0302-202 (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
95459 B Pic cab 0_,_ 1 rMCVa(
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
eeontfactors to construct the project (Sec. 7044, Business & Professionals
Code). ,•. ,
() I am exe rpt under Section B&P. . fo Itis �d!75;t
Date' r Signature of Owner
.t
WORKER'S COMPENSATION DECLARATION
I hereby affirm underr,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
per 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 MU1,I1 AI, fP7:1. CO, Policy No. WNC 020601 •
(This section need not be completed if the permit valuation is for $100.00 or less).
( 1 certify that in the performance of the work for which this permit is issued,
,,J4.h%ll 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' compensate n"provisiop )f1Section 3700 of the Labor
Code, I sh I fort with comply with hose prdu� islo�r S.
s,zate: �s Applicant 0
Warning: Failure to secure Worker Compe sation 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 wit6tall City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned propertforr spectio.4Roses.
" Signature (Owner/Agent) - M eo r -z e Date -4- V. .7`,?
BUILDING -,PERMIT PERMT#.
DATE
VALUATION LOT TRACT
' 0513 AC S2161AMI70 , 3 28034
JOB SITE
ADDRESS
APN
OWNEE�Rry�yyj
CONTRACTOR 1NyEER
{}[j
`. 1✓Y.r:FF1V 7l dlA::sly ..
p�/�DESIGNER
y/(E'EN
dYYY1R7.'a[i '.�'.7 Llllf�./�iR
38-390: MWERx C IM14P I) IV& FAM'
PALM I)ESIRT CA 92260
1761
USE OF PERMIT
=G1 -FA'' LYZWIli1WG
SPI) .3611 Stg.FT, 1,ilV12JA PERMIT 130 .9 ixOT NCLUDE BLOCK
WALLS, 4'NG.ft4 POOL C%R SPA. A SEPA1LAT,Z DRiff rWAY APPROACH
PERMIT VRO%A THE PUBLIC WORKS Y. 3E4AARTMENI ' IS REQUI1 ED1 ..
TRACT CONSTRUCTION 3.613.00 SI"
PORCirb`,PAT IO i,mm Sr
GA1•'„AQPIC&RP() '1' 2,4110,#0 SF
r
ESTMSe1TED COST.t)!.p P-OVS"!"k'tUCa"fo
81,i1i) i.7 'i
P=V11'E"1<PER 8VMbMRy
CONSTRUCTION ME 101-000-418.0300 $11205.30
PIAN C'HECIC i`X 101-000-439-318 $1,02.0.83
FEE DEPOSIT 101.000-439-'11 R 411"00.00
MFZHANICAL Fee 101-000421.000 $196.00
RIACTRICA'L FEE 101-000-420.000 W7.23
PLUMBINGI-L�Ir1 101-000-419•-000 '$251,30
STRONG MOTION FEE - RESID 101-000--241-000
GRAD'INO Mt,, 1X11.000 421.000
DFV'ELOPER'WPACT PC.
ART m Puftf.'L PLACES • RMIL" 270-000-44,5400
SUB -TOTAL CON;3Mi1'C'T.ION. ANyD��P��yy7��-P:LI1v MEM .p��fr�J}�pp
t�a��y��1�
.. .. dJX. S3 1 RR -PAM S`.isM
41,000,OQ
'O`.I'A7. MRM' JVI71'7 7 S DtfR NOW
MAY 14 Z0 3
CITY Or LA.QUINTA.
FINANCE DEPT.
RECEIPT
DATE
BY
DATE FINALED'
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings p
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck --
Exhaust Fans
OX to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. th O- 0,03
' • ...
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 -.514510 3
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure.
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection (!5'103
Encapsulation
Gas Piping
Gas Test
Appliances
Final
FinalLGT�1�G
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 _) C v
Utility Notice (Perm) . ,p
COMMENTS:'
3
,
�11 .
57 S
Building t, "
Address .cwt rr �4
T4'yl
"
P.O. BOX 1504
78-495 CALLE TAMPICO
%4 LwL LA QUINTA, CALIFORNIA 92253
Owner/-
,^ N i yy,�
^ Mailing -T'T�7 Mwe k , � D
Address � T+,�r� PA
t City
kts4e-f Pip
2alo��%o- -1663
Address q-214 # DW 110
tyuaa coo Tel - 3
State Lic. �l ,
& Classif.
