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LICENSED CONTRACTOR DECLARATION
I here4y 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
4 s�I6-i
45�_
99
/Date �� }�`► j- Signature of Contractor '/ °� v
V 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe jury,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. z
( 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.
VAT !+ ?~'UNi� 1396733
(This section need not be completed if the permit valuation is for $100.00 or. less).
() (`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' compensations provisions Of S' cti;WX
of the Labor
Bode, I shall forthwith cornply� whose provisions Date:%✓+P Appllcant
Warning: Failure to secure yorkd' 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. ie
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/6f this City to enter upon
,he above-mentioned proopperty�forr inspection purposes. . ha
Signature (Owner/Agent)--' "i ^g �{ ���' Date )i/ 1
BUILDINGPERMIT PERMIT# CONTROL#
DATE VALUATION LOT .9709-135 TRACT 615 5
10=97 $90.120.30 B61r. VL175
JOB SITE
APN
ADDRESS
A.VM IDA HER FRA
773.472.015
OWNER
CONTRACTOR / DESIGNER / ENGINEER
BUILDING HORIZONS
JOE SITKO CONSTRUCTION
ION
426100 COOK ST STE 110
PALM DESERT CIA, 92211
BERMUDA DUNES CA 92201
(?F0�360-n118 CBL# 3002
USE OF PERMIT
e�
SFD - P RMPC IDES NOT INCLUDE BLOCK WAILS OR POOL.
TRACTCONSTRUCTION 1,467.00 SF
PORt71•I/PATIO 66.00 SF
G.Al AGSICARPORT 4.49.00 SF
I ". [MXfFM COST OF Cn1YSTRIoTMON
90,121).30
FEMUT ME SUMMARY
CONSTRUCTION FEE 101-000-4118-000 $599.00
PLAN CHECK. FEE 101-000-439-318 $506.63
FEE DEPOSIT. 42:50.00
MECHANICAL FIX 101.-0004?1.000 $60.00
ELECTRICAL FEF101-000420-000
PLUMBING FEE 101-000-419-000 .$128.75
STRONG M(YnON FEE - REBID 101-000-241 000 19.0,1
GRADING FEE •101.-000-423-000 $211:00
TNFRA.S'17tUCTIME FFES. 225-000-443:342 321007.96
PRECISE PLAN X1101-000-441.345 $25.00
..3
L.
SUB-TarAL CONSTRUCTION MD PIAN CHECK
$3,480.98
LESS PRE-PAWFEES
G1
42556.00
TOTAL.PFRMIT FEES DUENOW
53.230.' 8
OCT 2 2 1997 I
RECEIP f,'
6 T\'
DATE' `� i
9:l��
BY
DATE FINALED
INSPECTOR
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR ,
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
1112,
Return Air
Steel
Combustion Air
Roof Deck
Q
Exhaust Fans ;
O.K. to Wrap
/
F.A.U. i
Framing
Compressor
Insulation
Vents
Fireplace .L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
6
Final
Final
BLOCKWALL APPROVAL
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain fi
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
/�/'
Plumbing Final '
Equipment Enclosure
Shower Pans
O.K. for Finish `PIaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation'
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Law Voltage Wiring
Fixtures
Main Service
Sub Panels
Extend Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i"
Iz Q" Q'
4 v \ v O
RAFTER SPAN TABLE
GRADING RULES Q�
PS 20-70`F`�
(FEET & INCHES) Oocl�`�
c? OIZ,
2x4
16" O.C.
10'-6"
9'—b"1
7'—
i
6'-0"
''-3"
DOUGLAS FIR NO. 1
i SI77
i
x6
4".6" O.C.
15'-0"
14'-0'
10.'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8'-6" N/A
N/A
E'-0"
;x8
2x8
16" O.C.
24" "
32" "
18'4" 1
17'7-0"
13'-6"
16'-0"
15'--6" —6" 11'-0"
13'-0"
13'-0" 11'-6" N/A
N/A
12'— 0"
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT—UP
ROOF
HEADERS
I
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR NO. 1
i SI77
i
SPAN
SIZE
SPAN '
4x4
j'-0"
4x4
4'-0"
4x6
8'-0"
4x6
E'-0"
;x8
11'-0"
4x8
8'-0"
4x 10
14'— 0"
4)
4x12
17'— 0"
x l
12'— 0"
i 6x8
14'-0"
6x8
12'—G"
6x 10
17'-0"
6x10
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE
x001 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF -..SLOPE TO DRAIN.
