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0307-258 (RC)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 ''tifitl 4 11 r ¢ s 3/�°.i0 r Date � ` 2 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 UhCler Section , D&F.C. fur 11 iib reaaui i 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 rJ viii+,if.�d 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 provlsions.j .,Date: APPlicanft: Warning: 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. `� { ,3„i ,f,Signature (Owner/Agent) Date PERMIT # BUIWING PERMIT DATE f \h� VALUATION $,tQ'M LO �} .� TRACT JOB SITE ADDRESS 56 )i ,ACi..9 x KBT APN OWNER CONTRACTOR / DESIGNER / EN (NEER �1 t i9%t?• eaili�, g�,". r � ; ;::,fes Ak IST PAI£'".t3?':lF; n.A. ; ?,I'NL7.0I'r. V;TJ-71112E a 3. 14)(> 3�7E,(ANT. ME.. U155 �X Z rrCq���� , 92;37'3 CA USE OF PERMIT CON 11:mlifi` rM (1015T OF (°O,N 'i UC `,13O'i 'a;r,Es'Jl:'fib YM('Y1tit"17FErMITyUAriScy 301w000-1 i9-316 141 AX -0 0 P-000 .kIECIOAA13WI'UN,t>'"A 101 w X19. E !��' wisNC#�It�?'Jf:1' a J;.- `�7At11N 11;►�-9Qfi:�;.1'g-00f► C.MCK 047.44.t,.l p P5� - JUL 23 2393 CIrI OF LA FIC711STA FICd"" RECEIPTDATE BY D T FI INS TOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans OX to Wrap j F.A.U. Framing Compressor Insulation pg Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior lath Drywall - Int. Lath p Final Final BLOCKWALL APPROVALS 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 Final Plumbing Top Out Equipment Enclosure .Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final UW.ity 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: _ .. ' ewe ' ._...... LAIAI L LL. lit _...... (b A RE -INSPECTION FEE f X30 WILL. ARrZMA 'tHE FOR ••A S LSD IN 0 0 M�/ "� _ ' � ' � : , ..�...._.._ � '�t �.. �� _ A ►•.fib. .� � ::��' ZbK`ice_. `' � ;` `�\`�'\ ': •� •�/ OFLAQ 'Q '\10 .CONSTRUCTION ell ox to n -_ YEvt•c.E pry.` � t �..�tz �"�r�`�5�. ,,,�.ir' � � .. £`��'�i� '�a-sg%�';^F� � ,p '2 'C �.' Y.L � �3.°� ��•�''� -:.. :r „p "ate-���r :.��----'_*'.� '�f�`f'����- y4•��.. 5 �' ��� _�,�'��+�"'�' y ,+��c' (9002 MP G Publishing• GENERAL REQUIREMEMS PARKING 6)`VAN ACCESSIBLE PARKING SPACE DESIGN A. 18' minimum length of the parking space(s). 11296.4,1 4.6.3 Fig. 23 4 B. . 9' minimum width of the parking space(s). 1129B.4.1 4.6.3 Fig. 23 C. 8' minimum width of the access aisle(s) (passenger side). 1129B.4.2 4.6.3 Fig. 23 , D. Surface of the parking space(s) and access aisle(s) does not exceed 1:50 gradient (2.0%) in any direction. 11298.4.4 4:6.3 Fig. 23, 7. PARKING SPACE SIGNAGE General -Each parking space reserved for persons with disabilities shall be identified by, a reflectorized sign permanently posted immediately adjacent b and visible from each stall or space, consisting of a profile view of a wheelchair with occupant in white on dark blue background. 11296.5 4.6.4 Fig. 25- A. Signage is installed at each space. 11296.5 4.6.4 Fig. 25 B. Area of the sign(s) is not smaller than 70 square inches. 1129B.5 Fig. 25 C. When posted in a path of travel, the bottom of the sign is 80", minimum from the parking space finished grade. 11298.5 Fig. 25 , D. When wall mounted, sign is centered on the wall at the interior end of the parking space at a minimum height, of 36" from the parking space finished"grade, ground or sidewalk. 