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14-0370 (SFD)ir 78-495 CAILE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property zoning: Application Valuation: Applicant: DISCOVERYBUILDERS 80955 AVENUE 52 LA QUINTA, CA 92253 SFD-14-370 53565 HUMBOLDT BLVD 767200998 NEW SFD WITH CASITA $760,537.20 �r 4 �'w4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: • License No.: AEC252] a ate: 12611 1 % ( C 0ractor: J 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).: ( ) 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 Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: a , J Owner: MCCLURE HOM 6415 MUIRLANI LA JOLLA, CA 9J Contractor: DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA; CA 92253 (760)391-5072 Llc. No.: AEC252 VOICE (760) 777-7125 FAX (760) 777-7011 MORS (760) 777-7153 DEC -17 2014 CITY OF LA QUI—" NTA — ryry DEVELOPMENT 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: _ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' . compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:. I App i WARNING: FAILURE TO SECURE WORKERS' MPENSA ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relati to building construction, and hereby authorize representatives of this city to enter on the above- mentioned property for inspection purposes. . Date: (� ( Signature (Applicant or Agent):* FINANCIAL .• i• DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,401.34 $1,401.34 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forART IN PUBLIC PLACES - AIPP: $1,401.34 $1,401.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BLDG PC 200K -1M 10160003428200 $1,700.00 $1,700.00 4/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBLDG PC 200K -1M: $1,700.00 $1,700.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS 581473 FEE 101-0000-20306 0 $31.00 $31.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD •BY MCCLURE HOMES LLC CHECK R3240 1408 MFA • Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $31.00 $31.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE, DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0. $2,048.00 $2,048.00 12/17/14 PAID BY METHOD. RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE, 255-0000-43200 0 $116.00 $116.00 12/17/14 PAID BY METHOD RECEIPT # • CHECK # 'CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $143.00 12/17/14 PAID BY METHOD RECEIPT # CHECK # {LTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forGRADING: $143.00 $143.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 $181.30 12/17/14 • PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 $120.85 12/17/14 'PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID -PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $181.30 $181.30 12/17/14 PAID BY METHOD RECEIPT # CHECK #. CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $120.85 $120.85 12/17/14 PAID BY METHOD RECEIPT# CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $120.90 $120.90 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT fAN PC 101-0000-42600 0 $48.30 $48.30 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forMECHANICAL: $790.42 $790.42 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $895.73 $895.73 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid for NEW CONSTRUCTION PERMIT: $895.73 $895.73 DESCRIPTION = ACCOUNT CITY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $250.84 $250.84. 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $250.84 $250.84 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $24.18 $24.18 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION = ACCOUNT CITY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $9.66 $9.66 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION, ACCOUNT CITY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 12/17/14 PAID BY METHOD.- RECEIPT # CHECK # CLTD BY MCCLURE-HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $290.16 $290.16 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $290.16 $290.16 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT CITY.AMOUNT. AID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT. QTY. AMOUNT _ PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $145.08 $145.08 12/17/14 PAID BY METHOD - RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNTQTY AMOUNT _: PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $145.08 $145.08 12/17/14 PAID. BY METHOD - RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION < ACCOUNTQTY. AMOUNT PAID PAID DATE, WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 12/17/14 PAID BY METHOD.' RECEIPT # CHECK # CLTD BY. MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA ' DESCRIPTION ACCOUNT . QTY AMOUNT PAID.. PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $24.18 $24.18 12/17/14 ;PAID BY METHOD: RECEIPT # {HECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA DESCRIPTION ACCOUNT QTY AMOUNT : PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $24.18 $24.18 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forPLUMBING FEES: $1,075.97 $1,075.97 DESCRIPTION _ '> ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $98.87 $98.87 12/17/14 PAID BY METHOD .: RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMt $98.87 $98.87 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 12/17/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY MCCLURE HOMES LLC CHECK R3240 1408 MFA Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: Description: NEW SFD WITH CASITA Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: OK TO ISSUE Applied: 4/4/2014 FAMILY DETACHED Approved: 6/20/2014 Parcel No: 767200998 Site Address: 53565 HUMBOLDT BLVD LA QUINTA CA 92253 Subdivision: Block:. Lot: Issued: Lot Scl Ft: Building Scl Ft: Zoning: Finaled: Valuation: $760,537.20 Occupancy Type: Construction Type: Expired: No. Buildings: No. Stories: No. Unites: Details: PER 2013 CALIFORNIA BUILDING CODE. THIS PERMIT DOES NOT INCLUDE ANY POOLS, SPAS, OR FIREPITS. ADDITIONAL SITES _j Applied to Approved Printed: Wednesday, December 17, 2014 3:59:55 PM 1 of 5 �sysre�s CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE PHILIP JUAREZ 12/16/2014 SCHOOL FEE LETTER GIVEN TO ZACHARY HANAY CONDITIONS "NAMETYPE NAME ADDRESSICITY STATE ZIP PHONE FAX EMAIL APPLICANT DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com CONTRACTOR DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com OWNER MCCLURE HOMES LLC 6415 MUIRLANDS DR I LA JOLLA I CA 1 92037 FINANCIAL INFORMATION Printed: Wednesday, December 17, 2014 3:59:55 PM 1 of 5 �sysre�s DESCRIPTION' _ ACCOUNT QTY AMOUNT PAID PAID DATE, RECEIPT# CHECK#' METHOD PAID BY CLTD BY ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,401.34 $1,401.34 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid forART IN PUBLIC PLACES - AIPP: $1,401.34 $1,401.34 BLDG PC 200K -1M 10160003428200 $1,700.00 $1,700.00 4/4/14 Total Paid for BLDG PC 200K -1M: $1,700.00 $1,700 00 BSAS SB1473 FEE 101-0000-20306 0 $31.00 $31.