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0655 (SFD)PERMIT APPLICATION City of La Dg a Department of Building and Safety fff This permit becomes void if 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' -1 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. License Class Contractor Lic. Number 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 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.): 0, 1. as owner of the properly, or my employees with wages as their sole compensation, will do lhawork, 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 saleAf, however, the . building or improvemnt is sold within one year of completioo. 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 contractors) licensed pursuant to the Contractor's License Law.). O 1 am'exempt under Sec. B. 8 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 copythereof (Sec. 3800. Lab. C:). 4e Policy No. Company O Certified copy is hereby furnished. O Certified copy is liled with the City Building Inspection Department or City Department. Date Applicant ` APPL // Gam' (L•L/Ma ADDRESS ' CITY/COMMUNITY/STATE/ZIP J V --77 ,7 CIT M /COMUNITY/SSTTATE/ZIP ,�- cu.n BOK/ PPAA PHC C TWN RING SE S TRACT'r' LOT JCC, 0,14 A 3 - MOD I SR ' TRACT NAME / OwN� /t:E/C F/) / CONTRACTOR -FIRM MEQ ADDRESS ' CITY/COMMU4NITY/STTAA�TE/ZIP PHON&S y' NC 0 TOTAL FEE ARC/ENG FIRM NAME ADDRESS CITY/COMM UN ITY/STATE/ZI P PHONE n LICNCII USE OF PERMIT BL 20N 'FS6 VV40, SSB- `S ,RSB % OFC - ZONE ORD SZ • END SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENS 4TION INSURANCE: This section need not be completed if the permit is for one hundred ($100) o, less. I certify tha, in the performance of the work for which this permit is r issued, I shall not employ any person in any manner so alto become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate cf Exemption. you should become subject to the Workers' Compensation provisions of the Labor Code, you must 4.rthwith comply with such provisions or this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT.CERTIFICATION: O 1hereby certify that noexcavation five (5)ormore feet It 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 ordismantling thereof, will be more than thirt-'-six (36)'teet high. (Chap 3.2, Grp 2, Art 2, Sec341, Title B, C.A.C.) .. i O As owner -builder, I will not employ anyone to do v.Drk which would require a permit from the'Division of Industrial Safety, as noted above, unless such person tas 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 here is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Div. C.). Lender's Name Lender's Address certify that I have read this application and state that ttne above information is correct. I agree to comply with all city and county ordinances and state laws relating to buiding construction, and hereby authorize representatives' of this county to enter'upbn 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 Of state laws and county ordinances relating to buidling construction, and authorize a'representative of the Cityof 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. . i� Signature of Applicant or Agent Date Print Applicant/Agent Name ' APPPUPP•)RMT n r S C 4�271ffsv 1-46 6-,owSl�'!vc?"">320 SFT old.--�//c/.0 �`yBD..s¢/r or��� ���✓',�'�/ c.Z:rJ"wf6 veel /z/A; /d19,, wee yo •1 S/91/� 14: 4W6�/.�/y�®r-e-e 53•�� S44 .fess Aeelep A5v3 7c--' RECEIVED lt:a EliiiLt� TOTAL FEE ✓ALUATION BLDG.DEPT. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Vdntilation System 2 Ftgs & Frms 34 Plenums & Ducts Gr 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 Framing40 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 Lathci�/6�(/`� 12A Drywall 13 Finish Grade INSULATION Thick Value 7A Walls (Batts) 128 Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb /D 18 Vents 19 Sewage Disposal 20 Sewer 3 ► 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 v�3 3 Li E p O = C Desert Sands 'Unihed School District y BERMUDA DUNES r RANCHO MIRAGE ��� 82-879 HIGHWAY 111,0 INDIO CALIFORNIA 92201-5678 • (619) 347-8631 ' INDIAN WELLS H PALM DESERT %P' LA OUINTA . December 19, 1984 d0 INDIO V� C.i.ty of La Quinta Department of Community- Development '78-105 Calle Estado La Quinta, CA 92253 Re:. Lot ,6�, Block 223, Santa Carmel ita Va11e, La. Quinta,- lJni.t No. 21 Gentlemen: The developer of the above.'referenced home 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 facil 'ties made 'necessary by such, new development. Sincerely, John D. Brooks . ' Assistant Super!' tende.nt Business Services JDB/crm'. 