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14855 (AR)
P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address ; 7'9-715 iris Court LA OUINTA, CALIFORNIA 92253 Owner Mailing Address.,., same... as above City Zip Tel. La . 1nta.. 92.253. . . Contractor )qer Snel .enterger and As Address . . I.. . BUILDING: TYPE CONST.'' OCC: GRP. A.P. Number Legal Description Project Description 424 sq.' ft. Bonus, Room 41',865 Boardwalk Suite' 212 City Zip. Tel.' Palm Desert 9221.1.. 777-7766 State Lic :. City 8 Class if. � � Lic. W. 1' �� `' S Ft. 'No.; No. Dw. Size.. ..,.. 24 Stories.._ Units Arch., Engr:;: .. . Designer New ❑ Add'O `, ..-'Alter ❑..Repair°.❑ Demolition•O, Address Tel. .. .. , :.: , ,�,'..:, _. .. , .: . • •- City Zip State y Lic. # i. ;LICENSED CONTRACTOR'S DECLARATION' I hereby affirm, that I a111 Incensed nder pfoliisions-,df apter 9,0ommenOnd with Section- " ) of DIw4En 3 of the.Busine and'Pfofessions od and yi cense is infull force and�7000 effect /AM •IGNATURE - DATE- ' OWNER -BUILDER DECLARATION • ' ' I hereby -affirm that I am exempt from the Contractor's License Caw'for the following 'reason:. Estimated ValUatlOn 8 771.00' ' ' (Sec. -7031.5,Buslness .and Professions Code: Any city or county which 'requires a ' - • ^ - • . . permit to construct, alter, improve, demolish, or repair any structure, pnor.to its issuance'also �- •' • - _ ' requires the applicant 4or-such permit to, file- a signed statement that he fs'licensed pursuant, to PERMIT` - - - AMOUNT _ the provisions of. the .Contractor's Ucense Law, Chapter 9 (commencing with. Section 7000) of Division 3 of the Business end'Professions Code: or thathe is -exempt therelromn and the. basis' for the alleged;"exemptlon: r Any violation. of Section 7031.5 by 'any applicant for • a permit `Plan Chk • bep. •' -" ' " subjects the applicant to a civfl'penahy of not more than five hundred dollars,($500). ... O I, as ownerof the property, or my employees with wages as their,sole compensation, will. Plan Chk. Bal. 6 do the work, and the structure is not intended or offeredfor sale. (Sec. 7044, Buisness and. Professions. Code: The Contractor's Const : `,' ' ,f� 0 np 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. , 7.r Mech. • ' El 5 are not'intended or. offered •for sale."lf, .however, the' building - or.improvement is sold within. one year of completion, the owner -builder wig have the. burden. ' A Electrical of proving that he did.not build or §nprove for the purposeof sale.).. b -I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 wiWa contructor(s) jfcensed pursuant to the Contractor's Ucense Law.) •S.M,I. -• _ .� .. , Grading ❑ I am exempt•underSec ` B. 8 P.C.•for this reason ' Driveway Enc. Date owner: Infrastructure 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 lo. Company . •... , Q115opy Is filed with the city, ❑ Certified copy is hereby fumished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE' (This section need not be completed ff 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 ' .e .NOTICE TO -APPLICANT: U,' after making; this Certificate of 'Exemption you, should become • ZONE: ' ' BY: - subject to fhe..Workers' Compensatlon provisions of. me Labor -Coder you must -forthwith comply with such provisions or this pe nmg shall be deemed revoked. • ,Minimum Setback Distances: - Front Setback from Cen e Rear Setback from Re p, • WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL, AND, Si(fe,StreetSetbaCk CI?n 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., Side Setback fro operty Line DAMAGES AS PROVIDED FOR IN SECTION 3706 'OF THE LABOR CODE, INTEREST, 'AND ATTORNEYS FEES. /A, ; \ 'This is a building" permit when property 6116il out, signed and validated; and is subject to. T. FINAL DATE I,[{SPECT expiration it work thereunder is suspended for 180 days:. I certif that I have read this y application and state that the above information is correct. ' - Is by. ' Date, � ` err' i I agree to comply with all•city and county ordinances and state lawsaelating to building construction, and hereby authorize representatives—of .this •city to enter :the above-.-. . mentioned property for inspection purposes.. %Validated by: Signature of applicant Date— ate Mailing Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. S0. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. S0. FT. GAS (ROUGH) . - DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. $0. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 3 I 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 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 DISPOSAL GAR. FIREWALL LATHING SO.FT.GAR Q 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL:CK.FEE��E JELECT. 