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RER (12-0539)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 12-00000539 52651 AVENIDA NAVARRO 773-304-018-5 -000000- REMODEL - RESIDENTIAL COVE RESIDENTIAL 5000 T4ht 4 4 Q" Architect or Engineer: Nk BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CHRIS LARSON/JAMES, KELLER 12756 DANNAN CT SAN DIEGO, CA 92130 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: * 5/15/12 D MAY 1 2012 CITY.OF ------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - ' I hereby affirm under penalty of perjury that I am licensed under provisions of. Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: - _ 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Pol' Number following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to 1. certify that, in the performance of a ork for ich thi reqhit is issued, I shall not employ any, construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to c e subje to the oro• rs' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shout c ubject thew ker compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division Sof the Business and Professions Code) or basis for Any Section 7031.5 by 3700 of a Labor Code( Is al rthwit o I those provisions. that he or she is exempt therefrom and the the alleged exemption. violation of any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: /p licant: 1—) I, as owner of the property; or my employees with wages as their sole compensation, will do the work, and. the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, .and who does the work himself or herself 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.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' St�tL'7Law does not apply to an owner of property who builds or improves thereon, a who contractojects witha contractor(s) licensed pursuant to the Contractors' State Ly'� ns aw.). I—) I am exempt under Sec. e.&PiC / r this real Date: Owner: CONST�TION LENDING AGENCY I hereby affirm under penalty of perjury that there is a c nstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. ). Lender's Name: _ Lender's Address: LQPERMIT WARNING: FAILURE TO SECURE WORKERS' CONPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S 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, indemnity 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 abo ' formation i rrect. I r to comply with all city and county ordinances and state laws relating to b ' in c struction, hereby th ize representatives of this fury; egtrs,upon the above-mentioned pr erty or nspection ose ,pate: I/ V/� // JSiignature (Applicant or Agent Application Number . . . 12-00000539 ------ Structure Information FORECLOSURE REHABILITATION/REMODEL ----- - Other struct info". . . . . CODE EDITION 2010 Permit . . . BUILDING PERMIT INV FEE Additional desc . , Permit Fee . . . . 144.00 Plan Check Fee 46.80 ' Issue Date . . . . Valuation 5000 Expiration Date 11/11/12 Qty Unit Charge Per Extension BASE FEE 90.00 3.00 18.0000 THOU. BLDG 2,001-25,000 ----------------------------------------------------------------- 54.00, ----------- Permit . . ELECT - ADD/ALT/REM'INV FEE Additional desc . Permit Fee 86.50 Plan "Check Fee 10.81 Issue Date Valuation . . . 0 Expiration•Date ,. 11/11/12• •. Qty Unit Charge Per Extension BASE FEE 30.00 13.00 1.5000 PER ELEC DEVICE/FIXTURE 1ST 20 19.50 .1.00 37.0000 EA ELEC SVC <=600V/<=200A, 37.00 - Permit PLUMBING INV FEE Additional desc . Permit Fee . . . . 63.00 Plan Check Fee 7.88 Issue.Date Valuation 0 Expiration Date 11/11/12" • Qty Unit Charge Per Extension BASE FEE 30.00 . 1.00 12.0000 EA PLB FIXTURE 12.00 1.00 15.0000 EA PLB WATER HEATER/VENT 15.00 1.00 6.0000 EA PLB WATER INST/ALT/REP 6.00 ----------------------------=----------=--=--------------------------------- Special Notes and Comments FORECLOSURE REHABILITATION/REMODEL [CONVENTIONAL] ENLARGE PANTRY, OPEN KITCHEN TO LIVING ROOM, INSULATE AND PATCH DRYWALL AT VARIOUS LOCATIONS, STUCCO PATCHING AT VARIOUS LOCATIONS, RELOCATE WASHER AND DRYER HOOKUPS TO GARAGE, REMODEL KITCHEN CABINETRY AND LQPERMIT Application Number . . . . 12-00000539 ------------------ - Special Notes and Comments PROVIDE ELECTRICAL RECEPTACLES AND LIGHTING FOR REVISED LOCATIONS, AND CHANGE OUT (6) WINDOWS, (1) WATER HEATER AND (1) 200 AMP SERVICE PANEL. ***INVESTIGATION FEE ASSESSED PER 2010 CALIFORNIA RESIDENTIAL CODE CHAPTER 1 §108.6 FOR WORK COMMENCING BEFORE PERMIT ISSUANCE*** CODE CASE NUMBER: 10-2198 [JM] 2010 CALIFORNIA BUILDING CODES. May 15, 2012 3:02:41 PM AORTEGA -----------------_-------------------------------------------------------- Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 4.68 Fee summary Charged Paid Credited. Due Permit Fee Total 293.50 .00 .00 293.50 Plan Check Total 65.49 .00 .00 65.49 Other Fee Total 5.68 .00 .00 5.68 Grand Total 364.67 .00 .00 364.67 LQPERMIT P.O. BOX 1504 LA QU[NTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPIco LA QUINTA, CALIFORNIA 92253 PROPERTY OW R5 S P: BUILDING & SAFETY DEPARTMENT (760) 7774012 FAX (760) 777-7011 Disclosures & Porins for Owner-Budders Applying