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15254 (AR)4 P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 48-800 Saxe Lucas LA QUINTA, CALIFORNIA 92253 Mailing Address P.O. B©g 123 City Zip Tel. Palm Desert 92261 Contract 0krakl & Associates Inc. Address. 72-=781 Bursepa Way Desert IZip 92260 ITel. 341--5875 State Lic. > 4YY / City & Classif. a"� , Lic. # -Arch., Engr., Designer June Mulleneaux Ad72dss --781 Bursepa Way Tel. City Zip State Palm Desert 1 92260 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section e7000) of Division 3 of the Business and Professions Code, and my license is in full force and .�e(fect. / f r . SIGNATURE- - 1 - ' DATE OWNER -BUILDER DECLARATION I htreby 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 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). ❑ 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby"affirm that I have a certificate of consent to self -insure, or a certificate of Worker',�s,�Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poll c tVo. 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 thg work for which this permit is issued, I shall not employ any pperson 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. 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 No. 15254 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description 15f Addition Entry La Quinta Country Club Sq. Ft. No. Size Stories No. Dw. Units New ❑ AdtrXX Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $3,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $40.95 Const. $63.00 Mech. Electrical Plumbing S.M.I. Grading $ .50 Driveway Enc. Infrastructure TOTAL $ Q -4.4 5 REMARKS 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 i 2ND FL. SO. FT. BONDING YARD SPK_R SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® 'DUCT WORK POCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. OTHER APPJEQUIP. ' DRAINAGE PIPING WALL SQ. FT. TEMP. POLE DRINKING .FOUNTAIN SO. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES =$ WATER SO=TENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AJTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TPAY AIR HANDLING UNIT CFM VENTILATION KITCHEN :•INK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM 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 ® 11/4 c SEWAGE DSPOSAL SQ.FT.GAR ® 3/ac 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 PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING -HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 'DUCT WORK POCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. ' REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEtAM WATER SYSTEM GRADING ,cu. yd. $ plus x$ =$ LUMBER GR. ( FINAL INSP. FRAMING ` /� 7 FINAL INSP. ROOFING . / •�ie'� / �/�/� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND �� S FINISH GRADING FINAL INSPECTION v� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL .ASS r--�ST=NG SL=D=NC CLASS D002 T O SE CN A N GSD �N��2A N C� D00�25 8. LOCAT=ON PLAST�Q: MATCI--iED TO EX25T2NC EXT . r=:LEVAT=ON« NOT TO SCALE ARAKI & ASSOC P -0 -BOX 123, PALM DESERT,. MRS • SEIZO SNIMOGOBE CZAAI I i ir.. . - JiN 6 C.'HANGE PEOUEST PL A N & DET A I IATES �.:.. U=NTA GOL.E ESTATE LCiUN S TYA. = `= O g AT �- - oR�� ARC r 7.2 LU.'VIPLIANCT ANALYSIS OF AN ADDITION :LUNE :\nv addidon — that is. the stun of all new ,:onditionca spaces and associated new exterior walls. cetlint?s. and floors within the building_ may he he shown to meet the cncr-y bud, -,et a_s a ,teparatc enan% 'This proccaure docs not involve the extsttn'g structure. except when Lulculaung the water heating energy use for anv addition to which the total number of water heaters in the building ' increases. •Tire analysis may be performed using either a special prescnptive packaLe according to the size of the addition or with the point system or any approved computer penormancc method. �mTable 7-1: Prescriptive Compliance of Additions - mary of Section 152(a)I Requirements of the Standards (Z-NIPONENT 10) ft" 100-499 ft' 500-999 ft' > 1000 ft` Insulation Ceiling R-1 Packager Packaec Packacc Nall` R-13 R-13 R-13 Package Floor R-13 Packacc Package Packacc Fenestratign U -Value 0.75 , 0.75 Package Packacc i % of CFA <_ 50 ft` Pkg + Removed Pkg + Removed Packagc Shading' Na. Package Package Package Thermal Mass Na Package Package Packacc i Space Heating Mandatorys Package Package Packazc & Cooling (No clectric)6 (No electric') (No electne) (No electric) Water Heating - No Increase & Vo Change Na n/a Na Na Replacement: No Increase Standard Standard Standard Standard Increase Uowed :allowed Allowed Allowed w/Calculation w/Calculation w/Calculation w/Calculation 1. Meet the component prescnpuve requirement for Package D for slab -on -grade construction or Package E for raised floor construction (see Chapter 3). '_. "Heavy -and "Light Mass" mass walls may meet the Package D or E requirements for mass wall insulation instead of R-13 (see Chapter 3). 