Arch., Engr.,�� `A4 ^'�
Designer ` �rNll
Address
A+.39,7 L.Im_dJ_1-W Apt.. 0-5
Lic. #
WR
Tel.
7bb-?Ab-2JSS
State
Lic. # Caboo to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7008) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior to'lts issuance also
requires the applicant for 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. (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
or improvemenf 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 nor 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 l 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby 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
(l Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WO R K ERS' 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 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.
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
1 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 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 -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Dao z- 20a -
APPLICATION ONLY
BUILDING: TYPE'CONST. /- t4R�yOOCC. GRP. F�
A.P. Number 7�� 7 So '003
Legal Description lAYT 3 . oo • alt)034
Project Description
U #�,� It
sizes
Size
New Je Add ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
No.
Stories
Alter ❑
Cws7L5 A. 5
No. Dw.
Units
Repair ❑ Demolition ❑
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 I
Issued by: Date_
Validated by:
Validation:
YELLOW = APPLICANT PINK = FINANCE
' CERTIFICATE OF COMPLIANCE �Fsc
Desert Sands Unified School District q�cQ1N�o
47950 Dune Palms Road, - o
Q BERMUDA DUNES 'r
Date 4/21/03 La Quinta, CA 92253_ V)RANCHOMIRAGE (�
INDIAN WELLS ti
760 771-8515 ry PALM DESERT '
-No. 24349 ) LAQUINTA �y
.�INDIO i^
' O JJ
Owner M/M Denny Lee APN # 762-250-003
Address 57895 South Valley Lane : Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
Type Single Family Residence No. -of Units 1
Lot # No., . Street S.F. Lot # No. Street S.F.
Unit 1 57895 South Valley Lane 3620 Unit 6
F
Unit 2Unit 7 a
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10 s
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 3,620 S.F. or $7,746.80 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 OCMells Fargo - Dennis Lee Check No. 0068933526
Name on the check Telephone 760/285-2683
r Funding Residential
By Dr. Doris Wilson -
Superintendent '
Fee collected /exempted by Sharon'McGilvrey $7,746.80 $o.00
'
PaymentRecd- Over/Under
Signature
NOTICE: Pursuant to Govemrrient Code Section 66020(d)(1), this will 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 Department/Applicant Copy - Applicant/Receipt Copy - Accounting
i iI— VvL iul JViL rlK57'i&EX1I:AN '1.1'1'LE VJO02/QO2
�Fi€CORDING REQUESTED BY; _� CO ment R r
on as No.-�Iqvml
AND WHEN RECORDED, IML TO: has not been compared with
original. -
GARY L. ORSO
.Dennis J. Lee.
78710 Castle'•Pineo
La Qui•nta, CA 92253
ASSESSOR'S PARCEL NO.: 761-540-003 The undersigned Grantors) declare(g) that the DOCUMENT TRANSFER
c9Z o f p7 TAX f S: r
TITLE ORDER NO.: g, 166y�5 County $ City
ESCROW NO.: 21513-001 � computed on the full value of the Interest of property conveyed, or
computed on the full value less the value of liens or encumbrances.
. remaining thereon at the time of sale
GRANT
RANT DEED ,
—OR transfer Is EXEMPT from tax1for the following reason:
FOR A VALUABLE CONSIDERATION,'receipt of which is hereby acknowledged,
Utah Lindell Construction,. a Utah corporation
hereby GRANT(S) to '
.Dennis J. Lee and Margaret D. Lee , trustees of the Dennis J. Lee'and Margaret 'D. Lee
Revoca:lbel Trust dated June 11, 1996
all that real property situated In the City of La Quinta
County of Riverside , State of California, described as:
COMPLETE LZ AL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF BY THIS REFERENCE
Dated October 03, 2002 ,
STATE OF CALIFORNIA, ' }
CNT
ouY or- ffiyeesi�� 1 ss. .
On Ndvem4e17;ZZ ZOO- before me
Notary Public, personally appeared
Utah Li.ndell'Construction
personally known to me (or proved to me on the basis of RtrTH a FLOs r
satisfactory evidence) to be the person(s) whose name($) cnmmiselon s t sseo30
is/are subscribed to the within Instrument and acknowledged Notary vvbllt: = Calkomia. € ,
to me that he/she/they executed. the same In hls/her/thelr Rkvmlde Codnty
authorized capacity(ies), and t t by his/her/their signature(s) WtMYComm. t)irus Jui 27, 2009
on the instrument the person(s), or tlae entity upon behalf of
which the persons) allied. Vx cuteo-the ins ment.
