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05-3268 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: '05-000032681x. 57615 INTERLACHEN 762-230-001- - - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 36224 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: VAHE & EVA GARIBIAN 57617 INTERLACHEN LA QUINTA, CA 92253 FD DEC 212005 Contractor: 7C'S CONSTRUCTION & MAINT 48236 VISTA DE NOPAL �ITy®F LA QUINTA LA QUINTA, CA 92253 (760) 564-5811 Lic. No.: 594043 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/08/05 ------------------------------------------------------------------------------------------------- SED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury at I a licensed and r)provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi ess an Profession Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B1�, icense No.: 594043 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '� YDate1) 0li 0 S Contractor: �,-% issued. �I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor W Code, for the performance of the work for which this permit is issued. My workers' compensation NER-BUILDER DECLARATION insurance carrier and po' umber are: I hereby affirm under penalty of pert,� that INumber I hereby affirm under penalty of per ry that I exempt from the Contractor's State License Law for the Carrier XEMPT- Policy EXEMPT following reason (Sec. 7031.5, Business and ofessions Code: Any city or county that requires a permit to I certify that, in ance o the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in anyo as to b come subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree thald beco a subject to a workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of -the e, I s forthwith omplywit those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - F any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Y2,�.r Date: �1 �i ApplicaI, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECRS' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TOL P ALTI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000): INAO TH ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit workis performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 issuaCofper't, or cessation of work for 180 days will subject permitto cancellation. I certify that I have read this application and statinformation is c ct. I agree to comply with all city and county ordinances and state laws relatinuction, an a eby authorize representatives of�this c�ouflfnl�tyJ'tloCenter upon the above-mentionepectin pur oses. Date I 1// Sianature-(Ao'Dlicant � �'3r%s.. Application Number ' . . . . 05-00003268 p Permit . . . BUILDING PERMIT ' Additional desc . . Permit Fee . . . . 330.00 Plan Check Fee 214.50 Issue Date Valuation . . . . 36224 ,., Expiration Date 5/07/06 . Qty Unit Charge Per Extension BASE FEE 252.00 12.00 -'--------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 78.00 Permit . . . ELECT'- ADD/ALT/REM Additional desc . Permit Fee . . . . 31.28 Plan Check Fee 7.82 Issue Date . . Valuation . . . . 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 465.00 ---------------------------------------------------------------------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY 16.28 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension ------------------------------------'---------------------------------------- BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0' Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ? 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 ' ------------------------------=------------------------- 6.5000 EA MECH VENT FAN -------------------- 6.50 Permit . . PLUMBING Additional desc . LQPERMIT Application Number . . . . . 05-00003268 Permit . . . . . . PLUMBING Permit Fee . . . . 