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0005-005 (SFD) Change of Contractor- , L;,ZENSED CONTRACTOR DECLARATION I f?ere;py a6irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 634951 B 01/:$1/2( Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that,l am exempt from the Contractor's License Law for the following reason: 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 Code). t' �Jl.I am exempt under Section- B&P.C. for this reason Date N t.. t t_la Signature of Owner .._i^,'. - - r` r WORKER'S COMPENSATION DECLARATION I t 9reby affirm under penalty of perjury one of the following declarations: ► (3)-1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier OTATE PUMD Policy No. 154 29"-00 (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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those-provision`s..,, DatA1lApplicant._ _-�--'r-, l I 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 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 representatives of this City to enter upon the above-mention/ed property for inspection p,OPposes. Signature (Owner/Agent)'-- J Date % -'f .. BUILDING PERMIT PERMIT# DATE yyyyqq ,y� VALUATION LOT '(" ?,TRACT G' JOB SITE APN ADDRESS 5xr-%7:5.Ai�..NZP,%A,DIVIXJ�ASf '%i'�3.#.'�•Q�� OWNER CONTRACTOR /DESIGNER / EN INEER ANUAFARREP-AV,GP?'O/J0HX MLVA 5320 AVE MA LA QUbTTA ,CA 92253 CORONM CONTA . UC M-1 51-540 MXNHO WR DR LAQUTATfA CA, 92253 (760)5644604 CBI.# 2.651 USE OF PERMIT MSCL%2"E. o 'L y, SUPPLEMf:'NTAf. PF.i2MIT TO 9909A90 TO RFVLN.,CT CHAIME' OF CONTRACT OR Ei NATM COST OF CONSIMUCTTON moo P ' ' T TJYMOMMARY A1110CELIJANEOUS 1()1.000-423.000 $4.50 LESS PRE -FALL Fm $0.00 TMA-1. _PIM11W' FENKS DUE NOW I 54.50 RECEIPT I DATE I BY f i%,L V% it DATE FINALED 1 INSPECTOR INSPECTION RECORD OPERATION DATE 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 _ p p Compressor Insulation g - of 52 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath O el Drywall - Int. Lath — 0/ 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 - O Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. 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 —D Z Utility Notice (Perm) COMMENTS: Amita NL Avino 76aW Florida Am Pain Desert, CA 92211 May 1, 2000 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 BUILDING DEPARTMENT RE: Permit Number 9908-190 Dear Sir or Madam: On August 24, 1999 Pete Ortiz Construction, Inc. applied for a Building Permit for the Construction of 52-775 Avenida Bermudas in LaU4�inta. As of April 11, 2000 Pete Ortiz has been terminated for completiQ : of Job.` Please make a note that on April 27,2000 we signed a contract with Cornel Construction of La Quinta to complete the Construction at 52-775 Avenida Bermudas, La Quinta CA. Sincerely, Anita M. Avino & John T. Silva Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 8/16/99 No. 19196 Owner NameAnita Farrer-Avino & John Silva No. 52-775 Street Avenida Bermudas City La Quinta Tract # Lot # Type of Development Single Family Residence Comments APN # 773-335-014&-015 Jurisdiction La Quinta Permit # Log # Zip 92253 