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04296 (SFD)T44 ,t44Q" Address Address 52580 Eisenhower Owner Patricia Swanson Mailing Address City Zip Contractor M. Masson. Box 1499 City Zip Palm Springs; 92263 State Lic. & Classif. 1498210 Arch., Engr., Designer Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 04296 BUILDING:' TYPE CONST. OCC. GRP. A.P. Number. 773-301-004 el, Legal Description . . Project Description single FaMily DWallinq Tel. {AJ yqyq, }//y(��� /•r .340-9584 _ City Lic. # 932 Tel. Sq. Ft. 1722No. No. Dw. Size _ " " " Stories' Units New O Add ❑ Alter O Repair ❑ Demolition ❑ CityZip 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. .i Jr ,l r 1�.1 4 SIGNATURE r 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, after, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile 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 onstruct 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 contractors) 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 df consent to -self -insure, or a certificate of Worker's Compensation Insurance, or a certified`copyahereof:j(Sec. 3800,11-aborCode.) r"'3 Policy No.Companyy ❑ 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 ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip REMARKS 0($J 1 Z 10 2 l:fsiff i t1Y(ril 2 �iyr),�7t3 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 7,11/$8Permit Validated by: f Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE; HARD COPY - FILE >timated Valuation $89o763 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. . 9 W A U Const. 4fJ 3 . UV Mech. ', $% • Cf C� Electrical Plumbing 103.00 Grading 20.00 Driveway Enc. 20.00 Infrastructure ia. TOTAL V w 0 V -Pia 40 ' 't16 `. i REMARKS 0($J 1 Z 10 2 l:fsiff i t1Y(ril 2 �iyr),�7t3 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 7,11/$8Permit Validated by: f Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE; HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO F1 y $ UNITS �SIAB GRADE 41 ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2N0 FL SO FT. a FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT at GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. TEMP. POLE GROUT DRAINAGE PIPING CAR P. I SO FT. a FINAL INSP. WALL SO. FT. rd WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ _ $ LUMBER GR.. URINAL SO. FT. 0 I FRAMINGO y GGG FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ ROOFING WATER PIPING NOTE Not to be used as property tax valuation VENTILATION FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTOYDISH) APPLIANCE DRYER 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID g t v. c SEWAGE DISPOSAL SO.FT.GAAer VAc 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 8 AIR COND. SOLAR CeSETBACK t ROUND PLUMBIN -� UNDERGROUND A.C. UNIT COLL. AREA �SIAB GRADE 41 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.IEOUIP. / 4`CREINF. STEEL Cil►l ` � CCC GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _ $ LUMBER GR.. FINAL INSP. I FRAMINGO y GGG FINAL INSP. ROOFING l O�� �Q C.L./`,IJ �J`JS�J/�% �- p Az G/✓U f+ I "�/ : n I'� ('I%lp' � (v (( t4 7s �G REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR- GAR. FIREWALL THING / — / MESH ASULATIONISOUND/) J6 'FjFINISH GRADINGC� FINAL INSPECTION CERT. OCC. FENCE FINAL' INSPECTOR'S SIGNATURESANITIALS , GARDEN WAIL FINAL 11 .1 fl -e --,I, f_ F �ef'0 - �E Pl",J FR C3, �����? I_j T__ &Q -7- 1���� ����� JOHN -H. HACKER, CIVIL ENGINEER, PALM