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04-5057 (AR)iw ��yr;111CJT - n BUILDING & SAFETY DEPARTMENT 1504. (760)',777-7012 LLE TAMPICO FAX (760) 777-7011 r, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT &anon Number . . . . . rty Address '. APN: Application description . . . Property Zoning Application valuation Owner --.---------------------- BROCKMAN JAMES R *NOT ON .FILE UNKNOWN CA'99999 0.4 00005057 Date 6/21/04 -45-235 COLDBROOK LN 604-413-002-11 -23995 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL . 18019 Contractor ------------------ - - - - - - OWNER ---=- Structure Information '315 SQ. FT. ADDITION ----- Construction Type TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <.=10 Flood Zone . ... . .NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # BEDROOMS 1.00 FLOOD ZONE NO FIRST FLOOR SQ FTG 315.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional.desc Permit Fee . . . . 198.00 Plan Check -Fee'. 128.70 Issue Date Valuation . . . 18019 Qty Unit Charge Per Extension BASE FEE 45.00 17.00 9.0000 THOU BLDG 2,001-25,000 153.00 ---------------------------------------------------------------------------- Permit . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 26.03 Plan Check Fee 6.51 Issue Date . . . . Valuation . . . . 0 Qt.y Unit Charge Per Extension BASE FEE 15.00 315.00 .0350 ELEC NEW RES - 1 OR'2 FAMILY 11.03 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc Permit Fee 42.00 Plan Check Fee 10.50 Issue Date. Valuation* 0 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153 Application Number: Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT Architect or Engineer: Architect or Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class License No. Date Contractor. OWNER -BUILDER DECLARATION hereby affirm'under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects t__happlicant to a civil penalty of not more than five hundred dollars ($500).): QYY 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 or 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.). U 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.). U I am exempt under Sec. ` , BA P.C. for thi,�reagop Datak- 12 _O WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pe 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: Cartier 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 Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Applicant 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. 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.). Lenders Name Lender's Address 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, indemnity 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. 1 certify that I have read this application and state that the above information is corecL I agree to comply with ail city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the abov entioned property for inspection purposes. Date `�2�� Signature(ApplicantorAgent): ff� Page 2 Application Number 04-00005057 Date 6/21/04 Qty -Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA. MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 78.00 Plan -Check Fee 19.50 Issue Date Valuation 0 Qty Unit'Charge Per Extension BASE FEE 15.OQ 8.00 6.0000 EA PLB FIXTURE 48.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 1.00 3,.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 315 SQ. FT. ADDITION MASTER BEDROOM. ---------------------------------------------------------------------------- Other Fees . . . . . ENERGY REVIEW FEE 12.87 STRONG MOTION (SMI) - RES 1.80 Fee summary Charged Paid Credited Due Permit Fee Total 344.03 .00 .00 344.03 Plan Check Total 165.21 .00 .00 165.21 Other Fee Total 14.67 .00 .00 14.67 Grand Total 523.91 .00 .00 523.91 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page .1 of 3) CF -IR �.7' Z J� �dl.rD�iiOOIG A.J. LA- QV l"TA— Project TitleDate Project Address733$ Building Permit # 0W AJE2- i3va c.� 760. 7�. Documentation Author Telephone Plan Check / Date 157' Field Check / Date Compliance Method (Package r Computer) Climate Zone CITY info c t e c NTA 13UILDiNr% 011 APPROVED PT. • GENERAL INFORMATION FOR WNW 9TION Total Conditioned Floor Area J3 S ft, Aver ge Ceiling etg t: Conditioned Slab Floor Area ft DATE b BY Building Type: Single Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North / South as West 7 All Orientations ' Number of Stories (input front orientation to degrees from True North and circle one) � Number of Dwelling Units: r Floor Construction Type: S a aised Floor (circle one or both) RADIANT BARRIER (required in climate zones 2, 4, 15 Required for this submittal-Xyes _no BUILDING ENVELOPE INSULATION Component Type Frame Type wd = wood stl = steel Cavity Sheathing Total R- Assembly Location/Comments Insulation Insulation Value' U -Factor' (attic, garage, typical, etc.) R -Value R -Value Wall Z A) -21 Wall Roof V O& Roof SS 2- 38 Floor VJGST Floor WF—s , Ob S Slab Edge N64M . D For prescriptive compliance, Total R -Value and Assembly U -Factor are not required for a wood -framed wall that meets cavity R -value insulation requirements for the Prescriptive Packaee. FENESTRATION Shading Devices Fenestration #/T e/Pos. Orien- tation Area Fenestration Fenestration Exterior Overhangs/ (ft') U -Factor SHGC Shading Att. Fins Front Front Left V O& Left Rear VJGST Rear WF—s , Ob S Right N64M . D Right Ai0 • 0(o Skylight Skylight January 5, 2001 0 I (� roN CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3) - CF -IR Project Title 6 Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment—__ Mimmurn - Type and Duct or Heat Pump - Type (ftimace, heat 1 -iEfftuiency, Location Piping Thermostat Configuration t. } ` pump, etC. ,� s (AFiJE or HSPF) 1 (ducts, attic, etc.) R -Value Type (split or package) SEALED DUCTS and TXVs (or Alternative Measures) ❑ Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required) ❑ TXVs or Commission approved equivalent, readily accessible (climate zones i 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 T�+pe _ in System or Btu/hr) (gallons) Efficiencv Loss (%) R -Value 5)CI T7nl 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr1, electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bru/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efftciencics. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs or Commission approved equivalent, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 1999 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). D ►AtiJT 3+"&z A59-049:' S VAMC January 5, 2001 �; 9k� Cooling Equipment: -Minimtun I Duct Heat Pump Type'(air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, eva . coolin) '.(SEER) Y (attic, etc.) R -Value TXQe (split or package) A-t(1-Co1J41f7aNe--�—. -I-L SEt 4d-A►►16 014 &tC Off% AX4- _ SEALED DUCTS and TXVs (or Alternative Measures) ❑ Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required) ❑ TXVs or Commission approved equivalent, readily accessible (climate zones i 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 T�+pe _ in System or Btu/hr) (gallons) Efficiencv Loss (%) R -Value 5)CI T7nl 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr1, electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bru/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efftciencics. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs or Commission approved equivalent, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 1999 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). D ►AtiJT 3+"&z A59-049:' S VAMC January 5, 2001 �; 9k� CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF -1R COMPLIANCE STATEMENT 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 TXVs (or Commission approved equivalent) requires installer testing and certification and field verification by an approved HERS rater. Designer or ,Owner (per Business and Professions Code) Name: Jt4M�S� Title/Firm: OGyNE2��r!/ �•DE'— Address: ��235 ��-%��3iL00/� �• L4Q�j►N77�C.� Rzz�3 Telephone: Lic. #: 4Occ,Al 64-1130/ t DFW— Documentation Author Name: _J471766 Title/Firm: Address: Z QUI .. Telephone: - (signature) (date) (signature) Enforcement Agency r Name: Title: Agency: Telephone: (signature / stamp) (date) n. January 5, 2001 ` (date) r - CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF4R Project Title Date Project Address Builder Name Builder Contact Telephone Plan Number HERS Rater Telephone Sample Group Number Certifying Signature Date Sample House Number Firm: HERS Provider: Street Address: City/State/Zip: Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. ❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ 'Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbarids are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured .Duct Pressurization Test Results (CFM @•25 Pa) values Test Leakage Flow in CFM - If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ Check Box for Pass or Fail (Pass=6% or less) ❑ THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ ❑ Pass Fail ❑ Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ ❑ Yes is a pass, Pass Fail 13. MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. O Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail January 5, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part z) CF -4R Project Title Plan Number Date Sample Group Number Sample House Number ❑ MINIMUM REQUIREMENTS FOR DUCT IN CONDITIONED SPACE COMPLIANCE CREDIT Field Verification Results ❑ Yes ❑ No Duct in conditioned space criteria matches CF -1 R ❑ ❑ Yes is a Pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR REDUCED DUCT SURFACE AREA COMPLIANCE CREDIT Measured duct exterior surface area in the following. unconditioned duct locations (square feet): Attics Crawlspaces Basements Other (e.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CF -IR? ❑ ❑ Yes is a Pass Pass Fail January 4, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 3) CF4R Project Title Plan Number Date Sample Group Number Sample House Number ❑ MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT Diagnostic Testing Results Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater 1. ❑ ❑ Is measured envelope leakage less than or equal to the required Yes No level from CF -1 R? 2. ❑' ❑ Is Mechanical Ventilation shown as required on the CF -1 R? Yes No 2a. ❑ ❑ If Mechanical Ventilation is required on the CF -1 R (Yes in line 2), Yes No has it been installed? 2b. ❑ ❑ Check this box yes if mechanical ventilation is required (Yes in line Yes No 2) and ventilation fan watts are no greater than shown on CF - 1 R. 3. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) Yes No is greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R (If this box is checked no, mechanical ventilation is required.) — 4. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) Yes No is less than the CFM @ 50 values shown for an SLA of 1.5'on CF -11R, mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if: Pass Fail a. Yes in line 1 and line 3, or b. Yes in line 1 and line2, 2a, and 2b, or c. Yes in line 1 and Yes in line 4. Otherwise fail. January 4, 2001 INSTALLATION CERTIFICATE (Page 1 of 8) CF -6R Site Address . Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip.. # of Efficiency Duct Duct or Heating Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load Capacity h at umn) and Model Number gvstems 1>CF-IR valuel (attic. etc) R -value (Bru(hr) (Btu(hrl Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity heatpump) Model Number Systems 1>CF-IR valuel (attic. etc.l R -value (Btu(hr) (RVUfhr1 1. > reads greater than or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more ffi ecient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date WATER HEATING SYSTEMS: Installing Subcontractor (Co. Name). OR General Contractor (Co. Name) OR Owner Distribution If Recir- # of Rated' Tank Effi- External Heatcr CEC Certified Mfr Type (Std, culation, IdenticalInput (kW Volume cicncy Standby' Insulation Type Name & Model Number Point -of -Use) Control Type Systems or Btu/hr) (gallons) (EF. RE) Loss (%) R -value 2 For small gas storage (rated input 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 Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation.is mandatory for storage water heaters with an energy factor of less than 0.58. Faucets& Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I; the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner January 4, 2001 INSTALLATION CERTIFICATE (Page 2 of 8) CF -6R , Site Address Permit Number FENESTRATION/GLAZING: Total Quantity Product Product of Like Extcrior Shading U -Factor' (<_ SHGC' (5 # of Product Square Device or Comments/Location/ Manufacturer/Brand Name CF -IR value)' CF -IR value)Z Panes fOotional) Feet Ovcrhane Special Features (GROUP LICE PRODUCTS) 1. _ 2. _ 3. _ 4 5. _ 6. _ 7. _ 8. _ 9. _ 10. _ 11. _ 12. _ 13. _ 14. _ 15. ' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the default values from Section 1.16 of the Energy Efficiency Standards. : Installed U -Factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -IR, or a shading device (exterior or overhang) is installed as specified on the CF -IR. Alternatively, installed weighted average U -Factors for the total fenestration area are less than or equal to values from CF -1 R. I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -Factor and lower SHGC than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item. #s (if applicable) Item #s (if applicable) Signature, Date Signature, Date Item #s Signature, Date (if applicable) COPY TO: Building Department HERS Provider (if applicable) Building Owner. at Occupancy January 4, 2001 Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor • - Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor INSTALLATION CERTIFICATE (Page 3 of 8) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction <_ 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FIPIISHING WALL: ' ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes 13 No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) n=;:: ❑ Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ ❑ Yes is a pass z, Pass . Fail ❑ DUCT DESIGN 1 • ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes for both 1 and 2 is a Pass ❑ ❑ Pass Fail ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 ON INSTALLATION CERTIFICATE (Page 4 of 8) CF -6R . Site Address I Permit Number DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS ❑ DUCT IN CONDITIONED SPACE ❑ Yes ❑ No Duct in conditioned space criteria matches CF -1R ❑ ❑ Yes is a Pass Pass Fail ❑ REDUCED DUCT SURFACE AREA Measured duct exterior surface area in the following unconditioned duct locations (square feet): Attics Crawlspaces Basements Other (e.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CF -1R? ❑ ❑ Yes is a Pass Pass Fail ❑. I, the undersigned, verify that the duct surface area and duct locations claimed for duct surface area reductions and duct location improvements beyond those covered by default.assumptions match those on the plans. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) INSTALLATION CERTIFICATE (Page 5 of 8) CF -6R Site Address I . . Permit Number BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ❑ ENVELOPE SEALING INFILTRATION REDUCTION Diagnostic Testing Results Building Envelope Leakage (CFM @.50 Pa) as measured by Rater 1. ❑ ❑ Is measured envelope leakage. less than or equal to the required level Yes No from CF -1 R? 2. ❑ ❑ Is Mechanical Ventilation shown as required on the CF -1 R? Yes No 2a. ❑ ❑ If Mechanical Ventilation is required on the CF -1 R (Yes in line 2), has Yes No it been installed? 2b. ❑ ❑ Check this box yes if mechanical ventilation is required (Yes in line 2) Yes No and ventilation fan watts are no greater than shown on CF -1 R. Measured Watts = 3. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R (If this box is checked no, mechanical ventilation is required.) 4. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No less than the CFM @ 50 values shown for an SLA of 1.5 on CF -1 R, mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. - s ❑ ❑ Pass if: Pass. Fail a. Yes in line 1 and line 3, or b. Yes in line 1 and line2, 2a, and 2b, or c. Yes in line 1 and Yes in line 4. Otherwise fail. ❑ 1, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Test Performed Signature Date Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 INSTALLATION CERTIFICATE (Page 6 of 8) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: HVAC SYSTEMS Heating Eauioment Tvoe must be one of the following: Furnace: Gas.(including Liquefied Petroleum Gases) or oil -fired central furnace & space heater Boiler: Gas or oil -fired boiler PckgHeatPump: Packaged central heat pump SplitHeatPump: Split central heat pump RoomHeatPump: Room heat pump LgPkgHeatPump: Large packaged heat pump (2!