Study Area Square Footage 1,728 No. of Units At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 1,728 or $ 3,335.04 the property listed above an:d that-5uiIding r permits and/or Certificates of Occupancy for this square footage in this proposed pray nbiv be Uued Fees Paid By Cash/ Pete Ortiz Telephone :: Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $3,335.04 Check No. Cash Signature NOTICE: Pursuant of Nsembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to rurgrrom the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Building r Address Owner it _ P.O. BOX 1504 78-495 CALLE TAMPICO I ala er71&e ;IgA IPyINTA, CALIFORNIA 92253 va>•iffff.w rim Mailing Address-` / CityZip Tel. � � �? Contractor >�� O1f0a.1,­JSYruCl.7� dti Address City jZip State Lia I 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. 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 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 thealleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars (5500). 17 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 owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I 1 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.) 17 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 f7 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 BUILDING: TYPPE'CONST. ✓� OCCGUA QUINTA A.P. Number '77-3-:13 S+ `7-13 '33 S7-0/ fi r Legal Description Project Description r F) a Sq. Ft. No. No. DIN. Size Stories Units New ❑ Add ❑ Alter ❑ Repair O Demolition ❑ CC-4TACT : , -14), JA 1 A/1/ �J 0 Estimated Valuation 1&0 • —4.7 7 4 PERMIT AMOUNT Plan Chk. Dep. = ;. S Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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 Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION RC District - Planning Review Form This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to require the filing of Master Design Guidelines by the applicant. It shall be transmitted to Building & Safety as your correction list. Please attach additional explanations as necessary. APPLICANT: PETER ORTIZ CONSTRUCTIO PROJECT 52-775 Avenida Bermudas ADDRESS: APN: 7734335-61 LEGAL: LOT' , BLOCK _ , UNIT , S.C. @ V.L.Q. CVD BY: Leslie Mouriquand BIN NO:. CASE NO. 99-71 CHECK -DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION ,\7}•v'.T.:\•}rri+:`: �,•Gn �..:: p}\:��� ``4,;.,\ n.'xir0.�.}}�J4\\'�.` Vii.}{\�v:N }• �::\..4{..`.. \;�:n?rh.{\}' $`M,• \\: +v;�4 \tit\.•>> \•{@�h,..���`, P:t:;¢� `:.. A+.,1\,^},..�`� t { �: : ' 2�. R\}4ati.kSt a} 4 vA ��+.:� �\.�v...,,sT }}}vit..'x.. }.,\� J 4 } n 1�,.`,}`:i:;\};}i: }.., 4;YiL}i'•nti,tia{ h:M 4} \'`'?..�� jti `i\ ` }•�i` .nY `\r•{ 44, { t\ {'<•'`titre^ } a�}Yi .3:\.. \�a. }{.:..:{•:,. \:•:.:::::Tn.