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0007-308 (AR)U) N C/) W o�co ti W oZ� (�D 0. 0 H C) to LUa U) Z M LO N ON U °) Q d — `Lo < X W — mUU O Z_ Cb 5 r- d Q J LICENSED CONTRACTOR DECLARATION I hefeby affirnT 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 t;'�•`��3ts5" r :�3 ,.1�� i r �rp� Date o ; fT1Signature of Contractor � ,r. i f - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I 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. V)° I have and will maintain workers' compensation insurance, as required by S ction 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 Policy No. (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, '45.1 shall not employ any person in any manner so`aslo 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 comply withfthose.provisions. forthwith Date: � A Applicant �� / �'j --• Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to crirrjnal 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. t 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 allibityand State laws relating to the building construction, and hereby authorise representatives of this City to enter upon the above-mentioned property for inspection purposes. { ,Signature (Owner/Agent) \4 '- moi` != Date k - BUILDING PERMIT PERMIT# DATE r VALUATION LOT W07 -3W TRACT l!aatt�a r J'A @KT��5417�►4i JOB SITE _ ; ' APN ADDRESS 494M 1=1ZS (URC, IS OWNER CONTRACTOR/DESIGNER/EN (NEER AND Y''dtf{L.U;fiiW 7.A,DOW4 C`'OM.Or U'C T110 d' X99.1035 C:`.GDR03 CMICE 74.315 BVrf01STW OD DRIVE ?'..A. QVIG2Thk 10A 92253 PA LM DE^ C CA 922613 (760)340-9529 CB16 52481 USE OF PERMIT i6i) 3.W.ADDITION PPR Ai'1yF2.OV7,L? PLANS GNL`1.1NV2�T1(AA,11O11I IFER ASSUSED PER 1097 U. AX 030.5 FOR WORK 11.ECRI d WITHOUT SUt1LD.INC ljE'f?MIT. AbOI° ION 160.00 SP :�?s.I`Jf61!��t TK C19.Sf Qtr' C:1•:►.i.°1;'�' 3 W77014 a33,6�123. PLAN lA•b1IFIC"K. 79K, 101.100-439-318 571011 C, f,"IONS2'RUC'TION "', 1014*0-418-000 If lUr 00 MVS ,HANI AL la'KZ 101-000-421-000 S:t.sM ''P1 'f Z R1CAL I )% 102-000-420-000 PIAINWHO Irf:? 101-000-419-000 ��3,Ot► STRCYNO Pa 17VIOW ME-1tES"11) 101 -0.00 -2x81 -00J) D.°'d?'Mi TIOATION N"EK 101-000.423,000 A� BTA -TOTAL CON 1�' . 'UCnK ON AND .f?T.,E`kH C IMCK (YY ;Ll~ W FRF:-.PJgD+ RE.9 T10.00 Ti IAL P:PINW-V FEES DUE NOW A- 17 OCT 3 0 2000 QUINT RECEIPT DATE tiY.+r DATE FINA ED INSPECT W INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Steel ��— Return Air i. Combustion Air Roof Deck Exhaust Fans I O.K. to Wrap _ F.A.U. Framing Compressor Insulation - B Vents j Fireplace P.L. Grills Fireplace T.O._ Fans & Controls Party Wall Insulation Party Wall Firewall Condensate Lihes i Exterior Lath -� I Drywall - Int. Lath I I Final BLOCKWALAPPROVALS Final 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 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 Utility Notice (Perm) COMMENTS: s Notice: Document Cannot Be Duplicated Date 10/20/00 No. 21126 owner NameAndy Williams No, 49-035 City La Quinta' Desert Sands Unified School District. 47-950 Dune Palms Road t La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Street Cedros Circle Tract # Lot # Type of Development Residential Addition Comments addition. APN # Not Available .Jurisdiction La Quinta Permit # 0007-308 Log # Zip 92253 Study Area Square Footage 160 No. of Units 1 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 160 or $ 0.00 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may'now be, issued Fees Paid By N/A - Joe Dolan Telephone tv Name on the check . f , By Dr. Doris Wilson Superintendent Fee collected /exe pied by Annette Barlow Signature Exempt Check No. N/A TM -00 10T10E: Pursuant of Assembly 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 bove will begin to run from the date on which the building or inslallation'permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ollect them on the