SPRINGS 327-4565 LATITUDE 33.0 WINTER TEMP. 31 DEG SUMMER TEMP. 110 DEG NAME ------- RON KOSTELECKY ADDRESS ---- 52580 LISENHOWER /CITY ------- LA QUINTA / CALIF. REF.CAL.ENERGY CONSERVATION DESIGN MANUAL, FORM 2, HEATING LOSSES [MANUAL J FOR COOLING LOSSES AREA BLDG 1722 SQ. FT. PERIMETER 191.3333 SQ. FT. � INSULATION R VALUES.FLOOR 0 ..CEILING 38 ..WALL 19 AREA NORTH WINDOWS 76.6 SQ.FT. PERCENT OF AREA 4.448316 AREA EAST WINDOWS 0 SQ.FT. PERCENT OF AREA 0 AREA SOUTH WINDOWS 60 SQ.FT. PERCENT OF AREA 3.484321 AREA WEST WINDOWS 0 SQ.FT. PERCENT OF AREA 0 AREA SKYLIGHTS 0 SQ.FT. PERCENT OF AREA 0 |TOTAL WINDOW AREA 136.6 SQ.FT. PERCENT OF AREA 7.932637 ` THE U VALUE OF THE WINDOWS IS .65 DUAL PANE .THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS (*mini -blinds, rollar shades, ven!etian blinds or vertical blinds) �'THE TOTAL S.C. OF THE WINDOWS IS 0.30 SOUTH OVERHANG LENGTH 2 INTERIOR THERMAL MASS AREA = 344 SQ. FT. ' ATTIC AREA = 1722 SQ FT | INFILTRATION (STD 0.010, MED 0.014, TIGHT 0.012) = .014 HEATING LOSSES FOOTING LOSSES... 8357.441 BTU CEILING LOSSES... 1700.203 BTU WINDOW LOSSES..' 3462.81 BTU WALL LOSSES;... 2652.127 BTU INFILTRATION LOSSES... 7521.696 BTU TOTAL HEAT LOSSES BTU/HR.. 23694.28 � GAS FURNANCE SIZE 48022.56 BTU OR 45,000 BTU COOLING LOSSES INFILTRATION LOSSES... 7714.56 BTU ^^^ ^ | FOOTING LOSSES 8571 733 �BTU | CEILING LOSSES... 1743.798 BTU � WINDOW LOSSES... 8954 BTU WALL LOSSES.... 27k6.228 BTU INFILTRATION LOSSES... 7714.56 BTU � NO. OF PEOPLE, 5 COOLING LOSSES... 2000 KITCHEN... 1500 BTU . DUCT LOSSES INCLUDED IN TOTAL 'TOTAL COOLING LOSSES 33200.32 BTU ` U COMPLIANCE CHECK LIST PER DESIGN DATA' SLAB OR FLOOR., WALL INSULATION, CEILING INSULATION, ATTIC, NORTH WINDOWS GLAZING EAST WINDOWS GLAZING SOUTH WINDOWS GLAZING WEST WINDOWS GLAZING SKYLIGHT GLAZING EAST SHADING COEFFICIENT SOUTH I SHAD I I' G COEFFICIENT WEST SHADING COEFFICIENT NORTH SHADING COEFF I CENT SKYLIGHT SHADING COEFFICIENT INFILTRATION THERMAL MASS SS 344 SO. FT. SOUTH OVERHAND ^ FT. GAS FURNANCE 71 SE AND REFRIGERATION COOLING THE EER OF THE COOLING SYSTEM IS 8.7 'COOLING —4 POINTS 0 POINTE; 0 POINTS 4 POINTS - POINTS 4 POINTS 0 POINTS 10 � POI NTS _> POINTS 0 POINTS —1 -POINTS 0 POINTS POINTS 0 POINTS .-1. POINTS 6 POINTS 0 POINTS 6 POINTS THE ALLOWABLE POINTS PER AD 1 63 IS —4 FOR AREA 15 THE TOTAL POINTS ARE 23 THE FOLLOWING MANDATORY FEATURES/DEVICES ARE REQUIRED PERCAC TITLE 24 ELECTRIC RESISTANCE WATER HEATING NOT PERMITTED INSULATION AS SPECIFIED: PER MANUFACTURES L(.',bL E: J:NF I LTRATR I ON CONTROL. DOORS, WINDOWS FULLY WEA'THE:RSTR I PPE:.D OPENINGS CAULKED AND SEALED AROUND JOINTS IN WINDOW AND WALL SOLE PLATES AND ELECTRICAL OUTLET PLATE BASKETS MANUFACTURED RED DOORS SHALL MEET APPLICABLE STANDARDS BACK DRAFT DAMPERS ON EXHAUST FAN FIREPLACES MUST HAVE TIGHT FITTING, CL_OSE:.6-`iBLE:: DOORS COVERING FIREBOX PROVIDE C01`'USTIOIC! AIR INTAKE DUCTS (6 SQ. IN.) WITH TIGHT FITTING DAMPER DUCTS; BUILT PER CHAPTER 1.0 U.M.C. GAS FURNANCE SIZED TO 1.3 DESIGN LOSS+10 BTUH PER SQ.FT.OR 45,000 DTi.J SETBACK THERMOSTATS ATS SHALL HAVE AUTOMATIC SE_TI::sACK CAPAB T L._ I TY /2 PERIODS PER .24 WATER HEATER TO HAVE R-12 INSULATION WRAP=PING , AND R—.T ON FIRST ' ' OF PIPE NAT. GAS'STOVES SHALL- NOT HAVE CONT. I:URNINO PILOTS LIGHT IN KITCHEN AND BATH TO BE FL._Oi_1RECENT , EXCEPT BATH MIRROR KIT SINK, TAT::;,.._i:..: CERTIFIED BY �i�' P.___------------------___--.. ����E.7 -4. �� FEE IT: �-3 i ` ��N E.. q -T I.J R.. . . ewl -77 1:_Z]7�44`41 97'Z FEE.-.. ACh JOHN H. HACKER, CIVIL ENGINEER, PALM SPRINGS 327-4565 LATITUDE 33.0 WINTER TEMP. 31 DEG SUMMER TEMP. 110 DEG /NAME ------- RON KOSTELECKY ADDRESS ---- 52580 LISENHOWER �CITY ------- LA QUINTA / CALIF. �REF.CAL.ENERGY CONSERVATION DESIGN MANUAL, FORM 2, HEATING LOSSES iMANUAL J FOR COOLING LOSSES AREA BLDG 1722 SQ. FT. PERIMETER 191.3333 SQ. FT. �INSULATION R VALUES' .FLOOR 0 ..CEILING -38 ..WALL 19 AREA NORTH WINDOWS 76.6 SO.FT. PERCENT OF AREA 4.448316 AREA EAST WINDOWS 0 SQ.FT. PERCENT OF AREA 0 AREA SOUTH WINDOWS 60 SQ.FT. PERCENT OF AREA 3.484311 AREA WEST WINDOWS 0 SQ.FT. PERCENT OF AREA 0 AREA SKYLIGHTS 0 SQ.FT. PERCENT OF AREA 0 |TOTAL WINDOW AREA 136.6 SQ.FT. PERCENT OF AREA 7.932637 ` THE U VALUE OF THE WINDOWS IS .65 DUAL PANE THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS (*mini -blinds, rollyr shades, venetian blinds or vertical blinds) |'THE TOTAL S.C. OF THE WINDOWS IS 0.30 SOUTH OVERHANG LENGTH 2 INTERIOR THERMAL MASS AREA = 344 SQ. FT. ' ATTIC AREA = 1722 SQ FT | INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) = .014 HEATING LOSSES FOOTING LOSSES... 8357.441 BTU CEILING LOSSES... 1700.203 BTU WINDOW LOSSES..' 3462.81 BTU WALL LOSSES...` 2652.127 BTU INFILTRATION LOSSES... 7521.696 BTU TOTAL HEAT LOSSES BTU/HR.. 23694.28 | GAS FURNANCE SIZE 48022.56 BTU OR 45,000 BTU COOLING LOSSES INFILTRATION LOSSES... 7714.56 BTU FOOTING LOSSES... 8571.733 BTU ` CEILING LOSSES... 1743.798 BTU � | WINDOW LOSSES... 8954 BTU WALL LOSSES.... 27k6.228 BTU INFILTRATION LOSSES... 77�14.56 BTU NO. OF PEOPLE...5 COOLING LOSSES... 2000 KITCHEN... 1500 BTU DUCT LOSSES INCLUDED IN TOTAL |,TOTAL COOLING LOSSES 33200.32 BTU I COMPLIANCE CHECK LIST PER DESIGN DATA' SLAB OR FLOOR , .WALL INSULATION, CEILING INSULATION, � ATTIC, NORTH WINDOWS GLAZING EAST WINDOWS GLAZING SOUTH WINDOWS GLAZING 'WEST WINDOWS GLAZING | SKYLIGHT GLAZING | EAST SHADING COEFFICIENT � ' SOUTH SHADING COEFFICIENT | WEST SHADING COEFFICIENT ' NORTH SHADING COEFFICENT | � SKYLIGHT SHADING COEFFICIENT INFILTRATION THERMAL MASS 344 SQ.FT. | SOUTH OVERHAND 2 FT. -4 POINTS 0 POINTS 0 POINTS 4 POINTS -2 POINTS 4 POINTS 0 POINTS ' 10 POINTS 0 PJINTS P GAS FURNANCE 71 SE AND REFRIGERATION COOLING 0 POINTS -1 9OINTS 0 POINTS 3 POINTS 0 POINTS -1 POINTS 6 POINTS 0 POINTS 'THE EER OF THE COOLING SYSTEM IS 8.7 � COOLING 6 POINTS THE ALLOWABLE POINTS PER AB163 IS -4 FOR AREA 15 �THE TOTAL POINTS ARE 25 I THE FOLLOWING MANDATORY FEATURES/DEVICES ARE REQUIRED PERCAC TITLE 24 ELECTRIC RESISTANCE WATER HEATING NOT PERMITTED INSULATION AS SPECIFIED: PER MANUFACTURES LABLE INFILTRATRION CONTROL. DOORS, WINDOWS FULLY WEATHERSTRIPPED OPENINGS CAULKED AND SEALED AROUND JOINTS IN WINDOW AND WALL SOLE PLATES AND ELECTRICAL OUTLET PLATE GASKETS MANUFACTURED DOORS SHALL MEET APPLICABLE STANDARDS BACK DRAFT DAMPERS ON EXHAUST FAN FIREPLACES MUST HAVE TIGHT FITTING, CLOSEABLE DOORS COVERING FIREBOX PROVIDE COMUSTION AIR INTAKE DUCTS (6 SQ.IN.) WITH TIGHT FITTING DAMPER DUCTS; BUILT PER CHAPTER 10 U.M.C. GAS FURNANCE SIZED TO 1.3 DESIGN LOSS+10 BTUH PER SQ.FT.OR45,000 BTU SETBACK THERMOSTATS SHALL HAVE AUTOMATIC SETBACK CAPABILITY /2 PERIODS PER 24 WATER HEATER TO HAVE R-12 INSULATION WRAPPING, AND R-3 ON FIRST 5' OF PIPE NAT. GAS-STbVES SHALL NOT HAVE CONT. BURNING PILOTS | LIGHT IN KITCHEN AND BATH TO BE FLOURECENT, EXCEPT BATH MIRROR KIT SINK, TABLE � CERTIFIED BY __ ___�___ _________________________-