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BRES2016-0011
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T-ihf .4 4 0abiz: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRES2016-0011 78700 AVENIDA NUESTRA 770172012 BARBOSA / 3600 SQ FT SFD $241,433.50 Applicant: SOUTH WEST CONCEPTS, INC. `78115 CALLE ESTADO, SUITE 105 IA QUINTA, CA 92253 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: BARBOSA FAMILY TRUST- HEN 2592 NIXON WAY FULLERTON, CA 92835 Contractor: WILLIAM MORRIS DEVELOPMENT 52-520 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)688-2608 Llc. No.: 945496 Date: 5/5/2016 3ANA BARBOSA LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations V 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance -rt of work for which this permit is issued. I have C.7t :Date: J L ` Contractor. ! ' Section 3700 of the Labor Code, for the performance of the work for which this permit �C==::3 is issued. My workers' compensation insurance carrier and policy number are - Cn LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations V 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License No.: 945496 of work for which this permit is issued. I have and will maintain workers'. compensation insurance, as required by :Date: J L ` Contractor. ! ' 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 - OWNER -BUILDER DECLARATION Carrier:_ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued, 1 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of,California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division L ' 3 of the Business and Professions Code) or that he or she is exempt therefrom and the ` Date) S S r Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO I ) 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building'or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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 Lender's I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this ci to enter upon the above-mentioned property for inspection purposes. Date: -$ s Signature (Applicant or Agent): FINANCIAL •• • DESCRIPTION .,. i ACCOUNT ,. , ;. QTY L: AMOUNT:'• 7,-PAID.. PAID DATE' ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $103.58 $0.00 PAID`BY `' .` ` 'METHOD,.�t„ RECEIPT # . CHECK #, •, CLTD BY Total Paid for ART IN PUBLIC PLACES - AIPP:. $103.58 $0.00 ".4 DESCRIPTION , a z :;" ' h.' ACCOUNT • : F ; • QTY, `' AMOUNT . 7-PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $10.00 $0.00 PAI D. BY s METHOD ``;RECEIPT # CHECK #- t CLTD BY '. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00 $0.00 DESCRIPTION ? , ACCOUNT AMOUNT,, PID PAID;DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID'BY METHOD RECEIPT # ut CH ECK # CLTD BY, DESCRIPTION ,; " .� ACCOUNT QTY. AMOUNT=. PAID PAIDDATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 r PAID.BY; METHOD' RECEIPT 4".. CHECK # ` ' CLTD BY'.' DESCRIPTION ACCOUNT QTY . ; AMOUNT PAID < PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY ;' METHOD :RECEIPT #'. -d .CHECK # CLTD BY DESCRIPTION `"' -" ACCOUNT ` . QTY AMOUNT PAID `. PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 t PAID'BY ` r. METHOD ' :RECEIPT #, CHECK # - CLTD BY DESCRIPTION t :. ACCO.UNT QTY y; - .AMOUNT '. PAID PAID`DATE. DIF - PARK MAINTENANCE '256-0000-43200 0 $40.00 $0.00 PAID BY ' : n METHOD ;, ; .; ;: RECEIPT #.,:.'. CHECK # .. CLTD BY' DESCRIPTION ACCOUNT QTY .. 'AMOUNT + " -PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0. $2,048.00 $0.00 PAID: BY ' . , ��: METHOD 'RECEIPT# ,., CHECK # : CL BY { TD'. DESCRIPTION 'r' ACCOUNT QTY: AMOUNT_:' PAID 'PAID DIF -.STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 e PAID.BY ' METHOD rt'` =-RECEIPT # ;.� . • CHECK.# 1 CLTD BY DESCRIPTION . 7 w'< ACCOUNT '; - QTY' ... `. AMOUNT PAID. '- PAID :DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00' iii A&,j4 *Et M n N V1, I . A ',,.METHO NUM iU RECEIPIA. P.- IA21t,xv .............. .... -Y.DWELLIN'(�� $6,894.00,�_," Total Paid for DIFF- SINGLE FAMIL. -1 IONIAN L a gg gawg-'gmi�`r g- ERA kCOU On �wog'mggg g jg4w?,g".k*m"po �A 10i AMOUNT -g' tm"OF E. P PAID "DESCRIPTION _iWIM REM R "IN "fRKs, RESIDENTIAL, EA ADDITION 1,000 F S ,'i ' 101-70000 42403 0 .65 $ 0 .00 = - , - P i N NJ BY, A7 IR PAID' W w ARM R'-_ wrw�a� RECEIPT P W, ma gpg,�, mn� BY "mW T kMETHOD' -7 _ N Tie ; Pffl-NCHECI(312. - - �_CLTDI` RW= g --,,"CCOL TY:AMOUNT- V�4w�-Wit,."*--,�P' g gj- "AN, i"t -V P �W;,�TA;l�,�..�,�?,��.,;'M.",;* N R", 1"MMUTIMM M4111 N -PAIDI:DATE," RESIDENTIAL, EA ADDITION 1,000SF, PC, 101-0000-42660 $0:00 W0 1_"R - PAID 6V, ggg - C 0 �HECKW `111 10' MR."I 7, w m 1 444 _21911 "WOM RIK -q 5�eg ju N ggg 5 WON ACCOI AM 527M �r' y " mgm mg DATE EPAID 'it � R RK� _410, 1016 %ft TO; FV llfic;. Wal RESIDENTIALJIRST 1,000SF' 101-0000-42403 0,, - 145.03 'i $0.001", 1EE 0 1, METHOD'0 M L1 4 R ECE I u�g CLTD BY I M, �M Fig _ _7�W,4 -N`Wi4l�4140? "? tW 1K. Ei g N R 4 "k g 'IKAMOUNI, Ig V 4,AIDMATE - .6 _-Al IXAM RESIDENTIAL, FIRST 1,000SF, PC, ., $47 86,,' �$o 00 N, I 2 W, .115,11 10 -ElkTA R 112 REM., OW Total Paid forlLECTRICAL -'NEW. s .9 CONSTRUCTION- 2 7*§ El"I."131"? 11 i0wDESCRI N c�,�Kavwug g, AMOUNT �p;?, 1111 M." n4i K WON MAT. - RESIDENTIAL -PRECISE GRADING - CUSTOM 101�,00064,2-468,_ 0 $36.26 HOME LOT >7KSF fV. VU': L� & t5i; Ir g PAID BY j Z H _5� &R'W12' R -i 1_-._.1=11A4 m RECEIPT # VAIN MECHEC-Kf#RMfj W_LM_RktM MUM, y, nVz-;;�ft'ft;j _4 MOUNT�-H-Mg- _ 4 PAID DATE gPAID ::x RESIDENTIAL PRECISE GRADING-CUSTom, 0 101-00 0-42600 181.29, T $Q. 00, HOME LOT >7KSF PC yid g , �F_ . I �'-NWPAIMBY:41;�pf NINE Z 6<1R. p �a " mompe N" 0, a %,i ,,'RT '. 7-M RRECE W V TotalPaid for GRADING 0.00", G� $ W, gc 'm ex W , 1, )WE QUI� ?9,d I •I ID,'= D, t Na � .PACCOUNTk,,,,ft Z DATE 'CONDENSER/COMPRESSOR .101-0000-42402 0 ,:$72.,52 $0.00- _g -ys x . . .... :no, MR. mpg- g R E E I VFW i Z �,IC H E C KID tl' rRON Im. Em E 'Tar -5,, www�v MI fix.Ei� m DESCRIPTION km WE RCCOUNTf, E-0 1,01, 1, ff 5 m v i Rom i� 10 �'g "Zip )' PAID DATE 1. K tIMIAMS W v i%. ! CONDENSER/COM PRESSOR PC 101-0000-42600�$0.06- $48JM, �p' R�OTIKl A gi, 't F- 41VIETHOW- IUW�S,17E� 0,�Pzxm� gt PTV RE EVP �g V,�� >, g7 z 0, _111�11v! -�KHECKW#lm "'J"g-, g 11,1� Mr Ys AN r M F7 -bt§t`qi"k I.- 11 M m TY R, kr Rk -wi@10-AMO , 1 M. 10,67T., Ale AM -EXHAUST HOOD 101 -0000-42462 2.,09 ft'M 1; .0 , - ,, m, �0 m , irH.WW " . METHODS` R E C E I P T 9 "CHECKCLTD t BY IN. .00 R 91 , !W EAM,"" "My. �W,+ W 'NU RIM R % r .:.DESCRIPTION' :'; ACCOUNT ' QTY AMOUNT *.' PAID a PAID DATE; EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY "s - METHOD:�:,..EC r R EIP.T.#'.. s'`-CHECK #. CLTD BY • 'DESCRIPTION .; "• ACCOUNT r`., -QTY , 'a `'AMOUNT . t PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD • �' " RECEIPT # CHECK:# CLTD BY ,; DESCRIPTION ACCOUNT >yry �, ` QTY. `:: •'AMOUNT : 'PAID, !,PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $0.00 PAID BY. N METHOD, -' ; RECEIPT #_ .. • CH ECK # ' CLTD BY DESCRIPTION °° ,,.'" ACCOUNT • . _., QTY AMOUNT ; : PAID PAID DATE VENT FAN 101-0000-42402 0 $96.72 $0.00 . ` PAID -By 'E METHOD x. RECEIPT # :CHECK # , - ~CLTD BY DESCRIPTION, ._ "ACCOUNT ' QTY 1 AMOUNT x° PAID PAID DATE VENT FAN PC 101-0000-42600 0 $38.64 $0.00 _ r PAID BY - #METHOD '� RECEIPT # .:CHECK-#' C1TO BY xi DESCRIPTION ,• F. I . - ACCOUNT F' QTY AMOUNT -PAID PAID DATE . WALL HEATER 101-0000-42402 0 $24.71 $0.00 PAID BY : •METHOD. ` : F ,.:3 RECEIPT #, .. .. °' CHECK # .. -.. ... CLTD BY ` ,. �.,. ,'DESCRIPTION ` :+: ACCOUNTw; QTY` 'AMOUNT j PAID PAID DATE' WALL HEATER PC 101-0000-42600 0 $12.09 $0.00 PAID BY i, , _,' _METHOD RECEIPT. # CLTD BY ` Total Paid for MECHANICAL: $430:80 $0.00 ". :DESCRIPTION ACCOUNT :QTY °', AMOUNT PAID PAID DATE' MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2015 UPDATE 101-0000-20310 0 $1,301.00 $0.00 PAID BY METHOD r .. .`'RECEIPT # - ,; CHECK # . _ CLTD BY Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00 DESCRIPTION"..... - � ACCOUNT � QTY AMOUNT PAID' " PAID DATE:' NEW CONSTRUCTION PERMIT 101-0000-42406 0 $605.09 $0.00 Y s PAID'BYS ' METHOD _ ;RECEIPT # CHECK #, ' •` CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $605.09 $0.00 s, DESCRIPTION .; ' ACCOUNT QTY " . AMOUNT PAID .. PAID DATE'. NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,000.00 $1,000.00 1/22/16 k ,PAID BY } " :: • , ., ,. '' METHOD � i R ECEIP,T # CHECK # 7" s CLTD BY . BARBOSA CHECK R12302 4771 SKH DESCRIPTION; " ' , . w ^ ACCOUNT .; QTY AMOUNT PAID PAID "DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $264.76 $0.00 PAID BY 71METHODr_t CHECK# CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,264.76 $1,000.00 d DESCRIPTION s ,* !:F ; " ;ACCOUNT QTY AMOUNT' ; PAID PAID DATE: BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY Yy METHOD v ``a RECEIPT # F CHECK # ' CLTD-BY ,« DESCRIPTION ACCOUNT �' `QTY."; AMOUNT::; s PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID: BY METHOD h F " ;RECEIPT #R CHECK # CLTD BY DESCRIPTION ACCOUNT 3 QTY; ; AMOUNT PAID ° iPAID DATE' BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD:>.