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9807-196 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapt-ar 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 t VHC— 1255/1)8 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: 11 ft ( ' ) 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 prol5brty, am exclusively contracting- with, licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P. . fo,�ro jhj'sre.ason, ,©ate r Signature of Owner<Y"r.•�''"'" 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 foil 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: Cartier Policy No. (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 thoe'provision', yDate:_,f�Applicant–^ 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 i spection purposes. Signature (Owner/Agent) 64Date �! BUILDING PERMIT PERMIT# '°°NTR°` 9807-I96 DATE VALUATIONLOT TRACT � 4 I 4775640.7f) fi 13r 1 .2 t JOB SITE • 1 V+ ADDRESs�:i-.3:i5 nr.:1�iit4 i�. �'1-rt��.:O APN '�'%{��ih��1 OWNER CONTRACTOR/DESIGNER/ENGINEER 11kfttiQUE BAP.MAISi, : ri�.'Lf; / f3f ;Ii..L .i1: Vtt1Tf1 CV1TC 46-49) i3f7NE PALMS !#.10 43701 MO1V.iCOE &C S1'ii t+ CA. 92253 INI"Ho CA 972101 .. (7661147-:11571111 Y r, USE OF PERMIT ID S. ,ia PW�Ii T DOIDS ivC,!'f' i.14C:Lf. DE UC,*!K VALL OR i-001, AUG 05 1998 "I 1 e '1'. ZAC T C G'IN:i'i3 UC'1; 014' li,21 S.t 0 SF ti l:iAfLAC3�C;Ai21•'t�iZ1' S2�.(►0'�4� 6•, atat,Tll.tll JLTEV OF C ON."I ;1l UMC -110 , . � ^ 77..440.71) C()NKrR.(_JCrr10NPfih 101 -OW -418,000 Pl,A14CFIE~ x F't,',f> Itl(-[►�l h;�+a��1.1i �ui�.10 NJEC'IW4tCAL FEE 101-000-4111-000 �1l3.51� ELEC;PCIC;AI. f iicl 1!)i_000_420� 0) S3. 6,55 d'1.LiNIBINO ki.(i 10'5-UOLi-•119-0(idy� 51421. �(sl . s -CR jf,• (I "-ef'!0N t'�t.' • �f; 5351 1 `;1-4.: T.1_��t^�3(�'(7 1'� �•J (.;its. 11,41 11"11, 101-000-42.3-000 lId'i�1ti1.;�'1.'tt.f�ti:'1't�lCt;.(�3:k: �?.��t>if',j.•,j�i;T.?�<1� �I,lt�;.39 Ilk 'RECIS11' PLAN 101-000-441-345 25.(ai SIDE 4M71 t, C°OM;ri'R CJCI"►ON AND LAPt CHECK LESS T"'k*E-NMD EES WAX) 10b%1,1;'ERM1 IT F C FN 1)00 NOW $3,044.30 RECEIPT DATE BY % "' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 1. A Underground Ducts Forms & Footings Ducts Slab Grade 4 Return Air Steel Combustion Air Roof Deck S"- Exhaust Fans O.K to Wrap -7 F.A.U. Framing Compressor Insulation -2 5 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath —Q Drywa -,Int. Lath ouriv5 �-� Final Final BLOCKWALL PPROVALS 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 �_� Q Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) o ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Vottage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power frinai' Utift Notice (Perm) COMMENTS: Y • P.O. 4BOX15044"APPLICATION78-495 CALLE TAMPICO ONLY Building1_ LA QUINTA, CALIFORNIA 92253 Address Owner / �� BUILDING: TYPE'CONST. OCC. GRP. MailinAddress ^�i�o' ��!C1l2_ t(�t� A.P. Number Z;p fel 2Z� 6' Q _ egal Description _ Project Description �t(y1,\Q Zip State Lic. Lla p & Classif. Arch., Engr., Designer Address City ZipI State I Lic. ff LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70X0) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. DATE SIGNATURE \` OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buslnesa and Professions Code: Any city or county which requires a permit to construct, after, Improve, demOlh5h, or repair any structure, prior to Its issuance also requires the applicant for such permit to fit@ a §igred 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 the alleged exemption. Any violation of Section 7031.5 by 'any app.l_.. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($400). 1-1 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 improvement 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') I, as owner of the property, am exclusively contrjlcting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions gods: The Contractor's Ucense Law does not apply to an owner of property who builds or improve? ip§r oon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor'§ Lig@fi§g Law.) 17 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of 90n3gn1 to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof, (Sec. 3900. Labor Code.) Policy No. Company ---.