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12-1348 (SFD)1�77, < , P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 12-00001348 53045 HUMBOLDT BLVD 767-200-998-54 -330762- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 583701 4 t!'�ftiGv BUILDING & SAFETY DEPARTMENT SCANN�� BUILDING PERMIT Owner: JAMES & CAROL FILLER DETACHED Architect or Engineer: 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: B License No.: 681590 t. Date: C Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($ 500).: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 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 Name: _ Lender's Address: LQPERMIT Contractor: RAP/PAR DEVELOPMENT INC P.O. BOX 1455 PALM DESERT, CA (760)340-4216 Lic. No.: 681590 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/13 P Q � 13 E]'1 NTA FINANCE DEPT. 92261-1455 -----------------------------------------------— 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 STATE FUND Policy Number 9013530-2013 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 folthwith cgmply with those prDvisions. 9 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 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 county to enter upon the above-mentioned property for inspection purposes Date:D2t077/3Signature (Applicant or Agent): •% Application Number . . . . . 12-00001348 LQPERMIT Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type DWELLG/LODGING/CONG <=10 Other struct info CODE EDITION 2010 # BEDROOMS 4.00 FIRE SPRINKLERS YES GARAGE SQ FTG 1447.00 PATIO SQ FTG 1861.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 6417.00 Permit ... BUILDING PERMIT Additional desc . Permit Fee . . . . 2291.50 Plan Check Fee 1489.48 Issue Date . . . . Valuation 583701 Expiration Date 8/06/13 Qty Unit Charge Per Extension BASE FEE 2039.50 84.00 3.0000 --------------------------------------------------=------------------------- THOU BLDG 500,001-1,000,000 252.00 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 305.76 Plan Check Fee 76.44 - Issue Date Valuation. .. 0 Expiration Date 8/06/13 , Qty Unit Charge Per Extension BASE FEE 15.00 6417.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 224.60 3308.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 66.16 Permit GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration `Date 8/06/13 Qty Unit Charge Per Extension ------------------------------------------------=--------------=------------ BASE FEE 15.00 Permit MECHANICAL Additional desc . . LQPERMIT Application Number . . . . . 12-00001348 Permit . . . . . . MECHANICAL Permit Fee . . . . 224.50 Plan Check Fee 56.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/06/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 2.00 11.0000 EA MECH FURNACE >100K 22.00 5.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 82.50 11.00 6.5000 EA MECH VENT FAN ` 71.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 252.75 Plan Check Fee.. 63.19 Issue Date . . . . Valuation 0 Expiration Date 8/06/13 Qty Unit Charge Per Extension BASE FEE 15.00 28.00 6.d000 EA PLB-FIXTURE ..168.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 17.00 .7500 EA PLB GAS PIPE >=5 12•.75 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 6417 SF(GROSS) SFD. R-3. CONSTRUCTION TYPE V -B W/ SPRINKLER. 2010 CODES. 2008 DIF. PER ENGINEERED PLANS. ENGINEER: JEFFREY S. GUTTOWSKY 55743.**PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, SPA, BBQ'S and FIRE PIT** Other Fees _ ART IN PUBLIC PLACES -RES 959.25 BLDG STDS ADMIN (SB1473) 24.00 DIF COMMUNITY CENTERS -RES - 104.00 DIF CIVIC CENTER - RES 1089.00 ENERGY REVIEW FEE 148.95 DIF FIRE PROTECTION -RES 612.00 DIF LIBRARIES - RES 334.00 MULTI -SPECIES (MSHCP) FEE 1254.00 DIF PARK MAINT FAC - RES. 51.00 LQPERMIT - LQPERMIT ' Application Number 12-00001348 ------------------------------------------------------------------'--------- Other Fees . . . . . . . . . DIF PARKS/REC - RES 1773.00 STRONG MOTION (SMI) - RES 58.37 DIF STREET MAINT FAC -RES 158.00 DIF TRANSPORTATION - RES 3592.00 Fee summary Charged Paid Credited ------------------------------ Due ----------------- Permit Fee Total ---------- 3089.51 .00 .00 3089.51 Plan Check Total 1685.24 1000.00 .00 685.24 Other Fee Total 10157.57 .00 .00 10157.57 Grand Total 14932.32 1000.00 .00 13932.32 LQPERMIT ' Building (2,3. LLC_ Mailing Address P.O. BOX 1504 78-495 CALLE TAMPICO �— LA QUINTA, CALIFORNIA 92253 Cit; IZi� ITe.?UAgw/�L 2 I ress & Classif. Al Q / ILic. # Arch., Engr., Designer 5C:4-ur1 Address Tel. Zip (State Lic. # 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 Contractor'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 7031.5 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 im- provement 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. 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 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 ordinancesand 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 Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST. OCC. GRP. / A.P. Number 7r — ?©e� —n el (� Legal Description Z/7 � Project Description S / n gle alLt'j/got!,& i Sq. F. Size No. No. Dw. Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Building (2,3. LLC_ Mailing Address P.O. BOX 1504 78-495 CALLE TAMPICO �— LA QUINTA, CALIFORNIA 92253 Cit; IZi� ITe.?UAgw/�L 2 I ress & Classif. Al Q / ILic. # Arch., Engr., Designer 5C:4-ur1 Address Tel. Zip (State Lic. # 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 Contractor'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 7031.5 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 im- provement 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. 