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATERHEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 3 I FRAMING FINAL INSP. ROOFING - - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION ( r CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL E Cl I tJ I LN. ON '2 M J r_� ,5r4A , -r" 45 t E15T'y �L.e.... F— 13 I1,.1� f S L r. �.. Provide 5/8" -'type "X" drywall at garage:, side of party wall. Fully taped with ! ietaggered joints. Run drywall continuous from concrete floor slab to ceiling framing. Provide .the. same at the garage.- side of ceiling .framing assembly. All penetrations 1 including, but not .limited to electrical and plumbing shall be 1 hour rated metal.See H.V:A.C. plans and notes for the requirements regarding all forced air duct penetrations at the 1 hour rated party wall. Use 26 Galy. Furring."hat" metal fastened perpendicular to rafters and on 16" Ctrs. Fasten'518" type "X" drywall to "hat" metal:-. l _go y (ANUS R OO H . Ut %'M t � e:>,., hN2 r�Jv-�o-'7v wtu 1�-�3 t-,::4 QUINTA BLL . S: SAFETY 6195648487 f Certificate of Compliance: Residential mzffl� Prolect Addrow -7 7&/ Documentettoa Author Telephone n_...�r..�..e ll.rl.rvl fP�rkanR Pntn1 �610rn Or CiOm P�terl Climate Zo— GENERAL INFORMATION Total Conditioned Floor Area: 22 Lf tt2 Single Family AdditionBuilding Type: —/ (chec(ora or more) amity Extsting-Plus-Addtion Front Orientation: North East I South / West / All Orientations orwraal on in degrees and cirda ono.) Plumber of Dwelling Units: ad Floor ( Floor Construction Type: la (circle one a both) BUILDING SHELL INSULATION construction Component insulation Assembly Location/Comments Type 8 -Value U -Value (attic to garage, typical, etc.) Wail .............. p-� T�—C- /ill ca_S Wall.............. _ Roos .............� Root ............. — Floor ............. _ Floor ....... :..... Slab Edge ._.. . & — - FENESTRATION Shading Devices (Page 1 of 2) Nie Building Permit it PlanCheck / late Field Check /Date P-©1 CF -1 R Enforcement Agency Use Only Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (so U -Value (roller blind etc) (shadescreen etc.) (yeslno) (meta?krood/vinyt) Front..... Front..... ( ) �A. Len ...... (� - �"r• ., _ __ Left ....... Rear.....— Rear._._. ( ) Right..... ( } Right..... -- Skylight ....... Skylight ....... — THERMAL F&ASS TypelGovoring Area T hlckness (slablexposed, tile, etc.) (sf)- -- (inches) L_ocatioiViDescriptlon (kitchen, bash, etc.) Ra" --d e,%,uarr 10sa F:OV-23-94 wED 15:54 LA QU I FrTA BDLG & SAFETY 6195648487 F- A2 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R 6 -kc -1 -u5 Ev— 'Pl-A &s 3(�!- Prolecr nue - Dere HVAC SYSTEMS Nola, Input hydronic or comhined hyctorlic data under Water Healing 9ywtems, except Design heating Load. Distribution Heating Equipment Minknurn Type and Duct or Type (furnaca, heat Efficiency Location Piping Thermostat pump, ata.) (AFUEMSPF) (ducts/attic, otc.) R -Value Type 1� t S -n &c G Cooling Equipment Minimum Duct Type (air conditioner. Efficiency Location Duct Thermostat Configuration heal pump,eva . 000lin SEER attic etc. R -Value T (spt or package) xcs—nrfl&, 14R WATER HEATING SYSTEMS Energyl External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capadty Recovery Stancfbyl Insulation Type . Type in System or BW/hr) (gallons) Efficiency Loss (%) R -Value Ec I 5i7 do -�. 1. For •rase gas storage (rand inputs 75,000 t3wehr), eteclik resistance and heel pump water treaters, fist Erwoy Factor. For targe gas storage gator hostom (rated input 2 00 75,0Btuly) list Rated input, Recovery Efnaency and S Losa. For inseanrsrmmus gen waW IN6069ts. lie! Robed InpkA and R@covery Effrrierr-y. SPECIAL. FEATURESIREMARKS (Add extra sheets if necessary) COMPLIANCE. STATEMENT This certificate of compliance lists the bulidlng teatures and performance specifications needed to compty +nth Tina 24, Parts 1 and 6, of the California Code of Regulations, and Cie administra M regulations to anplement them. This oetbficate has been signed by tie individual with overall design responsibility. When this certificate of =npflance is srbmffted for a sfngie building plan to be bull in multiple orientations, any sharing teature that Is varied is Indicated in the Spoci&t Faatures/Rentarks section- Designerf�77or Owner (pmt eusimas a. Prafeaalen, Code) Documntation Author Name: I�GCt2SAi�tcr�,La'ni E�c(Z /�ssrh� <L ti e-.Nama: 6 --- TiaQ/Firm: TiEerF(rm: A�-t Rdtiresa: 6S >-o nrapiu R-L.K Zt Z {+dfrwse: �L./r—t 2, t Tehphone: '-7 -j"%- -7-7 [o kD Telephony: Lic. a: (ciona4�rey (dam) (6ionature) Enforcement Agency Narrw: Tide: — Agancy: --- -- Teiapira�e: (eigrriwrUVS a Bov:e46 January 1992