07-1608 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA �UINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
,c07"-00_001608--
52553 AVENIDA MENDOZA
773-302-015-2 -000000-
REMODEL - RESIDENTIAL
COVE RESIDENTIAL
84789
Architect or Engineer:
^� rn VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT , `/INSPECTIONS (760) 777-7153
BUILDING PERMIT
Owner:
SHELDON BAKER
52553 MENDOZA
LA QUINTA, CA 92
Contractor: i U FEB 0 6 2003
DESERT BAY CONST UC ION
Date: 2/06/08
PO BOX 2623 CITY OF
' PALM DESERT, CA 2261 �1QU, I
(760)346-4801
FINANCE DEPT.
.�� LiC. No.: 543201
-
------------------------------------------------------------------------------------------ - - - - - —
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 is in full force and effect.
License Cl : B L' nse No.: 543221
ate: a C actor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_) 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 ISec. 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 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.).
(_ 1
1, 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.).
(_ I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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: _
Lender's Address:
LQPERtyIIT
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 238-0003247
I certify that, in the performance of the 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
the LaboAodelorthwith mply itht e provisions.
Acant:
WARNING: FAILURE TO SECUREOMPENSATION 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.
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 rela ' uilding constructi , and hereby rize representatives
of t/hi��7cou to �ntter upon he above- coned pr ty for inspecti purpo
/
aD te:(/ V nature (Applicant or Age
Application Number . . . . 07-00001608
Permit .
. . . . .
BUILDING PERMIT INV FEE
Additional
desc .
Permit Fee
. . . .
1144.00
Plan Check Fee
371.80
Issue Date
. . . .
12/03/07
Valuation . . .
84789
Expiration
Date
5/31/08
Qty Unit Charge
Per
Extension
BASE
FEE
829.00
35.00
----------------------------------------------------------------------------
9.0000
THOU BLDG
50,001-100,000
315.00
Permit
. . .
ELECT - ADD/ALT/REM
.Additional
desc
Permit Fee
. . . .
54.90
Plan Check Fee
13.73
Issue Date
12/03/07
Valuation
0
Expiration
Date
5/31/08
Qty Unit Charge
Per
Extension.
BASE
FEE
15.00
872.00
0350
ELEC
NEW RES - 1 OR 2 FAMILY
30.52
469.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.38
PermitMECHANICAL
Additional
desc .
Permit Fee
. . . .
52.50
Plan Check Fee
13.13
Issue Date
. . . .
12/03/07
Valuation . . . .
0
Expiration
Date
5/31/08
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
2.00
6.5000
EA' MECH
VENT FAN
13.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit ..
. . . PLUMBING
Additional
desc .
Permit Fee
. . . .
73.50
Plan Check Fee
18.38
Issue Date
. . . .
12/03/07
Valuation . . . .
0
Expiration
Date
5/31/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
8.00
6.0000
EA PLB FIXTURE
48.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
LQPERMIT
LQPERA11T
Application Number . . 07-00001608
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
demo, rebuild 872 sq. ft. new 469 sq.
ft. garage and int. remodel.code case
permit was charged double fees.October
15, 2007 12:01:38 PM jjohnson
2/6/08: DESERT BAY CONSTRUCTION BECAME
THE CONTRACTOR OF RECORD. $4.50 FEE
ASSESSED .
----------------------------------------------------------------------------
Other Fees CHANGE OF CONTRACTOR
4.50
ENERGY REVIEW FEE
37.18
STRONG MOTION (SMI) - RES
8.47
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1324.90 1324.90 .00
.00
Plan Check Total 417.04 417.04 .00
.00,
Other Fee Total SO.15 45.65 .00
Grand Total 1792.09 1787.59 .00
4.50
LQPERA11T
DESERTBAY
CONSTRUCTION
www.DesertBayConstruction.com
Jan 22, 2008
TO: City of La Quinta
RE: Permit # 0 -7 - t40o8
52-553 Avenida Mendoza
Change from Owner/Builder to General Contractor
To whom it may concern:
Please change the name on the building permit from Owner/Builder
to Desert Bay Construction, General Contractor license number
543201.
If you have any questions, please call the homeowner, Sheldon
Baker at 760-902-3539.
Thank you,
(X�v�
Sheldon Baker, homeowner
Office: 760 346-4801; Fax 760 836-1994
Post Office Box 2623, Palm Desert CA 92261
License No. 543201
P.O. BOX 1504
78-493 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001608
Property Address: 52553 AVENIDA MENDOZA
APN: 773-302-015-2 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 84789
c&ht 4 4 Q"
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Busine and Professionals Code, and y License 's in full force and effect.
License Iassi License No.:
DContractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
tat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by
a pp"Cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(ho I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structureis 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 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
r�improve for the purpose of sale.).
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.).
1 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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: _
Lender's Address:
LQPERDIIT
Owner:
SHELDON BAKER
52553 MENDOZA
LA QUINTA, CA 92253
Other struct info .
Contractor:'
Owner
DITION
200]
VOICE (760) 777-7012-
F AX
77-7012FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/15/07
--------------- - - -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier 3.00 Policy Number --------- --- - --
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' co ensation laws of California,
and agree that, if I s u}jd become subject to the w �r ers' compe a ion provisions of Section
3700 of the Labor C�d¢, I shamfgrthwith comply (vityse pro'10
i s.
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.
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 Quinta, 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 th above information is correct. I agree to comply with all
city and county ordinances and state laws relating to bui in construction, and hereb uthorize re sentatives
of this ;rt�(��►�un1tYj�Utoo enter upon the above-mentioned proper y f r insp c i purposes.
