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9909-170 (SFD)N V U) ( LU perch �LO �� OZr` Zo0o F— J U) Z C0 N ON U_ °) Z LoFa—O UJ �_ 0 J J ED < O � 0) � Z ob 5 �O Q J LICENSED CONTRACTOR 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. License # Lic. Class Exp. Date CVHC 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: (A) 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). ( ) exempt under Section B&P.C. for this reason Ate �4 3 r b7,1i Signature of Owner ° ' .•a / . , ...� 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 Ivf D-C.`.N;Wfi RY .INS C Policy No. . 132007 43 70 (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 subje Yto the workers' compensation provisions of Section 3700 of the Labor C? I shall forthwith comply with those provisions/ yq te: X ! �. Applicant— I'll" pplicant Warning: Fa, a 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 theabove-mentionedproperty for inspection purposes. JSig- nature (Owner/Agent) r� �r ✓, r� Datel'� / BUILDING PERMIT PERMIT# -.� VALUATION S81,424•20 LOT TRACT 1-Si0109 DATE /::- 1 /1 `f JOB SITL '$1-1176 AVENIDA 1=3EMERA APN 773 -•(*4.007 ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER JUAN JOSE GARCIA GAPC1A OVNI ER / BMWER 4VITF): CW.1C 17-M, CC}iP,.tc. LL ROAD. SP. 944 45701 MC) ROE ST SFE G DESERT RM SPRINGS CA 92240 INDIO CA Q1_201 CHL# USE OF PERMIT SINGLE FAMILY DWELLING 1FD 3� (ie170A.)- PERMIT DOFS NOT .if�lt:i.t`i1 � LOCK WALL OR POOL.FLAN C .-CY. FEE Mt3fMD 7Ylo FOR TNIULTIPL.P ISSUANC'F OF SANIE PLAN TWE TRACT C'O1dS'1"RUC'1':tt`3N 1,:3."i (H) 8 I' ORC.Fi1P!A Pio 114.00 SF GARA0 MA12PORT 4+2.0.0 5F F,%, 9'iiMA'17ED CCW OF CONYl'K3.fL''4'llON 81,424.20 PERhtff FEE SUMMtIM CONSTRIJC;TiON M 1.Ol-1300- I 13110 S.55A.50 1ILAN L''H1.:CK FEE IOI.-000^d39-31$ $113.61 Vx X%L r'iNi1CAL FI~X 101-000-421-000 $53.50 ELECTRICAL WE St. R 0 Y�I,Y711riBiNO b 101-000-219-M $129.75 STRONG.4.10 "ION FW, - RF;;M 101-000«241-000 $8.14 GRADDIG FIRC 101 -000-421-WO 420.0 fi3.EVELOPM 1Afk''ACT F193 1 $1,907.00 PRECISEIPLA1d VIVA() SLJ13-*f0'f.'6L CCiA1.S'1Rf,1L ION AND PLAN CHECK $3,012.00 1.1 SS PRE -PAID FEES TOTAL 1'1~+',ltiiUT FEES DUE NMI' $3,Q!l2.6t1 SLID • 1z , RECEIPT DATE BY/ DATE FINALED INSPECTOR f' INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Slab Grade 4� A Ducts Return Air Steel Combustion Air Roof Deck (,=113-00 Exhaust Fans O.K. to Wrap Framing _ _ 7 �S F.A.U. Compressor Insulation Qa Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath _ 5 (Z� ) 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 Electric Final Waste Lines Water Piping J _ 1 Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection — — pp Encapsulation Gas Piping Gas Test $? Appliances Final COMMENTS: 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 t Finali-A UtiI4 Notice (Perm) Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the. time of issuance, this structure was in compliance with the various ordinances of the. City regulating building construction or use. For ' the following: BUILDING ADDRESS: 51-176 AVENIDA. HERRERA Use Classification: SFD Bldg. Permit No.: 9909-170 Occupancy Group: R 3 Type of Construction: VN Owner of Building: JUAN JOSE GARCIA Address: Y Building Officia City: Land Use Zone: RC 17-989 CORKILL ROAD, SP.