Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
SFD (0201-226)
LICENSED CONTRACTOR 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 # Lic. Class Exp. Date 789540 :S t .,Date�'",- "" Signature of Contractor. OWNER -BUILDER DECLARATION ALT I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). l ( ) I, as owner of the property, am exclusively contracting with licensed` contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declaratiop'g: () 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. .L.),01 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 & policy no. are: Carrier STAFF KIND Policy No. 0440 0,20227 - (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 shouldbecome subject to the workers' compensation proAsjo'n�S of Section 3700 of`t e,,Labor Code, I shall forthwith comply with those�prow ions. Applicant Warning: Failure to secure Workers' Compensation covera a is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set`,forth on his application. 1. Each person upon whose behalf this application is made & each person`aY whose request and for whose benefit work is performed under or pursuant toy any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City -to enter upon ,,the above-mentioned property�fo rinspection purposes./', Signature (Owner/Agent `_fir f '�-s�-� Dater- PERMIT # BUILDING PERMIT DATE VALUATION LOT WNW 116 TRACT iTyy ��,� 74 6 JOB SITE ADDRESS 53 -90S AVERWA .NIyOM APN 17' -1 'nw-018 OWNER y CONTRACTOR / DESIGNER / EN (NEER CA w 1xTi��.t3Ee,G !�%..�.C�1:a33tF%ti ;13.�'tiei+r" 76�7Fti J �3Y i % L�di3J 715995 1,11,OP''MA.A AMYR 'AT i+ll:%ir ' :l a CA'P', 92 1 i . 92211 �'�1.� ixmi.4r CA C'?t`i )200.02717 C:� 741 6373 USE OF PERMIT S11) -1,0T ALK 24fd jt"_ I.LI;dt,A.9` FUL isfafZAut I opi)im, RMUCTIO19)rN PLA11' ECK FRF, POR MU1:,7111J,YJHSU, 14C E OF S,WE T Cl` Co"N13 . UC TION ZrIC% " CARPORT 430.03 Sir CE 1.+:STMEM) CONT (Ar (;OI'o91.1R17C 1110N ;F.(3"3,a.CF2.10 ` KtThEMRAY C-01 4 i RUC:Y`ION, �U 101-000-41"00 ,« SUtS IM PLA,1'4 CI-MCK FEB1.01;C�SdfJ-�1� VW.56 FFIrl:J�I;��'t RIT 1fJ'I 4230100 YVWl-IAWXCAIC FH 2 O1-OCtFJ X21 W Ot3Q $a5.5ti '+?. XVITRICAL ice, 14) -tl{10 B:0 -Q43 �i.l g PlIUMi)INO FEE, 1 ol-000-4) 9wo 9°1'Rr, NG MOTION FoRR - DEAD 101-000-24,11K000 $10,12 OW1010PEE, 161.-000-42. -000 $AO.QO DEW10PER IMP,t4.CT'(ME-3 43,�0'i 00 I'i?I?C.I:C� 1��t,/4,3�a ii�l.-faClLa•�!�'1���5 �lli�.fiC► .rs ND Pa..,,. R C;1 RCX $3,134.68 FEB 15 2902 U), . ' Jf 4°MIM"IN ]YON �►VC't�i'' vZAB4d%@ CffYY0FsL1A�C9_L8J ?f ' RECEIPT DATE By .,- �- DATE FI ALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms 8 Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck .. Exhaust Fans O.K. to Wrap p Z L� F.A.U. Framing Insulation – -S, ' 7 , p Z Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath Final _ Final (o—%q 'Oa7 KK _ _ BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ ,p i Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster ewer Lateral Sewer Connection �l� Pool Cover Encapsulation Gas Piping Gas Test _ Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice COMMENTS: r1G��0 P.O. BOX 1504 APPLICAZI N ONLY Building �• 1� n., `nom 78-495 CALLETAMPICO l� Address J �' '% G� {� �'�>'�-'�i LA OUINTA, CALIFORNIA 92253 LL Alt 151`41G006441 r1d,4a'_A7 :Z -AJC Mailing Address 11L,—j 3",— %��� City Zip Tel. Contractor moi¢ .r -j Address State Lic.I City & Classif. 7� 9 §—e_1 c/ Lic. # Arch., Engr., Designer 41 L l Address CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r SIGNATURE DATE OWNER -BUILDER DECLARATION ¢ t ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5%,liness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis 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 (8500). I: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I II' as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Coda: 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.) 