Dislrict('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 Order Number: 0625-3015901 (04) Page Number: 7 LEGAL DESCRIPTION Real property in the City of La Quinta; County'of Riverside, State of California, described as follows: PARCEL 1: PARCEL 3 OF RECORD OF SURVEY ON FILE IN BOOK. 50 PAGE 43 OF RECORDS OF SURVEY, RIVERSIDE COUNTY, RECORDS;, AND AS CORRECTED BY AFFIDAVIT RECORDED MARCH 22, .1961 AS. INSTRUMENT. NO. 24014. . TOGETHER WITH: (1) ALL BUILDINGS AND OTHER IMPROVEMENTS ON SAID PREMISES; AND (2) THE FOLLOWING EASEMENTS, EACH OF WHICH IS APPURTENANT TO SAID PARCEL 3: (A) EASEMENTS FOR EAVES OR OVERHANGS AS SUCH EXIST AS OF JANUARY 30, 1968, WHERE PARCEL 3 ADJOINS ANY PORTION OF ANY LOT OR PARCEL OF TRACT 3485; (B) AN EXCLUSIVE EASEMENT COMMENCING ONE FOOT BELOW THE SURFACE OF PARCEL 1 OF SAID RECORD OF SURVEY ON FILE IN BOOK 50 PAGE 43 OF RECORDS OF SURVEY, RIVERSIDE COUNTY RECORDS, AND AS FAR BELOW SAID PARCEL AS MAY BE NECESSARY FOR THE INSTALLATION AND MAINTENANCE OF AN UNDERGROUND SEPTIC TANK AND RELATED ACCESSORIES, PROVIDED THAT SUCH SEPTIC TANK SHALL MEET ALL APPLICABLE GOVERNMENT REGULATIONS, SHALL BE NO LONGER THAN NECESSARY FOR THE RESIDENTIAL USE OF PARCEL 3, AND SHALL NOT INTERFERE WITH THE SURFACE USE OF PARCEL 1 OF SAID • RECORD OF SURVEY; (C) AN EXCLUSIVE EASEMENT FOR ENCROACHMENT AND MAINTENANCE OF SCREEN WALLS, WING WALLS, AIR CONDITIONING EQUIPMENT, AND OTHER ARCHITECTURAL FEATURES, PRIMARILY LOCATED UPON SAID PARCEL 3 OF SAID RECORD OF SURVEY, INTO OR UPON ANY LOT OR PARCEL OF TRACT 3485, AS AMENDED, AS OF JANUARY. 30, 1968, NOT TO EXCEED SIXTY INCHES.. PARCEL 2: AN UNDIVIDED 1/33RD INTEREST IN LOTS 10, 36, B, C, D, AND THAT PORTION OF LOT A ADJOINING LOTS 10, 36, B, AND C OF TRACT 3485. PARCEL 3: AN UNDIVIDED 1/33RD INTEREST IN PARCEL 1 OF RECORD OF SURVEY ON FILE IN BOOK 50 PAGE 43 OF RECORDS OF SURVEY, RIVERSIDE COUNTY RECORDS, AND AS CORRECTED BY . AFFIDAVIT RECORDED MARCH 22, 1967 AS INSTRUMENT NO. 24014. APN: 646-210-009-8 l9 FirstAmerican Tit/e ISLANDS #1 HOMES ASSOCIATION LA QUINTA, CA 92253 Joe Dolan General Contractor Palm Springs, CA. Dear Joe, I have reviewed the constuction plans for Mr. Andy Williams and find them to be acceptable to. the Association. The encrouchment on the common property must be paid for at the rate of $10.00 per square foot which computes to $1560.00. Please have Mr. Williams make his check payable to the Association. Please make all possible haste to complete this job as soon as poosible in order to cause our returning members as little as possible inconvenience. Sincerely, i J ` s H. Barickman President CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 2) CF -IR A RQ>�o c®.- R2R M/tA DY W I LLI AV S 7-17-0=> { Project Title Date 4a-035 CeoRp- GIR- , GA G1100 1`3. G� Project Address D Building Permit b PAA, D. HE Ell _ At�cl- M 0- -7 IPO -34(0 _790 1 . Documentation Author Telephone Plan Chcck /Date PAG Field Check / Dau Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area i0c) ft, Average Ceiling Height: �b ft Conditioned Slab Floor Area 1 Ipo ft2 Building Type: — X Single Family ice( Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: ElArEc North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories 1 Number of Dwelling Units: Floor Construction Type: la ed Floor (circle one or both)' BUILDING SHELL INSULATION Component Type Frame Type wd = wood stl = steel Cavity Sheathing Insulation Insulation R -Value R -Value Total R Assembly Value' U -Value' Location/Comments (attic, garage, typical, etc.) Wall Wixom l D) T`1 t!V_c12— .Wall Left Standard Roof Standard Rear Standard Roof f T r'7S N Standard gh YUt LA G Floor yl kylight Standard Standard Floor Slab Edge ' FENESTRATION - Shading Devices Fenestration Orien- #/Type/Pos. tation Area Fenestration Fenestration Interior (ft?) U -Value SHGC Shading Att-2 Exterior .Overhangs Shading Att_ /Fins Front Standard Front Standard Left Standard Left Standard Rear Standard Rear Standard f T r'7S N Standard gh YUt LA G Standard yl kylight Standard Standard AFPROVED FOR CONSTRUCTION Fid P co iance,��aluand Assembly U -Value are not required for awood-framed wall that meets o�i�e nPrescriptive Package. For prescriptive compliance,• ereedia for any interior shading except the default or " Standard" drapery. These default interior shading devices (draperies) need not be installed for compliance purposes. July 1, 1999 C CERTIFICATE OF C:OMPLIA.NCE: RESIDENTIAL (Page 2 of 2)CF-1R ?