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211-0056 (SFD)54800 Avenida Alvarado 1— N_ I W M M LU 6ZN-j OOr;" (D LU eL Z co • Lc) N O N • °) • a Z Q 0 X W 03<U drn H 71- Z co 5 r.O ` Q - 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 fExp. Date, 33 4981 1 ° a/o4 Date a — -{] Signature of Contractor^ -, A OWNER -BUILDER DECLARATION • Thereby 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 efihe(prgperry, am exclusively,contracting with licensed contractors `to construct t1>'e project (Sec. 7044; Business & Professionals Code). C/ - `' () I am exempt under Section', B&P.C. for this reason Date , » Si§' ature of ;Owner 1") • WORKER'S COMPENSATION DECLARATION„g I hereby affirm under penaTtyfofrperjury one of/he following declarations: ( ) I have'ifand will maintain. certificate of consent to self -insure for workers' compensate€n,„-as,pFovidearfor by Section 37000f the Labor Code, for the performanc ST'the work for which this permit is iss ped. ( ) I ha 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 aTATE FUND Policy No. 15429'4,91 (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 come subject to the workers' compensation laws tot California, and agreejthbeat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor /Code, I shall forthwith comply with those provisions. c 1 Date. 1 f• - a1 Applican't.&,r'.WJir s 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 buring construction, and hereby='authorize representatives of this City to enter upon the above-mentioned property for inspection purposes.' - Signature (Owner/Agent)--44-11`‘. E - '-•- °V ` Date BUI4.LDING PERMIT PERMIT# DATE / LOT TRACT)(/ALUATI0N 1O 74<L 3 23 MI< 279 JOB SITE / APN ` ADDRESS 54.800 AVENIDAM.VA ,ADO 774-i9.5-003 OWNER CONTRACTOR/DESIGNER/ENGINEER COR,O: EE, ENTERPRISES , CtDRONEL CO1 'T'RUCi1ON .Po',}-= 38 /8-150r adlSid11'YC'C: ; t%t1'E3 LA. Qj INTA, CA 92253 ' , LA. (tIIN A CA 92253 . . . • (760)564 4604 CBL# 2261 USE OF PERMIT D 1 OUT; a 1a C. • 17$9 S.F. . ptiztowr DOES NOT INCLUDE rs OCfc WALL,POOL, OR DRIVEWAYP) I1OA.C}3/O T CT CONS` 11CTION 1„189.t f ,SF . HJPATI 14.04 SP' RAOEICAR,PoRT 487.40 SF i. - 1.1.4.'nMATED COST OF CO S” "4: UCIION 106,874,10 PEEWIT FEE SrkeilvfARY { CONSTRUCTION MI 101-000-418-000 $664.00 PLAN CM'CK lin 101-000.439,431E: $534.10 FEE 1' :POSIT 101.000.439-'.318 - 230,00 ' MECHANICAL Irin'.E 101-000-421-000 $52.50 ELECTRICAL VOL 101 -00042c900 $120,fIfl PLUM 131 MO FEE 101-000-419-000 -- $64.00 :. STRON0 MOTION rege,- WM 101„0O04V1-'0QO I, i0.60 Q?►'1,Ak” fl40 FEE 101-000.423;000 $15.00 3 . i DEVELOPER IMPACT FR $Z,4v ,00 PRECISE PLAN 101-000-441-.24S $100.00 f lx Il, Ja-- . `_._..r... .-..., t CC) I 'fl TC°1ION» D PLAT CHECK JAN0 7 2003 TOMr `' KERS S DMNOW $245116.,1 ti TY FLA t'dUINTA -' FINANCE DEPT. i .• 11111111110111101111 4 IE RECEIPT D1T /,/ a .„ BY (/ {' DATE5f..J EDj` , ` INP T R INSPECTION RECORD OPERATION DATE INSPECTOR • OPERATION DATE INSPECTOR • • BUILDING APPROVALS MECHANICAL APPROVALS Set Backs d.- 4- 5 D 3' Underground Ducts Forms & Footings • °• 1.4.`---- g Ducts -i Slab Grade Ui, Retum Air , Steel 1,27....-g Combustion Air Roof Deck -'7 03 II -Fir - C> / Exhaust Fans F.A.U. Compressor O.K to Wrap Framing Insulation !/3 - Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath --"S"----015-71,— / L — Drywall -Int. Lath l I GL Final 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 - - 0 ! Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection - C2S 7-c:27d-7 / -- Encapsulation Gas Piping Ze-j Gas Test Appliances Final COMMENTS: • • - . - • Final r- `5 4' 0T. Utility Notice (Gas) 1- u \ ELECTRICAL APPROVALS /-70-. 03 iuZ 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 __ 5-= O 7J , ,', Final 7>A5 ,'---..":.--::t Utility Notice (Perri) IIIIIIIIIIIIIIIIIIIIIIIII 43 IE Building -/..1 cm 0 Address+ -1 44ui Z roo P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO 1(sk1zx A---) LA QUINTA, CALIFORNIA 92253 Owner., CA-. Mailing Address co -38o UJA;trv,:t. City LrA •St41c& Zip cap zz`o 34740- Or) L - Tel. Contractor Address M BUILDING: TYPE CONST. V 'tom OCC. GRP. R 73 A.P. Number / / 7 - c 9-3-06 Legal Description Project Description (11 A City Zip Tel.. State Lic. & Classif.' City Lic. # Arch., Engr., Designer Sq. Ft. L L'S- Size 'SSize y ► No. Stories No. Dw. Units New L. Add ❑ Alter 0 Repair 0 Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION 1 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, 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 provlslons of the Contractor's Ucense 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 (5500). ❑ 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. ll, 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, 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.) ❑ I am exempt under Sec B & P.C. for this reason Date Owner'L . ONt-\1.. 4 is31 . 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 • 0 Copy is filed with the city. 0 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 (5100) 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: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provlslons of the Labor Code, you must forthwith comply with such provisions or this pemlif 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 ,of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date .Mailing Address City, State Zip BUILDING DIVISION Estimated Valuation - 1 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 3 V? . - Mech. Electrical Plumbing IfS S.M.I. Grading Driveway Enc. Infrastructure ZD7• T.awttiw4 f0,. FCr\ y‘1.00 pV\r TOTAL REMARKS ?,4 Sy. yb 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/ ?A --P/ Permit Validated by: Validation: A 4 0 6 8 1 30 250,00 CK CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL J CO LS 0 SQ. FT. ® 4 L7g / . $ ! ?Co 'TM CO STORAGE TANK UNITS 6-6 'j 7 DUCT WORK • 3(„, -- 2ND FL. SO. FT. ® OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT YARD SPKLR SYSTEM SERVICE FINAL INSP. POR 1 i 4 [ SQ. FT. ® -I 1 1 / 1. Q L "A -O GRADING cu yd MOBILEHOME SVC. LUMBER GR. FINAL INSP. BAR SINK FRAMING FINAL INSP. GAR. y k 6" SQ. FT. ® la ?° SloW S 3-4 POWER OUTLET VENTILATION FIRE ZONE ROOFING ROOF DRAINS FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING DRAINAGE PIPING MESH CAR P. SQ. FT. ® WALL SQ. FT. FINAL INSPECTION CERT. OCC. FENCE FINAL DRINKING FOUNTAIN GARDEN WALL FINAL I c•IQF PL'PIC . SQ. FT. @ \ ZOO - URINAL ESTIMATED CONSTRUCTION VALUATION $$) `/ S AZ WATER PIPING 7„ .- NOTE: Not to be used as property tax valuation / FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD 4 — SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP S6 POLE, TEM/PERM l V LAVATORY HEATING SYSTEM FORCED GRAVITY S6 AMPERES SERV ENT I z 510 SHOWER BOILER B.T.U. SQ. FT. © c BATH TUB SO. FT. ® c WATER HEATER S MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR @ 3Ac HOUSE SEWER 10 GAS PIPING , .... PERMIT FEE V O .. PERMIT FEE 1(9 — PERMIT FEE t t] _,-_ DBL TOTAL FEES MICRO FEE MECH.FEE 30,— PL.CK.FEE CONST. FEE ELECT. FEE ,3 -I 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 ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu yd _$ LUMBER GR. FINAL INSP. $ plus x$ FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Bun III III VIII III 45 ala # P.O. BOX 1504 Building \ I j oo\ 78-495 CALLE TAMPICO Address , 'j`Zj V c Q LA QUINTA, CALIFORNIA 92253 Owner (/'' Mailing Q G Address P V d C City Tel. zL1k bo4 Contractor, Address APPLICATION ONLY BUILDING: TYPPEE-CONST. OCC. GRP. A.P. Number / -N 03 Legal Description \--6\cc • G0 - Project Description JF • \ mc.o5 .1;) r City Zip State Lic. V Q & Classif. Tel.CDCH City Lic. # Arch., Engr., Designer SqSize. Ft. \-7511 New No. Stories No. Dw. Units Add 0 Alter 0 Repair 0 Demolition 0 Address LICENSED CON ' ACTOR'S DECLARATION I he, affirm that I am n d n provisions of Chapter 9 (commen ng with Section 3 oft / • 'rofessions Code and . y license i full f e 1' to- sr OWNER•B• RDECLARATION I hereby that I am exempt from the Contractor's License Law for the following (Sec1.5,Business and Professions Code: Any city or county which requires a Oo.