04853 (AR)P.O. BOX 1504 AN ADEQUATELY SIZED Dt�I�IS CCi�Ai[14ER
Building 78-105 CALLE ESTADO IS Mill "RED UAV THE IDD -SITE DURING
Address 53-177 Bermudas LA QUINTA, CALIFORNIA 9225Wu PjnS ES OF CONSTRUCTION"
Owner
Xargaret Snow
Mailing BUILDING:- TYPE CONST. OCC. GRP.
Address MAIMA.P. Number 774-065-018
City Zip Tel.
La Quints 9225 $
Legal Description
Contractor - Project Description
_ Carpori room addition
Address osmemr/Builchar - 16' X 32'
City Zip Tel.
State Lic. City
& Classif. Lic. # Sq. Ft. 652- No. No. Dw.
Arch., Engr., Size Stories Units
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
effect.
SIGNATURE DATE
OWNER•BUILDERDECLARATION tav -/H�
Estimated Valuation
1 hereby affirm that I am exempt from the Contractor's License Law for the following h% E
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 file 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 6&the.Busoess and Professions Code, or that he is exempt therefrom, and the basis
for the.lafleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. _
subjects:ih6w'odcant to a civil penalty of not more than five hundred dollars ($500).
❑ 1;as ownerof the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. + •
do the',work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. + +N
Professions Code: The Contractor's License Law does not apply to an owner of property who t--"
builds or improves thereon and who does such work himself or through his own employees, Mech. JU s u(I
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year or completion, the owner -budder will have the burden Electrical+ f'
of proving that he did not build or improve for the purpose of sale.)
D 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 2fa t Ou
struet the, project. (Sec. 7044, Business and Professions Code: The Contractor's License Law r0
v0v
does not apply to an owner of property who builds or improves thereon, and who contracts for S•M•j,
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to sett -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. "` 1
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
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 ZONE: BY: -
subject to the Workers' Compensation provisions of the Labor 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 that there is 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 it work thereunder is suspended for 180 days. 11/21/88
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
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE -FINANCE; PINK - APPLICANT, GREEN - BUILDING, GOL0ENII100 - •65E5SOR'S OFFICE, HARD COPY -FILE
i _ _ _
• '! . .-._. :,. �-, 1. .{ .. ��:.. .. .... ._. �"...�-. ..l :^..., •, � ,. < •���'n ., rt! w ,. v e f
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEESi
S
ISI FL SQ Fl tR
UNITS
'
A.C. UNIT
COLL. AREA
YARD SPKLR SYSTEM
2ND FL SO FT. @
ROUGH PLUMB
BONDING
MOBILEHOME SVC.
BAR SINK
POR SO FTa
FORMS
GAR SO. FT. or
POWER OUTLET
ROOF DRAINS
DUCT WORK
ROCK STORAGE
DRAINAGE PIPING
CAR P. SO FT. a
GAS (ROUGH)
WALL SO. FT. Q
DRINKING FOUNTAIN
OTHER APP.IEOUIP.
REINF. STEEL
URINAL
SO. FT. Ilf
TEMP. POLE
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to he used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
SERVICE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOKOISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
LUMBER GR.
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
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SQ. FT. RESID @ tv: c
SEWAGE DISPOSAL
SO.FT.GAR I& Ziac
HOUSE SEWER
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 8 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 APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ _plus_x$
_ $
LUMBER GR.
FINAL INSP. &I
FRAMING -- v/
FINAL INSP.
'/ZROOFING ..
��
If/ U G (
// r��Q 6,/
VV
)sg -'y.
G✓Ca/1� (Z '� —�
REMARKS:
VENTILATION
FIRE
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL/'n Qe2 3 U
LATHING 3 /
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT, OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
Indio, CA 92201
�ERTIIFI'C,'ATE[O:F;,�"$CHO "r FACILITY FEE WAIVER
MOTICE: THIS DO��
BE DUP6164 0,
TO:041ADATE: 1 I — CQJ —S
J�IA 10
This is to certi fy hat 1
developer of which, is
located at3— 1 1 , within
this school district, is not required to pay school facility fees
pursuant to the authority generated by Government Code Section 53080.
Building permits for the project indicated above may now be i.ssued_byyouur�,
jur_i,sdi,ction._fIF VALUATION INDICATED ON BUILDING PERMIT EXCEEDS $20,000,1
CTHIS WAIVER IS VOID AND A SCHOOL FACILITIES—FEE-MUST—BE-PAID PRIOR TO
ISSUANCE -OF BUILDING PERMIT.
for'DESERT SANDS NIFIED SCHOOL DISTRICT
White -Building Department -Yellow-Facilities Planning Pink -Developer (10)-38
Certificate of Compliance: Residential
(Page 1 of 2) CF -1R
ProjectT►w /4 Data
3 /a
Project Ad4rm
JOHN H. HACKER 327-4565 Budding Pemut0
Documentation Author Talepbuoa
Ched By / DatePOINT SYSTEM 15
Compliance Method (Package, Point System or Computer) cumata Zone Enforoonent Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: A.5 -Z ft2
Building Type: Single Family Hotel/MOW
(check ane at more) Multi -Family (less than 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
Front Entry Orientation: North 49 South / West / All Orientations (circle one or more)
Number of Dwelling Units:
Floor Construction Type: (;Q Raised Floor (circle one or both)
Infiltration Control:cauda ight (circle one) Q�OQ�QFESS/0
BUILDING SHELL INSULATION 0H H
Component Insulation Location/Comments t"
Type R -Value (attic, to garage, typical, etc.)
R- l9
FRAME WALLS
R- 310 TYPICAL
0 TYPICAL
GLAZING Shading Devices
IrMAN
.4pvvw '/*
OF C Al1EI
Glazing
Area
Glass Type
Interior,
Exterior
Overhang
Framing Type
Orientation
(SO
(single, double)
(roller blind, etc.) (shadescreen, etc.)
(yes/no)
(metal/wood)
Front....
(
Q
DOUBLE
VERTICAL
BLINDS NONE
YES
WOOD
Front....
( )
WH I TE
Left......
DOUBLE
VERTICAL
BL I NDS NONE
YES
WOOD
Left......
( )
WHITE
Rear.....
(L(a
DOUBLE
VERTICAL
BLINDS NONE
YES
wnnD
Rear.....
( )
WHITE
Right ....
((A
DOUBLE
VERTICAL
BLINDS NOt•:E
YES
WOOD
Right....
( )
WHITE
— - —
Skylight.......
_4�1
DOUBLE
NONE
- - �.
NO
Skylight.......
\
THERMAL MASS
Type/Covering Area Thickness
SLAB/EXPOSED
)317 3 1/2tl KITCHEN/BATH/ENTRY
Certificate of Compliance: Residential (Page 2 of 2) CF -111
Date
HVAC SYSTEMS
Minimum
Duct
Type (furnace, air Efficiency
Location
Duct
Output Manufacturer/ Model #
conditioner, heat pump) (SE, SEER,HSPF)
(attic, etc.)
R -Value
(Bluh) (or approved equal)
FURNAErm- /a go -T 42 f99 SE
ATTIC
R-2. 1
&ti b 5 LE.tJNO,Y
A4R-E6PJD. PUMP 9.5 R
ATTIC
R-2. 1
000:..
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model0
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
STORAGE TANK GAL WATERKING OR -50 NONE
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2. Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Features/Remarks section.
Designer Building Owner
Name:
Title/Firm:
Address:
Telephone:
Lic. N:
(signature) .ro (date)
Documentation Author
None: JOHN H. HACKER & ASSOCIATES
Title/Firm:
Address: 4 501 E. SUNNY DUNES. SUITE C
PALM SPRINGS, CA 92264
Telephone: ) 327-4565
signatu (date)
Paan Reviled March 1988
Name:
Title/Firnr
Address:
Telephone: �p
iy u? -z -LL
(datc)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp) (date)
Mandatory Measures Checklist: Residential
MF -1R
NOTE: L.owrise residential buildings subject to the Standards must contain these treasures regardless of the compliance
approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
• 12.5352(a): Minimum ceiling insulation R-19 weighted average.
12-5352(b): L.aose fill insulation manufacturer's labeled R -Value.
• 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
12-5352(k): Slab edge insulation - water absorption tate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 perm/inch.
12.5311: Insulation specified or installed meets California Energy Commission (CBC) quality
standards. Indicate type and form.
§2-5352(fr Vapor barriers mandatory in Climate ?.ones 14 and 16 only.
12-5317: Infiltratio /Exrdtration Controls
L Doors and windows between conditioned and unconditioned spikes designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§2-5352(e): Special infiltration barrier installed to comply with 12-5351 tweets CEC quality
standards.
12-5352(d): Installation of Firepplaces
1. Masonry and factory -built fueplaces have..
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed
HVAC and Plumbing System Measures
12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
12-5352(h) and 2-5315: Sotback thermostat on all applicable heating systema.
12-5316(a): Ducts constructet installed and insulated per Chapter 10.1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
12-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
12-5314: HVAC equipment. water beaten. showerheads and faucets certified by the CBC:
12-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater).
12-5312(Exception F): Pipe insulation on steam and steam condensate return tit recirculating
piping.