—. n 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 the Work, for which this permit is issued, I shall not employ any person in any manner so as to become sgbjgct to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you sho-yid become subject to the Workers' Compensation provisions of the Labor Cgde, you must (gRhwiM comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1hereby 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. Size New No. No. Dw. Stories 1 Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk, Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL - ---- _. REMARKS ZONE: _ --415 BY: Minimum S_ etback 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: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Notice: Document Cannot Be Duplicated Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/31/98 APN # 773-085-017 No. 17427 Jurisdiction La Quinta Owner NameCoachella Valley Housing Coalition Permit # No. 51-345 Street Avenida Velasco Log # City La Quinta zip 92253 Study Area. Tract # Type of Development Comments Lot # Square Footage 1,215 . Single Family Residence 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: EXEMPTION NOT APPLICABLE ; This certifies that school facility fees imposed pursuant to Government Code 53080 ount of �.—in`tlie az 1.93 X 1,215 or $ 2,344.95 the property listed above`aq.a that,building; " permits and/or Certificates of Occupancy for this square footage in this proposed proiect'iiriay n5W be,7sued 'l Fees Paid By CC/Bank of America/David Brudvik r'T*-�1 e�phone�—`347-`3 157 ~'- ' Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $2,344.95 Signature (��lda4-�, Check No. 2009916227 (NOTICE: Pursuant of A*mbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run frVm the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Coachella Valley Housing Coalition i Plaza 1, 4S-701 Monroe Street, Suite G., Indio, .CA 92201 TEL: (760) 347-31 57 FAX: (760) 34276466 i ATTORNEY-IN-FACT AGREEMENT. I/We hereby appoint COACHELLA VALLEY HOUSING COALITION, . and/or any of its authorized agents as my/our attorney -in fact for the purpose of executing any notices of completion, waiver, of liens and/or executing contracts with subcontractors, and/or release of liens and/or handling building permits relating to that certain real property described below. All that certain land located and being in the County of Riverside, State of'California, described as follows: r (. PLEA SE SEE ATTACHED "EXHIBIT A Vlq2 ' 1 /IA Date Enrique Barajas Date Maria Barajas fAsfamily\anna\miscfor\affnyfa 1 L`� STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA BERMUD_ AS . LA QUINTA CALIFORNIA 92253 �._� . 760S64.D884PHONE ,0 760.771.3606 -FAX O -WISH@CWIA.COM f June.24, 1998 3 t'(S V G, V Eloy-,$ C ,0 Mr. Daniel Crawford - Inspector City of La Quinta Department of Building and Safety 78495 Calle Tampico La Quinta, California 92253 Regarding: CVHC Plan. 320 and 420 - Truss Calculations — Group 8 (Typical all La Quinta Projects) Dear Daniel: I have reviewed the truss calculations from Imperial Roof Truss which is to be used for the roof construction of the 3 bedroom and 4 bedroom homes in La Quinta. The truss calculations labeled "320 Plan" are for the 3 bedroom plan that is associated to the "96-051" job number listed in the lower right corner of the architectural plans. The "420 Plan" truss calculations correspond to the "96-052" 4" bedroom drawings. . I have reviewed the -truss calculations -to -co fi the -rapacity -of -A --design -loads -drags -and-bottorn-chord loaded girder trusses. I have found each to be in compliance with the intentions of the structural design. I have also verified that the roof dead loads used in the design of the trusses exceed the design loads on the structural calculations. The truss calculations are more conservative and therefore acceptable. The Truss calculations will be used the self-help La Quinta Project - Groups 4, 5, 6; 7, 8 and 9. Each group will use the same plans as those mentioned above that these truss calculations conform to. I have provided a separate letter referenced above for each group. These are intended to simply the City's records and allow a separate approval for each block of homes. Coachella Valley Housing Coalition can provide the addresses for each lot in each of the groups listed Please contact me at your earliest convenience if you should have any questions or additional requirements. Sincerel , De s S. Wish PE Stnictural Engineering Consultant F ESS/0'V c,3 DENWS S. WISH G, No. C•041253 Z Lu L 3 —NIL 7 j �A w t � STRUCTURAL ENGINEERING FOR • CUSTOM HOMES • REMODEL • COMMERCIAL • LIGHT INDUSTRIAL • SEISMIC RETROFIT & REPAIR - UNREINFORCED MASONRY • RETAINING WALLS 8 FOUNDATION •REPORTS: DAMAGE ASSESSMENT - NEW ROOF - INSURANCE CLADM - DENNIS S. WISH P.E HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983 qt A yrs THIS