Date JI " Sig nature-IApplicanf oi'Age l:
Application Number . . . . . 07-00001608
Permit
. . .
BUILDING PERMIT INV FEE
Additional
desc .
Permit Fee
. . . .
1144.00
Plan Check Fee
371.80
Issue Date
. . . .
Valuation . . . .
84789
Expiration
Date..
4/12/08
Qty Unit Charge.
Per
Extension
BASE
FEE
829.00
.35.00
----------------------------------------------------------------------------
9.0000
THOU BLDG
50,001-100,000
315.00
Permit
. . ..
ELECT -. ADD/ALT/REM
Additional
desc .
Permit Fee
. . .
54.90
Plan Check Fee
13.73
Issue Date
. .
Valuation
0
Expiration
Date
4/12/08.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
872.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
30.52
469.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.38
Permit
MECHANICAL
Additional
desc .
Permit Fee
52.50
Plan Check Fee'.
13.13
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
4/12/08
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
2.00
6.5000
EA MECH
VENT FAN
13.00
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
73.50
Plan Check Fee
18.38
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
4/12/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
8.00
6.0000
EA PLB FIXTURE
48.00
.1.00
7..5000
EA PLB WATER HEATER/VENT
7.50
LQPER,NIIT -
LQPE%NIIT
Application Number 07-00001608
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER
INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
demo, rebuild 872 sq. ft. new 469 sq.
ft. garage and int. remodel.code case
permit was charged double fees.October
15, 2007 12:01:38 PM jjohnson
----------------------------------------------------------------------------
Other Fees . . . . . . ENERGY
REVIEWFEE••.
37.18
STRONG
MOTION (SMI)
- RES
8.47
Fee summary Charged Paid
-------------------------------------
Credited.
--------------------
Due
Permit Fee Total 1324.90
.00
.00
1324.90
Plan Check Total 417.04
.00
.00
417.04°
Other Fee Total 45.65
.00
.00
45.65
Grand Total 1787.59
.00
.00
1787.59
a
f
-Bin #.,
•
SI
City of La Qui nta
Building U Safety Division
,Permit y
Box 1504, 78-495: Calle Tampico
*0P.O.
La Quinta, CA 92253 - (760) 777-7012
,(,o
-Building Permit Appl.ication and T rackinSheet
Project Address:' 40
Owner's Name-
A. P. Number:
Address:
i fa- eN•Do
Legal Description:City,
ST, Zip:by -i 3
Contractor: Ou>j
Telephone: - o
Address:
Project Description :
City, ST, Zip:
L_.�
. \ _ _
1 e S .
Telephone:
' �
to MN to 1:
State Lic City Lic. :
! �e .W P"
Engr., Designer:j'0 5.3(,)A
r
Woo CA--
Address: LW Wg
_V
—r
e Z
City, ST; Zip: :. 17 h' , Cf,)RPbfzT_
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add 'n Alter Repair Demo
Ft : #Stories: # Uni
Estimated Value of Projec =C)
Name of Contact Person: L#
Telephone # of Contact Person:_ �-
APPLICANT: DO NOT WRITE BELOW THIS kot '
# .
>I
Submittal
Req'd
Recd
TRACKING . ERM1T FEES
Plan Sets
oI
Plan Check submitted
.3Zite Amount
Structural Cafes.
Reviewed, ready r corrections
Check Deposit
Truss Cafes.
Called Contaet Pe
fdVd check Balan
Energy Calcs.
Planspicked up
Construction
Flood plain plan
XPlans
-resubmitted ^ GW&I
Mechanic
Grading. plan
2.' Review; ready for correction ssue :
C Electri
ti &,n.
Subcontactor List •
Called Contact Person
Plum
i
or
Grant Deed
Plans picked up.
SA
I l ✓
H.O.A. Approval
Plans resubmitted. •AGr
ng �. NM
IN HOUSE:=
7rd Review, ready f correction ssuoper
pact Fee
Planning Approval,
Called Contact I%rson (�:P.P.
G-
Pub. Wks. APpr
Date of permi issue
o l S
School Fees
R
rWit
02
/ Ni tii
To 1 Per it Fees
fl e-uI p f `I1Z AYGE Ivan 5
v n5
c111%-�Ye�,cE9�alo
7.
l�`7 N ~�
/&Z ; Ui • ,atGl,�G • ,s
Yi
CERTIFICATE OF COMPLIANCE 4�� XFIEDSC�O
Desert Sands Unified School District
47950 Dune Palms Road Q BERMUDA DUNES 0
Cn RANCHO MIRAGE
Date 10/19/07 La Quinta, CA 92253 l INDIAN WELLS
PALM D
No. 29751 (760) 771-8515 �v nUENTA , �'
' QINDIO .0
O ,
Owner Sheldon Baker APN # 773-302-015
Address - 52553 Avenida Mendoza Jurisdiction La Quinta
City La Quinta Zip Permit #
Tract # Study Area
Type New Residential Addition No. of Units 1
Lot # No. Street S.F.
Unit 1 52553 Avenida Mendoza 1341 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Demo and Rebuild 872 sq ft with new 469 sq ft
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patioshvalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying.school fees at this time due to the following. reason:
Demolished - Replacement Plus New under 500 sq ft
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 1,341 S.F. or $0.00 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 Exempt - Sheldon Baker Check No.
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected
Signature
Telephone 564.6876. . .
Funding Exempt
. . 1z
. r��.F 1
Payment Recd $p.60
NOTICE: Pursuant to Government Code Section 66020(d)( his will rve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above Will begin to run from the date on -Which 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
Feb 25 08 10:59a Antonio 7607766582 p.1
R F STRUCTURAL CONSULTANTS, INC.
