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07064 (AR)P.O. .BOX 1504 No. 07064 Building 7&105 CALLE ESTADO Address 5I-180 Obregon LA QUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE CONST. OCC: GRP. Address P. O. Box 366 A.P. Number di -00 3 $ 007 Legal Description Project Description Addition City La QuInta Zip 1.92253 Tel.L.k; �64,_4832 Contractor •..` A & M Construction . Address C City' Zip Tela State Lic. City & Classif. 487584 Lic. # 626 _ Sq. Ft. 526 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. TW M"r-IRR City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section effec 71100) t. of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNEWBUILDER 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 to its issuance also requires the. applicant for such permit to file a signed statement that he is licensed pursuant to Me provistons of. the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division .3 of the Business and Professions Code, of 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). ❑ 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 Wended or offered for sale. O, however, the building or improvement is sold within one year of completion, the owner -budder wig have the burden of proving that he did not build or improve for the purpose of safe.) . ❑ 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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: O, after making Oris Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or M permit shat/ 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 property 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 applicant Date Mailing Address City, State, Zip IEstimated Valuation $30.500 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal:`' Const. Mech. Electrical Plumbing S.M.I. . Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by- Date 2 23/9$ermit Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE AL YARD SPKLR SYSTEM 2ND FL. SO. FT. HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROUGH WIRING. POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GAS (ROUGH) METER LOOP DRAINAGE PIPING CAR P. SO. FT. ® REINF. STEEL GAS (FINAL) WALL SO. FT. DRINKING FOUNTAIN. URINAL Sp FT ® SERVICE ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES $ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING 3® GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ROOFING � j!� LAUNDRYTRAY AIR HANDLING UNIT CFM IKITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® V4c HOUSE SEWER p Q LATHINGtD�� J `O GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK /04 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE AL ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. AV GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. �/ FINAL INSP. �N yO a FRAMING 3® FINAL INSP. ROOFING � j!� /f %� REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL p Q LATHINGtD�� J `O MESH INSULATION/SOUND/ a® FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Q Z O U W to M Z O H W U)' U Z O U W to 0 Z 0 U W U) COUNTY OF RIVERSIDE ENVIRONMENTALA"iiii"Oriii P.ro.l NIN �-65�Z HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Agent. Cont or, r Perso `0-Y /T i ne `/ Address Firm -t-5 7-5 �+v� Owner Phone Maili Address Cityate L Qv,,uTi� (G ip '17,553 Job Property Address 01" 7- C��ir� Legal Description Prop: (PM, Tract Lot) Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other Al Z_ 10C-'00 -( i / I/ USD i f G l . Dwelling; MH Site Prep, etc. I 7 -- �. Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE A< SUBSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348• $ 17.00 a. 1 at 4 Parcels (Each) 1.238 $ 57.00 (Less than 1 year) b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 O Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ❑ Stte Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7346 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 7347 $ 87.00 3q. Ft. «r r. INITIAL DATE Holding Tank Agreements Completed ❑Yes No Certification of Existing S.D. System Required ❑ Yes No WOCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolatkot Report Required. ❑ Yes No Special Feasibility Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes No Otter ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Data l Soils boring report by l� ! Project Date Soils Map Page Soil Type Approved' by i Dade No. of Systema Type of System(s) No. Dwelling Unita (1) Septi; Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Existing Bedrooms, Fixture Un/ks r 1_ / Grease in" New ❑ Reptart> p oeernt Lj/(l�(I✓.. f LbiPn I i�i(%U /%ICV t�i Gel 9, Gal (2) Leach Line Sq. Ft ll al Install Line(s) It long ff wide with Leach Bottom trench area — tL rock/sq. fl. min. inches rock below drainlines or bottom area per running ft ❑ NA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth (TD) I Other: Applicable�y' t Inlet (BI)/ I-.