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002201 (SFD)r . _4 F* P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 790 fieS 'a Driva LA QUINTA,'CALIFORNIA 92253 Owner No. 00220. Mailing �' A—T.` C. BUILDING: TYPE CONST: OCC. GRP.- Address A.A(M V -mrr A.P. Number ��%•- ..-ci t CityZip Tel. palm W33017992262 . - Legal Description Lat so Contractor Project Description -C%irWT11- f"r41V 11iTW Address City.. Zip Tel. State Lic. & Classif. City Lic. # DM 2301 Sq. Ft. Size •• GM 552 No. Sto6es No. Dw. Units Arch., Engr.,' Designer New 9W Addy❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City - _7Tip Zip State # 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.. -. SIGNATURE DATE _ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.•S,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 I the provisions of the Contractors License Law, Chapter9 (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 fora 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, 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.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- - slruct 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.) • •- 0.1 am exempt under Sec. B. & P.C. for this reason Estimated Valuation t� 1k�' M.00 146r - PERMIT AMOUNT Plan. Chk. Dep.. Plan Chk. Bal. - ��� Const. {�� • Mech. 49.00provided Electrical - �8 ��.. _ Plumbing 1.24.00 S.M.I. - 10.26 Grading 2>�.00 Driveway Enc. 20.00 Date Owner ' � • + !d - y 'e 14 it s•..rvs�•ar�. a 1..+'-[ia/a'�C_.Y..s' '.rd's' Infrastructurey� 21000.00 �„�.+ .lam ard '110.19 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self•insurd, or'a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) II Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL 3,443.71. 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 whichthispermit 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 subjectto 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 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 property for inspection purposes. pp[[[ / Signature of applicant ; � • �� ter' ! r_"%• . Date I t IPf,%r Mailing Address City, Slate, Zip 7 s HARD COPY REMARKS POM, CS?c6A�}i�'yYr'�L1J��yH5LW NM id_M nq I4FiJL+7 PEIMT. T. 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 INc�SPRCTO�R/ Issued by: Date �s._/'i!-•` ermit Validated by: Validation: A4849 3 18 3443 % 1 Cf, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING'FEES 1ST FL. SQ. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK 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. Q. 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 FINAL 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 LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. SQ. FT. @ c BATH TUB LATHING SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac 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 y FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 3 17 DEC6� 'dam 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 �n PA Buildin� Address - ` Owner, 414^ Mailing Address �Q(� i P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 CityP < Dc:1, 06 a ITeI. I Zip ITel. State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel. City IZip I State I 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. 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,Buslness and Professions Code: Any city or county which requires a Permit to construct, atter, Improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permit to ftle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (cornmencing with Section 7000) or Division 3 or 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 cMl penalty of not more than five hundred do8ars (S500). O 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 knproves thereon and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. N, however, the building or Improvement Is sold within one year of completion, the owner4xdder will have the burden or proving that he did not build or improve for the purpose of sale.) b I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7000, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buBds 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_ R, g 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. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed N the permit Is for one hundred dollars ($100) valuation Of less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: N, 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 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 it work thereunder is suspended for 180 days. I certify that 1 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 Address City, State, Zip FINANCE BUILDING: TYPE/CONST. OOCC. GRP. A.P. Number _--1�—��� �u131 Legal Description O / Project Description U Sq. Ft. 2 3,9 No. 1 No. Dw. Size Stories Units New DO Add ❑ Alter ❑ Repair ❑ Demolition ❑ IEstimated valuation /(110,6-73 PERMIT AMOUNT Plan Chk. Dep. 6/11/5' Plan Chk. Bal. Const. SSO,SO Mech. pQ Electrical 8, 3/ Plumbing , pp S.M.I. 162 „.;2 4i� Grading oi0.00 Driveway Enc. „p® Infrastructure X060. 00 TOTAL 3 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: 04 Z O U W m Z O H U W (n U Z O f— U W Cn 617 /� / O 3� COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee ofil It is required when the application is submitted. Check must be made payable to County of Riverside. Name Mailing Address City State Zip Code Phone `Property Address it odm"Mnov.. 'Legal Description of Property (Lot, Parcel Map, Tract) f_�y,, `��.�7.4 ?)fi Z - A/, svc �'�rr� .0-P7'• O I)Y.6 a 'Assessors Parcel No. Water Serving Property From Lot fize Signature of Applicant Da The above information must be verified from Building Application Staff Use — Do Not Write Below This Line /Witial Date / WQttCB Clearance required Yes El No So,�ls feasibility report required Yes ❑ No Detailed boring report required Yes ❑ No Detailed contour plot required Yes ❑ No Comments: Soils or boring report by Date Approved by r /jDate } '�fi� r" /Pz'�)Tract Soils Map Page Soil Type File No. 't'2/,0 Other Number of Bedrooms v 3r,M 7 p�, 61i h MM Septic Tank Size (gallons) �oo f. Rate Required �, ,' . Type of System N^ew� ddition Replacement w'C►U•4nF�� ❑ ❑ Leach line sq. ft. of bottom area tr nch L ' ch bed sq. ft. of bottom area bed) Seepage Pit DiameterNumber s' of Pits Seepage Pit Depth B.I. Total Depth of Pit Location of System / - ;, r ,.�% �-•� '= It � : �:. •- � _ � � -�-•� ,� Addit' nal Requireme / A permit 4s approved/ tc .for the design of a subsurface dispo al system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A buildi? g permit is necessary for the installation of the above designed,systern Signature of Health Official Date Receipt No District: Riverside ❑ /Y 72o3o6 DISTRIBUTION: WHITE - Office File DOH SAN 122 (Rev 10/84) Indio D , Iemet ❑ YELLOW - Appli'ca'nt Issued By Date PINK - Building Dept. GOLDENROD - Pending File a 3 ?" I t F-1 1-4 }- o v =,. IF ,0,%f Ito i o H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS H PALM DESERT 1P LA OUINTA �a "IQ INDIO NO Desert Sands Unified School District 82-879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631 March 14, 1986 City of La Quinta Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 Re: 79890 Fiesta Drive 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 facilities made necessary by such. new development. Sincerely, J, �. John D. Brooks Assistant Superintendent Business Services JDB/crm ` 0 Larry Stevens FROM: Tom Hartung DATE: March 20, 1986 ,.MEMORANDUM CITY OF LA OUINTA SUBJECT: William Hartung's.house 79-890 Fiesta Drive Arrangements have been made to have Bill Gordon the Building Inspector from the City of Indian Wells to make all inspections on the above noted address. 05B:10 R2 3/28/84 VH/dr Attachment D Form 2 (Revised 3/84) Climate Zones 2, 4, 6, and 8-15 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 =Total Floor Area . . . . . . . . . . . . . . . . . . . 2001 ft� 1. Slab -on -Ground; Perimeter 0 ft., Depth 0 in. . . . R-----TT- 2. Raised Floor R -Value. . . 7.. . . . . .-.-.-. . . . . R- 3. Ceiling Insulation or Construction Assembly . . . . . . R----3(7- Attic Percent of Roof Over Conditioned � Insulation Construction Space 100 .. � % ft� 4. Wall or Assembly. - R 11/ Glazingy Total % Floor Area _Single_ _Double_ [[ig]e� 5. North -Facing. . . 5.8 % ft= 133.6 ft:c ft'» 6. East -Facing . . .--I��-% ---�--- sr -3��u-ftm ------ft-a 7. South -Facing. . . % ---ft? -5z�Tr-ft�a ---�--ft�c 8. _____ � West -Facing., . . % - ft ` ft ------ftm 9. Skylight. . . . . % fte -------ft= 10. ' Shading Coefficient (excluding overhang) a. East . . . . . . . . . . . . . :. . . . . . . . . . b. South. . . . . . . . . . , . . . . . � . . . . . . . C. West . . . . . . . . . . . . . . . . . . . . . . . . d. North. . . . . . . . . . . . . . . . . . . . . . . . e. Skylight . .. . . . . . . . ^ . . . . . , . . . . . 11. Horizontal South Overhang Length. . . t� . . . . . . . . . . 12. Movable Insulation, % Floor Area. . . . . . . . . 