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04-4248 (AR)U BUILDIN,G & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 OF9�%' 78-495 CALLE TAMPICG FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 7774153 ' BUILDING PERMIT Application Number . . . . . 040004248 Date 110/18/04 Property Address . . . . . 53804 AVENIDA VELASCO APN: 774 -165 -025 -4 -000000 - Application description . ADDITION - RESIDENTIAL Property Zoning . . . . . COVE,RESIDENTIAL.. Application valuation .57162 Owner Contractor ------------------------ ------------------------ JOHN DYE .-JOHNSON - BENEDETTI CONST MGMT 53-804"AVENIDA VELASCO 333 N. PALM CANYON LA QUINTA CA 92253 PALM SPRTNGS CA 92262 (760) 677-2053 WCC:_ STATE FUND WC: 1641149 03/01/05 'CSLB: .810181. 07/31/06 CCC: B ------ Structure Information ADDITIO GARAGE AND HOUSE ----- Construction Type . .TYPE V - NONRATED Occupancy Type . . . DWELLG/LODGING/CONE <=10 Flood Zone . . . NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC FLOOD ZONE NO, GARAGE SQ FTG672.00 PATIO SQ FTG 42..00 FIRST FLOOR SQ FTG 60.00 ----------------------------------------------------------- -----"------------.. Permit. BUILDING•PERMIT Additional desc Permit Fee 450.50 Plan Check Fee 292.83 Issue Date . . 7/20/04 Valuation. 57162 -Expiration Date 1./17/05 ' Qty Unit Charge Per Extension BASE -FEE, 414.50 8.00 4.5000 THOU BLDG 50,001-100,000 36.00 - ------------------------------------------------------------------------ ---- Permit . . . ELECT -.ADD/ALT/REM Additional desc Permit Fee . . . 58.89 Plan Check Fee 14.72 Issue Date- 7/20/04 Valuation 0 Expiration Date 1/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 60.0.0 .0350 ELEC NEW RES'- 1 OR 2 FAMILY 2.10 .672.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.44 63.00 .45.00 EA ELEC DEVICE/FIXTURE >20 28.35 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals . Code, and my License is in full force and effect. License Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with I,censed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier Policy Number I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700.of the tabor Code, I shall forthwith comply with those provisions. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSA-ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Bui'ding and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application,is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): 51 0 Page 2 Application Number . . . 04-00004248 Date 10/18/04 ----------=--------------------------------------•------------------------_-- Permit GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 ` Issue Date .7/20/04 Valuation 0 ..Expiration Date 1/17/05 Qty Unit Charge Per Extension . BASE FEE 15.00 ----------------------------------------------------------------`----------- Permit MECHANICAL Additional desc Permit Fee . .'. . 43.50 Plan Check Fee 10.88 Issue Date 7/20/'04 Valuation 0 Expiration Date 1/17/05 "Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ._2.00 ... 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ----------------------.------------------------------------------------------ Permit . . . . PLUMBING Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date 7/20/'04 Valuation'. 0 Expiration Date . 1/17/05 Qty Unit Charge Per Extension BASE -FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3..0000 EA PLB WATER INST/ALT/REP 3.00 -----------------------------------------7---------------------------------- Special Notes and Comments NEW GARAGE 672 SQ. FT. NEW ROOF (TILE) ADD / REM 60 SQ: -FT. THIS PERMIT DOES NOT ,INCLUDE BLOCK WALLS POOL & SPA OR' DRIVE WAY APPROACH. ****$4.50 ADDITIONAL FEES CHARGED 10/18/04 TO REFLECT CHANGE OF CONTRACTOR TO JOHNSON/BENEDETTI Other Fees CHANGE OF CONTRACTOR 4.50 . ENERGY REVIEW FEE 29.28 STRONG MOTION (SMI) - RES 5.71 Fee summary Charged Paid Credited- Due Page 3 Application Number . . . . . 