BLCK (14307) + RPL (06555) + SFD (05876)52030 Avenida Madero
14307
06555
05876
Building 52-030 Ave, nadero
Address
Owner .Tnnpnh Tnhn Amnnla
malting
Same
Address
T4'ht 4 4 Q"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
City Zip Tel.
%a Quinta,, CA 52253 1 771-481.6
C( i e$r/Huilder
ty
State Lic.I City
& Classif. Lic: #
Arch., Engr.,
Designer
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
e7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and
ffec
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,ausiness 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
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Dfvislon 3 o/ the Business and Professions Code, or Nat. 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 rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not Intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose or sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business andProfessions 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) (fcensed pursuant to the Contractor's License Law.)
G I am exempt under Sec B. Cfr this reason
Date Owner
.r
WORKE S' C'OMPENSAT N DECLARATION
I hereby affirm that I have certificate o consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.).
Policy No. Company
❑ 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 ($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: M, after making this Certificate of Exemption you should become'
subject to the Workers' Compensation provisions of the Labor Code, -you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,00), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 160 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.
:lignature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
LDING: TYPE CONST.
No. 14307
OCC. GRP.
.P. Number
egal Description
roject Description 60' of 41 hj gh' 4664- frame
stilcco fence
Sq. Ft. No. No. Dw.
.Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $410.00
PERMIT
AMOUNT
Plan Chk. Dep. ,
Plan Chk. Bal.
Const.
w V
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
15.00
REMARKS
ZONE: IBY:
Minimum Setback Distances:
Front Setback from Center :ine
'
Rear Setback from Rear Pr
Side Street Setback fro r Li
Side Setback from Pro
A.
FINAL DATE IN TO
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT. p
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL . FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Ve c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR Q 3/4c
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
- 5_
// 4
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE ---1 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.IEOUIP.
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
1.ry1
/ G rN Gt-
- 5_
// 4
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 7d
I
ClTY 0 r -F`
Q U I NTA
G &
MENT
"'D FOFq
CONS-!, , if
SUBJECTTO
AND ALL APPL
ICA LE CUll s
1 ATE
2
L! _'
Tity ,
P.O. BOX 1504 No. 06555
Building S1030 7&105 CALLE ESTADO
Address - LA QUINTA, CALIFORNIA 92253
Owner _
Mailing
Straffiu DevelopwAmt BUILDING: TYPE CONST. OCC: GRP.
Address A.P. Number 773-203-002
CityZip Tel. ° `"
La c)ainta: 92253 714-659-3591 Legal Description
F & F Pools
Address
78-755 Martinique
Tela
Bermuda Duties 92201 1 345-507'
State Lic. City
& Classif. 476807 Lic. # 130
Arch., Engr.,
Designer
Address I Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with section
effect.
7000) of Diyision 3.0.fAhe Business and Professions code, and my license is in full,fo`rce and
SIGNATURE- 7f" -" i•4 r'/ f „+' DATE
OWNI:R-BUILOER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busimess 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
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 rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O 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.)
❑ 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
O Copy is filed with the city. O 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 ($100) valuation
orless.)
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: ff, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name _.
Lenders Address
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 certity 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
Project Description Pools
Sq. Ft.
Size
No. _ No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$9:000
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
70.20
Const.
108.00
Mech.
30.00
Electrical
27.00
Plumbing
24.00
S.M.I.
.63
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
IAC n ir11 fir, 0q_$n 4(i._ c j_Qr• t f
1{' fiifT 1 !liiN.f 7 r:S,ti•J
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
10/16/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB. G
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
OUGH WIRIN -
647
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM'
URINAL
SO FT ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
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
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
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
NO PLUMBING- 4
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. G
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
OUGH WIRIN -
647
DUCT WORK
ROCK STORAGE
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
c,
GU ,v/ ! l U — 7 ` /^'
/ %. ` PAX/?
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH '
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
Building
Address 52-030 Ave Madero
Owner
T a 0
lfbf 4 4 a"
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address P•C, Box 457
City Zip Tel.
Idyllwild 92349 714-659'3591
Contractor
Straffin Day. Co.
Address
Zip I Tela
State Lic. 539977 I icy#
& Classif.
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed Under provisions of Chapter 9 (commencing with Section
7000) of,Division 3 of the Business end. Professioonns,Code, and my license is in full force and
effect. "" va- i _g
fn C✓ Cr ear !/
SIGNATURE .n`" Y ' DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I 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 fde a signed statement that he is licensed pursuant to
Me 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 rive hundred dollars ($500).
