09-0357 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000357
Property Address:
53490 AVENIDA RUBIO
APN:
774-073-012-13 -000000-
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8219
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GILMORE BEN
54955 AVENIDA ALVARADO
LA QUINTA, CA 92253
(
Contractor:
Applicant: Architect or Engineer: Owner
oZA11' AN
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: 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 Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 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 ISec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
' improve for the purpose of sale.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this son
Date; 71 4,1.1 V rOwner:
1' I CPNSTRUCTION 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
VOICE (760) 777'7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/29/09
WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of. the Labor.
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: '
Carrier Policy Number
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to beco a subject to the workers' compensation laws of California,
and agree that, if I should becom ubject to the workers' compensation provisions of Section
�1 700 of the Labor C , I shal be/
comply with those provisions.
,Date: li Applicant;
WAR NIN FA URE TO SECURE WORT RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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, orces tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr tion, and hereby authorize representatives
of this county to enter upon the above-mentioned prope r ins coon purposes.
Date: Z.`L Signature (Applicant or Agent):
Application Number . . . . . .09-00000357
Structure Information RESIDENTIAL REMODEL W/PATIO COVER
Other struct info
CODE EDITION 2007CBC/CMC/CEC
-------=--------------------------------------------------------------------
# BEDROOMS
3.00
Permit •. . . .
BUILDING PERMIT
Additional.desc .
Permit Fee . . . .
108.00
Plan Check Fee
70.20
Issue Date .". . .
Valuation . . . .
8219
Expiration Date
10/26/09
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
7".00 9.0000
------------------=---------------------------------------------------------
THOU BLDG
2,001-25,000
63.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
26.25
Plan Check Fee
6.56
Issue Date . . . .
Valuation . . .'.
0
Expiration Date
10/26/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
15.00 .7500
-------------------------------
PER -ELEC
-----------------
DEVICE/FIXTURE 1ST 20
----------------------------
11.25
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . .
36.00
Plan Check Fee
9.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/26/09
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
Permit . .
PLUMBING
Additional.desc .
Permit Fee
.48.00
Plan Check Fee
12.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/26/09
- Qty Unit Charge
Per
Extension
BASE
FEE-
15.00
LQPERMIT
Application Number . . . . . 09-00000357
Permit . . . PLUMBING
Qty Unit Charge Per
"Extension
5.00 6.0000 EA PLB FIXTURE
30.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
---------------------------------------------
----------------
Special
Special Notes and Comments
-
RESIDENTIAL REMODEL:
-INTERIOR SIDE YARD PATIO COVER [CITY
SPEC]
"-HVAC CHANGE OUT [HERS VERIFICATION]
-PARAPET WALLS AROUND ENTIRE RESIDENCE
[ENGINEERED]
-ALTERATIONS TO ELECTRICAL AND PLUMBING
SYSTEMS [SEE ATTACHED LIST BY OWNER]
-WINDOW CHANGE OUT [AT KITCHEN ONLY]
THIS PERMIT DOES NOT INCLUDE FRONT PATIO
COVER SEPARATE ENGINEERING REQUIRED.
April 29, 2009 12:11:45 PM AORTEGA
---------------------------------------------------------- ------------------
Other Fees . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
7.02
STRONG MOTION (SMI) - RES
.82.
Fee summary Charged Paid Credited
Due
Permit Fee Total 218.25 .00 .00
218.25
Plan Check Total 97.76 .00 .00
97.•76
Other Fee Total 8:84 .00 .00"
8.84
•Grand Total 324.85 .00 .00
324.85
Bin #
City Of La Qu, inta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760): 777-7012
Building Permit Application and Tracking Sheet
Permit #
.�Zj�
Project Address: �j 3— �� d Av EcU) 9 4, U 1 U
Owner's Name: g e G i
A. P. Number:
Address: Sy A L V A a A D 6
Legal Description:
City, ST, Zip: LA v (J I A C -A 225 3
Contractor:
r3Uf.�- /tom
Telephone?�
:::. ;:;<:.;:::,;: ?;:<>> ::> :;:::'. "". :
:: .;,. ':�a•'>�:>
Address:
Project Description: 10,412, 19:c—T— W.4 (-LS 61-)
City, ST, Zip:
C�•I S'-1lJ � �� � •
Telephone:
">::>::::>''<:;:°:>:»::>:>:>•••.s><.>•r:E ::;:s::>::>::>::.