75-153 MERLE DRIVE, STE. B. PALM DESERT, CA 92211
PHONE (760)836-1000 FAX (760) 836-0956
E- MAIL RAYMONDaRFSTRUCTURAL.COM
February 25, 2008
Mr. SHELTON R. BAKER
52-553 AVENIDA MENDOZA
LA QUINTA, CA. 92253
Re-: THE BAKER RESIDENCE REMODEL/ADDITION
52-553 AVENIDA MF.NDOZA
LA QUINTA. CA.
FOLLOW-UP TO WALK THROUGH
JOB NO.: 4712
DEAR SHELTON
THIS LEITER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL
REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF
OUR SITE VISIT.
WE BELIEVE THAT THE AS -BUILT CONSTRUCTION AT THE TIME OF OUR VISIT IS
IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT
CORRESPONDENCE ISSUED BY OUR OFFICE.
WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO
INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND
ACCESSIBLE STRUCTURAL REQUIREMENTS. (EXCLUSIONS ARE ITEMS SUCH AS:
FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING,
AND ANY STRAPS ABOVE THE ROOF SHEATHING).
RESPECTFULLY SUBMITTED
1
rlr
El
?ROFESSj0
�M•Fq�F�
s �
NO. 579 m
Exp. 06-30-0
�9T 0/vIL
ZEYAD FAQIR, P OF CAUF0�
>k
La^�lap
UeJOj a
19Bnlpn
NI ON e
- eg1UaO a
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL FORM AND FEE TO SCAQMD. ASBESTOS NOTIFICATIONS. FILE # 55641. LOS ANGELES CA 90074.5641
AQMD USE ONLY FSCREE BY RECEIVED POSTMARK ENTERED BY NOTIFICATION #
COMPLETED BY SCOMPANY �1 PHONE�6o-moa-3s3q
oc JiJ 6o -3$S-1604
DATE'„ CHECK # 1' C FEE $ c� a Q PROJECT #
NOTIFICATION TYPE
GINAL REVISION DATES REVISION OTHER (highlight) CANCELLATION
PROJECT TYPE
DEMOLITION ORDERED DEMOLITION RENOVATION moval) EMERGENCY REMOVAL PLANNED RENO (annual)
SITE INFORMATION
SITE NAME `
SITE ADDRESS s -s CROSS STREET
e,a,on m -tN �RdA
CIN
L� 1 N fi A STATE C ZIP COUNTY
DESCRIBE WORK AND LOCATION p p
BUILDING SIZE (SQ FT)1 �� NUMBER OF FLOORS BUILDING AGE (YEARS) &0+ NUMBER OF DWELLING UNITS �
BLDG PRIOR I PRESENT USE
CoMMER X HOSPITAL INDUSTRIAL Other OFFICE PUBLIC BLDG. OUS SCHOOL SHIP UNNICOLLEGE
SITE OWNER S kAE`�-,oti ADDRESS Ste_ SS3 Ai1�NEN� M�fv OLA
CITY L� IN STATE ZIP q CONTACT Ami S PHONE i,v a 8S- Ib Oi-
REQUIRED BUILDING
ASBESTOS YES
'ASBESTOS YES ':@)
ASBESTOS YES N
BUILDING TO BE YES (
INFORMATION
PRESENT? _�,�
SURVEY?
REMOVED?
DEMOLISHED?
PROJECT DATES
START Ll 120 O END /� 7 WORK SHIFT day swing, night)
!
'ASBESTOS AMOUNT TO BE
FRIABLE
CLASS I
CLASS 11
TOTAL AMOUNT (add row)
REMOVED (in square feet)
'ASBESTOS REMOVAL FROM
SURFACES PIPES COMPONENTS
'AMOUNT OF EACH TYPE OF
ACOUSTIC CEILING
LINOLEUM
INSULATION
FIRE PROOFING
DUCTING
�0
MASTIC
ASBESTOS (in square feet)
NONE
FLOOR TILES (VAT)
I [!!�AALL
PLASTER
TRANSITE
G
OTHER (describe), -,ET
CONTRACTOR INFORMATION
CSLB LICENSE # OSHA REG # AQMD ID #
NAME E j A ADDRESS Sa- S Nv 2
CITY - PHONE
4 STATE C ZIP -3 SITE SUPVR --
✓ L� 1 6a - _ o
WASTE TRANSPORTER#1 C,c�UC'.T 1- �,I
LANDFILLossa
ADDRESS S- e,-04 mo A
ADDRESS v eo J
CITY L l)
STATE
ZIP
CITY.
STATE
ZIF�3
LN
SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641
WASTE TRANSPORTER #2
ADDRESS
CITY
STATE
* WASTE STORAGE SITE
ADDRESS
ZIP I CITY
STATE ZIP
' CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure # 1, 2, 3, 4, 5 or Other.
For asbestos removals circle the combination of Rule 1403 procedures used. Procedure 4 and 5 submit plans for AQMD prior approval (See procedure 4/5 ni idPlinpcl
* ASBESTOS DETECTION PROCEDURE: Circle the procedures and analytical methods used to determine the presence of asbestos in the building. Survey, Bulk
Sampling, Inspection, PLM, PCM, TEM, Assumed as Asbestos-PACM, Describe Other (See survey guidelines checklist):
FOR DEMOLITIONS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS REMOVAL:
FOR ORDERED DEMOLITION SEND A COPY OF THE ORDER AND GIVE THE AGENCY NAME & PHONE #
AUTHORIZING PERSON: TITLE
DATE OF ORDER I DATE ORDERED TO BEGIN:
' FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARING/AUTHORIZING THE EMERGENCY, DATE AND HOUR OF
EMERGENCY AND DESCRIBE THE SUDDEN, UNEXPECTED EVENT (Disturbed /damaged asbestos rewires a procedure 5 plan approval prior to clean-up):
EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS, EQUIPMENT DAMAGE OR UNREASONABLE FINANCIAL BURDEN:
CONTINGENCY PLAN: DESCRIBE ACTIONS TO BE FOLLOWED IF UNEXPECTED ASBESTOS IS FOUND DURING DEMOLITION OR ASBESTOS MATERIAL BECOME
DISTURBED, CRUMBLED, PULVERIZED, OR REDUCED TO POWDER. (01slurbed /damaged asbestos requires a procedure 5 plan approval prior to clean-up):
' TRAINING CERTIFICATION: I certify that an individual trained in the provisions of regulation AQMD Rule 1403 and NESHAP will be on site during the removal and
evidence that the required training has been accomplished by this person will be available for inspection during normal business hours.