<RECEIPT # CHECK # CLTD BY `- DESCRIPTION ACCOUNT e, : ! QTY, "; AMOUNT : PAID PA DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY• $•METHOD � - ": !RECEIPT #CHECK # s CtTD BY '.DESCRIPTION r _ ACGO.UNT' * 'QTY AMOUNT , PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $253.89 • $0.00 PAID, METHOD ` :=RECEIPT #. sqr r CHECK CLTD BY DESCRIPTION , # t ACCOUNT+ .fl QTY AMOUNT PAID 'PAID DATE' FIXTURE/TRAP PC 101-0000-42600 0 $253.89 $0.00 PAID BY METHOD f ` r ;`.'.RECEIPT #` CHECK # CLTD BY DESCRIPTION ;. ACCOUNT_ .M ,. '_ W. QTY AMOUNT-'., PAID PAID.DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $0.00 " PAID BY METHOD 4 " RECEIPT # "• ' I CHECK # CLTD BY .'.'DESCRIPTION.ACCOUNT =QTY AMOUNT PAIDI. PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAIDBY,` . ` "� METHOD RECEIPT#t " CHECK# CLTD;BY r DESCRIPTION ;` ACCOUNT QTY AMOUNT :r":PAID PAIDbATE; WATER HEATER/VENT 101-0000-42401 r r 0 $12.09 $0.00 a" PAID BY #: METHOD . r;� RECEIPT # CHECK # g '..f' _. CLTD BY ` DESCRIPTION a ACCOUNT- k QTY AMOUNT i,4 PAID s ' ' FPAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY M _ _METHOD 'RECEIPT # - ., . ': ,_.CHECK # CLTD BY' DESCRIPTION`' '' ACCOUNTS , QTY 'AMOUNT r PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY s & METHOD:' `RECEIPT.# CHECK # CLTD BY DESCRIPTION ' _, s ACCOUNT- QTY ; . eAMOUNT s _ PAID $ PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY ; z METHOD RECEIPT # B ''CHECK # 3' CLTD, BY, Total Paid for PLUMBING FEES: $652.83 .$0.00 • DESCRIPTION_ . ACCOUNT x",` . , "�t, - -QTY, SAM �OUNT• • -PAID . `PAID DATE: SMI -,RESIDENTIAL 101-0000-20308 0 $31.39 $0.00 " PAID BY- i - METHOD �� ` . - RECEIPT # i CHECK #CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $31.39 $0.00 DESCRIPTION;ACCOUNT <AMOUNTx PAID` PAID DATE' SINGLE FAMILY DETACHED 224-0000-20320. 0 $1,837.44. $0.00 v s . PAID BY RECEIPT #. a' °CHECK # CLTD BY.,<, Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:$1,000.00 Description: BARBOSA / 3600 SQ FT SFD Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED -CONDITIONS Applied: 1/22/2016 SKH FAMILY DETACHED Approved: 5/4/2016 BHA Parcel No: 770172012 Site Address: 78700 AVENIDA NUESTRA LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 167 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $241,433.50 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 3,600 SF NEW SINGLE FAMILY DWELLING, 69.0 SF GARAGE, 1,105 SF COV. PATIO. FIRE SPRINKLERS. R-3 TYPE V -B PER 2013 CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS POOL, SPA, FIRE PIT & TEMP POWER. MINOR ADJUSTMENT 2016-0002 FOR V-7" INCREASE IN HEIGHT. Printed: Thursday, May 05, 2016 10:33:07 AM 1of8 J ° SYS rf: nAS ADDITIONAL "CHRONOLOGY CHRONOLOGY TYPE _ _. •.• NOTES.', s' a - SENT 2ND REVIEW CORRECTION LIST, INVOICE & SCHOOL FEE s E-MAIL BURT HANADA 4/18/2016 4/18/2016 AREA CERT TO STEVE NIETO. FOLLOWED-UP WITH PHONE CALL @2PM. r LOGGING NOTES ON FIRST NON-STRUCTURAL PLAN CHECK NOTE KAY HENSEL 2/12/2016 2%12/2016 WERE UNCLEAR. IT LOOKED LIKE IT WAS READY TO GO BACK TO THE APPLICANT SO WHEN RAMSES ASKED ME IF IT WAS OK TO GIVE IT TO THE APPLICANT I TOLD HIMTO GO AHEAD. PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 2/4/2016 2/4/2016 STRUC RFC 2/4/2016 ' RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 5/3/2016 5/3/2016 - RECEIVED Printed: Thursday, May 05, 2016 10:33:07 AM 1of8 J ° SYS rf: nAS µ'a ' Permit Details PERMIT NUMBER:' ..City of•La Quinta y F = PLAN CHECK COMMENTS FROM CONSULTANT STEPHANIE KHATAMI 4/14/2016 4/14/2016 RECEIVED PLANS AND ATTACHED COMMENT SHEET TO S DRIVE. NOT APPROVABLE. RECEIVED PLAN CHECK PICKED UP RAMSESSEVILLA 2/12/2016 2/12/2016 STEPHEN NIETO PLAN CHECK PICKED UP RAMSES SEVILLA _ 4/18/2016 4/18/2016 MR.NIETO PICK UP PLANS.RSE PLAN CHECK SENT TO RAMSES SEVILLA 1/22/2016 1/25/2016 • OUTSIDE PC PLAN CHECK SENT TO STEPHANIE KHATAMI 4/1/2016 4/4/2016 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE KHATAMI 4/20/2016 4/20/2016 OUTSIDE PC / PLAN CHECK SUBMITTAL RAMSES SEVILLA 1/22/2016 1/25/2016 RECEIVED PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 4/1/2016 4/4/2016 ` RECEIVED r RESUBMITTAL: STEPHANIE KHATAMI 4/20/2016 4/20/2016 NOTIFIED STEVE NIETO THAT PLANS ARE APPROVED AND TELEPHONE CALL BURT HANADA 5/4/2016 5/4/2016 READY TO ISSUE WITH ADMINISTRATIVE ITEMS TO BE - SUBMITTED. 'CONDITION TM _ DATE DATE CONTACT,: ', DATE • STATUS' REMARKS NOTES ; TYPE ADDED 'REQUIRED SATISFIED , _ CONTRACTOR INFO REQUIRED READY TO ISSUE BURT HANADA 5/4/2016 PENDING SCHOOL FEES REQUIRED CHECKLIST 1 SITE & FLOOR PLAN FOR ASSESSOR COPY CONTACTS m.NAMETYPE- ' -. ' =' ADDRESSi� CITY, S7ATE• ZIP PHONE`S FAX ` EMAIL r-. .NAME-_ s APPLICANT SOUTH WEST CONCEPTS, INC. 78115 CALLE ESTADO, LA QUINTA CA 92253 (760)564-4707 Steve•@swconcepts.co SUITE 105 m Printed: Thursday, May 05, 2016 10:33:07 AM 2 of 8 ' SYS TEtitS Printed: Thursday, May 05, 2016 10:33:07 AM 3 of 8 CB?WYSTEMS 'tl; =;:' W, „ ' 'AMOUNT GLTD A. ` DATE m ; DESCRIPTION . w ACCOUNT QTY- PAID PAID ;'RECEIPT•#x-wCHECK# METHOD .PAID BY NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE' FAX EMAIL CONTRACTOR WILLIAM MORRIS DEVELOPMENT 52-520 AVENIDA LA QUINTA CA 92253 (760)564-4707 101-0000-20306 INC DBA W M B NAVARRO $0.00 DESIGNER SOUTH WEST CONCEPTS, INC. 78115 CALLE ESTADO, LA QUINTA CA 92253 (760)564-4707 steve@swconcepts.co DIF - CIVIC CENTER 252-0000-43200 SUITE 105 $942.00 $0.00 m OWNER BARBOSA FAMILY TRUST - HENRY & 2592 NIXON WAY FULLERTON CA 92835 (760)564-4707 ANA BARBOSA $129.00 $0.00 Printed: Thursday, May 05, 2016 10:33:07 AM 3 of 8 CB?WYSTEMS 'tl; =;:' W, „ ' 'AMOUNT GLTD A. ` DATE m ; DESCRIPTION . w ACCOUNT QTY- PAID PAID ;'RECEIPT•#x-wCHECK# METHOD .PAID BY ART IN PUBLIC PLACES - 270-0000-43201 0 $103.58 $0.00 RESIDENTIAL Total Paid for ART IN PUBLIC PLACES - AIPP: .$103.58 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $10.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $10.00. $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 0 $129.00 $0.00 CEENTERSNTERS254-0000-43200 DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 .$344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF.- PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF -STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00, Total Paid for DIF —SINGLE FAMILY DWELLING: $6,894.00 $0.00 Printed: Thursday, May 05, 2016 10:33:07 AM 3 of 8 CB?WYSTEMS c 4 ACCOUNT. ': QTY PAID;. PAID DATE, ' RECEIPT #• ,":CHFECK # METHOD PAID BY - CLTD; _DESCRIPTION , y'TAMOUNT By RESIDENTIAL, EA . 101-0000-42403 0 $61.65 $0.00 ADDITION 1,0005E RESIDENTIAL, EA 101-0000-42600 0 $25.40 $0.00 ADDITION 1,000SF, PC . RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $179.94 $0.00 RESIDENTIAL PRECISE ' GRADING - CUSTOM 101-0000-42408 0 $36.26 $0.00 HOME LOT >7KSF RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $0.00 i HOME LOT >7KSF PC Total Paid for GRADING: $217.55 $0.00 CONbENSER/COMPRES 101-0000-42402 0 $72.52 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $48.34 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 : $4.83 $0.00 FURNACE 101-0000-42402 0 $72.52 $0.00 FURNACE PC .101-0000-42600 0 $48.34 $0.00 VENT FAN 101-0000-42402 0 $96.72 $0.00 VENT FAN PC 101-0000-42600 0 $38.64 $0.00 WALL HEATER 101-0000-42402 0 $24.71 $0.00 Printed: Thursday, May 05,2016 10:33:07 AM 4 of 8. SYS7EiNS DESCRIPTION _ ACCOUNT QTY ,. , : 'AMOUNT - PAID " , PA RECEIPT ! 7 CHECK # -x METHOD ... _ P , I D BY .x. rD '.0".LY" 17,1 . WALL•HEATER PC 101-0000-42600 0 $12.09 $0.00 Total Paid for MECHANICAL: .$430.80 $0.00 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-203100 $1,301.00 $0.00 -2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: .$1,301.00 $0.00 NEW CONSTRUCTION 101-0000-42400 0 $605.09 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $605.09 $0.00 NEW CONSTRUCTION 101-0000-42600 0 $1,000.00 $1,000.00 1/22/16 R12302 4771 CHECK BARBOSA SKH PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $264.76 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,264.76 $1,000.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 • $253.89 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $253.89 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 - WATER HEATER/VENT 101-0000-42600 0 $7.25 PC Printed: Thursday, May 05, 201610:33:07 AM 5 of 8 SYSTEMS DESCRIPTION ACCOUNT _ QTY AMOUNT PAID PAID DATE RECEIPT # ,, CHECK # , ;, METHOD `� PAID BY. ,x CLTD' *= REVIEWER t DUE DATE - s s , NOTES a t, " BY� WATER SYSTEM 101-0000-42401 0 • $12.09 $0,00 2/12/2016 2/16/2016 REVISIONS REQUIRED 1ST BLDG NS (3 WK) INST/ALT/REP HANADA WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 KURT CULVER 1/22/2016 2/12/2016 2/2/2016 REVISIONS REQUIRED INST/ALT/REP PC WK) 2ND BLDG NS (2 BURT Total Paid for PLUMBING FEES: $652.83 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $31.39 $0.00 WK) HANADA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $31.39 $0.00 SINGLE FAMILY 224-0000-20320 7[�0 KURT CULVER $1,837.44 $0.00 4/13/2016 REVISIONS REQUIRED ' DETACHED 3RD BLDG NS (2 WK) BURT 4/20/2016 5/4/2016 • 5/2/2016 Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:$1,000.00 INSPECTIONS Printed: Thursday, May 05, 2016 10:33:07 AM 6 of 8 SYSTEMS PARENT PROJECTS - REMARKS " b RETURNED REVIEWS 5TATUS�. REVIEW TYPE REVIEWER SENT DATE I DUE DATE - DATE , NOTES a t, " BURT 1/22/2016 2/12/2016 2/16/2016 REVISIONS REQUIRED 1ST BLDG NS (3 WK) HANADA 1ST BLDG STR (3 KURT CULVER 1/22/2016 2/12/2016 2/2/2016 REVISIONS REQUIRED WK) 2ND BLDG NS (2 BURT 4/1/2016 ' 4/15/2016 4/18/2016 REVISIONS REQUIRED WK) HANADA 2ND BLDG STR (2 KURT CULVER 4/1/2016 4/15/2016 4/13/2016 REVISIONS REQUIRED WK) 3RD BLDG NS (2 WK) BURT 4/20/2016 5/4/2016 • 5/2/2016 APPROVED PENDING HANADA STRUCTURAL REVIEW 3RD BLDG STR (2 KURT CULVER 4/20/2016 5/4/2016 5/2/2016 READY FOR APPROVAL WK) _CONDITION Printed: Thursday, May 05, 2016 10:33:07 AM 6 of 8 SYSTEMS Printed: Thursday, May 05, 2016 10:33:07 AM 7 of 8 SYSTEMS BOND •' • AttachmentType® ATTACHMENTS `CREATED OWNER '• 'DESCRIPTION _ ''_, P;kv, ME SUBDIR-� .