Loading...
9801-091 (AR)LICENSED CONTRACTOR DECLARATION I'hereby affirm 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 Date Signature of Contractor 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). (y) lm exempt under Section B&P.C.Jj this reason, pate Signature of Owner,/ WORKER'S COMPENSATION DECLA ATION 6 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. ( ) 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: Cartier Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( Yl 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' compensatio�'�aws of C`alifomi as nd 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 provisidns. ,Date Applicant Warning: Failure to secure Workers' Compensation coverage4�s unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is=hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon Zto4-mentioned property for nspection purpos s. re (Owner/Agent) sty - % Date PERMIT# . •• CONTROL.# BUILDING PERMIT��� �� ,; DATE /� x VALUATION LOT TRACT t6 �7�727 ADDRESS 44-270 .�C�:'dLD��.�+}Y NFR. LANE' JOB SITE APN fi49.,062.4}.'<; .i OWNER CONTRACTOR / DESIGNER / ENGINEER 46270 ROADRUNNER L,LJ A A USE OF PERMIT PAID 38tt .k.. Rix.w seiaMUO FEB 111998 S13►'��.'NC'3'!',�i.f, f�'tlfl?i �i'�.���)N..r��f)`i iphi�`I� t��li���� ; RECEIPT I DATE I BY / , I DATE FINALED INSPECTOR .G 41"ALs.20 S04140S i 47 VP lfll-M£1-$fi? tiClO°tyd a;f> ,�.:, �l;,:i<E'AI:.f-fafN • 1 r,1.1=000.421 UOU :i.��"`fhl+"At� bjsc � tial-Cii3(7-:(•�5�-�ittii �'�a.u8 Lt_INIHIITlfb,yra''F}, tlx: f3(3a}-n lea-fli)ii 5.36.140 R11, t W(I NW—('V -IN )7FE - RL.14tfy 1()F..M10-2dI-O00 S13►'��.'NC'3'!',�i.f, f�'tlfl?i �i'�.���)N..r��f)`i iphi�`I� t��li���� ; RECEIPT I DATE I BY / , I DATE FINALED INSPECTOR .G 41"ALs.20 S04140S INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings ----Underground _� Ducts Ducts Slab Grade Return Air Steel Combustion Air Roof Deck y Exhaust Fans O.K. to Wrap F.A.U. Framing 6 Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam 3 - (F - 7 r Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final /d' — Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines - oZc,G — Q 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 �G rpAlAl�a� a/—� Final COMMENTS: 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) BjX.... n # :::::::.:::::: w t Ci ofLa QUinta tY= Buildin'g a Safe h Division " - �_. P.O.Btix 1504 ::............ Rerrrtft #' ............ ........... .. .......:::: , .78-495 Calle Tam ico P .:.. ;::.:'.::.::.::::. . --,.• _-' Quinta,�CA�92253.- ................................. :. ..:>X;: ''.Building:Permit Applicationrand`Tracking Sheet ...............:>:: .....::..:.: �ProJect Addressa �O.wnerns-Name: Legal Description:- - , ,.--' - Contractor. •-=%--^r. �_•>::`>:<:E::`:E:E: Tele hone1 P — — �' Address: • . „ t Pro'ec De cs np on: City.ST, Zip , Telephone:• , • M. .f •' - t State Lic:`# f Ci_V Lic: #: t�Arch Engr Designer: I AdilressJs + —Cif p• : .3$ :x 7?; � Tele hone r P t .:::::..:::::::::::.:.......... T Occu anc : Construction e: Y YP P . S tate.Lic. #: .-'' Project e circle one). Ad3'n Alter Repair Demo J type P c ) Name of Contact Persons ;Sq. Ft.: .3 $ S _ # Stories: # Units: Telephone # of Contact. Person:, 4541 . � , r • 'Estimated Value -of Project: fy 9 C/Ty O.FI- A 0�el. Oct N/p(efL pI . 2 0 RECa SA MEMORANDUM ���pry °y TO: Mark--Harold;-Building and Safety Manager FROM: Wally Nesbit; Associate Planner DATE: 10/17/97 RE: PERMIT FILE .FOR 46-270 ROADRUNNER LANE Mr. Ralph Engle, resident at the above address, was referred to our Department about a determination on. the .required setback for an expansion of his house. I consulted with Jerry on the. attached lot configuration, and we determined that his westerly property line is considered an interior side yard with a setback of .5 feet. This determination should be kept in the address file or other readily accessible location, as Mr. Engle has not yet determined when he might apply for,a permit. Should you have any questions regarding this, please contact either myself or Jerry. c: Community Development Director 4 N N ♦ �V I /t - 1. 