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RPL (0310-167) + PLBG (10480) + SFD (002754)53181 Avenida Martinez 0310-167 LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 23 :894 r C-53 313110 Date`' 22 a- Signature of Contractor XX/ OWNER-BUILDER,DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contracto License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their s( compensation, will do the work, and the structure is not intended or offered i sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with license contractors to construct the project (Sec. 7044, Business & Professions Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declaratior ( ) I have and will maintain a certificate of consent to self -insure for worke compensation, as provided for by Section 3700 of the Labor Code, for tl performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required Section 3700 of the Labor Code, for the performance of the work for which tt permit is issued. My workers' compensation insurance carrier & policy no. al Carrier Wit' ATE i'UXJD Policy No. 11764 1.93 (This section need not be completed if the permit valuation is for $100.00 or les: ( ) I certify that in the performance of the work for which this permit is issue I shall not employ any person in any manner so as to become subject to tl workers' compensation laws of California, and agree that if I should beton subject to the workers' compensation provisions of Section 3700 of the Lab Code, I shall forthwith comply with those provisions. Date: ,,., - , !Applicant— Warning: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful al shall subject an employer to criminal penalties and civil fines up to $100,000, addition to the cost of compensation, damages as provided for in Section 37( of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safe for a permit subject to the conditions and restrictions set forth on h application. 1. Each person upon whose behalf this application is made & each person whose request and for whose benefit work is performed under or pursuant any permit issued as a result of this applicaton agrees to, & shall, indemni & hold harmless the City of La Quinta, its officers, agents and employee 2. Any permit issued as a result of this application becomes null and void work is not commenced within 180 days from date of issuance of su( permit, or cessation of work for 180 days will subject permit to cancellatio I certify that I have read this application and state that the above information correct. I agree to comply with all City, and State laws relating to the buildir construction, and hereby authorize representatives of this City to enter up( the above-mentioned property for inspection purposes. Signature (Owner/Agent), Date Ln ' 719 of BUILDING PERMIT PERMIT nd 03110-16, DATE VALUATION yZf r i1(} LOT TRACT JOB ADDRESS r, .'?-gritfIw1e . aA13i°7,t APN - - OWNER CONTRACTOR / DESIGNER/EN (NEER W1.11i i 0f..)L',.4 53.361 7J-5551.2GHWAY 113 is :fA(,gUbT A CA 92233 PALM DESERT CA 92260 ile or USE OF PERMIT Dd IIs 'lJ .d (r.l'. i7a.• e . rit.i '1..1.1 Y i iti.: Kat6;i.I .Y:NKY.i YW lI.YiY.C.i.1'✓: .i1 _ S3 VII H IN 51K AOS AT PRE:-Pf,A' MR 1NSPECT101 s: 4 FT. W1,11 7. LT LF s' f+UOQ ti gQX)R SFA 24L'X"ic, LS ie Dy lis e: t 41 I'30? COW* OF (,k:r.TMTRITC'T ," .14'OF CAA d, 0014 s'!'