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9809-008 (RER)U) U) ., CV LU CY O�C'7 W o Z � CC) OO I- C) �U� ~ a U) Z C0 u) CV ON U_ °) a Z r'FQ -O : L X w — mUU O � 0) ,It Z_ cb Z) �a Q 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 ff +77 i 7(+ 131 '000f) 1)9 IvbateA-'L.,t9 9 Signature of Contractor ! _ r" 4C 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 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( d, 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. S'I'ATti IVNT.) 0;51`81;0.9811 (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 th s provisioner v6ate: 6 ft 10i e Applicant C Warning: Failure to secure Workers' Cc pensation 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 6 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. Y Signature (Owner/Agent) r ; Date -� PERMIT # BUILDING PERMIT 1P::)W4H)'3 DATE VALUATION S20,t3i;(1 ()o LOT TRACT 8104 JOB SITE8 ADDRESS 77-050 Ai'E NIDA FERNANDO APN 631-730-C4.+ OWNER CONTRACTOR/DESIGNER/ENGINEER 1FFi/ t;t:LOEEt:�1.1N STARK CONSIRM71`10N I CO 77-(80 AVENIDA FERNANDO 39725 0ARAND NE LA QlJIN•rA CA ►2253 PALM UEisma CA 4211 t (760)315-97111 (.113114 700 USE OF PERMIT RP.S.1fili1V MAL Kts) 0f)I~L Ham- K)DrUl AL�t.. NCY 112 S F., ADDING ARC: EIS-t2FAM)U BAi'tto. KiTCHM ALTLI-RING CR.A.Z4, VALLIA•PON 20.W.00 LS UNDIMMED C0.1t , Ula CONNYU11t1i'11i'rON 20.09 1)100 PEAN11 f FE NUMMr�,1t'1' PLAN (AitzCK FEE. f 0I -t+( -09-318 $ i 13 51 r'�-}N,STRII-00NFrIft 11111-Wn.419-0m 5'+8)71011 N001ANICA1. I'LL t t) i .000 -'tom I -000 $30.00 H.E,: CRI �AL i hX 101 -00G-4211-�M $15.011► S'tRUNt) N-110 'ION 1•'Ii'L • RE: -tilt] 101-011)0-2414( %2..Nt OR Af )1140 ITr. 10 t -(M-47 t-(lf)() $110 M C ONSKMIX110N ANT)111,AN C UIFCK '�.!(th 115 ��i!J1(7TAL �,J LESS PRE PAID FEES �() Uo SEP 0 4 1998 '11.01', L �F;+�R�11 F 11w,>>~.S 9115: NOW 540,435 -ATY OF LA QUINT � RECEIPT DATE BY DATE FINAL D _�j INSPECTOR — L ✓ CONTROL# ,tet, 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 Q6 Q F.A.U. Framing / / Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. / S'J 74 Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath—� Dryyall - Int. Lath If T. Final Final € BLOCKWALL APPROVALS POOLS - SPAS 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 Final Utility Notice (Gas) ELECTRICAL APPROVAL S Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. 'Smoke Detectors ., Hemp. Use of Power 7 Final tatty Notice (Perm) COMMENTS: Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 9/2/98 No. 17633 Owner NameJeff Gelderman CERTIFICATE OF COMPLIANCE APN # 631-730-045 Jurisdiction La Quinta Permit # No. 77-080 Street Avenida Fernando City La Quinta zip 92253 Tract # Lot # Type of Development Residential Addition Comments 12 sq. ft. addition and remodel. Log # Study Area Square Footage 12 No. of Units 1 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 12 or $ 0.00 the property listed above and that building,.,A.. permits and/or Certificates of Occupancy for this square footage in this proposed project may;n`o y be. issued Fees Paid B N/A - Spark- ti� Y p Teles hone Name on the check - By Dr. Doris Wilson`s Superintendent Fee collected /exempted by Juanita Green Exempt $0.00 Check No. N/A Signature /,/%�,(� INOTICE: Pursuant of Assflnbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified I above will begin to run frorp the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting p.UI 1 LOS USTADOS FIOMEOWNERS ASSOC[ATK)N ,till y 7, 1918 1\I1-: Ind lvlrs. J. Velder.mmin .515 Kenil-worth Avenue. KE'mbv(jlth. IL s t' Rc: 77-080 Avcnirla Felmndo, La Oui,ita, CA 92253 Oc.,11 Aly. marl tilts. Octder)))mIII: This It-ftf-i Will c01itt7111 that your, subrr,ission to the Architectural Review Committee I1as bec„ approved by the Board of Directors of Tlic Los Estados Hoincowi)m Association. Good luck «with the constn,ction of your new home. ,Sinccrely�, • Mar an A<]kins . Property kla,tagcr cf.: .tuait Cat los Ochoa. Frofessiunahcoj►,..".tunEty Ataitagentfcnt/ VeRert Resort ATatia&enient OlAcc Rox 4.772 P3411 Orsett, y;'111drer, Suite 5 • Pill -Ill 00sett. Calif,ti.4�,:, _ CA 92261-477? (r� JCM Inspections 39725 Garand Lane Suite G Palm Desert, CA 92211 Phone: 760-345-5554 • Fax: 760-772-3895 Project Name: �/q (� /"� [� + Project No: Date: Q g MC , r 1+tCS �C�R l; rJF'C q"CA I�SQasL V'1C.G_ 9 -% U Project Address: LC- Q u v,& At C UBC 4-0" Title 24 Other: Lir * s G Los. 6 s7k-cA is -0U �.r no t l e' ca Client: I Sub-Contractor: Weather: �ir ri cc u v\ General Contractor: Architect: Structural Engineer: �0 A.G Location of Samples: Welding Process / Electrodes: q�1a Slump (inches): Supplie Time Sampled: Mix Design: Time in Mixer: Specified Strength: Welders: Water Added @ Jobsite: Admixture: Concrete Temperature: Truck #: Ambient Air Temperature: Field I.D. Marking: Description of Work Inspected: 9t) e) rv. n U �R.