003704 (AR)4
��.
P.O. BOX 1504 No. 043704
Building 78-105 53. 124 Avenida Juarez � LA QUINTAC
Address CALIFORNIA 92253
Owner
Vit 5 43 x`i Griffith - - BUILDING-- TYPE CONST. * OCC. -GRP.
Mailing
Address �p w� A P. Number 774-341-006
City Zip
La Quirita 92253 ' , Legal Description
Contractor.Roam Addition
Project Description
Address-, . .
State Lic. I City
& Classif. Lic. #
Arch.;'Engr.;
Designer
Address Tel.
City Zip State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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 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 that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant fora permit
subjects the applicant to a civil penally 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 . i ! » Owner tA.�«-(1..�+ �1
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.)
Policy No. ' Company
O Copy is,filed with the city.,...0 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 ($100) valuation
.'less.) - - -
I certify that in the performance of tha work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date owner
NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read- this application and state that the above information -is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft.
Size _ 23.7
No. No. Dw.
Stories Units
New ❑ . • Add ��
Alter ❑ Repair ❑ Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE '
INSPECTOR
39/$
Issued by:
Date Permit
Validated by:
Estimated Valuation
$13,e929
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.S67.92
Const
104.30
Mech.
22.00
Electrical
I X. 4_7
Plumbing
73.60
S.M.L.
45
Grading
Driveway Enc.
Infrastructure
i
TOTAL
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from. Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE '
INSPECTOR
39/$
Issued by:
Date Permit
Validated by:
Validation:
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL., SO. FT.
POR. SO. FT. ®
GAR. SO. FT..®
CAR P. SO. FT.
WALL SO. FT. ®
SO. 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
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
a a
FRAMING 307 / (f / -
FINAL INSP.
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
FORM
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
a a
FRAMING 307 / (f / -
FINAL INSP.
ROOFING % Y
`J ('
/
� {,
, \
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUN03
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
• FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SCHOOL FACILITY FEES
TO: City of La Quinta DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that _
developer of
located at
this District, has paid school fae'�lity
e
authority genera a by ern (
nt code$
I/ ( ,,,
covering a total of 2g7 sc
( ) industrial/commercial development
this footage in this development may P"`
((A
�1
Un
i
nd ra
bes
53080 inAy amount of
et of ( residential or
� building permits for
Aed by yo9rljur4diction.
r DESERT SAPS UNIFIED S-KOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • ink - Accounting • Gold - Developer
���`-� (10)-37
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WORKSHEET FOR PACKAGE METHOD PROBLEMS
CLIMATE ZONE
COLLECTOR AREA SIZING:
Collector Curve Slope - 1.02
Collector Curve Y -Intercept a 0.69
Minimum Collector Area ------------ sq ft
(from CEC Table 13)
4-11
PROBLEM 4
REQUIRED
PACKAGE
ACTUAL
PROBLEM 3
PACKAGE
CQMPONENT.
REQUIRED
ACTUAL
INSULATION:
CEILING
_�_ _I6
3
WALLS
__/----
--�----
SLAB
FLOOR
-----_-----
-----------
GLAZING:
U -VALUE
6#
MAX AREA_.pie_
�
MAX NON -S
_=
--------
MIN SOUTH
SHADING:
SOUTH
WEST
Q i _
_40j--------
------NORTH/EAST
NORTH/EAST
_
/V�� O • / _
-_DJe��_s
THERMAL MASS
cot JKAREA
--- °ZO_--
---FQ Ai
INFIL.BARRIER ,
OUTLET GASKET
____
___�cL
ATTIC
-- ----
HVACs
---
---- 7kl�_'`
.HEATING
COOLING
D.H. W.
__L J_+C1L==
A/A HT EXCH
L{[____
COLLECTOR AREA SIZING:
Collector Curve Slope - 1.02
Collector Curve Y -Intercept a 0.69
Minimum Collector Area ------------ sq ft
(from CEC Table 13)
4-11
PROBLEM 4
REQUIRED
PACKAGE
ACTUAL
Revised
Page 1 of 3
HkNDATORY MEASURES CHECKLIST
NOTE: All new residential buildings subject to these standards must contain
the following measures regardless of the compliance approach used.