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $31.00 $31.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 , $942.00 $942.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF - LIBRARIES 253-0000-03200 0 $344.00 $344.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF -STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA DIF -TRANSPORTATION 1 250-0000-43200 0 $2,842.00 $2,842.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid for DIF- SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 RESIDENTIAL FINISH GRADING PC 101-0000-426000 $143.00 $143.00 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid forGRADING: $143.00 $143.00 CONDENSER/COMPRES SOR 101-0000-42402 0 $181.30 $181.30 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA CONDENSER/COMPRES SOR PC 101-0000-42600 0 $120.85 $120.85 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Printed: Wednesday, December 17, 2014 3:59:55 PM 2 of 5 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK ff METHOD PAID BY CLTD. BY EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA FURNACE 101-0000-42402 0 $181.30 $181.30 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA FURNACE PC 101-0000-42600 0 $120.85 $120.85 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA VENT FAN 101-0000-42402 0 $120.90 $120.90 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA VENT FAN PC 101-0000-42600 0 $48.30 $48.30 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid forMECHANICAL: $790.42 $790.42 NEW CONSTRUCTION PERMIT 101-0000-424000 $895.73 $895.73 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid for NEW CONSTRUCTION PERMIT: $895.73 $895.73 NEW CONSTRUCTION PLAN CHECK 101-0000-426000 $250.84 $250.84 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA . Total Paid for NEW CONSTRUCTION PLAN CHECK: $250.84 $250.84 BACKFLOW DEVICE 101-0000-42401 0 $24.18 $24.18 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA BACKFLOW DEVICE PC 101-0000-42600 0 $9.66 $9.66 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA FIXTURE/TRAP 101-0000-42401 0 $290.16 $290.16 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA FIXTURE/TRAP PC 101-0000-42600 0 $290.16 $290.16 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA ROOF DRAIN 101-0000-42401 0 $145.08 $145.08 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA ROOF DRAIN PC 101-0000-42600 0 $145.08 $145.08 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Printed: Wednesday, December 17, 2014 3:59:55 PM 3 of 5 �5'i ST°MS pv DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK A METHOD PAID BY CLTD ' PLANS APPROVED MUST BE ISSUED BY BY WATER HEATER/VENT 12/20/2014 WITH -OUT TITLE -24 UPDATE. AFTER 12/20 APPLICANT MUST UPDATE TITLE -24. PER PC 101-0000-42600 0 $14.50 $14.50 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $24.18 $24.18 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA WATER SYSTEM PLAN CHECK EXPIRED FOR PERMIT 12-1474 AND INST/ALT/REP PC 101-0000-42600 0 $24.18 $24.18 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid for PLUMBING FEES: $1,075.97 $1,075.97 SMI - RESIDENTIAL101-0000-20308 1 0 $98.87 $98.87 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid forSTkONG MOTION INSTRUMENTATION SMI: $98.87 $98.87 SINGLE FAMILY W/CONDITIONS DETACHED 224-0000-20320 TOT$1,837.44 $1,837.44 12/17/14 R3240 1408 CHECK MCCLURE HOMES LLC MFA Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: $15,118.61 $15,118.61 IdIIIIIIIIIII INSPECTIONS Printed: Wednesday, December 17, 2014 3:59:55 PM 4 of 5 ASMAP EARNSYSTEMS PARENT PROJECTS REVIEW TYPE. REVIEWER SENT DATE DUE DATE RETURNED REVIEWS STATUS REMARKS NOTES ' DATE PLANS APPROVED MUST BE ISSUED BY 12/20/2014 WITH -OUT TITLE -24 UPDATE. AFTER 12/20 APPLICANT MUST UPDATE TITLE -24. PER NON-STRUCTURAL 11M JOHNSON 12/15/2014 12/15/2014 12/15/2014 APPROVED APPROVED T.H. W/CONDITIONS FEES WERE UPDATED ON CRW.12/15/2014 PLAN CHECK EXPIRED FOR PERMIT 12-1474 AND 13-1270 FOR THIS ADDRESS. SEE FOLDERS. STRUCTURAL JIM JOHNSON 12/15/2014 12/29/2014 12/15/2014 APPROVED APPROVED PLANS APPROVED WITH CONDITIONS W/CONDITIONS Printed: Wednesday, December 17, 2014 3:59:55 PM 4 of 5 ASMAP EARNSYSTEMS Printed: Wednesday, December 17, 2014 3:59:55 PM } 5of5 CR5}'STTMS P.O. BOX 1504 APPLICATION ONLY Building C%� 5 �t7 v1'�('f oL� 'I�j' VU�OUINTAC AddreCALIFORNIA 92253 Owner f2 -1L M G G It, V r2_6 BUILDING: TYPE CONST. VAN OCC. GRP. 0r7Ffl Mailing / -7 / o Address �4 i S V (I? l.J'�bS�w A.P. Number 6"7 " �� — 1 Legal Description LOT 0-7 (� 1;o-7&-2_ Project Description M 6 f " 7 01 _� tZ ( v G,-5 71 t7a GP'"f S1 &,++ H h6 - SF S t5ffp>(7-z S IN 6 I,,e -ft"M I L %-r �i I bev as W r T" ..Ly LP .4dw� �lN I�� X7-7 32 f7. 1031- Contractor G PL lFo�-� 1A' 6N G br3Gl� Address t'\Is-. 1V e C5 -L City p V I Iijr Zi Q �2 253 State Lic. � _ Q ( S 2� & Classif. / 7 Tel. I -; & 7 GA -M 00L 9 (L IV0poj . 4C4 -21. C,286 City [Sq. Ft.9 164' H� 00.Lic. # `� G ze f i69' 0 Stories Designer �- pY� . - r�H V w - 1 1.: 1%VV V V vVv City Zip State L-tz Matz `I,Zo l4 Lic. # t S (oo Z LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the Provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 1. 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) OI am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified coP1,1r �y. (A $8bO�,Cbgr r` 11_ bi(Policy No. Company 1 `�t"�J C �!� copy is filed with the city. ❑Certi eed copy is herebA furnished. b CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner N NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant ^ N Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT No. Dw. I New; t Add ❑ Alter ❑ Repair ❑ Demolition ❑ C Estimated Valuation /L Z CJ p PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure - &-J1 TOTAL CONTACT INFORMATION 1 NAME: PHONE: t�F ErA t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Cda�cn fila 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 : LEVEL TWO AMOUNT: MITIGATION AMOfff; MOUNT: DATE: RECEIPT: CHECK #: IALS CERTIFICATEOF COMPLIANCE (California Education Code 17620) Project Name: jMARK MCCLUR . �G�P-� �O �i, Date: December 17, 2014 Owner's Name: Phone No.