:ompany Name Print name of owner/operator Signature of owner/operator
Tittle of owner/operator Date
NFORMATION CERTIFICATION: I certify that the above information is -co e d Invenclosed tne_quired attachments.
Porncoca:ni��N�ldoa �, (+ ��{,�-- �wNcBl�c;�l�
:ompany Name Print name of owner/operator
Jotifigtions can not be accepted without the required fee SignatGre of owner/operator
Tittle of owner/operator Date ( j
Ifo
Rule 301. Asbestos removals of less than 100 square feet are exempt from notification and fees.
'lease make checks payable to 'SCAQMD'. Fees are per notification, not refundable, and vary according to the project size. Fees are as follows:
'ROJECT SIZE in square feet DEM ON OR REMOVAL
,000 or less $ 4 ADDITIONAL SERVICE CHARGES
,001 to 5,000 ' qa • O a Special Handling Fee — $ 47.32
001 to 10,000 $ Revision to Notification- - $ 47.32
0,001 to 50,000 $ 531.01 Returned Check Fee — - $ 25.00
01001 to 100,000 $ 769.56 Planned Renovation = - $ 531.01
00,001 or more--. $1,282.60 Procedure 4 or 5 Plan—$ 531.01
TTENTION: Keep a copy of your notification. State law requires that you provide a copy of the demolition notification to Building and Safety before issuance of a
emolition permit. For questions call 909-396-2336. Please mail the form and fee to AQMD. Mailing saves time, money and reduces traffic and air pollution
HAIL FORM AND FEE TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074.5641
FORMS, INSTRUCTIONS, AND THE RULE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT http://Ww.agMd tley Pg 2 of 2
W
909
-4182 PHONE: (909) 396-2336 FAX:
1CAQMD is located at 21865 Copley Drive, Diamond Bar, CA 91765
( ) 396-3342 REV20070606
oAti�-; X546 o -ZA
4.A Qct N�,� OA • 9�P 52).
t)Lo,�-b
co-
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Y F+.66(40 S C f Vii �c
♦S{ ♦M tR��� I '
ry 1 First American
Title Company
July 11, 2008
Sheldon Baker
.79120 Fox Run
La Quinta, CA 92253
�9T11dTr
JUL 1 7 no-8IU
RE: Baker - Claim No. RV2622389-RN
Dear Mr. Baker:
�Uj�� paw",�
I am a Claims Attorney for First American Title Insurance Company and your
claim has been assigned to me. I have reviewed your letter dated June 29, 2008
in which'you tendered a claim relating to your property located at 52553 Avenida
Mendoza in La Quinta, California. The claims involves a notice you recently
received from the City of La Quinta that requires you to redirect the sewer
ingress to your lot.
In order to analyze your claim I will need more specific information regarding the ,
City's demands. Have they provided you any documentation stating the basis for
their authority to require you to move the sewer lines? If there is any written
documentation, I would appreciate you forwarding it to me at your earliest
convenience.
Additionally, it would be helpful if you could provide me with your telephone
number so I can contact you directly with any additional questions. You can
reach me at my direct line (714) 250-4367 or at the address below.
Thank you.
V ry truly yours,
egan .Nage
Claims ounsel
2 First American Way, Santa Ana, CA 92707
D f R E C T 714.250.3000 . TOLL FREE 800.854.3643 . Fax 714.250.3310
www.fit-stam.com/oc
52 - 553 QZc..
G
GENERAL REGULATIONS 305.2 — 311.5
305.2 When a public sewer is not available for use,
drainage piping from buildings and premises shall
be connected to an approved private sewage
disposal system.
305.3 In cities and/or counties, where the
installation of building sewers is under the
jurisdiction of a department other than the
Administrative Authority, the provisions of this
Code relating to building sewers need not apply.
306.0 Damage to Drainage System or Public
Sewer
306.1 It shall be unlawful for any person to deposit,
by any means whatsoever, into any plumbing
fixture, floor drain, interceptor, sump, receptor, or
device, which is connected to any drainage system,
public sewer, private sewer, septic tank, or cesspool,
any ashes, cinders, solids, rags, inflammable,
poisonous or explosive liquids or gases, oils, grease,
or any other thing whatsoever which would, or
could cause, damage to the drainage system or
public sewer
306.2 Roofs, inner courts, vent shafts, light wells or
similar areas having rain water drain, shall discharge
to the outside of the building or to the gutter and
shall not be connected to the sanitary drainage
system unless first approved by the Administrative
Authority.
307.0 Industrial Wastes
307.1 Wastes detrimental to the public sewer
system or detrimental to the functioning of the
sewage treatment plant shall be treated and disposed
of as found necessary and directed by the
Administrative Authority or other authority having
jurisdiction.