% Max. Allowable Depth 3a N/A OverWrden factor ❑ 5 i 6 t 1f �-` No. 2 System REMARKS: /¢/ort f %/i f S P ></G PGr l i^G ✓ 1 �t d ;6 f0 k a Gt �Ti�P en / v1 S /a/, s -!J ""M P f i".111U P. �X/ �/ c�('�r►n �Ul1 �r�YUA�1 / CPY'ttl /P� �'iJ v 12-00gL=6A This application is Af PPROVED ENIED for jhe category checked in SECTION I above, regarding the design of a subsurface disposal system as indicated on the accompanied iIGt-p n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permiI19d in the required reserved 100% expansion area. (1 Septic tank and sewer lines must be -. minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area (3 Seepage pits must be 150 -minimum from any wells, including expansion area ( Signature of Health Official G Date RECEIPT NO. r V v Issued By TA Date— ,112 6 DISTRICT: ❑ Riverside, ❑ Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 7/89) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records a cerdficatiof Compliance: Residential (Page I of 2) CF -1R A 13 1A co V3 S -T sk U C___T 10 114to 19 0 Project Title t<Date LO -r 060,E(joi) LA' GUtk)T4 .,.Project Add. JOHN H. HACKER 327-4565* Building Pamit # Documentation Author Telephone POINT SYSTEM Checked By /Date Compliance Method (Package. Point SYstcm Of Computer) 7 climate Zone .,Edowccment Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area:'- 908(p Building 7y*. Single Family H6tel/Motel '(check one Cff more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) x Existing -Plus -Addition All Orientations (circle one or more) Front Entry Orientation: North East South Agiy Number of Dwelling Units: Floor Construction l YJ Raised Floor (circle one or both) Infiltration Control: Stand• ight (circle one) BUILDING SHELL INSULATION Component Ifisulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. R— 11. FRAME WALLS Wall .............. Roof ............. R— 3 0 TYPICAL Roof ............. Fluor............. Floor ............. Slab Edge ..... o TYPICAL GLAZING Glazing Area Orientation. (SO Glass Type'.` (single, double)' Shading Devices Interior Exterior (roller blind, etc.) (shadescreen, etc.) Ovcrlh��ig (yesino) -(ii-._-!1d/wood) Framing Type Front.... (w) 3l DOUBLE VERTICAL BLINDS NONt *YES WOOD. - Front .... WHITE Left ...... 80- DOUBLE YERT I CAL. BL IND'S NONE YES WOOD Left...... WHITE NDS Rear..... (ra) A0 DOUBLE VERT I CAL -BDNONE 'YES WOOD Rear ..... WH I TE Right.... (5) o DOUBLE VERTICAL BLINDS NO tME 'YES WOOD Right.... WHITE* Skylight....... 0 DOUBLE NONE NO Skylight....... . THERMAL MASS Type/Covering Area thickness, (slab/exposed, tile, etc.) (sf) (inches) 1,66ation/Description (kitchem, bath. etc.) SLAB/EXPOSED- 1043 -3 1/2 KITCHEN/BATH/ENTRY 14 Certificate of Colmplianc ': Residential (Page 1 of 2) CF -1R A $ 1�1 CouS?Rvc i iotJ UatDI9O Project TWe Date L(crr ''1 4, e;- AvesjibA .0egF(,ok3,- UA &0 QTA. Project Addrep :. ;JOHN H... HACKER '327-4565 Building Petmu/ Documentation Author Talepbone' Che POINT SYSTEM 1 Checked By /Dau Compliance Method (Package. Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area:.: ' I Oleo ft2 ~ Building Type: Single Family: Hotelmotel (check one or more) Multi-Farnily (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North / East/ South West All Orientations (circle one or more) Number of Dwelling Units: Floor Construction. Type:lab Raised Floor (circle one or both) Infiltration Control: Stand ight (circle one) OV ESS R Y ti,9 !may BUILDING SHELL INSULATION Component Insulation Location/Comments N0. 14614 Type R -Value (aitic to garage, typical, etc.) EXPIRES 3.31-93 Wall .............. FRAME WALLS 'Wan ............... srq CIVI Roof ............. R_ � _q. TYPICAL OFC Roof ............. Fluor............. Floor.. ........ Slab Edge ..... 0 TYP I CAL GLAZING Shading Devices Glazing Area Glass Type _ -Interior Exterior Ow12-ng : Framing Type Orientation (sf) (single double) (roller blind, etc.) (shadescreen. etc.) . ':'(yes/no) •"(n;Nal/wood) Front.... (W) -1.), DOUBLE VERTICAL BLINDS NONE YES WOOD • Front....'