4: �' is :'i,.:.'•: L $ G.
State Lic. # : City Lic. #:
Arch., Engr., Designer:. GI� u L1,'— &AYLt—A tJ p
CAWU, AIT
Address:
City., ST, Zip:
Telephone:
``•.:l;?>;>:::>::>::f:>::.>.,;:>::>>` ::^:a:>:::s:
::<;::;:::<:;::;;:;<:;.::::.:r.;•: •<.;:•:.i
:
•.. :...
Construction Type: Occupancy:
Lic. #: �
a circle one . New Add'n Alter Repair DemoState
Project typ
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person ,-? (ob, d1i — i7 'M Estimated Value of Project: "0,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACIONG
. Plan Check submitted 7 Zuj
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
34 Reyiew,.ready for correctionstiss c
Developer Impact Fee
Planning Approval
Called Contact Person
LIDA.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
cul-4rRucTI®N H®ups
October 1st - April 30 ' v S
.Monday -.Friday: 7:00 a. . to 5.30 p.m.
Saturday:. _.... 8:00 a.
Sunday: :,;, None
Government Code H6idki21' 0 wo b A 3 5 97+9 q --
May 1st - September•30th n ��
Monday - Friday - to 7:00 p -nu
Saturday: 8..--004U . 0 5:00_p.m. ,
Sunday: NOe
Doveraj0 Cod o s= .. None
Construction is NOT PERMITTED
. �,NT� .�o (.
on the following Code Holidays:: _.... ..... .
• r. G1�14►�GcS �a£v� GO►t'�TdL�c�-i'�AC� 6�tt D4 •
l:,..,.Newyear`s Day.
Dr. Martin Luther King.
M At- R.. �cD R. abs •-- No -C m—A .� �xc=�t�'C .... vV .wt��l • �w ��s.
i ,President's Day.,
fsc�'i 'c3E 2uo w� Z - Na -r �-� a CT `.' '.�
Memorial Day .
IA -
Independence
Day.:..C'. . .
- i
labor Day . Ltv {rtC� IZoorn 2t►n�,ov� iZ.--..:.1z . x lz. 'i'ttS �P�c.E/ .
.:Veteran's Day C � Q� I -f -be, � AT>D
Thanksgiving Day
t-rLc n1 -AS Ke !D.. . ti1� . l� : TO
LA QUINTA � - c.�a6 t,��t'� .� �LeP�,,ack -':.. w�►5 . a��s.. ... • .
Y+ES wt.�
BUILDING &SAFE;TYDEPT....R�.(�i..dc.
APPROVED
FOR ONSTRUCTION AV 0cD SNnA�.�, I°ANT2� . -ice.. G4 �.. .... K �Tccs
ALL
DATE BY ..- .
tZ E t t,, STau. �N t on L4 eJ S
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L j,A1RrGAwa. 511= Pme. &AWL G'pi. �� W � �� �. Nt UJ VAN VAv .
09pt o D,
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pJ�•l�i..Z��4 C, AnDEQ �OP� . uRS.. paRo►S.; clSt►�t(s
LE
N ADEQUATELY SIZED DEBRISN
TL.REQUIRED ON THE 106 f' A `
IASES OF CONST ST BE SS} Aoq GREEN Bo�.RC 'To Au. AR.�AS
IPTIEDASNECESSARY:fAf�DO`s0 ..�.,:..•� '".�..a.- 'SUtt2uvN'at� DIST! rtUg.,SilcR-
WCAUSE THE CITY TOHAVE THE tONTAINER C• At?p' -T1 LE oa fop OF. 64%Er\ o9��2R
1MPED AT THE EXPENSE OF,THE OWNER/ �.
