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08-0328 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00000328 Owner: Property Address: 79926 JULEE CT MONIS RYAN D/JOELLE APN: 602-290-•037- - - 79926 JULEE COURT Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Other struct info Application valuation: 14243 ' f Contractor: ! Applicant: Architect or Engineer: Owner 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.: E FOOTAGE 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.). ( I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Dat Owner: -7 ONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that 4reis 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 DITION Lic. No.: E FOOT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/30/08 C dTY����Q�tPraT� v 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 1.00 Policy Number NO 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 3100 of the Labor Code, I s II forthwith comply with those provisions. Date:?AILURIE • Applicant: WARN G: TO SECURE KERS' 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 work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and coun y ordi ances and state laws relating to building construction, and hereby authorize representatives of this coun .to ter upon the above-mentioned property for i ;/%coon purposes. _ r Date Signature (Applicant or Agent): Application Number . . . . 08-00000328 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 14243 Expiration Date 10/27/08 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 117.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 23.72 Plan Check Fee 5:93 Issue Date . . . . Valuation . . . 0 Expiration Date 10/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 249.00 ---------------------------------------------------------------------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY 8.72 Permit . . . GRADING PERMIT Additional desc . . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0 ` Expiration Date 10/27/08 Qty Unit Charge Per Extension ------------------------------------------'---------------------------------- BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . Valuation . . . . 0. Expiration Date 10/27/08 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 ----------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 .. Permit PLUMBING Additional desc . Permit Fee . . . . 36.00 Plan Check Fee 9.00 LQPERMIT LQPERAIIT Application Number . . . . . 08-00000328 Permit . . . . . . PLUMBING Issue Date . . . . Valuation . . . . 0 Expiration Date 10/27/08 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 ---------------------------------------------------------------------------- Special Notes and Comments 249 SQ. FT. BEDROOM AND BATH ROOM ADDITION ---_------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI) - RES 1.42 Fee summary Charged •Paid Credited --------------------------------------------------------- Due Permit Fee Total 267.22 .00 .00 267.22 Plan Check Total 127.86 .00 .00 127.86 Other Fee Total 11.95 .00 .00 11.95 Grand Total. 407.03 .00 .00 407.03 Bin # Permit # Project Address:' Z A.'P. Number: Legal Description: Contractor: W N Address: City, ST, Zip: Telephone: State Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Req'd . Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. .: Flood plain plan. Grading, plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE:- Planning Approval Pub. Wks. Appr School Fees City of La Quinta, Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico U Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ►JLz�s L Lic. #: APPLICANT: DO NOT :ec'd Plan Check submitted Reviewed, ready for a Called Contact Person Plans picked up Plans resubmitted 2°d Review, ready f < Called Contact Person Plans picked up Plans resubmitted 7nd Review, read for c Called Contact P on Date of permitisg� 1 Owner's Name:. 