0006-074 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
thapteC9 (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
714788 I'3 1041'1 /2(
Awe- / — ; - 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, 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 LTOLn EAOLR TNS. Policy No. 14WC444063.02
(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: f �r^'%• Applicant
(Shall
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. 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.
Ignature (Owner/Agent) ;�� � � ���-�y�a Date
��UILDING PERMIT PERMIT/t
/�/(..913
DATE VALUATION LOT OW6-074 TRACT
$134,596.70 61 x7699
JOB SITE
APN
ADDRESS 79-09..5 ,`i0'rLr1q COTJKF
604-36.1-013
OWNER
CONTRACTOR / DESIGNER / EN (NEER
CMr.WRY CROW<L W)/1MLW..►W
CWWRY CROW'EI L. CO3vfMUNr;%
1535 SOUTH T) OT1M-if 31X.0312 j0
1535 S0. WV My<m T, STZ1 fto0
SAID BM AR.UINO CA 92409
SAN' 2".NAii17IKO CA 924.08
(909).381.6007 C`PL#- 2120
USE OF PERMIT
i OL lal4,`44LY I3INW LT90
SFti• Pu€l n nJI?.{u' NOT INCLUDE BLOCK:WALL OR 1?001,
TRACT CONSTRUCTIO)4 X240.00 OF
m
POi2WPA TIO 59.00 Sr
0ArLIk0rYCA,P,P0RT (SF) 12,4 06.00
EYffm: `A``m) COSr 01-r C0N5 r1ZUC', 707
134,596.70
CONSTRUCTION FEE 101-000-410-000 $702.00
;
PLAN CHECK FEE 102-0000 139-318 t6rf.9e
fi?% DEPOSIT 101.000.439.318 42".00
MECH.Al NICAJ, PEE 101-000>421-000 $83.50
UL-ECTRICA1, FRE 101.000.420.000 $139,60
PLUM,51140 FETE 101-000-419-000 $155.2.5
STRONO MOTION FEE - RNSW 101-000-241.000 $13.46
iORADINO ffZ 3.01.000-423-000 $20.00
DW9LOPi R IMPACT FE9 $11607106
SUB -TOTAL. C0WM TC1;TOX AND RS,.AN CCK
$3,122.13
TSS 1-1Rrs-2'Af.Ea Yd=
4250.00
..' A,/
f
RECEIPT
DATE _
BY `
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR `
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Cr
Underground Ducts
Forms & Footings
1
Ducts
Slab Grade
(112-7
Return Air
Steel
Combustion Air
Roof Deck
o
Exhaust Fans
O.K to Wrap
�,p _�-
F.A.U.
Framing
_ ��—
'Compressor t
Insulation
12 F6A
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall -Int. Lath
Final �J��
BLOCKWALL APPROVALS
Final -
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 Top Out
LQ(2
6
Plumbing Final
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
o
Pool Cover
Sewer Connection
I aftcy
Encapsulation
Gas Piping
ZAgu-> f:J2
Gas Test
Appliances
Final
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
Final
Utility Notice (Perm)
COMMENTS:
000& --07—'y
4.4
P.O. BOX 1504 APPLICATION ONLY
Building Q p 78-495 CALLE TAMPICO
Address I d l f s Ed �r . LA OUINTA, CALIFORNIA 92253
Owner
Mailing � `BUILDING: TYPECONST�i� � OCC. GRP.
Address /�� SGGl f i� ��� 2 Goo- 3(oI - 013
A.P. Number
;V41(/�i��%r�6[��� ITel.�
Legal g Description
'Contractor _ , j Project Description .S'L�X+.c��/a_
SZ -111-f—; 1q11V
Address
City Zip Tel. `
State Lia City
& Classif. Lic. # Sq. Ft. No. NO. Dw. j
Size + �/� Stories Units
Arch., Engr.,
Designer New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divfsion 3 of theme licergess and�-Pro-f-ession Code, and my license is in full force and
effect. ��- /. /��Ai_..�w �1�.f
SIGNATUREDATE
OWNER-86ILDER 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 file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code. or that. he is exempt therefrom, and 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 live hundred dollars ($500).
t7 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, Buisness and
Professions Cotler 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
of 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'II' 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.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
Date.7T/ �` � `Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. - Company
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which
l/thhiiss permit is issued, I shall not
employ any person in any manner so as to
become sct tWorkers' Compensation
Laws of-CalifoFnia;,
Date Owrier
NOTIC TO APPLICANT: If, atter 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.
