Loading...
9909-164 (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 Ekp. Date 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: (A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and t6 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 CodV� e01 ( )�I am a em t under Section B&P.C. for this reasbn Signature of Owner.'s��.�°;�>�i� 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: Carrier Policy No. t t tIMURYINNS 21T.17 10 0 (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 C,p e, I shall forthwith comply with -those` provisions. Date: � . Ft��� Applicant '.'f'w'd% !:- �.� v _ 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 inspectionspurposes. Signature (Owner/Agent) Date 5 PERMIT# BUILDING PERMIT IMAr'll DATE VALUATION k ,A d LOT It TRACT �g e .7 JOB ADDRESS �L,Ilw�u�i�:�A APN .� 77.;-�ut OWNER OWNER CONTRACTOR/DESIGNER/ENGINEER Air11"J'A VtNZO fJlNA DR 9 wyNfi'.It! 8}P.,1. f?f If( I,,,' _ S 1 X3541 i"f;1,E.ia. ST, APT tW 102 1) 701 XKYN P10 ST S11f, G t.'i>A(I(1ELLA CA CA `k2?—IEA USE OF PERMIT .''ilN(t A i ANIIIA !_tM1,QANki :rF•1J E 13�Jr:.t,�') � kak,�(I�7►S 1�R)a?�i k'{t_f i f(�l;l.4�3JId .lft„?�IC:'4� 1��'�:i, tiDG� kit �.:K., kmUoCaA�'ti 1+:;�Jtr1i�Y�ait`k c;<3NS°i.Fd,'(lf-''.11 NF'EE 101 -(Jt, _411"IPI1O �4R;.fit P1 % -N r"uvril" I J,, 9ZwtU%;f4C,A.L %•` M 1021011',1t}.-1;+1_001 �N~`+:wCjw tL1'1w w T.-14FR13 14 10,. 9(m 42 (100 x)4'3 .lJft #:t��°,tw1s+..��r�; f1l��FS�;'[ 1°E�f: �i8,."Ji1;,1y1► t.�ti?tI�.^T1a1V11tN A_NV)P3.ANY CTtt'(' 11"2SP1,71"TAUD ITES A'f)'.VAL i'Fi1:VJ1 T VN,3i.* DVIJ ➢ti V41 RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade 0 Return Air Steel Roof Deck O.K. to Wrap Framing / C:O 9 ' �/ S Combustion Air Exhaust Fans F.A.U. Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath 7 T Final Final POOLS - SPAS BLOCKWALL AP ROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping pr -Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer -Lateral Pool Cover Sewer Connection . pd Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole S% Underground Conduit Rough Wiring Law Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Is` ,yti►�jR�. r _ tiiil `�� � .�N' -! .l �c %� Y >'� - fit` ..•J � t [ ��.' , k.� [. +�'� {,� � , k � JCS 1 . 1 TM (-.� �r�� �RESIDENCE ADDRESS: _ �, ` 'f /Dl0 THIS ATTIC HAS BEEN INSULATED T0: This This attic has been insulated to the R -value indicated above, with Cocoon, the high -efficiency insulation. Made from a minimum of 80% recycled materials, Cocoon is scientifically formulated to deliver greater efficiency per inch than other insulation materials. R -value is a measure of resistance to heat flow — the higher the R -value, the greater the insulating power. If you would like to add more insulation to your home, contact your Cocoon authorized dealer. INSTALLED Axwpy G4 92204 BUILDER: A" CERTIFICATION: This is to certify that attic insulation has been installed in conformance with the coverage chart recommenda- tions on the opposite side of this card using bags to cover apsq jr"M obtain an R -value of c STALLER'S AUTHORIZED SIGNATURE / DA �Coom ' ifanufacrured Bit- GREENSTONE.K. " A LOUISIANA-PACIFIC COMPANY NOTE: This coverage chart compensates for settling and is for estimating purposes only. Stated R -value is provided by instilling the required number of bag§ per 1000 sq. ft. at a minimum installed thickness. Instillation of the required number of bags may yield more than the specified minimum thickness and minimum weight per sq. R. Actual coverage will be influenced by job conditions and application techniques, and - may vary as much as 10% without significantly affecting the stated R -value. Failure of the installer to provide at least the required number of bags per 1000 sq. ft. and at least the minfi n rn thickness may result in a lower installed R -value. Compaction may ,r occur during installations above R-30, requiring more than the stated number of bags to obtain the minimum installed thickness. Y GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company. © 1997 GreenStone Industries, Inc. All rights reserved. 6 r Printed in USA. RV 30M 8/97. B-97-TT/G-A Cocoon Stabilized Insulation 301b. bag - ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value at 19.4 Net Coverage No Adjustment for Trusses 56.7 75°F Mean Minimum Gross Coverage Based on Maximum Net 30.6 Minimum Weight Temperature Thickness 2' x 6' Trusses an 16' Centers to Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Foot of Bags Required Insulation Should Not Be Square Feet Required Per Installed Square Feet Per 1,000 Resistance (R) of: Less Than: Per Bap 1,000 Square Feet Insulation Per Bag Square Feet (inches) Should Not Be Less Than: (lbs.) R-50 13.5 20.5 48.8 1.464 21.3 46.9 R-42 11.4 24.4 41.0 1.230 25.6 39.1 R-40 10.8 25.6 39.0 1.171 26.9 37.2 R-38 10.3 27.0 37.1 1.113 28.4 35.2 R-32 8.6 32.0 31.2 .937 34.0 29.4 R-30 8.1 34.2 29.3 .878 36.5 27.4 R-24 6.5 42.7 23.4 .703 46.4 21.6 R-22 5.9 46.6 21.5 .644 51.0 19.6 R-19 5.1 53.9 18.5 .556 59.5 16.8 R-13 3.5 78.8 12.7 .381 87.0 11.5 R-11 3.0 93.1 10.7 .322 102.8 9.7 Sidewalls foressure filled-densitv 2.0 PPCF) R-13 (2 x 4) 3.5 51.4 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 1 Certificate of Occupancy City of La Quinta �, Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the, time of issuance, this. structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 51-060 AVENIDA VELASCO Use Classification: SFDBldg: Permit No.: 9909-164 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RC Owner of Building: ALEJANDRO HERNANDEZ Address: 51-354 TYLER ST. APT M-102 City: COACHELLA, CA 92236 By: STEVE TRAXEL Building Official Date: 09-27-00 POST IN A CONSPICUOUS PLACE