BRES2015-020378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
E
k
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
RISEN CONSTRUCTION
82-775 CHARLESTON AVE
INDIO, CA 92201
Tjht 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRES2015-0203
79957 RANCHO LA QUINTA DR
602370002
RANCHO LA QUINTA/ANTONE/ENCL
$9,895.60
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 Professions Code,
and my License is in full force and effect.
License Class: B License No.: 792381
Date: 'Contractor,
OWNER-BUILDERCLAR ION
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.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through'his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
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.).
(� I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that thereis a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 7/8/2015
Owner:
DOUGLAS ANTONE
27076 HIDDENTRAIL
LAGUNA BEACH, CA 92253
Contractor:
RISEN CONSTRUCTION
82-775 CHARLESTON AVE
INDIO, CA 92201
(760)347-6399
Llc. No.: 792381
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 polity 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 become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Sec43700bor PWFUL, comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERCOVERA71SUN
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 Building Official 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 information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to eVuponabove
mentioned///prrope/Irtyy for inspection purposes.
Date: -7/,q [_E_Signature (Applicant or Agent).
s "DESCRIPTION ' 4
FINANCIAL INFORMATION
`ACCOUNT.
QTY. 6. ; ..AMOUNT._ -
`; PAID
iPAID DATE,.
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0 $62.36
$0.00
$ -PAID BY .
``� -METHOD' a
RECEIPT4.
p CHECK#
CLTD BY
DESCRIPTION . '
(ACCOUNT
QTY
` AIVI6' NTS
" ,„PAID � `.� `-
PAID DATE'
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
i PAID. BY '
METHOD
-"IRECEIPT #
CHECK # ,
CLTD BY
DESCRIPTION
ACCOUNTAMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$0.00
PAID: BY
METHOD•'RECEIPT#
t.'CHECK#, ,'
CLTD BY
DESCRIPTION `
ACCOUNT
QTY
- AMOUNT a
PAID
PAID DATE'
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$171.14
$0.00
PAID BY ,' a ,.
` , METHOD . . <
��. RECEIPT # '
CHECK#
CLTD BY
Total Paid forADDITION: $371.73 $0.00
. =DESCRIPTION '=
I "ACCOUNT
QTY._
AMOUNT:' '
PAID
PAID. DATE
HOURLY PLAN CHECK - YES
101-0000-42600
1
$70.00
$0.00,
:PAID BY '
; t METHOD ' :, , "h.>
RECEIPT #
CHECK #
CLTD BY:-.
ss - DESCRIPTION
ACCOUNT
CITY
AMOUNT -
°PAID,
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
0.75
$52.50
$0.00
PAID BY
METHOD
`, RECEIPT # ,i
CHECK #
C a.' LTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $122.50 $0.00
DESCRIPTION '' .•'
ACCOUNT. : r.
'- � � - ;,,
QTY
e
`�. ;+AMOUNT .`:Y
PAID'' s:
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY,
N' METHOD
RECEIPT,#
CHECK #
CLTD BY,
k
-
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
:., DESCRIPTION' ° `:
ACCOUNT
QTY
, ` AMOUNT
PAID,,,
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00,
H 't PAID BY
METHOD,'`°
RECEIPT.#'
' `CHECK #
:CLTD BY
�. DESCRIPTION '*
`ACCOUNT �
QTY
} ' AMOUNT.`
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD ,..'a.
-. RECEIPT -#,-
CHECK #
;CLTD BY
Total Paid forELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
r{ " 'DESCRIPTION �- , , :`
.'.ACCOUNT ,
;QTY
AMOUNT -.
x PAID
PAID DATE'.
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
-PAID BY , ` -
''%METHOD
= RECEIPT
CHECK # `"
CLTD BY
DESCRIPTION "' _•,
W
ACCOUNT
QTY.'
.'; AIVIOUNTP•
..
