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BRES2016-0113
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number:' BRES2016-0113 Property Address: 53245 AVENIDA MENDOZA APN: 774062026 Application Description: PINTAR INVESTMENT CO / CHANGE OUT (6)WINDOWS AND (2)DOORS Property Zoning: Application Valuation: $3,500.00 Applicant: WELL DONE CONSTRUCITON SERVICES 21851 NEWLAND ST #291 HUNTINGTON BEACH, CA 92646 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 Professions Code, and my License is in full force and effect. Licensee Class: B. C33 License No.: 946710 Date:A1A,7 k— 'Zo 1(0 contracto QmS C7_1` 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).: (_J 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.). (� 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_ I 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/21/2016 Owner: 10 PINTAR INVESTMENTS COMPANY 27372 CALLE ARROYA �c SAN JUAN CAPISTRANO, CA 92675J III irM O o f..J Contractor: �m ` WELL DONE CONSTRUCITON S 21851NEWLANDST#291r�rt of HUNTINGTON BEACH, CA 9264e6 (714)864-7003 M LIC. No.: 946710 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: _ 1 certify that in the performance of the work for which this permit is issued, I shalfnot employany person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply_with those provisions. Date:Applica`r� {FIS 1�[3LCl 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 Building Official 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 city to enter upon the above-mentioned property for inspection purposes. Dated4 Z ( (.Signature (Applicant or Agent a Description: PINTAR INVESTMENT CO / CHANGE OUT (6)WINDOWS AND (2)DOORS Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 4/19/2016 SKH Approved: Parcel No: 774062026 Site Address: 53245 AVENIDA MENDOZA LA QUINTA,CA 92253 Subdivision: LITTLE TUSCANY 2 Block: 207 Lot: 12 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00' Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS Details: CHANGE OUT - (6)WINDOWS AND (2) DOORS LIKE FOR LIKE.'2013 CALIFORNIA BUILDING CODES. � :�' ' � s '.� �; �' '"co-, ' "ag • a.. r Printed: Thursday; April 21, 2016 2:49:29 PM 1 of.2 ` � SYST[iv1S ADDITIONAL SITES, CHRONOLOGY CONTACTS NAME TYPE 'a^sp r. d,.'.,.,, �.,d y _ � � e-0- � t .:�.- �;�NAME- E . ,ADDRESS ' "�CITY ..':::«•r �. - ..�� .. .... --.<� r STATE ZIP'S PHONE` FAX # EMAIL , APPLICANT WELL DONE CONSTRUCITON 21851 NEWLAND ST HUNTINGTON CA 92646 (949)276-4166 SERVICES #291 BEACH CONTRACTOR WELL DONE CONSTRUCITON 21851 NEWLAND ST HUNTINGTON CA 92646 (949)276-4166 _ SERVICES #291 BEACH OWNER PINTAR INVESTMENTS COMPANY 27372 CALLE ARROYA SAN JUAN CA 92675 (949)2764166 CAPISTRANO r Printed: Thursday; April 21, 2016 2:49:29 PM 1 of.2 ` � SYST[iv1S DESCRIPTIONACCOUNT'-,t";9' QTY�" AMOUNT...;ID' . . . .......... . ...... . .. PAI 'DAT 4 A J 6SAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STA . NDARDS ADMINISTRATION s1.00 $0.60 BSA: SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 .$0.00 DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST 7 .DOOR/WINDOW, REPLACE, EA ADDITION 101-0000-42400 0. $10.15, $0.00 5 DOOR/WINDOW, REPLACE,' EA ADDITION 101=0000-42600 0 $11.60 $0.00 5 PC DOOR/WINDOW, 101-0000-42600 0 $110.22 moo REPLACE, FIRST 7- PC Total Paid for WINDOW/SLIDING GLASS $192.88 $0.00 DOOR/FENESTRATION:. TOTALS: $194 38 $000 INSPECTIONS PARENT PROJECTS Printed: Thursday, April 21, 2016 2:49:29 PM 2of2. CRWIMEMS CITY OF LXQUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTR,UCTIOV DATE BY � 1 � � � � �. � � � � o � � � � a � '� � � � � � � � � b � � _ �l >C �' N � m � � � CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Calculation Description: ALERATION - Compliance Report Input File Name: Mendoza Remodel-160420.ribd CF1R-PRF-01 Page 1 of 8 GENERAL INFORMATION 01 Building Complies with Computer Performance 02 01 Project Name Mendoza Remodel atu r � ai t .» a xa 03 �- ii { - . .:.•+ w.r c� a..