( ) WHITE L.efft,..... (nl) 04 DOUBLE VERTICAL BLINDS NONE YES WOOD Left...,.. ( ) WHITE Rear..... (e) bo DOUBLE VERT I CAL -BL I NDS NONE YES WnOD Rear ..... ( ) `WHITE.'' Right.... (j) 4>0 DOUBLE VERTICAL BLINDS NOME YES WOOD WH I TE ' Skylight....... O DOUBLE NONE • No Skylight...... THERMAL MASS �. Type/Covering Area `Thickness (slab/exposed, tile, etc.) '(sf) (inches) LocationA)eseription (kitchen, bath, etc.) SLAB/EXPOSED 10 3'.1/2t•r KITCHEN/BATH/ENTRY /,N, Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I Building Envelope Measures ! 12-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 12-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pen n/unch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. . . §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration)Exfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have, a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. *.§2-531.6(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). t §2-5312(Exception 1): Pipe insulation on steam and steam condensate return 8t recirculating piping. - §2 -5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. " Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/wau or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. - §2-5314(a): Refrigerators, refrigerator -freezers, fieezeri and fluorescent lamp ballasts ratified by the CEC. Indicate make and model number. Foam Revised Deoember 1997 N 0 I MIA I SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) UVNIFLIANUL STATEMENT; This certificaleof compliance lists the building features and perform'aride'speciftations needed to comply with Title 24, Chapt6r!-nand Tide 20, Chii4er 2,'Subchaptir4.;.,Arbd'Y f thd California Administrative code. This. certificate has been signederall. design r-es'p-on-sibilityand the building owner, who shall- ' certificate bie hi - retain. a copy of it" . trarishlit thetertin - to an quent purc as&.16f thebuilding-Whenthis certificate of any compliance is subm'itted for a single 60ding plan tot, bbilt in multip16.6rientitioni, all building conservation features "which vary. -are indicated ilithe. Special Featilres/Remark"s iectiofi.,,.-,: Designer. Budding Owner Name: Name: .Title/Firm: Title/":, Address: > 'Address: Telephone: Telephone: Lic. #: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: JOHN H. HACKER ,Name: Title/Firm: JOHN H. - HACKER •& ASSOCIATES. 'Ageng: Address: 4501 E."SUNNY bUNES,'SUITE Telephone: :PALM SPRINGS,-tA'92264 Telephone: 327'4565 -S (signatuWX (signature'OT stamp) (date) ir'�k . Form Revised March 1988 Certificate of Complianee--.' Re sddefitia'l (ft9P 2 of:2) CF -1R A b µ C6.Qs-rk6c-r.L!6&j I I I tAid I C1,0 Project Titlefir Dt.ate HVAC SYSTEMS inimlur DUType ,0'M (furnace, air,;1ficiency Location' Output ..Manufacturer;/ Model# conditioner, beat pump) (SE; shER,1480F) .(attic, etc'.) R -'Value -,(B )'e-, (Or approved equal) x. FURNACE 5�• ATTIC =15,`000 , B,DP- W :Ovd AIR COND. ATT I t 2.5- ng Output: 0 Maximum Fuma e'Heat-itp t: (, Q0,q40;SJ Btuh HOT WATER SYSTEMS TankManufacturer/Model # 'a'is. etc.). Capacity (or approved equal). ..System Type (storage g— Special Feature(s) STD SAS... 5.0, GAL .:OR LESS MODEL. I SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) UVNIFLIANUL STATEMENT; This certificaleof compliance lists the building features and perform'aride'speciftations needed to comply with Title 24, Chapt6r!-nand Tide 20, Chii4er 2,'Subchaptir4.;.,Arbd'Y f thd California Administrative code. This. certificate has been signederall. design r-es'p-on-sibilityand the building owner, who shall- ' certificate bie hi - retain. a copy of it" . trarishlit thetertin - to an quent purc as&.16f thebuilding-Whenthis certificate of any compliance is subm'itted for a single 60ding plan tot, bbilt in multip16.6rientitioni, all building conservation features "which vary. -are indicated ilithe. Special Featilres/Remark"s iectiofi.,,.-,: Designer. Budding Owner Name: Name: .Title/Firm: Title/":, Address: > 'Address: Telephone: Telephone: Lic. #: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: JOHN H. HACKER ,Name: Title/Firm: JOHN H. - HACKER •& ASSOCIATES. 