BLDG (9903-091)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Imo— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
N,W Professionals Code, and my License is in full force and effect.
O :=) MLicense # Lic. Class Exp. Date
(3Lo
LU CIO C29:3/3099
001
oZ ,r- vl al , Signature of Contract S
CO 0.
V OWNER -BUILDER DECLATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ a License Law for the following reason:
Z_ ( ) 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 & Professionals Code).
(?) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Y% Code).
=` c`) () I am exempt under Section B&P.C. for this reason
O N Date + . Signature of Owner
a<z WORKER'S COMPENSATION DECLARATION
p ..Cc I hereby affirm under penalty of perjury one of the following declarations:
Lo H 0 (), 1 have and will maintain a certificate of consent to self -insure for workers'
X LU"LL
— compensation, as provided for by Section 3700 of the Labor Code, for the
0M ",_J
Q performance of the work for which this permit is issued.
_mjQ• .0 (y) 1 have and will maintain workers' compensation insurance, as required by
OPV Q Section 3700 of the Labor Code, for the performance of the work for which this
11 M, - permit is issued. My workers' comperisation insurance carrier & policy no. are:
i_t Z Carrier Policy No.
. O STATE ;~^1 L is ti3FCt-
` g (This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation pro .isrons of rcti 0 of the Labor
Code, Lahal forthwith comply with t ours.
yDate: Applicant
Warning: Failure to secure Workers;Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a ,permit .subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
. & hold harmless the City, of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
'r,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 State laws relating to the building
construction, and hereby authorize re sentativ *of t Cit to enter upon
• the,aliove-mentioned property for egt'dn p .p
I
Signature (Owner/Agent)Dat r �
PERMIT #
BUILDING PERMIT
9903-491
DATE ��, �� VALUATION "%�0j()p LOT TRACT
JOB SITE
ADDRESS 49-4 74) k'4) AVNU)A MON: 91110
APN 6/46-182,002
OWNER
CONTRACTOR/DESIGNER/ENGINEER
WHAJAM J HANAN
EDWARD Ir.1:r1211L NK
1410 Pft'I'NIAN TER
82-2:31 LAST .I1LLAO C7".
GUN13;ROOK NV 89413
INDIO CA 92201
(61 a)M'7-0199 CMA 3225
USE OF PERMIT
433. lY !'ice.[. MILf'.)IN43
27 LY.. b` GARD iktlU, (*co s "Trw r �4
�.
irrl°.. WALL, roko Lf,
CITYOF
LA QUINTA
d
i
ESTIMATED COST OF CGN 'f'RUC. 10N
PEMMI T FEE SUMMAkY
WNSTRUC'I".IONFF9.1 101 -000418 -WO 519.00
)ONAND PLAN CHI.'
h
"; s
RECEIPT
DATE
BY '
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings —
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Terre. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp.. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
: P.O. BOX 1504 No.- 14942:
Building7&105 CALLE ESTADO
Address 49-4�(� Ave. ioxat2ra LA OUINTA, CALIFORNIA 92253,
Owner u. .
HanaxiBUILDING: TYPE CONST. OCC: .GRP.
Mailing
Address 454.70 Ave. Montera
A.P. Number
City Zip Tel.
ita
. Quinta . 92253 584 4947 Legal Description
Contractor Project Description R60P Addi:tio to kitcheTn -
Dean Construction
Address .. _:
t.:
'7434.0 Fairfflay Fara
City._ .. Zip Tel.:
Palm. -Desert 92260 340-i874
State Lic. , City ,
& Classif: B L27a65 Lic. # 2450' Sq. Ft. L�� Na No. Dw.
..
Size - -^ • Stories Units
--Arch:, Engr:,
Designer. New ❑ Add ❑ ' Alter ❑ Repair ❑ Demolition ❑
Address Tel.
