07555 (SFD)Building
Address WO Juarez -
Owner Scut West'Partners
'Mailing
Address 48-1(* Beverly Drive
City Zip T
Pala 0eseft ' 92260
Contractor -
Address
..dZIp
State Lic. I City
' & Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LAQU_INTA, CALIFORNIA 92253
City
lZipStateI
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 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 for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (8500).
O I, as owner of the property,.or my employees with wages as their sole compensation, will
do the work, and the structure isnot 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 ttoo`thiuContraetor's License Law.)
O 1 am exempt under Sec: B &'P. -Cor his 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.)
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 (8100) 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 Dale
Mailing Address
City, State, Zip
No. 0755
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774 -151 -WS
I Description
Lot 20
Project Description Sfnde Family iwellftq
REMARKS a-ncixt+ya�dt aay� sc �'Sn t+t4 4;)
�'�v ... d. P'W SS � E�r��i�..• �. tJ�fiYy.. ri.�
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
4/16/90
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. M 18M
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$99s,87
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
§ +O
Const.
289„94
Mech.
r 639.54
Electrical
83.50
Plumbing
119.82
S.M.I.
157.50
Grading
7.00-
Driveway Enc.
,s'` 20.00
Infrastructure
,a°, 20.00 7-
F 2.202.25
dA
TOTAL
9.51 $3.549.51
REMARKS a-ncixt+ya�dt aay� sc �'Sn t+t4 4;)
�'�v ... d. P'W SS � E�r��i�..• �. tJ�fiYy.. ri.�
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
4/16/90
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT. @
POR. SO, FT. ®
GAR. SQ, FT. ®
CAR P. 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
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
(ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
JAMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
REMARKS:
SQ.FT.GAR ® 3Jic
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 A&GROU
G
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 8 �o
ROUGH P=.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SE E
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. e,12GAS
(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
n
FINAL INSP. l� 711
!!!
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING �
'�J - A A /,j'�
Py. a1.,L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING a
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION a7
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
T4
4 W "
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
December 10, 1990
South West Partners
48-100 Beverly Drive
Palm Desert, CA 92260
To Whom It -May Concern:
Enclosed please find copies of permit #07555 and 07556. When
these permits were originally issued they were given an incorrect
address. Please note the address change for your records.
If you have any questions, please do not hesitate to contact us.
Sincerely,
BUILDING AND SAFETY
Tom Hartung
Director of Building & Safety
TH/lc
enc.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
i
Address,,,
Owner�u���
Mailing,
Address��D�
Contractor
C r, I I1,_4,,1r11 /v i' 12
4 4 Qum&
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Y BUILDING: TYPE CONST. OCC. GRP.
A.P. Number �
I.
_ Legal Description is % Z O
Project Description S_ l /2
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
OONTRACTO DECLARATION
I hereby afiirmA (licensed u n>ds�ns of Chapter 9 (commencing with Section
7 of Divisioiw Business roI ns Code, and my license is in full force d
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,15lusiness and Professions Code: Any city or county which requires a
permit to construct, alter. J rpmve, demolish. or repair any structure, prior to its issuance also -
requires the applicant for such Perri to fife a signed statement that he is licensed pursuant to
the provlsbns or the C inbactors 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 aleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a tavipenally 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 Coda The Contractors 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. It, however, the building
or improvement is said wrThin one year of completion, the owner-buftder will have the burden
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-
struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of properly who builds or krproves thereon, and who contracts for
such projects with a contractor(s) ioensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R, & P.C. for this reason
Date Owner
WORKERS COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certMrate of
Workers 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.)
1 certify that in the performance of ttrg work for which this permit is issued, I shall not
employ any ppeerson in any manner so as to become subject to the Workers' Compensation
Laws of Calufomia
Date Owner
NOTICE TO APPLICANT. ff, after mnalfrg Ods Certificate of Exemption you should become
subject to the I+Ybrkers' Compensagm pvovfsbns or the Labor Code, you must forthwith
comply wffh such provisions or this pemrl 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 abuilding permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I car Illy 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
ateMailing Address
City, State, Zip
BUILDING DIVISION
Sq. Ft.
Size
New ❑
No.
Stories
No. Dw.
Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
c u sc r.AAt-_
TOTAL
,57
AMOUNT
REMARKS
005182 W S42Q U 2- o„ � o
1 rmr,i Jul."r
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:
Validat
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM ti
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK � -,
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS y
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
TEMP. POLE
'WALL SQ. FT. ®
GROUT
DRINKING FOUNTAIN
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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.