1-1 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company r'7 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 (E100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT., U. 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 if 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 sof this city to enter the above- mentioned property for inspection purposes. ` Signature of Mailing Add City, State, O�Dl BUILDING: TYPE'CONST. OCC. GRP. A.P. Number -77 Y '/?Z - 6 1 Legal Description 1,07 - Project Description ' r- PERMIT 7 V LL 7 1-1,4' TAIL. !� ^� E'✓ Plan Chk. Bal. Const. Mech. Electrical Sq. Ft. Size 1) �—'( No. Stories I No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ TOTAL Y PERMIT AMOUNT Plan Chk. Dep. S--' Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure �s 01 TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line FINAL DATE Side Setback from Property Line INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 1/31/02 No. 22887 owner NameAll American Home Builders Inc. APN # Jurisdiction La Quinta No. 53905 Street Avenida Mendoza City La Quinta zip 92253 774-172-018 Permit # 0201-226 Log # Study Area Tract # BLK 248 Lot # 8 Square Footage 1787 Type of Development Single Family Residence No. of Units 1 Comments Construction 1787 s.f. Paid In Combo w/Cert # 22888 & 22889 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 or replacement mobilehomes. It has been determined 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 Government Code 53080 in the amount of 2.05 X 1,787 or $ 3,663.35 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 CC/ 1st Bank - Mark Tuvell Telephone-. 760-413 -8291 Name on the check "U ti By Dr. Doris Wilson Superintendent r" Fee collected /exempted by Nicola Wong Payment Received $10,990.05 Check No. 62252 Signature ` w»'1'�d1 NOTICE: Pursuant to Assembly Bill 3081 (CHAP 549, MATS. 1996) this will 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 which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the Distrid(s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting C17Y Cal" 1-A 01 IM7-.A RC DISTRICT - PLANNING REVIEW FORM /Vov 16 RECD SUIW-' � p This form is to be used by CDD staff for review of single family dwellings in the iC (Gmv;ergo. Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed house design does not duplicate the same architectural style of any house within 200 feet of the applicant, and/or 2) if there is a needfor the applicant to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety Department as part of your correction list. Please attach additional explanations as necessary. APPLICANT All American Home Builders. SITE ADDRESS 53-905 Avenida-/►^EN�o�A APN 774 - 172 - 018 CASE NO.: 2001-586 LEGAL: LOT 8 BLOCK 248 UNIT S.C.@V.L.Q. CHECK AND APPROVED BY: Gree Trowdei t /DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track -applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify legal and APN.information Consistent with MDG on file (as applicable RMS° to MDG filing required (5 filings since 9/3/98) b issto� Architectural variety within 200 feet ofpePt _the surrounding area: �-•0. �!- ?►•oo f - C.g )ors 1�kt M terials Architectural design features �o c / Of/ 6�!