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05-0116 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: T4,Nt 4 4 4" �(o - SE�o l � y :�• o !o 05-00000116. -4+411!n ROADRUNNER 649-052-019-17 DWELLING - SINGL LOW DENSITY RESI 343903 Ar BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Lic. No.: OOR SQUARE FOOT' 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 Professals Code, and my License is in full force and effect. Li nse Class: B -D06 ,I License No.: 619680 / Date: �— '�A�ctor: OWNER -BUILDER DECLARATION -I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law forthe- 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 1, 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 6f 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 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 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 Owner: GRIMES BLAINE R 79140 OCOTILLO DR PO BOX 5005 LA QUINTA, CA 92247 Contractor: APOLLOS CONCREATION INC P.O. BOX -5005 LA QUINTA, CA 92248 (760)275-3667 Lic. No.: 619680 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/05/06 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 PolicyNumber- 1615591 _ 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 su 'ect to the workers' compensation laws of California, and agree that, if I should ome subje to the the compensation provisions of Section A 3700 of the Lab od 1 all fonhw' comply with those provisions. Date: I 7^O pplican!d� �• 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. 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 i orrect. I agree to comply with all city and county ordinances and state laws relating to b ildinp-construction, a hereby authorize representatives of this [count y to enter upon the above-mentioned pro ty��or mpecvon p oses. . eMe(- / ��� Signature (Applicant or Agent / LQPERMIT Application Number . . . 05-00000116 Permit BUILDING PERMIT- ERMITAdditional Additionaldesc . Permit Fee. . . . . 1493.50 Plan Check Fee 970.78 Issue Date . . . . Valuation 343903 Expiration Date 7/04/06 Qty Unit. Charge Per Extension BASE FEE 639,.50 244:00 3.5000 THOU BLDG 100,001-500,000 854.•00 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 255.59 Plan Check Fee 63.90 Issue Date Valuation . . . . 0 Expiration Date 7/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 4950.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 173.25 2617.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 52.34 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15..00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee.00 Issue Date Valuation . . . . 0• Expiration Date 7/04/06 . Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . MECHANICAL Additional desc Permit Fee . . . . 144.00 Plan Check Fee 36.0.0 Issue Date . . . Valuation . . . . 0 Expiration Date 7/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 5.00 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 LQPERMIT Application Number . . 05-00000116 • Permit . . . PLUMBING Additional desc . Permit Fee 189.75 Plan Check Fee 47.44 Issue Date Valuation . . . . 0 Expiration Date 7-/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4950 sq. ft. living space with 2617 sq. ft. unconditioned garage space. this permit does not include pool & spa block walls or driveway approach.December 20, 2005 7:11:33 AM ]Johnson ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 359.75 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 97.08 . DIF FIRE PROTECTION -RES 140.00 " GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 34.39 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited - ---------- - - - - ------ - - - - ------ - - - - ------ - - - - ---- Due -- - - - - - - Permit Fee Total 2097.84 .00 .00 2097.84 Plan Check Total •1118.12 250.00 .00 868.12' Other Fee Total 4187.22 .00 .00 4.187.22 Grand Total 7403.18 250.00 .00 7153.18 LQPERMIT �6l/ off- oll6 Gnl. Po. BOX 1504 APPLICATION ONLY Building /' // / n 78-495 CALLE O c Arlrirpc LA QUINTA, CALIFORNIARNIA 92253 pwa& BUILDING: TYPE CONST. OCC. GRP. Mailing Address )0o Bar 97,1twsaA.P. Number 6 ff9 -o 5a - D 9 City4"ila_ Zip /��� Copractpr y Project Description �SF� t�— r��4 ^ �4r Xe- e-pD City ZipTel. ugh 9aa s3 &0 -75-3W Statei (O1 . / City & Classif. 6109`6910 0 Lic. # Arch., Eng �nN Designer 8M f AddressN:W/- Tel. 760 4 OU P ity/ / Zip �� State p ng Lic. # 0 ICENSED CONTRACTOR'S DECLARATION I hereby affirm 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 an effect. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License /mpensation, or the f lowing ason: (Sec. 7031.5, Business and Professions Code: Any city or cohich r quires a p it to construct, alter, improve, demolish, or repair any structure, prits is ance also req 'res the applicant for such permit to file a signed statement that he ise pursuant to the visions of the Contractor's License Law, Chapter 9 (commencingS tion 7000) of Divisi 3 of the Business and Professions Code, or that he is exempt thand the basis for the aged exemption. Any violation of Section 7031.5 by any applicapermit subjects the apple ant to a civil penalty of not more than five hundred dollars ($5 ❑ I, as ow at of the property, or my employees with wages as their soleensation, will do the work, a the structure is not intended oroffered for sale. (Sec. 7044ness and Professions Code: a Contractor's License Law does not apply to an ownererty who builds or improves th on and who does such work himself or through his o n employees, provided that such imp r ements are not intended or offered for sale. Il, ho ever, the building or im- provement is so within one year of completion, the owner -buil r will have the burden of proving that he di not build or improve for the purpose of sale)Itheon, ❑ I, as owner of the roperty, am exclusively contracting wsed contractors to construct the project. (Sec. 70 4, Business and Professions Code:ntractor's License Law does not apply to an owner f property who builds or improves and who contracts for such projects with a contrac r(s) licensed pursuant to the ConLicense Law) ❑ 