•65,000 Btu/hr output) Electric: Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) CombinedHydro: Reference water heater under water heating systems below CEC Certified Manufacturer Name & Model Number from applicable Commission approved appliance directory. # of Identical Systems is for those systems with the same efficiency, duct location, duct R -value and capacity. Efficiency from applicable Commission certified appliance directory. Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none. Duct (or Piping) R -Value from Directory of Certified Insulation Materials and/or manufacturer's data. Heating/Cooling Load refer to Commission approved load calculation procedure. Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over 2,000 R above sea level require a derating of output capacity (refer to manufacturer's literature). Cooling Equipment T . must be one of the following: . SplitAirCond: Split system air conditioner PckgAirCond: Packaged air conditioner Split Heat Pump: Split system heat pump PckgHeatPump: Packaged heat pump RoomHeatPump: Room heat pump LgPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available RoomAirCond: Room air conditioner. Minimum SEER varies* LgPkgAirCond: Large packaged air conditioner (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available EvapDirect: Direct evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 11.0; duct location = attic; duct insulation R -value = 4.2 EvapIndirect: Indirect evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 13.0; duct location = attic; duct insulation R -value = 4.2 'Refer to Energy Commission publication Appliance Efficiency Regulations, P400-92-029 January 4, 2001 INSTALLATION CERTIFICATE (Page 7 of 8) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: WATER HEATING SYSTEMS Ilictrihntinn CVCtPmc Refer to Rocidentini Mnnuni fpr mnre details - Standard: Standard — Supply pressure based system, no pumps Pipe Insulation: Pipe Insulation on all 3/4 -inch pipes POU/HWR: Point of Use/Hot Water Recovery System Recirc/NoControl: Recirculation loop with no controls RecircfTimer: Recirculation loop with a timer Recirc/Temp: Recirculation loop with temperature control Recirc/Time+Temp: Recirculation loop with a timer and temperature control Recirc/Demand: Recirculation loop with demand control Water Heater Type Storage Gas, Oil or Electric Heat Pump Instantaneous Gas Instantaneous Electric Large Storage Gas Indirect Gas (Boiler) FENESTRATION/GLA ZING Information Needed Energy Factor Recovery Efficiency Standby Loss Rated Input Yes No No No - Yes No No No No Yes No --No Yes No No `.�:No No Yes Yes ;Yes No Yes (AFUE) No ; Yes Fenestration: Windows, sliding glass doors, French doors, skylights, garden windows, and any door with more than one square foot of glass Operator Type: Slider, hinged, fixed U -Factor: Installed U -Factor must be less than or equal to value from CF -1 R OR Installed weighted average U -Factor for the total fenestration area is less than orequal to value. from CF -1 R SHGC: Installed SHGC must be less than or equal to value from CF -1 R OR Installed weighted SHGC for the total fenestration area is less than or equal to value from CF -1R OR An interior shading device, overhang, or exterior shading device is installed consistent with the CF -IR Shading Device: Include when the building complied using an exterior shading device: woven sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning, roll -down blinds or slats (do not list bug screen), or an overhang (include depth in feet January 4, 2001 INSTALLATION CERTIFICATE (Page 8 of 8) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on the Diagnostic portion of this form (page 3 of 6): TYPE OF CREDIT Refer to Residential Manual Chapters 4 and 5 for more details: Reduced Duct Surface Area: Calculated as the outside area of the -duct. Areas must be measured and verified by a HERS rater. Improved Duct Location: Supply duct located in other than attic, as verified by location of registers (does not require HERS rater verification). Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a house pressure of 25 Pascal. TXV (or Commission Access cover required to facilitate verification. Eligibility criteria for approved equivalent): Commission approved equivalent, if applicable, is required to be met. Infiltration Reduction: Infiltration is measured without mechanical ventilation operating. Mechanical ventilation is required for very tight house construction when credits for infiltration reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1.5. The compliance documentation (CF -IR) will contain the measured CFM target value from a blower door test at 50 Pascal pressure difference that represents this SLA of 1.5. Mechanical ventilation is also required if the builder chooses to design the building to use mechanical ventilation and claims a credit for infiltration below an SLA of 3.0. The compliance documentation (CF -111) will contain the measured CFM target value that represents this 3.0 SLA. If the builder claims credit in a design for infiltration reduction that is at an SLA of 3.0 or higher, and the actual measured SLA is 1.5 or greater, then mechanical ventilation is not required. If the SLA in this case were below 1.5, then mitigation (such as mechanical ventilation) would be required. January 4, 2001 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1 of 2) MF -1R 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. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: ' • §150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R-Valuc. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors. § 1500) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 penTdinch. §118: Insulation specified or instilled meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and lnfiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. t 2, Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 150(g): -Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150(f): Special infiltration barrier installed to comply with .§ 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. I. 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 pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: § 110-§ 113: 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 ACOA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems. § 150(j): 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 (R4 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 intemaUextemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55• F insulated. 6. Piping insulated between heating source and indirect hot water tank. January4, 2001 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R 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. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X • § 150(m): Ducts and Fans I. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A. or UL 181 B. If mastic or.tapc is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shalt be used. Building cavities shall not be used for conveying conditioned air. Joints and scams of duct systems and their components shall not be sealed with cloth back tubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or dutdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Lighting Measures: § 150(k) L: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/wan or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a Y readily accessible lighting control panel at an entrance to the kitchen. ' § I50(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this x requirement allowed in § I50(k)2.: and recessed ceiling fixtures are IC (insulation cover) approved. January 4, 2001 _ .l. -•:!/!!.'i _ __ i��'/n:CG':�,F i:l.r`�T'r � - FFF. �•1.�:^'�.: �.^.•-.-. F I 16 Roof Span Table Trus Joist • TJI® Joist Specifier's Guide 2025 • September 2003 I Maximum Horizontal Clear Spans—Roof Design Live Load (LL) and Dead Load DL in PSF , O.C. Depth TJI® Non -Snow 125% Snow Load Area 115% Spacing 20LL + 15DL 20LL + 20DL 25LL + 150L 30LL + 15DL 40LL + 150L 50LL + 15DL Low High Low High Low High Low High Low High Low High See page 17 for General Notes and information on how to use this table 110 19'-3" 17'-2" 18'-4° 16'-3" 18'-5" 16'-6" 17'-9° 15'-11" 16'-7" 15'- 0" 15'-6" 14'-3- 210 20'-5" 18'-2° 19'-5" 17'-3" 19'-6" 17'-6" 18'-9" 16'-11" 17'-7" 15'-11' 16'-7' 15'-1' &230 21'-0"10 18'-9" 20'-0" 17'-9" 20'-2° 18'-0" 19'-4" 17'-5" 18'-1" 16'-4" 17'-1' 15'-6' 110 23'-0' 20'-6' 21'-11" 19'-5" 22'-0" 19'-9° 20'-11" 19'-1' 19'- 0" 17'-11' 17'-6' 16'-11' 210, _24',-4" _21'-9.._.._23'-3'---, 20'-7" 23'-4" 20'-11" 22'-5" 20'-2" 20'-10" 19'- 0" 19'-2" 18'-0' 11'/e" 1.230 360 25'-1" 27'-9° 22'-5" 24'-9" 23=11' t 26'-5" 21'-3" 23'-5" 24'-1" 26'-7" 21'-7" 23'-10' 23'-1' 25'-6" 20'-1.0° 23'- 0° 21'-7" 23'-11° 19'-7" 21'-7" 20'-3' 22'-7" 18'-7' 20'-6' 560 31'-11" 28'-6° 30'-5" 27'- 0" 30'-7" 27'-5" 29'-5" 26'-5" 27'-6" 24'-10" 261- 0" 23'-7 16" 110 26'-3" 23'-5" 25'-0" 22'-2" 24'-1° 22'-6" 22'-9° 21'-9" 20'-8" 19'-11" 19'-1' 18'-5° 210 27'-9" 24'-9" 26'-5" 23'-5' 26'-5" 23'-9° 25'- 0" 22'-11" 22'-8" 21'-7' 20'-11' 20'-3" 14" 230 28'-7" 25'-6" 27'-2" 24'-2" 27'-4° 24'-6" 26'-4" 23'-8" 23'-11" 22'-3" 22'-0' 21'-1' 360 31'-6' 28'-2' 30'-0' 26'-8° 30'-2" 27'-1" 29'-0' 26'-1' 27'-2" 24'-7' 25'-8' 23'-4' 560 36'-3" 32'-0 34'-6' 30'-7' 34'-8" 31'-1' 33'-4" 30'-0" 31'-2" 28'-3" 29'-6' 26'-9' 210 30'-9" 27'-5' 29'-4" 26'- 0" 28'-3° 26'-5" 26'-9" 25'-6" 24'-3' 23'-4" 22'-4' 21'-8' 230 31'-8" 28'-3' 30'-2' 26'-9" 29'-10" 27'-2" 28'-2" 26'-3" 25'-7" 24'-7" 23'-7" 22'-10" 16" 360 34'-11" 31'-2' 33'-3" 29'-6" 33'-5" 30'- 0" 32'-2" 28'-11° 30'-1° 27'-2" 26'- 0" 25'-10' 560 40'-1" 35'-9" 38'-2" 33'-11" 38'-4° 34'-5" 36'-11° 33'-2" 34'-6° 31'-3° 31'-8" 29'-8" 110 18'-1' 16'-1' 17'-3" 15'-3° 17'-4" 15'-6° 16'-8' 15'- 0" 15'-5" 14'-1' 14'-2' 13'-4' 9W 210 19'-2" 17'-1' 18'-3' 16'-2" 18'-4' 16'-5' 17'-8' 15'-10° 16'-6' 14'-11' 15'-7' 14'-2' 230 19'-9' 1 T -T 18'-10' 16'-8' 18'-11' 16'-11' 18'-2' 16'-4' IT- 0' 15'-4' 16'-1' 14'-7' 110 21'-7' 19'-3' 20'-7' 18'-3" 20'-3" 18'-6" 19'-1" 17'-11" 17'-4" 16'-8' 16'- 0" 15'-5" 210 22'-11" 20'-5" 21'-10" 19'-4° 21'-11' 19'-8' 20'-11' 18'-11' 19'-0" 17'-10° 17'-6' 16'-11' 11IN' 230 23'-7" 21'-1" 22'-6° 19'-11" 22'-7" 20'-3° 21'-8" 19'-6° 20'-0" 18'-4° 18'-5' 17'-5' 360 26'-1" 23'-3° 24'-10" 22'-0" 24'-11" 22'-4" 24'- 0" 21'-7" 22'-5" 20'-3' 21'-2" 19'-3' 560 30'- 0" 26'-9" 28'-7" 25'-4" 28'-8" 25'-9° 2T-7° 24'-10" 25'-9" 23'-4' 24'-4" 22'-2" 19.2" 110 24'-6' 22'- 0' 22'-9" 20'-10° 22'-0" 20'-11" 20'-9" 19'-10" 18'-10" 18'-2" 17'- 0' 16'-10' 210 26'-0" 23'-3' 24'-10' 22'-0° 24'-2' 22'-4' 22'-10" 21'-7' 20'-8" 19'-11' 18'-10' 18'-5' 14" 230 26'-10' 23'-11' 25'-7" 22'-8' 25'-5' 23'-0' 24'-0' 22'-3' 21'-10' 20'-11' 20'-1' 19'-5" 360 29'-7" 26'-5' 28'-2' 25'-0" 28'-4' . 25'-5' 27'-3' 24'-6' 25'-6" 23'-1' 21'-7' 21'-8' 560 34'-0' 30'-4' 32'-5" 28'-9° 32'-7" 29'-2' 31'-4° 28'-2" 29'-3' 26'-6' 26'-5' 25'-2' 210 28'-8' 25'-9" 26'-9" 24'-5" 25'-10' 24'-6' 24'-5' 23'-4" 22'-1" 21'-4' 18'-10' 19'-8' 230 29'-9" 26'-7° 28'-2" 25'-2" 27'-3" 25'-6" 25'-9" 24'-7" 23'-4° 22'-6° 21'-2" 20'-9' 16" 360 32'-10" 29'-3" 31'-3" 27'-9" 31'-5" 28'-2". 30'-2° 27'-2" 25'-7" 25'-3" 21'-7" 21'-8' 560 37'-8' 33'-7' 35'-10' 31'-10" 36'-0" 32'-4" 34'-8" 31'-2° 31'-3° 29'-4" 26'-5' 25'-5' 110 16'-9' 14'-11' 15'-11" 14'-2" 16'-0° 14'4' 15'-2° 13'-10' 13'-9' 13'-0' 12'-8' 12'-3' 9IN' 210 17'-9' 15'-10' 16'-11" 15'-0' 17'- 0' 15'-3' 16'-4' 14'-8" 15'-1' 13'-10' 13'-11' 13'-1' 230 18'-3" 16'-4' 17'-5" 15'-5" 17'-6" 15'-8' 16'-10' 15'-2" 15'-8' 14'-3" 14'-8' 13'-6' 110 20'-0" 17'-10' 18'-9" 16'-11" 18'-1" 17'-2" 17'-1° 16'-4" 15'-6' 14'-11" 13'-7' 13'-10' 210 21'-2° 18'-11" 20'-2° 17'-11° 19'-10" 18'-2° 18'-9" 17'-7" 17'- 0" 16'-4' 15'-0" 15'-2' - 117A" 230 21'-10" 19'-6" 20'-10" 18'-5° 20'-11' 18'-9" 19'-9" 18'-1° 17'-11" 17'-0' 16'-6" 16'- 0° 360 24'-1' 21'-6' 23'- 0" 20'-5" 23'-1' 20'-8" 22'-2' 20'- 0" 20'-5" 18'-9" 17'-3" 17'-4' 560 27'-9° 24'-9' 26'-5° 23'-6" 26'-7" 23'-10" 25'-6' 23'- 0' 23'-10' 21'-7' 21'-1' 20'-3' 24" 110 21'-10' 20'-4' 20'-4' 19'-1" 19'=8" 18'-8" 18'-7' 17'-9" 16'-0" 16'-3' 13'-7' 14'-2' 210 24'- 0' 21'-6' 22'-4' 20'-5" 21'-7' 20'-6' 20'-4' 19'-6' 17'-10' 17'-9' 15'-0' 15'-8' 14" 230 24'-10" 22'-2" 23'-7" 21'- 0" 22'-9" 21'-4' 21'-6" 20'-6° 19'-6" 18'-9' 16'-11' 16'-7' 360 27'-5' 24'-6" 26'-1" 23'-2" 26'-3° 23'-6" 25'-0" 22'-8" 20'-5" 20'-2" 17'-3' 17'-4" 560 31'-6" 28'-1" 30'- 0" 26'-8" 30'-2" 27'-0° 29'- 0" 26'-1" 24'-11" 23'-7' 21'-1' 20'-3' 210 25'-8" 23'-11° 23'-11' 22'-4° 23'-1" 21'-11" 21'-9" 20'-10" 17'-10" 18'-3° 15'-0" 15'-8" 230 27'-1" 24'-7" 25'-2" 23'-3" 24'-4" 23'-1"23'- 0° 22'- 0° 20'-0" 19'-4" 16'-11" 16'-7' 16" 360 30'-4" 27'-1' 28'-11" 25'-8" 28'-2" 26'-1° 25'4 24'-1" 20'-5° 20'-2" 17'-3' 17'-4' 560 34'-10" 31'-2" 33'-2" 29'-6' 33'-4" 29'-11' 1 30'-6" 28'-3' 24'-11' 23'-7° 21'-1" 20'-3' See page 17 for General Notes and information on how to use this table OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under Stare Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 (760) 777-7 Yl. `V 4v,,.� ER'S SIGNATURE/DATE �s-z- oa&woe PROPERTY ADDRESS �)—&�7 PERMIT MBER(s) '/� ' •11 CITY OF LA QUINTA SUB-CONTR CTOR LIST JOB.ADDRESS 7� "��-p�� PERMIT NUMBER OWN ER,-J-1-1k�C16V-A t�j BUILDER 511(nf, This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all intormation requested below must be completed by applicant. "Un rile" is not an acceptable- response. `t5 -2..... 3.5.. "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE_JOB SIIE.D.URING..ALL PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY FAILURE TO DO SO ONSTRUCTION YOURS VAY CAUSE THE CITY TO HAVE THE CONTAINER •:, 1 M cto s ' 30 LIMPED AT THE EXPENSE OF THE OWNER/F 1 , nay ri . 7:00 a.m. to 5:30 p.m i NTRACTOR ' ._ELLE ELLE .. -tFUTURE MIDDLE SCHOOL r sfst; tYAY ESPLANADE N ZL CASTILLEDRf"� InENTO 08 turay: None .m. to 5:00 p.m. x "-'' °AE:19 S :- ` o _ 03 Sunday: Cr o TAMDN a tl S SUN R OR C rt� b � 6 Government Code Holidays: None m > AN < ABKo A = s . n NDFPETID May 1st - September 30th � � WMARLAND DR OCNTOW OR CI HIppQOH I+AlM90R ' G � CT MORRV �„ �� PALMEro -Friday: 6:00 a.m. to 7:00 p.m. A RE -INSPECTION FEE OF X300 "" °�'""""" &V,k. •d:,y: 8:00 a.m. to 5:00 p.m. _WILL BE CI'A.R.GED. IF THE APP ��"a LOWEDR y �� 01"� nD .I .�� cM,EvsAVDmE None SIC "-0.1013 I LAIBu ,� 3 PLA. .CARD ARE N °"� ALDENCIR NOLANCDI HALLESONRS MILE$AV DANDELION DR Go ver nmeni Code Holidays: NoneMILES AV FOR A SCHE'" _ �s ' L I A1IIilLH DIANE DR �•• ��I CT NO EXCEPTIONS!� - a TSR s H C ET —- ..w.;n:Y OCU mT 't1l 'if:% .;+•*: �.'� a RyBige�.0 pm � �pFSFBT R VMOFAADR -NI oAJ RRI'ED �� r . t s� �� 'fN.i:LLJ iN •j'AYEIWM Ks Construction is NOT PERM 3 EXT -_LEG �J r�r_o_N _;.r 66(EWa o M _ �r !lo us on the followingCode Holida ti D-hiJ_o_�1.. __.. _ 1)l i a I L s CITY OF LA C�11� - New Year's Day BUILDING & SAFETY I fLoa FLS _._._�_ __.._ E Dr. Martin Luther King Jr. ay I._: . APP TWJ President's Day FOR Pr4 Memorial Day _ ZI war Independence Day KINLL.� P100R ro TI 0 nn Ill IQ 0 0 iT i O ti EX 15 T I N G TL 'GENERAL NOTES: INSTALLATION BY NUTLYREECOGTI® STANDARDS Labor Day 1. FOEN D APA.WCES ARE REQUIRED TO BE SECURELY AND EVIDENCED BY THE USTNG AM LABS OF AN i . FASTENED W RAGEAPPROVED AGENCY. DDRYER EXHAUST DUCT, HOTLMTEHrN DIAIET6k 20. CONICRETE PAD SUPPORTING MECHANICAL EQUIPMENTr__..-___ELLE.. ___.-_..._..-___.............. ...._.__.....___....-_._. _._.. ........_..._-___--_._- -_-.. ____.�._. ._ Veteran's Day SHALL HAVE SMOOTH INTERIOR SURFACES, A BApF SHALL EXTEND NOT LESS THAN T ABOVE GRADE' i DRAFT DAMPER AND SHALL TERMINATE OUTSIDE OF 21. WHEN TWO OR MORE APPLIANCES ARE CONNECTED TO Thanksgiving Day THE Bim. ONE SING SYSTEM, THE WBFTING, SYSTEM AREA •',) 1 5 5 F T• g J A NDRYERORM A VER . LLNL H OEXC®ATOTAL C ' — p O - O 2� .--�- SHALL NOT BE LESS THAN THE ARRA OF THE LARGESF ' NORM 6 VERT LENGTH OF 1a FEET NQ.UDN6 7W0 9D ' , VENT CONNECTOR PLUS 50 PERCENT OF THE AREAS OF . , y Christmas Day DEGREE ELBOWS, Two FT. SHALL BE DEDUCTED FOR THE ADDITIONAL VI9lF CONNECTORS. EACH 1D DEGREE ELBOW N EXCESS OF TWO.- a ALUMINUM CONDUCTORS ARE PERMITTED ONLY IF SVE .. OUTLETS ABOVE coHIRTERrOP OF KTLGTHe1 sR« TO BE to 011 dIRRFM R CAR �COIO GT WL SBE GFCI PROTECTED. I ♦. - S PROVIDE AT LEAST TWO 20 AMPERE SMALL APPLIANCE COPPER . BRANCH CIRCUITS TO SERVE KITCHEN. BREAKFAST 2. LIGHTING FT1mFRES W CLOTHES CLOSETS TO CONFORM ROOM AND 024M ROOM. SUCH CIRCUITS SMALL , ME TO ONE OF THE FOLLONBRi. NO OTHER OUTLETS. A SURFACE- MOUNTED INCANDESCENT FDKTIRE.S / A PROVIDE ATLFASTONE 20 AR44M BRANCH CIRCUIT MAY04STAlLED ON THE WALL ABOVE THE TO SERVE LAUNDRY AANCE& SUCH CLAMOTLOS OOBE R ON THE CBM' PROVIDED THERE IS A I { SHALL HAVE NO OTHER OUTLETS MINIMUM CLEARANCE OF 12 INCHES BETWEEN THE K _ T. ALL SMOKE ALARMS TO BE 17LN POWERED AND HAVE jjPfERY _.-..._.-_. .. ...__ FTXTURE AND THE NEAREST POINT OF A STORAGE CONSTRRUU=OM SHALL, COMPLY WITH TM SPA' V 2001 CALIFORNIA BUmIMO. PLUMBI IL MEpy B. SURFACE-MOUHTED FLUORESCENT FIXRAES MAY MICAL AMD ELECTRICAL CODES, AND ALL LOCAL BE INSTALLED ON THE WALL ABOVE THE DOOR OR CODES AND ORDINANCES. ON THE GELLING. PROVIDED TIRE IS A►@IDAN S. ALL HOSE BIBS TO HAVE NOM4113WABLE BACKFLOW CLEARANCE OF B INCHES BETWEEN THE FIXTURE PROTECTION DEVICES.AND THE NEAREST PONT OF A STORAGE SPACE Id. HOTJmPPEO SHOWER PAN SHALL BE INSPECTED UPON C. RECESSED INCANDESCENT FTIRIAES WITH A I COMPLETION OF HOT MOPPING AID SHALL BE FILLED COMPLETELY ENCLOSED LAMP MAY BE PWA- WITH WATER FOR HSPECTXON LLED INTHE WALL OR THE CEiW4 PROVIDED 11. PROVIDE PRESSURE REGULATOR FOR WATER SERVICE THOM IS MINSAAH C OF 6"NO WHERE STATIC PRESSURE EXCEEDS N PSI. BETWEEN TFEF MO THE NEAREST POMP �_ 12 ALL 'OR EOUAV SUBSTITUTIONS MUST BE SUBMITTED TO OF A STORAGE SPACE. O W MID APPROVED BY TE dTY BIADM'D OPFICIIIL iRICR ( D. RECESSED NSTALLED IN T E W� 1/E CE1110FIXTURES "APROV- Y BE MOKEAL RMSTOBEINSTF THE Al ' 1] SMOKE ALARMS TO BE LABIAL1EDAMDAAY OF TO IDED HERE SAMHOAAAI OFBBRCES BETWEEN FROM RETURN AN VENTS THE FIXTURE AND THE NEAREST POINT OF A H. ALL IHSIAATKXN MATERIALS SHALL HAVE A RICE- STORAGE SPACE - SPREAD RATING NOT TO EXCEED 75 AND A SMOKE U. PROVIDE A COMBINATION PRESSURE AND TEMPERATURE __. ---- - ••--.-------.----_,.. DENSE' NOT TO DKCEED450P6t UBC=Z& RELIEF VALVE AT ALL WATER HEATERS, SET TO OPEN AT 1S. BATHROOM RECEPTACLE OUTLET SHALL BE BURRED �' NOT MORE THAN 150 PSI. DRAW PPE SHALL IXTEHOTO BY AT LEAST ONE 20 -AMP BRANCH CIRCUIT SUCH CIRC-' OUTSIDE OF TINE BUILDING AND TERWNATE qDT MORE 5 URS SHALL HAVE NO OTTER OUTLETS THAN 2 FEET NOT LESS THAN B DICES ABOVE THE • GROUNDAIDPOINTDOWNWARDwiMTHETNDUROBST- I ALLDUCTS GARAGE TNG SEPARATION WALLO ALL BE 2B _ TERMINATION _ X BETWEEN r, i GAUGE MHOYULKiE ANO lMWF10011 ANSA ST1At1 BE 28 REOUIRE APPROVAL BRY THE&16DNG .OFFICIAL 17. INSTALL WATER RESISTANT GYPSUM BOARD UNDERTIH 2S LIGHT RIRAFSWTUB ORS11OWHR ENO AND E osURE -SHALL ASHOWER ENCLOSURE MATERIALS TO A HEIGHT OF BE LABELED'SIRTABLP FOR OMP LOCATION. 7P MINIMUM ABOVE THE CRAW IAEi. 28 BRANCH CIRCUITS THAT SUPPLY 125 -VOLT. SHOE PHASE lb CLEARANCE REQUIREMENT OF 7P ABOVE RANGE TO 15• AND A AMPERE RECEPTACLE OUTLETS INSTALLED UNPROTECTED • COMBUSTIBLE MATERIAL OR N W DWELLING UNIT BEDROOMS SHALL BE PROTECTED BY CLEARANCE ABOVE RANGE WHEN EAUI PED - WITHAN ARC FAULT CIRCUIT NTETtR PTER. METAL VENTILATING HOOD. OUCMSHWL HAVE SMOOTH 27 . COMBUSTION AW OPENINGS TO BE COVERED WITH INTERIOR SURFACES CORROSKON•RESISTANT SCREEN OF %7 MESH 2& DUCATS USED FOR KITCHEN RANGE VENTILATION SHALL BE OF METAL AND HAVE SMOOTH SURFACES, SURFA 20.... 8. EACH. UNIT SHALL BE PERMANENTLY LABELED TO INDICATE AREA SERVED BY UHT. �s z3s Co x W4 Lo II BLOC< L.AQUIVTA CA.. 11111 L�Gf�L: y YY YY ISO g lb +1 TIE WTO ' li�15T'W'6 56wli R o,n co LLJ ir co uj (D FCITY OF LA QUI BUILDING & SAFETY D P APPROVED 0-0 FOR CONSTRUCTION ->< Lu DATE BY Ali 40 0 cc iwv 0' V) 97 -� Zn ' cl- 0' V) I F LA QUINTAG &SAFETY DEPTPROVEDFCONSTRUCTION a I A DATE BY i I I i I I I � 4 � - .. -�-•=��a7�19x9 /,,�� 4 - LEFT SID tvTs /�►j�y� SCUPPER O rkl G WT SIDE _.._._...._.CI QAC K NTS TY OF �A QUINTA BUILDING & PAFETY DEPT. _....._..._.APPROVED I FOR CONSTRUCTION i I Dt,7E BY ;R 5: 4 9X4 0 10, qr %3 9) cq. !� ui 71 ;csf 01 lc$ I u O C4. 41. CITY OF LA. Q I IN � BUILDING&SAF -D-P. APPROVED FOR CONSTRUQTIO� DATE- BY PIZ 61""'"k.'*.'. R ". X: RY C L Q SS BoO.-uP -RooP�' Awn mv lof ...... ..... oe A., JuSUOTION oc r MCK 'errm. MEMBRANE 41 BAR 3t8* PLYWOOD 19132' OSB THROUGHOUT PARAPETS ROOF DIAPHRAM ,,,3'FIBER CANT B' CDX PLY.—OVERLAP CAULK@ HEAR PANEL JOINT ANGLE METAL "sp e N BUILT-UP ASPHALT ROOF [ENGINEERED PRSSURE BLOCK TRUSSES I BETWEEN WA. 202 T & B A35@ :4- 2 x 12 RIPPED I 114'/FT @ 24- D.C. TOP PLATE FOUNDATION NOTES: 1.T lIDC a tSPROP'a.SEOTONEETRECUPaMWMOFCSC MOBa 232D MR LIGHT FROM CONVENTIONALCONST'RUCTION. • t IT :=M5;� 1. FOAM,,—--, SHEAR PANEL 2. UNLESS NOTED OTHERYWRE. PROVIDE W • Ir LONG 2 COAT AS OCCURS ANCHORSOLTSATMGC0 ANOir FROM END. NxZAjB PER BILL PIECE WITH r wK EMBEDMENT WIN r,2'OIV STUCCO FINISH SQUARE PLATE WASHERS. HORIZONTAL REINFORCEMERTS IN ACWRDUCE WITH SECTIONS ISDILT.I. AND 19313,72. 8144LL BE PLACED IN W)LB AT CONIVAJOUS FOUTORTIEIRTIT To MNRQE mTjmmnft ._EVERYHOLE _DRYWALL BErFLEMENT FOLMDATTON REB6ORQlENf sHRLL BE PROVIDEDIRITHODWER IN ACOOETDRNCE WITH sEcnom 1907J., __ 518" DLA. CONT. GALVANIZED SHEET ANCHOR BOLT 4. ALL COULI� BASIS COULAO! BOLTING. mouT Gotw sTpApG METAL PLASTER SCREED Wr2—x2'x&I8"SC.WASHER AND HOLD DOWN BOLTS. CUTICAL TO THE STRUCTUTTLAL RDR SES" REET%Xw 26 GANAL STRAP /i4 ER. MINPAINT TO MATCH OIfEaWTY Of THIS SULDM SHALL BE HELD w PLACE BY KWIQDDeNBMNab PLASTER. MEANS OFTaIPLATES PRIORMFOUNORTIO"IMIDICTIGH. "T PTDF FINISH FLOOR SHEARWALL SCHEDULE ,TmrAUATOR WE WOOD STRUCTURAL PANEL 44-4r MN=M) WIDTH .310"COX OR EQUAL Wfild NAILING. 6 0 EDGES. O Ir® INTERMEDIATE SUPPORTS, W/2 ANCHOR PAINT EXPOSED CONC.TOMATCH BOLTS 0 24 O.C, ALTERNATE BRACED PANEL (r-(rMM) 39rMWIMUM PLASTER. PLYWOOD SHEATHING NAILED WITH Ed COMMON O AND SLOCKEDAT ALL PLYWOOD EDGES, TWO ANCHOR BOLTS 0 QUARTER PANEL POINTS. EACH PANEL END STUD TO HAVE MPAM22 I. FINISH GRADE HOLDOWN. SEE DETAIL NALING TO 89 0' CONCRETE SLAB AND FOOTING SEE SHEET 0-1 Al EDGES OR it AT INTERMEDIATE SUPPORTS. O INTERIOR sHEARWALL GYPSUM BOARD W THICK NAILED WITH 8d COMMON AND BLOCKED STUDS TO BE lo.. DOUGLAS FIR LARCH STUD GRADE OR BETTER By 4, WIDE BOTH SIDES OR " ON STUDS SPACED LESS THAN 24- O.C.AND k4LEDQrOQ WITH MINIMUM Oil GAGE NAILS I%' LONG. 7110* HEAD. BET, OLULAAUS: 24FVT OFA)FWITH STAROARlDSHOT`CAMBER OF DIAMOND POINT GAILYAN121211. • MAXIMUM HEIGHT FOR ALTERNATE BRACED PAN�S 0 1— 1 IL BTW ES. STEEL' SWES.PLATESANDBARS ASTNA35 ,TmrAUATOR WE • PIPE COLUMNS: ASTM A53L GRADE 8 (Pr 331,0) TURES: ASTM AM GRAM 0 (Fv,9 ) PAINT EXPOSED CONC.TOMATCH BOLTS: ASTM A 307 PLASTER. TYPICAL HOLD DOWN DETAIL USE E?= ELECTRODES I. FINISH GRADE CONCRETE SLAB AND FOOTING SEE SHEET 0-1 Al HOR=NirKfta LARGER GOLKILAS FIRLARCH MI OR BETTER MATERIAL SPECIFICATIONS STUDS TO BE lo.. DOUGLAS FIR LARCH STUD GRADE OR BETTER 1, DO, TOLB -A CLASS & SOIL BEARNG PRESSURE I010 Pd L OONCRETE: K- 2500 90 0 M DAYS SARS- 4. OMCRETE WMOI "M I= 1W DffTM: INTE M ORB BET, OLULAAUS: 24FVT OFA)FWITH STAROARlDSHOT`CAMBER OF IL BTW ES. STEEL' SWES.PLATESANDBARS ASTNA35 • PIPE COLUMNS: ASTM A53L GRADE 8 (Pr 331,0) TURES: ASTM AM GRAM 0 (Fv,9 ) SHEETMETAL: AMU 5". GRADE 8 (PV ) BOLTS: ASTM A 307 WEDINTIPERAMSPECS USE E?= ELECTRODES LuMBER'. HGRGCNTAI 2X A DOUGLAS FIR LARCH RDA OR BETTER HOR=NirKfta LARGER GOLKILAS FIRLARCH MI OR BETTER STUDS TO BE lo.. DOUGLAS FIR LARCH STUD GRADE OR BETTER m ALLOWER VERTICAL UjV3M DOUGLAS FIR LARCH NO. 2 OR BET, OLULAAUS: 24FVT OFA)FWITH STAROARlDSHOT`CAMBER OF • SOTTO CKCEPT FOR CANTILEVERED BEAMS. USE 2048 OFMF RZmTRGNAImHIARF SOPSOMSTROMGTIECON NECTCTIT& 9 SCUPPER I / I FLANGE PARAPET WALL TOP VIEW Qo — a ROOF LINE -� Ai & l (PIC (. e 12 X 1 2- . rLR � Voo F QL OTS �sc R eu-A/ SCuppER SLOPE 1/4 . FT. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVM FOR CONSTRUCTION DATE BY i Lu C2 Q %J J) 0 CERTIFICATE OF COMPLIANCE ��ZFi�sc Desert Sands Unified School District zo�c�o 47950 Dune Palms Road ¢ BERMUDA DUNES r Date 6/22/04 La Quinta >' CA 92253 RANCHO MIRAGE t7 {� INDIAN WELLS No. 26077 (760) 771-8515 �� PALM LA QUINTAT INDIOy O Owner James Brockman APN # 604-413-002 Address 45235 Coldbrook Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 45235 Coldbrook 315 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 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 in the amount of $0.00 X 315 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 - James Brockman Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exemplpl,5 aro Gila y , Payment Recd Over/Under_-0_0_ Signatu NOTICE: Pursuant to Government Code Sg&ipn:66020(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 td4un from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building DepartmenUApplicant Copy - Applicant/Receipt Copy - Accounting Date 9/9/04 No. 26413 Owner James Brockman Address 45235 Coldbrook City La Quinta Zip 92253 Tract # Type Residential Addition Lot # No. Street Unit 1 45235 Coldbrook Unit 2 Unit 3 Unit 4 Unit 5 Comments CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 S.F. 105 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 APN # Jurisdiction Permit # Study Area No. of Units 4C-7 EDSc�O z o Q BERMUDA DUNES RANCHO MIRAGE Q N INDIAN WELLS PALM DESERT ,y LA QUINTA �INDIO L� 604-413-002 La Quinta 1 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: 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 105 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 N/A -James Brockman Check No. N/A Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempted by Vanessa Robles Payment Recd 1$0.00 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting Fah • LA QUINTA 2 1Z AFETY DEPARTMENT f�'O " 77-7012 CITY of La Quaf-gPECTION REQUEST LINE FIYANCE DE 7-7153 Owner JAMES BROCKMAN ContractorOM NER BUILDER Permit Number 04-5057 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 45-235 C155ODBROOK 315 SQ. FT. ADDITION TYPE OF INSPECTION ! DATE I INSP. TEMPORARY POWER FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE 4WI14A%0Vk5lCApKED ROOF NAIL / PRE -ROOF. -O OKAY TO WRAP 01 -C FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL%BOWEA2� .e INTERIOR GYP. BD. DRYWALL ' -. EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRYI FEATURE INSPECTIONS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS v FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER PLUMBING MECHANICAL ABOVE APPROVALS DO NOT INUJDE RIGHT TO . TURN ON UTILITIES OR OCCUPY BUILDING t7 y CITY,:& LA QUINTA ' - BUILDIN ,• &'SAFETY DEPARTMENT ib �F „�F.°. � � � � L � � 77-7012 __I.NSPE TIN REQUEST LINE CI'Y c; ., _77-7153 FINANCE Owner D".I-:,_ -DAMES BROCKMAN Contractor OWNER BUILDER Permit Number_ 04-6124 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 45-235 COLDBROOK LN. ADDITION TO EXISTING PERMIT 1 5 SQ. FT. TYPE OF INSPECTION DA INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE NDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR ROOF NAIL / PRE-RO01 OKAY TO WRAP FRAMING (COMBINATI( ROUGH ELECTRIC ROUGH PLUMBING J ROUGH MECHANICA INSULATION COVER NO INTERIOR GYP. BD. (DR �I EXTERIOR LATH 1 GAS TEST SEPTIC ABANDONMEN SEWER CONNECTION ! SEPTIC / GREASE INTE i MA FOOTINGS / STEEL BOND BEAM U POOL / SPA / WATER FEATURE INSPECTION' PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ ARRIERS FINAL INSPECTIONS TEMP. USE OF PERMAN NT POWER ELECTRICAL PLUMBING MECHANICAL _ PUBLIC WORKS DEPA TMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPL TED I ABOVE APPROVALS DO NOT IN L RIGHT TURN ON OTILITIES OR OCCUPY BUILDING Some- cods