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06498 (SFD)Building Address 78-725 Bottlebtush Owner Terra Yaru Mailing Address City Zip LegalDescription Project Description Ste. OCC: GRP. Tel.: City Lic. # 9,391540 �� � ,,.., „ . Sq. Ft. ,No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 ,1 DATE {TOWNER -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, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed statement that he is licensed pursuant to the provisions o) 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 penally of not more than rive 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 Ucense.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 1\ does not apply to an owner of property who builds or improves thereon, and who contracts loi such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 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 ff the permit is for one hundred dollars ($100) valuation or less.) ' I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California- Date-owner aliforniaDateOwner NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become subject to 'the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such Provisions or this Permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lenders Address This is a building permit when properly filled out,°signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date' Mailing Address City, State, Zip ZONE: BY: Minimum Setback 3timated Valuation s$}109 Front Setback from Center Line PERMIT Rear Setback from Rear Prop. Line ., AMOUNT Plan Chk. Dep. S250.01 r`� •' Plan Chk. Bal. FINAL DATE 249.23 Const. Date 2/23%89 Permit 585.50 Mech. 53,50 . Electrical i! 2.40, Plumbing t57.51D S.M.I. 6.16 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2,944.20 Frinee -Tafel Lias rd 68.88 TOTAL REMARKS n+^ e4l? 4Y4: CA`,%A u ; t ..'nti__VI!V ✓ £!1 pn yts 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 2/23%89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE �� `� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER 9R SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) ,,,rrr TEMP. POLE `1 /6 DRAINAGE PIPING CAR P. I SO. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation ROOFING VENTILATION FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE 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. a c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ®1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER FINAL INSPECTION 2`1 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 & AIR GOND. SOLAR SETBACK ////6 GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� `� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 9R SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) ,,,rrr TEMP. POLE `1 /6 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. , �� l� GRADING cu. yd. $ Plus -X$-=$ LUMBER GR. FRAMING /r7 9� ROOFING VENTILATION REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ��/�✓ z9 90 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION 2`1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL :d IV W., TWit 4 4v Qgb& -1_4 P.O. BOX 1504 APPLICATION ONLY Building ?y-%dl� %� —�Z _f� 7&105CALLEESTADO Address t� LA QUINTA, CALIFORNIA 92253 Owner — t 0 ] mmnny Address City lZiD Tel. Contractor !!^^ t Address T State Lic. City & Classif. G Lic. # Arch., Engr., Designer US / 1Ak Address Tel. City3 ,, Zip State Q b C1 f I 7 -Z -L40 Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of 0... 3 of the Business and Professions Cade, and my license is in full force and effect L 7_C, -,V A SIGNATU DATE OWNER•BUILOER DECLARATION I hereby affirdn that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busness 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 Penni to fie a signed statement that he is licensed pursuant to the provisions of the Contractors 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 Contractors License Law does not apply to an owner of property who builds or inproves thereon and who does such work hxnself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or irprovement is Sold within one year of completion, the owner -builder will have the burden of pro" that he did not build or improve for the purpose of sale.) ❑ 1, 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) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. a. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION 1 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 `AI Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the perm is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any ppeetio ornian in any manner so as to become subject to the Workers' Compensation Laws of Calif Date- wner NOTICE TO APPUCAM: ft, 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— Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that 1 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 DIVISION BUILDING: TYPE CONST. r Yt OCC. GRP. A.P. Number�r% Legal Descriptionf— 71. CloSp-4.4 a u 8 Mow Project Description t n 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: Sq. Ft. Size �{.� D No. Stories ( No. Dw. ! Units New IN Add ❑ Alter ❑ Repair ❑ Demolition ❑ a% 010 OR Estimated Valuation tivv PERMIT AMOUNT Plan Chk. Dep. Z!°�/'/� Plan Chk. Bal. Z Const. 58 90, TV Mech. Electrical / Plumbing S.M.I. r Grading ZO , Q Driveway Enc. Infrastructure G Q TOTAL 7 OD REMARKS 1)n9 4 Q0 JA Qn9A 09—?A—R4 `10 14 CASH i TOTAL 1 275.00 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLP SY*fEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVG BAR SINK -, POR. _ SO. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. @ GROUT WATER HEATER WALL SQ. FT. @ _ DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ. FT. @ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT ' WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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 @ 7+A c SEWAGE DISPOSAL SO.FT.GAR @ 3/.c 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 & 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 APPJEQUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL GE I 4 i l PROJECT DATA SUMMARY Form 1 owner IN -- project checked by system type date CIE documentation author date LA SITE INFORMATION �t l7 Z> Heating Degree Day (from Appendix C) . . ....................................................... HDD 1 of -day Outside Design Temperature (from Appendix C or Appendix G) ...................... Tow 2 ( of PROPOSED BUILDING ENVELOPE INFORMATION 5LA'Q Gross Floor Area if Low -Rise (from Calculations) ............................................ Af 3 ft2 Gross Wall Area if High -Rise (from Calculations) ............................................ AW 4 ft2 Designed Glazing Area (from Calculations) ....................................................... 9• 1 2 Basic Glazing Area (16%of Line 3 if low-rise or 40%of Line4 if high-rise)........ Abg 6 �-y ft2 Description of Assembly Glazing �yV— L"" Ugl 7 1 1 3 Btu/ (hr-ft2•°F) U92 8 Btu/ (hr -0-°F) I U93 9 Btu/ (hr-ft2-oF) Wall �� �� \ f,> JELL Uwl 10 O Btu/ (hr-ft2-OF) Uw2 11 Btu/ (hr - ft2 .OF) Uw3 12 Btu/ (hr-ft2-°F) Uw4 13 Btu/ (hr- ft2 -°F) . Ceiling/Roof �� `� Y 7\ Ucl 14 -.0 Z Btu/ (hr - ft2 .OF) Uc2 15 Btu/ (hr-ft2-dF) Floor Ufl 16 Btu/ (hr-ft2-°F) Uf2 17 Btu/ (hr - ft2 •OF) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace �� Building Design Hourly Heat Loss (from Form 2) ..................................... qh 18 Btu/hr Maximum Allowed Bonnet Capacity, 1.5 x Line 18 ............................................... 19 Btu/hr Proposed Furnace Make Model Description Rated Bonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 5) .................................... sLCCe 20 $ Lowest Life Cycle Cost of. the Other Systems (from Form 5) ................... sLCC,,,vva 21 $ Non-Depletable Energy w/Electric Resistance Back -Up. Percentage of Annual Heat Loss Met by Non-Oepletable Energy Source (from Calculations)............................................................................... 22 % Heat Pump wi + mina o Supplagaamilasy Wass; Percentage of Annual Heat Loss Met by Electric Resistance (from Calculations)......................................................:...»................................ 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 81 Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 6) ................................. wLCCe 24 $ Lowest Life Cycle Cost of the Other Systems (from Form 6) ................... wLCC1Owest 25 $ PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chapter 9) Solar Life Cycle Cost (from Form 7)............................................................... pLCCs 26 $ Natural Gas Life Cycle Cost (from Form 7) ...................................................... pLCCng 27 $ q BUILDING DESIGN AND EQUIPMENT SUMMARY Fo',.m proieC: title climate :one Project address rojectowner page 1 of 2 plan Cneclt/permit numoer CneCked oy documentation autnor date 1 date C'� l Enforcement Agency Use Only Comollance me(nod .Prescrlotive or 7err,rmance. oescrioe) NIES BUILDING @`IYE-1-or--= CESAN Description of Item Dimension Points 1 Total Floor Area ft -1 1. Floor- Slab Perimeter, Type 1 ,v a ` ^-T�A FZ h T Type 1 y 2 c%3. --r oV AT 14\2-1-el Iocs Type 2 C� �J.