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001568 (SFD)Building Address 53-055 Avei 3iarm Owner tate TSL M YL ck Mailing Address P.O. P= 2268 CityZip - SIGNATURE DATE OWNER -BUILDER 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, 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 thathe 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 andConst. Professions Code; The Contractor's License Law does not apply. -to an owner of property who . s Contractor Plan Chk. Bal. 318.52 379.09 Ij Address * Electrical 7ri� above City .. -.. .. Zip .. _ State Lic. & Classif. Arch., Engr., ' Designer Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 . . > - 347-7M City Lic. # 202 Tel. BUILDING: TYPE CONST. V V OCC. GRP. 3 A.P. Number 774-032--003 I,t I Legal Description Project Description Sq. Ft -Di M 15' 92 Size 430_ New 0 Add ❑ No. Stories No. Dw. Units Alter ❑. . Repair ❑ Demolition ❑ CityZip Z. tate TSL .ic. # - 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 effecLI/. IN. W-1 .�- ..� "�i�rS1:i>;� A' - . --- -rr - SIGNATURE DATE OWNER -BUILDER 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, 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 thathe 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 andConst. Professions Code; The Contractor's License Law does not apply. -to an owner of property who Estimated Valuation S R�q. tip t . 6kfi _ •. - PERMIT. - AMOUNT - Plan Chk: Dep. • - Plan Chk. Bal. 318.52 379.09 . Mech. - 331.110_ builds or improvesthereon 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 * Electrical 7ri� 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 s7.�L ❑ 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 _. S.M:I. •' 5.%1. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) . ❑ I am exempt under Sec. B. & P.C. for this reason - Grading Driveway Enc. 20,00 Date Owner Infrastructure I,2U.71. 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 Cade.) Policy No. . Company .❑ Copy is filed with the city. , ❑ Certified copy is hereby furnished. TOTAL 2,135,06 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS - (This section need not be completed if the permit is for onehundred 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 Ow6er 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Rear Setback from Rear Prop. Line 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.) - Side Street Setback from Center Line Side Setback from Property Line 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. FINAL,DATE INSPECTOR I car tify.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.,' Issued by: Date Permit V Validated by: Signature of applicant<;' `,`.� t..�� Dae— ae'•'Mailing Address / Mailing Validation: City, State, Zip A 1 6 5 6 6 19 6 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ, FT. ® CARP. SQ. 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 ORMS BGG `-0 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM r EMP. POLE / mf 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER REMARKS: 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 6' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK ORMS BGG `-0 SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. - GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) r EMP. POLE / mf GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING/' FINAL INSP. ( (� ROOFING I /y� �) VENTILATION REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTIONS/ C� r riH CERT. OCC. FENCE FINAL IM JY CI:I VM"J JINI`INI VIIG-011NII INLJ, GARDEN WALL FINAL - 1 X%f1E0 = C Desert Sands Unihed School District y BERMUDA DUNES r RANCHO MIRAGE 82-879 HIGHWAY 111 O INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 INDIAN WELLS to PALM DESERT June 19, 1985 d' LA OUINTA 'Jp INDIO City of La Quinta Department of Community Development 78 -105 -Calle Estado La Quinta, CA 92253 Re: 53-055 Juarez, La Quinta Gentlemen: The developer of the above referenced lot has mitigated -its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, John D. Brooks Assistant -Supe.rintende.nt Business Services JDB/crm as O, V, CALVIN C. KAMINSKAS + s Assistant Commissioner 0 a (714) 275-3000 Moro \!0 o OFFICE OF AGRICULTURAL COMMISSIONER JAMES O. WALLACE, Commissioner 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619) 342-8291 DAN RILEY Sealer, Weights & Measures (714) 275.3030 DA LS `7 Z CASE NO. L6 [� V DEVELOPER'S NAME: ADDRESS: P o Z6 y LCA 2 • 1�.J4- � � D'4 TELEPHONE: Dear Developer: Q-6((-7 After reviewing your landscaping plans, all plant material listed*is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. ' Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultuitt Commissioner's Office cc: Indio and Riverside 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 = FAX (714) 275-3012 c .3 R.E _I.D E -I- T I_A_L._ • T I T L' .Cay.c.�1.1.a.tio.f�.�M.eath;o i .I M � N MUM N lam. -r10 •�;L.� x fz -I � �� - �-�� • �` L- � �� •i � � � � s�-�.