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BRES2014-1117.. 1 a 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4tY' 4 ZP�w COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2014-1117 Property Address: 78460 COYOTE CANYON CT CT APN: 770240012 Application Description: 476 S.F. BEDROOM Property Zoning: Application Valuation: $90,000.00 Applicant: SILBERT, CASEY, SAM 6610 LAKE WASHINGTON BLVD. NE KIRKLAND, WA 98033 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 601981 Date: 1 � Contractor: U!/ Ll OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered. for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for 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.). I ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (� 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/4/2015 Owner: OCHOA DESIGN ASSOCIATESFINL± 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 Contractor: KLAUS P BECKER CONSTRUCTIO40456 CALLE ESTELAINDIO, CA 92203 (760)567-2138 Llc. No.: 601981 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of theirk for which this permit is issued. �I have and will maintain workers' compensation insurance, as required by S2ction 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: _ Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: J 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 Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: �� Signature (Applicant or Agent): PAID PAID DATE DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY k DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forADDITION: $371.73 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 3.5 $245.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $245.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $4.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY qv DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 PAID'BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $137.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD • RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY' METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $140.24 $0.00 DESCRIPTION ACCOUNT .I . QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $11.70 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SM! $11.70 $0.00 TOTALS:00 Description: 476 S.F. BEDROOM Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED Applied: 9/19/2014 KHE Approved: 3/5/2015 JJO Parcel No: 770240012 Site Address: 78460 COYOTE CANYON CT CTLA QUINTA,CA 92253 Subdivision: TR 28470-1 Block: Lot: 54 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $90,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED Details: ONE BEDROOM AND ONE BATHROOM ADDITION. 2013 CALIFORNIA BUILDING CODES. 2/11/2015 Printed: Monday, May 04, 2015 3:26:14 PM 1 of 5 9?-m-rSYS TEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED JIM JOHNSON 12/1/2014 11/26/2014 PLANS APPROVED PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED KAY HENSEL 2/11/2015 2/11/2015 STRUCTURAL APPROVABLE 2/11/2015 PLAN CHECK PICKED UP PHILIP JUAREZ 12/1/2014 12/1/2014 ARLENE HINSLEY PICKED UP PLAN CHECK PICKED UP STEPHANIE KHATAMI 10/9/2014 10/9/2014 PICKED UP BY ARLENE PLAN CHECK SUBMITTAL KAY HENSEL 9/19/2014 9/19/2014 PUBLIC COUNTER VISIT STEPHANIE KHATAMI 3/12/2015 3/12/2015 BROUGHT SCHOOL FEES AND ASSESSOR SET. HE'S GOING TO WAIT TO PULL PERMIT UNTIL HIS COMP CERTIFICATE COMES THROUGH. Printed: Monday, May 04, 2015 3:26:14 PM 1 of 5 9?-m-rSYS TEMS RESUBMITTAL KAY HENSEL 11/5/2014 11/5/2014 CALLED ARCHITECT AND INFORMED THAT THEY NEED TO PROVIDE REGISTERED COPIES OF TITLE -24. THEY WILL DROP OFF. RESUBMITTAL PHILIP JUAREZ 1/28/2015 1/28/2015 SENT TO PLAN CHECK CONSULTANT KAY HENSEL 9/19/2014 10/9/2014 RECEIVED PLAN CHECK FROM YOUNG ENGINEERING, STRUCTURAL NOT APPROVABLE (SK) SENT TO. PLAN CHECK CONSULTANT KAY HENSEL 11/5/2014 11/5/2014 STRUC TO YOUNG DUE 11/19 SENT TO PLAN CHECK CONSULTANT PHILIP JUAREZ 1/28/2015 1/28/2015 DUE BACK 02/11/2015 TELEPHONE CALL ARMEN ALTOUNIAN 10/9/2014 10/9/2014 PLANS READY FOR PICK UP. TELEPHONE CALL ARMEN ALTOUNIAN 11/20/2014 11/20/2014 TELEPHONE CALL ARMEN ALTOUNIAN 12/1/2014 12/1/2014 LEFT MESSAGE FOR EDUARDO ESCOBAR. PL14NS READY FOR PICK-UP. TELEPHONE CALL JIM JOHNSON 3/5/2015 3/5/2015 CALLED OCHOA DESIGN TO INFORM THEM THAT THE PLANS ARE READY TO ISSUE. NEED SCHOOL FEE LETTER AND ASSESSORS SET. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SILBERT, CASEY, SAM 6610 LAKE WASHINGTON BLVD. NE KIRKLAND WA 98033 (760)773-6610 CONTRACTOR KLAUS P BECKER CONSTRUCTION CO 40456 CALLE ESTELA INDIO CA 92203 (760)773-6610 OWNER OCHOA DESIGN ASSOCIATES 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)773-6610 Printed: Monday, May 04, 2015 3:26:14 PM 2 of 5 • 92"MISYSTEMS FINANCIAL INFORMATION rYB DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF Printed: Monday, May 04, 2015 3:26:14 PM 2 of 5 • 92"MISYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ADDITION, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF 101-0000-42600 0 $171.14 $0.00 PC Total Paid forADDITION: $371.73 $0.00 HOURLY PLAN CHECK - 101-0000-42600 3.5 $245.00 $0.00 Y ES Total Paid forBLDG CITY STAFF - PER HOUR: $245.00 $0.00 BSAS SB1473 FEE 1 101-0000-20306 1 0 $4.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $4.00 $0.00 BSA: RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,OOOSF - RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 $0.00 SOR PC - FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 VENT FAN 101-0000-42402 0 $12.09 $0.00 VENT FAN PC 101-0000-42600 0 $4.83 $0.00 .Total Paid forMECHANICAL: $137.78 $0.00 FIXTURE/TRAP 101-0000-42401 0 $48.36 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $0.00 Printed: Monday, May 04, 2015 3:26:14 PM 3 of 5 ' LJ L.1 MY57EMS 4 Permit Details PERMIT NUMBER •Y BRES2014'11`17 City of La Qu i nta - ._ z DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ROOF DRAIN 101-0000-42401 0 $12.09 $0.00 REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED ROOF DRAIN PC 101-0000-42600 0 $12.09 $0.00 DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 REVISIONS REQUIRED 1ST PLAN CHECK RFC ALTOUNIAN WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 STRUCTURAL BUILDING 9/19/2014 10/3/2014 10/9/2014 REVISIONS REQUIRED Total Paid for PLUMBING FEES: $140.24 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $11.70 $0.00 NON-STRUCTURAL ARMEN 11/5/2014 11/19/2014 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: TOTALS:• $11.70 $0.00 00 APPROVED PENDING TITLE -24 REGISTERED COPY INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" T-24 IS PROVIDED. STRUCTURAL Printed: Monday, May 04, 2015 3:26:14 PM 4 of 5 B?�SYSTEMS PROJECTS PARENT REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE NON-STRUCTURAL ARMEN 9/19/2014 10/3/2014 9/25/2014 REVISIONS REQUIRED 1ST PLAN CHECK RFC ALTOUNIAN STRUCTURAL BUILDING 9/19/2014 10/3/2014 10/9/2014 REVISIONS REQUIRED IST PLAN CHECK BUCKET. NON-STRUCTURAL ARMEN 11/5/2014 11/19/2014 11/20/2014 APPROVED APPROVED PENDING APPROVED PENDING TITLE -24 REGISTERED COPY ALTOUNIAN W/CONDITIONS T-24 IS PROVIDED. STRUCTURAL ARMEN 11/5/2014 11/20/2014 12/1/2014 REVISIONS REQUIRED 2ND PLAN CHECK RFC. ALTOUNIAN NON-STRUCTURAL JIM JOHNSON 1/28/2015 2/11/2015 2/6/2015 APPROVED APPROVED REG. TITLE -24 RECIEVED Printed: Monday, May 04, 2015 3:26:14 PM 4 of 5 B?�SYSTEMS KATHRYN I I I I I STRUC APPROVABLE 2/11/2015 STRUCTURAL AMUELS 1/28/2015 2/11/2015 2/11/2015 APPROVED I SENT TO YOUNG I Printed: Monday, May 04, 2015 3:26:14 PM 5 of 5 - SYSTEMS BOND • • • ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED N/S 1ST REVIEW 78-460 COYOTE DOC 9/25/2014 ARMEN ALTOUNIAN COMMENTS.docx CANYON.docx 0 DOC 12/1/2014 ARMEN ALTOUNIAN N/S 2ND REVIEW 78-460 COYOTE CANYON 0 COMMENTS.docx 2.docx PLAN CHECK PLAN CHECK DOC 10/9/2014 STEPHANIE KHATAMI COMMENTS -YOUNG 10 COMMENTS -YOUNG 10 0 -9-14.pdf -9-14.pdf DOC 3/12/2015 STEPHANIE KHATAMI SCHOOL FEE EXEMPT SCHOOL FEE EXEMPT 0 LETTER 3-12-15 LETTER 3-12-15.pdf Printed: Monday, May 04, 2015 3:26:14 PM 5 of 5 - SYSTEMS I - , CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Calculation Daterrime: 15:40, Mon, Jan 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml CFI R -PRF -01 14 Page 1 of 7 GENERAL INFORMATION - 01 Project Name Residential 01 - Building Complies with Computer Performance 02 Calculation Description Title 24 Analysis 02 This building Incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC approved HERS provider. 