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BRES2014-1028r 1 Y. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2014-1028 Property Address: 80801 VIA PESSARO APN: 777160036 Application Description: Property Zoning: Application Valuation: $461,303.60 Applicant: MONARCH HOMES 49950 JEFFERSON STREET LA QUINTA, CA 92264 r �d�Iw4�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury at I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 7 a usiness and Professions Code, and my License isin full force and effect. License Class: _ License No.: C28860 ff + Date:' 7 a Contracto.' V JsT o OWNER -BUILD TION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C.'for this reason Date Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec: 3097, Civ. C.). Lender's Lender's Address: 4X14— VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: GARY BEUTLER 11399 HUNTINGTON VI GOLD RIVER, CA 0 Contractor: MONARCH HOMES 49950 JEFFERSON STRE LA QUINTA, CA 92264 (760)413-8863 Llc. No.: C28860 Date: 10/28/2014 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 ork 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 should become subject to the workers' compensation provisions of Se on 0 of a Labor Code, I shall forthwith comply wi h thh provisions. Dat Appli ant:OADIJ _0 9**& WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT. IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and ate laws relating to.building construction, and hereby authorize representatives oMcitytPon the above- mentioned property four inspection purposes. Date: %yy Signature (Applicant or Age f SAG o_n S b -D 00 Z O ry O O W y n -P T: m r--� 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 ork 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 should become subject to the workers' compensation provisions of Se on 0 of a Labor Code, I shall forthwith comply wi h thh provisions. Dat Appli ant:OADIJ _0 9**& WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT. IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and ate laws relating to.building construction, and hereby authorize representatives oMcitytPon the above- mentioned property four inspection purposes. Date: %yy Signature (Applicant or Age f 4',�Sc-`3`a`., xzss..at cw"3-r.4ag+: :-E.:.. y-?€ka x'.Ei. , 'iA.- a r+zy,, >.;„€q�..' 3' *��<�a:.:A: ,C :'."i?tq;.a` `:?"n °' _•','a=rT s m� �� DESCRIPTION. <_€ ?'''ACCOUNT ''"'� TaY�d x ,.z ash,, .,.�.. n AMOUNT ,� �PAID;�x�PAIDDATE . .w. _._ a:k ..-..e,re.�...�mQ�a �� a V L..