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12-0190 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description:_ Property Zoning: Application valuation: Applicant: Coe T41�v 4 Xfv Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1E00 000190', 52575 HUMBOLDT BLVD 767-200-091-17 -34968 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 416019 Architect or Engineer: I JA 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 ofthe Business a rofe si Is Code, and my License is in full force and effect. License Class: B Lic e No.: 915336 Date: r,7.12 Si6ntrac NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I a I xempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and P essions 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—) 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: 1� LQPERMIT VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/12/12 Owner: MYKLAK,ROBERT P r�D f• `�1 J A /L j�3'� / Contractor:/tJ �� DBCA INCA°►'\� e �� P.O. BOX 1482 .L LA QUINTA, CA 92247 (760)393-5271 Lic. No.: 915336 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 TRAVELERS Policy Number YJUB282D7797-12 _ 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 come subject to the workers' compensation laws of California, and agree that, if I should be o e subr the workers' compensation provisions of Section 3700 of th Labor Code, I s II orth ith co ly with those provisions. Date: `plic - WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this'application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abo information is correct. I agree to comply with all cityrnd county ordinances and state laws relating to building c s rucY n, hereby authorize representatives of�this county to enter up the above-mentioned property for cti n purpos s. Date: ' Z�� ignature (Applicant or Agent Application Number . . . . 12-00000190 ------ Structure Information 4,681SF DWELLING/VB/RES-3/CL-A/13D [ENG] ----- Other struct info CODE EDITION 2010 # BEDROOMS .3.00 _ FIRE SPRINKLERS 13D GARAGE SQ FTG 659.00 PATIO SQ FTG 1188.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3559.00 ` - ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 1082.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 1749.00 Plan Check Fee 1136.85 Issue Date . . . . Valuation . . . 416019 Expiration Date 12/09/12 Qty Unit..Charge Per Extension BASE FEE 639.50- 317.00 3.5000 ----------------------------------------------7----------------------------- THOU BLDG 100,001-500,000 1109.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 181.00 Plan Check Fee 45.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 5.00 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 10.00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 207.02 Plan Check Fee 51.76 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 4681.00 .0350 ELEC NEW RES -,1 OR 2 FAMILY 163.84 659.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.18 LQPERMIT ti .s ', Application Number• . . . . . 12-00000190.. Permit. . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1.00• 15.0000 EA ELEC TEMPORARY POWER POLE - ---------------------------------------------------------------------------- 15.00 Permit . . . PLUMBING Additional desc .' . Permit Fee . . . . 208.50 Plan -Check Fee'. 52.13 Issue Date Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 14.00 '.7500 EA PLB GAS PIPE >=5 10.50 1.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 15.00 Permit GRADING PERMIT ` Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4,681SF DWELLING/VB/RES-3/CLASS-A/13D [ENGINEERED) THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, ENTRY GATE, POOL, SPA OR WATER FEATURES. 2010'CALIFORNIA BUILDING CODES. June 11, 2012 9:44:05 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . ... . . . ART IN PUBLIC PLACES -RES 540.05 BLDG STDS ADMIN (SB1473) 17.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 113.69 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES 3.55.00 LQPERMIT LQPERMIT Application Number . . . . . 12-00000190 -------------------_---------------------------------------- Other Fees . ... . . . MULTI -SPECIES (MSHCP) FEE 1254.