04-00004248 Date 10/18/04 -------------- '---- ----------- ---------- ---------- ---------- Permit Fee Total 591.89 591.89 .0.0 .0.0 Plan Check Total 324.43 324.43 .00' .00 Other Fee Total 39.49 39.49 .00 .00 Grand Total 955.81 955.81 .00 .00 U BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760) 7774012 78-495 CALLE TAMPIC.O FAX (760) 777-7011 LA: QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS. (760).777.-71,53 BUILDING PERMIT Application Number 04-00004248 Date 7/16/04 Property Address ... 53804 AVEN DA VELASCO APN: 774-165-025-4�-000000- Application description ADDITION.- RESIDENTIAL Property Zoning COVE RESIDENTIAL Appld'Qation..valuation 57162 Owner. Contractor JOHN:.DYE ATLANTAS-G C 53-,804` :AVENIDA VELASCO ' 51105 AVENIDA ,VILLA #. 2.02 LA QUINTA': CA 92.2.53 LP, QUINTA:. :. CA:9225:3.:,": (760). 777;-1312 WCC: EXEMPT. :.. ::. WC': ;r' .":::-EXEMP.T .: ;; _ ..". 02/07/05 CSLB: . .79974:6 09./30/05 .. t . :. CCC: B' -.--.--- Structure Information ADDITIO GARAGE AND :HOUSE ----- Construction Type . . . . . TYPE.V-.NON:RATED Occupancy Type . . . . DWELLG/LODGING/'CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info.. CODE EDITION 2001 CBC 'FLOODZONE NO..' . . GARAGE. SQ FTG ` . 6.72.00 PATIO SQ FTG4'2::00. .... FIRST FLOOR SQ FTG 60..0.0... Permit . . BULLD.ING.. PERMTT Additional desc . . Permit Fee . . 450.50. Plan Check Fee 292.83. Issue Date: Valua 57.162 D 0 :. ." Qty Vni.t.:Charge..,. Pe,r ° : n'sion BASE FEE JUL2004. 14.50 8.00 4.5000 .2i THOU BLDG 50',001-100,036.0.0 ---------------------------------=---------------- Permit --- LA: ELECT' - ADD/ALT/REM . CITYONC FINANC --------- Additional desc Permit Fee 58.89 Plan Check Fee 14.72 IssueDa.te Valuation 0 Qty. Unit Chargee Per. - Extension BASE- FEE 15.00 60.00 ..03.50. ELE.0 NEW RES - 1 "OR ' 2.' FAMILY 2..10 P.O. Box 1504 VOICE(1100) 777=701.2. 78-495 CALLE TAMPICO:44, FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: U7 ` 7 X Applicant: .� Applicant's Mailing Address: Date. Architect or Engineer.. - Architect or Engin is Address: Lic. No.: BUILDING PERMIT DECLARATIONS' . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pedury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and-myl n s fu LLttpprce and effect. License Class �i [_Ucense_No. OWNER -BUILDER DECLARATION I hereby affir 'under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county Beat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or.that he or she is exempt therefrom and the basis for.the alleged exemption. Any violation of Section 7031.5 by. any applicant for a permit subjects the apcant. to a civil penalty of not more than five hundred dollars ($500).): U I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or. offered for -sale (Sec: 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does the work himself or herself or through his or her own employees, provided that thhe'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 sate.). U 1, as owner of the property, am exclusively contracting with licensed contractbrs to constrict the project (Sec. 7044, Business and Professions Code: The Contractors' State, License Law does not apply to an owner of property who builds or improves thereon,'and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. _.B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My w9rkers' compensation insurance carrier and p0l number q �57 TE fUi✓� Policy Number Carrier%6 `1 > _ I certifythat, in the performance of the work for which thispermit is issued, I shall n employ any person in any manner so as to become subject to the workers' . compensation laws of California; and agree fiat, if I should become subject to the workerV..compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' WARNIN& 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the.perfornanoe of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose.behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, 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 1 have read this application and state that the above information is cored I agree toy with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above property on purposes. Page 2 Application Number . . . . . 