WITNESS rtty ha "8618•.offfplal.se
Signature
MAIL TAX STATEN • S TO: + Pie ereii rx cfAelo mlary venq
Dennis J. Lee -78710 Caat:le •Pines, La 'Quinta,. California 92253
NAME ADDRESS CRY, STATE R ZIP
OMMMMMMMME
o
MMMEEM
ffiffi-
W11�m0
ASSESSOR'S PARCEL NO.: 761-540-003 The undersigned Grantors) declare(g) that the DOCUMENT TRANSFER
c9Z o f p7 TAX f S: r
TITLE ORDER NO.: g, 166y�5 County $ City
ESCROW NO.: 21513-001 � computed on the full value of the Interest of property conveyed, or
computed on the full value less the value of liens or encumbrances.
. remaining thereon at the time of sale
GRANT
RANT DEED ,
—OR transfer Is EXEMPT from tax1for the following reason:
FOR A VALUABLE CONSIDERATION,'receipt of which is hereby acknowledged,
Utah Lindell Construction,. a Utah corporation
hereby GRANT(S) to '
.Dennis J. Lee and Margaret D. Lee , trustees of the Dennis J. Lee'and Margaret 'D. Lee
Revoca:lbel Trust dated June 11, 1996
all that real property situated In the City of La Quinta
County of Riverside , State of California, described as:
COMPLETE LZ AL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF BY THIS REFERENCE
Dated October 03, 2002 ,
STATE OF CALIFORNIA, ' }
CNT
ouY or- ffiyeesi�� 1 ss. .
On Ndvem4e17;ZZ ZOO- before me
Notary Public, personally appeared
Utah Li.ndell'Construction
personally known to me (or proved to me on the basis of RtrTH a FLOs r
satisfactory evidence) to be the person(s) whose name($) cnmmiselon s t sseo30
is/are subscribed to the within Instrument and acknowledged Notary vvbllt: = Calkomia. € ,
to me that he/she/they executed. the same In hls/her/thelr Rkvmlde Codnty
authorized capacity(ies), and t t by his/her/their signature(s) WtMYComm. t)irus Jui 27, 2009
on the instrument the person(s), or tlae entity upon behalf of
which the persons) allied. Vx cuteo-the ins ment.
WITNESS rtty ha "8618•.offfplal.se
Signature
MAIL TAX STATEN • S TO: + Pie ereii rx cfAelo mlary venq
Dennis J. Lee -78710 Caat:le •Pines, La 'Quinta,. California 92253
NAME ADDRESS CRY, STATE R ZIP
APH-14-2UU3 MUN U2:1U FN YACIh•1C COAST ESCROW FP,X- No. (bu bl;8 y51U F. U2/U2
03
APN
was
LEGAL DESCRIPTION
Real property in the city of La Quinta, County of Riverside, State of California, described as
fellows:
Parcel 1:
'Lot3 of Tract No.'28034, as shown by map on file in book 258 Page(s) 69 and 70 of Maps;.
Records of Riverside County, California.
Parcel 2: -
A non-exclusive easement appurtenant to Parcel 1 above, on and over the "common area'.' as
defined in the Declaration of Covenants, Conditions and Restrictions and easements for Souk
Valley Estates recorded on June 18, 1996 as instrument no. 225089 and the first amendment,
recorded July 24,':1996 as instrument no. 276970 -both of Official Records, for access, use,
occupancy; enjoyment., ingress and egress of the amenitles located thereon. The common area
for the use of owners of lots which are subject to the Declaration and is not for theuse for the
general public.
APN: 762-250-003-5
! li
I�
,
V
�0��
OF�� 78-495,CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. "
TELEPHONE (760) 7774012 FAX (760) 777-7011 .l
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing- yourself as.the builder of the property
improvements specified. -
For your protection you should be aware that as ''Owner/Builder you'are the responsible party of record on such a
r permit. Building permits are'not required to be signed by property,owners unless they are personally performing°their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.. '
Contractors are required by law to be licensed and bonded by,the State of California and to have"a business license
from the City or County. They are also required by law' to put their license number on.all permits for which`µthey
apply. " -
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be "
aware of the following information for your benefit,arid protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00or 'more for the .entire project, and such -persons are not licensed as contractors or
subcontractors, then you maybe an employer. A
If you are an employer, you must register with the -State and Federal. Government as.an employer rand you are subject
to several obligations including' State. and* Federal income tax'withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There maybe financial risks for you if you do'not carry out these obligations, and these risks are especially serious with
respect to worker's compensation`° insurance. • , `
For more specific information about your obligations underTederal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ;
If the structure is intended for sale, property owners'vvho are not licensed contractors -are allowed'to perform their
workpersonally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing,his'or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally. -
Information about licensed `contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and're'turn the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit,will not be issued until the verification is returned.