• permit to constru , 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 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 live hundred dollars (5500). O 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 0! proving that he did not build or improve for the purpose of sale.) 1.1 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) IT! I am exempt under Sec B & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company CI Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) valuation Of 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: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of (he Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY eI hereby affirm that there is a construction lending agency for the performance of the k for which this permit is issued. (Sec. 3097, Civil Code.) nder s Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives .of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State Zip Estimated Valuation 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 Li e FINAL DATE INSPE OR Issued by: Date Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT U 1\r)\ -Permit -'r 1 9n7 PINK = BUILDING DIVISION cay gFOFt ptlPTtok Y Certificate of Occupancy City of La Quinta Building and Safety Department 1IIE111IIII111111II1111IE 49 This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 54-800 AVENIDA ALVARADO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0211-056 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: CORONEL CONSTRUCTION Building Official Address: P.O. BOX 389 City: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: MAN 21, 2003 POST IN A CONSPICUOUS PLACE May 22, 1986 MOM IMP 50 IE 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 American General Development 43-380 Warner Trail Palm Desert, CA 92260 ATTN: Duke Phelps RE: Property at 54-800 Avenida Alvarado - APN 774-293-003 Dear Mr. Phelps: Pursuant to numerous complaints of blowing sand and dirt at the above property and as per our telephone conversation of 5-21-86, this letter is to inform you that if an effective dust mitigation program is not instituted immediately, the City will initiate nuisnce abatement proceedings. As a result of said proceedings, the City of La Quinta could engage a private contractor to execute its directives, one of which could be the removal of all imported fill. Let it be Known that any and all costs incurred as a result of these proceedings would become the liability of the property owner and as such would take the form of a lien on said property until satisfied. The city would prefer to have thismatter settled without the necessity of formal proceedings but will pursue any course of action necessary to remedy the situation. If you have any questions, contact the undersigned. Very truly yours, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION ce/eir_a_at.7Tom Hartung Chief Building Inspector TH;psn MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 Icrsio 1041c1Q13A3C1 kuNnwvocra eimno Vi O AilO 986l ET 100 03A13q3e1 7441 /:{712 April 4, 1986 TAIL/ O" 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 Mr. Zelles 54-767 Avenida Obregon La Quinta, CA 92253 SUBJECT: Permit No. 2084 - 54-800 Avenida Alvarado Dear Mr. Zelles: Pursuant