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 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 ordinancesand 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 Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST. OCC. GRP. / A.P. Number 7r — ?©e� —n el (� Legal Description Z/7 � Project Description S / n gle alLt'j/got!,& Sq. F. Size No. No. Dw. Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electri Plum S.M.I.Ji Gradi Drive nc. p Infras ruct . MITA TOTAL 7 69vry REMARKS a 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 CoacArella 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 AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: jrhe)M6disorrClub Date: February 7, 2013 Owner's Name: PAR Development Phone No. 760-340-4216 Project Address: 53-045 Humboldt Blvd., LaQuinta Project Description: Single FamilyDwelling APN: 767-700-006 Tract #: ' Lot #'s: Type of Development: Residential XX! Commercial Total Square Feet of Building Area: 5978 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 to sign on behalf of the owner/developer. Dated: February 7,1013 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 • Note: Number of Sq.Ft. 5978 Pursuant to AB 181 any room additions or enclosures of 500 Amount per Sq.Ft. $3.20 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's Amount Collected $19129.60 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Laurie Howard, Secretary Signature: A NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/nrydoes/devfees/eetttificate of compliance forni updated 3-2007 11/2010 F1vafei6eo1fia3:230DMarkel S1.,Siz.150,ReersiffA,CA M01 Ph(951)955-4771 Fax (°51)955.4508 PaJm DemAQScEt 77-933 W Marttafin Rd., d 201 Palm Desert, CA 92211.4131 Ph- (7601 WISH Fax (760) 60.7072 Fire Department Clearance/Release SG ' Date: 10/16/2013 To: LAQUINTA B&S Fax: Tract/Parcel Map #: Pen -n t/Lot #: LAQ-I2-RS-062 Job Site Address: 53045 HUMBOLD, LOT 54B . City, State, Zip LA QUINTA, CA ® ._Final For Recordation ❑ Release For Building Permit(s) ❑ Shell Final Only (No Tenant) ❑ Clearance for" Security Glass" ❑ Release For Residential Sprinkler Installation ❑ Building Plan Check Fees Paid, Water Requirement Met- if wafer applicable ❑ Building Plan Check Fees Not Paid . ❑ Residential Sprinkler Plan Check Fees Paid ❑ Residential Sprinkler Plan Check Fees Not Paid ❑ Other Fees ❑ Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire. Protection Planning office for further assistance. KOHL HETRICK Print fame of Plan Reviewer/inspector Approved Release C n_' Gv Dr;M Nmm­ PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUSIDOUX CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY '�f ' DISTRICT 5 • RIVERSIDE COUNTY. FIFSDEPARTMENT IN COOPERATION WrTH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert„ CA 92211-4131 • Phone (760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org December 4, 2012 Thorpe Design Re: Residential Fire Sprinkler Plan Review LAQ-12-RS-062 Lot 54B Madison Club 53-045 Humboldt La Quinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: A minimum of three spare fire sprinklers of each type and temperature rating along with a sprinkler wrench should be located in a spare head cabinet at the system riser or other approved location. Permanently marked identification signs shall be attached to all control valves. The completed Contractor's Material and Test Certificate for Aboveground Piping shall be provided to the fire inspector prior to a final inspection. A typical certificate is shown in Figure 10.10.1 NFPA13. A warning sign, with minimum '/ inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WARNING: The water system for this home supplies fire sprinklers that require certain flows and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or automatically shut off the water to the fire sprinkler system, such as water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system without a review of the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: (a) Overhead Rough and Hydro static test: All piping shall be visible and pumped at normal operating pressure. (b) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering. staff at (760) 863-8886. Applicant/installer shall be responsible to contact the Fire Departmen to schedI ins ction. Sincerely, Jason Stubble Fire Safety Specialist December 22, 2012 Mr. and Mrs. Jim Filler RE: Filler #2/Lot 54B at 53045 Humboldt Blvd. Final Design Review #3 Dear Mr. -and Mrs. Filler: The Madison Club Design Review Committee (DRC) met to review your revised Final Construction Document submittal for'Lot 54B at Humboldt Boulevard. The plans have been approved for the purpose of submitting to the City of La Quinta for Plan Check. However, a revised set of document addressing the comments listed below must be submitted prior to the request for Setback Observation at the lot. 1. The plan set was lacking irrigation and lighting plans which are required. 2. In addition, the landscape plan submitted had very light lines and was extremely difficult to read and therefore a proper review could not be completed. However, it did appear that there were still Jacarandas proposed in the view corridor. 3. When revising the plans for resubmission please be sure that the site plan includes dimensions, detail indicators, etc. Please contact Brook Marshall at (760) 219-8057 or by email at Brook@dc.rr.com or Jeff Prevost at (760) 391-5072 with any questions or to schedule your Pre -Construction Meeting at the lot. Sincerely, Madison Club Design Review Committee cc: Richard Pnrter DRC File 02/06/2013 17:16 FAX I RECORDING REQUESTED BY AND WHEN RECORDED TO: To ne3s 4 n d C4 re 1 F1 11M d9645Aevk IVY A.-kW*y Birmingham, Alabama 352-21-A e6 A o MAIL TAX STATEMENTS TO: James and Carol Filler 2964 Shook Hill Parkway Birmingham Alabama 35223 -�eao la 003 DOC # 2013-0065866 02/06/2013 03:32P Fee:36.00 Pe9e r of 8 Doo T Tax Paid Recorded In Offlelal Records County of Rlvaraide Larry W, Ward Asse99or, County Clark & Recorder 1111111111111111 IN 111111111111111111111111111111111 1+ P/V (Space Above this Line for Recorder's Use) C 76.7 000a:o- °S 810 GRANT DEED DOCUMENT TRANSFER TAX $ a o-' 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 of Declarant or Agent determining tax — Firm Name The undersigned grantor declares: THIS GRANT DEED (this "Deed') is made as of theme 0 �-" day of January, 2013, by NC3, LLC, an Alabama limited liability company ("Grantor"), whose principal address is 100 Village Street, Birmingham; Alabama 35242, to .TAMES FILLER and CAROL J. FILLER, husband and wife, as joint tenants with the right of survivorship (whether one or more, "Grantee"), whose principal address is 2964 Shook Hill Parkway, Birmingham, Alabama 35223. WITNESSETH: That for and in consideration of the sum of $10.00 and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Grantor hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto Grantee all of its right, title and interest in and to that certain land (the "Land") situated in the County of Riverside, State of California, as set forth in Exhibit A attached hereto, together with all (i) buildings, facilities, fixtures and other improvements located in, on, under or about the Land; all its (ii) rights, privileges, and easements appurtenant thereto, including, without limitation, all development rights, air rights, water, and water rights relating thereto, and any easements, rights- of-way, or other rights appurtenant thereto or used in conjunction therewith; and (iii) all its other tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, TO HAVE AND TO HOLD the same in fee simple forever, subject, however, to the liens, DMBHiM1913573U easements, and other matters in the public records (all of such liens, easements, and other matters being herein called the "Permitted Exceptions"). This Deed shall be binding upon and inure to the benefit of the Grantor and Grantee and their respective heirs, personal representatives, successors and assigns. - THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK - a DOCSBHM\1913573\3 2 IN WITNESS WHEREOF, Grantor has duly signed, sealed and delivered this Deed as of the date first written above. NC3, LLC By its sole member: Ripper Fund, an Alabama general partnership By -` Harold W. Ripps Its General Partner. And, c By James Filler Its General Partner And, By Carol J. aler Its General Partner On A-4 - o, 2013, before me, the undersigned, a notary public in and for said State, personally appeared Harold W. Ripps, personally known to me (or 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 that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ell__�j4vl lle� jv_�_21610 STATE O COUNTY OF CAROL M. TUFARO ;i;' i' has`• Commission # 1946554 j.r_:�: rte;• x. Notary Public - California 22 Riverside County D My Comm. Expires Aug 30, 2015 (Seal) On ," . 3_Q, 2013, before me, the undersigned, a notary public in and for said State, personally appeared James Filler, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and DOCSBHM\1913573\3 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 that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature STATE C COUNTI CAROL M.TUFARO Commission # 1946554 r ti' Notary Public -California z Riverside County D My Comm. Expires Aug 30, 2015 (Seal) On —So, 2013, before me, the undersigned, a notary public in and for said State, personally appeared Carol J. Filler, personally known to me (or 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 she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. - I certify that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signaturev DOCSBHi\4\191357313 4 CAROL M. TUFARO `'• •�•�'�• Commission # 19465465 54 Notary Public - California D Riverside County My Comm. Expires Aug 30, 2015 (Seal) EXHIBIT A LEGAL DESCRIPTION Lot 54 of Tract No. 33076-2, in the City of La Quinta, as shown by Map on file in Book 393, Page(s) 61 through 80, inclusive of Maps, in the Office of the County Recorder of Riverside County, California. DOCSBHM\191357313 ACKNOWLEDGMENT State of Califor is County of 1 Veers i d v On)Gn , o; 2-0I 3 before me, ra Int} A /q �ra_i—o I Ae 1,11,t A �/ C_� (here inseft name nd title of the officer) personally appeared TTam A 1 who proved to me on the basis of satisfactory evidence to be the person(§) whose name is/a>e subscribed to the within instrument and acknowledged to me that .he/ ey- executed the same in his/heNtheir authorized capacity(ise), and that by* his/bedth& signature* -on the instrument- the person(s), 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 California that the foregoing paragraph is true and correct. WITNESS my hand and official al. Signature (Seal) CAROL M. TUFARO Commission # 1946554 Notary Public - California z .�` Riverside County My Comm. Expires Aug 30, 2015 ACKNOWLEDGMENT State of Calif o nia County of i vel-_ )d On Ti an o.0 /,--Ibefore me, � rb AX / �-6a ro la T�lr (here insert/name and title of the officer) personally appeared .A who proved to me on the basis of satisfactory evidence to be the person(awhose name is/atesubscribed to the within instrument and acknowledged to me that .tae/she/they- executed the same in .k Wher/theta- authorized capacity( and that by ' 4s/her/.tkwgr signature(# - on the-- instrument the person(lo,—or the entity upon behalf of which the person(aj acted, 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. Signature (Seal) CAROL M. TUFARO Commission # 1946554 Notary Public - California z .Ptd' Riverside County My Comm. Expires Aug 30.2015 Building Permit Number. Project Description: SFR Exempt: O (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Debi 2/5/2013 Job Site Address 53045 Humboldt owners Name Mr. & Mrs. Filler c/o Par Development Number, Street, or PO Boor 74361 Hwy 111, #7 City, Stade, Postal code Palm Desert, CA 92260 Owners Phone Number Owners E -Mail Address Project Managers Project Managers Phone N Project Managers E-mail At Builder / Contn Number, Street or PO City, State, Postal C Humberto 760,578-6184 Par Development 74361 Hwy 111, #7 Palm Desert, CA 92260 REc Ei V ED FEB 6 2013 Project Square Footage 5,978 City Approval By Date of City Approval Materials To Be Discarded: Product Tons Trash 11.36 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 1.20 Recyclable Cardboard 1.97 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 1.02 Recyclable Concrete 0.48 Recyclable Tile (roof) 0 00 Recyclable Drywall 0.35 Recyclable Wood 14.95 Recyclable Donated / Reuse* 0.00 Recyclable Landscape Debris 0.00 Recyclable "Describe Rams otals: Recycle Trash Projected Diversion: 20.0 11.4 63,7% I understand it Is the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur.'I hereby certify that cornplailm, Implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at Mast 51194 of the jobsite waste Is diverted from landMng. The remalntng material will be recycled or reused. l will divert, for recyciing or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with thM plan. This DMP Is Ism ned in the name of the property owner(s) and shall remain their property throughout the constructlon and/or demolition project A contractor aWng as agent of the owner may obtain a DMP for the owner. However, the DMP is still Issued In the name of the property owner(s) and the owner retains legal responsIbEty for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept Informed of the dNeralon progress through bi-monthly reports. If aelf-hauling, all refuse matsr1_gLftorn this p site must be takes to an approved recycler or transfer station. AZA��Ale� o zp Owner / Developer / Project Manager / Superintendent pale \ ;01` 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 or77applications which cannot be processed will be returned to applicant. Date: /.2 / / Developer: 120,rfl Ve MP -- Tract No.: Tract Name: Adl SOyh 4!!51y /o Lot No.(s): Address(s):vM 1 i/e, Phone Number:lo, 3-410 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #2. #3, #4, #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1. #2. #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1. #2. #3, #5 & #7 BELOW ❖ WALLS. SIGNS, OTHER: PROVIDE ITEM #6 BELOW 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 r Certificate can be provided. 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. aAttach recorded final map or title information/grant deed showing proposed building locations are legal lots. 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 PM' 0 certification number is required. 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. 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/structuresnivalls/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:) /1-7/ 1 3 )Green Sheet to Building &Safety Public Works Distribution: (—Z ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 A. -re Revised 9-25-09.doc City of La Quinta - PM10 fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Project) Project Information Project Contractor: Project Phase Project N/� Name: 1 V on'tA i5 a Cl LILj Project Tract/Lot, Numbers: 73113 � 1�<_ + S (check one) Construction KDemolition Project Street Address: 5 3 S tau►-►� �C` �'�' 1��� v� Total Acres in Active Construction (<1 acre per Lot): 3 Anticipated StartDate: / + / 3 Anticipated Completion Date:/ 03 PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours. V Name: I- `. / �� e- Title: Wit-. S r Com an Name: Yn CL b Mailing Address: a Di - 2 -s -u jGt u G Dc- c- Cit , State, ZIP Code: City, -\ `n c. G `c, l j'1 Z Z 7 Prima Phone #: 7 -, 0 3 1-13 - 5G Z -z- Fax M FaxM 7�o 24 Hour Emergency Phone#: 7G4 " Z - `l S '7 0 760 S70 - Zoo Cell! Phone M 7 6- 5 7� - Zoo f Email Address: CZ r- t^� v� va 60— PM10 Certificate #: CVh -o7,-6'e-1Z-6 The above stated property owner (or authorized representative's: ❖ 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 -fou- (24) hours a day, seven (7) days, a week, throughout the period of project performance, regardless of project siz3 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 th�ty�/�County and its representatives from liability for any actions related to this dust control plan or any City/County init ted abatement activities. � 7- 7- / Z Owner or Authorized Representative Date TAChecklists - Fgrrt s & ApplicationslForms & Applications\GREEN SHEET cover & PM10 less than 1 A,re Revised 9.25-09.doc 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). ❖ 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:1Checklists -Forms & ApplicationslForms & Applicalions\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name The Madison Club Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 11212012012 Date Project Address Lot 54B La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 5,978 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 Features see Part 2 of 5 Status Roof Wood Framed Attic R-38 5,942 Radiant Barrier New Wall Wood Framed R-21 3,868 Slab Unheated Slab -on -Grade None 5,978 nmQTY 0 ew Door opaque Door None 20 BUILDING ew FENESTRATION U- Orientation Area Factor SHGC Overhang Sidefins Shades -12-45jStatus Skylight 12.3 0.590 0.39 none none None New Front (N) 257.5 0.520 �0.29—none. ., c. -,-none r,—BugZcreensWk-- New Left (SE),)'/" 52.0,E 018j Ir 0.26 none j( none '� Bug Screen New Rear(S)1 i5 00 ` 0.520 0:29 none one Bug Screen New Rear (SIM X59.0 0.280 �. 