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9807-201 (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 4�tif4iL.. 1.1.E e.Ii}�uY 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: Yl ( ) 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 offer; d•for sale (Sec. 7044, Business & Professionals Code): , (y) I, as owner of the property, am exclusively contracting with 'licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( I am e� a pt under Section. , B&P.C. f r•th"s reason ' ate YA 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. (+r), 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. I �ZUv1 qS pltltlI A20 Mi-f•T'7 •ACJ14f l7ll _idi (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 sh II forthwith comply with tho provisions. Date: Applicant-�- n� secure Workers' Compensation coverage is unlawful and Warm g p 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 •ns ection purposes. t gnature (Owner/Agent)'"' Date PERMIT# $ CONTROL# BUILDING PERMIT �t��xfaa DATE VALUATION LOT TRACT 72 ADDRESS .51.440 t,.�o��.Et'I��r�.��3!aU-AM-110 APN �.� OWNER CONTRACTOR / DESIGNER / ENGINEER .t"ir MItit.i.J\-? vpli.r�.�r'r7 IrAVN+E 1t UILICIER iVI ti.r.��dTC 47- i ay VAN .6UI« :til l;.% 442 ivTONWE S".i' S*1*1, +.'s' INN() CA 92,201 INIJ10 CA 9270.1 t 1,76im f-:1157 (11BI.X USE OF PERMIT StAlti.,f:: k'.1htlL.1' tiiVvE:LL,iNc�l t"L4!!\fl.lIhJ.L..iN(7JAli1lIAfUS.ILt.JCKWALL 1l PAL -7 �•Ittic:x. k11:�t,1�^:t i{:'r4d ��t••irt,.r�. � n 1'1'cA(,'i'Cu"NS'dRUC'Tie:riv" f 4it .t S .siTY OF L° tNV( Ac3f C ARP0R'3 � t7,t�E► �3�; w r � C't_NSTRt. CTiON FEV 101 -OW -418-000 0 PIAN 4711—EC'N IFFE, 14 C1°4ttxVY4 Ai. a t 1411 t3fJ .,j a..30t3 101 M-9-421-000 ? I?i.2 0. ;- L+Li+c,"1'aiTr.At, til i i.4:i, 4k?�4�U.10 00 $119.41 PLLfMT31NO1-fic. 1.01-th`143-419-404143 8TRO,T40 MOTICYN 17fT, - IMS11? 10.1.MO-241-4)0(1 GR.AOING ME 11)14£31)3 -42 -1 -ON $20.00 t.Ntr A,ks'.FlCt fG`ruRL: t= 2234100- w -k -'a,12 $1,81$.±2. - •12 101-M, 0-441-345 SMS ,t+t1 SI 8mA�N�1C1(�Y€6 LESS f"PIE-PAID F1, 3 Z I RECEIPT I DATE I By " r I DATE FINALED I INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs A Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck — /j — 9 S 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 T F Drywall - Int. Lath 2=i3=L ( _ Final Final za t POOLS - SPAS BLOCKWALL APOROVALS Steel Set Backs _ G_ �% �` 5 Electric Bond Footings 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 �G�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 —/ — Encapsulation Gas Piping Gas Test. DEp Appliances f Final COMMENTS:, Final 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 Fidwl 10tility Notice (Perin) Notice:: ' Document Cannot Be Duplicated Date 7/31/98 Desert Sands Unified School District 47-950 Dune'Palins Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE APN # 773-091-010 No. 17432 Jurisdiction La Quinta Owner NameCoachella Valley Housing Coalition Permit # No. 51-440 Street Avenida Velasco Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 1,302 Type of Development Single Family Residence No. of Units 1 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 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 in the'ai�Olint;; f 1.93 X 1,302 or $ 2,512.86 the property listed above and that4buildinq Permits and/or Certificates of Occupancy for this square footage in this proposed -project may -now .,wVbe ssuea,' tl Fees Paid B CC/Bank of America/David Brudvik l4Z"3'1'5 r ' Y ,Telepho�3 34 Z"3 15; � Name on the check Q= By Dr. Doris Wilson Superintendent Fee collected /exempted by Signature Juanita Green Payment Received $2,512.86 Check No. 2009916227 s . cNOTICE: Pursuant of Ass 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 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 wllect 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 Plaza I, 45-701 Monroe Street, Suite -G., Indio, CA 92201 TEL: (760) 347-3157 FAX: (760) 342-6466 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: p :'` rLOTj 23 OF BLOCK 61 OF.UNIT 5 OF. SANTA. CARMELITA AT. VALE LA QUINTA, AS�SHOWN BY'MAP RECORDED-IN BOOK 18; PAGE 63 OF MAPS; RIVERSIDE. COUNTY RECORDS. Date HECTOR AQU NO AGUILLON fAsfamily\anna\miscfor\attnyfa STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA BERMUDAS. LA QUINTA CALIFORNIA 92253 ..760S64.0884PHONE .f 780.771.3606.FAX *..WJSH�CWIA.COM June 24, 1998 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 420 - Truss Calculations — Group 8 (Typical all La Quinta Projects) Dear Daniel: p 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 -coni thE-capaeily-of-all-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 can provide the addresses for each lot in each of the groups listed Please contact meat your earliest'convenience if you should have any questions or additional requirements. Sincerel , De s S. Wish PE Structural Engineering Consultant — F not ESS/pw DEn;diS S. wjN. Z N0. C•041253 LL U, P. tiNIL 7 i \ 1 CA IF STRUCTURAL ENGINEERING FOR - CUSTOM HOMES • REMODEL - COMMERCIAL -, LIGHT INDUSTRIAL • SEISMIC RETROFIT & REPAIR - UNREINFORCED MASONRY - RETAINING WALLS 8 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 COCOO THIS ATTIC HAS BEEN INSULATED J -6 'REIDENCE ADDRESS: INSTALLED BY: T0: ADVANCED INS7=TIONS 81t 7 71 ears er, t7fill hnft�, CA 92201 BUILDERkC� 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. 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 J ?k hags to cover ft. to obtain an R -value of IN TAC 'S AUTHORIZED SIGNATURE &TE/ • , , ' f , , - 7 TM 0 0 Cocoon Stabilized Insulation r Jfanufacrured By, 30 lb. bag GREENSTONEC•:T" r A LOUISIANA-PACIFIC COMPANY V 7 NOTE: This coverage chart compensates for settling �t „J and is for estimating purposes only. Stated R -value is Irl provided by installing the required number of bags } per 1000 sq. ft. at a minimum installed thickness. Installation of the required number of bags may yield 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 + 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 result in a lower installed R -value. Compaction may l occur during installations above R-30, requiring more r. than the stated number of bags to obtain the c. minimum installed thickness. r> GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company. © 1997 ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART FI -Value at FI-VMean Net Coverage No Adjustment for Trusses • Printed in USA. RV 30M 8/97. Minimum Gross Coverage Based on Maximum Net R-13 (2 x 4) Minimum Weight Temperature Thickness 2'x 6' Trusses on 16' Centers R-20 (2 x 6) Coverage 5.5 Per Square Foot rte.,. 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 Bag 1,000 Square Feet Insulation Per Bag Square Feet (inches) Should Not Be Less Than: jibs.) 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 GreenStone Industries, Inc. All rights reserved. • Printed in USA. RV 30M 8/97. Sidewalls (pressure filled -density 2.0 PPCF) 8-97-TT/G-A R-13 (2 x 4) .917 3.5 51.4 R-20 (2 x 6) 5.5 32.7 rte.,. Il �! is ffr w r J 30.6 .917 36.1 2i., is ffr w r J