Very truly yours, ,1 ,
CITY OF ILA QUINTA
DEPT- OF BUILDING AND SAFETY '' i s
78-495 Calle Tampico
La QuRn,.2253 • ' {
(76 r
F 4
3 03 t ! a
y O SIGN TURE/DAT j• `
x
PROPERTY, ADDRESS ;
030 - .zoo - - - , ,• . ,
PERMIT NUMBER(s) �"
0UNG ENGINEERING SER VICES
•E'ngineering •Architecture -Surveying- Building &'Safety Services
Letter of Transmittal.
To: City of La QuintaDate: 5/12/03
1 Project: 57-895 South Valley Lane
Attn:, Ed Randall PC#: 0302-202(3` Check)
f Tel No.: (760) 777-7012 Tract No.: "
We areforwarding: X By Messenger By Mail Your Pickup
No. of Copies Description: "
1 Set of redlined plans/truss calcs r
1 Revised plan/truss w/ letter
1 Struct. calc
•
r ,
Comments: Plans are, acceptable " }
Thanks
This Material Sent for: t
Your Files, Per Your Request:
Your Review z Approval '
Checking At the request of:
Other
By: Eric Frenzel ;
Phone # 760-360-5770
77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770
Bronz Young f ,
Johnson & Nielsen Associates SCarl B. vendHohnson
Nielsen
Per T. Ron
Consulting Structural Engineers Wen Y. Lin
641 Louise Drive • Suite 15 • Palm Springs • C A • 9 2262 • ( 760) 322-0583 • F AX (760) 322-0593 Lonnie P. Mount
Los Angeles • Riverside • Irvine • Palm Springs son K Wuen
August 29, 2003 J & N Job No. 7-022
City of La Quinta
Building & Safety Department
78-495 Calle Tampico
La Quinta, CA 92253-1504
AIM Department of -Build y":end Safety
Project: Lee Residence
Lot 3; South Valley Estates
57=895 South Valley Lane_;--
La Quinta, CA.
Plan Check No. 0302-202
Subject: Limited Structural Observation
Dear Sirs:
CITY OF LA 01JINTA
$EP 4 o RECD
BUILDING AivO SAFETY
On various days, a representative of our firm visited the site and performed walk through
observations of the above referenced project.
We did not observe the foundation excavations or steel placement; however, we reviewed "the
visible foundation anchorage, from above the slab, and framing for conformity to the approved
plans. Observed structural deficiencies were brought.to the attention of the contractor and were
resolved. Based upon our observations at the site, it is the opinion of Johnson & Nielsen
Associates, that the structure is in general acceptable conformance with the approved plans..
If you have further questions, please feel free to call.
Sincerely,
Johnson & Niels n ss
Johnson
J seph R. Venuti, P.E.
oject Engineer
w
C:U&N-OF-1 \LETTERS\7-022\STO-LIM. WPD
J
LTERISM
WA
5
W W
R WN 11
May 28,2003
City of La Quimta Engineering Department
La Quinta, California 92251
Re: Precise Grading Plans' Substantial Conformance = Lot 3 Tract No. 28034
ii
South Valley Estates
Lee Residence
To Whom It May Concern,
On May, 28, 2003 1 conducted a site visit to the abovementioned,project to. conduct an as -built
inspection in regards to precise -grading. construction. As the engineer of record for the
,abovementioned project itis my opinion that the as-built!conditi on of the; site substantially.
conforms both vertically and horizontally to the approved precise grading plan as designed and on
file with�lhe, City of La Quinta Engineering Department. -Approved pad elevation equals 458.1;.
Constructedpad elevation equals 458.1:
Please contact meif you haveiany questions -or -comments, regarding this project (900) 323-4713.
Thank you in advance for your assistance in this matter.
SiZstiansen,
K RE..
