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9807-202 (SFD)r ..r U) CV U) W O0ip W o Z r � 0o J 0 (D W W I— a U) Z C0 LIDN 0� UCL Q Lo H 0 X W W— mUU O LO Z_ co � 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 l NiriC: i28ii�s 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: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is riot intended or offered for sale (Sec. 7044, Business & Professionals Code). (1" ) 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 �(�fn Signature of Owner , (2 r 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. (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: 92 v r Applicant �Y /6'—c —� Warning: F ilure 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'nspection purposes. ,iSlgnature (Owner/Agent) Date t' .__...�_...�-'----_......-..-.. _? :•.T._. :>,...as�v. a:�-_®ems_»-� s.z .ag PERMIT # CONTROL # BUILDING PERMIT �ra41�_xf�x DATE r j VALUATION %'17,64ti 70 LOT 19 TRACT 17214 S� I JOB SITE`+ rRR�,RA ADDRESS 1 �(-,.��2'� :��' �!��.1.;,/g6 $:�� APN 77 �_41i1FS-04 OWNER CONTRACTOR / DESIGNER / ENGINEER .{�e C!1' ((t,, i(( ((.t �j ((-� �.a)i,IGi yllf •L'�/..�/�:.a\. ATi'!'i] f 1 41F "}'�i jj tri' ij \?p�/ .+ bl.i �.�>F..�\ w�1t1 �'i�C FG BOX 1 V2 43" INDTO CA 92:2101 INDIO CA 92201 ('7o'0YMI-R 157 C13I;X USE OF PERMIT R. SFO `• P.t:R&Jfi'I' is PFS 1401' INMUM" BLOCK 012ITL. '151/4 PLAN CATE9 tbi1 ION APPI i►Ef5. ryn U 0 5 1998 iCA< C•�1arj5i'1<1t%%IuN 1•a.15.1)ii Si • 5'%.12:ift�f4raiJ It+'�UU.:if' 1 s!S3%.AGiVt;'XRf• 001' 526JX) SF 4 :t,S j('MI IT D COST Ole CON!l'!'P-IL(-fJONFfsl 1014AiAIN-000 K! NCTIi?i^K; -111 '4NW:,��"/CAL FM 3.11 ''1.'kJt:AL 111:,(:, M-00042040 3 »40(i42u•+J(I(t $116.55 ,tjd,ifil4f�T'Irl';`<#? . 101,41004151-000 $121.50 3'4''3. t�iVfEM�i'i'1C.,�13: t? •�{ �;(i? 10141(){i-241. (ii�re.L`f;:f+lti i.�1�,1:i 1421.-[fQ}7:•�a,�•�0 $4+?.ft�1 iN.1 2.��000-443-146 4`12EC'1Sr1:•r1N1.411 Vt�iC)it-44.1-34S X25 int SI. —TtYf FII, COMKI T,4X "I'si?N AND I'1., kN C,T4fi N, 's2 )".21 ..t .s I1 I7'RAI1� I GE,S $0.00 TOTAL '!'E-11MVIF F FES 91W, NOW I►2,7d1�.2 RECEIPT DATE BY' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 1, rl Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap — F.A.U. Framing -Ice 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 Z 31 Final Final {d BLOCKWALL AP ROVALS 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 _ Waste Lines ��p;//4 �� Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection QQ �� �/ 7� Pool Cover Encapsulation Gas Piping 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 l Final Utility Notice (Perm) *COMMENTS; P.O. BOX 1504 APPLICATION ONLY Building78-495 CALLE TAMPICO Address — E r re%� LA QUINTA, CALIFORNIA 92253 O r BUILDING: TYPE'CONST. OCC. GRP. Mailing _ Addressp, A.P. Number City ZiTel. tb �ZZ� Legal Description Contractoor` Project Description v Address City Zip +ely_State Lic. & Classif. It Sq. Ft. No. No. Dw. Arch., Engr., Size /� Stories Units Designer New Yr Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. k LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section TODD) t. of Division 3 of the Business and Professions Code, and my license is In full force and effec SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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 fo'!ts 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 five hundred dollars ($500). 1-1 1, 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 Code: 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 or 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.) 1'1 1, 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 contractors) licensed pursuant to the Contractor's License Law.) I'] I am exempt under Sec. B. & P.C. for this reason Date 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 thip 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. Date Owner NOTICE TO APPLICANT: If, alter 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 I hereby 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. I certify that I have read this application and state that the above information Is correct. I 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 purposes. Signature of aQplicant Date Mailing Address City, State, Zip PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated bv: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/31/98 APN # 773-085-006 No. 17433 Jurisdiction La Quints Owner NameCoachella Valley Housing Coalition No. 51-348 Street Avenida Herrera City La Quinta Tract # Lot # Type of Development Single Family Residence . Comments Permit # Log # Zip 92253 Study Area Square Footage 1,215 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 1.93 X 1,215 or $ 2,344.95 the property listed above and that building A, -Nj ! permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued, Fees Paid By CC/Bank of America/David Brudvik Telephone Name on the check By Dr. Doris Wilson r W Superintendent Fee collected /exempted by, Juanita Green Payment Received $2,344.95 Check No. 2009916227 Signature NOTICE: Pursuant ote(ssembly 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 above 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 tolled them on the Dislrid('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 r 41 Coachella Valley Housing Coalition Plaza 1, 4S-701 Monroe Street, Suite G., Indio, CA 92201 TEL: (760) 347-31 S7 FAX: (760) 342-6466 r " '.ol �— �-] • ATTORNEY-IN-FACT