�a\ . �A� ith Gon Other Requirements: 1 k 1-- PALM SPRINGS • ESCROW DIVISION ]EJECUTIV �EA1 440South El Cielo Road • Suite 10 ES Palm Springs, CA 92262 (760) 320-4922 • Fax(760)320-9684 email: RealtyExecEscrow@aol.com To: REALTY EXECUTIVES ESCROW DIVISION Escrow Officer: SUSAN J. WILLIAMS Escrow No.: 2917-SJW SALE ESCROW INSTRUCTIONS rocI jer /S Initial Deposit $1,000.00 Deposit Prior to close of Escrow $34,000.00 Total CashThru: $35,000.00 Total: $35,000.00 Date: OCTOBER 22, 2001 REALTY EXECUTIVES ESCROW DIVISION IS LICENSED BY THE DEPARTMENT of REAL ESTATE, STATE OF CALIFORNIA, BROKER'S LICENSE NO. 00580140 THESE ESCROW INSTRUCTIONS CONSTITUTE THE ONLY ESCROW INSTRUCTIONS BETWEEN THE PARTIES HERETO AND ESCROW HOLDER Buyer(s) hand you herewith an initial deposit of $ 1,000.00 and Buyer(s) will hand you or cause to be handed you an additional deposit of $34,000.00 prior to the close of escrow. Buyer shall deliver to you any instruments and/or funds reAu ed from Buyer to enable you to comply with these instructions, all of which you are authorized to use and/or deliver on or before November 20, 2001, and when you are in a position to obtain a'standard Policy of Title Insurance through OLD REPUBLIC TITLE C014ANY, provided that said policy has a liability of at least the amount of the above total consideration, covering the following described property in the City of , County of , State of. LOT 8, BLOCK 248 OF SANTA CARMELITA UNIT NO. 23, AS PER MAP THEREOF RECORDED IN THE OFFICE OF THE RECORDER OF RIVERSIDE COUNTY, AT PAGE 25 OF BOOK 20 OF MAPS. Property Address: VACANT LOT APN 774-172-018-5. (NOT VERIFIED BY ESCROW HOLDER) SHOWING TITLE VESTED IN: ALL AMERICAN HOME BUILDERS, INC. — PER BUYERS VESTING INFORMATION TO BE DEPOSITED IN ESCROW - FREE FROM ENCUMBRANCES EXCEPT: 1. Second Half 2001/2002 installment(s) of the General and Special County, and city (if any) taxes, including any special district levies, payments which are included therein and collected therewith, for current fiscal year, not delinquent, including taxes for ensuing year, if any, a lien not yet due or payable. 2. Covenants, conditions, restrictions, reservations, rights, rights of way, easements and exceptions of minerals, oil, gas, water, carbons and hydrocarbons on or under said land, now of record, and in deed to file, if any, affecting the use and occupancy,of said property. 3. Assessments and bonds of record, if any, not delinquent. 1) SIGNED ESCROW INSTRUCTIONS: Buyer and Seller shall deliver signed instructions to REALTY EXECUTIVES ESCROW DIVISION, the Escrow Holder, within 10 calendar days from Seller's acceptance which shall provide .for closing within NOVEMBER 20, 2001 days from Seller's acceptance. Escrow Fees= shall be paid as follows: 1/2 BY SELLER - 1/2 BY BUYER 2) SELLER'S CLOSING COSTS (USUAL): At close of escrow, Escrow Holder is authorized and instructed to charge the account of the Seller with the following: One-half Escrow Fee; Title Policy Premium; Conveyance Fees; Documentary Transfer Tax; Demands of existing liens of record; Drawing of Grant Deed; Seller's Disclosure Package; Real Estate Brokerage ncc-- n------:-- r-- i:c r.--- 1:1r A .,._-.L-_ ... ...L-- i n_n__e_ r, ?�- r �r •. k :j,.i �r � � v� n I rte. ; ��� J 6 .bk t- - � i � r � ? �' �2 w , �� � :S� , 'Yi is �� .S�t�o �:�5,",� e•.� �'� °� c"' c'A*�- t '+" a4•;� h "'f i •i• ', � t ' �"M'es. t�..i•t"'4sx6!'.::R94anri.e-`Z�'A.4{irl,J�rro.. .r. •r ." ...:i,a� a. ;.`"5c.-�'x°-..� .'r.��a} � ; .c•; X5•+1. t �? r �r.�i', b.�r' �..'��;.' TITLE 24 REPORT. �* ,0: CITY OF LA QUINTA BUILDING rs ETY DEPT. APPVED� Title 24 Report for: FOR COUCTION All American Plan 1787 - All Orientations La Quinta, CA Project Designer: Report Prepared By: Joan D. Hacker Insu-Form Inc. 68255 Corta Road Cathedral City, CA 92234 (760) 324-0216 Job Number: Date: 8/15/01 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number: User Number. 