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
` \SIGNATURE i' - - DATE
OWNER -BUILDER DECLARATION ' Estimated ValUatlOn '
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 10 rile a signed statement that he is licensed pursuant to PERMIT _ AMOUNT
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 .•- �w- - _ ;;•y - - - ,
-.for the alleged: exemption.. Any violation of Section 7031.5 by 'any applicant for a permit ,Plan ChK'Dep; , •:i,,.;. _
subjects the applicant to a civil penalty or not more than rive hundred dollars ,($500). • < • -
Plan Chk: BaL,- •r
_. ❑ I, as owner of the property, or my'employees with wages as their sole compensation, will,, r � ' 81. g0 -Ado the work, and the structure isnot intended'or offered for sale. (Sec.' 7044, Buisness and Const: .
rProfessions Code: The Contractor's. License Law does not apply to as owner of property who., e
builds of improves thereon - and who does • such .work himself or through his own employees,. Mech.
provided that'such fmprovements'are,not intended or offered for sale: ff. however, the building• .
or improvement is sold within one year of completion, the owner -builder. will have the burden - i • ` - �• , I [s !►!a .
of proving that he did not build or Improve for.the purpose of sale.)- - _ EIBCtrICBI " .� 7 0 ti
O I, as owner of:the_property, am exclusively contracting with licensed contractors to con- Plumbing a� �Q
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;ivho contracts for - S•M•t; - e
•= a^•such projects with a contractor(s) licensed pursuant to the Contractor's License Law.).- - -
Grading ) "
0•I am exempt under Sec.� B. & P.C: for.this reason -
= Driveway. Enc.
r Date Owner Infrastructure e
WORKERS' COMPENSATION DECLARATION
I hereby affirm that'I have a certificate of consent to self -insure, or a,certificate.of i
Wo
rker's Compensation Insurance, ora certified. copy.thereof..(Sec: 3800, Labor Code.)_ \`
Policy No. Company 6,
l;j1C po y is.filed with.the city. ❑ Certified copyJs hereby.fumished.
TOTAL 254°:67
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATIONINSURANCE '
,(This section need.not be completed if the permit is for one hundred dollars ($100) valuation iy �.- ,t ;,,.�.� •,_;�.a�qf -;<. gl;
or less.) ..••v:.:..,3ff.a.fl!'f4i. 1 d
I certify that in the performance of the work for which this permit is issued, I shall not c;?tFedw
employ any person in any manner so as to become subject to the Workers" Compensation
Laws of California. -
Date Owner'
NOTICE TO APPLICANT: _ If, after making this; Certificate of !Exemption you; should become ZONE: 'BY:'
subject to the .Workers'' Compensation'provismons of the, Libor Code, you must forthwith -Minimum Setback Distances:'.
comply with such provisions or this permit shall be deemed revoked.
_ Front Setback from Center Line
+ Rear Setback from Rear'Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center: Line
I hereby affirm thatthereis a construction lending agency for the performance of the -
work for which this permit is issued. (Sec. 3097; Civil Code.) Side Setback from, Property.Line '
Lender's Name _
Lender's Address FINAL DATE INSPECTOR
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:: Issued by- Date "Permit'
I agree to comply with all city and county ordinances and state laws relating to building Y .L
construction, and hereby *authorize representatives -of this city to' enter the above.." , t
mentioned property for inspection purposes. Validated by: ^
Signature of applicant - Date, `
Mailing Address Validation:.I
City, State, Zip - _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SQ. FT. ®
GAR. SQ, FT, ®
CAR P. Q. FT.
WALL SO. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c.
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3bc
HOUSE SEWER
INSP. 6
ROOFING f, �cb
GAS PIPING
PERhMT 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
FORMSAl
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) (
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ -plus-x$_=$
LUMBER GR.
FRAMING//FINAL
INSP. 6
ROOFING f, �cb
i/�,_tvr�i 11��7
( w ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
CHI"N" ' G
MESH
INSULATION/SOUND /
v
FINISH GRADING
FINAL INSPECTION -2I
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
May 1, 1992 f
Hanan
49-470 Avenida Wontera
P.O. Box 627
L® Quinta, California 92233
Board of Directors
Casitas I Homeowners Association t.
Ruth and Bill Hanan, 49-470 Avenida. Montero, here-
by. request permission to extend our kitchen, which
faces the street, out to and inciud,i-n•g the brick
wall of the patio.
13 IF
The addional square.footage will be sq. ft..
(approximately 13.6 ft x 9.5'ft.
The roof line will be kept in the same design.,
that now exists and the exterior will be finised
the same as the balance of the house. ,
t We will be happy to show youa diagram of -the`
1uh
ned remodeling if there are any questions.'
' E . Hana ,
APp.rove�
Al
.:�
COMPUTER .METHOD SUMMARY Page, 1. C--'2R '.
•.