'Ageng: Address: 4501 E."SUNNY bUNES,'SUITE Telephone: :PALM SPRINGS,-tA'92264 Telephone: 327'4565 -S (signatuWX (signature'OT stamp) (date) ir'�k . Form Revised March 1988 .Interpolation, Wei WdAvera k. Addition Workshee A ►-A GoNsTaurt'io� �" F I la tol9 0 ,. Project Title Date WS -2R a The use of interpolati.ot -is illustrated in Section 4 '6f the Energy Consmation-Manugl (ECM).. Evaluate the expression between the vertical biackets, makeit positive(+) whether negative -or positive and add the value to the "Low: Points" •to obtain`the Point Score.' b Mixed raised floor/slab-on-grade constiuction:and Glass Heat Loss= area -weighted according to point scores not U values. Other measures are weighted according to their respective values°(e.g., U -value, shading coefficient, HVAC `efficiency), as explained i Section 4:2 of the ECM Insulation may.be.weighted by,point scores or U -values. c Different slab edge: types and duct conditions :(duct insulation and location) are weighted by length. Allother measures are area weighted as explained tn`Sectiond:2 of the•ECM. d Compliance of additions with -;the point system is described in Section 4A'of the ECM. INTERPOLATIONa Low Item Points No (A) Value for Low Points (B) Actual Value (C) High . Points (D) Low Points (A) )x( Value for Low Points (B) Value for High Points (E) Point Score )+,( .)x( )+( )x( )] + _ + �( )x( - ) + + �( j - )x( _ ) +— � POINT GOAL OF EXISTING=PLUS ADDITTONd Existing Existing .ice j. Existing -Plus Building Building Addition ..Addition + �( Point Total - )x( - ) + Area Area ' Goal atD ) WEIGHTED AVERAGE + } p * °,) ,x ( c,U )] +oats' _ -l8 Form Revised March 1988 Weighted Item Type Type 1 Type Type 2 Type 3 Type 3 Total Average No. Value Area° .,Value Area Value Area Area° Value ')x( )+( )x( P,)] + - [( )x(- )+,( .)x( )+( )x( )] + _ POINT GOAL OF EXISTING=PLUS ADDITTONd Existing Existing j. Existing -Plus Building Building Addition ..Addition Addition Point Point Total Area . Point Goal - Area Area ' Goal atD ) x ( ('4U.0.) + } p * °,) ,x ( c,U )] +oats' _ -l8 Form Revised March 1988 s POINT SYSTEM'I'SUMMARYoCL_IMATE:ZOI\IE' 1'0 a P= R. PROJECT TITLE=A- & M CONST RUcT'ION - r DA=TE -1/.'_E,/'3(:) JOE-; SITE=LOT 7' °< ;(3 - AVENIDA- l REGOW" LA Q!JlNTA 9 U I L D I N G DATA CONDITIONED FLOOR AREA=`1 ILC) nIUIVIBER OF. S,T'ORIES 1 ' SLAB/RAISED FLOOR SLAB TOTAL GLASS AREA Cit- SO. F`C'>' .%GLASS . 14--. 10959 CHECK:: ALL APPL.I(:,ABLE UN,I;T Y,PE GONDfTfON�S) a tX? SINGLEFAMILY DETACHED (SFD) c ADL7l.I'IC1KI`-ALC]NE SINGLE FAMILY A-r.rACHED' y�:SFA) _) �: EXrI��1 lNU 9UI?L`DIN(:3 C :) MULTI -FAMILY (11F) 4 LXIS7TNG .PLUS-•AaDDI.T"'IOIV SCORE CARD MEASURES :. PO INT SCORES . 1.CEILING INSU. 19 . WAL.L INSU. 11 ,S .j. RAISED FLOOR INSU ,0 t_) 4. SLAB EDGE INSU' C) : 0 5. INFILTRATION 19I. NDARD `' i) G. GLASS HEAT .LOSS MIUE;L_E PANE U=.,E5 2 "SUM ;1 :`S 15, 7.071ADING (SHADE- OPEN) GLASS AREA SC=' .6776. A. NORTH E� B. EAST _1 Jc) D. SOUTH c) • 20 E. WEST 1 ; 72. -H. SKYLIGHT 0; C) 8. SHADING ( SHADE CLOSED::): l G S SS SC.= .�� I.2 2 4 . a A. NORTH 4..3835t=.,2 B. EASI i...- .�. 1 .1t:, j5C3 C. .S(?UT"FA �i .. 1.OL's3G'G. 1). WEST:'7 41.93. 'i � E. Sk:YLIGHT SC= 0. 77 ii i) 9. INTERIOR THERMAL MASS. _I.-438356 .. 10. EXTERIOR WALL MASS 0C)- - 1 1 .1-AEAT I NG SYSTEM 70. S`� 1'2. COOLING SYSTEM •F SEER 13 WATER 1-9EAT"ING S. C; • O `, TOTAL'• F'O I N•1`S 1 ' �?t`ty,`V.�'�M✓C'Y��'m"e;'.: • . t,""?'4 y's:' 7�fr 4:. �./t.,,.' , POINT SYSTEM SUMMARY: CL ;HATE, ZONE' 15; ', P -- R PROJECT TITLE=A & M C..ONS°ThGJCT:CON. ':. DATE 1/tet:,/90 ,JO'B SITE=LOT 7 & 8 — AVENIIDA' �'OBREGON, LFA: QUINTA',' BUILDING DATA tx' 4 CONDITIONED FLOOR AREA= CABG NUI�IE(EFd.,'L7F STORIES= 1`' s SLAB/RAISED FLOOR SLAB-; t� 3 TOTAL GLASS AREA 386`Q S. Fl`,.- %GL'ASS' �'1'8n ='i)4^2.h CHECK ALL APPLICABLE UNIT TYPE 'CONIDI'TIONL(S:)� (:X? SINGLE FAMILY DETACHED' �'(^SFD_:) SINGLE FAMILY ATTACHED J SFA? ' BU CL D"LNG MULTI—FAVIILY Y. MF) (. )>4EXI'S"f'.iNG PLUS-:ADD'ITI OIy .SCORE. CARD lvlEASURES '. POI1\1.-`i,�'.:SCO.RES 1. CE I L I NG I NSU'. 30 2 . WA l.. L I NSU'. 11 —8;- 3o'RAISED FLOOR INSU 0 �) 4. SLAB EDGE INSU 0 ;•o INFILTRATION STANDiARD k` ca - L be GLASS HEAT LOSS DDUBLhE PANE' ,'.-U=.-65Y.• . .-3. ) SUM 1 =b 7 a SHAD I NIG ( SHADE' OPEN) � j GLASS AREA SC 677fS B. EAST .• . D-. SOUTH E. WEST 1 216 H. SK.YL. I G1 -IT "r 0 0 8e SHADING (SHADE CLOSED')• / V GLASS. SC= o 2552-'` A o NORTH ; : , . i"i ^-,a 835091 Lie EASTE i i ' 4'. ; i'44'78 C. SOUTH i_, . 0 D. WEST r, -'7 . '10. 35475 E. Sl<YLIGHT SC= 0,.77 `. 