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07-0481 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000481 Property Address: 77849 CALLE ARROBA APN: 774-172-013-2 -000000- Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 300000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I herebyiaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professionals Cqde, and my License is in full force and effect. License Class: B Lic file No.: 610249 Date: yJ- Contractor: 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 CodeYor 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).: (_ 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 Cade: 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 _ 1.1, as owner of the property, am exclusively contracting with licensed contractors to construct the project 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 contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). (_ 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: LQPERMIT i Owner: HARTMAN SANDRA 77849 CALLE ARROBA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/30/07 Contractor: HARTMAN CONSTRUCTION p� nf� P.O. BOX 867 JAN 15 2vJ6 LA QUINTA, CA 92247 (760) 564-2957 CITYOF>JINTA Lic. No.: 610249 FWARA r.,..__ ----------------------------------------- - - - - -— 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 0004692-2007 _ 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 th gdrs' compensation provisions of Section 3700 of the Labor Code, I shat orthwith co 1 h those provisions. Date: �`J o Applicant: WARNING: FAILURE TO SECUR RKE/ALTIMES PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE 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 the above infor ation is corre I agree to comply with all city and county ordinances and state laws relating to building constr tion, and authorize representatives of this county to enter upon the above-mentioned property for in ctio p e . Date: 6 O _ Signature (Applicant or Agent): i Application Number . . . . 07-00000481 ------ Structure Information 868SF ADD W/REMODEL/V-NR/RES-3 [ENG] ----- Other struct info CODE EDITION 2001/2005 # BEDROOMS 2.00 FLOOD ZONE NO GARAGE SQ FTG 86'8.00 PATIO SQ FTG 67.00 --------------- -------------------------------------------------------------- IST FLOOR SQUARE FOOTAGE 1895.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1339.50 Plan Check Fee 870.68 Issue Date Valuation . . . . 300000 Expiration Date.. 4/27/08 Qty Unit Charge Per Extension BASE FEE 639.50 200.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 700.00 Permit . . . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 95.31 Plan Check Fee 23.83 Issue Date . . . Valuation . . . . 0 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 1895.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 66.33 699.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.98 Permit . . . MECHANICAL Additional desc . Permit Fee 62.00 Plan Check Fee 15.50 Issue Date . . . . Valuation . . . . 0 Expiration Date.. . 4/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 16.5000 EA MECH B/C >3-15HP/>100K7500KBTU 16.50 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ------------------------------------------------------ EA MECH EXHAUST HOOD --------------------- 6.50 Permit . . . . . . PLUMBING LQPERMIT Application Number . . . . . 07-00000481 ------ Structure Information 868SF ADD W/REM06EL/V-NR/RES-3. [ENG] ----- Other struct info CODE EDITION 2001/2005 # BEDROOMS 2.00 FLOOD ZONE NO GARAGE SQ FTG 86.8.00 PATIO SQ FTG 67.00 1ST FLOOR SQUARE FOOTAGE 1895:00 Permit BUILDING PERMIT Additional desc Permit Fee 1339.50 Plan Check Fee .870.68 Issue Date Valuation . . . . 300000 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 639.50 200.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 .700.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 95.31 Plan Check Fee 23.83 Issue Date Valuation . . 0 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 15.0.0 1895.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 66.33 699.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.98 Permit . . MECHANICAL Additional desc . Permit Fee 62:00 Plan Check Fee 15.50. Issue,Date . . . . Valuation . . . . 0 Expiration Date.. 4/27/08 Qty Unit Charge Per Extension BASE FEE 15.00- 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 16.5000 EA MECH B/C >3-15HP/>100K,500KBTU 16.50 3'.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ----------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . . . .PLUMBING LQPERIDIIT Application Number 07-00000481 Permit PLUMBING Additional desc 3 Permit Fee 115.50 Plan Check Fee'. 28.88 Issue Date Valuation . . . 0 Expiration Date .4/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 .12.00 6.0000 EA PLB FIXTURE 72.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ----------------------------------------- =---------------------------------- Special Notes and Comments 868SF ADDITION TO EXISTING 1,•027SF RESIDENCE/V-NR/RES-3/CL-A (ENGINEERED] PERMIT INCLUDES REMODEL TO EXISTING DWELLING. THIS PERMIT DOES NOT INCLUDE BLOCKWALLS, OR-.DRIVEWAY APPROACH. 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY. October 30, 2007 7:27:06 AM AORTEGA - ------------------------------------------------------------------------- - Other Fees . . . . . . . . . ENERGY REVIEW FEE 87.07 STRONG MOTION (SMI) - RES 30.00 Fee summary Charged Paid Credited Due Permit Fee Total 1612.31 .00 .00 1612.31 Plan Check Total 938.89 .00 .00 938.89 Other Fee Total 117.07 .00 .00 117.07 Grand Total 2668.27 .00 .00 2668.27 LQPERMIT 5 y = City of La Quinta' Building U Safety Division Permit t ; ` P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:' =99490-41 (F A 22) Bq _ Owner's Name: y / (� l A A. P. Number: ['I Address: '7 7,9qcf0,4l (l; 4 ,[ f2o tq Legal Description: Cih', ST, Zip: 'T%F C A Contractor �ttR!iy /y,A2TyYid� lo/i AuCT/ d -Y) Telephone: -74-0 77( 666 ( Address:, P6 -- _ — Project Description: '�/ 111f(IT City, ST, Zip: wT �► �� CA _ f 7 t'_ , CAP, Qoa_-i D U`✓ �1 I�—lb-2 fgrtum 'i I State Lic. # /3 6 p City Lic. #: Arch., Engr., Designer: �`� iJ 57 J jUtJfs (l9i Sff Address: City, ST, Zip: Telephone: 76 0 Construction Type; occupancy: State Lic. #: IN Projecttype (circle one): New Add'n ter Repairemo Name of Contact Person: G Q� 2T N► A 1 Sq. Ft: 5S7 # Stories: "# Units. Telephone # of Contact Person: S .