#44 DESERT HOT SPRINGS, CA 92240 By: STEVE TRAXEL Date: 09-26-00 POST IN A CONSPICUOUS. PLACE AAA r i r }} 'i'� � �{ fu ► `�i■ M fay 4�} f It 00 THIS ATTIC HAS BEEN INSULATED T0: .tel Ci.� er This attic has been insulated to the R -value indicated above, with Cocoon', the high -efficiency insulation. Made from a minimum of 80% recycled 04 i t �'Alei materials, Cocoon is scientifically formulated j ;� ! to deliver greater efficiency per inch than other insulation materials. t r ` 1-4 ? r� R -value is a measure of resistance to heat flow — the .r higher the R -value, the greater the insulating power. ,�(} b �?; `• If you would like to add more insulation to your home, contact your Cocoon authorized dealer. AV s} ifyi j��jF_ �. 1 ]~ , i 1., / ' ry ' �l.Lll � •�h.I.n �'. ...`f.1.`3 �! .�, '1�_�k �•�►lir . V -r9 -..J n'�_ ,-. '1J �:il'4�.� �kip NV 1 51 .• jj,� rl C.ie/frN��i. �' �i RESIDENCE ADDRESS: _ '.'4., INSTAL D BY: 7G 1NS �. ; adk% CA 9.2201 `�9 'f BUILDER:C CERTIFICATION:; This is to certify that attic insolation has been installed x r� in conformance with the coverage chart recommenda- tions on opposite side of this card using 7/ bags //the to cove/ sq. ft. to obt in an R -value of I' / �kip NV 1 51 .• jj,� A COCOOI�� eblauufaetntred BY GREENSTONEF TI A LOUISIANA-PACIFIC COMPANY NOTE: This coverage chart compensates for settling and is for estimating purposes only. Stated R -value is provided by installing the required number of bags per 1000 sq. ft. at a mininlU n installed thickness. Installation of the required numlxr of Ings may yield more than the specified minunum thickness and mininwm weight per sq. ft. Actual coverage will he innuenced by job conditions and application techniques, and In3y vary as much as 10% without signinc ndy affecting the Stated R -value Failure of the insudler to provide at least the required number of bags per 1000 sq. ft. and at least the minimum thickness may result in a lower installed R -value. Compaction may occur during insialknions above R-30, requiring more than the stated number of bags to obtain the minimum installed thickness. GreenStone and Cocoon are trademarks of GreenStone, a Louisiana-Pacific company.© 1997 GreenStone Industries, Inc. All rights reserved. Printed in USA. RV 30M 8/97. 8-97-TT/G-A A0 Cocoon Stabilized Insulation 30 lb. bag ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART R -Value at 19.4 Net Coverage No Adjustment for Trusses 56.7 75°F Mean Minimum Gross Coverage Based Maximum Net 30.6 Minimum Weight Temperature Thickness 2' x 6' Trusses on 16' Centeto rs Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Foot of Bags Required Insulation Should Not Be Square Feet Required Per Installed Square Feet Per 1,000 Resistance (R) of: Less Than: Per Bag 1,000 Square Feet Insulation Per Bag Square Feet (inches) Should Not Be Less Than: (lbs.) R-50 13.5 20.5 48.8 1.464 21.3 46.9 R-42 11.4 24.4 41.0 1.230 25.6 39.1 R-40 10.8 25.6 39.0 1.171 26.9 37.2 R-38 10.3 27.0 37.1 1.113 28.4 35.2 R-32 8.6 32.0 31.2 .937 34.0 29.4 R-30 8.1 34.2 29.3 .878 36.5 27.4 R-24 6.5 42.7 23.4 .703 46.4 21.6 R-22 5.9 46.6 21.5 .644 51.0 19.6 R-19 5.1 53.9 18.5 .556 59.5 16.8 R-13 3.5 78.8 12.7 .381 87.0 11.5 R-11 3.0 93.1 10.7 .322 102.8 9.7 Sidewalls (pressure filled -density 2.0 PPCF) R-13 (2 x 4) 3.5 51.4 19.4 .583 56.7 17.6 R-20 (2 x 6) 5.5 32.7 30.6 .917 36.1 27.7 J JI a