AGREEMENT IMe hereby appoint COACHELLA VALLEY HOUSING COALITION, and/or any of its authorized agents as my/our attorney -in fact for the purpose of. executing any notices of completion, waiver, of liens and/or executing contracts with subcontractors, and/or release of liens_ and/or handling building permits relating to that certain real property, described below. All that certain land located and being in the County of Riverside, State of California, described as follows: . (PLEASE SEE ATTACHED, "EXHIBIT A") f: \sfamily\a n na\miscfo r\attnyfa Jesus Juarez Piedra ���shPf June 24, 1998 Mr. Daniel Crawford - Inspector City of La Quinta Department of Building and Safety 78495 Calle Tampico La Quinta, California 92253 STRUCTURAL ENGINEERING CONSULTANT 54625 AVENIDA BERMUDAS . LA QUINTA CALIFORNIA 92253 .760564.0884PNONE..i 7.60.771.3606 FAX •-WJSN@CWIA.00M 5-1 - 3 K 8 .4UE, HOeR 02 #} Regarding: CVHC Plan 320 and 420 - Truss Calculations.— Group 8 (Typical all La Quinta Projects) Dear Daniel: I have reviewed the truss calculations from Imperial Roof Truss which is to be used for the roof construction of the 3 bedroom and 4 bedroom homes in La Quinta. The truss calculations labeled "320 Plan", are for the 3 bedroom plan that is associated to the "96-051" job number listed in the lower right corner of the architectural plans. The "420 Plan" truss calculations correspond to the "96-052" 4 bedroom drawings. I have reviewed the -truss calculations -to -confErmtheTapacity-cfaH-design-loads-drags-andbottom-chard loaded girder trusses. I have found each to be in compliance with the intentions of the structural design. I have also verified that the roof dead loads used in the design of the trusses exceed the design loads on the structural calculations. The truss calculations are more conservative and therefore acceptable. The Truss calculations will be used the self-help La Quinta Project - Groups 4, 5, 6, 7, 8 and 9. Each group will use the same plans as those mentioned above that these truss calculations conform to. I have provided a separate letter referenced above for each group. These are intended to simply the City's records and allow a separate approval for each block of homes. Coachella Valley Housing Coalition can provide the addresses for each lot in each of the groups listed Please contact me at your earliest convenience if you should have any questions or additional requirements. Sincerel , De is S. Wish PE Structural Engineering Consultant — �?,()FESS/pN G v� j DENNIS S. WISH j N0. C-:41250 LL) 'J -N-IL �. L STRUCTURAL ENGINEERING FOR - CUSTOM HOMES - REMODEL - COMMERCIAL - LIGHT INDUSTRIAL - SEISMIC RETROFIT 8 REPAIR - UNREINFORCED MASONRY - RETAINING WALLS & FOUNDATION - REPORTS: DAMAGE ASSESSMENT - NEW ROOF - INSURANCE CLAIM - DENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983 11 �f Ff �, tr TM +* THIS ATTIC HAS BEEN INSULATED T0: .. r b RE IDENCE ADDRESS: Lam- I INSTALLED BY: ADVANCED INSTALLATIONS ti f 81-771 Oleander Unit #1 IniTio, CA 92201 BUILDER: e 1� CERTIFICATION: This attic has been insulated to the R -value 3 fir indicated above, with Cocoon-, the high -efficiency This is to certify that attic insulation has been installed r {:K�3 i� 1q 1 insulation. Made from a minimum of 80% recycled in conformance with the coverage chart recommenda- materials, Cocoon is scientifically formulated •,r . f ,+(( p, to deliver greater efficiency per inch than other tions on the opposite side of this card using bags ��•• insulation materials. to cover% q. ft. to obtain an R -value of 3k a ' R -value is a measure of resistance to heat flow — the �c y' i higher the R -value, the greater the insulating power.62 �'if 1 you would like to add more insulation to your IN A E R'S AUTHORIZED SIGNATURE AT P n.tp r homecontact your Cocoon authorized dealer. 4 �� -... �.. •I��Ti Yt'i =l �i.� 'e. �F.frA �.�• f�'���{ •4'1lj �. , (ate.. i1.� '�Y'�J�J.� �i .I��!')`'�n.�-'t COCOOn Afroni dchrred lap: GREENSTONEC•." A LOUISIANA-PACIFIC COMPANY NOTL': This coverage chart compensates for settling and is for estimating purposes only. Stated R-v:due is provided by installing the required number of hags per 1000 sq. ft. at it mininuun installed thickness. Installation of the required numlxr of bags may yield more than the specified minimum thickness and mininwm weight per sq. ft. Actual coverage will he influenced by job conditions and application techniques. and may vary as nulCh as 10% Without significantly affecting the stated R -value. Failure of the installer to provide at least the required number of hags per 1000 sq. ft. and at least the mininhum thickness may result in a lower installed R -value. Conhpaction may occur during installations above R-30. requiring more than the stated number of hags 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 A 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 on Maximum Net 30.6 Minimum Weight Temperature Thickness 2' x 6' Trusses on 16' Centers Coverage Per Square Foot Installed The Weight Per To Obtain an Insulation Minimum Bags Square Foot of Bags Required Insulation Should Not Square Feet Required Per Installed Square Feet Per 1,000 Resistance (R)ol: Less Than: : Per Bag 1,000 Square Feet Insulation Per Bag Square Feet (intoes) 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 .giHP aIIg Inressure filled -density 20 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 :;CX'. 1, AL: ,1;