B. ROCK ROOF: 3/'12 MAXIMUM PITCH.
A, f►1i"IfUr) AJ 70 Y'M
r(
# - I
r
RAFTER SIZE AND SPACING
.ROOF PITCH
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
,
CONTINUOUS LEDGER
' V
(SAME SIZE AS RAFTERS)
HEADER SIZE
'T' AND 'L' STRAPS
I
6�
6*zz1-t1/6 WITH
I
W
(s) 16C NAILS OR BOLT
I
J
(
t
l
RAFTER SPAN:
POST SPACING.
_ ,
IL
0
OVERALL LENGTH:
a
OVERALL LENGTH
POST SIZE.
REAR SETBACK SIDE SETBACK
(4'x4 MIN.) f
2000 P.S.1 CONCRETE FINISH GRADE FINISH GRADE 1
MIN. 12"02" FOOTING
L_J L -J 12' BELOW GRADE L -i
NOTE.
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
T3/8' x 5' LAG SCREWS INTO STUDS AT 16" O.C.
r— CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OFF L11 ' UIN
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
U—STRAP OR AN(
NON—CORROSIVE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE —�
U—STRAP OR ANGLE —
(4)— 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP
TELEPHONE
H.O.A. APPROVAL
0
f�'ftrGv
P.O. BOX 1504
Building _ '` l, 78-495 CALLE TAMPICO
Address S� �f/L_ AP"rl.A LA QUINTA, CALIFORNIA 92253
Mailing
Address coo/e-
-9) AA D*s eA, 9i} 7- / /
Contractor _,,..5 EP * S ! 77 +0 I
s
.i Zip_ } I! TeI_ y�7Sr
State Lic. I city
& Classif. 15 (el LL
#
Arch., Engr.,
Designer S rVP#r-A1 V �/vim 5
roS /D/"►'iZVC-- CL5-� 1'3v6- 33 17
City Zip State
AG/17 /)CS'7 / Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under pr visions of Chap er 9 (commencing with Section
7QQ0)=of�iicSedIGf t- Division 3 o e.Busines�and�fessions,Gbd� g, d mY lice�se isfull f and
NAT7 �' DATE
OWNER -BUILDER DECLARATION
ICereby,;ff/1r1,1at I am exempt from the Contractor's License Law for the following
reaso7,Business and Professions Code: Any city or county which requires a
permitnstruct, after, 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 five hundred dollars (E500).
I] 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 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.)
I 11, as owner of the properly, 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.)
i 7 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation 15urance, or a certified coy I�TsoI. (S��"�B L r Code.)
Po_lici N0CompanY
T(J COpy is filed with the city. ❑ Certified copy is hereby furnished.
` CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
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.
Date Owner
NOTICE TO APPLICANT: 0, after 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 it 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 sof this city to enter the above.
mentioned properly for inspection purposes.
Signature of applicant Date
Mailing Address -
City, State, Zip
9iO9 -l3�
APPLICATION ONLY
BUILDING: TYPE'CONST.5 /.� OCC. GRP.
A.P. Number *77 3 / ,/ , 36+ — 01 -
Legal Description 67— .3 ff GOGrt-1, 60 �,d �✓i"/►"R'
Project Description ��( e4- 4 ✓iiLr- GJf" VA -91i-
JotT
Sq. Ft. i t./� No. No. Dw. /
Size / / Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
wmarea vaivauon 1p7
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 Property4
FINAL DATE INSPECTOR/ ' • U
Issued by: DateinePlern"
5 1997
SEPValidated by:
Validation:c���l����1ii�
c�ii � u vu v
WHITE = FINANCE YELLOW = APPLICANT
PINK = BUILDING DIVISION \
0%F1Ep
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q BERMU-pA�D�UNES r
lr RANCHO MIRAGE 0
C INDIAN WELLS y
�► PALM DESERT
0 LA OUINTA
�Q INDIO .0
Desert Sands Unified School District
47-950 Dune Palms Road • La guinta, California 92253 • (760) 777-4200
October 14, 1996
To Whom It May Concern:
Desert Sands Unified School District hereby waives the payment of Developer Fees for the
Building Horizons Project located at:
51-805 Avenida Herrera
La Quinta, CA 92253
FTi l
73-378 Royal Palm Dr.
Palm Desert, CA 92260
51-825 Avenida Herrera
La Quinta, CA 92253
73-386 Royal Palm Dr.
Palm Desert, CA 92260
If you have any.question and/or concerns, please don't hesitate to contact me at (760) 771-8515.
Sincerely,
��M (*
Peggy Reyes, Director
Facilities Services