�� �s� W �-�I�� Pip T . � �s -FH � ��� � o� o� I�I.I � T1oN Alf o -s -D MECHANICAL SYSTEMS DESIGN 134 SOUTH GLASSELL STREET ORANGE, CALIFORNIA 92666 (714) 543-6571 *Checklist items; not a point system measure. "Attach documentation for efficiencies and NSF. 05B:10 R2 _,28/84 VH/dr Attachment D Form 2 (Revised 3/84) Climate Zones 2, 4, 6, and 8-15 COMPLIANCE CHECKLIST For Low -Rise Residential Buildings (except hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on this page while working through the point system Building Shell Measure Points *Total Floor Area lE LZft2 1. Slab -on -Ground; Perimeter ft.,'Depth* in. R- 2. 3. Raised Floor R -Value. . . . . . . . Ceiling Insulation or Constructioa'Assembly Attic, Percent of Roof Over Conditioned Space P_ . . . . . R- . . . . R- 2 . . . . lvmft 4. _0% Wall Insulation or Construction Assembly. . . . . ... . . .. . . R - Glazing; Total % Floor Area Single Double Triple 5. North -Facing. . . �ft2 �ft2 ft 6. East -Facing . . . ft2 ft 2 ft ft 2 ft 1. 8. South -Facing.•. X ft2 2 West 7% ft2 ft2 2 ft2 -Facing ft ft 9. Skylight. . . . . % ft 10. Shading Coefficient (excluding overhang) a. East wO,%(pSC ' . b. South. . . — •. . SC . . . . . . . . . . . . . c. West . . . . . . . . . . . . . SC . . . . . . . . . . . . . d.. North. . . . . . . . . . . . . . SC . . . . . . . . . . . . . e. Skylight SC . �Overhang . . . . . . . . . . . . 11. Horizontal South Length. ft . . . . . . . . . . . . 12. Movable Insulation, % Floor Area. % 13. Infiltration (indicate Standard, 'Med_ ium_or ligFt) 14. Thermal Mass Exterior. Wall Thermal Mass Area, Heat Capacity, R -Value . . . . . . . ft2, HC; R - Interior Thermal Mass Area, Heat Capacity, R 14-47 ft2, 5.1, HC, R-, 2 -Value . . . . . . . HVAC System** 15. Gas Furnace without Refrigeration. Cooling (Seasonal Efficiency) ... . . . . . . . . SE 16. Heat Pump (Energy EfficiencyRatio) . . . . . . . SEER 17. Gas Furnace with Refrigeration Cooling Seasonal Efficiency and Seasonal Energy Efficiency Ratio. . . . . . . . . SE SEER 18. Active Solar (Net Solar Fraction, %). . . . . . . . . . . . . %NSF 19. Zonally Controlled Electric Resistance Space Heating . . . . . . . . . . . (Yes/No) Domestic Water Heating** i • 20. Solar With -Gas Backup (Net Solar Fraction, %) . . . . . . . . . %NSF 21. Other Water Heating (Describe type) Point System Compliance Total . . . . . . . . . . . . . . . *Checklist items; not a point system measure. "Attach documentation for efficiencies and NSF. HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY Form 3 (8/81) Enforcement Agency Use Only n N E -{.oval 44: - owner project title building permot number F,::. L IT, - project location Checked by documentation author Cato w� eseas Sketch of Construction Assembly List of Construction Components R (for section between framing memban) (from Table 3-1) �N I f�--v A;TI2. 0 3. Framing Size 2 - . !�, " n Framing Soaring t- " O.C. Check one: '< Ceiling/Roof Floor Wall I I Wail, Check the ' aooroonate weight: less than 25 Ib/1`12 25 to 40 ib/0 greater ;^.an 40 ;bih2 k, 4. 5. 6. 7. B.' Inside Surface Air Film (from Table 3.18) ............. 9. Outside Surface Air Film (from Table 3.18)............ 0 Total Thermal Resistance (RT) tum Of the above a , AVERAGE U VALUE OF ASSEMBLY �/ld_ _ �•.� Btu/Inr . h2 •CFI Frammq RT from above Fa:tor from - Table 3.6 Ute this U value for heat load calculation or Code comparison HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY owner Project location Project title .I documentation author. date 1 nits I a A• Sketch of Construction Assembly List of Construction Components R Form. 3R Enforcement Agency Use Only building permit number checked by (for section between framing members) (from Table 3-1) r i . n/� 2• it 4. 5 6. 7. Check one: 8. Inside S0. rface Air Film (from Table 3 18) ..........:.. 62 Ceiling/Roof ' / Floor 9. Outside:..Surface Air Film (from Table 3.1 B). I ' Y Wall Total Thermal Resistance (RT) If Wall, check the sum of the above appropriate weight: I less than 25 Ib/ft2 I 25 to 40 Ib/ft2 AVERAGE U VALUE OF ASSEMBLY greater than 40 Ib/ft2j Btu/Ihr it •dF) Framing RT from above Favor from Table S-4 • I ' Use this U value for heat load calculation or Coda comparison r ) Framing Size Framin§ Spacing " o•c, (for section between framing members) (from Table 3-1) r i . n/� 2• it 4. 5 6. 7. Check one: 8. Inside S0. rface Air Film (from Table 3 18) ..........:.. 62 Ceiling/Roof ' / Floor 9. Outside:..Surface Air Film (from Table 3.1 B). I ' Y Wall Total Thermal Resistance (RT) If Wall, check the sum of the above appropriate weight: I less than 25 Ib/ft2 I 25 to 40 Ib/ft2 AVERAGE U VALUE OF ASSEMBLY greater than 40 Ib/ft2j Btu/Ihr it •dF) Framing RT from above Favor from Table S-4 • I ' Use this U value for heat load calculation or Coda comparison r PROJECT: r(�#�. ENGINEER: Fz SHEET: • oATE: of ?,ane: Floor: Ft's Volume: Ft 3 Time: S U M N II R k "LOADS COOLIPX; MM/IIR IEAT INr, MT.N SCNSIDLE IINTWr I Bili/I IR WALLS (YX)r/CEILI*x; FJMTt —_ LIq fTS PDOPL,E t4I c IS G 7MAL I l T(7rAL '/ l.e CFM . 1. 08 x 08 xT'. , � � RSI IR as Sensible cells • . Lilt. RX VF2,YI'II.ATION UP pct II TFILTMTI0"I TOTAL TMAL TSI m .�—