307.2 Sewage or other waste from a plumbing
system which may be deleterious to surface or
subsurface waters, shall not be discharged into the
ground or into any waterway unless it has first been
rendered safe by some acceptable form of treatment
as required by the Administrative Authority.
308.0 Location
308.1 Except as otherwise provided in this Code, no
plumbing system,- drainage system, building sewer,
private sewage disposal system or parts thereof,
shall be located in any lot other than the lot which is
the site of the building, structure, or premises served
b such facilities.
3 8. o su division, sale, or transfer of ownership
of existing property shall be made in such manner
that the area, clearance, and access requirements of
this Code are decreased.
309.0 Improper .Location
Piping, fixtures, or equipment shall riot be so located
as to interfere with the normal use thereof or with
the normal operation and use of windows, doors, or
other required facilities.
310.0 Workmanship
310.1 All design, construction, and workmanship
shall be in conformity with accepted engineering
practices and shall be of such character as to secure
the results sought to be obtained by this Code.
310.2 It is unlawful to conceal cracks, holes, or other
imperfections in materials by welding, brazing, or
soldering or by using therein or thereon any paint,
wax, tar, or other leak -sealing or repair'agent.
310.3 Burred ends of all pipe and tubing shall be
reamed to the full bore of the pipe or tube and all
chips shall be removed.
310.4 Installation Practices. Plumbing systems
shall be installed in a manner conforming to this
Code, applicable standards and the manufacturer's
installation instructions. In instances where the
Code, applicable standards or the manufacturer's
instructions conflict, the more stringent provisions
shall prevail.
311.0 Prohibited Fittings and Practices
311.1 No double hub fitting, single or double tee
branch, single or double tapped tee branch, side inlet
quarter bend, running thread, band, or saddle shall
be used as a drainage fitting, except that a double
hub sanitary tapped tee may be used on a vertical
line as a fixture connection.
311.2 No drainage or vent piping shall be drilled
and tapped for the purpose of making connections
thereto, and no cast iron soil pipe shall be threaded.
311.3 No waste connection shall be made to a closet
bend or stub of a water closet or similar fixture.
311.4 Except as hereinafter provided in Sections
908.0, 909.0 and 910.0, no vent pipe shall be used as a
soil or waste pipe, nor shall any soil or waste pipe be
used as a vent. Also, single stack drainage and
venting systems, with unvented branch lines are
prohibited.
311.5 No fitting, fixture and piping connection,
appliance, device or method of installation which
obstructs or retards the flow of water, wastes,
sewage or air in the drainage or venting systems in
an amount greater than the normal frictional
resistance to flow, shall be used unless it is indicated
as acceptable in this Code or is approved by the
Administrative Authority as having a desirable and
33
FW- k Zoo i C_A,_ I �la (`I,.v AJI,� 6 -PE:
May 30, 2008
To: Mr. Tom Hartung
Director of Building Safety
City of La Quinta
From: Sheldon Baker
Re: Property — 52553 Avenida Mendoza
Dear Mr. Hartung,
Pursuant to my conversations with Greg Butler, I am asking you to grant me a
Certificate of Occupancy on the above mentioned, property. As*you know, the issue at
hand is the sewer ingress for this property, which enters on the adjoining lot (which I also
own) and meanders over to the above property. As I have explained to Mr. Butler, this
situation, which was approved by Coachella Valley Water District in 1992, was not
disclosed to me when I brought the properties. I am taking action against the Title Co.,
but this process will be long and the outcome uncertain. I do not have the approximately
$12,000 necessary to make this change today. Also, I have a renter ready to occupy the
property.
It is my intention to build on the adjacent vacant lot when market conditions
improve. At that time, the partial wall that exists would have to be removed and a new
wall constructed. At that time also, the sewer ingress would be moved to be in
compliance. However, regardless of future market conditions, I am prepared to make a
commitment to make the change no later than June of 2010. Thank you very much for
your consideration in this matter.
Respectfully,
Sheldon Baker
too,
CALLE ENSENADA
1 14
y 1. i Rgowoa of U59,
7
f �2J
Oz A
NOTE:
ALL STATIONING IS ALONG THE CENTERLINE OF SEWER.
ZEN
Boom
MEENNESEEMS
NEW
JO.
ENOMMOMEM
IMINE
NE
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lob 1 2
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on
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so
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too,
CALLE ENSENADA
1 14
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7
f �2J
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NOTE:
ALL STATIONING IS ALONG THE CENTERLINE OF SEWER.
Cf1\F?J\iI_r L J 1 A UNIT
"1 J J o
v
79
w -w
JO.
70.
lob 1 2
t
1%ro
W51
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4)\�.
1
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p!.
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7
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-
14-1
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Cf1\F?J\iI_r L J 1 A UNIT
"1 J J o
v
79
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1
Seaver manhole frame and cover surface
elevations shown shall be used for the
basis of your bid.
Actual sewer manhole frame and cover
elevations shall be determined from the.
street improvement drawings by the
contractor at the time of constuction.
THIS -PROJECT- CONSISTS-OF—THE CONSTRUCTION fJF-WATER-I�—SEWER—
f MAINS IN EXISTING STREET RIGHT OF WAY. CARE SHALL BE TAKEN TO
PRESERVE THE INTEGRITY OF THE EXISTING FRAGILE WATER MAIN
DURING THE CONSTRUCTION OF THESE FACILITIES. THE COSTS
ASSOCIATED WITH REPAIR`TC THE EXISTING WATER MAIN RESULTING
DIG FROM CONSTRUCTION ACTIV?TY SHALT. BE BORNE BY THE CONTRACTOR.
low
SCALE: 1" • 40'
REVISED TO
AS— UILT
d1VNi L
CHKOt r
OPIA1
INSP.