��x9 /C1PaS�0aA `G r°CitaC tr aa`C"c2 � � ., C? W� 4 �,��� 1 fauaz- c�C w--� ,,�,. j , rim 1 I f f.� e o t) et ;'?q V, t+.*1 •t .�t 0 co vi �' "', i ra n f rAe 'f04'r .�c _ I a 1 C� G tn7t • �eal +Clv��4� 01 tl"Lltrt�+C [ASI Sin +lr.©l J�C�rle �(E. rr r t+ &0r1X "�'...an taon•voa. �+.�. �i `� �e�,,�^�Cr� p.�d�t.. J r } 1 , (� ` j ra$ b1•nLa IN I 0� 4l c � ¢ +'�c � c T 'r (�.1 � • 151,...E W I A C" (`I (� j .A 'n ,D� irr+1Co l � e�r!tAS ��C � i!r ek C rx.Do r 0UI* ra MS / / q + �. sC O + Lel( :i Ci A l /) rpt r � * c� Page of Inspector�Q�' ,�`,� ^gtVJ,0 ContrCer.-SRepr seentative: Copy 1 JCM Inspections Copy 2 ProjedfSuperintendent'' Copy 3 Governing Agency Nov -20-98 12:08P Trus Joist MacMillan 1 P w1v � 1����►� Roof Type A T.1Srz1n9 - 1,5.20 Serial Numoer.eo6 OMO 12.0"(end)/19.5"(end) TJI®/L60P TAPERED JOIST @ 24,0" O/C MASTSUN 511701 11l20M 10:42 52 AM Page 1 of 2 Build Code. 071 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Top Chord Slope:.261112 1], .4: Product Diagram is Conceptual. LOADS: Analysis for JOIST MEMBER Supporting ROOF Application. Loads(psf): 20 Live at 125% duration, 15 Dead. and: TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT Point(lbs.) Roof (1.25) 60 60 5-6". Adds to Point(lbs.) Roof (1.25) 210 210 a' Adds to SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH JUSTIFICATION LIVE/ DEAD/ TOTAL DETAIL OTHER 1 2x4 plate 3.50" 3.5" Left Face 780 / 635 / 1415 TJI® Blocking Panel 2 Parallam® PSL. PPCB 3.50" 1.75" Right Face 650 / 505 / 1155 -Web stiffeners are required at support(s): 2. See TJI JOIST INSTALLATION INFORMATION for nailing requirements. HANGERS: REVERSE T.F. T.F. NAILING MODEL SLOPE SKEW FLANGES OFFSET SLOPE FACE TOP MEMBER Right Face NONE FOUND No No N/A N/A DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 1400 1395 1797 Passed(78%) LT. and Span 1 under Roof loading Reaction(lb) 1400 1400 1797 Passed(78%) Bearing 1 under Roof loading Moment(ft-Ib) 9195 9013 9408 Passed(96%) MID Span 1 under Roof loading Live Defl.(in) 1.050 1.425 Passed(U326) MID Span 1 under Roof loading Total Defl.(in) 1.893 1.900 Passed(U181) MID Span 1 under Roof loading Allowable moment was increased for repetrtive member usage. Deflection Criteria: STAN DARD(LL:U240, TL:U180). Bracing(Lu): All compression edges (top and bottom) must be braced at 3' 1" o/c unless detailed otherwise Proper attachment and positioning of lateral bracing is required to achieve member stability. PROJECT INFORMATION OPERATOR INFORMATION: Gelderman Res. Trus Joist MacMillan Enrique Lima 2141 West Orangewood Orange, CA. 92868 909 797-9555 909-797-7322 CaPYrtght C 1966 by Trus Jost MacMillan. a limited partnenihip. Boise Idaho, USA TJ -Swag^ is a trademark at Trus Joist MacMillan. TJI(& and Parallam® are registe`ed t•ademarks of Trus Jost MacMillan NOV 20 1998 11:13 C'7�f�r/nom\ 0 �� -�—; !(f:. ami R aitt:.�, S fir: Exp. 6-30-02 *) C1V1 n a, 1 PAGE. 02 Nov -20-98 12:08P Trus Joist MacMillan 1 Roof Type A TJ•Si&.g- a.20 Serial Number: 608000288 12.0"(end)/19.5"(end) TJI®/L60P TAPERED JOIST @ 24.0" o!c , MASTaiiN S1031 114`2019t1 10'.a7.52AM Page 2 of 2 Bund Code, 071 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by Trus Joist MacMillan(TJM). Allowable product values shown are in accordance with current TJM materials and code accepted design values. The specific product application, input design loads and stated dimensions have been provided by others ( ), have not been checked for conformance with the design drawings of the building, and have not been reviewed by TJM Engineering. -THIS ANALYSIS FOR TRUS JOIST MacMILLAN PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Code NER analyzing the TJM Commercial product listed above. - Approximate methods of analysis have been used to determine member deflections for this tapered member. PROJECT INFORMATION OPERATOR INFORMATION: Gelderman Res. Trus Joist MacMillan Enrique Lima 2141 West Orangewood Orange, CA. 92868 909 797-9555 909-797-7322 Copyright C 1998 by Trus Jost MacNman, a lunfied oarfnenhp. Bose. Idaho, USA T.LSlamg-is a trademark of Ti Los Joist MacMden. TJ1& and ParaBarrM are registered traoemaiks of Trus Joist MacM8lan. NOV 20 1999 11:13 1 PAGE.03