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0105-287 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Q4apter 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 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: ,Q) 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). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under Section B&P.C; for this reason; /t DateJ�fitt?IrF J Signature of Owner�r WORKER'S 1COMPENSATI0N DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) •1 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. (This section need not be completed if the permit valuation is for $100.00 or less). (a) I certify that in the performance of the work for which this permit is issued, 11s`hall 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., r # , Date: J 7 . 4" J Applicant i- .;%.; "/A; t .>..,....»..._.....-- ..�-,.........o.,,,,..,,,,,t�� Warning: Failure to secure Workers" CSmpensation.cover ,age is unlawful and shall subject an employer to criminal penalties and civil fines up Oo f00,000, in addltlon 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 )Signature (Owner/Agent.). Y ` a� ! M� \ ��' iDate - BUILDING PERMIT PERMIT# DATE r. VALUATION t� It1r�D°�e LOT TRACTJOB SITE ADDRESS �' APN OWNER CONTRACTOR/DESIGNER/EN (NEER ' r PA1,24 LIM= CA 92211 _11} -1 Uf00 5.5-3�- Ce� USE OF PERMIT ;pi3�fD-��Ij'�E *1+i4; T X' CLCIDV, BiAXI-K a`0':F:LL, �°l?OL SPA Cu. yp3,`.b'gC7�Ig3&S y.�RI C19'V.& APPROA1M. CUSTOM W:�StOTRUCTY,0?J 3,396.08 SP PORCHMA'TPO 471010 SY «Ii F,cYtCJ� tAi) MOD 8 f KIT V= 9UMMARY f, OWS'TRUC7'1014 P_`9 101-000-418-000 $1,336.00 A..A'N 4.:HMIK PFE 101-00"39-316 $I,6x.43 E DF -POSIT 101,000-439-318 47$I1.00 PARCHANIC.JA1..VZE 101-000-421-000 $111.50 ELECTRICAL FEA 101-000420.000 $106,32 f�16:�f1iR ML; 101-000-419-000 101-000.419.000 $183.00 St'kPONO MOTION FRE - MORD 10 � -000-24 j -000 $20.€1 Qr_qD!1V3 "r 101-000-423-000 $70.00 D-MrFIX)PER IMPACT FEE M,907.00 .AR.T M PUBLIC'P1,.f3.CLoS'- RESM 701-000-255-000ff 7 B-TOTAI. c:^OUCTIO r ASM TKAN CIM $5,094.33 MOV PRE,,PAID FRO 4750,00 v a: Nov 0 7 2D01'�,� RECpill EIPT DATE / / ` BY DATE A D IN TOR It *lc.Jr INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _ Forms & Footings —� f� _ Underground Ducts Ducts Slab Grade Return Air Steel Combustion Air Roof Deck O.K. to Wrap /���3 Exhaust Fans F.A.U. Framing -f � � Insulation _ �� Compressor 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 APPROVALS 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 Waste Lines �Q/���fj Electric Final Heater Final Water Piping f Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection �3 Encapsulation Gas Piping Gas Test _ Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole 17 /� Underground Conduit _��� Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) / Notice: Document Cannot Be Duplicated Date 6/20/01 No. 22147 Owner NameSteve Herthel Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE APN # 769-370-033 Jurisdiction La Quinta Permit # No. 54-354 Street Shoal Creek city La Quinta 1 Zip 92253 Tract # Type of Development Comments Lot # Single Family Residence Log # Study Area Square Footage 3596 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 in the amount of 2.05 X 3,596 or $ 7,371.80 the property listed above and that building 1 • permits and/or Certificates of Occupancy for this square footage in this proposed project may now be,issued Fees Paid By OC/Wells Fargo & Company - Sarah Herthel Telephone 760-772-1060 Name on the check w By Dr. Doris Wilson -� r Superintendent Fee collected /exem ted by Annette Barlow Signature Payment Received Check No $7,371.80 0689031831 IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identifed 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. ollect 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-BuildingDept./Applicant Copy - Applicant/Receipt Copy - Accounting Ai Stephen W. Herthel 76-334 Poppy Lane.-, Palm Desert, CA. 9221`4 760-772-1060 .,,/�A'pi 1 15, 2002 City of La Quinta Department of Building & Safety Attn: Greg Butler r� Re: 54-;54 Shoal Creek Building Permit #0105-287 The referenced permit was issued on November 7, 2001, and, as of this writing, we have not started construction. We are proceeding with our plans to construct this home but we have not been able to actually start the work.. We are planning to begin construction with the next 2 months. The purpose of.ihis letter is to request a three-month extension on our permit. Your consideration and approval of this request is appreciated. 5Stev s, 1 CITY Or LA QUINTA BUILDING & SAFETY DEPT. e APPROVED � � ;� �j � �- Y � a �/ E DATE �71OSr-By �►R�.S �� �otJsfR-�Gt►a�J rJol Symbols Numbering System A General Safety Notes - PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 1 3/4 ' Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties. Va+ �/s ~ C2 C3 J5 2. Cut members to bear tightly against each c other. O U � ��Z'3 3. Place plates on each face of truss at each O joint and embed fully. Avoid knots and wane O�� " U at joint locations. For 4 x 2 orientation, locate a 4. Unless otherwise noted, location chord splices C8 C7 C6 0 plates 1 /8" from outside edge of at 114 panel length (±6" from adjacent joint.) truss and vertical web. BOTTOM CHORDS A J8 J7 J6 5. Unless otherwise noted, moisture content of lumber shall not exceed 19`Yo at time of 'This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. • AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. 