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002337 (SFD)Building 53--795 Avwd& DiaZ Address Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address City Zip Tel. 1 Contractor Address City Z Sam State Lic. & Classif. BI 31.7340 Arch.;' Engr., ' Designer Address Tela 32201 345-5440 City Lic. # rs55 Tel. No.. 00.2337 BUILDING: TYPE -CONST. OCC: GRP. A.P. Number 774—IS1-014- Legal Description In't 2 MAN, 400 Project Description SL �iiST�EI• 1425 Sq. Ft.- Size DW . 432 New gCUR Add No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ City Zip State _ 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... a - _ •. .. ., - SIGNATURE DATE, OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation :.��.$�� 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will ' - PERMIT .. AMOUNT Plan Chk.De ' p Plan Chk. Bal. 54.11 COr1St.S� �� • do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not. apply to an owner of property who Mech.' - 'j• 50 builds.or improves thereon and who does such work himself or through his own employees, - provided that such, improvements are not intended or offered for sale. If, however, the building Electrical - 74.63,of or improvement is sold within one year of completion, the owner -builder will have the burden proving that he did not build or improve for the purpose of'sale.) . _ Plumbing 93.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions -Code: The Contractor's License Law does not apply to an owner of property who builds or improves_ thereon, and, who contracts for - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. 8 P.C. for this reason _ S.M.I. - 3.15 Grading 2Q. X30 Driveway Enc. 20.00 Date owner Infrastructure 1s0$•47 WORKERS' COMPENSATION DECLARATION ' I hereby affirm that I'have a certificate'of consentto 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..- O Certified copy is hereby furnished.. TOTAL 2.014.60 3,764.60 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 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. REMARKS �p1 i'casp SPA Am. rs&c' s YAW sSs'it''t�is • 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. ZONE: BY: Minimum Setback Distances: ' - Front Setback.from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line' heieby affirm that there is'a construction lending agency for the performance.of the work for which this permit is issued. (Sec. 3097, Civil Code.) - Side Setback from Property Line 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.... FINAL DATE INSPECTOR' 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.. Issued by: Date Permit Validated by: Signature of applicant - Date Mailing Address Validation: City, State, Zip A 5 4 2 3 4 28 1.764 60 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS LLKSLABGRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® �� /� ER OR SEP 7JifT d6 ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. '@ POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT, WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR Q 3/ac HOUSE SEWER FINISH GRADING FINISH 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 PLUMBINGS UNDERGROUND A.C. UNIT COLL. AREA LLKSLABGRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK �� /� ER OR SEP 7JifT d6 ROUGH WIRING DUCT WORK ROCK STORAGE ��FORMS � CFOUND. 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.ft)(LFINAL INSP. FRAMING �/ ,FINAL INSP. ROOFING / �� --VENTILATION REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH e"SULATIONISOUND 16/1- FINISH GRADING FINISH ,FINAL INSPECTION 1r,(3 7 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL 4 (� P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner mailing Address I City lZip ITel. tractor ty lZip Tel.. State Lic. I City & Classif. �� ` Lic. # Arch., Engr., Designer Address Tel. City Zip State I'A ,.r 1 41 -7 -1.1 / I Lic. # LICENSED CONTRACTOR'S DECLARATION 1 herebyy affirm that,l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dlvlsion 3�of, the Business and P,rofe�ssions Code, and my license is in full force and effect.Xalp A/J' ,.,.n�-'C/f .