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RR (09-0640) + BLCK (001728) + AR (15776)54450 Avenida Madero 09-0640 001728 15776 r"^ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ 4 XP Q" Application Number: X09-00000640 Property Address: 54450 AVENIDANMADERO APN: 774-232-009-15 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 6682 Applicant: Architgctp ngineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S 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 Class: License No.: `Date: 7. '©" ' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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 _ 1 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). 1 _) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: CHAPMAN CHARLES O 54450 AVENIDA MADE LA QUINTA, CA 9225; Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/24/09 ----------------------------------------------- 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 and policy number are: Carrier Policy Number 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —Date: _Zy ./ Applicant:-.. C'.--- 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date: G v 05 Signature (Applicant or Agent): 11 C, Application Number . . . . . 09-00000640 Permit . . . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date . . 12/21/09 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF SHINGLES INSTALL NEW SHINGLES CLASS A MATERIAL PER 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Vorkmens Comp - State Fund Policy # 63914 70 .. C-39 State Lic. # 828478 Ex 12/31/09 viv)1i Sir tiF i J Y Box 122, Thousand Palms, CA 92276 ,! UareS. '60) 343-0042 "'Fax (760) 343-2097' License #828478 _%7narres=aprren 54-450 Avenida Madero La Quinta, CA 92253 Re: Re -roof Estimate Completely remove and discard existing roof.. Substrate to be inspected for dry rot or defective plywood panels, any found to be in need of replacement will be replaced at a rate of $48.00 per sheet (4 X 8 X %2), upon approval of owner or agents. Substrate to be inspected for loosened or non -flush to deck sheathing nails, any found will be driven flush, .or completely pulled out, and re -nailed using a new nail at a new location. Substrate to be cleaned and free of all debris, prior to new roof installation. Over prepared sheathing at perimeter install new (2X2) drip edge metal. Over entire roof install 1 -layer of #15 felt nailed to hold in place. Over felt install new Pro. 30 -year self-sealing shingles with pipe and vent flashings nailed to manufactures specification. Install new hip and ridge trim to enhance roof appearance. All pipe and vent flashings to be painted with rust proof paint to match new roof. Total Amount: $6,682.00 6 g'%i fl9 DEPENDING ON THICKNESS OF EXISTING PLYWOOD NAILS MAY PENETRATE. THROUGH THE PLYWOOD ON OUTSIDE OVERHANG. TERMS: 100% UPON COMPLETION. UNLESS OTHERWISE SPECIFIED IN THE CONTRACT. FIVE (5) YEAR GUARANTEE AGAINST LEAKS WILL BE EFFECTIVE UPON FULL PAYMENT. ALL DEBRIS CAUSED FROM ABOVE WORK TO BE DISCARDED AND AREA TO BE LEFT CLEAN. JOB TO BE STARTED IN A TIMELY MANNER ACCORDING TO SCHEDULE AND WEATHER PERMITTING. WE PROPOSE TO FURNISH AND APPLY LABOR, MATERIALS, PERMITS, TRANSPORTATION, & TOOLS NECESSARY FOR COMPLETION OF ROOFING WORK. THIS PROPOSAL WILL BE NULL AND VOID AFTER 15 DAYS FROM DATE SUBMITTED. DURING THE ROOFING PROJECT CASTRO ROOFING WILL. MAKE ALL ATTEMPTS TO MINIMIZE, BUT WILL NOT BE RESPONSIBLE FOR DIRT, ROCK, OR DEBRIS THAT MAY FAIL. INTO LIVING AREAS. DAMAGES TO VENTS CONDUIT PIPES, OR CEILING MOUNTED FIXTURES. CONTRACTOR DOES NOT ASSUME ANY RESPONSIBILITY FOR CORRECTION OF EXISTING CODE VIOLATIONS OR FOR THE REPAIR OF ANY EXISTING STRUCTURAL DEFECTS UNLESS SPECIFIED IN 'PHIS PROPOSAL DOES NOT INCLUDE ARCHITECTURAL, ENGINEERING OR EXTRA WORK IF REQUIRED BY CITY. IN THE EVENT SUIT IS BROUGHT TO ENFORCE THE TERMS OF THE CONTRACT, THE PREVAILING PARTY SHALL RECOVER ALL COSTS I:XPENDE.D, INCLUDING ATTORNEY FEES AS AN ELEMENT OF COST. CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE CONTRACTOR `S STATE LICENSE BOARD. ANY QUESTIONS REFER TO: CONTRACTOR'S STATE LICENSED BOARD, 1020 "N" STREET; SACRAMENTO. CA 95814. IF THIS ESTIMATE MEETS WITH YOUR APPROVAL, PLEASE INDICATE YOUR ACCEPTANCE BY SIGNING THIS COPY AND RETURNING IT TO OUR OFFICE BY MAIL 0 SAX. WE KOOK FORWARD TO WORKING WITH YOU. Submitted by: _ Accepted By .Richard Ca4-*dent ZFcan0_5_PAI agent Submittal Date: May 22, 2009 Acceptance Date: gNq-00_74( Bin # Qty of La Q uinta Building & Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet' , Permit #P.O. i - U Project Address: Uen1dR I^1 UU Owner's Name: A. P. Number: Address: 5_ u S D (k vt j rdq ;4 e o a Legal Description: City, ST, Zip: tq h 17- 2S3 Cp'S tv 4igContractor. Telephone: . v.;n>.i<;.,;? • t : {;T•'>.'i4..:.S:j.