%IJ Ti0% PEZf 1011 000-418-000 1e ELECTRICAL t' OL 1UY-C10 20-000 X450! re PJLUWZ11gQ FZE; . I c "Or, 10 s a-000•4 ; 9-000 or rd in )6 ty is at SU)"I •", M.M. t:O)Ta:'' , U T. OV' AND lai..AN tMIECK, to IM13 FRIII-FAW 111MI,,.; 20100 fy S. TtTdJ.i T.ST11.'S :0u, "V LtW X43&10 Sf :h n. 2 0 2003 tT lis m _ RECEIP FfN DATE r pJ-- BY F lA4ED o3 INSPECTOR - INSPECTION RECORD OPERATION DATE INSPECTOR BUILDING APPROVALS Set Backs Forms & Footings Slab Grade Steel Roof Deck O.K. to Wrap Framing Insulation Fireplace P.L. Fireplace T.O. Party Wall Insulation Party Wall Firewall Exterior Lath Drywall - Int. Lath I BLOCKWALL APPROVALS Set Backs OPERATION DATE INSPECTOR MECHANICAL APPROVALS Underground Ducts Ducts Return Air Combustion Air Exhaust Fans F.A.U. Compressor Vents Grills Fans & Controls Steel Electric Bond POOLS - SPAS newer wnnecuvn tncapsumuon ! OJ Gas Pioina COMMENTS: I Final ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Underground Electric .17 Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover newer wnnecuvn tncapsumuon ! OJ Gas Pioina COMMENTS: I Final ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 10-14-03; 1:34PM;MASTER POOLS N SPAS ;7607785889 # 2/ 2 i . I I ® G u < ------------------ - ---------- -- r rN dz ri co r 10 i i ----------------- _ I p I e N i NOI/WcQ M. -- - -- -- Pi64iE bbAP2 fiCO T3-006 Kowy 111 l.lwwwh WwWhV Cwtw faun o eoil OOlifaaif 97780 Q )a10.81/0 . aea.u otwrao 6,LENN KING 55-151 A`/ENIDA MARTINEZ c LA QUI NTA, GA. 82255 e, 10/17/03 14:35 CDFARIFACOSTAMESA 7607777011 NO.4933 D02 -.., __ ..:' •TES -_GIS ra P . :?e ,e-_ lL6 Cooperative .ted :imported Fire AntProject Notification of Intent to Move Soil from o.:r within Quarantined Areas of Orange, Riverside, and Los Angeles Counties RIFA Compliance Agreement # 3 .32 Permit Issuing City/County Agency Name of Company Requesting Approval: / A*M&&?1X ''g- Contact Person Tlayp= ,d. py Sgie Address: 'l` SSS t ) ' City: ',K(&D _ - zip:0) 224ce D "Telephone: _( ?(ate ) _ (Qt rFac: _{a4a, -? "1(0 =S%- T Excavation Location: -r .I C W)OA -TB *- Ito ACRES: X's /V'o Destination Location; TB: ACRES-.- Estimated CRES:Estimated Quantity of Soil (e.g. 9 Cubic Yards): Anticipated Date of Movement:_ Urgency Level for Immediate Inspection and Release: (Circle One . ttign Medium Low Movement of Soil is permitted. 0 Hold Movement Until Site Checked - WE WILL C.kLL AS SOON AS POSSIBLE TO SCHEDULE INSPECTION DATE AND TIME, Date Trapped:_ # of Traps: Trapped by: Acres: Date Picked Up: Comments: va ,^ PDR #: ® Soil Movement. is Strictly Prohibited for the Following Reason(s): Name of RTFA Project Regulatory Official: V -V4 `1 Dater 1 Slgriature_ TUrA For.» CA -1 Rev X113199 6 TB is Thomas Brothers page and grid designation ' 1 y Building Address Owner Mr. Mailing Address City 414 . ....� P.O. BOX 1504 No. 10480 53-181 Martinez LA QUINTACCALIFORNIA 92253 and Mics. Glenn K same Zip ITel. La Quinta 92253. stimated Valuation Contractor Ecom Sewer Service Address 68415 Perez Road City Zip Tel.: Cat. City 92234 346--2793 State Lic. City & Classif. 480961 Lic. # 342 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 7000) of Division 3 of the Business,and PFofesslons Code, and my license is in full force and effect. �r ✓:rc �1'�T' SIGNATURE `�..