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MECH (12-0647)P.O.--BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000.647 Property Address: 52175 AVENIDA MENDOZA APN: 773-232-020-9 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 10598 Tiht aF 4 Q" Applicant: Architect or Engineer: NO1 ----------------- I LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of peTOWNER-BUILDER d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the ionals Code, and my License is in full force and effect. License Class: C20license No.: 686310 Date: ell I t Contractor: 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 1, 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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 VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/11/12 Owner: JIZRAWI RESIDENCE 52175 AVENIDA MENDOZA _LA QUINTA, CA 92253 D it e ��ii Contractor: FJrLLJ`@ a 2012 GENERAL AIR CONDITIONING 31170 RESERVE DRIVE CITY OFI AQUINTA THOUSAND PALMS, CA 92 (760)343-7488 Lic. No.: 686310 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 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 ZENITH INS CO Policy Number Z071741501 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 be me subject to the workers' compensation laws of California, and agree that, if 1 should becom ubject to the workers' compensation provisions of Section .cc// 3700 of the Labor Code, I shall hwith comply with those provisions. Date: !yJI WARNING: FAILURE TO SECURE W RKER� OMPENSATION 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 inf ation is correct. I agree to comply with all city and county ordinances and state laws relating to building cons tion, and hereby authorize representatives of this county to enter upon the above-mentioned property for ins tion purposes. Date:'/dt 7 Signature (Applicant or Agent(: s - 9 Application Number . . 12-00000647 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . 0 Expiration Date 12/08/12 Qty Unit Charge Per Extension BASE FEE 15•.00. 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -7 -------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT 4 TON SPLIT SYSTEM. 2010 CODES = ------------------------------------------------------- Other Fees . . . . . -------------------- . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- ---------- Paid Credited -------------------- Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 '.00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 52175 AVENIDA MENDOZA La Quinta, CA 92253 City of La Quinta Jun 9, 2012 Equipment Typel List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1503 sf. installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1111 and CF -61111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 j For Split Systems: Duct leakage< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH ' Exempted from duct leakage testing if: ❑ 1. -Duct system was documented to have been previously sealed anis confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie,,,.Ductless eMini-Split-System)=(Also -Exempt from„;Refrigerant Charge) - ❑ 2. Nevi HVAC System Required Forms: t: _ V M . Cut in'or Changeout with—,* new ducts: new — — �_ , CF -6R forms: MECH-04, MECH-201 HERS, and (for split systems) MECH-22-HERS, and_ _ _..: - (all ducting�all new//MECH-25#HERS - CF 4R forms: MECH-20, and (for split systems) MECH-22, andYMECH-25 equipment) t �. For Split Systems: Duct leakage <'6 -percent; RC, CCA z 350 CFM/ton, FWD, TMAH, STMS, and either HSPP oe'PSPP. ..1, For Packaged Units: Duct leakage' < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement f . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC I Date: Jun 9, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0029729A-00000000-0000 Registration Date/Time: 2012/06/09 14:13:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 B14#Cit}/ Of La QUIh� Building 8r Safety Division P.Q. Box 1504,78-495 Calle Tampico 4.Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I �1 Project Address: ? 2115 \I ell l d1 U. M le n U n Ca Owner's Name:. S06 � Q J W Q W A. P. Number. Address: Legal Description: City, ST, Zip: (f OMrj3 Contractor: AD k %1k C1one: Tel h"`¢°�' ' y' Address: _ 1d 4s 2. Project Description: VhC Ch ou 1 4 ion City, ST, Zip- . 0 9.3 - ZTelephoned Te lepho -42 60 4 8'k, ? State Lic. #: 3 l City Lie. #; Arch., Engr., Designer Address: City., ST, Zip: Telephone: :� State Lic. #: Name of Contact Person:Sq. Construction Type: , Occupancy: Project type (circle one): New Add'n Alter Repair Demo Ft.: �i (7�j #Stories: #Univ: Telephone # of Contact Person: Estimated Value of Project: (7 S APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit, . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted ' Mechanical Grading plan Zid Review, ready for correctionsrissue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review; ready for correetionsAssae Developer Impact Fee Planning Approval Called Contact Person A.i.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Building 52-175 Mendoaa Address Owner C&tyl 4- P.O. BOX 1504 �l- No. 10256 78-105 CALLS t�� LA QUINTA, CALIFORNIAORNIA 9 92253 maning Address 5005 Calle San Raphael #A1 City Zip Tel. Palm Springs 92264 325-4289 Contractor Same as above ty State Lic. I City & Classif. 606486 Lia # 1833 Arch., Engr., Designer EDI Architects Address Tel. 333 Broadway 415/394-8767 City Zip State S.F. 94133 Lic.# C15789 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE DATE OWNER -BUILDER DECLARATION 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, 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 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 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 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.) O 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COM PENSATIO N 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., 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 f 11LDING: TYPE CONST. OCC. GRP. P. Number 773"2322"020 Legal Description Project Description SFD Sq. Ft. Size 1423 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or pool Estimated Valuation $2,304.50 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal 238.46 Const. 563.00 Mech. 55.50 Electrical 121.62 Plumbing 166.50 S.M.I. 8.30 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1013.60 TOTAL 3256.981 3006.98 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ' ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR4Ni9 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR' SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM 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 GROUT SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER WATER SYSTEM 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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 1*1 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSVY SEWER OR4Ni9 ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE- / �Q{7 GROUT WATER HEATER SERVICE"7/ FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$_=$ LUMBER GR. FINAL INSP. FRAMING cl Lv FINAL INSP.::r ROOFING o4 �� L� ` REMARKS: VENTILATIONr FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL n Q2 THING MESH n INSULATIONISOUND FINISH GRADING /y FINAL INSPECTION- NSPECTION CERT. CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 1/2/92 Type of Permit I La Quinta No. 111081 Permit # Owner Name La Quinta Partnership Inc Log # No. 5005 street Calle San Raphael #131 city Palm Springs zip 92264 Study Area 112 APN # I Tract #. Lot # Square Footage 1423 Type of Development Single Family Residence No. of units Comments 52-175 MPndma 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 X 1423 lor$2,248.34 have been paid to D.S.0 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 L.Q. Partnership Name on the check Telephone 325.4289 By James E. Lively Assistant Superintendent, Business Services r R ;%I Fee collected /exempted b 1 ` 1 P Y Peggy Reyes = � tir - w r Payment Received Signature check `No.: 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 ��"l ' i:• ;LiY. �y?cam• COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL SERVICES DIVISION 7�� —�� — 0 PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM 7 ii Applicant: Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County speculations as indicated on the attached check list. A non-refundable filing fee (see below) required when the application is submitted. Check must be made payable to the County of Riverside. is Approval of thisop'plication shall rema n valid for a period not to exceed one year from date of approval. 