003070 (SFD)Building
Address
Owner
f
Mailing
Address
i
City
Paint
Contractor
C
Address
53-495 Avenida
City
Palm Springs
State Lic.
& Classif. A—M
Arch., Erigr.,
Designer
Address
Zip
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Tel.
92262 322.4020.
Zip Tela
92262 322-1020
City
Lic. # e. _
Tel.
No. 0030'0
BUILDING:..TYPE CONST. OCC: GRP.
A.P. Number 774-083-022
Legal Description
Project Description Pian
Sq. Ft. 1.463 MIG No. No. Dw.
Size -A7S- f';.vAR Stories Units
New Q'&X Add ❑ Alter ❑' Repair ❑ Demolition ❑
City Zip State
Lic. #
! LICENSED CONTRACTOR'S DECLARATION
ihereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7I 000) of Divisio`n3 of the Business and Professions Code, and my.license is in full force and
effect. . ar ...:,•^ J� .�;�
' SIGNATURE•,✓' < ! DATE _ • . , _
OWNER -BUILDER DECLARATION "
l,hereby affirm that I am exempt from the Contractors License Law for the following
Estimated Valuation
reason:. (Sec. 7031.S,liusiness and Professions Code: Any city or county which requires a
-
PERMIT
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
'Plan'Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred'dollars ($500).' '
01,as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
Const.
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 or, property who
Mech.
'
builds or improves thereon and who does such work himself orAhrough his own employees,
provided that such improvements are not intended or offered, for sale. If, however, the building
Electrical
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 or sale.) -
Plumbing
❑ 1, 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
S.M.I.
such -projects with a contractor(s) licensed pursuantto the Contractor's License Law.)
0 I am exempt under Sec. B. & P.C. for this reason
Grading
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 No. Company
'n -Copy is filed with the city. O Certified copy is hereby furnished. .
1 I-
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COM PENSATIO N 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 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
. NOTICE TO APPLICANT: 11, 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 if work thereunder is suspended for 180 days.
I certify that I have read this application and stale 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
HARD COPY
AMOUNT
361.0#
33.00
7a w R7
99.,Q
5-29
20.00
20.00
1113.45
REMARKS
Etia�4l(c+.,�l� ii?fiti7T�-1<Er-f,3�� - trf9,
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 4 /2.7/8£Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SD. FT.
FORMS
SEWER OR SfxTIG� Nf
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. SO. 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 INSP1l-4
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SQ. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
FINISH GRADING
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
SETBACKC,cGROUND
PLUMBINGG-S
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SfxTIG� Nf
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. G W g,T
�%
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 INSP1l-4
FRAMING ll a ��
AL INSP.�/y/;8
rJ
ROOFING � '7
II(
t�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/W/LATHING
MESH
INSULATIONISOUNDy
FINISH GRADING
FINAL INSPECTION /
CERT. OCC. 1
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
STEWART TITLE
COMPANY OF RIVERSIDE COUNTY
700 E. TAHQUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262
(619) 320.1101
City of La Quinta
P.O. Box 1504
La Quinta, California 92253
ATTENTION:
Dear Jerry,
Jerry Herman
April 21, 1987
As per our conversation this date, please be advised
that a search of the records reveals that none of the adjoining
lots included on the attached Exhibit "A" have ever been merged
and there should be no problem issuing building permits on each
lot.
Very Tru Yours,
.R. "Sy" DANIELS
President -
Desert Division
EXHII= "A"
PARCEL A:
Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 20, as shown by Map on file in Book 19 page 38, of Maps, Records of
Riverside County, California.
PARCEL B:
Lots 1 and 2, Block 223 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 21, as shown by Map on file in Book 20 page 22, of Maps, Records of
Riverside County, California.
PARCEL C:
Lots 1 and 2, Block 254 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 24, as -shown by Map on file :.n Book 19 page 44 and 45, of Maps,
Records of Riverside County,'California.
PARCEL D:
Lots 1 and 2, Block 308 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 28, as shown by Map on file in Book 19 page 59 and 60', of Maps,
Records of Riverside County, California.
PARCEL E:
Lots 23 and 24, Block 261 of SANT:: CARMELITA AT VALE LA QUINTA UNIT
N0. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps,
Records of Riverside County, Cal-:ornia.
PARCEL F:
Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps,
Records of Riverside County, California.
PARCEL , G :
Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 19, as shown by Map on file i;: Book 19 page 33 and 34, of Maps,
Records of Riverside County, California.
PARCEL H:
Lots 5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT
N0. 16, as shown by Map on file in Book 18 page 99, of Maps, Records of
Riverside County, California.
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COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION -t Q <
— ��
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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
s7.q � .�. Citi ST . Cp .