�'/ ' ✓� _SIGNATURE u' r ` 11 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 ($500). ❑ 1, 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 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. O 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 the work for which this permit is issued, I shall not employ any person In any mariner so as to;become'subject to the Workers' compensation Date Laws Calif��nia. ,j Owner NOTICE T.O�' PPLICANT: If, t after � making 'this Ciitiricate 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 sof this city to enter the above- mentioned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST.y OCC. GRP P. Number �-3 Legal Description�OT r Project Description Sq. Ft. No. No. Dw. / Size Stories % Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ rz,4VAJ 4" 025 547 ` 3� 0" 6-7 &t S 46 jov2-C/_/ ,timated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. 7, Electrical Plumbing j O S.M.I. S Grading -20 Driveway Enc. oew. 0 0 Infrastructure //DS •�3 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 Issued by: Date Permit Validated by: Validation: A5053 4 4 250,00 14 CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES �7'�S !b $ r3.2 UNITS BONDING HEATING (ROUGH) STORAGE TANK 1ST FL. SQ. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 2ND FL. SQ. FT. METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. YARD SPKLR SYSTEM GAS (FINAL) S �J, 6 3 ( — MOBILEHOME SVC. GROUT BAR SINK SERVICE POR. SQ. FT. ® BOND BEAM WATER SYSTEM GRADING cu. yd. $ Plus—x$—=$ GAR.70 - SQ. FT. ®� ' C / O POWER OUTLET FINAL INSP. ROOF DRAINS FINAL INSP. CAR P. I SQ. FT. ROOFING DRAINAGE PIPING REMARKS: WALL SO. FT. ® VENTILATION DRINKING FOUNTAIN SQ. FT. @ FIREPLACE URINAL ESTIMATED CONSTRUCTION VALUATION $ `ijga �, SPARK ARRESTOR WATER PIPING OZ NOTE: Not to be used as property tax valuation LATHING FLOOR DRAIN MECHANICAL FEES MESH WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD— FINISH GRADING SIGN WASHER(AUTO)(DISH) G! APPLIANCE DRYER CERT. OCC. GARBAGE DISPOSAL L� FURNACE UNIT WALL FLOOR SUSPENDED 7 :5-01 INSPECTOR'S SIGNATURESIINITIALS LAUNDRY TRAY AIR HANDLING UNIT CFM GARDEN WALL 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 ro SHOWER C/ BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c 3 $" SEWAGE DISPOSAL 3p SO.FT.GAR ® 3/ac �p HOUSE SEWER /O GAS PIPING PERMIT FEE 0 PERMIT FEE 0 — PERMIT FEE p DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE 37 so 3oy.// 3Sso� 7%6/ _ , iS 43',ma 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 APP.IEQUIP. 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 SIGNATURESIINITIALS GARDEN WALL FINAL tk%FIED S. r� %o N BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT a %P LA OUINTA 100 INDIO ,3 Desert Sands UniLed School District 82-879 HIGHWAY 111 a INDIO. CALIFORNIA 92201-5678 • (619) 347-8631 April 24, 1986 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: Lot 2, Avenida Diaz, La Quinta Gentlemen: The developer of the above referenced lot has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational faci'li.ties made necessary by such new development. Sincerely, rL 1. John D. Brooks Assistant Superintendent Business Services JDB/crm CLIMATE ZONE 1S POtNT.STSTEM DATA aroe Goch raasored action l41/ch corraDonas to the aullding mall/MVAC tystaia/do tit doter no eleallnt$ an ths, coaliance ch ckllst of the opposite Pap. NOTE: Thesk tables contain the Most Carina values docountwed • sees be" ow reduce 10 site a i " space: Refer to ado Publlcalmon P400.42-015 If ogre Information Is nodded. (1) Slab Flew Points (2) Raised Floor Points (3) C6/ling Points (4) wall Points Inal. R -Val of [rosMlattoe OWN Points (in) 0.2 3.6 {-8 70 0-11 -4 -4 -4 -4- 12.19 •6 •2 •1 0.65 16.19 -4 •1 •l 39-91 20• •4 -1 •4 1.2 • 2.2 (9) Nortb•F4tial 61"101 Points total % of G1"ing Type R -Value of Points Insulation Floor up to 2 •6 2•S -a 6 -lo •2 19• 0 total % of G1"ing Type Single. Oblrle. Triple. Floor U • U • U • Area 0.66 0.42• 0.41 .4 1.10 0.65 down Ne North 61" •«-.