0!26 none, L none , Bug ScreenN. ^� IN& Skylight\_ �„fe L 4.0, '0.590--"1--6.39'-none none, ,None Skylight 4.0 I 0.590 0.39 none none None - New Skylight....---- " 8.0 0.590 0.39 none none None New Front (NE) 28.8 0.280 0.26 none none Bug Screen New Left (E) 185.0 0.520 0.29 none none Bug Screen New Left (SE) 16.0 0.280 0.26 12.0 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 16.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 16.0 SEER No Setback New 3 Central Fumace 80% AFUE Split Air Conditioner 16.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC 3,4 & 5 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Ot . Type Gallons Min. Eff Distribution . , r„ tatus 2 Small Gas 75 0.66 All Pipes Ins r%ew ) A 2 EnergyPro5.1byEne2Soft User Number: 6712 RunCode: 2012-12-20712:34:44 VA --Pa "e 1 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 tHER.S Pryee—,e5:�Ca� TS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name The Madison Club Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 11212012012 Date Project Address Lot 548 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 5,978 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 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area Factor SHGC Overhang Sidefins Shades Status Rear (SIAq 90.0 0.520 0.29 none none Bug Screen New Right (V4 57.2 ~ 0.280 . -0.26—none . none j -----::Pug Screens - New Right (NIA" r 220.0 0120 1 0.29 none none Bug Screen jl New Right (NM' ,25 0 1 0.280 0.26 " no e _ one ;'' Bug Screen ` - - New Skylight / 8.0 0.590 „ 0!39 none. 1 none ., Nonerr' Via'-�+';� yNew 0 Front (N).; ` 128.0 0.280 --Y0.26 `" none - 'none-,-JenBug .Scre, y I YJI' 1�1 ' 'New Front (NE) 62.0 0.520 0.29 none none Bug Screen - New Left (E)_ _.-- s- �. 105.6 ' 0.280 0.26 10.0 none Bug Screen New Left (E) 97.0 0.520 0.29 10.0 none Bug Screen New Left (SE) 49.3 0.280 0.26 10.0 none Bug Screen New Rear (SE) 21.0`., 0.280 0.26 10.0 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-12-20T12:34:44 ID: Page 2 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 12/20/2012 Electronically Signed at CalCERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name The Madison Club Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 11212012012 Date Project Address Lot 54B La Quinta California Energy Climate Zone CA Climate Zone 15 I Total Cond. Floor Area 5,978 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -411 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 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area Factor SHGC Overhang Sidefins Shades Status Rear (S) 110.0 0.520 0.29 10.0 none Bug Screen New Rear(S) �,�.; 216.0 `, 0.280.0:26_10 0�1 ;;none r Bug -screen _ New Right (SIAL l y 50.3 j ,0180 � 0.26 10.0 x 1 'none J Bug Screen V New _ - Right (SK9 „x=78 00 'P j 0.520 0.29 10:0 4one Bug Screen +, --New Right (lM '48.0 0.520 „ 0!29 none, # none .,_. ,� ., Bug Screen', t •'' r''�,� ` tNew # F l Right (V4 � � 32.0, 0.280., 0.26 `_10.0 _ none -� _ Bug:;S4reen� )I j"J,� i fi�'New e HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number. 6712 RunCode: 2012-12-20T12:34:44 ID: Page 3 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name The Madison Club Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 11212012012 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. The HVAC System HVAC 1 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: 731.0 fl' Covered Slab Floor, 3.500" thick at Sleeping Space HIGH MASS Design - Verify Thermal Mass: 393.0 R' Exposed Slab Floor, 3.500" thick at Sleeping Space HIGH MASS Design - Verify Thermal Mass: 1, 050.0 fl2 Covered Slab Floor, 3.500" thick at Sleeping Space HIGH MASS Design - Verify Thermal Mass: 390.0 fl= Exposed Slab Floor, 3.500" thick at Sleeping Space The HVAC System HVAC 3, 4 & 5 must serve only Living 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: 508.0 fl= Covered Slab Floor, 3.500" thick at Living Space HIGH MASS Design - Verify Thermal Mass: 2,906.0 fl2 Exposed Slab Floor, 3.500" thick at Living Space The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. -74 HERS REQUIRED VERIFICAION-- Jj/� +•."t.,, ;» �. ,. ,. ;._>y, ..,,M`.�[ V.ip •r.� i, 3.. �..^ kl_; 2�7�f i�'r Items in thissection 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. The Cooling System Carrier 4 Ton includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. \ The HVAC System HVAC 1 includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm. The HVAC System HVAC 1 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 1 includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System HVAC 1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Carrier 5 Ton includes credit for a 12.7 EER Condenser A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 2 includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cIm. The HVAC System HVAC 2 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 2 includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System HVAC 2 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Carrier Split DX/FAU includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 3, 4 & 5 includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 wlcfm. EneMyPro 5.1 by EnemySoft User Number: 6712 RunCode: 2012-12-20712:34:44 ID: Pa e 4 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 12/20/2012 Electronically Signed at CalCERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name The Madison Club Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 11212012012 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. HERSyRE;QUIRED VERIFICATION` Items in this section re uire feld testin' and/or verif at on y a certified�Hf S Rater: -Thetins ectormmust receive a 4 .: 9 Y P. com leted CF -4R form for each of the measures'listed'below for final to be given. The HVAC System HVAC 3, 4 & 5 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 3,.4 & 5 includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System HVAC 3, 4 &'5 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that 1. duct leakage meets the specified criteria. Erie Pro 5.1 by EneM ySoft User Number: 6712 RunCode: 2012-12-20712:34:44 ID: Page 5 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date The Madison Club I ❑ Multi Family ❑ Existing+ Addition/Alteration 11212012012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 4.08 6.37 -2.29 Space Cooling 52.45 46.25 6.20 Fans 10.44 12.25 -1.81 Domestic Hot Water 6.10 6.43 -0.33 Pumps 0.00 0.00 0.00 Totals 73.07 71.30 1.77 Percent Better Than Standard: 2.4% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (N) 0deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (N) 1,532 476 Fuel Available at Site: Natural Gas (E) 1,397 505 Raised Floor Area: 0 (S) 1,225 611 Slab on Grade Area: 5,978 (W 1,837 511 Average Ceiling Height::::' .' 11.7 Roof 5,978 36 Fenestration Average U -Factor: 0.42 TOTAL: 2,139 Avera ge SHGC`. 0.28 Fenestration/CFA Ratio: 35.8% REMARKS'--'' f ,.INV... .. Inc, 4cs .. .. STATEMENtOF COMPLIANCE 'the This certificate of compliancerlists 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, 12/20/2012 Address 77-085 Michigan Drive Name Tim Scott 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 installation 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 TDC Associates Design and Drafting Address Po Box 1654 Name Brian de Coster City/State/Zip La Quinta, CA 92253 Phone (760) 771-6589 Signed License # Date EnerovPro 5.1 by EnemySoft User Number 6712 RunCode: 2012-12-20712:34:44 ID: Pace 6 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name The Madison Club Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2120/2012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments —Type Roof 1,112 0.026 R-38 270 0 New 4.2.1-A9 Master Suite Wall 43 0.069 R-21 0 90 New 4.3.1-A6 Master Suite Wall 179 0.069 R-21 135 90 New 4.3.1-A6 Master Suite Wall 60 0.069,R-21 180 90 New 4.3.1-A6 Master Suite Wall 68 0.069 R-21 225 90 New 4.3.1-A6 Master Suite Wall 385 0.069 R-21 270 90 New 4.3.1-A6 Master Suite Slab 731 0.730 None 0 180 New 4.4.7-A1 Master Suite Slab 393 0.730 None 0 180 New 4.4.7-A1 Master Suite Roof 1,424 0.026 R-38 270 0 New 4.2.1-A9 Bdrms 2, 3, 4 & Guest Livi Wall 39 0.069 R-21 01 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 329 0.069 R-21 30 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 167 0.069 R-21 90 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 104 0.069 R-21 120 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 163 0.069 R-21 180 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 97 0.069 R-21 210 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Wall 134 0.069 R-21 2701 90 New 4.3.1-A6 JBdrms 2, 3, 4 & Guest Livi FENESTRATION SURFACE DETAILS ID Type Area LI -Factor SHGC Azm Status Glazing Type Location/Comments 1 Skylight 12.3 0.590 NFRC 0.39 NFRC 270 New Skylight Master Suite .2- Window 140.0 0.520 NFRC 0.29 NFRC 0 New Metal Dual Tint Doors Master Suite 3 Window ^- •+ 52.0 0.280 NFRC 0.26 NFRC 135 New Double Non Metal Tinted Master Suite 4. Window 80.0 0.520 NFRC 0.29 NFRC 180 New Metal Dual Tint Doors Master Suite 5 window ,, 52.0 0.280 NFRC _ 0.26. NFRC— 225 New .Doub/e.Non_Metal_Tinted–,.,, Master Suite 6 Window' ; 7.0 0.280 °NFRC,+' ++'' 0.26 ;NFRC 225 New, ` Double Not) Metal Tinted` Master Suite 7 Skylight 4.0 0;,590 NFRC- 0.39 NFRC 270 New r Skylight ' k Bdrms 2, 3, 4 & Guest Living 8 Skylight 4.0"0:590_ NFRC 0.39 NFRC <- _- - 270 New,-, Skylight _ l Bdrms 2, 3, 4 &Guest Living 9 Skylight .1820 x'0.590 NFRC 0.39 NFRC V 270 ,,New ', Skylightjet .:' Bdrms 2, 3, 4 &,Guest Living 10 IMndowtf x'60.0;1`=0.520 NFRC 0.29 NFRC d 0 New 1,, - Metal DualiTint Doors 1 " f- Bdrms 2, 3, 4,& Guest Living 11 Mndow,4 r.,: 7.0 „:0.280 NFRC .: x'0.26 NFRC' 30 New Double'Non Metal�Tinted? Bdnris 2,13, 4,&:Guest Living 12 Wndow 21.8 0.280 NFRC 0.26 NFRC 30 New Double Non Metal Tinted Bdrms 2, 3, 4 & Guest Living 13 Window 75.0 0.520 NFRC 0.29 NFRC 90 New Metal Dual Tint Doors Bdrms 2, 3, 4 & Guest Living 14, Window 110.0 0.520 NFRC 0.29 NFRC 90 New Metal Dual Tint Doors Bdrms 2, 3, 4 & Guest Living 15 Window 9.0 0.280 NFRC 0.26 NFRC 120 New Double Non Metal Tinted Bdrms 2, 3, 4 & Guest Living 16 Window 7.0p 0.280 NFRC 0.26 NFRC 120 New Double Non Metal Tinted Bdrms 2, 3, 4 & Guest Living (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 Exterior Shade Type SHGC Window H t Wd Ove hanq Left Fin Len Hat I LExt RExt Dist I Len Right Fin Hat Dist Len I Hat 1 None 1.00 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 None 1.00 8 None 1.00 9 None 1.00 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 2.01 18.0 12.0 0.1 12.0 12.0 16 JBug Screen 1 0.76 10.0 6.5 12.01 0.1 12.0 12.0 EnergyPro 5.1 by EnergySoft User Number.