❑ 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 Contractors License Law does not apply to an owner of property who
builds or knproves thereon and who does such work himself or through his own employees,
Provided that such improvements are not intended or offered for sale. N, however, the budding
or improvement is sold within one year of completion, the owner -builder wig have the burden
of proving that he did not build or knprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to Corr
struct the project. (Sec. 7044, Business and Professions Code: The Contractors License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractors License Law.)
O 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certifjed cg y thereof. (Sec. 3800• Labor Code.)
Policy No Company / /+ J
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N 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: N, after making this Certificate of Exemption you should become
subjecf to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I car ity 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
LDING: TYPE CONST.
Number 773-203-003
Description
Project Description
No. 05876
OCC: GRP.
S.F.D.
Sq. Ft -No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation 78,769.00
PERMIT
AMOUNT
Plan Chk. Dep. 2so.no
Plan Chk. Bal.
140.45
Const.
545 00
Mech.
47.DU
Electrical
: +•
Plumbing
-154.
S.M.I.
•
Grading
11. U'
Driveway Enc.
: 6.00
Infrastructure
1134.00
Precise Plan 25.00
TOTAL 1 275.44 •._2
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 6'"14'89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
SEWER OR 014
ROUGH WIRING.
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
HEATING (FINAL)
DRINKING FOUNTAIN.
SQ FT ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.(/ Ori
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 ® 1+A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAR. FIREWALL
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 PLUMBI - V '
UNDERGROUND
A.C. UNIT
COLL. AREA
V/SLAB GRAD /
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR 014
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. j/z`/V
n
CFRAMING _ '_/7
(((r%7
FINAL INSP.(/ Ori
ROOFINGq- s
r t Y/VAzc I✓
v
i//
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
G/ INSULATIONISOUND/,0- J-
4
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
'
Qum&
P.O. BOX 1504 APPLICATION ONLY
Building CS , (alb LA gUINTA8-105 CCCALIFORNIA 92253
Address
Owner`
Mailing ` BUILDING: TYPE `GfUST. OCC. GRP.
Addiess /Cll 6'. , x %Jr '
A.P. Number
City t Zip Tel. ,7
1723 y y 17141 6S,9 -3S71 Legal Description
Contractor Project Description S . % 131
Address
m e
City Zip Tel..
State Lic. ACity
& Classif. ` j 3 7 ' t Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisio 3 of the Business and E f ions Coder and my license is in full force and
s f p
effect ' LTJ d —ep
SIGNATURE DATE
OWNER-BUILDEh DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business 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 Me a signed statement LOW hes licensed pursuant to
the provisiions of the Contractor's License Law, Chapter '9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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, Bufsness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds er improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for safe. If, however, the budding
orkrprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or reprove 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 Contractors License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such suprojects with a contractor(s) licensed pursuant to the Contractors License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation InW u nce, ora certified copy thereof. (Sec. 38 Q0 Labor Cade.)
Policy NOLO-26,;4/0 7 mpany 5722 'P C DIt•!f ,vS.
❑ Copy is filed with the city. - ❑ 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 ($100) valuation
or less.)
1 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 Calhf0 nia.
Date Owner
NOTICE TO APPLICANT ff, after making this Certificate of Exemption you slhouki become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith.
comply with such provisions or this permit shall be deemed revoked. 4,
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 if work thereunder is suspended for 180 days.
I certify that 1 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
Sq. Ft. No. No. Dw.
Size r Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
-0 "o (::>
Plan Chk. Bal.
5—
Const. _
. 00
Mech.
- ilk e?r3
Electrical
j 1:9 9-0
Plumbing
[ Y.
S.M.I.
57 --
Grading
-men ► tt 0
Driveway Enc.
'Z _ 40
Infrastructure
/
Gl
4
TOTAL
27 f . J v
REMARKS
aU5i8. 1 Rr'
YY,U6-12-8Y _. IV
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
s
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
AmEr.a
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMB#'
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD M
2ND FL. - SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SI
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT. ®
-'
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DI SH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
ROCK STORAGE
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
. o @
't1'v Edi
III I It,E Ut
nGlKUL I MAI, C;UMMISSIUMEII
nye
VI:IIiIll5 L 1ALASUItLS
f q-61 IIWy 116 Ilul te 11-12
Cvnclielln, CA 9ttJG
' 61q-Jot-Ut91
E.
cva n;uu:.ln
A Its a WOMAM1.