46.50 Plan Check Fee 11.63 Issue Date . . . . Valuation 0 Expiration Date 5/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 7.50.00 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments Attached Casita Addition 465 sqft. MUP2005-665 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW.FEE 21.45 STRONG MOTION (SMI) - RES 3.62 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total' 462.28 .00 .00 462.28 Plan Check Total 243.83 .00 .00 243.83 Other Fee Total 25.07 .00 .00 25.07 Grand Total 731.18 .00 .00 731.18 i - ` LQPERMIT . d!n 0 - City Of La QuilltJ-- Building ff Safety Division Fermi 0 �ZP-0. Box 1504, 78-495 Calle Tampico Ll Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet I 'Project Address: 1, 4'r � Zf Owner's Namr. • A. P. Number: Address: = ' 6l Legal Description: ti571CitY, ST, Zip: � 'Contractor: utJ� C, s evenC sTelephone:% /! �" _ X36 n: vs;i �A�� Project Descriptio t4ICAA �D�aS 3 0 /Z?u p_ �; Total Pcrmit Fees Construction n c. - T• P Occu Pa n yStatoCtc. • Name of Contact Person: • � �,f /� b.� � . F-� r li Pro cct J t} a circle one P i ). New Add' n Alter Repair Demo t Telephone # of Contact Person: �8 � .� 3 � - 5 a � a� # Stories: # Units; r Estimated Value of Project: *J(S b APPLICANT: DO NOT WRITE # Submittal =Rcq'd BELOW THIS LINE Recd TRACKING' z Plan Sets � • PERMIT FEES Plan Check submitted Item Structural Calcs. 0 Amount Reviewed, ready for corrections 8 . �Truss'Calcs. Plan Check Deposit .Called Contact Person Title 24 Gales: ©` 'up Plan Check Balance Plans Picked Flood plain plan onstruction Plans resubmitted Grading plan Lechanical Sub- or List 2" Review, ready f currectio Issue Electrical ----- Called Contact Person . Grant Deed Plumbing Plans picked, up ' 11-10.A. Approval S.11I.I. plans.resubmilted IN HOUSE;- Grading Planning Approval '"' Review eddy for corrections/issue, Developer Impact Fee Called Contact ['erson Pub. Wks. Appr A.i.P.P. Date of permit issue —'---- School Fees 0 /Z?u p_ �; Total Pcrmit Fees P.O. Box 1504 LA QuINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 August 8, 2005 Vahe and Eva Garibian SUBJECT: MINOR USE PERMIT 2005-665 57-615 1NTERLACHEN Dear Applicant: Your request for approval of Minor Use Permit 2005-665 allowing the construction of a new guesthouse at 57-615 Interlachen is hereby approved. You may now contact the Building & Safety Department for your building permit. Enclosed is the approved original Deed Restriction for this Minor Use Permit. It must be signed by the owner in front of a. Notary Public. The original approved documents are then to be recorded with the County Recorder, with a recorded copy given to the City for our files. The Community Development Department will sign the job card when the recorded copy is received, which would provide our clearance to the Building & Safety Department to issue the building final inspection. Until the recorded copy is received by the Community Development Department, your Minor Use Permit is not complete and a final inspection will not be issued by the Building & Safety Department. Should you have any questions, please call me at (760) 777-7067. Very trul JAY WU Assistant Planner Attachments c. Building and Safety Department f F a --•�z? ` e . VNY0.►F7M0Y�1dYN Mh�Ah�A�`�F"c � t` '`�",'r rive ails e=6ACad' racer Nouiaav wigH.LWN It WWI If z � t;1 nlli I� o lit, i q . 1 I I �I I ..r IAPPROVED BY C MN BY �`nI V v EXHIBIT CASE N0. --MU JELOPMENT DATE RECORDING REQUESTED BY: Vahe and Eva Garibian WHEN RECORDED PLEASE MAIL TO: Vahe and Eva Garibian COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT 57-615 INTERLACHEN, LA QUINTA, CALIFORNIA This Covenant and Agreement are made and .executed this 4"' day of August by Vahe' and Eva Garibian, as the recorded owner(s) of the property described herein. The City of La Quinta, a Municipal Corporation, is hereby made a party to this Agreement for the purposes set forth below. The undersigned hereby certifies that he/she is the property owner of the following describedreal