(?59)--Z75-103: Project Address: 53-565 HUMBOLDT BLVD., LA QUINTA Project Description: SINGLE FAMILY DWELLING UNIT APN: 767-700-019 Tract #: Lot #'s: Type of Development: Residential . XX! Commercial Total Square Feet of Building Area: 8,644 Sq. Ft. Industrial 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 authorized s' on ehalf the o ner/ elop Dated: Signature: 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 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected 8,644 Sq. Ft. $3.36 $29,043.84 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Si 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. MV:c/mydoes/devfecs/certificate ufcompliance form Updated 3-2007 11/2010 June 27, 2014 McClure Homes, LLC 6415 Mirulands Drive La Jolla, CA 92037 RE: Lot 67B at 53565 Humboldt Final Construction Document Review — Additional Email Exhibit from Neighbor re: Pool Dear Mr. McClure: The Madison Club Design Review Committee (DRC) received a set of revised final working drawings for review at their June 12, 2014 meeting and a subsequent neighbor approval letter (pool location) for review at their June 26, 2014 meeting. The project is now approved to start construction with the remaining items being required for review and approval prior to the request for setback observation at the lot (comments 2 through 6 were copied from the June 181h letter). 1. The pool and patio area continues extends into the natural area; however, the committee is in receipt of an email from the neighboring lot owner indicating they find the design acceptable. Therefore the committee will recommend approval of the pool location as submitted (see copy of email below). 2. A stock detail was provided with regard to the walk and driveway drainage design. Please address this comment with your next submittal. 3. All wall heights were not called out on the grading plan per the previous request. 4. There are still drain lines shown on the grading plan in areas where large trees are indicated on the planting plan. This layout will not work in the field and must be adjusted. 5. Transitional planting, per the VITA Master Plan, should be included at the side yard property lines in the front and rear yards. 6. The requirement for (10) - 48" box canopy trees located throughout the property has not yet been addressed with the plan set received. In addition, the 48" box trees designed as a hedge in the side yard do not count towards the ten, total needed throughout the property. Please contact Brook Marshall at (760) 219-8057 or by email at DRCFacilitator@gmail.com or Jim Brown at the Association Office with any questions regarding this review. Sincerely, Madison Club Design Review Committee cc: DRC File To: Attn: 77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 772-5107 fax (760) 345-7620 Letter of Transmittal City of La Quinta Today's Date: 6-18-14 78-495 Calle Tampico City Due Date: 6-11-14 La Quinta, CA 92253 Project Address: 53-565 Humboldt Angelica Plan Check #: 14-370 Submittal: ❑ 1St ❑ 4th ® 2nd ❑ 5th ❑ 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ® Structural Calculations ® 1 Revised Struct. Calcs ❑ 1 Truss Calculations Floor ® Revised Truss and Roof ❑ 1 Soils Report ❑ Revised Soils Report ® 3 Structural Comment List/ Responses ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. If you have any questions, please call. Time = 3 HR This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 t` JUN 19 2014 Other. ❑ CITY OF LA QUINTA COMMUNITY DEVELOPMENT CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: `'t / o / Developer: SC OQ -LIC V -6u `C! e% S C o,� }0 r ►1► G� Tract No.:33O�}L-2- Tract Name: M(1`050 -'N C ( il\-) Lot No.(s): Address(s): S3- S(oS- i-iuw. bok�� 14 d Phone Number: )(t3-5 L8 f6 _ r i3•.v The following are the requirements for Public Works Clearance to authorize issuancfa t li di e�ni the Building & Safety Department: r •:• CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4,65 & #7 BELOW �. TRACT HOMES: PROVIDE ITEMS #1 #2 #3 & #5 BELOW $ MAY 01 2014 COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 #5 & #7 BELO _WALLS. SIGNS, OTHER: PROVIDE ITEM #6 BELOW %.i `Y 0FLA J'JINTA COMMUNITY DEVELOPMENT 1. Attach Pad Elevation' Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/_ 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search aspx I have reviewed and confirmed the requirements listed. above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: 5/7/8 Public Works Distribution: ( V) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: or, RECEIVE® TAChecklists - Forms 8 Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9.25,09.doc CITY OF LA QUINTA COMMUNITY DEVELOPMENT City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Proiect) Project Information Project Contractor: Project Name: M �C I U'r tZe.S��C►�� e. Project Phase (check one) Construction '- Project Tract/Lot Numbers: _M �- � ; Jon tr � V `U 1 L•o� ElDemolition , Project Street Address: KY1 100' -� "� t VA 1 C-1- Q �o `�� C A Total Acres in Active Construction (<1 acre per Lot): O, 7 S-72, Anticipated Start Date: _6_/A_/ jq Anticipated Completion Date: __q_/_j_/j_g Please not Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust PM10 Contact Information control during business and non -business hours. �`C,`L NA 1 Q,/- 0. R_ . A)`SCE�c.�� Name: Title: Company Name: Mailing Address: So Ci <;7 -2 - ZCit City, State, ,State, ZIP Code: L c, c(Z-Z�—'3 Prima Phone #: _760. � 3• � Z (� Fax #: -�(pCi J� 24 Hour Emergency Phone#: / 1`0\. (40k `5( (4G( O Cell Phone #: Email Address: 1�rh;�� ♦ Q ;SC.OvQ,r. v,�eV S 1C ,LOQ'►-� PM10Certificate #: C V I 2C 06� Z — SGS�I 4 f wQ-�t The above stated property owner (or authorized representative): Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; Shall authorize representatives of City/County to enter -the property for inspection and/or abatement purposes; •:• , Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plane City/County initiated abatement activities. ignatu�e of Property er or Authorized Representative T:1Checklists . Forms 8 ApplicationslForms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9.25-09.doc -Y-16-15(- Date City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD'Regulations Rule 403, 403.1, 401, 402, 201, 203 and_ Portable Equipment Registration Program (PERP). WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. .Water shall be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity - ■ Visible dust emissions that travel >100 feet from the source (within site) • Visible dust emissions that cross any property line EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). r :• CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten. (10) days of ceasing activity. WEATHER MONITORING: Wind predictions shall be monitored. SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. FENCING: Provide PM10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. EXCAVATION MEASURES: All areas to be. excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. : RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of project. T:\Checklists - Forms & Applications\Forms & ApplicationslGREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc April 24, 2014 Amy, Attached is the resubmittal documentation for 53-565 Humboldt Blvd, La Quinta, CA. The plans have been modified to correct for the redlined submission. Two letters have been included to address the PUE issue and the grading outside of the building envelope. The first letter regarding the PUE issue is written by the Owner, Mark McClure. The second letter is from Madison Club — Discovery Land Company, Scott Birdwell, approving the minor grading outside of the building envelope in the Northwest corner of the property. If you have any further questions please feel free to contact us at: (760) 393-5271 Thank you for your help, Zach Hanan Discovery Builders California Mark McClure McClure Homes LLC 6415 Muirlands Drive La Jolla CA 92037 April 24, 2014 Amy Yu Assistant Engineer II City of La Quinta Public Works/Engineering 78-495 Calle Tampico La Quinta, CA 92247-1504 Dear Amy Yu: This letter is in regards to Madison Club lot 67B, 53-565 Humboldt Blvd, La Quinta, CA. As noted in the precise grading plans, provided by Essi Engineering Inc., along with the PM10 application, I plan to build 3 foot walls inside of the PUE. I am confirming with this letter that I will be responsible for any ' and all costs related to destruction of these walls in order for the utility companies to access the utilities. Sincerely, ' Mark McClure - THE --- MADI'SON CLUB April 29, 2014 Amy Yu Assistant Engineer II City of La Quinta Public Works/ Engineering 78-495 Calle Tampico La Quinta, CA 92247-1504 Dear Amy, This letter is to inform you that The Madison Club has reviewed the precise grading plan for Lot 67B, 53-565 Humboldt Blvd, La Quinta, CA 92253, and does not take any adverse position to the minor grading outside of the building envelope on the Northwest property corner. The Club will work with the Owner to coordinate work located within the golf course property. Sincerely, EAST OF MADISON; LLC Scott Birdwell Business Manager CC: Brent Buckman Eric Puls Doug Siebold APR 0:4 2014 ` CITY OF LA QUINTA __......._. COMMUNITY. DEVELOPMENT r ,� r=:rr--.'._ill".:'-':(i•^.,�1:�.TiIL�::/�^�^.2�,�1!�Yv�� WHEN RECORDED MAIL TO: McClure Homes LLC 6415 Muirlands Drive La Jolla CA 92037 MAIL TAX STATEMENT TO: SAME AS ABOVE DOC # 2013-0660867 12/02/2013 01:58 PM Fees: $27.00 Page 1 of 5 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward ti Assessor, County Clerk & Recorder —This document was electronically submitted to the County of Riverside for recording" Receipted by: LCWEATHERS k},GyJ: 7107-1200-0/% (This space for Recorder's use only) -ref.• v2o-xr i,3� 5. ao DOCUMENT TRANSFER TAX $-1, 26Sr" XX Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less liens or encumbrances remaining at the time of sale. / Signature o Declarant or A.SeA determining tax — Firm Name GRANT -DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, EAST OF MADISON, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S) to McClure Homes, LLC , A CALIFORNIA LIMITED LIABILITY(,�GQMPt�N); ran ee ) , the real property located in the City of La'Quinta, County of Riverside, State of California, described as: See Legal Description attached hereto and incorporated herein as Exhibit "A". SUBJECT TO all matters of record including, without limitation, the covenants and agreements described in Exhibit "A" attached hereto. ' Dated: 11/08/13 EAST OF MADISON, LLC, a Delaware limited liability company By: 120 Acre Partners, LLC, a Delaware limited liability company Its: Managing Member ' . . By: Discovery La Quinta Investors, LLC, A Delaware limited liability comp y Its authorized Repres five By: ' seph L. Arenson Its: Authorized Representative RIVERSIDE,CA Page 1 of 5 Printed on 3/18/2014 11:45:58 AM Document: DD 2013.560867 0 RIVERSIDE,CA Document: DD 2013.560867 AQCNOW I Page 2 of 5 Printed on" 3/18/2014 11:45:58 AM DOC #2013-0560867 Page 2 of 5 12/02/2013 01:58 PM CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of Arizona County of Maricopa On 11/08/2013 before me, --// Maria E. Vaz as .'!�'u"1 DATE personally appeared Joseph L. Arenson . NAM. TM OF MKER• ED..'IANE DOE. WTART PUBLIC NAW(3) OF SIGNER(S) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.• . I certify under PENALTY OF PERJURY under the laws of the State of-4ealifornier that the foregoing paragraph is true J and correct. 4ej04)A WITNESS my hand and official seal. Signature .[1:0MARIA E VARGAS Nowy Public • AAz= maftm County My Can". EWNS Aug 10. 2014 0 RIVERSIDE,CA Document: DD 2013.560867 AQCNOW I Page 2 of 5 Printed on" 3/18/2014 11:45:58 AM DOC #2013-0560867 Page 3 of 5 12/02/2013 01:58 PM ILLEGIBLE NOTARY SEAL DECLARATION . GOVERNMENT CODE 27361.7 1 certify under penalty of pedury.that the notary seal on the document to which this statement is attached reads as follows:. \ I Name of Notary Q v,► G C V cA G Q -S Notary Identification Number County Where Bond Is Filed s a: - e0 'Ff i Z�q Date Commission Exp 6l 10, 2,0 SPL, Inc. as agent DATE: 171, 13 Signatur GOVERNMENT CODE 27361.7 1 CERTIFY UNDER PENALTY OF PERJURY THAT THIS MATERIAL IS A TRUE COPY OF THE ORIGINAL MATERIAL CONTAINED IN THE DOCUMENT: ATTACHED FOR CLARITY: y Sc�3�iViSfaN T"/N)EA/r SPL, Inc. as agent l� DATE: I �/ I RIVERSIDE,CA Page 3 of 5 Printed on 3/18/2014 11:45:58 AM Document: DD 2013.560867 DOC #2013-0560867 Page 4 of 5 12/02/2013 01:58 PM EIS' KBIT "A" i Leas] Description ,. Parcel No. 1: Lot 67 (the "Lot") of Tract No. 33076-2 as shown on Subdivision Map (the "Map") recorded on November 29, 2005, in Book 393, Pages 61 to 80, inclusive, of Maps, in the Office of the Riverside County Recorder and as amended in that certain Certificate of Correction recorded May 4, 2010, as Instrument No. 2010-0204536 of Official Records. EXCEPTING AND RESERVING THEREFROM TO GRANTOR, and its successors, assigns, invitees, licensees and employees, together with the right to grant and transfer all or a portion of the same, all easements and rights of access, ingress, egress, encroachment, maintenance, drainage, support, and for other purposes over the Association Maintenance Areas and other portions of the Lot, but only to the extent of such rights are reserved to the Grantor in the following instruments: 1. The Declaration of Covenants, Conditions and Restrictions and Reservation of Easements for The Madison Club Owners Association (the "Declaration', recorded on September 13, 2005, as Instrument No. 2005-754387, of Official Records of Riverside County, California (the "Official records'); Parcel No. 2: Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Declaration: SUBJECT TO: 1. Non delinquent general, special and supplemental real property taxes and assessments. 2. All other covenants, conditions, restrictions, reservations, easements, rights and rights-of- way of record including, without limitation, the Declaration of Map for Tract No. 33076-2. Grantee, by acceptance and recordation of this Grant Deed, hereby (a) accepts and approves all of the foregoing in this Grant Deed, (b) grants to Grantor and The Madison Club Owners Association such powers and rights as are set forth in the Declaration, and (c) accepts, covenants and agrees to be bound by and assume performance of all the application provisions and requirements set forth in the Declaration, including Section 13.15 establishing the procedure for resolving disputes with Grantor, and the notice, which provisions and requirements are acknowledged to be reasonable and incorporated herein by this reference thereto. This grant is conditioned upon the performance of such provisions and requirements as are to be performed by Grantee under the Declaration. The restrictions on use and occupancy of the Lot are set forth in the Declaration to which this Grant Deed is specifically and expressly made subject. ----..._...�.. ..-• .. .......... _,-...�.,.-mm.._ ...,-..-- ..,•arae-sR7�-.-•�-T RIVERSIDE,CA Page 4 of 5 Printed on 3/18/2014 11:45:59 AM Document: DD 2013.560867 r �l DOC #2013-0560867 Page 5 of 5 12/02/2013 01:58 PM GRANTEE HEREBY ACCEPTS AND APPROVES THE FOREGOING, granting unto Grantor and The Madison Club Owners Associa 'on such powers and rights which are set forth in the Declaration defined above, on % Al 2013. McClure oma , LLC By: Mark McClure, Managing Member CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of r 1 Calffornia County of. f 1 San Diego On I. Yovember 26, 2013 before me, f I Tammy Mae Booth, Notary Public DATE Mark McClure NAMann OPO"IM-eo..•JANEDOr k r ARYPUeu personally appeared I I NAA9M OF9@72RM who proved to me on the basis of satisfactory evidence to be the TAMMYMAE 800TH person(6whose name(4 is`afe subscribed to the within instrument.and Commission #t 1956752 acknowledged to me that he/aheAhWexecuted the same iii eekhei a -s Notary Public - Calffornis = authorized capacity(4 and that by 41P&ft nitf signatures,9jbn the Z Sm Diego County instrument the personK, or the entity upon behalf of which the M Comm. Ex fres Nov 12, 2015 t person(syacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Sign '[-- ._...—..._:.:.:�.ra',r.^...^�r..,.._.__.•....-.......s.<•'.: RIVERSIDE,CA Page 5 of 5 Printed on 3/18/2014 11:45:59 AM Document: DD 2013.560867 - FIRST AMERICAN TITLE, RIVERSIDE, CA 1 RV, AD08 03/18/2014 11:38AM V8F8 PAGE 1 OF 2 RIVERSIDE 2013-14 TAX ROLL ORDER SEARCH RESULTS ORDER: 0000000 TOF: 0 COMMENT: PAYMENTS AS OF 03/14/2014 SEARCH PARAMETERS ENTERED APN: 767-700-019-5 ✓ APN: 767-700-019-5 BILL: 000600143 TRA: 020-205 - CITY OF LA QUINTA ACQ DATE: 11/2005 CVWD AVLBLTY CHG IMP 55 DOC#: 983550 LEGAL: .75ACRES IN LOT 67 MB 393/061 TR 33076-2 LA QUINTA LDSCP & LTG 68-4882 MISC ASMNT MAIL: P O BOX 1482 LA QUINTA CA 92243 - CVWD STANDBY CHARGES 68-4556 MISC ASMT 0.74 ASSESSED OWNERS) 2013-14 ASSESSED VALUES EAST OF MADISON LAND 242,155 TAX CODE: USE CODE: TAXABLE YR VESTING: NO 242,155 2013-14 TAXES 1ST INST 2ND INST TOTAL TAX STATUS **PAID** OPEN PAYMENT DATE 12/10/2013 DELINQUENT DATE 12/10/2013 04/10/2014 INSTALLMENT 1,562.88 1,562.88 3,125.76 PENALTY 156.29 193.79 350.08 BALANCE DUE 0.00 1,562.88 1,562.88 WARNINGS AND/OR COMMENTS '* NO BONDS OR PRIOR YEAR DELQ TAXES ** ASSESSMENT DETAIL FUND TYPE AMOUNT DESCRIPTION OF ASSESSMENT(S) 68-5859 MISC ASMNT 30.00 CVWD AVLBLTY CHG IMP 55 68-2373 LNDSCP/LTG 11.74 LA QUINTA LDSCP & LTG 68-4882 MISC ASMNT 10.00 CVWD STANDBY CHARGES 68-4556 MISC ASMT 0.74 COACHELLA VALLEY MOSQUITO & RIFA 52.48 TOTAL OF SPECIAL ASSESSMENTS ADDITIONAL PROPERTY INFORMATION TAX CODE: USE CODE: YR VESTING: NO PUI CODE: ACREAGE:, STAMP AMOUNT: TAX RATE: CURRENT OPEN ORDERS TOF COMPANY ORDER DATE' 5U FA 4481507 09/04/2013 CONDITIONS, DISCLAIMERS AND EXCLUSIONS This Tax Certificatefrax Order Report does not constitute a report on or certification of: (1) mineral (productive and/or non-productive) taxes or leases; (2) personal property taxes; or (3) other non ad valorem taxes (such as paving liens, stand-by charges or maintenance assessments). - FIRST AMERICAN TITLE, RIVERSIDE, CA 1 RV, AD08 03/18/2014 11:38AM V8F8 PAGE 2 OF 2 RIVERSIDE 2013-14 TAX ROLL ORDER SEARCHAESULTS ORDER: 0000000 TOF: 0 COMMENT: Data Trace Information Services LLC ("Data Trace") may have warranted the accuracy of this Tax Certificate/Tax Order Report to its customer (the "Data Trace Customer") pursuant to the terms and conditions of a written tax service agreement between Data Trace and said Data Trace Customer (the "Tax Service Agreement"). Any such warranty (hereinafter, "Data Trace Customer Warranty") does not: (a) extend to a third party bearer of this Tax CertificatelTax Order Report; (b) cover any changes made to the records of the taxing authority after the "payments as of," "paid," or "payment" dates delineated above; and (c) cover any invalid tax information shown on the records of the taxing authority or resulting from an error by the Data Trace Customer (including; without limitation, submission of incorrect property information by said Data Trace Customer). DATA TRACE MAKES NO WARRANTIES (EXPRESS OR IMPLIED) WITH RESPECT TO THIS TAX CERTIFICATE/TAX ORDER REPORT OTHER THAN (WHERE APPLICABLE) THE DATA TRACE CUSTOMER WARRANTY. Any and all claims under a Data Trace Customer Warranty must be submitted to Data Trace by the corresponding Data Trace Customer and are subject to the terms and conditions set forth in the pertinent Tax Service Agreement (including, without limitation, the filing deadlines applicable to such claims). In some jurisdictions Data Trace's validation. of a Tax Certificate/Tax Order Report is required to activate a Data Trace Customer Warranty. END OF SEARCH Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS-com by Gregory Friesen (Hayer Architecture) 5/22/2014 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Residence Building Type 9) Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/2212014 Project Address Madison Club Lot 67B La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 8,644 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft) Features see Part 2 of 5 Status Roof Wood Framed Attic R-38 8,644 Radiant Barrier New Wall Wood Framed R-21 7,197 New Slab Unheated Slab -on -Grade None 8,644 Perim = 670' New Door Opaque Door None 24 New FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Right (N) 674.2 0.380 0.28 none none Bug Screen New Left (S) ., 716.7 0.380.- - 0.28., none -,none . .Bug Screen New Rear (fMy 916.2 ] ,` 0.380 {' 0.28 none4 none 'f j Bug Screen New Front (E)�6j55.0 t 0.380 0.(28 none C :none Bug Screen New } l'17 -.!T I 7 HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New 1 Central Fumace 80% AFUE Split Air Conditioner 16.5 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC master Ducted Ducted Attic, Ceiling Ins, unvented 8.0 New HVAC great Ducted Ducted Attic, Ceiling I_ ns, unvented 8.0 New HVAC game Ducted Ducted Attic, Ceiling Ins? Unvented :""x---,.,8.0 _ New WATER HEATING Billl�� ' LA (�UI-�.�-� Qty. Type Gallons Min. Eff Distribution �' S,�f-;,� ��,�_ Status 2 Large Gas 75 0.81 All Pipes, lns�t,?��, New t"T . Eneip yPro 5.1 by Energ Soft User Number: 6712 RunCode: 2014-05-22T11:39:49 _.. ID:��, jtl Pagel of 9 Re 214-N0037226A-000000000-0000 Re 9 Registration Date/Time: 2014/05/22 15:58:52 1 dQUINMCERTS, Inc COM DEVELOPMENT Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Hayer Architecture) 5/22/2014 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/22/2014 Project Address Madison Club Lot 67B La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 8,644 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features see Part 2 of 5 Status FENESTRATION �� U- Exterior Orientation Area(ft) , Factor SHGC Overhang Sidefins Shades Status i .. wed-. �.'^.1 `►n. t---'— f � A. 7 I V iI A l �f ( 1 r 1 /f - .�` /'""r��: LD a f r HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC dining Ducted Ducted Attic, Ceiling Ins, unvented 8.0 New HVAC guest Ducted Ducted Attic, Ceiling Ins.,,u�nvented 8.0 New WATER HEATING OF LA O"N Qty. Type Gallons Min. Eff DistlributidW 8. Qncr- �, %a Status r poi; DATE EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-05-22T1`1`r39s49,__ID:— "' ---,I Page 2 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provi e`r�Cla•I-QERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Haver Architecture) 5/22/2014 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Building Type ® Single Family ❑ Addition Alone Date Residence ❑ Multi Family ❑ Existing+ Addition/Alteration 5/22/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of justification the special and documentation submitted. The DHW System Braford White M1100T6BN is a non-NAECA large storage gas water heater. Verify DHW details. The HVAC System HVAC master must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt drew requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 864.0 ft2 Covered Slab Floor, 3.500" thick at Master HIGH MASS Design - Verify Thermal Mass: 832.0 ft2 Exposed Slab Floor, 3.500" thick at Master HIGH MASS Design - Verify Thermal Mass: 400.0 ft2 Covered Slab Floor, 3.500" thick at Bed 2 HIGH MASS Design - Verify Thermal Mass: 86.0 ft2 Exposed Slab Floor, 3.500" thick at Bed 2 The HVAC System HVAC great must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 183.0 ft2 Covered Slab Floor, 3.500" thick at Great Room HIGH MASS Design - Verify Thermal Mass: 1,524.0 ft' Exposed Slab Floor, 3.500" thick at Great Room The HVAC System HVAC game must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 398.0 ft2 Covered Slab Floor, 3.500" thick at Game Room Kitchen HIGH MASS Design?'Verify Thermal Mass: 1,410.0 ftZ Exposed Slab"Floor 3:500" thick at Game'Room Kitchen✓"' ;`7 , 11 i. The HVAC System HVAC dining must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have 'the -fan a separate thermostat�'ln additionair flow requirements and watt draw re uirementsfin Residential'A endix RA3.3 must be met. HER REQUIRED3 VERIFICATION _ f , 1e:01 `-' `�z Items imtt is section require field testing and/or verification by a certified HERS Rater: -1 he°inspector•must receive a completed CF -4R form for each of the measures listed below for final to be given. The HVAC System HVAC master incorporates HERS Verified Refrigerant Charge ora Charge Indicator Display. The HVAC System HVAC master incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The HVAC System HVAC great incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC great incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The HVAC System HVAC game incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC game incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The HVAC System HVAC dining incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC dining incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The HVAC System HVAC guest incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC guest incorporates HERS verified Duct Leakage. HErS-field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. .t r 13U1LPlftir61t1«, ; Z- . 1.r�L Q&Pr rah• colvgTPty �1P 1 . EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 20;14-05,22711:39:49 ID: -IV Page 3 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/OS/22�i5.5:8:521ERS_Pro_1i= CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Rayer Architecture) 5/22/2014 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1512212014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 420.0 ft2 Covered Slab Floor, 3.500" thick at Dining Bedroom HIGH MASS Design - Verify Thermal Mass: 1,220.0 ftz Exposed Slab Floor, 3.500" thick at Dining Bedroom The HVAC System HVAC guest must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 1,101.0 ft2 Covered Slab Floor, 3.500" thick at Guest Room HIGH MASS Design - Verify Thermal Mass: 206.0 ft2 Exposed Slab Floor, 3.500" thick at Guest Room The Roof R-38 Roof(R.38.2x 12.16) includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. i 77 HERS REQUIRED VERIFICAT�ION'"'} ��Jd``pppp"'� N ' '"r` 9 Y i ,. X I �„�,re ,ter" k Items in this section, require field-testing and/or verification by,a certified'HERS Rater. The inspector -must receive a completed CF -4R form for each of the measures listed below for final to be given. r CITY OF IA_ QI Jr&R-rn ClU►t_UIfit+G& SAFE iy DEPT r- `'J- i-1 u V t: D FOR CONSTPI 1f gyp,,.., n n — - , '%aJV EnemyPro 5.1 by EnemySoft User Number 6712 Run Code: 2014 -05 -22T11:39:4_9 -IDS_ BY Page 4 of 9 ___y Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and'Authenticated at CalCER-S.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Ha-er Architecture) 5/22/2014 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type 10 Single Family ❑ Addition Alone Date Residence ❑ Multi Family ❑ Existing+ Addition/Alteration 1512212014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ftZ- r Space Heating 4.62 3.85 0.77 Space Cooling 54.44 51.31 3.13 Fans 1079 12.50 -1.71 Domestic Hot Water 4.22 2.80 1.42 Pumps 0.00 0.00 0.00 Totals 74.08 70.47 3.60 Percent Better Than Standard: 4.9% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (E) 100 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (E) 2,172 655 Fuel Available at Site: Natural Gas (S) 2,753 717 Raised Floor Area: 0 (W 2,295 916 Slab on Grade Area: 8,644 (N) 2,963 674 Average Ceiling Height: 15.2 Roof 8,644 0 Fenestration Average U -Factor: 0.38 TOTAL: 2.962 Average SHGC: 0.28 Fenestration/CFA Ratio: 34.3% REMARKS The Madison Country Club Lot #67B 3 STATEMENT'OF COMPLIANCE a This certificate of compliance'lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Scott Design and Title 24, Inc, 5222014 Address 77-085 Michigan Drive Name Tim Scot City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation instal ation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company Hayer Architecture Address 445 Marine View Place STE 200 Name Hayer Architecture City/State/Zip Del Mar, CA 92014 Phone (858) 792-2800 Signed License # Date EnemvPro 5.1 by EnemySoft User Number: 6712 RunCode: 2014-05-22T11:39:49 ID: Page 5 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: :014/05/22 15:58:52 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Hayer Architecture) 5/22/2014 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1512212014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 1,696 0.026 R-38 0 0 New 4.2.1-A9 Master Wall 266 0.069 R-21 10 90 New 4.3.1-A6 Master Wall 60 0.069 R-21 100 90 New 4.3.1-A6 Master Wall 510 0.069 R-21 1 190 90 New 4.3.1-A6 Master Wall 270 0.069 R-21 280 90 New 4.3.1-A6 Master Slab 864 0.730 None 0 180 New 4.4.7-A1 Master Slab 832 0.730 None 0 180 New 4.4.7-A1 Master Roof 486 0.026 R-38 0 0 New 4.2.1-A9 Bed 2 Wall 83 0.069 R-21 100 90 New 4.3.1-A6 Bed 2 Wall 350 0.069 R-21 190 90 New 4.3.1-A6 Bed 2 Wall 70 0.069 R-21 280 90 New 4.3.1-A6 Bed 2 Slab 400 0.730 None 0 180 New 4.4.7-A1 Bed 2 Slab 86 0.730 None 0 180 New 4.4.7-A1 Bed 2 Roof 1,707 0.026 R-38 0 0 New 4.2.1-A9 Great Room Wall 370 0.069 R-21 10 90 New 4.3.1-A6 Great Room Wall I 462 0.069 R-21 100 90 New 14.3.1-A6 Great Room FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 28.0 0.380 NFRC 0.28 1 NFRC 10 New non Metal Windows double Master 2 Window 38.5 0.380 NFRC 0.28 NFRC 190 New non Metal Windows double Master 3 Window- 127.0 0.380 NFRC 0.28 NFRC 190 New non Metal Windows double Master 4 Window 38.5 0.380 NFRC 0.28 NFRC 190 New non Metal Windows double Master 5 Window, ._ _ 90.0 0.380 NFRC _ _0.28 NFRC 280 New_= non Metal Windows double„ Master 6 Window" N 31.2 0.380 NFRC ,� X 0.28 NFRC 280 New f a non Metal Windows double - Master 7 Window '99.0 0.380 NFRC t 0.28 `NFRC 280 New non Metal,Wndows double •' Master 8 Window 129.0, 1,:0.380 NFRC 0.28 NFRC .x(100 New r'r- non Metal Windows doubler_, Bed 2 9 Window 68:0 /0.380 NFRC 0.28 NFRC u 100 New non Metal Windows double r..- Bed 2�,` 10 Window f 160.0 ) 0.380 NFRC 0.28 NFRC A10 New I non Metal Windows double, Great Room 11 11 WindowA + k50.01-0.380 NFRC -0.28 NFRC r 10 New '., non Metal Windows doubld- Great Room Vy00 12 Window 90.0 0.380 NFRC 0.28 NFRC100 New non Metal Windows double Great Room 13 Window 50.0 0.380 NFRC 0.28 NFRC 100 New non Metal Windows double Great Room 14 Window '60.0 0.380 NFRC 0.28 NFRC 100 New non Metal Windows double Great Room 15 Window 30.0 0.380 NFRC 0.28 NFRC 100 New non Metal Windows double Great Room 16 lWindow 12.5 4 0.380 NFRC 0.28 NFRC 190 New non Metal Windows double Great Room (1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Ove hanq Left Fin Len H t LExt RExt Dist I Len Ri ht Fin H t I Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 JBug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 _ 10 Bug Screen 0.76 11 Bpq Screen 0.76 12 Bug Screen 0.76 B LN I D I RT ti R, ` z 2A F F. v n 1=,DT 13 Bug Screen 0.76 „ ..., ., - _ , 1 14 Bug Screen 0.76 d`':f"' ("1 �_.) V _ I J I 15 Bug Screen 0.76 (I 1,=OI ;(7j\;� T 1 Ir 1'1Onl 16 Bug Screen 0.761 1 DATE BY I EneTyPro 5.1 by EnergySoft User Number 6712 RunCode: 2014-08-22TT1`.39:49 /D: J Page 6 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS,com - 5/22/2014 Electronically Signed at CalCERTS.COm by Gregory Friesen (Hager Architecture) 5/22/2014 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Building Type m Single Family ❑ Addition Alone I 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1512212014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor CavitV Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 155 0.069 R-21 190 90 New 4.3.1-A6 Great Room Wall 370 0.069 R-21 280 90 New 4.3.1-A6 Great Room Slab 183 0.730 None 0 180 New 4.4.7-A1 Great Room Slab 1,524 0.730 None 01 180 New 4.4.7-A1 Great Room Roof 1,808 0.026 R-38 0 0 New 4.2.1-A9 Game Room Kitchen Wall 874 0.069 R-21 10 90 New 4.3.1-A6 Game Room Kitchen Wall 114 0.069 R-21 100 90 New 4.3.1-A6 Game Room Kitchen Wall 211 0.069 R-21 190 90 New 4.3.1-A6 Game Room Kitchen Wall 264 0.069 R-21 280 90 New 4.3.1-A6 Game Room Kitchen Slab 3981 0.730 None 0 180 New 4.4.7-A1 Game Room Kitchen Slab 1,4101 0.730 None 0 180 New 4.4.7-A1 Game Room Kitchen Roof 1,640 0.026 R-38 0 0 New 4.2.1-A9 Dining Bedroom Wall 473 0.069 R-21 10 90 New 4.3.1-A6 Dining Bedroom Wall 328 0.069 R-21 100 90 New 4.3.1-A6 Dining Bedroom Door 24 0.500 None 100 90 Ne 14.5.1-A4 Dining Bedroom Wall 324 0.069 R-21 190 90 New 4.3.1-A6 Dining Bedroom FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 17 Window 12.5 0.380 NFRC 0.28 NFRC 190 New non Metal Windows double Great Room 18• Window 240.0 0.380 NFRC 0.28 NFRC 280 New non Metal Windows double Great Room 19 Window 1. 