•`..::?v:kk+G\k :;'f»u.;' i::: • ?wY: ?'r:i:ii:.::.\%>${:y>%i i: Address: 3(_ aL - Project Description: _ pa L City, ST, Zip: l ppb PCO,< cf - R re x Telephone: >:??<.•f•; •f'>r;'>'r<::c:::.>.> State Lic. # : 0 g City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: «:., :.::•:, : •> :.:.:: fr is>:>yr;><;:<;>:=::>:.?.: >;.;::.:>::•: :. •:. Construction Type: Koo Occupancy: Project type (circle one): New Add'n Alter GiD Demo Name of Contact Person: Sq. Ft.: 29 &0 # # Units: l Telephone # of Contact Person: }Stories: Estimated Value of Projects 6 16 APPLICANT: DO NOT WRITE. BELOW THIS LINE t< Submittal Req'd Recd TRACIGNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 4 Am P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 54-450 Avenida Madero LA QUINTA, CALIFORNIA 92253 Owner Mailing Address same as above City Zip Tel. La Quanta 92253 564-2043 c Contractor AJS Construction Address 52-433 Avenida Villa City Zip Tela Ln Quinta 92253 564-5346 & Classic 625320 I Lic. # 1944 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) t. of Division 3 of the Business and Professions Code, and my license is in full force and effec 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, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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 Cade, 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.) ),. 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.) 0 1 am exempt under Sec. B. & P.C. for this reason i Date `7' IAA- Owner .>> J4.! r 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 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 =any parson 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 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 ($100,000), 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 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: TYPE CONST Number No. 115,776 OCC. GRP.: Legal Description Project Description 755 sq. ft. Bath Addition Sq. Ft. Size New ❑ No. Stories No. Dw. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Itstlmate0 valuation $4073.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 46, 80 Const. 72.00 Mech. 15, 00 Electrical Plumbing 24.00 S.M.I. 0 Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: IBY: Minimum Setback Distances: Front Setback from Rear Setback from Side Street Setbacl, Side Setback fro rl FINAL DATE INSPECTOR Issued by: Date Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW3 FE -S 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CARP. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. SQ. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL O/L /a ,7 J iT'•'w / SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 I ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 4 GROUND PLUMBIN ' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 9 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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 D / 9 7 FINAL INSP. ROOFING /O g O/L /a ,7 J iT'•'w / 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 ;i. 0 4 Ci Gv 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 June 6, 1995 Mr. John Hand 54-450 Avenida Madero La Qtinta, CA 92253 Dear Mr. Hand: SETBACK ADJUSTMENT: 95-325 LOCATION: 54-450 AVENIDA MADERO APN: 774-232-009 This letter is to report approval of your recent application for a setback adjustment, pursuant to Chapter 9.188 of the City of La Quinta Planning &.Zoning Regulations. The following setback adjustment has been approved subject to conditions and in accordance with attached Exhibit A. SETBACK ADJUSTMENT: Reduction of 10 -feet to _8 -feet for the rear- yard. FOR: New-bathroom'for -an existing house. CONDITIONS• 1. Obtain a building permit from the Building Department. 2. Match roof material and wall material and color. After review it was determined that: 1. This adjustment is consistent with the intent and purpose of the Zoning Ordinance. 