♦Project Title.......... Hanan residence. 'Date......,:.. 05/07/92,
Project Address........ ---------------------
Documentation Author:.. Brian Hyde _�` ; Building;Permit #,
Company............ .. D-C-H-C
Telephone. .. ........ 619-568-2073 ,�,` Plan Check [• Date
Compliance Method.:.... MICR6PAS3 by.Enercomp,'Inc.' ; Field Check/ Date
Climate Zone......:.'... 15 -----
MICROPAS3 x,3.11 File-FIRSTRUN Wth-CTZ15 Program-FORM C,-2R ;
" User#=MP1446 ':User-D-C-H-C.• Run-'Ex�isg house
' MICROPAS3,•ENERGY USE SUMMARY =
------------=---fy,-------- _
= Energy "Use Standard Proposed Compliance =
= (kBtu/sf-yr). Design Design. Margin.
-
Space Heating.... ... 3;04 •7.90
Space.,Cooling.......... 3`17 64 4:8.66 -11.02
t7-7�------ _-------- c
JTotal 40.68 ° 56.56 -1'5.88. _
�•
Water Heating ho.t' calculated.,***. _
y , GENERAL INFORMATION ,
•-------------------' r
Conditioned Floor, Area_-.'. . 2180, sf w
Building Type.... .. Single Family Detached,
"Building Front` Orientation. Front Facing: 180 deg (S)
Number-of-Dwelling Unit's... 1
Number of'Building"Stories. 1 ;
r Weather Data Type ........... ..Re,ducedYear_
Floor Const r•uction•Typef... Slab On.Grade.:(Package D)
Number of Building Zo•nes... 1
s. Conditioned.Volume...:.:... 17440 cf
Footprint Area...... 2180 sf-
Slab-On-Grade Area: 2180 sf
Glazing Percentage...... 1,7.4• % of FA
• Average Ceiling .He,ight. 8
.BUILDING ,ZONE INFORMATION
---------- ---------
; Floor # of Vent, Special
�Cond Area VolumeDwell Thermostat Height Vent Area-
.Zone; Type itioned (sf) (cf ) ..Units,,- Type (ft) (sf) '
HOUSE
Residence Yes 2180- 17440 .1.0.0 Setback 2.0: ,n/a
COMPUTER
METHOD SUMMARY
Page'2 C -2R
s
Project Ti-tle
...... Hanan residence
Date........ 05/07/92.
-----
MICROPAS3.v3.11
------------------------------------------------------------------
File-FIRSTRUN-4th-CTZ15
Program -FORM C -2R ;
User#-'MP1446 User-D-C-H`C Run -'Existing
. house
Y
OPAQUE SURFACES.
---------------
Area U- Insul''Act Solar
Location/. Form 3
Surface'
(sf) value R-val Azmth Tilt Gains
• .. O
Comments "Reference.
HOUSE
1 Wall
182 -0.-098 R '11 180 -.90 •Yes
W. 11. 2X4.16
2, Wall
224 0.098 '.'R-11 270 90 Yes-
W.11.2X4.16
3 Wall
320 0.098 R -i1- 90 *V, Yes
W:1*1.2X4.16
,
4 Wald
.0
188 0.098. R=11 `` 90} 90 Yes,
W: 111. 2X4. 16.
5 Wall
184 0.098 R-'11, 1`80' . 90 No' to
ga'rag'e W. 11 . 2X4.16
6 Wall
14 0'.,098 R-11 0 90 No
W.11.2X4.16
7 -Roof
2184 0.090 R-11- 0 0 No; attic
NONE
8 'Door
20, 0.330 R-0 180 90 Yes None'
GLAZING SURFACES:-
f
.,- ----- ------------
s
SC'. Interior SC
Area # of Frame OpenU- Act
Glass Shade Gls+
'nSurface.
