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07556 (SFD)T4hf 4 4a a" t�7r9P.O. BOX 1504 Building ppe�r 78-105 CALLE ESTADO Address M"`J?'�+�+. Juarez LA QUINTA, CALIFORNIA 92253 Owner South West Partners Mailing Address 48-140 Beverly City Zip Tel. Palm Desert Woo 346-7757 Contractor Owner City State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel. City (Zip (State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I em 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 or 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 contractors) licensed pursuant to. the Contractor's License Law.)" ❑ 1 am exempt under Sec._B.,,& P.C.C. for this reason ! i Date caner 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 ($100) valuation or less.) I 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 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 -Date- Mailing ateMailing Address City, State, Zip No. BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774`151-M Legal Descripti Description Lot 19 07555 Single Family Dwelling REMARKS 14 ra cs'S < t. Ab e. t .n,►. crA 10 16 00--14tf 1 iltfit, x �_?Vy._*4 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/ Issued by: Date Permit Validated by: Validati Sq. Ft. Size 18M No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 99478 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 250.OD 289.94 Const. 639.50 Mech. 53.50 Electrical 119.82 Plumbing 157.50 S.M.I. 7.00 Grading 20.00 Driveway Enc. 20.00 Infrastructure TOTAL $3,759.51 1 $3,5UF.5T__ REMARKS 14 ra cs'S < t. Ab e. t .n,►. crA 10 16 00--14tf 1 iltfit, x �_?Vy._*4 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/ Issued by: Date Permit Validated by: Validati 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY 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/. c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 1/ic HOUSE SEWER FRAMING /(/ 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 GA GROUND PL�3(qwmovnr UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE% ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 6 FAWK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. `7// 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. =$ LUMBER GR. FINAL INSP. FRAMING /(/ FINAL INSP. ROOFING VENTILATION IP2,/�$plusx$ 2C REMARKS: FIRE ZONE ROOFING, FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION AA7 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL P.O. BOX 1504 Building /� _�D v c /� X21 i 78105 CALLE CALIFORNIAESTAD9 Address 7 LA QUINTA, ORNIA 92253 . w Address /aim ,j/�5 Contractor Address r ity State Lic.- City. & Classif. I Lic. # Arch., Engr., I Designer Address TTel. City Zip I State Lic. # ���CENSED CONTRACT9 R'S DECLARATION I hereby affirm thairfarl�t licensed under proyi5iops of Chapter 9 (commencing with Section 7000) of Divis-io_n/aro a Business and ProfessionVCode, and my license is in full force and OWNE"UILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 rde a signed statement that he is licensed pwsuant 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 rive 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 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. ff. 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.) O 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.) Policy No. Company O 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 thF 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: d, ager 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. 1 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 bovementioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION APPLICATION ONLY JILDING: TYPE CONST. - OCC. GRP. P. Number 7% Y -- 5 �q" O a C. :gal Description / oject Description Sq. Ft. / (� Size (d 0 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 7f9 PERMIT AMOUNT, Plan Chk. Dep. () o a Plan Chk. Bal. Z Const. 