«_�d ART IN PUBLIC PLACES -RESIDENTIAL 27.0-0000=43201 0 $653.26 $0.00 :;x;. : s YF' ,-,,•;'ra,v« ¢ix , s-� .jai" , x'rc " 'tb ay i ! <r: .fi �,�,._��"� -E, ,., a s METHOD.: E, 3 f E x E RECEIPT#s w: CLTD BY ..a_.�.r,..=.9? i'r� 5.`r.h:� Total;Paid forART IN PUBLIC PLACES-:AIPP: $653 26`". `.- .,$OAO .''... ,.... ..i. x.:_ ... ;:.. ,F.k..::.r• ,' chi,, ,o i-4tA �, "sn-. --r =,r5, "`s t !. (.=w'-<; ,zq'?;:.F: t" as ;x a x c�,°'i:=" :Nr- �"aa-zu F ..!<yiy E r''x.'YW 5''f:;a'3 , _: `st''.p, c ?q �..ry<ACCOUNT r .QTY AMOUNT ;;. PAID gid.?; ,:�..-«s�x;Ke..tw:va`. =.�<r,Er<'rr n <Er:E.i?r:E�<=x:..;`a. x4mxat`*m':.�:.a. xar5€-x;:skasRri�'r:a&``•:tc=:,sk-e,3�E.°;Tn•Y:n<�i. HOURLY PLAN CHECK -'YES , : ,' .101 0000=42600 ' 11: $7Z'0 00_' $0:00 .. � ,;x,._. <+Y."S > "n T�, it _l%::. -.x' .x,'4.9.<Y«2$""`yst°'v`"€ 'x 2 ;: b ;a °F'�s'a'> apT,4€,5%w'4+. 3 r?evx'i" '..41 z ..PAID; BY , '1.� >r!= x� METHODa �� ,_. x;; °.. f�sr s :J:._ ,, F: _��zt 4 �., .: , n R�ECEIPrT #, ra � c CHECK.# h � CLTD BY x . TotafPaid for BLDG CITY STAFF- PER HOUR:. _$770.00 •• : $0.00 mak, . i s s :rte a = z en � €a `�'..y: �#.,� 7 '�,„ Yh'j.'^{_ : „Fa"..'�' . `t L'ik1 �`' AMOUNT t: h PAFD i PAIDIDATE BSAS SB1473 FEE ; ` =:101-0000:20306 0' $19.00 `a $0:00. p ' 2 Mt ;«T`r, l3<'^�: -:,. "ys'4iY. i &�, . z. +. tr Y: k. 4Y ,:,mak, :.< « 4 ;. ire : `fk ."a ' . F:,`.3'�:"-`"$:•`. <s. --:.s:3 v "dh`Yr ...,,, II'.. -r ,a M wi?mm, :hC T.PAID BY x E M t# .METHODS c .RECEIPT#« sFr d CLTD'BY- c t. 1 :FSE=.r.', a ... ,s.. CHECK# ' ... f .. �. Total Paid f&BUILDING STANDARDS ADMINISTRATION'BSA: $19;00 $0.00 �.a-_��a sDES,CRIPTION':._ s A000UNT�TY,.. � M_ rQaix AMOUNT'!,, 5 PAID PAID DATE DIF - CIVIC CENTER! ' 252-0000-43200" 0 $942.00,. $0.00 r..l :'.' ,,"'"v"R....FE..,::-.Ea:A Ca ,. i, k r,f,.. '`.. w?ii t ' a r�+ sti % �$ yx:: R': 1 ...a k . v i'' �. an' PAIDnB,Y =,a= £ r� �,, ��.. , METHODz:��RECEIPT># ,CFIECK# .: '; .: MEMO,E n�2�,. k .��=e� r{�x�x; uEset;m i. xe acs as =baa t � DESCRIPTION F7 p. � k ACCOUNTS a k � ,s Ys ,'x � � �: " ' t zE r QTY AMOUNTS rk r PAID , PAID DATE ;,.:.rt:z. �..:, .R c,. �z.. .•�...:__n:'.�-:.. .,x.:�-�..<£,:._::"°'."?.<. AN.'i�':,t .:htii.?.<C°vx+'fir;.:: DIF -.COMMUNITY CENTERS'. N 254 0000-43200 ' 0 $129.00 $0.00 T `_' '' 'a. t.:-""y.-P3_ir� 4 ea;?Ew"E.t �,si z lC .: �RIkY�R `C.h". <3'za'P+ ?:" f E -Y "hn,;, xs PAID BYF x: ¢ , :iFE IVIEIFIODs RECEIPT #�A �, a .CHE � F..,�a� a C CLTD BY =¢"tY6d<' r '�: ,s z'sm r_ ... :;;.: L`T`•ky:=-sC,^.:.a..-":.-:-:;,,"' x�'. :;i., `"`•e`; ;•r-'-;,_..