to our phone conversation, this is to advise you as to the status of the above -referenced permit, particularly as it relates to concerns expressed by you and other neighbors. After reviewing the matter with my Staff, the City Attorney and the City Manager, the following actions have resulted: °, existing grading generally complies with City regulations as established through -FEMA for Flood Zone B; o permittee is required to construct a retaining wall to support fill areas and will do so as soon as possible; (probably near to time that foundation is done) o permittee is required to construct, prior to final, a 6' wood fence around the retaining wall (along the inside of it) along at least the north and east propery line. In addition, it has been strongly recommended to Duke Phelps of American General Development Co. (340-0172) that he and the prospective owner meet with the neighbors to discuss these proposed improvements prior to their installation to avoid any further problems or associated complications. The City is hopeful that this will result in an improved relationship and'a satisfactory project for both the builder and the neighbors. • You should be aware that the City is prepared to issue the permit at this time, although Mr..Phelps indicated work may not start for a week or two. Furthermore, the City will be responsible to enforce the above items associated with the permit. MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 April el4ies 1986 M . z Page 2 Do not hesitate to contact our office if you have any questions. Very truly yours, COMMUNITY DEVELOPMENT DEPARTMENT PLANNING DIVISION Lawrence L. Stevens, AICP Community Development Director LLS : psn CC: Duke Phelps, American General Development Co. Jim Longtin, City Attorney Prank Usher, City Manager MAY -21-2003 07:08 AM I NS TA LLAT 1 ON CERTIFICATE _ i!- p'D e, '9 kti/4vr-6 Sia- AddreiY 7101111 44 P.03 CF -6R Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS �DUCT LEAKAGE REDUCTION i'_ sii:iz tion Test Results (CFM ® 25 PA) Test Leakage (CFM) 77 an Flue Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) Pass if leakage fraction 5 0.06 ❑ Fur AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK Et,'1< ;\F'TER FINISHING WALL: 0 lei 0 No 0 Pressure pan test or House pressurization test A/ f )/r 0 Yes 0 No 0 Visual Inspection of Duct Connections /v/ I7 THERMOSTATIC EXPANSION VALVE (TXV) 1':s ❑ No Zr Pass Fail ❑ 0 Pass Fail Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ( 0 . Yes is a pass Pass Fail ❑ DUCT DESIGN C3 Yes No 2 C3 Yes 0 No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -IR. Measured Fan Flow Yes for both 1 and 2 is a Pass /t/h9 ❑ 0 Pass Fail I, the undersigned. verify that the above diagnostic test results and the work 1 performed associated with the test(st is in ,:onlermjnce with the requirements for compliance credit, (The builder shall provide the HERS provider a copy of the CF -6R by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for .u:ni lwnee ,red:r ) 5/ Signature, Date J Installing Subcontractor (Co. Name) OR General Conrractor (Co. Name) c. (.')I"i' I'f.) Building Department HERS Provider (if applicable) Building Owner at Occupancy 111111111P11111 46 IE Date 1/6/03 No. 23999 Owner William Buffin Address 52275 Avenida Obregon City La Quinta Zip 92253 Tract # BLK 279 Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 AAFIED AO0 Q BERMUDA DUNES r V) RANCHO MIRAGE INDIAN WELLS d PALM DESERT LA QUINTA Q INDIO 0 VVV J+J APN # 774-293-003 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F. Unit 1 22 54800 Avenida Alvarado 1789 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 1,789 S.F. or $3,828.46 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/VIB - Ish Coronel Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Monica