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0306-509 (AR)P N CD W � O :) M r-- d L) �wr ^o Z 0 LLI W C0 Z 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 Date ' Signature of Contractor OWNER -BUILDER DECLARATION 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 saW(Sec. 7044, Business & Professionals Code). ( ) 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 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 ther work for which this permit is issued. (t�) I have and will maintain workers' compensation insurance, as required by Sebtion 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: PERMUED ELPLOY Policy No. W". -1091140-2 (This section need not be completed if the permit valuation is for $100.00 or less). O 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 tote workers' compensation provisions of.Section 3700 of the Labor Code, II forthwith comply with,those prove ion4. 'Date: �` S Applicant Warning: Failure to secure Workers' Compensation coverage 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 at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnity & 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 for inspegtion purposes. ` j rr Signature (Owner/Agent) �� - #' ` ` t•f•c . �; 'fir Dates. --BUILDING PERMIT PERMIT# DATE VALUATION LOT ©' ` TRACT JOB SITE APN ADDRESS 80_707Lf�f'.?f 'Y S ` OWNER CONTRACTOR /DESIONER'/EN (NEER MR.(MRS. PAUL 1 MAPHT-RE, BOB %DWARI D3 WkffffRUC',1; ONs 80.11107 r~HR'R'YI;LwL s 79.920FTE.7TA,T>.H:M LA Q'11WTA. CA 92233 LA QLWFA CA 4+2233 (76 Y77s•,7933 CIBL* 3712 USE OF PERMIT TLLd.31DF 11'.AL ADD%1` OK 1244 3-Y, ATRU{Art ZNCLOSU13ir., 7001 CFTC; *NOT& EXISTING 13f,, J PN.D 13'NUOSED A T RIULI XS NOT PE j'MITTECa FOR USE AS A SlrUPING ROOM" 340 WRESS iPR.OVIDE):►. CUSTON1 CONSTRUCTION 12A.00 3F EST]MA'ED CK7ST OF CONI»TFt"CI't~''TMIN aS1ri1A+111fi RY PLAN CHECK FU 101 _000 139.316 3:5.411 f.' NSTYIiCTION FEE, 101-000-41A-000 $11,700 ELECTRICAL FEE 101-000.420-IDOO $22.50 STEL(_lNQ MOTION FEE: RTMID 1011-000-24,11-000 $.97 PLUMBINO FRE 101. -000419-000 M.0[I 3i1�"IC?'1' kiN rT1iJG'Z COta AAiJ FI,AAi �i ��K '' $237.52 — L>�q TI -;PAW FF.9',3 $0101 ^if' E" .j 0 Cui�93 11WALL PERNIf'1' fl'EEN DUE NOW �I•:. l.: .�9i.J:r� $2311.52 _ RECEIPT DATE BY i TEFI INSPE INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings , 0 Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing-� Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVAL9 steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final .'Plumbing Top Out Equipment Enclosure 'Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation =Gas Piping Gas Test Appliances Final COMMENTS: - 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 (Perm) Date 8/5/03 No. 24783 Owner Mr/Mrs, Paul Lamphere Address 80-707 Cherry Hills City La Quinta Zip 92253 Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit# Study Area No. o ' Units 4 'S &," SIVOC IBERMUDADUNES' r RANCHO MIRAGE INDIAN WELLS PALM DESERT y i� LA QUINTA .� QINDIO yr J1 775-132-012 La Quinta 0306-509 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 80707 Cherry Hills 1;24 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time; the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under .500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less 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 124 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 Donna Ricketson Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson- Superintendent ilsonSuperintendent Fee collected /exempted by�Mi op cGilvrey Payment Recd Ap r___ Over/Under Signature NOTICE. Pursuant to Government Code Section 66020(d)(1), 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 projecLis 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 SENT BY: PGA WEST RESIDENTIAL ASSOC, L; A&A 1PA'T11 PGA WEST RESIDENTIAL ASSOCIATION, INC. August 7, 2003 Mr. & Mrs,Paul Lamphere 80-707 Cherry Hill La Quinta, CA 92253 Dear Mr. & Mrs. Lamphere: 760 771 51.25; AUG -8-03 2ci9PM; PAGE 3/3 Your request to enclose your atrium at your 80-707 Cherry Hills residence has been reviewed by Steve Herthel, Architectural Committee Member. In accordana:c with the plans submitted to our office on June 30, 2003, approval has been granted subject tt, the following conditions; • Protect the driveway and sidewalks from damage • Provide crickets as needed. No roof plans shown • Provide the manufacturer's standard lap for re-:oof tie in at skylite • Debris to be removed from property; do not lei.ve for Homeowner Association pickup • kedirect roof condensate drain to code approved drain • Provide 'Notice of Completion' and signed insp:ction card We reserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification as to the construction wort4iess, or structural integrity of the proposed change. We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please contact meat the. T10A office, (760) 771-12:14., Extension I5. Sincerely, Kelly McGalWd for the Architectural Committee KM/bvf cc: Architectural Committee P.O. Box 1060, La Quinta, California 92253, Telephone 760-771-1234 FAX 760-771-5125 IN CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 3) CF -1R ProPc; TSI '-7o /7 Bate P�t_A�SS �r.