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04-3788 (SFD)6rt 4 BUILDING & SAFETY DEPARTMENT Box 1504 (760).777-7012 >5 CALLE TAMPICO FAX (760) 777-7011 UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT tuber . . . 041000_0_3788 Date 4/29/04 ss . . . . . . 54620 AVEN A OBREGON APN: 774-274-006-6 -000000- Application description DWELLING - SINGLE FAMILY`,DETACHED Property Zoning . . . . ... COVE RESIDENTIAL Application valuation . . . . 119543 Owner Contractor POWER FINANCE ADDINGTON, DAVID P.O. BOX 134 41760 HERMITAGE DRIVE LA QUINTA CA 92253' INDIO CA 92201 WCC: STATE FUND WC: 2290019787 01/01/05 CSLB: 682901 12/31/05 CCC: B - ------------------------ Structure Information ------------ -------------. Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . .. DWELLG/LODGING/CONG <=10 Flood Zone. . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 480.00 PATIO SQ,FTG 32.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG1918.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT,. Additional desc Permit Fee 709.50 Plan Check Fee 211.18 Issue Date Valuation . . . . 119543 Qty Unit Charge Per Extension BASE FEE 639.50 20.00 3.5000 THOU BLDG 100,001-500,'000' 70.00 -------------------------------------------------------------------------------- Permit . . . . . MECHANICAL. Additional desc Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 • � • w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: — % I Date: y fi Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License isjq full force and effect. License Class flc�j 2 License No. (9 Date -i Contractor /✓ I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).): U 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i ue My w rkersj' �mpensation insurance carrier a goticy number e: Cartier �p =40 Policy Number" ( y 00 9 7 > _ I certify that, in the performance of the work for which this pe—rmitis issued. I s all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater' Gy Applicant c V/;-) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name T-(/ ;"- ,ek9-1 Lender's Address r oz Wj7 1 Igo APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose. behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 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 county to e r up n the above-mentioned property for inspection purposes. Date ec) —4�- 04 Signature (Applicant or Agent): r Page 2 Application Number 04-00003788 Date 4/29/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19:50 1.00 -------------'--------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 106.73 Plan Check Fee 26.68 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1918.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.13 480.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.60 1.00 ---------------------------------------------------------------------------- .15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . . PLUMBING Additional desc Permit Fee 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000.EA PLB FIXTURE 60.00 1.00 15.0000 EA. PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA. PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9:00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 .Qty Unit. Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments 1918 S..F. SFD PERMIT DOES NOT INCLUDE Page 3 Application Number . . . . . 04-00003788 Date 4/29/04 Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH --------------------------------- Other Fees . . . ------------------------------------------ . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -`RES 366.00 ENERGY REVIEW FEE 46.12 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.95 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -'RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1019.23 ---------------------------- .00 .00 7 - 1019.23 Plan Check.Total 284.86 .00 .00 284.86 Other Fee Total 2563.07 .00 .00 2563.07 Grand Total 3867.16 .00 .00 3867.16 Building Address Add 4 P.O. BOX 1504 �— Apc /SAI 1 GTA\��IP'�!1 APPLICATION ONLY & Classif. / I Lic. #/ L71P_ Arch., Eng., ' Designer �� AddreS6,Pr, i n _ 1 el. ZCit I ip State Z1 04 ic. # or LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that=nd nder provisions of Ch ter 9 (c mmencing with Section 7000) of Divisi o Prof s Code y license Is in full force and effect. GNATU 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, alter. improve, demolish, or repay any structure, prior to'fts 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 thealleged 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). C., 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, Bulsness 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 soldwithin 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 l 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.) I'! I am exempt under Sec. B. 8 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 f7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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, 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 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 NIA 92253 LDING: TYPE'CONST. OCC. GRP. Number Description ject Description— Add ss escription Size Stories New Add ❑ Alter ❑ 3 - Esti PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical W# Plumbing S.M.I. Grading IN Driveway Enc. II Infrastructure 9 N TOTAL Dw. Repair ❑ Demolition ❑ AMOUNT Zso P�� fill Pull � I 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 Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION CERTIFICATE OF COMPLIANCE Desert Sands Unified School District o� .0 47950 Dune Palms Road z o Q eERMLIDA.DUNES r . Date 4/27/04 La Quinta, CA 92253 RANCHO MIRAGE d INDIAN No. 25823 (760) 771-851 5 CEJ PALMDDE ELLS ti PALM DESERT y LA UINTA DIO Owner Power Finance APN # 774274-006 Address P O Box 134 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0403-379 Tract # .Study Area Type Single Family Residence No: of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 6 54620 Avenida Obregon 1918 Unit 6 Unit 2 Unit'7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, -residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE. This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24,X 1,918 S.F. or $4,296.32 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CCNalley Independent Bank -David Addington Check No. 30551 Name on the check Telephone 408-7528 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempte b Sharon M Gilvrey Payment Recd $4;296.32 Over/Under Signature c NOTICE: Pursuant to Government Code Section 66020(d)(1), is w' I serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the date on ich the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy -. Applicant/Receipt Copy- Accounting 0 i -9$64E34 N.'o. .42-1 P- 4'' u -,fpr g; 2:004x10 A Mi":,62#],U�.] -AW B'UF.F;.-1-,N' [CRWT1TLE',' T no Fee%3318 0211g/nI4 621:1 c T TO Pbid Page I of 3 Do, RDIN QUESTED By Recorded In of&I Records of RjyqrFj4" wry L•Oren uV4Ime.county Count!j'r lkvWoor AND vimem RECORDED KAIL TO: I ` I�11 11 D�`l I��I� I�� l�h�������1 �li�ll� PMA < � IVXL� ftVAd- j() -�, exrmudmA CA 6= pcor4 3W E, CO 4) ZVs %*No PEFUND EAW GRANT DEED AC' File Na; RPO -12966Z7 (SO TFLAI NO. 02"15 "�Illnd 774- 2744)05-8 TM U4em4r*d&amtw(!l)Dedare(s),,DODJMEWARYTPANSFi3kTAX$IfMaO;aTYIRNOER 7 4x $4401 Ompumd on the =**MUM OF W V" QfPMPMY pp W"4 OR compute an W ONVOOV40 Ama; V atr of to quuft. and I FOR A VALUABLE CONSWERA1101V, -reMIPt Of WWdj is Hereby. acknWedged, Elgony spMjevlc, .1 a married man a.s his sole and SGP=t& IMP" Buf F'q' a K"fled Van" as MB Sole Mseparate rr"eM. &nd hereby GRANTS to .Wi3-11= Thvw&s A Sep Pones Finance kagoclAtg . dl, 1=., a ranf=U Corporatlan the following described property In ft Of LN Wnt*, ON* df Rivef side, St&- of C 1 EL =31[T "Ar ATWM MRETO AW H THIS WNW=C9 X*13 IL TART LEGAL DESCRUTWO -F Dated: ol/2012004 Danny SpasOjeVIC Mall To 5UWneM To: UNI. AS ADW4 Description: PJvemide, CA Documohi-Year.0octO 2004,95811 Page., I (if 3 Order 04-28-2004 11-08-28 AM Comment., 4 AM L -AM A P ir' 5 !