�w. p.iE«rz s., Q':>:�. r• ,ii x._r',^"¢, . OR's,SDE =RP c.: ,,< u:; �.., t: -��' m SC I TION S �� x C�� gCCOUNT �t a"QTY '' AMOUNT E � PAIDP�.�� bPAIWDATEp •^:...,...'.�+ h .-u..r.....z* a-�...-zee_' ,RE •�-;.4rc�t„t�.U+,�ka.;w: =... $Er4:.i'i<... DIF - FIRE'PROTECT.10 . '257-0000-43200 0 .$433 00.$0.00 �';�z�',"� ';`' �. _;, .cd .,....5=' 'N :. 2'4 =6=kkfd iu:;1H�eHiv4"'� ,r.... r kC:'u�. - x>, x�€ n. s • �S� v witc E� b k" .gMETFIOD� RE�E�#e �CH K#� g, �"CLTDBYr:; ..:Ce,<, ..}3 ti x` ?.�:.<x� .sx..:.*-? s ..3.'"':4bF."`� :-,eP f . aE. '*?- E.:a . x :: :a.: � % "x :...' k^ Ir`,1_ ...P -:p -miiy w I t �3^" .n4.a�". ftS m �,s; a; R w,fi�: n` �F fi Lau K #a s €,! ' P nr:ie. t „ DESCRIP710N,« „-,,. ACCOUNTS M ;FQTY a AMOUNT:r?PAID.: PAID,DATE. fir'.f.i"-'.w.izbekt.s :: e'`Y..bezCa•r...<ax«-,: .4w4,8i,..«.: *as.<.<€bF.-'ah.�=i`;n","et #. st; o-x^.s•„�<_-a« .-.��'. �iR, mxsdrn! <ayrrE;fivv€: ats<fittF*s: DIF `LIBRARIES.•''253-0000-43200 ` 0 ), $344.00 . $0.00 '_�Er;:tHa bx is= -€a`._. a,<�e« «:: -P•�<^., , E,t°:_a:�". «,..:,�...�.' « .k�"t+'�F= � �xa:- :.�¢: :;.;.sM::kEa-kr-.^:«.21?? :.v.:x_3:i fr` 3§�eLuk,.?5 OD:7. 'bs ur_ai„n, IiECK # �� C'Lz TD B�Y . `d .�ce'Wd,"K ..T»Y n M A. s:< e� W. FS.+ ...r_... Y Y '" m : "�; .: r.u.....ks`.-mai-.-:^..»�a� . Pad`. "$',a?,�xk.,x�,:ar ,rte: 2:i:,; Ta'i,:_a ti «:,:.S,Y .: - ? $[.A fHk+nisNi,,, tx «R. a .. �'DESGRIPTION- ". r: „- ; F. ,A„ ::: r, ;:,..;; fig, .. E� � CCOUNTa l ata QTY , ;��AMOUMT mom'... ,PAI)lb ATE <.«,�„..iy-�;.s:`�saaca''P..4:.,.�t rf.�x..s:ku..... _ _ DIF:=PARK`MAINTENANCE :. 256b000-43200• 0, ,'$4000-,, $0,00. :My,�j- i Y' F, ., :h 7 aF i'<;'<"vc :�. «: IBM .', Va<x <~Ea:z•<Ya �',i<. 5 -e -j.: Y f''s-Y;^A;,s ? .Y..aa.;.: rt,}ix "": T€. -.a, «^+=Ps Y. g;' %o'b, ^5.{ ''i All :i # • ,m 'Y x' '= 36i�. v. 'yE".k i1 ,� PAID;BYx =�c ,�� METHOD z z , RECEIPT#; CHECK #z a CLTD BY ..:.zi. rt .w «.. x Y< _,_..ru..s.=,z,:....f , Fv: �s'i..,.§ •f S..s i �, 11, <:..•+.:.:.•k8<R;«Fti:.&sY^+s .. a€. sv.8"a< a i l"',j,,0.5, r 5,4 ..,e5.2 'a •;a=': k� .. *; ` ['S<- ' ,`='fi a "' xp - S u„ _ , , , 31 'ry °""w' t :.,; r?m l «cx .4.. & xz , , "yv,�A°,+` 4` t �& :. a 'P�' DESCRIPTION+ �L ACCOUNT TY� A AMOUNT z - ..PAIO Eo, s ' .,P_AID'D'ATE'' `k.F�w",.% M. rtt &'� ?£&QY�e"€T:xsn„...> rJa '' 7'4 DIF'- PARKS/kEC 251-0000=43200 0 $2,048.00. $0.00 a-`4«:rx �,•a.:- , C ' �r�. ,�t.s rar ,A: ria - "�',�" r" : � s' �,,.;.f<, �' :a=,*x,,:1..:2<S SrY "e�.'5�;�•.�r E r. �+:* ro 5 M.:�.r� ,�s '^�-`'',`«`vrW :k&;` p''<a'..srcar�':.