HomeMy WebLinkAbout3730 (SFD)• - ' '
44
P.O. BOX 1504 No. 003730
Building 78-105 CALLE ESTADO
Address 77-163 Mazatlan LA QUINTA, CALIFORNIA -92253
Owner _
La Quina Joie. Venture
BUILDING:. -TYPE-CONST.. OCC: GRP.-.
Mailing
Address
C A.P. Number Santa Rosa Cove
City Zip Tel.
- La nil i,n92253 1 .. 564--1315 Legal Description
Contractor Project Description G-1 'SwAlie'
Barrile Construction
Address. . . .
P. 0.. BOX 1580
City... - Zip Tela
State Lic.
City
' & Classif..- % G
Lic. #
Sq- Ft- t. 2
No. No. Dw.
Stories "to' Units
Arch.; Engr., . .. .
'..Designer '
New -0 Add ❑
_ Alter ❑. Repair ❑ Demolition ❑
Address
Tel.
City
77
ip
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 antl
effect. r /:.7 l,tr +f 4//i lk
SIGNATURE i` 9 "DATE
_
OWNER -BUILDER DECLARATION
EStlm8ted Valuation
Thereby affirm that I am exempt from the Contractor's -License Law for the following
t 7
reason: (Sec. 7031.5,Business and Professions Code: Any city or county. which requires a.
'to
permit construct, alter• improve, demolish, or repair any structure, prior to itss issuance also
• requires the applicant for: such permit to file a signed statement that he'ls•licensed pursuant to
_ PERMIT
AMOUNT
the provisions o/ the Contractor's License Law, Chapter 9,(commencing with Section .7000) of
-
Division' 3 bf the Business and Professions Code, or that. he' is exempt therefrom, and the basis'
/or the Any Section 7031.5 'any for
Plan Chk. Dep.
-
-
alleged exemption. violation of by. applicant a permit .
' subjects the applicant to a civil penalty o/ not more than five hundred' dollars ($500).
Plan Chk. Bal..
528.04 r '
I, as owner of the property, or my employees with wages as their sole compensation, will
_ 01
do the work;: and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.
•
Pro%scions Code: The Contractor's License Law does not apply to an owner o/ property. who
--
€ifa'a.\fLt
- .
builds: or- improves thereon and who does such work.himself or through his own employees,
-' Mech. -
' 57
provided provided that'such improvements are not intended. or offered for sale. .1f, however; the.building.00
or -improvement is sold within one year of completion, the owner -builder will have the burden-
Electrical
;
o/ proving that he did not build or improve for the purpose o/ sale.) . _
❑ I, as owner of the property, am exclusively contracting with licensed contractors to'con•
Plumbing -
0
112A0
slruct the project. (Seca 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. •-
- 12.85.
such projects with a contractor(s) licensed pursuant to the Contractor's License.Law.)
Grading
❑ 1 am ,exempt under .Sec.. B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
4o,133.52
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
O Copy is filed with,lhe.city. ❑. Certified copy is hereby furnished.
-
TOTAL
CERTIFICATE OF EXEMPTION FROM
REMARKS.
WORKERS' COMPENSATION INSURANCE .
(This section need not be completed if the permit is for -one hundred'dollars ($100) valuation
Q t !
06''511? 14 99,4 + A4 -f b'"i40 1. •
or less
I ceertrr .. ..
ify that in the performance of the work for which this permit is issued, I shall not
=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
ZONE:
BY: -
subject 'to the Workers' Compensation provisions o/ the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback'Distances:
Front Setback from Center Line
'
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from.Center Line
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.) ,
Side Setback from Property Line
Lender's Name
Lender's Address
.signed
FINAL DATE
INSPECTOR "
This is a building permit when'properly filled out; 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.
Issued by:
Date Permit
I agree to comply with all city and county ordinances and'statelaws relating to building,
construction, and hereby authorize representatives .of this city to enter the above-.
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
HARD COPY _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING.A2ES '
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO, FT, ®
CAR P. SO. FT.
WALL SO. FT. ®
" SO, FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
AS(ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
GAS PIG
APERMITEFEE
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.
AS(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
S ( AL) /Z d
D
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
FINISH GRADING
INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
ADDRESS:
R`a'y OF
DESCRIPTION OF PROJECT:'—. -
ALL OF THE CONDITIONS PREREQUISITE TO THE ISSUANCE OF A
BUILDING . PERMIT/ CERTIFICATEOOCCUPANCY`"HAVE BEEN ADDRESSED
SATISFACTORILY:. ,s...F.
ID'LPLANNI NG
s
LI 1f ! t LY : • •1 r' •tY 4J ' t S:
FIRE MARSHAL':'
SIGNATURE
71
P _N
01'PAA Tpa 1KZA7.
.
•:f •.^ f . 4} Z•111}:-.... `4`6y.!- -. .i . I: -4p.-.•. =i._ .. fhY'14. :i5++V; .{:'i ;.
Desert Sands Unified School District
DATE
NOTICE: THIS DOCUIU ENZR0A14 OF PAYMENT
BE DUPLICATED, OF LRJ
SCHOOL FACILITY FEES L 7
p
TO: City of La Quinta DATE:
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is t o c e o f t hat/ ( 7 .i1(, "r `✓
developer of , 7
w h i JsrD
located at - S3 3 3 / 3 i
this District, heis p id dchodI fakilife4s imposed p uant to a
$ i gener(te by Go rnment Co a e 'ost 5 080 'n t ount o
O
covering a total of ' 0Ce- k square feet of ( sidentia or
( ) industrial/commercial development and that buil ing permits for
this footage in this development may now be issued by your jurisdiction.
ILI or DESERT SANDS UNIFIE SCHOOL DISTRICT
White tildmg Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(101-37
05;,:10 !:P 3/231,4 Vit/ar
Attdclement P
PREPARED FOR:' .
Glenn Bradley Enger, A.I.A.
73-960 El Paseo, Suite 5
form 2
(Pevised
3/3-1)
,.Palm Desert, California 92260
Cl mate zones 2, I, G, and 6-15
COMPLIANCE CHECKLIST G-3 LAQUINTA by LaQuinta Joint
Venture
For Low-Ride 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 %•orking.through
the point system
Building Shell
Measure
Points
*Total Floor Area , , ,
I. Slab-on-Ground; Perime er ft., Depth' in,
ft2
R.
2. Raised Floor R-Value,
O
- 9
3. -Ceiling Insulation or Construction -Assembly . . . .
- _ ,•
R-
0
Attic, Percent of Roof_0•:er Conditioned Space 100
4. Wall Insulation or Construction Assembly.
. .
271 S Dft`
. . . . . .
4--
, . , , ,
R
Glazing; Total x Floor Area Single Double
Triple
5, tl.rth-Facing. , & ; ft2 Iii ( ft 2
ft2
6. East -Facing . . . ft, --KftZ
7,
ft2
—a-
-South-Facing. ft
8. West-Facing2 -- f'2
ft
2
ftZ
t _
9. Sklight. _ O ft2 2056
y
ft
:722—
10. Shading Coefficient
(excluding overhang)
a. East V,efTicRlr gLi W O) 0 5C
b. South. va. i4ar . BL-1Np O. p_SC
_I
Q
C. West .. W0xTW-.X'.. t_Jr+O)
d. North.
— -
e. Skylight0 SC .
SC .
. . .. . . . . . . . .
.
i3 _
11. Horizontal South. Overhang Length.&ZA
12. Movable Insulation; 4 Floor Area.
. . , , , , , `
O
0
N /2q .t
13. Infiltration (indicate Standard, Medium or l'ignt)
fin E ONS rn
O
14. Thermal Mass
Exterior Hall Thermal Mass
Area,-Heat Capacity, R-Value , .
ft 2, HC, R-
Interior Thermal Mass
Area, Neat Capacity, R-Value 5 6f ft2, KC,
HVAC System**
yet
15. Gas Furnace without Refrigeration. Cooling
2Nso
(Seasonal Efficiency)•, , . , , , . . . , .
16. -Neat Pump (Energy Efficiency Ratio)
All—E
17. Gas Furnace with Refrigeration Cooling'
R
O
Seasunal Efficiency and Seasonal
Energy Efficiency RatioSE
. .
18. Active Solar (Net'Solar Fraction,
. Q•S SE:R
- fl '
,) , ,
19. Zonally Controlled Electric—
Resistant= Space Heating , , ,', , , , , , , ,
(Yes/Nod Q0
DOTestic Water Heatinn-
20. Solar With Gas Backup (!Net Solar Fraction, ZZ) ,
21. Other Water Heating (Describe type)*
.
G A 5
O
Point System Comoliance Total. . . . . . . . .
*(,neck ist t;e,-i;; not a point system neasure.
"Attach documentation for effiCiencies and NS:,
PREPARED BY:
Joseph N. Cicchini, Civil Engineer, Inc.
44267 Monterey Avenue, Suite B
Palm Desert, California 92260 (.619)-341-2273