SQ. FT. ® c
BATH TUB
GAR. FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Desert Sands Unified School District
CERTIFICATION OF•PAYMENT
OF tLl�eJ
SCHOOL FACILITY FEES)
01�
T0: City of La Quinta DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253 NOTICE: THIS �'���.�������' CANNOT
BE DUPLICATEDs
This is o certify that /// ,
developer of which is
located at within
this District, has paid school facility fees imposed pur uant to the
authority generat d by Go ernment Code Sectiolt 53980 in the amount of
co eying a total of square feet of ( ) residential or
( ) industrial/commercial development and that build, g permits for
this footage in this development may now be issued by your jurisdiction.
e�
&Ah
for DESERT SANDS UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
�±..rtfe/;lI
1
Point System Summary: Climate Zone 15 P 2'R
eNoir%.
Pro jest TiUe Date
;k9 �o
BIDDING ??ATA
Conditioned Floor Area LS C%z�, Number of Stories
Slab/Raised Floor '&—L-A (�
Check all applicable Unit Type condition(s):
Single Family Detached (317D) [ ] Addition Alone
[ ] Single Family Attached (S'. A) [ ] Existing Building
1 Multi. -Family (MF) [ ] Existing -Plus -Addition
SCORECARD
Glass ea % G,Liss
North , Q6
East _
South L
West,�j
Skylight
Total
. Form Revised March 1988
M asures
Point Scores
1.
Ceiling Insulation
�, ��
or
(�
R -value (38]
U -value (0.030]
2.
Wali Insulation
�Z, � I_
or
_
O
I
Raised Floor
R -value [19]
t -J -A
U -value [0.066]
InsuiaU.ni,,
or
R-value(191
U -value (0.0371
4.
Slab Edge insulation
C:� _
or
R -value [0]
F2 factor (0.77]
5.
Infiltration
Standard
p
6.
Glass Heat Loss
� ��
`
t \Q�
� , Z�
+3
3_
Type [double]
U -value [0.65]
% Total Glass [ 161
Sum 1-6
7.
Shading (Shade Open)
% Glass
SC
Eff. % Glass
a. North
Ii.g
x
3Z–� =
u C)
I(i)
b. East
x
c. South
x
_
"��
Q
d. West
x
e. Skylight_
_ O
x
=
p
S.
S.e�ading (Stade i InsF�,;
�
% Glass
SC
Eff. % Glass
a. North.
► !n
x
a I Q� _
Qlz 3
b.. '&zI;
z,
x
t =
,
4111-1
AS
X
d. gest
_ , o <5
x
e. Skylii %:t
—
x
_
Cy
9.
Interiar Thermal Mass
Interior Mass/CFA
10.
Exterior Wall Mass
4>
11.
Beating System
Etter orblMass
I
x
. R+
�
Sum 7-10
Zonal Control? ( Y / N)
�--
SE or HSPF
(0.72/6 -6TH
Duct Efficiency [0.78]
Effective SE or
HSPF [0.5615. 151
12.
Cool-ig System
IR ,4J
x
, �3 =
I L `)
Zoalal Control? (Y / N)
SEER [9.5]
Duct Efficiency (0.74]
Effective SEER [7.03]
13.
Water Heating
--T
Type [SG]
1+�"' `e G�c�.► �.al�e
Credit [none]
,
Point Total.
. Form Revised March 1988
Client Name
Client
Client Phone
Buena Engineers, Inc.
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 - (619) 345-1588 588
I
R
_7 DATE
OB NO.
�
PROJECT
FIELD TESTING
:3
'7
LOCATION
DRY
MAXIMUM
MAXIMUM
CONTRACTOR
OWNER
Jr
LOT
WEATHER
TEMP.
0 at AM
NO.
ELEVATION
0 at PM
PRESENf\4T SITE
DRY-
ft\iZI /_7
?MOISTURE
Q
j
CLIENT REPRESENTATIVE SIGNATURE.,
FIELD REPORT
TECHNICIANS SIGNATURE 1621 1
-,k
FIELD TESTING
REFERENCE CURVE
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
TEST
TEST LOCATION
LOT
NUMBER
NO.
ELEVATION
CONTENT
DENSITY
DRY-
DRY
?MOISTURE
%
lbsJCu. ft.
DENSITY
DENSITY
CONTENT
%
Ibs./cu. ft.
%
11
REMARKS: 7, -7
Q
j
CLIENT REPRESENTATIVE SIGNATURE.,
FIELD REPORT
TECHNICIANS SIGNATURE 1621 1
-,k