- ETRAKIT ENABLED IST REVIEW BRES2016-0011-IST DOC 2/4/2016 AJ ORTEGA STRUCTURAL FEE SHEET REVIEW STRUCTURAL 0 (ESGIL) FEE SHEET.pdf 1ST REVIEW BRES2016-0011 - 1ST DOC 2/4/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 CORRECTIONS (ESGIL) CORRECTIONS.pdf 2ND REVIEW BRES2016-0011- 2ND DOC 4/13/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 CORRECTIONS CORRECTIONS .pdf 3RD REVIEW BRES2016-0011- 3RD DOC 5/2/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL r. 0 TRANSMITTAL TRANSMITTAL (APPROVED) (APPROVED).pdf 1ST REVIEW NOW DOC 2/12/2016: BURT HANADA STRUCT CORRECTION . 78-700 AVENIDA 0 NUESTRA.doc.x LIST 78700 AVENIDA DOC 4/18/2016 BURT HANADA 2ND REVIEW NON NUESTRA - 2ND PC 1 STRUCTURAL REVIEW SIGNED.pdf SCHOOL FEE AREA CERT SCHOOL FEE AREA CERT ` DOC 4/28/2016 BURT HANADA FORM - 78700 AVE., FORM - 78700 AVE. 1 NUESTRA.pdf NUESTRA.pdf TRUSS ACCEPTANCE TRUSS ACCEPTANCE DOC 5/4/2016 BURT HANADA LETTER 78-700 AVENIDA LETTER 78-700 AVENIDA 1 NUESTRA.pdf NUESTRA.pdf MINOR ADJUSTMENT - MINOR ADJUSTMENT - DOC 5/4/2016 BURT HANADA 78700 AVENIDA 78700 AVENIDA 1 NUESTRA.pdf NUESTRA.pdf DOC 4/4/2016 STEPHANIE KHATAMI GRANT DEED 471-16 GRANT DEED 4-1-16.pdf 0 Printed: Thursday, May 05, 2016 10:33:07 AM 7 of 8 SYSTEMS ATTACHMENTS y A#Schmenf-Type:' : CREATED _ OWNER DESCRIPTION' • PATHNAME ."' .F SUBDIR ,ETRAKIT,ENABLED DOC 4/4/2016 STEPHANIE KHATAMI DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 PLAN 4-1-16 PLAN 4-1-16.pdf 2ND SUBMITTAL - 2ND SUBMITTAL DOC 4/4/2016 STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS 4-1- COMMENTS 4-1-16 16_1.pdf 2ND SUBMITTAL • 2ND SUBMITTAL DOC 4/4/2016 STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS 4-1-16 COMMENTS 4-1-16.pdf DOC 4/14/2016 STEPHANIE KHATAMI STRUCTURAL STRUCTURAL 0 COMMENTS 4-14-16.pdf COMMENTS 4-14-16.pdf 3RD SUBMITTAL 3RD SUBMITTAL DOC 4/28/2016 "' STEPHANIE KHATAMI CORRECTION LIST AND CORRECTION LIST AND 0 COMMENTS 4-20-16.pdf, COMMENTS 4-20-16.pdf ' Bin # City of La Quinto 4 Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #' &F�OeI6 Project Address: QO� C/ �� Owner's Name: vl 0,- .per A. P. Number: 7 ,7Z7,�r Address: �S I v�/11 Legal Description: City, ST, Zip: �!� !\ f Contractor: V /v /� l v O T ele hone: P ............:..........::.:::::::::.:::::..::. Address: Project Description: C��� City, ST, Zip: l /I !%� Tele h n . Po e. Zp ✓� 0,/- S State Lie. # : City Lie. #: I �� Arch., Engr., Designer:_—S:67V v �� C�'ACPf' ��- re",(/j. �� t7 ✓�� Address: City., ST, Zip: /--ot, TeleP hone:7 7 C. /J v Construction n TY P e• ploccupancy: : State Lica#• Project type (circle one )•N ew )Add'. Alter Repair r Dem o Name of Contact Person: Sq. F3 # Sto ies: l # Units: +— Telephone # of Contact Person: 7 (r v `� Estimated Value of Proje & 0 (J 1 4% cl APPLICANT: DO NOT WRITE BELOW THIS LINE q 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 Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical . Grading plan 2" Review, ready for-corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading 1N IiOUSE:- '^! 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 Description: BARBOSA / 3600 SQ FT SFD , Type: BUILDING, RESIDENTIAL Valuation: $241,433.50 Subtype: DWELLING - SINGLE FAMILY DETACHED Site Address: 78700 AVENIDA NUESTRA LA QUINTA,CA 92253 Occupancy Type: Construction Type Applied: 1/22/2016 SKH Approved: 5/4/2016 BHA Issued: 5/5/2016 SKH Expired: 11/8/2016 crw 3,600 SF NEW SINGLE FAMILY DWELLING, 690 SF GARAGE, 1,105 SF COV. PATIO. FIRE SPRINKLERS., R-3 TYPE V -B PER 2013.CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS POOL, SPA, FIRE PIT & TEMP POWER. MINOR ADJUSTMENT 2016-0002 FOR 1'4". - INCREASE IN HEIGHT. ADDED FEES FOR TEMP POWER. REVISION NO:1", DELTA 3,DWGS: ADDITION'OF.�20'SQ:.FT TQ,READING'ROOM .REVISE'POOL BATHROOM, REVISLON 70 WINDOW -AND DOOR SIZES;" SHEAR WA. LL, FOOTINGS AN0 TRUSSES: 2013 CODES'. Printed: Tuesday, May 17, 2016 8:32:40 AM 1 of 10 SYSTEMS •0 • LOGY 'H•l,i .lJl,. .. b}: 'Q4 ^•N .}�+.. '4 '.47'„ i' 4";' :Y: -i`N:f 4.y-L,ty''N rry ', '1 �...'-� { �-• :C. � ' ,1... R .f F:ili.: M{.fe'.)': ::.Y: � - �•. 'CHRONOLOGX>TYPE = STAFF NAME ACTION DATE ; C' 'IA TIQN DATE'.. w 'NOTES . .. ... " SENT 2ND REVIEW CORRECTIONLIST, INVOICE & SCHOOL FEE E-MAIL BURT HANADA 4/18/2016 4/18/2016 AREA CERT TO STEVE NIETO. FOLLOWED-UP WITH PHONE CALL @2PM. LOGGING NOTES ON FIRST NON-STRUCTURAL PLAN CHECK WERE UNCLEAR. IT LOOKED LIKE IT WAS READY TO GO BACK NOTE KAY HENSEL 2/12/2016 2/12/2016 TO THE APPLICANT SO WHEN RAMSES ASKED ME IF IT WAS OK TO GIVE'IT TO THE APPLICANT I TOLD HIMTO GO AHEAD. NOTE STEPHANIE KHATAMI 5/11/2016 5/11/2016 ADDED/PAID FEES FOR TEMP POWER Printed: Tuesday, May 17, 2016 8:32:40 AM 1 of 10 SYSTEMS r 'ittj 4 616 Ce PO. BOX 1504 APPLICATION ONLY Building Ave,( N VJ8�78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 O er P /� /� �D� /1 `�rJ©S G� BUILDING: TYPE CONST.'' " " OCC. GRP. Mailing _ •" G ( 72— O t 2 - Address Ah )(0/1 W iii A.P. Number city,— Zip JTBI. Legal Description Contractor Projecyescription b S nCW ftl -4y rCs ice. Address City Zip Tel. State Lic. City Sq. Ft. No. No. Dw. ' & Classif. Lic. # Size � Stories Units Arch., Engr., New'M Add Alter Repair❑ Demolition Designer Address Tel O �r -74K10 cG ll t �r cQo �D Tho` �f Ll l01 f Ci ` Zi State Q VI Lic. # q�: /—• LICENSED 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 and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city orcounly which requires a permit to construct, alter, improve, demolish, or repairanystructure,pdortoitsissuancealsorequirestheapplicantfor PERMIT AMOUNT such permit to file a signed statement that he is licensed pursuant to the Provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any Plan Chk. Dep. a violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). Plan Chk. Bal. ❑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 Proles- Const. sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that Mech. such 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 did Electrical not build or improve for the purpose of sale). O1, as owner of the property, am exclusively contracting with licensed contractors to construct the Plumbing project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply S. M. 1. to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company OCopy is filed with the city. 0Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM TOTAL�� Q WORKERS' COMPENSATION INSURANCE WD (This section need not be completed if the permit is for one hundred dollars (8700) valuation CONTACT INFORMATION or less). I certify that in the performance of the work for which this permit is issued, I shall not employ NAME: any person In any manner so as to become subject to Workers' Compensation Laws of California. PHONE: Date Owner NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: CONSTRUCTION LENDING AGENCY Front Setback from Center Line I hereby affirmthat there is a construction lending agency for the performance of the work for Rear Setback from Rear Prop.Line which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Side Street Setback from Center Line Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to Side Setback from Property Line expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. FINAL DATE INSPECTOR I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Issued by: Date Permit Signature of applicant Date Mailing Address Validated by: City, State, Zip Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Date: 5/5/2016 No.: 16-00205-1 Owner: Ana & Henry Barbosa Address: 2592 Nixon Way City: Fullerton CA 92835 Type: Single Family Residential Lot # Street No. 78700 . CERTIFICATE OF COMPLIANCE Desert Sands Unified School District . 47950 Dune Palms Road La Qunita, CA 92253 (760)771-8515 Street Name Sq. Feet Avenida Nuestra 3600 Email: Jurisdiction: La Quinta Tract #: APN. 770-172-012 Comments: Overpayment of 532.38 to be mailed to owner's address listed above. JN\FIEp S 0y oyo r 0. FA BEUDA DUNES , RANCHO MIRLLS; AGE - y2 t -'.INDIAN WE .PALM DESERT - y uINTA . p-INOIO=.,Y Permit No. 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: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 3600 S.F. or $12,096.