2655 Component Const. Frame Assembly Location/Comments Type U -Value (attic, garage, typical, etc.) Slab On Grade Certificate of Compliance: Residential (Part 1 of.,2) CF 10Y R-15 Wall w/1" EPS All American Solid Wood Door 8/15/01 R-38 Roof (R.38.2x14.16) Project Title Date Plan 1787 - All Orientations La Quinta Front 33.4 Project Address 0.65 Building Permit # Screen Insu-Form Inc. (760) 324-0216 Plan Check I Date Front Documentation Author Telephone 0.67 Bug Computer Performance 15 Field Check / Date Left Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only 0.57 0.67 Bug Screen x❑ ❑ GENERAL INFORMATION Left 33.4 0.55 Total Conditioned Floor Area: 1,787f? Average Ceiling Height: 9.0 ft Screen Total Conditioned Slab Area:. 1,787f? Left 72.0 Building Type: 0.65 Bug Screen (check one or more) ❑ 0 Rear 6.0 © Single Family Detached ❑ Addition Bug Screen ❑ Single Family Attached ❑ Existing Building Rear 12.0 ❑ Multi -Family ❑ Existing Plus Addition Bug Screen Front Orientation: All Four Orientations Floor Construction Type: ® Slab Floor - Rear Number of Dwelling Units: 1.00 0.65 Bug Number of Stories: 1 ❑ Raised Floor Component Const. Frame Assembly Location/Comments Type U -Value (attic, garage, typical, etc.) Slab On Grade n/a Slab On Grade Na R-15 Wall w/1" EPS Wood Solid Wood Door None R-38 Roof (R.38.2x14.16) Wood FENESTRATION 0.756 Covered Slab w/R-0.0 Perimeter Insulation 0.756 Exposed Slab w/R-0.0 Perimeter Insulation 0.054 Exterior Wall 0.387 Exterior Door 0.028 Exterior Roof Type Orientation Area SF U -Factor Fenestration SHGC Exterior Shading Overhang Side Fins Yes / No Yes / No . Front 33.4 0.55 0.65 Bug Screen X❑ ❑ ❑ 0 Front 3.0 0.57 0.67 Bug Screen X❑ ❑ ❑ Q _ Left 26.6 0.57 0.67 Bug Screen x❑ ❑ ❑ 0 Left 33.4 0.55 0.65 Bug Screen 0 ❑ ❑ X❑ Left 72.0 0.60 0.65 Bug Screen Q ❑ ❑ 0 Rear 6.0 0.60 0.65 Bug Screen Q ❑ ❑ X❑ Rear 12.0 0.57 0.67 Bug Screen Q ❑ ❑X❑ Rear 33.4 0.55 0.65 Bug ScreenX❑ ❑ ❑ Q Right 32.0 0.60 0.65 Bug Screen x❑ ❑ ❑ X❑ . Right 6.0 0.57 0.67 Bug Screen o ❑ ❑ o ❑ ❑ ❑ ❑ ' El 1-1 El Run Initiation Time:08/16/01 5.22 Run Code: 997870522 Ener Pro 3.1 By Ener Soft User Number. 2655 Job Number: Pa e:3 of 12 Certificate of Compliance: Residential Part 2of2 2 -• CF -1 W, All American 8/15/01 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 Central Furnace 80% AFUE Ducts in Attic 4.2 Setback Living Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 47 Sethack Living 7nnP WATER HEATING SYSTEMS Rated 1 Tank Energy Factl 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 RHEEM 44V50 Small Gas Standard 1 40000 5a 0.63 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 %rV1VWUAMIC a I A 1 CIVIr-N 1 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 ign responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any ad g fea ure that is varied is indicated in the Special Features/Remarks section. Desi r or qwner (per Business & Professions Code) Documentation Author Name: Name: Joan D. Hacker Title/Firm: Title/Firm: Insu-Form Inc. Address: Address: 68255 Corta Road Cathedral City, CA 92234 Telephone: "� (aO - �L}Q • �jyj �j Telephone: (760) 324-0216 Lic. #: h �2k1 I D I (signature (date) (signal e) (date) Enforcemen Agency Name: Title/Firm: Address: Telephone: (signature/stamp) (date) Run Initiation Time: 08115101 11.15 Run Code: 997870422 nergyPro 3.1 By EnergySoft User Number: 2655 Job Number. PageA of 12 Al ka Certificate of Compliance: Residential (Addendum) CFr1 R All American Project Title Date 8/15/01. f 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 LwwwJ �_ •L..J..... _.. _L •L_ ____x_, 1___axex__.x__ _- � � _ .. ... _ -__-- -•• -.._ ___,___J ... ,..v v�.v v.... �...a a,,,vY Yv„ a,1Y V Va.Y111Q11WLIVII , UU1111LLeU. Plan. Field The HVAC System "Living Zone" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 750 sqft Covered Slab Floor, 3.50" thick at Living Zone HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1.037 sqft Exposed Slab Floor, 3.50" thick at Living Zone HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS ..IJ... rL.. LJCCe .v1111-1-1 anU Ulaynvauc