-s�'.rr This building incorporates one br„4more Special Features own below 02 Calculation Description Single Fam - Atch Gar -Sngl Stry Nk r -I IL:w W'}1 .-> i C `► *-..# %# i Proposed Design Compliance Margin 03 Project Location 53245 Avenida Mendoza 1.34 0.63 - 0.71 04 City La Quinta, California 05 Standards Version Compliance 2015 06 Zip Code 92253 07 ' Compliance Manager Version BEMCmpMgr 2013-4 (744) 08 Climate Zone CZ15 09 Software Version CBECC-Res 2013-4 (744) 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 180 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft2) 1537 15 Number of Zones 1 16 Slab Area (ft2) 0 17 Number of Stories 1 18 Addition Cond. Floor Area 0 19 Natural Gas Available No r2O Addition Slab Area (ft2) 0 21 Glazing Percentage (%) 8.6% COMPLIANCE RESULTS 01 Building Complies with Computer Performance 02 lk t4l ti ra This building incorporates features that require field testing.and/or verificatii5n by a certified HERS rater un' 'lee the supervision of a CEC-approved HERS provider. nal 04 atu r � ai t .» a xa 03 �- ii { - . .:.•+ w.r c� a..-s�'.rr This building incorporates one br„4more Special Features own below 08 M „� Nk r -I IL:w W'}1 .-> i C `► *-..# %# i Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ftZ-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 1.34 0.63 - 0.71 53.0% Space Cooling 133.23 125.46 7.77 5.8% IAQ Ventilation 0.00 0.00 0.00 0.0% Water Heating 24.83 24.83 0.00 0.0% Photovoltaic Offset ---- 0.00 0.00 ---- Compliance Energy Total , . 159.40 150.92 8.48 5.3% Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Calculation Description: ALERATION - Compliance Report Input File Name: Mendoza Remodel-160420.ribd REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. Ceiling has high level of insulation HERS FEATURE SUMMARY CF1 R -PRP -01 Page 2 of 8 The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • Verified Existing Conditions Cooling System Verifications: • --None -- HVAC Distribution System Verifications: • -- None -- Domestic Hot Water System Verifications: • -- None -- ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24,Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. f , I ( I F, --I j f--3�` -I f --J II .—I ___� Reference Energy Use I (— Energy Design Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)• 225Jli ^} U L= 217.17 J 8.48 3.8% includes calculated Appliances and Miscellaneous Energy Use (AMEU) 1 CK Q...1 j M BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Mendoza Remodel 1537 1 3 1 1 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Whole House - One Zone Conditioned HVAC System - Existing 1537 8 Registration Number: 216-Ao147669A-000000000.0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Date/Time: 10:28; Thu, Apr 21, 2016 Calculation Description: ALERATION - Compliance Report Input File Name: Mendoza Remodel-160420.ribd CFI R -PRF -01 Page 3 of 8 OPAQUE SURFACES 01 02 03 04 05 06 07 08 09 10 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft) Tilt (deg) Status Verified Existing Condition BED1 - S Whole House - One Zone Ext Wall Assy - R13+1 EPS 180 Front 112 18.9 90 Existing No BED1 - W Whole House - One Zone Ext Wall Assy - R13+1 EPS 270 Left 80 0 90 Existing No BED2 - W Whole House - One Zone Ext Wall Assy - R13+1 EPS 270 Left 80 18.9 90 Existing No MSTRBED - W Whole House - One Zone Ext Wall Assy - R13+1 EPS 270 Left 112 0 90 Existing No MSTRBED - N Whole House - One Zone Ext Wall Assy - R13+1 EPS 0 Back 188. 0 90 Existing No MSTRBED - E Whole House - One Zone Ext Wall Assy - R13+1 EPS 90 Right 100 40.8 90 Existing, No - LIVING - N Whole House - One Zone Ext Wall Assy - R13+1 EPS 0 Back 92 40.8 90 • Existing No KITCH - N Whole House - One Zone Ext Wall Assy - R13+1 EPS 0 Back 76 10.6 90 Existing No KITCH - E (G) Whole House - One Zone Ext Wall Assy - R13+1 EPS 90 Right 64- 21 90 Existing No FAMILY - N Whole House- One Zone Ext Wall Assy - R13+1 EPS 0 Back 160 0 90 Existing No FAMILY - E Whole House - One Zone .Ext Wall Assy �R13+1 EPS 90 Right 104 21.9 90 Existing No FAMILY = S Whole House - One Zone Ext Wall Assy R13+1 