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES. 892.00 ' STRONG MOTION (SMI) - RES 41.60 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary. Charged Paid Credited Due F. Permit Fee Total 2360.52 .00 .00 2360.52 Plan Check Total 1285.99 1000.00 .00 285.99 Other Fee Total 6456.34 .00 .00 6456.34 Grand Total 10102.85 1000.00 .00 9102.85 LQPERMIT Building Address r j�J 6s� 6� 6 I� 0 Nlw Owner 13 / Mailing Address City lZip k4*3 . uultt P.O. BOX 1504 D 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mate LIC L;Ity & Classif. Lic. # Arch., Engr. Designer 19P A Address 70 G4'7©-7 T64 --170-7 clty Izip State I 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). ❑ 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 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) ❑ 1 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 copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ 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. It, 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 Date Mailing Address City, State, Zip APPLICATION ONLY BUILDING: TYPE CONST. OCC. GRP. A.P. Number76-7, 60..'o-41 ..'o—L Legal Description 3 � iii l 1S 05 A M DLJ / Sq. Ft. No. No. DIN. r Size / Stories Units New ' Add ❑ Alter ❑ Repair ❑ Demolition ❑ 6 Estimated Valuation I�Z PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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 Validated by: Validation: WHITE = BUILDING DEPARTMENT rj YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Villa 17 Madison Club Date: June 12, 2012 Owner's Name: Robert Myklak Phone No. Project Address: 52-575 Humboldt Blvd, La Quinta, CA 92253 Project Description: 1 Single Family Dwelling APN: 767-880-021 Tract #: Lot #'s: Type of Development: Residential !XX Commercial Total Square Feet of Building Area: 4,681 Sq.Ft. 17 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 sigiA,9p1 behalf of the owner/developer. Dated: June 12, 2012 Signature: ************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCL NE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 4,681 Amount per Sq.Ft. $3.20 Amount Collected $14,979.20 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director II, Facilities & Maintenance Certificate issued by: Elsa F. Esqueda, Director of Facilities Note: Signa 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:dinydoes/devfees, certificate ofcompliance form updated 3-2007 11/2010 sij0_1"ITY i TiONAL ii►: E COMPANY SUBDTVISION DEPARTMENT a59 `13oq06_yV_ WHEN RECORDED MAIL TO: Robert P. Myklak MAIL TAX STATEMENT TO: SAME AS ABOVE DOC # 2012-0050035 02/03/2012 10:39 AM Fees: $33.00 Page 1 of 7 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder —This document was electronically submitted to the County of Riverside for recording— Receipted by: QHENSON f+PfJ: ­? (o-7 - 0 650- o31-3 (This space, for Recorder's use only) 1-7;7-- 0.k- DOCUMENT TRANSFER TAX $ undisclosed 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. —Fvv, I mdy� vvl� Signature of Declarant or Age determining 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 Robert P. Myklak, an unmarried man ("Grantee"), 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: .January 23, 2012 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 compan Its authorized Represe tive By: oseph L. Arenson Its: Authorized Representative DOC # 2012-0050035 Page 2 of 7 02/03/2012 10:39 AM CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA )SS COUNTY OF RIVERSIDE ) On January 23, 2012 before me, AMANDA B. HERMAN, a notary public in and for said state, personally appeared JOSEPH L. ARENSON,who proved tome 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 California that the foregoing paragraph is true and correct. WITNESS my hand and official seal: AWt • COIYNA. �1k3432!81 Signature. etiyv�.ct.(1� NOTARY PUBIC a CAL�ORNIA RIVERSIDE COUNTY CotmiWlon 6 Teri APR S 2013 This area for official notarial seal. r - THE - MADISON CLUB June 12, 2012 Mr. Jeff Prevost 80955 Avenue 54 La Quinta, CA 92253 RE: Villas 16,17,18 & 19 Final Design Review Dear Mr. Prevost: The Madison Club Design Review Committee (DRC) reviewed and approved the final plans for the following Villa Lots: 16, 17, 18 and 19 for the purpose of submitting to the City of La Quinta for first plan check. Any minor items that require adjustment based on the current guidelines will be handled with you and the DRC directly. Thank you for your submittal. Please contact Brook Marshall at (760) 219-8057 or by email at Brookndc.rr.com with any questions regarding this review. Sincerely, Madison Club Design Review Committee cc: DRC File 53035 MERIWETHER WAY, LA QUINiA, CA'92253 TEL 760 391-4500 FAx 760 391-4599 F_ r V; . July.20, 2013 ILE COPY 4 P.O. Box 1504 ' LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPIICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 i Jeff Prevost c/o Madison Club P.O. Box 1482 La Quinta, CA 92247 RE: Building Permit Extension to 12-190 Project: 52-575 Humboldt Blvd. Dear Mr. Prevost, I have reviewed your letter dated June 24, 2013 requesting a time extension for the Building Permit (listed above) for a new single family dwelling. Permit status: Last passed inspection: 01/30/2013 180 -day date: 07/29/2013 180 Extension date: 01/24/2014 Under the provisions of the 2010 California Building Code Section 105.5, your request is hereby granted. Please be advised that your next inspection must be approved on or before Friday, January 24, 2014. Sincerely, Burtanada Plans Examiner / Inspection Supervisor Permit Extension Request Page 1 of 1 l -.a RIVERSID � COUNTY FIRE DEPARTMENT : IN COOPERATION WITH .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 PROUDLY SERVING THE` June 11, 2012. +; UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: CFB Fire Sprinkler BANNING 21386 Lilium Ct. BEAUMONT Moreno Valley, -CA CALIMESA CANYON LAKE Re: Residential Fire Sprinkler Plan Review COACHELLA LQ -12 -RS -016 Myklack Residence 52-575 Humbolt Blvd. La Quinta, CA DESERT HOT SPRINGS EASTVALE INDIAN WELLS 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 INDIO the following conditions: LAKE ELSINORE A minimum of three spare fire sprinklers of each type and temperature rating along with a LA QUINTA sprinkler wrench should be located in a spare head cabinet at the system riser or other MENIFEE approved location. MORENO VALLEY Permanently marked identification signs shall be attached to all control valves. r PALM DESERT The completed Contractor's Material and Test Certificate for Aboveground Piping shall be PERRIS provided to the fire inspector prior to a final inspection. A typical certificate is shown in Figure RANCHO MIRAGE 10.10.1 NFPA13. RUBIDOUx CSD NOTE: Correction ori Approved plans. NFPA 13D 7.5.5.2 Sprinklers installed where maximum ambient ceiling temperatures are between 101 -150 degrees shall be intermediate temp rated. SAN JACINTO TEMECULA A warning sign, with minimum % inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WILDOMAR 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 BOARD OF without a review of the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. SUPERVISORS: BOB BUSTER . The following inspections/tests are required to be witnessed by the Fire Department Planning DISTRICT t Division staff: JOHN TA D GLIONE STRICT2 (a) Fire Riser Flush: Prior to connection of above ground sprinkler system a flush shall be witnessed. JEFF STONE DISTRICT 3 (b) Overhead Rough and Hydro static test: All piping shall be visible and JOHN BENOIT pumped at normal operating pressure. DISTRICT 4 MARION ASHLEY (c) Final inspection. .4 DISTRICT 5 The Fire Department job card, approved plans and conditions letter must be at the job site or x f 1 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 Department to schedule inspection. Sincerely, Jason Stubble Fire Safety Specialist N Submittal ,t..•» , , ••. Bin t ';� .... ;0,i .. - TRACKIIVG PERi4II'i.FEES• �I / of La Quinta _ PiaaSets Bulkang SC Safety 1)&W&i Perinir P.O. Box 1504,:78-49S Calle Tampico 1 4-Qulnta, CA 92253 -:(760) 777-7012 Building Pennii Application and Tracking Sheet Pmject,Addtrss: �.:.5 5 (�� Name:A. P. Number -•767• D • �.. Irss: ::er's Legal Description: Tine 24 Calci6 City, ST, Zip: Contractor. Diu��Y i Plans picked up Constmcdoff Telephone: Address: Project Description: City, ST, Zip: ; /•,,, `T/ Telephone: State Lie. 9- City Lia N: Mi A UO hi D 1 Arch, Bngi., Designer Called Contact Yeraoa Plumbing �At-O V11 oSPr Address: City., ST, Zip: H.O.A. Approval Telephone: Construction Type: • 0(=panay: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of ContaEP=on:Sq. Ft: ik Stories:# Urdtp: Telephone # oson: Estimated Value of Project P1anning Approval. AanI It -aur. ru, krr.T,,a.,.-.,�.,.....»... N Submittal Reed -•Rcc,d - TRACKIIVG PERi4II'i.FEES• PiaaSets Pl- Check submitted•' ?/Yo item / - Amount Structural CaIcs Reviewed, ready for corrections Plan Check Deposit_ . Tran Calcs. Calied Contact person Pian Check Balance Tine 24 Calci6 Plans picked up Constmcdoff Flood plain pian Plans resubmitted.', Mechanical Grading plan 21! Review, ready for contoloasfissZte Electrical Subcontactor List Called Contact Yeraoa Plumbing Groat Deed Pians picked up SA U H.O.A. Approval Plans resubmitted Gsadtag IN lfOUSE•r Revtew; ready for eorreetio a Devdoper Impact Pee P1anning Approval. Called Contact Person Pub. Wks. Appr • Date of permit issue School Fees _-- - Total crmit V.0 -71 L40 �,%,Ot2 - JX 1410. ArW Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 SlAnton Avcnue. Suile A, Buena Pnrk, C4 90621 (714) 523.0952 Fax (714) 523-1369 450 Egan Avenue, Bcaumorlt, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA, 92543 (951) 766-8777 Fax (951) 766-8778 April 4, 2012 ' Project No. 544-4810 .12-04-083 East of Madison, LLC vI rNy e 0140 P. o. Box 1482 CITY OF LA QUINTA La Quinta, California 92247 BUILDING & T. SAFETY DEP Subject: Geotechnical Update APPROVED FOR CONSTRUCTION Project: Madison Club - Villa 17 52-575 Humboldt Boulevard