1 am exempt under Se B. & P.C. for this WORKE 'S COMPENSATI N DECLARATION I hereby affirm that I have a c ificate of con ant to self -insure, or a certificate of Worker's Compensation Insurance, or a cert'ed copy th eof. (Sec. 3800, Labor Code.) Policy No. Comp y ❑ Copy is filed with the city. ❑ C ifi copy is hereby furnished. CERTIFICAT F EXEMPTION FROM WORKERS' C NSATION INSURANCE (This section need not be completed ' the p mit is for one hundred dollars ($100) valuation or less). I certify that in the performan of the wo for which this permit is issued, I shall not employ any person in any manner o as to beco subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, iter making this CertiIto of Exemption you should become subject to the Workers' C mpensation Provisions o he Labor Code, you must forthwith comply with such provisi s or this permit shall be daed revoked. CONSTRUCTION LENDING AG Cy I hereby affir hat there is a construction lending agency r the performance of the work for which this per it is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Add ss This is building permit when properly filled out, signed and va'dated, and is subject to expiration' work thereunder is suspended for 180 days. I ce that I have read this application and state that the above i ormation is correct. I agree comply with all city and county ordinances and state laws elating to building constr tion, and hereby authorize representatives of this city to enter th bove-mentioned prope for inspection purposes. Sign ture of applicant Date Me' ng Address C' , State, Zip WHITE = BUILDING DEPARTMENT Sq. Ft. �`� No. No. Dw. Size Stories .�- Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT �p Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading d Driveway Enc. Infrastructure d "y 717nr C/ TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from. Property Line FINAL DATE INSPECTOR Issued by: Validated by: Validation: YELLOW = APPLICANT Date PINK = FINANCE `i Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosMralkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 4,950 S.F. or $11,088.00 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 OC/Washington Mutual Bank - Blaine Grimes Check No. 936325686 Name on the check Telephone 275.3637 CERTIFICATE OF COMPLIANCE Ftinding Residential By Dr. Doris Wilson``�` Superintendent Desert Sands Unified School District occp7' 47950 Dune Palms Road < BERMUDA DUNES O Date 1/4/06 La Quinta, CA 92253 RANCHO MIRAGE INDIAN WELLS �. 27999 (760) 771-8515 dPQLM DESERT LQU NTyA��NO. INDIOy Owner M/M Blaine Grimes APN # 649-052-019 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # . No. Street S.F. Lot # No.. Street S.F. Unit 1 44461 Road Runner 4950 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosMralkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 4,950 S.F. or $11,088.00 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 OC/Washington Mutual Bank - Blaine Grimes Check No. 936325686 Name on the check Telephone 275.3637 Ftinding Residential By Dr. Doris Wilson``�` Superintendent ^1.�L� - ,"..qi.: /. moi' '�r• T Fee collected /exemptedy $h r1 CGiI Payment Recd ' s0.C.0 ti `- $11,088.00 Aver/Under' ' e. Signatu NOTICE: Pursuant to Govemme Code Section 66020(d)(1), this will rve notify you that the 90 -day approval period inl which you may protest the fees o r other payment identified above will in to run from the date on wh' 'the ilding 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 auth to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting Recording Requested By' 'First American Title Company RECORDING REQUESTED BY • AND WHEN RECORDED MAIL TO: Blaine R. Grimes -Susan L. Grimes -79140 Ocotillo Drive `~La Quinta, CA 92253 .1 _s A. P. N.: 649-052-019 TRA It : 0'2,0 — 01 Ort ` 130C p • 2001-432670 09/08/2081 08:80A Fee:19.00 Pape 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Cary L. Orso `Assessor, County Clerk Recorder r -Z - - GRANT DEED ' y GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $75.90 THE UNDERSIGNED computed on full value of property conveyed, or = on full less value of liens or encumbrances remaining at time of sale, Y$ computed value unincorporated area;- DL] City -of - La- to , and -- nd-FORA ME■"mwmmnm FO R�'A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,'. r • + - ' ,. _ ' • - :: , John L. Boyd and Kimberly L. Boyd, Husband and Wife as Joint Tenants y'' 1 hereby GRANT(S) to .Blaine R. Grimes and Susan L. Grimes, Husband and Wife as Joint Tenants EMEMMOMMMMO ,. Lot 16 south half of Lot 17 of Tract No.2667, in the county of Riverside, State of California, as per map and recorded in* Book 50,. Page(s) 64 and 65, of Maps. � SQe �P>G/'�Q7I'/0s9 G 64 4 P Or LPy �'/ i ' • MMMIMMMMMMM ' r John L. Boyd Kimberly L Boyd = -Document Date: I r 28. 2001 r -Z - - GRANT DEED ' y GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $75.90 THE UNDERSIGNED computed on full value of property conveyed, or = on full less value of liens or encumbrances remaining at time of sale, Y$ computed value unincorporated area;- DL] City -of - La- to , and -- nd-FORA FO R�'A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,'. r • + - ' ,. _ ' • - :: , John L. Boyd and Kimberly L. Boyd, Husband and Wife as Joint Tenants y'' 1 hereby GRANT(S) to .Blaine R. Grimes and Susan L. Grimes, Husband and Wife as Joint Tenants i , "' ; the following described property in the City of La Quinta, County of Riverside State of California; ,. Lot 16 south half of Lot 17 of Tract No.2667, in the county of Riverside, State of California, as per map and recorded in* Book 50,. Page(s) 64 and 65, of Maps. � SQe �P>G/'�Q7I'/0s9 G 64 4 P Or LPy �'/ i ' • r ' r John L. Boyd Kimberly L Boyd = -Document Date: I r 28. 2001 STAT O AS COU F .On ore m persona ly appea d .� •persnR711r1ar (or proved to me on the basis o tisfactory evidence) to the person whose meme(s) is/ bscribed to the within. instrument - - i and acknowledged to me that he/she/they executed the a is his/her/their authorized capacity and that by.his/he eir signature(s). on the instrument, - the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. + — WITNESS my hand a • eal. !