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10749 (SFD)Building 78--665 Saguaro Address S tern K3.1: Mailing Address 77795 Delaware City Zip Tel. Palm Deser 92260 Contractor Address - City lZip I Tel.: State Lic.589937 I City & Classif.Lic. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 10749 3UILDING: TYPE CONST. OCC: GRP. k.P. Number 617-383--016-7 -egal Description lroject Description SFD Sq. Ft.� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition El mt it does not include block wall or City Zip State pool L' / WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, ora certified copy -thereof. (Sec. 3800; Labor Code:) Policy No. .Company ' ❑ Copy Is filed with the city. . ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROMA WORKERS' COMPENSATION IN SURANCE (This section need not be completed, t' the permit is for one hundred dollars (S 100) valuation or less.) .. t — • '•- ! --... I certify that in the performance.oI thg ori) 'r vJM" cti this permit' is°issued, I shall not employ any person in any manner so,as to tiecome subject to)the Workers' Compensation Laws of California Date ' OwnerPN ti NOTICE TO APPUCANTVNg afterbis�Qrrificate' or Exemption you,,.shouid 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.) Lenders Name Lenders 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 TOTAL-•-4:�' REMARKS z.�a:y,,.,,x�L:Vlit`(."!'_'�iLI�5r•!L'.:2 , _..'§..s.>.f vim'' ZONE: BY: C. IF Distances: LICENSED CONTRACTOR'S DECLARATION Rear Setback from Rear Prop. Line - I herebyy`affirm'thet l amflicensed under provisions of Chapter 9 (commencing with Section 7000) of-DiWsion 3af'th {Business and Professions Code, license is in full force Side Street Setback from Center Line and my and (fact.! �`N-.� ' `! FINAL DATE INSPECTOR Issued by- 'SIGNATURE' \. DATE Validated by: OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors. License Law for the following Any., Estimated Valuation reason: (Sec. 7031.5,Bus-Dress and Professions Code: 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 file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Sectidn ,7031.5 -by 'airy applicant for a permit Plan Chk. Dep: ' .250.00 subjects the applicant to a civil penalty of not more than five hundred dollars.($500). Plan Chk. BBL �9 q 2 V `fi ��tt 1' % 7 3 '9 ❑ 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 Const. • `j !a, $ s .M?"'- I� %i 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. Mech. • i . V provided that'such Improvements are not intended or offered for sale: If, however, the building. orimprovement is sold within one year of completion, the.owner-builder will have the burden Electrical ` • 131.34 of proving, that.he did not build or Improve for the purpose or sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 166.50 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. S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20.00 ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. 20.00 Date owner Infrastructure ; 2.3wV -14. Ids WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, ora certified copy -thereof. (Sec. 3800; Labor Code:) Policy No. .Company ' ❑ Copy Is filed with the city. . ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROMA WORKERS' COMPENSATION IN SURANCE (This section need not be completed, t' the permit is for one hundred dollars (S 100) valuation or less.) .. t — • '•- ! --... I certify that in the performance.oI thg ori) 'r vJM" cti this permit' is°issued, I shall not employ any person in any manner so,as to tiecome subject to)the Workers' Compensation Laws of California Date ' OwnerPN ti NOTICE TO APPUCANTVNg afterbis�Qrrificate' or Exemption you,,.shouid 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.) Lenders Name Lenders 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 TOTAL-•-4:�' REMARKS z.�a:y,,.,,x�L:Vlit`(."!'_'�iLI�5r•!L'.:2 , _..'§..s.>.f vim'' 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 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL SO. FT. ROUGH PLUMB. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. Ff. DUCT WORK ROCK STORAGE GAR. SO, FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® OTHER APPJEOUIP. DRAINAGE PIPING WALL SO. F(. GAS (FINAL) TEMP. POLE l DRINKING FOUNTAIN. SO Ff ® GROUT URINAL 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 L� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.Ff.GAR ® i.c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 97 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS O 8C SEP//TIC TANKS ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. IV GAS (ROUGH)/.l METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE l GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -plus-x$_=$ LUMBER GR. /n � FINAL INSP 0q vcfi /1 / FRAMING r/ �j� L(/f CCC FINAL INSP. a ROOFING ' L� � �_/� } �b to REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND l FINISH GRADING n q FINAL INSPECTION l� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL . _ . ,,, .T�4r-�qr•y� „r..,,,,:.z--.w.z y ,.-, ..x,..,..;.y,. �. ..s��r<.: �'_ •, .. _ P.O. BOX1504. ` APPLICATION ONLY Building �J�(_ / / 5�,� •'�;cl,VI— : 78.105-CALLEESTADO Address / ✓ �(v LA OUINTA? CALIFORNIA 92253 Owne Mailing BUILDING: TYPE CONST. OCC. GRP. Address -77 c.{ ., L t2- C`iw.,a A. -P. Number Cit Zip-7.Tel. . G 6. Legal Description Contractor Project Description �C Address City Zip Tel.' State Lia & Classif.S�`t 01,17 'Lic. City # Sq, Ft. No.. No. Dw. : Size Stories Units Arch., Engr., Designer (� New'O Add ❑ Alter O Repair ❑ Demolition ❑ Address Tel. City p State. Lic. # C TOR's DECLARATIONI here firmun ons of Chapter 9 (commencing with Section �Ss 7000) Sion rofessi e, and my license is in full force and ' e ect. GNA7U " DATE OWN ER DECLARATION I hereby affirm that I am exempt from the .Contractor's License Law for the following, reason: (Sec. 7031.5,Business 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 permit to file a signed>statement that he :is licensed'pursuant..to the provisions of Me Contractor's License Law, Chapter 9 (commencing �wlW'Section 7000):.of Estimated Valuation _ ' . PERMIT AMOUNT Division 301 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five, hundied dollars ($500). - O I, as owner of the property, or my employees with wag es..as their sole compensation, will:. Plan 'Chk.. Bal: - CDn$t. 