4� LOG # tea VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION Agent, ContrgctoflContact'Person - Phone Address Ci4LGe City State Zip C,c�R)UF P_s-rcyV E 1 j x. s — tf 2.91 5c os SA -U ,,,1_W^,4£G STF S-) P9 CA '9 Z Z Owner Phone Address City State Zip Job Prop�rN Address ff£�VENIX,� City L-4 t State Zip Zip Legal Description Prop. (PM, Tract, Lot) ' //�� M (�t/ nJ f/�i C4 LU%, 9 944 Lot Size/l ater A e1n/e, a Use of Permit PIP, CU, etc. Other ��A17,4 (q,74'14( oTA AT ArtJl� /00 G V t A welling e Pep, etc. LQ IQ,. .,A /o /6 Signature of Applicant Date CATEGORY REV CODE FEE CATEGORY REV CODE FEE p' SUBSURFACE DISPOSAL (per system) 1238 �'153.00) ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION in Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 C]GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00. ❑ COPIES (LAND USE) 7786-81 $ 50 MLn I DATE /No Holding Tank Agreements Completed ❑ Yes L l 0 -16 11 Certification of Existing S.D. System Required ❑ Yes �No I WQCB Clearance Required ❑ Yes (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes Special Feasibility Boring Report Required ❑ Yes NN Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes t' N I Grading Handout Provided i ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes ■/yo Maintenance Booklet Provided ❑ Yes ❑ No Lot Inspection Date Initials C/42 / Soils Percolation Boring Report by Lic/Project # Date / �r j v"��"' Soils Map Pagl Soil Type u c^" Approved /Q-/( -71 -By Date No. of Systems Type of System(s) No. Dwelling Units(l) (1) Septic Tank Soil Rate Gre`ese/Sand ❑ Holding Tank ❑ Replacement Bedrooms, flxtene jj its Greasedn /UntTrap 01,New ❑ Addition) IS DA" 44 AK, �yyy ❑ Existing Gal. Gal. q. Ft. Om Area Total Linear FtInstall Sidewall Allowance H. rocW sq. ft. per running Lines) ft. long ft. wide with of Bo Bed ft. of Ott Be Area �tt. Inlet Tested Depth min. n es rock below dralnlines or Proposed Bottom Tested Depth Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet Seepage PitTot I Depth (TD) .a /if her: Applicable % EsrS it!4/ ) } (BI) / Max. Allowable Depth N/A Overburden Factor l VA r Well Review Approved: Signature Date Well Drilling Permit # Grading Plan Approved: Signature Date �y REMARKS: Q.�>^ ' �l / f-s'�4.�-ct-. gc-t ¢ .a J� lel This application 'P OWED' for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied plot plan usin the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above -designed st (1) Septic tank must be 100' minimum from any wellscf f 0 '>.-- Leach lines must be 100' minimum from any wells, inclu ing exppnsion area p 1 3 Seepage pits must be 150' minimum from any w� , including expansion area(,/ r'Z.� Signature of Health Official r✓V " �. Date A0 - ( - / LJ CASH I CHECK NO. / 00-3 RECEIPT NO. Issued By �u v �� Date 1Q//-71 DISTRICT: 0 Riverside a,_n> 0 -6 ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev 6/91) DISTRIBUTION: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records WECORDING REQUESTED BY L.Q: Partnership, a California Limited Partnership AND WHEN RECORDED MAIL TO FL. Q. Partnership •T• c/o Michael Marix 5005 Calle San Raphael dd`•`E Suite B-1 nI' LPalm Springs, CA 92263 J MAIL TAX STATEMENTS TO ,m. FL.Q. Partnership .I,•1 c/o Michael Marix dr.., 5005 Calle San Raphael ITd Suite B-1 "a' _Palm Springs, CA 92263 7 I rhh pDocument Recnrried y6 .;. as Flo. not been compared `•"ith ginaCONEF+LY LLIAM E•unty Recorder RIVERSIDE COUNTY, CALIFORNIA SPACE ABOVE THIS LINE FOR RECORDER'S USE DD 868 HII Quitclaim 'Deed APN# .773-23.2-020-4 181819 THIS