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09-1166 (AR)T41 4 P.O. `BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLSTAMPICO FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT r Date: 11/16/09 "Application Number: 09-00001166 Owner: Property Address: 47825 STILLWATER DR HAROLD & MARILYN JACKSON APN: 658-140-999-56 -29436 - 47825 STILLWATER DR Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: p - LOW DENSITY RESIDENTIAL - D " '� i i Application valuation: 10000 r? Contractor: cK 0'7 2009 ,r . Applicant: Architect or Engineer: Owner . CIT ri<s.,a QUINTA AN_ E DEPT. ------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of.the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: - _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier, Policy Number following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as t become subject to the orkers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if 1 should come subject to the wor s' compensation provisions of Section .License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37PO of the Labor - de . shall forthwi comp) wi hose provi ' ns. 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).: Date Applicant: . (_ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon', SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale.- If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . one year of completion, the owner -builder will have the burden of proving that he or she did not build or t - - - - - ,, - improve for the purpose of sale.l. APPLICANT ACKNOWLEDGEMENT (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec:. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions andrestrictionsset forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for _ pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, . (_ 1 I am exempt under Sec. , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City • • of La ouima, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. ' / Date: Owner: - 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 CONSTRUCTION LENDING AGE Y • permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I have read this application and state that the above information is correct. I agree to comply with all work forwhich this permit is issued (Sec. 3097, Civ. C.1. city and county ordinances and state laws relating to building co struction, and reby auth i e representatives of this count �nte,the above-mentionedpropertr ' spection purpLender's Name:Dateure (Applicant or Agent): Lender's Address: /_ ve�� LQPERDIIT . Y Application Number 09-00001166 Permit . ,BUILDING PERMIT Additional desc 228 SF GARAGE CONV TO LIVING Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue.Date Valuation 10000 Expiration Date 5/15/10 Qty Unit Charge- Per Extension BASE FEE 45.00- 8.00 -------------------------- 9.0000 THOU BLDG -------------------------------------------------- 2,001-25,000 72.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 27.75 Plan Check Fee 6.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 ----------------------------------------------- .7500 PER ELEC DEVICE/FIXTURE 1ST 20 =---------------------------- 12.75 Permit MECHANICAL Additional desc . Permit Fee 39.50 Plan Check Fee 9.88 Issue Date . . Valuation 0 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 --------------------------------------- 6.5000 EA MECH VENT FAN ------------------------------------- 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date. 5/15/10 Qty Unit Charge Per Extension BASE FEE .15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 3.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 9.00 ---------------------------------------------------------------------------- Special Notes and Comments THIRD CAR GARAGE CONVERSION TO CASITA LQPERMIT - LQPERAIIT Application Number . . . . . 09-00001166 ------------------------------------------------------ Special Notes and Comments BEDROOM W/ BATH. 228 SF. 2007 CODES. ---------------------------------------------------------------=------------ Other Fees . . . . .". . BLDG,STDS ADMIN (SB1473) 1.00 ENERGY.REVIEW FEE 7.61 STRONG.MOTION (SMI) - RES 1.