EPS )180 IF nt X168 29.2 90 Existing No LIVING - S Whole House -.One Zone text Wall-Assy' FR13,+1 EPS 180 f Front -166 _ 71.2 90 Existing No BATH RM - S -! ' 'A Whole House - One:Zone 'x V ' 4 s :f 6 Ve" -- ExtaVNall Assy - R13+1"EPS- uwia b1 4V. i. _ 180 ' ro Fronf%. f s Ft ➢ _ 95 _ 3 90 Existing No Ceiling (below attic) 1 Whole House - One Zone !CeilindtXssy5 Exist g +i M 'kJ V I L-0 1537 -moi. Existing No Garage -E Garage Ext Wall Assy - R13+1 EPS 90 Right 160 0 90 Existing No Garage - N Garage Ext Wall Assy - R13+1 EPS' 0 Back 160 0 90 Existing No Int Com Wall - Fam Rm Garage»Whole House - One Zone T24-2008 IntWall 2x4 16oc R13 160 0 Existing No Int Com Wall - Kitch Garage»Whole House - One Zone T24-2008 IntWall 2x4 16oc R13 64 0 Existing No Ceiling (below attic) 2 Garage Garage ceiling 400 Existing No ATTIC 01 02 03 04 05 06 07 08 09 10 ' Radiant Statu Verified Existing Name Construction Type Roof Rise Roof Reflectance Roof Emittance Barrier Cool Roof s Condition Ex9 ti Attic Asphalt Shingle Roof Ventilated 3 0.1 0.85 Yes No No Registration Number: 216-A0147669A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-04-21 10:32:00 Report Version - CF1R-04072016-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Description: ALERATION - Compliance Report Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Input File Name: Mendoza Remodel-160420.ribd CFI R -PRF -01 Page 4 of 8 WINDOWS 01 02 03 04 05 06 07 08 09 10 11 Name Surface (Orientation -Azimuth) Width(ft) Height (ft) Multiplie r Area (ft) U -factor SHGC Exterior Shading Status Verified Existing Condition Window 4 BED1 - S (Front -180) ---- ---- 1 18.9 0.35 0.30 Insect Screen (default) Existing No Window 5 BED2 - W (Left -270) ---- ---- 1 18.9 0.35 0.30 Insect Screen (default) Existing No Window 6 KITCH - N (Back -0) ---- ---- 1 10.6 0.35 0.30 Insect Screen (default) Existing No Window 1 FAMILY - E (Right -90) ---- ---- 1 21.9 0.35 0.30 Insect Screen (default) Existing No Window 2 FAMILY - S (Front -180) ---- - 1 29.2 0.35 0.30 Insect Screen (default) Existing No Window 3 LIVING - S (Front -180) ---- ---- 1 29.2 0.35 0.30 Insect Screen (default) Existing No Window 7 BATHRM - S (Front -180) ---- ---- 1 3.0 0.38 0.35 Insect Screen (default) Existing No DOORS 01 02 03 04 05 06 Name Side of Building_ Area (ft) U -factor Status Verified Existing Condition MBED - SGDoor B MSTRBAED_-E ��'�' - 40`8 X0.25 New No LVG - SGDoor ALIVING,eN* i k� if 1� 140.8 `'�� 0.25, New No GRG Door - D '�� � KITCH - E`(G)" _ _ _ _ 21.0 � _ 0.50 Existing No ENTRY - Door C LIVING 4S; M'[ 1*' M k4A V i LJ 0%0 rl Existing No Registration Number: 216-Ao147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Calculation Description: ALERATION - Compliance Report Input File Name: Mendoza Remodel-160420.ribd CF1R-PRF-01 Page 5 of 8 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 08 Name System Type HERS P Distribution Type Total Cavity Winter Design Solar Fraction N Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers none - Existing No • Inside Finish: Gypsum Board • Cavity / Frame: R-13 / 2x4 • Sheathing / Insulation: R4 Sheathing Ext Wall Assy - R13+1 EPS Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.053 Exterior Finish: R4 Synthetic Stucco • Cavity/ Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Asphalt Shingle Roof Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 Ceiling Assy - Existing attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. R 42 0.023 Over Floor Joists: R-32.9 insul. • Inside Finish: Gypsum Board T24-20081ntWall 2x4 16oc Cavity/Frame: R -13/2x4 R13 Interior Walls Wood Framed Wall 2x4 @ 16 in. O.C. R 13 0.092 Other Side Finish: Gypsum Board Ceilings (below Inside Finish: Gypsum Board Garage ceiling attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. none 0.472 Cavity/Frame: no insul. /2x4 I a rte'-..