The Madison Club DATE W 2-0BY a-1 La Quinta, California Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Prvject No. 544-4870, Report No. 05-07,-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522.4810; Report No. 06-02-120 Geotechnical update report prepared by Sladden Engineering dated March 2, 2072; Project No. 544-4810, Report No. 12-03-058 As requested, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of Villa 17 to be to be constructed at 52-575 Humboldt Boulevard. The project site is located within the Madison Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood -frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. The lot was previously graded during the initial rough grading of the Madison Club project site and recently regraded. The rough grading included recompaction of the native surface soil along with the placement of engineered fill material to construct the building pads. The site grading is summarized in the referenced Project Grading Report along with the compaction test results. Because the lot has ;been previously rough graded, the remedial grading required at this time should be minimal provided that the building area that falls within the previously assumed building envelope. The building area should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted to a minimum of 90 percent relative compaction prior to fill placement_ The previously removed soil and any fill material should be placed in thin lifts at near optimum moisture content and compacted to at Ieast 90 percent relative compaction. April 4, 2012 -2- Project No. 5444,810 12-04-083 The referenced reports include recommendations pertaining to the construction of residential structure foundations. The previous reports also address the potential for liquefaction, subsidence and differential settlement. Based upon our re%,iew of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. The allowable bearing pressures recommended in the Geotechnical Investigation report remain applicable. Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1500 psf and 2000 psf, respectively. Allowable increases of 300 psf for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic toaaing. Lateral forces may be resisted by friction along the base of the foundations and passive resistance along the sides of the footings. A friction coefficient of 0.48 times the normal dead load forces is recommended for use in design. Passive resistance may be estimated using an equivalent fluid weight of 300 pef. if used in combination with the passive resistance, the frictional resistance should be reduced by one third to 0.33 times the normal dead load forces. The bearing soil is generally non -expansive and falls within the "very low" expansion category in accordance with the: 2010 (CBC) classification criteria. Pertinent 2010 CBC Seismic Design parameters are summarized on the following page. Based on our field observations and understanding of local geologic conditions, the soil profile type judged applicable to this site is SD, generally described as stiff soil. The site is located within UBC Seismic 'Lone 4.. The additional coefficients and factors relevant to seismic mitigation for new construction in accordance with the 2010 California Building Code (CBC) are provided in this report. Sladden Engineering I April 4, 201.2 -3- Project No. 544-4810 12-04-083 '1'1;e seismic design category for a structure may be determined in accordance with Section 1613 of the 2010 CBC or ASCET According to the 2010 CBC, Site Class 1) may be used to estimate design seismic loading for the proposed structures. The period of the structures should be ILSs than 1h second. This assumption should be verified by the project structural engineer. The 2010 • CBC Seismic Design Parameters are summarized below. Occupancy Category (Table 1604.5): II Site Class (Table 16135.2): D Ss (Figure 1613.5.1):1..500g St (Figure 1613.5.1):.0.600g Fa (Table 1613.5.3(1)):1..0 Fv (Table 1613.5.3(2)): 1.5 Sms (Equation 16.36 {Fa X Ss)): 1.500g Smi (Equation 16-37 JFv X Si))-. 