� Signature .j �_� . • This area for official notarial seal. .� + + ..l _ , � 1 • , , /.„�j� � u yam, C=Mftsbn#_ lob" Ptd159_.1:811bnft _7 WNC011MEftt19Apr1$2005 - State to:. SAME AS ABOVE .or Address Noted Below .Mail Taxmen 1 TTTTTTY `IAIl1A,A'A�I,AIA'I'A,A,,I,A,1,A,1,1,A'I,A,A,I'1'A'I,A,A,I,A'A,A,�'A�, 1 i i i I . i 1 I t f i DIXIE ESCROW CCIVFlINY IVG ya 1 Y� i i i I . i 1 I t f i DIXIE ESCROW CCIVFlINY IVG ya 1 Y� DESCRIPTION That certain property- situated in the State of California, County of Riverside, City of La Quinta, Lot 16 and the South half of lot 17 of Tract No. 2667, as shown by map on file in book 50 page(s) 64 and 65 of Maps, Records of Riverside County, California-, Excepting therefrom that portion of Lot 16 described as follows: Beginning at the Southwest comer of said Lot 16; Thence North 08° 07' 15" East 61.24 feet to the Northeast corner of Lot 32 of Tract No. 2667, as shown by map on file in book 50, page(s) 64 and 65 of Maps, Records of Riverside County, _-California; . Thence South. 01" 38'36" East 55.16 feet to the North line of Cortez Lane as shown on map of Tract 2667 as shown by map on file in book 50, page(s) 65 and 66 of Maps, Records of Riverside County, California; Thence on a curve concave to the North having a radius of 275.00 feet, through a central angle of 020 25'38" degrees and a curve length of 12.00 feet to the point of beginning; Also .except one-half interest in and to all oil, gas, minerals and other hydrocarbon substances, as reserved in the Deed from Leonard A. Grenier and Mary Louise Grenier, husband and wife, recorded October 11, 1955 in book 1805 page 1.53 of Official Records of Riverside County, California. This legal is made pursuant to that certain certificate approving a lot line adjustment, Certificate No. 86-030, recorded November 24, 1986 as instrument no. 299039 of Official Records of Riverside County, California. IIIIIIIIIII�RI�IYIIIRIIIIIYIYI��INn �wW'.��,'m 4in# ' • City of La Quinta Building U Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. O �I "' Project Address: 4(9 41PI R-0/4 01Rcf1v Owner's Name: A. P. Number: 10 Ll Cl – 0 45 Z – O ! 4 Address: .YIA Legal Description: GOT f i0 —ri%a4-K Z&U �% Contractor: 0[L(-bS Cot4c texas du Q City, ST, Zip: L,/,� Telephone: Address: L f � *RD)4,0CvAjA4 Project Description: –T>L —7 City, ST, Zip: LA QV / Aj -r.4 e_'A . 7Z2'-!5 3 fi;-:� I L - C) JZE V 15101 .1 Telephone: 7(p 0 Z 7,5 State Lic. # : 41/ 9 �p q0 City Lic. #: 72, Arch., Engr., Designer:.eu)N/%Q .._. Address: G) t -V WI F5 I Q A tJ City, ST, Zip: RI u am"12 t D Telephone: R7 J _ 'i JeJ W im? Q � 2; - State Lic. #: c73cg Lf Name of Contact Person: ,jpl7� N,�1s�- Z��d Construction Type: Occupancy: Project type (circle one):.New Adc'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRA �a . 2 n nn 0 PERMI FEES Plan Sets LS V L', L Plan Check submitte L"J 4 i m Amount Structural Cales. Reviewed, ready for r kt �o .IJ U N 1 !P o Cheik Deposit Truss Cates. Called Contact Person1 Pan Check Balance Energy Cates. Plans picked up ZcAnstrucion Flood plain plan Plans resubmittedla Mechanical Grading plan 2"" Review, ready for corrections/ ssue % Electrical Subcontactor List Called Contact Person Wij1 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 1 �i • l CITY OF LA QUINTA PLAN CHECK CORRECTION LIST,, EW Web/James July 25, 2008 951-788-2050 PLAN CHECK NO. :05-0116 SECOND/FINAL CHECK ( Structural Review Only) ADDRESS: 46-461 Roadrunner Ln OCCUPANCY: R -3/1J SCOPE OF WORK Roof truss Revision TYPE -OF -CONST.: VB Total Plan Check'Hours: 5 Hours for revision The submitted plans and. specifications have been reviewed by the VCA CODE GROUP. In .our professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTA and the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE `CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIO Plans checked by: Lam Nguyen//P±. VCA CODE ROUP 2200 W Orangewood Ave, Ste 155 Orange, CA 92868 . (714) 363-4700 ext. VCA File No. LQ- I7227R.2A Y • INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 76045-5554 - Fax: 760-772-3895 INSPECTIONS WELDING ' INSPECTION REPORT Project Name: ct Project No: Date: Project Address: City: �o u Qc LD ng, AWS BC Title ®D 1.1 D 1.3 D 1.4 Other 24 Shop Field Client: Sub -Contractor. W General Cont ctor: • Architect: Structural Engineer: t3 4 vV1 1 Q a I Description of Work Inspected: S� o 1� ; W o.c q �cit CA urns Weather: SU n n UnresoliredI s: ®None See Below 5 �o�u X lc X rive@ ac s o a t o t m Q W n w h► tx ey %•t i C A I44 ru M S 4g,C 1, r �n CL CQ a ��S �e\l1 m� @. G o Q t 1✓ �ckO y„ 011 r, n 'Q n,enVr-'-Ne- Q\' % O� to t 0.:1 C,\ Process Welder Cert on File Electrode Detail(s) 1t S��, \ e�' me o. nUL' Location/Comments Y;;l No Type Size G ' Oia S�i e `N� � � . �' , - � W v��tpc c & \c o rL'i"; q&K a J 4A C. P. 0 2007 I hereby certify that I have inspected all of the above work, unless othenaise noted, and to the best of ility I have found this work UD co N with the appnived plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certifio No: 0842216-85 Con o s Representative: JCM Inspections TM 39725 Garand Lane Suite F III� Palm Desert, CA 92211 INSPECTIONS Phone: 760-M-5554 - Fax: 760-772-3895 NEI INSPECTIONS EPDXY INSPECTION REPORT Date:jp 4 _o Project Name: Project No: Project Address: ! City: /^ `', a IBC Title 24 Other: Client: Sub -Contractor: General Contractor: } tt Architect: Structural Engineer: ^ ` Y -N W Y152 C7 �• r� o � W `^1 r1- wz Q 'c' ® Anchor Bolts � Rebar o ,� Epoxy Type: �+-t on �� f n e, \ C� Epoxy Shelf Life: o� , qOo Hole Cleaning Method(s): VJa ( c �Cy Bather. Sttnn Unresolved I ms: None See Below Description ofWork Inspected: QX 1�n�T16 o\.. lz_�Ic 111)p \ '� �01\'k""()s GC CCk e c 0 v n"Y% r Y'N t, A to : e v'z ; '.c. `t n o S " L\S `�C �` '. s' I.c. o Cage 'y C �cktnl c anc�� a ewch c ,UnA f D t7n,4,v% \0 k Q e,e r r. '. tJ D Work complies with written approval from Structural Engineer and ICBO Evaluation Report # a E I hereby certify that 1 have inspected all of the above work, unless otherwise noted, and to the best of my ability I ha this work to comply withth plans, specifications _applicable building laws_ Final report issued at project completion. roved Inspector: Jac C. Millin ICC Certin No: 0842216-49 G r Mill— Contractors Representative: Jul 31 08 12:17p p.l COACHELLA VALLEY SEWER MATERIALS, INC. P.O. BOX 248 • THOUSAND PALMS, CALIFORNIA 92276 L E� - -p SALES YARD - 72270A VARNER ROAD • THOUSAND PALMS, CALIFORNIA v - PHONE: (760) 343-2231 FAX: (760) 343-2873 JOB LOCATION IMBER CUSTOMER ORDER NO.