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 ..., Medh. - Electrical 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.) Plumbing - ❑ 1, as owner of the property, am exclusively contracting with licensed ontractors 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 $,M.1. such projects. with a contractor(s) licensed pursuant to the Contractor's License Law.) Q I am exempt under Sec. B. 8 P.C. for this reason Grading. Driveway Enc. Date Owner Infrastructure;• WORKERS' COMPENSATION DECLARATION ' I hereby affirm that I have a certificate of consent to self -insure, ora certificate of - Worker's Compensation Insurance, or a certified copy thereof. (Sec. -3800, Labor Code.) - Policy No. Company - ❑ Copy is filed with the city, r Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE EMARK$ - -REMARKS- (This (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation. Laws of California. - Date Owner , NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should.become subject to the Workers' Compensation provisions of the Labor Code, you must tonnwilb comply with such provisions or this permit shall be deemed revoked. .ZONE: - BY: Minimum Setback Distances: Front -,Setback from Center Line Rear Setback Jrom Rear. Prop. Line CONSTRUCTION LENDING AGENCY$Ide Street Setback from. Center Line 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.) Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR 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'eelating to building construction, and hereby authorize representatives sof this city to enter .the above- bovementioned property for inspection purposes. mentioned ISSued;by: Date Permit Validated by: Signature of applicant -Date- ateMailing MailingAddress _ Validation: ' City, State, Zip FINANCE DESERT SANDS UNIFIED SCHOOL DISTRICT 827'87.9111igli"'way 111 NOTICE:. Indio; , CA 92201 Document .Cannot Be Duplicated (619) 347-8681 -7- Date 14/7/92 1 Type of Permit Lk Quinta, No. 111300 Permit # Owner Name Ken -Stemmer Log# No. 78665 street Saguaro city La Quinta Zip '92253'Study Area APN # 1617-383-0-1-6-7-1 Tract #' I Lot #' E= SquamFootage 11660 Type of Development I Single, Family Residence No. of units Comments At the present time, the Desert Sands Unified School. District, does'not collect fees on garages/carports, covered patios/walkways, residen - tial, additions under -500 square feet, detached accessory structures or replacement mobiliahomes. 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 &cility fiees -imposed pursuant to Government Code. 53080 in the amount Of. or$ 2,622.80 have been paid to D.S.U.S.D. for the property listed above iand that buil andkir. Certificates of Occupancy for this square footage in this proposed project i e issued I - inajih�6jWbe�a Fees Paid By Ken Stemmer Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted b I ShelleyD..Bennett Signature Telephone '- Payment Received Qlheik, No. 2 Collector- Attach a copy of county or city plan check applicationformto district copy for a!waiyerigi. a Embossed Original- Building Dept./Applicaht Copy -Apolicant/Meipt Copy - Accounting li L111V iu}ijeiano, not f excluded'orexc6,plb-d-,Frcm,C-'-"----,',! ....'.. --aluu- migin.e.ltigati on.ass&I Purchaser of the 2gjgjq2rjn!QresdesC�hicfiwould entitle an i�sured hei . J19 -A. -Or. th SCHEDULE A --111111y (j) in case of any e,10W, (ii) in case knowledge shall come to any,plaini 6f,'litle or interest which is adverse t, thg Policy No: 53,5056! Premium: $300.00 Amount of Insurance:. $23,000.00 Date of Policy: February 25, J962 ;at B.Be..30 A.M. 1. Name of Insured: KENNETH E. STEMMER and PEGGY STEMMER 2. The estate or interest in the land which is covered by this policy is: A FEE 3. Title to the estate or interest in.'the-land is vested in: y . KENNETH E. STEMMER and PEGGY STEMMER,-H,US HUSBAND AND..WIFE, AS