002394 (SFD)4
P.O. BOX 1504
Building r,:2�,.79cs� �� 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
tjwner varim Adaix (fit)
Mailing
Address
City I Zip ITel.
Contractor
Dlemb Riem c i
ress
City Zip Tel.
PWM 92254
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
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
,'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 rile 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).
❑ 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 improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. company
❑ Copy is filed with the city. 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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
No. 402394
BUILDING: TYPE CONST. OCC. GRP
A.P. Number 773-321-002
Description UAt 2
;t Description
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 6-5-'86 Permit
Validated by:
Validation:
DGS 1,312
Sq. Ft. MR 400
Size _ _
No.
Stories
No. Dw.
Units
New:w Add O
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
67,525.00
PERMIT
AMOUNT
Plan Chk. Dep.,
250.00
Plan Chk. Bal.
35.54
Const.
437.00
Mech.
30.00
Electrical
61.31
Plumbing
163.00
S. M. 1.
4.73
Grading
7.11.00
Driveway Enc.
23.00
Infrastructure
11 ,01.2.99
TOTAL
1.07R.AF
IA2R.46
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 6-5-'86 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
COLL. AREA
2ND FL. SQ. FT. ®'
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT. @
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN
SQ. FT. @
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
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.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 1Va c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
SPARK ARRESTOR
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 B AIR COND. SOLAR
SETBACK % 7
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 03
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR SEPTI CI
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER A.PPJEQUIP.
REINF. STEEL
GAS (FINAL)
MP. POLEZ12-
2GROUT
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
tj ,^
C� 1
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Lot � N,, �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
.c INSULATION/SOUND[ �y P7
FINISH GRADING
�(KFINAL INSPECTION -13 ' 7
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIIN{TIALS,
GARDEN WALL FINAL 7d
*f1ED
Desert Sands Unified School District
N BERMUDA DUNES r
RANCHO MIRAGE 82.879 HIGHWAY 111 • INDIO, CALIFORNIA 92201.6678 • 16191 347.8631
INDIAN WELLS w
PALM DESERT a
%P LA OUINTA
INDIO 1'
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Qui'nta, CA 92253
Re: Lots 1 and 2, Block 156, Santa Carmelita at Vale, La Quinta, Unit 16
Gentlemen:
The developer of the above referenced
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 faci'li.ties made necessary by such new
development.
Sincerely,
J-'�
John D. Brooks
Assistant Superintendent
Business Services
JDB/crm
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RECEIPT NO. r4 1,17 Y I Issued by hfw, A Date S - /-a7,
District: Riverside [ 3 Indio C4-1'Hemet [ 3 Perris C 3 Rancho Calif. [ 3 Blythe[ 3
Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File
DOH SAN 122 (Rev. 2/86)
..I..iG.v Le, .
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISIONr7
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM ff /
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
30 is required when the application is submitted. Check must be made payable to the
County of Riverside
Building Department Application Log N
M�'
Y hV1►5 tr 'v,b'V-
ame (Owner, Agent, Contractor, Etc:) Mailing -Address
City State
Zip Code
Telephone
*Job Property Address City or .Community
/A
I *Legal Descrip�iort of Prpty. Lot, PM, (TR)
X C 2 2A"/ Z A
*Assessor.'s Parcel No.
Water Agency
Use of Permit (�tll�.f ✓*'�
Lot Sizes i
r
^Q 1p
G«Y
SFD, MH Site Pre cEtc. 57'p
Planning Case NP�oi
r
Signature of Applicant Date !'
*The above information must be verified from Building Application
STAFF USE - DO NOT WRITE BELOW THIS LINE
� Initial Date (y
Certification of Existing S.D. System reqd. Yes[ 7 No I'll"
WQCB Clearance reqd. Yes[ 7 No C�J�
Soils feasibility report reqd. Yes[ J NoCf7
Detailed boring report. reqd. Yes[ 7 No. r/5",
Detailed contour plot plans reqd. Yes[ 1. Nor./
Staff Specialist approval reqd. Yes[ J IIo V_ Lot Inspection Date
Soils/boring report by # Date
/ ,� /Proj.
p
Soils Map Page/f f Soil Type ;/L Approved by �G�it/ Date
Type of System:
No. of Bedrooms (1) Septic Tank
Soil Rate Required
Existing New Addition Replacement!�
Gals.
