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06-4365 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004365 Property Address: 52827 AVENIDA DIAZ APN: 773-311-020-5 -000000- Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 24044 Applicant: Architect or Engineer: a r� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------------------- - -------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with . Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -- - pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: j 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1 ^ 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coder 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.). ( ) 1 am exempt under Sec. , B.&P.C. for this reason Date: 5'� t' 0, Owner: . CONSTRUCTION LENDING fiQJNCY 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 VOICE (760) 777-7012 FAX. (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/07 Owner: VELASQUEZ MARIO *NOT ON FILE UNKNOWN, CA 99999 D e Contractor: Owner MAY 21 2007 CITY OF 11A QUINTA I FlNettrn, ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number .I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . r' JIO cant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as.a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for ISO days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and c3pr6 ordinances and'state la s relating to building construction,'and hereby authorize representatives of this my to enter upon the ab -mentioned property for inspection purposes. reds . Signa (Applicant or Agent): Application Number . . . . . 06-00004365 ------ Structure Information •RESIDENTIAL REMODEL & ADDTN ----- Other struct info . . . . . CODE EDITION 01BMP04E05EN # BEDROOMS 3.00 FLOOD ZONE NO GARAGE SQ FTG 484.00 PATIO SQ FTG 238.00 --------------------'-------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1326.00 Permit . . . BUILDING PERMIT Additional desc 503 SF ADDITION Permit Fee 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation 24044 Expiration Date 11/10/07 Qty Unit Charge Per Extension BASE FEE 45.00 23.-00 ------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 207.00 ---------- Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17.63 Issue Date Valuation 0 Expiration Date 11/10/07 Qty Unit Charge. Per Extension BASE FEE 15.00 20..00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 90.00 -----------------------------------------------------------=-----------= .4500 EA ELEC DEVICE/FIXTURE >20 40.50 ---- Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date . . . . Valuation 0 Expiration Date 11/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE 4=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------- 6.5000 ----------------------------------------------------- .EA MECH EXHAUST HOOD 6.50 Permit . . . . PLUMBING LQPEnITT Application Number . . . . . 06-00004365 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 130.50 Plan Check Fee 32.63 Issue Date . . . . Valuation 0 Expiration Date 11/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA. PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 i.00 7.5000 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 1.00 15.0000 EA PLB GAS METER 15.00 -----------------------=----=----------------------------------------------- Special Notes and Comments RESIDENTIAL:REMODEL AND 503 SF ADDITION (365SF LIVING & 238SF PATIO). 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. - ----------------.--------------------------------------------------------- Other Fees . ... . . ENERGY REVIEW FEE 16.38 STRONG MOTION (SMI) - RES 2.40 Fee summary. Charged Paid Credited Due ----� ---------------------- Permit Fee Total 512.00 .00 .00 512..00 Plan Check Total 228.81 .00 .00 228.81: Other Fee Total 18.78 .00 .00 18.78 Grand Total 759.59 .00 .00 759.59 LQPEPIMT -Bin #N ��' City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' / lV Project Address: 5.2 V r- U (Q z Owner's Name: ,e, It -s Fez A. P. Number: Address: 1 A Z Legal' Description: (� �,�/ N '9t)%12 City, ST, Zip: C -U•. V l % aas3 rlontractor: /'T rZ) L)_ Telephone: �%[� Address:' -C)3D Project Description: City, ST, Zip: La- Quk �RE&- qua 3 a-, r T-e-S/e e- 1-e DUc-G. Telephone: _ -� - 131 a I a_tIlh o -7V +Z) -e 7cl S 74 v1 State Li . : '7 �'J 9-7 y 1p tN*V Lic. #: 67 3 O Arch., Engr., Designer: pi J .f- r—re �' /� � t 1✓ 0-k -D 3 5 -P f AA6 -(? 