X
PAID
PAID DATE;
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
$0.00
PAID BY ° =Y`>
METHOD h
RECEIPT#' ` 'z`
r -CHECK.#
p CLTDIBY
..: DESCRIPTION ° F
`. '' ACCOUNT
QTY
,.. 'AMOUNT ;.:'
a.
PAID
PAID DATE,
VENT FAN
101-0000-42402
0
$24.18
$0.00
'PAID BY.z" .
METHOD
RECEIPT #
"CHECK # M
CLTD BY
, DESCRIPTION 'k'
' A000UNT _ ' .
QTY
`' 'AMOUNT ,.;, °'
PAID
PAID DATE'
VENT FAN PC
101-0000-42600
0
$9.66
$0.00
METHOD s . r, F.
F, .e. RECEIPT #
CHECK # r
' CLTD BY F;
Total Paid forMECHANICAL: $50.76 $0.00
° - 'DESCRIPTION • .. s
- .ACCOUNT w.
.QTY
_ AMOUNT
t: PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$36.27
$0.00
'PAID BY"METHOD
7.
L ...
t RECEIPT'#` kw
t CHECK?#
xCLTD BY
_ DESCRIPTION - .
' ACCOUNT ". ` * ..QTY°
AMOUNT
'` •PAID`
PAID DATE'
FIXTURE/TRAP PC
101-0000-42600
0
$36.27
$0.00
';PAID BY ,.
METHOD
�;. RECEIPT-;# 4
CHECK ,# .,
4y T
, .CLTD BY .
DESCRIPTION:ACC.OUNT
3 ,;
QTY
.x °AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
4 PAID BY
METHOD . '"'RECEIPT#
' 'CHECK # ° s -'
` `CLTD BY; r
DESCRIPTION
__ACCOUNT1
CITY,
�r AMOUNT
.: PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$0.00
`PAID BY -.-; �:.
,: ,,. 'METHOD `' •,,'
RECEIPT # i; :
CHECK.# ,
CLTD BY
Total Paid forPLUMBING FEES: $96.72 $0.00
DESCRIPTION
ACCOUNT ,
QTY,
AMOUNTS •
PAID
PAID DATE
SMI - RESIDENTIAL
101.0000-20308
0
$1.29
$0.00
jPAID BY •.. r ' 4
METHOD ;
$ RECEIPT #
CHECK #
CLTD BY ,'
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.29 $0.00
TOTALS:00
i
Description: RANCHO LA QU I NTA/ANTON E/EN CLOSE PATIO
Type: BUILDING, RESIDENTIAL
Subtype: ADDITION Status: APPROVED
Applied: 5/22/2015 SKH
Approved: 7/7/2015 JJO
Parcel No: 602370002 Site Address: 79957 RANCHO LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 29457-3
Block: Lot: 4 —
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $9,895.60
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 'No. Unites: 0
6/1/2015
Details: ENCLOSE EXISTING PATIO TO LIVING SPACE PER 2013 CRC CODES. 173 SQ. FT.