1_900g SAS (Equation 16-38 (2/3 X Sm,}):1.000g Sai (Equation 16-39 {2/3 X Smi)): 0.6008 Seismic Design Category: D Iri addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate content as it relates to selecting appropriate concrete mix designs. Testing indicates that the site soil is generally considered non -corrosive with respect to concrete. The testing indicated soluble sulfate content'of 740 ppm (0.074 percent) that corresponds with die "negligible" exposure category in accordance with ACI 318-08, Table 3. In accordance with Table 3, special sulfate related concrete mix designs should not be required. We appreciate the opportunity to provide service to you on this project, if you have any questions regarding this letter or the referenced reports please contact the undersigned. Respectfully submitted, SLADDIBN ENGINEERING , BMt L. Andersen\ ; >< ftC4M 11�Principal Engineer �► Exp s}3G2012 SER/gl Copies: 4/ East of Madison, LLC Sladden Engineering i Sladden Engineering TABLE 19-A-2—REQUIREMENTS FOR SPECIAL MROSUFZE CONDITIONS MINIMUMY�, MAk1MuM NORMAL -WEIGHT ANO HATER-CEMENrf IOUS LIGHTWOGIrr MATF,RIALS RAT10,'DY ACGRECATC. CONCFI rF- I CXPOSURE CONDITION, KCICttT, NORMAL,-WEIGtfT ..13M - AGGREGATECONCRCTE Crntcrcle intCrtdcd t0 have !Ow tteabi!itY w!Lcn I I exposed Io water 0.50 4.000 j Corcic[e exposed to ffu:cing and thawing in t moist 1 condition of 10 deicing chcrucals _ 0.45 4,500 For corrosion protection for reinforced concrete cape. to chlorides from deicing chemicals, salt's or brackish water• or spray from Qxsc sources -- D.40 5.007) TABLE 19-A-3—REQUIREMENTS FOR CONCRETE Ir_ EXPOSED TO SULFATE -CONTAINING SOLUTIONS - - NORMALIGN[WEIGIfT 4WEIGNT AGGREGATE AGGREGATE CONCRETE mazlmum Wfatef. V Normal. WATER-SOLUBLE Cementltioue Walplrt.nd ' SULFATE Materials. Ratloy by I Llohtwelpht �ULrAI'E•L P((SOS�))IN"L. Q ERCEmTAGE BT SULFATE (SO4) IN Hormai- Npht Concr4te Dtps!% C•1tP05UnC WEIGHT wATL•R,AQ.Rq.le + DPan CEMENT TYPE• Comte' x 0.00589 for MPS Negligible O.OtI-0.[0 0:150 M(XICMIC2 ().!M.20 j50-1,500 [I, fp� (Mj� 1S 4 :1H _ (MS) 0.50 r[,000 Severe 0.20-2,00 1,5 4001 4J0 v 0.45 4,500 Very scvi rc Over 2.00 Ovcr 10,000 v pits 0.45 E; - M7701.4 500 IA lower watt <emertitious nlalariSIS ratio Or Higher stmogth may be rcgl,ircd for low pemtr..ability or f0rp0tcc1i0f1 aglinst a.3rmsion of enfbedderl i(ratt., or freezin 'S"waterg d Um vjnS Cf�bte 19=A-2), r�, Voclan, an that Ims been dc.,c mined by test ur service itcord to improve sulfate rrsistanee when used in concrete con- ttining Type V cement, 2-264 I Sladde.n Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 45090 Golf Center Pkwy, Suite F, Indio,'CA 92201 (760) 863-0713 Fax (760) 863-0847 450 Egan Avenue, Beaumont. CA 92223 (951) 845-7743 Fax (951) 845-8863 Date: April 4, 2012 Account No.: 544-4810 Customer, East of Madison, LLC Location: Madison Club Villas,Iot 17, La Quinta Analytical Report Sulfate Series Soluble Sulfates Soluble Chloride per CA 417 per CA 422 ppm ppm 740 240 r ti Suffate 544181 0 40412.doc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 1412312012 Date Project Address Madison Club Villas, #17 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,681 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST EI Yes O No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. El Yes O 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 Roof Wood Framed Attic R-38 3,599 Radiant Barrier New Wall Wood Framed R-21 4,613 New Slab Unheated Slab -on -Grade None 3,671 Perim = 397' New Door Opaque Door None 60 New Floor Wood Framed w/Crawl Space R-19 1,082 New s FENESTRATION U- Exterior Orientation Area i Factor SHGC Overhang Sidefins Shades Status Left (N) 206.5 0.350 0.33 none none Bug Screen New Rear (E) 331.6 L . -0:350,x,,,0.33--none, ,--.=none 1--_.-Bug_Screeny■r�— New Right(S) 221.2 0350 V0.3i none` none 1 Bug Screen V New Front (Gtr r X69. 0356 0.350 0.33 'Hobe one Bug Screen New %I IINI��, ,.. ., v r'%r'r°i' !f' L e.e HVAC SYSTEMS Qty. Heating Min. Eff Cooling Mi. Eff mo a atus LJ I 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 --- ) 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating 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 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 2 Small Gas 50 0.62 All Pipes Ins nnw 1111 i G 7 2012 1 EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-04-20716:24:43 D: 1 Pae 1 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:2Lt �-Rx�.• �p_�° c^a10ERT�, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 E F I PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 1412312012 Date Project Address Madison Club Villas, #17 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,681 Addition n/a # of Stories 2 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 Factor SHGC Overhang Sidefins Shades Status ��."li�^r( \ � �i.. l.� � �.`w�'�'�E=.„�.. '"^'..`�d.��.. ;� � -'4 ... 9 �ro.� :_. �{-.✓iXt ����f All HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Split Heat Pump 8.00 HSPF Split Heat Pump 16.