9706-110 (AR)LICENSED CONTRACTOR. DECLARATION'
I hereby affirm .under penalty of perjury that I*am licensed under provisions of
Chapter 9,(commencing withYSection 7000) of Division 3 of the'Business and
Professionals'.Code ; and my License is in full force and effect.
License # Lic. Class Exp. Date
c
296-166 t 10/all
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:
( ) . l,. 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). 6- '
() I am exempt under SectionB&P.C. for this reason
Date 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:
Cartier Policv No.
S'FA''i" 3 FU10
1 4271340
(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 agrees that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
bode, I shall forthwith comply with those pro isions. f
JDate: f !l �l a p Applicants /�'� E,
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.1 agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives°of this City to enter upon
f e above-mentioned property for inspection purposes.
Signature (Owner/Agent){ i`� �` �'' A', Date
BUILDING PERMIT PERMIT# CONTROL#
(��1 PERMIT
9706410 5373
DATE 6/16/97 VALUATION S1,"310 LOT TRACT
JOB SITE
'ADDRESS 544,25 A��l!eNWA E—LASC O -
APN 774-21,"26
OWNER
CONTRACTOR/DESIGNER/ENGINEER
R0'SSM1'A D1NTiC1'l. A
EA4s"i' VALLEY CONSMM1t,...'10N
54025 AVENIDA VtiLASCO
54880 AVS. ALV,l11YADO
1.,A QUR.%'1'A CA. 92253
LA Qi.11t+f :'A. CA. 92253
(M01554-4944 CfiL4 t061
USE OF PERMIT
�11fL)fsl •
AI31i1°t'ION 2.1-00 SH
PLAN �T1.ECK 1 101-000-439-31.8 = $21.45
X zTRtVGt'[CtgFEE-OW41R-O SIV3M�
M;., iAINCAL > �A $21.50
l tW CitCC.fal,.l'4 is , 10`.i.;•(1(A)-Q0-000
}�,CJi�ti�iT�l�'# 1a'EL•; lfJ3-ti0G-X139-U11Q $2f.4w
S"R. Na 1vkGTKIN 1UE-1:z;ESID 101.0 3-2x1'1-000 $:s4
y
\*4,1JB-TY)'1AL►.;t NSTRt MICIN AND PLAN C iCK
S1(3.29
LESS' PRE -i .AID FEES
;r
1TEN 1()!'li+:NOW
$113.29
C§1
RECEIPT'
DATE
8Y
DATE INALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
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. Lath
Final
Final
POOLS - SPAS
BLOCKWALL A P OVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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
Encapsulation
Gas Piping
Gas Test
Appliances,
Final
COMMENTS:
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
Final
Utility Notice (Perm)
r
Desert Sands Unified School District
Notice:
82=879 Highway 11'1
Indio, CA 92201
Document Cannot Be Duplicated r
• . 619=775-3500
CERTIFICATE OF COMPLIANCE
Date 6/16/97 - APN # 774-214-1026
No. 15665. Jurisdiction La Quinta
Owner Name Rossetta Dimicelli r Permit #
No. 54025 Street Avenida Velasco Log #
City La Quinta zip 92253 Study Area 110
Tract # Lot # Square Footage 24
Type of Development Residential Addition 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:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
0.00 X 24
or $ 0.00 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now le;,issued
Fees Paid By n/a
r
X564-48#4',.
:.Telephne
Name on the check
By Dr. Doris Wilson
Superintendent'
Fee collected /exempted by
Pauline Pearson Exempt $0:00`
Check No. n/a
Signature P&_Lj_-L6AL
� Al AAAA-
10TICE: Pursuant of Assembly 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
bove 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
oiled them on the Dislricl('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 `
7011T�ff .
IL
Ilk
_ 12
M� 4 CO.V Fs
. � oo � . IV SW FO oTcivG S
• � N � � � l�� tis � p � _ u
EXIST/A.1[sMIN"tt MA'
f 14OUT'• `� 1 tit i�'��. h C f
r
1. •.
'
1
TOP-OF UPPER
TOP PLATE
BRACED WALL PANEL, TYPICAL
TIE-DOWN DEVICE
WITH AN APPROVED
UPLIFT CAPACITY OF
1,800 POUNDS
TYPICAL AT EACH
OPENING.
END OF,EACH PANEL
b
I _
I ,
,
BOTTOM OF
MINIMUM
SILL PLATE TYPICAL
3/9-INCH-THICK (MIN.) WOOD STRUCTURAL PANEL
SHEATHING NAILED WITH ad COMMON OR GALVANIZED
BOX NAILS NAILED IN ACCORDANCE WITH TABLE 23-1-0
TWO ANCHOR BOLTS, ONE AT EACH PANEL
AND ALL PANEL EDGES TO BE BLOCKED, TYPICAL EACH
QUARTER POINT, INSTALLED IN ACCORDANCE
BRACED WALL PANEL
WITH SECTION 1808.8, TYPICAL EACH BRACED
WALL PANEL
ONE-STORY BUILDINGS
For SI: finch = 23.4 mm. I foot = 304.8 mm. I pouts = 4.45 N.
ALTERNATE BRACED WALL PANELS
Figure 2326-19
(Figur continues on page 325.)
A L_T N r��
X324