3&7, Mech. 3 . ,s'® Electrical 11 92 - Plumbing t S.M.I. Grading 2) cyC Driveway Enc. 7f/ 4 ob Infrastructure z2 7 L 175? / Jr - TOTAL REMARKS 0051 s? i 0 -i4zz X4•-1''- 0 .i U W CFiSH i IU I AL 1 215 .00 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: SETBACK GROUND PLUMBING N A.C. UNIT CONSTRUCTION ESTIMATE SLAB GRADE NO. PLUMBING FEES HEATING (ROUGH) STORAGE TANK RICAL FEES NO. SEWER OR SEPTIC TANK 1ST FL. SQ. FT. ® $ Q C7 UNITS FOUND. REINF. 2ND FL. SO. FT. ® METER LOOP HEATING (FINAL) YAR u KLFi,5gSTEM FOR. SQ. FT. GAS (FINAL) MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® GROUT POWER OUTLET ROOF DRAINS CAR P. SQ. FT. ® BOND BEAM DRAINAGE PIPING GRADING cu. yd. $ -Plus-X$ _$ LUMBER GR. WALL SO. FT. FRAMING DRINKING FOUNTAIN SQ. FT. @ ROOFING URINAL ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN `r WASH ER(AUTO)(DISH) APPLIANCE DRYER 1 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED � LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP FINISH GRADING POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. CERT. OCC. SQ. FT. ® c BATH TUB FENCE FINAL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1114 C SEWAGE DISPOSAL SQ.FT.GAR ® 3/4C 2, 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 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 M. COACHELLA VALLEY WATER DISTRICT0 CASH RECEIPT DETAIL Received From: f Address: !�i? OL , L l 0&1 Account No. fin a Service Address i / p'Meter(s) V/Service(s)" ❑ Backflow(s) Water Service Cashier tea- -0 ❑ House Lateral(s) Money Order ❑ DetectorCheck(s) CVWD-438 (11189) �• ❑ Meter Surcharge VSanitation Capacity Charge / S / U � SO ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other Remarks: O.A. Code I TOTAL s �d0 vr! / SU,u ❑Copy to: i Cash Check Water Service Cashier tea- -0 Money Order CVWD-438 (11189) �• -K Buepa Engineers, Inc. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client. Name { Client Address Client Phone DATE JOB NO. ; 12-C 1 a PROJECT LOCATION MOISTURE CONTENT % CONTRACTOR OWNER MAXIMUM DRY DENSITY Ibs./cu. ft. OPTIMUM MOISTURE CONTENT % WEATHER TEMP. o at AM I U (�� ° at PM PRESENT AT SITE ahm v��P ` r F c�t1 TEST NUMBER TEST LOCATION 1J LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY lbs./Cu. ft. MAXIMUM DRY DENSITY MAXIMUM DRY DENSITY Ibs./cu. ft. OPTIMUM MOISTURE CONTENT % IC, '2 2 c�t1 zls �w , m h t REMARKS:� a,� �.aile c!U-C..eA 2cw(� d C, . ✓YuQ,2i ti IELD REPORT TECHNICIANS SIGNATU`k 4051 Point System Summary: Climate Zone 15 P -2.R Project Title Date BUILDING ?RATA Glass Area % Glass Conditioned Floor Area Q Number of Stories 1 North Slab/Raised Floor EastSou Check all applicable Unit Type condition(s): West 11 ] Single Family Detached (Sl"D) [ ] Addition Alone Skylight�,..,.- [ ] Single Family Attached !FFA) [ ] Existing Building Total zqO, [ ] Multi.-Fairily (MF) [ ] Existing-Plus-nddilon SCORECARD Measures Point Scores 1. Ceil.ingInsulation or � R -via ue [381 U -value [0.0301 2. Wall Insulation Q- k _or � R -value [19] U -value (0.0661 3. Raised Floor Insulatl€ n lv-,� or R -value [191 U -value [0.0371 4. Slab Edge insulation _ or R -value [01 F2 factor [0.771 5. Infiltration Standard p 16. glass Heat Loss A> -A A V.— � \ k .I _::� -� �p . Type (double] U -value (0.651 % Total Glass (16] Sum 1-6 ` 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North O x p O 0 b. East x f .c'7 c. South �, .) 1 x _ , Ctq 0 d. West -A- x = l:3!5S Q e. Skylight _ O " x p = © a S. S"tading (Shade t lr sedi % Glass SC Eff. % Glass a. North © X _ '6 + b.. EazL L -JC 40 S— X C. Soull'1 1 1 X -- d. ,Jest _ L`'v x e—K \ _ 3 `�— e. Skylight -- x O ® Q 9. Interior Thermal Mass Interior Mass/CFA 10. Exterior Wall Mass 8 ® -+ Y Exterior wau Mass = t_ �) Sum �7-10 11. HeatingSystem Zonal Control? ( Y / N SE orSPF Duct Efficiency (0.78] Effective SE or -- [0.7216.6]— ;HSPF [0.56/5.151 v 12. Cooli.:ig System CI ) x Zonal Control? ( Y IN) SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating �, V-7-- ! I — Type [SG] Credit [none] L Q Point Total: 1 1 Form Revised March 1988