04-.00004248 Date 7/16/04 Qty Unit Charge Per Extension 672.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 13.44 63.00 .4500 EA ELEC DEVICE/FIXTURE >20 28.35 - - - - - - - - - - - - -------------------- - --------------------------------- Permit GRADING PERMIT• Permit ------- -------- Additional desc . . , Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . . 0 Qty Unit Charge Per .-Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit. . . . . . . MECHANICAL . Additional desc Permit Fee . . . •43.50 Plan Check Fee 10.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 9.0000 EA MECH.APP.L REP/ALT/ADD 9.00 2'.00 6.5000 EA ..MECH VENT FAN 13.00 1.00 6,.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------- .Permit . . . . . ---------------------------------- PLUMBING Additional desc Permit Fee . . . 24.00 Plan Check Fee 6.00 Issue Date. Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 --------------------------------------------------------------------------- Special Notes and'Comments - NEW GARAGE 672 SQ. FT'. NEW ROOF (TILE) ADD / REM 60 SQ. FT. THIS PERMIT DOES NOT INCLUDE BLOCK WALLS POOL & SPA OR DRIVE WAY APPROACH. ---------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 29.28 STRONG MOTION (SMI) - RES 5.71 J Page 3 Application Number . . 04-00004248 Date 7/16/-04. Fee summary ------------ - Charged Paid Credited Due ---- Permit Fee Total ------------ 591.89 ---------- .00 ---------- .00 ---------- 591.89 Plan Check Total 324.43 .00 .00 324.43 Other Fee Total 34.99 .00 .00 34.99 Grand Total 951.31 .00' .00 951.31 5tIll-804 ROE: vdAWo 8FRcPe11bpq xwr CBC Title 24 Report for: Mr. John Dye r Ave. Velasco La Quinta, CA 92253 Project:� Designer:r. LU Z- KDOO Felipe Fregoso 'ave. > 44525 Portola U- >- CO Palm Desert, CA 92260 LL Od " r -r CZ D 760-837-9009 0 C Z < 0 -F U- Report Prepared By: FREGOSO DESIGN, Lu;t Fregoso 44525 Avenue Portola Palm Desert, CA 92260 (760) 837-9009 Job Number: L1004 Date: 6/25/04 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number: L1004 User Number: 5982 5tIll-804 ROE: vdAWo 8FRcPe11bpq xwr CBC EnergyPro'3.1 By EnergySoftgoo Numoer: Ll VU4 use[ rvurnuer. UU.4 Certificate of. Compliance: Residential (Part 1 of 2) CF -1 R Mr. John Dye 6/25/04 Project Title Date Ave. Velasco La Quinta Project Address Building Permit # Luz Fregoso (760) 837-9009 Plan Check I Date Documentation Author Telephone Computer Performance 15 Field check I Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1,845 ft2 Average Ceiling Height: 10.5 ft Total Conditioned Slab Area: 1,845 ft2 Building Type: (check one or more) X❑ Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family X❑ Existing Plus Addition Front Orientation: (West) 270 deg_ Number of Dwelling Units: 1.00 Number of Stories: 1 Component R-38 Roof (R.38.2x4 (1) Slab On Grade Slab On Grade R=13 Wall (W.13.2x4.16) Solid Wood Door FENESTRATION Floor Construction Type: ® Slab Floor ❑ Raised Floor Const. Frame Assembly Location/Comments Tvoe U -Value (attic, garage, typical, etc. Wood 0.028 Exterior Roof n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation Wood 0.088 Exterior Wall Wood 0.387 Exterior Door Shading Devices Type Orientation Area Fenestration Exterior Overhang Side, Fins SF U -Factor SHGC Shading Yes / No Yes / No Left (North) 