��JYTilvll N4 9",,2-,]! 1 - P-- �956484'. 3/04: -4 Ht- M. I CANT'T I.TLE -` .A.P.N.- 774-274-006-9 STATE OF ':f-'Qram Deed - MOTO. Me ijo.. .Itptl-IL296627 (51) Dow. 03420/2004 couM OF bellore On me, 6 r .. . I ..... lTj S" whose app*" me on . of satj*cory &��Yto be ft pemoll(s) proved to *=wled9W W me that JaWthq eKeWW Ift SaMe to the vftln lviArument and v signed On'ft -irsIrmlot the pemw($ or the rW that hWbQ##0 In hts/heq"r auft�zW CaPaclt0w� 2 entity upasb0.1f Ofyhlch the "n(s) acted, execumd 115 . "I" AI 77119 area for WMESS My hand and offid0l Wl- ,,signature 'CAN My cotnmisslon Expires WIN me -e -... . I =1 10CF! U W.41Y UNDFP Ay w., 14'.W VA E AVMAffl ORED By Mk tim me.W lwk WHPH PFa DO smog PA00h np 2 of 2. description; WorsideCA oomment-Year.DocjD 2o04.95611 Page: 2 of 3 ordIar, 04-28-200411-08-28 AM Comment r .`,22O,04 d'- ,0;` 5- 4 AM' -"l-WI Llil A.M",;R..,UP*.F;VN Ni 956464' N 9211 "Oe order mmbcr. Flr NwnbW. bNblt =A" Real property In the city of La Quetta, County of "rside, State Of Caftmla, de.rgAbed as follows: 267 OF SANTA CARMELITA AT VALE LA QUINTA, UNTT # 25 AS SHO" By LOTS 9 AND 6 IN BLOCK COUNW, ON FILE IN BOOK 19 PAGE(S) so'AND 51 OF MAPS, PIC005 OF f4VERS'(* MAP CALIFORM. APN: 774-V4.005-8 and 774-214-006-9 Desalpflon. Riverside, CA Document-Year-DOGIV 2004-95611 Page: '!-of 3. Order. 04-28-200411-08-28 AM.Comment. �- Certificate of Occupancy0 i OF T1 Building & Safety Department i 1 s 4 4.4 N This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. t BUILDING ADDRESS: 54-620 AVENIDA OBREGON r d� Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3788 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC I; F: p Owner of Building:POWER FINANCE Address: P.O. BOX 134 City,ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND E 7 Date: DECEMBER 13. 2004 r Building Official 1 POST IN A CONSPICUOUS PLACE K Jrra . S3;i. DEC -12-2004 05:27 PM AND DIAGNOSTIC TESTING P.01 fly x'13 CF -4R Ite et, -e' `C,l�,�)) B,:ilder Name 9�ileer amort Tslep,tone Plan N— umber Al Li - 57.23 HER 3tor Tole hone Sample Group Number tying Slgrwure /p 1 sample Nouse Number Firm:C, ,{ d /q'j_�s _ HERS Provider; �G �I�SdoGia s Street Address: 7 o qLI'2 �� ./�^ Gity!State"Zi y :;-*es to: 6u;icer, HERS arevider HERS RA?ER gQMPLIANQIj STS ATrzmgNj The house was: Tested ED Approved as part of sample testing, but was not tested As the HERS rater provid'rng d!agnostic testing and field verification, I certify that the mouses identlfiec Or, this `orY co1y with the d:apnostic testedc•ompllance requirements as checked on this form, Distribution systern is fully ducted (i.e., does not use bulld!ng cavities as plenums or platform return; in lieu of ducts! Where cloth backed, rubber adhesive duct tape Is installed, mastic, and drawbbnds are useed in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (MaXIMUM 60/6 Duct Leakage) Duct Pressurizatlon Test Results (CFM Q 25 Pa) Measureci values Test Leakage F!ow,n GFrt _L! .2 If fan flow is calculatec as 400cfm/ton x number of tons enter calcuiated vel;;e here�i If fan Now is measured enter measured value neve Leakage Percentage (100 x Test Leakage/Fart F,ow) _ Check Box for Pass or Fail (Pass=6% or less) ❑ �THERMCSTATIC Pass Fsi! EXPANSION VALVE TXV or Cot;uttission approved equivalent ---- — — FP —_ Yes ❑ :vc Thermostatic Expansion Valve (or Commission fpproved eq-uivalent) is insialled and Access Is provided for inspeciion y " Yes is a pass MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE Pass Fai CRECIT t G Yes No RCCA Manua; D Design requirements have been met (rater has varified that ®ctual installetlon matches v3tues in CF -1 R ant;' design on plan. 2. ❑ Yes C No TXV Is insiall ed or Fan flow has been verified, If n-- TXV, verified fan flow matches design from OF -IR. Measured Pan Flow = Yes for both ;'and ?.;s a Pass C C - pass =a,; TITLE 24 REPORT Title .24 Report for: Thomas Buff n Seville Santa Fe All Orientations La Quinta, CA.' Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046. CITY OF IJP QUINTA BUILDING & SAFETY. DEPT. . APPROVED FOR CONSTRUCTION .fob Number: oAi� • AFF«� Date: 3/1/2004 The`EnergyPro computer Program has been used 10 perform the calculations summarized in this compliance report This authorized by the Califomia Energy Commission for use with both the ResidentNai artd Nonresidential 2001 Building Energy has approval and is ' 9 ergy Efficiency Standards. This program developed by EnergySA LLC (415) 883-5900. EnemyPro 3.1 By ewmySog Job Number. User Number. 2855 1 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Thomas Buffin 3/1/2004 Project Title Date Seville_ Santa_Fe-AII.Orientations - La Quinta Project Address - - Building Permit t < Insu-form, Inc. (760) 324-2046 Pian chem i Date Documentation Author Telephone Computer Performance 15 Field check I Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1.918 ft2 Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: L918.f? Building Type: (check one or more) ® Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: All Four Orientations Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Component Const. Frame Assembly Slab On Grade n1a 0.756 Slab On Grade n/a 0.756 R-13 Wall will EPS Wood 0.059 R-38 Roof (R.38.204.16)Wood 0.028 Location/Comments bc, garage, typical, e Covered Slab w/R-0.0 Perimeter Insulation Emosed Slab w/R-0.0 Perimeter Insulation Dderior Wall Exterior Roof FENESTRATION Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF LJ -Factor SHGC ShadingYes / No Yes / No Front 20.0 0.77 0.45 Bug Screen Q El El O Front 6.0 0.61 0.45 Bug Screen X❑ ❑ ❑ Q Frond 29.4 0.61 0.45 Bua Screen 1:10 El R1 Front 33.4 0.77 0.45 Bua Screen ❑ 0 ❑ O Left 66.8 0.77 0.45 Bua Screen Left1:1❑ Left _ 28.0 0.61 0.45 Bug Screen ❑ Q ❑ nx 16.0 0.75 0.45 Bug Screen 1:1 O El Q Left Left 33.4 0.6 0.45 _ Bua Screen 1:1 Q ❑ Q Rear 10.0 O s1 0.45 _ Bua Screen XO 1-1 El O Rear 33.4 0.77 0.45 _ Bua Screen ❑ Q El Rear 22.0 0.61 0.45 Bug Screen ❑ Q El Q 16.0 0.61 0.45 Bug Screen Q ❑ ❑ 0 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Thomas Buffin Yes / No 3/1/2004 Project Title Seville Santa Fe -Alt Orientations_ La_Quinta - - - - Date ❑ Project Address ❑ ❑ Building Permit 1# Insu-form. Inc. (760) 324-2046 ❑ ❑ Documentation Author Telephone Pte„ cheek Date Computer Performance 15 ❑ Feld Check I Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION ❑ El Total Conditioned Floor Area: 1. 18 ftz Average Ceiling Height:_ 9.0 ft Total Conditioned Slab Area: 1,918 f? ❑ Building Type: ❑ ❑ (check one or more) ❑ ❑ ® Single Family Detached ❑ Addition ❑ ❑ Single Family Attached ❑ Existing Building ❑ ❑ Multi -Family ❑ Existina Plus Addition ❑ Front Orientation: All Four Orientations • Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 [] Raised Floor Component Const. Frame Assembly Location/Comments Type Orientation Area Fenestration Exterior (SF) U Factor SHGC Shadinq Right 63.0 0.75 0.45 Bug Screen t Overhang Side Fins Yes / No Yes / No ❑ FRI ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El Q ❑ ❑ ❑ ❑ ❑:❑ ❑ ❑ El El ❑❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑V❑ ❑ ❑ ❑ ❑ ❑ ❑ Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Thomas Buffin 1/26/2004 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location/ pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments C'Pntral Furnace 80% AFUE Ducts in Attic 42 Setback Living Zone Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc.) Duct Thermostat Location / R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 42 Setbark I wing 7nnP WATER HEATING SYSTEMS Rated 1 Tank Energy Fact'1 1 External Water Heater Water Heater Distribution #'in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A O SMITH PGGG-50-226 Small Gas Pine Insulation 40,000 50 0.62 n/a n/a . 