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 229.25 -------------------- .00 ----=----- .00 229.25 Plan Check Total 104.12 .00 .00 104.12 Other Fee Total 9.61 .00 .00 9.61 Grand.Total 342.98 .00 .00 342.98• LQPERAIIT Bln # . Qty Of L .Quinta Building 8T Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. � 0� Project Address: e25- ,-T1 Luo Owner's Name: 1 , VA 4r, i� .� cls A. P. Number: . rI Address:dggE� S C Legal Descripti City, ST, Zip: Contractor: v ele hone: J TP � O �J 7 Address: Project Description: City, ST, Zip: hone: Telephone: State Lic. # : City Lie. #•: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Ctr ons uction Type: Occupancy: P cuPancY: i State Le, #: Pro J ect type (circle ne ) New. Alter Repair Demo _ Name of Contact Person -1 55,e Sq. Ft.: 2 2 # Stories: I # Units: Telephone # of Contact Person: ty Z,81 G 22.3 Estimated Value of Project: 1 0 O p Z) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd PERMIT FEES Plan Sets 3 Plan Check sub ' ., IM Item Amount Structural Calcs. Reviewed, read r co i nsO 3 2�� Plan Check Deposit Truss Calcs.. Called Contactcrson M Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for correction issue Electrical Subcontactor List Called Contact Person 1 Plumbing Grant Deed Plans picked up 4P S.M.I. H.O.A. Approval �i. Plans resubmitted Grading IN HOUSE: '"' 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 IJ2 CERTIFICATE OF COMPLIANCE �� Desert Sands+Unified School District , z� o 47950 Dune Palms Road ¢ BERMUDA DUNES r /� 'V) RANCHO MIRAGE Date 127/09 La Quinta, CA 92253 N INDIAN WELLS PALM DESERT ,y No. 30545 (760) 771$515 f LA QUINTA �INDIO y� , 0 Owner Harold & Marilyn Jackson APN #' 623-510-002 . Address 47825 Stillwater Dr Jurisdiction+ La Quinta City La Quinta Zip 92253 Permit # Tract # + No. of Units Type Residential Addition Lot # No. Street S.F. rt Lot # No. + Street S.F. Unit 1 47825 Stillwater Dr 228 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 patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho, mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 228 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 -Harold Jackson check No. Name on the check Telephone 770-777-8280 Funding Exempt BY Dr. Sharon P. McGehee Superintendent �.f Fee collected /exem ted by Patricia Barbuzza Payment Recd -.00 --Ever/Under - Signature • .. ��{'{ til l c.��" 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 o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to 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 0 r - r4 i a:EcAkkons ia" z p r�vma 'a nnt rope.- -,!.,n, geme November,18, 2009 1! A Harold and Marilyn Jackson - 11501:SE Skyline Dr _ r Santa Ana, CA 92705 RE: 47825 Stillwater Garage conversion ' Dear Mr. and Mrs. Jackson: The Architectural Committee of Hidden Canyon HOA has approved your submission for variance as submitted.- Please ubmitted:Please be advised that you must obtain the necessary City permits and submit the required detailed plans through a licensed contractor. The Board asks that your, contractor honors the Rules 'and Regulation of the association while performing the, work. • A full copy of the Rules and Regulations are posted on www.availhoa.com. Should you require a hard copy of the pertinenfinformation, please do' not hesitate to call our office. Thank you for your cooperation and please feel -free to call our office anytime. Sincerely, . ' • ' ' On Behalf of . Architectural Committee of Hidden Canyon Avail Property Management r _ .f 47.350 Washington Street, # 101, La Quinta, CA 92253 _ Tel: (760) 771-9546 Fax: (760) 771-1655. , y4 P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT - PROPERTY OWNER'S PACKAGE (760) 777-70.12 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits .yKe"TANT! NOTICE TO PROPERTY OWNER Dear Property Owner. An. application—for--a building pe t has been submitted in your name listing yourself as the builder of the _property improvements specified at ,1�—. We are providing you with an Ovm r -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur; by having this permit issued in- your name as the Owner -Builder. We will not issue a buildingpermit until you -have read, initialed your understanding of each'provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. QNKM 'S ACIQV,OWLEDGMENT AND 'VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each. statement below to signify you understand or verify this -information. V.b* . I understand a frequent practice of unlicensed persons is ' to have the property owner obtain an "Owner -Builder" ng permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. 