PENDING STRUC CORRECTIONS
46 9
Printed: Wednesday, July 08; 2015'10:38:60 AM
Iof4
AbDIVONAL'SITES
CHRONOLOGY
CHRONOLOGY TYPE-...,,:
.,.STAFF NAME
# ACTION DATE . 'COMPLETION DATE; NOTES T
a;`
NOTE
JIM JOHNSON
6/1/2015
6/9/2015
PENDING STRUC CORRECTIONS
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
7/2/2015
7/2/2015
STRUC APPROVABLE 7/1/2015
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
MARY FASANO
6/8/2015
6/8/2015
RECEIVED
PLAN CHECK PICKED UP
MARY FASANO
6/15/2015
6/15/2015
SIA PICKED UP PLANS -FOR CORRECTIONS
PLAN CHECK SENT TO
STEPHANIE KHATAMI
5/22/2015
5/22/2015
. OUTSIDE PC
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
5/22/2015
5/22/2015
RECEIVED
RESUBMITTAL
ED VASQUEZ
6/24/2015
6/24/2015
2ND PLAN CHECK SUBMITTAL
Printed: Wednesday, July 08; 2015'10:38:60 AM
Iof4
Printed: Wednesday, July 08, 2015 10:38:00 AM 2 of 4 C2
SYSTEMS
2nd Plan check submittal received, Red Lines,Calcs, HOA
RESUBMITTAL
ED VASQUEZ
6/24/2015
6/24/2015
Approval, title 24,
CALLED SIGIFREDO TO INFORM HIM PLANS ARE READY FOR
TELEPHONE CALL
JIM JOHNSON
6/9/2015
6/9/2015
CORRECTIONS
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSi
CITY
STATE
ZIP;
PHONE
FAX
EMAIL
APPLICANT
RISEN CONSTRUCTION
82-775 CHARLESTON
INDIO
CA
92201
AVE
CONTRACTOR
RISEN CONSTRUCTION
82-775 CHARLESTON
INDIO
CA
92201
AVE
OWNER
DOUGLAS ANTONE
27076 HIDDENTRAIL
LAGUNA BEACH
CA
92253
`CLTD
DESCRIPTION
ACCOUNT .
QTY
:AMOUNT
PAID
PAID DATE
: RECEIPT #:
CHECK #
METHOD
PAID BY
By
ADDITION, EA
101-0000-42400
0
$62.36
$0.00
ADDITIONAL 500 SF
ADDITION, EA
101-0000-42600
0
$17.40
$0.00
ADDITIONAL 500 SF PC
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$0.00
ADDITION, FIRST 100 SF
101-0000-42600
0
$171.14
$0.00
PC
"
. Total Paid forADDITION: $371.73
$0.00
HOURLY PLAN CHECK -
101-0000-42600
1
$70.00
$0.00
YES
HOURLY PLAN CHECK -
101-0000-42600 '
0.75
$52.50
$0.00
YES
Total Paid forBLDG CITY STAFF - PER HOUR: $122.50
$0.00
Printed: Wednesday, July 08, 2015 10:38:00 AM 2 of 4 C2
SYSTEMS
�''::+..'e
.. - `�` •n ;Y
vOATE
rRECEIPT
#DESCRIPT.ION
ACCOUNT`• `"=
"QTYgg
"µAMOUNTih
_ PAID
y PAID
#
"CHECK #,
'METHODS
PAID BY ; s'
�CLTD
};s.'. BYj4
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RESIDENTIAL, FIRST
101-0000-42403
0
• $145.03
$0.00
1,000SF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
APPLIANCE
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
VENT FAN
101-0000-42402
0
$24.18
$0.00
VENT FAN PC
101-0000-42600
0
$9.66
$0.00
Total Paid forMECHANICAL: $50.76 $0.00
FIXTURE/TRAP
101-0000-42401
0
$36.27
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$36.27
$0.00
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $96.72 $0.00
SMI - RESIDENTIA7
101-0000-20308
0
$1.29
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.29- $0.00
TOTALS:00
Printed: Wednesday, July 08, 2015 10:38:00 AM' 3 of 4
SYSTEMS
FINAL" BLD
Printed: Wednesday, July 08, 2015 10:38:00 AM '4 of 4
SYS TEtiiS
ATTACHMENTS
RETURNED
REVIEWS
STATUS..
REMARKS
SUBDIR r =ETRAKIT� ENABLED.
REVIEW TYPE'{',
REVIEWER
SENT DATE
;DUE:DATE
0
��
_
�.:, NOTES a
COMMENTS.pdf
DOC 6/24/2015.
v
.DATE
HOA APPROVAL.pdf
0
DOC 6/1/2015
NON-STRUCTURAL -
BUILDING
5/22/2015
6/5/2015
6/1/2015
REVISIONS REQUIRED
QUINTA DR..docx
QUINTA DR..docx
PENDING STRUC CORRECTIONS
2 WK
BUCKET
YOUNG
5/22/2015
6/5/2015
6/8/2015
REVISIONS REQUIRED
STRUCTURAL - 2 WK
ENGINEERING
NON-STRUCTURAL-
JIM JOHNSON
6/24/2015
7/1/2015
7/7/2015
APPROVED
1 WK
c.
YOUNG
6/24/2015
7/1/2015
7/1/2015
READY FOR APPROVAL
STRUCTURAL - 1 WK
ENGINEERING
Printed: Wednesday, July 08, 2015 10:38:00 AM '4 of 4
SYS TEtiiS
ATTACHMENTS
Attachment Type CREATED
OWNER = f -. . ;DESCRIPTION
' PATHNAIVIE'
SUBDIR r =ETRAKIT� ENABLED.
DOC 6/24/2015
ED VASQUEZ
2ND SUBMITTAL
2ND SUBMITTAL
0
COMMENTS.pdf
COMMENTS.pdf
DOC 6/24/2015.
ED VASQUEZ .
HOA APPROVAL.pdf
HOA APPROVAL.pdf
0
DOC 6/1/2015
JIM JOHNSON
79-957 RANCHO LA
79-957 RANCHO LA
0
QUINTA DR..docx
QUINTA DR..docx
Printed: Wednesday, July 08, 2015 10:38:00 AM '4 of 4
SYS TEtiiS
Qin # . t o
0 3 City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: 57 iZp"q o to OU (NTE}-
Owner's Name::
�+
A. P. Number: � Q 2-- '3 7 Q - O o �—
Address: / - ANC Q C A U(tJ 1 A -
Legal Description:
City, ST, Zip: I A O U NSA c i. C{ Z 2S 3
Contractor: co uQ 0C Jo,�
Tele P hn
o e.
Address: Z-)� 52foLOU 40 L
Project Description:
City, ST, Zip: IA) j(, C
Telephone:
G
5
State Lie. # :
City Lie.
Arch., Engr., Designer:!! (} 0(: S (3 N 5
Address:
City., ST, Zip: Q UQ [��T Cf�- `I.2-30 )
h ne:9G65-3�466
` ..;
CoTele n stru ti n e • Occu ancY:
Type: P
State Lie. #•
Project ha (circle one): New Add'n Alter Re air Demo
P
Name of Contact Person: C�rk51 R,D Ct(D N,
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Lr -7 (p 372
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a. Review, ready for correctio s/issue
Electrical
Subcontactor List
Called Contact Person
I
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE 4�J�tFt�s��o
Desert Sands Unified School District
47950 Dune Palms Road 4" BERMUDADUNESO
V) RANCHO MIRAGE
Date 7/8/15 La Quinta, CA 92253 INDIAN WELLS
P
No. 31859 va
PALM y
(760) 771-8515 Z�QINDIO s�0.
0
Owner Antone APN # 602-370-002
Address 79957 Rancho La Quinta Jurisdiction La Quinta
City La Quinta Zip Permit # BIZFS 2-0 05- 020 3
Tract # No. of Units. 1
Type Residential Addition
Lot # No. Street S.F.
Unit 1 79957 Rancho La Quinta 173 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
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
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 173 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Siji Fernandez Check No.
Bank Name/Recipient of Certificate Telephone 760-347-6399
Funding Exempt
BY Dr. Gary Rutherford
Superintendent,
+4
Fee collected lexem Shar rey . Payment Recd
i ', ;Calver/Under
Signature P �� '� " t .J
NOTICE: Pursuant to Government Code Sectl • n 6602 (d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to ru 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
Master Association for Rancho La Quinta
79-285 Rancho La Quinta Drive
La Quinta CA 92253
Phone: 760-777-8807 Fax: 760-777-8961
www.rlgma.com
April 28, 2015
Doug & Catherine Antone
641 Loretta Dr
Laguna Beach CA 92651
Re: 79957 Rancho La Quinta Driv - Approval of Submission
Dear Mr. & Mrs. Antone,
The Architectural Committee reviewed your request to enclose the side courtyard at your residence located
at the above address.
Your submission as presented, is approved contingent on the following:
• Any damage to the common area caused during this construction shall be repaired by the Owner to the
satisfaction of the Association.
• All work is to be done in accordance with all applicable requirements of governmental entities,
including the City of La Quinta and in accordance with all Homeowners Association
Architectural/Landscape Guidelines and governing documents.
• New roof tiles must match existing roof tiles in both style and color.
• If required, a City of La Quinta building permit will be obtained and copy furnished to the Association
prior to commencement of work.
• No other structural changes are approved with this submission.
Once completed, please submit a "Notice of Completion" and the Association's Architect will schedule an
inspection so we can process your deposit for return.
If you have any questions, please contact the onsite office at 760-777-8807.
Sincerely,
Jamie Circle
Architectural & Communications Manager
Master Association for Rancho La Quinta
JUN 2 4 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
4
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CF1 R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 1 of 9)
Pmled Name: Antone Addition - 173 sq. ft. - Date Prepared: 5/15/15
This compliance document is only applicable to additions 300 or less, or additions that do not require HERS field verification for compliance. When HERS verification is required, a CFIR-ADD-01
shall first be registered with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-02 and CF2R- ADD -01 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was Insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ADD-01 must be completed and registered with a HERS Provider Data Registry.
Additions or alterations that utilize Closed Cell Spray Polyurethane Foam (ccSPF) with a density of 1.S to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell
Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFSR ADD -01 with a HERS Provider Data
Registry.
If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building Inspector.
A. GENERAL
INFORMATION
01
Project Name:
Antone t7
02
Date Prepared:
5/15/15
03
Project Location:
79-957 rn C o
04
Building Front Orientation (deg):
East
05
CA City:
La Quint —T' '
06
Number of Dwelling Units with Additions:
1
07
Zip Code:
92253, G
08
Fuel Type:
Gas
09
Climate Zone:
15 '-4 ®D
30
Total Conditioned Floor Area (ft) (Addition):
173
11
Building Type
Additi 0 M.0
12
Slab Area (ft):
173
13
Protect Scope:
300 feet o less 0
CA Building Energy Efficiency Standards - 2013 Residential Compliance
MAY 2 2 2015
CITY
COMMON TY OEVEULOPA45
NT
January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 2 of 9)
Pmjec[Name: Antone Addition - 173 sq. ft. - Date Prepared: 5/15/15
B. OPAQUE SURFACE DETAILS — Framed (Section 1S0.2(a))
01
02
03
04
05
06 07 08 09
10
11
Tag/ID
Assembly Type
Frame Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed
Required
Comments
Cavity
R -value
Continuous
Insulation
R -value .
LI -Factor
Appendix JA4 Reference
U -Factor
Table
Cell
Roof
Wood
2X
24"
38
0
.025
4.2.1
21.
.025
Complies
Walls
Wood
2x4
16"
15
0
.065
N/A
N/A
.065
Complies
M
00
O��
OO
OO
C/)
C
� ill
C
Z
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 0
Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 3 of 9)
Project !Jame: Antone Addition - 173 sq. ft. Date Prepared: 5/15/15
C. OPAQUE SURFACE DETAILS — Non -framed (Section 150.1(c)1)
01
02
03
04
05 06 07 08 09
10
it
Tag/ID
I Assembly Type
Assembly Materials
Thickness
(inches)
Proposed
Required .
Comments
Core
Insulation
R -value
Continuous
Insulation
R -value
U -Factor
Appendix JA4
Reference
U -Factor from
I Package A
Table
Cell
R -value
N/A
R -value
U -factor
Table
Cell
R -value
LI -factor
R -value
U -factor
N14
n�Z
Z S'>0
®D
n
Z ® 0 Z
D. OPAQUE SURFACE DETAILS — Mass Walls (Section 150.1(c)1)
01
02
03
04
05
06 07 08 1 09
10 li
p
G@CThickness
irde
1type
Mass
(Inches)
Furring Strip
ThicknessTag/ID
(inches)
Proposed
Required
Interior Insulation
Exterior Insulation
Appendix JA4
Reference
Interior Insulation
Exterior Insulation
R -value
U -factor
R -value
U -factor
Table
Cell
R -value
LI -factor
R -value
U -factor
N14
n�Z
Z S'>0
®D
n
Z ® 0 Z
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
` Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 4 of 9)
Project Name: Antone Addition -173 sq. ft. Date Pre°are°: 5/15/15
E. SLAB INSULATION (Table 150.1-A)
01
02
03
04
05
06
Floor Type
Proposed
Required
Comments
Insulation
R -value
Insulation
U -factor
Insulation
R -value
Insulation
U -factor
Slab on Grade
N/A
• Radia e6daII eet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards
-Na
N/A
• &e.e �f0% adiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM C1371 or ASTM E408.
For , "Eriptiv o ate a attic shall be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of
attic r areacu"uit�fiq h n 30 percent upper vents. Ridge vents or gable end vents are recommended to achieve the best performance. The material should
be cu o alto II l o the venting.
• Heated slab floors require mandatory slab Insulation (see Table 110.8-A).
F. RADIANT BARRIER (Section 150.1(c)2
01
02
Radiant Barrier installed below the roof deck and on all gable end walls
Comments
Required
o
M C _.
r
A radl barrier+ i Vu d r Climate Zones 2-15)
• Radia e6daII eet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards
-Na
for low We buildings. Refer to RA4.2.1
• &e.e �f0% adiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM C1371 or ASTM E408.
For , "Eriptiv o ate a attic shall be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of
attic r areacu"uit�fiq h n 30 percent upper vents. Ridge vents or gable end vents are recommended to achieve the best performance. The material should
be cu o alto II l o the venting.
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
'EC-CF1 R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 5 of 9)
Project Name: Antone Addition - 173 sq. ft. Date Prepared: 5/15/15 '
G. ROOFING PRODUCTS (COOL ROOF) (Section 150.1(c)11) s
01
02
03
04
05 -
06 " .07 08 09
10 11 12
Mass Roof
25lb/ft2 or
Greater
Roof Pitch
Method of
Compliance
Product
Type
CRRC Product ID
Number
Proposed
Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional).
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
N/A
The Greater
The Greater
Z !p
Maximum
Maximum
Addi
1o07fype im
Allowed
Allowed
Comments
m
Maximum
D
C cul
ed
Maximum
Calculated
Maximum
U -factor
SHGC
C fr1 bOd
on
� Calculated
based on
Calculated
n
�ge
%
2
Allowed ft
Allowed %U
2
Allowed ft
_—F
173
Z CRtri z
__J
75
60
60
0.32
0.25
NOTES:
• Any roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
I n I
H. FIE
4r�Slfi RATION/G
REAS ALLOWED (Section 150.2(a)1)
01 Qr—
103
04 65
06
07
08
0o
Maximum Allowed
Maximum Allowed
OZ
Area For All Orientations ftZ
West -Facing Fenestration Area Only ft2
The Greater
The Greater
Z !p
Maximum
Maximum
Addi
1o07fype im
Allowed
Allowed
Comments
m
Maximum
D
C cul
ed
Maximum
Calculated
Maximum
U -factor
SHGC
C fr1 bOd
on
� Calculated
based on
Calculated
n
�ge
%
2
Allowed ft
Allowed %U
2
Allowed ft
_—F
173
Z CRtri z
__J
75
60
60
0.32
0.25
LL--f-!�J
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CF1 R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 6 of 9)
Project Name: Antone Addition - 173 sq. ft. Date Prepared: 5/15/15
I. FENESTRATION PROPOSED AREAS AND EFFICIENCIES
01
02
03
04
05
06
07
08
09
30
11
12
13
Tag/ID
Fenestration Type
Frame Type
Dynamic
Glazing
Orientation
N, S, W, E
or Roof
Number of
Panes
Proposed
Fenestration
2
Area ft
Proposed
West Facing
Fenestration
Area ftZ
Proposed
U -factor
Proposed
SHGC
Source
Exterior
Shading
Device
Combined
SHGC from
CF1R-ENV-
03
Window
Vinyl
N/A
North
2
30
0
10.32
0.25
150.1-A
N/A
N/A
French Door
Metal
N/A
North .
2
14
0
0.32
0.25
150.1-A
N/A
N/A
14
lotal Proposed n
t on Area
44
15
Maxim vied
s ration Area
16
Compli;Pc a ent
ITotal
Proposed Fenestration Area 5 Maximum Allowed Fenestration Area
® Yes O No
17
Total P o be
c ng Fenestration Area
0
18
Maxim �J
t Facing Fenestration Area
19
%OmplqWna
Total Proposed West -Facing Fenestration Area15 Maximum Allowed West -Facing Fenestration Area
® Yes ❑ No
20
Proposes r<Kelit1nu
factor
0.32
21
Requir on U facior
0.32
22
Compl
Proposed Fenestration U -factor 5 Required Fenestration U -factor
® Yes ❑ No
23
Proposed Fenes a
5 iGC
0.25
24
1 Required Fenestra on S1 IGC
0.25
25
Compliance Statement
Proposed Fenestration SHGC:5 Required Fenestration SHGC
® Yes O No
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
_ STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
ii' N%i 4�f
CEC-CF1 R -ADD -02-E Revised 01/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 7 of 9)
Project Name: Antone Addition - 173 sq. ft. I
DatePmpamd: 5/15/15
J. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b).
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CFI11-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CFSR-ADD-01 shall be completed and registered with a HERS Provider Data
Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) If: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01 02 03 04
Dwelling Unit Name SC System Identification or Name SC System Location or Area Served Exemption from HERS Verification
Addition Existing Entire Residence ® a ® b ® c ® d
n
M C
O
o CD
W W
CCm0
o®CM,
-o
CA Buildin I nergy Efficiency at nd - 2013 Residential Compliance January 2015
0
0
13
0
0
0
0
0
0
0
0
0
0
C3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
El
0
0
0
0
0
0
❑a
13
0
0
❑a
0
13
0
b
0
0
0
0
0
0
0
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CF1 R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 8 of 9)
Project Name: Antone Addition -173 sq. ft. I
Date Prepared: 5/15/15
K. WATER HEATING SYSTEMS (Section 150.1(c)8)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating.
01 02
03
04
05
06
07
08
09
10
11
12
13
14
15
Water Heating
System
Dwelling Unit Identification or
Name Name
Water Heating
System Location
or Area Served
Water
Heating
System
Type
Water
Heater
Type
q of
Water
Heaters
Ins stem
Water
Heater
Storage
Volume
(gal)
Fuel Type
Rated
Input
Type
Rated
Input
Value
Heating
Efficiency
Type
Heating
Efficiency
Value
Standby
Loss (%)
Exterior
Insulation
R -Value
Back -Up
Solar
Savings
Fraction
N/A
0
D (p
m
�z0
®mZ
-i
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification
CEC-CF1 R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 9 of 9)
Project Name: Antone Addition - 173 sq. ft. Date Prepared: 5/15/15
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author 5 ature:
Paul Nelson
Company: Signature Date:
Nelson Designs 5/15/15
Address: CEA/ HERS Certification Identification (if applicable):
16169 Siskivou Ct.
Apple Valley, CA 92307 760 508-3400
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The'information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design Identified on this Certificate of Compliance (responsible
. designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be Included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name: Responsible Designer Sig lure:
Paul Nelson
Company:
Nelson C
Address:
16169 Si
Apple Vs
For assn
si s
OU Ct'Tt C
Ie y,.CA z Q
Z —n go
a ce oCIP rjfpr�e
�<M0
-� M C
z° ®� z
Date Signed:
5/15/15
license:
Phone:
(760) 508-3400
arding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2013 Residential Compliance
January 2015