property in the City of La Quinta, County of Riverside, State of California: LOT 1, BK. 762, PG. 23, TR 28150, in the City of La Quinta, County of Riverside, State of California In consideration of the City of La Quinta issuing a building permit for certain improvements which will be constructed on said property, the undersigned does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: 1. The guest house may not be rented nor sold independent of the main single- family residence (Minor Use Permit No. 2005-665); 2. No kitchen or cooking facilities shall be constructed in the guest house per the provisions of Chapter 9.,30.030 (RL Zone District) and 9.60.110 (Guest Houses) of the La Quinta Municipal Code; 3. All on-site facilities are intended for the sole occupancy of the property owner(s), guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and, 4. The guest house shall be used primarily as a sleeping facility, and shall be maintained in accordance with all zoning and other codes as set forth in the La Quinta Municipal Code, as may be amended from time to time. This Covenant and Agreement shall run with the land and shall be binding upon future owners, their successors, heirs, or assigns, and ourselves, and shall continue in effect while said accessory building remains on the real property or unless otherwise released by the authority of the City of La Quinta. All- leases of said dwelling and/or property shall be subject to this restriction. This Agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law or equity. This Covenant and Agreement and the provisions hereof are irrevocable, except by the written consent of all parties to the agreement, including the City of La Quinta, a Municipal Corporation. The City shall have the right to enforce each and every provision hereof and the parties agree that the Agreement shall not be rescinded, revoked, modified, or otherwise amended or changed, without the expressed written consent of the City first being obtained. In the event that the owners, their heirs, assigns or successors in interest, shall fail to perform any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the City of La Quinta in securing performance of such obligation, including attorney's fees. By: 1 . KI 2. 3. Signature(s) Printed Name of all owner(s) Dated: ,y_ c14;, . DouglasV14. Evans Date Community Development Director City of La Quinta STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ► ss. CITY OF LA QUINTA ► On August 8, 2005 before me, -Regenia Hensley, Notary Public, personally appeared, DOUGLAS R. EVANS personally known to me 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. WITNESS my hand and official seal. (Seal) REG IA HENSLEY_ Notary Public Commission # 1521423 Expiration: October 23, 2008 .REGENIA HEN%EY Cdon 8 1521423 Notory Publc - CoNtornlo RhWSIde County Cong1h.EWkesOct23 2008 r STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ► ss. CITY OF LA QUINTA ► On August 8, 2005 before me, -Regenia Hensley, Notary Public, personally appeared, DOUGLAS R. EVANS personally known to me 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. WITNESS my hand and official seal. (Seal) REG IA HENSLEY_ Notary Public Commission # 1521423 Expiration: October 23, 2008 .REGENIA HEN%EY Cdon 8 1521423 Notory Publc - CoNtornlo RhWSIde County Cong1h.EWkesOct23 2008 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: COMM/MD. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Ualie.