S S r 1 r1 .ranSni. n
CEEME.41 t1r..NVENS1E
SL.\un
c 7 9
cnsc IlU
Dnrc . C,
V ICLIO!'L'It' S 1 W1 S • r0. _ '
MAMESS
Dear Develvllerl
Inter' teviewLly .your )1t111l1JCt l►Illt) I►1t111t1 till 1ioul eilalt lVa.11ey. if subsO.Luttivlls
viulatlou vC yuateut►tl.lte lugs 1uve ttl1ly 111_ (.v
do occur mid they lI1 [[er [trun I l,ollt Itc.►leclul listed, tills vCElce must be 1rotiEled
i ul>'diately.
'lltaulk vu Lor L►tvlectLly u11J I tesetvllty ills Cvuclleiia Pulley's l.'est-Cy:ee etrvirvintetll.
Y
"'-' —' •ilssl vi•erlti tilt ce
ngr cul.tutaL taut
lid
and and Illvetside U11 Ice
Ui rtificate of Compliance: Residential (Page 1 of 2) CF -111
J7WAGr/11J DEVEL0PME,4JT 1/,3/e9
Project Title 3 qD e,2 a O teat.
LOTS'
Project Addrmr
JOHN H. HACKER 327-4565 Building Pamtt/
Documentatlon Author Telepbow
POINT SYSTEM 15 By Deis
Compliance Method (Package, Point system or Computer) cumate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 1417 ft2
Building Type: __1 Single Family Hotel/Motel
(check one or more) Multi -Family (kss than 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
Front Entry Orientation: North / East / SouthWe All Orientations (circle ant: or more)
Number of Dwelling Units: /
Floor Construction Type: (;Q Raised Floor (circle one or both)
Infiltration Control:tarda ight (circle one)
BUILDING SHELL INSULATION
Component
Type
Insulation
R -Value
Location/Comments
(attic, to garage, typical, etc.)
Wall ..............
R'
FRAME WALLS
Wall ..............
(%tI)
3Z
Roof .............
R- 38
TYPICAL
Roof .............
_
WOOD
Front....
I-7oor.............
Floor .............
Slab Edge .....
0
TYPICAL
GLAZING Shading Devices
Glazing
Orientation
Area
(sf)
Glass Type
(single, double)
Interior Exterior
(roller blind etc.) (shadescreen etc)
Overhang
(yes/no)
Framing Type
(metal/wood)
Front....
(%tI)
3Z
DOUBLE
VERTICAL
BLINDS NONE
YES
_
WOOD
Front....
( )
WH I TE
Left......
(N)
DOUBLE
VERTICAL
BLINDS NONE
YES
WOOD
Left......
( )
WHITE
Rear.....
(,E)
DOUBLE
VERTICAL
BLINDS NONE=
YES
WnnD
Rear.....
( )
WHITE
Right ....
(s)
DOUBLE
VERTICAL
BLINDS NONE.
YES
WOOD
Right....
( )
WHITE
--
Skylight.......
_
DOUBLE
NONE
NO
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.)
SLAB/EXPOSED 2-s70 3 1/2rr KITCHEN/BATH/ENTRY
Certificate of Compliance: Residential (Page 2 of 2) CF -1R
ST2AFF/N DCVE-L-OPMENT 1/3 / -P
Project Tlw Data
HVAC SYSTEMS
Maximum Furnace Heating Output: 4 5, 0 00 Btuh
HOT WATER SYSTEMS Tank Manufacturer/Modelfi
System Type (storage gu, etc.) Capacity (or approved equal) Special Feature(s)
STD GAS
50 GAL OR LESS APPROVED MODEL
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Featums,/Remarits section.
Designer Building Owner
Name: Name:
Title/Firm: TitleRirm:
Addre": Address:
Telephone:
Lic. P:
('ignawre) (due)
Documentation Author
N,une: JOHN H. HACKER
Tick:/Firm: JOHN H. HACKER AND ASSOCIATES
Address: 4501 E. SUNNY DUNES RD . , STE . D
PA M SPRINGS, CA 92264
Tek (619 327-4565
(sic ) (date)
Form Revisad Marc;A 19U
Telep am
(siarutue) " (date)
Enforcement Agency
Name:
Agency:
Telephone:
(64nature or stamp)
Minimum
Duct
Type (furnace, air
Efficiency
Location
Duct
Output Manufacturer/ Model y
conditioner, heat pump)
(SE, SEER,HSPF)
(attic, etc.)
R -Value
(Btuh) (or approved equal)
FURNANCE
-72
ATTIC
2.5
AIR-COND.
-
9 • 5,
ATTIC
2,5
7W _ 14rlT
Maximum Furnace Heating Output: 4 5, 0 00 Btuh
HOT WATER SYSTEMS Tank Manufacturer/Modelfi
System Type (storage gu, etc.) Capacity (or approved equal) Special Feature(s)
STD GAS
50 GAL OR LESS APPROVED MODEL
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Featums,/Remarits section.