« « K ...«...» 39-91 Y to 1.1 w 04 •4 1.2 • 2.2 •2 4`2 03 2.3 . 3.4 0 0 •1 3.6 • 4.8 •3 -2 •1 4.9 • 6.0 •6 .4 •3 4.1 • 7.4 •8 •4 •9 7.6 • 8.7 •10 -8 .7 8.8 - 9.9 -12 •10 -8 10.0.11.3 •16 •12 •10 (8) Yat -►acing Olazinq Pointe Tool 61"1 ng Typo S 01 710114. Double. Tripled Floor U• U• U• Area 0.68. 0.42• 0.41 1.10 0.69 data No teat 0 "e -« -••10» »••«• we to 1.0 08 08 N 1.1 - 1.6 06 06 •6 1.7 - 2.3 •3 04 09 2.4 • 2.9 •1 02 03 3.0 • 3.4 .1 0 •1 3.9 • 4.2 .4 .2 -1 4.3 4.8 •7 -4 .3 4.1 • 9.4 -9 •6 -9 S.S 6.1 •12 -a •7 4.2 - 6.7 44 -10 .9 6.8 • 1.3 •)t6 -12 •10 7.4 . 7.9 •19 •14 -12 a.0 • 8.5 -21 -16 P14 a.6..-,.9.1 -24 -18 • -14 9.2 - 9.7 •26 -20 -18 9.8 •10.3 •29 •22 •20 10.4.11.3 •32 -29 -22 11.4-12.0 •3s -28 -25 R -V41 of Pts R•Vai assay Insulat Triple. (NGAirFll02) 19 •10 il•2i 22 -8 • 23-t7 30 .4 32-36 3e -O 37.38 49 0 39-91 (G) Cast -Patrol Glazing Points Total % of Glazing Type Single. cools. Triple. Floor U • U • U • Area 0.46- 0.42- 0.41 Form 4078) 1.10 0.66 dews NO Iasi 01 as••... •••7»......... ••»..« up to 1.5 03 N M 1.4 • 2.3 •l 02 03 2.4 . 3.4 •1 0 •1 3.6 • 4.3 •3 .2 0 4.4 . 9.4 .4 .4 •2 9.5 • 6.3 -4 .6 .6 6.4 7.3 •ll -4 •6 8.5 • 9.4 -16 •12 •10 9.5 •10.4 -lo -14 •12 (9) Skylight Points G1"inq Type facai S of Single. Double. Triple floor 11• U• 11• Area 0.". 0.42- 0.41 1.10 0.69 dare No Skyligyhts•«- ••-0•• up to 1.0 •2 ••2 •2 1.1 . 1.6 .4 .4 •4 1.7 - 2.3 •7 .6 -9 2.4 - 2.9 9 -4 •1 3.0 - 3.4 .10 -10 •9 3.5 • 4.3 •14 -12 -ll 4.4 4. •17 •14 -13 ! 5.9 9.4 •19 •16 •1S 9.$ 6.1 -22 •18 •17 6.1 6.7 -24 1 •20 1 -19 South F1 r Ar a SC 1.6. 3.2. 4.8. 6.4. 8.0- 3.1 4.7 6.3 1.9 9.6 Ad6 30 0 •l -1 -2 -3 .t .4 •.6 •3 -4 .6 -7 .63-.79 •2 -4 -6 •8' -10 .30• •3 •S •6 -11 -14 (13) Infiltration (14) Thermal vast Pct. Control Pet. Ir Me IirinsYlatM •40 Triple. (calculate as Standard .4 • A-24 shown an aFP. •Ta"S 0 Masonry Insulateo Form 4078) (18) Active Solar So"* (19) 10n41 Elect. ftatlng w/0as Resistance so•-••- •«.]••» ••»..« Space "to. Net $star(%) Pts. •2 1.4 - 3.4 •l 0 0 (N/A) 0.91 0 •2 9.9 - 7.3 S2• •2 .3 1.4 - 9.1 7K ale. 4010 (1/16/831 Ave: S -7 - R -Velma Pts Ir Me IirinsYlatM •40 Triple. -4 • R-19 0 • A-24 •2 • R-30 •3 Masonry Insulateo •17 Masonry Uninsulatee di (7) South -Facing G1"Ing Potosi Total % of Glazing Type Single. bole. Triple. Floor U • U • Y •.. . Mea. 1.66- 0.42• 0.42 EER 1.10 0.66 ae.n No South 61 so•-••- •«.]••» ••»..« 0 to 1.3 +2 •2 •2 1.4 - 3.4 •l 0 0 3.$ - 5.4 -4 1 .2 •2 9.9 - 7.3 •4 .4 .3 1.4 - 9.1 •9. •6 .{ 9.2 •10.8 •12 .e •7 10.9 •13.3 •14 •11 •10 (10) Shading Coefficient Pts. East I Floor Mea SC 1,115-13,11,14b .8-I1.6•I3.2.11.1 16.4 1.$ 3.l 4.) { 3 7.9 South overhang Points .O• .6 South Length 41 as •9 out (%floor) .aw.ow •� F,16- Mw.69-.96 • •2.-4 1.,;- •12s •20 (ft) or IT.8l• -2 -9 .•9 -13 18 .23 Las 6.3M Wast % Floor Area 0.1.9 •1 •2 sc .e. lee- 3.t- tea• 6.4• leo. i.o.3.9 0 � o 16-.70 0 •1 -2 •L -4 -S -4 12) ftwole ZI -15 Insul. Points 83-.79 •2 .4 .8 -l2 -16 -20 .80+ -2 -S I017 -22 -27 MOValle Ott.' (%of Floor) Sky 1qh 4. 81 SL .7 1.5 2.3 3.1 3.9 4.8 All 0 .16•.30 0•1 -2 •3 -t •S .t .6 .63-.19 -2 -4 •8 •lid -16 -20 BO• -2 •S 1 10 •17 •12 -27 (LS) rats Furnas via (16) Neat Paseo Pts. (17) Gas Furnace with Refrlq.Coollng Pts. seasonal Iff.