0 .. „ AXi l r .A I _ itCJCf`Ss •r . 7C A NE u.. • DA TI R L L. A /! .0/7 M. B. 41137- 39 T-roct . No. 2180 M. B 4//55- 57 'v 2190 Mr. & Mrs. R. Engle 46-270 Roadrunner Lane La Quinta, .Ca Electrical .Load .c.alc.ulations of existing residence (1800 Sq Ft) Kilovolt -Amperes x 1000 / Volts = Amperes A phase. B 3 KV x 1,800 Sq Ft 5.4 KVA 1240V = 22.5 22.5 (NEC Article 220-.3.b) Refrigerator 0.7 KVA / 240V = 6.0 Dishwasher 0.4 KVA / 240V = 3.6 Trash Compactor 0.6 KVA / 240V = 4.9 Oven 3.4 KVA / 240V = 28.0 Microwave 0.7 KVA / 240V = 5.8 Stove Top 1.3 KVA / 240V = 11.0 Dryer -2.0 KVA / 240V= 17.0 Washer 0.7 KVA / 240V = 5.9 Air Conditioner 3.1 KVA I240V = 26.0 Forced Air Unit 0.8 KVA / 240V = 6.7 TOTAL 82.2 77.7 MAXIMUM EXISTING AMPERES. _ 822 Existing Services (Amperes) 200 Allowable for New Addition 117-8 Amperes T l K . • Desert Sands Unified School District 1 Notice• r 82-879 Highway 111 • Indio, CA 92201 w ' Document Cannot Be -Duplicated r 619-775-3500 CERTIFICATE OF COMPLIANCE Date - 1/20/98 *4 APN # E49-062-022 ' No.' 16523 Jurisdiction La Quinta Owner NameRalph N. Engle Perrsit # No. 46-270 street ;Roadrunner Lane Lag # City -La Quinta Zip 92253 _ Study Area _ Tract # Lot,,# ': Square Footage 388 Type of Development Single Family Residence No.'of Units 1 Comments Single Family Residence ; 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: , + EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of_.'.' 0.00 X 388 ',,or $ 0.00 , the property listed'above and that -)uildmg permits and/or Certificates of Occupancy for this square footage in this proposed project may now.be issued • f Fees Paid By'n/a' . 9� Telephone 760-347-1991 ' Name on the check By: Dr. Doris,Wilson •" - Superintendent Fee collected /exempted by Olivia Aguirre Exempt $0.00 Check No. 00 Signature NOTICE: Pursuant f Assemby 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 run from 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 anotherpublic entity authorized to r tolled 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 , ASSESSOR'S PARCEL NUMBER COUNTY OF RIVERSIDE HEALTH_ SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH 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 specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County{of�Riv2yrside,cApvp�ovOa`f. this applica7 tion shall remain valid for a period not to exceed one year from date of payment. ii iT y7 $3 [ s 1 LOG # • Agent ntractor, onta erson �•i-i.( Address City State � Zip Telephone . 9?2 ' t Owner I Address / �sity (State / Zip Telephone, Q �t , s° Z Job Property Address City Zips r U Lot Size q !. Water Water Agency/Well Use of Permit, P/#P, SUP, PUP, etc. Legall Description .� /0 �(, `. Dwelling, MH Site Prep., etc. ( Signature Y"Applicant ` Date CHECK BOX I REQUIRED / 1 ❑/Holding Tank Agreements Completed[ ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) }� 'Certification "7! d �/� ' " ❑Gar ding •Provided ` tJ of.Ezisting S,D. System Required r : Handout m ❑ WQCB Clearance Required ❑ Staff Specialist Lot Inspection Requir--d Z (Attach For DOH -SAN -007, Santa Ana Region Only. ' O ❑ Lot Inspection , + U❑ Soils Percolation Report Required ' UJ ❑ Date Lot Inspection Completed: Initials N ❑ Special Feasibility Boring Report Required Remarks: ❑ Maintenance Booklet Provided Initials Date ❑ Final Inspection by Department of Environmental Health is required. " r C/42 / Soils Percolation Boring Report by r 5 .i 1 " L14Project # Date Soils Map Page Soil Type Approved By Date 1 No of Systems Type of System(s) No. Dwelling Units '►9 (1) Septic Tank Soil Rata Grease/Sand ❑ Holding Tank O Replacement Bedrooms, Fixture Units% .oY. �� Grease Intcp/Unt Trap E { ❑New ❑ Addition O Existing a t . P /' ' " ` -ZOO Gal. 2 Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. of Bottom Area Ft. Bottom Area ft. rock/ sq. ft. running ft. Install Line(s) ft. long ft. wide with Inlet Tested Depth ❑ NA min. inches rock below drainlines or U Proposed Bottom Tested Depth• Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Other: Q Total Depth Allowable H Applicable Depth W N/A Overburden Factor ❑ 5' 0,6" TD U) Well Review Approved: i Date: Well Drilling Permit # SIGNATURE f - Grading Plan Approved: Date: SIGNATURE Sewer Verification Approved: Date: REMARKS: :r i ,- t e""T w�-, �./ i r d� �(�!' _r, i rm J.'f. iY,7M1. i�/ ^I -i atf^-) J. '1n �!� i 4^• Y This application is PPA RO EV D DENIED for the category checked in SECTION B FOR OFFICE USE ONLY above, regarding the-desiy of a subsurface disposal system as Indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build- j ) ing permit is necessary for the Installation of the above -designed system. No construc- Revenue code .7C Fee $ tion is permitted in the required reserved 100% expansion area. 1 (1)) Septic Tank must be 100' minimum from any wells. �/ 0 Cheek # � / 3 (2) Leach lines must be 100' minimum from any wells, including expansion area. Date Initial O {/ 3 Sewer lines must be 50' minimum from any wells. �/ 1 T. Z O �4) Seepage pits must be 150' minimum from any wells, including expansion area. W Cn Signature of Health Official Date ' `OOH -SAN 122 (Rev 9/93) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROL—Plans/Records OWNER / BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the.builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible paity of record•on•such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect +ourself from possible liability if that person applies for the .proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law'to put their license number on all permits for which they apply. - If you.plan to do your own work, with the exception of various trade's that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise,engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons, are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State, -and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributians. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact'the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, .property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Own--r/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing 'their own work personally: Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will.not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta,• CA 92253 (760)777-7012 FAX (7 0) 77777011 OWNERS SIGNATURE/DAAE PROPERTY ADDRESS PERMIT NUMBER(s) • o FROM . CABEC/C.Christensen PH01,1E N0. : +909 763 L522 Fef). 24 1998 05:40Phl P02 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Guest House Date........ 02/24/98 Project Address........ 46-270 Roadrunner Lane ******* La Quinta, CA *v4.51* Documentation Author... Carole Christensen. ******* u!!ng Permit Carole Christensen 47-596 Lake Canyon Drive Plan Check / Date Aguanga, CA 92536 800-735-81.52 Viela ?-'Fieck/a e Climate -Zone........... 15 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Fnercomp, Inc. MICROPAS4 v4.51 File-ENGLEADD Wth-CTZ15S92 Program -FORM C -2R User#-MP1017 User -Carole Christensen Run-Vb6.8EER1GR19.38. 40EF60 MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf -yr) . Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Design 3.33 52.04 40.93 Proposed Design 3.69 57..40 34.58 95.67 Compliance Margin -0.36 -5.36 G.35 0.63 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......:.. Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area.. ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling He.ight..... Floor Area Zone Type (s) 388 of Single Family Detached New Front Facing 130 deg (SE) 1 ReducedYear Slab On Grade 1. 3104 cf 388 Sf 388 sf 388 of 38.7 %- of floor area 0.78 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION # of Vent special volume Dwell Cond- Thermostat Height 'Went Area (cf) Units itioned Type (ft) (of) HOUSE Residence 388 3104 .1.00 Yes Setback 2.0 n/a FR,10P1 : CAEEC/C. Chi -i sten) en PHONE [-Z. +909 63 0522 Feb. 24 1998 05: 41FP1 P03 COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Guest House Date........ 02/24/98 MICROPA84 v4.51 File-ENGLEADD Wth-CTZ15S92 Program -FORM C -2R User#-MP1017 User -Carole Christensen Run-Vb6.8EER10R19.38. 40EP60 Surface HOUSE 1 Wall 2 Wall 3 Wall. 4 Wall. 5 Wall 6 Wall 7 Roof 8 Door 9 Door Surface OPAQUE SURFACES Area U- Insul Act Solar (sf) value R-val Azm Tilt Gains I4OUSE 10 SlabEdge Surface HOUSE 1 Window 2 Window 3 Window 4 Window 5 Window Form 3 Location/ Reference Comments 130 0.065 17,8 40 90 Yes W.19.2XG.1S right 79 0.065 17.8 310 90 Yes W,19.2X6.1S back 26 0.065 17.8 85 90 Yee W.19,2X6.16 corner 11 O.,OG5 17.8 130 90. Yes W.19.2X6.16 front 112 0.065 17.8 220 90 Yes W.19.2XG.1S left 80 0.065 17.8 220 90 No W.19.2XG.16 left 388 0.025 38'• n/a .0�Ye9 1.5 R,R38.2X4A attic 20 0.330 0 220 90 Yes None solid wood 20 0:.330 0 310 90 Yes None solid wood 6.0 3.5 PERIMETER LOSSES n/a Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments 79 0.720 R-0 No to outside FENESTRATION SURFACES # of Area Pan- Frame (sf) es Type Vent Open Type SC SC Interior U_ Act Glass Int Shading/ value Azm Tlt Only Shade Description 21.0 1 None` Fixed 0.720 130 90 0.72 0.72 None 70.0 1 None Fixed 0.720 85 90 0.72 0.72 None 12.0 2 Metal .Slider 0.870 220 90 0.88 0,58 Blinds.Lt 29.3 2 Metal Slider 0.870 310 90 0.88 0.58 Blinds.Lt 18.0 2 Metal Slider 0.870 40 90 0.88 0.58 81inds,Lt OVERHANGS AND SIDE FINS Left Fin -Right Fin - Ext Dpth Hght Ext Dpth Hght n/a n/a n/a' n/a n/a n./a n/a n/a n/a n/a n/a n/a n/a n./a n/a n/a n./a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a' n/a Window--- Overhang Area Left Rght Surface (sf) 14ght Wdth Dpth Hght Ext Ext HOUSE 1 Window 21.0 10.0 7.0 3.5 0.0 n/a. n/a 2 Window 70.0 3.0 7.0, 3.5 0.0 n/a n/a 3 Window 12.0 1.5 4.0 1.0 1.0 n/a n/a 4 Window 29.3 3.8 8.0 3.5 0.0 n/a n/a 5 Window 3.8.0 1.5 6.0 3.5 0.0. n/a n/a Left Fin -Right Fin - Ext Dpth Hght Ext Dpth Hght n/a n/a n/a' n/a n/a n./a n/a n/a n/a n/a n/a n/a n/a n./a n/a n/a n./a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a' n/a _W11 : CABEC/C.Christensen PHdHE HL. +909 763 b522 Fe}.. 24 i95S 05:4241°1 404 COMPUTER METHOD SUMMARY Page 3 yC-2R Project: Title.......... Guest House, Date..... 02/24/98 7 MICROPAS4 v4.51 File-ENGLEADD Wth-CTZ15S92 Program -FORM C -2R User#-MP1017 User -Carole Christensen Run-vb6.BEER107�19.38. 40EF60 Mage Type HOUSE 1 SlabonGrade 2 InteriorVert System Type HOUSE HPPackage HPPackage HVAC SYSTEMS THERMAL MASS Area Thick Heat Conduct -.Surface Duct Efficiency (sf) (in) ' Cap ivity R -value LocatIon/Comments R-0 388 3.5 28.0 0.98 R--2.0 framing/cabinets/carpet. 108 1.0 24.0 0.67 R-0.0 shwer•walls System Type HOUSE HPPackage HPPackage HVAC SYSTEMS Minimum Duct Duct Duct Efficiency Location R-valtie Efficiency 6.80 HSPF bone R-0 1.000 10.00 SEER None R-0 1.000 WATER HEATING SYSTEMS Tank Type Heater Type 1 Storage Gas Number Tank External. in Energy Size Insulation Distribution Type System Factor (gal) R -value Standard 1 0.6a 40 SPECIAL; FEATURES/REMARKS The size of the tangy: is -not important as long as it has an EF (energy factor) of .60 ,or higher-. R-12