JOINT TENANTS -14 4. The land referred to in this policy is. situated in,the State of California," County of RIVERSIDE and is described as follows: LOT 116 OF DESERT CLUB MANOR TRACT.NO. 1, IN THE-.CITX'OF LA QUINTA,. AS PER MAP RECORDED IN BOOK 22, PAGE 63 OF MAPS, IN THE OFFICEOFTHE COUNTY RECORDER OF SAID COUNTY. CLTAOAU - 11/29/U :This Policy valid only, if Schedule B is attached. ., I assessors Parcel No. COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH SERVICES — 3B ENVIRONMENTAL DIVISION 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 check list. A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. r Wp�tfV l�of�ti�ls• �plyd9ion shall remain valid for a period not to exceed one year from date of approval ttOG "� I #AT RIFY ITEMS IN SECTION A FROM A -,NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION out' n el; ntact Jit n _` 7 7 7 4 S1su 17. • Owner Phone Address City State Zip ^ w Job Pro er , Ati fess city State Zip Legal Description Prop. (PM, Tract, Lot) Lot Size ` star A an Use of Permit P/P, CU, etc., Other SC/z % LUQ 1144 -NO l 5 0 X co O ellin it rep. etc. _T7Z 4 C T' el 72— nature of Applicant Date CATEGORY REV CODE FEE CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST. 7349 $120.00 ❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00 . 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION ( b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 ❑ SITE EVALUATION in Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00 ❑ COPIES (LAND USE) 7786-81 $ .50 / I'NIT/IAL DATE / Holding Tank Agreements Completed ❑Yes XN Certification of Existing S.D. System Required ❑ Yes.. WOCB Clearance Required ❑ Yes (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required O Yes Q N Special Feasibility Boring Report Required ❑ Yes r NN Detailed Contour Plot Plans Required (1 to 5 ft.. interval) ❑ Yes r NN Grading Handout Provided ❑ Yes ZNNo Staff Specialist -No Lot Inspection Required ❑-Yes 3 Maintenance. Booklet Provided t ❑ Yes O No Lot Inspection Date Initials C/42-/ Soils Percolation Boring Report by Lic/Piroject # Date Soils Map Page Soil Type Old 'Approved By �? Date 3-11f_9 No. of Systems Type of System(s) No. Dwelling Units(l) (1) Septic Tank Soil Rate Gre sand crease I ❑ I�oti3ing Tank ❑ Replacement Bedrooms,4=ixture"h� ntTrap eis ❑Addition 3 N-9/1'".4 Gal. 6 iJ � ❑Existing �X Ft. otal Linear Sidewall Allowance Leach Bed sq. ft. Bo om Area n. rock/ sq. ft. per running n. Install Lina(s) K. long fl. wide with O1Rsettom A Inlet Tested Depth A min. inch rock be..... fines or F. Proposed Bottom Tested Depth' Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit Total Depth ITD) ... �� er: Applicable @9%91 Inlet (BI) / Max. Allowabl9 Depth N/A Overburden Factor yI Well Review Approved: Signature : Date Well Drilling Permit # Grading Plan Approved: Signature Date REMARKS: A �i!•t TO DPC62it .ry J G ac rG� C �IGt/0 This'application i ` PPROVED F11E0-for the category checked in SECTION B above, regarding the design of a subsurface disposal system as m icated on the accompanied p ocean, usin quireutests-set-fel#1► iraSE Cab a building permit is necessary for the iristallation of the above -designed syste �"" " -- // (1) Septic tank must be 100' minimum from any wells Q!