FORM FURNISHED BY TRUSTORS SECURITY SERVICE The undersigned Grantor (s) declare (s) under penalty of perjury that the following is true and correct: DOCUMENTARY TRANSFER TAX $ ....... -.9- ............................. ( ) computed on- full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is herehy acknowledged, James R. Rinella and Michele H. Rinella, Husband and Wife as Joint Tenants hereby .REMISE(S). RELEASEE) AND FOREVER QUITCLAIMiS) to L.O. Partnership, a California Limited Partnership the following described real property in the City Of La Quinta county of Riverside state of .California: Lot 9 in Block 95 of Santa Carmelita La Quinta, Unit 11, as shown by Map Book 18 Page 75 of Maps, Records of County, California. First American Title Company has recorded this Instrument by request as an accom• modation only and has not examined it for regularity and sufficiency or as to its effect upon the title to any real property that may be described herein. Dated October 1991 State of California County of Riverside On this the 7-W day of October 19.91 before me, p gr p �ameserejgnedrinla;' son 11 d Rinella O personally known to me CX proved to me on the basis of satisfactory evidence to be the-person(s) whose name(s) a rtm subscribed to the within instrument, and acknowledged that tt h—h e W executed it. WIT ESS my hand a d official seal. Notary's Signature It executed by a Corporation the Corporation Form. of Acknowledgment must be used. at Vale on file in Riverside R. MICHELE H. RINELLA W!'. L. i:OJNTY ;A - dxpires JAN A i;le31 " OFFICIAL SEAL LINDA L CULWELL- sf m NOTARY PUBLIC - CALIFORNIA 'Is an -a NrRiVER61D6000UNTY - . " My comm, ex Tres JAN 16,1993 Title Order No.. Escrow, Lotn or Attorney File No. MAIL TAX STATEMENTS AS DIRECTED ABOVE UNITED FIBERS CERTIFICATE OF INSULATION (now or retrofit) TO BE POSTED IN OR NEAR ATTIC Cordex AFT 28 LB. BAGS RV.My/.'I Muimum TlvnwlM1 Mmn.rm K.rr4rn ur N.q. I:u.rrye Mi.nrwn Wyghl pN MSM 4nWa Me yei llMu klunr/w, 1 4 Sywra r,q 1.0b-. InSyNtl lnw4Ym $puy0 SMM1 KM N.IybR.r yr.M1 KMIb 1.IIJu.1\ I.n.. /W, IbiM1M1, Ih- R•36 10.7 in. 38.5 39.8 25.10 1.12lbs./sq.ft. R•30 8.5 in. 30.0 31.3 31.91 .88lbs./sq.lt. R-24 6.8 in. 24.0 25.2 - 39.76 .70lbs./sq.11. 4381 .621bs./5q.tt. R-22 6.2 In. 215 22.8 50.68 .55lbs.Isq.ti. R-19 5.3 in. 18.5 19.7 -_ _-_-13.5 73.87 .38 lbs./sq.ft. R- 13 3.6 in. 12.7 R-11 3.1 In. 109 11.6 8616 .32lbs.isq.tt. Will (density 2.1 PPCF) R-13 35 1 I'J 9 21.9 45.70 61 lbs"sq.f1 R-20 5.51n 31.2 34.4 - -29.09 961bs.1sq.fl installed Material Manufactured Sri UNITED FIBERS 4280 Iowa SI . Unit J • Benicia. CA 94510 (707) 746.5060 GENERAL 390 IE Hay Read • Chandler. Al 8!1.24 (6021963-4551 Address of Residence: Name and Address, Contractor: Single Family Dwelling O_MINSUL,ATION4.ACOUMIC,INC. 52175 Avenida Mendoza PALMA DESERT. CALIFORNIA 92260 A) 346-2339 La Quinta, California 92253 Installation Completion Date: AREAS INSULATED: R value Thickness Contractor's•Lic. No. Approved pa,5 SI( FI Contractor WALLS CEILINGS R-30 8.5 (33bag) 1174 FLOORS Sloped ceilings may be insulated with Cordex AFT not exceeding a 5 in 12 pitch. COMPLIANCES: • Fedelat Specification HH- I.515D • Federal Specification Use of Materials Bulletin 80 HUD:FHA • Underwriters Laboratories, Inc Tested and Labeled with follow-up Inspection. • Federal Specification Consumer Product Safety Commission This product meets the amended CPSC standard for (lame resistance and corrosiveness of cellulose Insulation. • International Conference of Building Officials, I.C.B.O. Evaluation Report N formerly 2793 is now 2833. • Slate of California Insulation Quality Standards CERTIFICATION: I certify that the residence idem Part I s insulated as specified in Part II and the installation was conducted c fo m wi plicable codes, material standards and regulations. Contractor's Authorized Signature: Rev. DEC. 1989 • 10000 Fiber Glass Blankets when installed according to the manufacturer's recom- mendations will provide the full rated thermal resistance value. Blanket Insulation R Minimum Value Thickness To