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be -issued. Fees Paid By: Wells Fargo / Rock Morris Bank Name/Recipient of Certificate By Dr. Gary Rutherford Check No.: 0077402320 Telephone: Funding: Residential Superintendent Fee Collected/ Exempted by: Kelly Jones Amount Due.-.- $1Z `070.00 Original Payments) Rec'd , fi0.00 y` New Payment Re^'f $12 62$.38 Over/under: - $532.3.8 NOTICE: Pursuant to Gov rnment Code Section 66020(d)(1), this will serve to notif . ou that the 90 -da approval period in which ou ma"ra,r the fats or YY Y PP P Y YP other payment identifieIfabove 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 to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. Date: 5/19/2016 No.: 16-00217-1 Owner: Ana & Henry Barbosa Address: 78700 Avenida Nuestra City: La Quinta Type: New Residential Addition Lot # Street No. 78700 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Qunita, CA 92253 (760)771-8515 Street Name Avenida Nuestra Email: Jurisdiction: La Quinta Tract #: Sq. Feet APN 20 770-172-012 J�„Fie° s c pyo V) BERMo0I'WaRAG g Y iN IFNs F,L.I.S y m COAr'DESERT y- � concnnarn�.0ea p f�voio y Permit No. Comments: Originally paid fees for 3600sf on cert # 16-00205. Revised and additional 20sf vee efzddedA QU1NTA p,()p►q itaeTy nFvc:0 0P, MENT 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: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 20 S.F. or $67.20 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: Bank of America / Rick Morris Check No.: 1125504617 Bank Name/Recipient of Certificate Telephone: Funding: Residential By Dr. Gary Rutherford Superintendent% .; Fee Collected/ Exempted by: Ky Jones .Amount Due;, $67,20. Original Payfnent(s) Rev'd New Payment Reid:` $67.;20' PO NOTICE: Pursuant to Go emment Code ection 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identifie above will b gin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the , istrict(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. iawyem Title RECORDING RZQUWMD BY: ProNet Partners, Inc., DBA Stuff Gold Escrow Order No. 615696460 Escrow No. 10546 -CC Parcel No. 770-172-012-1 . r�r�A,�. -+40W 24.01 AND W HEN ECORDED MAIL TO: HENRY SILVA BARBOSA AND ANA YOLANDA BARBOSA. TRUSTEES OF THE BARBOSA FAMILY •1992 REVOCABLE TRUST DATED SEPTEMBER 23, 1992 (0 (5 (9-1i (JP 4(a o /'-MA� + U r SPACE ABOVE THIS EINE FOR RECORDEt'S USE V to GRANT DEED. THE UNDERSIGNED ORANTOR(S) DEa—k E($) TRAT DCkCLJMENTAitY TRANSFER TAX IS'5179.85 and CITY $ 0 computed on full value of Property conveyed, or ❑ computed on full value less liens or encumbrances remaining at the time of sate. unincorporated area: City of La Quinta,.and FORA VALUABLE CONSIDERATION, receipt of which is Hereby acknowledged, Vicky ; Rigby, a single woman hereby GRANT(S) to Henry Sliva Barbosa and Ana Yolanda Barbosa, Trustees of TheBarbosa Family 1992 Revocable Trust dated September 23, 1992 the following described neat props' . in the County of Riverside, State of California: SEE EXHIBIT "A" ATTACHEDO AND.MADE A PART IiEREOF More commonly known as: 770-12-012-1, La Quinta, CA 02253 �� Date September 2, 2015 RECf IV ED `����h APR 01 2016 Vic b_�J� � Y INTA aTY of LA Qu COMMUNITY DEVELOPMENT A notary public or other officer co*leting this certificate verifies only the identity of the individual who signed the document to which this certificate. is attached. Viand not the tru$fuluess, accuracy, or validity of that docurpent, STATE OF qt K`(jCLC_[';�'C% COUNTY OF t r1J } S.S. on JE-LJtesyAb r- personally apVicky 3 Rigby. Who proved to me on the basis`�of satist'actor evi io be the persot> whose nameW is/a7rtss sub=C:� in hAn erltl&ir authorized,upon behalf of which tbaacted, executed the instrument I 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my band and official seal. Slgnatur TVI.I.� Y • a �� t • l �.kxlt�' 11%11 r a EXHIBIT "A" THE LAND REFERRED TO HEREIN AS ITUATEDo�WSIN THE COUNTY OF RIVERSIDE, STATE OfCALIFORNIA, AND IS DESCRIB LOT 167 OF DESERT CLUB TRACT UNIT NO, 5, IN THE CITY OF l A Z2UINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 21; PAGES 61 AND 62 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA - ASSESSOR'S PARCEL NUMBER: 770-172-012-1 ` Building Permit Number. Project Description: SFR' Exempt O ' f (Materiels magi contain hazardous wastes and are not subject to recycling provisions) � ' oF„x+ • Construction Debris Management Plan -• " ` -Plan S' ittai Date 2/17/2016 a r l Job Site Addre 78-700 Nue`stra . Owner's Name Henry & Anna barbosa Number, Street, or Po Box 2592`Nixon'Wa Y` City,'Stete, Postal Code '{ Fullerton,:CA. 92835 Owner's Phone Number 714-944-8150' - Owners E -Mail Address Project Managers Name . WIIIiamiMorris Project Managers Phone Number 760-668-4260 ProJect Managers E-mail Address '< morrisamijjhotmail com er *► v. �� � . • - Builder / Contractor ` W: M. Development REQ Number. Street of. PO Box P.A Box 703 Cfhi; State,''Postal Code Le Quinta; CA. 92253 Project Square Footage ' •3,600 square feet CITY OF COMMUNITY Ger'•-a.7�s=�� t YU City Approval By n Date of City Approval. Materjais To Be,Discarded - "Product Tons y: 1 $Trash15.00 Not by Product Toils Asphalt 40:00 Recyciable Mason ry;(broken) :.-0.00 Recyclable Brick/Block 0.00 Recyclable :Plaster3.75 Recyclable .Cardboard : '0.00 Recyclable Scrap Metal `.L.00 0Recyclable jCommingled •;. 0.00 Recyclable :' Tina (floor). ; ; ' 0.25 Recyclable ' Concrete 15:00 Recyclable 0'25 Recyclable Drywall' 1:50 Recyclable Wood - -4:00 Recyclable Donated I Reuse* 0.00 Recyclable Landscape'DebnS K 0:00 Recyclable *Describe)tems Totals: Recycle ;Trash Projected `Diver sion: ` 24:8 15.0 62:260/6, I understand It is.the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the O D' Management Plan (DMP) for the above named project shall guaran0°i6 tee that at least 5of the jobsite waste'is diverted from landfilling. The remaining material will be;recycled or reused: / will divert, forrecycling'or. re -us 'e, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued In the name of the property owners) grid;shall rem aln their property throughout the construction and/or demolition project: A contractor serving 'as agent of the owner may obtain a DMP for the owner: -However, the'DMP is still Issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The p ron owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. :lf self- g, all refuse material. from' this project site'must be ken to an approved rreecycler or transfer Owner / Develop Project Manager / Supedntendant Date ,`i� 4a�w 78-495 CALLE TAMPICO LA QUINTA;'CA 92253 (760) 777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT P�RIVIIT BUILDING SITE LOCATION FLOOD ZONE 'AO' - DEPTH 1 7d-- 700 AVS/1.P-4 %lVvE3T�4 / � �1�T,�: COMMUNITY- PANEL NUMBER ,�^1 060709 0005 B ,—V% I!Od' ct%e�.(,(� 7� G%/IT'S' Map Revised: 8!19/1991 APPLICANT INFORMATION SECTION ' APPLICANT NAME APPLICANT SAXON 9!5p1/ r h4jt__ 1V6 .:ADDRESS' 16 W 444ZV C -0X- 5ie4 ,, SVIM 42 (MAILING ADDRESS, NOT. THE BUILDING SITE) DAYTIME TELEPHONE NO. )(//:z2/� INSTRUCTIONS 1. A Flood Plain Development Permit is required by LOW Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2.. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation- Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been reviewed and found to contain all data required to satisfy the requirements of LQMC 8.11 The proposed dwelling, is eligible to receive a building permit upon satisfying all other Building & Sa ty epartment re it ents. i AUTHORIZED SIGNATURE DATE La Ouinta Engineering Department FILE: Upon Step 2 approval, STEP 2 OF 2 APPROVAL All requirements have been satisfied. This Flood Plain Development Permit is approved. AUTHORIZED SIGNATURE DATE La Quinta Engineering Deparilm�"� a goes in "Flood Plain Development Permit" file; copy goes tq4pplicant FILE'S F090 REV -2 , i,"Options Fronts & Doors Firescreen Finishes Black Refractories Firescreen Arch Bronze Traditional Herringbone Models Available Castlewood (As a kit only) Additional Options Not Pictured • Heat Zorn- kit • Gas ccnversion kits • Mante13 and surrounds tDirec c t lent:: DVP pipe Standard Controls Ir telliFire Plus Rr200 The RC200 Is speci-•cally designed for use %.Jth the IntelliFire Plus Ignibon S�fstem, and corn 3s standard with the Heirl©m. T-iis wireless control offers flexibility to either n ount on the vial] or use as a remote. Features: On-Ofl, Auto Battery Backup, Pilot ,activation, 5-S_-er Flame Height, Fan Speec, Child Lock, Wall Docking Station w U.S. Efficiencies Steady:State -Since most homeowners use their fireplaces, fo an extended time while they'are in the'roon Steady, . =< Steady State 78.2% 77.2% 6&2°h State measures how.efficiently, yourfiirepla'ce converts f6elao heat once.it is warmed up and running -In a."shady state".. : AFUE 56.7% 66.7% 660% AFUE : AFUE rating is more"typically used Wt appliances dike your furri_aoe th6t'Mn'tinually cycle on and off to malhMn a constant temperature.,, - 4:0— Canada e `' EnerGuide 69.6% 67.0% 6�6% EnerGuide (CSA'P4.1 02) - EnerGuide Is a.rating used, In Canada td r measure annual°fireplace; efficiency: �' - (CSA P.a.t 02) � r , � * j t ( , , ?r Firescreen Arch Bronze Traditional Herringbone Models Available Castlewood (As a kit only) Additional Options Not Pictured • Heat Zorn- kit • Gas ccnversion kits • Mante13 and surrounds tDirec c t lent:: DVP pipe Standard Controls Ir telliFire Plus Rr200 The RC200 Is speci-•cally designed for use %.Jth the IntelliFire Plus Ignibon S�fstem, and corn 3s standard with the Heirl©m. T-iis wireless control offers flexibility to either n ount on the vial] or use as a remote. Features: On-Ofl, Auto Battery Backup, Pilot ,activation, 5-S_-er Flame Height, Fan Speec, Child Lock, Wall Docking Station w U.S. Efficiencies Steady:State -Since most homeowners use their fireplaces, fo an extended time while they'are in the'roon Steady, . =< Steady State 78.2% 77.2% 6&2°h State measures how.efficiently, yourfiirepla'ce converts f6elao heat once.it is warmed up and running -In a."shady state".. : AFUE 56.7% 66.7% 660% AFUE : AFUE rating is more"typically used Wt appliances dike your furri_aoe th6t'Mn'tinually cycle on and off to malhMn a constant temperature.,, - 4:0— Canada e `' EnerGuide 69.6% 67.0% 6�6% EnerGuide (CSA'P4.1 02) - EnerGuide Is a.rating used, In Canada td r measure annual°fireplace; efficiency: �' - (CSA P.a.t 02) � r , 4 HEIR36 61' 1549mm) HEIR42 67' (1702mm) 59-1/4° (1505mm) 65-5/16° (1659mm 57-5/8° 1464mm 24' (610mm) 62-5/8° (1591mm 24' (610mm) 36° x 31' (914 x 787mm) 42' x 36' (1067 x 914mm) HEIR50 75' (1905mm) 73-5/16'(1862mm) 66-5/8' (1692mm) 24' (610mm) 50' x 40' (1270 x 1016mm) Left Side View Front View Right Side View Top View •Front dimensions Include noncombustible matedal which overlaps framing •s 74-1/4' ELECTRICAL 105' � ACCESS GAS • • ACCESS - 2-3/4" 35-7/8' 3-7/8" 1701 16-118•' 'T (96( 10-7/W 41-3/8' j4101 (262) •Front dimensions Include noncombustible matedal which overlaps framing •s 74-1/4' 59-1/2' 105' � 23-1/2' 29-3/4' • • ' ' - - 61' 35-7/8' 39-7/8' 31-1/16' 57-5/8' 54-15/16' 41-3/8' 59-1/4' 16' 29-5/8' HEIR36 (1549mm) (911 mm) (1013mm) (789mm) (1464mm) (1395mm) (1042mm) (1505mm) (406mm) (752mm) 'HEIR42 67' 41-7/8° 45-7/8' 36-1/16'62-5/8" (1321m 59-15/16' 46-3/8' 65-5/16' 16' 32-11/16' (597mm) (1702mm) (1064mm) (1165mm) (916mm) (1591 mm) (1522mm) (1178mm) (1659mm) (406mm) (830mm) 119-1/8' 75' 49-7/8' 53-7/8' 40-1/16' 66-5/8' 63-15/16' 50-3/8' 73-5/16' 16' 36-11/16' HEIR50 (1905mm) i (1267mm) (1368mm) (1018mm) 1 (1692mm) (1624mm) (1280mm) (1862mm) (406mm) (932mm) ta°l b lftI.11-n W4t e11kYh�u•/ w8hp Mh� m�«nw. 74-1/4' 59-1/2' 105' 26-1/2' 23-1/2' 29-3/4' • • ' ' - - - - HEIR36 (1886mm) (1511mm) (2667mm) (673mm) (597mm) (756mm) _ 10' S6° 24° 59-1/2° 52° 78-9/16' 65-9/16' 111-1/16' 28-5/8' 23-1/2' 32-13/16' HEIR36 (254mm) (1422mm) (61Omm) (1511mm) (1321m HEIR42 (1995mm) (1665mm) (2821) (727mm) (597mm) (33mm) 10' 61' 24° 65-9/16' 52' 84-1/4' 73-9/16' 119-1/8' 31-1/2' 23-1/2' 36-13/16' HEIR42 (254mm) (1549mm) (61Omm) (1665mm) (1321m HEIR50 (2140mm) (1868mm) (3026mm) (800mm) (597mm) (935mm) 10° 65' 24° 73-9/16' 52° HEIR50 (254mm) (1651mm) (810mm) (lesemm) (132/m A =I D �� ° FLOOR k(25MM) 0° See Install 1 ° ° 36' Ft HEIR36 (Omm) Manual (25mm) (914m 0° See Install 1° 1° 36° A _ HEIR42 (Omm) Manual (25mm) (25mm) (914m B" C 1 T I 0' Sea Install 1.m) 1' 36' F HEIR50 mm) Manual (25m (25mm) (914m B 1 � Note: Dimensions above - E I refer to a framed wall on E which 1/2 Inch wall sheathing Ij''— has not been installed. (Tiff F ta°l b lftI.11-n W4t e11kYh�u•/ w8hp Mh� m�«nw. It. DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION SECTION: 07 72 26—RIDGE VENTS REPORT HOLDER: O'HAGIN'S MANUFACTURING, LLC 210 CLASSIC COURT, SUITE 100 ROHNERT PARK, CALIFORNIA 94928 EVALUATION SUBJECT: CLOAKED VENT TILE (ALUMINUM, GALVANIZED STEEL, OR COPPER) ICC ICC a ICC C — PMG LISTED Look for the trusted marks of Conformity! RECEIVED APR O 12016 CITY OF LA OUINTA COMMUNITY DEVELOPMENT "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiaryof CODECOUNCIr ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not aC A -I dm W specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Set -vice, LLC, express or implied, as Im G!D RW— to anv finding or other matter in this report, or as to any product covered by the report. Prim= CGM=T= A Copyright © 2015 ICC Evaluation Service, LLC All rights reserved. ICC -ES Legacy Report SBCC1-9650A , Reissued December 2015 ! This report is subject to renewal. December 2016. www.icc-es.ora 1 (800) 423-6587 ( (562) 699-0543 A Subsidiary of the InternationalCode- Council® Legacy report on the 1999 Standard Building Code© and the 1998 International One and Two Family Dwelling Code°D The Subcommittee on Evaluation has reviewed the data submitted for compliance with the Standard Building Code© and the International One and Two Family Dwelling Code and submits to the Building Official. or other authority having jurisdiction the following report. The Subcommittee on Evaluation, ICC -ES and its staff are not responsible for any errors or omissions to any documents, calculations, drawings, specifications, tests. or summaries prepared and submitted by the design, professional or preparer of record that are listed in the Substantiating Data Section of this report. Portions of this report were previously included in Evaluation Reports #9650. REPORT NO.: 9650A EXPIRES See the current EVALUATION REPORT INDEX CATEGORY: ROOF COVERINGS AND ROOF DECK CONSTRUCTION SUBMITTED BY: O'HAGIN MANUFACTURING, LLC 210 CLASSIC COURT, SUITE 100 ROHNERT PARK, CALIFORNIA 94928 1.0 PRODUCT TRADE NAME O'Hagin Cloaked Vent Tile (Aluminum, Galvanized Steel, or Copper) 2.0 SCOPE OF EVALUATION 2.1 Ventilation Openings. 2.2 Roof Covering Fire Classification 3.0 USES O'Hagin Cloaked Vent Tiles are installed on the slope of concrete or clay -tile roofs to provide attic ventilation for wood framed roof construction. 4.0 DESCRIPTION 4.1 General: O'Hagin Cloaked Vent Tiles are manufactured from either 0.032 Aluminum, 26 Ga galvanized steel or 16 oz copper.. The vent system consists of two vents - a,Pdmary Vent sub flashing that is installed over openings cut in the roof deck and a Secondary Vent that is installed over the Primary Vent and takes the place of two. field tiles. The Primary Vent is screened with galvanized #4 mesh wire insect screen. The'Secondary Vent is painted to match the surrounding tiles. 4.2 Models and Net free Area 4.2,1' Secondary Vents Model No.: 50046-S; Net Free Area =97.50 sq. in. Model No.: 50044-M; Net Free Area = 86.25 sq. in. Model No.: 50043 Flat; Net Free Area = 98.75 sq. in. 4.2.2 'Primary Vent: Primary Vent (Sub Flashing); Net Free.Area =118 sq. in. . 5.0 INSTALLATION 5.1 General O'Hagin Cloaked Vent Tiles are installed in accordance with the manufacturer's published installation instructions and this report. The number of O'Hagin Cloaked Vent Tiles installed must , provide the net free ventilation area required under Section' 2309.7 of the Standard Building Code®, The manufacturer's published installation instructions and this report shall be strictly adhered to and a copy of these instructions shall be available at all times on the job site during installation.. The instructions within this report govern if there are any conflicts between the manufacturer's instructions and this report. 5.2 Roof Covering Fire Classification O'Hagin Cloaked Vent Tile Systems are installed with. concrete or clay tile roofs classified as Class A Roof Coverings. 5.3 'Fastening; 5.3.1 • Minimum '/2 -inch -thick plywood sheathing roof decking: The Primary. Vent is installed on 1/2 -inch -thick solid plywood roof decking using roofing cement and 11/2 - inch -by -3/8 -inch -diameter head by 1/8 -inch -diameter shank corrosion resistant roofing nails spaced 4 inches on center around perimeter. The Secondary Vents are installed over the Primary Vents as follows: Models 5 0044-M and 50046-S: Installed using two 11/2 - inch -by -3/e -inch -diameter head by 1/e -inch -diameter shank corrosion resistant roofing nails at the top of the vent and an O'Hagin VViind Clip installed at the, bottom of the vent ICC -ES Evaluation Reports are not to be construed as representing aesthetics or an}i other attributes not specifically addressed, nor are they to be construed OE as an endorsement of the subject of the report or a recommendarlon for its use. There is no warranty by ICC Evaluadon Service, Inc., express or tmptied, as 40 to any finding or other matter in this report, oras to any product covered by the report. Copyright O 2015 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 2 9650A I Most IMdelyAccepted and Trusted.._._.__ Page 2 of 2 The'Wind Clip hooks under the preceding course tile and is 7.0 CODE REFERENCES. adjustable for head lap. Standard Building Code® -1999 Edition Model 50043 Flat: Installed using two 11/2 -inch -by -3/8 -inch - diameter head by 1/8 -inch -diameter shank corrosion resistant roofing nails at the top of the vent and an O'HAGIN Wind Clip installed at the bottom of the vent. The Wind Clip hooks under the preceding course file and. is. adjustable for head lap. 5.3.2 Minimum 5/8 -inch -thick plywood sheathing roof decking: The Primary Vent is installed on 5/8 -inch -thick solid plywood roof decking using 12 — 1 -inch -by 3/d -inch= diameter head by '/a -inch -diameter shank electro galvanized roofing nails spaced 5112 inches on center along the long side of the vent and 41/2 inches along the short side of the vent. The Secondary Vents are installed over the Primary Vents as follows: Models 50046-S: Installed using two (2) 1-inch-by-3/8.inch7 diameter head by '/a -inch -diameter shank electro galvanized roofing nails at the top of the vent and two (2) O'Hagin Wind Clip installed at the bottom of the vent. The Wind Clip hooks under the preceding course tile and is adjustable,for head lap. Models 50044-M: Installed using four (4).1=inch by- 3/a - inch -diameter head by '/8 -inch -diameter shank electro galvanized roofing nails at the top of the vent and one: (1) O'Hagin Wind Clip installed at the bottom of the vent, The Wind Clip hooks under the preceding course tile and, is adjustable for head lap. Model 500.43 Flat: Installed ,using five ;(5) 1-inch:by.%- inch -diameter head by '/8 -inch -diameter shank electro galvanized roofing nails at the top of the vent and an O'Hagin Wind Clip installed at the bottom of the. vent. The. Wind Clip hooks under the preceding course. tile and is adjustable for head lap. 5.4 Wind Uplift: Wind uplift resistance is outside the scope of this evaluation report. The wind uplift shall be limited to the uplift capacity of the concrete and clay tile roof assemblies that the O'Hagin vents are installed with. Documentation shall be submitted substantiating the wind uplift capacity of the O'Hagin vents with the concrete and clay roof tiles specified for the building under construction. The documentation shall be submitted to the building official when applying for a permit.. 6.0 SUBSTANTIATING DATA 6.1 Manufacturer's descriptive literature, specifications, engineering drawings, installation instructions, and material mill order certificates. 6.2 Net area calculations for vents used with concrete tile roofs, Columbia Research & Testing, March 20, 1995; signed and sealed by Thomas M. Mannaft,,R.C.E. 6.3 Test report on fastenings for wind uplift resistance under ASTM E330, RADCO', Test Report RAD -1714, Project C-6065, Lab TL -1272, May 1996, signed by Sanjay "Jay" Mishra and Michael L. Zieman, P.E. 6.4 Test report on fastenings for wind uplift under ASTM E330, National Certified Testing Laboratories, Report No. NCTL-210-2078-1,2,3; '09-30-98, signed by Michael E. Lane, signed and sealed by. Barry. D. Portnoy, P.E... Section 103.7 Alternate Materials and Methods Chapter 15. Roof Assemblies and; Rooftop. Structures Section 1503 Weather Protection Section 1504 Performance Requirements Section 1505 Fire Classification Section 1506 Materials Section 1507 Roof Coverings with Slopes 2:12 or Greater Section 1508 Roof Coverings with Slopes Less Than 2:12 Section 2309.7 Ventilation of Attic Space International One and Two Family Dwelling_ Coale 1998 Edition Section 108. Alternate Materials and Systems Section 806 Roof Ventilation. Chapter 9 Roof Coverings Section 906. Tile, Clay or Concrete Shingles 8.0 COMMITTEE FINDINGS The Subcommittee on Evaluation in review of the data submitted'finds that, in their opinion, the O'Hagin Cloaked Vent Tiles as described in this report conform with or are suitable alternates . to that specified in the Standard Building Code® and the International One and Two Family Dwelling Code or Supplements thereto.- 9:O hereto:9:0 LIMITATIONS 9.1 This Legacy Evaluation Report .and the installation instructions, when required by the building, official; shall be submitted'at the time of permit application. .9.2. The vents shall be used only on wood framed roofs for buildings of Type V and VI Construction. 9.3' The vents shall not be used in fire resistance rated. roof ceiling assemblies unless test reports from an approved testing laboratory are submitted to the building official. 9.41'The number of vents installed must provide. the net free ventilation area required under Section 2309.7 of the Standard Building Codec or Section 806 of the International One and Two Family Dwelling Code. 9.5 The vents were not evaluated for wind uplift pressure see Section 5.4 above. 10.0 IDENTIFICATION Each package of O'Hagin Cloaked Vent Tiles covered by this, report, shall be labeled with the manufacturer's name. andlor trademark, the SBCCI Public Safety Testing and. Evaluation- Services Inc. Seal or initials (SBCCI PST & ESI), and the number of this report for field identification. 11.0. PERIOD OF ISSUANCE SEETHE CURRENT EVALUATION REPORT INDEX FOR STATUS OF THIS LEGACY EVALUATION REPORT. KOHLER.' .:FEATURES • 72" (182.9cm) x 42-1/8" (107cm) x 19-3/4" (50.2cm) • Acrylic • Oval shape • Drop-in • 6. individually. adjustable. ProFlex hydro -massage. jets • 1-1/4 HP pump with air switch and cord with plug • Molded lumbar supports and armrests • UL listed • Optional K-9696 whirlpool trim kit in various finishes • Optional K-1639 timer kit CODES/STANDARDS APPLICABLE Specified model meets or exceeds the following: • ASME/ANSI A 112.19.7M • ANSI Z124.1 • IAPMO/UPC • Underwriters Laboratories (UL) • State of Massachusetts SPECIFIED MODEL: ACRYLIC BATH WHIRLPOOL K-1148 COLORS/FINISHES. • 0 White • Other Refer to Fixtures Price Book for additional colors Accessories: • CP Polished Chrome • PB Polished Brass • Other Refer to Price Book for additional finishes • NA None Applicable Model Description Colors/Finishes K-1148 Whirlpool, drop-in (shown) 00 White I ❑Other Recommended Accessories K-11677 I Drain OCP Optional Accessories K-9696 Jet trim kit (metal finishes) ❑CP ❑PB ❑Other K-1639 Timer Kit ❑NA APR 01 2016 -PRODUCT SPECIFICATION: uOMMUNITY DEVELOPMENT The oval shaped bath whirlpool shall be 72" (182.9cm) in length, 42-1/8" (107cm) in width, and 19-3/4" (50.2cm) in height. Drop-in bath whirlpool shall be made of acrylic. Bath whirlpool shall have 6 individually adjustable ProFlex hydro -massage jets, 1-1/4 HP pump with air switch and cord with plug. Bath whirlpool shall have molded lumbar supports and armrests. Bath whirlpool shall be UL listed. Bath whirlpool shall have optional K-9696 trim kit. Bath whirlpool shall have optional K-1639 timer kit. Bath whirlpool shall be Kohler Model K -1148 - We reserve the right to make revisions without notice in the design of fixtures or in packaging Page 1 of 2 unless this right has specifically been waived at the time the order is accepted. 1013035-4-B PRODUCT INFORMATION Fixture*: basin area top area weight Bathing well 53" (134.6cm) x 26" (66cm) 65" (165.1cm) x 34" (86.4cm) 74-1/4 lbs. (33.7kg) water depth capacity To overflow 15" (38.1 cm) 78 gal. (295.3L) * Approximate measurements for comparison only. Pump: I HP I V jHz JA 1 -speed 1-1/4 1120 160 7.5 Included Components: Cut-out template 114861-7 4" 35.6cm) PUMP/CONTROL ACCESSFRONT OR END REQUIRED ELECTRICAL SERVICE Dedicated circuit required, protected with Class A Ground -Fault Circuit -Interrupter (GFCI): Pump/control 120 V, 15 A, 60 Hz Locate the outlet behind the whirlpool and within 24" (61 cm) of the pump. INSTALLATION NOTES Install this product according to -the installation guide. Floor support under whirlpool must provide for a minimum of 80 lbs./square foot (390 Kg./square meter) loading. No change in measurements if connected with drain illustrated. (K-11677 or K -11677M) Minimum access panel: Pump/control 20" (50.8cm) W x required 15" (38.11 H 35" (88.9ci 30" (76.2cm) 20"(50.8cm) 10" 19-1/2" 20-1/2" (25.4cm)12-1/2" 17 (49.5cm) (52.1cm) (43.2cm) (31.8cm) SYMMETRICAL ABOUT CL CUT-OUT DETAIL 42-1/8" (1 07cm) 3-3/8" r (8.6cm) 17-3/4" 19-3/4" (45.1 cm) (50.2cm) W—ri/4" 2-7/8" (7.3cm)— 1-1/2"O.D. 3" (7.6 '(6mm) PRODUCT DIAGRAM 41-112' (3.8cm)_ DROP-IN RIM DETAIL K-1148 ProFlex TM 7242 Oval Bath Whirlpool THE BOLD LOOK Page 2 of 2 OF KOHLER, 1013035-4_B_. TECHNICAL DETAILS WEIGHT/ROLL WEIfiNT/SQUARE �' , {: 78 lbs. 78 lbs. 35.4 kg 35.4 kg WIDTH LENGTHi, SBS POLYMER MODIFIED `393/i3T , 34' 1m 10.4m SELF-ADHERING:]F' THICKNESS COVERAGE FIBERGLASS CAP SHEET° - 110 mils 1 nominal square + w , a K t '" Rous/PaLiET PRODUCT USE 430 OmniSeal- Cap is an SBS polymer modified fiberglass cap sheet and used as the surface membrane from OR/CA/OK over various combustible and non-combustible substrates in the OmniSeal- Self -Adhering roof system. It is a TEST COMPLIANCE A self -adhering membrane and does not require mechanical attachment. ASTM ED7, STM COMPOSITION & MATERIALS , r D3909 530' 430 OmniSeal- Cap is manufactured on a fiberglass mat and impregnated and coated on both sides with SBS polymer modified asphalt compounded with a mineral stabilizer. 430 OmniSeal- Cap's top surface ASTM Ois covered with color -coated granules for ultraviolet protection and weatherability while the bottom has an E108 0 aggressive self -adhering bonding compound covered by a split -surface release film to allow for easy use and Class B Fire Rating USTED application. The topside edge of the sheet also has a 4" (102 mm) selvage for lap joint seams. OAPPLICATION/INSTALLATIONC `� 430 OmniSeal'" Cap shall be applied as specified. Roof decks should be sound, dry, smooth, meet necessary i"-`er`ek local requirements, and provide positive drainage. Refer to Malarkey's Specification Manual online for specific FEATURES & BENEFITS installation instructions, or contact_ our Technical Services Department for details. • SBS polymer modified asphalt STORAGE & HANDLING a - Available in six (6) colors to match w Malarkey shingles For best results, Malarkey recommends 430 OmniSeal' Cap be protected from the weather and stored on end • Exceptional adhesive properties in a cool, dry, well -ventilated area until applied. Do not apply wet membrane sheets. WARRANTY , rviaiancey noonng rroaucts- orrers various warranties to meet specific requirements. Contact your roofer, local distribution center or Malarkey for full details. See below for TECHNICAL ASSISTANCE contact information. 430 OmniSeal'" Cap and other Malarkey products are available throughout North America and Pacific Rim countries. F Visit WWW.MALARKEYROOFING.COM for additional product information and availability. Note: Malarkey Roofing Products® (Malarkey) inventory SKU number for this product: 430 OmniSeal- Cap �.r-•-aw-W-,�,-s e -r - TECHNICAL ASSISTANCE cCORPORATE.'OFFICE t Malarkey,has technical services assistance available' „3131 N Columba Blvd. " Telephone 503283 119.1 , Effective 11/15 y Contact Malarlcey`for details �'" +� Portland OR 97217 7472 i ' or 800 545.1191 Supersedes all previously published data + ti? > 9 pfd v + < k" ta' f, Call weekdays .7 00 am.' to 5 OO pm PST i f" PO'Boz 1t72174 r �, � Fax. 503 289.7644 , Check for most current version ,.''at 800 545:1191'or 503 283.1191 `' k �3f dPortland OR 97217-W17 on our website.„technicalinquiries®malarkeyroofing com ,. 14. Wr 1 „ ; ,. `?YF. ;E x,. . , ,a . tr £Page 1 of 2 . WWW.MALARKEYROOFING.COM -I •- ; _ • ' ',,,kik �j_�aYI �,� . f' � e - f ,.. R � i Y. �. !! r Y�. � `. �. _4, 1 r+.. 1 r ' _ � __ _._ �y I i � - � l.. 111 _ � 4 + _ i ,. _.. I SBS POLYMER MODIFIED SELF -ADHERING FIBERGLASS CAP SHEET -- r PHYSICAL PROPERTIES ASTM TEST'. M ` METHOD ."• OMNISEAL" CAP TYPICAL RESULTS, Peak Load at 73 4°F (23°C) as manufactured and after heat conditioning, MD D5147 =Ibf/iin2.2 kN/m) _ Peak Load at 73 4°F (23 C) 6 as manufactured and -after heat'conditioning, CD' D5147 _ ti 45 Ibf/in (7.9 kN/m) Elongation at 73.4°F (237C) �'u: 4% as manufactured and after heat conditioning, MD, CD Adhesion to plywood, min @ 40°F (4°C) ASTM D903/D7530 _L�D5147 4 :1bf/ft (6 N m)" - Adhesion to plywood, min@ 73.4°F (23'C), .: ASTM D903/D7530 -Y 24 Ibf/ft (360`N7m Low-temperature flexibility max D5147 Thermal Stability @ 158°F (70°C) D5147 No =ranulembedment, g, (max)'_ D4977 0.5 g 10 ` l + * Malarkey, has technical sernces assistance available`" i Effective 11/15 ' `Contact Malarkey;for details" P Supersedes all previously published data y Call weekdays` 700 arri to 5.00 pm PST," Check for most current version s uz; at 800 545 ;1,191 0W'503 283:1191 on our website. technicalinquines6malarkeyroofing com . _ t•, , WWW.MALARKEYROOFING.COM LOW SLOPE• - • • RESIDENTIAL OMI �y lCORPORATE:OFFICE: N ,Columbia BIGd , h � ,. Telephone: 503.283.1191 d OR 97217 7472 or;800.545.1191 `. 0 B 1.7217 )°y' ' Faz: 503 289.7644 ox d'OR97217-02.17 4 �," T" ' �„'s „'• �'+ .w U.'r.' + Y_ ,,. t1 a. Page 2 of 2 EsGil Corporation In (Partnership with Government for Buifding Safety DATE: May 2, 2016 ' �' , U APPLICANT y r CI JURIS. ' l JURISDICTION: La Quinta x°a _ .-L] PLAN REVIEWER t s U FILE ` PLAN CHECK NO.: BRES2016-0011 SET: III , PROJECT ADDRESS: 78-700 Ave Nuestra La Quinta '• PROJECT NAME: Barbosa Residence Structural Review Only ❑ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. .. ® The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information: The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed_ for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: - ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: a a Date contacted: (by: ) Email: , Mail Telephone Fax In Person ® REMARKS: Sheets A-4, A-6, P-1, E-1 and S-2 were submitted to•Esgil as slip -sheets. along with truss calculations only. City to verify structural calculations, soil's reports, and designer's letter or stamp verifying that calculations have been reviewed are submitted to the city as part of a complete set. Designer to add all 5 sheets submitted to EsGil to plan set 2 held at the city to s make a new complete matching set for plan set 3. By: Rich Moreno for C.M. Enclosures: j EsGil Corporation . _ t 1,7 • ' M w, ❑ GA ❑ EJ ❑ MB ❑ PC Apr 25, 2016 ' 9320 Chesapeake Drive; Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Approved OFFICE.COPY. DOCS. _- 78-700 AVENIDA NUESTRA "NEW SFD99 REVISION NO.1 -DELTA 3 BRIES2016-0011 APPROVED DATE 5/16/2016 2013. CODES CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: BARBOSA RESIDENCE - Calculation Daterrime: 15:19, Wed, May 1.1, 2016 Page 1 of 9 ' Calculation Description: Title 24 Analysis, Input File Name: 3R-001-BARBOSA RESIDENCE.xml " GENERAL INFORMATION ' ENERGY USE SUMMARY 01 Project Name BARBOSA RESIDENCE 04 02 This building incorporates features•that require field testing and/orveiification;by a certified'. HERS raterunder the supervision of a CEC-approved HERS provider. .a. a i:- •'r_ M ��_. .... P=. A. I ar.._ - }c .. rs t4 A€ ,... 40-- La ac ai WL 02 Calculation Description Title 24 Analysis 08 f - 03 Project Location 78-690 AVENIDA NUESTRA , Compliance Margin Percent Improvement 04 City LA QUINTA 05 Standards Version Compliance 2015 06 - Zip Code 92253 07 Compliance Manager Version BEMCmpMgr 2013-4 (744) 08 Climate Zone CZ15 09 Software Version CBECC-Res 2013-4 (744) 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 180 _ 12 Project Scope Newly Constructed ; 13 Number of Dwelling Units 1 , 14 Total Cond. Floor Area (ft2) 3620 . - - . 15 Number of Zones 2 - is Slab Area (ft2) 3620 - 17 Number of Stories 1. , 18 i. Addition Cond. Floor Area N/A-- 19 Natural Gas Available No 20 Addition Slab Area'(ft2) N/A ' . - 21 ' Glazing Percentage (%) I 12.0% , COMPLIANCE RESULTS ENERGY USE SUMMARY • 01 Building Complies witfi Computer.Perforrnance 04 02 This building incorporates features•that require field testing and/orveiification;by a certified'. HERS raterunder the supervision of a CEC-approved HERS provider. .a. a i:- •'r_ M ��_. .... P=. A. I ar.._ - }c .. rs t4 A€ ,... 40-- La ac ai WL 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design APPROVED Pr. OR CONSTRUCTION � S! eRegis aPWAi' 18B-00000 CA Building Energy Eicien MAY 11 2016 CITY OF C�UIN AAA Registration Date/Time: 2016-05-el3f 9�l���TY L"U _'H Provider: CaICERTS inc. al Compliance Report Version - CF1R-04072016-744 �lltl9fElf !S (`'R Terated at: 2016-05-11 15:20:37 ENERGY USE SUMMARY - 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 1.80 1.46 0.34 18.9% Space Cooling 75.90 71.49 4.41 5.8% IAQ Ventilation 0.82 0.82 0.00 0.0% Water Heating 18.19 19.04 -0.85 - —4.7% tovo -- 0.00&0% -- m li E INT 96.71 92.81 _ 3 9 4.0% APPROVED Pr. OR CONSTRUCTION � S! eRegis aPWAi' 18B-00000 CA Building Energy Eicien MAY 11 2016 CITY OF C�UIN AAA Registration Date/Time: 2016-05-el3f 9�l���TY L"U _'H Provider: CaICERTS inc. al Compliance Report Version - CF1R-04072016-744 �lltl9fElf !S (`'R Terated at: 2016-05-11 15:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. NO SPECIAL FEATURES REQUIRED HERS FEATURE SUMMARY CF 1 R -PRF -01 Page 2 of 9 The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • IAQ mechanical ventilation Cooling System Verifications: • Minimum Airflow • Verified EER • Verified SEER • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing Domestic Hot Water System Verifications: • — None — ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for, energy use comp}onents�included in the:p"rmance compliance app96a6iiJoP the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and comot ponents n,regulated'by Tit1e-24, Part 6 (such as domestic;appWnces and consumerelectronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. *-- • ` U U Lt �` + ReferenceJEnergy Use h EnergyDesign Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)* 135.09 131.19 = 3.90 2.9% • includes calculated Appliances and Miscellaneous Energy Use (AMEU) BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems BARBOSA RESIDENCE 3620 1 3 2 0 1 Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-1115:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF1 R -PRF -01 Page 3 of 9 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area 02) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 ZONE 1 Conditioned A -AC -1 1845 10 DHW Sys 1 Construction ZONE 2 Conditioned A -AC -2 1775 10 DHW Sys 1 0.1 OPAQUE SURFACES 01 01 02 04 03 04 05 06 07 08 Name Zone Roof Reflectance Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft2) Tilt (deg) N-718 ZONE 1 0.1 R-21 Wall 0 Back 718 74 90 E-438 r ZONE 1 0.85 R-21 Wall 90 Right 438 59.4 90 S-33 ZONE 1 R-21 Wall 180 Front 33 0 90 W534 - % - ZONE 1.._.. R-21 Wall 270 Left 534 77.8 90 1845 ' ti ; y ZONE t "_ R-38 Roof Attic 1845 E-335 `.i ZONE 2' h x.90 -Right 335 11.3 90 S-685 .ZONE 2 R-21 Wall n 180. I lFrorit.k r 685 234.7 90 W-238 ZONE 2 .w. R-21 Wall ' 270 J1 A M Left? p„ 238 0 90 1775 �` ZONE 2-A I f"R-3'8-'Roof Attic V 1:..�' 1L. if 1775 ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic ZONE 1 Attic RoofZONE 1 Ventilated 4 0.1 0.85 Yes No Attic ZONE 2 Attic RoofZONE 2 Ventilated 4 0.1 0.85 Yes No Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-1115.40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-05-11 15:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF 1 R -PRF -01 Page 4 of 9 WINDOWS 01 02 03 04 06 06 07 08 09 10 Name Type Multipli Surface (Orientation -Azimuth) Width (ft) Height (ft) er Area (ft2) U -factor SHGC Exterior Shading 7915-10 Window N-718 (Back -0) -- -- 1 11.0 0.29 0.20 Insect Screen (default) 6080-12 Window N-718 (Back -0) -- -- 1 48.0 0.29 0.18 Insect Screen (default) 7915-14 Window N-718 (Back -0) -- -- 1 11.0 0.29 0.20 Insect Screen (default) 2020-15 Window N-718 (Back -0) -- -- 1 4.0 0.29 0.20 Insect Screen (default) 510411-11 Window E-438 (Right -90) - -- 1 28.7 0.29 0.20 Insect Screen (default) 2020-16 Window E-438 (Right -90) - -- 1 4.0 0.29 0.20 Insect Screen (default) 21080-17 Window E-438 (Right -90) -- -- 1 22.7 0.29 0.18 Insect Screen (default) 2020-18 Window E-438 (Right -90) -- -- 1 4.0 0.29 0.20 Insect Screen (default) 2680-5 Window W-534 (Left -270) -- -- 1 20.0 0.29 0.18 Insect Screen (default) 2020-6 Window W-534 (Left -270) -- -- 1 4.0 0.29 0.20 Insect Screen (default) 2020-7 Window. - W-534 (Left -270) - -- 1 4.0 0.29 0.20 Insect Screen (default) 9919-8 Window - W 534.(Left-270) i -- �. -- 1 17.1 0.29 0.20 Insect Screen (default) 2020-9 Window W-534 (Left -270) f' I .� a l -- �F�11� `-4.0 0.29 0.20 Insect Screen (default) 510411-13 Window W-5,34 Left 270 -= r-- ) 1 ;x..28:7, 0.29 0.20 Insect Screen (default) 4328-19 Window E-335 {Right -90)"' - ]b 11 X11.3 0.35 0.17 Insect Screen (default) 6080-1 Window S-685 (Front -180) -- -- 1 48.0 0.29 0.20 Insect Screen (default) 8480-2 Window S-685 (Front -180) -- -- 1 66.7 0.29 0.20 Insect Screen (default) 6080-3 Window S-685 (Front -180) -- -- 1 48.0 0.29 0.20 Insect Screen (default) 6080-4 Window S-685 (Front -180) --- -- 1 48.0 0.29 0.20 Insect Screen (default) DOORS 01 02 03 04 Name Side of Building Area (ft2) U -factor 3080 S-685 24.0 0.50 Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-11 15:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - U111-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF1 R -PRF -01 Page 5 of 9 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 I -Perim (ft) Edge Irisul. R -value & Depth Carpeted Fraction Heated 18452 ZONE 1 1845 _. f•. 0.1 None 0.8 No Total Cavity Winter Design 0.1 None 0.8 No Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers • Cavity/Frame: no insul. /2x4 Top Chrd • Roof Deck: Wood Siding/sheathing/decking 2x4 Top Chord of Roof Truss @ 24 • Tile Gap: present Attic RoofZONE 1 Attic Roofs Wood Framed Ceiling in. O.C. none 0.400 - Roofing: 10 PSF (RoofTile) • Inside Finish: Gypsum Board Ceilings (below • Cavity/ Frame: R-9.1 /2x4 R-38 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 38 0.025 • Over Floor Joists: R-28.9 insul. • Inside Finish: Gypsum Board • Cavity/ Frame: R-21 / 2x6 • Exterior Finish: Wood R-21 Wall Exterior Walls , ` Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.066 Siding/sheathing/decking • Cavity/Frame: no insul. /2x4 Top Chrd • Roof Deck: Wood Siding/sheathing/decking ` 2x4 Top Chord of Roof Truss @ 24 • Tile Gap: present Attic RoofZONE 2 Attic Roofs; Wood Framed Ceiling-- in. O.C. none 0.400 • Roofing: 10 PSF (RoofTile) SLAB FLOORS n If § � i 01 i , .• .•' 02.. �"`, (✓ t I f �`�,,,,�,,03` r Iy� ' 14 11 r -.04` i? 06 07 Name , ` Zone fArea (ft2),'-, Q I -Perim (ft) Edge Irisul. R -value & Depth Carpeted Fraction Heated 18452 ZONE 1 1845 _. f•. 0.1 None 0.8 No 17752 ZONE 2 1775 0.1 None 0.8 No BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (011) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50 Not Required Not Required Not Required -- WATER HEATING SYSTEMS 01 02 03 04 05 06 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 - 1/1 DHW Recirculation, Demand Control Occupancy/Motion DHW Heater 1 1 .0% Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-11 15:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF 1 R -PRF -01 Page 6 of 9 WATER HEATERS 01 02 03 04 06 •06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Propane Large Storage 75 0.6 76000-Btu/hr 0 0.001 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation Control Central DHW Distribution DHW Sys 1 - 1/1 -- -- -- -- -- -- SPACE CONDITIONING SYSTEMS . 01 02 03 04 05 06 SC Sys Name + '� ! System Type I /Heating Unit Name. x/�:Cooling Unit Name Fan Name Distribution Name Cooling Component 1:Heating Component 1;Air Distribution System 1:HVAC Fan 1:1 'Other Heating'and Cooling ;� � � System��� i ! / Heating,Compon nt 1 � � � � � � 'Cooling Comp Hent t � � 1 t• t t �� HVAC Fan 1 Air Distribution System 1 Cooling Component 2:Heating Component 2:Air Distribution System 2:HVAC Fan 2:1 Other Heating and Cooling '`+ System L Heating Corriponerit 2 � 4- #��s Cong Component 2 3 * HVAC Fan 2 Air Distribution System 2 HVAC - HEATING UNIT TYPES 01 02 01 02 03 Name Type Efficiency Heating Component t CntrlFurnace - Fuel -fired central furnace 80 AFUE Heating Component 2 CntrlFurnace - Fuel -fired central furnace 80 AFUE HVAC - COOLING UNIT TYPES 01 02 03 04 05 06 07 Efficiency Multi -speed Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond 13 16.5 Not Zonal Single Speed Cooling Component 1 -hers -cool Cooling Component 2 SplitAirCond 13 16.5 Not Zonal Single Speed Cooling Component 2 -hers -cool Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-11 15:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Datefrime: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF1R-PRF-01 Page 7 of 9 HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 350 Required Required Not Required Cooling Component 2 -hers -cool Required 350 Required Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Air Distribution System 1 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 1 -hers -dist Air Distribution System 2 DuctsAttic l Sealed and tested 8 Attic None Air Distribution System 2 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION - — 01 02 ' ..� F _" �° 04'' { ' y' '� 05 03 07 08 Type Fan Power (Watts/CFM) X03f HVAC Fan 1 i _06 HVAC Fan 1 -hers -fan HVAC Fan 2 Single Speed PSC Furnace Fan Duct Leakage 'I E Duct Lei kage yTarget Verified Duct Verified Duct {• '� (Buried Deeply Buried Low -leakage Name • Verb ton; Location Design '? Duc Ducts Air Handler Air Distribution System 1 -hers -dist i ` Required 6.0%j-( NoYRequir'ed (8 Not Required Not Required Not Required -- Air Distribution System 2 -hers -dist Required 6.0 Not Required Not ReqUired7 Not Required Not Required -- HVAC -FAN SYSTEMS 01 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1 -hers -fan HVAC Fan 2 Single Speed PSC Furnace Fan 0.58 HVAC Fan 2 -hers -fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 0.58 HVAC Fan 2 -hers -fan Required 0.58 Registration Number: 216-N0079718B-00000000D-0000 Registration Date/Time: 2016-05-11 15:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Date/Time: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xmi CF1 R -PRF -01 Page 8 of 9 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 66.2 0.25 Default 0 Required PROJECT NOTES —ALL INPUT DATA, AC EQUIPMENT, WATER HEATER EQUIP. USED IN THIS CALCULATION WAS PROVIDED BY THE PLANS PREPARER. ANY ALTERATION OR DEVIATION FROM THIS CALCULATION WILL BE GENERAL CONTRACTOR RESPONSABILITY. — AC CONTRACTOR SHALL VERIFY LOAD CALCULATIONS AND AC SIZING PROVIDED IN THIS DOCUMENT. ANY REVISION/CHANGE SHALL BE NOTIFIED TO THE ENERGY CONSULTANT TO REVISE COMPLIANCE WITH THE STANDARDS PRIOR OF ITS ORDER. 4 'T:rr4 nL L" L R HERS R E Registration Number: 216-N0079718B-000000000-0000 Registration Date/Time: 2016-05-11 15:40:30 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-04072016-744 Report Generated at: 2016-05-1115:20:37 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: BARBOSA RESIDENCE Calculation Daterrime: 15:19, Wed, May 11, 2016 Calculation Description: Title 24 Analysis Input File Name: 3R-001-BARBOSA RESIDENCE.xml CF 1 R -PRF -01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ARMANDO CHAVEZ Company: Signature Date: TITLE 24 OF THE DESERT 2016-05-11 15:26:24 Address: CEA/HERS Certification Identification (If applicable): 74800 shidey #62 N.A. City/State/Zip: Phone: PALM DESERT, CA 92260 760-278-1840 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. . 0 ; . 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, fooval with.this,buildin ermit application. worksheets, calculations, plans avid specifications submitted to the enforcement agency.r approval 9PP .a ��. � P, Responsible Designer Name: r �f ^Responsible Designer Signature: Stephen Nieto Company: `' r Date Signed: 0:30 �" South West Concepts 2016-6511 15: Address: License: 78-115 Calle Estado N.A. City/State/Zip: Phone: La Quinta, CA 92253 760-564-4704 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-N0079718B-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-05-11 15:40:30 Report Version - CF111-04072016-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-05-11 15:20:37