- 6712 RunCode: 2012-12-20T12:34:44 ID: Page 7 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 12/20/2012 Electronically Signed at CalCERTS.com by Humberto Bautista (PAR Development) 12/20/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name The Madison Club Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2120/2012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments -Type Wall 312 0.069 R-21 300 90 New 4.3.1-A6 Bdrms 2, 3, 4 & Guest Livi Slab 1,050 0.730 None 0 180 New 4.4.7-A1 Bdrms 2, 3, 4 & Guest Livi Slab 390 0.730 None 0 180 New 4.4.7-A1 Bdrms 2, 3, 4 & Guest Livi Roof 3,406 0.026,13-38 270 0 New 4.2.1-A9 Liv/Off/Great/Kit/Din Wall 271 0.069 R-21 0 90 New 4.3.1-A6 Liv/Off/Great/Kit/Din Wall 354 0.069 R-21 30 90 New 4.3.1-A6 Liv/Off/GreatXit/Din Door 20 1.450 None 30 90 New 4.5.1-A1 Liv/Off/GreaWit/Din Wall 30 0.069 R-21 90 90 New 4.3.1-A6 Liv/Off/GreatXit/Din Wall 155 0.069 R-21 105 90 New 4.3.1-A6 Liv/Off/GreatXit/Din Wall 257 0.069 R-21 120 90 New 4.3.1-A6 Liv/Off/Great/Kit/Din Wall 60 0.069 R-21 150 90 New 4.3.1-A6 Liv/Off/GreaWit/Din Wall 166 0.069 R-21 180 90 New 4.3.1-A6 Liv/Off/GreaWiUDin Wall 148 0.069 R-21 240 90 New 4.3.1-A6 Liv/Off/GreaWit/Din Wall 96 0.069 R-21 270 90 New 4.3.1-A6 Liv/Off/Great/Kit/Din Wall 252 0.069 R-21 300 90 New 14.3.1-A6 ILWOfflGreaWitlDin Slab 508 0.730 1 None 0 180 New 4.4.7-A1 ILWOfflGreaWitlDin FENESTRATION SURFACE DETAILS ID Type Area .. LI -Factor' SHGC Azm Status Glazing Type Location/Comments 17 Window 35.0 0.520 NFRC 0.29 NFRC 180 New Metal Dual Tint Doors Bdrms 2, 3, 4 & Guest Living 18. Window 90.0 0.520 NFRC 0.29 NFRC 210 New Metal Dual Tint Doors Bdrms 2, 3, 4 & Guest Living 19 Window- ^- 42.0 0.280 NFRC 0.26 NFRC 270 New Double Non Metal Tinted Bdrms 2, 3, 4 & Guest Living 20 Window 80.0 0.520 NFRC 0.29 NFRC 300 New Metal Dual Tint Doors Bdrms 2, 3, 4 & Guest Living 21 Window_.,,,, _,7.0 0.280 NFRC , a016. NFRC_ � _:_-..300 New-,-. Bdrms 2, 3, 4 & Guest Living 22 Window~ f 9.0 0.280 NFRC,,..'' ,,-0.26 NFRC `300 New,.-' '� Double Non 'Metal Tinted' j; Bdrms 2, 3, 4 & Guest Living 23 Skylight ' 8.0 0,590 NFRC 0.39 'NFRC 270 N6we Skylight w Liv/Off/GreatXit/Din 24 Window 48.0, Z'0.280 NFRC f 0.26 NFRC . .-4 0 New _61 Double Non'Metal Tinted Liv/Off/Great/Kit/Din - 25 Window 28!0 10.286 NFRC 0.26 NFRC V 0 New Double Nom Metal Tinted Y., ,''. Liv/Off/GreaWit/Din ,c 26 Window 4 /12.0, i; 0.280 NFRC - 0.28' NFRC 4 0 New t -: Double NonWetal Tinted Liv/Off/GreaWit/Din 27 . Mndowj4 ? x.,57.5"�.0.520 NFRC , x''0.29 NFRC`- ;m. 0 New < Metal Dual Tint Doors �i , LiOCiff/GreaWit/Din 28 Window 12.0 0.280 NFRC 0.26 NFRC 0 New Double Non Metal Tinted Liv/Off/GreaWit/Din 29 Window __ 28.0 0.280 NFRC' 0.26 NFRC 0 New Double Non Metal Tinted Liv/O&GreaWit/Din 30 - Window `62.0 0.520 NFRC 0.29 NFRC 30 New Metal Dual Tint Doors Liv/Off/GreaWit/Din 31 Window 105.6 0.280 NFRC 0.26 NFRC 90 New Double Non Metal Tinted Liv/Off/GreaUKit/Din 32 jWndow 97.0 , 0.520 NFRC 0.29 NFRC 105 New Metal Dual Tint Doors Liv/0ff1Great/Kit/Din (1) U -Factor Type: 1;16-A = Default Table from Standards, NFRC =Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Len H t LEA RExt Dist Len Ri ht Fin H t Dist Len Hat 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 Buo Screen 0.76 23 None 1.00 24 Bug Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 31 JBug Screen 0.76 10.0 10.0 10.0 0.1 10.0 10.0 32 JBug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-12-20T12:34:44 ID: Page 8 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name The Madison Club Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2/20/2012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Slab 2,906 0.730 None 0 180 New 4.4.7-A1 Liv/Off/Great/Kit/Din FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status Glazing Type Location/Comments 33 Window 20.0 0.280 NFRC 0.26 NFRC 120 New Double Non Metal Tinted Liv/Off/Great/Kit/Din 34 Window 15.8 0.280 NFRC 0.26 NFRC 120 New Double Non Metal Tinted Liv/Off/Great/Kit/Din 35 Window 13.5 0.280 NFRC 0.26 NFRC 120 New Double Non Metal Tinted Liv/Off/Great/Kit/Din 36 Window 21.0 0.280 NFRC 0.26 NFRC 150 New Double Non Metal Tinted Liv/Off/Great/Kit/Din 37', Window _- .,,,,110.0 0.520 NFRC _0.29. NFRC_ 180 New- Metal-Dual_Tint.Doors �,�. Liv/O&Great/Kit/Din 38 Window' '216.0 0.280 NFRC,,.+ ;✓' 0.26 NFRC;,. 180 New JY Double NonMetal Tinted' 4 Liv/Off/Great/Kit/Din 39 Window "50.3 0.280 NFRC,`+' . 0.26 NFRC , 1.240 New', _.x Double N nlMetal Tinted 'Y Liv/Off/Great/Kit/Din 40 Window 78.0 x:0.520 NFRC `" 0.29 NFRC ";,; -4240 New.;__? Metal Dual «Tint Doors __ � Liv/Off/Great/Kit/Din 41 Window 15!2 10.280 NFRC 0.26 NFRC g 270 New V4. Double Non.Metal Tinted,"; ; Liv/Off/Great/Kit/Din 42 Wndow 4 , 48.0. t- 0.520 NFRC ; 0.29' NFRC. 270 New UJ Metal DualiTint Doors 1g -k Liv/Off/Great/Kit/Din 43 . Windowoc 0 14176 °=0.280 NFRC,h: x0.26 NFRC,! r,w 270 New K; Double'Non`Metal4Tinted� ; Liv/Off/Great/Kit/Din 44 Window 14.4 0.280 NFRC 0.26 NFRC 270 New Double Non Metal Tinted Liv/Off/GreaWit/Din 45 Window -140.0 0.520 NFRC 0.29 NFRC 300 New Metal Dual Tint Doors Liv/Off/GreaWiVIDin 46 Window 9.0 0.280 NFRC 0.26 NFRC 300 New Double Non Metal Tinted Liv/Off/Great/Kit/Din (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 33 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 34 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 35 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 36 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 37 Bug Screen 0.76 10.0 6.5 10.0 0.1 10.0 10.0 38 Bug Screen 0.76 7.0 8.3 10.0 0.1 10.0 10.0 39 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 40 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 41 Bug Screen 0.76 Bu Screen 0.76 Bu Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 r45 Bug Screen 0.76 10.0 6.0 10.0 0.1 10.0 10.0 Bu Screen 0.76 Bua Screen 0.76 EnergyPro 5.1 by EnergySoft User Number.' 