)NTRACTOR." : f<<: �zt� P2o6a�E s NovJ S'TePP•�D
A. RE -INSPECTION FEE F...B- ._ PRtr ealel - 126* o4s , '2EPaGS I:IZo*�'C . 7% v��. �3'x
WILL BE CHARGED IF THE APP �,, �- A Ntw 7�'C L i ooti. C o.x.6 •SAS SIZE
PLANS AND. JOB CARD ARE N N , .,, - -
THE ,SITE FOR A 'SCHED- Ci.eSv ���- . �0o2:,�i�J K 1"Cc'�
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_
JCERTIFICATE OF GOMPI.IANCE:ESIDN.TIAL age l of 5 CF -1R
.Project Title
Date r d w
Project Address
3L�
Documentation Author,,
�' Telephone _ -
Compliance MethoS(Pres cri)tive). Climate Zone
♦�R .
`• Alternative Component Package.lvlethod: (check one) ::C ✓ D _D.(Altemative)
Package C and.Package D choices require HERS rater field verificanon and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see AppendixB Table 151-C Footnotes 814 in the Residential ComplianceManual(RCM)
.GENERAL INFORMATION
Total Conditioned Floor Area (CFA)
��•.�;�
Average Ceiling Height: ft `
Check Applicable Boxes
Building Type: (check one or mores .- Single Family Y. Multifarnily Addition Alterauon
(if adding fenestration fill -out WS41Fenestration Maximum Allowed. Area Worksheet and see Section 8.5.2.
for Additions and 83.3 for Alterations in the RCM.)
• Maximum Allowed TotaLFenestration Area_
tf (from WS -4R)
Maximum Allowed West Facing Fenestration Area fe (from -WS -4R)
- - — e -,- 1 umber or Sturies: • : :` Number of Dwelling Units: -!
• Floor Construction Type: - Slab/Raised Floor (circle one or both)
• Front Orientation: North / South / East / West : All Orientations (input front orientation in degrees .
from True North and circle one).
0 RADIANT BARRIER (check box if required in climate zones 2, 41 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type Cavity
(Wood or lnsulation
Metal R -Value
Assembly. U-
factor (for wood,
Continuous metal frame and
Insulation mass
R -Value assemblies)
Joint..
Appendix
IV
Reference
a
,j
y
s 5r
�::; .#
z
Location
Comments
(attic, garage,
ical etc.
.1) See Joint.Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the U -factor criterion. U -factors cannot exceed -
prescriptive prescriptive value to show equivalence to -values.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005
r
CERTIFICATE OF COMPLIANCE; RESIDENTIAL. (Page 2 of. CF. IR
Project Ti11e Date
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R — must be included for New
Construction, Additions,. and Alterations.
Fenestration
Minimum
Efficiency -
AFUEorHSP-(ducts,,attic
Exterior
#lTypefts..(Front,
Orien-.
Shading/Overhane'
Left, Rear, Right,
Cation, •Area U -factor
SHGC ✓ box if WS -3'R is
S li t
N SEW! , ft U -face =` Sourced SHGC4
Sources included
13
O
13
i)
Skylights are now included in West -facing fenestration area if the skylights aie.tilted to the west or tilted in any -direction when
the pitch is less than 1:12: See § 15.1(f)3C and in Section 3.2.3 of the Residential Manual.
2) Enter values in this.column from either NFRC Certified Label or from Standard§'Default Table 116-A.
3) Indicate source either from NFRC or Table 116-A,
.4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R
i.)- indicate source. either. from NERC, Table _116R:or :WS -3R'
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior. Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
IS 50%AtH 1WIA4
Heating Equipment
Type and Capacity
furnaceheatpump,boiler, etc.
Minimum
Efficiency -
AFUEorHSP-(ducts,,attic
Distribution'...
Type and Location
etc.
Duct or Piping ` 'Thermostat Configuration
R -Value Type s litcr package)
TAC 'v (e
4Them
OU C
M
'Cooling Equipment
e and Capacity
A/C eat um , vap.
coolin
Minimum
Efficiency Distribution
(SEER or Type an ocarion Duct or Piping figuration
EER duce atti etc." R -Value s it rpackage); r
tyj DO F,t,.-
TAC 'v (e
4Them
OU C
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Eage 3 of 5) CF -IR.
Project Title Date
AA s, ig : �4 CF -4R Form must be provided to the building department for each home for which the following are required.
■ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification re uired.
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required.)
