002755 (SFD)T4 a 419rz
P.O. BOX 1504
Building78-105 CALLS ESTADO
Address 5'-�1i1£' LA QUINTA, CALIFORNIA 92253
Owner
J.A. TWO
Mailing
Address
City lZip ITel.
Contractor
rrV1r/h1r1ore
Address.
city l7in - 1T.] "
State Lic.
& Classif.
Arch:; Engr.;
Designer
Address
I City
Lic. #
Tel.
No. 002755
BUILDING: TYPE CONST. • 'OCC: GRP.
A.P. Number 774-055-013 '
Legal.Description Le It 3
Project Description SAwle fandIV CUOMM
3310 Fewe 160
Sq. Ft. (, No.
Size ' Stories
New ❑ Add b Alter ❑
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.
SIGNATURE DATE
owNER•BUILDER DECLARATION Estimated Valuation 72i224.00
�.y r�
I hereby affirm that I am exempt from the Contractor's License Law for the following , 2i22 i.00
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, -
th I' t f h it r fl h h' I' d r t PERMIT
No. Dw.
Units
Repair ❑ Demolition ❑
requ—s e. app roan or suc perm o re a signed statement t at a is icense pursuan o
the provisions of the Contractor's License Law, eChapter 9 (commencing with Section 7000) of
- ..
Plan Chk. Dep. -
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's civil Penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
Plan Ch k. Bad.
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 of property who
Mech.
builds or Improves thereon and who does such work himself or through his own employees,
,. provided that such improvements are not intended or.oftered 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 of sale.)
Plumbing
❑ 1, 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
S.M.I. -
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
!
j ❑ I am exempt under Sec. B: B,.P.C. for this reason
+
Grading
Driveway Enc.
Date • J if 'k Owner
Infrastructure
j,. .
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.
TOTAL
CERTIFICATE OF EXEMPTION FROM
- WORKERS' COMPENSATION INSURANCE
REMARKS
(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, ff. after making this Certificate of Exemption you should become ZONE: BY:
'subject to the Workers' Compensation' provisions of the Labor Code, you must forthwith Minimum Setback DlStanCBS:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from.Center Line
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance. of the
j 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 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-.
menttoned property for inspection purposes.
Signature of applicant 1
1 ' Date .� +/ – '•'f,
Mailing Address
City, Slate, Zip r
HARD COPY
AMOUNT
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date I2-41"I'S(Permit
Validated by:
Validation:
A6926 12 16 j.7.1&89 Cry
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SO, FT.
DUCT WORK
ROCK STORAGE
REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO, FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SO, FT. ®
I
GRADING
cu. yd.
$ plus x$
WALL SO. FT.
UMBER GR.
DRINKING FOUNTAIN
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to. be used as property tax valuation
VENTILATION
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
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 ® 11/4 c
SEWAGE DISPOSAL
FINAL INSPECTION
SO.FT.GAR ® 3/4c
HOUSE SEWER
CERT. OCC.
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
GROIMD PLUMBING 't , UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE lie
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE ROUGH WIRING
DUCT WORK
ROCK STORAGE
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$
_$ ,
UMBER GR.
FINAL INSP.
/
M1ING �7
FINAL INSP.
ROOFING J
f-/rAL b ,�/C� ���
/v a `
(�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING Ig /
r-WLAY4/ , �C
MESH
INILATIONISOUND 5 y
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS,
GARDEN WALL FINAL
%k%f1Ep
2
—0
y BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS ti
PALM DESERT a
%% LA QUINTA
',p IN DIO y'
Desert Sands Unified School District -
82 -879 HIGHWAY 111 • INDIO, CALIFORNIA 92201-5678 • (619) 347-8631
December 12, 1986
* City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: 53-065 Eisenhower Drive, La Quinta, CA - 1 unit
Gentlemen:
The developer of the above referenced project has
mitigated its impacts on our overcrowded schools by
payment of the amount of $628 per unit. This amount is
to be applied to the cost of additional district
educational facilities made.necessary by such mew
development.
Sincerely,
John D. Brooks
Assistant Su intendent
Business S ces
By:
Richard M. Beck
Facilities Planner
JDB/vmm
* This certification of payment of developer fees is valid
for issuance of building permits only up to and including
December 31, 1986.
Order No.Q�Z.�,i':;ii G'CJ. �r1�LC CO. c
r OCA o�
Escrow No. U ' o
Loan No. �1:� 7111 W O� .
WHEN RECORDED MAIL TO: p a W "'
W
M
e ¢ r'"
Joseph A. Teno W Q > J
74409 Zircon Circle E.
Palm Desert, CA 92260 W
SPACE ABOVE THIS LINE F.OR RECORDER'S USE 1
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $...1:15..................................
Computed on the consideration or value of property conveyed; OR
same as above ...... Computed on the consideration or value less liens or encumbrances
rem t time Of
Signature of Declarant or Agent determining tax — Firm Name
GRANT DEED OSS= O(3
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILLIAM R. DIIWN and
HARRIET R. DILLON, Husband and Wife
who acquired title as William Dillon and Harriet Dillon, husband and wife
hereby GRANT(S) to JOSEPH A. TEND and EVELYN R. TENO, Husband and Wife as Joint Tenants
cp,
(� the real property in the City of La Quinta
County of Riverside State of California, described as
Lot 3 in Block 209, Santa Carmelite at Vale La Quinta, Unit #20, as per map recorded in
Book 19, Page 38 of maps in the office of the county recorder of said county.
ti
RECEIVED
NOV 17 1986
CITY OF LA U3-ITA
COMMUNITY DEVELOPMENT DEPT
ORNIA-
COUNTY OF Los Angeles )ss' ' s�;�s�itt;x::t•pillon'� y
O June 9, 1986
before me, the undersigned, a Notary Public in and for said State, per-
William R. Dillon and Harriet R Dillon
sonally appeared_
Har tear R. Dillon
personally known So'
evidence) to be:the p
within instrument and
the same.
Proved to me on the basis of satisfactory
1) whose name(s) is/are subscribed to the
vledged to me that he/she/they executed
WITNESS my d and fficial seal��
Signatur �'
w:^r �OFFICIAL SEAL
RENATA J. lViARES
A � � NOTARY PUBLIC -CALIFORNIA
��•""h� PRINCIPAL OFFICE IN
�" 7a LOS ANGELES COUIV'fY
My Commission Expires Apr. 11, 1987
('chis area for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
1002 (6/82)
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100
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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 $37 is required when the application is submitted. Check must be made payable to the County of Riverside.
!f n Building Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
Mailing Address I
city
State
Zip Code
Telephone
Job Property Address
'City or Community
Legal Description of Property. (Lot, PM, TR)
'Assessor's Parcel No.
Water Agency or Well
Lot Size
Use of Permit Planning Case #
�
L
SFD, MH Site Preparation Etc.
Signature of Applicant j Date
'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 0 No `� j +•
WOCB Clearance required. ❑ Yes r No
Soils feasibility report required. ❑ Yes IE No S
Detailed boring report required. ❑ Yes No
®
Detailed contour plot plans required. ❑ Yes No
Staff Specialist approval required. ❑ Yes IND Lot Inspection Date
Soils/boringre �..� `'-
report b y Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
El Existing ��New ❑ Additional ❑ Replacement
; *r7l
U� > / Gals.
� J' �) " i.- I!
(2) Leach line sq. ft.
Sidewall allowance
Install Line(s)—Ft. Long,
Leach bed Sq.
(Bottom trench area)
ft. rock/ Sq. Ft.
Ft. wide with min. inches
Ft. of bottom
per running ft. ❑ N/A
rock below drain lines
area
r
Leach lines/bed-special design for slope:
(3) Pit Diameter
No. Pits
Pit BI
Seepage Pit total depth 1 eC
Applicable
❑ 5' 0. 6'
k4
Max. allowable depth
N/A Overburden factor
C,• L,••A J i r t
0J �r f ��ll-. 0�Ce -^ 1♦��.1 1 1'li r^r=L"'� �" � 1
+t„a tu' �.t.• '�t`�:t+(.r `— L-A
Nl` ri•— t VN r
This applications approveeAenied 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.
(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
(3),.�Seepage pits must be 150' min. from any wells including expansion area
Lit t�
Signature of Health Official Date
RECEIPT NO.
t
District: ❑ Riverside LTJ Indio
Distribution: WHITE—Office file
DOH -SAN -122 (Rev. 6/86)
Issued by �' ` tL CN Date I (� i y
❑ Hemet ❑ Perris El -Rancho Calif. ❑ Blythe
YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
-T I -I- L_ E- ���FR. �� ����U L_ ock'-F I C3 IN -9 ��[_=� dcA I t5
JOHN H. HACKER, CIVIL ENGINEER, PALM SPRINGS
LATITUDE 33.8 WINTER TEMR.- 31 DEG. SUMMER TEMP. 110 DEG
JOB SITE LOCATION__����_ ___________________
REF.CAL.ENERGY CONSERVATrnm-nEqf;�i�MANUAL, FORM 2, HEATING LOSSES
MANUAL J FOIR COOLING LOSSES
AREA BLDG 1310 SQ. FT.
PERIMETER 125 SQ. PT.
INSULATION R VALUES ...SLAB 0 ...CEILING 38 ...WALL W.—
ARS...
ARE^ NORTH WINDOWS 46 SQ.FT. PERCENT OF AREA 3.S1145
AREA EAST WINDOWS 89 SQ.FT. PERCENT OF AREA 6.79389
.AREA SOUTH WINDOWS 25 SQ.FT. PERCENT OF AREA 1.9084
AREAWEST hVINIJOWS 40 SQ.FT. PERCENT OF AREA 3.05344
�' ���� YLlGHT� 0SQ.FT. PERCENT'OK AREA 0
| AOTAL WINDOW AREA 200 SQ.FT. PERCENT'OF AREA 15.2672
-.THE U VALUE OF THE WINDOWS IS .65 (.65= DUAL PANE, 1.1= SINGLE PANE)
THIS BLDG USES'DRAPES & FLAT SHADING DEVICES* ON WINDOWS(S.C.=.41)
(* mini -blinds, ro1lar shades, -venetian blinds or vertical blinds)
| THE TOTAL S.C. OF THE WINDOWS IS 0.29
SOUTH OVERHANG LENGTH 2 Ila
INTERIOR THERMAL MASS AREA =W7 SQ FT
ATTIC AREA = 1310 SQ FT
INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) - .014
HEATING LOSSES
FOOTING LOSSES..� 5460 BTU
CEILING LOSSES... 1293.42 BTU
WINDOW LOSSES... 5070 BTU
` WALL 'LOSSES.... 2496 BTU
INFILTRATION LOSSES... 5722.08 BTU
'TOTAL HEAT LOSSES BTU/HR... 20041.5
| GAS FURNANCE SIZE 33142.8 BTU OR 45,000 BTU
COOLING LOSSES
FOOTING LOSSES... 5600 BTU
CEILING LOSSES... 1326.58 BTU
WINDOW LOSSES.~. 9607.51 BTU
WALL 'LOSSES.... 2560 BTU
INFILTRATION LOSSES... 5868.8 BTU
^ NO. OFpEOPLE.i. 5 COOLING LOSSES... 2000
KITCHEN... 1500 BTU
DUCT LOSSES INCLUDED IN TOTAL
| TOTAL COOLING LOSSES 28462.9 BTU
~
COMPLIANCE CHECK LIST PER DESIGN DATA
SLAB ON GROUND, -4 POINTS
WALL INSULATION, 41,11POINTS
CEILING INSULATION, 0 POINTS
ATTIC, 4 POINTS
NORTH WINDOWS GLAZING -2 POINTS
EAST WINDOWS GLAZING -8 POINTS
SOUTH WINDOWS GLAZING 0 POINTS
WEST WINDOWS GLAZING 0 POINTS
SKYLIGHT BLAZING 0 POINTS
EAST SHADING COEFFICIENT -4 POINTS
SOUTH SHADING COEFFICIENT 0 POINTS
WEST SHADING COEFFICIENT -1 POINTS
NORTH SHADING COEFFICIENT 3 POINTS
SKYLIGHT SHADING COEFFICIENT 0 POINTS
INFILTRATION -1 POINTS
8���
THERMAL MASS ""� 8Q.FT, -fTPOTNTS
�r
SOUTH OVERHANG 0 POINTS
HEAT PUMP
THE EER OF THE COOLING SYSTEM IS 8.7 .
COOLING 7 POINTS
' THE ALLOWABLE POINTS PER.Ap 163lS-4 FOR THIS AREA 15
. JHE TOTAL PO7NTS'AR ~w~>
THE FOLLOWING MANDITOR\r"FEATURES/DEVIC&S ARE REQUIRED PERCAC TITLE 24
INSULATION AS SPECIFIED; PER MANUFACTURES LABLE
INFILTRATION CONTROL. DOORS, WINDOWS'FULLY WEATHERSTRIPPED .
OPENINGS CAULKED AND SEALED AROUND JOINTS IN WINDOW AND'WALL SOLE PLATES AND .
ELECTRIC OUTLET GASKETS ON ALL EXTERIOR WALLS .
MANUFACTURED DOORS SHALL MEET APPLICABLE STANDARDS
BACK DRAFT DAMPERS ON EXHAUST FAN
FIREPLACES MUST HAVE TIGHT FITTING, CLOSEABLE DOORS COVERING FIREBOX
PROVIDE COMBUSTION AIR INTAKE DUCTS <6 SQ. TN.) WITH TIGHT FITTING DAMPER
DUCTS; BUILT PER CHAPTER 10 U.M.C.
GAS FURNANCE SIZED TO 1.3 DESIGN LOGS + 10 BTUH PER SQ. FT. OR 45,000 BTU
SETBACK THERMOSTATS SHALL HAVE AUTOMATIC SETBACK CAPABILITY /2 PERIODS PER 24 HR
WATER HEATER TO H INSULATION WRAPPING, AND R-3 ON FIRST 5' OF PIPE
NAT. GAS STO HALLL N AVE CONT. BURNING PILOTS
LIGHT IN KITOHEN AND BATHO BE FLOURECENT, EXCEPT BATH MIRROR KIT SINK, TABLE
CERTIFIED
--------------------------------
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