6712 RunCode: 2012-12-20712:34:44 ID: Page 9 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 12/20/2012 Electronically Signed at Ca10ERTS.com by Humberto Bautista (PAR Development) 12/20/2012 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name The Madison Club Building Type ®Single Family ❑Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 12120/201 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVAC 1 Sleeping Space 1,124 12,589 HVAC 2 Sleeping Space 1,440 15,408 HVAC 3,4 & 5 Living Space 3,414 41,651 ' Totals 5,9781 01 01 0 HVAC SYSTEMS - - System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC 1 - 1 Central Furnace 80% AFUE Split Air Conditioner 16.0 SEER Setback New HVAC 2 1 Central Furnace 80% AFUE Split Air Conditioner 16.0 SEER No Setback New HVAC 3, 4 &.5� 3 _ , .Central,FuMace 80%-AFUE S Iit.Air Conditioner,°`-= 46.0'SEER Setback New ,y y /f = F= y Vr, 1 % W HVAC DISTRIBUTION = 4" , 'tZ. 1: — .. �,�,. 't�:- '„ 1, f*moi 114 I lik 6.d .. •x 77 ..,,-,'Duct System Name Heating .> icts� °Du f Cooling Duct Location R -Value Tested? Status HVAC 1 �_ Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New HVAC 3,4 & 5 Ducted Ducted Attic, Ceiling Ins, vented 8.0 d 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 Bradforf White 75 Gal 2 Small Gas All Pipes Ins 65,000 75 0.66 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 _ o m a — System Name Pipe Length Pipe Diameter Insul. Thick. Oty. HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2012-12-20712:34:44 ID: Pae 10 of 10 Reg: 212-NO07182OA-000000000-0000 Registration Date/Time: 2012/12/20 15:36:08 HERS Provider: Ca10ERTS, Inc A n Sladden Engineering la- -- t 3 LiS 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 •6782 Stanton Avenue, Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 December 18, 2012 Project No. 544-12174 12-12-336 Par Development , P. O. Box 1455 Palm Desert, California 92261 Project: Proposed Custom Residence , 53045 Humboldt Drive— Lot 54B r Madison Club La Quinta, California. Subject: Foundation Plan Review Ref: Geotechnical Update report'prepared by Sladden Engineering dated November 5, 2012; Project No. 544-12174, Report No. 12-11-283 As requested, we have, reviewed the Foundation Plans and Details prepared by W -T Civil Engineering, LLC.' for the proposed custom residence to be constructed at 53045 Humboldt Drive within the Madison Club development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update report as well as the original Geotechnical Investigation report have been properly incorporated into these plans. If you have questions regarding this memo, please coptact-the-undersigned Respectfully submitted, SLADDEN ENGINEERING Brett Lei goon BRETT L. vs B6RS N� Principal Engineer No. 045389 Exp. 9/30/14 CIVIL ENGINEERIKIG Letter/gvm Q" OF 1 Copies: 4/ Par Development CITY OF LA QUANTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA Z l�By/GSd By JAN 172013 lull 1 4 �f 1 LA QUIIITTA 12-1348 NOV. 291 . 2012 Please verify that soils reports contain all of the above information. In addition, to assure continuity between the investigation/reporting stage and the execution stage, please use the following checklist to verify that the conclusions and recommendations in the report cover all the required elements. Only then can we be assured that the construction documents address all of the site soil conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section of the report address each of the following criteria? "Address" means: (a) the criterion is considered significant and mitigation measure(s) noted, or; (b) the criterion is considered insignificant and explicitly so stated. Yes_ No Criterion ❑ Foundation criteria based upon bearing capacity of natural or compacted soil. ❑ Foundation criteria to mitigate the effects of expansive soils. ❑ Foundation criteria based upon bearing capacity. of natural or compacted soil. ❑ Foundation criteria to mitigate the effects of liquefaction. ❑ Foundation criteria to mitigate the effects of seismically induced differential settlement. ❑ Foundation criteria to mitigate the effects of long-term differential settlement. ❑ Foundation criteria to mitigate the effects of varying soil strength. Af ❑ Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the above checklist should be noted as specific required corrections. o -d I . a1.io-i.fic-noi ivawdoianan eoc' i 1 71 1 1 oan Certificate of Occupancy ot awlf oF�9Community Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-045 HUMBOLDT BLVD Use classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: VB Code Edition: 2010 Sprinkler Installed: YES Building Official Owner of Building: Address: City, ST, ZIP: By: Date: POST IN A CONSPICUOUS PLACE Building Permit No.: 12-1348 Land Use Zone: RL Sprinkler Required: YES JAMES & CAROL FILLER AJ ORTEGA NOVEMBER 7, 2013