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0110-258 (AR)LICENSED CONTRACTOR DECLARATION LI 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 416304 11 CJT= 1/'.1f l�,a sem• � ,_... Date/4f_._Signature of Contractor ..,......�...,.....-..—•�••••N�^OWNER=BUILDER DECLARATION I hereby affirm under penalty of perjury that I ani 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). ( j 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''.,JV 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 pec 3700 of the Labor Code, for the performance of the work for which this tion ermit is issued. My workers' compensation insurance carrier & policy no. are: Carrier CiO9.rD1~:�t Policy No. MWC6811%2.10 (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 rovisions' Dater Applicant r =..Warning:;Failure to secDre-Workers',•Cornpensation„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 BUILDING PERMIT PERMIT# DATE vii VALUATIBNLOT TRACT JOB SITE ADDRESSi31ld E:�P?Ta�tii�,�3 CI (� APN Y r � OWNER CONTRACTOR/DESIGNER/EN INEER BERT T:. R1.11TMAN RU T'°iTeQAU CONITIR'U'C,'T�.OR .,.A CA 92253 jr'MFIAMTIDA r'`A §11,996 (714)993-3320 CS14 03515 USE OF PERMIT 150 S'FADD 'ADD17.11W.RA .ODEL. T'IK,R,141?k'N.Cyii7.tO PLANS CMTOM CONSTRUCTION iSO,W SF CONTRACT AMOUNT x3,313.00 LS x COST Olt't:'O,h��'�?�UM30.V Y,�7y�/pip�•�Yf�1S".TT7t1,IA�.`ED fig, Tf��,,��yyy'�. FEW CONSTRUCTION RY, 101.000-418.000 $317.00 PLAN CHSCK Mit 1.01-000-439-.315 $ TA. 16 MECHAHICA6 F&E, S 101.000-4.21.000 $34.50 f -,.1L :.” f'R1C:e 1, FEE 't 101.000-42,03-000 S�L1lA� 1�80.I c 101-900-41.000 T f:lyAfifi 149f3'E'fC}Ai PF • 1 9'11J' ) ; -.� .: 33:5tt Q D OC! 23 7_QO1 CITY OF LA QUINTA FINANCE DEPT. =I -TOTAL f1t3NIT f$LTC`"T'ION AND P1:AW C;'.t3CCK 84.66 • Ali/�3 .Lt �SA' L'.Y.•3 d 1.F:�'-N DUD x.73/ DY W $784A% RECEIPT DATE/ BY D E INSPECTOR , 7- ,•t// INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING A PROVALS MECHANICAL APPROVALS Set Backs/ Underground Ducts _rZ;4 Forms & Footings ! Ducts Slab Grade Return Air Steel /1- Combustion Air Roof Deck %— 2 6 (� Exhaust Fans , O.K. to Wrap }_ _ _ _/ 7 ��- �I� F.A.U. Framing 1 Compressor .Insulation -�� 2 d- Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation _ Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final / — s- 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 /� ` (G Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster ewer Lateral Pool Cover ewer Connection — -_ Encapsulation ,fas Piping as Test Appliances Final COMMENTS: �sT�Ay��2 oz�z©e�A,ziyw��� i -mss -Z � Final Utility Notice v (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit ,,Rough Wiring Low Voltage Wiring ;Fbdures Wain Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power e5e Final Utility Notice (Perm) Notice: Document Cannot Be Duplicated Date 10/23/01 No. 22604 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Owner NameMr. & Mrs. Bert Ruttman No. 78-095 City La Quinta Street Coronados Circle APN # 646-210-016 Jurisdiction La Ouinta Zip 92253 Permit # Log # Study Area Tract # Lot # Square Footage 150 Type of Development Residential Addition No. of Units 1 Comments By ition is a powder room of 150 sq. ft. to SFD. 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 150 or $ 0.00 the property listed above and that building 4 permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By EXEMPT - Michael Apostolou Telephone. Name on the check - { Dr. Doris Wilson , Superintendent Fee collected /ex pted by Annette Barlow L. SignatureV.), Payment Received $0.00 Check No. OTICE: Pursuant of Assembly 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 love will begin to run from 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 IIlect 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 co Py LANDS HOMEOWNERS AS S O C= AT X O N NO _ 1 ...................................................................: P., O. Box 1271 La Quinta CA 92253 60/564-2177 FAX 760/564-4882 October 23; 2001 Planning Department City of La Quinta P. 0. Box 1504 La Quinta, CA 92253-1504 RE: Remodel Ruttman Residence 78-095 Coronados Circle, La Quinta, CA 92253 Gentlemen: The Board of Directors of Islands Homeowners Association No. 1 has approved plans for the above referenced remodel. If you have any questions, please contact our office. Very truly, ames Bar ckman President CC: B.Ruttman fl A"Wi*LujU► LC► REGISTERED INSPECTOR'S WEEKLY REPORT JVIY 1 NIV V T 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING O $ OTHERGPCX4kj JOB LOCATIONr ra Q1 S `: r . REPORT SEQUENCE NO. TYPE OF STRUCTURE .r ^ 1E�J PERMIT�Ol - �NO. DATE - -01. DAY OF WEEK -0-t/ MATERIAL DESCRIPTION S ARCHITECT f,�` N �% INSPECTOR s HRS. CHARGED ENGINEE rf ASSISTANTS HRS. CHARGED -INSPECTION DATE GENERAL CONTRACTOR z SUB TOR J ..3Gg I rw,,n Q W COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT i HAVE INSPECTED TO THE BEST OF Mt' KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. Y 0,0� AJqak-,Q&,'aJ ATURE OF ffGISTERED INSPECTOR 1 1 t ��50 ?��� ? DATA OF REPORT REGISTER NUMBFR MAIN SERVICE VA LIGHTING LOAD 2,440 SQ FT AT 3 VA/SQ FT ..................... 7,320 APPLIANCE CIRCUITS 2 AT 1,500 VA EACH ........................... 3,000 DISPOSAL 1 AT 920 VA EACH ........................... 920 COMPACTOR 1 AT 1,200 VA EACH ........................... 1,200 DISHWASHER 1 AT 1,200 VA EACH ........................... 1,200 LAUNDRY CIRCUIT 1 AT 1,500 VA EACH ........................... 1,500 OVEN 1 AT 9,000 VA EACH ........................... 9,000 WINE COOLER 1 AT 900 VA EACH ........................... 900 INSTA HOT 1 AT 1,200 VA EACH ........................... 1,200 TOTAL LOAD ........ 26,240 FIRST 10 KVA AT 100%.. .......................... 10,000 BALANCE AT 40%....... 6,496 A/C UNIT 1 AT 4, 370 VA EACH.......... 4,370 A/C UNIT 1 AT 5,980 VA EACH.......... 5,980 FORCED AIR UNITS 2 AT 960 VA EACH.......... 1,920 TOTAL LOAD ........................................ 28,766 28,766/240 = 120 AMPS INSTALL 200 AMP MAIN SERVICE Mact6&SO OWoECn1Om RUTTMAN RESIDENCE LOAD CALCULATION Bonbon � HuO [ n o h@@ffOn o �78� O95"`CORNADO9225 E � 11/29/01 9 � LA QUINTA; CA: 92253� Rauucho mkgp, cc (760) 324-7w7