SFD (001322)PERMIT APPLICATION
City of La Ouinta
Department of Building and Safety
This permit becomes void if work not commenced within 180 days from date of issuance, OR, it work has been suspended or abandoned for a period of. 180 days. • .
LICENSED CONTRACTORS 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 lull force
and effect.
License Class Lic. umber
Date Contractor Pl ��l f� /'r c C/ .• 4,
OWNER -BUILDER DECLARATION: I hereby affirm that I ,m exernii0rom the Contractor's License. Law for the
following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires.a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for .
such permit to file a signed statement that he is licensed pursuant to the provisions -of the Contractor's License Law
(Chapter, 9 (commencing with section 7000) of Division 3 of the Business and Professions Code) or that he is exempt
therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by,any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500.):
O 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 Contractor's License "
Law does not apply to an owner of property who builds, or improves thereon, avid 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 orimprovemntissold within one year ofcompletion. the owner -builder will have the burden of proving that "
he did not build or improve for the purpose of sale.).
O 1, as owner o1 the property, am exculsively contracting with licensed contractors to construct 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.). r�
0.1 am exempt under Sec. . B. & P.C. (Attached Certificate).. ,
Date' Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
,certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec: 3800: Lab. C.).
Policy No. Company
O Certified copy is hereby furnished.
O Certified copy is filed with the City Building Inspection Department or City Department..
Date Applicant
APPLICANT NAME (L, F. MI)
rdck Johnson Danst.
ADDRESS -
P.O. B= 2288
CITY/COMMUNITY/STATE/ZIP
Indio CA 92201
JOB SITE ADDRESS/SPACE
54-218 Avenida Mendoaa
CITY/COMMUNITY/STATE/ZIP
Ira Quints CA 92253
BOK
JCT
PAG 223
P C
1111
C
1
TWN .
RNG
SE
'. S -
TRA
LOT �
•6.G
y
�
MOD
SB
Infrastructure Fee
TRACT NAME
OWNER NAME (L. F. Mn
CONTRACTOR -FIRM NAME
appllicant
ADDRESS abam '
CITY/COMMUNITY/STATE/ZIP abom
PHONE • �
247-7l7t
A
LICNC
ARC/ENG FIRM NAME ,•
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE •
LICNC .
2,918.28
USE OF PERMIT
single family -dwelling
BL
ZON
'FSB
SSB
SSB
RSB
OFC
ZONE ORD •
-
LOT SZ
-
END
SIDE -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if
the permit -is for one hundred ($100) o, 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 Applicant
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. -
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
"made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
demolition or dismantling thereof! will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8;
C.A.C.)
O As owner -builder, I will not employ anyone to do work which would require a permit from the Division of
Industrial Safety, as noted above, unless such person has a permit to do such work from that division.
O Division of Industrial, Safety Permit No: ,
Date Applicant
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, Civ. C.)..
Lender's Name
Lender's Address !
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county.ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above mentioned property for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
the information given is correct. I agree to comply withoall:state laws and county ordinances relating to buidling
construction, and authorize a'representati o}athe l(y of LarOuinta Department of Building and Safety to enter
upon the propefty for which I have applied ,or;r;Is'p, Wfor the purpose of making inspections.
` Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPL/PRMT n n i 32
Y TL11-85 S.F,D. ,
Permit to construct 1592 sq. ft. of
hr„um277 pg. ft.
of porch and 430 ter.
ft. of garage as per approved plans.
f-bch. Fee
40.00 '
Plan Check Fee
326.58
Oonst. Fee
388.60
Elect. Fee
68.75
SMI Fee
5.95
Plumbing Fre
89.00. r
Infrastructure Fee
2,000.00
t
TFEE
2,918.28
X0784 4. 2.3. 29
VALUATION 84,248.00
BLDG. DEPT.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
1)
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Compart.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
4#771
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
❑
43
Final
10A
Fireplace T.O.
❑
NON
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath ��
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb T r
18 Vents
19 Sewage Disposal
20 Sewer S y-; /1,
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit L. Line
ELECTRIC APPROVALS
REAR OF PROPERTY LINE.
p/L P/1
STREET NAME
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
��f1Ep
c
r. =o
y BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS H
PALM DESERT a
%P LA OUINTA
INDIO y�
Desert Sands Unified School District
82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 • (619) 347'8631
April 23, 1985
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re
54-218 Avenida Mendoza
Gentlemen:,
The developer of the above referenced lot
has mitigated its impacts on our overcrowded schools by payment
of the amount of $628 per unit to be applied to the cost of
district educational facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
RE.S,I_D_E-L T LA1_.L_E�
C
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- ant..
M II,�I-�r`lUM NS 1.6•-f10 ;LL x -I FF�-' - -�
UMC
...
T1oN
058:10 R2 _,28/84 VH/dr
Attachment D
Form •2
(Revised 3/84)
Climate Zones 2, 4, 6, and B-15
COMPLIANCE CHECKLIST
(Seasonal Efficiency) ... . . . . . .
. . . . . . . SE
For Low -Rise Residential Buildings
Heat Pump (Energy Efficiency Ratio) . . . . . . .
. . . . . . . EER
(except hotels and motels)
Gas Furnace with Refrigeration Cooling
Step 1: Enter on the form the values for each measure from your building plan
Seasonal Efficiency and Seasonal
and specifications sheet.
Energy Efficiency Ratio. . . . . . .
Step 2: Enter points on this page while working through
the point system
Active Solar (Net Solar Fraction, %). . . . .
Building Shell.
Measure
Points
�
'Total Floor AreaI
J I�f t2
Resistance Space Heating . . . . . . . . . . .
1. Slab -on -Ground; Perimeter ft.,�Depth in.
R-
2. Raised Floor R -Value.
R-
. . . . . . %NSF
3. Ceiling Insulation or Construction*Assembly-:
Attic, Percent of Roof Over Conditioned Space �%
R--
- ft
4. Wall Insulation or Construction Assembly. . . . . .
. . . . . . R -
. . . . . . .
Glazing; Total % Floor Area Single Double
Triple
S. North -Facing. . .; % ft2 ft2
South
ft2
6. East -Facing . . ft2 ft2
ft2
ft
ft
7. -Facing.'•. % ft2
8. West ft2 �ft2
ft2
-Facing . . . �%
9. Skylight. . . 5 ft ft
ft
10. Shading Coefficient
(excluding ,overhang)
a. East �/�-s
b. Scuth. . ' Sc .
c. West . . . . . . . . . . . . . . SC . . . . . . . .. . .
d. North. . . . . . . . . . . . . . SC . . . . . . . . . . . .
e. Skylight. . . . SC . . . . . . . . . . . . .
11. Horizontal South Overhang Length. . . . ft . . . . . . . . . . . . .
12. Movable Insulation, % Floor Area. . % . . . .
13. Infiltration (indicate Standard, Medi -or 19 Ft)
14. Thermal Mass
Exterior Wall Thermal Mass
Area. Heat Capacity, R -Value . . . . . . . ft2, HC; R -
Interior Thermal Mass I�
Area, Heat Capacity, R -Value . . . . . A ft2, 5.1, HC, R- 0 2
HVAC System"
15. Gas Furnace without Refrigeration -Cooling
*Checklist items; not a point system measure.
"Attach documentation for efficiencies and NSF.
(Seasonal Efficiency) ... . . . . . .
. . . . . . . SE
16.
Heat Pump (Energy Efficiency Ratio) . . . . . . .
. . . . . . . EER
17.
Gas Furnace with Refrigeration Cooling
Seasonal Efficiency and Seasonal
Energy Efficiency Ratio. . . . . . .
. . SE SEER
18.
Active Solar (Net Solar Fraction, %). . . . .
. . . . . . . %NSF
19.
Zonally Controlled Electric
Resistance Space Heating . . . . . . . . . . .
. . (Yes/No)
Domestic Water Heating**
20.
Solar With -Gas Backup (Net Solar Fraction, %) . .
. . . . . . %NSF
21.
Other Water Heating (Describe type)
Point System Compliance Total . . . . . . . .
. . . . . . .
*Checklist items; not a point system measure.
"Attach documentation for efficiencies and NSF.
HEAT TRANSFER COEFFICIENT
PROPOSED CONSTRUCTION ASSEMBLY
owner project title
E=L.'n i✓ L IT,-
proiect location .
documentation author dale
Form 3R
• (8/81)
Enforcement Agency Use Only
ere>e
Sketch of Construction Assembly List of Construction Component= R
(for section between framing members) Itrom Table 3-11
^� V 5i I r, -b A�M
2.
�U_�. 3.
_
4.
5.
Framing Size x 8)6.
Framing Soacin �- o,c-
7
Check one:
8. Inside Surface Air Film (from Table 3.1'91.
Ceiling/Root
Floor 9. Outside Surface Air Film (from Table 3.116)............ . I
Wall
Total Thermal Resistance (RT)
If Wall. check the sum of the aoove
80woor-ate wtm9 ht•
less than 25 Ib/h2
25 to 40 ib/fit
greater :-an 40 ;bih2
n
AVERAGE U VALUE OF ASSEMBLY
I — 1410 r7, _ �e.v /- Btu/(hr
Framing AT trom aoove
Factor from
Table 3.6
Use this U value for heat load
uiculation or Code comparison
HEAT TRANSFER COEFFICIENT
PROPOSED CONSTRUCTION ASSEMBLY
owner project title
Project location
documentation author date
Sketch of Construction Assarrihly List of Construction Components R
(tor section between framing members) (from Table 3.11
3. (A:2-"
Form. 3R
(8/81)
Enforcement Agency Use Only
Check one:
Ceiling/Roof
Floor
Y Wall A
If Wall, check the
appropriate weight:
y less than 25 IWO
25 to 40 lb/ft2
greater than 40 Ib/h2
4.
5.
6.
7.
8. Inside Surface Air Film (from Table 3.18) .............
9. Outside Surface Air Film (from Table 3.18)......... ...
Total Thermal Resistance (RT) . ti
sum of the above
.AVERAGE U VALUE OF ASSEMBLY
•, - a,,o.4e> _ l0 Btu/(hr •ft2 -OF)
Framing RT from above
Factor from
Table 3.4
Use this U value for host load
calculation or Coda comparison
ENGINEER: - ►'"
DATE:
to
SSHHGGFF �I
1
''I/ ✓.(fir
PROJECT:r
ENGINEER: fZ e�rem--" SHEET:
DATE: OF
Zone; ['loon: Ft's Volume: Ft -11 Time:
SUMMARY -LOADS
COOLII•X'- L3'ILI/IIR
• ItIFILTRATIO"I
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SMSIDLE:
WALLS
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RECEIVED
MAY 161995
CITY OF LA pUINTA
COMMUNITY DEVELOPMENT DEPT
1731-A WALTER STREET e VENTURA, CALIFORNIA 93003 9 PHONE (805) 642-6727
May 6, 1985
Pomona Valley Equipment
P.O. Box 457
La Quinta, CA 92253
Project: 48-860 Eisenhower & 54-218 Ave. Mendoza
La Quinta, CA
Subject: Report of Field Density
Building Pad
Job No. B -15255-P1
85-5-61
On April 22, 1985 a representative of our firm performed density tests on the
fill placed in the building areas on the above referenced project. Tests
were performed at random locations in accordance with ASTM 2922-81 and ASTM
3017-78 Nuclear Density Test Procedure. Tests performed as perauthorization
of Bob Mc Callum.
The estimated locations of the tests are presneted on the attached plan with
their results being summarized on the attached test report sheet. A total of
four (4) density tests were performed. Test results indicate that a minimum
of ninety percent (90%) of relative compaction has been obtained within the
areas tested. The maximum density -optimum moisture was determined in the labora—
tory in accordance with ASTM D 1557-78, Method A, five (5) layer curve.
Classification
Light brown slightly silty
very fine to fine sand
Light brown slightly silty fine
to medium sand
THOUSAND OAKS
(805) 495.8484
VENTURA
(805) 642.6727
BAKERSFIELD
(805) 327.5150
Maximum Density -Optimum Moisture
SANTA BARBARA
(805) 966.9912
ll7.9pcf 6.8%
120.4pcf 7.0%
LANCASTER
(80 5) 948.7538
PALM SPRINGS
(714) 328.9131
SAN LUIS OBISPO
(805) 544.6187
May 6, 1985
LIMITATIONS
JobnNo. B -15255-P1
85-5-61
The compaction operations were completed at the time our personnel were called
to the site. The test results summarized in this report present the moisture
and density only at the locations and depth tested on the specified date.
The summarized field and laboratory tests were performed in accordance with
engineering principles generally accepted at this time and location. No opinion
is expressed as to the uniformity of the material, compaction nor adequacy
of the material to perform -its intended function. No guarantee or warranty of
the contractor's work is made or implied.
Respectfully submitted,
BUENA ENGINN RS,. NC. Reviewed and approved
Norman G. Ja son, J Raymo d JEBrannen
C.E. 28966
NGJ/REB/kls
Copies:
4- Pomona Valley Equipment
2- City of La Quinta
1- P.S. file
1- Vta. file
RIIFNA FNhINFFRS INC
NGINEERING;
s
{
CONTRACTOR:
ADDRESS
REPORT OF RELATIVE COMPACTIONS
Job No. B -15255-P1
DATE: May 6, 1985 Report No. 85-5-61
Eisenhower & Mendoza
JOB & L'OCATION: La Quinta, CA
TEST NO.
DATE
DESCRIPTION
% MOISTURE
DRY DENSITY
RELATIVE
MAXIMUM
TESTED
IN PLACE
IN PLACE
COMPACTION
DENSITY
54-218 Mendoza
1
4-22-85
1.5 from grade Per Plan
8.0
114.8
95
120.4
2
4-22-85
Finish Grade II
6.8
113.0
93
120.4
48-860 Eisenhower Dr.
3
4-22-85
1.5 from grade it
9.0
111.5
94
117.9.
4
4-22-85
Finish Grade "
7.5
116.0
98
117.9
WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH
COPIES:
BUENA ENGINEERS, INC.
(D
I�UC MFhOr-2A
ca
4�E/NEtjc2e
BUENA ENGINEERS, INC.
DATE:S-2-65FILE NO L7_/,} Z SS i')/