103.9 0.65 0.40 Bug Screen ❑ x❑ El Rx (East) 88.0 0.65 0.40 Bug Screen ❑ X❑ ❑ x❑ Right (South) 36.0 0.65 0.40 Bug Screen El X❑ 1-1 0Front (West) 52.0 0.65 0.40 Bug Screen ❑ X❑ ❑ x❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1:1 11 ❑❑ ❑❑ El El El ❑❑ 1:1 1:1 El Run Initiation Time: 06/25/04'13:17.58 Run Code: 1088194678 Ener Pro 3.1 By Ener Soft User Number: 5982 Job Number: L1004 Pa e:3 of 12 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Mr. John Dye 6/25/04 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments C'Pntral Ftirnare 78% AFUE Ducts in Attic 4.2 Setback Res HVAC Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 15.5 SEER Ducts in Attic 42 Setback Rgg HVAC WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standbyy Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (°/U) R -Value Standard Gas 50 gal or Less Small Gas Standard 0 40,000 _50 0.53 n/a 12 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm: Felipe Fregoso Address: 44525 Portola ave. , Palm Desert, CA 92260 Telephone: 760-837-9009 Lic. #: (signature) (date) Enforcement Agency Name: Title/Firm: _ Address: Telephone: Name: FREGOSO DESIGN Title/Firm: Luz Fregoso Address: 44525 Avenue Portola Palm Desert, CA 92260 Telephone: (760) 837-9009 (s atu e) (date) (signature/stamp) (date) Run Initiation Time: 06/25104 13:17:58 Run Code: 1088194678 EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1004 Page:4 of 12 Certificate of Compliance: Residential (Addendum) CFA R Mr. John Dye 6/25/04 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Plan Field The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket. HIGH MASS Design(see C-213) -Verify Thermal Mass: 1091 sgft Exposed Slab Floor, 3.50" thick at 1st Floor HIGH MASS Design(see C -2R) - Verify Thermal Mass: 755 sgft Covered Slab Floor, 3.50" thick at 1 st Floor HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field I EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1004 Page:5 of 12 1 Mandatory Measures Checklist: Residential (Pagel of 2) k. MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. e i DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures ; a '§ I so(.):, Minimum R-19 ceiling insulation. n ❑ §150(b): Loose fill insulation manufacturer's labeled R -Value. 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does X•§ not apply to exterior mass walls). k. § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. t §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate'no greater than 2.0 perm/inch. ` a§118: Insulation specified or installed meets insulation quality standards. Indicate type and form.. , ®§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned' spaces designed to limit air leakage. ' 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain * , Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and seated. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. • §150(f);. Special infiltration barrier, installed to comply with Section 151 meets Commission quality standards. u y §150(e')': Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. tl 1. Masonry and factory -built fireplaces have: d a. Closeable metal or glass door b. Outside air intake with damper and control ' c. Flue damper and control ; s 2. No continuous burning gas pilots allowed. Space'C.onditioning, Water Heating and Plumbing System Measures ❑X § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. ) , t. © § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems. 1 ❑X § 150(j): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally~ wrapped with insulation having an installed thermal resistance of R-12 or greater. l 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hotwater tanks have R-12 external insulation or R-16 combined internal/external insulation. , 