PLAT SHEET NO.
OnVNtv.r, its p4muok
CHM
�0- No. 23''•0 .
o� Ea. 12,31•..
en
9j Of CAL��ba
COACHELLA VALLEY WATER OISTR
7 - tom. cavanu
SANITATION
CITY OF LA QUINTA _
-- — REDEVELOPMENT AGENCY
`��� -F.� SEWER PLAN AND PROFIT
Ae-4
��� POR. OF SECTION 12 T.6S_R_fpV
... c.c. r.� 1811.095 NO
ea .e.[... men -.. �- ---- ��, v ✓,.w. 25. MAR. 911—- V 0 40'
3535 c-fw
6`bNo w µ
• TITLE 24 REPORT
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR
CONSTRUCTION
DAT (6 ` t O BY
itle 24 Report for:
Baker Residence
Mendoza
La Quinta, CA
Project Designer:
Report Prepared By:
Joan D. Hacker
Insu-form, Inc.
41-921 Beacon Hill, Suite A
Palm Desert, CA 92211
(760) 779-0657
Job Number:
"i
Date: LYg
00 T L
10/1/2007 CT 0 3 2001
The EnergyPro computer program has been used to perform the calculations summarized in this complian is ro ram has app oval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 ards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.3 by EnergySoft Job Number: User Number: 2655
TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
Form WS -5R Residential Kitchen Lighting
HVAC System Heating and Cooling Loads Summary
Room Load Summary
4.3
Job Number:
1
2
3
7
9
10
11
User Number: 2655
Certificate Of Compliance :
Residential
(Part 1 of 4) CF -1 R
_Raker RPsidenre
Project Title
n/a
ftZ
Raised Floor Area:
10/1/2007
Date
Mendoza I a nuint6
Slab on Grade Area:
1,122
ftZ
Average Ceiling Height:
Project Address
ft
Number of Dwelling Units:
1.00
Building Permit #
_Insu-form, Inc.
(760) 779-0657
Documentation Author
Telephone
Plan Check/Date
EneravPro
Compli'drice Method
15
Climate Zone
Field Check/Date
TDV
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating
2.04
3.00
-0.95
Space Cooling
64.73
59.29
5.44
Fans
9.14
9.69
-0.55
Domestic Hot Water
16.58
19.06
-2.47
Pumps
0.00
0.00
0.00
Totals
92.50
91.04
1.46
than Standard:
Building Type: [j] Single Family
❑ Multi Family
Building Front Orientation:
Fuel Type:
Fenestration:
❑ Addition
❑ Existing + Add/Alt
(E) 90 deg
Natural Gas
Area: 180 ftZ Avg. U: 0.65
1.
Total Conditioned Floor Area:
1,122
ftZ
Existing Floor Area:
n/a
ftZ
Raised Floor Area:
0
ftZ
Slab on Grade Area:
1,122
ftZ
Average Ceiling Height:
8.0
ft
Number of Dwelling Units:
1.00
Ratio: 16.0% Avg. SHGC: 0.45 Number of Stories:
BUILDING ZONE INFORMATION # of Thermostat
Zone Name Floor Area Volume Units Zone Type Type
I M g Zone X192 R9R 1 on —ConditionPri gethack—
OPAQUE SURFACES Insulation Act.
Type Frame Area U -Fac. Cay. Cont. Azm. Tilt
Wall Wnnd 198 n 109 R_13 R -n n _gn gp
Wall wood 2Ao n 1o9 R_13 R-0 n 180 A
Wall Wnnd 304 n in? R_13 R_n n 27n _gn
Wall Wnnd 28A o 1n2 R_13 R -n n _n gp
Rnnf Wnnd 1 172 n o25 R_38 R -n_0 _n n
Vent
Hgt. Area
—2 —nla
Gains Condition
Y / N Status JA IV Reference Location / Comments
EI ■ .. ..
R/ ■ 1 .,-
4.3 by EnergySoft User Number: 2655 Job Number: Paoe:3 of 11
Certificate Of Compliance: Residential
(Part 2 of 4) CF -1 R
Baker Residence
Overhang
10/1/2007
Project Title
Exterior Shade Type
Date
FENESTRATION SURFACES
Wd.
Len.
True Cond.
Location/
# Type
Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type
Comments
J-- Window Front (E)
20 n _Q6,S NFRC AAS MERG go --90-New Dual Pane Windows
I lying 7onP
2 Window Front (E)
20.0 0.650 NFRC 0_45 NFRC 90 90 New Dual Pane Windows
Living Zone
6 Window Front (E)
12.0 0.650 NFRC 0_45 NFRC 90 90 New Dual Pane Windows
Living Zone
4 Window Left (S)
12.0 0.650 NFRC 0_45 NFRC 180 90 New Dual Pane Windows
Living Zone
5 Window Left (S)
7.5 0.650 NFRC 0_45 NFRC 180 90 New Dual Pane Windows
Living Zone
6 Window Rear (W)
40.0 0.650 NFRC 0_45 NFRC 270 90 New Dual Pane Windows
Living Zone
Z Window Rear (W)
4.0 0.650 NFRC AIA5 NFRC 270 90_ New Dual Pane Windows
Living Zone
8 Window Rear (W)
12.0 0.650 NFRC 0_45 NFRC 270 90 New Dual Pane Windows
Living Zone
6 Window Rear (W)
40.0 0.650 NFRQ 0.45 NFRC 270 90 New Dual Pane Windows
Living Zone
1Q Window Right (N)
12.0 0 65 NFRC -04.5 NFRC 0 _9.0_ New Dual Pane Windows
Living Zone
1. Indicate source either from NFRC-or Table 116A.
2. Indicate source either from NFRC or Table 11613.
INTERIOR AND EXTERIOR SHADING
Window
Condition
Overhang
Left Fin Right Fin
#
Exterior Shade Type
SHGC
Hgt.