obtain an Installed insulation insulation resistance should (hof: not be less_tha_n: R-38 _- 13" Thick' .The weight Thick' ..I,v hull/✓ " 841Julo LGV •t11,l1 To meet the thermal resistance value (R), the manufacturer has specified the number of bags per 1000 sq. ft. of net area that must be installed to meet both the minimum design thickness and minimum wt./sq. ft. requirements. Installing the correct number of bags/1000 sq. it. is necessary to meet the corresponding labeled resistance (R) value. (Based on 40 Ib. nominal net weight bag). Rich -Ft'" Fiber Glass Blowing Wool Attic Insulation -401W Bag. R Valuet _.._.._ Bags per 1000 Maximum Minimum Net Coverage_Wt./sq_ft. Minimum Thickness Average Installed _4_n• . Thickness To obtain The number of Contents .The weight Installed Average an insula- tion resis- bags per 1000 sq. ft. of net of this bag should per sq. ri. of installed insulation installed tance area should not not cover ins I- ation should not should not be thickness will (R) of: be less than: more than: be less than: less_ than: typically be. R-44 291/2 34 sq. ft. 1.188 lbs: _ 15" Thick 161/2" -- R-38 251V2 -- ----- - 39 Sq. ri_-_--1 A29 lbs. 13" Thick 14yg" R-26 83/4" Thick _.. - - -• ._... - ---- -- 20'/z -- _ 49 sq. ft. _0.811 lbs. 101/4" Thick 111/2" R-22 71/2" Thick R_22 15 67 sq. ft. 0.594 lbs. 71/2" Thick' 81/4" R-19 61/2" Thick' --- ------ --- R-19 13 78 sq. ft. 0.514 lbs. 61/2" Thick 71/4" R-13 35A"Thick- R-11 71/2 135 -11 sq. tt_ 0.297 lbs_ • - 33/4" Thick 41/4" 31/2" Thick Rich -RI" Fiber Glass Blowin Wool Sidewall Insulation -40 -Ib. Ba g. 'Thickness varies, check bag R-16 _161/2 60 sq_ri. 0.667 lbs. 4" Thick 4" label for producing locations 6 s ri thickness. R-14 15 66 9_ : 0.604 lbs. 3%" Thick 3%" - -. 1 R-14 141/2 68 s it.. 0.583 lbs. 31/2" Thick 3'h" "R-12.7ina3h"cavity. --- _.___ -- g. --- -- Average installed thickness is provided as a guide to installers. Actual thickness will vary depending on conditions at the time of installation. To obtain a specific R -value, insulation should not be applied over a larger area than -specified on the coverage chart. Net wt./bag, minimum 37 lbs. This product conforms to the performance requirements of Federal Specification HH -1-10308. Type I, Class 8, and DOE RCS Standards. Also meets the / Insulation Quality Standards of the State of California. Framing Correctiori for 40 lb. Framing 16" on center. Framing 24" on center. Bag Rich -R Blowing Wool R Joists Bags per 1 Q00 sq. ft. Bags per 1000 sq, ft. Valuest Dimension s When installing in attics of new - - - ---•• - ---. (gross) _ (�ross� homes or existing homes where R-44 2x8 28.2 28.6 no insulation is present, it is 2x6 28.5 28.8 acceptable to adjust the 2x4 28.9 29.1 coverage figures to compensate R-38 2x8 24.2 24.6 for the presence of the framing 2x6 24.5 24.8 members as indicated in the 2x4 24.9___ 25.1 following table. "'% R-30 2x8 19 1 Single Family Dwelling 2x6 195 19.6 52175 Avenida Mendoza 2x4 198 19.8 20.1 La Qu_inta, California R-22 2x8 13.6 14.1 tR-values indicated obtained 2x6 14.0 14.3 when properly installed with 2x4 14.3 • 14.6 pneumatic equipment. R-19 2x8 11.8 12.2 2x6 .12.0 12.3 The higher the R -value, the 2x4 '12.3 12.6 greater the insulating power. R-11 2x8 6.8 7,1 Ask your seller for the fact sheet 2x6 6.8 7.1 on Fl -values. 2x4 6.8 7.1 Batts and rolls have been installed in conformance with the above Blowing wool has been installed in the ceiling or sidewall in con - recommendations to provide a thermal resistance value of formance with the above recommendations to provide an R -value R- 3 0 a 9 . 2 5inches in 112sq. ft. of ceiling, R-_13._.. at of R- __..._.._. using __._ bags of this insulation to cover 3Z he in 12 ft. of exterior walls, and R ...... at - - - -- ---- square feet of area at a i i of floors or crawl space perimeter. minimum thickness of inches. R-19 i>� h 252 eves only. ' Data IIG618 7198 Signature Home Budder --R01 U--iA=LATIt N _"Ar_A_ UBTIG INC InsulationConlractor 74-741 Joni Drive PALM DESERT, CALIFORNIA 92260 (714)346-2339 Printed in USA