Guillen SignatureOnlaL Check No. 277993 Telephone 760/564-3604 Funding Residential $3,828.46 Payment Recd $0.00 Over/Under NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting 1111111111111111111- IIIIIII VIII III VIII Illi 47 4 IE • RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed housing design does not duplicate the same architectural style of any house within 200 feet of the applicant, and/or 2) if there is a need for the applicant to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmit this information to the Building and Safety Department as part of your correction list. Please attach additional explanations as necessary. APPLICANT: Coronel Enterprises 54-800-A1varado- SITE ADDRESS: --� APN 774 - 293 - 003 CASE NO.: 2002-731 LEGAL: LOT 22 BLOCK 279 UNIT ± CHECK AND APPROVED BY: • Wally Nesbit S.C.@V.L.Q. DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify legal and APN information Consistent with MDG on file (as . /11//4applicable) MDG filing required (5 filings since 9/3/98) —fir N/'4 Architectural variety within 200 feet of the surrounding area: Architectural design features ,..7 , _ Other Requirements: Approved by: DAR Peso #, 0 Planniny unun *5 Oil_.._- Council . : • City Initials Case Exhibit ommunuev. Dept. Com`-' 7Z /t 0Z No. Ac- 02--1-3/ ith Coftctittanl— Receipt No 4 7o 2 9'y Issued By /1-,644e, District: Riverside 0 Indio Hemet 0 Date p6 DISTRIBUTION: WHITE - Office File DOH SAN 122 (Rev 10/84) YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File ' L III II IIIII III IE— IIIII IIII 48 — SECTION A COUNTY OF DEPARTMENT OF HEALTH RIVERSIDE, PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications attached check list. A non refundable filing fee of$15 is required when the application is made payable to County of Riverside. SYSTEM required on the submitted. Check must be Name A4kcZt030 C -,c: t- 0' ccs Mailing Address 43 - 830 Ai/Li/kidR . 1TL*ic.. City ?il LP' c->lt iiT State CA- Zip Code 92 z.v Phone ')4.0..)— crn-- *Property Address„ AL✓A,7Aj)p Q ''CityMom:munily 4A QtJtf.'T» • *Legal Description of Property (Lot, Ldf" 22 Block 271 Parcel Map, Tract) UUr r 2S G,,,, ^i/7,eL,7 `Assessors Parcel No. Water Serving Property From 'Lot size if Zq• es Signature of Applicant Date *The above information must be verified from Building Application Staff Use — Do Not Write Below This Line SECTION B WQCB Clearance required Yes ■ No © Initial% / / Date i ! c?/ FC Soils feasibility report required Yes • No ©,, _ / r Detailed boring report required Yes • No l��!_l 1 i Detailed contour plot required Yes ■ No li Il 1 Comments: Soils or boring report by Date Approved by /''y�'�`' / •date Soils Map Page �� j fP r `� Soil Type � Tract File No °"= yp s 4O:ther` $ Number of Bedrooms /f v Septic Tank Size (gallons) Rate Required ,f % Type of System New Addition Replacement Leach line sq. ft. of bottom area trench fid Leacrbed (sq. ft. of bottom area bed) Seepage Pit Diameter • Number of Pits Seepage Pit Depth B.I. /�� ,� ` Total Depth of Pit {L/o/catitiioonoff System f / -4-1°( 4.-.--169,----,,vee/s4 Additional Re"quirements/, "64 di—a- , /,f v L _ ,-/��rt- < ,, 'Y / .,,,, , f ...o.--)--,c,r y,., ,,� ii- 40--c-,...4,-..— /Z..-cS` � :1,/;f %tS �.,Gr32%?" -u'.-. ISECTION C A permit is•app or vedlde-ited4or the design of a subsurfac5caposal system as indicated on the accompanied plot plan using,the requirements set forth in Section B above. A building permit is necessary for the installation of the above qu designed system., /.�. -- 7..) / , . ' . . /— �5- Signature of Health Official / Date Receipt No 4 7o 2 9'y Issued By /1-,644e, District: Riverside 0 Indio Hemet 0 Date p6 DISTRIBUTION: WHITE - Office File DOH SAN 122 (Rev 10/84) YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File