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9802-126 (AR)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapt- 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 -1�"iG� 33 - t►i3t1��i+ Signature of Contractor` OWNER -BUILDER DELLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 exempt under Section B&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: Carrier Policy No. I WA11n.103 OrN FILE (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 shalVforthwith.comply with those provisions. (Date: �' Applicant f_ ` �✓� Warn!g: Failure to secure Workers' Compens titin 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 ofIsuch 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,4 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. VSsignature (Owner/Agent) � � /�✓� Date'O' X ” BUILDING PERMIT PERMIT, CONTROL#, 11402-126 DATE 1" VALUATION 1;3,261 90 LOT TRACTQ.8 9 68 Q ADDRESS JOB SITE APN 646-:110-037 OWNER CONTRACTOR / DESIGNER / ENGINEER 1,() 11AR J Mikl,Jt VA81 KAY #8141..(:' 1A,1r 8EKJ ,NAS I `J210 I''k1:iRON1114% ,t W1. j 9y LA Q111MA ` n 9Wq USE OF PERMIT PAT O L'f4iCLOSijkk� ADDING 1.7,4 0L.1't'RN0 t Rrii, BONIXY, ROOM SIF V-STVAIA'.1 ED COSIT OF CIONNXMI CT TON PLAN 47HO-7.E; FEE, 101 (1iJ(�-�1�41-:(!� `!♦4U.�`� 00iVRTIfJFa'•i'1;O,14 rW- l0i-INNS-41Q.d )n 11AI0i NIX"'(1fVI€CAL UFT, 101-000-421.000 1, i9 S7RONQ MOTPON JiFEo' - RES.lu 101-000-241-000 �. sa 1J > Ss. J-11 )1f;A1,�'IQMIZilJK11"1f?N1.A NIF) MAN(IRT"C11K }}' ��� {gypp P�yy �{{ f[ L S �(�1�.'r"r�A.(� �p /y{� � (g) { f°�'J,: . TOTAL P>;.;RMU Vi4 E -S OUR, NOW ®nt � g, r TY Orr I.r� RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings a' Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. 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 BLOCKWALL APPROVALS 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 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 K H14 Notice (Perm) COMMENTS: LICENSED CONTRACTOR DECLARATION 1.,,I.horeby 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 424048 B 6/30/98 Date Signature of Contractor OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) . 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 exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION 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 N, Policy No. E} DAPTION ON FILE (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 those provisions. Date: 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, indemnity & 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. Signature (Owner/Agent) Date i r1 Le BPERMITq CONTROL# BUILDING PERMIT - 9802-126 ^ DATE 2/25/98 VALUATION S3,261 go LOT TRACT 6 89 8 V V JOB SITE ADDRESS 48-141 CALLE SERANAS APN 646-110-037 OWNER CONTRACTOR/DESIGNER/ENGINEER LOTHAR & MARN VASHOLZ LARRY GUMTZ CONSTRUCTION 48141 CALLE SERANAS 15320 PATRONELA AVE. LA QUINTA CA 92253 GARDENA CA 90249 (310)679-7113 CBL# 2789 USE OF PERMIT ADDN PATIO ENCLOSURE, ADDING 94 S.F. OF LIVING AREA. BONUS ROOM 94.00 SF ESTIMATED COST OF CONSTRUCTION 3,261.80 PERMIT FEE SUMMARY PLAN CHECK FEE 101-000-439-318.' $40.95 CONSTRUCTION FEE 101-000-418-000 $63.00 MECHANICAL FEE 101-000-421-000 $21.50 