Terra Firma
P.O. Box 12103 Palm-Deser, California- 92255
Ph.: (909) 3234713 Fax: (909) 359-5972
e-mail: tenufirmaland@aol.com,
I
• Jf/ •Z
Johnson & Nielsen 'Associates Seed Johnson
en
Per T. Ron
Consulting Structural Engineers Wen Y. Lin
641 Louise Drive • Suite 15 • Palm Springs • CA • 92262 • (760) 322-0583 • FAX (760) 322-0593 Lonnie P. Mount
Steen T Thomsen
Los Angeles • - ,Riverside- • Irvine • Palm Springs Jackson K: Wu
i
May 1, 2003 J & N Job No.. -7-022
City of La Quinta'
Building & Safety Department
78-495 Calle Tampico
La Quinta, CA 92253-1504
Attn: Department of Building and Safety
Project: Lee Residence
Lot 3; South Valley Estates
57-895 South Valley Lane
La Quinta, CA.
Plan Check No. 0302-202
Subject: Prefabricated Wood Truss Calculations
Dear Sirs,
We have been provided with Truss Calculations by AC Houston. Lumber Company to be used
for the above referenced ,project. We have reviewed the provided calculations and find them
to be in general agreement with the design intent for this project.
If you have further questions, please feel free to call.
: Sincerely,
JOHNSON & NIELSEN ASSOCIATES
L
J eph' R. Venuti, P.E.
oject Engineer
• C:V&N-OF—IU,ETTERS\REVUTR—I.WPD
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
EINFORCED CONCRETE
❑ POST TENSIONED CONCRETE
❑ REINFORCED MASONRY
❑ STRUCT. STEEL ASSEMBLY
❑ ASPHALT
❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATION
REPORT SEOUEN E NO.
TV E �U^TURF
PERMIT
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DAV Of WEEK
,
MATERIAL DESCRIPTION
ARCM TECT
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INSPE OR
HAS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE -
-
GENERAL
CONTRACTOR
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CONTINUED ON NEXT PAGE ❑
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MJ
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.
S ATURE OF R ISTERED INSPECTOR
IG�O��Z7717-
DAT OF REPORT REGISTER NUMRFR ay
...;: �
`H
IES REPORT TM ER -2469
Reissued July 1, 2001
ICBO Evaluation Service, Inc. 5360 Workman Mill Road, Whittier, California 90601 • www.icboes.org
Filing Category: `SKYLIGHTS AND SMOKE VENTS (232)
rBRISTOLITE'SKYLIGHTS
`BRISTOL FIBERLITE INDUSTRIES,
dba BRISTOLITE SKYLIGHTS
401 EAST GOETZ AVENUE
POST OFFICE BOX 2515
SANTA ANA, CALIFORNIA 92707
Is 1.0' SUBJECT
Bristolite Skylights.
2.0 DESCRIPTION
2.1 General:
Bristolite Skylights are skylights with glazing of approved
plastic materials formed to a dome shape. Figure 1 and
Tables 1 through 5 contain further information. All series are
available in both curb -mounted and self -flashing models. See
Table 1 for general description of the skylight models.
2.1.1 S Series: The S series uses 0.125 -inch -thick (3.2 mm),
one-piece fiberglass domes fabricated in 3 -ounce (85 gram)
fiberglass roving impregnated with polyester resin and classi-
fied as CC1 plastic. The self -flashing version is mounted to a
4 -inch -high (102 mm) frame with 23/4 -inch -wide (70 mm)
mounting flange formed from 6063-T5 aluminum. The dome
edge is covered by a continuous, No. 26 gage [0.019 inch
(0.48 mm)], galvanized steel angle. See Table 3 for additional
description.
2.1.2 AS Series: The AS Therm -o -weld series uses acrylic
plastic domes, classified as CC2 plastic and recognized in
Evaluation Report ER -2576. These domes are chemically
fused to a fiberglass frame consisting of 3 ounces (85 grams)
of fiberglass roving impregnated with polyester resin and
classified as CCI plastic. The self -flashing version is
mounted to a 4 -inch -high (102 mm) frame with a 23/4 -inch -
wide (70 mm) mounting flange formed from 6063-T5
aluminum. See Tables 2 and 5 for additional description.
2.1.3 AL Series: The AL Alumi-lite series uses acrylic plastic
domes, classified as CC2 plastic and recognized in Evalua-
tion Report ER -2576. These domes are attached at the fac-
tory to a retaining frame fabricated from 6063 T5 aluminum.
The self -flashing version is mounted to a 4 -inch -high (102
mm) frame with a 23/4 -inch -wide (70 mm) mounting flange
formed from 6063-T5 aluminum. See Tables 2 and 5 for addi-
tional information.
