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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
538171' .13 O 1!2(
Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) . 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
II�6reby affirm under penalty of perjury one of the following declarations:
� ) I have and will maintain a certificate of consent to self -insure for workers'
'compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carver STATE rUND Policy No. 229 -00 -21032 -
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety-
for
afetyfor a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of.this City to enter upon
the above-mentioned property for inspection purposes.
Date
BUILDING PERMIT PERMIT# -
DATE VALUATION LOT 0000"38 TRACT
$1,463-W
JOB SITE
ADDRESS 78-975 del RCANS0
APN ]J
' / t
OWNER
CONTRACTOR/[ / EN INEER
=0
nICKLYN CONS"X'RUC7.2ON
78-975 DtSCAN50
30640 VIA 1 AD PAYt'AS
LA QUINTA CA 92253
THOU: A1D PAL, CA 92276
(760)343.5500 tMSi' 6106
USE OF PERMIT
OF_N BUILL�3Ti4C�
,
ENCI..OSE PATIO COVER SQ IST 110
h 'ti
PORCH/PAT!O 110.00 SI<
Y�
ESM. ATK D C06 -r OF C OS+NSTMI'JC'UO R
1,463.OD
X'11:' AGT 3i` E SUAI1 '% Y
PLAN CHECK FEE 101-000-439-318 $22.75
CONSTRUCTION FEE 101-000-418-000 $35.00
MECHANICAL, W. 101-000.421.000 $12.00
nIXTRICA1, FEE 101.000-420-000 $19.00
S'9 RO110 IAOTIO14 PEE • P01110 101.000.7.41.000
=13 -TOTAL: C'O3 SIRLIC'i'(OLS1AWD PLAN GREG'K
$94.25
LESS PRE-PAD)FF033
$0.00
'Ii0 CAL PKIRWIf-V7YS DUE NOW
.25
RECEIPT
DATE ,ry
B /�,
D J 'NAL. I '/.
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
0. K. to Wrap
F.A.U. .
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PI . Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping -
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
FBQures.—
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Bin $
-.City of La Quinta
Building 8E Safety Division
P.O. Box 1504
Permit #
78-495 Calle Tampico
La Quinta, CA 92253
Building Permit Application and Tracking Sheet
Project Address.__q T9
Owner's Namr--+-�)t:LSeotD
A. P. Number:
Address:
�,5��1-
Legal Description: Il
City.ST. Zip:
Contractor:
Telephone: -
Address: 6
PN
Project Description:
Ciry.ST. Zip:
Telephone: D
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State Lic. _ :
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Cit, Lic. #:
Arch.. Enar.. Designer FL)
I
Address: O S
06—
Cite. ST. Zip:
Telephone:
Construction Type: Occupancy:
State Lic. =:
Project type (circle one): New Add'n, Alter Repair Demo
Name of Contact Person:
Sq. Ft. I t
# Stories:
# Units:
Telephone = of Contact Person:
Estimated Value of Project:
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Mme.
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-5515
CERTIFICATE OF COMPLIANCE
Date 5/10/00
No. 20426 Jurisdiction
Owner NameJames & Ann Lizzo
No. 78-975 street Descanso
City La Quinta zip 92253
Tract #
Lot #
Type of Development Residential Addition
Comments
Enclosing patio
APN # 646-350-014
La Quinta
Permit #
Log #
Study Area
Square Footage 110
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
0.00 X 110 or $ 0.00 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By N/A Telephone.;, e3,43-5500
Name on the check
By Dr. Doris Wilson
Superintendent I`LL
Fee collected /exempted by Ellen Patino Exempt WOO-, [
Check No., N/A
Signature Z
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1898) this will serve to notify you that the 904ay approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they ere paid to the District(s) or to another public entity authorized to
collect them on the Disbict('s)(s') behalf, whichever Is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
December 20, 1999
Mr. and Mrs. James Llano
79-975 Desscanso Lane
La Quints, CA 92253
Dear Mr. and Mrs. Lizzio,
The Rancho La Quinta Architectural Committee has reviewed your revised submittal of plans for
the proposed remodel of your home. The plans were approved with the following comments:
1. You will need to submit a consbwtion.deposit of $2,500 made payable to tate Master
Association for Rancho La Quints. This deposit is refundable upon the completion of
construction.
2. Please submit s copy ofthe Construction Regulations signod bar you and your contractor
when you have selected a contractor. .
3. The new window shall have a wood lintel installed above the window to match the .
existing windows. I have a red lined plan showing this if you need it. -
Thank you for your patience in our review of the plans. t took forward to working with you
further and hope you have a great Christmas holiday.