� f O 6 6 . Estimated Value of project: e9co &®a APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRAC[QMG PERMIT FEES Plan Sets Plan Check submitted1 L� n Item Amount . Stractaral Calcs. oe Reviewed, ready for corrections � Plan Check Deposit Truss Calcs. Called Contact Person (� Plan Check Balance Energy Calcs. Plans bicked.ap . Constractiou Flood plain plan Plans resubmitted Mechanical Grading. plan 2- Review, ready or corn _ ue t D?' Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted I Grading IN HOUSE:.: ''' Review, ready for.correctio ae Developer impact Fee Planning Approval Called Contact Person A.I.P.P. Inv Pub. Wks. Appr D to of permit issue School Fees �e I Total Permit Fees $IZDIVZ OUC - 2 2g 07 - 14113 6 off• 4► Z12_6 10-7 Civ (tom I PL -Wo *4 CoRee�_GW�E--9 2 /07 �a--R, F F s 9 7 CERTIFICATE OF COMPLIANCE 'S DIED Desert Sands Unified School District g�af'L��oo 47950 Dune Palms Road Q BERMUDA DUNES r (/)RANCHO MIRAGE d Pate 1/15/08 _ La Quinta, CA 92253 INDIAN WELLS PALM DESERT LAQUINTA 130. 29871 (760) 771-8515 `�' Q1 N0O 1 y�l O Owner Greg and sandy Hartman APN # 774-172-013 Address 77-849 Calle Arroba Jurisdiction La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Single Family Residence Lot # No. Street Unit 1 77849 Calle Arroba Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 868 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for Irving, 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: This certifies that school facility fees imposed pursuant to in the amount of $2.63 X 868 S.F. or $2,282.84 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 CC -Washington Mutual Bank/Greg & Sandy Ha Check No. 455589248 Name on the check Telephone 760-771-6661 Funding Residential BY Dr. Sharon P. McGehee Superintendent Fee collected /exempted by Espe Lara Payment Recd $2,282.84 _ a:OverlUrider Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL FORM AND FEE TO:'SCAQMD. ASBESTOS NOTIFICATIONS. FILE # 55641. LOS ANGELES CA 90074-5641 ......... . m� J!i , . & Ao m D.: USE :bN' I SCREEWBY.�`-:is,:, t RECEIVED ENTERED!BY �� NOTIFICATION #; POSTMARK f: j�. 44 COMPLETED BY SALLY COMPANY BRICKLEY CONST. CO., INC. dba PHONE 909-888-201 MOORE BRICKLEY ENVIRONMENTAL DATE 11-27-07 CHECK # 3517 FEE$ 144.68 PROJECT # 9869 NOTIFICATION TYPE ORIGINAL PROJECT TYPE RENOVATION (REMOVAL) SITE INFORMATION SITE NAME SFR —HARTMAN SITE ADDRESS 77849 CALLE ARROBA CROSS STREET MENDOZA STREET CITY'.' LA QUINTA STATE CA ZIP 92253 COUNTY RIVERSIDE DESCRIBE WORK AND LOCATION ROOF BUILDING SIZE (SO F7)1,450 NUMBER OF FLOORS I BUILDING AGE (YEARS) 42 NUMBER OF DWELLING UNITS 1 BLDG PRIOR / PRESENT USE HOUSE SITE OWNER SANDY HARTMAN ADDRESS 77849 CALLE ARROBA CITY LA QUINTA STATE CA ZIP 92253 CONTACT SANDY HARTMAN PHONE (760)771-6661 REQUIRED BUILDING INFORMATION ASBESTOS YES PRESENT? ASBESTOS NO SURVEY? ASBESTOS NO REMOVED? BUILDING TO BE NO DEMOLISHED? PROJECT DATES START 12-11-07 END 12-11-07 WORK SHIFT DAY ASBESTOS AMOUNT TO BE REMOVED (in square feet) FRIABLE CLASS 2,061 CLASS 11 TOTAL AMOUNT (ADD ROM 2,061 ASBESTOS REMOVAL FROM SURFACES AMOUNT OF EACH TYPE OF ASBESTOS (in square feet) ACOUSTIC CEILING LINOLEUM INSULATION FIRE PROOFING DUCTING STUCCO MASTIC FLOOR TILES (VAT) DRY WALL PLASTER TRANSITE ROOFING 2,061 OTHER (DESCRIBE) CONTRACTOR INFORMATION CSLB LICENSE # 610414 OSHA REG # 49 AQMD ID # 76397 NAME BRICKLEY CONST. CO., INC.. dba BRICKLEY ENVIRONMENTAL ADDRESS 957 WEST REECE STREET CITY SAN BERNARDINO STATE CA ZIP 92411 SITE SUPVR MOORE/WOOD / LIEDER/CRUZ PHONE 909-888-2010 IBARRA/AGUAYO WASTE TRANSPORTER #i BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL LANDFILL LA PAZ COUNTY LANDFILL ADDRESS 957 WEST REECE STREET ADDRESS 26999 HWY 95 MILE POST 128 CITY SAN BERNARDINO STATE CA ZIP 92411 CITY PARKER I STATE AZ , Fzlp 85344 Asbestos Demolition / Renovation Notification Form 712007 Page 1 of 2 SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL ORIGINAL TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641 WASTE TRANSPORTER #2 E. C. T. I. WASTE STORAGE SITE BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL ADDRESS P. 0. BOX 7318 ADDRESS 957 WEST REECE STREET CITY SAN BERNARDINO STATE CA ZIP 92411 CITY SAN BERNARDINO STATE CA ZIP 92411 CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure # 1, 3, , 5 or Other. For asbestos removals circle the combination of Rule 1403 procedures used. Procedure 4 and 5 submit plans for AQMD prior approval. 3 ASBESTOS D t �. CIRCLE THE PROCEDURES AND ANALYTICAL METHODS USED TO DETERMINE ASBESTOS IN THE BUILDING: Inspection, PL u k Samplin ey, PCM, TEM, Assumed as Asbestos -PALM, Describe Other: FOR DEMOLITIONS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS REMOVAL: N / A FOR ORDERED DEMOLITION SEND A COPY OF THE ORDER AND GIVE THE AGENCY NAME & PHONE # N / A AUTHORIZING PERSON: TITLE DATE OF ORDER: 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: N / A EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS, EQUIPMENT DAMAGE OR UNREASONABLE FINANCIAL BURDEN: N / A 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, REVISED NOTIFICATION LETTERS WILL BE SENT IF / WHEN APPROPRIATE. REMOVAL WILL BE DONE WITHIN STATE, FEDERAL, CAL/OSHA, and EPA RULES & REGULATIONS. TRAINING CERTIFICATION: I certify that an individual trained in the provisions of regulation AOMD Rule 1403 and NESHAP will be on site during the