Designer Building Owner
Name: Name:
Title/Firm: TitleRirm:
Addre": Address:
Telephone:
Lic. P:
('ignawre) (due)
Documentation Author
N,une: JOHN H. HACKER
Tick:/Firm: JOHN H. HACKER AND ASSOCIATES
Address: 4501 E. SUNNY DUNES RD . , STE . D
PA M SPRINGS, CA 92264
Tek (619 327-4565
(sic ) (date)
Form Revisad Marc;A 19U
Telep am
(siarutue) " (date)
Enforcement Agency
Name:
Agency:
Telephone:
(64nature or stamp)
Miandatury Measures Checklist: ResidentLd
NOTE: Lownic m4idcnuad buikiings subject loft Standards must contain these measures regardless of the compliance
approach used. puns marW with an ssZhA (•) may be superseded by atom stringent compLance requutn►ents fisted
on Qac Cuuficwe of Compliance. Wbcn this chockli'i is incaponurA into the permit documents, ft teatu[es noted shall
be conudued by aU parties w binding muurnum component pcifonnar co iSpOdfiCAtiM fa' WCmsrdatoq► OleasunN
whether they am Who" elsawbora in the documcau or on thu chockho OWY. -
wisckarnoN
Building Eavelups Muaswres
• 12-5352(+0: Minimum ceiling insulation R-19 wcigluod avoraga
42-53b2(b): Loose fiU Wmda<ion marAdacuua's lsbcbd R-Vbkw-
• 12-5352(c): Minimum wall inuilation in haarod wttW R-11 woiSluod avcraSo (dos aot apply to
Caw" Mau waW).
§2-5352(X): Slab edge irmiladon - watts absorption rata no Smai" than 0.3%, WSW vapor
tmcuaruaiawa rate no grzatu than 2.0 puuyincb.
p2-5311: lruulation spocified or installed moots Wifbmia Fnargy Comutius w (CFC) quaLq
bwkdard& inum;atc type and tone.
92-5352((): Vapor barrios mandatory in CWtaate Zona 14 and 16 ody.
02-5317: 1nfduutionXxftluation Controls
a. Dom" windows bctwoco coadiliorA and uncoaditiatod spaces dcsigrtod t0 limit (lit
lcalwge.
b. Lioun and windows certified..
c. Docus and windows waaherstripped; W pints and peaeumioos caulked sad sub&
12-5352(e): Special inf ltrtttion barrio itWalled to comply with 12-5351 mats CSC gyalipr
swWards.
§2-5352(d): Installation of Fur -
places
1. M.A o; r and factory -built Cucplaces have:
ar Tight Ruing, closeable metal or glass door
b. OuW& aur iuWx with damper and control
c. Flue damper and conual
2. No continuous burumg Sas pilots allowed.
HVAC wd Plumbing Systam Measurats
k2-5352(5) and 2-5303: Spwa conditioning oquipmcat siziq: utacb C4k4d hist(.
12-5352(h) and 2-5315: Subach ftemoctat on all applicable beating IYsAAL
• §2-5316(x): Ducts catsuwAod. installed sad insulated per CAaptot 10, 1976 UMG
§2-5316(b): Exhaust systems have dampu corwolL '
02-5314(c): Gas -fund spare beat in equipazw has iuic miucat ipilioo devices.
92-5314: HVAC equipmuu. water halos;. showerbeads and faucets oartiW by 00 CFC.
§2-5352(1): Watts beau? i uulation blatinktt (R-12 or grcaucr) or combined interio[/axterior
u uL',uon (R- t6 or greater); first S toot of pipe (.loses( to tank iasulatod (R•3 Ot Sttawer).
p2-5312(ELccpWm 1): Pipe imulatiou on stcaal and steam catdcrtsate (plan A ro4rs:ttl&W4
p pu►g.
§2-53111(d): SwirruWj% Pool Holing
1. syatun has:
IL OWUl'f switch on heawcr.
b. WcaU►uprcwf uwnx;um plate at heater.
c. Plumbed to allow for solar.
2. 75 puuu►t drama' dfrcicracY.
3. Poul cover.
4. pone clock.
5. Daccuuual watts tale(.
Lig6uug and Aypliapce Mca►ura
02-53520: Lighting - 25 l ua AWwau or greatu for genual GSW 4 in kitchens sad Whrooms.
02-5314(c): Gas fund applwrtccas oquippod witb inkaniucnt iSnWon devices.
p2 -5314(x): Refrigerator, refrigerator-froeurs. freuess and fluorescent lamp ballasts certified
by the CbC. Ladk&w m ke ttnd mold number.