--' r C i r k%- ! I e' — I I WATER HEATING SYSTEMS � � � � � i i ni it 01 02 1, �i'-�+V03W U �:._`' = J U U 'Z014j/i / # U I U X05' 06 07 08 Name System Type HERS P Distribution Type R O V I D E- Water Heater R Number of Heaters Solar Fraction N Status Verified Existing Condition DHW System -Existing Equip DHW Standard Water Heater -Existing Equip 1 none - Existing No WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) Water Heater -Existing Equip Electric Resistance Small Storage 50 0.97 EF 7000 -watts 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation with Manual Control Recirculation with Sensor Control DHW System -Existing Equip n/a n/a n/a n/a n/a n/a Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Description: ALERATION - Compliance Report Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Input File Name: Mendoza Remodel-160420.ribd CF1R-PRF-01 Page 6 of 8 SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 07 08 09 Type HSPF/COP Cap 47 Cap 17 Heating System Cooling System SplitHeatPumpp- Central split heat 7.2 44000 40000 12 10.42 HERS Name Type Distribution Fan Floor Area Location Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition None Existing No N/A Exstg specified) HVAC Fan HVAC System - Heat Pump Heating Heat Pump Yes Heat Pump Yes Distribution System 1537 Existing No Existing and Cooling System -Extg Equip -Extg Equip System - Exstg -Exstg Equip HVAC - HEATING SYSTEMS: Heat Pumps 01 02 03 04 05 06 07 � =05 U � toev // Heating Cooling Name Type HSPF/COP Cap 47 Cap 17 SEER EER Heat Pump -Extg Equip SplitHeatPumpp- Central split heat 7.2 44000 40000 12 10.42 HERS Name Type Duct Leakage R -value Location Location .,Or. r t i Z'— i r---- t f-kl --n r- fr-r s I HVAC - DISTRIBUTION SYSTEMS l i i n) `r-� { 01 02 ��03 ��04 U � =05 U � toev // U U 07 0 08 09 10 Ins lati&n, Supply Uuct� v Retum,Duci� ',L) V: H, Verified Existing HERS Name Type Duct Leakage R -value Location Location Bypass Duct Status Condition Verification Distribution System - Ducts located in attic Existing (not 4.2 Attic Attic None Existing No N/A Exstg specified) IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 0 Default 0 Not Required COOLING VENTILATION 01 02 03 04 Name Cooling Vent CFM Cooling Vent Watts/CFM Number of Fans Whole House Fan 0 0.1 1 Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Date/Time: 10:28, Thu Apr 21, 2016 Calculation Description: ALERATION - Compliance Report Input File Name: Mendoza Remodel-160420.ribd CF1R-PRF-01 Page 7 of 8 BUILDING ENVELOPE LEAKAGE - VERIFIED & ALTERED - 01 02 Verified Existing ACH 50 _ Altered ACH 50 Requiring Verification . 5 . PROJECT NOTES 1. EE Fenestration Upgrade - Removal & Replacement _ 2. Additional alterations are cosmetic 4 00% C('"RTS, nk�..o - } Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Mendoza Remodel Calculation Description: ALERATION - Compliance Report Calculation Date/Time: 10:28, Thu, Apr 21, 2016 Input File Name: Mendoza Remodel-160420.ribd CF1R-PRP=Ol - Page 8 of 8 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: cic�ae�cu�c�� Michael Mulcahy Company: Signature Date: ENSYSS 2016-04-21 10:32:00 Address: CEA/HERS Certification Identification (If applicable): 74-040 Hwy 111 City/State/Zip: Phone: Palm Desert, CA 92261 760-774-5100 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submittedto-the enforcemen�t_agency forapprovaLwith_th s,building permit application. Responsible Designer Name: LB � � L It � Responsible `Designer Signatut(e: � � rc ac u ca � I C, III Michael Mulcahyj � 1 t 1 1� f7 i Company: HERS P Date Signed: ke 2016-G4-21 D E R ENSYSS Address: License: 74-040 Hwy 111 M27046 City/State/Zip: Phone: Palm Desert, CA 92261 760-774-5100 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0147669A-000000000-0000 Registration Date/Time: 2016-04-21 10:32:00 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-04-2110:29:31 Bin ## Permit # Project Address: S3 V'1 City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracki►Ig Sheet ^ etA. �zq Owner's Name:' \,J L A. P. Number: Address: Legal Description: City, ST, Zip:s Contractor: u� ICLJ P !� Tele h — one: I "1 Z-7 6 Address: Project Description: r City, ST, Zip: _q? 6ql Tel e h one: P o . F" L e co V,eS S.