'My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as.an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers 'on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the ' c struction and are not hiringa licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may.protect self from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on p its and contracts. I understand if 1 employ or otherwise engage any persons; other than California licensed Contractors, and the total value 4o/yvy construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. ve%6. I understand if I am considered an "employer" under state and federal law, 1 must register with the state and federal vernment, withhold payroll taxes, provide workers' compensation disability insurance, and' contribute to unemployment compensation for each "employee." I also understand 'my failure to abide by these laws may subject me to serious financial risk. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential s ctures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. t I understand as an Owner -Builder if I sell the property for which this permit is issued, I may beheld liable for any financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue -'teoQce, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS -LB) at 1- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. �w� I am aware of and consent to an. Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following. address: � 1 L I agree that, as the party. legally and financially responsible for this proposed. construction activity,.l will abide by all pplicable laws and requirements that govern Owner -Builders as well as employers. 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information 1 ha a provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss . . you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in -civil court- It is also important for you to: understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issug; the. pernut Note: A copy of the property owner's driwer's.lieense; form notarizattnn; or other verification acceptable to the agency is required to be presented when the permit is issued -to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, .the execution of which I understand. is my personal responsibility, 1 hereby authorize the following person(s) to act as. my agents) to apply for, sign, and file the documents necessary to obtain'an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: 44 7 02-x_ Name of Authorized Agent: " SC( No� I C( Address of Authorized Agent:,�LZ L �� G� �Y-�.,•� . `��`� le,s e-�r v I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented *hen the permit is issued to verify the property owner's signature.. Property Owner's Signature: Date:%�/ CERTIFICATE OF COMPLIANCE:, RESIDENTIAL (Page 1 of 5) CF -IR Pro ect Title Date B uild ng Permit:# ' per, - t1� Location Comments . (attic, garage, ical, etc. s � _� f %LIQ 3 Documentation Author Telephone > r = 3 I 1 04 / ? 1( I"'?, & 2 Z3 Field Gheck /Date(` c Compliance Method (Prescriptive) - Climate Zone 14 'Enforcerrieint'A 'enc 'Use`Onl Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic -testi ge 3) For Package D Alternative see Appendix B Table 151-C Footnotes 810 I r t e Ie Ide ti O i > ual (RCM) GENERAL INFORMATION _ BUILDING &SAFETY DEPT.