removal and evidence that the required training has been accomplished by this person will4avble forins ction during normal business hours. BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL SALLY MOORE PROJECT ADMINISTRATOR 11-27-07 Company Name Print name of owner/operatornature of Operator Tittle of Operator Date INFORMATION CERTIFICATION: I certify that,the above information is correct and I have en sed any required attachments. BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL SALLY MOORE PROJECT ADMINISTRATOR 11-27-07 Company Name Print name of owner/operator Signature of Operato Tittle of Operator Date Notifications capOot be accepted without the required fee (AQMD Rule 301). Asbestos removals of less than 100 square feet are exempt from notification and fees. Please make checks payable to "SCAQMD'. Fees are per notification, not refundable, and vary according to the project size. Fees are as follows: PROJECT SIZE in square feet ADDITIONAL SERVICE CHARGES 1,000 or less---------------------------------------------- $ 47.32 1,001 to 5,000 -------------------------------------------- $144.68 Special Handling Fee---------------------------------- $ 47.32 5,001 to 10,000 ------------------------------------------ $ 338.64 Revision to Notification------------------------------ - $ 47.32 10,001 to 50,000-------------------------------------- $ 531.01 Returned Check Fee--------------------------------- $ 31.97 50,001 to 100,000 --------------------------------------- $ 769.56 Planned Renovation------------------------------------ $ 531.01 100,001 or more---------------------------------------- $1,282.60 Procedure 4 or 5 Plan---------------------------------- $ 531.01 ATTENTION: 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 demolition permit. For questions call 909-396-2336. For your convenience please mail the form and fee and do not hand carry to AQMD: MAIL FORM AND FEE TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641 TELEPHONE: (909) 396-2336 FAX: (909) 396-3342 WEB SITE: HTTP://WWW.AQMD.GOV. Asbestos Demolition / Renovation Notification Form 7/2007 Page 2 of 2 'CO ENvsacrw>mvr ac %r avrwa�.�yzaRa Tsra�aararaav, 1. Generator's US EPA ID No. --R-,'1 T ❑ 9 , r r i o 4`. pff,er 5. Transporter 1 Company Na I --- - - -- 9.-Designa ed V.6liry Name and Site Address NILA PAZ Ck: !.Jt7TY LANDFILL _+ 999 HIGHWAY 95 MILE POST 128 ,- -- KI I A Al. Waste Shipping Name andDescription T d R i a. NO14 FRIABLE ASBESTOS WASTE 1111113 L Ij R I z..'.. �I P.O. Boz 731f San Bernardino, CA 92411 Phone (909) 864-7424 Fax (909) W-3744 vlanifest Doc. No: 2. Page 1 40787 Of [ d 6. US EPA ID Number A. Transporter's Phone 8. US EPA ID Number B. Transporte7's 10. US EPA ID Number C. Facility's Phone 928-669--255+ A 'i (1 1 1 1 d. D. Additional. Description for Materials Listed Above E. Handling'Crodes for Wastes listed Above i 15. Special Handling Instructions.and Additional Information I I a) CLIENT: SANDY HAR'IXAN #9869 SITE ADDRESS: SFR - HARTMAN 77049 CALLS ARROBA LA QUINTA EMERGENCY CONTACT: INF'OTRAC (800)535-5053 EPA REGION.IX 75 HAWTHORNE ST. SAN FRA:NCIS(70 CA 94105 (A15)744-1089 SLAW 21865 E. COPLEY DR. DIAMOND BAP CA` 91765 (9u9)s'?b-:.336 TRANSPORTERS. y57 & 53 W. �- RSEC 9 ST. SAN BERNARDINO CA 92411 9., t�. PrtptedrTyped Name Signature Tr . T R 17 Transporter 1 Acknowledgment of Receipt of Materials N Printedrryped Name$ignah- ___ 0 18. Transporter 2 Acknowledgment of Receipt of Materials R _ T PrintedrTyped Name Signature EI R,. 19. Discrepancy Indication Space IF A C ---- L - -- '--- - -- -- - 1 120. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest except as noted in item 19. , 1 T -- Printed/Typed Name -- - f — - - Signature -- — GENERATOR'S COPY Monty Day Year f+' M"", Day Year ------ Moroi Day Year Morxh Day - -)ear SCOTT MORRISON & ASSOCIATES P.O. Box 55329 Riverside, CA 92517 (909)624-1665 ASBESTOS SURVEY REPORT Completed On March 12, 2007 PLM0306#0802 Client: Greg Hartman 77-849 Calle Arroba La Quinta, CA 92253 Project: 77-849 Calle Arroba La Quinta, CA 31855 Date Palm Drive, Ste. 3 #507 Cathedral. City, CA 92234 (760)323-7743 On March 06, 2007 an asbestos inspection and bulk sampling was conducted at the above project address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) from the areas to be remodeled only at the request of the client named above. A total of (08) bulk samples were submitted to Carolina Environmental, Inc. located at: 107 New Edition Court in Cary, NC (NVLAP Code 101768-0 and Cal. Environ. Lab. Cert. #2483) to estimate the percentage of asbestos by volume and determine the type(s) present . Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Bulk samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified by using the visual arena estimation technique and can only determine the approximate percentage of asbestos present. After a thorough search is conducted and no asbestos is detected "none detected" will be noted in the report. The essence of polarized light microscopy is not to emphatically determine that no asbestos is present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample. When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be called for on additional samples to confirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A. protocol provisions of 40 CFR Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable surfacing samples from a homogeneous area be collected and analyzed before any building material is determined to be non -asbestos containing. Scott Morrison & Associates conducts asbestos inspection surveys following the A.H.E.R.A. inspection protocol. ASBESTOS INSPECTION BY: Scott C. Morrison, DOSH,#92-0248 BULK SAMPLES ANALYZED BY: Carolina Environmental,,Inc', NVLAP #101768-0 The results on the following page(s) indicate that asbestos was detected in 01 of the 08 samples analyzed. (1) P.O. Box 55329 Riverside, CA 