- - 7ERMS OF PgYMENT 'INVOICE DATE INVOICE NUMBER UCT 3ER PRODUCT DESCRIPTION QUANTITY SHIPPED UNIT PRICE` PCS. FT. LISTTOTAL DISC. NET AMOUNT - �,:.J� Jv ✓ .'iris%; DATE �. SUB TOTAL N PIPE • SEPTIC TANKS & IN SYSTEMS SALES TAX fp ? y `� =✓ =FTTINGS • MANHOLES AND COVERS • EJECTOR PUMPS • WATER TANKS PLEASE PAY THIS AMOUNT fere ns as stated herein conslllute the entire agreement of sale and Purchase of Product acknowledged herein. No modification thereof shall f •rJ /ry.. . , IemM terms end conditions, any ypa sha0 be made within ten (10) days immediately subsequent to recei tot r be effected b' our receipt or r es imposed by any governmental authority shall be P Product covered b y P acknoKledgment of a Paid by the customer. Y this agreement, d her by aulhdnzation of Coachella Valley Sower Melerials, Inc. Returns are subject to a 15% restocking fee and returns wie not be allowed after rtinely (90) days from date o1 Invoice. Frdght rtwst be , bl.bl hereunder is wanantod to meet standard mduslry quality for such product. Product a, for any expense of removal, reinstallation or other corse Proven to be detective after written notilicetbn Of alleged defect shall t>a re excess of the Purchase Price of the ttuential damages arising from any defeclive pradlxY. In no event shall Coachella Valle Product sold to customer herewith. Goa Placed al no cost to responsible ner. Coachella thelia Valley Sewer Materials, Inc. shall not be sub]ecf to direct or Indirect Sewer Materials. for anis Inc. be r 'test day d the month, q statement is sent out as soon as esPonslble iu damages for ronth service possible thereafter. Our credit terms are Net 31 from invoice date, d' M any resulting Ir"n installation + charge, it will automalicaly be put on COD unless possible a herarrangements have been made with vs In advance, - . discountable it paid by Not 30 days from krwke date. Any unpaid balance CITY OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS Form updated_& effective 8/25/2005 Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works/Engineering Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot. be processed will be returned to Applicant. Green Sheet approvals will be forwarded to the Building Department directly by Public Works. Date: C100S Tract'No.: Z -f 6'?- Address(s): yly ylp, The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building/Safety Department. CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4 AND #5 BELOW. TRACT HOMES: PROVIDE ITEMS #1,,#2, #3, #4 (AS APPLICABLE) AND #6 BELOW. COMMERCIAL_ BUILDINGS/OTHER: PROVIDE ITEMS 01, #2,'#3 AND #5 BELOW. 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Eleva_ion Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevaticn Certificate can be provided. Attach geotechnical certification of grading plan compliance. /3' Attach recorded final map showing proposed building locations are legal lots. i4eAttach a completed <1 acre per lot or infill project Fugitive *Dust Control project information :form, PM10 plan & agreement or.provide alternative & _valid City. apfroved PM10 plan set reference number or hard copy. plan. PM10 plans for commercial and residential developments (beyond 1 lot) are submitted separately with grading plans and are subject to additional requirements. . Attach an approved precise grading plan forthe the building locations s). AO flood zone developments will require an approved floodplain development plan. 6. Attach an approved rough grading plan for the building location(s). I have reviewed and confirmed the requirements listed above as presented and Find the improvements to be sufficiently complete for constructi of the proposed. building(s)/structure(s) on the subject lot(s). Pursuant t fin 'n s, the abov roject may be'released for building.p�ermit issuance. Recommended by: Dated: �6 ,J 6 SF -T C t SSU E ,w c.A,NN / - L14 AVO Declined for approval for reason(s) as follow(s); please correct and resubmit: TAMDEMS , . o 0824GREEN SHEET COVEKdoc V. i PM 10 (<1 acre per Lot or Infill Proiect) Fugitive Dust Control Plan Page 2 of 3 Plan updated & effective 8/25/2005 l This plan shall take into account applicable SCAQMD Rule 403 regulations. Training mLy be obtained by. contacting SCAQMD (Sharon Zamora (909) 396-2183). This plan shall consist of the following action items: • WATERING: Continuous watering is required to prevent dust and must occur a minimum of 4 times daily. Water shall be applied to dry soils to stop: • , Visible dust emissions over 20% opacity • Visible dust emissions that travel over 100 feet. • Water. source 3/4 inch water meter at front (south) side of pad. • EDUCATION: Responsible .Dust Control Individual and key personnel shall attend SCAQMD PM 10 class and obtain PM 10 certificate number prior to construction activity. • WEATHER MONITORING: Wind predictions shall be monitored. SIGNAGE: Use Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage Guidelines. • TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad; pad shall be kept firm and moist through hose watering or sprinklers. Fugitive. Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad: (15 mph maximum traffic speed). • PARKING: Parking is not allowed on the pad. All vehicles must park on street (at designated areas only). • TRACK OUT:. Provide 24 hour -street cleaning and track out system as appro-ed by City Public Works Inspector. (No dirt on public or private roads). Track out shall be cleaned up within one hour of incident. • DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per Califo-nia Building Code grading requirements. Piles shall be kept moist or covered. with tarp material. Larger dirt piles will require stockpile or grading permit. • FENCING: Provide PM10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM 10 fencing during the construction phase. • EOUIPMENT: Extra hoses and sprinklers shall be maintained on site. • AyTdON - S:.AII are4s��q ated or graded shall be pre -watered. Water shall T—� �., ' be applied during excavation or grading operations also. • DUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped prior to leaving site. •: INACTIVE SITE: Within. 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. City of La Quinta - PM 10 Project Information (<1 acre per Lot or Infill Proiect)* Page 1 of 3 Form updated & effective 8/25/2005 Project Information Project Phase Project Contractor: Project Phase (Check One): Construction ❑ Demolition Project Name: Project Tract Number: Lot Number(s): 6 Anticipated Start Date: Project Street Address: Anticipated Completion: Total acres in active construction (<1 acre per Lot): Project Contact Information Please Note: Dust control is required 24. hours a day, 7 days a week, regardless. of construction status. Person listed below is responsible for dust control during business and non- business hours. - Name: it e Title: ly pay Company Name: Mailing Address: RD o SOD,5 City: State: Zip Code: . Primary Telephone Number: PM10 Certificate Number: APSE=V 1 `� `090 * Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the City of La Quinta. TAPWDEPTSTAFF\Goble\Green Sheet PW Release\050824MINI PM 10 PACKET GREEN SHEEfdoc )` 1f � i- 1. .�,' v •g:: . City of La Quinti`- Site Specific Construction Phase PM 10 Ai?reement Palze 3 of 3' " Agreement updated & effective 8/25/2005 The signature of the property owner (or authorized representative): • Shall act as his/her acknowledgement of dust control requirements and the_r enforceability, pursuant to AQMD Rules 403 and 403.1; • Shall constitute and agreement to comply with all project conditions as identified 'in the approved dust control plan; The property owner (or authorized representative): • Acknowledges that dust control is required 24 hours a. day, 7 day's a week, throughout the period of project performance, regardless of project size or status; • Shall ensure that each and every contractor/subcontractor and all. other..persons associated. with the project shall be in continuous compliance with all requirements of tie approved dust control plan; , • "Shall take all necessary precautions "to minimize dust, even if additional measures beyond those listed in the dust. control planare necessary; • Shall. authorize representative of the City/County to enter upon the above mentioned property ,for inspection and/or abatement purposes; and • , Shall hold harmless the City/County and its. representatives from liabilit- for any actions related to.this dust control plan or any City/County initiated abatement activities. 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'y• t; i.;F •ty 1. •,. , .• \ - t _ N ��' . 'a., Ttl:•. per![ `,rC�► � a +s 00 OFAI 6 6' O� ,yyJ J" i ±r� �a �q f t r w `� �� Oa w�— ,•, r 4 x r r ;7fG`• y .� "�1'-"' .t �,F) .. j .; . � t O ��V777"'' ____ _ • 7� — �� f ♦ ' .y S•... ;- t Jcu �'�--�• O� �` •� '-.• � • ' ; j � '�•;jff �' Q• � x;r��wYy.� .tiT•� ,�+ Jt.C;x�:. ht ) �: , ,`yam : H' FX 4 11 Aiip. Zj �Y„ ��� ;y..� rw � � �� .�rD�Y y +' 4 �..k �" �.f �-' 1 y yK�•����h-. ��U�J IA NEKA ;4" c ,a.S-r��-*°.r,•.+r.�.. j �. ���. - ..Dzt tea` =+ 1'; Iry 3.:ry + d f r 1 73 4 �r 000, ��-, Certificate of Occupancy 19R 9�5 OF Building &Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 46-461 ROADRUNNER LANE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-0116 Occupancy Group: R-3 Type of Construction: V — NON -RATED Land Use Zone: RL Owner of Building: BLAINS & SUSAN GRIMES Address: 46-461 ROADRUNNER LN City, ST, ZIP: LA QUINTA, CA 92253 By: AJ ORTEGA Date: JULY 31 ST. 2008 Building. Official POST IN A CONSPICUOUS PLACE TITLE 24 REPORT Title 24 Report for: Residence,,for_Bla�ine Grimes 44461 Roadrunner La Quinta CA Project Designer: t. EW -Webb Engineering Inc. 2023 Chicago Ave. Ste. B-14 Riverside, CA 92507 a (909) 788-2050 Report Prepared By: Earl W. Webb EW -Webb Engineering, Inc 6108 Trujillo Way Riverside, CA 92509-6210 (909) 681-8447 CITY OF LA QUANTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE— �12 B Job umber: 2003-253 Date: 10/22/2004 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number. 2003-353 User Number. 5550 i TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Checklist 6 Form C -2R Computer Method Summary 8 HVAC System Heating and. Cooling. Loads Sum.mary,. , t.. Y 14 Room Load Summary ' ° 16 F EnergyPro 3.1 By EnergySoft Job Number. 2003-353 User Nwnber. 5550 . Certificate of Compliance: Residential (Part 1 of 2) CF -1 R kesidence for Blaine Grimes 10/22/2004 Project Title Date 44461 Roadrunner La Quinta Project Address Building Permit # EW -Webb Engineering, Inc (909) 681-8447 Plan Check / Date Documentation Author Telephone Computer Performance 15 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 5,568 ft2 Average Ceiling Height: 9.7 ft Total Conditioned Slab Area: 1,626 f? Building Type: (check one or more) ® Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (South)180 deg Floor Construction Type: ® Slab Floor / Number of Dwelling Units: 1.00 Number of Stories: 2 ® Raised Floor Const. Component Frame Assembly Location/Comments Type Type U -Value (attic, garage, typical,, etc.) R-30 RooffR.30.202.16) Wood 0.035 Exterior Roof R-13 Wall (W.13.2x4.16) Wood 0.088 F)derior Wall Solid Wood Door Wood 0.387 Exterior Door Slab On Grade We 0.756 Covered Slab w/R-0.0 Perimeter Insulati.'3n R-19 Floor (F.1 9.2x8.16) Wood 0.038 Exterior Floor / Over Crawlspace (w/R-6 Credit) FENESTRATION Shadina Dices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Front (South) 88.0 0.87 0.70 Bug Screen ❑ Z ❑ .© Right (East) 38.5 0.87 0.70 Bug Screen ❑ X❑ ❑ X❑ Front (South) 120.1 0.55 0.65 Bug Screen ❑ X❑ ❑ x❑ Front (South) 8.0 0.72 0.73 Bug Screen ❑ 0 ❑ Q Left (West) 40.0 0.55 0.65 Woven Sunscreen ❑ 0 ❑ X❑ Left (West) 13.8 0.72 0.73 Woven Sunscreen❑ x❑ ❑ X❑ Rear (North) 120.1 0.55 0.65 Bug Screen ❑ 0 ❑ 91 Rear (North) 16.0 0.87 0.70 Bug Screen ❑Q ❑ 0 Rear (North) 12.5 0.72 0.73 Bug Screen 13a El Right (East) 12.0 0.72 0.73 Woven Sunscreen ❑ 0 ❑ X❑ Right (East) 16.7. 0.55 0.65 Woven Sunscreen ❑ 0 ❑ Q Right (East) 13.0 0.87 0.70 Woven Sunscreen ❑ Q ❑ 0 Run Initiation• 04102104 14:52:39 Run Coe 1080946359 EnennPro 3.1 By EnergyScft User Number. 5550 Job Number. 2003353 Pa e:3 of 17 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R kesidence for Blaine Grimes 10/22/2004 Project Title Date HVAC SYSTEMS Note: Input Hydronic or combined Hydronic data under Water Heating Systems, except Desigq,HeaUng Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments Crantral Fumarp 80% AFUE Duds in Attic 4.2 Setback Res HVAC Central F unaoe 80% AFUE Duds in Attir 42 Setback RP -q HVAC Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) . (attic, etc.) R -Value Type Comments Split Air Conditioner 10.2 SEER Duds in Attic 4-2 Setback RPs HVAr Split Air Conditioner 10'_5 SEER Duds in Attir 42 Sethac k Rx HVAC WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 Ext emal Water Heater Water Heater Distribution # in Input Cap. or Recovey Standbyy Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss ( 0) R -Value Standard r+ac 50 gal or Less small Gas Standard fir 40,000 so 0.53 n/a 12 1 For small gas storage (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 Efficiency. REMARKS. Whole House %POWFL1A1V6iC %) I A I tmCIV I This certificate of compliance lists the building features and performance 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 recognize that compliance using duct sealing and TXV's requires installer testing and•certification and field verification by an approved HERS rater. Designer or Owner (per Business s Professions code) Documentation Author Name: Eft(,dRM Name: Earl W. Webb Title/Firm: EW -Webb Engineering Inc. Title/Firm: EW -Webb Engineering, Inc Address: 2023 Chicago Ave. Ste. 8-14 Address: 6108 Truiillo Way Riverside, CA 92507 Riverside, CA 92509-6210 Telephone: 909 788-2050 Telephone: (909) 681-8447 Lic. #: (signature) (d e) (signature) (date) Enforcement Agency . Name: Title/Firm: Address: Telephone: (signatureistamp) (date) Run Initiation Time* 041021" l4eS2*39 Run Code• 10809463S9 EnengyPro 3.1 By EnergySoft User Number. 5550 Job Number. 2003-353 Page:4 of 17 Certificate of Compliance: Residential (Addendum) CF -IR Residence for Blaine Grimes 10/22/2004 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 uasexa on ma auuquacy or vie speciai iusuncauon ana aocumemauon suommea. plan Field The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS �.•......�.. ...o ..�..., .a.o. ,owa vv..un.vna toga toes91.1 •m1151oauun ana aia8nasoa [esung or mese measures on a Torm GF -6R. plan Field i EnergyPro 3.1 By EnergySoft User Number. 5550 Job Number 2003-353 Page:S of 17 Mandatory Measures Checklist: Residential (Pagel of 2) MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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 or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures ❑X I150(a): Minimum R-19 ceiling Insulation. E] §150(b): Loose fill insulation manufacturers. labeled R -Value. ❑'§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does i� not apply to exterior mass walls). § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent § 150(1): Slab edge Insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pennfinch. § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® § 116-17: Fenestration Products, Exterior Doors and Infiltration/Exfithation 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 seated. E] §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150ft Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. §150(ey Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures ©§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. - ®§150(h): Heating and/or cooling loads calculated In accordance with ASHRAE, SMACNA or ACCA. a§150(1): Setback thermostat on all applicable heating and/or cooling systems. ❑X §1500). Pipe and Tank 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. First 5 feet of pipes closest to water heater tank, non -recirculating systems, Insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other Indirect hot water tanks have R-12 external insulation or R-16 combined intemallextemal insulation. 4. All buried or exposed piping Insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. Insulated. 6. Piping Insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number. 5550 Job Number. 2003-353 Page:6 of 17 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (h may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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 or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X❑ 4150(m): Ducts and Fans 1. M ducts and plenums Installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 63; ducts Insulated to a minimum Installed level of R-4.2 or enclosed entirely In conditioned space. Openings shag be sealed with mastic, tape, aerosol sealant, or other dud -closure system that meets the applicable requirements of UI -181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shag be used. Building cavities shag not be used for conveying conditioned air. Joints and seams of dud systems and their components shag not be sealed with Goth back rubber adhesive duct tapes unless such tape Is used In combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible dud shag not be used for conveying conditioned air. Building i cavities and support platforms may contain duds. Ducts Installed In cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 1 3. Joints and seams of dud systems and their components shag not be sealed with cloth back rubber adhesive dud tapes unless such.a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. S. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. I 6. Protection of Insulation. Insulation shag be.protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam Insulation shag 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 ❑ § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating Instructions, no electric resistance heating, and no pilot 2. System Is Installed with at least 36' of pipe between filter and heater for future solar, cover for outdoor pools or spas. 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. FX -1 §115: Gas fired central fumaoes, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) ❑6118 (f): Cool Roof material meet specified criteria Lighting Measures ® §150(k)l: Luminaires for general lighting In kitchens shag have lamps with an efficacy 40 lumens/watt or greater for general lighting In kitchens. This general lighting shag be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. FX §150(k)2: Rooms with a shower or bathtub mint have either at least one luminaire with tamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed calling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number. 5550 Job Number. 2003353 Page :7 of 17 Computer Method Summary (Part 1 of 3) C -2R Bes*denr_e for RI is ne Crimps 1012912004 Project Title Date 44461 Rnadn inner I aQuinta Project Address Building Permit# FW -W _hb najaeEppg Inc (909) 681-8447 Documentation Author ' Telephone Plan ChecklDate r-Dmpider PP_r armancp_ 15 Field Check/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 4.19 2.44 1.75 Space Cooling 34.26 34.15 0.11 Domestic Hot Water 5.12 5.07 0.05 Totals 43.56 41.66 1.90 Percent better than Standard: 4.4% BUILDING COMPLIES Total Conditioned Floor Area: 5,568 ft2 Floor Construction Type: QX Raised Floor OX Slab Floor Building Type: Single Fam Detached Building Front Orientation: (South) 180 deg Total Fenestration Area: 9L0% Number of Dwelling Units: 1.00 Total Conditioned Volume: 53,778 ft 3 Number of Stories: 2 Total Conditioned Slab Area: 1,626 ft 2 BUILDING ZONE INFORMATION # of Zone Name Floor Area Volume Units Zone Type rnndiHnned rnndifinned Thermostat Vent —ype - Hgt. Area ck-thack S n�a �+aC _8 n/a OPAQUE SURFACES Solar Act Gains Type Area U -Fac. Azm: Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary. (Part 2 of 3) C -2R Residence for Blaine Grimes 10/22/2004 Project Title Date FENESTRATION SURFACES # Type Area U- Factor SHGC Act. Am. Glazing Type Tilt Location/ Comments 1_ window Fmnt (South) m n n_A70 n70 1An Qn Dnuhle Metal C1Par Default 1st Flnnr 7nnp ri i .ct 2 Window Right (East) 16.0 0.870 0.70 90 90 Double Metal Clear Default 1st Floor Zone Guest 5 Window Front (South) 20.0 0.870 0.70 180 90 Double Metal Clear Default 1st Floor Zone 4 Window Right (East) 22.5 0.870 0.70 90 90 Double Metal Clear Default 1st Floor Zone 5 Window Front (South) 120.1 0.550 -• 0.65 180 90 Double NonMtl Clear Default 2nd Floor Zone 5 Window Front (South) 8.0 0.720 0.73 180 90 Double Metal Clear Default 2nd Floor Zone L Window Front (South) 32.0 0.870 0.70 180 90 Double Metal Clear Default 2nd Floor Zone 8 Window Left (West) 40.0 0.550 0.65 270 90 Double NonMt) Clear Default 2nd Floor Zone 5 Window Left (West) 13.8 0.720 0.73 270 90 Double Metal Clear Default 2nd Floor Zone _M Window Rear (North) 120.1 0"550 0.65 0 90 Double NonMtl Clear Default 2nd Floor Zone _U Window Rear (North) 16.0 0.870 0.70 _0 90 Double Metal Clear Default 2nd Floor Zone 12 Window Rear (North) 12.5 0.720 0.73 0 90 Double Metal Clear Default 2nd Floor Zone _, Window Right (East) 12.0 0.720 0.73 go_ An Dnuhle Metal Clear Default 2nd Flonr Zone 14 Window Right (East)_ 16.7 0.550 0.65 90 90 Double NonMtl Clear Default 2nd Floor Zone 15 Window Right (East) 13.0 0.870 0.70 90 90 Double Metal Clear Default 2nd Floor Zone INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt Wd. Len. Hgt LEA REA Dist Len. Hgt Dist Len. Hgt 1 Bug Screen 0.76 2 Bug Screen 0.76 3 By Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Woven Sunscreen 0.30 9 Woven Sunscreen 0.30 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Woven Sunscreen 0.30 14 Woven Sunscreen 0.30 15 Woven Sunscreen 0.30 3.1 By EnergySoft User Number. 5550 Job Number. 2003-353 of 17 Computer Method Summary (Part 3 of 3) C -2R Residence for Blaine Grimes 10/22/2004 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Frame Wall. Stucco 2,141 n gg 21 0_47 R-13 Wall (W _13.2x4.16 _ n 1st Finer 7nne Guest / Fxterinr Macs Frame Wall. Stucco 195 0_88 21 0_47 R-13 Wall (W.13.2x4.16) 0 1st Floor Zone Guest / xterior Mass Frame Wall. Stucco 186 0_88 --Z0_47 R-13 Wall (W.13.2r4.16) — 0 1st Floor Zone Guest / Exterior Mass Frame Wall. Stucco 193 0.88 21 0_47 R-13 Wall (VV.13.2x4.16) _ 0 1st Floor Zone Guest / Exterior Mass Frame Wall -Gyp- Board 35 0_12 --- 0.09 R-13 Wall (W_13.2x4.16) _2 1st Floor Zone / Exterior Mai s PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 100 0_76 0.0 0 1st Floor Zone Guest Slab Perimeter —164 00.76 OA _n 1st Floor Zone HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AF UE/HSPFXducts/attic, etc.) R -Value Type Comments Central Furnace 80% AFUE Ducts in Attic 4_2 Setback Res HVAC Central Furnace 80 o AFUE Duds in Attic 4.2 Setback Res HVAC Hydropic Piping pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Type (air conditioner, heat DumD. evaD. coc Minimum Duct fficiencv Location Duct Thermostat R -Value Type Location / Comments Split Air Conditioner 10.2 SFFR Duds in Attic 4.2 Setback Res HVAC Split Air Conditioner 10.5 SEER Duds in Attic 4.2 Setback Res HVAC WATER HEATING SYSTEMS Rated' Tank Energy Fact? 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst (Btu/hr) (Qal) Efficiencv Loss M Ext Standard Gas 50 gal or Less Small Gas Standard 1 40.000 50 0.53 n/a 12 1 For small gas storage (rated input — 75000 Btulhr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Computer Method Summary. (Part 3 of 3) C -2R Residence for Blaine Grimes 10/22/2004 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Frame Wall. Gyp. Board 415 _0_12 13 -OM R-13 Wall (W_132x4.16) -2 1st Flnnr 2nn - / xterinr Macs Frame Wall. Stucco 189 0_88 21 0.47 R-13 Wall (W.13.2x4.16)_ 0 1st Floor Zone / Exterior Mass Frame Wall. Gyp_ Board 154 0=12 13 0_09 R-13 Wall (W-13.2x4-16)1st Floor Zone / Exterior Mass Frame Wall, Gyp. Board 211 0_12 13 0.09 R-13 Wall (W(.13.2x4.16) 2 1st Floor Zone / Exterior Mass Frame Wall- Stucco 213 0_88 210_47 R-13 Wall (W.1 12M.16) 0 1st Floor Zone / xterior Mass PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AF UE/HSPFXducts/attic, etc.) R -Value Type Comments Pipe Hydronic Piping pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments WATER HEATING SYSTEMS Ratedl Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. 1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS hole House , Computer Method Summary (Part 3 of 3) C -2R Residencelor Blaine Grimes 10/22/2004 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Frame Wall, Stucco 780 0 88 91 00=47 R-13 Wall (V1l_132x4.16) _ n 2nd Flo it 7nnp / Exterior Masc Frame Wall, Stucco 718. 0_88 21 0_47 R-13 Wall (W.13.2x4.16)_ 0 2nd Floor Zone / Exterior Mass Frame Wall, Stucco 791 0_88 21 JQAZ R-13 Wall (W.132x4.16) _ 0 2nd Floor Zone / Exterior Mass Frame Wall, Stucco 730 0.88 _ 21 0.47 R-13 Wall (W.13.2x4.16) 0 2nd Floor Zone / Exterior Mass PERIMETER LOSSES 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, fist energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. F2 Insulation Type Length Factor R -Val- Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type( mace, heat Efficiency and Location Duct Thermostat Locafon / pump, etc.) (AFUE/HSPFXducts/attic, etc.) R -Value Type Comments Hydronic Piping pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Locaton / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments WATER HEATING SYSTEMS Rated' Tank Energy FBcO 1 Tank insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency, Loss (%) Ext. 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, fist energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Computer Method Summary (Addendum) C -2R Residence for Blaine Grimes 10/22/2004 Project TiUe 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 basso on the adequacy of the special justrfication and documentation submitted. Pian Feld The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. M EF below 0.58 requires an R-12 External Elanket ■® HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider.. i no HERS rater must document me nein verification and diagnostic testing of these measures on atom CF -6R. Plan Field EnergyPro 3.1 By EnergySoft User Number. 5550 Job Number. 2003-353 Page:13 of 17 IHVAC'SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Residence for Blaine Grimes 10/22/2004 SYSTEM NAME FLOOR AREA Res HVAC 619 Number of Systems 1 Heating System Output per System 53,000 Total Output (Btuh) 53,000 Output (Btuh/sgft) 85.6 Cooling System Output per System 22,400 Total Output (Btuh) 22,400 Total Output (Tons) 1.9 Total Output (Btuh/sgfl) 36.2 Total Output (sgk/Ton) 331.6 Air System CFM per System 950 Airflow (cfm) 950 Airflow (cfm/sgft) 1.53 Airflow (cfmfron) 508.9 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 ote: values above given at ARI conditions :ATING SYSTE 26.0 OF Outside Air 0 cfm 69.4 OF Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK I COIL HTG. PEAK CFM Sensible Latent CFM Sensible 13,0851 -128 BDP CO.561AJ024 17,032 1,733 53,000 Total Adjusted System Output 17,032 1,733 53,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug2;M] Jan 12 am 69.4 OF 69.4 OF . 105.0 OF Supply Fan Heating Coil 950 cfm h Retum Air Ducts 4 Supoly Air Ducts 104.4 OF ROOMS 70.0 OF I DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Coolin Peak 115.0/73.50F 78.6/62.3°F 78.6/62.3°F 55.0/53.60F Supply Air10, Ducts Outside Air . _... 0cfm Supply Fan Cooling Coil 55.6 / 53.8 of 950 cfm 40.P°/u R.H. ROOMS 78.6/62.3 °F 78.0 / 62.1 OF Return Air Ducts I EnergyPm 3.1 By EnergySoft User Number. 5550 Job Number. 2003353 Paae:14 of 17 1 HVAC 'SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Residence for Blaine Grimes 10/22/2004 SYSTEM NAME FLOOR AREA Res HVAC 4,949 NGINEERING CHECKS IISYSTEM LOAD Number of Systems 2 Heating System Output per System 89,000 Total Output (Btuh) 178,000 Output (Btuh/sgft) 36.0 Cooling System Output per System 57,000 Total Output (Btuh) 114,000 Total Output (Tons) 9.5 Total Output (Btuh/sgft) 23.0 Total Output (sgftrron) 520.9 Air System CFM per System 2,210 Airflow (cfm) 4,420 Airflow (cfm/sgft) 0.89 Airflow (cfio/Ton) 465.3 Outside Air (%) ' 0.0 Outside Air (cfm/sgfl) 0.00 ote: values above given at ARI conditions ATING SYSTEM PSYCHROMETRICS 26.0 of 69.10F 69.10F Outside Air � 0 cfm 69.1 OF ;DOLING SYSTEM 15.0 / 73.5 of 310 OC Outside Air 0 cfm 78.9/62.0 of 3.1 CFM Total Room. Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD PEAK I COIL HTG. PEAK Went CFI Sensible 92 89-3 550 93 349 I •° BDP CO.561AJ060 89,733 5,274 178,000 Total Adjusted System Output733 5,274 178,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 m Jan 12 am earn Temperatures at Time of Heating Peak 105.0 of Supply Fan Heating Coil 4420 cfm h Retum Air Ducts `S 78.9 / 62.0 of 78.9 / 62.0 of 1111111 55.0/53.30F Supply Fan Cooling Coil 4420 cfm User Number. 5550 Return Air Ducts Job Number. 2003-353 Supply Air Ducts 104.1 of ROOMS 70.0 of 1 .Supply Air Ducts 55.9 / 53.7 of 39.4% R.H. ROOMS 78.0 / 61.7 of 15 of 17 IROOM'LOAD -SUMMARY PROJECT NME Residence• DATE 10/22/2004 Res HVAC FLOOR 619 ROOM LOAD SUMMARY Ist FloorZone Guest TOTALPAGE -12781=1 ■� TOTAL -12811 M■3.0361 EnergyPro 3.1 By EnergySoft User Number. 5550 Job Number. 2003-353 Page:16 of 17 JR00 . P. LOAD SUMMARY PROJECT NAME DATE Residence for Blaine Grimes 10/22/2004 SYSTEM NAME FLOOR AREA Res HVAC d OAQ ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult CFM SENSIBLE LATENT CFM I SENSIBLE :LATENT CFM SENSIBLE 1stFloor Zone 2nd Floor Zone 1st Floor 2nd Floor 1 1 678 2,772 16,587 67,862 -209 _ "-3,341 678 2,772 16,587 67,862 -209 -3,341 545 1,733 20,309 64,554 PAGE TOTAL 1 3,450 84,449 -3,5510F 2,278 84,863 TOTAL 1 3,450 84,449 -3,550 1 2,278 84,863 EnergyPm 3.1 By EnergySoft User Number. 5550 Job Number. 2003353 Page:17 of 17