Wd.
Len.
Hgt. LEA
REA Dist. Len. Hgt. Dist. Len. Hgt.
1
Bug Screen
0.76
6.8
3.0
2.0
0.1 2.0
2.0
2
Bug Screen
0.76
4.0
5.0
2.0
0.1 2.0
2.0
3
Bug Screen
0.76
4.0
3.0
2.0
0.1 2.0
2.0
4
Bug Screen
0.76
3.0
4.0
2.0
0. _2.0
_2.0
5
Bug Screen
0.76
1.5
5.0
2.0
0.1 2.0
2.0 _
6
Bug Screen
0.76
6-8
6.0
2.0
0� 9.0
2.0
7
Bug Screen
0.76
2.0
2.0
2.0
0.1 2.0
2.0
8
Bug Screen
0.76
3.0
4.0
2.0
0.1 2.0
2.0
9
Bug Screen
0.76
6.8
6.0
2.0
0.1 2.0
2.0 _
10
Bug Screen
0.76
3.0
4.0
2.0
0.1 2.0
2.0 _
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Condition Location/
Tvpe (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments
Concrete, Heavyweight 500 3.50 28 0_98 0 26-A1 New Living Zone / Slab on Grade
Concrete, Heavyweight 622 3.50 28 0_98 2 26-A1 New Living Zone / Slab on Grade
PERIMETER LOSSES
Insulation
Condition
Location/
Type Length
R -Val. Location JA IV Reference
Status
Comments
Slab Perimeter 27
None No Insulation 26-A1
New
Living Zone
Slab Perimeter 38
None No Insulation 26-A1
New
Living Zone
Run Initiation Time: 10/01/07 15:43:34 Run Code: 1191278614
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:4 of 11
Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R
Baker Residence 10/1/2007
Project Title Date
HVAC SYSTEMS
Heating Minimum Cooling Minimum Condition Thermostat
Location Type Eff Type Eff Status Type
Living Zone Split Heat Pump 8.40 HSPF Split Heat Pump 13.0 SEER New Setback
HVAC DISTRIBUTION
Duct
Location Heating Coolinq Location
Living Zone Ducted Ducted
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
Duct Condition Ducts
R -Value Status Tested?
- 6.0 New Yes
WATER HEATING SYSTEMS
Rated
Tank
Energy
Tank Insul.
Water Heater # in Input
Cap.
Condition Factor
Standby R -Value
System Name Type Distribution Syst. (Btu/hr)
(al)
Status or RE
Loss (%) Ext.
STATE S'"-52-1 HP Heat Pump No Pipe Insulation 1 15,359
47
New 1.90
n/a n/a
Multi -Family Central Water Heating Details
Hot Water Pump Hot Water Piping Length (ft) Add 1/2"
Control # HP Type In Plenum Outside Buried Insulation
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and 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 recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality,
and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Name:
Title/Firm:
Address:
Telephone:
(signature)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
(signature)
EnergvPro 4.3 bti
User Number: 2655
(date)
Documentation Author
Name: Joan D. Hacker
Title/Firm: I nsu-form. Inc.
Address: 41-921 Beacon Hill, Suite A
Palm Desert, CA 92211
Telepho e: 760 779-0657
(signa re) da e)
Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R
Baker Residence 10/1/2007
Project Title Date
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 based on the
adequacy of the special fusurication ana aocumentation suomittea.
The Roof "R-38 Roof Attic' includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual.
HIGH MASS Design - Verify Thermal Mass: 500 sgft Exposed Slab Floor, 3.50" thick at Living
HIGH MASS Design - Verify Thermal Mass: 622 sqft Covered Slab Floor, 3.50" thick at Living
HERS Required Verification
Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC-
Plan I Field
approVeu nen. prwmeT uouny Uma, approved lesung anu/ur veriNuatidn methods and must De reported on the CF -4K
installation certificate.
Plan
Field
The HVAC System "Living Zone" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -
4R.
The HVAC System "Living Zone" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion
Valve.
The Cooling System 'Bryant Air Conditioning 650AN036-D" includes credit for a 11.5 EER Condenser. A certified HERS rater must
field verify the installation of the correct Condenser.
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:6 of 11 1
Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance
requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit
documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the
permit application documentation.
N/A
DESIGNER
ENFORCE -
MENT
Building Envelope Measures
❑
❑X
❑
§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling.
❑
❑X
❑
§ 150(b): Loose fill insulation manufacturer's labeled R -Value:
❑
❑
❑
§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent LI -factor in metal frame walls (does not
❑
❑X
❑
apply to exterior mass walls).
❑
❑X
❑
§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
❑
❑
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
❑
❑X
❑
1. Masonry and factory -built fireplaces have:
❑
❑X
❑
a. closable metal or glass door covering the entire opening of the firebox
❑
❑X
❑
b. outside air intake with damper and control, flue damper and control
❑
Q
❑
2. No continuous burning gas pilot lights allowed.
❑
❑X
❑
§ 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual.
❑
❑X
❑
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
❑
❑
§ 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor
❑
❑
❑
permeance rate no greater than 2.0 perm/inch.
❑
❑X
❑
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include
El
O
El
Form:
❑
❑X
❑
§ 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑X
❑
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain
❑
❑X
❑
Coefficient (SHGC), and infiltration certification.
❑
❑X
❑
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
❑
❑X
❑
Space Conditioning, Water Heating and Plumbing System Measures
§ 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
❑
❑X
❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA.
