9711-052 (PATIO)
79832 Arnold Palmer
EJB
LICENSED CONTRACTOR DECLARATION
ierebNffirm under penalty of perjury that I am licensed under provisions of
iapter (commencing with Section 7000) of Division 3 of the Business and DATE
ofessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
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 not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
(, ) I, as owner of the property, am exclusively contracting with licensed
-o contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&RC. for this easo
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 f, 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.
rDate: " . 'e 'plicant7577
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subjec(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.
BUILDING PERMIT
VALUATION i ,a a-t►I LOT
PERMIT# CONTROL#
TRACT
6796
JOB SITE J
ADDRESSr t\ 79-8.12 (NOI,I) PAf! ML11 APN 769.41 t-076
OWNER CONTRACTOR / DESIGNER / ENGINEER
iS!"' ;/1(:}iS'Arr 1) 1rrj :r> i ll r (?l:ty
-. t 1 f...\ Jii♦ .k♦
79-832 t1RNU.Li) PALMER
LA QI tIKI'A CA. 92253
USE OF PERMIT
A9 !)<r N
it) S.F. PAT T t0 EAiCLCiSt+'it►:; EXTEND (IjkS iANE
C3J i l'itjt•.i 'i:riJ.';;'ItiiCl'.i:)►v
CBS1.ft
IIIIIIIIIIIIIIIIIIIIIIII
IE
I
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 represerit'atives of this City to enter upon
the above-mentioned property for inspection pup. ses.
EIPT
/ . - ' REC
/Signature (OwnedAgen ; Date 1
`f_fL3=i '1 Ala t:'t`)►u: 'i`1t11tr"t'lt)N N :I'I. lN f ;11:C: '
DATE
';i.'OTA.1,0111P,, NOW
BY
5.453.401,1
00
07
GST
ILJ
jf&+ Its •
W,v10
. 8186.1 .5
+i;i
t%AN C1TK.CX F01-3
1.01-t?t!i)_439-3)8
i4b.(a
,-Y)Nn-tvjf(-rit1T,11rt;1;
tt11-fi()t).dtstfi(1(!
$141 Al
• lCN.;ci - 10 10
-&1011',
101-06V-2,11-000
$ i5t,, 1
fMEC1ir\N1CAI. FOi -
'
$15AM
1;LW_"Vft1CAJ., F!T
101-000 410-000
PfIri IAINO0`1
t()I -()Nl -a119. (i(t
ply5t1
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 represerit'atives of this City to enter upon
the above-mentioned property for inspection pup. ses.
EIPT
/ . - ' REC
/Signature (OwnedAgen ; Date 1
`f_fL3=i '1 Ala t:'t`)►u: 'i`1t11tr"t'lt)N N :I'I. lN f ;11:C: '
DATE
';i.'OTA.1,0111P,, NOW
BY
5.453.401,1
00
07
GST
ILJ
jf&+ Its •
W,v10
. 8186.1 .5
+i;i
f
_17
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
O.K. to Wrap_
_ 3 -
F.A.U.
Framing 7
Compressor
Insulation
- y (Q - Q
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
- -4
Drywall - Int. Lath
Id
Final
Final
—
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond'Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
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
COMMENTS: '
�,�s w��� dv�r2 tatiLST/a�7GIt o
SES i07�,YB� ✓��k�bT.S .
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
! Final
r` ' Utility Notice (Perm)
C
`C
91
` - CITY OF LA QUINTA
SUBI IST
CONTRAOU ADDRESSIrd�CVi _�
OWNER
JOB ADDRESS d `'
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place.
It is the responsibility of the General Contractor or the Owner/Builder to monitor the sub -contractors that
are on this list are the same persons performing the work. Any changes to this list must be approved the
City of La Quinta Department of Building & Safety 12LI4r to work being performed by a changed sub-
contractor. Failure to comply will result in a stoppage of work and/or the voidance of building permit.
