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0006-068 (AR)V`r.I o 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 Date 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). O I am exempt under Section B&P.0-rfor this season/ o Date 9' /T Signature of Owner' WORKER'S COMPENSATION DECLARATION I hereby 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: Carrier Policy No. (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: V" /2 ` 12d 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 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"i construction, and hereby authorize representatives of this City to enter upon the above-mentioned property y foyinspection purpose . ! Signature (Owner/Agent,-, Date ^fir BUILDING PERMIT PERMIT# ALUATION LOT _ 000& TRACT f J(�%�1'q p JOB SITE ADDRESS _53-81V IitAZ APN 774-152-W OWNER CONTRACTOR / DESIGNER / EN (NEER FRANCMCO B & LUCINA CALDERON OWWRIJILT)FIR 53800 AVENWA )IAZ 53800 A.V.:. MAD ' LA QUi1 A CA .92253 'LA QUINTA CA 92253 t > - CBLO e USE OF PERMIT REQ is `7LMM ADD -11QAT ROOM ADDITION 214 SQ. FT. ' r - .r �, � t � '�t ADDITION 214.00 SF , f •"� 9 STYMATED C0n +i o (:,`(yN8'.C'Ctiucyloll"`.. 7 i,,11y20 20 PMWT FEE S1,TAU Ay PLAN CHECKAM? 101.-000-439.318 �tti, 3s CONS'iRUCT.ION FEE 101-000-419-000 i133.i►D MECHANICAL FEE 101.000.421.000 39A,Sp F,LZC*FRI(,A1, F'1V 101-000--420-000 $15.75 STRONG MOT1014FE, E-RESID 101.000.241-000 $1,16 e c ° `Q 51 WrOTAL CCJNMU'CTION• AND PLAN CHECK $259.16 ESS PR.E-PAI D EMS Z�5 $0,00 p _ "111 � &y� Aqgp� L 3 ly-ASS f S .`:nf 's D IVE NO YY $715%16 iii� 030 # RECEIPT DATE # 3 &Y DATE FINALED INSPECTOR . I q+ INSPECTION RECORD OPERATION DATE 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 O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS -.SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. 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 COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer,and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 OWNER'S SIGNATURE/ PROPERTY ADDRESS c A)J�& CA, _92-1_ 3 PERMIT NUMBER(s) Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 8/16/00 APN # 774-152-006 No. 20895 Jurisdiction La Quinta Owner NameFrancisco B. & Lucina Calderon Permit # No. 53-800 _Street Avenida Diaz, - - Log # t. . city La Quinta zip 92253 Study Area Tract # Lot # Square Footage 214 Type of Development Residential Addition I No. of Units 1 Comments addition is a game room. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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 EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 214 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 - Francisco B. Calderon Telepfione Name on the check i W By Dr. Doris Wilson ,r Superintendent ~ Fee collected /exempted by Annette Barlow Exempt $0.00 J Check No, N/A Signature � �J' NOTICE: Pursuant at Assam* Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 9May approval period in which you may protest the fees or other payment Identified above will begin to run from the data on which the building or installation permit for this project Is sssued or on which they are paid to Bre District(s) or to another public entity authorized to collect them on the District(•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 DeptJApplicant Copy - Applicant/Receipt Copy - Accounting I 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 ft2fl) < 500 fiz <1000 ftz >1;000 ftz Insulation Ceiling R-19 kackagez Package Package Walla R-13 R-13 R-13 Package Floor MEndatorys Package Package Package Fenestration Max. U -Value' 0.75 0.75 Package Package % of CFA < 50 ftz Pkg. +.Removed5 Pkg. + Removed5 Package Shading N/A Package Package Package Space Heating' Mandatory' Package Package Package & Cooling (No electric) (No electric) (No electric) (No electric) Water Heating' Replacement N/A NIA 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 the f :ickage 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 I TABLE NO. 1-ZI5 ALTERNATIVE COMPONENT PACKAGES FOR CLIMATE ZONE 15 PACKAGE] COMPONENT " A B C D BUILDING ENVELOPE Insulation Minimums2 Ceiling R30 R38 R49IZ38 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 ENR 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 COEFFICIEN74 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 MASS5 REQ NR REQ NR INFILTRATION CONTROL Continuous Barrier NR REQ NR NR Air -to -Air Heat Exchanger NR REQ NR NR SPACE HEATING SYSTEA0 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 If Single Package A/C, SEERS = 9.7 9.7 9.7 MIN DOMESTIC RA HEATING TYPE System must meet budget, see ANY ANY ANY9 ANY 151(b)I and 15119(9) LEGEND: NR = Not Required; NA = Not Applicable; REQ = Required; MIN = Minimum SEE NOTES FOLLOWING TABLE Nal -Z]6 3-42 July 1, 1999 Residential Manual L CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 2) CF -1R Project Title Project Address Documentation Author Telephony Compliance Method (Package or Computer) Climate Zone Date Building Permit N GENERAL INFORMATION F Total Conditioned Floor Area ft2 Average Ceiling Height: ft Conditioned Slab Floor Area ft2 Building Type: Single Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: 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: Slab/Raised Floor (circle one or both) BUILDING SHELL INSULATION Component Type Frame Type wd = wood st] = steel Cavity Sheathing Insulation Insulation R -Value R -Value Total R- Assembly Value' U -Value' Location/Comments (attic, garage, typical, etc.) Wall Left �j-p Standard 3 Standard Wall Zd Standard Rear Standard Right Roof Right Standard 3 Standard Roof Standard Floor a; Floor Slab Edge AJ P" FENESTRATION Shading Devices Fenestration #/Type/Pos. Orien- Area ' Fenestration Fenestration Interior Exterior Overhangs tation (ft) U -Value SHGC Shading Shading Att. /Fins Att.2 Front 7 S__ Standard Front Standard Left �j-p Standard Left Standard Rear Zd 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 -IR Project -I it le Date HVAC SYST ,NIS Minimum Duct Heat Pump Note: Input hN dionic or V"i:!:: Il:a!ir:e syst•:;n.. e,.ccpt DLsi!:rr 1lc;1;ing Load Duct Thermostat Configuration �-� l)ls?rll)UIIiNI (anic. etc) R -Value Type (split or.package) Heating Fquipment Minimum Type and Duct or Heat Pump Type (furnace. heat Efficiency Location Piping Thermostat Configuration pump. CIL,-.) (AFU1: of IISPF) Id!icts. attic. etc.) R-VaItIC Type (split or package) Cooling Equipment Minimum Duct Heat Pump Type (air conditiol,er. Efticienc,, Loc: tion Duct Thermostat Configuration heat pump. evap. cooling) (SGIiK) (anic. etc) R -Value Type (split or.package) WATER HEATING S17STEA-IS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input 0AV Capacity Recovery Standby' Insulation Type '1-ype in Svstcm nt 1 it),11) (gallons) Efficiency Loss (%) R -Value 1. For small gas slorawe eater heaters (rated inputs of les: than or equal to 75.0((l Bw/hr). electric re,istance, and heat pump water heaters, list Energy Factor. For large gas storace crater heaters (rated input ufpeate! than 7-;.00r) lttu.hr). list Rated hrput. Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recover efficiencies. J SPECIAL FEATURES anti MODELING ASSUMPTIONS (Add extra sheets if necessary) Including Thermal Mass (thermal mass tyle, co\ering, thickness. and description) COMPLIANCE STATE>\IENT This certificate of u)mpli:uuc Gsts 11!1.' bUildill_ ICaIIIICF and perfor:77anCc specifications needed to comply with Title 24. Parts I and 6 of the California Cod.,' of RCLUlalllm5, and the adminktrati', c re,_ulations to iniplenlcol them. This certificate has been signed by the individucll with m ctall desicn responsibilit\. When this certificate of compliance is submitted for a single building plan to be built in multiple orientnricvrs. any shading feature that is \:Ili:_( i; indicated in the Special I eatures / Remarks section. Designer or Owner (her Business and f!rofessions Code) Documviftation Author Nanlc: ----.--------------- --- Name: Titic'hinn: "I ills%Finn: Address: Telephc !x: 'I ciephone. I,iC. _: (signature) (dal:) Isignanrre) (date) Enforcement Agency° Name: _ Title: ( Agency: \- Telephone: (signature / stamp) (date) Jule 1, 1999 U L� 1 A Iv CONSTRUCTION HOURS October 1st - April 30 'Monday 1 Friday: 7:00 a.m. to 5:30 p.rn. s =Saturday: x;00 a.m. to -5:00 p -m- Sunday: None C�Ovorrment Code Holidays: None } jq" 1 St - September 30th Friday - : 6:00 a.m. to 7:00 p.HL Monday f Saturday:: a.m. to'S:00 p.m. Sunday: No= Government Come Holidays: NOM kW""A` Ety 'S1ZEO.-pE "CONT.. OI• V � 0\aL IO�ilEO D+�l.h HE JOB SITE DUI mus_ BE k.ASES Of AND fajtUfM TO DO F; TS line$i�t'� i.13;�` rpt C'iC"�( TO NE SE Of THE i 3' CDN T AER CUE'6D AT EXPEA! ! �� a RICQ�TO�;�` i 1"VVAI M ��-�� P't Pw MA1 r M c g CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTPN DATE A RE-WSPECTION FEE OF $30 WE BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTIOK NO EXCEPTIONS! d XC) 45 O-V4L rc 0 VA� W 53-%00 AVE. JI&Z- ,Ca 0u' -cck, &T6---; H10(tiom els 0- vi AT ow 4 ojovw A -t cbmt CITY OF LA QUINT A BUILDING & SAFETY DEPT APPROVED FOR CONSTRUCTION DATE BY yz i K H Tv�1,�� �%l°`,,vtef, 'tj to D O6 0/1 s bo�wo N CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY p 69 fiz ee I k'iv^e_ O\T�-VA, CA Rq wvojo set! W/ pryic ex C HIO' PlAti 6 g vjl 5) �4ps 41: Oro �7i-i 7s -&j CITY OF LA QUANTA BUILDING T UILDING & SAFETY DEP APPROVED FOR CONSTRUCTION DATE BY {a����,a,� Pew ej N r 2 � m l" i,xd H fl e I Al N ON `�c vss�s 3 4-K 12 41 Aq^ Se.V FieArN1lIvG PLAq O 011 eA 'k roll 2X 2x3���l��k x r STOIC $Eh -nn C©AJ. NT;:C-r%.oN CITY OFLA QUINTA BUILDING & SA ETY DEPT. APPR E® FOR CONST UCTION DATE BY ; 1— ti X11 gEhM . 2 -DBL L. TO? eLM (ir NOT CANT%NVT--j S -r ,t TO P w %TV, s-Tk&tz N 5T6236 3- ti vi fest- 'y— 6– (s) 16 d's f"%k s 1 Dr.- - A LT. LOCAFT 1 p N 0 S`1 a+.9 5 c,r LX -z- REAK F-L-Ev&TVoti Tt'TR L- tT G q C�-h ?-��- Jsc Ut,j-r, , VEE? ScAsy- ) .'jc�AT SSU coo (Ar • CITY OF LA QUINTA BUILDING & SAFETY DEPT. PPROVED FOR CONSTRUCTION DATE) BY Zxg FAC 14 TO M OVU lA 3(Mr s�o 1 N. —LFT11t, cz, kO�-7-. )��z J , t\rT A- 6A CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY T�UAT'IDN I WFIWI' v f I f DIE,. Ca ldej &?2_ Q (AfTh Ck. • CITY OF LA QUINT A DEP BUILDING & SAFETY T. APPROVED FOR CONSTRUCTION DATE BY a&7' . BAY SCAkE_