The URL can be used to link to this page

9807-199 (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 OV14C 12131/98 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, 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, 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 ex mpt under Section B&P.C. f r -t is reason JI6ate i 747 e? 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 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. 1•'1:ailf)7 4"370 iii) 96 (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, II halth comply with those ibate: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employerto 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. , gnature (Owner/Agent)/:-A.�`. Date f •r:., BUILDING PERMIT PERMT# y. ;.eCONTR°`" ;� ,+ 98117-1.'1.9 ,z.J DATE f VALUATION LOT TRACT' ^' � 2 3 1 c JOB SITE ADDRESS 58_4i30.WaaNH)A Vlili,riSCO APN 773.091-008 OWNER CONTRACTOR/DESIGNER/ENGINEER 46-723 CLINTON S1'. 4200 45'7131 11 ONiIOE ti:l' IMT 43. � . I1�1.1?1. CA 92201 •1N171CJ CA. 922.0`1 � '.z �760)347-3157 CBU ' f 4, USE OF PERMIT SINCYUI .FAMILY DW I'.Ir1. IFIL; Tk-Y1' ^ k'.t.R<11 UT 1.30E S NMI lf+f(rCWE .Cdl.,0CK -WAU OR L"0,0L. � 19% P ALV CHECK "'DUCTION f1 PLLM � . AUG, 0 5 19.9 `ilttls""�.€p)�:�::fiu�TCt.'�"a:•!'.iGnT 1.31)'b',(3U :��' 1't�.1CC,'.tilf'A.I �� ISy,t3f1 c�.fi ,� p C. rARACiIs"t`CARP'!:' S 17:ai1i ltfr �6 I& � �pU}Y� d OF � , �'G6 a •� i ESTIMATED COSSTOF CONST RUCTION .94V,.50 ITIRM'T i FIRE S@.1,IVdMi9RV c.+ i.iS t`.ti.E1C rIt�1N i 7's : iol-000-438-000 SMI(g) n1 AN (if MIRO . RE 10J, -W, , -.439-318 $11823 A.117CI.AAi�Crl3, .:L 101-000-421.0110 $40.50 1~1.8C R C AL VC1.9, lai $1.19.41 PLUMBING IFFE 991-000.419-900 S11I.50 S°t.RO'�Cy MIU i -IN I Pte. .ltRSity t01-aOW,241.000 $8.29. GRAIDING 1.0 1014M-42,3-000 MAO TPiF !<r>.S'TkiC"'Cf)R:r:.I�4is 22J-00(1-14'32- PRFC.I.SE PL, AN 1111.-tlat? s1�1-3�f5 $25.00 rS:RREJC'€ION AND €'?.t.1N Cid C1~" LESS '!'1'.E -PAID FEES . WOO T(?'>`M, Pi dR;l lff 1" IN RS1,013F. NOW x2e��4.C►!5 RECEIPT DATE By / DATE FINALED INSPECTOR y.. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms 8 Footings L Ducts Slab GradeReturnAir Steel 01—Combustion Air Roof Deck _ / _ F Exhaust Fans O.K. to Wrap _, s— F.A.U. Framing 6 — Compressor Insulation 6-y& — Q �r S7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath — -Q Drywall - Int. Lath Final Final a !t BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings �_?—�iQ $ 7 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 (_71T Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power t Final _ Utility Notice (Perm) COMMENTS: Building ArltlrPts t Twyl " P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO �I� o LA DUINTA, CALIFORNIA 92253 l Cn0 l St. �d•t Mailing Address .0q L_ 04 -is V) City Zip • b ZZ.O Contractor l Address State Lic. City & Classif. Lic. N Designer Address BUILDING: TYPE'CONST. OCC. GRP, City ZipI State I Lic. q LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) 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.Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to *its Issuance also requires the. applicant for such permit to lila a signed statement that he is licensed pursuant to of the provisions of the Contractor's License Law, Chapter 9 (commenting therwithefrom, Section 7000) is Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, entl the basis for the alleged 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). 1_1 1, 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 Co Professions de: 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.) I'I 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 not 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.) 11 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Worker's Compensation on Insu have a ce, or a certificate certifiedicopy thereof. (Sec. 3800, LLabor Code!ets of consent to or a j Policy No. Company r.] Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of-thq 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 Cali ornia. Date—Owner NOTICE TO APPLICANT: It, 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 Ihereby 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 a0plicant Date Mailing Address City, State, Zip Number --i _% 2> -09 1— W 24>, Description :t Description S�YISt � ��{1r�.1y► �ESiC�eC`�e Sq. Ft. i Size I No. No. D4. Stories ( Units New,Z 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: 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 INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION a I Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 . CERTIFICATE OF COMPLIANCE Date 7/31/98 No. 17430 J u u a Owner NameCoachella Valley Housing Coalition Permit # No. 51-400 Street Avenida Velasco Log # City La Quinta , zip 92253 Study Area APN # 773-091-008 T risdiction La Q int Tract # Lot # Type of Development Single Family Residence Comments Square Footage 1,302 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 Yin`the :�airiount,of 1.93 X 1,302 or $ 2;512.86 the property listed above and that building - (t permits and/or Certificates of Occupancy for this square footage in this proposed project 6ay now7be issued " i Fees Paid By CC/Bank of America/David Brudvik iii: l.J TelPplcone 47-3Ti 57 ` ` Name on the check By Dr. Doris Wilson 4 wl''•�``='" Superintendent Fee collected /exempted by Juanita Green Payment Received $2512.86 Check No. 2009916227 Signature (NOTICE: Pursuant of Asobmbly 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 from the dale 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 Districl('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 t Y Coachella Valley Housing Coalition Plaza 1, 4S-701 Monroe Street, Suite G., Indio, CA 92201 TEL: (760) 347-31 S7 FAX: (760) 342-6466 G ATTORNEY-IN-FACT AGREEMENT Me 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: (PLEASE SEE ATTACHED "EXHIBIT A") 14 Date Miguel Angel Isijara Garzon -l9'-9�' _ - - Date Maria Evelia Isijara fAsfamily\an na\miscfor\attnyfa 4 STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA BERMUDAS. LA QUINTA.CALIFORNIA 92253- ` � �---,--�.--- � �.�._._-•.... ..760564.0884 ANON E .! 780.771.3606 FAX ! . W J SH @1 C W l A .COM June 24, 1998 �'1 "oo VES V FLA!S o : Mr. Daniel Crawford'- Inspector City of La Quinta Department of Building and Safety 78-495 Calle Tampico La Quinta, California 92253 Regarding: CVHC Plan 320 and 4207 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 comer of the architectural plans. The "420 -Plan" truss calculations correspond to the "96-052" 4 bedroom drawings. t I have reviewed thetrass calculatium-to-confirmthe7capacity-of-aii-design-loads -drags -and-bottom-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 canprovide 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. De is S. Wish PE Structural Engineering Consultant F -,-()FESS/0 <4 DENNis S. WISH N0. C•041250 w S XP IV—IL I cA L STRUCTURAL ENGINEERING FOR • CUSTOM HOMES • REMODEL • COMMERCIAL • LIGHT INDUSTRIAL i SEISMIC RETROFIT & REPAIR • UNREINFORCED MASONRY • RETAINING WALLS & FOUNDATION • REPORTS: DAMAGE ASSESSMENT • NEW ROOF • INSURANCE CLAIM • DENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983