(sf)-Panes Type Type value Azmth,T.ilt
Only Type Shade
: .-----------
----- ---------------------- -----
---- ----------------------
HOUSE
'1-Yindow
30.0 1 Metal- Slider 1.10, 180
90 0.88 drapes 0.80
2 Window
20.0 -1'.. Metal Slider 1.10 270
'90 0.88 drapes' 0.80
3 Window
92.0 '1 Metal Slider 1°.10 270
-90 0.88 drapes 0.80
° 4'Window
'- 24.0 ":1 Metal Slider 1.10 0
90 0:88 drapes.. 0.80
5'Window
" '148.0 1 Metal Slider 1,.10 90
90 0.88 drapes 0.80
6 Window
6 6 A 1 Metal Slider `1..10 0
90 0.88 drapes .0.80
..,OVERHANGS AND SIDE FINS
- -' - ----- ----
--=Window-- ------Overhang-----
---Left Fin ---'-,--Right Fin -'-
Area Left Rght
Surface,
(sf) Hght Wdth Dpth Hght Ext. Ext
Ext, Dpth Hght Ext Dpth Hght
HOUSE'
2 Window
20.0 ,5 .0 n/a 3 .0 0.5 , n/a n/a
n/a.. .n/a n/a n/a- ' n/a ,n/a
4 Window
•24.0 4.0 n/a 8.0, 0.5 n/a n/a
n/a' n/A n/a n/a, n/a n/a
EXTERIOR'SHADING
'
M'---- - ------
' A'rea Shading
rSC of .
Surface (sf )' Type
',.
'Ext- Shade
A HOUSE
1'
3 Window 92.0 Suri Screen
,'0.36 -
5 Window 148.0 Sun Screen
0.36
COMPUTER METHOD SUMMARYPage 3_ C -2R
--------------------------------------------------------------------------- ---
Project Title..... .... Hanan residence Date.... 05%07/92"
MI.CROPAS3 v3_. 11;, File-FIRSTRUN ` 'Wth-CTZ15 Program -FORM C -'2R
,M1 User#=-MP1446 User -D -C -H -C ' Run-.Ex'ist.ing house
-------------------------- ------------------ -----------------------------------
THERMAL• MASS
. Area Thick Heat Conduct-" Surface.
Mass Type...` (sf) (in) Cap ivty R=value Location/Comment's'
HOUSE
1 SlabOnGrade 225 3'.5 X28:0 0.98 R-0'.0 kitchen -&,,entry -
2 .S,labOnGrade 1955 3,.'5,, 28. 0 0.98 R-2.0' typ_i*cal
3Int.eriorHorz '78 1a.0 24.0 0.67 R-0.0 tile.: kitchen &.baths
Ar• HVAC, SYSTEMS
Minimum 'Duct `Duct - Duct
System Type Efficiency - Location, R=value Efficiency' ,
---- - - - - - - - - - ------------+----------- -- -- - - ------------
r t HOUSE
Gas 01.720 SE -Attic. R �4 2' 0.820 '
AirCond 8.90 SEER .,Attic -R-4.2. 0.810 ,
SPECIAL FEATURES/REMARKS
ic i•` L . 4 ---------------------
Ail
---------------- --_ . ..
l .r
M
OPTIONAL CALCULATION—ONE-FAMILY DWELLING (NEW OR EXISTING)
1. OTHER LOADS -220.30(b)
General Lighting toads-220.30(bx2)
sq. ft. x 3 VA . .
gO)g-�VA •
Small appliance and laundry loads-220.30(b)(t)
VAX circuits wo ya "
Special loads-220-30(bK3x4)
Dishwasher f .450 VA
Disposal
42Z VA -
Compacwr VA
Water heater _. VA
GOD
Top _ S ,Std VA
wEN 6 500
VA - -
VA
—__
VA - ..
VA
(tataq 3�Q. vA . • - -
Applying demand factors—Table 220-30(4)
First 10.000 VA x 10095 1 0, 0 0 0 VA
Remaining 2 VA x 401% 40 ® rQVAY
PHASES
(tawq 20 VA ZO r 03a 4 JA
2. HEATING OR A/C LOAD—Table 220-30(1)(2)(3)
Heating units (3 or less) _ VA x 6j% VA '
Heating units (4 or mare) = VA x 4095 = VA
A/C unit VA x 100% OVA
Heat pump = VA x 10095 — VA
Qargost lcad) VAD V,i.
TOTAL =21 ?,$br,"VA
1+ service: I = VA
V
PHASESVA
A4, IZa 12 !2
Zip4. A :
-Figure 2.24• -The optional calculation is used to determine the VA and A tar feeder circuits to dwelling units located in an apartment
Complex, Refer to Figure 2.23 for determining_ the VA and A ratings of the neutral, _
Chapter 3:. ADVANCED. TOPICS
Computer Performance: Combining Addition Results Manually
Compliancewith the Computer Performance method is achieved when Proposed
Design energy use of the new building (building after the addition is built) ig less than.
or equal to the modified Standard Design energy use.: The steps to calculate this are as
follows;
Step`l: Calculate tb.e modified -Standard Desiga energy use:
SDmodified .=SAnew.+ (f x (FDexOscing' SDcxisting) )
where:
SDnew =Staxidard Design energy use from Run #2.
f. = FAexisting FAnew ;
FAaxis(ing mConditioned floor. area from Run #1. I
FAneW = Conditioned floor• area from Run #2,
PDexisting = Proposed Design energy use from Run #1.'