Lesung ul [nese measures on a TOrm U -6K. Plan Field Run Initiation Time: 08115/01 11:15:22 Run Code: 997870522 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page:5 of 12 Mandator. Measures Checklist: Residential 'A -J MF11 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with asterisk (' may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is Incorporated IAto the permit documents, the features noted shall be considered by all parties as minimum component specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist ontv. DESCRIPTION Instructions: Check or Initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMEN Building Envelope Measures X '§ 150(a): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value. § 150(b): Loose fill insulation manufacturer's labeled R -Value. X .§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). '§ 150(d): Minimum R-13 raised floor insulation in framed floors. § 150(1): Slab edge insulation - water absorption rate <= 0.3%, water vapor transmission rate — 2.0 permfinch. X §118: Insulation specified or installed meets insulation quality standards. Indicate type and 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. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified SHGC, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have closable doors, outside air intake with damper and control, and flue damper and control; 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures X §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. X §150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMAC NA or ACCA. X §150(i): Setback thermostat on all applicable heating and/or cooling systems. X §1500): Pipe and Tank Insulation 1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. a'§150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed in conditioned space. Openings shall be sealed with mastic, tape aerosol sealant or other duct- closure system that meets the applicable requirements of UL181, UL181A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh tape or tape shall be used. Building cavities shall not be used for conveying conditioned air. 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 drawbands. - 2. Exhaust fans systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on -of switch, weatherproof instructions, no electric resistance heating, no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. 3. Pool system has directional inlets and a circulation pump time switch. X] §115: Gas fired 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/hrj Lighting Measures §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumenshvatt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. El150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. f-"'- 1. -- -" ---• •• .. G ', doo Numoer Paoe:6 of 12 1 Computer Method Summary (Part 1 of 3) C -2R All American 8/15/01 Project Title Date r Plan 1787 - All Orientations La Quinta Project Address Building Permit # Insu-Form Inc. (760) 324-0216 Documentation Author Telephone Plan Check/Date Computer Performance 15 Fie hec Date Comp lance method trackage oromputer mate ong e Source Energy Standard Use (kBtu/sf-yr) Design Facing North Margin Thermostat Facing East Mar in Zone Name Facing South Margin Zone Type Type Facing West Margin 1l i_ving 7nnp 0.32 0.72 35.65 -3.04 11.60 2.41 0.20 0.84 34.17 -1.56 11.60 2.41 0.50 0.54 34.24 -1.63 11.60 2.41 0.75 0.29 32.43 0.18 11.60 2.41 Space Heating 1.04 Space Cooling 32.61 Domestic Hot Water 14.01 Totals Run Initiation BUILDING 0811.5/011115@22 Run Codei 997870522 COMPLIES "!b %,-cr% sulnmaiiccss tilt: resuiTs or a Tour carainai orientation analysis. 