11509 (PAT)K
4
P.O. BOX 1504 N o .
Building 78-605 Sagebrush 78 105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Bob Grimes
Mailing
Address 78-735
City
La Qiiintri,
Contractor
Address
zebruSh Ave
11509
BUILDING: TYPE CONST: • OCC: GRP.
Number 617-381--010
Zip Tel.
92253 1 Legal Description
619 564•-3998
State Lic. City
& Classif. I Lic. #
Arch., Engr.,
Designer Rd AnderhnIt
Address Tel.
4725 Sunny Dunes Rd. 619 778-1357
CityF92262
ip State
Palm Springs 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 -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, alter, 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
the provisions of 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 penalty of not more than five hundred dollars ($500).
O 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, Buisness and
Professions Code: The Contractor's License 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
does not apply to an owner of property who builds or Improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
.r
Date 1 Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of.consent to self-irisure, 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.
CERTIFICATE OF EXEMPTION FROM
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
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
Ihereby 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
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if 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
Project Description
Sq. Ft. No. No. Dw.
Size 1740 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include black wall or
000i . Covered PatioiS inchtided.
tstlmatea vaivavon $105,321.80
PERMIT
AMOUNT
Plan Chk. Dep. 250. 00 \4-
305.71 f
Plan Chk. Bal.
660.60
Const.
55.50
Mech.
134.21
Electrical
144 . nn
Plumbing
20.60
S.M.I.
20.00
Grading
—0 w
Driveway Enc.
2,254.28
Infrastructure
25.00
Arts in Public
25.00
Precise Phan--
- - --
3, 884.87
3,634.07
Fringe tow 1i. yard
77.28
TOTAL 3,962.15
REMARKS :.s . n / , 1•r.-
y t_ _ 1 ,_�% :
L i,r ! featt 1 I t1 I
lit 1 )t'•. f
ZONE:BY: +' *,rr:ii f ttJlrtL 1 win
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:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SO. FT. @
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)41 / LP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE l i t
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
r
POLE, TEM/PERM
LAVATORY'
HEATING SYSTEM- FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
FINAL INSP. �I �� �J
Ll
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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 n / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING � y
,UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ody
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)41 / LP
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE l i t
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. �I �� �J
Ll
FRAMING ��
FINAL INSP.S / ! 3 L1
ROOFING �Q G
VENTILATION ✓✓
�` //C3�
f; VJ `L
�f
REMARKS:
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
P
LA11TING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION [ '
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Point System Summary: Climate Zone 15
Title
Date
P -2R
BUILDING DATA GlasE Area % Gti ss
Conditioned Floor Area Number of Stories Nom— 0
$Raised Floor East 04
T
South 114 y :L_
Check all applicable Unit Type condition(s): West
Dd Single Family Detached (SFD) (] Addition Alone Skylight
0 oh
[ ] Single Family Attached (SFA) [ ] Existing Building Totals
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
SCORECARD
Measures Point 4cores
1. Ceiling Insulation U U or 0
R-value38] U -value [0.030]
2. Wall Insulation , I ,� or
R -value (19] U -value [0.066]
3. Raised Floor Insulation , _ or 0 _
R -value [ 191 U -value 10.0371
4. Slab Edge Insulation�_ or
R -value 101 F2 factor [0.771
5. Infiltration Standard
6. Glass Heat Loss
Type (double) U -value [0.65] % Total Glass 1161 Sum 1-6
7. Shading (Shade Open)
% Glass SC Eff. % Glass
a. North x
b. East d x
C. South x=
d. West �- 1,� _ .*
X S. -
�, �
e. Skylight 0 x ,1� - n 0
8. Shading (Shade Closed)
% Glass SC Eff. % Glass
a. North :J�-- x �_ - l . a � 0
b. East -7 x . aq = !,Ito 4-1
C. South �_ �_
d. West x - I• I Iv 0,
C. Skylight 0 x = p 0
9. Interior Thermal Mass_ ,)
Interior Mass/CFA
10. Exterior Wall Mass 0 0 k
Exterior W Il Mass Sum 7-10
11. Heating System Q� x
Zonal Control? ( Y /INJ) SE or HSPF Duct Efficiency 10.781 Effective SE or
10.72/6.61 HSPF [0.56/5.15]
12. Cooling System - 0 xlf-,c-
Zonal Control? ( Y /�lj) SEER 19.5] Duct Efficiency 10.741 Effective SEER 17.03]
13. Water Heating vV n
Type (SGI Credit [none]
Point Total:
Form Revised March 1988
Thermal Mass Worksheet
Project Titie Date
INTERIOR THERMAL MASS
WS -1R
Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation
Afanual (ECM). Method B must be used for mass elements that have an interior unit mass capacit- less than 1.7.