2.2 Installation:
2.2.1 Curb -mounted Units: The curb is minimum 2 -by -6
lumber, sized to the inside dimensions described in Table 2.
This curb must allow the plastic dome edge to be at least 4
inches (102 mm) above the roof plane. The roof covering is
then removed. The opening is cut into the roof, and damage
to rafters must be avoided. The curb is mounted to the roof
deck to the satisfaction of the building official.
No. 26 gage (0.48 mm) corrosion -resistant metal flashing,
14 inches (356 mm) wide, is bent into an "L" shape with a
31/2 -inch (89 mm) vertical leg. Flashing is 5 to 6 inches (127
to 152 mm) wider than the opening. The leg is cut at the curb
width, with the end tabs bent flat. These pieces are placed
under shingles at the high end of the openings. A second
flashing piece is prepared similarly, except the ends are cut
and bent to wrap around the curb. The two pieces are coated
on faying surfaces with mastic and bonded together. The
sides of the opening are flashed with 12 -inch -wide (305 mm),
L-shaped pieces lapped 3 inches (76 mm) under the previous
piece and under the shingles. A bottom piece of flashing is
placed. Each flashing piece is nailed to the curb at the joint.
A continuous caulking bead is placed on top of the curb. The
skylight is set on top of the curb and positioned to allow a
1/4 -inch (6.4 mm) gap between the unit and the side of the
curb. The unit is then nailed to the curb according to Table 4.
Nail heads should be 1/16 inch (1.6 mm) from curb to permit
movement.
2.2.2 Self -flashing Units: Self -flashing units must not be
installed on a wood shake or wood shingle roof. The opening
is cut into the roof and damage to rafters must be avoided.
The edges of the opening are framed with nominal 2 -inch -
wide (51 mm) lumber. A 4-to-5-inch7wide (102 to 127 mm)
band of roofing mastic, 1/4 inch (6.4 mm) thick, is applied
around the opening. The unit is then set into the mastic and
fastened according to Table 4. The flanges are covered on the
sides and top with a roof covering.
2.3 Identification:
Each skylight is identified by a label bearing the Bristolite Sky-
lights name and address, the plastic dome thickness and
classification, the evaluation report number (ICBG ES
ER -2469), and a safety label warning of risk of fall.
3.0 EVIDENCE SUBMITTED
Data in accordance with the ICBG ES Acceptance Criteria for
Plastic Skylights (AC 16), dated April 1997, and the ICBG ES
Acceptance Criteria for Skylights with Plastic Frames (AC79),
dated April 1994.
4.0 FINDINGS
That the Bristolite Skylights as described in this report
comply with the 1997 Uniform Building Code-, subject
to the following conditions:
4.1 Skylights are installed in accordance with this
report, manufacturer's instructions and Section
2603.7 of the code.
4.2 The maximum roof live load is 20 pounds per
square foot (958 Pa).
4.3 The maximum roof wind -uplift load is 13 pounds
per square foot (622 Pa).
4.4 The AS series is installed only where nonrated roof
coverings are permitted.
This report is subject to re-examination in two years.
REPORTS" are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be
construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by /CBO Evaluation Service,
bic., express or implied, as to airy finding or other matter in this report, or as to any product covered by the report.
,.VNy1V11L v 4UV
Page 1 of 5
.,, Page 2 of 5
TABLE 1 -GLOSSARY OF MODEL TYPES
ER -2469
MODEL TYPE
S -CM
DESCRIPTION
CCI FIBERGLASS DOME
CURB
MOUNTED
X
SELF
FLASHING
ALUM.