13. Infiltration (indicate Standard, Medium-or-[Tght) SLOW 14. Thermal Mass Exterior Wall Thermal Mass Area, Heat Capacity, R -Value . . . . 0.0 ftzz, 0.0 HC, R- 0.0 Interior Thermal Mass ------ --�--' ----- Area, Heat Capacity, R -Value . . . .500.} ft-, 5.9 HC, R-_.0.2 HVAC System - t —15. 15. Gas Furnace without Refrigeratiod Cooling (Seasonal Efficiency). . . . . . . . . . . . . . . . . . NA SE 16. Heat Pump (Energy Efficiency Ratio). . . . . . . . . . . . EER 17. Gas Furnace with Refrigeration Cooling ----- Seasonal Efficiency -and Seasonal Energy Efficiency Ratio. . . . . . . . . . ._0�SE SEER 18. Active Solar (Net Solar Fraction, % ). . . . . . . . . . . %NSF 19. Zonally Controlled Electric ----- Resistance Space Heating . . . . . . . . . . (Yes/No) No Domestic Water Heatino— 20. Solar With GasBackup (Net Solar Fraction, %) 21. Other Water Heating (Describe type) Pit System Compliance Total . ..... system measure NANSF 0 _ ----� '-----' | ach documentation tor e+ticiencies an 05B:10 R2 3/28/84 VH/dr Attachment D HVAC S t m- 15. Gas Furnace without Refrigeration Cooling (Seasonal Efficiency). . . . . . . . . . . . . . . . . 16. Heat Pump (Energy Efficiency Ratio). . ... . . . . . . . 17. Gas Furnace with Refrigeration Co�ling Seasonal Efficiency and Seasonal Energy Efficiency Ratio . . . . . . . . . . . 0 SE 18. Active Solar (Net Solar Fraction, % ). . . . .-.--. . . . 19. Zonally Controlled Electric ' Resistance Space Heating . . . . . . . . . . (Yes/No) � Domestic Water Heating- 20. eatin °~20. Solar With Gas Backup (Net Solar Fraction, %> . . . . . . 21. Other -.Water- Heating (Describe typ6) Point System Compliance Total . . . . . . . . . . . . system measure ^NA SE 0 . -NA_EER ---(T- 10.0 SEER 15 T . -MA--%NSF --7D- ^ NSF Form 2 (Revised 3/84) Climate Zones 2, 4, 6, and 8-15 COMPLIANCE CHECKLIST For Low -Rise Residential Buildings (except hotels and motels) Step z: Enter on the form the values +or each measure from your buz1dzn'g plan and specifications sheet Step 2: Enter points on this page while worki . through the point system Building Shell MeasurePoints �Total Floor Area . . . . . . . � . . . . . . . . . . . ft:u 1. Slab -on -Ground; Perimeter ft., Depth 0 in. . . . R --^--7T- 2. Raised Floor R -Value. . .-�-�-. . -�-�-. 3. Ceiling Insulation or Constructio.n. Assem.b.ly Attic Percent of Roof Over Conditioned 'sulation Space 100 % ft�» ^ ^ � �"^ 4. Wall �� or Construction Assembly. . . .-.-. R Glazing; Total % Floor Area ' Single _Double 3±112 Lle 5. North -Facing. . . 5.8 % ft:;" ft�» ft�c 6. East -Facing . . .­% ----'--ft_u ft�c ------ft�» 7. South -Facing. . .—% ------ftzc - ft-! 54.U ------ftz' B. West -Facing . . .--% -----'ft= ft -c ------ft= 9. Skylight. . . . . % -------ftcc -------ft�c ------`ft�: 10. Shading Coefficient (excluding overhang) a. East . . . .~ . . . . . . . . . . SC . . . . . . . . . . ' -2 b. South. . . ... . . . . . . . . . . C . . . . . . . . . . C. West . . . . . . . . . . . . . . . , , , , , , , , , , d. North. . . . . . . . . . . . . . . , , , , , , , , , , e. Skylight . . . . . . . . . . . . . . . . . . . . . . . 11. Horizontal South Overhang Length. . . . t . . . . . . . .. . 12. Movable Insulation, % Floor Area. . . .--TT�(T-% . . . . . . . . . . 13. Infiltration Infiltration (indicate Standard, Medi ht) Standard --�z�' 14. Thermal Mass ----- Exterior Wall Thermal. Mass Area, Heat Capacity, R --Value . . . . 0.0 ft�c, 0.0 HC, R- 0.0 Interior Thermal Mass ------ ------ ----- ------ Area, Heat Capacity, R -Value . . . . 500.0 ft:2, 5.9 HC, R- 0.2 8 HVAC S t m- 15. Gas Furnace without Refrigeration Cooling (Seasonal Efficiency). . . . . . . . . . . . . . . . . 16. Heat Pump (Energy Efficiency Ratio). . ... . . . . . . . 17. Gas Furnace with Refrigeration Co�ling Seasonal Efficiency and Seasonal Energy Efficiency Ratio . . . . . . . . . . . 0 SE 18. Active Solar (Net Solar Fraction, % ). . . . .-.--. . . . 19. Zonally Controlled Electric ' Resistance Space Heating . . . . . . . . . . (Yes/No) � Domestic Water Heating- 20. eatin °~20. Solar With Gas Backup (Net Solar Fraction, %> . . . . . . 21. Other -.Water- Heating (Describe typ6) Point System Compliance Total . . . . . . . . . . . . system measure ^NA SE 0 . -NA_EER ---(T- 10.0 SEER 15 T . -MA--%NSF --7D- ^ NSF 10 - POLAR BOAR SO�--T\\//ARC Computerized Bookkeeping Service Computer Consultants Software Design Computer Programming A&L P 10. Ale- U an.iz C s pre l�c� S %a.w! a.•d� a -s s gVL5+f 01-,-g 45-427 Garden Square I Palm Desert, California 92260 I (619) 568-5675