&IEv�aribian Date: December 9, 2005 Owner's Name: Vahe & Eva Garibian Phone No. ( Project Address: 57-615 Interlachen, La Quinta, CA Project Description: Room Addition (Attached Casita) APN: 762-230-001 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 465 sq. feet 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: 12/09/05 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 17620 65995 Approval Number of Sq.Ft. 465 Amount per Sq.Ft. $ 0.00 Amount Collected $ 0.00 Building Permit Application Completed: Yes/No Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any mobilehomes being replaced or relocated within the same school district are exempt from developer fees. Any additions of 500 sq. ft. or less is also exempt from developer fees. (Unless additions are on a structure that is under construction.) By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Leticia C. Torres Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMEW OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that thisistrict provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. 1\'iv,;.in;'e, <; %cie4'tc:'.ti.'ia:rfiflCtt?e of compliance fiorm table l0 USE.doc 1/16/03 T •4 C - YOUNG ENGINEERING SERVICES - • Engineering *Architecture -Surveying- Building & Safety Services Letter of Transmittal To:.-1Date: 111A1� �-tlQ-O5 Project: 5-1- GIS Attn: PC#: CS • 5S Tel No.: Tract No.: We are forwarding: By Messenger By Mail' Your Pickup No. I Copies Description: ! CMusr. Comments: THANK YOU This Material Sent for: Your Files Per Your Request Your Review Approval 'Checking At the request of. Other By: LA Phone # (760) 360-5770 . '77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (160) 360=5770 Bronz Young � fir.,.` d'a S r July 6, 2005 Mr. & Mrs. Garibian PGA WEST II RESIDENTIAL ASSOCIATION, INC. 42-600 CAROLINE COURT, SUITE 101 PALM DESERT, CALIFORNIA 92211 PHONE (760) 776-5100 • FAX (760) 776-5111 Reference: 57-615 Interlachen, .La Quinta - Architectural Change Request Pool, casita and patio decking extension Dear Mr. & Mrs. Garibian: The Architectural Committee reviewed your revised plans and approved your application. Please note the following: • "Quiet" pumps shall be utilized for all pool and spa installations and shall meet the minimum requirement of the industry's "quiet" pump standards. • The contractor shall ensure that the make-up water for the automatic water feed device be tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this purpose. • Please be reminded that once a homeowner installs custom concrete surfaces, the Association has no responsibility for maintenance or repairs for such modifications. Per the Architectural Guidelines, reference page 7, Section 6 — Patio Decking & Patio Extensions, ......."any damage or change to the aforementioned shall be at the Owner's expense." Damage to upgraded patios caused by mowing equipment, or otherwise, is the responsibility of the homeowner. • The committee rem-rimends that you review the enclosed specifications for the PGA West concrets rr iix for consideration prior to the installation of your patio decking. (If appli%lf:). This application is approved with the understanding that there will be no additional landscaping. Please contact Luis Umaia, Sunshine Landscape at 760/346-3999 and Carol Fuller, the Association Manager, p.tp to any irrigation modifications associated with this change. Damage to the landscaping, i.e., shrubs, trees, flowers and turf is the responsibility of the contractor. The original landscaping must be brought back to its original condition when the project.is completed. CITY OF LA QUINTA SUB -CONTRACTOR LIST C S p &,. JOB ADDRESS �i � �--� PERMIT NUMBER 0= 37 a OWNEBUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appears his list or their employees are authorized to work. on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance "O F'1 " 's not an acceptable response. 0 permit. For f buildinga P each applicable trade, all information • Contractor :: Company Name 0/V requested ...::..::.:...:......::.. Stat@;:Cont :•. Classification (e.g. A, B, C-8) below -Must be completed racto s lace r . . License Number (xxxxxz) qT +d` by Exp. Date (xx/xx/xx► oC"� 7 -Q applicant. n I e 1 .. .:.. .: Carrier Name (e.g. State Fund, CalCo'mp) ldUU !v 1'U M :.....>:.::.; :.