`i'sa«Y ""YVr!?:,,x�:�� s5 -r'. _.:cv�y'*wt.w�a�,;-:x;:.a h PAIp BY r MET.FIOD RECEIPT # € CHECK # P ; <�CLT•D�BY �<�.<,.:?.Srfi-.t.,:;a:n.,....�.r'' ..�, .T�..z.•isxi, .«.�.�.�.., .,....3 e:r?,ff:as•�'+^�, ..>,.r::u,...' �..?�.�aa=^;..";.:.<.,'};.:-..<,..�.:,. , zi •� 3 s t` R`Eb a.:Y�c :':SE'Q.. i:.�i�<.� 6E: L 7: M; RT Eta,, mpE 1. Z �.•ciY.<Ck ...<.Ea a, !eA �=,Fhi"; 9 "M�e"titi".?'d°,F„E!'�• SRI ; : s+Ri�d� Ni: P •..,; x` `sv, �G{ �a�' ' ' �..:. %.�'R' -hcE�-�"s�: ..s ��F:. ar�QESCRIPTION„=+ r::A000UNT*��"� TY. :,,, :a: ,•:PAID&� SR� G_�� Q P�AMOUNT��€ �� PAIDDATE :. « w .>�-: i._....;�. ._ '*,, ti , •A:.tVn wr, x� ky # a< .. < w.o itt x3<_ ;x: e�,'<v.: hmL :?u;e:d t'b3 ?�.n! +t a z b�,b=..., 9.1 MR. «E :...: <,..2� .,.m.:✓ ,., e:., s�C. tsa a -'ria a. ? r.. � Y u' . DIF -STREET MAINTENANCE 255 0000=43200 0 $116 00 $0 00 9SiE 's'<"'r "Lftt3L'"$ k.f di xf`i. r >aPA_IDBY� "< t� '`�.. RAN'i*Riq: %:"'*'� d'"-ihr:523d'r e`3T ."jq, Y^t i 3 -2 METHOD, °,fRECEIPT�, : X :iE'°'<::¢i N,i,C i•'?5n,x `K ,v'`y' II° $' R.. °'"ka %e.'S<S E 'eI s £ z CLTDBY >°...,..� ..:,.'4' 7* 'LY 9:'x4;::1 Y.�ntz,. �4,'� :.DESCRIPTION ,�'` '�r A'CCOUNT�,: TY Qar�. i W'yAM0UN7:'`z �� 'P.AIDny PAID !` 7 i DATE DIF -TRANSPORTATION 2500000=43200 , , ' 0 - $2;842.00.1 `• "•$0.00 , yv� Kxit-a _- ;'`$��:.'i`Sast +`:^a` 4y¢`:`v :_'+, �PRISM4 �� ra PAID,�BY ` „ s� r F �< ': 3,a '-.,..> suy€'?;:x.'s,Al �,i„irysE:i'::', ��'�� ; r METMOD �� « , >� ,.,,�:'X:s=;;......:fi i��. 'RPS";..,,.«:rsvrwn,kdiTM+"',rru-M', ;RECEIPTS#� ` � €:Y^«'^E s" :, CHECK:#� �. is ., x=cr��,34.�:..,x. `xa...a:.Em.:. . ,a. Total Paid.forDlF-SINGLE FAMILY DWELLING ' $6;894 00 $0.00 .i, 4y':eF`.fYi•:y^.g`cd�x,'{:„i<t�,<';�p�1.ry�u 3v�. f' DESCRIP-TION a f,« , rc ??easq;^➢<E'3�j.,*' <`.,,^f.$"::- "2va5 ti�`�'i >ACCOUNT � '1uF<'S AW TERM Y'Y"C<v r� .:...:. i""'..'v-'.:°.'.#%'�S a_ k tE •� r 4: �� AID�4 � .fid P�AIDDATE:. TEMP POWER SERVICE 101 0000-42403, 0 $23 83 �':.hf,�Y, $0.00, .' s PAIDMBY b, r r�; :` R ELS' iF%':'i'�Y..%.:�'i.'r ItC.''Yf F .- `$..YL W- lipl , Dir '` k� .' 'M tEE'69 E ��R CEIPsTq# x. CIi� ECK#�C LTD Y� B �.��'',�,,:t, � ,°��.�� 1 � � � r� ..ASS. �{.;t';�fLi I '�-:v?r 5.4 .:...: ET*I .. '.. .✓ .&P . •"`, 'U �� DESCRIPTION�W ��a� '�x4 SJ'bS'°�:, -.,,^r :» <•t<<i<y'-3,rk � � t � 3 ACCOUNTS : F"`..` e'- ,�.f ZONES uu a „x ,t '. � � AMOUENNES s r 9 irx PAID DATEr �� € t ��. a ..,,.,......- »., ry •,<. -,.. r.s,..K� r �� a -i,.. ...d ....,..f".x.esC.Y.!.e*r',%f ,Y Y:..,. `w..:..a..iT E.....a ,NQTaY a b,.s. .C`-ttui.e ..s_.: v.