1 certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the, above-
mentioned property for inspection
npurrpposes�`
Signature of aQplicant �'"'A!L/!`AG�C..e'J Date-
Mailing Address
City, State, Zip
PERMIT �f� AMOUNT
Plan Chk. Dep.50 G
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances: It
Front Setback from Center Line
Rear Setback from Rear Prop'. Line
Side Street Setback from Center Line
Side Setback from Property Line
i
FINAL DATE A INSPECTOR
Issued by: "1 � —DDtg Permit
Validated by: t1AA y U
Validation: it 0,3 1 '
In ss
J
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
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- _ .. Tom Ber33 G40 efW
DAMC6
R- 'news WS stanee to hest ttaw Trio higher fits R value; the Beater Ste insaleting power.
A& your builder for ttte erect dw on R. vagus, Koep this oeeiificate vride your other
valued papers. lfyon et�ar sell this home, Qus Certificate sbodld be passed on to the buyer.
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Cghirfificate of Insulation
B
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your Hanc Irds been insubted with C *tinTeed Fferglsss baattathm products, which are desWwd
m
w
for 6 xW8 sakty standank acid tonnorrows =CW reilairemente.
Fiberglass is incrgan is and themfor+e pemmmeatly noncombustible, so it dohs not have to be treated
o
with firwretandaat chemicals that vrgl likely lose their effectiveness over time. It has not bean tresW
wkh chemiowls that can con -ode wiring or metal. Fiberglass will not absorbmoWweaor will it
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settle over time as mad adm insulation materials,
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This also certifies that CMUinTeed fz'ber Glass Insulation has bees Professionally ias4alled in fhis home
D
to provide the 6ellovvig t6eimal petiornuenoe ,
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Job Name: Marbelb 1m
Trach 27899 Pian#; dA Plitase: B!t)
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3
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"CiRimig Amea• - Untieced Fihargtesa Cerage _ Non Access:
VW1h laving A6ot+e do Stnpl(iu8 Areas )�trerlor Walls:1113 Unfeaed Fiberglass
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Fat Waits (2 atm R-19 Unlfeoeel iatfs Overhogp: AcemAttix
WM l AWM Above
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literior %%lb: zea r.
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Smbron&aador.. OJln=1a j*n Ce., filed
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- _ .. Tom Ber33 G40 efW
DAMC6
R- 'news WS stanee to hest ttaw Trio higher fits R value; the Beater Ste insaleting power.
A& your builder for ttte erect dw on R. vagus, Koep this oeeiificate vride your other
valued papers. lfyon et�ar sell this home, Qus Certificate sbodld be passed on to the buyer.
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YOUNG ENGINEERING SERVICES
• Engineering • Architecture -Surveying- Building & Safety Services
Letter of Transmittal
To: -City of La Quinta
Attn: Greg Butler
Tel No.:
We are forwarding:
No. of Copies
1
By Messenger
Description:
Plan/Calcs.
Date: 6/20/00
Project: PC0006-074 1 st check
Century/Crowell
W. 0.:
Tract No.:
By Mail Your Pickup
Comments: Submit truss drawings/calcs. to city with letter, stating that the Engineer
of Record has reviewed truss drawings and that truss design is in accordance with the
framing plan.
This Material Sent for:
Your Files Per Your Request
Your Review Approval
X Checking At the request of:
Other
By: Marcell M°Elroy
Phone # 342-9214
47-159 Youngs Lane • Indio, CA 92201 • (760) 342-9214
•Bronz Young •
BRENNAN I ELECTRIC, INC.
ELECTRICAL LOAD CALCULATIONS
CENTURY HOMES
MARBELLA I - LA QUINTA, CA
PLAN 4
120/240 VOLT 1 -PHASE
General Lighting Load:
Volt Amps
2240 SQ FT @ 3 volt-amps/sq ft =
6720
Small Appliance Load:
Kitchen Receptacles =
3000
Laundry Receptacles =
1500
TOTAL
4500
Appliance Load:"
Disposal =
850
Dishwasher =
1200
Electric Oven/Microwave =
8000
Garage Door Opener =
600
TOTAL
.
10650
f
A/C Load:
5232 @ 125% &_4464 @ 100% =
9696
FAU Load X 2 =
2400.
TOTAL A/C LOAD =
12096
- Demand Factor:
General Lighting Load =
6720
Small Appliance Load =
4500
TOTAL =
11220
3000 @ 100% _
8220 @ 35% _
Appliance Load =
A/C Load =
TOTAL CALCULATED LOAD =
-28,623. / 240
TOTAL LOAD VOLTAGE
737 W. College Drive
San Bernardino, CA 92410
3000
2877
10650
12096
28623
= 119 200 AMPS
AMPERAGE MAIN SERVICE SIZE
r
Phone (909) 884-0233
Lic. #769769 Fax (909) 884-6130