92517 (909)624-1665 PLM0306#0802 SCOTT MORRISON & ASSOCIATES 31855 Date Palm Drive, Ste. 3 #507 Cathedral City, CA 92234 (760)323-7743 Sample #GH -1 Type of material: drywall Location: living room ceiling Area:throughout interior ceiling -2nd layer Friable:no Results: none detected Sample #GH -2 Type of material :ceiIing plaster/ tan Location:living room ceiling Area:througHout interior ceiling -1 st layer Friable:no Results: none detected Sample #GH -3 Type of material: interior wall plaster Location: interior W. wall of hallway Area:throughout interior walls Friable:no Results: none detected Sample #GH -4 Type of material:final coat/ orange -white Location: hallway ceiling -1 st layer Area: hallway ceiling Friable:no Results: none detected Sample #GH -5 Type of material:base coat/ grey -tan Location: hallway ceiling -2nd layer Area:hallway ceiling Friable:no Results:none detected Sample #GH -6 Type of material:stucco roofing/ white Location: roof above house -1st layer Area:throughout roof Friable:no Results: 2% Chrysotile asbestos Sample #GH -7 Type of material, asphalt roofing/ black Location:roof above house -2nd layer Area:throughout roof Friable:no Results: none detected Sample #GH -8 Type of material: exterior wall stucco/ pink Location:exti' or NW wall J� Y, 1AV . Area: throughout exterior walls Friable:no Results: none,detected (2) P.O. Box 55329 Riverside, CA 92517 (909)624-1665 PLM0306#0802 SCOTT MORRISON & ASSOCIATES 31855 Date Palm Drive, Ste. 3 #507 Cathedral City, CA 92234 (760)323-7743 Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or weight, must be removed by a state certified asbesto abatement contractor prior to any demolition or renovation of the property. Inspector Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 (3) RONMEISMAL,M )out, Cary, NC 27511 4413 Pax: (919)481-1442 Client: Scott Morrison & Associates $1855 Date Palm Dr. Suite 3-507 Cathedral City, CA 92234 Project: PLM0306#0802 LABORATORY REPORT ASBESTOS BULK ANALYSIS CEI Lab Code: A07-1650 Received: 03-09-07 Analyzed: 03-12-07 Reported: 03-12-07 Analyst: Anna Malmberg The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile CELL = Cellulose DEBR = Debris AMOS = Amosite FBGL = Fibrous Glass BIND = Binder CROC = Crocidolite ORGN = Organics SILI = Silicates TREM = Tremolite SYNT = Synthetics GRAV = Gravel ANTH = Anthophyllite WOLL = Wollastonite MAST = Mastic ACTN = Actinolite CERWL = Ceramic Wool PLAS =Plaster N D = None Detected NTREM = Non-Asbestiform PERL = Perlite NANTH = Non-Asbestiform Tremolite RUBR =Rubber Anthophyllite Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used for sample identification. The percentage of each component is visually estimated by volume. These results pertain only to the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger material in question. Unless notified in writing to return samples, Carolina Environmental, Inc. will discard all bulk samples after 30 days: Many vinyl floor tiles have been manufactured using greater than 1% asbestos. Often the asbestos was milled to a fiber size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (ND) reading on vinyl floor the does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive form of analysis for vinyl floor tiles. It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4-82 / 020 for the analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 / 116 have been incorporated where applicable. The detection limit for the method is 0.1 % (trace amount). Carolina Environmental, Inc.'s NVLAP accreditation number is #101768-0. This report is not to be used to claim product endorsement by 'NVLAP or any agency of the U.S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for asbestos using PLM are not covered under NVLAP accreditation. ANALYST I r Anna Malmberg REVIEWED BY ••r &-I-,— Tianbao Bai; Ph.D. Laboratory Director Page 1 t r CAROLMERVF MI ffAL,DdG 107 New Edition Court, Cary, NC 27511 Phone: 919-081-1413 Fax: 919481-1442 Project: PLM0306#0802 Lab Code: A07-1650 GH -1. A577791 DRYWALL ND Heterogeneous, Off-white, Tan, Fibrous, Bound GYPSUM 80 % CELL 20% GH -2 A577792A PLASTER, SURFACE COAT ND Heterogeneous, Tan, Fibrous, Bound PLAS 90% CELL <1 % PAINT 10% A577792B PLASTER, BASE COAT ND Homogeneous, Off-white, Non-fibrous, Bound PLAS 90% CELL <1 PERL 10% GH -3 A577793 INT. WALL PLASTER ND Heterogeneous, Off-white, Fibrous, Bound GYPSUM 90% CELL 10% MICA <1 % GH -4 A577794 FINAL COAT ND Heterogeneous, Orange, White, Fibrous, Bound PLAS 90% CELL <1% PAINT 10% GH -5 A577795 PLASTER ND Heterogeneous, Grey, Tan, Fibrous, Bound PLAS 90% CELL <1 % PERL 10% GH -6 A577796 STUCCO CHRY 2% Heterogeneous, Off-white, Fibrous, Bound CHRY 2% BIND 83 % CELL <1 % GRAV 10% PAINT 5% Page 2 CAROLM ENODNiVEIrAI, Rte. 107New,Edii1donCourt,, Cary, NC 21511 Phone: 919481-1413 Fax : 919481-1442 Project: PLM0306#0802 Lab Code: A07-1650 GH -7 A577797 ASPHALT ROOFING ND Heterogeneous, Black, Fibrous, Bound TAR 35% CELL 60% MICA <1 % HAIR 5% GH -8 A577798 EXT. WALL STUCCO Heterogeneous, Pink, White, Non-fibrous, Bound PLAS 90% CELL <1 % PAINT 10% MICA <1 % ND Page 3 From: Scott Morrison & Associates P.O. Box 55329 Riverside, CA 92517 -(760) 323-7743 CHAIN OF CUSTODY � / /6 rU AP777V t, - 77791 To: Carolina Environmental, Inc. 107 New Edition.Court Cary, NC 27511 (919) 481-1413 NVLAP Code 10176" CA FLAP #2483 Client: 61n 1,44 m4tA Person Taking Samples: SCept C'loon&, Job No. 0q 01 Site Address: 77- 09 Care Afk'`' 4a; 6, oullA Sample # Sample Date Material & Description / -Pb Other Information h . Wo t !tel wc'c,lase iasfQt, _C KVZ� G Fax in Results ? /,7 Yes � 0 No -Relinquished By: Date/Time: - 0314 ?1 -old d 7 -/ Mail/Fax To: Scott Morrison & Asociates, 31855 Date Palm Dr., Ste. #E3-507, Cathedral City, CA 92234, (760) 323-7743 I�� %�li`��i�f►Yi� r I ��iWi�;.. May 14, 2008 City of La Quinta, Department of Building and Safety PO Box 1504 Rancho Mirage, CA. 92247-1504 STRUCTURAL ENGINEERING CONSULTANT 54-625 AVENIDA BERMUDAS. LA QUINTA CALIFORNIA 92253 760.564.0884 PHONE & FAX • VOICE MAIL DENNIS.WISH04-VERIZON.NET CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION ,, 11524 VCRZeY Regarding: Hartman Residence Remo&& 77-849 CalleArroba, La Quinta — 3bucturaa` servation To: Kirk Kirkland and Greg Butler — Building and Safety. In compliance with 1997 UBC Section 1702 (which the work was designed to comply with), a structural observation was performed on the structure located at 77-849 Calle Arroba, La Quinta, CA 92253. The Observation was performed on this building on a regular basis ending on this date (May 14, 2008). An inspection was performed to address modification required to the design following the discovery of Termite damage in February of 2008. As per the 97 Uniform Building Code, Observation was also provided prior to framing inspection (and roof inspection) to confirm that all structural details, including modifications and detail changes, have been performed in compliance with the structural design and with the approval of the Engineer of Record noted in the title block of this report. All load paths, blocking, sheathing and modifications noted herein have been observed and this report is issued as notice of compliance and/or indications of non-compliance that must be corrected (see below). REVISIONS: In addition to the observation report, modification to the original cantilevered columns (6x6 DF Posts) in the front of the entry porch due to the discovery of bedrock and decomposed granite boulders. The wood columns embedded in the flag pole foundations noted on the original drawings have been replaced with two tube steel columns — TS 6x6xl/4" (HSS 6x6xl/4") (Fy--46 ksi) welded to alt -inch square by '/a -inch thick base plate and secured to a new grade beam foundation ("U" shaped) as shown in the attached details R-01 and R-02. The steel columns were fabricated by White Steel who issued shop drawings to the General Contractor — Hartman Construction and approved by the EOR who has wet sealed this report. All welding was done in the shop of an approved fabricator under the supervision of a certified welder licensed in the City of La Quinta. A copy of the shop drawings is to be submitted to the city official prior to issuance of a certificate of occupancy. All welds are minimum '/4 -inch fillet welds. The base plate is secured to the top of grade beam upon 1-1/2" minimum dry pack grout for level. Please note that in order to accommodate the slope of the landscape from the front of the home, the porch is constructed as shown in the above mentioned details and the steel columns are embedded above the grade beam in a 22" minimum (24" max) square concrete pier that is set with the top of concrete equal to the top of the interior finished slab on grade. The mass of the concrete, plus the anchorage of the column to the grade beam dowelled to the existing or new northeast elevation of the residence (front door entry) provides more than sufficient mass to control the bending in the column and to create fixity of the base plate and anchor bolts to the grade beam below. Furthermore, the change from a 6x6 DF post originally embedded into a TS6x6x1/4" sleeve has been replaced with a much more rigid tube steel column — full height to the bent plate connections securing the roof drag truss (double truss) originally designed for an R=2.2 that increased the actual lateral load by more than 100% overly conservative. The only other revision required in this home was the replacement of plywood shear wall located on sheet S2.1 in Grid Line 2 due to the damage discovered caused by termites. It was not possible to obtain the capacity required in the remaining stud walls attached to .the existing foundations for a required equivalent of 12 -feet of 430-plf plywood shear or 5160 -pounds of shear required to be collected in grid line 2. As an alternative, the plywood shear wall was replaced with a Hardy Frame HF78x24 1-1/8" dia. X 10" minimum embedded anchor bolt at each end which was installed as shown in attached detail R-03 along Grid Line 2 in the new closet extension to the master bedroom. The extension included a new foundation and slab on grade that was dowelled into the existing concrete slab on grade (as shown on the original plans and details), but the width of the tum down edge of the slab was widened to allow for proper embedment of the 1-1/8" diameter SAE 1018 threaded rod w/ a 2-1/2" square x'/a-inch thick plate washer and two nuts at the , embedded end of the bolt. The anchor bolts and shear anchors that were supplied with the Hardy Frame were installed using the manufacturers templates to tie the anchors in place prior to placement of concrete. The capacity of the new Hardy Frame as noted in the Hard Catalog for an R of 5.5 similar to the original 1 ood and in compliance with Hard 's ICBO report for a frame laced on Y g (plywood) r�jerP Y eP P the concrete rather than wood is found on page 11 of the product catalog number 6-06A. The allowable shear for this product is 5,326 - pounds which exceeds the 5,160 -pounds required on the original plan. STRUCTURAL ENGINEERING FOR -CUSTOM HOMES - REMODEL- COMMERCIAL • UGHT INDUSTRIAL- SEISMIC RETROFIT & REPAIR - UNREINFORCED MASONRY • RETAINING WALLS & FOUNDATION- REPORTS: DAMAGE ASSESSMENT -NEIN ROOF -INSURANCE CLAIM- OENNIS S. WISH P.E. HAS BEEN A MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 19113 Page 2 All other work was done in compliance with the original drawings. In some locations, the method of installing continuous blocking was revised from manufactured truss blocking to 2x top and bottom plates with a plywood web nailed to the plates with 8d common nails at 6" o.c. maximum (as noted on the drawings). Photographs of all connections have been recorded and are available upon request if any questions arise that are not covered by the attached details. Excerpt from 1994 Uniform Building Code Section 1702 — Structural Observation: Structural Observation shall be provided in Seismic Zone 3 or 4 when one of the following conditions exists: 1. The structure is defined in Table 16-K as Occupancy Category I, IF or III or, 2. The structure is required to comply with section 403, or 3. When so designated by the architect or engineer of record, or 4. When such observation is specifically required by the building official. The owner shall employ the engineer or architect responsible for the structural design, or another engineer or architect designated by the engineer or architect responsible for the structural design, to perform structural observation as defined in Section 220. Observed deficiencies shall be reported in writing to the owner's representative, special inspector, contractor and the building official. The structural observer shall submit to the building official a written statement that the site visits have been made and identifying any reported deficiencies which, to the best of the structural observer's knowledge, have not been resolved. ® The structure was found to be in conformance with the design details, framing plans and structural notes. The engineer responsible for the structural design has certified to the best of his knowledge that the building complies with the design, drawings and details for the lateral resisting system. Structural revisions have been made and confirmed by the engineer responsible for the structural design on this day (May 14, 2008). This letter shall be submitted to the building official to certify that compliance with Section 1702 and Section 220 of the 1997 Uniform Building Code to confirm revisions made. The engineer certifies to the best of his knowledge that the structural revisions have been resolved and is in conformance with the intentions of the structural design, drawings and details. All other work was inspected and found to be in compliance with the structural engineering plans. At the engineer's and owner's discretion, some connections were improved to protect the connection from lateral motion. It was not necessary to detail these as the corrections were done to improve the connection where mechanical straps would not work (sandwiched 2x studs were used and nailed in place to improve the connections where deemed necessary. Thank you for allowing me to represent your engineering needs. Sincerely, Dennis S. Wish PE Structural Engineering Consultant Dot SO1.01 1/09/99 STRUCTURAL ENGINEERING FOR • CUSTOM HOMES -REMODEL • COMMERCULL • LIGHT INDUSTRIAL • SEISMIC RETROFIT & REPAIR . UNREINFORCED MASONRY • RETAW WG WALLS & FOUNDATION . REPORTS: DAMAGE ASSESSMENT. NBN ROOF .INSURANCE CLAIM • DENNIS S WISH P.E. HAS BEEN MEMBER OF THE STRUCTURAL ENGINEERS ASSOCIATION OF SOUTHERN CALIFORNIA SINCE 1983 I TITLE 24 REPORT I Title 24 Report for: Hartman Residence 77849 Calle Arroba La Quinta, CA 92253 Project Designer: Ricardo Aguilar 66309 Pierson Blvd Desert Hot Springs, CA 92240 (760) 272-5183 Report Prepared By: Ricardo Aguilar RC Group 66309 Pierson Blvd. Desert Hot Springs, CA 92240 (760) 272-5183 CITY OF LA QUINTA BUILDING & SAFETY DEFT. .APPROVED FOR C .NSTR ON DA � Z BY Job Number: 774172013 Date: 10/8/2007 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 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.3 by EnergySoft Job Number: 774172013 User Number: 5999 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 8 Form WS -5R Residential Kitchen Lighting 10 HVAC System Heating and Cooling Loads Summary 11 EnergyPro 4.3 by EnergySoft Job Number: 774172013 User Number: 5999 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R Hartman Residence Project Title Total Conditioned Floor Area: 1,895 ft2 10/8/2007 Date 77849 Calle Arroba-I Project Address a Quinta Existing Floor Area: 1,027 Building Permit # RC Gro (NE) 45 deg Raised Floor Area: (760) 272-5183 ft2 Documentati n Author Propane Telephone Plan Check/Date n .ravPro Compffilce Method Fenestration: CA Climate Zane 15 Climate Zone Field Check/Date TDV Standard Proposed Compliance Avg. U: 0.36 (kBtulsf-yr) Design Design Margin 10.2% Avg. Space Heating 9.46 0.86 8.60 BUILDING ZONE Space Cooling 106.85 67.66 39.20 Zone Name Fans 14.95 9.49 5.46 Area Domestic Hot Water 19.62 28.07 -8.44 2 Pumps 0.00 0.00 0.00 Totals 150.88 106.07 44.82 Standard: Building Type: Y Single Family ❑ Addition Total Conditioned Floor Area: 1,895 ft2 ❑ Multi Family [ Existing + Add/Alt Existing Floor Area: 1,027 ft2 Building Front Orientation: (NE) 45 deg Raised Floor Area: 0 ft2 Fuel Type: Propane Slab on Grade Area: 1,895 ft2 Fenestration: Average Ceiling Height: 8.5 ft Area: 194 ft2 Avg. U: 0.36 Number of Dwelling Units: 1.00 Ratio: 10.2% Avg. SHGC: 0.55 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area New F U & A/C 1 895 1028 _1.00_ Conditioned gethnCk- 2 n/a OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Wall Wood 36 0076 R_13 R-4 0 270_ An Wall Wood 132 0156_ _None R-0 0 45 go nnor None 20 0.500 None _R-0.0 45_ Ar) Wall Wand- 76 n .156 None X0_0_-45_ An Wall Wood 85 0.076 R-13 R-4.0 135_ 90 Wall Wood 271 _Q.$56_ NonA R-0 0 225_ go Door None 20 0 500 Nnne R-0 0 _22-1; An Wall Wood 240OVA A Nnne -n 0-315_ 9.Q Roof Zfood- 1 027 _0...0.7.9_ R_11 R-0 0 45_ 0 Roof Wood- 1 027 _0..025_ -38_ -0 0 a a Wall Wood 99 -007f; R-13 -40 315_ 9.0 Wall Wnod 23.5 0 076 R-13 R-4 n 45 A0 Door None 20 0.500 -None R-0 0 45_ 90. Wall Wood- 72 _0102 R-13 R-0-0 135 9.0 Wall wood- 250 _0.102 -R-13_ R-0.0 925_ 9.0 Boot Wood_ 864 0"025 R-38 R-0.0 0_ 0 Gains Condition Y / N Status JA IV Reference Location / Comments Aitered 09-A4 (F=09_A1) xi -tin Residence Removed 09-A1 xisting Residency Removed 28-A4 xisting Residence Fxisting 09-A1 Fxisting Residence Altered 09-A3 (.(`09A1) Existing Residence Removed MAI xisting Residence Removed 28-A4 xisting R@Sid -n y Removed 09-A1 Fxisting Residence Removed 01-A2 xisting R _sid -n y New 01-A18 -Existing-Residence New MAI Proposed Addition New MAI Proposed Addition New 28-A4 Proposed Addition New 09-A3 Proposed Addition New 09-A3 Proposed Addition New 01-A18 ptopQsed Addition I EnemvPro 4.3 by EnemvSoft User Number. 5999 Job Number: 774172013 Pane:3 of 11 1 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Hartman Residence 10/8/2007 Project Title Date FENESTRATION SURFACES # Type Area U -Factor' SHGC2 True Cond. Azm. Tilt Stat. Glazing Type Location/ Comments 1 2 Window Window Front Front (NE) (NE) 28.0 -1 -280,16A -QM 116=13 45_ -90_ Removed.Single Metal Clear 16.0 1.280 116-A 0_80 116-6 45 90 RemovedSingle Metal Clear Existing Residence Existing Residence 3 Window Front (NE) 32.0 1.280 116-A 0_80 116-6 45 90 RemovedSingle Metal Clear Existing Residence 4 Window Front (NE) 40.0 0.360 NFRC 0_54 NFRC 45 90 New Pella ThermaStar Low -E Vinyl Existing Residence 5 Window Left (SE) 3.0 0.360 NFRC 0_54 NFRC 135 90 New Pella ThermaStar Low -E Vinyl Existing Residence 6 Window Left (SE) 3.0 0.360 NFRC 0_54 NFRC 135 90 New Pella ThermaStar Low -E Vinyl Existing Residence 7 Window Left (SE) 16.0 1_280 116-A 0_80 116-6 135 90_ RemovedSingle Metal Clear Existing Residence 8 Window Left (SE) 40.0 1.280 116-A 0.80 116-6 135 90 RemovedSingle Metal Clear Existing Residence 6 Window Left (SE) 40.0 0.360 NFRC 0.54 NFRC 135 90 New Pella ThermaStar Low -E Vinyl Existing Residence JD Window Left (SE) 4Q 0.36 NFRC 0.54 _NFRC 135 90 New Pella ThermaStar Low -E Vinyl Existing Residence 11 Window Left (SE) 5.0 1.280 116-A 0_80 116-B 135 90 RemovedSingle Metal Clear Existing Residence 12 Window Rear (SW) 4.0 1.280 116-A 0_80 116-B 225 90 RemovedSingle Metal Clear Existing Residence n 14 Window Window Rear Rear (SM (SW) 40.0 9.0 1.28, 11 -A o.80 116-B -225 -9Q_ RemovedSingle Metal Clear 1.280 116-A 0_80 116-B 225 90 RemovedSingle Metal Clear Existing Residence Existing Residence 15 Window Right (NW) 9.0 0.360 NFRC 0_54 NFRC 315 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 16 Window Front (NE) 20.0 0.360 NFRC 0_54 NFRC . 45 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 17 Window Front (NE) 35.0 0.360 NFRC 0_54 NFRC 45 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 18 Window Front (NE) 5.0 0.360 NFRC 0_54 NFRC 45 90 New Pella ThermaStar Low -E Vinyl Proposed Addition >6 Window Front (NE) 5.0 0.36 NFRC 0.54 NFRC 45 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B 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 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 0.76 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Run Initiation Time: 1010810719:46:23 Run Code: 1191897983 EnergyPro 4.3 by EnergySoft User Number. 5999 Job Number: 774172013 Page:4 of 11 Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Insulation PERIMETER LOSSES Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 190 None No Insulation 26-A1 Existing Existing Residence Slab Perimeter 116 None No Insulation 26-A1 New Proposed Addition Run Initiation Time: 1010810719:46:23 Run Code: 1191897983 EnergyPro 4.3 by EnergySoft User Number. 5999 Job Number: 774172013 Page:4 of 11 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Hartman Residence Pra',ect Title Date 10/8/2007 FENESTRATION SURFACES # Type Area True U -Factor' SHGC2 Azm. Tilt Cond. Stat. Glazing Type Location/ Comments 2a Window Rear (SSW 20.0 n 115 NFRG _0 54 NFRC295 _9.0_ New Pella ThermaStar Low -F Vinyl Proposed Addition 21 Window Rear (SW) 3.0 0.360 NFRC 0_54 NFRC 225 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 22 Window Rear (SW) 3.0 0.360 NFRC 0_54 NFRC 225 90 New Pella ThermaStar Low -E Vinyl Proposed Addition 23 Skylight Right (N) 4.0 0.560 NFRC 0;82 NFRC 0 0 New Bristolite Skylight Proposed Addition 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEM. REA Dist. Len. Hgt. Dist. Len. Hgt. 20 Bug Screen 0.76 21 By Screen 0.76 22 Bug Screen 0.76 23 None 1.00 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Run Initiation Time: 10108107 19:46:23 Run Code: 1191897983 EnergyPro 4.3 by EnergySoft User Number: 5999 Job Number: 774172013 Page:5 of 11 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Hartman Residence 10/8/2007 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type New FAU & A/C Packaged Heat Pump 7.60 HSPF Packaged Heat Pump 13.0 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? New FAU & A/C Ducted Ducted Attic 6.0 New No Hydronic Piping pipe Pipe Insul. System Name Length Diameter Thick. 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) (gal) Status or RE Loss (%) Ext. Whirlpool 50 Gal E1F50RD045V Small Elec. No Pipe Insulation 1 4,500 50 New 0.90 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 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 Owwngr (per Business & Professions Code) Name: P_ I Man C) , A_CZ & L'0r� Title/Firm: Ricardo Aguilar Name: ' Title/Finn: Address: Telephone: Documentation Author Name: Ricardo Aguilar Title/Firm: RC Group 66309 Pierson Blvd Address: (760) 272-5183 Lic. #: 5 `Ci `C Agency (signature) (date) Pierson Blvd. Desert Hot Springs, CA 92240 I EnergyPro 4.3 by EnergySoft User Number: 5999 Job Number: 774172013 Paae:6 of 11 1 Certificate Of Compliance: Residential (Part 4 of 4) CF -1 R Hartman Residence 10/8/2007 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 justification and documentation submitted. Plan I Field IThe Roof "R-38 Roof Attic" includes credit for a Radiant Barrier installed Der Section 3.3.3 of the Residential Manual. I I I HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a HERS provider using approved testing and/or verification methods. —OWn7 Field I EnergyPro 4.3 by EnergySoft User Number. 