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC 4 Ductless /with Fan Ductless n/a n/a New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by Ener Soft User Number: 6712 RunCode: 2012-04-20716:24:43 /D: Page 2 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 4/23/2012 Electronically Signed at Ca10ERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name Building Type ® Single Family ❑ Addition Alone Date Madison Villas, Villa #17 1 ❑ Multi Family ❑ Existing+ Addition/Alteration 1412312012 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. Compliance for all orientations is specified, see section 151 (c) 2 of the Standards and section 7.6.2 of the Residential Compliance Manual. HIGH MASS Design - Verify Thermal Mass: 468.0 ft2 Covered Slab Floor, 3.500" thick at Kitchen -Dining -Great -Hall HIGH MASS Design - Verify Thermal Mass: 1,594.0 112 Exposed Slab Floor, 3.500" thick at Kitchen -Dining -Great -Hall HIGH MASS Design - Verify Thermal Mass: 1,095.0 ft2 Covered Slab Floor, 3.500" thick at Master Bedroom HIGH MASS Design - Verify Thermal Mass: 180.0 ft2 Exposed Slab Floor, 3.500" thick at Master Bedroom HIGH MASS Design - Verify Thermal Mass: 232.0 ft' Covered Slab Floor, 3.500" thick at Bedroom off Garage HIGH MASS Design - Verify Thermal Mass: 102.0 ft2 Exposed Slab Floor, 3.500" thick at Bedroom off Garage The Roof R-38 Roof Cathedral includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. 3 �.' ' iSV HERS`.REQUIRED , w °-•y iYERIFICATION R Items in1his section require field testing and/o verification by a certified HERS Rater:-Theinspectorvmust receive a completed CF -413 form for each of themeasureslisted below for final to be given. The Cooling. System Carrier 24ACA660158CVX090 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 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. r a 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 24ACA660158CVX090 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 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 24ACA648158CVX090 includes credit for a 12.2 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 3 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 3 includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System HVAC 3 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. Ene Pro 5.1 by EnerqySoft User Number: 6712 RunCode: 2012-04-20716:24:43 /D: Page 3 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.Com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1412312012 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. 0' y" HERS; REQUIRED VERIFICATION. ` - -.`� �'' rj Itemsm'this " tion require field testing and/or verification by a certified'HERS Rater:`The inspector must receive a completed CF -413 form for each of the measures listed below for final to be given. The Cooling _System MSZA24NAIMUZA24NA 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 4 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. r` EnemyPro 5.1 by EnemySoft User Number: 6712 RunCode: 2012-04-20716:24:43 ID: Page 4 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 4/23/2012 Electronically Signed at Ca10ERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Madison Villas, Villa #17 ❑ Multi Family ❑ Existing+ Addition/Alteration 4/23/2012 ANNUAL ENERGY USE SUMMARY Standard Facing Margin Facing Margin Facing Margin Facing Margin TDV kBtU/ft2- r North East South West Space Heating 5.15 4.03 1.12 4.86 0.29 5.79 -0.64 4.54 0.60 Space Cooling 52.94 43.73 9.21 43.13 9.81 42.23 10.71 42.50 10.44 Fans 10.64 15.01 -4.37 14.89 -4.25 14.71 -4.08 14.69 -4.05 Domestic Hot Water 7.34 8.54 -1.20 8.54 -1.20 8.54 -1.20 8.54 -1.20 Pumps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Totals 76.06 71.31 4.75 71.41 4.65 71.28 4.78 70.28 5.79 Percent Better Than Standard: 6.2% 6.1% 6.3% 7.6% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: All Four orientations Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (W 1,264 65 Fuel Available at Site: Natural Gas (N) 1,575 207 Raised Floor Area: 1,082 (E) 1,313 332 Slab on Grade Area: 3,671 (S) 1,345 221 Average Ceiling Height: 11.1 Roof 3,599 0 Fenestration Average U -Factor: 0.35 TOTAL: 824 Average SHGC: 0.33 Fenestration/CFA Ratio: 17.6% REMARKS i STATEMENT OF COMPLIANCE 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, 423/2012 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 South West Concepts Address 78-115 Calle Estado Ste. 105 Name Steve Nieto City/State/Zip La Quinta, CA 92253 Phone (760) 564-4707 Signed License # Date EnerovPro 5.1 by EnemySoft User Number: 6712 RunCode: 2012-04-20716:24:43 to: Page 5 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1412312012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor CavityTExterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 980 0.026 R-38 0 0 New 4.2.1-A9 Kitchen -Dining -Great -Hall Wall 737 0.069 R-21 0 90 New 4.3.1-A6 Kitchen -Dining -Great -Hall Wall 477 0.069 R-21 90 90 New 4.3.1-A6 Kitchen -Dining -Great -Hall Wall 312 0.069 R-21 180 90 New 4.3.1-A6 Kitchen -Dining -Great -Hall Wall 385 0.069 R-21 270 90 New 4.3.1-A6 Kitchen -Dining -Great -Hall Slab 468 0.730 None 0 180 New 4.4.7-A1 Kitchen -Dining -Great -Hall Slab 1,594 0.730 None 0 180 New 4.4.7-A1 Kitchen -Dining -Great -Hall Roof 1,203 0.026 R-38 0 0 New 4.2.1-A9 Master Bedroom Wall 230 0.069 R-21 0 90 New 4.3.1-A6 Master Bedroom Wall 177 0.069 R-21 90 90 New 4.3.1-A6 Master Bedroom Wall 529 0.069 R-21 180 90 New 4.3.1-A6 Master Bedroom Wall 371 0.069 R-21 270 90 New 4.3.1-A6 Master Bedroom Door 60 1.450 None 270 90 New 4.5.1-A1 Master Bedroom Slab 1,095 0.730 None 0 180 New 4.4.7-A1 Master Bedroom Slab 180 0.730 None 0 180 New 4.4.7-A1 Master Bedroom Roof 1,082 0.026 R-38 0 0 New 4.2.1-A9 12nd Floor Master FENESTRATION SURFACE DETAILS ID Type Area IU -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 12.0 0.350 NFRC 0.33 NFRC 0 New Traditional Window Kitchen -Dining -Great -Hall 2- Window 48.0 0.350 NFRC 0.33 NFRC 0 New Traditional Window Kitchen -Dining -Great -Hall 3 Window ' 48.0 0.350 NFRC 0.33 NFRC 0 New Traditional Window Kitchen -Dining -Great -Hall 4- Window 3.0 0.350 NFRC 0.33 NFRC 0 New Traditional Window Kitchen -Dining -Great -Hall 5 ', Wndow - 3.0 0.350 NFRC--z -0.33 .NFRC..__ ____ ,„0 New . Traditional WIndow..; , � Kitchen -Dining -Great -Hall 6 Window" -V.7.0 0.350 NFRC,;.4 0.33 NFRC)10 New r.. Traditional,'Windowl .,�_� N. Kitchen -Dining -Great -Hall 7 Window. "; 7.00;350 NFRC : "• 0:33 NFRC 0 Now. i r Traditional Window A ` w . ' Kitchen -Dining -Great -Hall 8 Window '' 10.5':'„0.350, NFRC '` 0.33 NFRC t--4 90 New - 'Traditional Window X N, Kitchen -Dining -Great -Hall 9 Window 1.0?5 10.350 NFRC 0.33 NFRC °Y 90 ;New . Traditional. Window _, Kitchen -Dining -Great -Hall 10 ,Window .,O,1,08.0,'1_0.350' NFRC 0.33' NFRC_ ` A90 Wew, „. I Traditional wndowt[ I Kitchen -Dining -Great -Hall 11 : t!YndowNd► X7.0 ,0:350 NFRC X0.33 NFRC ` t::,'_ 90 New '%- Traditional Window. , Kitchen -Dining -Great -Hall 12° Window 7.0 0.350 NFRC -0.33 NFRC 90 New Traditional Window Kitchen -Dining -Great -Hall 13 Window 7.0 0.350 NFRC 0.33 NFRC 90 New Traditional Window Kitchen -Dining -Great -Hall 14- Window 117.0 0.350 NFRC 0.33 NFRC 90 New Traditional Window Kitchen -Dining -Great -Hall 15 Window 12.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall 16 Window 40.011, 0.350 1 NFRC 1 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall (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 Hot Wd Ove hang Left Fin Len H t LExt RExt Dist Len Right Fin Hot 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 Bug 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 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 JBug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2012-04-20716:24:43 ID: Page 6 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, Inc r Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1412312012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 282 0.069 R-21 0 90 New 4.3.1-A6 2nd Floor Master Wall 117 0.069 R-21 90 90 New 4.3.1-A6 2nd Floor Master Wall 177 0.069 R-21 180 90 New 4.3.1-A6 2nd Floor Master Wall 213 0.069.R-21 270 90 New 4.3.1-A6 2nd Floor Master Floor 1,082 0.037 R-19 0 180 New 4.4.1-A4 2nd Floor Master Roof 334 0.026 R-38 0 0 New 4.2.1-A9 Bedroom off Garage Wall 120 0.069 R-21 0 90 New 4.3.1-A6 Bedroom off Garage Wall 210 0.069 R-21 90 90 New 4.3.1-A6 Bedroom off Garage Wall 106 0.069 R-21 180 90 New 4.3.1-A6 Bedroom off Garage Wall 170 0.069 R-21 270 90 New 4.3.1-A6 Bedroom off Garage Slab 232 0.730 None 0 180 New 4.4.7-A1 Bedroom off Garage Slab 102 0.730 None 0 180 New 4.4.7-A1 Bedroom off Garage FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGCz Azm Status Glazing Type Location/Comments 17 Window 12.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall 18- Window 12.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall 19 Window:' ^- 140.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall 20 Window 12.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Kitchen -Dining -Great -Hall 21 �, Window,-,, „6.0 0.350 NFRC _ „ 0:33 .NFRC__. _ r0 New,--. Traditional Window- - Master Bedroom 22 Window' V6.0 0. 350"NFRC,,,.s 0.33 :NFRC "110 New Traditional,Windowl Master Bedroom 23 Window 108.0 0.350 NFRC J 0.33''NFRC 90 New'' i ; Traditional Window Master Bedroom 24 Window2.§-NFRC s'' 0.33 NFRC ` 4 90 New„ --41 Traditional Window 1, Master Bedroom 25 Window Z6 .1'0.350 NFRC 0.33 NFRC V 180 New .- " Traditional Window -,1 Master, Bedroom w, dot 26 Window ; 2.6;) 0.350 NFRC J. 0.33' NFRC 0180 New. 1 sTraditional Windowll ; Master Bedroom Wi 27 i ndow= f k-9.0' ;...0:350 NFRC _ --:0'0.33 NFRC` ` w -,'180 New \- Traditional Window Master Bedroom 10 28 Window 9.0 0.350 NFRC 0.33 NFRC . 