ATTIC HAS 77 BEEN INSULATED T0: This attic has been insulated to the R -value INSTALLED BY: ,4DIyf11VCED INS-EALLAT ONIV 81-771 Oleander, Unit V Indio, CA 92201 BUILDER: ©/ �r>2iLG2G CERTIFICATION: indicated above, with Cocoon'; the high -efficiency This is to certify that attic insulation has been installed insulation. Made from a minimum of 80% recycled materials, Cocoon is scientifically formulated m conformance with the coverage chart recommenda- i; to deliver greater efficiency per inch than other tions on the opposite side of this card using _,& bags insulation materials. to cover sq. ft. to obtain an R -value of �g R -value is a measure of resistance to heat flow — the i higher the R -value, the greater the insulating power. /Z -of If you would like to add more insulation to your I TAL S AUTHORIZED SIGNATURE DTE ate" home, contact your Cocoon authorized dealer. 4 y }�{ RE ID CE ADDRESS: r x3' BEEN INSULATED T0: This attic has been insulated to the R -value INSTALLED BY: ,4DIyf11VCED INS-EALLAT ONIV 81-771 Oleander, Unit V Indio, CA 92201 BUILDER: ©/ �r>2iLG2G CERTIFICATION: indicated above, with Cocoon'; the high -efficiency This is to certify that attic insulation has been installed insulation. Made from a minimum of 80% recycled materials, Cocoon is scientifically formulated m conformance with the coverage chart recommenda- i; to deliver greater efficiency per inch than other tions on the opposite side of this card using _,& bags insulation materials. to cover sq. ft. to obtain an R -value of �g R -value is a measure of resistance to heat flow — the i higher the R -value, the greater the insulating power. /Z -of If you would like to add more insulation to your I TAL S AUTHORIZED SIGNATURE DTE ate" home, contact your Cocoon authorized dealer. J Cocoon Stabilized Insulation 30 lb. bag � Ma+rz+jacrured By: ` GaREENSYONEC•." R -Value at A LOUISIANA-PACIFIC COMPANY Net Coverage No Adjustment for Trusses T + 1 cry l Gross Coverage Based provided by installing the required number of bags 30.6 + Temperatuie Installation of the required number of bags may yield 2' ■ 6' Trusses on 16' Centeto rs more than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will be influenced - by job conditions and application techniques, and may vary as much as 10% without significantly Installed 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 minimum thickness may 'I result in a lower installed R -value. Compaction may / occur during installations above R-30, requiring more TM than the stated number of bags to obtain the ' minimum installed thickness. 'k. J Square Feet Required Per Installed GreenStone and Cocoon are trademarks of Per 1,000 Resistance (F) of: J Cocoon Stabilized Insulation 30 lb. bag � Ma+rz+jacrured By: ` GaREENSYONEC•." R -Value at A LOUISIANA-PACIFIC COMPANY Net Coverage No Adjustment for Trusses NOTE: This coverage than compensates for settling 1 cry and is for estimating purposes only. Stated R -value is Gross Coverage Based provided by installing the required number of bags 30.6 per 1000 sq. ft. at a minimum installed thickness. Temperatuie Installation of the required number of bags may yield 2' ■ 6' Trusses on 16' Centeto rs more than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will be influenced - by job conditions and application techniques, and may vary as much as 10% without significantly Installed 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 minimum thickness may 'I result in a lower installed R -value. Compaction may / occur during installations above R-30, requiring more y than the stated number of bags to obtain the ' minimum installed thickness. 'k. J Square Feet Required Per Installed GreenStone and Cocoon are trademarks of Per 1,000 Resistance (F) of: GreenStone, a Louisiana-Pacific company. O 1997 J C] ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value at Net Coverage No Adjustment for Trusses ` 75°F Mean Minimum Gross Coverage Based Maximum Net 30.6 Minimum Weight Temperatuie Thickness 2' ■ 6' Trusses on 16' Centeto rs Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minim:Im Bags Square Foot of Bags Required Insulatior Should Not Be Square Feet Required Per Installed Square Feet Per 1,000 Resistance (F) of: Less Than: Per Bag 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 r 19.4 .583 56.7 17.6 1 1 GreenStone Industries, Inc. All rights reserved. ` Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) • o 8.97-TT/G•A 30.6 R-1 3 (2 4) 36.1 3.5 51.4 R-20 ■ f 9 r a � r (2 K 6) 5.5 32.7 30.6 .917 36.1 27.7 ■ f 9 r a � r