0 i) ' 9. INTERIOR TIAENMA'L MASS O � '> 10. EXTERIOR WALL 'MASS c G SUM 7 •-1 c) ".(- :). :L1.. HEATING SYSTEM .72 -S.'E e s ay'.f-..]OL-ING SYSTEM :10��'-'SEER 0 : 13 WATER HEATING S. Go, (� TOTAL. POINTS -18 F .Y , • .._ ... . ,. c .. _`1Ft�. ..... ,. .... -. Y_ .i -. r 1�' . M1,.;4... J bx ,is.E"as�• � t. fi .Sf � � .... :R ._ ...c:Jl •M .w...... _ _ .. , JOHN- Ho HACKER, .C'IVIL ENGI.NEER,- F'AI._M•',:SPRINGS- C�':27--45C=,5 NAME _. _ _. _. -- A & . M CONS"r'RUCT'ITON ADDRESS ---- .LOT 'i & 8;, -- ''AV%NIDA OBREGOW--"— -L_A GIUIIUTA DATE -._..__..._....__ 1/26190 11ANUAL J FOR HEATING AND COOLING-;0SSES`. AREA BLDG 2086 SO- FT'. PERIMETER 231.7778 Sao T=l { INSULATION R VALUE o F LOOR. 0 e CE 1: L.I1\10 30 o o WALL' `1-1 AREA NORTH WINDOWS 8ii` SO. F'1 PER[ ENT..Of :'AREA 34 £35o9:L AREA EAST WINDOWS 90 SO. F-17.- PERCENl" :01= AREA 211-11 31.- 141.78 AREA SOUTH WINDOWS c i - SO. FT o PERCENT. OF ` Ai %: A C) AREA WEST' WINDOWS 216 Sb'FTo PERCENT'. -OF, AREA 0 3 5,4 75 AREA SK.YL_ IGHTS 0 SO:. -FT.,:.' PERCENT OP,AREA f) ' TOTAL WINDOW AREA 3B&t SCio FT. -PERCENT OF -AREA- --18. 5713 THE UVALUE OF THEW i hrDOWS I S .-G5 DUAL PANE.' THIS BLDG USES DRAPESt& 'FLA:'r Sl iAD I nIG DEV I:CE S*--- ON:.;W PIVDOWS . ('mini-bIinds9 rollar shrades.,9 venetka.r Linda', -6r :vertir_a1 blinds:) THE' TOTAL S. Co OF THE. WINDOWS IS 0. 30 SOUTH OVERHANG LENGTH-' ,.INTERIOR THERMAL 111IASS AREA 1`C143 SO FT. INFILTRATION (STD UoCr18, 1h I:=Y)_.aoC�:i�f9-FlGH.T I _ ,018 HEATING. LOSSES -.. 'FOOTING LOSSES. e ec--) .7.3 4, .BTU., CEILING LOSSES.. o 205 X389 PTIU WINDOW LOSSES. 7777."D BTtJ WALL LOSSES..... 36,x•1 194BTUs : t INFIL1"FRATION LOSSES. o '931 t o..363' 3TU TOTAL HEAT LOSSES BTU/FiR ,30.83.1.:'1 GAS FURNANCE SIZE Gci j .C)'e 57 BTU„ OR. 45,000 Bl-t.J.... COOLING LOSSES FOOTING LOSSES... 3461 215 BTU - z. -CEILING LOSSES...,. 26-48. 88j9 -.'BTU T WINDOW LOSSES... 11940 .BTU . WALL LOSSES.... 4891 e 911 BTU* I NF i L'TRAT-I'ON LOSSES o 0 0 40C)5-12 .1'2 BTU 1\10. OF PEOPLE° a o' 5 COOL-ING t ISSEo 0 0 0,0 k::ITCHEN... 1500 BTU DUCT LOSSES INCLUDED I.N..TOTAL'': 1"0-1"AL COOLING I._OSI3ES 3b2_57.'38 BTU 11_.. _IC --F- ILA 1E = = o = p.. 1E" q ��;1PHE II � IF -7p "�u � C` ��°''� 11 C3 4_..D L. of% 1— 1 El Mu 0R. 7E Jl , JOHN- Ho HACKER, .C'IVIL ENGI.NEER,- F'AI._M•',:SPRINGS- C�':27--45C=,5 NAME _. _ _. _. -- A & . M CONS"r'RUCT'ITON ADDRESS ---- .LOT 'i & 8;, -- ''AV%NIDA OBREGOW--"— -L_A GIUIIUTA DATE -._..__..._....__ 1/26190 11ANUAL J FOR HEATING AND COOLING-;0SSES`. AREA BLDG 2086 SO- FT'. PERIMETER 231.7778 Sao T=l { INSULATION R VALUE o F LOOR. 0 e CE 1: L.I1\10 30 o o WALL' `1-1 AREA NORTH WINDOWS 8ii` SO. F'1 PER[ ENT..Of :'AREA 34 £35o9:L AREA EAST WINDOWS 90 SO. F-17.- PERCENl" :01= AREA 211-11 31.- 141.78 AREA SOUTH WINDOWS c i - SO. FT o PERCENT. OF ` Ai %: A C) AREA WEST' WINDOWS 216 Sb'FTo PERCENT'. -OF, AREA 0 3 5,4 75 AREA SK.YL_ IGHTS 0 SO:. -FT.,:.' PERCENT OP,AREA f) ' TOTAL WINDOW AREA 3B&t SCio FT. -PERCENT OF -AREA- --18. 5713 THE UVALUE OF THEW i hrDOWS I S .-G5 DUAL PANE.' THIS BLDG USES DRAPESt& 'FLA:'r Sl iAD I nIG DEV I:CE S*--- ON:.;W PIVDOWS . ('mini-bIinds9 rollar shrades.,9 venetka.r Linda', -6r :vertir_a1 blinds:) THE' TOTAL S. Co OF THE. WINDOWS IS 0. 30 SOUTH OVERHANG LENGTH-' ,.INTERIOR THERMAL 111IASS AREA 1`C143 SO FT. INFILTRATION (STD UoCr18, 1h I:=Y)_.aoC�:i�f9-FlGH.T I _ ,018 HEATING. LOSSES -.. 'FOOTING LOSSES. e ec--) .7.3 4, .BTU., CEILING LOSSES.. o 205 X389 PTIU WINDOW LOSSES. 7777."D BTtJ WALL LOSSES..... 36,x•1 194BTUs : t INFIL1"FRATION LOSSES. o '931 t o..363' 3TU TOTAL HEAT LOSSES BTU/FiR ,30.83.1.:'1 GAS FURNANCE SIZE Gci j .C)'e 57 BTU„ OR. 45,000 Bl-t.J.... COOLING LOSSES FOOTING LOSSES... 3461 215 BTU - z. -CEILING LOSSES...,. 26-48. 88j9 -.'BTU T WINDOW LOSSES... 11940 .BTU . WALL LOSSES.... 4891 e 911 BTU* I NF i L'TRAT-I'ON LOSSES o 0 0 40C)5-12 .1'2 BTU 1\10. OF PEOPLE° a o' 5 COOL-ING t ISSEo 0 0 0,0 k::ITCHEN... 1500 BTU DUCT LOSSES INCLUDED I.N..TOTAL'': 1"0-1"AL COOLING I._OSI3ES 3b2_57.'38 BTU • i i \. • i �7 V- a .. � .. - L � S � y .. ti . R ct;:ClKvlr`�C1 KG(aUGSt:E:D BT' " AND WHEN,RECOR,^ED MAIL'THISL6kkb,,AND.":UNLE94'OTHER- WISE SHOWN BELOW, MAIL TAX 'STATEMENTS 'TO NAM' F Bruce D. Robinson ADDRIss CITY s STATE ZIP 1 c1 L 1'illc Order No 1r4 P.O. Box 1551.