1 ne pages that follow describe the front facing North occurence. This plan has been analyzed with identical features in all orientations. GENERAL INFORMATION Conditioned Floor Area: 1,787 Building Type: Single Fam Detached Building Front Orientation: All Four Orientations Number of Dwelling Units: 1.00 Number of Stories: 1 Floor Construction Type:X❑ Slab Floor ❑ Raised Floor. Total Conditioned Volume: 16,083 ' Slab Floor Area: 1,787 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt Area 1l i_ving 7nnp 17A7 _ s nA 1 00 CnnditinnPd Sathnnk _Q n/a OPAQUE SURFACES Act. Type Area U -Val. Azm Solar Gains Tilt Y / N Form 3 Reference Location / Comment Wall 444 0.054 _Q _gQ nnnr 20 0 387 _a _� Wall 228 0.054 s R-1.5 Wall w/1" FPS living 7onp Rnlid Wnnd Dnnr I iving 7nnp �gn _gQ Wall 249 0.054 180 _90 W;111 297 0.054 270 90 Ronf _t,787 0.028 -Q -Q R-15 Wall w/1" FPS I iving 7nnp R-15 Wall w/1" FPS Living Zone R-15 Wall w/1" FPS Living 7nnp R-38 Rnnf (R 38 2X14 Jr,) Living 7onp 0 Run Initiation Time7 0811.5/011115@22 Run Codei 997870522 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page ? of 12 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number Paae:8 of 12 Computer Method Summ arY (dart 2 of 3) C All American' 8/15/01 Project Title Date FENESTRATION SURFACES Ll- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments _1_ Window Front (North) 34 44 0 S50 n 65 n Deuhle NonMtl CIPar DPfa ilt Living 2 Window Front (North) 3.0 0.570 0.67 _gj) 0 90 Double NonMtl Clear Default Living Zone 5 Window Left (East) 13.3 0.570 0.67 90 90 Double NonMtl Clear Default Living Zone 4 Window Left (East) 13.3 0.570 0.67 90 90 Double NonMtl Clear Default Living Zone 5 Window Left (East) 33.4 0.550 0.65 90 90 Double NonMtl Clear Default Living Zone 5 Window Left (East) 35.0 0.600 0.65 90 90 Double NonMtl Clear Default Jiving Zone Z Window Left (East) 25.0 0.600 0.65 90 90 Double NonMtl Clear Default Living Zone 8 Window Left (East) 1200 0.600 0.65 90 90 Double NonMtl Clear Default Living Zone 5 Window Rear (South) 6.0 0.600 0.65 180 90 Double NonMtl Clear Default Living Zone 1Q. Window Rear (South) 12.0 0.570 0.67 180 90 Double NonMtl Clear Default Living Zone 11 Window Rear (South) 33.4 0.550 0.65 180 90 Double NonMtl Clear Default living Zone 12 Window Right (West) 16.0 0.600 0.65 270 90 Double NonMtl Clear Default Living Zone 13. Window Right (West) 16.0 0.600 (1.65 270_ go Double NenMtl Cipar D It Living Znne 14 Window Right (West) 6.0 0.570 0.67 -fa 270 90 Double NonMtl Clear Default Living Zone INTERIOR AND EXTERIOR SHADING # Window Overhang Left Fin Right Fin Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt, REA. Dist. Len. _ Hgt. Dist Len Hgt 1 Bug Screen 0.76 6.8 2.5 3.0 0.1, 3.0 3.0 2 Bug Screen 0.76 1.0 3.0 3.0 0.1 3.0 3.0 3 Bug Screen 0.76 6.8 2.0 3.0 0.1 3.0 3.0 4 Bug Screen 0.76 6.8 2.0 3.0 0,_1 3.0 3.0 5 Bug Scrben 0.76 6.8 2.5 3.0 01 3.0 3.0 6 Bug Screen 0.76 5.0 7.0 3.0 0- 3.0 3.0 -_ 7 Bug Screen 0.76 5.0 5.0 3.0 0.1 3.0 3.0 8 Bug Screen 0.76 4.0 3.0 3.0 0.1 3.0 3.0 9 Bug Screen 0.76 3.0 2.0 3.0 0.1 3.0 3.0 10 Bug Screen 0.76 2.0 6.0 3.0 0.1 3.0 3.0 11 Bug Screen 0.76 6.8 2.5 3.0 0.1 3.0 3.0 -- 12 Bug Screen 0.76 4.0 4.0 3.0 0.1 3.0 3.0 13 Bug Screen 0.76 4.0 4.0 3.0 0.1 3.0 3.0 14 Bug Screen 0.76 3.0 2.0 3.0 0.1 3.0 3.0 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number Paae:8 of 12 Computer Method Summary (Part 3 of 3) C=2R All American 8/15/01 Project Title Date - THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Concrete Hera ryweight 750 —IM --28 n 28 n/a 2 Living g 7nne / Slah on Grade Concrete, Heavyweight 1.037 3.50 --2$ 0.98 n/a 0 Living Zone / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter _ 10 0.76 0.0 _ 0 Living Zone Slah Perimeter 5 0.76 U —Q Living Zone HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value type Comments Central Furnace 80% AFUE Ducts in Attic 4-2 Setback Living Zone Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Split Air Conditioner 19 n SEER . Ducts in Attic 4.2 Setback Living Zone WATER -HEATING SYSTEMS Ratedl. Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. . RHEEM 44V50 Small Gas Standard 1 40,000 50 0.63 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Run Initiation Time: 08/15101 11:15:22 Run Code: 997870522 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:9 of 12 .fix. ,• , ...e� Computer Method Summary (Addendum) C -2R 1. All American 8/15/01 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 justification and documentation submitted. Plan Field The HVAC System "Living Zone" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 750 sqft Covered Slab Floor, 3.50" thick at Living Zone HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1037 sqft Exposed Slab Floor, 3.50" thick at Living Zone 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. i ne Herta rater must aocument the neia verification and aiagnostic testing or tnese measures on a form cF-611. Plan Field F. Run Initiation Time: 08/15/01 11:15:22 Run Code: 997870522 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 10 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE All American 8/15/01 SYSTEM NAME FLOOR AREA Living Zone 1,787 ENGINEERING CHECKS SYSTEM LOAD Ll Number of Systems 1 COIL COOLING PEAK COIL HTG. PEAK Heating System CFM Sensible Latent CFM Sensible Output per System 89,000 Total Room Loads 1,942 33,783 3,918 602 25,322 Total Output (Btuh) 89,000 Return Vented Lighting a . Output (Btuh►sgft) 49.8 Return Air Ducts 1,689 1,266 Cooling System Return Fan 0 0 Output per System 60,000 Ventilation 0 0 0 Total Output (Btuh) 60,000 Supply Fan 0 0 Total Output (Tons) 5.0 Supply Air Ducts 1,689 1,266 Total Output (Btuh/sgft) 33.6 TOTAL SYSTEM LOAD 3716 3=918 27 854 Total Output (sqf /Ton) 357.4 Air System HVAC EQUIPMENT SELECTION CFM per System 2,055 Airflow (cfm) 2,055 BDP CO.563AN060-A 39,128 15,696 89,000 Airflow (cfm/sqft) 1.15 Airflow (cfm/Ton) 411.0 Outside Air (%) 0.0 Total Adjusted System Output39,128 15,696 89,000 (Adjusted for Peak Design Conditions) Outside Air (cfm►sgft) 0.001 TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am Note: values above given at ARI conditions, EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0 of 69.4 of 69.4 of 109.8 of Outside Air Supply Air Ducts 0 cfm 109.2 of Supply Fan 2055 cfm Heating Coil ROOMS 70.0 of 69.4 of Return Air Ducts DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.4OF 78.8/66.4OF 78.8/66.4OF 61.0/59.90F Outside Air Supply Air Ducts 0 cfm Supply Fan Cooling Coil 61.8 / 60.2 of 2055 cfm ROOMS 54.0% R.H. 78.8/66.4 of 78.0 / 66.2 of Return Air Ducts ' EnergyPro 3.1 By Energysoft User Number. 2655 Job Number: Page: 1i of 12 ROOM LOAD SUMMARY PROJECT NAME All American DATE 8/15/01 SYSTEM NAME LivingZone1,787 FLOOR AREA ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME LivingZone ROOM NAME Living Zone Mult. 1 CFM I 1,9421 SENSIBLE 33,783 LATENT 3,918 CFM 1,942 SENSIBLE 33,783 LATENT 3,918 CFM 602 SENSIBLE 25,322 PAGE TOTAL TOTAL 1 1,942 33,783 3,918 602 25,322 1 1,942 33,783 3,918 602 25,322 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 12 of12 Certificate of. Occupancy City of La Quinta Building and Safety Department. This Certificate. issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, -at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 53-905 AVENIDA MENDOZA Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No. Occupancy Group: R-3 Type of Construction: VN Land Use Zone 0201-226 RC Owner of Building: ALL AMERICAN BUILDERS INC. Address: 76-995 FLORIDA AVENUE Building Official City: PALM DESSERT, CA 92211 By: RICHARD MKLAND Date: 06-19-02 ' POST IN A CONSPICUOUS PLACE