5999 Job Number: 774172013 Page:7 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 ENFORCE - permit application documentation. WA DESIGNER MENT Building Envelope Measures § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ R ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑ ❑ § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ ❑X ❑ apply to exterior mass walls). § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ ❑X ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. closable metal or glass door covering the entire opening of the firebox ❑ ❑ ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 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 pemVinch. § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ ❑X ❑ CF -6R Form: § 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 Solar Heat Gain ❑ ❑ Coefficient (SHGC), and infiltration certification. 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. ❑ 0 ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑ ❑ § 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ insulation or R-16 intemal 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ indirect hot water tank shall be insulated to Table 150-8 and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑ ❑ 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: 5999 Job Number: 774172013 Page:8 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 ENFORCE-1 applicable. 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 retum-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 ❑ ❑ ❑ 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 Watts 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, ❑ ❑ ❑ 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 less than 70 ft) OR by dimmer OR ❑ ❑x ❑ closets are controlled a switch are controlled by an occupant sensor that complies with Section 1'19(d) that does not tum 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 ❑ ❑x ❑ 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 ❑ ❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water 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: 5999 Job Number: 774172013 Page:9 of 11 Residential Kitchen Lighting Worksheet WS -5R Hartman Residence 10/8/2007 Preject 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. Luminaire Type High Efficacy? Watts High Efficacy Quantity Watts Other Watts (1) 24w Linear Fluorescent T5 HO Elec Yes X No F 27.0 x 6 = 162 or 1 26w Compact Fluorescent Triple 4 Pin Yes X1 No 1 28.0 x 3 = 84 or Recessed Incandescent Yes No I X 75.0 x 2 = or 150 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 I x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Total A: 246 B: 150 COMPLIES IF A z B YES ® NO ❑ EnergyPro 4.3 by EnergySoft User Number: 5999 Job Number: 774172013 Page: 10 of 11 IRVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Hartman Residence 10/8/2007 SYSTEM NAME FLOOR AREA New FAU & A/C 1,895 Number of Systems 1 Heating System Output per System 45,000 Total Output (Stuh) 45,000 Output (Btuh/sgft) 23.7 Cooling System Output per System 47,000 Total Output (Stuh) 47,000 Total Output (Tons) 3.9 Total Output (Btuh/sgft) 24.8 Total Output (sgftrron) 483.8 Air System CFM per System 1,000 Airflow (cfm) 1,000 Airflow (cfm/sgft) 0.53 Airflow (cfm/Ton) 255.3 Outside Air (%,) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions 26.0 OF 3� Outside Air 0 cfm 67.5 OF 10.0 / 77.6 OF Outside Air 0 cfm 81.1/59.6 °F 4.3 by a7 r or Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD Heating Coil COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent I ible 709 22,808 3,170 1,126 25,568 0 3,285 2,697 0 0 0 0 0 0 0 0 0 3,2851 2,697 29 379 3170 30 962 )rk B'HP048 38,740 0 28,106 Total Adjusted System Output 38,740 0 28,106 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am im Temperatures at Time of Heating Peak) 93.9 OF 93.9 OF Supply Air Ducts Supply Fan 91.3 °F 1000 cfm ROOMS 70.0 OF k Return Air Ducts 4 81.1 / 59.6 OF 44.7 / 43.0 OF 0 Cooling Coil Supply Fa 1000 cfm User Number: 5999 44.7 / 43.0 of Supply Air Ducts Fan 47.8 / 44.5 of 29.9% R.H. ROOMS 78.0 J 58.5 OF Return Air Ducts `S Job Number. 774172013 50 Gallon Electric Water Heater i 11.4tt eiM lic tnW ftetw Welcome to Lowes.com tQ MY STORE Palm Springs, CALIF. Keywords or it Lowes.com c 'search, Home : Appliances : Water Heaters : Electric Water Heaters Page 1 of 2 `DART (0) items Registe I Loan 61ITCAIDS I &IFTADwsoR I IYSTALLAMON.SERV11M I WFH[IrAOS I MW $4.99 Parcel Slipping;ort`Order $1 9:94, Atiove:t�7. j Whirlpool ' 50 Gallon Electric Water Heater Item #: 121802 Model: ElFSORD045V $244.00 * Product Availabiltty: Ash Online Shipping Options include • Lowe's Home Delivery +; In Store Reflects Lower Local Price. Buy online and pickup at your local Lowe's store: Click to Enlarge LOWE'S OF PALM SPRINGS, CALIF. Mscripbon L ffffl , (4.1) Height (Inches): 50 Installs in 22° wide opening Diameter (Inches): 20 Two 4500 watt/240 volt copper elements Energy Factor: .90 20.7 gph recovery Installation: 1-877-GO-LOWES 1" foam insulation Porcelain tank lining protects from corrosion 6 year tank and parts warranty Extended Protection Plans are available for an additional charge Need Help? • Contact us • Find Your Local Store • Rebate Center Inspiration and Help from Us • Product Guides Be informed before you buy. • How -To Library Projects and ideas for do-it- yourselfers. • Project Calculators Plan your projects with these helpful tools. Lowe's Credit Services Finance your ideas. J No annual fees. Low } monthly payments. Learn more Apply now Sign up to receive our latest Service Customer.Care Our Promise otters by e-mail. Lowe's Credit Services Rebates Everyday Low Prices Gift Cardc Recalls Brands Yoij Know & Trust You@email.com Sj n -- Installation Services Returns and Refunds Security and Privacy Pledge Protection Plans Shipping Rates and Policies ,ppr Orders Warranties http://www.lowes.com/Lowes/lkn?action=productDetail&product1d=121802-000000135-E... 10/8/2007