�' I' IN t DATE OWNER -BUILDER DECLARATION I 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, 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 five 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, Bussness 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 or 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION kis I hereby affirm that I havea certificate of consent to self -insure, or a certificate of Worr'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 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 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 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. OCC: GRP. A.P. Number 77th' -'061-021 Legal Description Project Description Sewer Hook IIP Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition C1L r 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 Permit Validated by: Validation: stimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. . Electrical Plumbing . 30:00- S.M.L. Grading Driveway Enc. Infrastructure TOTAL 30.00 REMARKS 061ifA—14.77SI ,_6_2-18.-9' 3,1d F lil'In I luFtft_ i Z.,V .VV 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. S0. 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 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. LAUNDRY TRAY 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3Ac 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 ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 1! SEWER 01St.10 UGH WIRING. 119 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION.292 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 444 P.O. BOX 1504 No. 0,2754 Building78-105 CALLE ESTADO Address 53-181 Avenida Plartirvei / LA QUINTA, CALIFORNIA 92253 ...Owner - .. _. ._• - .. _ _.. ... _ Mailing Address 74-3J1 Gary AVp♦ City Zip -P► 3act 9225 . Contractor. Address City Sam State Lic. & Classif. Arch.' Engr:, Designer Address Zip ' I Lic. # Tel. BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-061-021 340-334 Legal Description Lot 9 Project Description/ Simle family dwellim INC 1310 Flanim 160 Sq. ft. No. Size Stories New 4t VfWKAdd LIt Alter ❑. - No. Dw. Units Repair ❑. Demolition ❑ City State _ JZip Lic. # .. LICENSED CONTRACTOR'S DECLARATION 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 I hereby affirm that I am exempt from the Contractor's License Law for the .following reason: (Sec. 703.1.5,Business and Professions Code: -Any city:or county which requires a 'permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance- also ..,requires the applicant for such permit to file'a signed statement that he is licensed pursuant to •i• the provisions of the -Contractor's License Law, Chapter 9 (commencing with Section. 7000) ofa ?'- Division 3 or 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 thwapplicant 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 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-_ Estimated Valuation 72,224.00 ^_ .PERMIT -r'-++ AMOUNT ' - . Plan Chk. Dep. R - 250400 ' Plan Chk. Bal.. Const. ♦O • Mech.30.00 - 30r 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 Electrical _. - • Ah y .72.84 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.) Plumbing 1 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- .slruct 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 Seca B & PZfor this reason S.M,I, 5.08 Grading 720.00 Driveway Enc. 20♦00 Date t 7' e— 96Wner \1 %_ +'r 'fid lIA64= CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ 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.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM EMP. 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. SO. 