SD,xsting = Standard Design energy. use from Run #2. '.
Step 2: Compliance is achieved when the new building Proposed Design energy
use (Run'#2) is less than or equal to the modified Standard Design energy
use calculated above.
Example 3-2: Computer Performance Calculation for a Buildutg Addition
.A 200 sf room is being built onto an existing 1000 sf home, i The Computer
Performance results of the two MICROPAS runs are: i
Run #1: Existing building Proposed Design energy use 62.8
Standard Design energy use = 54.3 .
Run #2: New building Proposed Design energy use = 55.9
Standard Desi energy se = .60.3
. 1� . gS' u
The modified Standard Design energy use is calculated as:
50.1 + ( (1000/1200) x (62.8 - 54.3) )
- 57.2
"�' M L �� i�' k �'• � 14 r .� `. # Y4 ''y: & is S, '"� F J i.' � C
M r44
u
Building
Address
Owner
Ruth
Address Sate .
City Zip
L,onuaclor ..
Larry & kim Deasou •
Address.. .
67-172 Mission Dr..
City Zip
State Lic.
& Classif. 540664
Arch., Engr.,
Designer
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 47'332.
BUILDING: -TYPE CONST. OCC: GRP.
A.P. ,Number i+itt�eAPorn rPf-A@.*%se
.,..
5i Legal Description
Project Descriptiori a, O$ 10". erden wall
Tel.:
g fe Q�
City _
Lic. # _ Sq. Ft., No. No. Dw.
Size Stories Units
City (Zip (State 'r
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,Buseness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such perm# to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's Dense 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 awl penaffy of not more Man 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, Buisness and
Professions Code: The Contractors License Law does not apply to an owner of property who
builds or onproves thereon and who does such work himself or through his own employees,
provided Nat such improvements are not intended or offered for sale. lf, however, the building
or improvement is sold within one year of completion, the owner -budder will have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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 1 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' 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
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation $3,593
PERMIT
AMOUNT
Plan Chk. Dep.
subject to the Workers' C.orrpensation Provisions of the Labor Code, you must forthwith
comply with such proirmons or this permit shag bedeemed revked.
Plan Chk. Bal.
Const.
$61,00
Mech.
Electrical
CONSTRUCTION LENDING AGENCY.
Plumbing
Side Street Setback from Center Line
S.M.I.
.08
Grading
vork for which this permit is issued. (Sec. 3097, Civil Code.)
Driveway Enc.
Side Setback from. Property Line
Infrastructure
Lenders Address t
FINAL DATE
INSPECTOR
This is a building permit when property 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.
TOTAL
'3/14/90
Date ! l Permit
REMARKS Sub ect tothat if existing Oleanders
are ry�ae
vaaee v s l?a;)f31e� .At £4
sarm
y . �yrA
being built by this pe=rt)
NOTICE TO APPLICANT: ff. after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' C.orrpensation Provisions of the Labor Code, you must forthwith
comply with such proirmons or this permit shag bedeemed revked.
,
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY.
Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
vork for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from. Property Line
Lender's Name
Lenders Address t
FINAL DATE
INSPECTOR
This is a building permit when property 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.
Issued by:
'3/14/90
Date ! l Permit
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
Validated by:.
Sggnature of applicant Date'
Mlailing Address
Validation:.
Cry,. State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
UNITS
COLL AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. @
y
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN.
GROUT
URINAL
SQ FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENTSYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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
y
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 SIGNATURES/INITIALS
'
GARDEN WALL FINAL
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hkrQ�c vC
CO
o. C 041210
Exp. 3-31-91
CNIL a�P
q OF CAUI
2 -T4s ceraT N of
'
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X
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t-
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F
W*50 1wi-S I" CpoTlelG.
1 .
�1 2�� CtaA P
e
t A �•,
0. C 041210
Exp. 331.81
4L "
sT CNIL �P
J q�OFCAl1FCP�
O
BIOCK UTAI-L- App I AOAJ
z 49 - 470 Au60wA M69'r&ao
LA QvIIJAA e!4
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