- - LaQuinta, 551 - LaQuinta, Ca. 92253 Escrow No. : JI v J O U X«p•F- i W VC. V Q "O • �., ..0 p � U � c o, W :SPACE ABOVit HIS' LIRE FOR REG D&S USE 00itcaahm D" d -d. no consideration and is The undersigned declares that the documentary transfer tax is $., • •..........................:........ . ❑ computed on the lull value of. the Interest,or.property conveyed, or Is ❑ computed on the lull valueless the value of liens or encumbrances remalning thereon at the I.a of sale. The land, tenements or realty Is located in ❑ unincorporated areacttyof La Quinta' k. FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, CYNTHIA A.. ROBINSON,wife of grantee herein do hereby remise; release and,forever quitclaim to ' BRUCE D. ROBINSON, husband of grantor, herein, as a married man as his sole and separate. property the following described real property lh the , City of La Quinta' county of Riverside state of California: Lots 7 Arid '8 in -Block 44 of SANTA. CARMELITA AT VALE LA ,Q.UINTA, UNIT NO. 4, A shown by' MA do file in F3riok.• lA Page'625ef- Maps,ja2ed6eds of Riverside County, California. APN #Is 773=052=.007-7 773-052-008-8 Dated April 19, 1989 _ C • 'V�� . Cynthia A Robinson STATE OF CALIFORNIA COUNTY, OFJSS ��V'"f i\C�� On this the 10; before me, the undersigned' a Wary Public in and -for said County and.State, personally appeared �'N�t'hiol ,ti •-t�b�nSor� ZZ a�onally known W -Me or proved to me on the basis' 61 satisfactory: evidence to be the person__ whose name --U— Subscribed to ttie'within instrument and acknowledged that 3 tie executed the same. ' C�r Signature of Notar FOR NOTARY SEAL OR STAMP ""'......r AL MEAL IRENE E. RING rypTARY MMIO - MALIFOIKA 4�, ro ppmaPAL o"Im IN e A; PMRSIDE coulm Mh temmhslon Exp. Sept- 11, 1990 MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE;. IF NO PART Y"SO SHOWN MAIL AS DIRECTED ABOVE Street Addre§s ` City & State CAL -00111 A/CT (Rev 2-88) E%�1� T A 1 LEGAL.DESCRIPTION. UO t LO v -i UINTA UNIT, Lots 7 and 8, .Block 44. SANTA CARMELITA. AT VALE LA 4s in the N0. 4, as per. Map recorded . in Book e18 Page 62 of MaCalifornia. Office of the County Recorder `of:. Riverside County; [apn #'s 773-052=0.07-7 and -773-052-008-8] .�•r Yir�ryL n{1 �gx,. i}ct ria d'..( t3 ia,;}'rj�e i.��. �S�Fl�r•:'A :,t f, �i 9: s-st ,: `Nt t. It ll't .a1PttWn ata! L+i�74n^tfi� I e�s A11 6^4`i"Yr.�A 'lilt; c ! b�c'3,'!S t� 4 t;•: , . r"y�giT4�i'—i..te} rpf "��c''>ri'€c}. _ Ji'''b i cif. ¢i�Y' Sti�� , EXHIBIT 'B' VRICTIONS AND RESERVATIONS OF RIGHTS AND EASEMENTS This gran», sale and transfer.of real property (hereinafter the "Property") from LANDMARK LAND COMPANY OF CALIFORNIA, INC., a Delaware Corporation (hereinafter`"Grantor"), to BRUCE D. ROBINSON, a married man, as his sole and separate property (hereinafter "Grantee"), is subject to the following rights, easements, and restrictions: I. Grantor reserves,unto itself, its legal representatives, successors and assigns, all minerals, oil,.gas, petroleum, other hydrocarbon substances and all underground water and all geothermal energy sources in or under or which may be produced from the Property which underliesa plane parallel to and five hundred (500) feet below the present surface of the Property. Such reservation specifically reserves in Grantor the rights of prospecting, exploration, development, production, extraction, and taking of said minerals, oil, gas, petroleum, hydrocarbon substances, water, and geothermal energy (and/or its -sources) from the Property by means of mines,.wells, derricks, and/or other equipment from surface locations on adjoining or neighboring land or lying outside of the Property; provided, however that the owner of such minerals, oil, gas, petroleum, hydrocarbon substances, water, and geothermal energy (and/or its sources), as above set forth, shall have no*right to enter upon the surface of the Property nor to 'use the Property or any portion thereof above said plane.parallel to and five hundred (500) feet below the present surface of the Property for any purpose whatsoever. . is ',`.• • . gip;, , - 4...f _<;. i ii a�"td. a�d;,,by1h• Jw�iT!/n!^:.a41'. 