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: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN & UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE OU H PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS OR SE CT K T ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) EMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FI At INSP. g!,01� FRAMING ®� ;FINAL INSP. ROOFING y ' - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL /J THING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.ry ) 0 Z O U W CO is Z O H U W U) CO `1 Ir Q W cc X Z O U W Cn COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. VEAMOA) ��' �z Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) ea,-_rkA be5ew'r Mailing Address _lU35 / C lZ .yvc Cit 44ML State Zip Code Z z �0 Telephone - 3A Job Property Address 'City or Community Legal Description of Property. (Lot, PM, TR) '1 AVRP rig MAenvcz LM Qu,ivz 'Assessor's Parcel No. Water Agency or Well Lot Size Use of Permit Planning Case H SFD, MH Site Preparation Etc. Signature of Applicant' Date 'The information be from Building Application above must verified STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes No , t <. `�/" ��f4 WQCB Clearance required. ❑ Yes 4 No Soils feasibility report required. ❑ Yes ® No i Detailed boring report required. ❑ Yes No Detailed contour plot plans er quired. ❑ Yes No Staff Specialist approval required. ❑ Yes No Lot Inspection Date Soils/boring report by n F Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing (]°New ❑ Additional ❑ Replacement Cir C i uNt 4 w00OGals (2) Leach line sq. ft. Sidewall allowance Install Line(s)—Ft. Long, Leach bed Sq. i (Bottom trench area) ft. rock/ Sq. Ft. Ft. wide with min. % inches Ft. of bottom per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth h' Applicable ❑ 5' n,6' Max. allowable depth N/A Overburden factor r f"C' .TC;..� LUU �v �' f'U�•Sf�N G1r.QC.f - Y��%tom S�1 t-7 urt'i� tv�-1 � �.. l � r _ ` ?p,.n �-C'�'. 1Cr s -Q O t '! � , , G�1G� �• t-.� � � t+� tl , „ �a tee.. �.•e.¢.. This application is' pa proved/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section t3 above. A building permit is necessary for the installation of the above -designed system. (_Qj�)Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (3)) Seepage°pits' must be 150' min. from any wells including expansion area / j C. Signature of Health Official Date RECEIPT NO. U Issued by District: ❑ Riverside A Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. DOH -SAN -122 (Rev. 6/86) Date 10 /' J I -,ib ❑ Blythe GOLDENROD—Pending File 'Order No. Escrow N Loan No. Chicago Requested -By Chicago Title M WHEN RECORDED MAiL TO: Cq Curry etal 74351 Gary.Ave Palm Desert CA 92260 MAIL TAX STATEMENTS TO: same SPACE ABOVE THIS LINE FOR RECORDER'S USE 13.75 DOCUMENTARY TRANSFER TAX $............................................... ...X Computed on the consideration or value of property conveyed; 08 ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent'determining tax — F Irm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TERRANCE P. HUGHES AND JAMES M. HUGHES hereby GRANT(S) to Vernon D. Curry and Velia Curry, husband and wife and"Robert.S. .Curry, an unmarried man; all as joint tenants the real property in the City of County of Riverside , State of California, described as Lots 8 and 9 in' Block 208, Santa Carmelita at Vale La Quinta, Unit 420, as per map recorded in book 19, page 38 of maps in the office of the county recorder of said county. July 25, 1986 Dated STATE OF eAtf kNtA )ss. COUNTY OF On k - `7' - G� before me, the undersigned, a Notary Public in and for said State, per - Terrance P. Hughes 1 `James M. Hughes �1 sonally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the rf;;; z ,�.::,i:��%a Cs•'' within instrument and acknowledged to me that he/she/they executed ..; the e- W 7 ESS m aLand official seal. i`14, 7 ..:.