'TRADE
SUB -CONTRACTOR'S
NAME
TYPE OF.
LICENSE'..:.
STATE;
CONTRACTOR`S
LICENSE
NUMBER '
WORKER'S
COMP: NAME)
NUMBER ON TILE
CITY
BUSINESS
LICENSE .
NUMBER?
EXP. DATE
GRADE/
EXCAVATE
A/C -12
PIPELINES:
C-34
CONCRETE/
FOUNDATIONS
13loavw�i✓
Csrwst
C-8
40ga$O
HTt r`�r�D
Z''I a9
Oa77(o
8
ASPHALT
A.
Lf RAMING
B
'y -D % 2 8'D
gR�7�7P�
O;L77
i
STEEL/
.STRUCTURAL
C-51
MASONRY
C-29
PLUMBING
K G "Pc,wffi�,b rx,
C-36
5-0170-7/
4 g
9
LATHING
C-26
DRYWALL
C-9
*0gZL80
CREm f
0,A77B
PLASTERING:
B
C-36�f0
�jZe-7yjQT
0-277(0
HVAC
C-20
ELECTRICAL °
;(General)
/MCucAt n Elect;
C-10
?S-2
4110�
WAWQ 11r8Y
� J a
'9
ROOFING
C-39
:SHEET METAL
C-43
FLOORING
`eh.;j.0 TILE
C-15
*5647V
GLASS/
GLAZING
MA&IK t" SZ5
Y-TjQB'/L
C-17
(p�(D33�
S s 4
_&'S lir-S�
IV 5 7
I
INSULATION .:
C-2
SEWAGE DISP.
C-42
-PAINTING/
DECORATING
C-33
TILE
W#AwsG Ile-
C-54
CABINETS/
INSTALLATION
C-6
FENCING
C-13
LANDSCAPING
C-27
POOLS
C-53
OTHER
U
OWNER / BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing 'their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quin 92253
,(760) 777-7012
FAX (760) 777- 011
d
O SIGN RE/DATE
PROPERTY ADDRESS
q76/ - 052 -
PERMIT NUMBER(s)
B.G. STRUCTURAL ENGINEERING
BRIAN GOTTLIEB - CIVIL ENGINEER - Lic. No. C33047
45-535 Via Corona
Indian Wells, CA 92210
(760)568-3553 (760)568-5681 Fax
March 4, 1998
Mr. Roger Reimers
69-930 Highway 111 Suite 106
Rancho Mirage, CA 92270
RE: Jackson Residence Remodel
Dear Mr. Reimers
The following information is presented to clarify our requirements for the
foundation plan.
On details 7, 8, and 9 on sheet S-3 where the existing footings meet the design
requirements a " Simpson " HD2A holdown anchor with " Simpson "SET epoxy
can be substituted for the " Simpson "CB or BC column bases. It should be noted
that the epoxy requires a special deputy inspector.
Please call me at (760) 568-3553 if you would like to discuss this matter.
Sincerely,
Brian Gottlieb, P.E.
cc: file
b
VALID ONLY IF SIGNED
IN RED
11111 III11111 Jill 41
IE
TITLE 24 REPORT FOR -
79 -832 Arnold Palmer -
La Quinta, CA, 92253
PROJECT DESIGNER:
Richard -Nagy -Marlin .
4611 Teller Avenue
Newport Beach, CA, 92660
(714) 752-1800
REPORT PREPARED BY:
M. F. "Warren" Lavender
LAVENDER DESIGN
7755 CHEROKEE TRAIL
YUCCA VALLEY, CA 92284
(619) 365-1286
Job Number: 01063
l
Date: 5/2.0/1998
The COMPLY 24 computer program has been used to perform the calculations•
summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the
Residential and Nonresidential Building Energy Efficiency Standards.