&..:. -e. ,,,. A.. ?:G:.,ueawn?eeY+.,$`s,Z,ui TEMP POWER SERVICE PC 101-0000-42403 .: `-`'" 0 ' $T6 68 $0.00 k s�PAID•BYasrq " �§, % ;' e`i.-:. SR+'" -e'er.° y .«.; METHODS ;,-�"RECEIPT:#�� M , +.. s3x''fi v"'�. kT t 3 . vm.i eT 'l£* ' a°dc '3E'i�# my < . CHECK.# , CLTD:BYy;r - , <i� `d ; « '[` .{(y,,, :S_� Total Paid.forELECTRICAL: $410'.5i 'TV V 'F ,.. a<. . F--.a..4f. t.5' rt' S. S} i F DESCRIPTION,g„s x iY ap,s....-- '{TE%,"hj"" 'a T*�4 < °,,,y4e r?5:k 3 'ACCO.UNT f - Y -6Y cY <3 . ^SF` f+li w' ,':,4 cK �•<:=; ';,QTY }+ "f "`rrc `"a?'3��tlsi` AJ -. . 'a`�r="xY.&< ? PAIDaD"ATE E "�.*Ri:: 2V':«s v�'��t ,. q �3�'` Si 2jP. k°�RttP kn ,.Fa:Sih,�i«`E :,-..£� `"`+'ua :AMOUNT°'f . ',4 s�d ..x'.:!ti ...4iF.�'P?.,s .: 4S;yd r-. `,`, <f- aPAIU' n.�='k`^?�E "�w". 'p ::..''fz3'S .P. i3'; ,..sP:..:3#A_; ,: RESIDENTIAL, EA ADDITION 1,000SF .. 101-0000-424031 0 $72 96 .: ” ev-:.. C �4»� "<{. 'P"Cf'.. "".q.'i�So �` 9 9 �� (n, ''�'K° n'f ' �>rE:PAID BY r. a, ,l, £' 'SS.ia'ES;%wi $ r iV•.Ri..�:Ytz�`i4`Y 'µ.av 'METHOD, � CEP� � �.s ;' '10 .A. 1.20 � CCTDBY�?; ' DESCRIPTIONS q -^�ti ` �A000UNT�, �' '—�E[5., n TY .i'.n°..»_�:mS AMOUNT A ,xy;:<:: ri PA1D°�°� � �; ``e'•� . hP.AID"DAT 'RESIDENTIAL, EA ADDITI'ON-1000SF 101 0000-42403, 0 $72 96 ': ` $0:00 "RU .kA='T,'` '£�`"II.4,-Kfsl.,,w`ky, k ::!;-< E +LT 'xF., �6y<£b£&G T�',t4 Xry;. ':.�,'•'u, .:rR: METHOD l;lt,<k 1:{.i:?Cd`'&� n."t, ".' RECEIPT # �� ,.:rry `Y,., "7.:€ CHECK # Yi4 �;tV'=f^ •L Vv;. tLTD BY ..s, , pa ,." .. '% .. ...-. 4::,a, , <-..a.•;t �,+" f. 10.445 € . adY?l .'x.v„•...f ,, P— U47t-ym'° M- wx 7nY 5 zi Ea «<si°:a ' . `li{r R'"°,.`.Y�e XM .s u£'.F..k DESCRIPTION .. aN .r.. {h"�Ss .>w'f'?xY3?:SP HR3 g&°u<*,•` ACCOUNT.�AMOUNT� 'vt .."V'usi ...�, , 1 u .1' EPAID DATE .�,kh 4 ., �,�I.,r,..k. IRAN, PAID IN I.x . .� RESIDENTIAL; EA ADDITION'1,000SF; PC ': 101-000042600, 0', '$30.'06-` Y�y`� c`u �y 5::1 it< C.,. 4v . .ay. 5, .. 3• N G A. X5:' fix' METHOD}_�:�RECEIPT# 'v."'SS h<tt.mRe'..1.� MEN �Js3�`�t ,CHECK# CLTDBY c.ive»"P'�A°�[Uz.�.`.Sign,.a:tt�.-`�"`�53�°e-i.`-i�iS.Sr"..vX..s..:.Y..a<_"f�<i•�.4...i.: �'.�!2 s"`A.n¢.2 :A�. Y ,�ur-Y{�x,5 :-.-Yk..w.;"viN i d....ic, CR��»<�..S+..r.,�. C�S`e-_S..Y:x`a:.s-n :s:: k,'atv.0 7.-9A9�s :.4w. �'ti:3'u .J',✓kc'::e ::.`S+`�..s �v!5a5.%'.!'1S'<'48!.`ii°aY. !.' DESCRIPTION. ✓Rif ,.f.H"' = 4.,-., :" 1`111 1, �'AGCOUNT4TY��kAMOUNT.� ,aN$ ,.i��.?E. .la k �. «:..e .<�'�.`":Y ,,Yi,:: §1; ''P'AID��`F. "�rRAIDyDATE` k �+�,h, .•-'y:ke,�'q ,:F 7 °` 4 ...i u'<§,'°'£f°�, .. .