\\ ----- _WAi'��:.:..n. Case logged and number assigned /:: V Verify legal and APN information -Q/li r14t Consistent with MDG on file (as applicable) MDG filing required (5 + filings since 9/3/9$) Consistericywith-street/surrounding area Colors Materials Architecture ✓' a OTHER REQUIREMENTS:' The zoning code, architectural and landscaping manuals, and/or assigned inspector should be consulted where uncertainties arise. The completed checklist shall be maintained in the Building & Safety address file. HOURLY•AHD ANNUAL .BUILDZNO HEAT LOSS RATE S(LVA owner Sir-1t:aL(L 11AMiL`� t), /C.LLING ' • Dialect' .. ' SHEE-T Z cnectred olr dale proj.Mt location ' documentation author date Subtotal • • HOURLY HEAT LOSS 2Z, 3 i 4 Btu DESIGN TEMPERATURE DIFFERENCE For All Conditions Other Than the Following 70OF - 2C/ °F AT 1 4'4 of Tow loom Form 1 �� `� °F For Insulated Floor Ovw Vented Unheated Space......... Line 1 ' 2. AT, -2 2 of F.or Unintutated Floor Over Vented Unheated Space ..... Line 2 - 6°F A%3 2 of CONDUCTIVE HEAT LOSS U Irom form reaming Area. It2 or t or Ftlrorn Factor Irom Arw $to.. e Description or Atllmbiy Length. K Table 4.1 Table 3.4 .above Clat(ng x _ x It Btu PIS t— 2 Q, 5 x • Ce S' x x �I.4 8151 Wall x x x R-13 (-7lo3 x •07 x it 44• - 5971 x IN x to G 0 C Catlinglitool 2- 3 0 1 a4 Z x .033 x x 4 _• 26 75 X_ x x 0 Floor R-fq 1 84� x o ac j x x `14. 0 5589 x x x Other x x x IN x x Subtotal 4 2Z, 3 i 4 Btu - INFLITRATION (Enter 0 on Lina 5 it there is positive ventilation) • ' sl .. _ ... / 8 4t2 '� �� �� `� °F 11.6-7/ _... 112 is It x x • s' Groff Floor'Area we.gnled I loomTable3•7 &7_ Iron+ Avrlaq• • Cellima Height Line 1 VENTILATION (Enter 0 on Line 6 it there is no positive ventilation) ' i,3/min x OF x 1.00 - .. ....... ... G 0 C ' VentoNl.on Nato Irom• .. AT. learn Lon* J • calculations Subtotal 1 3114, 0 G 4( Btu DUCT HEAT LOSS (Enter 0 on Line 8 it there are no ducts) S I l b 0.15 x line 7- 8 39/73 ' TOTAL (Line 7.81 an 9 ---- - ANNUAL HEAT LOSS r00 °F-day/yr x Btu/hr x x 24 hr/day MOO Irom AOpend.x C HOuriy Heat Lott C 'Iron. Irom Line g table )•a -.on 10Biu --- - OF— Alt„, Irom is Line 3 • „ 1 SRaar 3 g6Larf 51ZiNCa C HCZAT_1N6 %i� OF 4�S,oao /S !u ON%/�uT . /,gfCi/7 v rj) I.3 h gL�4 Ht AI LOSS -tf, Alm /hv loom S4.FT. GP FLA, A ►LLI A 13(39,/73) t/0(/a4L) AS, X 9,345 C.) .. j*eR Prof "4 CLiF/G&nie7 °P 7 E 7� % AvG FF�iUC�✓l 78 -70 = i /73 = 1 X73 � r«�C. o ✓C-4 s III Z4 ' �')URLY BUILDING .ZAT .GAIN RATE slLv4 Owner _ o �✓ � LZ �N4 ro ec ProjectLocation MA r 9 Y. Documentation Author a e ` Line No. Item Area or Quantity I U I Value or Factor BTU or of BTU/HR 11. N. glazing 3o sf •G5 S.01) ZG BTU/sf(2) 2. N.E. glazing `-' sf S.C. (1) BTU/sf!?) __.-- 3. E.glazing !05 sf •G S S.C.(1) 75 BTU/sf(2) Sl/9 4. S.E.glazing sf S.C.11) BTU/sf(2) 5. S. glazinE sf S.C.(1) BTU/sf(2) -'—' " .6. S.W.-glazing S.W.—glazing sf S.C. BTU/sf(2) • 7. W. glazing150 sf •� S 'S.C.(1) '7 BTU/sf(2) Z 3I 8.' N:W. glazing sf S.C'. (�) BTU/sf (2) 9. Horiz. Sk lite `— sf S.C.(1) BTU/sf(2) 10. Wall Tye 1 17L3 sf o77 (3) Z?"C- OF(4)3 9 8 z 11. Wall Type 2 --- sf (3) Y-4) 12. *Ceiling Tye 1 llttZ sf O33 (3) y 5 OF(4)Z,9 7 $ 13. Ceiling T e 2. -- sf (3) 0F(4) —14. Infiltration nf' 3 sf (5) — 1 . 9 BTU/sf (6) 33 It? . 