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS GUMPLIANGt 51 A I EMENT 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, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: Title/Firm: SOU144 WES- T CON EPM Address: STEPHEN R. NIET0 78120 CALLE ESTADO SUITE 206 Telephone: LA WIN I A—,CAA 92253 Lic. #: a —?7O-- - N�oq. (signature) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: Documentation Author Name: Joan D. Hacker Title/Firm: Insu-form. Inc. Address: 68-255 Corta Road Cathedral City, CA 92234 Telephone: (760) 324-2046 . Ili o. U C ¢ (sign ure)I (date) 3.1 By EnergySoft User Number. 2655 Job Number. s Certificate of Compliance: Residential' (Addendum) CF -1 R Thomas Buffin 3/1/2004 Project Title pate Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the Items specified in this checklist These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies ��.• ...• ••.Q EE-w4E4`6E.1r V. usr aprwal juazmcauan ano aocumenmuon suomruea. Plan Field HERS Required Verification These features must be confirmed and/or tested by a'certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -M I ni-- I ce_u The HVAC System "Living Zone- indudeS Refrigerant Charge and Airflow Credit (or a TXV). A cefified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System *Living Zone- Is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -611 Form. 9 1 Run Initiation Time: 03101/0422.21.30 Rul 3.1 By EnergySoft User Number. 2655 Job Number: of 14 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk C) may be superseded by more strirtgent compliance requirements listed on the Certificate of Compliance. When this checklist is Incorporated Into the permit documerr1s. the feaUmes noted shag be considered by ail parties as mtrtimum component performance specifications for the mandatory measures whether they are drown elsewhere in the doc unents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable.boxes or enter NIA If not applicable DESIGNER ENFORCEMENT Building Envelope Measures -§150(ak Minimum R-111 ceiling insulation. § 150(bk Loose fill insulation manufacturer's labeled R-Vatue. a1150(ck Minimum R-13 wall insulation in wood framed wails or equivatent U -value in metal frame walls (does not apply to exterior now walls). § 150(dk M'mlmum R-13 raised floor Insulation in framed floors orequivalent. ❑§ 150(I), Slab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pemvinch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and form ® §118-17: Fenestration Products. Exterior Doors and InfobatioWExiiihatim Controls 1. Door: and windows between conditioned and unconditioned spaces designed to Emit air leakage. 2. Fenestration products (except field fabricated) have label with certified U-Fadnr. certified Solar Heat Gain Coefficient (SHGC). and Infiltration certification. 1 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed § 150(gk Vapor barters mandatory In Climate Zones 14 and 18 only. 61 50(* Special infiltration hauler f leff1d to comply with Section 151 meets Commission quality standards. ❑ §150(ek Installation of Replaces. Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control G Flue damper and control 2. No continuous fuming gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures a§110-13' HVAC equipment, wratar heaters, M—Wtheads and faucets certified by the Commission. © § 150(hk Heating and/or coofmg loads calculated in accordance with ASHRAE, SMACNA or ACCA. a61500Y Setback thermostat on at applicable heating and/or cooling systems. IAI §1500. Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with Insulation having an installed thermal resistance of R-12 or greater. 2. Fast 5 feet of pipes closest to water heater tank. non -recirculating systems. Insulated (R-4 or greater) 3. Bade -up tanks for Solar system, unfired storage tanks. or other indm3d hot water tanks have R-12 external insulation or R -1e combined intemallextemal insulation. 4. Ali buried or exposed piping Insulated in recb=Wffng sections of hot water systems. 5. Coofing system piping below 55 degrees F. insulated. 8. Piping Insulating between heating source and indirect hot water tank EnergyPro 3.1 By EnergySoft User Number. 2855 Job Number Pagt:•7 of 14 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -IR NOTE: Lawvrise reswermw buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted slain be oonsklererl by all parties as minimum component perfonoance specifications for the mandatory measures whether they aro shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter WA If not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) M -§ 150(my Oros and Fare 1. Ali duds and plenums Installed, sealed and insulated to meet the mqultrements of the 1898 CMC Section 601, 603.604 and Standard 6-% ducts Insrdated to a minimum Installed level of R-4.2 or enclosed entirety In conditioned space Openbngs shag be seated with mastIrtape. aerosol sealant or other duddosure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape Is used to seal opening greater then 114 Inch, the combination of mastic and ether mesh or tape shall be used. Building cavities slag not be used for conveying conditioned air. Joints and seams of dud systems and Ore* components stat) not be sear With doth back rubber adhesive duct tapes runless such tape is used in combination with mastic and drawbamds. 4 2. Bufleft baronies, support platforms for air handlem and plenums defined or constructed with materiels ober than sealed sheetmetal, duct'- - * or ale duct shag not be used for conveying conditioned air. Building cavities and support platforms may contain ducts Ducts installed In cavitles and support platforms shell not be compressed to cause reductions in the cross-sectional area of the duds 3. Joints and seams of dud systems and thheir components shag not be sealed with doth back rubber adhesive_ dud tapes unless such a tape Is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity vantflatlon systems serving conditioned space have ei0rerautomafic or readily ate, manually operated dampers. 8. Protection of Insulation. insulation stag be protected from damage. Including that due to sunlight, molsture, equipment matrrterenoa. and wind but not limited to the fopawing: Insulation exposed to weather shag be suitable for outdoor service e.g..protected by akinhbmmh, sheet metal. painted canvas, or plastic cover. Cellular foam Irlmdagon shag be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of are mahmat. ❑ § 114: Pool end Spa Heating Systems and Equip ment 1. certified with 78% thermal of deny, on-off switch. weatherproof operating imsin ctio s. no electric resistor= heathen, and no pilot ' Z System is installed with at least 36• of pipe between filter and heater for future solar, cover for outdoor pools or spas. a. At beast 36' of pipe between filter and heater for future solar heaffig. b. Cover for outdoor pools or outdoor spas 3. Pool system las directional inlets and a dralation pump time switch. MX §115: Gas fired funraoes, pool heaters. spa heaters or hmseh oid cooking appliances have no continuously burring pilot W (Excieptiom No—lactrical coofdng appliances with pmt c 150 Btuft) ❑ 0118 (* Cool Roof mat.W meet spedfted