` Total Conditioned Floor Area (CFA) • Z2, S ft2 -APPROVED Average Ceiling Height: ft FOR CONSTRUCTION Check Applicable Boxes P Building Type: (check one or more) Single Family . Multif DAT era >on (If adding fenestration fill -out WS -4R, Fenestration Maximum Allowed Ara orksheet and s_ee`Section 8.3.2 for Additions and 8.3.3 for Alterations in the RCM..) • Maximum Allowed Total Fenestration Area A ( ft2 (from WS -4R) • Maximum Allowed West Facing Fenestration Area ft2 (from WS -4R) • Number of Stories: I NumbeDwelling Units: • Floor Construction Type, la aised Floor (circle one or both) • Front Orientation: Nortouth / as / West: All Orientations (input front orientation in degrees from True North and circle one). ❑ RADIANT BARRIER (check box if required in climate zones 2, 4, 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS a ComponentAssembly Type (Wall, Roof, Floor, Slab Edge, Doors Frame Type Cavity (Wood or Insulation Metal R -Value U- factor (for wood, Continuous metal frame and Insulation - mass R -Value' assemblies)' Joint Appendix IV Reference ° A . . f Roof Radiantl,--! J ,Barrier Y �L_ Installedr iA es or No �j ' Location Comments . (attic, garage, ical, etc. 1) See Joint Appendix W in Section IV.2, W.3, and IVA, which is the basis for the U -factor criterion. U -factors cannot exceed prescriptive value to show equivalence to R -values. 2) This column is for the Inspector to verify installation of roof radiant barrier. Residential Compliance Forms December 2005 'I J CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Project Title Date FEN STRATION PRODUCTS — U -FACTOR AND SHGC - ✓ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R — must be included for New Construction, Additions, and Alterations. Fenestration #/Type/Pos. (Front, Orien- Left, Rear, Right, tation, Area U -factor Skylight) N, S, E, W' ft' U -factor' Source SHGC° Exterior. Shading/Overhangs 6' 7 SHGC ✓ box if WS -3R is Sources included t �24 Vvmuoj Thermostat Type, 13 El 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See § 151(03C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A. 3) Indicate source either from NFRC or Table 116-A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. . 5) Indicate source either from NFRC, Table 116B or WS -3R 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Type and Capacity Efficiency, fu ce, heat um oiler, etc. AFUpE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration ducts, attic, etc. R -Value T li e s r acka e t �24 Vvmuoj Thermostat Type, Configuration (split or package) Cooling Equipment Type and Capacity (A/C, heat pump, evap. coolin Minimum Efficiency (SEER or. EER . Distribution Type and Location ducts attic, etc. Duct or Piping R -Value Thermostat Type, Configuration (split or package) Residential Compliance Forms December 2005 SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following are required. ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Check box if system meets criteria of a "Standard" system. Standara system is one gas-fired water heater per dwelling Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential verification required.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. No ducts installed. ❑ New ducts from existing space conditioning equipment, not exceeding 40ft. in length. _ For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed ❑ through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m and duct insulation requirements of Package D. WATER HEATING SYSTEMS ing units (See RM Table 5-4, Alternative Water Heating Systems for recirculation requirements) ❑ Check box if system meets criteria of a "Standard" system. Standara system is one gas-fired water heater per dwelling Energy Factor or Thermal Efficiency unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. Tank External Insulation R -Value Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system com lies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. NO Check box to verify that a time control is required for a recirculating system pump for a system serving multi le = S stems serving single dwe ing units (See RM Table 5-4, Alternative Water Heating Systems for recirculation requirements) Rated Input (kw or Btu/hr) Tank Capacity (gallons) Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R -Value \� 'u Water Heater Type/Fuel Type Distribution Type Number in System Rated Input (kw or Btu/hr) Tank Capacity (gallons) Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R -Value System serving multiple dwelling units (See Residential Manual Section 5.3.3) Water Heater Type Distribution Type Number in System Rated Input' (kW or Btu/hr(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation R -Value l) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms December 2005 SPECIAL FEATURES REQUIRING BUILDING OFFICAL or HERS RATER VERIFICATION Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method. (Check Aonlicable boxes) Category Building Official Verification of Special Features HERS Rater Verification HERS Rater Diagnostic Testing Measure Ducts ❑ Y _ S 100% of ducts in crawlspace/basement ❑ '"; Y Buried ducts ❑ `: r Y Diagnostic supply duct location, surface area, and R -value ❑ Y ,-• , Duct increased R -value ❑°;`� . Y Duct leakage ❑ Y`- {; Ducts in attic with radiant barriers ❑ "* Y Less than 12 ft. of duct outside conditioned space ❑ - Y = ,: Y Non-standard duct location ❑- ''R Y, - Supply registers within two ft of floor Envelope • ❑ .Y . Air retarding wrap ❑ Y Cool roof ❑ Y . , Exterior shades ❑ `. Y ! High thermal mass ❑ Y ' Inter -zone ventilation ❑ ' -Y . Metal framed walls ❑ Y.=. Non -default vent heights ❑ Y Quality insulation installation ❑ , " ,:Y. Radiant barrier ❑ Y Reduced infiltration (blower door). May also require mechanical ventilation. ❑ Y - Solar gain targeting (for sunspaces) ❑ Y,' .f Sunspace with interzone surfaces ❑ x Y Vent area greater than 10% HVAC Equipment ❑ , Y Adequate air flow ❑ - Y Air conditioner size ❑ o'°. ! Y Air handler fan power ❑ Y High EER ❑ '' Y ' Hydronic heating systems . ❑ Y Mechanical ventilation ❑ Y Refrigerant charge ❑ Y Thermostatic expansion valve (TXV) ❑ Y Zonal control Water Heater ❑ Y Combined hydronic ❑ .Y High EF for existing water heaters ❑�..,Ygu. - Non-NAECA water heater ❑ ' Y„ Non-standard water heaters (wh/unit) ❑ _ = ' Y., Water heater distribution credits Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date Special Remarks Q COMPLIANCE STATEMENT This certificate of compliance lists the building features and 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 recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TX insulation installation gality, and building envelope sealing regire installer t esting and certification and field verification by an approved HERS rater. Designer or Owner (ver Business and Professions Code) Documentation Author Name: Name: TitleFirm: TitleFirm: Address: Address: Name:,Comments:' Telephone: Telephone: ,y � e Icense #t Mense #(if applicable) _ w: (signature) (date) (signature) (date) Enforcement Agency ♦ . .F-0 �k4 't:� s ir. � .��- U^ - ^� f "5' J F.+j }yam .a L... Name:,Comments:' r ,y � e _ w: � Title,-�, Agency: Telephone:,',.,�' _ i, . y ,; ,, • _- -r- - ' r➢ � r'i - �. - :FYI- �:- 'i MJ ,. F s � 4 ♦ (signature /stam'M ,�t, ` t , . date 4 Residential. Compliance Forms December 2005 FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R Projegt Title Date f o f,J5 C'pS 3 Jho o o FENESTRATION PRODUCTS — NEW CONSTRUCTION- NEW BUILDINGS Use this table for new building construction to account for total building % of fenestration. A B C D E F G #/Type/Pos. (Front, Left, Rear, Right, Sk li ht Orientation Total Fenestration, West Facing Area ft2 Total Fenestration for N, S, E Orientations Area ft2 CFA ft2(L Total Percent of West Facing Fenestration' x 100% Total % of Fenestration Including West /E x 100% + F North Added Total % of West Facing Fenestra - Rear, Right, Orienta- South Fenestration East Fenestration West tion 2.3, ° Skylight) tion CFA12.3 Totals Addition (ft2)2 (D - E) (G/C) x 100% (F/C) x 100% v-.o-,Aj 1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach must be used. 2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only. FENESTRATION PR UCTS - NEW CONSTRUCTION- ADDITIONS ✓ ❑Less than 100 ft2, Less than or Equal to 1000 ft2, ❑ Greater 1000 ft2 __ _ A B C D E F _� G H #/Type/Pos. B - C Proposed Fenestration Total Area .... _-- ------ G Total % of (Front, Left, Exis' CF ft2 Proposed Addition's Area Removed to Added Total % of West Facing Fenestra - Rear, Right, Orienta- Addition's Fenestration make way for Fenestration Fenestration tion 2.3, ° Skylight) tion CFA12.3 Area (ft2)4 Addition (ft2)2 (D - E) (G/C) x 100% (F/C) x 100% v-.o-,Aj North -21-5 /►� East .W East W t vtJ South East West West West West .mac — 2 Total -- .. 