� t �> �J� ��1� ? S ft. ��.y ..� S ���+� `-� i �Z� 2. Ceiling: Typa 1 ft, I O Type 2 `�Q�.1 1�`Q 3. Wall:.. Type 1 n: Type 2 ft= l _ T s L� �A.', `- 9' % ft' 4. Glazing: West. Type 1 Type 2 1 C-.� \'�d.� % Z��'q% ftZ ft- North, Type 1 I O TYpe 2 East, Type 1 1 �, LT �� E r• 35ft 2.L7 % ft, I '� Type 2 South, Type 1 LA % X. _ _ ft= ft. ( � Type 2 9: ftZ Skylight; Type 1 __ Sc ft2 Type 2 _.SC ft" ] s y Aj '/,• � Sc ` Z 5. Shading Coefficient.. West North SC 6 East Z_Lu y.�Z-�� Sc -- South 7%'Z� r Sc 6. Horizontal South Overhang nJ� 1 Z- ft —! 7. Movable Insulation : ftZ S-rA 0i>A% 0- --� 8. Infiltration Control 9. Thermal Mass:. Type 1 t �'� - oSh�.R s 1 40 ft2 I Tyw' 2 __pdC ft2 Type 3 `IG ft, L. N t 1L 0,0 Type 4 _R };G ?IC ft Type 5 -.K _mc __)r(G ft2 l • _..1.A�v�'R.'� 3 Point Total This Page ►qo 1/83 _ 420 — CEC 284-66 (2/83) SUMMARY r_ \\ l©�. 2 page 2 of 2 `-� oroject title climate :one -r—J 1 A 0—L oroject address HEATING, VENTILATING, AIR CONDITIONING SYSTEM Points 10. Heating (fill in information on proposed system) Central Gas Furnace a brand and model number SE Btu/hr neating c30aut.4 �-Ls-� w! Q1� i `-11 P- I S -651 V Heat Pump orand and morel nunoer ACOP "i '-& k� Q Btu/hr neating capacity at 47-;: Active Solar . type (liquid or air) collector Orano and mace, number solar fraction fta d collector area collector orientation coll*=0 tiltrated rated slope O y .Intercept Other describe 11. Cooing (fill in information on proposed system) Electric Air Conditioner orana dna model number seasonal EER Btu/hr coating capacity at 95 F Electric Heat Pump E�Q L -i U 0 J Btu/hr tooting caoauty at 9511 F 1 Other U) describe 12. Mechanical Ventilation ,e0}{ describe DOMESTIC WATER SYSTEM. 13. Heating (fill in information on proposed system) Gas Only Gallons brand and model number tank size Heat Pump w/Electric Backup C= T 2 10 Z' aZ Gallons brand and model number tank slte Active Solar collector brand and move, number y - rateanterceot rated slope solar fraction fta oacxup neater type, wand and model number cplie=ar area collector orientation Other describe 1/83 - 420 - CSC Point Total from Page 1 Total Point Score HOURLY AND ANNUAL :BUILDING HEAT LOSS RATE Chedc One: Proposed Design Standard Design wozsip- M pl-;�\ SIJ owner orolect LA QJ� project location system type 77 documentation autnor Gate Form Z -R- (8/81) Enforcement Agency Use auk aing permit numoer tnecxea oy date SITE INFORMATION Heating Degree Day (from Appendix) . .. . . ...... .. . . .. . HOD ' Z� Z°F•day Outside Design Temperature (from Appendix) .... .. .. .. .. .. .. . Tow OF Outside January Mean Temperature (from Appendix) .. .. .. . . .. ... TJan OF PROPOSED BUILDING ENVELOPE INFORMATION Gross Floor Area (from plans) . ..... ................ ..... Af ft2 Gram Well Area (from plans) .. ..... ....... ........ .. . Aw ft2 Designed Glazing Area (from plans) A9 ft2 Basic Glazing Ara (16% of Af if low-rise or 40% of ,a,,v if high-rise) .. . - ...Abo Z►y ft2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Assemblies Other Than The Three Below ...7eF — of -ATh 1 > of To. from aoove For Insulated Floor Over Vented Unheated Space .......... Line 1 -2 SOT 2 o hi f For Uninsulated Floor Over Vented Unheated Space........ line 2 — 5'F 'AThu 3 v of For Slab -on Ground Floors . ... . .. . . . . . MF — CONDUCTIVE HEAT LOSS 06SCI'lotion of Assem bly Glazing_�� by of u- &Ths 4 Or Tian from aoove Average U of Assembly, - Area, ft2 or or F2 from &T hourly heat Lengt,, tt Graon 4-1 from a ove lco�ss..�Q `�'� ` X 1 � , -1 X �V 3 s�. -1 -�; Btu/hr X X Wall S \y� `� \ 17 Qv :At L. 1 X X = Z X X a X X Cailirlg/Roof 1 X JJ ZRrJ X a = 1 C� t/ C� G1 ALL X X a Floor -�� X X nOOR-I �� X —X lis Other I Ltt_1 t1Z`< exC- 1 O X1�1 1A � LG ZO � -z ' volume Subtotal 5 to/hr um of the avoove Q INFILTRATION ...... '% ft2 X c5R ft X-0 \i�) X '3`11 ,F Al from aoove 'Notgntad from L.ITM from B Zo Average Table 3-7 Line I ' Ceiling Height Subtotal 7to/hr Ione •line oQ DUCT HEAT LOSS (Enter 0 if there are no ducts) ................. 0.15 x Line 7 8 1 Z TOTAL HOURLY HEAT LOSS,QL 9 to/hr rine - 7n. ANNUAL HEAT LOSS, OL Z 3 L °F qday/Yr X Z� Btu/hr X \ X 24 hr/day + a HOD• Hourly Meat from 10 �-� Z- (� ? Btu/yr LOU C Th from from aoove from Line 9 Taole 3-8 Line 1 HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY Form 3 List of Construction Components R 1. U Z- 3. i �S�l_��cz) !-)l, 5. 6. 