03 This building incorporates one or more Special Features shown below 03 Project Location 78460 Coyote Creek 04 City La Quinta 05 Standards Version Compliance 2014 O6 Zip Code 07 Compliance Manager Version BEMCmpMgr 2013-3b1 (694) 08 Climate Zone CZ15 09 Software Version EnergyPro 6.4 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 180 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (FT2) 476 15 Number of Zones 1 16 Slab Area (FT2) 476 17 Number of Stories 1 18 Addition Cond. Floor Area N/A 19 Natural Gas Available Yes 20 Addition Slab Area (FT2) N/A 21 Glazing Percentage (%) 19.8% COMPLIANCE RESULTS - 01 - Building Complies with Computer Performance 02 This building Incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC approved HERS provider. 03 This building incorporates one or more Special Features shown below This compliance analysis is valid only for permit applications through December 31, 2014 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV2 yr) Standard Design Proposed Design I rcent t6 Space Heating 0.06 0.33 WILDIM & SAF D 0.0% Space Cooling 70.22 67.54 .8% IAQ Ventilation 0.00 0.00 FARO .0% Water Heating 0.00 0.00 0.00 .00 Photovoltaic Offset — 0.00 DATE — Compliance Energy Total 70.28 67.87 - 3.4% JAN 2 8 2015 Registration Nu C&w�NT�i�00 Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01212015-694 HERS Provider: CaICERTS inc. Report Generated at: 2015-01-26 15:41:32 B' .y �� City of La Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quints, CA 9 253 - (760) 777-7012 Building Permit Application and Tracking Sheet Perm Permit # it # �YY Project Address: _ Owner's Name: A. P. Number: r Address: 6G o ` Legal Description• _ City, ST, Zip: Contractor: Telephone: * - i •:>'. 'va r `:' .'"`>" ' ` Address: Project Description: City, ST, Zip:Q _ Telephone: <ni>�::i?F'J?}:i:/�: hi�'i'•i�:;%iiiiiiiY:< State Lic. #: City Lic. #; Arch., Engr., Designer: • Address: 3_ ` • City, ST, Zip: A�m ! lko Telephone: _ ✓::::•F:::::.�i}�:.. •}}::::i iii?:'y! •:i4:;l;:}:.;>:y.ii:';ii'i:::.'•: ...........:.......................................... Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:474 1# Stories: #Units: Telephone # of Contact Person o Estimated Value of Project: joa, 0.0 0 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets 41 PlanPlan Check submitted 1_! Item Amount Structural Calcs. d9 Reviewed, ready for corrections 1W41 Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. �. Plans picked up (�r� e i `2� ii1Dl l 0h Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Revie ready for correctio issue 2/I Electrical Subcontactor List Called Contact Person l� Plumbing Nt CA ,r Hl vsz Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctio stssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees SEP q�l R WWI x/25 N1s �� E f Total Pcr it' s "` r /l--'� K��MMUNIT,( p� Q UINTq OPMEN7 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 476 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 - Klaus Becker Check No. Bank Name/Recipient of Certificate Telephone Funding Exempt By Dr. Gary Rutherford b Superintendent 4 _ Fee collected /exemp d by ar c it ey. Payment Recd y$0.00 rverlUnder Signature _ NOTICE: Pursuant to Government Code Section 66020(d)(1), this will s e to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01 Project Name: Residential Calculation Date/Time: 15:40, Mon, Jan 26, 2015 Page 2 of 7 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Window overhangs and/or