ELECTRICAL FEE 101-000-420-000 $18.29 STRONG MOTION FEE - RESID 101-000-241-000 $.50 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $144.24 LESS PRE -PAID FEES $0.00 TOTAL PERMIT FEES DUE NOW $144.24 RECEIPT DATE BY DATE FINALED INSPECTOR Desert" Sands Unified School District Notice: - ,82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 2/25/98 " APN # 646-110-037 No. 16673 Jurisdiction La Quinta Owner NameLothar and Maj1 Vasholz Permit #9802-126 No. 48141, Street Calle Seranas Log # City LaQuinta zip 92253 Study Area Tract # Lot # Square Footage 94 Type of Development Residential Addition yp p 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 94 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 be. issued ' Fees Paid By. N/ATelephone 31'0-679-7113 Name on the check By Dr. Doris Wilson Superintendent ` Fee collected /ex pted by Ellen Patino Exempt $0.00 Check No. N/A Signature OTICE: 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 3Ilect 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 CITY OF LA UINTA BUILDING & SAFETY DEPARTMENT CONDITIONALLY ACCEPTED FOR CONSTRUCTION SUBJECT TO INSTALLATION AS PER AND ALL APPL{CABLE CODES I 1 •—T- i I r I �%�G'o ��'vi S.E� , ./-�D.D%1`io�✓,r�o�,v``' %vr� - � --; -!- •1- _ ,---L-'�--r - - � - -' -- - ;--•,--; -�. r 41.._I -_.i..// y 1 , i ct _ 7-o MA sfi _ :qAqi : �•� � I !� ` '. ,I;DOVyi ' I rh i' t tNT S�?✓�fv><t -'1'D i'' j � ; C '� -! :;• 1' a. ' ; �, � • Q_ , k ;---' ----�,�-'-' - - ;..: ;rS • 2' Pl R - - - •-I-- �5�� ,-;,thy-iZ =;-;- - -�' -;- '--- , : o � ! :i- rt _. -I ,. • AXI - - (l44�— r: , I � I I _ , I If i- 1 I ; , I - — — I , I i i � J _I. i._! ;_ .. __ . i I •__? G I .1 ;__; i- , �! � � I_i. �! i � I_j_ _�-I.i1�S!V1%R'I�OK..I0._Ctu+r,.-'-� , I I ! L J.. a13A1 I !. I I ! ; I j ' .; ! ��U � ! i�_I i �! i i I ! I !_TL.1•� : 1 ! ' 3• �61�►ov.6:97A16rCNG!SL'AL31�s`STucc`t3'-� �,. i _ _ _ _ - !� alai Cs.�:CEi. F;b i_ to N R t iC3 A is .T,o 13t Ac`AN _ iq_ � ; � ;,�7-� �oi� ;wh�L s v :_t�;ey;'w 1 v I • ,•_. __�-` —�..J_ ' _.! V�_�Ei •+-�l� '!�'-s' f C ASO, -V �.�T..:f Mid ; �� iR �! p� (ir _(P: L%_ •.�_j ' r {._! _ ' ` '. -I � i• I ,� E � }n,,`"I?f1'il:.�J � I i' ; I �_, _.!.._�_ i�.:_ 1If i—�----_ � ,._I ; IJ !_ I• I""!'-- __' 'i—i-� _I —.—.!. -_k �_.l I �_.I. I ' - ! t ' - i;Ll'_ t_11 `j• I , I _' i ic BY ! : • jj ' ! J I 1 -j..i. I. _�. :.� .'- I I TOP OF UPPER } TOP PLATE P BRACED WALL PANEL, TYPICAL TIE -DOWN DEVICE WITH AN APPROVED UPLIFT CAPACITY OF 1,800 POUNDS TYPICAL AT EACH OPENING' END OF EACH PANEL ' X U I , ---- BOTTOM OF MINIMUM SILL PLATE TYPICAL 9l INCH -THICK (MIN.) WOOD STRUCTURAL PANEL SHEATHING NAILED WITH 8d COMMON OR GALVANIZED BOX NAILS NAILED IN ACCORDANCE WITH TABLE 231-0 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 1806.6, TYPICAL EACH BRACED ' WALL'PANEL ONE-STORY BUILDINGS For SI: • 1 inch= 25.4 mm, 1 foot= 304.8 mm, i pound =4.45 N. ''• ALTERNATE BRACED WALL PANELS Fwlie 2326.19 (Figure continues on page 325:) =4 run caze of compliance: Residential oject t oiect , L/ (Daae I Or 2) CF -1 R Date rte. I Building Permit s G% Z - Plan ChecK/ Gate Telephone Fieid Check / Date �mpt epee Method 1 Pa ge. Point