2. There are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify approval of the adjustment.- These special circumstances are: small rear yard. 3. This adjustment will not be detrimental to the health, safety, and general welfare of the community or be detrimental to property in the vicinity of the parcel for which the adjustment is requested. LTRGT.169 MAILING ADDRESS P.O. BOX 1 - LA QUINTA, CALIFORNIA 92253 -. r 1.N. 9 If you should have any questions, please contact the unelersignedq. Very truly yours, ,' s JERRY HERMAN PLANNING AND DEVELOPMENT DIRECTOR STAN B. SAWA Associate Planner GT : kaf Attachment: Exhibit A c: Building & Safety Department File LTRGT.169 O APPROVED BY PLANNING & DEVELOPMENT DEPARTMENT BY C, :TE 'ITE EXHIBIT A CASE NO. Ole-to, avbl - Cv— '000irp ix : A. . . .. EXHIBIT. ASE N0.25-- —3>6 N Al PAW j-bAJ kEL L ca I LltO DF- R C km a TA +-r- VA IF— L. A 771-/23,?—p.p3 74 18 lloo, dtlfi - -- - — ------ Cd O APPROVED BY PLANNING & DEVELOPMENT DEPARTMENT BY C, :TE 'ITE EXHIBIT A CASE NO. Ole-to, avbl - Cv— '000irp ix : A. . . .. EXHIBIT. ASE N0.25-- —3>6 N Al PAW j-bAJ kEL L ca I LltO DF- R C km a TA +-r- VA IF— L. A 771-/23,?—p.p3 74 :Rivica;e o C'.komoiiancs: Residential (Pace i or '') LF -1 R o,ect Title Date Sn- t '14 de t^ o,ec Addresst Buddinq Permit a 6cr -S?A, t Z — J I Plan ChecK Date cugteptatfon Author Tele hone Field ChecK i Date 3mpiiance Method (Pacxage. Point System or Comouterl climate Zone fntorcoment Ngoncy use only !ENERAL INFORMATION otat Conditioned Floor Area: -7 ttz./ '-Wilding Type: Single Family ✓ Addition :heck one or morel Multi -Family Existing -Plus -Addition :Pont Orientation: North / East / South est All Orientations (Input onentatton to degrees circle one.) Vumber of Dwelling Units: :Ioor Construction Type: Slab / aised Floor (circle one or both) BUILDING SHELL INSULATION Construction :,omponent 'Insulation Assemoly LocatiorvComments rype R Value U -Value (attic to garage, tyotcal. etc.) Wall .............. — f 3 Wall .............. Roof ............. ` Roof ............. Floor ............. Floor ............. Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration - Interior Exterior Overhang Framing Type Orientation (st) U -Value (roller blind etc) (shadescreen etc) Ives/no► (metal/woodivinyl) Front..... f=ront..... Left....... (N) : • GS LAO bl Ifv I< Lett ....... ( ) Rear ..... ( ) Rear ..... ( ) Right..... (S) _70217_ Ve D t rN Right..... ( . Skylight ....... Skylight ....... THERMAL MASS Type/Covering Area Thickness (slab/exposed the etc) (sf) (inches) Location/Description (kitchen, batn. etc.) N o Niia— Revised January 1992 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R Project Title Dots 'HVAC SYSTEMS Note: Input hyQronic or combined hydrornc data under Water Heating Systems. except Design Heating Load. Heating Equipment Minimum Tistribution ype and Duct or Type (furnace, heat Efficiency Location Piping Thermostat umo. etc.) (AFUEJHSPF) tducts/attic. etc.) R -Value Type ,65'4,- 7V 0, 4-: Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location her heat pumo. evao. cooling) (SEER) (attic Duct Thermostat R-Vaetc) Duct a T G WATER HEATING SYSTEMS Water Heater Distribution Type Number in Svstem Rated' Input (kW or Btu/hn Configuration (sold or oackai For small gas storage (rated input S 75.000 BILI electric resistance and haat PUMP water heaters. list Energy Factor. For large gas storage water heaters Irated input 2 75.000 ShAr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT . This cenlficate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts t and 6, of the 'California Code of Regulations,'and the administrative regulations to Implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance Is submitted for a single building plan to be built in multiple orientations, any shading feature that Is varied is indicated In the Special FeatureslRemarks section. DesIgner or Owner (per Business a Professions code) 47 Name: L -► ? j SIgIF Title/Finn: Ars Address: S'2 /3-3 ysU1 Lq GLr t/4ed9Z z s 3 Telephone: Slily/_ 3 /6 Lic• x 253.Z C) (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) devised January 1992 Documentation Author Name: t TJ — z ride/Firm: Aj C e d.y CT 1pA,,&&/, i?i _ Address: 1 Telephone: Sb lir- q ice- ..3- (signature) () Energy' Extemal Tank Factor or Tank Capacity Recovery Standby' Insulation (gallons) Efficiency