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. " 6. Piping insulating between heating source and indirect hot water tank.' i ;t EnergyPro 3.1 By EnergySoft 'User Number: 5982 Job Number: L1004 .'' Page:6 of 12 �a , . Mandatory- Measures Checklist: Residential' (Page 2 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown'elsewhere in the documents or on this checklist only. . DESCRIPTION Instructions: Check or Initial applicable boxes or enter N/A If not applicable. DESIGNER ENFORCEMENT Space Conditionifig, Water Heating and Plumbing System Measures: (continued), X❑ I150(m): Ducts and Fans • r 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system '4 that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings + greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be :- sealed with Goth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms air handlers, and plenums defined or constructed with materials other r .for than sealed sheet metal, duct board or.fjexible duct shall not be used for conveying conditioned air. Building , - cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ` duct tapes unless such a tape is used in combination with mastic and drawbands. ; 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. ; - 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, + equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminium, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding ' from solar radiation that can cause degradation of the material. ❑ § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. f a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 7 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas fired central furnaces, pool heaters, spa heaters or household -cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/t r) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measure's ❑ §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting i control panel at an entrance to the kitchen. §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of + • 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. ' 3,1 By EnergySoft 4User Number: 5982• Job Number: L1004 Page:7 of 12 Computer Method Summary (Part 1 of 3) C -2R Mr John nve �./ 6/25/04 Date Project Title Ave Velasco I Ql /�/ a linta Project Address 191TATF-1 ��/ ■lillillizalK Building Permit # 1 117 Frennsn (760) 837-9009 ■11111111:6161TATMINVATA Documents ion Author :1 ■11111M.. Telephone plan Check/Date Computer Performance 15 Field Check/Date Compliancemlpance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 2.97 3.73 -0.76 Space Cooling 35.80 41.79 -5.99 Domestic Hot Water 13.72 0.00 13.72 Totals 52.49 45.51 6.97 Percent better than Standard: 13.3% Total Conditioned Floor Area: 1,845 ft2 Floor Construction Type: ❑ Raised Floor ❑X Slab Floor Building Type: Single Fam Detached Building Front Orientation: (West) 270 deg Total Fenestration Area: 15.2% Number of Dwelling Units: 1.00 Total Conditioned Volume: 19,376 ft 3 Number of Stories: 1 Total Conditioned Slab Area: 1,845 ft 2 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area Res HVAC 1 845 19 376 1 n0 CnnditinnPd_ SL -thank _2 n/ OPAQUE SURFACES Act. Type Area U -Fac. Azm. Tilt Boot'— 1,845 0,028 0 —22 Wall 270 0.088 _Q _9Q Wall_ 74 0.08A go go Wall 338 0.088 180 90 Wall 104 0.088 270 90 Wall_ 32 UM 0 9Q Wall 20 0.088 270 90_ Dnnr 20 0.387 270 AQ MCall— 32 n 08 180 9.Q wall 116 0.088 970_ 90_ Solar Gains Y / N Form 3 Reference Location / Comments _lour 7nne Flnnr 7nne Floor Zone �Inor lone _Flonr 7nne Floor Zone —Finnr 7nne Floor 7nne _171nnr 7nne I EnemvPro 3.1 By EneraySoft User Number: 5982 Job Number: L1004 Page:8 of 12 1 �./ ■M M 191TAYPI /�/ ■11111111M 191TATF-1 ��/ ■lillillizalK T. �� ■11111111:6161TATMINVATA :1 ■11111M.. 1 ... r .. Location / Comments _lour 7nne Flnnr 7nne Floor Zone �Inor lone _Flonr 7nne Floor Zone —Finnr 7nne Floor 7nne _171nnr 7nne I EnemvPro 3.1 By EneraySoft User Number: 5982 Job Number: L1004 Page:8 of 12 1 Computer Method Summary (Part 2 o 3) C -2R Mr. John Dye 6/25/04 Project Title Date FENESTRATION SURFACES # Type Area U- Factor SHGC Act. Azm. Glazing Type Tilt. Location/ Comments J_ Window Left (North) 24.0 0.650 040 0 An Default DBL Pane Floor Zone 2 Window Left (North) 40.0 0.650 0.40 6 90 Default DBL Pane Floor Zone 3 Window Left (North) 40.0 0.650 0.40 0 90 Default DBL Pane Floor Zone 4 Window Rear (East) 32.0 0.650 0.40 90 90 Default DBL Pane Floor Zone 5 Window Rear (East) 16.0 0.650 0.40 90 90 Default DBL Pane Floor Zone 6 Window Rear (East) 40.0 0.650 0.40 90 90 Default DBL Pane Floor Zone L Window Right (South) 18 0 0,650 0.40 --10- 90 Default DBL Pane Floor Zone 8 Window Right (South) 18.0 0.650 0.40 180 90 Default DBL Pane Floor Zone 6 Window Front (West) _$.0 0.650 0.40 270 90 Default DBL Pane Floor Zone 1Q Window Front (West) 8.0 0.650 0.40 270 90 Default DBL Pane Floor Zone 11 Window Front (West) 10.0 0.650 0.40 270 90 Default DBL Pane Floor Zone 12 Window Front (West) 10.0 0.650 0.40 270' 90 Default DBL Pane Floor Zone 18' Window Front (West]_ 8.0 0,650 0.40 270 90 Default DBL Pane Floor Zone 14 Window Front (West) 8.0 0.650 0.40 270 90 Default DBL Pane Floor Zone INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 _ 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 . Bug Screen 0.76 _ 10 Bug Screen 0.76 Ti- Bug Screen 0.76 12 Bug Screen 0.76 _ 13 Bug Screen 0.76 14 IBug Screen 0.76 Run Initiation Time• 06/25/0413@17:58 Run Code• 1088194678 EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1004 Page:9 of 12 Computer Method Summary (Part 3 of 3) C -2R Mr. John Dire 6/25/04 Project Title Date THERMAL MASS FOR HIGHWASS DESIGN Area Thick. Heat Inside Location Type (sq (in.) Cap. Cond. Form 3 Reference R -Val. Comments Concrete He�yweight 1,091 • X5.0 9A _OAK n/a _0 Floor 7nnp / Slab on Griade Concrete, Heavyweight 755 3_50 28 0.98 n/a 2 Floor Zone / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 105 0_76 0.0 0 Floor Zone Slab Perimeter 79 0^76 _O Q 0 Floor Zone Y HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location • Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Central Furnace 78% AFUE Ducts in Attic 4.2 Setback Res HVAC Hydronic Piping Pipe Pipe Insul. f System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc) R -Value Type Comments Split Air Conditioner 15.5 SEER Ducts in Attic 4.2 Setback Res HVAC WATER HEATING SYSTEMS Rated/ Tank Energy Factl 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. Standard Gas 50 gal or Less Small Gas Standard _ 0 . 40,000 50 , 0.53 n/a 12 1 For small gas storage (rated input - 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS Run Initiation Time: 06/25/04 13:17:58 Run Code: 1088194678 EnergyPro 3.1 By,EnergySoft User Number: 5982 Job Number: L1004 Page: 10 of 12 Computer Method Summary (Addendum) C -2R Mr. John Dye 6/25/04 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement aaencv determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Plan Field The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1091 sgft Exposed Slab Floor, 3.50" thick at 1st Floor HIGH MASS Design(see C -2R) - Verify Thermal Mass: 755 sqft Covered Slab Floor, 3.50" thick at 1st Floor HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field Run Initiation Time: 06/25/04 13:17:58 Run Code: 1088194678 EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1004 Page: 11 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Mr. John D e 6/25/04 SYSTEM NAME FLOOR AREA Res HVAC 1,845 SYSTEM LOAD M PSYC 26.0 OF Outside Air 0 cfm 75.0 of 15.0 / 73.5 of Outside —}—� 0 cfm 80.0/62.8 of HROMET Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent CFM I Sensible 1,203 32,016 -1,170 1,025 32,718 0 1,601 1,636 0 0 0 0 0 b 0 0 0 1,601 1,636 35,2171 -1,1701 F 35.990 YORK H4TS060S06 (1) 47,692 2,552 Total Adjusted System Output (Adjusted for Peak Design Conditions) a7,692 2,552 75.0 of fii 105.0 of 0 TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am Heating Coil Return Air Ducts 80.0/62.80F ® 55.0/53.60F Cooling Coil Supply Air Ducts 105.0 of ROOMS 75.0 OF I Supply Air Ducts 55.0 / 53.6 of 38.2% R.H. ROOMS 80.0 / 62.8 of Return Air Ducts k . EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1004 Page: 12 of 12 A Bin C - City of La Quinta Building at Safety Division Permtt N Vt P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 � 01, Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number Address: _ Af/ Legal Description: City. ST. Zip: ` vl, CA- Contraaor: 19l✓—�,����.� FTclephone: o Z &s' S� �' •` Address: 1XProject Description: F. LST. Zi : c co.F T � Telephone — State Lic. it : City Lic, N: Arch.. £ngr.. Desiner: �'�� 'r—V0409 0 Address: 44 4 2 o p g City. ST. Zip: .L Telephone: Construction Type: Occupancy: State Lic. M: ' Project type (circle one): Ne Add'n Alter Repair Dtmo Name of Contact Person: kA V G� C Afzon�t= Sq. Ft.: �vdM Stories: 1 N Units: Telephone M of Contact Person: 0 2 ' r/ stimated Value of Proiect: 4-0,vw L APPLICANT: DO NOT WRITE BELOW THIS LINE AWtifOA✓ +► Submittal Req'd Recd TRACIQN PERIN11T FEES 2i Plan Sets Plan Cbeck submine S� Item 04 Araotrat Structural Cala. Reviewed. rtady for totions ay i--c Plan check Deposit 7i Truss Cates. Ibok55lds nt ctaCie Od Oq Pisa Check Balance Energy Csles. f A Plans Oieked up Construction Mechanical Flood plain -Pisa Plans resubmitted �6 Grading plan 2" Review. ready r correction ssue 2 Electrical Subcootaetor List Called Contact Person 2 Plumbing S.i►1.1. Grading Griot Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE:. ''' Review. ready f correctiosrss Developer Inipaet Fee A.1.P.P. Planning Approval Called Contact Person CG Pub. Wks. Appr Date of permit issue Scbool Fees Total Permit Fees At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq., in the amount of $0.00 X 60 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 - Art Lambrose Check No. Name on the check Telephone Funding By Dr. Doris Wilson . Superintendent Fee'collected /exempted y Sh cGllvrey Payment Recd 1$0.00 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from.the date on which those amounts are paid to the District(s) or to -another public entity authorized to collect them on the District('s) behalf, whichever is earlier. . NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE J�1FSc Desert Sands Unified School District + . 47950 Dune Palms Road �o�ca��o Q BE MUD' DUNES r" Date 7/20/04 La Quinta, CA 92253 00)RANCHO MIRAGE t7 INDIAN WELLS No. 26195 7718515 PALMRT LQ� 101 woloy Q Owner John Dye APN # 774-165-025 Address 53804 Avenida Velasco Jurisdiction La Quinta City La Quinta Zip 92253. Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 53804 Avenida Velasco 60 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq., in the amount of $0.00 X 60 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 - Art Lambrose Check No. Name on the check Telephone Funding By Dr. Doris Wilson . Superintendent Fee'collected /exempted y Sh cGllvrey Payment Recd 1$0.00 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from.the date on which those amounts are paid to the District(s) or to -another public entity authorized to collect them on the District('s) behalf, whichever is earlier. . NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: NAME STREET J �— ! `, S •�t-.F-/l'C•i%.L.i L; �'� `' ���( ADDRESS 1 / IP CITU, STATE 6 `IP CODE / �i /` Let�,U - /� CSL "`444. �'7 MR MECHANIC'S LIEN DOE a 2004-0748224 09/21/2004 