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SFD (001323)PERMIT APPLICATION City of La Ouinta Department of Building and Safety This permit becomes void it work not commenced within 180 days from date of issuance, OR, if 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 full force and effect. I % License Class Lic. Number Date Contractor F OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt tromp 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 (S500.): 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, 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 improvemnt 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.). O I, as owner of 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.). O 1 am exempt under Sec. Date Owner B. 8 P.C. (Attached Certificate). 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) R-1dic T bn,.,m Const. �• ADDRESS - P.O. B= 2288 CITY/COMMUNITY/STATE/ZIP Indio, CA 92201 JOB SITE ADDRESS/SPACE 54-225 Avenida Mendotaza CITY/COMMUNITY/STATE/ZIP ' La Quintal C21 92253 BOK 774 PAG 222 PRC 021 C TNM RNG SE S TRACT LOT Elect. Fee 68.75 MOD SB Pl ing Fee TRACT NAME OWNER NAME (L. F. MI) 7��,,�� � ���y - tfr./r./1J.ca &_ CONTRACTOR -FIRM NAME l icany ADDRESS above CITY/COMMUNITY/STATE/ZIP above PHONE 1 347-7171 LICNC I ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE a LICNC n TOTAL FEE USE OF PERMIT siMle fam l y „y,- el i M 8L ZON -FSB SSB SS8 RSB OFC ZONE ORD I LOT SZ I L 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: It, 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. ) 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 with all state laws and county ordinances relating to buidling construction, and -authorize a representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date .r 1C / .� Print Applicant/Agent Name APPUPRMT•� n P. 1 ,� .. DATE 4-11-85 SX D. Permit to construct 1592 sq. ft. of house 277 sq. ft. of nark h and 430 sq. ft. of garage as per approved plans. Mech. Fee 40.00 Plan Check Fee 326.58 C mist. Fee 388.00 Elect. Fee 68.75 341 Fee 5.95 Pl ing Fee 89.00 ,Da",.Ii'm 2,000.00 TOTAL FEE 2, 918.28 A 0 6 7 7 4 15 L9 BLDG. DEPT. VALUATION 84,248.00 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 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 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 (� /�y 12 Internal Lath 12A Drywall (j 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 18 Vents 19 Sewage Disposal 7'"t A/ 20 Sewer 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/I STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final �%f1ED yam, BERMUDA DUNES r RANCHO MIRAGE C INDIAN WELLS H PALM DESERT ' J' LA OUINTA ',p INDIO y� April 18, 1985 Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO. CALIFORNIA 92201.5678 • (619) 347.8631 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui-nta, CA 92253 Re: 54215 Mendoza LaQuinta&_54225 Mendoza, La Qunita Gentlemen: The developer of the above referenced 54215 & 54225 Mendoza, La Quinta 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 Supe.rintende.nt Business Services JDB/crm CayeJ.l.ati0.ix— m' .e;th;ocid_ _ e r1► tJ M u M p�Iz UMC oVo�-'f-2- MECHANICAL MECHANICAL SYSTEMS DESIGN o -s-0 134 SOUTH GLASSELL STREET ORANGE, CALIFORNIA 92666 (714) 5A3-6571 r3ri5>F6t!2H Oro, 058:10 R2 -.28/84 VH/dr Attachment D Fo rm 2 (Revised 3/84) Climate Zones 2, 4,•6, and 8-15 COMPLIANCE CHECKLIST For Low -Rise Residential Buildings (except hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on.this page while working through the point system Building Shell Measure Points 'Total Floor Area �ft2 1. Slab -on -Ground; Perimeter ft.,�Depth � in. R- 2. Raised Floor R -Value.. . . . . . . . . . . R- 3. Ceiling Insulation or Construction Assembly•. R - Attic, Percent of Roof Over Conditioned Spaceft2 4. Wall Insulation or Construction Assembly. . . . . . . . R - Glazing; Total % Floor Area Single Double Triple S. North -Facing. . . % ft2 ft 22 ft2 6. East -Facing . . ft2 ft2 ft2 7. South -Facing... . X ft ft ft 8. West -Facing . EEX ft 2 ft 2 ft 2 9. Skylight. . . % ft2 ft2 ft2 10. Shading Coefficient (excluding overhan ) a. East G w •i r. O%(OSC . . .. . . .. . . . . . b. South. . ' SC . . . . . . . . . . . . . c. West . . . . . . . . . . . . . . SC . . . . . . . . . . . d. North. . . . . . . . . . . . . . SC . . . . . . . . . . . . e. Skylight. . . . SC . . . . . . . . . . . . . 11. Horizontal South Overhang Length. ft . . . . . . . . . . . . . 12. Movable Insulation, % Floor Area. nX . . . . . . . . . . . . . 13. Infiltration (indicate Standard, Med�}rpi.,or tg t) 14. Thermal Mass Exterior Wall Thermal Mass Area. Heat Capacity, R -Value . . . . . . . ft2. HC; R - Interior Thermal Mass Area, Heat Capacity, R -Value . . . . . . . ft2. C.Z HC, R- D i J 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) . . . . . . . . . . . . . . SEER 17. Gas Furnace with Refrigeration Cooling Seasonal Efficiency and Seasonal Energy Efficiency RatioSE SEER 18. Active Solar (Net Solar Fraction, X)� .. . . . . %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 n. 44-- 2 owner protect dila protect location Oocurnentation author date Form 3R (8/81) Sketch of Construction Assembly List of Construction Components R Ifor section between framing members) (from Table 3-11 2. 4. 5. 1 Framing Size 2- a 6• n_ Framing Soacin O.C. 7. Check one: 8. Inside Surface Air Film (from Table 3.1'31.. Ceiling/Roof Floor 9. Outside Surface Air Film (from Table 3.18)............ F% Wall i 11 wail. check the Total Thermal Resistance (RT) sum or the aoo.e aoproorlato weight: less than 25 Ib/ft2 25 to 40 lb/rte AVERAGE U VALUE OF ASSEMBLY greats :!.an 40 ;bih2 I • C] I- —1 = ��.y L. Btu/Ihr . h2 •°FI f Framing AT from &Dove i ph --tor, from Taole 3•6 I Uta this U value for heat load calculation or Code comparison HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY _ owner project title project location' . oocumentation author pate Form. 3R (8/81) Sketch of Construction Assembly ■ �e.r List of Construction Components i R (for section between framing membersl (from Table 3-1) 3. I/1 ZS�Yt' 4. 6' Framing Size Framin Soacin " o.c. Check one: 8. Inside Surface Air Film (from Table 3.18) ............. Ceiling/Roof Floor 9. Outside Surface Air Film (from Table 3.181.. I / Y Wall A Total Thermal Resistance (RT) If Wall, check the sum of in* above appropriate weight: Y less than 25 Ib/h2 25 to 40 Ib/ft2 greater than 40 Ib/h2 AVERAGE U VALUE OF ASSEMBLY Btu/thr • ft2 •OF) Framing 'RT from above Fa=tor from Table 7.6 Use this U value for heat load calculation or Code comparison • ENGINEER:-►'' DATE: �m PROJECT: n' -So r ENGINEER: Fz 4�7—�� SHEET: DATE: OF ?one: Cloor: Ft's Volume: Ft3 Time: S U M M A R Y L O A D S COOLITX' Li'IU/IIR MT.1N tJ%?, IN ; LIQ CI'S, _ I MATI Nr LIMM"T I B11j/1IR b Z o I (16 �� 2100 I O,�L SENSIBLE I! 5II WALLSlel 85 PMPLE Imr/CliILIt)r, I (p5 -1 Cac, r1.C�O Tt Tc AL • I2>F'ILT[i11TI01.1I TClrAL _ 1 TCYTAL- TSI M � sr•1rcTroc,: LIQ CI'S, _ PMPLE I (p5 -1 Cac, MECELLANEWS p 7MAL Il 5 TaTAL le Ci?1 . S.08iX&T. MIR Sensible Sens. + Lat. I '. mr-rII.ATION • I2>F'ILT[i11TI01.1I TClrAL _ 1 TCYTAL- TSI M � sr•1rcTroc,: