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78640 HIGHWAY 111 - FIRE RELEASE FOR OCCUPANCY4 P.O. BOX 1504 Building Address ?$-64G & 78-654 HG3 7 111 LA QUINTACCCALIFORNIA 92253 Owner Larry Itnnkle Mailing Address Same City Zip Tel. a'Quinta, CCS 92253 Contractor DoDco Address P.O. BOX 1012 City Zip Tel.: s,a Quinta, 32253 l.64-647'8 State Lic. ' City # 3 Classif.' " B 397830 Lic. Arch.; Engr., Designer D & B Dental DeSign Address' Tel. City:•Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that.l,am licensed under provisions of Chapter 9 (commencing with Section 7000) of,Division,3'of the Bus! ness.and`Professions Code; and my liin full force and effec SIGNATURE - .r DATE T ' 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 apermitto -construct, alter, improve, demolish, or repair any structure, I 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 fora. the alleged exemption. Any violation of Section 703 1. 5 by 'any applicant for a permit subjects the applicant to a 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 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 or sale.) I, 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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. 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 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., if, ager 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 Ihereby 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 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-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 122`19 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description T.I. Remodel Sq. Ft.Z Size No. No. Dw. Stories Units New Add Alter JR) Repair Demolition Estimated Valuation 30,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. L Const. 84 .5- Mech. Electrical 4 . dU Plumbing U S.M.I, t3 sJ V Grading Driveway Enc. Infrastructure TOTAL r'• t, , REMARKS 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 t FINAL DAl Issued.by% Validated t Validation: INSP 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN SQ FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH E R(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. Plus-X$-=$ LAUNDRY TRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR 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 OUNO PLUMB (l ZJ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (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 1,,tjTC-& 10,Z4;.s utir /p—G REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ii. r. C 210'WEST SAN WINTO AVINUE + PI MS, CAUP ORNIA 92M 714) 05793183 KM AERATE OOuN'I'Y FIRE CHIEF !` Date i 10 rzI To ,` Planning Department - lu,rveygr' s Office 1 r ng L a'no-,..safetybtdi s The Rjyersid• County Fir* Department hrrwiDy role&%@% the pro,leCt. i 1>r ted be l ow t ' r Log, Numbers ',r« ' F,..r J': C f'r=ter~' r ' Add rssss 7, iruw•Mlw..r wM---------...row----..-.srrr0.re r..rw7 riPAgMM11Y t! CMRCK ONES Flnal RoeerctatiAn Further Aevelopmomt Motor Set only r• hall Final Tenant ImRPovwmrnt Final Final for O c c w p a, n a y M'wlrerw.u M M.AI.T Mw wXMr.wrtir.1V err---- w —wee—wee— • i' w w 4rw.r err .,.r .w.. www,rr CHIECK ONE s 7`' Pres Faire T C ... e. Fees Not Raid, Fees Not Ragw4red If you should have any questions rogmrding this matterr plesss do t, not heoi'tate to contact the Fire Department Planning $Mcti6m. RAYMOND Ho REGIS Chief Fire Department Planner 1 rr by s5''"'re Ci di -- i ti_a.n.niwa.m oYWa rw Yri REI.5 7 ,10 / 9 2 FIRE REVW JOE DIVISION ' Q R1V8RaC8 AMl Ce r'" VC10 *metX960 IF i t+h . Rlv lC/071q{ q1 1" Sol*Fs CA/11:013754191A (114) 7451 q(714) A I Carole Christensen, E.A. TITLE-24 ENERGY CA LCULA T[O/V,,,V ENERGY CALCULATIONS FOR: DoDco Construction Services P.O. Box 1012 La Quinta, CA 92253 PROJECT: Kunkle Dental Office Tenant Improvement LIGHTING ONLY Project Address: Hwy 111 & Washington, Stes 78-640 & 78-650 La Quinta, CA CONTENTS Certificate of Compliance, LTG-1, LTG-2 Area Category Method 47-596Lake Canyon Drive, Aguanga, CA 92536 79-733 Country Club Drive, Bermuda Dunes, CA 92201 1-800-735-8152 PROJECT NAME, Kunkle Dental Office DATE 8/18/93 JECT ADDRESS Hwy 111_& Washington, Stes 78-640 7 Building Permit # PRINCIPAL DESIGNER - LIGHTING TELEPHONE DodCo Construction Services 619) 564-6478 DOCUMENTATION AUTHOR TELEPHONE>:Checked by/Date .• Carole Christensen, Analyst 1-800-735-8152"ENoroertier,lA9enryUse>`-" DATE OF PLANS BUILDING CONDITIONED FLOOR AREA 7/19/93 1678 BUILDING TYPE © NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ©X NEW CONSTRUCTION ADDITION ALTERATION METHOD OF LIGHTING El COMPLETE BUILDING 1V - 71 J AREA CATEGORY ElTAILORED PERFORMANCE COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The Principal Lighting Designer hereby certifies that the proposed building design repreresented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements contained in sections 110, 119, 130 through 132, and 146 or 149. ease check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, electrical engineer or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 ofLij the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for.work that I have contracted to perform. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section. of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL LIGHTING DESIGNER - NAME SIGNATURE LIC. NO. DATE DoDco Constrnrtinn gPril-l" 397830 Indicate location on plans of Note Block for Mandatory Measures For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. TG -1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. LTG -2: Required for all submittals. LTG -3: Optional. Use only 0 lighting control credits are taken. LTG -4: Optional. Use only K Tailored Method is used. Parts 2 and 3 used only if applicable. Nonresidenda/ Compliance Form December 1991 PROJECT NAME DATE Kunkle Dental Office 1 8/18/93 LUMINAIRE NAME eg. Type -1, Type -2, etc.) 1;7 CONTROL LOCATION Room #) CONTROL LOCATION Room M or Dwg. M) LAMPS E NO.OF LAMPS WATTSMMPH rT Y X El 1:11:1 3 40 Quad 13 1 49 1 108 1 81 1 27 CONTROL IDENTIFICATION CONTROL IDENTIFICATION CONTROL TYPE Auto Time Switch, Exterior, etc.) CONTROL TYPE Occupant, Daylight, Dimming, etc.) BALLASTS TYPE NO. / LUMINAIRE 11 F1 1:1 Q UEl El G 1 1 1.o 1.0 Provide Supporting Documentation SPACE CONTROLLED LUMINAIRES CONTROLLED TYPE I MOF LUMIN. NOTE TO FIELD.'..' 10JECT NAME DATE Kunkle Dental Office 1 8/18/93 LUMINAIRE NAME A B C D E F NUMBER OF LUMINAIRES 20 2 1 1 1 If not using the CEC Default value, please provide supporting documentation. WATTS PER LUMINAIRE including Ballast) DESCRIPTION 2x4 3/tube fluorescent Quad P ' 5 ft Little inch 9 w/ft 12 ft if It 9 ft 3 ft NUMBER OF LUMINAIRES 20 2 1 1 1 If not using the CEC Default value, please provide supporting documentation. WATTS PER LUMINAIRE including Ballast) CEC DEFAULT Y N• El Q El El El El E] El El 112 LESS CONTROL CREDIT WATTS 90 108 81 27 TOTAL WATTS 180 1,08 81 27 P_ I SUBTOTAL FROM THIS PAGE2 tS / U PLUS SUBTOTAL FROM CONTINUATION PAGE E= LESS CONTROL CREDIT WATTS F 71FROMLTG -3) ADJUSTED ACTUAL WATTS r ALLOWED°LIGHTING. POWER _(Choose.One Method) , _ ,..,.;w. a a.,:",.. , Q.:,yr:,.;r •• . .3.,,r:^,.r:..3 ,ti.. >. ,,. t .. . BUILDING CATEGORY (From Table 2-53M) WATTS PER SF COMPLETE BLDG. AREA ALLOWED WATTS s AREA CATEGORY (From Table 2-53N) TAI LORED:ORPER'FORI TAILORED NonresldenW Compliance Form PERFORMANCE WATTS AREA ALLOWED PER SF (SF) WATTS 167g.08 2871.81 TOTALS AREA WATTS TOTAL ALLOWED WATTS From LTG -4 or from computer run.) December 1991 LIGHTING COMPLIANCE SUMMARY LTG -2A Project Name: Dr. Kunkle Dental Office Date: 8/18/93 ALLOWED LIGHTING POWER AREA CATEGORY METHOD Area Category (From Table 2-53N) Watts AREA ALLOWED per SF SF) WATTS Waiting Room 1.6 157 251.2 Business Office 1.6 227.5 364 Hygiene 1 1.8 80 144 X -Ray 1.8 40 72 Hygiene 2 1.8 80 144 Hall/Op 1, Op2, Op3 1.8 547 984.6 Darkroom 1.8 23.38 42.1 Sterilization Room 1.8 103.25 185.85 Hygiene 3 1.8 80 144 Lab/Laundry 1.8 205.7 370.26' Restroom , 0.8 56.25 45 Private Office 1.6 78 124.8 Total Allowed Watts 2871.81