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05-3502 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003502 Property Address: 55341 SOUTHERN HILLS APN: 775-181-021-` - - Application description: ADDITION.- RESIDENTIAL Property Zoning: LOW-DENSITY RESIDENTIAL -Application valuation: 11717 Applicant: Architect or BUILDING & SAFETY DEPARTMENT -BUILDING PERMIT _ OCT 31 1005 f U, CITY ®F LA i _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ LICENSED CONTRACTOR'S DECLARATION 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, nd my License is in full force and effect. Licen� ass�JB� License o.: 684857 Date: "✓ Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($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.). ' (_) •1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason - Date: Owner: CONSTRUCTION LENDING AGENCY . Thereby 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: LQPERMIT Owner: BARTHOLOMEW KENNETH K 200 MOOREBOROUGH LN BOWLING GREEN KY SEBRING, FL 42103 Contractor: EDWARDS CONSTRUCTION, BOB 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 VOICE (760) 777-7012 FAX (760) 777-7.011 INSPECTIONS (760) 777-7153 Date: 8/22/05 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 the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.- My workers' compensation insurance carrier and policy number are: Carrier VIRGINIA SURETY Policy Number 00500027012 _ 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 becomes b'ect to the workers' compensation provisions of Section 33700 of the Labo o e sal it comply with ose provisio S. Date:13 05 ' Applicant: i WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - SECTION 3706 OF THE LABOR CODE, INTEREST,, AND ATTORNEY'S FEES. - - - - APPLICANT ACKNOWLEDGEMENT -- IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. - 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit workis 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to build g constr r�d hereby authori representatives of this ct nt tto center upon the above-mentioned prop e f i pe pur . oses. Date: � W Signature (Applicant or Agent): �. Application Number' 05-00003502 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 135.00 Plan Check Fee 87.75 Issue Date Valuation . . . . 11717 Expiration Date 2/18/06 Qty Unit Charge Per Extension BASE FEE 45.00 10.00 9.0.000.THOU --------------=---------------- BLDG 2,001-25,000 -------------------=------------------------- 90.00 Permit . . .. ELECT.- ADD/ALT/REM Additional desc . Permit Fee 20.08 Plan Check •Fee 5.02 Issue Date . . . . Valuation 0 Expiration Date 2/18/06- /18/06Qty QtyUnit Charge Per Extension BASE FEE 15.00 145.00 .0350 ELEC NEW.RES - 1 OR 2 FAMILY 5.08- ---------------------------- �- ---------------------------- -------------------- .Permit . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . Valuation. 0 Expiration.Date 2/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 ----------------------------------------------------=----------------------- EA MECH APPL REP/ALT/ADD 9.00 Permit . . .. PLUMBING . Additional desc . Permit Fee . . . . 21.00 Plan' Check Fee .5.25 Issue Date Valuation . . . . 0 Expiration Date 2/18/06 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB ROOF DRAIN 6.00 ------------------------------------------------------------------------ Special Notes and Comments enclose atrium.August 22, 2005 6:51:34 AM jjohnson Other Fees . . . . . . . . . ENERGY REVIEW FEE 8.78 LQPERMIT Application Number . . . . . 05-00003502 ---------=------------------------------------------------------------------ Other Fees . . . . . . . STRONG MOTION (SMI) - RES 1.17 Fee summary Charged Paid Credited Due Permit Fee Total 200.08 .00 .00 200.08 Plan Check Total 104.02 .00 .00 104.02 Other Fee Total 9.95 .00 •.00 9:95 Grand Total 314.05 .00 .00 314.05 - MR Bin# City of b Quinta Building W Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ,;-,q 2,, Project Address: e�--341 4-A I U, S Owner's Name: A. P. Number: Address: Legal Description: Contractor: T3Z55� City, ST, Zip: 41f —1� Telephone: 7-77 87-C)Z- Address: Project Description: City, ST, Zip: cJl r r V Telephone: -777z z................... ......... ........ State Lic. # blf--4- e>S7. City Lic. Designer: Address: 14 t -6 7 -5 - City, ST, Zip: ............. Tele phone:Construction ........ . ... ....... . .... StateLic. #: Name of Contact Person: Type: Occupancy: Project type (circle one): New Add'n Alter RePair Demo Sq. Ft.: # Stories: i e s�:) # Units: Telephone # of Contact Person: 7-77 t5i 202 Estimated Value of Project: W> 1 , o (50 .1 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal- Req'd Reeld TRACKING PERMIT FEES 2- Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance tle 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for corre *SL-- Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd 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 777 Total Permit Fees 19S - 8/1q lqPfarouec, Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: . DATF.• RFCFIPT- CHECK N- INITIAIfi CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence is at PGA West Date: August,26, 2005 Owner's Name: Bartholomew Phone No. Project Address: 55-341 Southern Hills La Quinta, CA Project Description: Addition to residence Atrium enclosure APN: 775-181-021 Tract #: Lot #'s: Type of Development: Residential XX! Commercial Industrial Total Square Feet of Building Area: 145 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorizedXb sign on behalf of the owner/developer. Dated: August 26, 2005 Signature: ****************************,***K*************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) - Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 145 Pursuant to.AB-181 any mobilehomes being replaced or, Amount per Sq.Ft. $ 0.00 relocated within the same school district are'exempt from Amount Collected $ 0.00 developer;fees!--� Building Permit Application Completed: Yes/No Any addition to residence that is 500 sq. ft. or less is exempt from developer fees.' By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. i1V:crm�°does dei lee ;certificate of compliance li?rm ulble ro USE.doc 1/16/03 T *Engineering •Architecture-Surveying• Building & Safety Services ` Letter of 'Transmittal To: City of La Quinta Date: 08/19/05 Project: '55-341 Southern Hills Attn: Ed Randall PC#: 05-3502 (1S check) Tel No.: (760) 777-7012 Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 Plans 1 : Struct Comments: Structural contents are approvable. Thank You. " This Material Sent for: Your Files Per Your Request Your Review. x Approval' Checking, At the request of: Other By: NCa) in PCa)chunuri Phone # (760) 360-5770 EXT. 108 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young CERTIFICATE OF COMPLIANCE: RESIDENTIAL Proctle, S00 4(U_,5 ((t r/ E�sst::) tTzj] -Fo2 ,�j Z 85(G� Documentation Author �T'( � b Telephone Compliance Method (Package or Computer) Climate Zone GENERAL INFORMATION Total Conditioned Floor Area ft2 Conditioned Slab Floor Area ftZ Building Type: Single Family (check one or more) Multi -Family Front Orientation: North South East/ W 1 (input fron orientation in deg Number of Stories ` Number of Dwelling Units: _ t Floor Construction Type: Slab/Raised Floor (circle one or 1 Building Permit # Plan Check / Date, Field Check / Date Average Ceiling Height: �) ft itioOiTY OF LAQUIN A "RU'008t SAFETY DEPT. :/All RIRROVED S from 1960 e CTION OA 2 _ RADIANT BARRIER (required in climate zones 2.4.8-15) BUILDING ENVELOPE INSULATION CF -1R for this submittal_ yes no Component Type Frame Type Cavity wd = wood Insulation stl = steel R -Value Sheathing Insulation R -Value Total R- Assembly Location/Comments Value' U -Factors (attic, garage, typical, etc.) Wall 0Vf5jZ 2 Wall 0 (� Roof -7 Z- Z O D Roof Floor Floor Slab Edge FENESTRATION III AUG 0 s 2005 Shading Devices Fenestration Orien- Y on Fenestration Exterior Overhangs/ #/T e/Pos. talion (ft2) U -Factor SHGC Shadinja Att. Fins Front Front Left Left Rear Rear Right Ri Pht Skylight V O O Skylight Compliance Forms August 2001 A-2 ,1 CERTIFICATE OF DA) ect MPLIANCE: RESIDENTIAL 2 of 3 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 Cooling Equipment Minimum Type (air conditioner, Efficiency heat numm evan. cooling) (SEER) J67 `V,t CF -1R Heat Pump Configuration (solit or nackaue) Duct Heat Pump Location Duct Thermostat Configuration (attic, etc.) R -Value ITvne (split or nackage) SEALED DUCTS and TXVs (or Alternative Measures) ❑ 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) (Installer testing and certification and HERS Rater or field verification required) ❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) OR ❑ Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation Type Type in System ___ or Btu/hr) (gallons) Efficiencv Loss (e/0 R -Value 1. 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 and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001Residential Manual). Package C: thermal mass (thermal mass type, covering, thic ess, and description). C1� �i� -1 x6 �L E?L � l'bxG eitA5S �vV*/5 wt-r�-\ *4a�c Compliance �,My aw=ww 0- FAM — 2001 A-3 Ii tj. Project Title COMPLIANCE STATEMENT CF -IR a0S Date 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Documentation Author �yy Name: Name: Title/Finn: V'C�I t'�.Title/Firm: 4 • Address: �t 62� Address: Telephone: Telephone: Lie. #: e(date) ignature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page I 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. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: ' §150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls does not apply to exterior mass walls). • § 150(d): Minimum R-13 raised floor insulation in framed floors. §1500): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no eater than 2.0perm/inch. § 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 sealed. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e)! Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 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. § 1506): 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. 2. Fast 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 hot water tanks have R-12 �►`�(' �` external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55° F insulated. 6. Piping insulated between heating source and indirect hot water tank. Compliance Forms August 2001 A-5 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, Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) ' §150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181B. 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 cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible 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 tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic 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 aluminum, 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. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 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/hr)�Y § 118 (f): Cool Roof material meet specified criteria Lighting Measures: § I50(k)1.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 401umens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting 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 alternatives to this requirement allowed in § 150(k)2.; and incandescent recessed ceiling fixtures are IC (insulation cover) approved. Compliance Forms August 2001 A-6