180 New Traditional Window Master Bedroom 29 Window 9.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Master Bedroom 30, Window a6.0 0.350 NFRC 0.33 NFRC 270 New Traditional Window Master Bedroom 31 Window 6.0 0.350 NFRC 0.33 NFRC 270 New Traditional Window Master Bedroom 32 Window 10.0 � 0.350 1 NFRC 0.33 NFRC 0 New Traditional Window 2nd Floor Master (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 hang Left Fin Len H t LExt RExt Dist Len Ri ht Fin 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 28 Bug Screen 0.76 29 Bug Screen 0.76 30 -Bug Screen 0.76 31 JBug Screen 0.76 32 IBug Screen 0.76 EnefgyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-04-20716:24:43 ID: Pae 7 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 4/23/2012 Electronically Signed at Ca10ERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 i CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Madison Villas, Villa #17 Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 4/23/2012 OPAQUE SURFACE DETAILS Surface LlInsulation Joint Appendix Type Area Factor CaAt Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 33 Window 10.0 . 0.350 NFRC 0.33 NFRC 0 New Traditional Window 2nd Floor Master 34- Window .6.0 0.350 NFRC 0.33 NFRC 0 New Traditional Window 2nd Floor Master 35 Window-' ­' 13.5 0.350 NFRC 0.33 NFRC 0 New Traditional Window 2nd Floor Master 36 Window 13.5 0.350 NFRC 0.33 NFRC 0 New Traditional Window 2nd Floor Master 37\ Window_ , ,13.5 0.350 NFRC, x0.33 NFRC__._ .... _.....0 Now,-- r„ .Traditional Window_ . 2nd Floor Master 38 Window- x,.12.0 0.350 NFRC > ,�- 0.33' ;NFRC 190 New ' . Traditional,WndoWl f E - 2nd Floor Master 39 Window *40.0 0.350 ,NFRC J 0.33 'NFRC 90 New, A Traditional Window '. * 2nd Floor Master 40 Window 12.0_ X0.350; NFRC 0.33 NFRC � 90 New 4r- Traditional Window X 2ndrFloor Master 41 Window 4010 1`0.350 NFRC c ' 0.33 NFRC F .180 New :� " Traditional Window 'a, �. 2nd Floor, Master,,, As, 42 Window j{' 7.0; l 0.350: NFRC € 0.33 NF, RC. , ,180 'New4 � Traditional Window'F 1 2nd Floor Master 43 < WindowA r k--6.0 ;_:0:350 NFRCt .' =--r0.33 NFRC _ � 270 New, \. Traditional Window �„�i 2nd Floor.Master'o 44 Window 7.0 0.350 NFRC '4 0.33 NFRC ' 270 New Traditional Window 2nd Floor Master 45 _ Window7.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Bedroom off Garage 46, - Window '� 7.0 0.350 NFRC 0.33 NFRC 180 New Traditional Window Bedroom off Garage 47 Window 40.0 0.350 NFRC 0.33 NFRC 270 New Traditional Window Bedroom off Garage t (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 Ove hang Left Fin Right Fin Exterior Shade Type SHGC H t Wd Len H t LExt RExt 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 Buq Screen 0.76 39 Bug Screen 0.76 40 Bug Screen 0.76 41 Bug Screen 0.76 42 lBuq Screen 0.76 43 Bu Screen 0.76 44 Bug Screen 0.76 45 Bu Screen 0.76 46 Bu Screen 0.76 47 Bu Screen 0.76 Ene Pro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-04-20716:24:43 ID: Page 8 of 9 Reg: 212-NO01999BA-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 4/23/2012 Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 4/23/2012 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Madison Villas, Villa #17 1 1 Building Type © Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1412312012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVAC 1 Kitchen -Dining -Great -Hall 2,062 24,744 HVAC 2 Master Bedroom 1,203 13,233 HVAC 3 2nd Floor Master 1,082 10,820 HVAC 4 Bedroom off Garage 334 3,340 Totals 4,6811 01 0 0 HVAC SYSTEMS .---System Name . Ot : Heatinq Tvpe Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC 1 1 , Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC 2 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC 3 1 ..; Central,FUmace.," , 80%-AFUE SplitAir Conditioner —a 15.0 SEER Setback New HVAC 4 �%` ` 1 x S flit Neat Pump V 8.00 HSPF S Iigt,Heat Pbm A 116.0 SEER Setback New /r uir ! C' .• t ,. -,_' 1 , Z� ., ) I � %. HVAC DISTRIBUTION r- *11'. 1 I It I i f �J I./ /: "'x?""t�`.r �„ �.. ',. .... _ ; r System Name Heating .• r. ,cm _ DucU4--1A.' Ducts7C 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 - Ducted Ducted Attic, Ceiling Ins, vented 8.0 El New HVAC 4 Ductless /with Fan Ductless n/a n/a I New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input (Btu h) Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status A O Smith CTG -50-227 2 Small Gas All Pipes Ins 37,000 50 0.62 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft C 0 i� v a — System Name Pipe Len th Pipe Diameter Insul. Thick. Oty. HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-04-20716:24:43 ID: Page 9 of 9 Reg: 212-N0019998A-000000000-0000 Registration Date/Time: 2012/04/23 14:08:28 HERS Provider: Ca10ERTS, Inc