15. # of .Occu ants 4 (7) - 225 BTU/occ 100 16. Appliances - - - 1200 17. Sub Total 18. Latent heat 25 24i (8) 0.3 - �� 5 7`/' 19. Sub total ! . . Line Area or Value °F (1I No. Item Quantity � V 20. Duct gain 2-f 3 � 821 (q) 0.15 _ 6� u. Line Area or Value °F (1I No. Item Quantity or Factor BTU or BTU/HR 20. Duct gain 2-f 3 � 821 (q) 0.15 _ Z 9 Z 3 .21: Grand total From Table B S Notes: (1I Shad}ng coefficient of glazing per mfg., equal one for clear glass.— • (2) From Table A (3) U -value from Form 3C• • (4) From Table B S (5) Gross Wall area (6) ,Form Table C (.7) Two per bedrdom (8) . From line 17, BTU/HR (9) From line 19,BTU/HR (10) Value to be used in sizing A/C unit (s) 37,7 Y 9 Tu�� • 3��74y = l2/t�ou= 3 a.✓s (A ,,i GS7 S 4M 6. Fenestration Heat Loss O 45 c G S 15 e.) - Type Type U -Value Total %Fenestration Sum of 1-6 U 7. Fenestration Heat Gain % Sc Eff. % Shade Fenestration Shade Open Fenestration Eff. Ratio North /►G x COS = /� d •G .`t t 2 East S-7 x = . 7 eI .. South 6 - x = - — West 8,0 x = S. 20 - 5 Skylight x = ~- Overhangs? (Y / N) S. Interior Thermal Mass Ge, or - t 4 %Exposed Slab Int. Mass/CFA I 9. Exterior Wall Mass Ext. Wall Mass Sum 7-9 10. Heating System 60 x 8 _ _ 0 AFUE or HSTF Duct Efficiency Effective AFUE Zonal Control or HSPF Adjustment 11. Cooling System I Z x • S 1 = 9.7 ? SEER Duct Efficiency Effective SEER Zonal Control Adjustment 12. Water Heating System 1 Heater Type Energy Factor Ext. Ins. R -Value Auxiliary Input Distribution System 2 — Heater Type Energy Factor Ext. ins. R -Value Auxiliary Input Distribution - Point Total: t 1• o Point Goal: 0. o o Iti Revised March 1, 1996 POINT SYSTEM SUMMARY: CLIMATE ZONE P -2R . Nom„✓ Si,�G,C� /�Arit � /�r✓oCC.i,✓G M,o y �9y Project Title •I Date BUILDING DATA Conditioned Floor Area 104 2- .Number of Stories o Na Fenestration Area % Raised Floor C L•,e d North '50 / w East 1,15 Check all applicable Unit Type condition(s): South — [ J Single Family Detachgd (SFD) [ ] Addition Alone West 150 A,0 kJ Single Family Attached (SFA) [ J Existing Building Skylight -- (J Multi -Family (MF) [ ] Existing Plus Addition Total Z 85 SCORECARD Measures Point Scores 1. Ceiling InsulatigA 2 3 0 or - R -Value U -Value 2. Wall Insulation R - 13 or - 5 R -Value U -Value 3. Raised Floor Insulation or — R -Value U -Value 4. Slab Edge'Insulation or -- R-Value F2 factor 5. Infiltration Any Ducts in Unconditioned Space? (Y /® -t z 6. Fenestration Heat Loss O 45 c G S 15 e.) - Type Type U -Value Total %Fenestration Sum of 1-6 U 7. Fenestration Heat Gain % Sc Eff. % Shade Fenestration Shade Open Fenestration Eff. Ratio North /►G x COS = /� d •G .`t t 2 East S-7 x = . 7 eI .. South 6 - x = - — West 8,0 x = S. 20 - 5 Skylight x = ~- Overhangs? (Y / N) S. Interior Thermal Mass Ge, or - t 4 %Exposed Slab Int. Mass/CFA I 9. Exterior Wall Mass Ext. Wall Mass Sum 7-9 10. Heating System 60 x 8 _ _ 0 AFUE or HSTF Duct Efficiency Effective AFUE Zonal Control or HSPF Adjustment 11. Cooling System I Z x • S 1 = 9.7 ? SEER Duct Efficiency Effective SEER Zonal Control Adjustment 12. Water Heating System 1 Heater Type Energy Factor Ext. Ins. R -Value Auxiliary Input Distribution System 2 — Heater Type Energy Factor Ext. ins. R -Value Auxiliary Input Distribution - Point Total: t 1• o Point Goal: 0. o o Iti Revised March 1, 1996