17 Address: City, ST, Zip: Telephone:. Project Description: Vpflcbw CAnL to . �� � 'lo i9lk o� R :L G✓ �a •DbRS. wAAT t,�95 Construction Type: RWQU tIEQ,y'oupancy: Project type (circle one): Ne\v Add'n Alter Repair Demo Sq. Ft.: # Stori # Units: Estimated Value of Project: WRITE BELOW THIS LINE ;ACICIIV ,/ 61-'r/ C PERMIT FEES Item Amount rrections Plan Check Depit C Plan Check Balance Construction 2'0 Mechanical orrections/ ueq r2.1 Electrical 23 Plum bin it S \ M Grading rrections/is a 1Zq Develope mpact F e 0 Z A.I.P.P. L " 2 CtEs `l 34 Total Permit Fees _t d `113102 Irl405 Kt l-/ 41W pfko AAy y PD�C�(,��og Bin # ° City -of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:. S — �- Owner's Name: �% G A. P. Number: Address: Legal Description: ._ City, ST, Zip: 1,4 �J uS3 Contractor: D V t4I Address: Co .a Telephone: _ ISBN W. Project Description: City, ST, Zip: !ten 9 '2'15 3 2'1 Z S Telephone: 760 1 State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: a Construction Type: Occupancy: Project type (circle one): New dd'n Alter Repair Demo' Sq. Ft.: 27 Z # Stories: # Units: Telephone # of Contact Person: O' S - 2_t Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 'J, ✓ _�, Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading,plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called'Contact Person Plumbing Grant Deed Plans, picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rdReview, 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 _0K.� X- Date 4/30/08 No. 30018 Owner Ryan Monis Address 79926 Julee Ct City La Quinta Zip Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # No. of Units rEosc�o Q BERMUDA DUNES Cn RANCHO MIRAGE d INDIAN WELLS PALM DESERT ,y LA QUINTA . QO JINDIO 1p 602-290-037 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79926 Julee Ct 249 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 249 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 - Ryan Monis Check No. Name on the check Telephone Funding Exempt By Dr. Sharon P. McGehee Superintendent Fee collected /exempted Signature r NOTICE: Pursuant to Government Code Section 66020(d)(1), this 'll 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 McGilvrey Payment Recdwe'd 1�' ; / Over/Undi6r / NOTICE: Pursuant to Government Code Section 66020(d)(1), this 'll 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 n r` La-QNTA RfitNAiSSA1VCE; 'd171A:E01�1ER,S.ASSOCATI�DN �de'lmatlxj�Ci,C"thedrl C1iyt CA X2234 1 AR, EC'TA, VARIAI�ICL+` R°EQyi.ST` • OMEOWNE:R:11 It r.B& JQeli�ll o s DATE: Jan 3"' 2008 MAIL •AD 79 026'Jui. Court. La Qnintk Ca:PRONE:_ { ro' ` 4, PROP '0, }� , s�i at• a r,11� ,, { y n, Y' F:Willi;e �dQi>1i�,a,.casita�sj ti�eame arClii'teetti�l �'ns to, Tans 1 �r -+ 1 � � " ,, I t � _ 4 ti�`�a K +�AkS,� �^: a i f'l• �, "p_ West used in durang thrs*ori� ilialst. kictioti, t deg (" `+�iha ) Vi! itl also b iline zl qYN , 7 y �_ , t ' A ers or S •fined C stet'nt d a`1 f '` "C}1"OII? f1 11C Y"9denci'. otic are iieYgb� adviSedrat the above«described work,,s proposed for thte abavddescribed unit and :.,. - �• `-$1�1��`oV�l�the%o�•�s•tiegtte`y�ted•.p.. �;,, , '.t .,:. �.,..,�. ,..r«. - ....�:.. w,. ... Attached. are 1 setsi, dra ingSaof the worlc tdi b`e .done anal a cor(3pl�ate d Cripttts�i tib` the t3aaterialS to t bEsused,' Also eno�osed a rei'ti adalSXe' $.1500 s66Mty deposit (FOOLS &1N.b LAR ,'E'P` bjtcTS , r* ONS Y� and a $35,`Ot) revaeiv f ez (ah ok rta I Q A;eilaissance HPA) I/�Ve aitidexstarid tla�it bui'>c�lttg p+3ttriits for hoipe attt ix yements ma)+,be regiatred by t>xe Cita ofLa Quinta, and the cost of'thezpsrrnzts the r' 'sponsyl 9lify f fist �b�tafn ng ihe.