0-Y Address: q4:55S PD Y4p [a City, ST, Zip: -Pal w, 4estd Ck -/ as b D Telephone:]o _�(o� _ �a�-7 State Lic. #: % 9 -7 y ( J Construction T e: upancy: roject type (circle one): New d ' Alter Repair Demo Name of Contact Person: Sq. Ft.: Sd 3 #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: /L APPLICANT: DO NOT WRITE BELOW THIS LINE al Req'd Recd TRACKING. PERMIT FEES ts Z AAF Plan Check submitted �� item Amount ral Calcs. Reviewed, ready for corrections t s Plan Check Deposit alcs. Called Contact Person (�' m Plan Check Balance Calcs. FEnergy Z� Plans picked up (Construction lain plan Plans resubmitted T (Z Mechanical plan 2°" Review, ready f corrections ssue L Electrical tactor List Called Contact Person 2Plumbing eed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted o7 Grading IN HOUSE:- '`" Review, ready for corrections/issue ' Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees AYA Total Permit Fees • Lim X04 lb tf:44d LEGACY REPORT ER -3748 Reissued March 1, 2004 ICC Evaluation Service, Inc. Business/Regional Office ■ 5360 Workman Mill Road, Whittier, California 90601 ■ (562) 6994D543 Regional Office ■ 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599-9800 WWWJCC- o rg Regional Office ■ 4051 West Flossmoor Road, Country Club Hills, Illinois 60478 ■ (708) 799-2305 Legacy report on the 1997 Uniform Building CodeTM, the 2000 International Building Code® and the 2000 International Residential Code® DIVISION: 07—THERMAL AND MOISTURE PROTECTION Section: 07320—Roof Tiles HANSON CONCRETE INTERLOCKING ROOFING TILES HANSON ROOF TILE, INC. 10650 POPLAR AVENUE FONTANA, CALIFORNIA 92337-7334 1.0 SUBJECT Hanson Concrete Interlocking Roofing Tiles. 2.0 DESCRIPTION 2.1 General: 2.1.1 Regular -weight Tiles: Hanson concrete roofing tiles are produced in high-profile Regal, low -profile Hacienda, and in flat styles with either smooth slate or textured shake surfaces. Ridge, rake and universal trim units are produced to match each product. The tiles are composed of portland cement, sand and proprietary additives., Mineral coloring oxides are added or are mixed with portland cement and water for surface application following extrusion. Units are cured under controlled temperature and humidity conditions. Tiles are 171/4 inches (438 mm) long, 13 inches (330 mm) wide and nominally 1/2 inch (12.7 mm) thick. They are manufactured with interlocking sidelaps, 11/2 inches (38 mm) wide for Regal and 15/16 inches (33 mm) wide for all other profiles, designed to resist surface water penetration and to maintain proper alignment. All tiles have protruding head lugs on the underside which provide mechanical attachment over wood battens. Two nail holes are provided in each tile. See Table 1 for installed weight with a minimum 3 -inch (76 mm) headlap. 2.1.2 Lightweight Tiles: The Hanson lightweight tiles are manufactured in the same manner, shape and size as regular -weight tiles, except for- substituting lightweight aggregate and proprietary additives for sand. See Table 1 for installed weight with a minimum 3=inch (76 mm) headlap. 2.2 Installation under the 1997 Uniform Building Code TM (UBC): Installation shall be in accordance with the Roof Tile Institute's Installation Manual for Moderate Climate Regions, recognized in evaluation report ER -6034P. ' . . 2.3 Installation under the 2000 International Building Code® (IBC) and the 2000 International Residential Code® (IRC): Installation of the roofing assembly is in accordance with Section 1507.3 of the IBC or Section R905.3 of the IRC, as applicable. All other conditions of installation are as noted in Section 2.2 of this report. 2.4 Roofing Classification: When installed over new construction as described in this report, the Hanson concrete interlocking roofing tiles are Class A'roof coverings in accordance with UBC Section 1504.1, IBC Section 1505.2 and IRC Section R902.1, and are noncombustible roof coverings in accordance with Section 1504.2 of the UBC. When used in reroofing applications as described in Section 2.2.2 of this report,.the tiles are class A roof coverings in accordance with UBC Section 1504.1, IBC Section 1510 and IRC Section R907. 2.5 Identification: Each tile is identified on the underside by the name Hanson, Pioneer or Hume. Each pallet is identified by the manufacturer's name (Hanson Roof Tile, Inc.) and telephone number, and the evaluation report number (ER -3748). Additionally, each pallet is stenciled with a product code and date, and the installed weight. 