- State Lie. # :34 ra 1 \(3 City Lie. #.: �=n-S Arch., Engr., Designer: Address: ' � • t 1.1� i th City., ST, Zip: h Telephone: one: Construction Type:Lo ' Occupancy: i L State Lie. # .� pro ct .e tYPa �c cir le w one • New Add'n Alter ReA air Demo. . J Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: S© Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans'picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for-corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 14.0.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correct ions/issuc 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 Address 4 P.O. BOX 1504 N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address City Zip Tel. • tom. „ y . tE:/� � 7, o� Contractor ress Zip State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. City( 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 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. 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. 'Any vkrlation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). O 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 knproves 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 or 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. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives' -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date' Mailing Address City, State, Zip 05407 BUILDING: TYPE CONST. OCC: GRP. A.P. Number-? 7 I i 3' Legal Description Project Description iZ - a REMARKS «.- z :sflYzli'A .moi r) i tom; Via' V + �21"� IU ...1-�,r� _, . ; a ir,s 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: Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. sz W Mech. Electrical Plumbing S.M.I. . r.. Grading Driveway Enc. Infrastructure TOTAL a"> : 'c _ REMARKS «.- z :sflYzli'A .moi r) i tom; Via' V + �21"� IU ...1-�,r� _, . ; a ir,s 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 IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. I SQ. FT. ® TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN. SQ FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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 GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus -X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL L • I 4`4 P.O. BOX 1504 No, 003076 Building,� 78-105 CALLE ESTADO Address S39 245 Avera da Mei2doxa LA QUINTA, CALIFORNIA 92253 Owner Coachella Va$-1tmO.r- �iev Ld CLtd• - BUILDING: TYPE CONST.` O.CC GRP.- Mailing Address 732 Will .amo Rued .... , A.P. Number 774-062-013-12 City Zip P3 Sp133 ... .. .:....322-1.,2iD Legal Description t '. Block � Unit 20 Contractor Project Description Starr' Const=icti art Address City'' - Dalt springs Zip .. _ 92265 Tel.' State Lic. & - A-387434 City Lic. # e51 F MIG Sq. Ft. No. Dw. No.. size, 428 GARstories- Units Arch., Engr.;- .. Designer New qk Add ❑ Alter ❑ Repair ❑ , Demolition ❑ Address Tel. - rence 150, 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 Professions' Code, and my license is in full force and' effect �r} . .•.. .. .. .... . ... •. _ .. ._ - •. TIGNATl1RE DATE f` OWNER -BUILDER DECLARATION I hereby affirm that 1 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, 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 (commencingcwith Section 7000) of `"'Division 8 of the Business and Professions Code, or -that. he is•ezempi therefrom, and the basis" for the •alleged exemption. Any violation of Section 7031.5 -by 'any applicant for a permit subjects the applicant to a'civil penalty of not more than five hundred dollars ($500). : ❑ 1, as owner of.the property, or my employees with.wages as their sole compensation; will : do the work, and the structure is not intended or offered for sale. (Sec.. 7044, Buisness and. • Professions Code: The Contractor's License Law does not apply to aq.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.). .- , - . . • Estimated Valuation . - - • <•' 'PERMIT - •- - AMOUNT Plan.Chk. Dep.