RETAINER
CAP
CCI FIBERGLASS
RETAINER SKIRT
X
CCI ONE-PIECE
FIBERGLASS
DOME
X
CC2 ACRYLIC
DOME OR
PURAMID
S -SF
CCI FIBERGLASS DOME
X
X
0.125
X
X
X
AS -CM
THERM -O -WELD ACRYLIC DOME
X
0.125
5
X
X
X
AS -SF
AL - CM
I THERM -0 -WELD ACRYLIC DOME
ALUMI-LITE ACRYLIC DOME
XX
X
3737
X
X
X
AL -SF
ALUMI-LITE ACRYLIC DOME
X
x
X
X
ACS -CM
THERM -O -WELD ACRYLIC CIRCULAR
X
X
X
461/4; 461/4
X
ACS -SF
THERM -O -WELD ACRYLIC CIRCULAR
X
X
X
X
0.150
X
TABLE 2-BRISTOLITE ACRYLIC SKYLIGHTS
INSIDE CURB OPENING -DOME THICKNESS -DOME RISE
TYPES: AS -CM, AS -SF, AL -CM, AL -SF, ACS -CM, ACS -SF
MODEL SIZE
(Nominal)
1414
AS -CM, AS -SF
X
ACS -CM, ACS -SF
AL -CM, AL -SF
X
INSIDE CURB
DIMENSION (inches)
141/4 x 14 1/4
DOME THICKNESS
(Inch)
0.125
DOME RISE (Inches)
5
1919
X
X
19 x 19
0.125
5
2222
X
X
221/4 x 221/4
0.125
5
3030
X
X
301/4 x 301/4
0.125
5
3737
X
X
37 x 37
0.1255
4242
X
X
42 x 42
0.125
5
4646
X
X
461/4; 461/4
0.125
5
4848
X
X
48 x 48
0.150
5
5555
X
X
55 x 55
0.187
6
7070
X
X
701/4 x 701/4
0.250
7
7575
X
X
75 x 75
0.250
8
8484
X
X
84 x 84
0.250
9
9292
XX
921/2 x 921/2
0.250
10
2230
X
X
221/4 x 301/4
0.125
5
1422
X
X
141/4 x 221/4
0.125
5
1446
X
X
141/4 x 461/4
0.125
5
2237
X
X
221/4 x 37
0.125
5
2246
X
X
221/4 x 461/4
0.125
5
2272
X
X
221/4 x 72
0.125
8
2296
X
X
221/4 x 96
0.125
10
3037
X
X
301/4 x 37
0.125
5
3046
X
X
301/4 x 461/4
0.125
5
3069
X
X
301/4 x 691/2
0.125
7
3096
X
X
301/4 x 96
0.125
10
3496
36120
X
X
X
X
34 x 96
36 x 120
0.150
0.250
10
12
3746
X
X
37 x 461/4
0.125
5
3775
X
X
37 x 75
0.150
8
3859
4669
4689
4896
48120
5460
6096
24 dia
31 dia
43 dia
54 die
67 dia
91 die
For SI: 1 inch= 25 4 mm
X
X
X
X
X
X
X
X
X
X
X54
X
X91
X
X
X
X
X
X
X
38 x 59
461/4 x 691/2
461/4 x 891/2
48 x 96
48 x 120
54 x 60
60 x 96
24
31
43
67
0.150
0.150
0.150
0.150
0.250
0.187
0.187
0.125
0.125
0,125
0.187
0.187
0.250
6
7
9
10
12
6
10
5
5
5
6
7
9
Page 3 of 5
TABLE 3—BRISTOLITE FIBERGLASS SKYLIGHTS INSInF rl lea
ER -2469
MODEL SIZE (Nominal)
- CURB -MOUNTED
AL -CM, AS -CM, ACS -CMI
------- --•-- —•—•-••-�—
nn.nrr�aa—uVmC FCIJt ITPF-5: 5 -CM, S -SF
STA. PROD. LINES
S -CM, S -SF
INSIDE CURB DIMENSION
- (Inches)
12
1414
2222
16
DOME THICKNESS (Inch) DOME RISE (Inches)
3030
X
141/4 x 141/4
0.125 5
2222
X
221/4 x 221/4
0.125 5
1422
X
141/4 x 221/4
0.125 5
2246
X
221/4 x 461/4
0.125 5
2272
X
221/4 x 72
0.125 7
2246
X
221/q x 96
0.125 10
3037
X
301/4 x 37
0.125 5
4896
X
48 x 96
0.125 10
bbr 51: 1 inch = 25.4 mm.
TABLE 4—MINIMUM NUMBER OF
SKYLIGHT ATTACHMENT FASTENERS
MODEL SIZE
(Nominal I.D.)
- CURB -MOUNTED
AL -CM, AS -CM, ACS -CMI
SELF -FLASHING
S -SF, AS -SF, AL -SF, ACS-SFZ
1414
12
8
1919
12
8
2222
16
8
3030
20
8
3737
24
12
4646
28
12
4848
28
16'
5555
32
16
7070
40
20
7575
44
20
8484
44
24
9292
48
28
1422
14
8
1446
20
10
2237
20
10
2246
22
10
2272
28
14
2296
34
18
3037
22
10
3046
24
10
3069
30
14
3096
36
18
3496
36
18
36120
44
26
3746
26
12
3775
32
16
3859
30
14
4669
34
16
3689
40
20
4896
40
22
48120
44
28
5460
40
16
6096
42
22
24 dia.