2. No objection to expansion of maintenance facility. Grantee, its heirs, successors and/or assigns shall not object, in any public forum, to any expansion and/or proposed .expansion of the La.Quinta Hotel Golf & Tennis Resort maintenance facility, currently located'at 77 -550 -Calle Tamptco, La,Quinta, California 922530 so long as any such expansion is substantially in acdordance-,withy th{e� b+uildi,ng_s and .;•,arches'itectural,;guidelinseA,"N'the N7 . Cit, �kay��J/d1 n9xi'`r� t51v �i K v ars #:.tirwy i15 )`acn_ n 1 is �` r<1 }ice{ny7 lv$i' XF.s t'Tk N+y g�,�,� ce�� l ,y i• ��`i r. WIN x a d' o Wgga o �� ,� r loc. W � _ < cc 8 cc TITlEOA0EAN0. [c'i�y��'o EICAIIM_N0. �YYv-Jv I BpACE ABOVE TNIB.LINE FOR AECORDlA'B UtIE C CORPORATION GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S)D` DOCUMENTARY' TRANSFER TAX is $O— ❑ computed on full value of property, conveyed, or ❑ computed on fullvalue less value of lie' r encumbrances remaining at time of sale. ❑ unincorporated area city of �QlAA 3 e , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LANDMARK LAND COMPANY OF CALIFORNIA, INC., A. DELAWARE CORPORATION a corporation organized under the laws of the State of DELAWARE hereby GRANTS to BRUCE D: ROBINSON) A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY the following described real property in the CITY OF LA.QUINTA . County of RIVERSIDE , State of California: SEE EXHIBIT !'A" ATTACHED .HERETO AND INCORPORATEDHEREIN, FOR;; COMPLETE LtcAt- btsr-RIPTION • y TOGETHER WITH ALL STRUCTURES AND IMPROVEMENTS THEREON. SEE EXHIBIT "B" ATTACHED HERETO AND 'INCORPORATED HEREIN, FOR RESTRICTIONS AND RESERVATIONS. OF: RIGHTS AND EASEMENTS. THIS CONVEYANCE IS SUBJECT TO. ANY. AND -ALL RIGHTS, EASEMENTS, CONDITIONS CC)VENANTS, RESTRICTIONS AND EXCEPTIONS OF RECORD. IA�+ .. y r r] `� - Sa > >7ir f -r'4i r .:31'. 5 r ': ah31 a r�.,%yi +•tiy �r i� oF�3 �1r�th':� ��s5 143 #i �� G,r3i�i't j{yFy�S?f4,{rIr Iri"Syr•'�1 q, . .. i 'fi..:r.. :r.'. i1.t41i•A`�r r{i�f�.a`r �.Cfcf Dated MAY 4, . 1989 STATE OF CALIFORNIA COUNTY OF RIVERSIDE } SS. On this 4th day of I4ay 19--8-9— before 9 89before me, the undersigned, a Notary Public in Tnd.-(or said County and State, personally eppeared Q1eQ Abadie personally known to me (or proved to me on the basis of satis- factory evidence) to be the Vice President; tt pemsenally knovin is 000 (or Fraved is Me en !he basis OF 9869 f6@49seiFy of the corporation that executed the within instrument, and known to me to be the persons who executed the -within instrument on behalf of the corporation therein named and acknowledged to me that such corpo- ration executed the same, pursuant to its by laws, or a resolution of its Board of Directors. WITNESS my hand and offici4eal. Signature df'Notary LANDMARK LAND COMPANY.OF,; CALIFORNIA, INC., A' DELA-WARE: , ...CORPORATION = GREG ABADIE NAME do TITLE VICE PRESIDENT •�� rte.. a .1 � - - J; (This bei for offlelel noterlal trod) MAIL TAX STATEMENTS AS DIRECTED ABOVE. fit Co"DI1111OUEIITED BY AND WHEN NECONOEO MAIL 70I0 5E10 AND 0111111 OTN111tiIlE 1110111 BELOW MAIL TAI ITATEMENT TO: 11-4 r Bruce D. Robinson greet P.O. Bo.:k 1551 ' R!1 La Quinta, Ca.92253 �• iy e Iete In MAIL TAX STATEMENTS TO rme 1 1 rest ete same as abode address city a . stele � I r. WIN x a d' o Wgga o �� ,� r loc. W � _ < cc 8 cc TITlEOA0EAN0. [c'i�y��'o EICAIIM_N0. �YYv-Jv I BpACE ABOVE TNIB.LINE FOR AECORDlA'B UtIE C CORPORATION GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S)D` DOCUMENTARY' TRANSFER TAX is $O— ❑ computed on full value of property, conveyed, or ❑ computed on fullvalue less value of lie' r encumbrances remaining at time of sale. ❑ unincorporated area city of �QlAA 3 e , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LANDMARK LAND COMPANY OF CALIFORNIA, INC., A. DELAWARE CORPORATION a corporation organized under the laws of the State of DELAWARE hereby GRANTS to BRUCE D: ROBINSON) A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY the following described real property in the CITY OF LA.QUINTA . County of RIVERSIDE , State of California: SEE EXHIBIT !'A" ATTACHED .HERETO AND INCORPORATEDHEREIN, FOR;; COMPLETE LtcAt- btsr-RIPTION • y TOGETHER WITH ALL STRUCTURES AND IMPROVEMENTS THEREON. SEE EXHIBIT "B" ATTACHED HERETO AND 'INCORPORATED HEREIN, FOR RESTRICTIONS AND RESERVATIONS. OF: RIGHTS AND EASEMENTS. THIS CONVEYANCE IS SUBJECT TO. ANY. AND -ALL RIGHTS, EASEMENTS, CONDITIONS CC)VENANTS, RESTRICTIONS AND EXCEPTIONS OF RECORD. IA�+ .. y r r] `� - Sa > >7ir f -r'4i r .:31'. 5 r ': ah31 a r�.,%yi +•tiy �r i� oF�3 �1r�th':� ��s5 143 #i �� G,r3i�i't j{yFy�S?f4,{rIr Iri"Syr•'�1 q, . .. i 'fi..:r.. :r.'. i1.t41i•A`�r r{i�f�.a`r �.Cfcf Dated MAY 4, . 1989 STATE OF CALIFORNIA COUNTY OF RIVERSIDE } SS. On this 4th day of I4ay 19--8-9— before 9 89before me, the undersigned, a Notary Public in Tnd.