crdarfa , Lighting Measures §150(Ik)1: Luminaires for general lighting In kitchens shag have lamps with an efficacy 40 lu eushoff or greater for general lighting in !pious. This general ggthting shall be controlled by a switch on a readily accessible gghUng control parnal at an entrance to the kitchen. © §150(k)Z Rooms with a d wen or ba9rhnb must have either at least one hminahe with lamps with an efficacy of 40 h[mensMratt or greater switched at the entrance to the room or one of the alternative to Ods requirement allowed in Section 150(k)2: and recessed ceiMg rochaes are IC (Insulation cover) approved. 3.1 By EnergySoft User Number: 2&5 Job Number. Page:8 of 14 Computer Method Summa Part 1 of 3) C -2R Thomas Buffin 3/1/2004 D. --* Tu� Seville Santa Fe -All Orientaf L D� ions a Quanta Project Address Building Permit # insu-form, Inc. (760) 324-2046 Documentation Author Plan Check/Date Telephone Computer Performance Compliance 11110thou (Package or Computer) Cimate Zone Field Check/Data Source Energy Standard Facing Use (kBtu/sf--yr) Design North Margin Facing East Margin Facing Facing South Margin West Margin 1.35 -0.04 35.49 -2.45 Space Heating 1.31 1.55 -0.24 Space Cooling 33.04 35.40 -2.36 1.71 -0.40 1.95 -0.64 34.96 Domestic Hot water 13.44 10.70 2.74 10.70 2.74 -1.91 32.98 0.06 10.70 2.74 10.70 2.74 0-261 Totals s 4 6 2-17 BUILDING COMPLIES This 0-211 sufftmrbpc the . q#,- ..f- f .... ......r -6 __--- -- -- -. Thisran has been ane u!�wnraaun anmysis. i ne pages mat fouow describe the font facing Noah occurence. P tyzed with identical features in all orientations. GENERAL INFORMATION Q Slab Floor Conditioned Floor Area: 1.918 Floor Construction Type: ❑ Raised Floor Building Type: Single Fam Detached Building Front Orientation: All Four Orientations Total Fenestration Aea: 19.8% Number of Dwelling Units: 1.00 Total Conditioned Volume: 17,145 Number of Stories: 1 Slab Floor Area: 1.918 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt Area 1 iving:7nne I qnr, �1714 5 nn rnnd tinned Setha(:k_ 2 n i OPAQUE SURFACES Solar Act. Gains Type' Area U Val. Azm. Tilt Y / N Form 3 litdag 7nne 1 wing 7nne Hing 7nne 1 iw�ne 7nne I bring 7nne &I By EneMfftft User Numbe, 2855 Job Number. Paw:9 of 14 # Type -I- Wndmv Front 3 2 Wi Window Front ((Nortth h) 3 Window Front (North) 4 Window Front (North) 3 Window Front (North) 6 _Window Front h) Z Window Lon ast1 8 WindowLeft 12 (East) 3 Window Left (EN& 1Q Window Left (East) Al Window Left MOM 12 Window Left (East) 1$ Window LAAn ( �st1 14 Window Left (East) 15 Window Rear (South) 16 Window Rear (South! A Window Rear (South) Al Window Rear (South) 1;i! Window Right 0.770 20 Window Right (West) 21 Window Right (West) INTERIOR AND EXTERIOR 2 Bug Screen 3 Bug Screen 4 Bug Screen 5 Bug Screen 6 Bug Screen 7 Bug Screen I8 Bug Screen 9 Bug Screen 10 Bug Screen 11 Bug Screen 12 Bug Screen 13 Bug Screen 14 Bug Screen 15 Bug Screen 16 Bug Screen 17 By Sateen 18 Bug Screen 19 Bug Screen 20 Bug Sawn 21 Bug Screen !Part 2 of 3.1 BY Errergysog ser Number- 2655 J . uu 1\W11p8f. Page. 10 of 14 1 Date 3/1/2004 U- Factor SHGC Act Azrn. Glazing Type Tilt Location/ Comments -� 0.610 n EL 0.45 -iL 0 { M West Hast Wi idawc 1 90 West Coast Windows l hdng-zone Livina Zone 0.610 0.45 0 1 90 West Coast Windows Living Zone 0.610 0.45 0 ' 90 West Coast Windows Living Zone 0.770 0.45 0 90 West Coast Windows Living Zone 0,610 0.45 0 90 West Coast Windows 0-770 0 _ ng Zone 0.610 0.770 -45 0.45 -- 0-45 -go 90 -90 _ go West Coast Windows 90 West Coast Windows 0 West Ceast lndov.; 1id�I g Living 1 wing Zone Zone Zone 0.610 0.750 - QA5 0.45 _ 0 _90 West Coast Windows _ 9 �, 0 West Cgast Windax� �M Zone Zone 0.610 0.45 90 90 West Coast Windows -Liming Living Zone -0-740 0.610 --p-'� 0.45 -90 90 s0 West Coast Windows 90 West Coast Windows 1 -Mag Living Zone 0.770 0.45 180 90 