-F-M0QQ-- fv(L MIAs qtr Oq VJ 1W ftW s `7 - 12- o a Project Title Date HVAC SYSTEMS pC) piEW Duct Heat Pump Type (air condilione,. Note: Input h,droni_-v:,^:n!•:r,: +l,v.{r•.. !.:..:urd;, t`...... )3ca!i $.ct_.a>.ex. I):;+_ llca;ir_ Load (SL•1'It) (attic. CIC.) r. Distribution _ Heating Equipment Minimum Type and -Duct or Heat Pump Type (furnace. heat Efficiency location Piping Thermostat Configuration pump. cic.) (AFUL of IISIT) (lost, attic. ctc.) R -Value . Type (split or package) Cooling Equipment Minitnum Duct Heat Pump Type (air condilione,. Efficiency Location Duct Thermostat Configuration heat pump. evap. cooling) (SL•1'It) (attic. CIC.) R -Value T)'pe (split orpackage) WATER HEATING SYSTEMS j�j wt �,� �� ! b►c, R�F.1-`7 oN IS7l Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Itput (L -w, Capacity Recovery 'Standby' Insulation Type T\ -pe in Syst.m ,or 13ur9;r) (gallons) Efficiency Loss (°o) R -Value 1. For small gas stora^e wntei heaters (rated inputs or)esc Ihnn or equal to 75.000 Bur/hr). electric resistance, and heat pump waterheaters, list Energy Factor. For larcc gas swracc "arer hralcrs (rated inpet of greater Ilan 75 .01.10 Hlu/ht). list Rated Input. Recovery Efficiency and Standby Loss. For instantaneous gas water heateta. list rated input and recwcn efficiencies. 'SPECIAL FEATURES and hIODELING ASSUMPTIONS (Add extra sheets if necessary) Including Thermal mass (thermal mass tvp:, covering. thickness, and description) w 0 LE- COMPLIANCE STATEMENT This certificate of compliance 1i�ls Ihr building fw!urc_. and performanct: specifications needed to comply with Title 24• Paris 1 and 6 of the California Cud; of Regulations. and the adminisrrativc regulation to impkmeni them. This certificate has been signed by the individual with overall design. responsibilit\. •\Vhcn this certificate of compliance is submitted for a single building plan to be built in multiple orientations. any shading feature that is pari:rr is indicated in tlr_ Special Features / Remarks section. Designer or Owner (1 -ler Business and Professions Code ) Name: PA D Lk�'f, #&Chl F1.3 = TitictFinm: 7A.ih , ftk2li2 f., Address: T&- 14cs . ?. H Plc. PIN -M o��-r, Gi&-- a "lam Telephone: 11Po- 34-ip- -7'13'71 Lic.9: G-- 1.(vQos Enforcement Agency Name: Title: Aecncy: Telephone: (signature / stamp) tdn!c) Documentation Author J��iI�tl7ir�►Ita ctlitt��-- r 1 cl:phonc. ?.aus a L�-, 1 l' 00 lsi�naun.) (date) .(ills 1, 1999. 0 Additions of less than 1,000 square feet meet the requirements of package D for the applicable climate zone with the following exceptions: walls meet only the mandatory insulation level of R-13 in a wood frame; glass area is limited to the percentage allowed by the`package plus any glass removed because of the addition. Additions of 1,000 square feet or more meet all of the requirements of package D. Dual -Glazed Skylights and Dual -Glazed Greenhouse Windows Dual -glazed skylights or dual -glazed greenhouse windows are treated as though they have the U - value required for prescriptive compliance. , Dual -glazed skylights and dual -glazed greenhouse windows should be included in compliance calculations as a fenestration product with a U -value equivalent to the Package D requirement for the appropriate climate zone (or 0.75 for additions of less than 500 square feet). 