1129B.5 Fig. 25 E. Unobstructed view of the sign from the parking space. 1129B.5 4.d4 Fig. 25 Y. Van accessible parking spaces have additional sign mounted below symbol of .,accessibility that states' VAN ACCESSIBLE". 1129EL6 4.6.4 Fig. 25 8. PARKING. SPACE STRIPING General. -The surface of each accessible parking stall or space must have a surface identification duplicating either of the following schemes: {a) By outlining or painting the stall or space in blue and outlining on the ground in the stall or space in white or suitable contrasting color a profile view ddeRpicting a wheelchair with occupant; O (b) By outlining a profile view of a wheelchair with occupant in white on blue background. The profile view shall be located so that R, is visible to a traffic enforcement officer when a vehicle is properly parked in the space and shall be 36 high by 36" wide. 1129B.5.1&2 4.6.4 Figs. 23-e5 The CaIDAG - California Disabled Accessibility Guidebook 9)2002 MPG Publishing Co. 163 GENERAL REQUIREMENTS PARKING A. Surface identification of accessible parking stalls complies with one of the above noted striping configurations. 11296.5.182 4.6.4 Figs. 23-25 B. 'The words "NO PARKING are painted in white on the cround within each access " aisle. 112913.1 &.2 € C. "NO PARKING" letters are a minimum of 12" high and visible to traffic' enforcement officials. 112913.1 .2 q 80 -MIN 36"MIN ti 9 PARKING SPACE- -. (SEE BELOW)' . 1/2 RADIUS O - J BLUE .WHITE - - REFL ICTOR ED SIGN - - CONSTRUCTED OF �----+ - PORCELAIN STEEL WITH BEADED TEXT OR EauAl RESERVED RESERVED NOTE o SIGN .To BE CENTERED AT THE To ENO OF - - - PARKING SPACE O O • - `� AREA OF SIGN TO BE 'A MIN. OF TO So. IN.•ACCE�IBLE DESIGNATE FOR �'--•--36.. .. ' -VAN .ACCESSIBLE- . - WHERE APPROPRIATE 80- MIN. TO .' FREE STANDING - 36- MIN. FOR !� ,I I WALL. MOUNTED • - I TO TOP OF WALKING SURFACE EMBLEM MUST BE LOCATED IN STALL SO THAT IS VISIBLE BY A - TRAFFIC ENFORCEMENT OFFICER - .. WHEN A WEHICLE IS PROPERLY - PARKED IN THE SPACE (CENTERED - -' - AT ENTRANCE TO STALL RECOMENDEO) - - Fig -R5 1 4 A, The CaIDAG - Califomia Disabled Accessibility Guidebook ©2002 MPG Publishing Co. 164 GENERAL REQUIREMENTS' 1.` SITE ENTRANCE SIGNAGE A Warning signage regarding unauthorized use of disabled parking spaces is posted conspicuously at each entrance to off-street parking facilities, or immediately adjacent to and visible from each stall or spaces 1129B.5 , Fig. 21 B. Waming signage states: "Unauthorized vehicles, parked in designated accessible spaces not displaying distinguishing placards or license' plates, issued for persons with disabilities may be towed'away'at owner's expense. Towed vehicles may be reclaimed at ' or by telephoningr 1129B.5 Fig. 21 - c. Blank spaces on sign(s) are filled in with appropriate information as a permanent part of the sign. 11296.5 D. Size of lettering on signage is a minimum of 1" in height. 