}ieriti9.ts ani sul $equetit 111cpections. m -ill. be borne by the appiioa t, 's F: S I/We acknowIedge thata) approved charges' in the original desagriwill be at ovr expense, that aiZy darnagc to of 181ocatid�;'of existtdg s�'3fl�ler systems, under rd'uh utilities; iilding structure, e etc-rior-iandscapin; h . or any oilier datlage resulting fxbYaa iilple� er►t&tori'ol Hese permitted ittiprovettaerits will he at the applicants expense.. The work will reque 90 ' amoi,days fbxta start to. complFtYotA: lvtust Begin. within: 45 days and comple ed within 90 days Qfapptovl ' + i• F ! 7a ;:i 4- .A i k t I/G1%e wilrstand,'anyi agree th�1 i.t is the applicelit's responsibility to advise any subsequent owner of the dafacatiions and stay subsequ moext rgaittenance esptsiisibil.ty: ' ua ,;•3 kr r Signkiird(s) of all gwnedi' ' hate:�-!�t GAS PIMA �P i '.i4 'y+v„'iTda p}S t ,.� Sr +,�x� l�Ir �w r slr N: i;N .,. •, �� �7t✓ .. x , r- 5 Date: . The above request has l�' er1 Ti sae y d by the S3ba'fd-- DirOct son r� 1 14 � and has been: APPROVED (; ) • RE1 CTFD>. ( ) PENDING FURTHBR 1NFORMATI ON1 ( ) COMMEIVIS ;:a6i�i Ftln•� l��-`' d'S ti A Approvedby t i date • l7 ' t Pcesadant � Coitapleted work ins ectety:_� Date: O & 4 Board of Directors r Letter of Transmittal To: City of La Quinta Today's Date: O 78-495 Calle Tampico City Due Date a-1 La Quinta, Ca 92253 Project Address: Attn: We forwarding: Includes: # Of Copies: � I Submittal Plan Check #: ❑ i st ❑ 4th V2nd ❑ 5th El 3`d ❑ Other: By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Descriptions: Includes: # Of Descriptions: X1 Copies: ❑ Structural Plans ❑ Revised Structural Plans Structural Calcs ( Revised Structural Calcs Truss Calcs ❑ Revised Truss Calcs Soils Report ❑ Revised Soils Report Correction List , ❑ Approved Structural Plans Redlined Structural Plans ❑ Approved Structural Calcs Redlined Structural Calcs ❑ Approved Truss Calcs Redlined Truss Calcs ❑ Approved Soils Report Redlined Soils Reports ❑ Other: Thank you! This Material Sent for: ❑ Your Files X1 Per Your Request ❑ Your Review ❑ Approval ❑, Checking ❑ At the request of: Other: ❑ By: Palm Desert Office: LJ# (76) 360-5770 Washington Office: ❑ # (760) 404-9556 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 Z eERWW'1G;NATURE/D2E PROPERTY ADDRESS PERMIT NUMBER(S) i .. ZN -TD�-�.777e771 _.vtl7;1-'7� 2//6e • a r Wt a \N 11 1 CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS 7�-�tZ(v �J� �-r, LAT) PERMIT NUMBER OWNER. BUILDER This form shall be posted' on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any -changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Class�f�ca;ion Contractor :.::::;.:::;:.::.:.:::::<:::State.::Contractor.s License . :::. ,. •: :.> Workes.CGr ertsatorIrsu�ance:.;:.:.. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) EARTHWORK (C712) CONCRETE (C78) ' 3 1(pp 35 S 7D1 �� i 3-ZCF1Q-V3,4 FRAMING :IC -5)' ;.:;' a4 -74(o/9p STRUCT. STEEL (G-51) MASONRY -(C-29) POMBING3 (C-36) LATH; PLASTER (C35) DRYWALL (C-9) ..: �.�r►.lP c�SiEi -72,C K,:,9 HVAC. (C-20)`-:.:.. ": `;`:.7�Cf T A 7S $ �ODoS-6Z�CPDO ELECTRICAL. (C=10)* :. .:? Z5 7 o g 3 o 2-2g t5 ROOFING" (C.=39) :; .