7. Floor 8. Inside Surface Air Film cooling heating Sketch of Construction Assembly -, Outside Surface Air Film • WEIGHT: Ib/ft2 cooling heating Check one: Total Resistance Rt cooling heating Wall _ Roof 1` U -Value cooling heating Floor ' HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY Form 3 .ist of Construction Components R Inside Surface Air Film cooling heating Sketch of Construction Assembly WEIGHT:. Ib/ft2 Outside Surface Air Film cooling , heating Check one: Total Resistance Rt� V Wall cooling heating RoofU-Value (lf{��� L cooling heating Floor . — 1 � � s;Z,LA2 \ ►J I.ova A-eo y Z�s ,Q � 2 s;Z,LA2 \ ►J I.ova A-eo y Z�s l 4 of •,`I t JAMES O. WALLACE Agricultural Commissioner Director of Weights R Measures OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS 4080 LEMON STREET. ROOM 19 Assistant Commissioner RIVERSIDE. CAUFORNIA 92501 CLEMENT BENVENISTE (714) 787.2564 Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 �- _ I W. DATE JPSJ 957�� CASE N0. DEVELOPER'S NAME: 16 w. �A /` LA. f ADDRESS: -?a - y 3 S j4 v be t^ W ►^ FA �1, TELEPHONE: ( 617), Dear Developer: After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. wjiricultokaa Commissioner's Office cc: Indio and Riverside Office t '�''6 5 � �" -�� �. -►�ww �.:L�:��`l7,/�^�h �yN:°;��i PY. �� j'hF�ct'r��,ls 1�'^��"'1.<: ,.'is'sF�9'(, '�+e$,,S i ��?���,��/� . '► y �� 'r 't'I COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached checklist. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #" Agent, Contrac or, Contact Person GM--, YAW -v Phone,1 346-1197 Address &Phone Po-'Afu- Oct. Pd Owner 6v" �114rt_ Phone 246-25 91 Mailing Address 7Z— -135' 64w d4 -t- Ak- N L, in�scti? City State Zip Jobroperty Address Legal Description Prop. (PM, Tract, Lot) Lot Size afar Agency etl Use of Permit P/P, CU, etc. Other C) CU LU Dwelling S`�itefPrep, etc. r d Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE 'W SUBSURFACE DISPOSAL 1238 comm ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITI DATE Holding Tank Agreements Completed ❑Yes ON -- Certification of Existing S.D. System Required ❑ Yes N0 _ WQCB Clearance required. (Attach Form ❑ Yes Co DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes No( Special Feasibility Boring Report Required. ❑ Yes="''�i� Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ .Yes 2 N� Other 11Yes210 - Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Soils boring report by r�ojeeFt # Date .� f/ Soils Map Page Soil Type ` / Approved by t4lIt Date - •Z -�/% No. of Systems T e of SY�tem(s) ❑ y -oiling Tank ❑ Existing No. Dwelling Units / Bedrooms, Ri"xta' ie.tit-�aiis (1) Septic Tank Soil Rate Grease/Sand Gre1sa 'eel ttCD 111"New ❑ Replacement Gal / LL6 / AL -Gal 4.2) Leach Line Sq. Ft. Sidewall allowance Inns al Line(s) ft long ft wide with prod each Bed sq. ft. 'Bqgom trench area ft rock/ sq. ft. -o per running ft. min. inches' kebelaw drainlines or of- m a a NA Leachlines/bed special design for slope: Applicable (3) Pit Diameter No. Pits Pit Bee -M Seepage Pit Ytal Depth U Other: �� 15 Max. Allowaple Depth � N/A � Overburden factor 6 D No. 2 System 14 REMARKS: This application APPROVED 1=w�tED�for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompame an, using the requirements set forth in SECTION C abovie. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% a pan 'on area. Q)7 Septic tank and -sewer lines must be 50' minimum from any wells %P (- Leach lines must be 100' minimum from any wells, including expansio area Seepage mustbbe 1550' minimum fromany wells, including ex, anssiion are pits �`� Signature of, Health Officiate Date RECEIPT NO. 5 Issued By /� Date DISTRICT: ❑ Riverside,ndio ❑ ^ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records i JJ Desert Sands Unified School District CERTIFICATION OF PAYMENT OF Ainr§ SCHOOL FACILITY FEES 7 -fits 00CUIV TO: City of La Q9 ARLICA CANiqo-rDATE: Department of CommunitTlEftelopment 78-105 Calle Estado La Quinta, CA 92253 This is to certif th t 7 'Ll–A—IC Jg=:L_ developer of _A I I—Y( 9) A whico is 1 o c a t e d a t 17 9 - (,o R 0 Daat 0 1 IW7-�'-V, /7 AL,,::�- OOiPffe n �L14 LA an FND this District, has paid Vchool falcility fees -imposed pursuant to the au�ority ge�erat*,by Government Code Sqclion 5�080, in the t Of -tUt �d ,,Vmoun $ 1CWJJn5 gy/;��o covering a total or square feet of residential o'r ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. AroL, (IV -9- 3 f7,�- !�hf e e t_4_y 0 - Lg� lbt for DESERT SANDS -UNIFIED SCHOOL DISTRICT White - Building Department 46 Yellow - Facilities Planning 0 Pink - Accounting 0 Gold - Developer 640 LP e-�' (10)-37