EASTON BUILDERS
74091 Larrea St. #D
Palm Desert, CA, 92260
ATTN: Mr. Kurt Durham
RE: Roof Truss Calculations and Layouts on " Clements Residence " to
be built in La Quinta, California, for Brittany Capital Co.
(ESI/FME 603-3796)
Dear Mr. Kurt:
We have reviewed the calculations and layouts by Foxworth Galbraith Truss Co. dated 12/16/03
and they appear to comply with the requirements of our calculations and plans.
The review of these drawings does not relieve the contractor from compliance with the
drawings and specifications. This check is only for review of general conformance with the
design concept of the project and general compliance with the information given in the contract
documents. The contractor is responsible for confirming and correlating all quantities and
dimensions, selecting fabrication process and techniques of construction, coordinating his
work with that of other trades, and performing his work in a safe and satisfactory manner.
Thank you for your attention to this matter. Please do not hesitate to contact_ us if we can be
of further assistance to you on this project.
Sincerely,
ESI/FM2E%F7ESS,/,��-
STRUCTU S
By: i%r/ �1*0��:
."
Danny M
- TOTAL P.02