3
7"
(2) Leach line sq. ft.
-area)
Sidewall allowance
��tt.
Install Line(s.}
bo -wide
`Leach bed
(Bottom trench
rock/----- Sq.
pe '4xunning
Ft.Lon �.�Ff
Ft."
Sq. Ft—of
ft.
with Mi; -t, inches rock
,,bo'ttom`—
N/A C 3 ��-^
below°drain lines
area
Leach lines/bed-special design
(3) Pit Diamete
'[
No. it
Seepage Pit total depth
for slope: Appeac, able
] 6' C1�
Pits BI
N/A^ Overburden factor
I
�% ! /(�
Max. allowable depth ( a
j ",
v
j'
This application is a prove Ended, for the design of a subsurface disposal s; -stem 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.
(Septic tank and sewer lines be 50' from any wells'/U
.must
i
(2.) Leach lines must be 100' min. from any wells including expveSon area , ---
( PSeepage pias must be 150' from a y wells including~ expansion area"// `
nmin.
71A, 4,:� / /�.J ��`0 � i / '
/ /� /��/ �, �//"�yl
lit../:
-.lam/`
Signature of Health Official Date
RECEIPT NO. r4 1,17 Y I Issued by hfw, A Date S - /-a7,
District: Riverside [ 3 Indio C4-1'Hemet [ 3 Perris C 3 Rancho Calif. [ 3 Blythe[ 3
Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File
DOH SAN 122 (Rev. 2/86)
..I..iG.v Le, .
t
i
I
-'1- I -T L_ E _ 4 E tV E ��: iC Y C= A L_ C:� t_.A L_ Aj _T` 1 C:I t'A i!A FR U. ir_�b 1 ".
JOHN H. HACF:':ER, CIVIL ENGINEER, PALM SPRINGS
LATITUDE 33.8 WINTER TEMP. 1 DEG. SUMMER TEMP. 110 DEG
OWNER
JOB SITE LOCATION
REF.CAL.ENERGY CONSERVATION DESIGN MANUAL, FORM 2, HEATING LOSSES
MANUAL J FOR COOLING LOSSES
AREA BLDG 1360 SO. FT.
PERIMETER 170 SO. FT.
INSULATION R VALUES ...SLAB 0 ...CEILING 18 ... WALL 11. ...
AREA NORTH WINDOWS 64 SOFT. PERCENT OF AREA 4„70)598
AREA EAST WINDOWS 17 SO.FT. PERCENT OF AREA 1.25
AREA SOUTH WINDOWS 26 SU. FT. PERCENT OF AREA 1.91176
AREA WEST WINDOWS 80 SO.FT. PERCENT OF AREA 5.882735
AREA SKYLIGHTS 0 SO.FT. PERCENT OF AREA C)
TOTAL WINDOW AREA 187 SQ.FT. PERCENT OF AREA 75
THE U VALUE OF THE WINDOWS IS .65 (.65= DUAL PANE, 1..1= SINGLE PANE)
THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS(S.C.•==.41)
( mini -blinds, rollar shades, venetian blinds or vertical blinds)
r,
THE TOTAL S.C. OF THE WINDOWS IS 0.29
(f SOUTH OVERHANG LENGTH 2
INTERIOR THERMAL MASS AREA = 100 SO FT
ATTIC AREA = 1360 SO FT
INFILTRATION (STD 0,018, MED 0,014,
HEATING LOSSES
FOOTING LOSSES... 7425.6 BTU
CEILING LOSSES... 1342.78 BTU
WINDOW LOSSES ... 4740.45 BTU
WALL LOSSES.... 3659.76 BTU
3:~ INFILTRATION LOSSES... 5940.48 BT
TOTAL HEAT LOSSES BTU/HR... 2.'109 1
F GAS FURNANCE SIZE 36710.4 BTU OR
TIGHT 0.O1':12) --• .014
CITY OF LA UINTA
Oc I-Bff unity rron k/ Bldg Dept
COOLING LOSSES
' FOOTING L OSSE'S 7616 BTU
a