fins HERS FEATURE SUMMARY 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: • — None — Cooling System Verifications: • —None — HVAC Distribution System Verifications: • Duct Sealing • Verified low -leakage ducts located entirely In conditioned space Domestic Hot Water System Verifications: • —None — ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24, Part 6,(such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. .,1:•; F'•' " Reference Energy Use . ' Energy Design Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)' 118.09 115.68 2.0% includes calculated Appliances and Miscellaneous Energy Use (AMEU) U1 I Y OF L/'1 Q U l NTA BUILDING & SAFETY DEPT. A r1 - - _ BUILDING - FEATURES INFORMATION 01 02 03 04 05 iFOR 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms I tuber of Ventilation Number of at Number of Zones�Cnfllin_ a_SvsteHeating S tams Residential 476 1 1 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Addition Conditioned Additionl 476 8 DHW Sys 1 Registration Number: 215-A0024985B-000000000-0000 Registration Date/Time: HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-01212015-694 Report Generated at: 2015-01-2615:41:32 126, 2015 CFI R -PRF -01 Page 3 of 7 WINDOWS ' 01 07 08 09 10 t2) Window and Door Area (ft) TiK (deg) Status Verified Existing Condition Width(ft) Yes 90 New N/A Verified Existing SHG i g t son ition 85.6008 90 New N/A 0.938 2.2995 90 New N/A Left Wall (Left -270) 6.2995 90 New N/A 0.40 0.3 nse e ( e /A Window 3 New N/A WINDOWS ' 01 06 07 08 09 e Radiant Barrier Coot Roof Status Verified Existing Condition Width(ft) Yes No New No WINDOWS ' 01 02 03 04 05 '06 07- 08 09 10 11 Name Surface (Orientation Azimuth) Width(ft) Height (ft) Multiplie r Area (ft2) 1.1 -factor Verified Existing SHG i g t son ition Window Left Wall (Left -270) 1.4 8.0 0.938 10.5 0.40 0.3 nseot bde t) /A Window 2 Left Wall (Left -270) 6.0 8.0 1 48.0 0.40 0.3 nse e ( e /A Window 3 Left Wall (Left -270) 1.4 8.0 0.946 10.6 0.40 0.38 Ins n (e /A Window 4 Left Wall (Left -270) 3.0 5.5 1 16.5 0.40 0.30 In r t C NtN /A Window 5 Back Wall (Back -0) 1.5 1.5 1.022 2.3 0.40 0.30 Insect Screen (default) New /A Window 6 Right Wall (Right -90) 1.5 1.5 1.022 2.3 0.40 0.38 ^ I New A Window 7 Right Wall (Right -90) 2.0 2.0 1 4.0 0.40 0.38 Insect Screen (defau a /A Registration Number: 215-A00249858-0000000004000 Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01212015-694 HERS Provider: CafCERTS inc. Report Generated at: 2015-01-26 15:41:32 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Calculation Date/Time: 15:40, Mon, Jan 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml CF1 R -PRF -01 Page 4 of 7 OVERHANGS AND FINS 01 02 03 04 05 06 07 Zone Area (ft2) Perimeter (ft) Edge Insul. R -value Total Cavity 01 02 03 04 05 06 07 08 09 10 11 12 13 14 - Cavity/ Frame: no insul. / 2x4 Top Chrd Overhang 2x4 Top Chord of Roof Truss @ 24 Left Fin • Roof Deck Wood Siding/sheathing/decking Attic Roof Cons Addition Right Fin Wood Framed Ceiling Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up Dist R Bot Up Window 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 2 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 3 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 4 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 5 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 6 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 7 2 0.1 2 2 0 0 0 0 0 0 0 0 0 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Zone Area (ft2) Perimeter (ft) Edge Insul. R -value Total Cavity Winter Design Addition Construction Name Surface Type Construction Type' Framing R -value U -value Assembly Layers - Cavity/ Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 • Roof Deck Wood Siding/sheathing/decking Attic Roof Cons Addition Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 • Roofing: Light Roof (Asphalt Shingle) e I h: Gy sum " ' /OUINTA 1 sh: R-21 Wall Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.066 TY DE PT u D Ceilings (below R-38 Roof Attic attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 38 0.025 �0N SLAB FLOORS BY 01 02 03 04 05 06 Name Zone Area (ft2) Perimeter (ft) Edge Insul. R -value Verified Carpeted Existing Fraction Heated Status Condition Slabmon-Grade Addition 476 8 None 0.8 No New No Registration Number: 215-A0024985B-000000000-0000 Registration Date/Time: HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01212015-694 Report Generated at: 2015-01-26 15:41:32 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Calculation DatelTime: 15:40, Mon, Jan 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml CFI R -PRF -01 Page 5 of 7 BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage ACH @ 50 Pa Not Required Not Required Not Required — SPACE CONDITIONING SYSTEMS 01 02 01 02 03 04 05 06 07 08 09 Name Heating System Cooling System Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond - Split air conditioning 13 16 No O �do Distribution Fan Floor Area Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition rAdditionl Other Heating and Heating Yes Cooling Yes Air Distribution HVAC Fan 476 New. No 1 -hers -dist Cooling System Component 1 Component 1 System 1 1 HVAC - HEATING SYSTEMS 01 02 03 Name _ Type Efficiency Heating Component 1 CntriFurnace - Fuel -fired central furnace 80 AFUE f HVAC - COOLING SYSTEMS -1./ I ' 01 02 03 04 05 06 07 06 07 j Efficiency Mufti -speed Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond - Split air conditioning 13 16 No O �do U NT/ 1 system bUILUINU Zit 5Af-t I Y UtPT HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 j MR Q NSTRMTION 10 Insulation Supply Duct Return Duct Verified ExistingERS Name Type Duct Leakage R -value Location Location Bypass Duct cation tatus Condition Jtribution �T Air Distribution Ducts located entirely in Sealed and tested 8.0 Conditioned Conditioned None New o stem System 1 conditioned space Zone Zone 1 -hers -dist Registration Number: 215-A0024985B-000000000-0000 Registration Date/Time: HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01212015-694 Report Generated at: 2015-01-2615:41:32 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Calculation Daterrime: 15:40, Mon, Jan 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml CFI R -PRF -01 Page 6 of 7 HVAC - FAN SYSTEMS & HERS VERIFICATION 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 — IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 0 Default 0 Not Required Registration Number: 215-Ao024985"00000000-0000 Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-01212015-694 CITY OF LA QUINTA BUILDINGS & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE_______BY HERS Provider: CaICERTS inc. Report Generated at: 2015-01-2615:41:32 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Calculation Date/Time: 15:40, Mon, Jan 26, 2015 Calculation Description: Title 24 Analysis Input File Name: Siebert Add.xml CF1 R -PRF -01 Page 7 of 7 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /' Joan cW cker Joan Hacker Company: Signature Date: Joan Hacker Address: CEA/HERS Certification Identification (If applicable): 77810 Las Montanas Road, Suite 201 NA City/State/Zip: Phone: Palm Desert, CA 92211 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of Califomia: 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. 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, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: /� Eduardo Escobar Company: Date Signed: Escobar Design Z -7 t 5 Address: License: 43-927 Pacific Ave. NA City/State/Zip: Phone: Indio, CA 92201 760-289-9221 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies information. CITY OF LA QUINTA BUILDING & SAFETY ^rFT. tration�oReRs QttVo6.the accuracy FOR CONSTRUCT iLNI! DATE BY Registration Number: 215-A0024985B-000000000-0000 Registration Date/Time: HERS Provider. Ca10ERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-01212015-694 Report Generated at: 2015-01-26 15:41:32