Sincerely,
win
Mindy Gutierrez, Property Manager
The Master Association for Rancho La Quints
Professional Community Management / Desert Resort Management
Post Office Box 4772 • Palm Desert, CA 92261-4772
73-550 Alessandro, Suite 5 • Palm Desert, California • (760) 346-1161 • FAX(760)34&"18
1-4
Additions of less than 1,000 square feet meet the
requirements of package D for the applicable
climate zone with the following exceptions: walls
meet only the mandatory insulation level of R-13
in a wood frame; glass area is limited to the
percentage allowed by the' package plus any
glass removed because of the addition.
Additions of 1,000 square feet or more meet all of
the requirements of package D.
Dual -Glazed Skylights and Dual -Glazed
Greenhouse Windows
Dual -glazed skylights or dual -glazed greenhouse
windows are treated as though they have the U -
value required for prescriptive compliance.
Dual -glazed skylights and dual -glazed
greenhouse windows should be included in
compliance calculations as a fenestration product
with a U -value equivalent to the Package D
requirement for the appropriate climate zone (or
0.75 for additions of less than 500 square feet).
Table 7-1: Prescriptive Compliance of Additions -
Summary of Section 152(a)1 Requirements of the Standards
> 500 but
COMPONENT < 100 ft2(1) < 500 ft2 <1000 ft2 >1;000 ft2
Insulation
Ceiling
R-19
Package
Package
Package
Wa113
R-13
R-13
R-13
Package
Floor
Mi :ndatorys
Package
Package
Package
Fenestration
Max. U -Value°
0.75
0.75
Package
Package
% of CFA
< 50 ft?
Pkg. + Removed5
Pkg. + Removed5
Package
Shading
N/A
Package
Package
Package
Space Heating'
Mandatory6
Package
Package
Package
& Cooling
(No electric)
(No electric)
(No electric)
(No electric)
Water Heating'
Replacement
N/A
N/A
N/A
N/A
Increase
See Table 7-2
See Table 7-2
See Table 7-2
See Table 7-2
1. This approach does not allow credit for glass removed. Compliance with the requirements for
additions of less than 500 square feet is allowed, in which case credit for glazing removed is allowed.
2. Meet the component .prescriptive requirement for Package D (see Chapter 3) and all mandatory
requirements.
3. "Heavy Mass" and "Light Mass" walls may meet th ., Package D requirements for mass wall insulation
instead of R-13 (see Chapter 3).
4. For addition and alteration compliance only, dual -glazed greenhouse windows and dual -glazed
skylights are assumed to meet this requirement.
5. The Package D fenestration area plus the area of any glazing removed because of the addition.
6. All applicable mandatory measures must be met (see Chapter 2).
7. No electric resistance space heating may be installed.
Additions and Alterations
July 1, 1999
7-7
A
TABLE NO. 1-Z15
ALTERNATIVE COMPONENT PACKAGES
FOR CLIMATE ZONE 15
PACKAGE!
COMPONENT A B C D
BUILDING ENVELOPE
Insulation Minimums2
Ceiling
R30
R38
R49
R38
Wood Frame Walls
R19
R19
R29
R21
"Heavy Mass" Walls
(R5.5)
(R4.5)
NA
(R4.76)
"Light Mass" Walls
[R7.0]
[R6.0]
NA
NA
Below Grade Walls
NA
NA
NA
RO
Slab Floor Perimeter
R7
R7 ,
R7
NR
Raised Floors
R19
R19
R21
R19
Concrete Raised Floors
NA
NA
NA
R4
GLAZING
Maximum U-value3
0.65
0.65
0.40
0.65
Maximum Total Area
NR
16%
16%
16%
Maximum Total Nonsouth Facing Area
9.6%
NR
NR
NR
Minimum South Facing Area
6.4%
NR
NR
NR
SOLAR HEAT GAIN COEFFICIENT4
South Facing Glazing
0.15
0.15
0.40
0.40
West Facing Glazing
0.15
0.15
0.40
0.40
East Facing Glazing
NR
NR
0.40
0.40
North Facing Glazing
NR
NR
NR
NR
THERMAL MASS -5
REQ
NR
REQ
NR
INFILTRATION CONTROL
Continuous Barrier
NR
REQ
NR
NR
Air -to -Air Heat Exchanger
NR
REQ
NR
NR
SPACE HEATING SYSTEA46
Electric Rsistant Allowed
NO
NO
YES7
NO
If Gas, AFUE =
78%
78%
78%
MIN
If Heat Pump,
Split System HSPF8 =
6.8
6.8
6.8
MIN
Single Package System HSPF =
6.6
6.6
6.6
MIN
SPACE COOLING SYSTEM
If Split System A/C, SEER =
10.0
10.0
10.0
MIN
IJSingle Package A/C, SEERS =
9.7
9.7
9.7
MIN
DOMESTIC WATER HEATING TYPE
System must meet budget, see
ANY
ANY
ANY9
ANY
151(b)1 and 1510(9)
LEGEND: NR = Not Required, NA = Not Applicable; REQ =
Required; MIN
= Minimum
SEE NOTES FOLLOWING TABLE NO. 1-Z16
3-42
July 1, 1999
Residential Manual
S
0
c.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 2) CF -1R
,5--09-00
Documentation
\. Vlll}1L4llbV iva�.uwu �a oa.na�. vi a..vuaruwa� . uwo
Enforcement gency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area %7 ft, Average Ceiling Height: io ft
Conditioned Slab Floor Area ft2
Building Type: X Single Family Addition
(check one or more) Multi -Family Existing -Plus -Addition
Front Orientation: 9c North / South / East / West / All Orientations
' (input front orientation in degrees from True North and circle one)
Number of Stories
Number of Dwelling Units:
Floor Construction Type: lab ised Floor (circle one or both)
BUILDING SHELL INSULATION
Component Frame Type
Type wd = wood
stl = steel
Cavity
Insulation
R -Value
Sheathing Total R- Assembly Location/Comments
Insulation Value' U -Value' (attic, garage, typical, etc.)