3.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Interim Criteria for Clay and Concrete Roof Tiles (AC180), dated January 2002. 4.0 FINDINGS That the Hanson concrete -interlocking roofing tiles described in this report comply with the 1997 Uniform Building Code TM, the 2000 International Building Code® (IBC) and the 2000 International Residential Code® (IRC), subject to the following conditions: 4.1 Tiles are manufactured, identified and installed in accordance with this report and the manufacturer's instructions. 4.2 In jurisdictions enforcing the IBC, installation of the roof tiles is limited to areas exposed to maximum basic wind speeds (3 -second gust) of 100 miles per hour (161 km/h) on structures having a maximum mean roof height of 60 feet (18 288 mm). ICC -ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to 1 any finding or other matter in this report, or as to any product covered by the report. Copyright © 2004 Page 1 of 2 f's ' Pag3j2 of 2 ER -3748 4.3 In jurisdictions enforcing the IRC, installation of the 4.4 Tiles are manufactured at the Hanson Roof Tile, Inc., roof tiles is limited to areas exposed to maximum plants located in Fontana, California; Tolleson, basic wind speeds (3 -second gust) of 100 miles per Arizona; and Dixon, California. hour (161 km/h) on .structures having a maximum This report is subject to re-examination in two years. mean roof height of 40 feet (12 192 mm). TABLE 1—FIELD TILE SPECIFICATIONS STYLE TOP VIEW BOTTOM VIEW LENGTH HEIGHT WIDTH INSTALLED WEIGHT (inches) (inches) (inches) Lightweight Regular- (psf) weight (psf) REGAL ,low 17'/ 311/ 133/ 5.9 9.9 HACIENDA 1T/4 2'/16 13 5.9 9.1 SHAKE PRODUCTS: 1. Ever WEST 2. Weathered Shake 17'/4 11/4 13 7.3 9.9 3. Shake 4. Olde World Shake SLATE PRODUCTS: 1. Olde World Slate 2. Slate 3. Cottage Shingle 171/4 1'/6 13 7.6' 10.5 4. Victorian Slate ,For SI: 1 inch = 25.4 mm, 1 psf = 4.882 kg/m. Battens required for all slopes. i6 ' u1�cv . 4 Building & Safety Department 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 52-827 Avenida Diaz APN: 773-311-020 Lot 5 DESCRIPTION OF WORK: Addition to existing residence SQUARE FOOTAGE: 365 SQ. FT. Cond. Area OWNER'S NAME: Mario Velasquez 52-827 Avenida Diaz La Quinta, CA 92253 Coachella Valley Unified School District 83-733 Avenue 55 P0Box 847 Thermal, CA 92274 (760) 398 5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 � COPY CIT OF LA QUIpEPTA BUILDING & SAF . APPROVED DATE BY Please Note: This Letter Verities Conditioned Square Footage. Please call. your School District to Verify School Fees, Requirement for Cashiers Check or Money Order and Hours of Operation. For questions regarding this letter, please call: Ed Randall, Counter Technician (760) 777-7012 CERTIFICATE OF COMPLIANCE 4�J�FIEDSCyo Desert Sands Unified School District 47950 Dune Palms Road Q eERMUDADUNES O RANCHO MIRAGE Date 5/15/07 La Quinta, CA 92253 INDIAN WELLS PLAQDESERT UINTA y No. 29429 (760) 771-8515 �PIN0 yp 0 Owner Mario Velasquez APN # 773-311-020 Address 52827 Avenida Diaz Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street Unit 1 5 52827 Avenida Diaz Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 365 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for Irving, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 365 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Claudia Velasquez Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempted by Sha n M ilvrey Payment Recd $0.00 Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), thib4%All serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting I TITLE 24 REPORT I CITY OF LAQUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATA19 BY a Title 24 Report for: Mr. and Mrs. Velasquez 52 827 Avenida Diaz La Quinta, CA 92253 Project Designer: Felipe Fregoso 52095 Avenida Villa La Quinta,. CA 92253 760 275 4139 Report Prepared By: Luz Fregoso 44525 Avenue Portola Palm Desert, CA 92260 (760) 837-9009 Job Number: L1022 Date: 5/4/07 I C�[� 5�Hd[�n � I MAY 0 S 2007 I V The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy'Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.2 by EnergySoft Job Number: L1022 User Number: 5982 1 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary Form WS -5R Residential Kitchen Lighting HVAC System Heating and Cooling