<>''>:' t_Lrte_ $HEET.METAL (C FLOORING IC:T51: GLAZING (C-17);.:`' INSULATION`(C-21. f���{6O,f s�l�t� X216 % 9 30 09 7X- A;lc&-nS /Z2,7)OZ5 le 3d b� SEWAGE DISP10-42) PAINTING (C-33) CERAMIC TILE (C-54) %� Z ° Ac�� t7 CABINETS (C-6) FENCING (C713) LANDSCAPING (C=27) POOL (C-53) '-0$/08/2002 21:18 917607752775 MASCO INDIO PAGE 02104 INSTALLATION CERTIFICATE age 10 of 121CF-6R Site Address Permit Number Insulation Installation Quality Certificate ✓ Description of Insulation, (CF -61;, formerly IC -I) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches , ✓ L7/ Installation meets all applicable requirements ass specified in the IFi t (ACM, Appendix RIS p gh Quality Insulation Insallation Procedures W❑ Yes No NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ Yes ❑ No Rr NA Insulation in contact with the subfloor or rim joists insulated ❑ Yes ❑ No NA Insulation properly supported to avoid gaps, voids, and compression '� Yes No ❑eNA 13 NA ud cavities caulked or foamed to provide an air tight envelope ❑Yes Yes No NA Noud � Yes cavity insulation urrifonmly fillsthe cavity side-to-side, top -to -bottom, and front -to -back ❑ NA All draft stops and hard covers caulked or foamed to provide an air tight envelope ❑Yes ❑ No ❑ NA All recessed light fixtures IC and air tight (AT) rated and. sealed with a gasket or caulk between housin ❑ Nos� and the ceilin Yes No ❑s FIoor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ ❑ Noeep Yes over 3/4" d oYes -or more than 10 /o of the batt surface area. NA ,0' ❑ ❑ No access wall stud cavities su h 'Knee walls insulated or prepared for blown insulation Yes No NA tub/shower enclosures insulated to roller o er Value annels, wall intersections, and behind ❑ ❑ Yes No NA Small spaces filled ❑ ❑ Yes No NA Rim -joists insulated ❑ ❑ Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot Yes No NA Yes U No 13 NA All draft stops in place to form a continuous ceiling and wail airbarrier Yes No NA All drops covered with hard covers � Yes ❑ No ❑ NA All draft stops and hard covers caulked or foamed to provide an air tight envelope Yes ❑ No ❑ NA All recessed light fixtures IC and air tight (AT) rated and. sealed with a gasket or caulk between housin ❑ ❑ and the ceilin Yes No NA FIoor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ ❑ Yes No NA Eave vents prepared for blown insulation - maintain net free -ventilation area ❑ yes ❑ No 0 - NA 'Knee walls insulated or prepared for blown insulation Yes ❑ No ❑ N Area under equipment platforms and cat -walks insulated or accessible for blown insulation ❑ ❑ Yes No • Na Attic rulers installed Residential Compliance Forms April 2005 x/08/2002 21:18 917607752775 t ALLATION CERTIFICATE ddress ✓ RnOF/CF.rr.rN!_ FkAirrc A MASCO INDIO PAGE 03/04 (Page 11 of 12) CF -6R Permit Number DECLARATION ✓ ITI hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCX Residential Compliance Forms April 2005 No gaps ❑A No voids over % in. deep or more than 10°x6 of the batt surface area. ❑A N❑NA Insulation in contact with the air -barrier ❑A Recessed light fixtures covered Nel free -ventilation area maintained at eave vents AILING LOOSE -FILL ,[_Yes No NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. ❑ ❑ Yes No NA Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of cave vent ❑ ❑ Cl - Yes No NA Attic access insulated ❑ ❑ Yes No NA Recessed light fixtures covered ❑ ❑ Yes No NA Insulation at proper depth - insulation rulers visible and indicating proper depth and R -value 13 ❑ Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements Yes No NA for the target R value. Target R -value . M atnyfacturer's minimum required weight for the target R -value (pounds -per -square -foot)- Manufacturer's minimum required thickness at lime of innstall ition Manufacturer's minimum required settled thickness . Note: To receive compliance credit the HERS rater shall verb that the manufacturer's minimum weight and thickness has been achieved for the target ' R -value. CF -6R on, DECLARATION ✓ ITI hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCX Residential Compliance Forms April 2005 i-, CA/08/2002 21:18 917607752775 MASCO INDIO PAGE 04/04 INSTALLATION CERTIFICATE age 12 of 12) CF -6R Site Address Permit Number County Subdivision Lot Number Description of Insulation (Formerly IC -1 Form) I. RAISED FLOOR Material Thickness (inches) Brand Name Thermal Resistance (R. -Value) 2. SLAB FLOOR/PERIMETER Material Thickness (inches) Brand Name , Perimeter Insulation Depth (inches) Thermal Resistance (R -Value) 3. EXTERIOR WALL Frame Type A. Cavity Ins lation Material( - Thickness (inches)_ t�i Brand Name Thermal-Resistance (R -Value) - B . Exterior Foam Sheathing Material Thickness (inches) Brand Name Thermal Resistance (R -Value) 4. FOUNDATION WALL Material . ' Thickness (inches) Brand Name Thermal Resistance (R -Value) 5. CEILING Batt or Blanket Type Brand (° _4— Thickness (inches) (2, IN/ -.4 Loose Fill Type Name Thermal Resistance (R -Value) Contractor's min installed wei ht/fr lb Brand g Minimum thickness inches Manufacturer's installed weight.per square foot to achieve Thermal Resistance (R -Value) 6. ROOF Material Thickness (inches) Brand Name Declaration ration Thermal Resistance (R -Value) v'1 I hereby certify that the above insulation was installed in current Energy Efficiency Standards for residential buildings the building at the above location in conformance with the (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s Signature Date (if applicable) installin SubcontractorName OR g (Co.( ) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature (if applicable) Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date (if applicable) Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms 0 April 2005 „s/AUG. 15. 2008u-12:55PM GUY EVANS N0. 8037 P. 1'�- INSTALLATION CERTIFICATE (Page 2 of 12) CF -6R. Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections_ (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). FENESTRATION/GLAZING: Manufacturer/Brand Total Name t i Quantity 0'P Arra Extortor (GROUP LIKE Product U -factor Product SliQC # of Lilco Product StiUro Shuding DCV!Ce Comments/Locution/ Item RODUCI'9 5 CFA R vatuc (5CF-I Ii valuc)� Punts (optional) Feel or Overhan Social Fcatures 1. + 2. 3. a. S. 6. 8_ 9, 10. ll, 12. 13- 14. 15. ') Uso values'from -a fenestration product's WRC label. For fenestration products without an NFRC label, use the dofault values from Section 116 ofthe Energy Efficiency Standards. 't Installed U-factormust be less than or equal to values from CF -1 R_ installed SNGC must be less than or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as speolfied on the CF -IR. Alternatively, installed weighted average U -factors for the total fenestration area are less than or equal to values from CF -1 R_ If using default table S14GCCvalues from § 116 identify whether tinted or not. -/MvI, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -factor and lower SIIGC than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy E icieney Srandards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), Where applicable - Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co, Name) OR Owner OR Window Distributor Item #s Signatur Date Installing Stibcontractur (Co. Name) OR (if applicable) General Contractor (Co_ Name) OR Owner OR Window Distributor Item #s Signature Date Instslling Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Nance) OR Owner OR Window Distributor Copies to. Building Department, HERS Rater (if applicable) Building Owner at Occupancy Rosidenrlal Complianee Farina iIpril200S , -... — -W!v v, .co rill INSTALLATION CERTIFICATE, Pae 1 of 8 CF -6R Site Aaarnss ernut NuMber An installation certificate is required to be posted at the building site or made available for all ati inforinationprovided on this form is required; however,. use of this form, to provide the informatio is op(Ile completion of final inspectiott, a copy tional.) After must be provided. to the building de parnrlent (upon request) and the building owner at occupancy, per Section 10-103(b). MVAC YSTE)0 Heating Equipment Equip. #'of TyEC ip Efficiency Duct g CEC Cettifted Mfr NamC Identical (AFUE, etc.)1. Duct or Hcstitl8 Heating Location Piping Load Capacity Cooling Equipment' Equip. CBC Certified Compressor # of Efricicncy Duct Type (pkg. Unit Mit Name and Identical (SEER, etc)Location Duct CLoa�dg Cooling Capacity 1. > reads greater than or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specifiedin the certificate of compliance (Form CF -IR) submitted for compliance with the Energy t�ciency Standards for residential buildings, and 3), equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Egiciency Regulations or Part 6), where applicable. Signature, Date installing Subcontractor (Co. Name) WAR EATING SYSTEMS OR General Contractor (Co. Name) OR Owner Distribution If Recir- # of Rated" Tank Efts- External Heater CFC Certified Mfr Type (Std, culation, Identical Input (kW . Volume ciency2 Standby Insulation Type Namc & Model Number Point -of --Use) Control Type Systems or Btuthr) Ilons) �(SP RE) Loss {"/,) R value' 2 For small gas storage (rated input of less than or equal to 75.000 Btu/hr� electric redstanee and heat pump watar heatera, list Fncrgy Factur. For large gas storage water heaters (rated input of greater than 75,000 BhAr), list Recovery Efficiency, Standby Lass and Rated' Input. For Instantaneous Ras water.heatars, list Racovery Efficiency and Rated Input. 3. R-12 external Insulation is mandatory for storage wator heaters with. an.encrgy factor of less than 0.58. Fauces & Shower Reads - All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section I 11. 1, the undersigned, verify that equipment listed above my signature is; 1) the actual equipment installed; 2) equivalent to OT more efficient than that specified in the certificate of compliance (Form CF -111) subtnitted for compliance with the EnvW Efficiency Standard+ for residential buildings;. and 3) equipment that meets or exceeds the appropriate requirements for maaufactt devices (frgm the Appliance Efciency Regulations or Part 6), where app,'sgtble. a :�• •� • : ! `� COPY TO: Building Departinent HERS Provider (if applicable) Building Owncr at Occupancy General Co r Exp.08-31- 8 � #02.191 6 tiAoch �O CAI�FOQ January 4, 2001 N CS) j. 04 W X th LLI J l� )0% C)o LD 5D) i.0% LD r- e J: ..3% Brian Court PkK W NEE EE 00 CD CD cq Ev At C NO - 16 ASI .... ... 5itd and Roof Plan ... AMAG VOMfliati0" Cal Ama of open trues stUr s Reclulfed attic ventlistioll, 0.83 &A x 144 OLUS (00 0.1. MO. 60 01 Numb"r of pwPoe" Mob - (ONO& IkRgog Number of pmpoeW low w lite Roof JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Project Name: S'N Lpcnlo Project No: Project Address: -7 -7A CC, C. 1k A\(" C, Client: Sub-Contractor: tz vm t 1 Q Co al`a— Cove �\ General Contractor: Architect: StructuraEngin er: "E ❑ Anchor Bolts ©'^Rebar Epoxy Type: v+<la ��^ /1 CX i Q . y Epoxy Shelf Life: �, �� Hole Cleaning Method(s):,` �I C I EDIBC F] Title 24 Other: Unresolved Items: Q`None ❑ See Below Description of Work Inspected: A i•v a.nI1 Q \. ,1f1 �.x [a �. � /1f' \ �` ' ` l A � ,+e ^..P P n . �y Ict I- % C 1mc tk .. _ D Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final�?epo rt issued at project completion. Inspector: Jack C. Millin 1X11ertification No: 0842216-49Contractor's ,� c Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent , ; ; r`,; Copy 3 Governing Agency Page i of r -I ,