ng for Construction Permits iP �A YI'1 1�iQT GE To >PRQPRUTV QWI I Dear Property Owner: E1ri..aPpfication for a building p2ermit h� been submitted in your name listing yoursel€ as the builder of Elie .property imPmVemeats specified at Sb 1 9NC-1- 1 p ,— WA—/ A -r2 oLa We are providing you with an Owner -Budder Acknowledgment -and• Information Verification Form to make you swam of your resperisibilities and Possible risk you may incur by having g&permit.issaed. in your reams as the Owner -Builder. We will not Issue a building, -permit until you have read, initiated your understanding of each:provision, signed, and returned this form to us at our eflilchal address indicated. An agent of the owner cannot execute this>notice unless you, the property owner, obtain the prior approval of the permitting authority. Read and initial each: signify you undw3tand `or decay this iirformation. L I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material petsona�i.1, as an Owner -Builder, may be held liable and subject to serious. financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those es. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers ,/on property. T2. I understand building permits are not required to be signed by property owners unless they are responsible for the 73. etion and are. not hiring a licensed Contractor to assume this responsibility. I understand as. an "Owner -Builder" I am therespcinsibit party of record ori the permit. I understand that I may protect r el from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my A. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on #s and contracts. i 5. I understand if I employ or otherwise engage any persons; other than California licensed Contractors, and the total value yonstruction is at least five hundred dollars'($500), including labor and materials, I may be considered an "employer" state and federal law. _1-6. I understand if I amconsidered an "employer" under state and federal Law, I must register with the state and federal goo ent, withhold payroll taxes, provide workers' -compensation disability insurance, and' contribute to unemployment tion for each "employee:" I also understand my failure to abide by these laws may subject me to serious financial yk I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential res cannot ,legally build them with the .intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed. four, within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. 4,uries sustained by any subsequent owner(s) that result from any latent construction defects in the worlananship or materials. I understand I may obtain more information regarding my obligations as an "employer" from the b terud ROWUM Service, the United States Small Business Administration, the California Department of Benefit Payments. and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSILI3) at I- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for. proposed construction activity at the following address: [ agree that, as the Party legally and fivancially responsible for this proposed construction activity, I will abide by all plicable laws and requireinents that govern Ow er-Builders as well as employers. !— 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or obviges to -any of the inf<rrmatiog 1 have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you eamract with sornezone who doesw not have a Haeme the Contractors' State License Berard may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be irr°oivil court. It is also important for you to: understand that -if an ualicensod Contractor or employee of that individual or firm is inpured while watidag on your ProP�Y; You may be held liable kr damages. If you obtain a permit as Owner -Builder and wish to him Conixaetors, You will be responsible for verdYing vAwAhw or not those Contractors are protcAy liewsed and the status of the arot3cers' compensation insurance coverirge, Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for isu ttg dw,pwmit. Note: A copy, of tke property owner's Mverf vA Min fiem MUMkMOM or other verification acceptable toag�en aired to be presented when the pgamit is issued to >terlfy the pr*Perty owner's signature. Signature of property nms Note: The following Authorizati n Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHaF Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(0 to act as my agent(s) to apply for, sign, and file the documents necessary to obtain ari Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjurythat I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented 'when the permit is issued to verify the property owner's signature_ Property Owner's Signature: Date: Project address: 52651 Avenida Navarro in LA Quinta, CA May 14, 2012 Project Description for Permit -Increase pantry size to 72". Add 4"x8"x 72" header for structural support. Add trimmer studs to support header and create a 69" Rough Opening. ' -Add 4"x12"x14' header in-kitchen/living room wall to increase openness and create breakfast bar area. -Install 6 retrofit vinyl windows. Remove existing 30"x30"window and re -Frame kitchen window with ' using the ORIGINAL 36" kitchen header -Drywall patch damage areas in house. Insulate ceiling areas above Drywall patches with R38."Screw down drywall to meet code. , -Install 5/8 type x drywall on areas between the.house and garage. -Install R13 in all exterior walls opened up for repair. ' Run hot and cold plastic lines from existing washer lines in the kitchen area through attic to garage area. Install new shut off valves in recessed box. Tie in plumbing to main sewer line and run 2" vent through roof. Vent dryer to front courtyard through garage wall. -Install 4 florescent recessed. and 1 incandescent can lights in kitchen area maintaining a 50/50% of florescent lighting to incandescent lighting. -Install GFI protected'electrical outlets in the kitchen area every two feet in new cabinet areas. -Replace existing 40 gallon gas water heater with a new unit. -Install new200 amp main panel. -Run 220v power to garag' '"'6*dryer from main panel. t -Stucco patch all existing holes on. house, remove abandoned electrical boxes in courtyard wall and restucco front courtyard wall. Cut new gate entrance in courtyard wall off of the driveway. N CITY OLA OUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 5$- BY —&- 1�1�1k0A• G6iµoll�t. "AW -7 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Pae 1 of 5 Project Name: ve1���U a Q ��a Climate Zone # t5 # of Stories General Information Site Address: a,C ' -klV d Enforcement Agency: Date: Building Typ Single Family [3 Multi Family Circle the Front Orientation: N, E, S, W, or degrees Conditioned Floor Area (CFA):Project Type: 0 Alterations Q Envelope Fenestration 0 Roof HVAC Replacement or Change Out D9 Duct Replacement ® Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ® Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or,Jloor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table ISI -C Fill in Columns A —J. O a ue Surface DetailS For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I I J Proposed bee °t` Standard Values From JA4 Table L Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name ID' or Type 2 Material Spacing, U- JA4 Table Cavity and Size or Other' factor -4 Numbers R-value6 Insulation Assembly Assembly R -Value? Row/Cole U -facto? Walls From Reference in Furring Space from Reference Joint A endix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 UO N Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and Furring Construction table below. 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-B, C, or D S. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A I B I C I D I E F I G I H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint A endix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 UO N U Assemblyw' ' 8 _�_.. �.[ao�, v" > Final ass Name or A4 Table E l `�'' > Thickness' Numberype2' Q > c c' ¢ > U -factor Comment !+:3Sf{KYj✓il �l(l .�tiruli::Ji' k-jw t/!1 .`2008 Residential Compliancei 1 1 LAR Z f Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Paize 2 of 5 Project Name: Climate Zone #T # of Stories Mass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. .-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column L Column K is the inverse from column J 7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J I F ESTRATION PROPOSED AREAS Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ® Adding 50ft2 or less of window area-, - Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C ® Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation Fenestration Type and Frame (North, East, PropsedAreai Maximum Maximum NFRC or Default (Window, Glass Door or Skylight) South, West) 2 U -factor" SHGC2 3 ° Values F G GviNDow 96 Allowed A//Nbow R'G` x 3 5—�z Allowed iNDow 3 ?C S .4, Area Fenestration Area Proposed Area 1.4 1. Fenestration area is the area of total glazed product (i. e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch -frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -1 R ALT Form. 4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading. 5.t(applicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ftr of fenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire %of Fenestration Area Fenestration Area Proposed Area 1.4 Dwelling CFA 2.1 Area Removed Area Added A x B) (E -D) + C Total Fenestration Areal ft2 West Fenestratidn Area (Required In CZ's 2,4&7-15 1. The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pitch less than 1:12. 2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F. 3. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the riiaximum allowed 15% or 20% of the whole building and calculated in Column G. The Proposed Area must be less than or equal to Column F. 5.. Enter the fenestration removed as part of the alteration if any in column D. 6. Enter the Fenestration area that is being added as part of the alteration. e istratio umbers _.