�y , `p`r�— /�I� / !✓ Q �/ Building Pennitk Docu%cDy 'on I( � Tcicle h (� (� Plan Check I Date t/ — pl Field chock 1 Date Compliance Method (Package or Computer) Climate Zone 1—f—".4 vencv cc v GENERAL INFORMATIOi`' Total Conditioned Floor Area fie Average Ceiling H Conditioned Slab Floor Area __f3 Building Type: !�" Single Family `fAddition (check one or more) Multi-Fwdly Existing -Plus -Addition Front Orientation: l b5 North /South ; East es All Orientations 1 (input front orientation in egrees from True North and circ:e one) Number of Stories _ Number of Dwelling Units: Floor Construction Type: (2#Raised Floor (circle one or both) RADIANT BARRIER (required in climate zones 2,4,8-15) BUILDING ENVELOPE INSULATION CITY OF. LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION oATE E31s Required for this submittal i� yes Sy. _no Component Type Frame Type wd = wood st1= steel Cavity insulation R -Value Sheathing Insulation R -Value Total R- Vaiuet Assembly i Location/Comments U -Factor' (attic, garage, typical, etc,) Wall i ` Z 2 ' 04 - Wal! l Z. .,1 r ♦ Roof Roof Floor _ Floor Slab Ede ' Forprescrii live com t�.iance,Total P_ -Value and Assembly U -Factor are not required, for a wood -framed wall that meats cavi+.y It -valve insulation requirements_fer the Prescriptive Pack& e. FENESTRATION Shadine Devices Fenestration Orien- Area Fenestration Fenestration Exterior Overhangs/ #s/Type/Pos. talion (ft) U -Factor SHOC Shading Att. Fins Front Front Left Left Rear Rear Right _ Right Skylight Skylight Compliance Forms August 2001 A-2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3) CF -1R �� A7 -t-, lum PIE .Stn tl% < ?-L 7100-5 Date HVAC SYSTEMS Note: Input hydropic or combined hydropic data under Water Heating Systems, except Design Heating Load. SEALED DUCTS and TXVs (or Alternative Measures 0 Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required)LJ Q� TXVs, readily accessible (climate zones 2 and £-15 only) (Installer testing and certification and HERS Rater or field verification required) ❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-I5 only) (Installer testing and certification and HERS Rater or field verification required) OR Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHrC: Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Time Type in System orBtulbr) (gallons) Efficiency Loss (%) R -Value CV 1. For small gas storage water heaters (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 greatcr than 73,000 Bra/hr), list Rated Input, Recovery Efflcicncy and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEA'T'URES (add extra sheets ifnecessarv). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). 1 � 0) e°AhBG 6)-7iOX.t48 JRxI*�F.7C.d�-�i G Cls 1Zc*1/.A' E' (Z) l t- )C ho rflkz� e,- tA054 \VIG,-k'\g 01/7-14 Mott! (1) o OP Compliance Forms Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (fumace, beat Efficiency Location Piping Thermostat Configuration pump etc.) (AFllE or HSTF) (duras, attic, etc.) R -Value Type (split or packagc) fr _ � • _ Cooling Equipment Minimum Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package) SEALED DUCTS and TXVs (or Alternative Measures 0 Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required)LJ Q� TXVs, readily accessible (climate zones 2 and £-15 only) (Installer testing and certification and HERS Rater or field verification required) ❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-I5 only) (Installer testing and certification and HERS Rater or field verification required) OR Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHrC: Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Time Type in System orBtulbr) (gallons) Efficiency Loss (%) R -Value CV 1. For small gas storage water heaters (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 greatcr than 73,000 Bra/hr), list Rated Input, Recovery Efflcicncy and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEA'T'URES (add extra sheets ifnecessarv). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). 1 � 0) e°AhBG 6)-7iOX.t48 JRxI*�F.7C.d�-�i G Cls 1Zc*1/.A' E' (Z) l t- )C ho rflkz� e,- tA054 \VIG,-k'\g 01/7-14 Mott! (1) o OP Compliance Forms CERTIFICA'T'E OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF -1R Project Tit!e Date COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 5 of the California Code of Regulations, and the administrative regulations to implement there. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. esigarer Owner (per Business and Professions Code) Name: V-- Title/Finn: J 1::;k 7n4 Address: 4i -67--s erre �. Documnentation Author Name. c' W�> P t Title:'Firm: �' Pl-m44 Address: Enforcement Agency Name: Title_ Agency: Telephone: (sigiature / stamp) (date) Compliance Forms August 2001 A-4