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10-0249 (SOTB)P.O. BOX 1504 78-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-0000024 Property Address: 78060 FRANCES HACK LN APN: 770-184-003- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MAJOR COMMUNITY FACILITY Application valuation: 5000 Applicant: Architect or Engineer: S3o�/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S 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. icense Class: A B C27 -D1 LicenseNo.: 560079 V Date: �� Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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 five hundred dollars ($500).: ( 1 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed' pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERN11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ate: CITY OF LA QUINTA (( P 0 BOX 1504 AAf� LA QUINTA, CA 92253 o v GT �x ,; ; � f•�Ul Tq Contractor:�� HEISLER LANDSCAPE GEN ENG INC P.O. BOX 2002 ORANGE, CA 92859 (714)633-4405 Lic. No.: 560079. 4/30/10 0 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. 1 -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 and policy number are: Carrier STATE FUND Policy Number 1950396-2010 I. certify that, in the performance of the work for which this permit is issued, 1 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,11 shall forthwith comply with those provisions. Date:y3o-loVApplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 CO 4d county ordinances and state laws relating to building construction, and hereby authorize representatives ;It his county to enter up on the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): VV'ft Application Number . . . . . 10-00000249 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 00 Plan Check Fee .00 Issue Date . . . . 4/27/10 Valuation . . . . 5000 Expiration Date . . 10/24/10 --------------------------------7------------------------------------------- Special Notes and Comments 1064 SF FABRIC SHADE COVER FOR PLAYGROUND EQUIPMENT. 28FT X 38 FT X 16 FT HGT. PER ENGINEERED PLANS. TYPE IIIB CONSTR. "U" OCCUPANCY. 2007 CBC. "DAVE BANG & ASSOCIATES IS INSTALLER" Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 LQPE%-%IIT N # City of La Quinta Building 8T Safety .Division P.O. Box 1504, 78-495 Calle Tampico La Quinti, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # a LD Project Address: 6.060 PAANCG S 14acicL.Ai Owner's Name:L .7 , A. P. Number: QC Address: '7CJ.. 5 O•A'L4,6 TAM Legal Description: City, ST, Zip: `. RZZS3 ContractorA6'11 /� CiF7'' phond: "'%r = iz•'•." Address: P8� ReV4 d,.p -Z Project Description: City, ST, Zip: 6; 7.—Z­'.? S;51 f� .5 lade Telephone: d �ncn State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: <�`:.:;:xs>.:<>::::<,:<4>::.:>:.:.,:c;;.•�,' :'{:til: .. j. ::?n^:::: vv.:vi •:?{:}?}f;�• State Lie. #: t~ `' "`'•`` >>c'; =%' ">'•'>x 90 G+L Gil'Yll -- Constriction Type: Occupancy: _ Project type circle one New Add'n Alter Repair Demo Name of Contact Person: (J fv Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: O Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitte #* 2, Mechanical Grading plan 2°" Review, ready for correction issue 1 Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corre 'o i Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 71-780 San Jacinto Dr. Ste. E2; Rancho Mirage;..Ca; 92270 ph. (760) 83478860• fax Letter of Transmittal To:. City of La Quinta Today's Date: 4-26-10 78-495 Calle Tampico City Due Date : 4-26-10 La Quinta, CA 92253 Project Address: 78-060 Francis Hack Lane Attn: Phillip Plan Check #: 10-249 Submittal: ❑ 15t ❑ 4th ® 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Struct. Calcs O Revised Struct. Calcs ❑ Truss Calculations ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ® 1 Structural Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined.Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: .��. EXTRABLOCK SPECIFICATIONS 20 3r F 25 20 5 5 Far more /nflommYop plass contsaf- A Twatod AWW A Aitas Routs0pn. StiCis D1 61 HOPE 1.07 0.05 91 162 83 72 31 34 0 7e 81 90 100 100 100 100 minus 13 OWS 176 9.8 82 10 RSA - METRIC IMPERIAL PROPERTIES That YtMIto4 unit PIN RanrdMFIN EI tardnat %a m~ unit Cobra Raw Met" HDPE HDPE WingGABS 79 ty� 990 3" OawMted oTJaq loot thickness A.4M 1777 aen 1.94 1.31 Con"neu atehus &no Ttmsife Teat SABS =t •88 ASTM 505595 & W>M9 kWfn 19 1.8 Ibvbxh D Well kWnl Z6 24 L111/HtGh EW100" at Btaaw ASTM 503545 a Warp 68 N % D• watt % se 56 % rst BuStrength ASTM 37$7 kN 3.7 3.7 MW C onCWCte8 ElOn0a5on % 48 48 % Tear Strength (wing: BADS 93 TM D 2281 -96 Ttlnatta Tear a. Warp N 200 198 1.111 EbngW oh % 92 M WA b. Weft N 196 196 tbt ElDttpellon % 114 114 NIA Wam Runoff 0% 0 0 9e 1016 16 78 78 16 20% % al et % 30% 1d 9D 90 % 40% % 10D 100 96 5^ % 100 100 ti 609e 96 100 100 �o 7096 % 100 100 % Temperaium WOW a. tAwm n °O minus 26 trdrtua 25 OF b Maximum 'C OWN plus 80 OF ww" m 3 a R Length m 23 25 StsWity against W 0"radalon YWs 10 to yams nme Reetwante Meats ste Cald" a tire Marr Is rte. Ttue 18 Section 12W whan 11iUd on the wvma wndmen. alter weatharuy, aw aw wale exuaetwt► Counbv P6M I I RSA RSA Now. Tne valvas average reaues oblatMo m Lobarawnes and are aulaatma AL O bnnawr..s Shan at Soon tach and to the nest o1 ow klomadaw ;s eo-tect end a atKfptied •rnnwut guAranlee or tespmmmottty WFIAKOCK - WEFT DIRECTIO M - WITRAW=K - WARP OIRQCTiON - stnws : stakt Curve Gown, 8traln Curve 20 3r F 25 20 5 5 Far more /nflommYop plass contsaf- A Twatod AWW A Aitas Routs0pn. StiCis D1 61 HOPE 1.07 0.05 91 162 83 72 31 34 0 7e 81 90 100 100 100 100 minus 13 OWS 176 9.8 82 10 RSA - CALIFORNIA DSPAR?X=T OF FORZOTRY toad FIRZ PROTBCTION OFFIC$ OF TBS STATE FIRR URRSBAL RRGISTERSD FLAME RESISTANT PRODUCT Produoa, ALIM IMTM aLOCZ-VARXWO Product marketed SYS AWW (p?:) LVD. HOMOCK AM, 2"=G 2 CAP= TOWN, BOOM AF1i2CA 7460 >Regintratioa No. F•50303 'ibis pmdM meats die minim m nquimmeata of !lame teaIstance established by the California State Fire Mmsbal fort prodUM identified is Section 13115, CaUfomia Health SM Sahry Code. 7be scope of the approved tree of tbls product is provided in dw current edition of the CALIFORNIA APPROVED LIST OF FLAME RETARDANT CSF.MICALS AND FABRICS, GBNSRAL AND IMUTED APPLICATIONS CONCZRNS published by the California State F% Marshal. Deputy tate Hirt l kL- D2 empires 06/30/2009 E MEMORANDUM OF TO: John Thompson, Young Engineering FROM: Greg Butler, Building & Safety Manager DATE: March 24, 2010 RE: City Project — Playground Shade Cover, Fritz Burns Park The City is installing new playground equipment at various parks. Several, this being the first, will have free-standing shade structures. Please review this for Code compliance at your earliest opportunity. Thanks for your help on this. Feel free to call Burt (760-777-7023) or me (760- 777-7015) if you have any questions. However, both of us will be out of the office on Friday, 3/26.