❑ Refrigerant Charge (climate zones 2 and 8-15. only) (Installer testing and certification and HERS Rater field
OR
0 Altemative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Proiect Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
❑ No ducts installed.
❑ New ducts from existing space conditioning ui men not exceeding 40ft.'in len
For additions and alterations, duct -systems that are not documented to have been previously sealed as confirmed
❑ through field verification and diagnostic, testing in accordance with procedures in the Residential ACM Manual.
Duct systems with more than 40 linear.feet in unconditioned spaces shall meet the requirements of Section 150(m)
and duct insulation requirements of Packaee D.
HEATING SYSTEMS
❑ Check box if system meets criteria of a "Standard" system. Standard.system is one gas-fired water heater per dwelling
unit. If the water heater is a sto e type, 50 gallons is the maximum capacity and recirculation stem is not allowed.
❑ Check box when using Preapproyed Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating. calculations are required, and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑ Alternative Water Heating table. In this case; the Performance Method must be used land must be included in the
submittal.
❑ Check box to verify that a time control is required for a recirculating systempurnp for..a System serving multiple units
o stems serving single awei
Ing units See RM Table 54, Alternative Water
Heating Systems for recirculation requirements)
Water Heater
T ueI T
Distribution
T e
Number
in S, stem
Rated
Input
Btu/hr
Enemy Tank
1 k Factor or External .
Capacity Thermal Standby' Insulation
(gallons) Efficiency Loss % R Value
AU
.1
J_
I
Svsteni servine multinle dwelling unite (See Residential Mannal Seetinn 533)
Water. Heater
Type
Distribution
Type
Number
in System
Rated Enemy Tank
i Tank Factor or External
(kW or Capacity Thermal Standbys Insulation
Btu/hr(gallons) Efficiency Loss. % R -Value
IL
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 greater than 75,000 Btu/hr), list Rated Input, .Recovery Efficiency, Thermal
Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) C&
Project Title .
Date
SPECIAL FEATURES REOURUNG BUILDING OFFICAL or HERS RATER VERIFICATION
Indicate which special features are parts of this project The list below only represents special features relevant to the prescriptive method.
(Check ADDlicahle h(ve-0
tJWater heater distribution credits I,
Residential Compliance Forms December 2005
1
Building Official .
HERS Rater
Verification of
HERS Rater
Diagnostic
Category
Special Features
Verification
Testing
Measure
Ducts
❑
U7
'`
100% of duds in crawispace/basement
^.:..��
Y
Buried ducts
❑
Y
Y
Diagnostic supply duct location, surface area, and R-value
Duct increased R -value
❑
't zr=
_ �
Y Dud leakage
❑
'wr
Duds in attic with radiant barriers
❑
#
Y
Less than 12 it. of dud outside conditioned space
O
=v :;Y
Non-standard dud location
❑
=x .}a1jPP
Su Iasters within two f floor
Y reg ff'o
Envelope
❑
Air retarding wrap
❑Y'
'
Cool roof
❑'x
Exterior shades
❑
High thermal mass
❑;K;`_Y
Inter -zone ventilation
Metal framed walls
❑.n
_ _
Non -default vent heights
tea=
Y.
Quality insulation installation
❑::.
Radiant barrier
a
ET y n
Y Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Solar gain targeting (for sunspaces)
❑#
Yx
Sunspace with interzone surfaces
❑�Yy
;
z
Vent area greater than 10%
.❑
HVAC Equipment
. ❑
:; ti
Y Adequate air flow
.§M_tZ
Y.
Air conditioner size
❑
Y Air handler fan power
❑
sa«,,
Y
High EER
❑
arc `°:.:
H �Y dronic heating systems
terns
❑;
v: ?y
Y
Mechanical ventilation
❑
_a
Y Refrigerant charge
❑
t��'�
Y
Thermostatic expansion valve (TXV)0. .
ma _ E
Zonal control
Water Heater
3 Y=:fit
Combined hydropic
❑
1` }
High.EF for existing water heaters
❑
z
a,n, .:., X., ;:.•:.: _ K
Non-NAECA water heater
:
- Non-standard water heaters (wh/unit) .
tJWater heater distribution credits I,
Residential Compliance Forms December 2005
1
a
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of CF -1R
Project Title 4 Date
Special RemarksE77
'
E
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and.specifications needed` tocomply 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 KERS rater.