Loss (%) R -Value For small gas storage (rated input S 75.000 BILI electric resistance and haat PUMP water heaters. list Energy Factor. For large gas storage water heaters Irated input 2 75.000 ShAr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT . This cenlficate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts t and 6, of the 'California Code of Regulations,'and the administrative regulations to Implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance Is submitted for a single building plan to be built in multiple orientations, any shading feature that Is varied is indicated In the Special FeatureslRemarks section. DesIgner or Owner (per Business a Professions code) 47 Name: L -► ? j SIgIF Title/Finn: Ars Address: S'2 /3-3 ysU1 Lq GLr t/4ed9Z z s 3 Telephone: Slily/_ 3 /6 Lic• x 253.Z C) (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) devised January 1992 Documentation Author Name: t TJ — z ride/Firm: Aj C e d.y CT 1pA,,&&/, i?i _ Address: 1 Telephone: Sb lir- q ice- ..3- (signature) () DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 11/9/95 1 Type of Permit I La Quinta No. 113853 Permit # Log Owner Name John & Robin Hand No. 54450 Street Madero city La Quinta zip 92253 Study Area 111 APN # I Tract # Lot # 0 Square Footage 175 Type of Development I Residential Addition No. of units 0 Comments Room Addition 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 or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 75 or $ 0.00 have been paid to D.S.U.S.D. 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 N/A Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Pauline Pearson Signature P)a I I b _4A PJ At A O n,'11 Telephone -N yr,. $0:00 ct;eck Ne. N/A Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept. /Applicant Copy - Applicant/Receipt Copy - Accounting 4 cv- P.O. BOX 1504 No. 001728 Building 78-105 CALLE ESTADO Address 54-4W AVeni& Mde= LA QUINTA, CALIFORNIA 92253 Owner Mailing Johm Hand BUILDING: TYPE CONST. OCC: GRP. Address A.P. Number City Zip Tel. T t 922 Legal Description Contractor 4#. high rtst"sai:ln * 'WaU Project Description Address 52--6I8 Milani& DlaZ City Zip Tela LaOuinta9M3 554-3417 State Lic. City & Classif. Lic. # r '7 ' '' Sq. Ft. 20 lin.ft No. No. Dw. Arch., Engr., - - SizeStories Units Designer New Ot< Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 Proffesslons Code, and my license is in'full force and *- effect. / ;, ,.,:r•---. , IF I rr = ' SIGNATURE DATE OWNER-BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $365 4 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permR 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 - PERMIT - AMOUNT 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 Plan Chk. Dep. subjects the'applicant to a civil penalty of not more`than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will . Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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, Mech. 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 Electrical 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- Plumbing - - 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 S.M.I. - 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 Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have 8 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. TOTAL 20.00 CERTIFICATE OF EXEMPTION FROM REMARKS. 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 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 ZONE: BY: subject to - the Workers' Compensation provisions of the' Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: 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 This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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. Issued by: —Date Permit 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 - mention . ed property for inspection purposes. } Jf Validated by: Signature of applicant + f. ` Date Mailing Address t -✓ Validation: City, State, Zip A2679 9 24 20,0.0- CK _ HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS r WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE:::] PERMIT FEE I 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 r 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 ( 3D / o 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 SIGNATURESIINITIALS. GARDEN WALL FINAL