- - Plan Chk. Bal. j? • -Const. JCD3 �t1 • - Mech. 33.00 - Electrical _ - 'Plumbing 99.0% - .. ' ❑ 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 I am exempt under Sec. B. & P:C. for this reason . . S.M.I. .• - 5..29 " Grading 20 • on Driveway Enc. 20.00 ' Dale owner Infrastructure 1113.45 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.) A j:t1� '}.�•7=..ri ;E"'i4=-g�y- ` . Policy No. Company P y O Copy is filed with the,city... •O Certified copy is.hereby furnished s 1.i1':'•+,r �y �%e CERTIFICATEOFcEXEMPTION'FROM WORKERS' COMPENSATION. INSURANCE - -_ . -._ �y .-2037.56 TOTAL REMARKS -• - - - . (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' /'1R: ,.f"70wner •- {T?': �:: •', s r : - NOTICE TO APPLICANT: If,j alter --making' this' Certificate of Exemption you should become - subject to the Workers' fCom0ensation provisions of -the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - -• ZONE: BY: ' - .Minimum Setback Distances: ,:• .. - ' Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY, I hereby affirm that'theie is a construction lending agency for the performance of the - work for which this permit is issued. (Sec. 3097, Civil Code.) Side Street Setback from Center Line' Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR Issued.by: Date 4/27/87 Permit Validated by: 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. - Validation: City, State, Zip , • HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® FOR. SQ. FT. ® GAR. SO. 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&EWER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE I DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. 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 GIG "✓� �/ �it,d-1<C. / SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: VENTILATION 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 PLUMBIN I UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 44�FOUND. ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS&EWER OR SEPT I ROUGH WIRING DUCT WORK ROCKSTORAGE REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 '71( e- FINAL INSP. OFING 6-,' �/ GIG "✓� �/ �it,d-1<C. / C� ti✓a C C 0 ���� � % REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH VINSULATIONISOUND 7 8 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL Desert Sands Unified School District , CERTIFICATION OF PAYMENT OF :VJ SCHOOL FACILITY FEES Jbb T0: City of La Quints DATE- r�� /,P7 Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This 'is to certify tha ' developer of which is located at within this Di11 strict, has paid school facility fees imposed pursuant to the authority generate by Government Code Section 53080 •n the amount of covering total bf // �j� square feet of (residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be 1 ed by your jurisdiction. 9a -9� for DESERT SANDS UNIFIED SC OOL DISTRICT. White Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold Developer ('� • y�D, /5.2 (10)-37 0 Z O' O W U) f Z O F_ U W 0 U) 'Y Cr Q W CE Z O U W 4 - 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. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) Mailing.Address RoA S 7,511 Z A- cc -,./'s '7 3 2 C c Ah, S t3 City �1 L it.� SPr2 1A_1 �, y State CA . Zip Code 97 Z (� Z Telephone � Z 2 - • �,? /'Jobb+ Property Address } 'City or Community HC A �-S� [-II HCl 7- �q /Legal Descri tio n of Property. (Lot, PM, TR) 4oT /Z &oC ZO% CINiT ZO 'Assessor's Parcel No. tow � G � Water Agency or Well SF A Lot Size ��A•C. ot-, 4_4 Use of Permit Planning Case # S fJ 774 C& Z — bZ 3 M /2'�` `� SFD, MH Site Preparation Etc. - U .7 Signaturerif Applicant Date The above information must be vert/led from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial + Date Certification of Existing S.D. System required. El Yes FLI No WQCB Clearance required. ❑ Yes k�)No f Soils feasibility report required. ❑ Yes hNo ,�, Detailed boring report required. 