1129B.5 . E. Sign(s) is not -less than 17" x 22" in size: " 11296.5 Fig. 21 �— W MILL r� UNAMTHORI 3 P �OES� S ' LETTERING ON ACCESSIBLE SPACES SIGN MUST BE NOi.DISPIAYING I A MINIMUM OF OISTIN(�ASf9NG P(ACAADS i T IN HEIGHT OR LICENSE PLATES ISSUED 22' MIN. WITH FO WITHP`mSONS MAY BE TOWED AWAY AT k' OWNERS EXPENSE TOWED VEHICLES MAY BE (Ad&,W AT MUST PF ATE LLUDED ON c OR 8Y TELEPHOd®lGBE (Tele;% Number) i SIGN C1AINIMUM OF f ^J IN HEIGHT) o r MIN T HIGH LETTERING SEE SIGN TEXT' lid TT MIN II 22 MIN POSTED AT EACH ENTRANCE TO.OFF-STREET PAMNG FACILITIES ' DJACENT SLE e� c FI EACH STALL ` SPACE Fig.21 The CaIDAG - Califomia Disabled Accessibility Guidebook ©2002 MPG Publishing Co. • 155 - „ GENERAL REQUIREMENTS ( t -. WALKS AND SIDEWALKS s , � � t. .< a .. .^•.. .' 1 .• •�.._ � '� - .. �- .,�. ¢ c 1/47MAX VERTICAL • .. � `ate. �` +� c, � r• Ems^ <• r . ,S .. 1.. - -i.� _ 1/2"MAX. s.. •.<. •' BEVELED AT n. _ 2 1:2 GRADIENT MAXIMUM VERTICAL .ALLOWANCES CROSS SL k av 2!.OXMAX' •+r `SECTION ' A—A ` - . Cross Slope ' ✓ I3 Q , '^r .0 o' 4 +• • ' • • `'�'�.•�' ,sem, t f r „y SECT OF: B—B k / Y An s " Runnins Slope ti - Y 'Fig.40-B •`ALLOWABLE SLOPE ,AND t y;. CROSS -SLOPE ' �• M- � w .. � � t P Kry •,Yl1 ' �' .; -�",�` _ r tip. . _ Id e. The CaIDAG C - allfornia Disabled Accessibility Guidebook` • " . ©2002 MPG Publiahin Co. `�' ,T192 9. �' o - ---------------------- UNDERGROUND SERVICE ALERT APPROWED FOR PERMITTING PLANNING AND ZONING COMPLIANCE CHECKED AND RECOMMENDED FOR CALL TOLL FREE APPROVAL BY: OWME 1-800- 227- 2600 TOM HARTUNG DATE JERRY HERMAN DATE KURT M. SAXON -05 DATE BUILDING AND SAFETY DIRECTOR COMMUNITY DEVELOPMENT DIRECTOR RCE 44180 EXP DATE 6-30 2 WORMG DAYS BEFORE YOU D CITY OF LA QUINTA CITY OF LA QUINTA SAXON ENGINEERING SERVICES GOLF CLUB DRIVE d9 '08 4 LEGEND fill INDICATES PROPERTY LINE INDIC4TES CENTERLINE D=86*12'37* R=24.50' L=J6.86' D=89*4 l'J6' ml TC INDICATES TOP OF CURB T=22.93' L=J8.J5: EXIST INDICA 7ES EXISTING FL INDIC47ES FLOW LINE TR4CT 289&3 917 -PP HP INDICATES HIGH POINT T=24.J7 SEE S7REET IMPROVEMENT -------------- G6 FH no CR INDICATES GRADE BREAK 10 FF IND1047ES RNISH FLOOR A%, PE INDIWES PAD ELEVATION FS INDIC47ES RNISH SURFACE AN W "T 17- WA `77 4" LAT INDICATES 4" SEWER LATERAL -47 ZZI-_ N CR INDICATES CATCH &SIN �- �17 wm INDICA 7ES WA 7ER METER 5Z,39 -'N C., PUE INDIC7ES PUBLIC IML/TY FASEMENt' A PROP. INDICA 7ES PROPOSED -E 'AN INDICATES BLOCK WALL Y5.51 EDGI 'I F� 5 5u, INDICA7ES OMIT I BLOCK WALL ULP INDICATES EXISTING WALL 7- VE F 1`71 574 INDICA 58.712 FL IES A. C. PAVEMENT ov� 6'IA fs '0 IRR he' 5 8 58.2�O NG 1 58.92 fl 58. 0 n'j 07 do FL +1�1 G 58.94 59. -is 59.17 fL W_ 30ji NG� 0 p P, _t_N +No 59.00 58.5 5917 59' N G FG 59JO fL-GB 509.08 NG a 04 FL_ NG Z5 \ 59.00 + b" - 9�22 FL -HP 00 2 SE -ol �. '6 gm 59.J 920 )FS 9.99 NO 59.6 65.87TW Qj gg� -7F\ 59� N FG +5N G NG p 59.25 _�v .16 m*pg +N FG bN 59.10 5411 NO 9.01 ING .32 M, 10 4 rA, G di f FG - _\1 1 1 %�' +5NG 1 58.46 58.66 ff-Lp +N 9�25 NG 58.37 -GB G '�aoo obm 0�0 06 1-5N NG 58.45� fL Ix/sT jv 59�25 �z5p._ .58 qG NO S70RM DRAIN 54 7 %92 58.45 58.56 FG G 24 +N G_G W 59.6 +N ft G 10' PRIVATE hORM 136 &43 Jq _FS NG + 7 _w- SCALE: 1 20 FEET [VACANT 59. 11177711 ff"771 5Z 92 GB NG Km I fs 017WM- - -:� 10 5788 56.02 +59�25 %- 5Z80 VACANT 59-30 69. D- 1 *28' ING =6.0' 24' -HP 57.8 T fL_G8 G 5VIr") G 0 10 20 40 60 80 10 _9' N 65.107W NG -L 5q, =186.37' 5&25 - ft" 1, - ING NG MT 57 3K4OTF 0; 97 e) 59.77 L=320. 