,Method A: Look up the InteriorMass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type I
niass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on
AL achnient). Type 2 mass has an.UIMC greater than or,equal to 1.7 and less than 4.2. Mass % is the mass surface area
oiviLied by conditioned floor area (CFA). For mass elements exposed on both (two) sides to condi joned space, enter the area
of only one side to calculate the percentage.
Mass %
Type 1 Mass Area:
Type 2 Mass Area:
Interior Mass/CFA from Table 4-7:
Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Lookup the Unit Interior Mass.
Capacity "M.Q for each interior mass surface in ECM Tables 4-8a, 4=8b and 4-9 reprinted on the Attachment. Include the
interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to cor-ditioned space, enter the
surface area of only one side. include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM.
Unit Interior Interior
Description Mass Area Mass Capacity Mass Capacity
X
X
X =
X =
X =
Total CFA Interior Mass/CFA
EXTERIOR WALL THERMAL MASS
CalCulate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from
L CA1 Table 4-9 reprinted on the Attachment. Only exterior mass .wall surfaces may be included ir. this calculation.
Opaque Exterior
Uescripuon Wall Area Mass Factor
X =
X
X
Conventional Walls x 0 =
0— + Q
Total Total Opaque xtenor
Wall Area Wall Mass
Form Revised March 1988
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 11/12/92 Type of Permit La Quinta
No. 111833 Permit #
•
Owner Name Bob Grimes Log #
No. 78605 Street Sagebrush Avenue
City La Quinta Zip CA Study Area 124
APN # 617-381-010 Tract # I Lot # 0 Square Footage 11740
Type of Development I Single Family Residence No: of units 0
Comments
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 x 1740 or $ 2,749.20 have been paid to D.S.U.S.D. for
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 Bob Grimes Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett '
Payment lZkceiv,Fd
r .
Signature , Gr✓vvi eJ�� : ,r- °'
Cri=ck No -1294
Collector. Attach a copy of county or city plan check application form to ei'strict d6py f^r all wa Viers.
t, rr
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt f Copy- Accountii•.g�
d r No. J
Escrow No. 2571 -DS
..
Loan No..,
WHEN RECORDED MAIL TO: H 0 a� m r .
Robert N. Grimes ,cr w ad U
Betty A., Grimes a. `-- `� W <
�! 77385 Evening Shade Circle J
Indian Wells, CA 922210
SPACE ABOVE THIS LINE FOR FECORDER'S USE
MAIL TAX STATEMENTS TO: 31 90
DOCUMENTARY TRANSFER TAX$..........................................................
Same as above ` X... Computed on the consideration or vElue of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
THE UNDERSIGNED GRANTOR
Signature of Declarant or Agent determining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
TONY ZAMARRIPA and ROSA ZAMARRIPA, husband and wife
hereby GRANT(S) to
ROBERT N. GRIMES and BETTY A. GRIMES. husband and wife as community property
kill
N the real property in the City of La Quinta
County of Riverside State of California, described as
.,Lot 10, Desert Club Manor, Tract No. 1, as per map recorded in Book 22,'page 53 of Maps,
records of Riverside County, California
Dated January 22, 1992
)
STATE OF CALIFORNIA 1 }ss.
COUNTY OF QiJe-u-S\tl-Q, }
On v oo.-'A q 1;\ before me,
personally appeared -to y% y 2 CLVV- v- %"-
S cLL -Z-6- w L
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signa-
tures) on the instrument the person(s) or the entity upon, behalf of which
the person(s) acted, executed the instrument.
WITNESS ma and o Tal seal.
Signature
C \�
Tony Z i
Rd --Ka amarri
OFFICIAL SEAL
•: SHIRLEY B SMITH
Notary Publk>CaGfornia
J' RIVERSIDE COUNTY
My Comm. Exp. Mar. 26, 1993
(This area for official r,,itarial sea[)
MAIL TAX STATEMENTS AS DIRECTED ABOVE . 1002 (t/[