9
8
31 dia.
9
8
43 dia.
9
12
54 dia.
9
16
67 dia.
9
16
91 dia. 721
28
For SI: I inch = 25.4 mm.
(Fasteners are 6d corrosion -resistant common nails.
ZFasteners are 16d corrosion -resistant common nails.
TABLE 5—MINIMUM NUMBER OF
DOME RETAINER FRAME FASTENERS
MODEL SIZE
(Nominal I.D.) AL-SF1
AS -SF, S -SF, ACS -SF
1414 4
Chemically Fused
1919 4
2222 8
3030 8
3737 12
4646 12
4848 12
5555 16
7070 16
7575 16
8484 20
9292 20
1422 6
1446 8
2237 8
2246 8
2272 10
2296 12
303.7 10
3046 10
3069 12
3096' 14
3496 16
36120 20
3746 12
3775 14
3859 14
4669 14
4689 16
4896 16
48120 20
5460 16
6096 18
24 dia. n/a
31 dia. n/a
43 dia. n/a
54 dia. n/a
67 dia.' n/a
91 dia. n/a
For SI: 1 inch = 25.4 mm.
INo. 8 stainless steel screws.
ER -2469
FIBERGLASS
DOME
/ I SEALANT' 3
BY OTHERS
CONTINUOUS
VB' STL. 26 GAUGE
GALVANIZED
POP RIVETS @ STL. ANGLE
_ANCHOR I6'o.c. MAX.
ROOFING Y
ABY OTHERS
2X Q V2') WIDE WOOD 1/4' '
--nion AV nT.170C -
CONDENSATE PROVISION
FIBERGLASS DOM£
�-- - FASTENER
ALUM. SF'•FRAM£
CONTINUOUS NO. 26 GAGE
GALVANIZED STEEL ANGLE
ANCHOR
` BY OTHERS
ROOFING
BY OTHERS
ROUGH OPENING
MODEL S -SF
'
ACRYLIC DOME. `
*THERM -O -WELD' F12AME
r
CURB SEALANT
BY OTHERS
ANCHOR
2X� (1 1/2) WIDE WOOD
ROOANG
CURB BY OTHERS
BY OTHERS
ROUGH OPENING
MODEL AS -CM
P.
ACRYLIC DOME
THERM -O -WELD' FRAME
7
CONDENSATE PROVISION
SANTOPR£NE GASKET
ALUM. BRACKET
FASTENER
ROOFING
BY OTHERS
ALUM. 'SF' FR4ME
ROUGH OPENING
ANCHOR
MODEL AS -SF
FIGURE 1
;:'Page 5 of
.5,
ER-2469
ACRYLIC DOME
ALUM P£RIMVER CAP
CONDENSATE PROVISION
SAMTOPR£N£ GASKET
CAP FASTENER
ANCHOR
2X (1 1/2 � . WIDE WOOD
ll�CURB,
BY OTHERS
ALUM. CAI' FRAM£
ROOFING
BY OTHERS
.
ROUGH OPENING
MODEL AL-CM
ACRYLIC DOME
ALUM. PERIMETER GYP\
CONDENSATE PROWSION
OPRENE GASKET
GIP FASTENER
ALUM I5F' FRAME
ANCHOR
ROOFlNG
BY OTHERS
ROUGH OPENING
MODEL AL -SF
FIGURE 1—(Continued)
P
n
�s . 'a
Y{., key �`• ."?S \... — _
±° Mark: B. Valentino CITY OF LA QUINTA
f.:
r Arckitect BUILDING & SAFETY DEPT.
Y s 44 267<IVl�onterey Ave. Suite B
Palm Desert, Ca. 92260 APPROVED
5 60 34fi 3155, fax. 760.423.4444
= FOR CONSTRUCTION
n �v.
DATE to c� 3 .
3
der
r y a Toµ x City of La Quinta, Dept. Bldg. & Safety From: Mark B. Valentino.
(760) 777-7015
Date: May 30, 2003
a�F
z� sRe i:57 895 South Valley Lane W.O.: 02-116
! K 1
x For Review ❑ Please Comment ❑Please Reply ❑Please Recycle
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