KM wvWW D• WIAW 19V
DESIGNER I ENFORCEMWr
I Alll/ I I
AM
-T I t-- C. LJ fL_of-4 -T 1 C3 r%j oCk F—Z E.---
JOHN H. HACKER, CIVIL ENGINEER, PALM SPRINGS 327-4565
NAME ------- STRAFFIN DEVELOPMENT
ADDRESS ---- LOTS 14 & 15 MARTINEZ LA QUINTA
DATE ------- 1/3/89
MANUAL J FOR HEATING AND COOLING LOSSES
AREA BLDG 1417 SQ. FT.
PERIMETER 157.444 SQ' FT.
INSULATION R VALUES .FLOOR O ..CEILING 38 ..WALL 19
AREA NORTH WINDOWS 12 SQ.FT. PERCENT OF AREA '84686
AREA EAST WINDOWS 92 SQ'FT' PERCENT OF AREA 6.49259
AREA SOUTH WINDOWS 40 SQ.FT. PERCENT OF AREA 2.82287
AREA WEST WINDOWS 32 SQ.FT. PERCENT OF AREA 2.25829
AREA SKYLIGHTS 0 SQ.FT. PERCENT OF AREA 0
TOTAL WINDOW AREA 176 SQ.FT. PERCENT OF AREA 12.4206
THE U VALUE OF THE WINDOWS IS .65 DUAL PANE
SOUTH OVERHANG LENGTH 2
INTERIOR THERMAL MASS AREA = 250 SQ FT.
INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) = .018
HEATING LOSSES
FOOTING LOSSES... 5466.47 BTU
CEILING LOSSES... 1112.08 BTU
WINDOW LOSSES.. 3546.4 BTU
WALL LOSSES'... 1638'55 BTU
INFILTRATION LOSSES... 6325.49 BTU
TOTAL HEAT LOSSES BTU/HR.. 18089
GAS FURNANCE SIZE 37685.7 BTU OR 45,000 BTU
COOLING LOSSES
FOOTING LOSSES'.. 2351.17 BTU
CEILING LOSSES.'. 1434.94 BTU
WINDOW LOSSES... 13210 BTU
WALL LOSSES.... 2110.35 BTU
INFILTRATION LOSSES... 2720.64 BTU
NO. OF PEOPLE... 5 COOLING LOSSES... 2000
KITCHEN'.' 1500 BTU
DUCT LOSSES INCLUDED IN TOTAL
TOTAL COOLING LOSSES 30768'4 BTU
POINT SYSTEM SUMMARY;CLIMATE ZONE 15 P -2R
PROJECT TITLE=STRAFFIN DEVELOPMENT DATE=1/3/89
JOB SITE=LOTS 14 & 15 MARTINEZ LA QUINTA
BUILDING DATA
CONDITIONED FLOOR AREA= 1417 NUMBER OF STORIES= 1
SLAB/RAISED FLOOR SLAB
TOTAL GLASS AREA 176 SQ.FT %GLASS 12.4206
CHECK ALL APPLICABLE UNIT TYPE CONDITION(S)
(X) SINGLE FAMILY DETACHED (SFD) ( ) ADDITION ALONE:
( ) SINGLE FAMILY ATTACHED (SFA) ( ) EXISTING BUILIING
( )
MULTI -FAMILY (MF) ( ) EXISTING -FLUS -ADDITION
SCORE CARD
MEASURES
!.CEILING INSU. 38
2. WALL INSU. 19
3.RAISED FLOOR INSU 0
4. SLAB EDGE: INSU 0
5. I NF I LTRAT I ON ' STANDARD
6.GLASS HEAT LOSS DOUBLE PANE U=.65
SUFI 1-6= ( 5 )
7. SHADING ( SHADE OPEN)
SC= .6776
A. NORTH
B. EAST
D. SOUTH
E. WEST
H. SKYLIGHT
8. SHADING (SHADE CLOSED)
SC= .4224
POINT SCORES)
0
C)
0
0
0
5
GLASS AREA
0 12
-1 92
0 40
C) _'2
C) 0
GLASS
A. NORTH
B. EAST
0
,B4686
C. SOUTH
-4
6.49259
D. WEST
2.82287
E. SKYLIGHT
SC= 0.77
T
25329
O
C)
9. INTERIOR
THERMAL MASS
1.76429
-1
10.EXTERIOR
WALL MASS
C)
()
SUM 7--10
=(-1 )
11.HEATING
SYSTEM 72
S.E.
0
12. COOLING
SYSTEM 9.5
SEER
0
13 WATER HEATING
S.G.
C)
TOTAL_ POINTS 4