15641 (RER)P.O. BOX 1504
Addrress 77-990 Lags, Dr. LA QUINTA, CALIFORNIA 92253
Owner Robert a Marge oack
Mailing
Address .
City Zip V,
Contractor .
wiiliawH. Fritz
4-550 Ave. Vela
City Zip T I '
L Quiuta, CIS 92253 564-6402
State Lic. City
& Classif.. g 584854 Lic. # 1123
Arch., Engr., ••
Designer
Address
City Zip State
' Lic. #
-LICENSED CONTRACTOR'S DECLARATION
j hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7;000) of Divis�ioon, 3 of the Business and Professions Code, and my license is in full force and
`'3affect. _ �.r.� A >.,�-N..�.A 4,
SIGNATURE 'DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business 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 permit to rite 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).
0 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 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 ownenbuilder 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 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 contractors) (Icensed pursuant to the Contractor's License taw.)
•0.1 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 NCompany
(Ideopy is filed with the city, 0 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 anyparson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: `ff. 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.
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.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it 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
No. 15641,
BUILDING: TYPE CONST. OCC: GRP.
P. Number
Legal Description
Project Description -Add (3) skylights to roof,
remove and aeDlace all heating/ac ducts.
Add insulation in attic.
Sq. Ft. No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation.. $-9j000.00
PERMIT
AMOUNT -
Plan Chk. Dep.
Plan Chk. Bal.
TD. 20
Const.
10a.00
Mech.
Electrical
Plumbing
S.M.I.
.90
Grading
Driveway Enc.
Infrastructure
TOTAL
179.10
REMARKS
ZONE: BY:
Minimum Setback Distances:
Frcnt.Setback from'Center Line
Rear Setback from Rear�Prop. Line
Side Street Setbackf,�o Center Line
Side Setback from l?rdp rtyy Line
FINAL DATE /w FECTOR\y I�
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN\i
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
.CAR P. SO. FT. ®'
WALL SO. FT.
SO. 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.000L 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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PU.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR'COND. SOLAR .
SETBACK
GROUND PLUMBING
UNDERGROUND
rA.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
x'FINAL INSP.
BOND BEAM
WATER SYSTEM
4RADING
cu. yd.
$ -plus-x$_=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
• 4 a
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
September 13,;1995
William H. Fritz
Dear Mr. Fritz,
This letter is conformation that the work at 77-990 Lago Dr. and 77-987 Lago Dr. is complete.
The re -roof was inspected and finialed 8/31/95 on 77-987 Lago Dr. The construction at 77-990
Lago Dr., installation of 3 skylights, replacement of heating/A/C equipment and attic ducts, and
re -roof was finialed 8/13/95.
Sincerely, .
Departm of Building and Safe
Daniel P. Crawfor r.
Building Inspector I
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
Residence Address: C) [-A Q ( r
LaQvu(nfo, A 02-2!G3
CERTIFICATION: This is to certify chat attic insulation has been installed in conformance with
the coverage chart recommenlations on the apposite :ide of this card using �10 bags to
cover `L sq. ft to obtain an R -value of3C)rr
Contractors author -ed signature l.( 'YYl (lrn C n) i/ U k'7Lr
Date: cis 3l % `1 S
Installed b : Budder:
W6VER INSULATION
74-741 JONI DRIVE
,PALM DESERT, CA 92260
,,THE INSULATION SPECIALIST)
imi RPRO PLUS
(Formerly Cordex)
STABILIZED INSULATION
MANUFACTURED BY
GREENSTONE INDUSTRIES
Atlanta, Geor,ia • Elkwood, Virginia • Ft. Wayne, Indiana
Norfolk, Nebraska • Phoenix, Arizona • Portland, Oregon
ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART
3.5
39.6 25.3
Net Coverage
R-20 (2 x 6)
R -Value at
25.2 39.7
No Adjustment for Trusses
Gross Coverage
Mean
Minimum
Based on 2 x 6'
Maximum
Minimum
Temperature
Thickness
Trusses on 16'
Net
Weight Per
Centers
Coverage
Square Foot
To Obtain
Installed
Square
Minimum
The Weignt Per
Suare
Bags
an Insulation
Insulation
Feet
Bags
Sq. Ft. of
Feet
Required
Resistance
Should Not
Per
Required
Installed
Per
Per 1,000
.(R) of
Be Less Than:
Bag
Per 1.000
Insulation Should
Bag
Square Feet
.
(inches)
Square Feet
Not Be Less
Than: (lbs)
R-50
13.5
20.5
48.8
1.464
21.3
46.9
R-42
11.4
24.4
41.0
1.230
25.6
39.1
R-40
10.8
25.6
39.0
1.172
26.9
37.2
R-38
10.3
27.0
37.1
1.113
28.1:
35.2
R-32
8.6
32.0
34.1
.937
34.1
29.4
R-30
8.1
34.2
29.3
.878
36.5
27.4
R-24
6.5
42.7
23.4
.703
46.4
21.6
R-22
5.9
46.6
21.5
.644
51.0
19.5
R-19
5.1
53.9
18.5
.556
59.6
16.8
R 13
3.5
78.8
12.7
.381
87.0
11.5
R 11
3.0
93.2
10.7
.322
102.8
9.7
Sidewalls (pressure Filled -density 2.6 PPCF)
R-13 (2 x4)
3.5
39.6 25.3
.758
R-20 (2 x 6)
5.5
25.2 39.7
1.192
Note: This coverage chart compensates for settling and is for estimating purposes only.
Stated R -Value is provided by installing the required number of bags per 1000 sq. ft. at a
minimum installed thickness. Installation of the required number of bags may yield more
than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will
be influenced by job conditions and application techniques, and may vary as much as 10%
without significantly affecting the stated R -Value. Fai!ure of the installer to provide at least
the required number of bags per 1000 sq. ft. and at least the minimum thickness may result
in a lower installed R -Value after settling. Compaction may occur during installations above R-
30 reouirina more than the stated number of baqs to obtain the minimum installed thickness.