I I PLAN I FIELD I
DESCRIPTION IDES_IGN-ER I CnCK IINSPECTIONI CO2-SENTS
�r— N0-7 NOT
Mandatory Features and Devices I I OK IOK I OK I OK I
. I
§2-5352(a)
Minimum ceiling insulation I I I I I I
R-19 weighted average I I I I I I
I 11—
§2-5352(b)
Loose fill insulation
manufacturer's labeled R -value I I I I I I
§2-5352(c) I I I
Minimum wall insulation in framed
walls R-11 weighted average (does
not apply -to exterior mass Malls)
§2-5352(d) I I I I I I
Infiltration control I I
1. Doors and windows weather- I I I I I I
stripped I I I I I I
2. All joints and penetrations I I I I I I
caulked and sealed I I I I I I
3. Doors and windows certified I I ( I I I
4. Exhaust systems have damper I I I I I I
controls I I I I I I
5. Masonry and factor; -built
fireplaces have I I
a. Tight fitting, closeable)
metal or glass door I I I I I
b. Outside air intake with I I
damper and control
c. Flue damper and 'control I
No continuous burning gas pilot
allowed I I I I I
§2-5352(e)
Vapor barriers in Climate Zones, I I I
14 and 16 only I I I I I I
I
§2-5352(f) I I I I
Ducts'.constructed, installed and I I I I I I
insulated per Chapter 10,.1976 UMCI I I I I I
I I.
§2-5352(8)
Space conditioning equipment I I I
sizing -attach heating and cooling '
calculations
C-43 RE CM
Appendix D
D-3
:.ppendix D
-4
C-43 REECM
= C- C) _
PLk I i ZELD
I
DESCRIPTIOI; !T): c,. D
�:�__I
-
C:' CK 1NS�,CT10S
��tf T--• I
_CO
'•o. ! I ?SOT I
§2-5352(h) I
01: 101: I oi: ; m:
Setback thermost-&t on all heating I I
I I I
or cooling sYstems. I I
I I
§2-5352(1) I I
( I I I
Water heater ir.culation bianr:et j I
I I I I
(R-12 or g.reater); first 5 feet ofl
pipes closest to tank ir.sulated I I
I ! I I
(R-3 of greater) I I
I I
I T
I
E2 -5352(j)
I I
Pipe insulation on steam and
steam -condensate return and. re- I I
I I I I•
circulating piping; I I
'-X352(:;) i I
I i I
I I
5ng pio1 heating
1. Svs:e::. I I
I I 1 I
a• 0^tch or. iaa_er I I
I I
ticF c.ate r -.c -o
I
i
C . i1 c C C. a! _ is :7C,_
C--er
4.
r; _
C 2-'t
�
t
for
ane
SJ r. u_�.__�-.-.. Er abs_`p
e r . -:),; a'.-.__ °E_ _ -. rate
Crec:e= flar. 2 p -E 7 -;rh, I
:.ppendix D
-4
C-43 REECM
FORM 1
Page 3 o
j
MANDATORY MEASURES CHECKLIST
- PLAN FIELD —(— —
DESCRIPTION_ ___ T_= _ _ IDESIGNER._ICHECK IINSPECTIONI COMMENTS=
I I INOT I I NOT
I OK IOK I OK I OK I
Equipment Efficiency
I I I I I
§2-5306 and 2-5307
HVAC equipment water heaters and I
_shower heads and faucets certifiedl
by the California Energy (CEC)'.
Commission (CEC). Indicate make I I I
and model number. I I
Insulation Quality
• I I• I I I I
§2-5303 to 2-5305 I I I I
Insulation specified or installed I I I I I I
meets CEC.quality standards-. I I I
Indicate type and form. I I I I I I
C-43 RECM
Forms