7. Camber is a non-structural consideration and 'For tabular plating format refer to the is the responsibility of truss fabricator. General MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in The first dimension is the width 4 4 to slots. Second all respects, equal to or better than the grade x perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING ICBO 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. Indicates location of required SBCCI 87206, 86217, 9190 spacing, or less, if no ceiling is installed, unless otherwise noted. continuous lateral bracing. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility of others unless shown. !TM M14. BEARING 13. Do not overload roof or floor trusses with stacks of construction materials. Indicates location of joints at Do not cut or alter truss members or plate without which bearings (supports) occur.MiTek Industries, Inc. prior approval of a professional engineer. 15. Care should be exercised in handling, erection and installation of trusses. TM HYDRO -A/R 0 PANEL CLIP ©1993 Mitek Holdings, Inc. GANG -NAIL Symbols Numbering System ® General Safety Notes • PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 13/' ' Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties. C2 C3 J5 2. Cut members to bear tightly against each 0 �.Z 3 0 other. 3. Place plates on each face of truss at each joint and embed fully. Avoid knots and wane O�'� " U at joint locations. * For 4 x 2 orientation, locate a 4. Unless otherwise noted, location chord splices C9 C7 0 plates 1/8" from outside edge of at 114 panel length (±6" from adjacent joint.) truss and vertical web. BOTTOM CHORDS A J8 J7 J6 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of 'This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. 7. Camber is a non-structural consideration and 'For tabular plating format refer to the is the responsibility of truss fabricator. General MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in The first dimension is the width 4 4 to slots. Second all respects, equal to or better than the grade x perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING ICBO 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. Indicates location of required SBCCI 87206, 86217, 9190 spacing, or less, if no ceiling is installed, unless otherwise noted, continuous lateral bracing. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility of others unless shown. !TM M14. BEARING 13. Do not overload roof or floor trusses with stacks of construction materials. Indicates location of joints at Do not cut or alter truss members or plate without which bearings (supports) occur. MiTek Industries, Inc. prior approval of a professional engineer. 15. Care should be exercised in handling, erection and installation of trusses. TM HYDRO -A SR ® PANEL CLIP ©1993 Mitek Holdings, Inc. GANG -NAIL -Symbols Numbering System A General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 3/, ' Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties. 1/8 V8� - c2 c3 J5 2. Cut members to bear tightly against each 0 0 0 other. 3. Place plates on each face of truss at each joint and embed fully. Avoid knots and wane O�" v at joint locations. -For 4 x 2 orientation, locate a 4. Unless otherwise noted, location chord splices C8 C, C, O plates 1 /8" from outside edge of at 114 panel length (±6" from adjacent joint.) truss and vertical web. BOTTOM CHORDS A J8 J7 J6 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of 'This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. AROUND THE TRUSS STARTING WITH THE LOWEST JOINT _ FARTHEST TO THE LEFT. 7.-'c 6mber is a non-structural consideration and 'For tabular plating format refer to the is the responsibility of truss fabricator. General MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS indicate minimum plating requirements. - 9. Lumber shall be of the species and size, and in The first dimension is the width 4 x 4 to slots. Second all respects, equal to or better than the grade perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING s A ICBO,,, -. 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. _ "` spacing, or less, if no ceiling is installed, unless Indicates location of required .. SBCCI 87206, 86217, 9190 otherwise noted. continuous lateral bracing. y WISC/DILHR y , 870040-N, 930013-N, 910080-N • , _ 12. Anchorage and/or load transferring connections to trusses are the responsibility of others unless shown. BEARINE!TM 13. Do not overload roof or floor trusses with stacks of construction materials. Indicates location of joints at 14. Do not cut or atter truss members or plate without which bearings (supports) occur.MITek Industries, Inc. prior approval of a professional engineer. - ® �® 15. Care should be exercised in handling, erection and installation of trusses. TM HYDROA 0 PANCLIP EL 01993 Mitek Holdings, Inc. �-�� CertifiC L te of �ccunanqy..f F Building & Safety Department This Certificate is issued pursuant. to ,the requirements of Section 909 of ythe California Building, Code, certifying that, at, the wtime, of issuance; this, struc#ure was in compliance with the provisions of the. Building. Code and the' various, ordinances -of 'the,' City regulating building-' construction and/or use. _ V .BUILDING ADDRESS: 54-354 Shoal Creek -' Use classification' Single Family Dwelling _ Building Permit No::`0105-287 Occupancy Group; ;R-3 Type of Construction::VN Land Use Zone: RL `Owner of Building; Steve Herthel Address: 76-334 Poppy 'Lane-, City, ST, ZIP: Palm Desert, CA 92211 f - bB : Daniel P. Crawford Jr. Y } Date: 8/4/03 Building Official POST IN A CONSPICUOUS PLACE c N •.; v ' ' '' '