(%) Pts. ALL 0 (20) Solar eater Meeting *Gas 9accuo Point (Stili) OMMY pwIIirq ustng-S.O.County Sisinq) 0► % XV Floor Area I Points 1.J00 - 1, •24 :.200 1.14199 99 •22 1.199 .17 11.00 2.000 - 2,)99 4,10 3.000• -4 Energy Eff. Ratio Ks. 1.5 - l.7 EER •9 7.8 • 7.9 EER -2 8.0 • 8.3 EER •1 9.4 - 8.6 Eat N 9.1 - 9.0 EER •7 .9.1 . 9.4 E=R 4P1D 9.5 9.9 EEA •13 10.0 -10.4 EER 1#16 (21) Other water Meating Points Gas/Mat Puny/ 0 Solar d Ela . Electric only -40 aefrtq.Cooling Pts. Refrig. Bas Furnace U (EIli (%S) Rjg 8.0-8.2 0 4.3-41.11 03 8.7.9.0 •d . 9.1.9.4 •q 9-t-10.3 •ls 10.4-10.1 •18 0 e. ff . .0'. .0 - PV. L. FREDERICK PACK P.E. 45-445 Portola Ave., Suite 26 Palm Desert, CA 92260 (619) 341-0082 Title 24 Energy Calculations Client: Address: Phone: Project Location: Plan No.: Building Area- Living............................................................... Perimeter of Building............................................................... Slab Edge Insulation (R. Value) ...................................................... Ceiling Insulation (R. Value)......................................................... Wall Insulation (R. Value)........................................................... Areaof Sky-Light................................................................... Area North facing Windows......................................................... Area East facing Windows.......................................................... Area South facing Windows........................................................ . Areas West facing Windows ................................................. 0 ...... Window Glazing (Dual or Single Pane) .............................................. . Window Shades (Type) ..........................................0................... SouthOverhang.................................................................... Infiltration (Std -018 Med-014 Tight -012) ........................................... 0 . . No. of People designed for ...................................... 0 . 0 ................ Thermal Mass (Area of Tile Floor) .................................................. . Area of Attic (Space between ceiling and roof) ....................................... SE of Gas Htg. Above 71 ........................................................... . EER Cooling System ...................................................... 0 ........ Is This a Heat Pump YIN............................................................ 0 0 H H U W COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $30 is required when the application is submitted. Check must be made payable to the County of Riverside Building Department Application Log N Name (Owner, Agent, Contractor, Etc.) Soils/boring report City / Telephone *Job Property Address *The above information must be *City_or•Gommunity- *Legal Descriptionof Prpty. (Lot, PM, TR) --inches s rock bottom - Type of System: v *Assessor's Parcel No. Water Agency Use of Permit ' Lot Size BELOW THIS LINE Or6We}1a SFD, MH Site Prep Etc. V „/4 Planning Case N Initial Dater ifo Soils/boring report by Install Proj. # Date (Bottom trench area) Signature of Applicant Type Ode- Approved by Date Date ' "dc� *The above information must be verified from Building Application --inches s rock bottom - Type of System: v No. of Bedrooms (1) Septic Tank Soil Rate Required STAFF USE - DO NOT WRITE BELOW THIS LINE /ia-e'O Gals. Initial Dater Certification of Existing S.D. System regd. Yes[ ] NoC/'.] 