08:00A Fee:10.00 Page 1 of 2 Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk 8 Recorder I IIIIII IIIIII VIII IIII VIII I ' IIIIII (IIII III VIII IIII IIII M S U PAGE SIZE DA PCOR NOCOR SMF MISC. I A R L COPY LONG REFUND NCHG I EX IR (Claim of Lien) The undersigned, Atlantas Invesment Group Corp:, referred to in this Claim of Lien as the Claimant, (FULL NAME OF PERSON OR FIRM CLAIMING MECHANIC'S LIEN) claims a mechanic's lien for the labor, services, equipment and/or materials described below, furnished for a work of improvement upon that certain real property located in the County of Riverside.. State of California, and described as follows: 53-804 Ave. Velasco La Quinta Ca. 92253 4 (DESCRIPTION OF PROPERTY WHERE THE WORK AND/OR MATERIALS WERE FURNISHED. ALTHOUGH THE STREET ADDRESS IS SUFFICIENT, IT IS ADVISABLE TO GIVE BOTH THE STREET ADDRESS AND THE LEGAL DESCRIPTION.) After deducting all just credits and offsets, the sum of $ $1 3i 8 81.'31 (AMOUNT OF CLAIM DUE AND UNPAID) together with interest thereon at the rateof9 - per cent per annum from September (SEE NOTE ON REVERSE SIDE) t 13 2004 is due Claimant for the following labor, services, equipment and/or materials furnished by (DATE WHEN AMOUNT OF CLALIM BECAMQ DUE). - Claimant: Paid: for permits, filing, labor for demo, removal of 300 yards < (GENERAL- DESCRIPTION OF THE WORK AND/OR MATERIALS FURNISHED) of debris and balance of waste bills,'plus copy of prints The name of the person or,company by whom Claimant was employed, or to Whom Claimant furnished the labor, services, equipment and/or materials is John Dye (USUALLY NAME OF PERSON OR FIRM WHO ORDERED FROM, OR CONTRACTED WITH CLAIMANT FOR THE WORK AND/OR MATERIALS) The name(s) and address(es) of the owner(s) or reputed owner(s) of the real property is/are: John Dve, Sf 804 Ave.. '� Vela.sco' �''��� , LaOu:znta, CA. .92253" M .`-(THIS INFORMATION CAN BE OBTAINED FROM-THE•COUNTY ASSESSOR'S OFFICE WHERE THE REACPROPERTV IS LOCATED.) SEE REVERSE SIDE FOR Name of Claimant , Atlantas - Inve .tment Group Corp. ADDITIONAL INSTRUCTIONS (SEE INSTRUCTSO ESIDE FORP INGI By - ATURE OF CLAIMANT OR AUTHORIZED AGENT AND TITLE) VERIFICATION I, the undersigned, declare:'I am the _61A)A O of Tcis (TITLE) (NAME OF CLAIMANT) the Claimant named in the foregoing claim of mechanic's lien; I am authorized to make this verification for the Claimant; I have read the foregoing claim of mechanic's lien and know the contents thereof, and the same is true to my own knowledge. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (DATE OF SIGNATURE) (SIGNATURE OF THE INDIVIDUAL WHO VERIFIES THAT THE CONTENTS OF THE CLAIM OF MECHANIC'S LIEN ARE TRUE) MWOLCOT.TSECHANIC' FORM 1024 -Rev. 3-94 (price class 3A) © IIIIIIIII I I (IIIIIIII MECHANIC'S LIEN (Claim of l:ieN 7994 WOLCOTTS FORMS, INC. (I 7 67775 39024 7 78-495 CALLE TAMPICO —7LA' OUINTA, CALIFORNIA 92253 — (760) 777-7000 oF FAX (760) 777-7101 -TDD (760) 77771227 - February 10, 1998+ Brian L & Carla Ann Perry 53-804 Avenida Velasco . La Quinta, CA., 92253 Dear Brian; . This is a follow up letter from our site visit at yoiir property addressing the un -permitted, non- " conforming structure constructed in the front 20 foot set back: As discussed and agreed upon the framed structure shall be removed within 30 days. The concrete slab may remain where it is constructed. ` Plans will be required to be submitted and reviewed prior to a, permit being issued and before any construction or relocation of any structure. Please feel free to call if there are any `questions you may have..Thank you, for your cooperation in this matter. Sincerdly, Daniel P. Crawford Jr.. Building Inspector I cc file Anthony Moreno, Code Compliance Officer t J , dpC is MAILING ADDRESS — P.O. BOX 1504 — LA QUINTA, CALIFORNIA 92253. 11� _j r