12-5318(d): Swimming Fool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
12-53520: Lighting - 25 lume;Wwatt or greater for general lighting in kitchens and baduooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
Pam R•vWal D�bw 1917
DESIGNER i ENFORCEMENT
N//*
0
OF
1 9141 1
IN
~~
' �I -r L_ E=_ �-4 KE: NO F= F:Z (3 V ����U 0 - A -7- 1 C:P NO �F;Z FEE 04 1 Z5
JOHN H. HACKER, CIVIL ENGINEER, PALM.SPRINGS 327-4565
NAME ------- MARGARET SNOW
ADDRESS ---- 53137 AVE. BERMUDES LA QUINTA
DATE ------- 11/16/88
REF.CAL.ENERGY CONSERVATION DESIGN MANUAL, FORM 2, HEATING LOSV3,ES
MANUAL J FOR COOLING LOSSES
AREA BLDG 652 SQ. FT.
PERIMETER 72.44445 SQ. FT.
INSULATION R VALUES .FLOOR 0 ..CEILING 30 ..WALL 19
AREA NORTH WINDOWS 12 SQ.FT. PERCENT OF AREA 1.840491
AREA EAST WINDOWS 0 SQ.FT. PERCENT OF AREA 0
AREA SOUTH WINDOWS 16SQ.FT. PERCENT OF AREA 2.453988
AREA WEST WINDOWS 16 SQ.FT. PERCENT OF AREA 2.453988
AREA SKYLIGHTS 6 SQ.FT. PERCENT OF AREA .9202454
TOTAL WINDOW AREA 44 SQ.FT. PERCENT OF AREA 7.668712
THE U VALUE OF THE WINDOWS IS .65 DUAL PANE
THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS
(*mini -blinds, rollar shades, venetian blinds or vertical blinds)
THE TOTAL S.C. OF THE WINDOWS IS 0.30
SOUTH OVERHANG LENGTH 2 '
INTERIOR THERMAL MASS AREA = 130 SQ FT.
INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) = .018
HEATING LOSSES `
FOOTING LOSSES... 2245.778 BTU
CEILING LOSSES... 641.8508 BTU
WINDOW LOSSES.. 886.6 BTU
WALL LOSSES.... 809.8645 BTU
INFILTRATION LOSSES... 2910.528 BTU
TOTAL HEAT LOSSES BTU/HR.. 7494.421
| GAS FURNANCE SIZE 16262.75 BTU OR 45,000 BTU
'OLING LOSSES
FOOTING LOSSES... 965.9259 BTU
CEILING LOSSES... 827.9365 BTU
WINDOW LOSSES... 2000 BTU
WALL LOSSES.... 1044.986'BTU
INFILTRATION LOSSES... 1251.84 BTU
NO. OF PEOPLE... 5 COOLING LOSSES...
KITCHEN... 1500 BTU
DUCT LOSSES INCLUDED IN TOTAL
'TOTAL COOLING LOSSES 12094.37 BTU
2000
� POINT SYSTEM SUMMARY:CLIMATE ZONE 15
/
PROJECT TITLE=MAR8ARET SNOW
JOB SITE=53137 AVE. BERMUDES LA QUINTA
BUILDING DATA
P -2R
DATE=11/16/88
CONDITIONED FLOOR AREA= 652 NUMBER OF STORIES= 1
SLAB/RAISED FLOOR SLAB
TOTAL GLASS AREA 50 SQ.FT %GLASS 7.668712
' CHECK ALL APPLICABLE UNIT TYPE CONDITION(S)
i (X) SINGLE FAMILY DETACHED (SFD) ( ) ADDITION ALONE
. ( ) SINGLE FAMILY ATTACHED (SFA) ( ) EXISTING BUILDING
( ) MULTI -FAMILY (MF) ( ) EXISTING -PLUS -ADDITION
SCORE CARD
MEASURES
POINT SCORES
! 1.CEILING INSU. 30
-2
i
2. WALL INSU. 19
0
3.RAISED FLOOR INSU 0
0
4.SLAB EDGE INSU 0
0
5.INFlLTRATION STANDARD
0
6.GLASS HEAT LOSS DOUBLE
PANE U=.65
9
SUM
1-6= ( 7 )
7.SHADING (SHADE OPEN)
| SC= .6776
A. NORTH ' '
0
� B. EAST
0
D. SOUTH '
0
E. WEST
0
H. SKYLIGHT
1
S. SHADING (SHADE CLOSED)
, SC= .2552
A. NORTH
0
B. EAST
4
C. SOUTH
4
D. WEST
4
E. SKYLIGHT SC= 0.77
-5
9. INTERIOR THERMAL MASS.
1.993865
10.EXTERIOR WALL MASS
0
0
SUM 7-10
=( 7 )
11.HEATING SYSTEM 72 S.E.
8
12.COOLING SYSTEM 9.5
SEER '
0
| 13 WATER HEATING S.G.
0
TOTAL POINTS 14
GLASS AREA
12
16
16
6
% GLASS
1.840491
0
2.453988
2.453988
.9202454