__ _ _ _ _ _ Re tratia ate ime: _ _ __ Provider. _ 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 5 Project Name: Climate Zone # # of Stories HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. individual dwelling DHW heaters must be Heating Equipment Type ano Capacity 1.2.3 Minimum Duct or Piping Configuration Efficiency Distribution Insulation Thermostat (Central, Split, AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS- COOLING Energy Factor or Insulation Minimum Cooling Equipment Type ajid Capacity 1. Efficiency Duct or Piping Configuration. (SEER/EER or Distribution Insulation Thermostat (Central, Split, COP) Type and Location R -Value Type Space, Package or H dronic CapaciLy (gal) Thermal Efficiency R-Value3 1. Indicate Cooling Type (A/C Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes. 3. indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all component packa es in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type[ (Standard, Recirculating)2 System CapaciLy (gal) Thermal Efficiency R-Value3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justl ication and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation . YES UNO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation ® YES NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation UYES UNO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. 2008 Residential Compliance Forms March 2014 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations (Page 5 of 5 Project Name: Climate Zone # # of Stories HERS VERIFICATION SUMMARY. The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. El YES NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ® EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. OYES ONO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ®YES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b)1 E. E3 EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ® EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. ® YES . [3 NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is'replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § I52(b)1F. Central Fan Integrated (CFn Ventilation System and Fan Watt Draw The ventilation requirements of §150(o) do not apply to existing residential homes. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ® YES [3 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152 b 1Ci to meet therequirements of §151(07B. W Documentation Author's Declaration Statement • I cern that this Certificate of Compliance documentation is accurate and cgAplete. Name: I/� C Signature: Company: �_. Date Address:/� ,�, tJAAJ C / 2.7,S—to Q r1 '�' If App icable EA or CEPE (Certification #): City/State/Zip: D 1 O C Phone: 72 o- 2 3v-- 660 Responsible Building Designer's Declarati n Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts l and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Re istrakon 1Vuritber>' __ atratian Da tmemilliProviders 2008 Residential Compliance Forms I March 2010 N INA CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED. FOR CONSTRUCTION DATE 5Wmom By–.&,— 152'- E 52' I *_I_ I u ( !AA_ 0. a) X95" _ �� - TV If I Bases onl e ` 1 °' aD&�r ro W1 036L W3018 1536R; 36L..r "< 836-2 836=2 � >- ©-CAS=RA�IE� � ; •�-----'---- -=- --- ------ ------ ------------------------- ------ t i I! N V040T� c� ��n s g - er-s - N'O wing clown o ing 4 - NOT mg under c ,binet mol mg —-AP prox X18" j Co ppepbinets will be dropped off ceiling – = 8 bZB 96 MF-rbI;O vZ' 1 LZe Nf 4. io X7111£ I ZM 19E 1• zM -19E l zM tl aC sG1 1 0>� ' � I bZ E Z� "6Z SE i "g ,a „ rho 1� oaf~ � r WA -4$t �� D w, Tq kP yc�� Tb Vee s 4r r• N 8,11.# Perinit #/ n. Y, d� Project Address: `y2 tb S l QtY of U Quinta Bult tug 8r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet A VCS , DA NA- vk"o Owner's Name: -JA o-5, Kee- L E 9-6AJX J .S A. P. Number. '� ? /-- 3D q—Q18,—r Address: i2%� � ! NPrN GTLAA 5� Legal Description: W 7- 5 Contractor. tJ v V LOGIC %V 15-1 CAN 0 At', 5! Xity, ST. Zip: iA Q J i mT-Ar A- TZ 13 t) Telephone: y2�d-Z 30' 6OSAM ?? Address: Project Description: City, ST, Zip: 5 ATrA-c/ / Cl D O L U WA »T Telephone: City Lie'. #; State Lia #: Arch., Engr., Designer Address: City,, ST, Zip: Telephone: State Lic. #: -„�.. ........ Construction Type; Occupancy: Project circle one New Add'ri Alter Repair Demo 1 type (circle )� eP . Sq. Ft.: # Stories: # Ut:niNA, Name of Contact Person: .. Telephone # of Contact Person: O Sp '.1•{ �2 - �f'Q (� Estimated Value of Project: 0 0 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Reed.. TRACIONG PERMIT FEES Plan Sets Plan Check submitted5�l rj it. Amount Structural Calra Reviewed, ready for corrections Plan Check Deposit. Truss Cates. Called Contact Person Plan Check Balance. ..---� 'Pule 24 Calks. Plans picked up Construction . Flood plain plan Plans resubmitted.. Mechanical r-----. Grading plan 2a6 Review, ready for corrections/rssue Electrical Subeontaetor List Called Contact Person Plumbing '� A' Grout Deed Plans picked up S hLL H.O.A. Approval Plans resubmitted Grading ^ IN HOUSE-.- ''" Review; ready for correcti aDeveloper Impact Fee .6— Planning Approval Called Contact Person YM A.LP.P. ' Pub. Wks. Appr Date of permit issue I , School Fees Total Permit Fees 51 Isbell J260wV(-t,* ksu-A-6 wen+- f'i =F of IRe�h,P�, . M 'i � a