058:10 R2 -,28/84 VH/dr Attachment 0 Form 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 build'ng plan and specifications sheet. Step 2: Enter points on this -page while working through the point system Building Shell 1MeaPoints *Total Floor Area •• . . 1.E16z as�sure f t2 1. Slab -on -Ground; Perimeter ft. ,Depthin. 2. Raised Floor R -Value. . . . . • . . . . . . . . . 1- 3. Ceiling Insulation or ConstructionAssembly . . g-- Attic. Percent of Roof Over Conditioned Spaces.. ft2 n or Construction Assembly. @� 4. Wall Insulation - Glazing; Total x Floor Area Single Double Triple 5. North -Facing.. S ft 5. ft2 6. East -Facing ft2 ft2 ft2 7. South -Facing.•. Y ft2 ft2 ft2 8. West -Facing i ft2 ft2 ft2 9. Skylight. . . . . ft ft ft . 10. Shading Coefficient. (excluding overhang) I East U. SC . . . . . . ... . I South. .. c. West . . . . . . . . . . SC . . . . - . . . . d: North. SC . . . . . . . . . . . . . e. Skylight SC . 11. Horizontal South•Overhang Length. ft . . . . . . . . . . . . . 12. Movable Insulation, 1 Floor Area.: 13. Infiltration (indicate Standard. 14. Thermal Mass Exterior Wall Thermal Mass Area. Heat Capacity, R -Value . . . . . . . ft, HC; R - Interior Thermal Mass Area, Heat Capacity, R -Value . . . . . . .! ft2, rL.7i H-, HVAC System*' 15. Gas Furnace without Refrigeration; Cool ing (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, x)• . . . . . . . SNSF 19. Zonally Controlled Electric Resistance Space Heating (Yes/No) Domestic Water Heating** 20. Solar With -Gas Backup (Net Solar Fraction. S) . . . . . . . . SNSf 21. Other Water Heating (Describe type) Point System Compliance Total. . . . . . . . . ... . . . 'r 'Checklist items; not a point system measure. "Attach documentation for efficiencies and NSF. ',,HEAT TRANSFER COEFFICIENT Form PROPOSED CONSTRUCTION ASSEMBLY..(eiel) EAfoa:anwnt Agency Use Only owner proNct title Ou Iding permit numow L ITS . prolKb location Checked by aoeumentauon author oat* I III Sketch of Conrtruction Assembly List of Construction Components = R (for sectlon between framing memWn) (horn Table 3.11 2. 3' 1 4 Framing Size 2• x 6 L- Framin Soacin �•' O.C. 7. Check one: X8. Inside Surface Air Film (from Table ]-181........ . Ceiling/Roof Floor9. Outside Surface Air Film.lfrom Table 7.181.. O, COI Wall .Total Thermal Resistance (RTI. - Al Wall. ChlCk the - - sum of the 600.0 " .. '- '�aOD►OOnate weight:. _ _ _ • less than 25 Ib/h2 25 to a0 ID/tc2 i�VERAGE U VALUE OF ASSEMBLY �rlaar :"ran dO :bih2 I• 9(h, 1. Btu/(hr . h2 .'F1 Framing AT Nom 600w l /a-t0r from _ - Table ]-e Usa this U value for*haat load - calculation or Code comparison ..., .. -._ .'.��� ., �.. !c.:�a-.,o-,..,_�'4k-.._.•'0t'S°:?::Mw":`P•s�"'�,,..,,.�..:T-��'cC:.!.:.A�C�^nLS�RP,C:`•T:5^�.•».:t..�4;a'n:r"'�+'i4'rnu^':.e••�..+.w<.•,.;,--n^:.;.yam..-r ..s:-a.....�,..n-meq, HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY • Owner ' , Project title . project location . OOcumentallon sulnor oats r. Sketch of Construction Assembly List of Construction Components R (for section between framing members) (from Table 3.11 - 4. Framing Size x —cig—�— 6' Framin§ Soacing O.C. 7: _. Check one: S. Inside -Surface Air Film (from Table 3-18). Ceiling/Roof Floor 9. Outside Surface Air Film (from Table 3-18)... Wall A Total Thermal Resistance (RT) If Well, check the sum of the above appropriate weight: I less than 25 Ib/0. 25 to 40 Ib/ft2 AVERAGE U VALUE OF ASSEMBLY_ • ' • greater than 40 Ib/h2 l/ D� Btu/(hr .ft2 •-Fl Framing AT from above factor from Table 3.6 e Use this U value for heat load calculation or Code comparison w. Form 3R (8/81) 1 t OF • • TRANSMISSION I wpm ®R% p ON m- P =Af& 2 mal lp m USA PROJECT: i�L c'�►-�So r .C�. SHEET: ENGINEER: Fe DATE: OF Zone: ['loon: Ft's Volume: Ft3 " Time: SUMPiARY L 0 A D S COOLING; B'IV/IIR I[EAT INr, MTA SENSIBLE L\=JT I Dili/!lR . rN; �a-7o. a [� WALLS rix�r•/cr.ILI►x; � )5a I� 21 00. FLOOR . TC rAL LIQ MS � p Azz Q� � •PDOPLEr-1 �� ca� NIS � p TCITAL I l � � IrfrAI. Ct?1 . Sensible .08 x T' ' RSIiR a Sensible c en.s . + La t. VPMI7.ATION 000 nzFILTRATI0"j • AL TSI IR f SfSXcrIOtJ : -•._,-- .. .r .:_.c:=:.� ....._..>F'- ... _. .,. .. r .,a;....S:.n:-ttir.. *Y..x-,4_a.-,_-^4sasa-.: