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07-1314 (AR)P.O. BOX 1504 787495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-0000131.4 Property Address: 78046 CALLE NORTE APN: 770-012-01.6- - - Application description: ADDITION'- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4995 . Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed unde'r provisions of Chapter 9.Icommencing with Section 7000) of Di ' ' q f t i s and Professionals Code, and my License is in full force and effect. License Cl s: I. B NLi a seNo.: 499742 Date: 1 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to . construct, alter, improve; demolish, or repair any structure: prior to its issuance, also requires.the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's' State License Law (Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: (_ ). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered.for sale (Sec. 7044, -Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the . improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1'_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) 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: LQPERIIIIT Owner: CONNELL EARLW./EVELYN 78046 CALLE NORTE LA QUINTA, CA 92253 (760)564-1899 Contractor: DAVIDSON CONSTRUCTION CO 53875 AVENIDA MADERO* LA QUINTA, CA 92253 (760)910-3687 Lic. No.: 499742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/02/07 WORKER'S COMPENSATION -DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consenttoself-insure for workers' compensation, as provided ' for by Section 3700 of the Labor'Code, for the performance of the work for which this permit is issued. _ I have and will maintain'workers' compensation insurance, as required.by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1744858-2006 _ I certify that, in the performance of thework 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 ' 700 of the Labord�t?all f rthwith c mpl 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed.under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within *180 days from date of issuance of such permit, -or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building'c uction, and hereby authorize representatives of this coun t /tenter upon the above-mentioned grope r ins coon p pose Date: �, V -Signature (Applicant or Agent): t — LQPERMIT Application Number 07-00001.314 ------ Structure.Infotmation 74SF PATIO CONVERSION ----- Other struct info :CODE EDITION 2001/2005 # BEDROOMS 1.00 FLOOD ZONE NO 1ST FLOOR SQUARE FOOTAGE ------------------------------------------------------------------------------- 74.00 Permit BUILDING PERMIT Additional.desc . Permit Fee 72.00 Plan Check Fee 46.80 Issue Date Valuation 4995 Expiration Date 10/29/07 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000. 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 21.00 Plan Check Fee 5.25 Issue Date Valuation p Expiration Date.. 10/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 6.00 Permit . . MECHANICAL Additional desc . Permit'Fee 191.50 Plan Check Fee .4.88 Issue Date, Valuation 0 Expiration Date 10/29/0.7 - Qty Unit Charge Per Extension BASE FEE 1,5.0,0 1.,00 4.5000 EA MECH VENT INST/ DUCT ALT ------------------------------------------------------------ 4.50 Secal es -and Comments. tENCLOSURE/V-NR/RES=3/CONV. 74SF1PATIO 2001CBC, CMC, 2005 ENERGY. THIS PERMIT DOES NOT INCLUDE BLOCKWALLS, POOL AND SPA OR DRIVEWAY.APPROACH. May 2, 2007 .2:57:09 PM AORTEGA --------------------------------------------------- Other Fees . . . . . . ENERGY REVIEW FEE --"--- 4.68 LQPERMIT r - Application Number . . 07-00001314 ----------------------------------------- ------------------------------------------------------- Other Fees . . . . . . . . . ----------------- ---------------- STRONG MOTION (SMI) RES .50 Fee summary Charged Paid Credited Due 'Permit Fee Total ---------- 112.50 ----------- ---------- ---------- .00 .00 112.50 Plan Check Total 56.93 .00 .00 56.93 . Other Fee Total 5.18 .00 .00 5.18 Grand Total 174.61 .00 .00 174.61 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building .Permit Application and Tracking Sheet Permit '# Project Address: '� � (-(� (� �i(j�� Owner's Name:R �(�,v rl/� t1 6-T- L A. P. Number: Address: ANG l Ak 0s- Legal Description: City, ST, Zip: �,41, C)�A kyuk, Ck Cl a �s ,lc Contractor: �� (( ) SG Telephone: ?(aa - 15-6 Address:.S3'E7S AU&r,)�OA. Vlkkp�b Project Description: �s� tee. 6 _ City, ST, Zip: V l h lA A � 3 `�cx�u.� K (0 U Telephone: ?&o - 9i 0 -3C,,4-7 . City Lic. #: State Lic. # : rrr (O 7 / Arch., Engr., Designer: C Ar -A 0so Address: SMA, -CS ft, A-19, City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ?(o �7 (� ?j (9-a 7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs: Plans picked up Construction Flood plain,plan . Plans resubmitted Mechanical Grading.plan r Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. . H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctio 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 �f3D/o`I (i��d!K� Date 5/2/07 No. 29389 Owner Connell Address 78-046 Calle Norte City La Quinta Zip 92253 Tract # Type Residential Addition Lot # No. Street Unit 1 78046 Calle Norte 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 APN # Jurisdiction Permit # Study Area No. of Units S.F. Lot # No. 74 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 4��1F�Sc�o z�o Q aERMUDA DUNES In RANCHO MIRAGE d �+ INDIAN WELLS PALM OESERT y LA QUINTA %IN0 y� O 770-012-016 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not coiled fees on garages/carports, covered patios/walkways, 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 74 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 - Erick Davidson Check No. Name on the check By Dr. Doris Wilson Superintendent Fee collected Signature Telephone 910.3627 Funding Exempt Payment Recd `.'6;dr/Under _ o NOTICE: Pursuant to Government Code Section 66020(d)(1), Vis will serve to notify you that the 90 -day approval period in which you may protest the fees o r 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 colied them on the Distrid('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building DeparWhent/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R MMAI�L Moa k bkPAfJS\0Q Foo- W hj" CONNLSLL. y-36 -a7 Project Title Date "7Sby (n CALLE iACALI 6 �-.R Q uo 01 q las-3 ProftA1LSk)JBuilding Permit # fty\zS0Q 7(*0 - °ll0 - W 2 Documentation Aut (gyp 1 Telephone . Plan Check / Date V6 0; { p� � � t � Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) _ '7Ll—ft2 Average Ceiling Height:_ ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C --- (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ____ (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab, ised Floor (circle one or both) Front Orientation: 1ES North / South / East /West / All Orientations (input front orientation in degrees from True North and circle one). ✓ 0 RADIANT BARRIER (required in climate zones 2A 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Cavity Continuous Insulation Insulation R -Value R -Value Assembly U - factor (for wood, metal frame and mass assemblies Joint Roof Radiant Appendix Barrier Location/Comments IV Installed (attic, garage, Reference Yes or No typi6l, etc. WA 1) gee joint Appenarx 1v in Section 1V.2,1V3 and IVA, which is the basis for the U -factor criterion. -U-factors can not 1 exceed prescriptive value to show equivalence to R -values. CITY OF L&QUINTA 'BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION Residential Compliance Forms �p APR 002007 March 2005 4 . CERTIFICATE' OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) C&M APrSIkk G WA EX®A4S100 bYL WWM6- CoNjf�LL '/-_V0 -6 -2'. Pro el,,s��ttl A.1,� NC VL`16- t A- a �►i � CA• r! �� Date lib FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orien- tation, N S 'E W' Area U -factor ft' U -factor' Source' Exterior. Shading/Overhangs6, ' SHGC ✓ box if WS -3R is SHGC° , Sources included 4LrA2 W 33 .*7q F'T °1 � S i� SCS 3 � ❑ . 13❑ 13 1) Skylights are now Included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch'is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 1168. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity furnace, heat pump, boiler, etc. Minimum Efficiency AFUE or HSPF Distribution Type- and Location Duct or Piping Thermostat Configuration ducts, attic, etc.. R -Value Type' lit or package) Cooling Equipment Minimum Type and Capacity Efficiency Duct.Location Duct Thermostat Configuration A/C, heat pump,. eva . coolie SEER or EER attic, etc. R -Value Type. s lit or package) Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) C&M YnAS't6tl Q . 'E6ALJS 00 PM W614 c t"J5- y -30-o7 Project Tttlg Date '+ X56 6.�{ (o �cL(. !� YL'l fr l.h �Jk q.) ate SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must beprQvided�b�e building department for each home for which the following. are required. //j // // ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14 OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150 m and duct insulation requirements of Package D. wA11bK riL� Fllllvli JYJ1L�'MJ . ✓ Distribution Type ❑ Sealed Ducts all climate zones staller testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climat6 zones 2 and 8-15 only) Installer testin and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14 OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150 m and duct insulation requirements of Package D. wA11bK riL� Fllllvli JYJ1L�'MJ . ✓ Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard systemis one gas-fired water heater per 11dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby' Loss % not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved E] Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump fora system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' (kW or BW/hr) Tank Capacity (gaeons Energy Factor or Thermal Efficient Standby' Loss % Tank External Insulation R -Value System serving multi le d elling units Water Heater Distribution T e Type Number in System Rated Input' (kw or BW/hr(gallons) Tank Capacity Ener Factor or Thermal Efficient Standby' Loss % . Tank External Insulation R -Value r. ror smaii gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Pro71D ect Title y— 30-67 Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the nrescrintive methnrt ✓ Feature Re wired Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refri erant Charge ❑ Radiant Barriers CF -1R CF -6R part 6 of 12' ❑ Exterior.Shades WS -4R Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System R uired• Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/ • Indicate on building lans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution. Systems in Residential Manual. ❑ Multiple Water Heaters Per See Table 5-13 or use Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Servin Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water Heater CF -IR See Table 5-13 or use O Indirect Water Heater Performance Calculation and attach Run to Forms See -Table 5-13 or use ❑ . Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ . Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms . SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need ' vPniicatinn . ✓ Feature Required Forms if applicable)' Description ❑ Duct Sealing CF=6R part 4 of 12 ❑ Refri erant Charge CF -6R art 5 of 12 ❑ Thermostatic Expansion Valve. 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