❑
❑X
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
❑X
❑
§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
❑
❑X
❑
having an installed thermal resistance of R-12 or greater.
2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external
❑
❑X
❑
insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire
❑
❑X
❑
length of recirculating sections of hot water pipes shall be insulated to Table 150B.
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
❑
❑X
❑
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A."
❑
❑X
❑
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance,
❑
❑X
❑
and wind.
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed
❑
❑
❑
entirely in conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
❑
❑
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number:
Page:7 of 11
Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent
compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated
into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory
measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not
applicable.
ENFORCE -
N/A DESIGNER MENT
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
§ 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604,
❑ X❑ ❑
605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of
R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system
that meets the applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements
of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh
or tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
❑ X❑ ❑
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
reductions in the cross-sectional area of the ducts.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive
❑ ® ❑
duct tapes unless such tape is used in combination with mastic and draw bands.
4. Exhaust fan systems have back draft or automatic dampers.
❑ ® ❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating
❑ ® ❑
dampers.
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment
❑ ® ❑
maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water
retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
❑ ® ❑
§ 114: Pool and Spa Heating Systems and Equipment
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
❑ ❑ ❑
heater, weatherproof operating instructions, no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36" of pipe between filter and heater for future solar heating.
❑ ❑ ❑
b. Cover for outdoor pools or outdoor spas.
❑ ❑ ❑
3. Pool system has directional inlets and a circulation pump time switch.
❑ ❑ ❑
§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
❑ ❑ ❑
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
§ 118 (i): Cool Roof material meets specified criteria
❑ ❑ ❑
Lighting Measures
§ 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table
❑ ® ❑
150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Wafts or greater are
electric and have an output frequency no less than 20 kHz.
§ 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C,
❑ X❑ ❑
luminaire has factory installed HID ballast.
§ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined
❑ X❑ ❑
in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires,
provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires.
§ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires.
❑ X❑ ❑
OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d).
§ 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms,garages, laundry rooms, and utility rooms
shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are
❑ X❑ ❑
controlled by an occupant sensor that complies with Section 1'19(d) that does not turn on automatically or have an
always on option.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
ElX ❑ El
certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑X ❑
same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other Article
680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d).
§ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146.
§ 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑
dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section
119(d).
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:8 of 11
Residential Kitchen Lighting Worksheet WS -5R
Baker Residence 10/1/2007
Project Title Date
At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires
as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately.
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens.
High Efficacy
Luminaire Type High Efficacy? Watts Quantity Watts Other Watts
(1) 40w Fluorescent Twin MagEE Yes X No 43.0 x 2 = 86 or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No ,x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No I x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Yes No x = or
Total A: 86 B: 0
COMPLIES IF Az B YES ® NO ❑
- EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paae:9 of 11 1
IHVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME
DATE
Baker Residence
10/1/2007
SYSTEM NAME
FLOOR AREA
Living Zone
1,122
Number of Systems
1
Heating System
Output per System
56,000
Total Output (Btuh)
56,000
Output (Btuh/sgft)
49.9
Cooling System
Output per System
36,000
Total Output (Btuh)
36,000
Total Output (Tons)
3.0
Total Output (Btuh/sgft)
32.1
Total Output (sgft/Ton)
374.0
Air System
CFM per System
1,250
Airflow (cfm)
1,250
Airflow (cfm/sgft)
1.11
Airflow (cfm/Ton)
416.7
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Note: values above given at ARI conditions
26.0 OF
Outside Air
0 cfm
69.1 OF
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAK
11COILHTG.PEAK
CFM
I Sensiblel
Latent
I I CFM
I Sensible
1,106
17,841
1,838
367
17,129
7.5 kW Supplemental Electric
0
25,598
1,620
1,150
00
0
0
0
r0
0
0
0
1,6201
1 1,150
21,080 1 838 1 19 429
Bryant Air Conditioning 650AN036-D
23,396
9,788
34,976
7.5 kW Supplemental Electric
25,598
Total Adjusted System Output 23,396 9,788
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm
60,574
Jan 12 am
69.1 OF 69.10F . 95.4 OF ® 114.7 OF
Supply Fan Heating Coil Aux. Heat Coil
1250 cfm
�% Return Air Ducts `S
Supply Air Ducts
113.8 OF
ROOMS
70.0 OF
ICOOLING SYSTEM PSYCHROMETRICS (Airstream Temoeratures at Time of Coolina Peak) I
11.0 / 77.6 OF
Outside
0 cfm
79.2/66.9 OF
79.2 / 66.9 OF 79.2 / 66.9 OF
•
Supply Fan
1250 cfm
61.6 / 60.6 OF
Cooling Coil
h Return Air Ducts 'I
Supply Air Ducts
62.8 / 61.1 of
55.2% R.H. ROOMS
78.0/66.5 OF
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page 10 of 11
JR.00M LOAD SUMMARY
PROJECT NAME
Baker Residence
DATE
10/1/2007
SYSTEM NAME
Living Zone
FLOOR AREA
1,122
ROOM LOAD SUMMARY
ROOM COOLING PEAK
COIL COOLING PEAK
COIL HTG. PEAK
ZONE NAME
ROOM NAME
Mult.
CFM
SENSIBLE
LATENT
CFM
SENSIBLE
LATENT
CFM
SENSIBLE
Living Zone
Living
1
1,106
17,841
1,838
1,106
17,841
1,838
367
17,129
PAGE TOTAL 1 1,106 17,841 1,838 367 17,129
TOTAL 1 1,106 17,841 1,838 367 17,129
EnergyPro By EnergySoft User Number: User Job Number: Page: 11 of 11