1:1 Yes I�J, No Detailed contour plot plans required. El Yes (h No t Staff Specialist approval required. ❑ Yes Ly No Lot Inspection Date Soils/boring report by t Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms �i1� (1) Septic Tank SOiI Rate Required ❑ Existing [a, ❑ Additional ❑ Replacement *C -k `k clx 1,11300 Gals. k net 1 (2) Leach line sq. ft. Sidewall allowance Install Line(s), Ft..Long, Leach bed Sq. (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 t Seepage Pit total depth 1 81 Applicable` N/A Overburden factor ❑ 5r 0f6 ) 14 Max. allowable depth 400 This application is approved /denied for the design of at subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section'B above. A building permit is necessary for the installation of the above -designed system. ((1)) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area (U Z (3) Seepage pits;mustcbe 150' minfrom any swells including expansion area 0" 1 o i \rc.- t C, v 5_0 ,c Signature of Health Official Date RECEIPT NO. / Issued by �."� Date District: ❑ Riverside O'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) STEWART TITLE COMPANY OF RIVERSIDE COUNTY 700 E. TAHQUITZ-McCALLU"M SUITE H • PALM SPRINGS, CALIFORNIA 92262 (619) 320.1101 April. 21_,. 1987 City of La Quints P.O. Box 1504 La Quinta, California 92253 . ATTENTION: Jerry Herman Dear Jerry. As per our conversation this date, please be advised that.a search.of the records reveals that none of the adjoining lots included -on the attached Exhibit "A" have ever been merged and there should be no problem issuing building permits on each lot: Very Truy Yours, �y'ELS President - Desert Division EXHIisIT "A" PARCEL A: Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 20, as shown by Map on file in Book 19 page 38, -of Maps, Records of Riverside County, California. PARCEL B: Lots 1 and 2, Block 223 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 21, as shown'by Map on file in Book 20 page 22, of Maps, Records of Riverside County, California. PARCEL C: Lots 1 and 2, Block 254 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0.• 24; as. shown by Map on file _-1 Book 19 page 44 and -45: of Maps, Records of Riverside County,' California. - PARCEL D: Lots 1 and 2, Block 308 of SANTA CARMELITA.AT VALE LA QUINTA UNIT N0. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps, Records of.Riverside County, California. PARCEL E: Lots 23 and 24, Block 261 of SANT2. CARMELITA AT VALE LA QUINTA UNIT N0. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps, Records of Riverside County, California. PARCEL F: Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps,, Records of Riverside County, California. r PARCEL G: Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 19, as shown by Map on file in- Book 19 page 33 and 34, of Maps, Records of Riverside County, California. PARCEL H: Lots 5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT N0. 16, as shown by Map on file in Book 18 page 99, of Maps, Records of Riverside County, California. ,�.,.: .� ya;r;'. ...,';�'�,�, ...,r: -.v ��,• :y,' •�..i; '�:,. - "2d." �? `',�£�;C''v"r.r .��?-;r57.- S�I+r,' c �':f�' .'L:,<. �ti,� f�' y� oil• . !,r^.•T-P �. ;i'.- �••"•'�.� � \� R, i...' 1 $?''�: (;f�;'7 ?�, .i ..•1. � �l� i '.fit^c: Tsr�; p-"� �d� :.: '', .:"• it, 11:�y� •a. V�.rq 7�• �M � Ate 1 •.� N� 5' ` �.., . .�._f .�y 1' 1µ4f' 1 L r� ' V �u.'." ��L. �. yr �'.\ ..ai, ^ � y. :•i'�i .f kms` �N''-. �c'c i.�;, f-:..:�^.' :'�: "K.•';�.i."l.-;i 1\ (�; 4 � -:..L .� � '� �. `j Y I.y 1 �V 1/ � ':f ter'. J. _: ..✓. �.,� �T.. :^ r r � 1 •� it., ,/Yh d� t .'1 �1�1 %.�,},.� ., C�,�,lir�i r, J 3 ':�•F .-.;-.`....�%..,,'iJ 1, r 11. • , c..�x...{�: t�.4, ' xoz•'Xr'�. L` .'4c'��`.�. � .r.'C4.): i�'r �`••,iH.:,;' ^; ;:f•� '�w':'�.^ia �:?,?`-S;' _ •Z�:�.;js `_ .�,'r �`r ii `:::. �. .,•'.r,�`,`i' � { •. ' _ 1S•• i ,S'. �'�K "rt: r,^r"�:+f 2>'•il Vit: - "71 _qS�:. ,.t.. ,J � d.Y.:'4,• •t',.�, ' Y' �:y. n .�-! .'$c•�i .J �•y' . (. ,',d?;'1 :.�. k.�,'• 1. Prr i:':.,°�. uL' 'y�:.I J.L, '�) �19T �..%,: F:'..�-.: {'.�:• ... .•jam - ',4J' r.t:� .'Ji�� i:� 'Av ..n 'Sl. oS4-/1 : 1•~ f -�. •.� .loan .� 1 J..�.'. .;3'„ ::IC C ice.. •;,} _ ,.1" •i+ L_ ?�i'.i:�' 1c:Asa is:civil '"^�!19