Loading...
RR (05-1895)77163 Calle Mazatlan 05-1895 04867 P.O. BOX 1504 'VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/19/05 Application Number: "05 00001895 Owner. Property Address: 77163 CALLE MAZATLAN SKLAR MARTIN A APN: 658-230-0.07= - - 7515 WOODROW WILSON DR . Application description: RE -ROOF LOS ANGELES, CA 90046 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8572 e DContractor: Applicant: Architect or Engine r. o, O Z o WESTERN PACIFIC ROOFING CORP- 3462 ORP- 3462 LA CAMPANA WAY O1 1 ► PALM SPRINGS, CA 92262 h/Q- (760)000-0000 .1t4 F_ oE LiC. No.: 235717 -------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 o the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B C39 License o.: - 235717 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /ate: s/e ontractor: - - YI 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0457624-2005 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensedpursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Lab r Code, I shall fo wit omply with th/us/Q/pr//oy/ sions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by y/ - E!C.A -••/ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: ate: Applicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold'within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and. Professions Code: The Contractors' State License Law does not apply to an. owner of conditions and restrictions set forth on this application. , property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1.' Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.), % whose benefit work is performed under or pursuant to any permit issued as a result of this application, ' (_) I am exempt under Sec. , B.&P.C. for this reason 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. _ Date: Owner: 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 • CONSTRUCTION LENDING AGENCY permit•to cancellation: hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authori a representatives of this county to enter upon the above- entioned property for in pe tion purposes. - Lender's Name: /J gnature (Applicant or Agent): / Lender's Address: l LQPERDIIT MR Application Number 05-00001895 Permit . . . RE -ROOF Additional desc - Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date 11/15/05 Qty Unit Charge Per. Extension BASE FEE 30.00, Special Notes and Comments RE -ROOF WITH POLYURETHANE FOAM COATING ' SYSTEM Fee summary Charged Paid Credited _ Due Permit Fee,Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 00 .00 30.00 _LQPERMIT -048 7 P.O. BOX 1504 'Building 78-105 CALLE ESTADO -77-163 Mazatlan Address QUINT,A,CALIFORNIA _92253' State Lic. & Classif.. Arch.; Engr., Designer Address Tel. 564-6244 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Santa Rosa Cove_ Legal Description SPA Project Description 378318 City Lic. #S4 'Ft. No. No. Dw. L__1Size Stories Units Zip State L• 44 New 0 Add 0 Alter 0 Repair 0 Demolition 0 REMARKS -Mailing fc' • -Address LICENSED CONTRACTOR'S DECLARATIONt I hereby affirm that I am licensed under pr6visions of Chapibr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and millicense is in full forcebnd effect. V1% City La Quint zip T Contractor ., 11 1 narrile.- tbnstructior Address OWNER -BUILDER DECLARATION d, I hereby affirm that I am exempt from the Contractors License Law for the following reason: (sec. 7031.5,gusiness 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 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). 0 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 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-buflder will have the burden of proving that he did not build or improve for the purpose of sale.) 0 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions. Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contract ' or(s) licensed pursuant to the Contractor's License Law.) 0 1 am I exempt under Sec.B. & P.C. for this reason 0Bwt 154-0 City 7p P IA 92 253 State Lic. & Classif.. Arch.; Engr., Designer Address Tel. 564-6244 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Santa Rosa Cove_ Legal Description SPA Project Description 378318 City Lic. #S4 'Ft. No. No. Dw. L__1Size Stories Units Zip State L• 44 New 0 Add 0 Alter 0 Repair 0 Demolition 0 r CERTIFICATE OF EXEMPTION FROM - REMARKS • LICENSED CONTRACTOR'S DECLARATIONt I hereby affirm that I am licensed under pr6visions of Chapibr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and millicense is in full forcebnd effect. V1% or less.) I certify, that in the performance of thp work for which this permit Is issued, I shall not .1 l,f DATE OWNER -BUILDER DECLARATION d, I hereby affirm that I am exempt from the Contractors License Law for the following reason: (sec. 7031.5,gusiness 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 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). 0 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 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-buflder will have the burden of proving that he did not build or improve for the purpose of sale.) 0 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions. Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contract ' or(s) licensed pursuant to the Contractor's License Law.) 0 1 am I exempt under Sec.B. & P.C. for this reason Estimated Valuation $6,000 PERMIT AMOUNT Plan Chk. Dep. .$40 62 Plan Chk. Bal. Const. 62*'50 Mech. 20 • 00 Electrical 16 00 Plumbing 14.00 S. M. 1. 50 Grading Rear Setback from Rear Prop. Line Driveway Enc. DateOwnerInfrastructure 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.) WORKERS' COMPENSATION DECLARATION. lehereby affirm that I have a certificate of consent to, self -insure; or a certificate of Workrs Compensation Insurance, or a certified copy therebf.' (Sec. 3800, Labor Code.) Policy No. `Company q5copy is filed with the city. 0 Certified copy is hereby furnishi;d. Side Setback from Property Line Lender's 4 Name, Lender's Address FINAL PATE, TOTAL I zz> 'Zn­c:'PCA r CERTIFICATE OF EXEMPTION FROM - REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($106) valuation Q or less.) I certify, that in the performance of thp 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 Setback Distances: comply with such provisions or this permit shall be deemed revoked. Minimum 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 4 Name, Lender's Address FINAL PATE, to This is'a-building permit whe-n'p perly filled out, signed and validated, and is subject to ---..;-INSPECTOR expiration it work thereunder is suspended for 180 days. I certify that I have read this application and -state that the above information is correct. , Issued by: -Date Permit .1 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. by: Yalida.ted Signatureofapplicant' Date - • Mailing Address Validation:- • City, State, Zip. WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, JC , 0- GOLDENROD - ASSESSOR'S OFFICE HARD COPY _FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING fI.ES IST FL SO FT y S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FORMS SEWER OR SEPTIC TANK POR SO FTar MOBILEHOME SVC. BAR SINK GARSO. FT. f(t POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEOUIP. DRAINAGE PIPING CAR P. I SO FT. g TEMP. POLE WALL SO. FT. (d GROUT DRINKING FOUNTAIN SO. FT. a FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation -$ FLOOR DRAIN MECHANICAL FEES FRAMING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 g 1Y. c SEWAGE DISPOSAL MESH SO.FT.GAR JVc HOUSE SEWER INSULATIONISOUND 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 APP.IEOUIP. REINF. STEEL Vt 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 INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL • - ' ' 44 P.O. BOX 1504 No. 003730 Building 78-105 CALLE ESTADO Address 77-163 Mazatlan LA QUINTA, CALIFORNIA -92253 Owner _ La Quina Joie. Venture BUILDING:. -TYPE-CONST.. OCC: GRP.-. Mailing Address C A.P. Number Santa Rosa Cove City Zip Tel. - La nil i,n92253 1 .. 564--1315 Legal Description Contractor Project Description G-1 'SwAlie' Barrile Construction Address. . . . P. 0.. BOX 1580 City... - Zip Tela State Lic. City ' & Classif..- % G Lic. # Sq- Ft- t. 2 No. No. Dw. Stories "to' Units Arch.; Engr., . .. . '..Designer ' New -0 Add ❑ _ Alter ❑. Repair ❑ Demolition ❑ Address Tel. City 77 ip State . Lic. # -_. LICENSED CONTRACTOR'S DECLARATION ~ I;hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code; and my license is in full force antl effect. r /:.7 l,tr +f 4//i lk SIGNATURE i` 9 "DATE _ OWNER -BUILDER DECLARATION EStlm8ted Valuation Thereby affirm that I am exempt from the Contractor's -License Law for the following t 7 reason: (Sec. 7031.5,Business and Professions Code: Any city or county. which requires a. 'to permit construct, alter• improve, demolish, or repair any structure, prior to itss issuance also • requires the applicant for: such permit to file a signed statement that he'ls•licensed pursuant to _ PERMIT AMOUNT the provisions o/ the Contractor's License Law, Chapter 9,(commencing with Section .7000) of - Division' 3 bf the Business and Professions Code, or that. he' is exempt therefrom, and the basis' /or the Any Section 7031.5 'any for Plan Chk. Dep. - - alleged exemption. violation of by. applicant a permit . ' subjects the applicant to a civil penalty o/ not more than five hundred' dollars ($500). Plan Chk. Bal.. 528.04 r ' I, as owner of the property, or my employees with wages as their sole compensation, will _ 01 do the work;: and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. • Pro%scions Code: The Contractor's License Law does not apply to an owner o/ property. who -- €ifa'a.\fLt - . builds: or- improves thereon and who does such work.himself or through his own employees, -' Mech. - ' 57 provided provided that'such improvements are not intended. or offered for sale. .1f, however; the.building.00 or -improvement is sold within one year of completion, the owner -builder will have the burden- Electrical ; o/ proving that he did not build or improve for the purpose o/ sale.) . _ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to'con• Plumbing - 0 112A0 slruct the project. (Seca 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. •- - 12.85. such projects with a contractor(s) licensed pursuant to the Contractor's License.Law.) Grading ❑ 1 am ,exempt under .Sec.. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 4o,133.52 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,lhe.city. ❑. Certified copy is hereby furnished. - TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS. WORKERS' COMPENSATION INSURANCE . (This section need not be completed if the permit is for -one hundred'dollars ($100) valuation Q t ! 06''511? 14 99,4 + A4 -f b'"i40 1. • or less I ceertrr .. .. ify that in the performance of the work for which this permit is issued, I shall not =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 o/ 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 .signed FINAL DATE INSPECTOR " This is a building permit when'properly filled out; 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. Issued by: Date Permit I agree to comply with all city and county ordinances and'statelaws relating to building, construction, and hereby authorize representatives .of this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING.A2ES ' 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO, FT, ® CAR P. SO. 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 AS(ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. 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. 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 ® 3/ac HOUSE SEWER REMARKS: GAS PIG APERMITEFEE 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. AS(ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL S ( AL) /Z d D 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 INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ADDRESS: R`a'y OF DESCRIPTION OF PROJECT:'—. - ALL OF THE CONDITIONS PREREQUISITE TO THE ISSUANCE OF A BUILDING . PERMIT/ CERTIFICATEOOCCUPANCY`"HAVE BEEN ADDRESSED SATISFACTORILY:. ,s...F. ID'LPLANNI NG s LI 1f ! t LY : • •1 r' •tY 4J ' t S: FIRE MARSHAL':' SIGNATURE 71 P _N 01'PAA Tpa 1KZA7. . •:f •.^ f . 4} Z•111}:-.... `4`6y.!- -. .i . I: -4p.-.•. =i._ .. fhY'14. :i5++V; .{:'i ;. Desert Sands Unified School District DATE NOTICE: THIS DOCUIU ENZR0A14 OF PAYMENT BE DUPLICATED, OF LRJ SCHOOL FACILITY FEES L 7 p TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is t o c e o f t hat/ ( 7 .i1(, "r `✓ developer of , 7 w h i JsrD located at - S3 3 3 / 3 i this District, heis p id dchodI fakilife4s imposed p uant to a $ i gener(te by Go rnment Co a e 'ost 5 080 'n t ount o O covering a total of ' 0Ce- k square feet of ( sidentia or ( ) industrial/commercial development and that buil ing permits for this footage in this development may now be issued by your jurisdiction. ILI or DESERT SANDS UNIFIE SCHOOL DISTRICT White tildmg Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (101-37 05;,:10 !:P 3/231,4 Vit/ar Attdclement P PREPARED FOR:' . Glenn Bradley Enger, A.I.A. 73-960 El Paseo, Suite 5 form 2 (Pevised 3/3-1) ,.Palm Desert, California 92260 Cl mate zones 2, I, G, and 6-15 COMPLIANCE CHECKLIST G-3 LAQUINTA by LaQuinta Joint Venture For Low-Ride Residential Buildings (except hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on this page while %•orking.through the point system Building Shell Measure Points *Total Floor Area , , , I. Slab-on-Ground; Perime er ft., Depth' in, ft2 R. 2. Raised Floor R-Value, O - 9 3. -Ceiling Insulation or Construction -Assembly . . . . - _ ,• R- 0 Attic, Percent of Roof_0•:er Conditioned Space 100 4. Wall Insulation or Construction Assembly. . . 271 S Dft` . . . . . . 4-- , . , , , R Glazing; Total x Floor Area Single Double Triple 5, tl.rth-Facing. , & ; ft2 Iii ( ft 2 ft2 6. East -Facing . . . ft, --KftZ 7, ft2 —a- -South-Facing. ft 8. West-Facing2 -- f'2 ft 2 ftZ t _ 9. Sklight. _ O ft2 2056 y ft :722— 10. Shading Coefficient (excluding overhang) a. East V,efTicRlr gLi W O) 0 5C b. South. va. i4ar . BL-1Np O. p_SC _I Q C. West .. W0xTW-.X'.. t_Jr+O) d. North. — - e. Skylight0 SC . SC . . . .. . . . . . . . . . i3 _ 11. Horizontal South. Overhang Length.&ZA 12. Movable Insulation; 4 Floor Area. . . , , , , , ` O 0 N /2q .t 13. Infiltration (indicate Standard, Medium or l'ignt) fin E ONS rn O 14. Thermal Mass Exterior Hall Thermal Mass Area,-Heat Capacity, R-Value , . ft 2, HC, R- Interior Thermal Mass Area, Neat Capacity, R-Value 5 6f ft2, KC, HVAC System** yet 15. Gas Furnace without Refrigeration. Cooling 2Nso (Seasonal Efficiency)•, , . , , , . . . , . 16. -Neat Pump (Energy Efficiency Ratio) All—E 17. Gas Furnace with Refrigeration Cooling' R O Seasunal Efficiency and Seasonal Energy Efficiency RatioSE . . 18. Active Solar (Net'Solar Fraction, . Q•S SE:R - fl ' ,) , , 19. Zonally Controlled Electric— Resistant= Space Heating , , ,', , , , , , , , (Yes/Nod Q0 DOTestic Water Heatinn- 20. Solar With Gas Backup (!Net Solar Fraction, ZZ) , 21. Other Water Heating (Describe type)* . G A 5 O Point System Comoliance Total. . . . . . . . . *(,neck ist t;e,-i;; not a point system neasure. "Attach documentation for effiCiencies and NS:, PREPARED BY: Joseph N. Cicchini, Civil Engineer, Inc. 44267 Monterey Avenue, Suite B Palm Desert, California 92260 (.619)-341-2273