3 RG WQCB Clearance reqd. Yes[ ] No Soils feasibility report reqd. Yes[ ] NoC� Detailed boring report reqd. Yes[ ] No(/] zDetailed contour plot plans reqd. Yes[ ] No[./] 0 _ Staff Specialist approval reqd. Yes[ ] Ido[/7� Lot Inspection Date ifo Soils/boring report by Install Proj. # Date (Bottom trench area) Soils Map Page/"OSoil Type Ode- Approved by It Q10 Date ' "dc� /1 ft. with Min. --inches s rock bottom - Type of System: v No. of Bedrooms (1) Septic Tank Soil Rate Required Existing New Addition Replacement /ia-e'O Gals. (2) Leach line sq. ft. Sidewall allowance Install Lines) Leach bed (Bottom trench area) -ft. rock/ Sq. Ft. Ft. Lofrg,_ Ft. wide S ..Ft. of per'Nunni�n1g ft. with Min. --inches s rock bottom - N/A C ] below drain lines area Leach lines/bed-special design (3) Pit Diameter, No.Pit Seepage Pit total depth r� for slope :-AppLi able "5';r'] 6' [ V]� Pits BI N/A Overburden factor ] n Max. allowable depth _� t1 1 � This application is approved/de�d.for the design of a subsurface disposal s; -stem as indicated on the accompanied plot plan using the requirements set forth in Section B above. U A building permit is necessary for the installation of the above -designed system. o ((1) Septic tank and sewer lines must be,50' from any wellsi ! `yr. LL -4r; F (2,) Leach lines must be 100' min. from any wells including expansian� area Wf3) Seepage pits must. be 150' min. from any wells including expansion area ey c/ F/ Signature of Health Official Date RECEIPT NO. /1 7 7 17 .'/ i Issued by VVt Date , 3 k ; District: Riverside C ] Indio [ ] Hemet [ ] Perris[ ] Rancho Calif. [ ] Blythe[ ] Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Fending File DOH SAN 122 (Rev. 2/86) ��. _7( r r. 058:10 R2 3/28/84 VH/dr RL A A/ 4 0 o Attachment D L)A ✓E 67,2 MfJ T T Fo rm 1 - COMPLIANCE CHECKLIST For Low-Rise Residential Buildings (except hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on this page while working through the point system Building Shell Measure Points *Total Floor Area . ... . . .. . . . . . . . /425 ft2 1. Slab-on-Ground; Perimeter ft.. Depth in. . . . . . . R• o 4 2. Raised Floor R-Value... . . . . R. 0 0 3. Ceiling Insulation or Construction Assembly . . R•� 2 0 Attic. Percent of Roof Over Conditioned Space is n % . . . . . /¢2.5 ft + T 4. Wall Insulation or Construction Assembly. . . . . . . . . . . . R-L_ - 6 Glazing; Total % Floor Area Stnute Double Triple S. North-Facing. o % 0 ft o ft2 o ft? t4 6. East -Facing 2,i 3 o ft2 o ft f t 2 f 7. South -Facing. --,;z.% 3Z f t 2 ft f t Z S. West-facing . 5, 6 Z =ft2 ft2t2 — 9. Skylight. . ii ft ftt O 10. Shading Coefficient (excluding overhang) a. East . . . . . . . . . . . . . . . 1.3o SC . . . . . . . . . . . . . b. South . . . . . . . . . . . . . . . ..3 7SC . . . . . . . . . . . . . o c. West . . . . . . . ... . . . . . . 3 o SC . . . . . . . . . . . . . _3 d. North. . . . . . . . . . . . . • 3o SG . . . . . . . . . . . . . — o e. Skylight.. . . Z—SC . . . . . . . . . . . . . o 11. Horizontal South Overhang Length. . . . --ft . . . . . . . . . . . . . o 12. Movable Insulation. % Floor Area. . o-, Sa 13. Infiltration (indicate Standard. Medium or Tight) _L 14. Thermal Mass . Exterior Wall Thermal Mass Area. Heat Capacity. R-Value . . . . . . . 387,f t2.-�HC. R. -3 Interior Thermal Mass -Area. Heat Capacity R-Value . . . . 387 ft2. //3.I HC. R- •3 f/0 HVAC System** 15. Gas Furnace without Refrigeration• Coaling (Seasonal Efficiency).. . . . . . . . . . SE 16. Neat Pump (Energy Efficiency Ratio) . . . . . . . . . . . . EER 17. Gas Furnace with Refrigeration Cooling Seasonal Efficiency and Seasonal Energy Efficiency Ratio. . . . . . . . . 75 SE 4./ SEER t 9 18. Active Solar (Net Solar Fraction, %). . . . . . . . . . . . %NSF 19. Zonally Controlled Electric Resistance Space Heating . . . . . . . . . . . . . (Yes/No) Domestic Water Heating" 20. Solar With Gas Backup (Net Solar Fraction. %) . . . . . . . . . %11SF 21. Other Water Heating (Describe type) Point System Compliance Total. . . . . . . . . . . . . . . O *Checklistitems; not a point system measure. —4•-2-86 **Attach documentation for efficiencies and NSF. ,Pc E -74-09