/ / 7'gep��sion (2) Leach lines must be 100' minimumfrom any wells, includarea/ moo t0 ' Seepage pits must be 150' minimum from any wells, including areas/ /a V vK i Signature of Health Official w / Date 3 �'- ❑ CASH 9 CHECK NO. �08.E RECEIPT'NO. (O Issued By�� DISTRICT: ❑ Riverside "Id ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev 6/91) DISTRIBUTION: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD-Plans/Records ;o 1*1 P.c..oz ,so+ ' ?b tOS.CAIIE'ESTADO: . LA OUINTA CAUF"!QA k2W Contractor r��.d.L��rt1'Y1M ✓ """�" �" Owner Address Job Address a La Quinta City License No.: Exp res: Sldg: Permit No.: This form shall bw posted on the%job with the Building inspection Card and it shall be'the duty of the Geaerai Contractor or if Owner Builder Permit, the owner to see, .that all suD=contractors 'sign this,ca.zd, givinq.his City of. La puinta Business License�Nurober ':Contractors License liumber.:and a. current`:dertificate of workman,' a.., Compensation Insur•ance'rcertif cate when he starts< the- job. Failure to comgly may cause Building Inspectors ; ''°to stop workor-complaints to be filed against Such -contractors or'owners CITY CONT. SUB -CONTRACTORS. NAME LIC, `.NO. EXPIRES LIC. NO. EXPIRE. 1 • Grade s Excavate e A -(Ci _1 12 2. Pipelines✓_/N 3. Cement -Foundations 5n 2- 7 L, 4. Cement Walks i Drives 424MP AS WS' 5. Asphalt paving - 6 : Framing, , 12u F;F Co, y' SR 2' ` t ' 3i 'i"5 5t5 '75 3 T , 7. Steel Structural N �� 6 . Masonry 3e A,✓ QO L fa 3/ X12 414(r! 80 9/211f �. Plumbing r vGJGrr� c - -.� • D - /1_ 4y., y 5 .� 10 c LO.* . Lathing:i✓ �� o�Ll �, I S 4 (c7 G= ii tl. Drywall /Oilc Awr�e` 1,�- So i2 3/ {115124 i113110 L2: Plastering HV ` AC F�k�f�c 41 5(S4y 5� 4.. Electrical a (o .r 1. o �� 42 sig to t4 L5. Roofing 1' 1 S.1 3 Z �� cccl 9 �x'3► ., .� .� 16. Sheet Metal �H:;( .,.tae, #17 — 17 . Floors -All Types%, /�': r: s `97- - ;4 ?c, Z 18 . Glass - Glazing /7f�/�' 1! S G %n35 7 70 /� l i' 1 LI > 0 7 7 / 6 19. Insulation/weatherstrip o 20. Sewage Disposal i:.4i- 'e, -d I 9 sL4 I 21. Painting/Decorating -' �o � FF z r. > ^� /",/� 22. Tile it/ /A 23. 23. Cabinets -Installations% % =+� '� �'• -/ �J 7- `L `�� t' 24. Ornamental Metal fl _ 25. Fences/Blockwalla i 26.. Landscaping �ilirieV 27., Others 22. DO NOT REMOVE THIS CARD } ik Before Ficial Building Inspection Will Be Made This Form Must Be'Completed and.Fled With Title 24.Calc s and Plans. 6+ of .0 CALVIN C. KAMINSKAS s DAN RILEY Assistant Commissioner o a` ) Sealer, Weights & Measures (714)2 75-3000 V (714) 275-3030 4j,ro_,eo; OFFICE OF AGRICULTURAL COMMISSIONER JAMES'O: "LLACE, Commissioner 83=612 AvL: ufiu :45:: Suite , 7 Indio; :CA , 92,201 s ( 61;9 )_ 342-8291 DATE 'Iii• I�j �. �`� Z. CASE DEVELOPER'S NAME: �i ADDRESS: wON Ic TELEPHONE: 11777._O11' Q's` ' `o Dear Developer: •After --reviewing your.:landscap ng plans, _all_ ,plant material listed :is not in - - — =_ J ti= violation of. quarantine. aws governing the Coachella Valley. If substitutions do occur and they differ from plantrmaterial listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. 45 Agri aural Commissioner' s`<Office cc: Indio and Riverside. . • , 4880 LEMON STREET, ROAM 19, -RIVERSIDE; CALIFORNIA 92501 = FAX (714) 275-3012 vi�ndatory Measures Checklist: Residential --` — re ess of the coin fiance :VOTE:. Lowrise residential buildings subject m the Standards must contain these measures en compliance. requirements listed h used. Items marked with an asterisk (')stay be superseded by more string yPT ted into the it documents, the features noted shall on the Certificate of CompLance. When this checklistis ircorpora �, be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESICINER ENFORCEMENT DESCRU ION Building Envelope Measures §2-5352(i): Water heater insulationblanket (R -120r greater) or combined interior/exterior first 5 feet closest to tank insulated (R-3 or greater). 