2 1. This approach does not allow credit for glass removed. Compliance with the requirements for additions of less than 500 square feet is allowed, in which case credit for glazing removed is allowed. 2. Meet the component prescriptive requirement for Package D (see Chapter 3) and all mandatory requirements. 3. "Heavy 1. ss" and "Light Mass" walls may meet the Package D requirements for mass wall insulation instead of R-13 (see Chapter 3). 4. For addition and alteration compliance only, dual -glazed greenhouse windows and dual -glazed skylights are assumed to meet this requirement. 5. The Package D fenestration area plus the area of any glazing removed because of the addition. 6. All applicable mandatory measures must be met (see Chapter 2). 7. No electric resistance space heating may be installed. Additions and Alterations July 1, 1999 7-7 Table 7-1: Prescriptive Compliance of Additions - Summary of Section 152(a)1 Requirements of the Standards C I(G+D 1= 500 bu COMPONENT < 100 f12< < 500 fe 1000ftj Insulation R . Ceiling -19 Package2 R-3$ ack e Wa113 R 13 R-13 R-1 Floor Man t ry5 _ Package NFz, P ck ge Fenestration Max. U -Value° 0.7 0.75 Pa ge % of CFA < 50 Pkg. + Removed f=,z Pkg. + . moved i&ox•Ib=2�.� Shading N/ Package Pa ge Space.Heating' Mand to Package Pa age & Cooling (No el ctri (No electric) (No I ctric) Water Heating' Replacement A N/A /A Increase See T ble 7- See Table 7-2 See able 7-2 2 1. This approach does not allow credit for glass removed. Compliance with the requirements for additions of less than 500 square feet is allowed, in which case credit for glazing removed is allowed. 2. Meet the component prescriptive requirement for Package D (see Chapter 3) and all mandatory requirements. 3. "Heavy 1. ss" and "Light Mass" walls may meet the Package D requirements for mass wall insulation instead of R-13 (see Chapter 3). 4. For addition and alteration compliance only, dual -glazed greenhouse windows and dual -glazed skylights are assumed to meet this requirement. 5. The Package D fenestration area plus the area of any glazing removed because of the addition. 6. All applicable mandatory measures must be met (see Chapter 2). 7. No electric resistance space heating may be installed. Additions and Alterations July 1, 1999 7-7 TABLE NO. I Z15 ALTERNATIVE COMPONENT PACKAGES FOR CLIMATE ZONE 15 LEGEND_ NR = Not Required, • NA = Not Applicable; REQ = Required,• MIN = Minimum SEE NOTES FOLLOWING TABLE NO. 1-Z16 342 July 1, 1999 Residential Manual PACKAGE] COMPONENT ' 'A B C O BUILDING ENVELOPE Insulation Minimums2 Ceiling R30 R38 R49 R38 Wood Frame Walls R19 R19 R29 R21 "Heavy Mass" Walls (R5.5) (R4.5) NA (R4.76) "Light Mass" Walls [R7.01 [R6.01 NA NA Below Grade Walls NA NA NA RO Slab Floor Perimeter R7 R7. R7 NR Raised Floors . R19 R19 R21 R19 Concrete Raised Floors NA NA NA R4 GLAZING Maximum U-value3 0.65 0.65 0.40 0.65 Maximum Total Area NR 1601* 16% 16% Maximum Total Nonsouth Facing Area 9.6% NR NR NR Minimum South Facing Area 6.4% NR NR NR SOLAR HEAT GAIN COEFFICIEN14 South Facing Glazing 0.15 0.15 0.40 0.40 West Facing Glazing 0.15 0.15 0.40 0.40 East Facing Glazing NR NR a40 0.40 North Facing Glazing NR NR NR NR ' THERMAL MASS5 REQ NR REQ NR INFILTRATION CONTROL Continuous Barrier NR REQ NR NR - Air -to -Air Heat Exchanger NR REQ NR NR SPACE HEATING SYSTEI46 Electric Rtistant Allowed NO NO YES7 NO If Gas, AFUE = 78% 78% 78% MIN If Heat Pump, Split System HSPF8 = 6.8 6.8 6.8 MIN, Single Package System HSPF = 6.6 6.6 6.6 MIN SPACE COOLING SYSTEM ' If Split System A/C, SEER = 10.0 10.0 10:0 MIN If Single Package A/C, SEERS = 9.7 9.7 9.7 MIN DOMESTIC HATER HEATING TYPE System must meet budget, see ANY ANY ANY4 ANY 151(6)1 and 151(0(9) LEGEND_ NR = Not Required, • NA = Not Applicable; REQ = Required,• MIN = Minimum SEE NOTES FOLLOWING TABLE NO. 1-Z16 342 July 1, 1999 Residential Manual