This program developed by Gabel Dodd Associates (510) 428-0803.
s
Table Of Contents.for Title 24 Report
CoverPage .................................................. 1
Table of Contents .................................... ............. 2
Form MF 1R Mandatory MA: �: ,� �s �:�,�},;i:.; i' i ...... 3
Form CF --1R Certificate of Compliance ................................. 5
Form C -2R Computer Method Summary (Points) ...... ................. 7
Form,P-2R Point System Summary .......................................... 13
HVAC System Loads Summary .................. ......................... 15
Zone Heating Loads Summary .......................... ................ 17
Zone Cooling Loads Summary 20
Form CF -6R Installation Certificate 23
I
0
rila�Lir�lU1 r 1'1 L:/1.!Vi G:• vIILVI\L1JI ��JC11 UI �J 1Ii--•11.i Pd9d J UI Ld
-------------------------------------------------------;-------------------
Project Name: Robert Jackson ,Date: 5/20/1998
Documentation: LAVENDER DESIGN ;COMPLY 24 User 1615
----------------------------------------------------------------------------
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.
BUILDING ENVELOPE MEASURES
o Sec. 150(a): Minimum R-19 ceiling insulation.
o Sec. 150(b) : Loose fill hISLI iat ioll 1117►Iui-1t:I.1ll el s
labeled R. -Value.
o Sec. 150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls). *
o Sec, 150(d): Minimum R-13 raised floor insulation in framed
floors; Minimum R-8 in concrete raised floors.
o Sec. 150(1): Slab edge insulation - water absorption rate
no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
Enforcement
o Sec. 118: Insulation specified or installed meets California
Energy Commission quality standards. Indicate Type & form.
o Sec. 116-117: Fenestration Products, Ext Doors & Infil/Exfil Controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label w/certified U -Value
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
o Sec. 150(g): Vapor barriers mandatory in Climate Zones 14
and 16 only.
o Sec. 150(f): Special infiltration barrier installed to
comply with Sec.. 151 meets Commission quality standards.
o Sec. 150(e): Installation of Fireplaces, Decorative Gas
Appliances And Gas Logs
1. Masonry and factory -built fireplaces have:
a. 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.
S
MANUA wHY MEASURES CHECKLIST (part 1 of 2)
--------.---_.---
Project Name: Robert Jackson
MF -1R page 4 of .2 _..__.__.._._..,..._..._
-----------------
;Date: 5/20/1998
Documentation: LAVENDER DESIGN -------;COMPLY 24 User 1615
-
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM.MEASURES Enforcement
o Sec. 110-1.3: HVAC equipment, water.lieaters, showerheads
and faucets certified. by the Commission.
o Sec. 150(i): Setback thermostat on al -1 applicable
heating systems.
o Se 50 a ar,r! TT
1. Indirect hot water tanks (99 unfired storage tanks or
backup solar hot water tanks) have insulation blanket
(R-12 or greater) or combined interior/exterior insulation
(R-16 or greater).
2. First 5 feet of pipes closest to water heater tank,
non -recirculation systems, insulated (R-4 or greater.
3. All buried or exposed piping insulated in recirculation
sections of hot water system.
4. Cooling system piping below 55 F insulated.
5. Piping insulated between heating source and indirect hot
water tank.
o Sec. i50(m) Ducts and Fans *
1. Ducts constructed, installed and sealed to comply.with.
UMC Sections 1002 and 1004; ducts insulated to a minimum
R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust,_.systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible manually operated
dampers.
o.Sec. 114:Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions,, no electric
resistance heating and no pilot, light..
2.. System is installed with:
a. At least 36" pipe between filter and heater for future
solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch.
o Sec. 115: Gas-fired central furnace,.pool heater, spa heater
or household cooking appliance have no continuously
burning pilot light. (Exception: Non -electrical cooking
app liance with pilot ( 150 Btuh)
LIGHTING MEASURES
o Sec. 1.50(k). Lighting - 40 lumens/watt: or,greater.for.
general lighting in kitchens and rooms with water closets;
and recessed ceiling fixtures IC (insulation cover) approved.