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05-2912 (AR)11~4 P.O. BOX 1504 4�^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/30/05 Application Number: (05-000.02912 Owner: Property Address: 49020 CEDROS CIR FRANK & JUDY KEENER APN: 646-210-014- - - 7219 CROOKED OAK DR Application description: ADDITION - RESIDENTIAL e LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 34000 AUG3 0 200" Contractor: Applicant: Architect or Engine : RUTTMAN CONSTRUCTION CITyOFLAQUINTA 36660 BANKSIDE DRIVE, STE D FINANCE® CATHEDRAL CITY, CA 92234 (760)324-7929 Lic. No.: 416304 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: B -C39 Lic seNo.: 416304 r'Date:IC—]kO- .Cy�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 (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 sate. 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 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: LQPERrbIFT 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 STATE FUND Policy Number SOB -169 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 Section '7 3700 of the Labor Code, I sh�forthw�with visions.Date: s 40• oS Applicant:� v WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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. r 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction hereby authorize representatives of this county to enter upon the above-mentioned pro specti purposes. Datel��8-OSSignature (Applicant or Agent I_ . I Application Number . . . . . 05-00002912 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 310.50 Plan Check Fee 201.83 Issue Date . . . . Valuation 34000 Expiration Date 2/26/06 Qty Unit Charge Per Extension BASE FEE 252.00 9.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 58.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . 20.46 Plan Check Fee 5.12 Issue Date Valuation 0 Expiration Date 2/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 156.00 ------------------------------------.---------------.-----------=------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY 5.46 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 43..50 Plan Check Fee 10.88 Issue Date . . . . Valuation 0 Expiration Date 2/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 3.00 --7 ------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 19.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 13.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ------------------------ Special Notes and ------------------------------------------ Comments ---------- REM / ADD MASTER BEDROOM 156 SQ..FT. LQPERMIT Application Number . . . . . 05-00002912 7 --------------------------------------------------------------------- Special Notes and Comments August 30, 2005 7:53:53 i------------------------------------------------------=--------------------- AM JJOHNSON Other Fees . . . . . . . . . ENERGY REVIEW FEE. 20.18 STRONG MOTION (SMI) - RES 3.40 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 428.46 .00 .00 428.46 Plan Check Total 231.33 .00 .00 231.33 Other Fee Total 23.58 .00 .00 23.58 Grand Total 683.37 .00 .00 683.37 LQPEPOUT rioou piam paxn runs resuumuca 7/ n�ccnamca, Bir: LC Cita` Of La Quinti . 30 Electrical Plumbing Grant Deed • Building &r Safety Division Permit P.O. Box 1504, 78-495 Calle Tampico 'n to Quinta, CA 92253 - (760) 777-7012 05 Building Permit Application and Tracking Sheet Project Address: LIFO Z 0 C Q (k(zos C t 2, Owner's Nam fZ,4, A J -c , Le Qvt e 2 A. P. Number: Address: OAU C C Legal -Description: Cite, ST, Zip: A,_,a Contractor: �,Yk A ✓.C. Telephone:,ho oS� 2 c� oTc1 ne: Address-,/ tk Project Description: (D 0 to �D�``'E t C) City, ST, Zip: CG Tele ho ne: Z. P 7 `� 7 � g State Lic. # : do p City Lic. Arch., Engr., Designer: C iz R—L Lk X40 IC Address. - -- City, ST, Zip: Telephone: Construction Type: Occup _ Lic air Demo Project cone: New. Alter R cP of Contact Person: 1 v , t4,Q vkrvS-t UL p 1 Sq. Pt.: Stories: l # Units: . Telephone # of Contact Person: '7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING' PERMIT VEES Plan Sets i Plan Check submitted 7 item Amount Structural Calcs. Reviewed, ready or corrections Plan Check Deposit Truss "Cates. Called Contact Pers d���i Plan Check Balance Title Y4 Calcs. Plans picked up Construction ,leY A. rioou piam paxn runs resuumuca 7/ n�ccnamca, Grading plan Subcontaetor List 2"' Review, ready for correction sue Called Contact Person 30 Electrical Plumbing Grant Deed Plans picked, up S.M.I. II.O.A. Approval Plans. resubmitted Grading IN HOUSE:- '"' Review , eadr for corrections/issue' Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees SOW le - I �. E-- . Total Permit Fees `13 6 S-iU(+ =? 8con c a ve- d ZG �S Islands WHOA # 1 PO`1684' La Quinta; CA. 92247 .City of LaQuinta To whom it may concern: Please be advisedAhat the architecture committee of HOA # 1 has reviewed the plans for an;expansion�Of-h%r:i:Frrank Keener's home located at49-020 Cedros Circle anda6as-approvedsame. Since James H. Barickman, President. 4 0 0 0. EISENHOWER DR. b ►i WASHINGTON STREET z0 C)C7 -0 M) 'c O M"m C7 C) o H C7 )v m ca- M —n c) 0 0 0. EISENHOWER DR. b ►i WASHINGTON STREET CERTIFICATE OF COMPLIANCE: RESIDENTIAL `1Keener Residence.' 'Project.Title ti'49-020 Cedros Circle Project Address Michael Apostolou I.2a 7A79 Documentation Author Telephone Packagr- n 15 Compliance Method (Package or Computer) Climate Lone ;e 1 of 3 to Building Permit # Plan Check / Date Field Chcek / Date C&IR i:nwreemc .u,.gency u'N,TA CITE ®F L QU EV SEPT' GENERAL INFORMATION gU1LD�NG & JF_® Total Conditioned Floor Area 21 7 6 W Average Ceiling Hei lltp PSR .JCT►ON Conditioned Slab Floor Area 217 6 ft' FOR ��Ut�`' Building Type: X Single Family X Addition T �^ B (check one or more) Multi -Family Existing Plus -Addition Front Orientation: NWort / South / East / West / All Orientations (input front orientation in degrees front True North and circle one) Number of Stories 1 Number of Dwellin'TY Units: Floor Construction Type: Sla /Raised Floor (circle one or both) RADIANT BARRIER (required in climate zones 2 4 8-15) Required for this submittal_ yes _no BUILDING ENVELOPE INSULATION Component Type Frame Type Cavity . Sheathing Total R- AssemblyLocation/Comments wd = wood Insulation Insulation Value' U -Factors (attic, garage, typical, etc.) stl = steel R -Value R -Value Wall Wood R-1 Wall Roof Wand _ 38 Roof Floor Floor Slab Edge i -or prescriptive compnance. t otat tc-value ano Assembly U -1 -actor are not required fora wood-tr•uned wall that meets cavity R -value insulation requirements for the Prescri6tive Package. FENESTRATION �harlinn nPvir.Pe Fenestration Orien- Area Fenestration Fenestration Exterior Overhangs/ #/T e/Pos. tation (ftZ U -Factor SHGC Shading Att. Fins Front Front Left Left . Rear. Rear Right Right Sk%,l.i tt �t Compliance Forms August 2001 A-2 y "CERTIFICATE OF COMPLIANCE: RESIDENTIAL .(Page.2 6f-3 j CF -IR Keener Residence 7-13-05 1 Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydropic data under Water Hcating Systems, except Design I-Ieating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump. etc.) (AFUE- or HSPF) (ducts. attic, etc.) R -Value Type (split or package) Existing Cooling Equipment Minimum Duct Heat Pump Type (air conditioner. Efficiency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package) Existinq SEALED DUCTS and TXVs (or Alternative Measures) ❑ Sealed Ducts (all climate zones) . (Installer testing and certification and HERS rater field verification required) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) ❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) OR ❑ Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window,U-Factor SEER . Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or l31n/hr) (gallons) Efficiency Loss (%) R -Value st}ng I. 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 and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). Compliance Forms August 2001 A-3 N CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of')) CF -IR 1 Keener Residence. 7-13-05 Project Title Date COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts I 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. When tills certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Documentation Author Name: Nick Hertneck Name: Michael Apostolou -Inc . . Title/Firm: Town & Country Int. Des. ,LLC Title/Firm: Ruttman Construction/Interiors Address: 69425 Avenida De Las Montanas Address: 36-660 Bankside. Drive #D _Cathedral City, CA 9223'4 CAthedral City, CA 92234 Telephone: 202-0075 Telephone: 324-7929 P Lic. #: (si ature) (date) (sign re) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 Ii