150.0 0.380 NFRC 0.28 NFRC 280 New non Metal Windows double Great Room 20 Window 52.0 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Game Room Kitchen 21'. Window _ ,M,..., 39.0 0.380 NFRC - _0.28.. NFRC___ _ __ 10 New -I non Metal Windows double Game Room Kitchen 22 Window '192.0 0.380 NFRC 1 a'' 0.28 ,NFRC 190 New '. NJ non Metal Windows double N. Game Room Kitchen 23 Window "65.0 0.380 NFRC t 0.28 'NFRC 190 New non Metal,Windows double _ Game Room Kitchen 24 Window 43.0 :,;0.380 NFRC 0.28 NFRC . 4190 New non Metal Windows double Game Room Kitchen 25 Window 54.0 10.380 NFRC 0.28 NFRC 9 280 New non Metal Windows double t.: Game Room Kitchen,-� 26 Window ,1150.0 3 ;0.380 NFRC 0.28 NFRC. ,280 New - A non Metal Windows double, Game, Room Kitchen 27 Windows P 1 43.0 -0.380 NFRC, X0.28 NFRC 280 New non Metal Windows double' : Game Room Kitchen 28 Window 96.0 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Dining Bedroom 29 Window _ 48.0 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Dining Bedroom 30 Window 13.5 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Dining Bedroom 31 Window 180.01 0.380 1 NFRC 0.28 NFRC 100 New non Metal Windows double 1 Dining Bedroom 32 Window 180.01 0.380 1 NFRC 0.28 NFRC 190 New non Metal Windows double Dining Bedroom (1) LI -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Ove hanq Left Fin Ri ht Fin Len H t LExt RExt Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 27 Bug Screen 0.76 I 1 Y �1 F- t A r-1 ' i l! 1% -rA 28 Bug Screen 0.76 29 Bug Screen 0.76 '1 L.Lr..r" 30 Bug Screen 0.76 --r--� 31 18ug Screen 0.76 32 JBug Screen 0.76 r Jul i DATE !:Zv Ene Pro 5.1 6 Ene Soft User Number: 6712 RunCode: 201405-22711:39:49 /D: _ JPa e 7 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provider: CalCERTS, Inc 'Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Haver Architecture) 5/22/2014 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1512212014 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Framel Azm Tilt Status 4 Location/Comments Wall 70 0.069 R-21 280 90 New 4.3.1-A6 Dining Bedroom Slab 420 0.730 None 0 180 New 4.4.7-A1 Dining Bedroom Slab 1,220 0.730 None 0 180 New 4.4.7-A1 Dining Bedroom Roof 1,307 0.026 R-38 0 0 New 14.2.1-A9 Guest Room Wall 306 0.069 R-21 10 90 New 4.3.1-A6 Guest Room Wall 446 0.069 R-21 100 90 New 4.3.1-A6 Guest Room Wall 486 0.069 R-21 190 90 New 4.3.1-A6 Guest Room Wall 3351 0.069 R-21 280 90 New 4.3.1-A6 Guest Room Slab 1,1011 0.730 None 0 180 New 4.4.7-A 1 Guest Room Slab 2061 0.730 None 0 180 New 4.4.7-A1 Guest Room FENESTRATION SURFACE DETAILS ID Type Area -U-Factor SHGC Azm Status Glazing Type Location/Comments 33 Window 60.0 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Guest Room 34 Window 120.0 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Guest Room 35 Window - 7.7 0.380 NFRC 0.28 NFRC 10 New non Metal Windows double Guest Room 36 Window 48.0 0.380 NFRC 0.28 NFRC 100 New non Metal Windows double Guest Room 37 • Window„ 7.7 0.380 NFRC 0.28 NFRC _ _ _ ._ 190 New ._—. ,non Metal Windows double„,. Guest Room 38 Window' A 129.0 0.380 NFRC J .e- 0.28 ,NFRC 280 New :. non Metal Windows double 1 Guest Room 39 Window ;30.0 0.380 NFRC t 0.28 'NFRC 280 New non Metal, Windows double s Guest Room �'�I�. % � r : �. - 'w: .,,,,� e.. ✓.. __.....+ i . � � '*,. `"Y �.... Y '4'*i �i � {-?' � P Lac! (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Ove hang Left Fin Right Fin Len H t LExt REA Dist Len H t Dist Len H t 33 Bug Screen 0.76 34 Bug Screen 0.76 35 Bug Screen 0.76 36 Bug Screen 0.76 37 Bug Screen 0.76 38 Bug Screen 0.76 39 Bug Screen 0.76 LiA 1_1I ilrVlr/� I I Bull n1ho . � n^ r — � I I Fns R rn 4tr , I -,;iiIN EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 201405-22T11:39:49` "' -ID:-----__ BYPagg 8 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provider: CalCERTS, Inc q 0 , 'Electronically Filed Mby Tim Scott and Authenticated at CalCERTS.com - 5/22/2014 Electronically Signed at CalCERTS.com by Gregory Friesen (Hager Architecture) 5/22/2014 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Residence Building Type © Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 5/22/2014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existinq Altered Removed Volume Year Built HVAC master Master 1,696 23,744 Bed 2 486 6,804 HVAC great Great Room 1,707 27,312 HVAC game Game Room Kitchen 1,808 28,928 HVAC dining Dining Bedroom 1,640 26,240 HVAC guest Guest Room 1,307 18,298 Totals 8,644 0 01 0 HVAC SYSTEMS I. System Name _glyL Heating Type Min. Eff, Cooling Type Min. Eff. Thermostat Type Status HVAC master 1 j Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New HVAC great 1 Central Furnace 80% AFUE Split Air Conditioner 16.5 SEER Setback New HVAC game ,. -00'4"# 1 CentralFurnaceter- 80%,AFUE SplitAlrConditionerJ--w 16.5 SEER Setback New HVAC dining r 1 1 Central Fumace Il. 80% AFUE S lit Air Conditioner C 16.5 SEER Setback New HVAC guest , l Central Furnace 1,80% AFUE I Split Air Conditioner 16.5 SEER Setback New n HVAC DISTRIBUTION d/? d A_._1- System Name <.R ..- 4 -- Nl Heatin .._..._ a Duct! V Ducts '+ Cooling_ Duct Location R -Value Tested? Status HVAC master Ducted Ducted Attic, Ceiling Ins, unvented 8.0 m New HVAC great Ducted Ducted Attic, Ceiling Ins, unvented 8.0 m New HVAC game Ducted Ducted Attic, Ceiling Ins, unvented 8.0 El New HVAC dining Ducted 1 Ducted Attic, Ceiling Ins, unvented 8.0 2 1 New HVAC guest Ducted I Ducted JAttic, Ceiling Ins, unvented 8.0 m New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Braford White Ml100T6BN 2 Large Gas All Pipes Ins 85,000 75 0.81 0.00% n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft o ¢ -SPlenum $, sternrName �lr- Pipe Le lh— Pipe Diameter Insul. Thick. Qty. HP Outside Buried ❑ R1 III r-", � L^'^-I- 111r\rr/, -y .1 ❑ •��yl{Vl7 L �lL�r'F Z� 1'1^ Y rr, 1� Fop ❑ - 1-1u ; rani I EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 201405-22711:39:49 —IDSPa"e 9 of 9 Reg: 214-N0037226A-000000000-0000 Registration Date/Time: 2014/05/22 15:58:52 HERS Provider: --CERTS.,, Jnc