12-5352(a): Minimum ceiling insulation R-19 weighted average. insulation (R-16 or greater): of pipes ating 12-5312(Exception 1): Pipe insulation on steam and steam condensate return do recirculating 42-5352(b): Loose fill insulation manufacturer's labeled R•Value. R-11 weighted average (does not apply to piping. 42-5352(c): Minimum wall insulation in framed walls §2-5318(d): Swimming Pool Heating exterior mass walls). j2 -5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor 1. System has: a. On/off switch on beater. owisfiission rate no greater than 2.0 permfinch. b. Weatherproof instruction plate on heater. I c. Plumbed to allow for Solar. stalled ity 42-5311: insulation specified or inmeets California Energy Commission (CEC) qual 2.75 percent thermal efficiency. standards. Indicate type.and form. 42-5352(f)- Vapor barriers mandatory in Climate Zones 14 and 16 only. 1d. 12-5317: Infiintion/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air 4. Time clock. t 5. Directional water inlet. leakage. b. Doors and windows certified, all joints and penetrations caulked and sealed. Lighting and Appliance Measures 12-535207: Lighting .25 lumens/watt or greater for general lighting in kitchens and bathrooms. c. Doors and windows weatherstripped� §2-53520 Special infiltration barrier installed to comply with 12-5351 meets CEC quality standar 12-5314(c): Gas fined appliances equipped with intermittent ignition devices. ;2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door / V b. Outside air intake with damper and control c. Flue damper and control FormRrvi" Dcc=nt 19fr. 2. No continuous burning gas pilots allowed UVAC and Plumbing System Measures J2 -5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. 42-5352(h) and 2-5315: Setback thermostat on all applicable heating: systems. o §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems bave damper controls. 2 5314(c) Gas-fired space beating equipment has intermittent ignition devices. 4- §2-5314: HVAC equipment, water beaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulationblanket (R -120r greater) or combined interior/exterior first 5 feet closest to tank insulated (R-3 or greater). ✓ insulation (R-16 or greater): of pipes ating 12-5312(Exception 1): Pipe insulation on steam and steam condensate return do recirculating �' A piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on beater. b. Weatherproof instruction plate on heater. I c. Plumbed to allow for Solar. 2.75 percent thermal efficiency. 1� 3.,Pool cover. 4. Time clock. t 5. Directional water inlet. Lighting and Appliance Measures 12-535207: Lighting .25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fined appliances equipped with intermittent ignition devices. g 2 -5314(a): Refrigerators, iihigerator-freezers, freezers and fluorescent lamp ballasts certified / V by the CEC. Indicate make and model number. FormRrvi" Dcc=nt 19fr. Certifleate of Compliance; Residential (Page 1 oil) CF -1R ,.STBNNER Rr•tioENCE s//8/9o2- rrojed Address Jolie B. IlIacker (619): 327-4565 bowmenuuon7uthor Utph°one Point System • 15 ,*.a.qw: Compliance Method NcU1t, Point Synea, or Cocaputu) Cllmitt Tine 7� GENERAL INFORMATION Total Conditioned Floor Area; , f /2oo ft, Bullding Type;X`. Single Family. (check one or more) Q1. 1 iulu •FaJmUy,(less than 4 stories) ..,- Mulu•Fami.ly (4 of more stones) Front Entry Orientation: Nort�Ne, East / South / %t'est / All OhentAUe— it Number of Dwelling Unitst Floor ConsttuctlotiType: 1'ab "lZalsed Floor (circle one or both) Wiltration Control; tan0a fight (circle one) QOF ESS/pN. BUILDING SHELL INSUL'ATI ON �� vN R Component Insulation Locadori/Comments In�x Type R=Valueo rn ([;dc, to garigc typic: etc) � W Cr y�'a1J.............. R` f Frame halls — �3 . r ---- ES 3.31.93 wav.............. :,, Roof ............. iZ 8ypicalJ' Roof ............ • .. : ,.. . - CAL�E�� Floor ..... ......... Or _ Floor............. ---,.......` Slab Edge..... GLAZING Shading Devices Olazing Area Glass Type Interior Exterior Overhang Fuming Type Orienl.ation . (SJ) (tingterdoubie) 61,adescrexn, itc.) ire /no) (metal/wood) Front.,,, (N) lag Double Roller Blindse None ---� Yes ' Metal Front ,.., ( ) s 1 e ------- Left.,.... (E) Dam ubhe-0 1_e Blinds* pone 'Yes Metal Left..,,,,, Single Rear.,... (S) Double,Roll..er B1i:nds* None. Rear._.2_ .. _ _ ,_ _�. Y e— s~� M e c a ..,. ( ) S inR l_ a Right,... (W) 17— 'Double Roll:ei Bli'ode* None Right.... ( ) „_ S i"'__ l e; -. et .. es. , , a1 Skylight....... Skylight..,.... ,-�..�.L... Double bone .� i or verti-cal/midi blinds THERMAL MASS off-rrbite Type/Covering Area 1%ckness slabkxposed,tilr,.etc.) (S l] '(inches) i3OCa1joND,ecnption(kivhen,b4etc), Slab/Ezpo,sed 250 31 >�itcbeo./:Barb/Entry �'' LY ,. � .�NnU:A1 •.., :•4JI:::iC; l': -,,'t,1kt...... Certiricate of Compliance: Residential (page 2 of 2) CF -1R STEM"'dP g, s�oenlcG a-/iel9a SMAC SYSTEMS vmwe. air Minimum 'Duct' Efficiency Location Duct Manufacturer/Model # ZMANCE 72, ATTTG .. A-7 9 - To N A. C. . AIR. -GOND. 9.3 : _ ; r. ,,rc `. .. `s'.N`R-7-777,77,77 �:'Y,.YazY'v,� _.7:+�" .-. ��.. ..i .. X�'..�i-r-"' '.-�._y�: ..�as�.�+i1�}��+..;.t ..:,,,F';we+t'�•�:�.. � ..�-T'��k:;•z�i��. ... ., Maximum Puma cc Heating Output: g 4� B tub IiOT. WATER SYSTEMS Tank Manufacturer/Model M System Type (:tortge.ads, etcI -Capacity . (or approved equal) Special'Feature(S) STD. GAS .50 GAL OR LESS APPROVED NODFt. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) -:.v„i.$jn��,;.>� . -.�.. :.;•.++h�;'W'7!-' ,,'ki 'v... -J: ro�Y•#r!:Y.*� '�.f`.'esTl.f.,; , _.. -."r=..i%r^*:unsr,: f�.c.3!drl=R�';or�itm'.• ';;::..,. -71 COMPLIANCE STATEMENT This certificate of oonipliance lists the building features and performance specifications needed to comply with Title 24, Chapter2=33.and Title 20,.Chapter 2, Subchapter4, Aivcle 1 of the California Admirustradve code. ?his certificate has been signe4 by the iindi.vi. ua with overall design rtispoiLsibiliry. and the building ow'ncr, who shall wain a Dopy blit std transmit the certificate to any svbsepent put haser of the building. When this an;ficate of compliance is submitle4 fora single building plan:to be built in multiple orientatlons.; all building conservation features w1i9ch vary are indicaW in the Special Fc -at n4Remiri s seuion. Designer Nunc: TiOCIRM: Addnu : Lk. 0; (zignetun) Documentation Author Nunr: JOIE 1. RACKER TuldFimr JOt's it.. HACKER 6 ASSOCIATES Add.,cu 4501 t. S'ttA'K DU'�ES.100. f D VA'., S.PRIN.CS,,;CA1., . 