>•.:....... �� Policy Number Exp. (Format Varies) (xx/xx/xx) S7 �% - �8� ''"I'{%� D Date . City:. Business License Number' (xxxx) .. b qqV �. License:::.:: Exp. Date (xx/xx/xx) "�"b7 ation Trade / Classification EARTHWORK 1C-121 CONCRETE 1C-81 FRAMING'.IC-51 STRVCT. STEEL (C-51) ? Q� 55 qd Y•3 ` vI k -� % r� S e oluQ SAI 0006)1- -- S now -oloa -06 -1-0 to b10 D D .� O -od aSq MASONRY (C-29) CON D 1 WTN; t?LA$TER (C-35) DRYWALL (C-9)..... .: HVAC (C-201 J ON Owl C CgN `L�� i qoq3 1h -?,0t - =1 ELECTRICAL. (C0)' :. .. ROOFING 1C7`39.-::.. i h-3l-oC� MEET METAL (C-43) FLOORING (C'=:151: ' :.:::. GLAZING (C-17)`' . .S U L{ _S -5L -o-6 \\ \ INSULATION:(C-2) SEWAGE DISQ; (6-42) ` PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C -27),,'..-C POOL (C-53) �!✓�� 0 (� CU� S a 7A 7A 6 I SD I 1A I. SD -I I4 �D -I CSD, I TYR @ AL4 INT.) NON— .BR .G. WALLS MF QUISAF NTq APPROVED3FE No. 57958 OR CONSTRUCTION Exp. 06-30-C� JD:ATEL/b/D6 8Y ,` �yT /w- - �P y y. I SD O. ( SK WE POS -I Z 0 0 �l I�I.� 5I .!`X D I ;� 5� I I I L=8 —0" I I 1A I. SD -I I4 �D -I CSD, I TYR @ AL4 INT.) NON— .BR .G. WALLS MF QUISAF NTq APPROVED3FE No. 57958 OR CONSTRUCTION Exp. 06-30-C� JD:ATEL/b/D6 8Y ,` �yT /w- - �P =tr � (1 DM. 3 + 4 2 '8" x 12" A:B. 0 4,8" O/C. 4 1 �► TA j G & A (DEPT. PR -p CONSTRUCTION , �6 ' BY 1 -5/8" x 12" A.B. %21 0 48[ O/C. kS-Djl - ILA tiyP� M � � a No.57958. 2 Exp. 06-30-0 T'9TF CIVIL F CALIF Q-) ¢ 0� CERTIFICATE OF COMPLIANCE: RESIDENTIAL (PAGE1 OF 3) CF -1R PROJECT TITTLE A CASITA ADDITION FOR MR_ AND MRS. GARIBIAN PROJECT ADDRESS 57-615 INTERLACHEN DR., LA OUINTA, CA. 92253 DOCUMENTATION AUTHOR ARMEN ALTOUNIAN TELEPHONE PACKAGE "D" COMPLIANCE METHOD(EACKAG OR COMPUTER) CLIMATE ZONE 10 GENERAL INFORMATION 04-18-05 DATE building permit# plan check date fieldcheck/ dote TOTAL CONDITIONED FLOOR AREA 465 FT AVERAGE CEILING HEIGHT: _ 8 __FT CONDITIONED SLAB FLOOR AREA__19-5_—FT2 BUILDING TYPE: ___— SINGLE FAMILY _ X _ ADDITION (check one or more) ____ MULTY—FAMILY ____ EXISTING—PLUS—ADDITION FRONT ORIENTATION: —90_ NORTH/ SOUTH EAST WEST/ ALL ORIENTATIeNS- (INPUT FRONT ORIENTATION IN DEGREES FROM TRUE NORTH AND CIRCLE(ONE)TV O P LA Q U 1 NTA NUMBER OF STORIES ONE NUMBER OF DWELLING UNITS:_0_NE _ FLOOR CONSTRUCTION TYPE: SLAB AISED FLOOR (CIRCLE ONE OR BOTH) RADIANT BARRIER (REQUIRED IN CLIMATE ZONES 2,4,8-15) REQUIRED FOR THIS BUILDUING ENVELOPE INSULATION BUILDING & SAFETY DEPT. APPROVED ��// FOR CONSTRUCTION d X YES NO DAT B D BY COMPONENT TYPE FRAME TYPE WD=WOOD STL=STEEL CAVITY INSULATION SHEATHING TOTAL R— ASSEMBLY LOCATION/COMPONENTS INSULATION VALUE U—FACTO (ATTIC, GARAGE, TYPICAL, ETC.) WALL W —13 0.088 EXT -W LL 2x4'@16" WALL ROOF ROOF 0.041 CEILING 2X4"®16" O.C. REAR WEST 2 BUG SCREEN YES FLOOR R-3.4 SLAB EDGE RIGHT FOR PRESCRIPTIVE COMPLIANCE, TOTAL R—V VALUE AND ASSEMBLY U—FACTOR ARE NOT REOUIERED FOR A woo—WAMtU WALL. [MAI MLLIJ " CAVITY R—VALUE INSULATION REQUIERMENTS FOR THE PRESCRIPTIVE PACKA3E. a FENESTRATION FENESTRATION #TYPE/POS. ORIENTATION AREA (FT2) FENESTATION FENESTATION EXTERIOR U— FACTO R SHGC SHADING ATT. OVERHANGS/ FINS FRONT EAST 14.5 0.55 In 45 BUG SCREEN YES FRONT LEFT REAR WEST 2 BUG SCREEN YES RIGHT RIGHT SKYLIGHT SKYLIGHT COMPLIANCE FORMS r. AUGUST 2001 A-2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (PAGE 2 of 3) CF—IR A CASITA ADDITION FOR MR. AND MRS. GARIBIAN 04-18-05 PROJECT TITTLE DATE HVAC SYSTEMS NOTE: IMPUT HYDRONIC OR COMBINED HYDRONIC DATA UNDER WATER HEATING SYSTEMS, EXCEPT DESIGN HEATING LOAD. COOLING EQUIPMENT MINIMUM DUCT HEAT PUMP TYPE (AIR CONDITIONER, EFFICIENCY LOCATION DUCT THERMOSTAT CONFIGURATION HEAT PUMP, EVAP. COOLING) (SEER) (ATTIC, ETC) R—VALUE TYPE (SPLIT OR PACKAGE) (N) A/C (HS26-036) 14.00 ATTIC 4.2 SET BACK PACKAGE SEALED DUCTS AND TXVs (OR ALTERNATIVE MEASURES X SEALED DUCTS (ALL CLIMATE ZONES) (INSTALLER TESTING AND CERTIFICATION AND HERS RATER FIELD VERIFICATION REQUIRED) TXVs, READILY ACCESSIBLE (CLIMATE ZONES 2 AND 8-15 ONLY) (INSTALLER TESTING AND CERTIFICATION AND HERS RATER FIELD VERIFICATION REQUIRED) OR D ALTERNATIVE TO SEALED DUCTS AND TXVs (SEE PACKAGE C OR D ALTERNATIVE PACKAGE FEATURES FOR PROJECTS CLIMATE ZONE) CLIMATE ZONE WINDOW SHGC WINDOW U—FACTOR SEER HEATING 10 0.65 0.40 N/A 787 WATER HEATING SYSTEMS DISTRIBUTION ENERGY' HEATING EQUIPMENT MINIMUM TYPE AND DUCT OR HEAT PUMP TYPE (FURNANCE, HEAT EFFICIENCY LOCATION PIPING THERMOSTAT CONFIGURATION PUMP, ETC.) (AFUE OR HSPF) (DUCTS, ATTIC, ETC.) R—VALUE TYPE (SPLIT OR PACKAGE) (N) FURNACE (G40UH36A-70X) 807 AFUE ATTIC 4.2 SET BACK PACKAGE CONTINUOUS ONE 180,000 8.45 GPM 0.82 N/A COOLING EQUIPMENT MINIMUM DUCT HEAT PUMP TYPE (AIR CONDITIONER, EFFICIENCY LOCATION DUCT THERMOSTAT CONFIGURATION HEAT PUMP, EVAP. COOLING) (SEER) (ATTIC, ETC) R—VALUE TYPE (SPLIT OR PACKAGE) (N) A/C (HS26-036) 14.00 ATTIC 4.2 SET BACK PACKAGE SEALED DUCTS AND TXVs (OR ALTERNATIVE MEASURES X SEALED DUCTS (ALL CLIMATE ZONES) (INSTALLER TESTING AND CERTIFICATION AND HERS RATER FIELD VERIFICATION REQUIRED) TXVs, READILY ACCESSIBLE (CLIMATE ZONES 2 AND 8-15 ONLY) (INSTALLER TESTING AND CERTIFICATION AND HERS RATER FIELD VERIFICATION REQUIRED) OR D ALTERNATIVE TO SEALED DUCTS AND TXVs (SEE PACKAGE C OR D ALTERNATIVE PACKAGE FEATURES FOR PROJECTS CLIMATE ZONE) CLIMATE ZONE WINDOW SHGC WINDOW U—FACTOR SEER HEATING 10 0.65 0.40 N/A 787 WATER HEATING SYSTEMS 1. For small gas water heaters (rated inputs of less than or equal to 75,00 Btu/hr), electric resistance, and heat pumps. waterheaters, list Energy factor. For large gas storage woterheoters ( rated input of greater than 75,000Btu/hr), list Rated Input, Recovery Efficiency and standby Loss. For instantaneous gas water heorters, list rated input and recovery efficiencies. SPECIAL FEATURES (ADD EXTRA SHEETS IF NECESSARY). PACKAGE C AND D: TXVs, SEALED DUCTS, RADIANT BARRIERS (SEE INSTALLATION REQUIREMENTS FOR RADIANT BARRIERS IN SECTION 8.13 OF THE 2001 RESIDENTIAL MANUAL). PACKAGE C: THERMAL MASS (THERMAL MASS TYPE, COVERING THICKNESS AND DESCRIPTION). PROVIDE RADIANT BARRIER UNDER PLYWOOD SHT'G' (PROOF) COMPLIANCE FORMS AUGUST 2001 A-4 ENERGY' EXTERNAL RATED' TANK FACTOR OR TANK WATER HEATER DISTRIBUTION NUMBER INPUT(kW CAPACITY RECOVERY STANDBY' INSULATION TYPE TYPE IN SYSTEM or Btu/hr) (gallons) EFFICIENCY LOSS (7) R—VALUE (N) WATER HTR CONTINUOUS ONE 180,000 8.45 GPM 0.82 N/A N/A 1. For small gas water heaters (rated inputs of less than or equal to 75,00 Btu/hr), electric resistance, and heat pumps. waterheaters, list Energy factor. For large gas storage woterheoters ( rated input of greater than 75,000Btu/hr), list Rated Input, Recovery Efficiency and standby Loss. For instantaneous gas water heorters, list rated input and recovery efficiencies. SPECIAL FEATURES (ADD EXTRA SHEETS IF NECESSARY). PACKAGE C AND D: TXVs, SEALED DUCTS, RADIANT BARRIERS (SEE INSTALLATION REQUIREMENTS FOR RADIANT BARRIERS IN SECTION 8.13 OF THE 2001 RESIDENTIAL MANUAL). PACKAGE C: THERMAL MASS (THERMAL MASS TYPE, COVERING THICKNESS AND DESCRIPTION). PROVIDE RADIANT BARRIER UNDER PLYWOOD SHT'G' (PROOF) COMPLIANCE FORMS AUGUST 2001 A-4 M CERTIFICATE OF COMPLIANCE: RESIDENTIAL (PAGE 3 OF 3) CF -1R A CASITA ADDITION FOR MR. AND MRS. GARIBIAN PROJECT TITTLE COMPLIANCE STATEMENT DATE THIS CERTIFICATE OF COMPLIANCE LISTS THE BUILDING FEATURES AND PERFORMANCE SPECIFICATIONS NEEDED TO COMPLY WITH TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS, AND THE ADMINISTRATIVE REGULATIONS TO IMPLEMENT THEM. THIS CERTIFICATE HAS BEEN SIGNED BY THE INDIVIDUAL WITH OVERALL DESIGN RESPONSIBILITY. WHEN THIS CERTIFICATE OF COMPLIANCE IS SUBMITTED FOR A SINGLE BUILDING PLAN TO BE BUILT IN MULTIPLE ORIENTATIONS, ANY SHADING FEATURE THAT IS VARIED IS INDICATED IN THE SPECIAL FEATURES/REMARKS SECTION. THE UNDERSIGNED RECOGNISE THAT COMPLIANCE USING DUCT SEALING AND TXVs REQUIRES INSTALLER TESTING AND CERTIFICATION AND FIELD VERIFICATIONS BY AN APPROVED HERS RATER DESIGNER OR OWNER (PER BUISINESS AND PROFESIONS CODE) DOCUMENTATION AUTHOR LIC.#: (SIGNATURE) ENFORCEMENT AGENCY TITLE: AGENCY: TELEPHONE: (DATE) (SIGNATURE) (DATE) ..._. __..__..—.(DATE) COMPLIANCE FORMS AUGUST 2001 A-4 MR. AND MRS. GARIBIAN ARMEN ALTOUNIAN NAME: NAME: OWNER TITLE/FIRM: DESIGNER / AA DESIGN TITLE/FIRM: 57-615 INTERLACHEN DR., 45570 DEERBROOK CIRCLE ADRESS: ADRESS: LA QUINTA, CA. 92253 LA' QUINTA, CA 92253 (626) 419-4959 (760) 272-4285 TELEPHONE: TELEPHONE: LIC.#: (SIGNATURE) ENFORCEMENT AGENCY TITLE: AGENCY: TELEPHONE: (DATE) (SIGNATURE) (DATE) ..._. __..__..—.(DATE) COMPLIANCE FORMS AUGUST 2001 A-4 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (PAGE 1 OF 2) MF -1.R COMPLIANCE FORMS AUGUST 2001 A-5 OTE: LOWRISE RESIDENTIAL BUILDINGS SUBJECT TO THE STANDARDS MUST CONTAIN THESE MEASURES REGARDLESS OF THE COMPLIANCE APPROACH USED. ITEMS MARKED WITH AN ASTERISK (4) MAY BE SUPERSEDED BY MORE STRINGENT COMPLIANCE LISTED ON THE CERTIFICATE OF OMPLIANCE. WHEN THIS CHECKLIST IS INCORPORATED INTO THE PERMIT DOCUMENTS, THE FEATURES SHALL BE CONSIDERED BY ALL PARTIES AS INIMUM COMPONENT PERFORMANCE SPECIFICATIONS FOR THE MANDATORY MEASURES WHETHER THEY ARE SHOWN ELSEWHERE IN THE DOCUMENTS R ON THIS CHECKLIST ONLY. INSTRUCTIONS: CHECK OR INITIAL APPLICABLE BOXES WHEN COMPLETED OR ENTER N/A IF NOT APPLICABLE. DESCRIPTION DESIGNER ENFORCEMENT BUILDING ENVELOPE MEASURES: $150(A): MINIMUM R-30 CEIUNG INSULATION. .L ?` 150(8): LOOSE FTLL INSULATION MANUFACTURER'S LABELED R -VALUE 150(C): MINIMUM R-13 WALL INSULATION IN WOOD FRAMED WALLS OR EOUNALENT U- FACTOR IN METAL FRAME WALLS .L (DOES NOT APPLY TO EXTERIOR MASS WALLS). • 150(0): MINIMUM R-13 RAISED FLOOR INSULATION IN FRAMED FLOORS. N/A 150(1): SLAB EDGE INSULATION -WATER ABSORPTION RATE NO GREATER THAN 0.35 WATER VAPOR TRANSMISSION RATE NO GREATER TWIN 2.0 PERM/INCH. 118: INSULATION SPECIFIED OR INSTALLED MEETS INSULATION QUALITY STANDARDS. INDICATE TYPE AND FORM. 116-17: FENESTRATION PRODUCTS, EXTERIOR DOORS, AND INFILTRATIO/EKFlLTRATION CONTROLS 1. DOORS AND WINDOWS BETWEEN CONDRIONED AND UNCONDITIONED SPACES DESIGNED TO UMT NR LEAKAGE y 2 FENESTRATION PRODUCTS (EXCEPT FIELD -FABRICATED) HAVE LABEL WITH CERMED U-FACTOR,CERTIFlED SOLAR HEAT 3. EXTERIOR DOORS AND WINDOWS WEATHERSTRIPPED: ALL JOINTS AND PENETRATIONS CAULKED AND SCALED. 150(G): VAPOR BARRIERS MANDATORY IN CLIMATE ZONES 14 AND 16 ONLY. N/A 15O(F):SPEACML INFILTRATION BARRIER INSTALLED TO COMPLY WITH 151 MEETS COMMISSION QUALITY STANDARDS. N/A 130(E):NSTALATION OF FIREPLACES, DECORATIVE GAS APPLIANCES AND GAS LOGS. 1. MASONARY AND FACTORY -BUILT FIREPLACES HAVE: N/A A. CLOSEALBE METAL OR GLASS DOOR - B. OUTSIDE AIR INTAKE WITH DAMPER AND CONTROL C. FLUE DAMPER AND CONTROL 2. NO COHTINUDUS BURNING GAS PILOT UGHTS ALLOWED. SPACE CONDITIONING, WATER HEATING AND PLUMING SYSTEM MEASURES: 110-113: HVAC EQUIPMENT, WATER HEATERS. SHOWERHEAOS AND FAUCETS CERTIFIED BY THE COMMISSION. y y 1SO(H): HEATING AND/OR COOUNG LOADS CALCULATED IN ACCORDANCE WITH ASHRAE, SMACNA OR ACOA. 150(1): SETBACK THERMOSTAT ON ALL APPLICABLE HEATING ANO/OR COOUNG SYSTEMS. 1SO(J): PIPE AND TANK INSULATION 1. STORAGE CAS WATER HEATERS RATED WITH ENERGY FACTOR LESS TWIN 0.58 MUST BE EXTERNALLY WRAPPED WITH INSULATION HAVING AN INSTALLED THERMAL RESISTANCE OF R-12 OR GREATER. 2. FIRST 5 FEET OF PIPES CLOSEST TO WATER TANK, NON -RECIRCULATING SYSTEMS, INSULTED (R-4 OR GREATER) _1- 7� 3. BACK-UP TANKS FOR SYSTEM. UNFIRED STORAGE TANKS, OR OTHER INDIRECT HOT WATER TANKS HAVE R-12 DMNAL INSULATION OR HAVING R-16 COMBINED INTERNAL INSULATION. 4. ALL BURIED OR EXPOSED PIPING INSULATED IN RECIRCULATING SECTIONS OF HOT WATER SYSTEMS. 5. COOUNG SYSTEM PIPING BELOW 55 F INSULATED. 6. PIPING INSULATED BETWEEN HEATING SOURCE AND INDIRECT HOT WATER TANK. COMPLIANCE FORMS AUGUST 2001 A-5 • MANDATORY MEASURES CHECKLIST: RESIDENTIAL (PAGE 2 OF 2) MF -1 R NOTE: LOWRISE RESIDENTIAL BULDINGS SUBJECT TO THE STANDARDS MUST CONTAIN THESE MEASURES REGARDLESS OF THE COMPLIANCE APPROACH USED. ITEMS MARKED WITH AN (•) MAY BE SUPERSED BY MORE STRINGET COMPLIANCE REQUIREMENTS LISTED ON THE CERTIFICATE OF COMPLIANCE. WHEN THIS CHECKLIST IS INCORPORATED INTO THE PERMIT DOCUMENTS, THE FEATURES NOTED SHALL BE CONSIDERED BY ALL PARTIES AS MINIMUM COMPONENT PERFORMANCE SPECIFICACATIONS FOR THE MANDATORY MEASURES WHETHER THEY ARE SHOWN ELSEWHERE IN THE DOCUMENTS OR ON THIS CHECKLIST ONLY. INSTRUCTIONS:- CHECK OR INITIAL APPLICABLE BOXES WHEN COMPLETED OR ENTER N/ IF NOT APPLICABLE. DESCRIPTION DESIGNER ENFORCEMENT SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES: (CONTINUED) • 150(M) DUCTS AND FANS 1. ALL DUCTS AND PLENUMS INSTALLED, SEALED AND INSULATED TO MEET THE REOUIERMENT OF THE 1988 CMC SECTIONS 601, 603,604,AND STANDARD 6-3, DUCTS INSULATED TO A MINIMUM INSTALLED LEVEL OF R-4.2 OR FOR CONVEYING CONDITIONED AIR. JOINTS AND SEAMS OF DUCT SYSTEMS AVD THEIR COMPONENTS SHALL NOT OTHER DUCT -CLOSURE SYSTEM THAT MEETS THE APPLICABLE REREQUIERMENTS OF UL 181, UL 181A,OR UL 181B. IF MASTIC OR TAPE IS USED TO SEAL OPENINGS GREATER THAN 1/4 INCH, THE COMBINATION OF MASTIC AND EITHER MESH OR TAPE SHALL BE USED. BUILDING CAVITIES SHALL NOT BE USED 2. BUILDING CAVITIES, SUPPORT PLATFORMS FOR AIR HANDLERS, AND PLENUMS DEFINED OR CONSTRUCTED WITH MATERIALS OTHER THAN SEALED SHEET METAL, DUCT SHALL NOT BE USED FOR CONVEYING CONDITIONED AIR. BUILDING CAVITIES AND SUPPORT PLATFORMS MAY CONTAIN DUCTS. DUCTS INSTALLED IN CAVITIES AND SUPPORT PLATFORMS SHALL NOT BE COMPESSED TO CAUSE REDUCTIONS IN THE CROSS-SECTIONAL AREA OF TEH DUCTS. 3. JOINTS AND SEAMS OF DUCT SYSTEMS AND THEIR COMPONENTS SHALL NOT BE SEALED WITH CLOTH BACK RUBBER ADHESIVE DUCT TAPE UNLESS SUCH TAPE IS USED IN COMBINATION WITH MASTIC AND DRAW BANDS. 4. EXHAUST FAN SYSTEMS HAVE BACK DRAFT OR AUTOMATIC DAMERS. 5. GRAVITY VENTILATING SYSTEMS SERVING CONDITIONED SPACE HAVE EITHER AUTOMATIC OR READILY ACCESSIBLE, MANUALLY OPERATED DAMPERS. 6. PROTECTION OF INSULATION. INSULATION SHALL BR PROTECTED FROM DAMAGE, INCLUDING THAT DUE TO SUNLIGHT, MOISTURE, EQUIPMENT MAINTENANCE, AND WIND BUT NOT LIMITED TO THE FOLLOWING: INSULATION EXPOSED TO WEATHER SHALL BE SUITABLE FOR OUTDOOR SERVICE E.G PROTECTED BY ALUMINUM. SHEET METAL, PAINTED CANVAS, OR PLASTIC COVER. CELLULAR FOAM INSULATION SHALL BE PROTECTED AS ABOVE OR PAINTED WITH A COATING THAT IS WATER RETARDANT AND PROVIDES SHIELDING FROM SOLAR RADIATION THAT CAN CAUSE DEGRADATION OF THE MATERIAL 114: POOL AND SPA HEATING SYSTEMS AND EQUIPMENT. 1. SYSTEM IS CERTIFIED WITH 78% THERMAL EFFICIENCY, ON-OFF SWITCH, WEHTHERPROOF OPERATING INSTRUCTIONS, NO ELECTRIC RESISTANCE HEATING AND NO PILOT LIGHT A. AT LEAST 36" OF PIPE BETWEEN FILTER AND HEATER FOR FUTURE SOLAR HEATING. N/A ' B. COVER FOR OUTDORR SPAS. 3. POOL SYSTEM HAS DIRECTIONAL INLETS AND A CIRCULATION PUMP TIME SWITCH 115: GAS FIRED CENTRAL FURNACES, POOL HEATERS;SPA HEATERS OR HOUSEHOLD COOKING APPLIANCES HAVE NO �L CONTINUOUSLY BURNING PILOT LIGHT.(EXCEPTION: NON -ELECTRICAL COOKING APPLIANCES WITH PILOT<150 Btu/hr) 118 (F) ROOF MATERIAL MEET SPECIFIED CRITERIA - -LIGHTING MEASURES_- 150(K):1 LUMINAIRES FOR GENERAL LIGHTING IN KITCHENS SHALL HAVE LAMPS WITH AN EFFICACY OF 40 LUMENS/WATT OR GREATER FOR GENERAL LIGHTING IN KITCHENS. THIS GENERAL LIGHTING SHALL BE CONTROLLED BY A SWITCH ON READILY ACCESIBLE LIGHTING CONTROL PANEL AT AN ENTRANCE TO THE KITCHEN. 150(K)2: ROOMS WITH A SHOWER OR BATHTUB MUST HAVE EITHER AT LEAST ONE LUMINAIRE WITH LAMPS WITH AN EFFICACY OF 40 LUMENS /WATT OR GREATER SWITCHED AT THE ENTRANCE TO THE ROOM OR ONE OF THE ALTERNATIVES TO THIS REOUIERMENT ALLOWED IN 150(x)2: AND INCANDESCENT RECESSED CEILING FIXTURES ARE 1C (INSULATION COVER) APPROVED. COMPLIANCE FORMS AUGUST 2001 A-6