7esi er or Owner.(per Business and. Professions. Code).
Documentation Author
Name:
SIJ 6 VL
Name:
.
TitlelFinn:
TitleJFirm:
:Address:
5.�:' 9 S� /,Vr`ct-►\b� A�V/�2.Ai7 �
Address: -
Telephone. .� (
Telephone:
License #:
License #: (if applicable)
zet 0
Y
(date)
(signature) (date)
Enforcement Agency
MM
�i-I'a.R+i�"k�.2yp`b'�y"''�f•: Riq �`''�+� 3•-NS4•�'91'`'
f ' �.�. . Y a�����;F ``• !d`' �:`�Fq '`�! y �+�' �::.z! `�`rs r, ,�,�i i'S 52y'{�" � .
,�-L. •'n'�.Fs..y'i ! qg �s h - .''•yh'Ev4-'tMi„v
f
me9.�d`C .` . i F (& r F%�2 1mu 3 9 F p r` a iliJ 9� r aim • f �i..s
:.Stl- $.�' S•,,.� r,15�,1Y��"'.6"'.-ew'�,T..•�.`a��_L�'. ~.
APR. 28, 2009 3.28PM GUY EVANS
.GUY EVANS; INC.
52.585 Showcase Parkway
Indio, CA 92203
760.262-6300 - Office
760-2624365 - Dingy
760-UZ-4486 -Fax
N0. 6026 P. 1
NMEMg LETTER
TO, Ben Gilmore DATE: 4/28/2009
COMPANY: REGARDING: Steel french door enemy celcS
STC =21
R Value = 5.6
Glass
STC = 28
R -Value =1.75
U -Value = .57
SIGNED:
ey cManaman 5
GUY EVANS, INC.
Expect torlEstimator"
u
I
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE -
60
�
0
` . L • (SEE ROOFING NOTE ON REVERSE)
-------. ----------
ROOF PITCH
_art, l-_ �---�_
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEJPER SIZE
( . , (4)- .16d NAILS
OR BOLT
V—STRAP OR ANGLE
(4)— '16d NAILS
OR BOLT .
JOIST' HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWEEN' POST AND
CONCRETE
BUILDING.- DEPARTMENT APPROVAL BELOW
. IL II
ANCHOR BOLT (EMBED
7 MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME Snvo
STREET ADDRESS
l CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL
STRAPS
I
-------
6"xa; xl"xt/B" WITH
I
u
1 (4) 16C NAILS OR BOLT
RAFTER SPAN: — _-_—
/
O.H.
POST SPACING:__`__
OVERALL LENGTH: /
�.,
o
0a
O.H.
u
OVERALL LENGTH:_ Iii+— _
---=`---
POST SIZE:.
-
1��---
iO
REAR SETBACK
SIDE SETBACK
(4'x4" MIN.)
I
2000 P. -S -I CONCRETE
1 FINISH GRADE
FINISH GRADE
•--
L J
I
I 4—'.MIN. 12"x12_ FOOTING
L- J 12' , BELOW GRADE L _.J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOS:
CONCRETE
—�
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
'z
VIA ONE 1/4" 5' LAG SCREWTHROUGH FASCIA INTO EACH RAFTER TAIL. '
U -STRAP OR ANGLE
3/8' z 5 LAG SCREWS INTO STUDS AT 16' O.c:
/7 CONTINUOUS LEDGER ,
NON—CORROSIVE PLATE
GR
E
( . , (4)- .16d NAILS
OR BOLT
V—STRAP OR ANGLE
(4)— '16d NAILS
OR BOLT .
JOIST' HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWEEN' POST AND
CONCRETE
BUILDING.- DEPARTMENT APPROVAL BELOW
. IL II
ANCHOR BOLT (EMBED
7 MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME Snvo
STREET ADDRESS
l CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL
W
• ,
R.iy*eu1
N/
A / Q u O
Q/
v Q-
RAFTER SPAN TABLE �` � A! " pp
GRADING RULES G' cl:? cl) cl) Q� C-)
PS 20-70 v�� cs� v., <v
(FEET & INCHES) pJ��
2x4
16"
24"
O.C.
