HomeMy WebLinkAbout3729 (SFD)P.O. BOX 1504 No: aJ
Building ??-173 Mazatlan78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA:92253
Owner . ...: I .... • .." _ __
.•_ , . .. ,. .:1 . --
La
.. La [,3aini4a Joint Venture ' I. BUILDING:'TYPE'CONST.'"` -OCC,---GRP.,
Mailing _
Address P. O. Sax 780 " A.P. Number Santa Rosa " Cove
-
City . Zip . Tel.
'aL to 92253 ..564-116315 .. Legal Descnption
Contractor. Project Description G-3 a 0 !-nta
=r a Construction '' '
.-
City Zip Tel. r
T> iintA 9 351 56 -6244
State Lia City
& Classi f.,.378318 Lic. # Sq.. Ft. No. No. Dw.
<.. .».. Size. - Stories.- Units ?
::.. Arch.,^Ehgr., ... _
•Designer_ New ❑ Add ❑ • Alter ❑ ' Repair ❑.. • Demolition ❑
..: ,.•
Address Tel.
..City ]Zip State
.: Lic.#..
It LICENSED CONTRACTOR'S DECLARATION ,✓ ;
herofI affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of bivision.3 of the Business and Professions Code, and my licens/e is:in full foicee-+and .
effect
.dg 'f',', ' - ' -„✓.f :s,Y' rl''r; . .. ..-:E ,'/,tfs'{r3 ..
SIGNATURE' l' :J' -.. .€0 DATE - ... .. .. ..
`
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following ,S1 1.994
y ”
reason: (Sec. 7031.S,Business and Professions Code:.Ang.'city. or• county -which requires' a I . - '
permit to construct, alter, improve; demolish, or repair any structure; prior to its. issuance -also - f AMOUNT
requires. the applicant for such permit to file a signed statement that he is licensed pursuant to _ .:PERMIT - • -
the provisions of the Contractor's License' Law; Chapter 9 (commencing with Section 7000f• of - - - .
Division'3:'ol the Business and Professioris Code, or that. h'e is exempt therelrom, 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 live hundred dollars($500). ' ' - ' ` Plan Chk. BBI. rrp,C
❑ I; as owner of the property, or my employees with wages astheir sole compensation, will.
do the work, and the structure is not intended or offered for sale: (Seca 7044, Buisness'and COr1St.'
.. Professions Code: The Contractor's License Law does not; apply to an owner ofproperty - who •
03
builds or. improves Thereon and who does such work himself or through his own employees, Mech.' ST
t4
provided. that' such improvements .are not intended or. offered for sale.. If,._ however, the' building - . .i1 3 s 'O . .
,or improvement is sold within one year -of completion; the owner -builder will have the burden • 5 -
o/ proving that.he did not build or improve /or the purpose of sale.) Electrical 98
❑ I; as owner of the property, am exclusively contracting with.licensed contractors to con- •Plumbingm (,
- 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, 11.73
- - such projects with a contractors) licensed pursuant to the Contractor's License Law.) - -
D. I am exempt under Sec.. B.•& P.C. for this reason Grading _
Driveway Enc.
Date Owner Infrastructure 779
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..
'aTOTA0 f, t]r
CERTIFICATE of EXEMPTION FROM REMARKS , <
" WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is /or one hundred dollars'($100) valuation - - -
.. or less.)... ._ .. .><i - .. .• -...: , ,_-, '? . .
I certify that in the performance of the work for which this permit is issued, I shall not -' '3•& X "I' .y 3 8 ' '
employ anyperson in any manner sous to -become subject to the Workers' Compensation - - ,, Yt+ i': . >ti ti•
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this, Certificate o/ Exemption' you should become , ZONE; ' 'BY: -
'subject to" the Workers' Compensation provisions .of the Labor code; you' must 'iorthwitn' .Minimum Setback Distances: '
comply with such provisions or this permit shall be deemed revoked. -- _ -
Front Setback from Center -Line
Rear. Setback •from.Rear Prop. Line
CONSTRUCTION, LENDING AGENCY - Side Street Setback from Center Line '
hereby affirm that there is a construction lending a
agency for the performance of the '
work for which this permit is issued. (Sec: 3097, Civil.Code.)
-Side Setback from Property: Line
Lender's Name
Lender's Address
This is a buildingpermit when properly filled out, signed and validated,. and is subject to - FINAL DATE INSPECTOR'
,. 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. -Issued b Date Permit
agree to' comply with all city' and county ordinances and state laws relating to building - y
construction, and hereby authorize representatives -of, this city toenter the -.above-.
mentioned property for inspection purposes. "Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, ZiP -
HARD COPY • - }, u
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
2ND FL. SQ. FT.
POR. SO. FT. @
GAR. SO. FT. @
CAR P. SQ. FT.
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
I ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/
(ROUGH) _ 3
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
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
REMARKS:
VENTILATION
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
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
/
(ROUGH) _ 3
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
AS (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
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINI GRADING
NAL INSPECTION72-3 -gj
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
+KJ ti !ygG5cP4 Cavq^'gat{ S,!.'>• d' .
"Attach documentation ft -r. efficien
PREPARED BY: cies and FIS;,
Joseph N. Cicchini, Civil Engineer, Inc.'
44267 Monterey Avenue, Suite B.
Palm Desert, California 92260 (619)-341-2273
AtLechment D
PREPARED FOR:
Glenn Bradley Enger,, A.I.A.
Form 2
(P.ev;sc:a
3/34?
73-960 E1 Paseo, Suite 5
'CI i-51 d t e Zones 2, 4, G', and
9-15
Palm Desert, California 92260
COMPLIANCE CHECKLIST TYPICAL GUESTHOUSE by LaQuinta Joint Venture
•
Fc.r Low-Rise Residential Buildings -
(except hotels and motels)
Step 1: Enter on the form the values for each treasure'from your building plan
and specifications sheet.
Step 2: Enter points on this page"while working through-the
point system
Bu.i•ldind Shell
Meesire
Points
Total-Floor Area34
3 ft2
1. Slab-on-Ground; Perimeterh ft., Deo i.n.
2.' Raised Floor R-Vaiue,
. , . R-
R_ N .
- Q
3: Ceiling Insulation or Construction Assembly
.
o
Attic, Percent of Roof Over Conditioned Space IUD A
343 ft-
_g_
4, Wall Insulation or Construction Assembly,
R- Iq
D
Glazing; Total % Floor Area Single Double
Triple
5. .forth-Facing., Z (P s . ft2f t 2
2
c: East -Facing 3.3 A ft2_ft2.
7. South
ftz
0
-Facing. 1,R.." ft5y, ft
8. 'West-Facing 2 2
ft2.
;.!_i ft2' ft.2
9. Skylight.
_. ft2.
p—p ft O" ft
ft
p
10. .Shading,Coefficient
(ex I'd' rhang)
\\".
a. East YEI2T14A l_lN?SJ 0.30 SC
...
-2
" . b_ South. V&PkT0 -" 64fNQ¢). 0,30 SC
=O
C. West (VB TC a. ,. QL.N05i . '0.3DSC.
-
S
d. North... D;bS SC
e. Skylight . . . . / H SC
O
11. Horizontal South Overhang Length.',. 2 ft"
. . ` .
•
D
O
- 12. Movable Insulation, q Floor urea. To
O
13. Infiltration (indicate Standard, Mee dium urlig;it)
NYlEprwm
-1
14, Thermal Mass
Exterior Wall Thermal Mass .
'Area; Heat Capacity; R-Value . . . , ,
ft2, HC, R-
Interior Thermal ilass
Area, Heat Capacity, R-Value IS/ ft ij,g hC, R-0,_3
'h 20
HVAC Svstema'
$ >C'!,3
34
15. Gas Furnace without' Refrigeration•Cool.ing3
(Seasonal Efficiency) . 1. . . . .
II& Sf.
O
16, Neat Pump (Energy Efficiency Ratio)
N A E ER'
0
11. Gas Furnace with Refrigeration Cooling,
Seasunal Efficiency and Seasonal
Energy Efficiency Ratio
SE 2$
t1 2
13. Active Solar (Net Solar" Fraction, ;)
_Sr"R
_F
19. Zonally Controlled Electric
— —
Resistance Space Heating , . ,
(Yes/No.
DomeStic Water Heatinq**
20. Shcar`With Gas Backup (,let Solar Fraction, '1 , , •
'Water
• 'NSF
0
21. Other Heating (Describe'type)
_
A 5
Point System Ccmoliance Total. . . .
. .
- 2
`Check.l tst lte;-.:;; not a. point syste^; measure.... ., .
"Attach documentation ft -r. efficien
PREPARED BY: cies and FIS;,
Joseph N. Cicchini, Civil Engineer, Inc.'
44267 Monterey Avenue, Suite B.
Palm Desert, California 92260 (619)-341-2273