System or Computer) Clltnate Zone Enforcement agency use Only !ENERAL INFORMATION q�otal Conditioned Floor Area:/ ft2 'uilding Type:/ Single Family Addition ;heck one or more) Mufti -Family Existing -Plus -Addition =ront Orientation: North / East / South / West / All Orientations (Input orientation to degrees and cirde one.) ,4umber of Dwelling Units: =loor Construction Type: Slab / Raised Floor (circle one or both) 3UILDING SHELL INSULATION Skylight ....... THERMAL MASS Type/Covering Area Thickness - slab/exposed. tile. etc.)--(st) (inches LoCation/Description kitchen. batn. —t4ft= v. Awd dWWW71992 Construction 3omponent Insulation Assembly LocatiorvComments etc.1 Type R -Value LI -Value attic. to garage.typical. Wall .............. J .� 'PAP (GM, 22,L ........... Wal— D Roof ............. Roo Roof............. Floor ............. Floor ... :......... Slab Edge ..... _. FENESTRATION. Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type blind. etc.) (shadescreen. etc.) (yes/nal (metaltwood/vinyl) Orientation (sf) LI -Value (roller Front..... ( ) Front..... ( ) Left ....... Left ....... ) Rear..... (k) , 75 �5 Rear ..... (. ) Right..... ( ) Right..... ( ) Skylight ....... - Skylight ....... THERMAL MASS Type/Covering Area Thickness - slab/exposed. tile. etc.)--(st) (inches LoCation/Description kitchen. batn. —t4ft= v. Awd dWWW71992 Certificate of Compliance: Residential f _ —77--, _ (Page 2 of 2) CF -1 R Date HVAC SYSTEMS Nate: input hy4mic or mmonnsd hydroruc oats under Water Heating Systems. except Design Heating toad. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Puma. etc.) (AFUE/HSPF) tducts/attic etc 1 R -Value Tvoe Cooling Equipment Minimum Duct Type (air conditioner. Efficiency Location Duct Thermostat Configuration heat puma, evao. coohna) (SEER) (attic, etc.) R -Value Tvpe • (sold or package) WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity .Recovery Standby) Insulation Type d I Type in S stem or Btu/hr) (gallons) Eff iciency. Loss(%) R -Value 1. For @men gas storage (rated input s 75.000 BoAr), eisetNe resisunce and Met pump water heatws, list Energy Factor. For ia►ge gas storage water heetwu trdtad input a 75.000 Stumr). list Elated Input For Instantaneous gas wstw heaters. list Rated Input and Recovery Efficiency. Redovery Effiohnry and Standby Loss. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This cendicate of compliance lists Itis balding features and pertarma= specifications needed to comply wUh Title 24, Parts t and 6, of the CaGforma Code of Regulations, and Me.admirusuative regulations to implement them. This centficate has been signed by the individual wrath overall design resco nsaidy. • When ttus oendicate of compiwm is submitted for a single building plan to be built in multiple orientations. any shading feattue that Is varied is Indicated in the Special FeatureVRemarks section. Designer or Owner (per eusinesa a Professions Code) Name: Tide/Fimn: Address: Telephone: Lic. a: (signature) ' (dalla) Enforcement Agency Name: Tide: Agency: Telephony. • (sgrtattuerstamp) (�) IlevtsCd .Syn. �;r ", , , t Atilt Author - Nome: TidelFirm: Address: Ulephone: y /.��i� '►.LSI r � �