Mailing Address
X32 GIJiLL i A ✓l-> s •�'Ui4:,�
City
/,0%./ c�S
State
�'q .
Zip Code
9Z? Ca z
Telephone
3 Z Z — -I<) 2 c�
'Job Property Address
I_
rC/" .,.�
'City or Community
(aic! �A✓ 7.4
Legal Description of Property. (Lot, PM, TR)
L—OT /^�,, /.y�
,r % +',nr► ' . AL
/LG�c
'Assessor's Parcel No.
Water Agency or Well
5
Lot Size
C'C7AC f-✓ L L A
Use of Permit Planning Case N
s
vA�L_Eyx
SFD, MH Site Preparation Etc.
/(�Q
111067
Sign re o App icant Date v
�' 'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Date
Certification of Existing S.D. System required. ❑ Yes No
WQCB Clearance required. ❑ Yes 4 No I
Soils feasibility report required. ❑ Yes No
Detailed boring report required. ❑ Yes No 1
Detailed contour plot plans required. ❑ Yes 4 No
Staff Specialist approval required. ❑ Yes m No Lot Inspection Date
C
Soils/boring report by i Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing 2 New ❑ Additional ❑ Replacement
—T),\ h¢u,.1ti,\ W
1WU Gals.
~� y
(2) Leach line sq. ft.
Sidewall allowance /
Install Lines) Ft. Long,
Leach bed Sq.
(Bottom trench area)"
ft. rock/ Sq. Ft.
Ft. wide with/min. inches
Ft. of bottom i
per running ft. ❑ N/A
rock below drain lines
area
Leach lines/bed-special design for slope: p g p
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth
Applicable
El 51 (] 6'
,
1 �}
Max. allowable depth } `�
N/A Overburden factor
This application isapprove]�/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building permit is necessary for the installation of the above -designed system.
L(1)' Septic tank and sewer lines must be 50' from any wells
(2) Leach lines must be 100' min. from any wells including expansion area
�"�"`� `Lr r St'c� t i
`(3), Seepage pits must be 150' min. from any wells including expansion area 0 C% 'N Lvu
n'
Signature of Health Official Date
RECEIPT NO. / Issued -y
District: ❑ Riverside D Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH -SAN -122 (Rev. 6/86)
I/ )
MADLIN'S ENTERPRISES
ENERGY BUDGET & MANAGEMENT CONSULTANTS
P. O. BOX 1443 - PALM SPRINGS, CA 92263
(619) 3201731
PROJECT SINGLE FAMILY RES. PLAN B
PREPARED FOR: BAY SANDS CONSTRUCTION CO.
JOB NUMBER: 10690 DATE o 06/30/86
--------------------------------------------------
THE FOLLOWING INSULATIONS., FEATURES AND DEVICES WERE
INCLUDED IN' THE ATTACHED TITLE 24 COMPLIANCE ANALYSIS
TO DEMONSTRATE COMPLIANCE WITH THE STANDARDS.
WALL INSULATION — FRAME ... „ . ............ .
ROOF / CEILING INSULATION .............. .
RAISED FLOOR OVER UNCOND. SPACE ........
SLA'1? INSULATION ................. : .......
GLAZING U VAL._UEr. —.i .. ............... .
i
GLAZING SHADE COEFFICIENT ..........
GLAZING TREATMENT — SUNSCREENS ..........
GLAZING TREATMENT — OVERHANGS ...........
SKYLIGHTS ................ i ..............
VENTED ATTIC (1 Cj0% OF AREA) ........ „ ... .
CONTINUOUS INFILTRATION BARRIER .........
VAPOR BARRIER ...........................
ELECTRICAL PLATE GASKETS ................
HVAC EQUIPMENT EFFICIENCY ...............
AIR TO AIR HEAT EXCHANGER ...............
THERMOSTAT ...............................
THERMAL MASS ......... ................
:..
DOMESTIC HOT WATER ......................
R=11 BATTS WITH 1"
POWERWALL BOARD
R=38
NA
NONE REO.
.65 DUAL PANE.
1.0 CLEAR -
NOT RL --.OU I RED
AS SHOWN ON PLAN
NONE
REQUIRED
NOT REQUIRED
NOT
REQUIRED
REQUIRED
9.5 SEER COOLING
( HEAT PUMP)
NOT REQUIRED
SETBACK REQUIRED
REQUIRED — SEE
SCHEDULE
HEAT PUMP
ADDITIONAL NOTES
-----------------
----------------
#
CREDIT TAKEN FOR INTERIOR DRAPES .— NOT REQUIRED .TO BF-'.:
INSTALLED PRIOR ..I-II FINAL INSPECTION.
* GLAZING CONSIDERED TO BE CLEAR IN CALCULATIONS. c:llnNER MAY
INSTALL. ALL. AT HIS OPTION. BRONZE OR GREY TINTED (7i....A.ZING WI"!HOU I.
ADDITIONAL CALCULATIONS.
'
WILDING DESIGN AND EQUIPMENT SUMMARY
'
Page 1 of 3 FORM 2
BAY SANDS CONSTRUCTION - JOB NO. 10690
________________________
' - LA &UINTA .
PLAN 8 - ENTRY TO NORTH
�
|
SINGLE FAMILY RESIDENCE - SINGLE STORY
|______________________|
HEAT PUMP WATER HEATER - REVISED CALCULATIONS
!(plan check/permit
|
#) |
�
CLIMATE -ZONE 15
-------- _______________�
| (checked by)
|
Building Type: Single Family
|
|
|__.____-______________|
Documentation Author.(Serial-4 DEMO):
| (date)
|
.MADLIN`S ENTERPRISES
|
�
P.O. 80X 1443 -*PALM SPRINGS, CA 92263
|____________________|
619-324-1731
Enforcement Agency
Use
Compliance Method: POINT SYSTEM
------------------------------- ____________________________________________
Date: JUNE 30 1986
8UILDING ENVELOPE DESIGN Total
Conditioned Floor Area:' 1424
sqft
Insulation R -Value
_______
Area POINTS
____________ ------
SLAB PERIMETER Type 1: R- 0.0, 16",
197 ft 1424.0 sqft |
' �Type 2:
|
|
|
-4
RAISED FLOOR Type 1:
|
Type 2:
' |
Over Open:
|
CEILING Type 1: R- 38.0
' 1424.0 sqft |
Type 2:
|
+4
Attic:
100 % |
.
WALL Type 1: R- 16.5 (assembly) 1335.0 sqft |
` Type 2:
1
+0
Glazing U -Value.
% Area
--7 ------------
�
WEST Type 1: 0.65
1.5 21.0 sqft
+6
Type 2:
NORTH Type 1: 0.65
6.4 91.0 sqft
-6
Type 2:
EAST type 1: 0.65
5.4 77.0 sqft
-4
Type 2:
'
SOUTH Type 1: 0.65
3.7 52.0 sqft
-2
Type 2:
SKYLIGHT Type 1:
+0
Type 2:
MOVABLE INSULATION: None
+0
INFIL. CONTROL: MEDIUM: Standard Infiltration Control Features -1
With Outlet Plate Gaskets
THERMAL MASS: -See Thermal Mass Ciiclulation Worksheet-
Type
ork.heet•-Type Material Area 1
---------------------------
Interior Conc 140 137 soft
+6
BUILDING DESIGN AND EQUIPMENT
SUMMARY
Page
2 of. 3 FORM 2
BAY SANDS CONSTRUCTION -
JOB
N� �. 10690
PLAN . B - ENTRY TO
NORTH
- LA
QUINTA
Climate Zone 15
------------------=--------------------------------------------•------------
Shading
S. C.
%
POINTS
WEST
Type
1:
0.66
1.5
-_-
Type
NORTH
Type
1:
0.66
6.4
+0
Type
EAST
Type
1:
0.66
5.4
-9
Type
SOUTH
Type
1:
0.66
3.7
-4
Type
._
�
SKYLIGHT
Type
1:
+0
Type
._
SOUTH OVERHANG:
2.00
ft South Glazing =
3.7 %
+0
MOVABLE INSULATION: None
+0
INFIL. CONTROL: MEDIUM: Standard Infiltration Control Features -1
With Outlet Plate Gaskets
THERMAL MASS: -See Thermal Mass Ciiclulation Worksheet-
Type
ork.heet•-Type Material Area 1
---------------------------
Interior Conc 140 137 soft
+6
BUILDING DESIGN AND EQUIPMENT SUMMARY Page 3 of 3 FORM 2
PAY SANDS CONSTRUCTION - JOB N� �. 10690
PLAN B - ENTRY TO NORTH - LA QUINTA Climate Zone 15
HEATING 9 VENTILATING u. AIR CONDITIONING SYSTEM
Space Heating and'Cooling l
POINTS
HEAT PUMP Floor Area= 1424 sgft ;
Brand & Model No® ----------------------------------------------
Heating Output (Btu/hr):_________________________ EER = 9.5 l
Cooling output (Btu/hr): -------------------------
+13
Domestic Hot Water System: HEAT PUMP
i;rand R Model No: -------------------------------------
Tank Size (gallons): --------------------------------------------
+0
-------------------------------- -
+0
TOTAL_ POINT SCORE -3
POINT COMPLIANCE GOAL (see calculation worksheet) -4