-(or said County and State, personally eppeared Q1eQ Abadie personally known to me (or proved to me on the basis of satis- factory evidence) to be the Vice President; tt pemsenally knovin is 000 (or Fraved is Me en !he basis OF 9869 f6@49seiFy of the corporation that executed the within instrument, and known to me to be the persons who executed the -within instrument on behalf of the corporation therein named and acknowledged to me that such corpo- ration executed the same, pursuant to its by laws, or a resolution of its Board of Directors. WITNESS my hand and offici4eal. Signature df'Notary LANDMARK LAND COMPANY.OF,; CALIFORNIA, INC., A' DELA-WARE: , ...CORPORATION = GREG ABADIE NAME do TITLE VICE PRESIDENT •�� rte.. a .1 � - - J; (This bei for offlelel noterlal trod) MAIL TAX STATEMENTS AS DIRECTED ABOVE. Building / /�I✓ Address Owner - Rrf)L TZ-6aln Mailing Address City L_14 _Contractor State-Lic-- & Classif. Arch., Engr., Designer r Address Pv 3u Zip Qui IOTA Zip 51iq Titit 4 4 0914M.P.O. BOX 1504APPLICATION ONLY 78-105 CALLE ESTADO ' LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. A.P. Number -7-7-3 Tel. z S( y J Z Legal Description Project Description . r City_.- _. Lic. # Sq. Ft. (J No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ City Zip State NOTICE TO -APPLICANT. If, after making this Certificate of Exemption you should become ZONE: a I subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Lic. # Distances: comply with such provisions or this permit shaft be deemed revoked. LICENSED CONTRACTOR'S DECLARATION L I hereby affirm that I t licensed under• provisions of Chapter 9 (commencing with Section 7000) t. of Division 3 of th Busi ess and Pro fond my license is in full force and effec Front Setback from Center Line ' SIGNATURE DATE OWNER -BUILDER DECLARATION -- - I hereby affirm that I am exempt from the Contractor's License Law for the following 'reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Estimated Valuation S� — PERMIT - _ _ - - - - -- AMOUNT .. . � Ian Chk.-Dep-.. - - Division 3 of the Business and Professions Code, or Nat. he is exempt therefrom, and the basis for the alleged exemption. Any violatkm of Section 7031.5 by 'any applicant'for a permit' subjects the appficant to a civil penalty of not more than rive hundred dollars ($500). O I, as_ownet 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 Plan Chk. Bal. Const. {' Mech. This is a building permit when properly filled out, signed and validated, and is subject to builds or improves thereon and whodoes such work himself or through his own.employees. provided that such bmprovements are not intended or offered for sale. It, however, building Electrical _. 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 safe.) 0 I, as owner of the property, am exclusively contracting with licensed contractors to con-. _ struet.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 Plumbing I certify that I have read this application and state that the above information is correct. _ S. M.1: _ 11 - l - _-"'?'"�'}".-•; .air` • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) _ ❑ 1 am exempt under Sec B. & P.C. for this reason Grading •_ - ,� N Driveway Enc. Date Owner Infrastructure . - Y Signature of applicant Date Mailing Address WORKERS' COMP SATION DECLARATION 1 hereby affirm that I have a certifi to of consent to self-insure,.or a certificate of. Worker's Compensation Insurance, or a ce ified copy thereof -(Sec. 00'0 Labor Code.) City, State, Zip Policy No. Company ❑ Copy is filed with the city. - ❑ Certi led copy is hereby furnished. TOTAL ' _ REMARKS ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - - (This section need not be completed ff the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit'is issued, I shall not =any person in any manner so as to become subject to the Workers' Compensation Laws of California - Date Owner NOTICE TO -APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shaft be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) - Side Setback from Property Line Lender's 'Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 1110 days. I certify that I have read this application and state that the above information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SQ. FT. ® - WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ =$ URINAL SQ. FT. ® FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL