9704-146 (AR)LICENSED CONTRACTOR DECLARATION
1' 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:
(K) 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.
( ) 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 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,
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 provisions.
Date: Applicant �
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 -mentioned property for inspection purposes.
Signature (Owner/Agent) Date
BUILDINGPERMIT PERMIT# CONTROL#
5838
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
USE OF PERMIT
x-, :�.t �.+-n.-ri i,. °i. =! i+_�; i. •. ">i•s�,f#i_' i+.ii t-t:.i:.
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1*g"U.Ni t 11.M: `oitMiy`ilikkv
tff,zkNf Wt.,*.. FVE 161 a 00 f."fts., 1IN $1t. 'x i
t't`tPSkt'd'121t+'"`f'S++w, l•"! 10t fHK):tIX_f!?t}
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SEP 02 1997 atfAt, 11VAN111 VT,*s044, N4�
S 11
CITY Lk01ANTA
RECEIPT
DATE
BY
DATE FINALED
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 2
Exhaust Fans
O.K. to Wrap
Framing
F.A.U.
Compressor
Insulation OD cr7rw
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath ( I I M,p L
Qg!ft V4 P*�
Final
Final
BLOCKWALL APPROVALS
Sted6
POOLS - SPAS -
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I I
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: _
//G2��✓�� ��"
Notice:
Document Cannot Be Duplicated
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 5/1/97 APN # 604-252-021
No. 15478 Jurisdiction La Quinta
Owner Name Jon B & Lisa Ann Foster 'Permit #
No. 44610 Street Saffron Ct. Log #
City La Quinta zip 92260 Study Area 233
Tract # Lot # Square Footage 455
Type of Development Residential Addition Pio. of Units 1
Comments
At the present time, the Desert Sands Unified School District does not collect fees on gara;es/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehom.es.
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 455 or $ 0.00 the property listed above and that tuilding
permits and/or Certificates of Occupancy for this square footage in this proposed project ma_y bnowebe issued
Fees Paid By n/a
:`'Telephone "345=9274
Name on the check J j
By Dr. Doris Wilson
U�
Superintendent
Fee collected /exempted by Pauline Pearson Exempt "woo
Signature
Check No. n/a
OTICE: 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 protes+ the fees or other payment identified
bove 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 another public entity authorized to
oiled them on the District('s)(s') behalf, whichever is earlier. I
Collector: Attach a copy of,county or city plan check application form to district copy for all wai-.,ers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting'
ES ENGINEERING
,. 51960 EISENHOWER DRIVE
LA QUINTA, CA. 92253
October 16, 1997
TO WHOM IT MAY CONCERN
UNIFORM LOADING ON EXISTING 4"X10" HEADER FROM NEW ADDITION
WAS CALCULATED INDEPENDENT OF SPACING OF THE JOISTS AT
W=428.93 PLF. IT WAS ALSO ASSUMED THAT THE LOAIIING IS
UNIFORM SINCE THE SPACING OF THE JOISTS THAT CARRY THE LOAD
TO THE 4"X10" HEADER WAS AT 12" O.C. IT WOULD ALSO BE
PRACTICAL TO ASSUME UNIFORM LOADING -WITH JOIST SPACING OF
241I O.C. THEREFORE, THE MAXIMUM ALLOWABLE UNIFORM COAD WOULD
BE THE SAME_: Wmax=503.69 PLF.
Sincerely,
ESSI SHAHANDEH P.E.
Wm
o= NO.4' = n,
s�91 CIVIL �P
FOF CALIF
67 -
Orr �y
19•-99 07: 43A Va l ent i ne Construct iron 760+341+7193 P.01
.
cir IV OP
. Tq
•
FEB 19 RECD '
SUILt71PqG ewes
CONSTRUCTION INC.
Ca. Cont. L 646826 Palm Desert: 41-905 Boardwalk, Suite G, Palm Desert, CA 92260 • Far (760) 34' -7193 (760) 779-97.97
Nev. Cont. Lic: 40102 Corporate Office: 3276 Rosecrais Street, 3rd Floor, San Diego, CA 92110 • Fak (619) 22: -5070 (619),225-9797
Az. Cont. Lic: 130544
. Fcbruan 18, 1999 (0 Ch,'=—
To: City of La Quinta Building Department `Q I
r
From: Jon Foster
44-610 Saffron Ct.
La Quinta, CA 92253
(
Due to the financial hardship of changing employment, I have been unable to complete the mmxt phase of
construction on my room addition at the above referenced address. If I am able to have an extension of 6
months, I will be able to get back into production.
Thank you for your consideration in this matter.
Sincerely,
Inn Fnsier
OTTSDALE • INLAND EMPIRE • LOS ANGELES ORANGE COUNTY • PALM DESERT. SACRAMENTO SAN DIEGO LAS VEGAS
,,;.A -Certificate of Compliance: Residential (Page 1 of 2) CF -1 R
n IT -I u 5 Arr-t%n..o 0 U 0 ki, - l,a Q,) l NTA
Project Address
PA�cVP-AA&E { b
Compliance Method (Package, Point System or -Computer) Climate Zone
GENERAL INFORMATION
Total Conditioned Floor Area:
cZ ft2
Building Type: _ -4 Single Family _Z( Addition -T=
(check one or more) Multi -Family Existing -Plus -Addition
Front Orientation:. North / East / South est All Orientations
(Input orientation in degrees and circle one.) - -
Number of Dwelling Units:
Floor Construction Type: (SlabV Raised Floor (circle one or both)
BUILDING SHELL INSULATION
Component Insulation Assembly Construction Location/Comments --
Type R -Value U -Value (attic to garage typical etc) ---T
Wall ..............
Wall ...............
Roof ............. oy8 s_I
Roof .............
Floor............. —
Floor .............
Slab Edge....
FENESTRATION Shading Devices -
Building Permit #
Plan Cheek / Date
Field Check / Date
Fenestration
Orientation
Area
(sf)
Fenestration
U -Value
Interior
Exterior
. Overhang
Framing Type
(roller blind, etc.)
(shadescreen, etc.)'
(yes/no
(metal/wood/vinyl)
Front.....
Front.....—
Left....... (tJ)
Left ......
5�
_ �5
►.to
St,t>Jos
Suascti►�
Rear .
Rear.....(�j
Right..... (5)
Right. ( )
Skylight ......
Skylight .......
O IA
NIA
NIA
M6z-A l�
THERMAL MASS
Area Thickness
etc.) (sf) (inches)
-r) Lr, - 91
Revised December 1992
bath, etc.
r Certificate of Compliance: Residential 4 .0 (Page 2 of 2 CIF -1 R
9 )
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
• Distribution
Heating Equipment Minimum Type and Duct or - Heat Pump
Type (furnace, heat Efficiency Location Piping Thermostat Configuration
pump, etc.) (AFUE/HSPF) (ducts/attic, etc.) R -Value Type
(split or package)
��4�tuU
Cooling Equipment Minimum Duct
Type (air conditioner, Efficiency Location Duct Thermostat Configuration
heat pump, evap. cooling) (SEER) (attic etc) R -Value 'Type;a(Split or package)
WATER HEATING SYSTEMS
- Energy External
Rated Tank Factor or Tank
Water Heater Distribution Number Input (kW Capacity Recovery Standby' - Insulation
Type Type in System or Btu/hr) (gallons) Efficiency LoEs (%) R -Value
rG`Fl ST t �1 fe
For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Erergy Factor.
For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby s:
For instantaneous gas water heaters;;list Rated Input and Recovery Efficiency. 0 .
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
LSEuav t N t, ► o l� a9- E,���z-� Uh uAz 10 U -t- t (4020 o F 4C, A LLZw n -e• UE -1
COMPLIANCE STATEMENT !tet aztt`' In
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24,parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple.
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. _
Designer or Owner (per Business & professlons Code) Documentation Author
Name:
Title/Firm:
Address:
Telephone:
Lic. #:
(signature) (date)
Enforcement Agency .
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Name: &TOA -) 'D. FAG co
Title/Firm:
Address: 1p pj- 40'1 41 b O W "
C ATI-} FD ¢.A.l. C -1-r-, c -A 9;->54
_
Telephone: ( -
�
7•
(.. A ��iiisM �fl�ib__ 1 f
, S_ d"i'.��Y+ r5 '�YI�•�.'r'✓
s" •r -_t': ,'FSS tl", 6,e Y C}i S rYr
. � - x .
!< As ii r ��f
.•:
APPRO�9 . ALTEFIN L r I ' -
, UTNE ENERGY DESIGN ��A�SIDENTIA� •,� ;..
•
.Fd.S,.F 3hL;<.i(t .iT�i -aU'` sJ + s• `v 'Ad +, F� C+i I C -r :H xx d." t a e I .i
L... f 4 h ,.IJ1"# 73
3• 'i4; aY'eL'91-$I�S
,,y
'
. lJ i>>iY
Sv,....Rv..�
utr,IlJri.�
BUILDING •'•<'
COMPONENTS
100
100-
r
`i'
499 g®g_
1000. _iSLAB)
'
INSULATION
CEIIJNG INSULATION
R-19
R38 R38
R38
R38
R-38 ..
.
WALL INeuuT10N .,
8-13
8-13 8-13
8.21
R•21
R•,1
-HEAVY- WALL.
(8-4.76),.
(R-4.76) •76)
(R�4.76)
(R-4,76)
0:1-476)-
RAISED FLOOR INSULATION
R-19
R-19 R-19
R•19
R-19
8.19
GLAZING
ALLOWABLE U•VALUE
0.75
0.7S a 0.65
0.65 r
0.65
0.65
MAMMUM Gues AREA
<= 50 FT ^ 2
16% -.16%
16%
16% •
1686
"
r
0" CLAW AREA (PWBGLASS AREA
'
SHADING
-
REMOVED FROM EIL) y REMOVED FROM E%)
c
COEFFICIENT
SOUTH FACING GLASS
N/R '
0.40 0.40
0.40
0.40
0.40
WEST FACING Dues
N/R
0.40 0.40
0.40
0.40
0.4
EAST FAaNO GLASS
NAR
0.40 0.40
0.40
0.40
0.40
NORTH FACING GLASS
N/R
0.66 0.66
0.66
0.66
0.65
-
'
THERMAL MASS
`
0
PACKAGE ORE PACKAGE D ORE
PACKAGE O ORE
•' 20%
5%,
.
SPACE HEATING
'
GAS wuE)
78% 78%
78%
78%
783
'
NEAT PUMP (HBPF)
-
SPLIT SYSTEM
6.8
6.8 6.8
6.8
6.8
6.F
SINGLE PACKAGE UNIT
6.6
-6.6 6.6
6.6
-6.6
6.E
SPACE COOLING
'- IEA %r-7 v
•` I'' z : * .
-
e
SF7LT srsTEM (SEEFq
10.0
?10.0 10.010.0
r
fit 10.0 . A
10.0
.
SINGLE PACKAGE UNIT(seEFp
9.7
9.7 9.7
9.7 °
r
9.7
9.7
WATER HEATING
IF REPLACED)
OF ADDED)
GALS c - 60 GAL
MUST MEET
OAS <- 6o GAL GALS <- 60 GAL
-
a..-60 GAL
'
GAS <- 6o GAL
Gti5 �. 6i GAL
-
BUDGET
MUST MEET MUST MEET
BUDGET BUOGET
MUST MEET
-
MUST MEET
MUST MEET
BUDGET I
BUDGET ''
BUOG6T-
SOME OF THE OPTIONS AVAILABLE TO MEET SHADING COEFFICIENT OF 0.40 ARE:
'
1. METAL FRAMEO WINOOWS MTN EITHER UGHT VENETIAN SUNOS OR FOULER SHADES (OPAQUE WHITE OR TRANSLUCNET UGHT) AND SUGSCREENS
2 WOOD FRAMED WINDOWS VATH MULLIONS, VENETIAN BLINDS AND BUG SCREENS
-
S WOOD FRAMED WINOOWS VATN WHREWF WMRE DRAPERYANO BUG SCREENS
A METAL MNOOWS WITH MULUONS, MMffLWF WHITE DRAPERY AND BUOSCREENS F
-
A
ORAPCRY L9 A LOOSE FABRIC HANDING JUST INSIDE AND CAPABLE OF COVERING A WINDOW.
VENETIAN
BUNDS, MINI-0UNOS OR VERTICAL BUNDS CAN SE MACE ESSENTIALLY MT FACING THE WINDOW, s k
1
-
UOIR OR OFF WHITE INCLUDES WHITE WITH A UWR PASTEL TINT (EQ EGGSHELL CREW. ETC.) AND MIRROR LIKE COATING THAT REFLECTS IMAGES. y'
TYPICAL THICKNESSES OF INSULATION ARE AS FOLLOWS:
R-13=31/2', R-19=51/2', R-21=51/2', R38=11' FIBERGLASS BATTS
°
ALL
MANDATORY MEASURES ARE REQUIRED TO BE MET REGARDLESS OF THE SIZE OF THE
ADDITION.
PLEASE SEE THE ATTACHED NOTES FOR THESE REQUIREMENTS.
XnWeli'iff
The value shown in parpriteses is ,the' minimum R -value for the -entire wall assembly
.7 ' �, v 411 pounds r
excluding the interior and e ff6" weight exceeds 40 po oe
square foot.
A slab floor is defined Is greater than 50% slab on grade and a raised floor is defined
as less than 50% slab on grade.
Automatic setback thermostats must be installed in conjunction with ell space heating
systems.
HPSF means "Heating Seasonal Performance Factor".
5. Electric resistance heating is not permitted when using the attached -method of
compliance.
6. The fenestration U -value, rating procedures and labeling requirements are now ;effective
for all fenestration products except dual pane, aluminum frame fenestration.products, for
which these areOP tional until July 1, 1993.
7. All insulation installed must meet the C. E. C. quality standards. Note on,plans.
8. All fireplaces have closable metal or glass doors, outs * ide air intake with-.Aamper and
control (when installed on an exterior wall) and flue damper and control.. -Continuous
burning gas pilots are not permitted.
9. All HVAC equipment, water heaters, showerheads and faucets must be cedi-fied by
California Energy Commission.
10. Piping and. tank'insulation is required as follows; 1. Indirect hot wzter I tanks require
insulation blanket (R-12 or greater) or combined interior/exterior in,itilation (R-16 or
greater), 2. First 5 feet closest to water heater (both cold and hot water lines) R74 or
greater.
11. Duct insulation to -R-4.2 minimum or show located entirely.within conditioned spaces.,
12. Pool, I and spa heating systems shall be a certified as minimum of 78% thermal,efficiency,
on-off switch, weatherproof 'operating instructions, no electric resistance and no pilot
light. Covers are required for both pools and spas. A 36" minimum long pipe is required
between filter and heater for future solar heating installation.
13 40 lumens per watt or greater (fluorescent) for general lighting in kitchens and rooms
with water closets is required.
14. Type IC (insulation cover) recessed incandescent fixtures are required, if installed.
1.
2.
3.
4.
XnWeli'iff
The value shown in parpriteses is ,the' minimum R -value for the -entire wall assembly
.7 ' �, v 411 pounds r
excluding the interior and e ff6" weight exceeds 40 po oe
square foot.
A slab floor is defined Is greater than 50% slab on grade and a raised floor is defined
as less than 50% slab on grade.
Automatic setback thermostats must be installed in conjunction with ell space heating
systems.
HPSF means "Heating Seasonal Performance Factor".
5. Electric resistance heating is not permitted when using the attached -method of
compliance.
6. The fenestration U -value, rating procedures and labeling requirements are now ;effective
for all fenestration products except dual pane, aluminum frame fenestration.products, for
which these areOP tional until July 1, 1993.
7. All insulation installed must meet the C. E. C. quality standards. Note on,plans.
8. All fireplaces have closable metal or glass doors, outs * ide air intake with-.Aamper and
control (when installed on an exterior wall) and flue damper and control.. -Continuous
burning gas pilots are not permitted.
9. All HVAC equipment, water heaters, showerheads and faucets must be cedi-fied by
California Energy Commission.
10. Piping and. tank'insulation is required as follows; 1. Indirect hot wzter I tanks require
insulation blanket (R-12 or greater) or combined interior/exterior in,itilation (R-16 or
greater), 2. First 5 feet closest to water heater (both cold and hot water lines) R74 or
greater.
11. Duct insulation to -R-4.2 minimum or show located entirely.within conditioned spaces.,
12. Pool, I and spa heating systems shall be a certified as minimum of 78% thermal,efficiency,
on-off switch, weatherproof 'operating instructions, no electric resistance and no pilot
light. Covers are required for both pools and spas. A 36" minimum long pipe is required
between filter and heater for future solar heating installation.
13 40 lumens per watt or greater (fluorescent) for general lighting in kitchens and rooms
with water closets is required.
14. Type IC (insulation cover) recessed incandescent fixtures are required, if installed.