91264' i. TclepE n 419 27- 65 t Building O mer Mune: - S Tiilclfirm:. , T�Icplianc: � . Enforcement Agency Pi,Lnt.— -- 04 T kpF ont' r. r. o►'ti.Ty iLv) T I -r L- E :2 -4 E N'E Fes: 3 Y �__ F1 L_ l_J L _rtH T" I L:] N ` X11' : FA JOHN H. HACI:"'E:F;,, C I V I.L LN.lj 1 NL- Lh:, fh'ALM-'lcbPK I Ni3S 227-45G5 NAME —:------ STEMMER RES I DENC:E'�' ADDRESS. ---- a DATE .b . MANUAL J FOR HEATING AND COOLING' LOSSES" AREA BLDG 1600 SO. FT. PERIMETER; 165:.111'1 LIN. .FT. INSULATION F VALUES , FLUOF' . Ci `.. CE I L I N8 .3@ ..'WALL DUCT 4. 2 ;,. .11. AREA NORTH WINDOWS 62 ;SO F*,T.. F'.EFi.ENT .OF AF:E:A -4.172275 AF;EA_ EAST WINDOWS' 44 S0 F'Tk F'_EF I .ENT OF . AF.:EA. 2.960969 AF -.EA SOUTH W.I NDOWS '35 SQ. FT. F'EF -i:-EN[" OF -AREcA 6: 39230'01 AREA WEST WINDOWS 15. SO: FT': `F'E F 17 EN3f� 'OF AF E -:A l.- ()(942 1 ARA Sk:YL I VHTS 0 SQ:. Ft.. PERCENT 'i'6F AR EA4-0' E TOTAL WINDOW AREA 216 SO. FT *. � F'ER CENT- OF ,AREA 14. 53567 THE U VALUE OF THE- WINDOWS IS .65 UUAL PANE. SOUTH OVERHANG LENGTH 2 INTERIOR THERMAL M'ASS' AREA.._ SQ F"l . INFILTRATION 01b. ..MED Of 4. 1'l'33H Cd 12 HEATING LOSSES FOOTING LOSSES..: '573-2-65Q E+'TU;F -C:E.I L I NG LOSSES... 1 166 2 E3, LTU WINDOW' LOSSE=S.. 4352.4 'BT'U WALL LOSSES'::.. 274G.125 E{TU' .I NFI LTRAT I -ON `LOS.SE.S..' . '. 6633. 504 BTU: TOTAL HEAT --LOSSES BTU/Hf-,.`... � 20624,94 GAS FUR;NANC:E SIZE 486.72.`3'3_ B.TU .OF.; COOLING LOSSES FOOT I NG LOSSES... 2465.66, BTU C:E I L I NG LOSSES ... 15� �4. 64' -`•=ETU WINDOW LOSSES... 1.5875`~6:TU- WALL LOSSES..:. 352'3.245 BTU INF I LTRAT I ON'S LOSSES ... .2e53 -.* e53 . ,_ 2 BTU NO. OF PEOPLE... S COOLING- LO.SSES:.. E::ITC:HEN... 1500 BTU. DUCT LOSSES-I-NCLUDED _IN 1`0"fAL TOTAL COOL'IN * LOSSES (SENS) 35434.07 ;ETU 0 It5 .b . It5 • PO I -NT. SYSTEM . SUMMARY :'CLIMATE ., Z 0NE. - 15. P- 2R ., .PROJECT TITLE=STEMME.F' FES,IUENi::E-- DATE 2/,18/'32 JOB SITE= BUILDINh' DATA CONDITIONED-,FLOOF: AF;EA= 1600 r�UMBEF: OF STOF:IES= 1 SLAB/RAISED. fLOOF: "SLAB':, .TOTAL GLASS AREA 246' 'SQ. FT %i3LAS5 14.53567 CHECK ALL AFF'L It,:ABLE ,UNIT T, PE GOND I T I'.ON ( S ) , (X) SINGLE F.AM I LY'. UETAI HED (SF: U) (: ? A1)D I T:LON" , ALONE t SINGLE FAM-1LY` ATTACHED (SFA ) C i EX"fSTIN' i3 'BU:ILDING < <) MULTI -F AM LLY ( MF') ( i E X I S`T I Nig.. k-PLUS-ADDlT:l ON SCORE CARD MEASURES F= U l N7 E;i_ U.RES 1.CEILING.INSU. 38 Ci 2.WALL INSU: 11 -8 3. RA ISED FLDOF: I NSU ' 4. SLAB . EDGE I NSU; Q 5. I NF I LTF','AT I` N' ; S,T.AND`AF;D Q 6. GLASS HEAT LOSS DUAL F ANE 7.SHADING (SHADE OPEN). GLASS AREA Sc_ ".:E776 A. NORTH 4.17 2227:5' X .•6776 '. 8271 3, -1 6�. B. EAST 2.-9E(YD,69 X :6776 :-_ '-2'. ,C)06:353 -1 44, D. SOUTH 6. 3 93(ic:ia _ X: .6776.- _ 4:. 2 i 1 0 E. WEST 1 - 00'3.4 .- X . E77E; - ..EBc '3i33c3 0 15 H. SKYLIGHT :Q X .77 _ (:I `y 0 8. SHADING (SHADE., CLOSED) % GLASS SI_ .2552 A. NORTH 4.172275 ' 'X . 25,52, 1 . x:)64765 (:r 4.472275 B. EAST 2. �E.c � �E,'3.:` X. . 2.JJG- � , TJ,.,JE9.:� 1 `. r�Ec:�36'� C. 'SOUTH 6. 393C)&I X =2552 = 1'. 6� 1x#3.4 c:� E. 3'930c)1 D. WEST 1 ..c:0,94 21 X .`.2`5,52 . 2576(d4�:j S I. Q09421 E. SE,YLIGHT 0 X .77 = ii G, (..� 9. INTERIOR T.'HERMAL, . MASS.,.: 2, i.O18843* 10.EXTEF,'IOR WALL MASS. lI c:I SUM . T-1 U = t 4� 11.HEAT INig'SYSTEM. .i2-,..S.E 'X.82=4' -')1 �.�. 12. COOL I NG SYSTEM '�.'5.' SEDER. X... B. 1'.= : 7.. L.$5, T 1"l WATER? HEATING S.,G., 1 G T' A,L• " P 0 -LI N l '_l 4