R -Value
Wall fvQ
_/
- /JAZ
Wall__ -
Standard
Front
Roof
/
Standard
-Roof
/
Floor
Left,----
Floor
Standard
'Rear
Slab Edge
{
Standard
FENESTRATION
Shading Devices
Fenestration
#/Type/Pos.
�C rien-
�tation
Area Fenestration Fenestration
r(f2)U-Value SHGC
Interior Exterior Overhangs
Shading Shading Att. /Fins
Att.2
Front
Standard
Front
/
Standard
Left
/
Standard
Left,----
Standard
'Rear
{
Standard
Rear `'�—
Standard
Right
Standard
Right
Standard
Skylight
Standard
Skylight
Standard
' For prescriptive compliance, Total R -Value and Assembly U -Value are not required for a wood -framed wall that meets
cavity R -value insulation requirement for the Prescriptive Package.
2 For prescriptive compliance, there are no credits for any interior shading except the default or " Standard" drapery. These
default interior shading devices (draperies) need not be installed for compliance purposes.
July 1, 1999
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 2) CF -1R
/
-Z-2-10
_
Project Title aic
HVAC Sl'STE,NIS
Note: Input h%dnmic u! co:nhini ! livdi micd !a i iidci \, ;;!: I I Latutg e>.:•eia Design I fc;r,im_ Load
�.� L)ISlrIf7tlll0ii
Heating Equipment Mininrtnn Type and Duct or Heat Pump
Type (furnace. heat Efficiency Loca?ion Piping Thermostat Configuration
pump.
etc.) (AFUE (it IISI'17) (ducts. attic. ctc.) R -Value Type (split or package)
cc' — --- ----
Cooling Equipment MininTtrin Duct Heat Pump
Type (air condilioncr. Efficiency Location Duct Thermostat Configuration
heat pump. evap. cooling) (Sliliit) (attic. etc.) R -Value Type (split or.package)
WATER HEATING SYSTEMS
Energy' External
RatedTank Factor or Tank
Water Heater Distribution Number Input (IAS' Capacity Recovery Standby' Insulation
Type Type in Svstem rr I31ti.110 (gallons) Efficiency Loss (%) R -Value
1. For small gas storage water heaters (rated inpu!s of less Ihan oi equal to 75.000 Bit!/hr). electric resistance, avid heat pump water heaters, list Energy
Factur. For large gas stolace walcr hratcts (rated input of urcater Ihan 75.001) Bluth!). lis! Rated Input. Recovery Efficiency and Standby Loss.
( For instantaneous gas water heaters. list fated input and recove•n efticiencics.
SPECIAL FEATURES anti )MODELING ASSLIATIMONS (Add extra sheets if necessary)
Including Thermal Mass (thermal mass type, co\ering, thickness. and description)
COMMIANCr STATE FINT
This certificate of contnliance listf. Ili;• building I'CatuICS and perlirrmancc specifications needed to comply with Title 24, Parts I and 6 of
the California C Cdr of Reeula tions. and the admini<trativc regulations to implenunt t.m. This certificate has been signed by the
individual with o\c!aII d -_-sign responsibiIit\. W;lie n this ceriiIicate of ccanpIiance is submitted for a single building plan to be built in
multiple oricntations. any shadim: feature Ihat is i, indicated in Ilii Special Features / Remarks section.
Designer or O
Nantc:
Title'Finn: _
Address:
Teleph:)me:
Lie. r:
Enforcement Aouncv
Name:
Title:
Agency:
Telephone:
(signature / stan!p)
r 13usiny.7; and Professions Code)
(da! --- )
Doctnncntation Xu or
Munc: Ale
"I itic%Firm: /C!L
:lddress: Q/Cit)
.11[11. 11 1999
M
N —:_00
(date)