1) Additions :5100 sf are allowed to install up to 50ft2 of fenestration and are exempt from the 5% west facing and 20% maximum total area /3`� limits and shall meet the U -factor and SHGC requirements of Package D. See Table 8-2 in the Residential Manual. Note: Leave columns E, G, H, and I blank. Q5 2) Additions :_1,000 ft2, the maximum net allowed fenestration is 20% and may be increased additionally to by the amount of glazing removed in the wall that separates the addition from the existing house. However, the total West facing fenestration can not exceed 5% of the proposed addition's CFA including skylights orientated in any direction and tilted with a pitch of < 1:12. Column G can not exceed 5% and Column not exceed 20%. 3) Additions >1,000 ft2, must meet Package D requirements. See Table 8-2 and Table 151-C in Appendix B of the RM or use Performance Approach. 4) The 5%west orientation restrictions are only for Climate zones 2, 4, and 7-15; for Climate Zones 2, 4 and 7-15 enter zero (0) in column E. FENESTRATION PRODUCTS: ALTERATIONS I Ise this table. fnr Ateratinnc to*nn exictinv hnildino, where fenectratinnc nrnrinetc (winrinwO are heinn remnverl anri/nr aririeri A= —� B - C - - - - D - -- -- - - E ------.. .. ----_ F .... _-- ------ G ------ • -- ---_ .,_ H 5555_. I Exis' CF ft2 Existing Orientation Existing Area ftZ Removed Orientation Removed Area t2 Proposed Installed Orientation Proposed Installed New Area ft2 Total Net Fenestration (ft2) C-E+G Total % of Fenestra -tion 1,2 (H/A) x 10 ° Max of / North ? -- North North L--> South rty South South /►� East .W East East West West West .mac Total Total Total r — a 1) When 50 ft` or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of Package D. 2) The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20%. Otherwise, the Performance Approach must be used. See Section 8.3.3 in the RM for further details. Residential Compliance Forms December 2005 T STRUG14ON HOURS October 1st April 30 _on ay - May: .m. o .m. Saturday: 8:00 a.m. to 5:00 p.me - Sunday: None Government Code Holidays: None { "All construction shall comply with the 2007 California North May 1st - September 30th Building, Mechanical, Electrical, Plumbing, and Energy Monday - Friday: 6:00 a.m. to 7:00 p.m. i Codes and the La to Municipal Code." Saturday: t3:00 a.m. to 5:00 p.m. L- _ - Sunday: None . av\� P • _ Government Code Holidays: None OFP (� .'... s NOT PERMITTED . � \NG & SP b\j�� NOV .0 � I ng Code Holidays: R`� oNsiR _ ay .`'NewYea'sDay L Luther King Jr. Day President's Day I E i Memorial Day 'Do, Independence Day Labor Day Veteran's Day�. D T—T ay t all 4`.. ------------------- NOV 0 h farjBy01777 RE-INSPECTION FEE Of $30 - ILL BE CHARGED IF THE APPROVED PLANS AND 10B CARD ARE NOT ON i S I h t P an',. ~_ THE SITE FOR A SCHEDULED.IISPECTION. EQUATElY SIZED DEBRIS g NO EXtMONS.� IS REQUIRED ON THE JOB SITE DURING ALL - � Stillwater Street Harold and, 'Marilyn -.Jackson' • PHASES OF CONSTRUCTION AND MUST BE 47825 Stillwater _ EMPTIED AS NECESSARY FAILURE TO DO SO La Quinta, - CA MAY CAUSE THE CITY TO HAVE THE CONWNER / AINER 7 60 — 777 — 8280 DUMPED AT THE EXPENSE OF THE 0 Sheet 1/-j 14 Oct 2009 t P Rb.or p(an -Now' - - A Harold and Marilyn Jackson ` a �►hv� • 47825 Stillwater La Quinta, CA 760-777-8280 • Sheet 2/-7'14 Oct 2009 6'-6°. 18' ' 3'-1 3 8° 7�– R1'-7° _ 10 00, C IT4Y O F LA• Q U I NTA '-1 1/2' ... 13'-6 - 12'-s �. BUILDING & SAFETY DEPT. 3 - - APPROVE® -, 9'-2 1�8° 2' FOR' CONSTRUCTION 2'-10° DA r E — -- 13 --_____-- . – 12-'-6° low F�oor-_P an Proposed Harold and Marilyn Jackson 47825 Stillwater La Quinta, CA 760-777-8280 Sheet 3/- 14 Oct 2009 r - y -h - - - :`JITY OF Qu s .' BUILDING. & SAFETY DEPT: APPROVED. Title ' 24 switchFOR CpNSTRUCTION BY �- '(, vJ DATE �--- C Ede-c-t[Ca� r. Harold and 'Marilyn Ja6ks6n 47825 Stillwater r La Quinta, CA 760-777-8280 Sheet 5/_ ' 14 Oct 2009 41 ' CITY OF 1 6,1 Q�'�� BUILDING & SAFETY DEPT. FOR CONSTRUCTION _ DATE BY �---- Frbmin.g ' - • - .. 1. Existing 3$ 2. R21 •insulation. j a/ (&A w►Z s I ra 3. 2 x 6 framing 4. •24• x 24 Title 24 window_, operatable 5 16' oc framing typical 6. Kraft vapor barrier to the interior Harold and Marilyn Jackson 47825 Stillwater La Quinta, CA 760-777-8280 Sheet 6/-714 Oct 2009 ;Y i