CEILING LOSSES... 1.777.22 BTU A p WINDOW LOSSES... 7136. 17 BTU�•�� �
WALL L.OSSES.... 3753.6 BTU SugJ
INFILTRATION LOSSES... 6092'.8 BTU
NO. ' OF PEOPLE... 5 COOLING LOSSE ... :'C)i).` ARL" 4.ti� a�'+�t9� ��c _� C `SES
KITCHEN... 1500 BTU
DUCT' LOSSES INCLUDED IN TOTAL BY.-
TOTAL COOLING LOSSES 29475.8 BTU 9 DATE � �-�-
A
COMPLIANCE_ CHECK LIST PER DESIGN DATA
SLAP ON GROUND,
WALL INSULATION,
CEILING INSULATION,
ATTIC,
NORTH WINDOWS GLAZING
EAST WINDOWS GLAZING
SOUTH WINDOWS GLAZING
WEST WINDOWS GLAZING
SKYLIGHT GLAZING
EAST SHADING COEFFICIENT
SOUTH SHADING COEFFICIENT
WEST SHADING COEFFICIENT
NORTH SHADING COEFFICIENT
SKYLIGHT SHADING COEFFICIENT
INFILTRATION
THERMAL MASS 100 SOFT.
SOUTH OVERHANG
HEAT PUMP
THE EER OF THE COOLING SYSTEM IS 9.1
i COOLING
-4 PO I N"F'S
-6 PO I N'rS
U POINTS
4 POINTS
-? PO I N'T'S
4 POINTS
o POINTS
-8 POINTS
0 POINTS
-1 POINTS
PO I NTS
-' PO I N'rS
% POINTS
G POINTS
-1 POINTS
POINTS
0 POINTS
10 POINTS
A
THE ALLOWABLE POINTS PER AP 163 IS -4 FOR THIS AREA 1O
THE TOTAL POINTS ARE -
THE FOLLOWING MANDITORY FEATURES/DEVICES ARE REQUIRED PERCAC TITLE 4
INSULATION AS SPECIFIED; PER MANUFACTURES LABLE
INFILTRATION CONTROL. DOORS, WINDOWS FULLY WE:ATHERSTRIPPED
OPENINGS CAULKED AND SEALED AROUND JOINTS IN WINDOW AND WALL SOLE PLATES AND
ELECTRIC OUTLET GASKETS ON ALL EXTERIOR WALLS
MANUFACTURED DOORS SHALL MEET APPLICABLE STANDARDS
BACK DRAFT DAMPERS ON EXHAUST FAN
FIREPLACES MUST HAVE TIGHT FITTING, CLOSEABLE DOORS COVERING FIREBOX
PROVIDE COMBUSTION AIR INTAk:E DUCTS (6 SO. IN.) WITH TIGHT FITTING DAMPER
DUCTS; BUILT PER CHAPTER 10 U.M.C.
GAS FURNANCE SIZED TO I.-::' DESIGN LOGS + 1 BT0H PER SO. FT. OR 455,000 P-n..I
SETBACK THERMOSTATS SHALL HAVE AUTOMATIC SET'BACk:: CAPABILITY /2 PERIODS PER 24 HR
WATER HEATER TO HAVE R-12 INSULATION WRAPPING , AND R--.'•; ON FIRST 5, OF PIPE
NAT. GAS STOVES SHALLL NOT HAVE CONT. BURNING PILOTS
LIGHT IN KITCHEN AND BATH TO BE Fl_ URECENT, EXCEPT BATH MIRROF k::l"I` SINk::, TABLE
CERTIFIED PY_ --_.______ �__ _ -•-_----___.__4�.__. _j_L�__
FOR JOHN
Is
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44
ti 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 (619) 564-2246
August 1, 1988
Mr. Dennis Burke
52-785 Avenida Carranza
La Quinta, CA 92253
Dear Mr. Burke:
This is to certify that the above mentioned property is located
in an A B Flood Zone with a base flood elevation of 1 foot.
The finished floor of the structure has been constructed to
meet or exceed this elevation.
If there are any further questions, please contact 'the
undersigned.
Very truly yours,
Tom Hartun
Building Official
TH:bja
BJ/ MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253