Loads Summary 1 2 3 7 9 10 EnergyPro 4.2 by EnergySoft Job Number: L1022 User Number: 5982 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R -Mr_and_M.cs Velasquez Single Family ❑AdditionTotal 514L07 Project Title _ n.id.a-V_elasq.uez-La_Q.uinta ft2 -Wall_ -24.0_ Date reject d r Project Address Existing Floor Area: 1,326 Building Permit # luOso (E) 90 deg (760) 837-9009 0 Plan Check/Date Documents ion Author Wall_ Wood- 3_ Telephone Slab on Grade Area: �llerq /Pr^ ft2 15 New Field Check/Date Compli ce Method 8.0 Climate Zone Area: TDV Standard Proposed Compliance 1.00 kBtu/sf- r) Design Design Margin SHGC: 0.32 Space Heating 4.35 3.11 1.24 BUILDING ZONE Space Cooling 74.48 70.48 4.00 Vent Fans 11.25 10.60 0.65 Units Zone Type Type Domestic Hot Water 12.68 12.68 0.00 Pumps 0.00 0.00 0.00 n/a Totals 102.75 96.86 5.89 Percent better than Standard: 5.7% Building Type:] Single Family ❑AdditionTotal Conditioned Floor Area: 1,691 ft2 -Wall_ -24.0_ ❑ Multi Family n Existing + Add/Alt Existing Floor Area: 1,326 ft2 Building Front Orientation: (E) 90 deg Raised Floor Area: 0 ft2 Fuel Type: Wall_ Wood- 3_ Natural Gas Slab on Grade Area: 1,691 ft2 Fenestration: New 0.9_23 Average Ceiling Height: 8.0 ft Area: 186 ft2 Avg. U: 0.37 Number of Dwelling Units: 1.00 Ratio: 11.0% Avg. SHGC: 0.32 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area ResHLV2C ____1,69J X3,528 -J.00_ Conditioned- -Setback- 2 n/a OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt RO.Of_ W -God- x.,326_ _0.049_ R_19.0`0_0_ 0_ t8 -Wall_ -24.0_ -0_356 alone_ 0`0_.0_ x_8.0.90. -wall- Wood_ X02 -0_356_ -None_ _-R-O_.0_ ____2Z0__90 Wall Wood- 944 _0_356_ _None_ 0`0_0_ 0_ 9.0 Roof_ Wood-- 364- 0_026_ _1-3.8.0`00_ _0 ___18 Wall- Wood_ X15_ _0_0.6.8_ R-13_ X5_0_ 9.0__9.0 Door None- 20_ _0.50.0_-JnsuLX0_0_ 9.0__9.0 Wall_ Wood- 3_ _0_068_ R-13.0'`5_0_ x.80__9.0 Wall_ Wood_ 16.3. 0_0.6.8_ _EZt3_ X5_.0 _2Z0_ 90 Wall_ Wood_ ___48_ _0_0.6.8_ -R13_ JZ5_0_ 0_9.0 Gains Condition Y / N Status JA IV Reference Location / Comments Existing- _01-A4 F-Asting-FJo.or Existing- _0.9-A1 Existing -B or Existing- _0.9-A1 Existing-Eloor Existing- _0.9-A1 Existing -Boor New -01=28 New -Boor New _0.9.:93 New -Boor New 28=93 New -Boor New _09--A3 New -Boor New 0.9_23 .New-Soor New _0.9_A3 New -B r. EnergyPro 4.2 by EnergySoft User Number: 5982 Job Number: L1022 Page:3 of 10 1 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Mr. and Mrs. Velasquez 5/4/07 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Tvpe Area U -Factor' SHGC2 Azm. Tilt Stat. Glazinq Tvpe Comments -I- -Window-Left --- (.S)- X6_0 _0_3Z0 -NERC _0.32-NFJ3.0 X8.0- -9.0 Ney---LW_--C_5300Viay-VLov-F -UstingFJoor 2 Window Left (S) 16.0 0.370 NFRC 0_32 NFRC 180 90 New IWC 5300 Vinyl/Low-E Existing Floor 3 Window Rear (W) 9.0 0.370 NFRC 0_32 NFRC 270 90 Existin _IWC 5300 Vinyl/Low-E Existing Floor 4 Window Rear (WZ 33.0 0.370 NFRC 0_32 NFRC 270 90 Altered IWC 5300 Vinyl/Low-E Existing Floor 5 Existing 0.740 NFRC 0_70 NFRC IWC 6200 Alum/Clear -pre-altered for above 6 Window Right (N)_ 16.0 0.370 NFRC 0_32 NFRC 0 90 Existinq_IWC 5300 Vinyl/Low-E Existin Floor Z Window Right (N)- 12.0 0.37 NFRC J) 331JFRRC 0 90 Existing MC 5300 Vinylw-E ' -ExtstirtgFlo-o 8 Skylight RigtL N) 1.3 0.370 NFRC 0_32 NFRC 0 18 New IWC 5300 Vinyl/Low-E New Floor 6 Windgw Front (f)_ 5.0 0-310NFRC9,33 NFRC 90 90 New lWY _5500 Vire ly/ ow -E _New-J.Oor J -Q Window Front (E) 20.0 0.37 NFRC 0.32 SRC 90 90 New I5399V1nyl/I ow -E New Floor " Window Left (S) 12.0 0.370 NFRC 0_32 NFRC 180 90 New IWC 5300 Vinyl/Low-E New Floor 12 Window Left (1 33.0 0.370 NFRC 0_32 NFRC 180 90 New IWC 5300 Vinyl/Low-E New Floor 13 Window_Rear (_VEL)_ --9-0 -0-37-0 -N.E R -C 0 32 -NFB.0 _27Q -99 New LWT 5300 VinyJLLow=E -New-El 14 Window Rear W{__)_ 4.0 0.370 NFRC 0_32 NFRC 270 90 New IWC 5300 Vinyl/Low-E New Floor 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 11613. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Tvpe SHGC Hgt. Wd. Len. Hgt. LExt. REA Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 4.0 3.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 4.0 3.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 3.0 3.0 6.0 0.1 6.0 6.0 4 Bug Screen 0.76 S.0 5-0 6.0 Q, 6-0 �Q 6 Bug Screen 0.76 7 Bug Screen 0.76 8 None 1.00 9 Bug Screen 0.76 5.0 1.0 8.0 0.1 8.0 8.0 10 Bug Screen 0.76 4.0 5.0 8.0 0.1 8.0 8.0 11 Bug Screen 0.76 4.0 3.0 2.0 0.1 2.0 2.0 12 Bug Screen 0.76 6.6 5.0 13.0 0.1 2.0 2.0 13 Bug Screen 0.76 3.0 3.0 2.0 0.1 2.0 2.0 14 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 48 None No Insulation 26-A1 Existing Existing Floor Slab Perimeter 54 None No Insulation 26-A1 Existing Existing Floor Slab Perimeter 44 None No Insulation 26-A1 New New Floor Slab Perimeter 24 None No Insulation 26-A1 New New Floor Run Initiation Time: 05/04/07 11:37:52 Run Code: 1178303872 EnergyPro 4.2 by Energysoft User Number: 5982 Job Number: L1022 Page:4 of 10 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Mr. and Mrs. Velasquez 5/4/07 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type Res HVAC Central Furnace 94% AFUE Split Air Conditioner 13.2 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? Res HVAC Ducted Ducted Attic 4.2 Altered Yes Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated Tank Energy Standbyl Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE 1 (%) Ext. Standard Gas 50 gal or Less Small Gas Kitchen Pipe Ins 1 40,000 50 Existing 0.57 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length_ Add 1/2" Control # HP Type In Plenum Outside Buried Insulation 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. COMPLIANCE STATEMENT This certificate of compliance lists the building features and 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. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, 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) Name: Title/Firm: Felipe Fregoso Address: 52095 Avenida Villa La Quinta, CA 92253 Telephone: 760 275 4 Lic. #: 01 v7 (signature) S te) Enforcement Agency Name: Title/Firm: Address: Telephone: Documentation Author Name: Title/Firm: Luz Fregoso Address: 44525 Avenue Portola Palm Desert, CA 92260 Telephone: (760) 837-9009 S y d (signature (date) (signature/stamp) (date) .Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R Mr. and Mrs. Velasquez 5/4/07 Project Title Date Special Features and Modeling Assumptions The local 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 local 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. I Plan I Field IThe Roof "Default Roof Prior 1978 to Present' includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual. HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- approved HERS provider using CEC approved testing and/or verification methods and must be reported on the CF -4R Plan I Fleld Installation certificate. The HVAC System 'Res HVAC " incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF - 4R. L EnergyPro 4.2 by Energy5oft User Number: 5982 Job Number: L1022 Page:6 of 10 1 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the ❑ ❑X ENFORCE - permit application documentation. N/A DESIGNER MENT Building Envelope Measures ❑ ❑X ❑ § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ ❑X ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑ ❑ •§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ ❑X ❑ apply to exterior mass walls). ❑ ❑ ❑ �§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ ❑X ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. ❑ ❑X ❑ 1. Masonry and factory -built fireplaces have: ❑ ❑X ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ ❑ ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑ Q ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ 0 ❑ CF -6R Form: ❑ ❑ ❑ § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑X ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ❑X ❑ Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑ ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑X ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ❑ ❑ ❑ having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ ❑ ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150 -AIB or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire ❑ Q ❑ length of recirculating sections of hot water pipes shall be insulated to Table 150B. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑ ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑ ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑ ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.2 by EnergySoft User Number: 5982 Job Number: L1022 Page:7 of 10 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans ❑ ❑ ❑ Lighting Measures 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ X❑ ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ❑ ❑ R4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ ❑X ❑ that meets the applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh ❑ 0 ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). or tape shall be used. X❑ ❑ controlled by an occupant sensor that complies with Section 1� 9(d) that does not turn on automatically or have an 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than ❑ X❑ ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and ❑ ❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other Article support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑ 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ ® ❑ duct tapes unless such tape is used in combination with mastic and draw bands. Page:B of 10 ❑ ❑ ❑ 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ ❑ ❑ dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ® ❑ maintenance, and wind. 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. ❑ ® ❑ 7. Flexible ducts cannot have porous inner cores. § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ ❑ ❑ heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. ❑ ❑ ❑ b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ® ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) § 118 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ❑ ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ ❑X ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑ 0 ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are❑ X❑ ❑ controlled by an occupant sensor that complies with Section 1� 9(d) that does not turn on automatically or have an always on option. 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are 11X ❑ El certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.2 by EnergySoft User Number: 5982 Job Number: L1022 Page:B of 10 Residential Kitchen Lighting Worksheet WS -5R Mr. and Mrs. Velasquez Project Title Date 5/4/07 At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined In Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be Installed in kitchens. High Efficacy Luminaire Type High Efficacy? Watts Quantity Watts Other Watts (1) 13w Compact Fluorescent Twin 4 Pin Elec Yes X No 17.0 x 4 = 68 or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x - or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes -No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or YesNo x = or Yes No x = or Total A: 68 B: 0 COMPLIES IF A;-,- B YES_ NO ❑ EnergyPro 4.2 by Energy5oft User Number: 5982 Job Number: L1022 Pane:9 of 10 1 1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Mr. and Mrs. Velasquez 5/4/07 SYSTEM NAME FLOOR AREA Res HVAC 1,691 26.0 of 72.9 of Outside Air 0 0 cfm Supply Fan 1600 cfm 72.9 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent CFM I Sensible 823 21,891 -115 976 31,172 0 3,009 3,604 0 0 0 0 0 0 0 0 0 3,009 3,604 27,90917777-1;5 38 380 York H1RD060S06 45,213 1,496 75,000 Total Adjusted System Output 45,213 1,496 75,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am TRICS (Airstream Tei 72.9 of ' 105.0 of Heating Coil ETRICS (Airstream T 10.0/72.5OF 81.8/63.3OF Outside Air 0 0 cfm Supply Far 1600 cfm 81.8/63.3 of ratures at Time of H h Return Air Ducts 1-1 81.8 / 63.3 of 55.0 / 53.5 of Cooling Coil h Return Air Ducts 11 Supply Air Ducts 102.9 of ROOMS 75.0 of Supply Air Ducts 56.8 / 54.2 of 37.8% R.H. ROOMS 80.0 / 62.7 of EnergyPro 4.2 by EnergySoft User Number: 5982 Job Number: L1022 Pane:10 of 10 1 1 Ca s CITY OF LA QUINT BUILDING & SAFETY DEPART �Fv OF°� 777-7012.' INSPECTION REQUEST L!, 777-7153 p Owner MARIO VELASQUEZ Iv Contractor OWNER BUILDER Permit Number '06-4365 �► -�+ POST ON JOB IN CONSPICUO S INSPECTOR MUST SIGN ALL APPLIC BLE S . JOB ADDRESS 52827 AVENIDA DIAZ RESIDENTIAL REMODEL AND 503 SF ADDITION (365 SF LIVING & 238 SF PATIO). 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS D- U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL T 1 % 1 !'/ DO NOT POUR CONCRETE UNTIL ABOVE SIGNEA _ ROOF NAIL / PRE -ROOF Q " OKAY TO WRAP FRAMING (COMBINATION) - ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION 7 COVER NO WORK UN ILABOM SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS Y TEMP USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING r: r of 3 r, 1 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's ze- compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. . Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 OWNER'S SIGNATURE/DATE 5A-002--7Avev .A,, PROPERTY ADDRESS PERMIT NUMBER(S)