:
HEAD
I
HEADERS
DOUGLAS . 1
DOUGLA S
.8.-6" 6'-0"
`
T,3"
SPAN
«P:ti
2x6
16"
24"
32"
O.C. }To t
"
k 5'-0"
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'4"
10'-0". 8'-6" N A
N A
x.8
8'-0..
x8
J-6"
"
32"
O.C.
18'-0"
17'-0°
13'-6"
16'-0
15'-6". —6" 11'-0"
13•-0"
13'-0" 1 11'-6" N/A
N A
600'
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THISSTANDARD.
LATTICEFROOF
BUILT—UP ROOF
HEAD
I
HEADERS
DOUGLAS . 1
DOUGLA S
I
FIR NO. 1
S12E
SPAN
SIZE
SPAN
4x4
5'-0"
.4x4
4x6
—
4.x6
6'-0"
4x8
1 1' �y
x.8
8'-0..
4x10
10'-0"
4x 12
17'-0"
4x12
12'-0"
I 6x8
14'-0"
6x8
600'
17'-0"
'6x 10
14'-0"
!1 t� h t f i�..a ~'
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF T'HE':.
3001 CALIFORNIA BUfLQfNG CODE.
I
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN:
B. ROCK. ROOF: 3;%12 MAXIMUM PITCH.
P.O. Box 1504.
LA QuINTA; CALIFORNIA -9:2247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(7 6-0) 777-70.12
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits,
WPOPT'ANT..t NOTICE TO PROPERTY OWNER
Dear Property Owner.
An. application for a building permit has, been submitted inour name listing yourself as the builder of the .property
improvements specified at S3 — t f Q b Aymc-_ fl 1 DA 1�06 Lb
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to: make you aware of your
responsibilities and possible risk you may incur by having this permit issuedin your name as the
Owner -Builder. We will not issue a building permit until you, have read, initialed your understanding of each'provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OVKNER'S ACKNOWLEDGMENT AND VEMICATION OF INFORMATION
DIRECTIONS: Read. and -initial each statement below to signify you understand or verify this information.
V -"1E. 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 providinghis or her own labor and material personally. 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
injuries. I am willfully acting as -an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my.property.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
23. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my,
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
U 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total'value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under tate and federal law.
6. I. understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and. contribute to unemployment .
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk/.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures 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.
` 4 .. - - ... ..I
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. injuries sustained: by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
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 (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
10. 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:
I.I. I. I agree that, asthe party. legally and financially responsible for this proposed construction activity,.I will abide by all
applicable laws and requireiments that govem Owner -Builders as well as employers.
12. I agree to notify the issuer of this. form immediately of any additions, deletions, or changes to any of the information I
haveprovided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license,. the Contractors' State License Board may be unable to assist -you with any.finaneial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you. will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
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 issuing: the permit Note: A copy of the propertyowner's driwer.'s.l censei form notar �atLbn; or
other verification acceptable to, the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: LfZog
Z
Note: The following Authorization 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 BEHALF
Excluding the Notice to Property Owner, the execution of which. I understand: is my personal responsibility, I hereby authorize
the following person(s) to act asmy agent($), to apply for, sign., and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that 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:
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING A CF -4R
Project Address
Duct Pressurization Test Results (CFM (g 25 Pa)
Builder or Installer m
Builder or Ins ler Contact
Telephone
Plan/Permit (Additions or Alterations) Number
HERS Rater
`7/
I
Telephone
/ S Z 2
Sample Group Number
x ,;. `-,•`
Compliance Method
(Prescriptive)
Climate Zone /5
Certifying Signature
Enter Total Fan Flow in CFM:
Date
50
Sample House Number
Firm
oL /q �S
HERS Provider
C EEfZS
Street Address:
'.e " a ,'°::, •' . c'.
v"
City/State/Zip:
G"�
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ Tested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater oviding diagnostic testing and field verification, I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked'✓ on this form. The HERS rater must check and verify that the new
distribution system is fully ducted and correct tape is used before a CF4R may be released on every tested building. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for tRsample and tested
buil
li,The installer has provided a copy of CF -6R (Installati6h,Ceriificate).
New ducts are fully ducted (ix., does not use building cavities as plenums or•platform returns in lieu of ducts).
A New ducts with cloth backed;'rubb& adhesive duct tape is installed, mastic ind draw bands are used in combination with
,cleth backed, rubber adhesive duct tape to seal leaks at duct cotuiections.):. • '"
✓MINDVIUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Pr cedures for field verification and diagnostic testing of air distribution systems'are available in RACK Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM (g 25 Pa)
Measured
Values
i "<h.
I
Enter Tested Leakage Flow in CFM:
x ,;. `-,•`
2
Fan Flow. Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ H ng) or ✓ ured
Enter Total Fan Flow in CFM:
✓ ✓
3
Pass if Leakage Percentage < 6% ( 100 x `_(Line # 1) / (Line # 2)]]
O Pass 13 Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
'.e " a ,'°::, •' . c'.
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
4
Duct System Alteration and/or Equipment Chan e -Out
Yg
k`-�.r}.s ' ,• ;
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
/�
,;.1 ' 'G..;'; • �,.
5
for Duct System Alteration and/or Equipment Chana-Out..
Enter Reduction in Leakage for Altered Duct System [ (Line # 4) Minus (Line # 5)]
6
(Only if Applicable)
,M
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ ✓
Entire New Duct System - Pass if Leakage Percentage < 6%
❑Pass ❑Fail
8
100 x [_(Line # 5 / Line # 2
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
✓ ✓
Use one of the following four Test or Verification S dards for compliance: -
9
Pass if Leakage Percentage < 15% [100 x / (Line # 5) / 47-47D (Line # 2)]]
r
ass ❑Fail
a
10
Pass if Leakage to Outside Percentage < 10% [100 x [(Line # 7) / (Line # 2)1]
❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) / (Line # 4)1]
11
❑pass ❑Fail
and Verification b Smoke Test and Visual Inspection
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
_`.` ?.
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # t2 pass
+ ,£;N ,
❑ Pass ❑ Fail
Residential Compliance Forms December 2005
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING �-C&4R
Project Address /
57 2,
Location
Builder Name
Builder Contact
Telephone
Plan Number
HERS RaterTelephone
J-1wt C41r1n,, X60
572-3
Sample Group Number
Date of Verification
Compliance Method (Prescriptive)
❑ No
Climate Zone 15
Certifying Signa a_ ./J
�L
r l O Date
J
Sample House Number
Firm
C. 4- �s oz iy P s
installation of the specific equipment shall be verified.
HERS Provider
c �crrs
Street Address:
City State/Zip:
�G u
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER C,9MPLIANCE STATEMENT
The house was: ✓Tested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with
the di ostic tested compliance requirements as checked on this form.
VoThe installer has provided a copy of CF -6R (Installation Certificate).
✓ THERMOSTATIC EXPANSION VALVE (TXV)
Procedures for field verification of thermostatic expansion valves are available in RAG?, Appendix R1.
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Ref i erant Charge for Split System Space Cooling S ste without Thermostatic Expansion Valves
Outdoor Unit Serial #
Location
Outdoor Unit Make
77Yes
Outdoor Unit Model
Access is provided for inspection. The procedure shall consist of
to
Date of Verification
❑ No
visual verification that the TXV is installed on the system and
❑
(must be checked monthly)
installation of the specific equipment shall be verified.
Yes is a pass
Pass Fail
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Ref i erant Charge for Split System Space Cooling S ste without Thermostatic Expansion Valves
Outdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity
to
Date of Verification
Date of Refrigerant Gauge Calibration
(must be checked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
Note: The system should be installed and charged in accordance with ke ma
shall be documented on CF -6R before starting this procedure. If out o r air
Charge Measure Procedure
!cations and installer verification
55 °F rater shall use the Alternative
Procedures for Determining Refrigerant Charge using the Stan M o area ila le inWACM, Appendix RD2.
✓ ❑ Yes ❑ No A copy of CF -6R (Installation Cert' tate) M been rovided with refrigerant charge
measurement documented.
Residential Compliance Forms April 2005