West Coast WutdowS Living Zone 0.610 0.45 180 90 West Coast Widows LMng Zone 0.610 0.45 180 90 West Coast Windows Living Zone 0.610 750 0.45 180 90 West Coast Windows Living Zone 0.750 ---0-4 0.45 -270 _90 270 West Coast Windows 90 West Coast Windows g Living Zone Zone 0.750 -0.45 270 90 'Vest Coast Windows Living Zone Window H9L Wd. Overhang Left Fin Len, Hgt 1 Fxt Right Fin 8.0 3.0 8.0 0.1 Q�L 8.0 8.0 � Ctst Len. HgL 2.0 3.0 8.0 0.1 8.0 8.0 2.0 5.0 2.0 0.1 2.0 2.0 4.0 4.0 200.1 2.0 2.0 3.1 BY Errergysog ser Number- 2655 J . uu 1\W11p8f. Page. 10 of 14 3im uter Method S mma Par omas Buffin ad Title THERMAL MASS FOR HIGH N Tvne Area -PERIMETER LOSSES HVAC SYSTEMS Heating Equipment Type (furnace, heat DESIGN k. Heat ) Cap. Cond. Form 3 Reference Insulation R Val. Depth Location / Comments o_o —0 Living Zone o.o —0 Lmni2ane 3of3 Date 3/1/2004 Inside Location R Val. Comments Distribution Type and Location Duct Thermostat Location / )(ducts/attic, etc.) R -Value Type Comments Ducts in Attic 4.2 Setback Lin Zane Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Mininium Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling (SEER) (attic, etc,) R -Value Type Comments Snot Air Gandfioner IUBEER pUd5jngttc —4.2 Aback Living Zone WATER HEATING SYSTEMS Water Heater Water Heater Distribution Ratedl Tank Energy Factl t Tank Insul. System Name Type Type S in Input _Cap. or Recovery Standby R -Value A O SMITH PGCG50-226 Btu/hr a Efficien Loss %) Ext. IF 04 n1a n1a For small gas storage (rated input — 75000 BbAr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 SbAr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Computer Method Summary (Addendum) C -2R Thomas Buffin 3/1/2004 Project Title Date - Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checldist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies hafted nn H.n �dn.....�.... -6 u.....—�_.:----`�_ -- _ -- - - - - - a...............�...4��.. suumuw-o. Plan Field HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a ren.. cF.90 The HVAC System "Living Zone" includes Refrigewnt Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verififlcation of the TXV, or measure the Refrigerant Charge and Airflow. ...... • ,c,Y The HVAC System °Uving Zone, Is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certifted HERS Rater. The results of the diagnostic testing must be reported on a CF -611 Form. rc m 1051211100 11111e• 03/01/04 22.21.30 Run Code: 1078208490 3.1 By Energysoft User Number 2655 Job Number Page:12 of 14 1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME Thomas Buffin DATE SYSTEM NAME 3/1/2004 Livina 7nna FLOOR AREA Of Total C output output per System Total Output (Btuh) Total Output (Tons) Total Output (Btuh/sgft) Total Output (sgft/Ton) Air System CFM per System Airflow (cfm) Airflow (cf n1sgft) Airflow (cf nrron) Outside Air (%) Outside Air (cfm/sgft) Note: values above given at ARI conditions IEAn NG SYSTEM PSYCHROMETRICS 26.0 OF 69.4 of 69.4 of Outside Air 0 cfrn 69.4 OF 11.9 / 77.6 of Outside Air 0 chn 78.7/67.50 F a1 2 W-W0111Total Room Loads 112,000 Return Vented Lighting 58.61 Return Air Ducts Return Fan 36• 0 Ventilation 7Z000 Supply Fan 6.0 Supply Air Ducts TOTAL SYSTEM LOAD 37'8 317.5 1,300 HVAC EQUIPMENT SELE 2,600 1.36 CFM I Sensibiel Latent I I CFM I Sensible 4456 41 35 714 BDP C0.563AN036 A 43,987 22.732 112,000 Total Adjusted System Output (Adjusted for Peak Design contr t m) ' 22,732 112,Q0 TIME OF SYSTEM PEAK Aug 20m Jan 12 am 109.90F Supply Fan Heating Coil 2600 cfm F%WtUFll imr Ducts 78.7/67.50F 78.7 / 67.5 of = R2 R i ai o or Supply Fan Cooling Col 2600 cfm Number. 2655 Return Air Ducts Job Number. Supply Air Ducts 109.3 OF ROOMS 70.0 OF Supply Air Ducts 63.6 / 62.2 of 56.1% R.H. ROOMS 78.0 / 67.3 of 13 of 14 LOAD SUMMARY NAME Thomas Buffin DATE .3/1/2004 Living Zone I FLOOR AREA I A AA A