57.84 - 0 9�45 -Ulu t. - n 1 58.jj 58.90 58.9j'k +0 Fl -G 4- /.t 0-_- " 5 + FL W..'00 93 58.50 58.36 59.28 59 '9 N R FG rL 1;77/) -RL- -4 _33 65.8M 2# 57�i �_:64 18TW fz- �14 W.76 FG j-_ 'Hl '41 L= -G8 nag D---04*55 60.2,14' D=16' =700.00' L -199.J7' L59.2 9,91 JO FG 58.41 YUGffj NG '0. +5 8.2 5-8-.65- 5054 NG,�" 56,2 N M�, AREA k:� 5Q61 NG CART, r' Jvv DRAIN 71N G Irk 000;� J-7fit ING a .0 00 -08.27 1, Nrx'���� 00 OD 0 -<5S-46 %* '7 /19 /0 3?1 0 PLANS At') J03 CAM, ARZ*.* KDT Oil N THE SITE FOR A $CUEDUKED N 0 JIM Wml= 03M.," '9 6,pM-v4 -55- u - w CITY OF LA M a 0 U I WTA 0 WiLDING t SAFEW Mn. a. APPROVED CD F01, CONSTRU0710 9" 00 07� p c'mc, �te sy. -OF-tA-QUINTA, CAUFORNIA SEAL - CITY APPROVEDBY: -CI7-OF-LA-�QUINTA SEAL - IN THE CITY SHEET NO: NOTE: UNDERGROUND UTILITIES PRIVATE ENGINEERING NOTE x WORK CONTAINED WITHIN THESE PLANS ALL UNDERGROUND U71UTIES OR STRUCTURES REPORTED BY CONSTRUCTION CONTRACTOR AGREES THAT IN ESS/ PRECISE GRADING PLAN FOR w THE OWNER OR OTHERS AND THOSE SHOWN ON THE RECORDS ACCORDANCE NTH GENERALLY ACCEPTED 0 K ��'*Auvomo OR]& SHALL NOT COMMENCE UNTIL AN ENCROACHMENT PERMIT AND/OR A EXAMINED ARE INDICATED WITH THEIR APPROXIMATE LOCATION CONSTRUCTION PRACTICE% CONSTRUCTION GRADING PERMIT HAS BEEN ISSUED AND EXTENT. THE OWNER, BY ACCEPTING THESE PLANS OR CONTRACTOR WILL BE REQUIRM M ASSUME 79--M CMWA7E COW M SIX 107 TRACT 28983 SOLE AND COMPLETE RESPONSIBILITY FOR JOB SEESHEET1 IA QW& CA I= PROCEEDING NTH IMPROVEMENTS PURSUANT THERETO, AGREES S17E SAFETY OF ALL PERSONS AND PROPERTY; 0 TO ASSUME LIABILITY AND TO HOLD UNDERSIGNED HARMLESS THAT THIS REQUIREMENT SHALL BE MADE TO C) %p Pit (M) 771-02V rAX (M) 7A-4= MODEL HOME COMPLEX 0 THE PRIVATE ENGINEER SIGNING THESE _I 0 7 - FOR ANY DAMAGES RESULTING FROM EXISTENCE OF UNDERGROUND APPLY CONTINUOUSLY AND NOT BE LIMITED TO W rn PLANS IS RESPONSIBLE FOR ASSURING NORMAL WORKING HOURS, AND CONSTRUCTION rn THE ACCURACY AND ACCEPTABILITY OF UTILITIES OR STRUCTURES NOT REPORTED TO THE UNDERSIGNED, CONTRACTOR FURTHER AGREES TO DEFEND, No. 26662 ;0 LOTS 26 - 29 THE DESIGN HEREON. IN THE EVENT OF NOT INDICATED OR SHOW ON THE RECORDS EXAMINED. THE INDEMNIFY AND HOLD DESIGN PROFESSIONAL EXP. 3_31-04 DISCREPANCIES ARISING AFTER COUNTY CONTRACTOR IS REQUIRED TO TAKE DUE PRECAUTIONARY HARMLESS FROM ANY AND ALL LIABILITY. REAL LOCATED IN THE N.E. QUARTER OF SECTION 22, APPROVAL OR DURING CONSTRUCTION THE MEASURES TO PROTECT THE UTILITIES OR STRUCTURES SHOWN OR ALLEGED, IN CONNECTION WITH THE OF SHTS PRIVATE ENGINEER SHALL BE RESP014SIBLE AND ANY OTHER UTILITIES OR STRUCTURES FOUND AT THE SITE. PERFORMANCE OF WORK ON THE PROJECT, TIMOTHY R. JONASSON, P.E. DATE PREPARED BY LIDYD W. WATSON R.CK NO. 26662 TOWNSHIP 6 SOUTH. RANGE 7 EAS B.m R SCAIR FOR THE DETERMINING AN ACCEPTABLE MARK PUBLIC WORKS DIRECTOR CITY ENGINEE wo FEE NO: SOLUTION AND REVISNG THE PLANS FOR IT SHALL BE THE CONTRACTOR'S RESPONSIBILITY TO NOTIFY EXCEPTING LIABILITY ARISING MOM THE SOLE I ]BY JDATE I APPR D)ATE w APPROVAL BY THE COUNTY. THE OWNERS OF THE UTILITIES OR STRUCTURES CONCERNED NEGLIGENCE OF DESIGN PROFESSIONAL REVISIONS R_ E. NO. 45843 M. DATE 12-31-02 CP CALI DATE: HOMES 1400.001 ENGINEM BEFORE STARTING WORK. [ U 2