� :":�i'•''''5�.;\ ani, (This it �rea�f'orl.{�of9i1 (�I;y✓+teri Si na , r� g 1 11'l'u'.f. Ai�.!•y Jully MAIL TAX STATE ENTS AS DIRECTED ABOVE �' I 1� S.I. i. ,A002 (6/82) p W N CL q ` 0 cc) Cr o Cr "4 /�- a w d U. SPACE ABOVE THIS LINE FOR RECORDER'S USE 13.75 DOCUMENTARY TRANSFER TAX $............................................... ...X Computed on the consideration or value of property conveyed; 08 ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent'determining tax — F Irm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TERRANCE P. HUGHES AND JAMES M. HUGHES hereby GRANT(S) to Vernon D. Curry and Velia Curry, husband and wife and"Robert.S. .Curry, an unmarried man; all as joint tenants the real property in the City of County of Riverside , State of California, described as Lots 8 and 9 in' Block 208, Santa Carmelita at Vale La Quinta, Unit 420, as per map recorded in book 19, page 38 of maps in the office of the county recorder of said county. July 25, 1986 Dated STATE OF eAtf kNtA )ss. COUNTY OF On k - `7' - G� before me, the undersigned, a Notary Public in and for said State, per - Terrance P. Hughes 1 `James M. Hughes �1 sonally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the rf;;; z ,�.::,i:��%a Cs•'' within instrument and acknowledged to me that he/she/they executed ..; the e- W 7 ESS m aLand official seal. i`14, 7 ..:.� :":�i'•''''5�.;\ ani, (This it �rea�f'orl.{�of9i1 (�I;y✓+teri Si na , r� g 1 11'l'u'.f. Ai�.!•y Jully MAIL TAX STATE ENTS AS DIRECTED ABOVE �' I 1� S.I. i. ,A002 (6/82) 8 f°7" `u!`' 4: `. ,';,;3F'r .; ,'f?" • N•l>.l.jl ai-y- , •V ..- .v lYlf.'^.`. a• .. .1 ,.y4, . •r •r . -; ,' , • ;r 1• J , tii:yli'-: ra -' L ,• :, '.•. S "E: • oe l t.,i,.' ,(.3 •. F'•..-"_..::'Y. 'o1.: .}'R.',.1..`-_ a. r.<•7. ,'7.SR'' :.:'Li,:; :r, '4:'i ..;(, Y::, r.'l4.>' V t"`. ' "L{':.iF'n4t!': -V :. u. . i •.l( l• (: .• l^>.iC'"•' • • ..T. H' ;\t.' .. :Ih 1 .' (, ."' r f' •' '; yJs, l;:y •.! ; • =','':..1r" ',rjp f '•i.fp _' .. •i .{.; uire: ,-y ! tij=`L:' .• C t: So 6 ? • : ; ,`:...•_ yy,, ^r: t., : • ,l:.y:,, i. /5'•',I fid''', • ,V :t ? iiFr 1•' . ;(. yr ''y7i, '. r "•l',.a' t: .:moi fr•. . --l' ::L ,-, •lf q '.f!. 'r.. •11 •(• ''. / . St./{T •A;,, xi ' ', _ r. • •:Fl y i,1=•c 1: , ii'4 ,r_ !:.:: :' iv„ 'n :t .{: ':`i-('i:y ,:i'r ' 'f:. ;a ^'7 Kt"";.[ .. "(( lr "; • - 'i ':>. 'nv....., .l ?vS : i;l:y, •'J '.' O,cji ... .S :u. . }>; t`. ' -'' i' l ., ` ( ' :' ..I l i 1;•:^: ": ^ !l i1,.-f.: ^'- ' :'• Cis ' ` .t rA' 1'"• f:.i`:. '.i''•. '! 'L• ,G ,-•rti 'A ' -J C ,o, r'. ,J : :}. i J -. ''•. 1-t' .. ]:; '{-'d 'l lt::'I }` dU `,•-i :f,. .l•I;:' ''i • a. . 1 :. (.,FF? .1, •'. ::..+., 1i,5 '.i: .. p• =A3 ',- Z''' ,i•` .t•,Z'' t✓:i •:i • "I{ `.-i:?; ,lcS :'+c c `6ki: _ t."ic;}.a.. ?.i..r.'. ,:u _,;y 'iR,; '? •t. , ,.:c ,: TV!—, '. .''c•1' i.` :4 '. C:s , .`T2 .: ..,•.; :'r /S• n <.'`. .t'ti%v 'P: �I 7_ L F�7-: �2! -q� ��" F_:_ FR C3 `�r ��L-:. *!E4 -F I C3 N-1 dc% F;, F=E drA I !ff..; JOHN H' HACKER, CIVIL ENGINEER, PALM SPRINGS LATITUDE 33.8 WINTER 'EMP. 31 DEG. SUMMER TEMP. 110 DEG OWNER JOB SITE LOCATION__ _ ___________________ REF.CAL.ENERGY CONSERVATION DESIGN MANUAL, FORM 2, HEATING LOSSES MANUAL J FOA COOLING LOSSES AREA BLDG 1310 SQ..FT. . PERIMETER 125 SQ. FT. &� INSULATION R VALUES ...SLAB 0 .i.CEILING 38 ...WALL ~ ' AREA NORTH WINDOWS 46 SQ.FT. PERCENT OF AREA 3.51145 AREA EAST E4ST WINDOWS 89 SQ.FT. PERCENT OF AREA 6.79389 AREA SOUTH WINDOWS 25 SQ.FT. PERCENTOF AREA 1.9084 ARE& WEST WINDOWS 40 SQ.FT. PERCENT OF AREA 3.05344 AREA SKYLIGHTS 0SQ.FT. PERCENT OFAREA 0 . TOTAL WINDOW AREA 200 SQ.FT. PERCENT OF AREA 15.2672 .THE U VALUE OF THE WINDOWS IS .65 (.65= DUAL PANE, 1.1= SINGLE PANE) 'THIS BLDG USESTRAPES & FLAT SHADING DEVICES* ON WINDOWS(S.C.=.41) . ,(* mini -blinds, rollar shades, venetian blinds or vertical blinds) THE TOTALS.C. OF THE WINDOWS IS 0.29 , 'SOUTH OVERHANG LENGTH 2a ' � `�� INTERIOR THERMAL MASS AREA =�W, SQ FT � ATTIC AREA = 1310 SQ FT . INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) - .014 HEATING LOSSES FOOTING LOSSES, 5460 BTU CEILING LOSSES... 1293.42 BTU WINDOW LOSSES... 5070 BTU WALL LOSSES., 2496 BTU INFILTRATION LOSSES... 5722.08 BTU TOTAL HEAT LOSSES BTU/HR... 20041.5 GAS FURNANCE SIZE 33142.8 BTU OR 45,000 BTU COOLING LOSSES FOOTING LOSSES... 5600 BTU CEILING LOSqES..^ 1326.58 BTU WINDOW LOSSES ... 9607.51 BTU ' WALL iOSSES.... 2560 BTU INFILTRATION LOSSES... 5868.8 BTU OF PEOPLE... 5 COOLING LOSSES... 2000 KITCH94...1500 BTU � DUCT LOSSES INCLUDED IN TOTAL TOTAL COOLING LOSSES 28462.9 BTU ` ' ^ �. � , CQMPL^~NCE CHECK LIST PER DESIGN DATA SLAB ON GROUND, / -4 POINTS WALL INSULATION, POINTS CEILING INSULATION, 0 POINTS ATTIC, 4 POINTS NORTH'WINDOWS GLAZING -2 POINTS EAST WINDOWS GLAZING -8 POINTS SOUTH WINDOWS GLAZING 0 POINTS WEST WINDOWS GLAZING 0 POINTS ` SKYLIGHT GLAZING 0 POINTS EAST SHADING COEFFICIENT -4 POINTS SOUTH SHADING COEFFICIENT 0 POINTS WEST SHADING COEFFICIENT ` -1 POINTS NORTH SHADING COEFFICIENT 3 POINTS SKYLIGHT SHADING COEFFICIENT 0 POINTS ' INFILTRATION . -1 POINTS �� "" THERMAL MASS W SQ.FT. x� m SQUTH OVERHANG � 0 POINTSHEAT PUMP THE EER OF THE COOLING SYSTEM IS 8.7 COOLING 7 POINTS THE ALLOWABLE POINTS PER 163 IS -4 FOR THIS AREA 15 ^ . IHE TOTAL POINTS'AR ' ' THE FOLLOWING MANDITOR\rFEATURES/DEVI(NS ARE REQUIRED PERCAC TITLE 24 INSULATION AS SPECIFIED; PER MANUFACTURES LABLE ^ INFILTRATION CONTROL. DOORS, WINDOWS -FULLY WEATHERSTRIPPED ' OPENINGS CAULKED AND SEALED AROUND JOINTS IN WINDOW AND WALL SOLE PLATES AAD ' ELECTRIC OUTLET GASKETS ON ALL EXTERIOR WALLS ' '' . � MANUFACTURED DOORS SHALL MEET APPLICABLE STANDARDS BACK DRAFT DAMPERS ON EXHAUST FAN FIREPLACES MUST HAVE TIGHT FITTING, CLOSEABLE DOORS COVERING FIREBOX ' PROVIDE COMBUSTION AIR INTAKE DUCTS (6 SQ. IN.) WITH TIGHT FITTING DAMPER ' DUCTS; BUILT PER CHAPTER 10 U.M.C. GAS FURNANCE SIZED TO 1.3 DESIGN LOGS + 10 BTUH PER SQ. FT. OR 45,000 BTU SETBACK THERMOSTATS SHALL HAVE AUTOMATIC SETBACK CAPABILITY /2 PERIODS PER 24 HR WATER HEATER TO H INSULATION WRAPPING, AND R-3 ON FIRST 5' OF PIPE . NAT. GAS STOVEHALLL N HAVE CONT. BURNING PILOTS LIGHT IN KITCEN AND BATHOBE FLOURECENT, EXCEPT BATH MIRROR KIT SINK, TABLE ' tx%FIE0 S o h BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT -b %P LA QUINTA 'Jp INDIO 1:5 Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 December 12, 1986` * City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 53-181 Martinez, La Quinta, CA -1 unit Gentlemen: The developer of the above referenced project has mitigated its impacts on our overcrowded schools by payment of the amount of.$628 per unit. This amount.is to be applied to the cost of additional district educational.facilities made necessary by such new development. Sincerely, John D. Brooks Assistant Su intendent Business S s v By: /t , Richard M. Beck Facilities Planner JDB/vmm * This certification of payment of developer fees is valid for issuance of building permits only up to and including December 31, 1986.