3. For compliance of additions and alterations only, dual glazed "greenhouse' windows and skvliehts may be assumed to meet this requirement. a. The Package D or E fenestration area plus the area.of any glazing removed because of the addition. 5. All mandatory measures for HVAC systems must bemet (see Chapter ?). 6. No eiectnc resistance space heating may be installed. 7. A standard water heating system is explained in Section 6.6. S. If the total number of water heaters increases in the residence, then the enure existing plus addition system must meet the water heating energy budget (see Chapter 6). Table 3-4 lists water hcaung_ System combinauons which have been pre -calculated to comiv with the water ho-inno himar► 7-4 Revised January 1992 Residential Manual Table 3-Z15: ' Prescriptive Packages for Climate Zone 15 Package Package Package Package Package Component A B C11 D E BUILDING ENVELOPE Insulation Minimums: Ceiling R-30 R-38 R-19 R-38 R-38 . WailI R- 19 R-19 R-29 R-21 R-21 "Heavy.. Wall (R-5.5) (R-4.5) N/A (R-4.76) (R-4.76) "Light Mass" Wall (R-7.01 [R-6.01 N/A N/A N/A Slab Floor Perimeter R-7 R-7 R-7 NR NRZ Raised Floor R-19 R-19 R-21 R-193 R-19 FENESTRATION Maximum U -Value" 0.65 0.65 0.40 0.65 0.65 Maximum Total Area NR 16% 16% 16% 16% Maximum Total Nonsouth Facing Arca 9.6% NR NR . NR NR Minimum South Facing Arca 6.4% NR NR NR NR SHADING COEFFICIENT' South Facing Glazing 0.15 0.15 0.40 0.40 0.40 West Facing Glazing 0.15 0.15 0.40 -0.40 0.40 East Facing Glazing NR NR 0.40 0.40 0.40 Noah Facing Glazing NR NR 0.66 .0.66 0.66 TT[ RMAL MASSS REQ NR REQ 20% 5% INFILTRATION CONTROL Continuous Barrier NR REQ NR NR NR Air -to -Au Heat Exchanger NR REQ NR NR NR SPACE HEATING SYSTEM6 Electric Resitance Allowed NO NO YES' NO NO If Gas, AFUE= 78% 78% 78% 78% 78% If Heat Pump, Split System HSPO = 6.8 6.8 6.8 6.8 6.8 Single Package System HSPF = 6.6 6.6 6.6 6.6 6.6 SPACE COOLING SYSTEM If Split System A/C, SEER = 10.0 10.0 10.0 10.0 10.0 If Single Package A/C, SEERS = 9.7 9.7 9.7 9.7 9.7 DOMESTIC WATER HEATING TYPE System must meet budget, Meets Meets Meets!0 Meets Meets see § 151(b) and 151(f)(8) Budget . Budget Budget Budget Budget LEGEND: NR = Not Required: N/A = Not Applicable: REQ = Required See notes following Table 3216. Prescriptive Packages flevised:January 1992 3-35 .a :rtivica;e .c7 :01TICI ianca: Reslaentoal (Paas i of '_') CF -1 R Dere —" -otect nue apl�Addrese W "TY 0.A24i 6uddtnq rertnn s Plan ChecK/ Date xumentatlan Author Telephone Field Check / Date ompliance Method (Package, Point System or Computer) Climate Zone cntorooment Hgoncy use Only !ENER•AL INFORMATION otal Conditioned Floor Area:�_ It •uilding Type: L Single Family Addition ;heck one or more) Multi -Family Existing -Plus -Addition =ront Orientation: ort East / South / West / All Orientations orientation in degrees and cirde one.) Vumber of Dwelling Units: :Ioor Construction Type: Slab / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction :,omponent Insulation Assemoly LocatiorvComments rype R -Value U -Value (attic. to garage. typical. etc.) Wall .............. 3 Wall . Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind. etc.) (shadescreen, etc.) Ives/no) (metaltwood/vinyl) Front..... ( )T2--- F=ront..... ( ). Left ....... ( ) Left ....... ( ) Rear:.... ( ) Rear ..... ( ) Right..... Right..... Skylight ....... Skylight ....... THERMAL MASS Type/Covering Area Thickness (slab/exoosed the etc.) (st) (inches) rtedaed January 1292 ion (kitchen, batn. etc.) Certificate of Compliance: Residential (Page 2 of 2) CF -1 R Project Title Oate HVAC SYSTEMS Note: Input hyQrornc or comoined hydronic data under Water Heating Systems. except Design Heaong Load. Heating Equipment Minimum Distribution Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat umo. etc.) (AFUE/HSPF) (ducts/attic etc) R -Value Type Cooling Equipment Minimum Duct Type (air conditioner, Efficiency heat pumo. evao. Location Duct Thermostat Configuration cooling) (SEER) (attic etc) R -Value Type (split or package) WATER HEATING SYSTEMS Energy External Water Heater Distribution Number Rated' Tank Factor or Tank Input (kW Capacity Recovery . Standby' . Insulation Type Type in System or Btu/hr) (gallons) Efficiency Loss (%) R Value 1. For *mail gas storage (rated input s 76.000 Btu/hr), electric resistanee and heat pump wear heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75.000 eubr), I-st Rated Input. Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters. list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply wrath Title 24, Pans t 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 FeatureslRemarks sectlon. Designer or Owner (per susinesa a Professions Code) Name: Tide/Firm Address: Telephone: Lic. s: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (spnature/stamp) (date) PAMosd January 1992 Documentation Author Name: Tille/Firm: Address: Telephone: (signature) (dale)