<,."n7YE: iSrv3 fa .. i' ,,.. K..uP•v. :E< ' , ,0 .Cu.C,:v�s:h�,S,�,`, 'zR R` .::t,,. ,�h'.4�iY' 'Y .n.u'X'-w `A3.ma_,... �'�e `�Y`R'.i,. �,x" �".ffi .».,-' +'tu�i'•s�:..! ' RESIDENTIAL,,EA ADDITION 1,0005F, PG .101=0000-42600 0 $30:06 ' . $0.00 ' 5 z.a�.,s • ETNOD.,v -ntw«t � .3 "n X.✓sA r re'+c'- CK. #"S.�„ i{ JB` Y. ,..k:�.,�s ii,.h „ NV �.:€..sw,T:a.«D ;L40L, . t? M+:'! ,...a. ?s�i#,«i�:�cfdLt9.<.S:S•'?Sfw '4 E E �"��.�. aV;, SDE ..RIPTI N�? i�4 :�i, ".Na..N;��`E; '#.&,�.:Si� � Y�'_:<`.z^ -,. t`>;i�Fdk -.: Ca` ""Ss s�^,�P�� fy.ti "AN T' -'3+:t d `�N"4 --g r:w ' aW r PAID '1 k xk,iti,NI;s -:�,,E< a ` PAID DATE S�t,.t �.,.a��r 6.rw : r°«ACCOU.NT� s rQN rt x , ,< , f,� �,.. , RESIDENTIAL, FIRST 1,000SF :. 101-0000-42403 O. $144.0`6 . ".. $0:00: y 'y'. s ,,:METHO,D, ....,RECEIPTn# A `E.' �'�,`�SBR,swx°"`.�1 q ay.f. `V b'Zi ....iC C -E Y,,•8S°`<:$Y» ", CLTJD°BY`? �..d£'3`a�a?AIDaBYf; ix�»iY Y{;Yyj n„-?,a',a.,M-u2i,.4rm,-+, °'f.s., "STV'^:. ti :,mW.`@4 y ,. .?#:I.AH%vc'3k'94.z` •'3i.L`hhawr'Y,":#Em<u« n�RS�. a,.'v :�,5.-l;?v',.'P ``:'•r:>x:r'L2'c>.�.`�ka�k....�FS 1 i-°="'. +4+'tt°'"i�.. at"f'pS DESCRIPTION � °`^< ' &x k`,'E,+:,:.7f£"f.. �ryy , ea ' C .s' $ :.: Mk E P � ! e{�,HR1"°xia < `d°, L��P&"�� ` 's<t`kvxi.f 3i. T;.. < ECi:.d r E�.SR Rei , 8i S 59 nom°- , ! , �r i � �� A000UNT � 4�Y k fAMOUNT� v �� j PA � t .� RPAIDADATT`E.. ' RESIDENTIAC;FIRST 1,000SF � � 101 0000-42403" ; p 0 j$143.00, $0.00 .: i. "rr 'i`:+�„+ t,f:.. 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AMOUNT' -PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $0.00 PAID''BY• METHOD M RECEIPT # CHECK # = CLTD BY Total Paid forELECTRICAL - NEW CONSTRUCTION: $586.42 $0.00 DESCRIPTION' ACCOUNT 'QTY AMOUNT :: PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY .d ` METHOD RECEIPT # CHECK # CLTD BY, Total Paid forGRADING: $143.00 $0.00 DESCRIPTION!.: ;:ACCOUNTCITY ..AMOUNT, PAI PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $107.25 $0.00 PAID BY ..RECEIPT # CHECK # CLTD BY DESCRIPTION -. ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $71.49 $0.00 PAID BY ., METHOD .RECEIPT# CHECK # CLTD BY '. DESCRIPTION ACCOUNT QTY AMOUNT PAID . ' • PAID DATE' EXHAUST HOOD 101-0000-42402 0 $23.84 $0.00 PAID; BY METHOD . RECEIPT # CHECK # , . CLTD BY ' DESCRIPTION' ACCOUNT CITY AMOUNT :':, PAID PAID DATE'. EXHAUST HOOD PC 101-0000-42600 0 $9.54 $0.00 PAID;BY METHOD- RECEIPT# ',CHECK# CLTD By DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. FURNACE 101-0000-42402 0 $107.25 $0.00. PAID: BY M1 . "- METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION .' ACCOUNT QTY PAID '" PAI D,DATE FURNACE PC 101-0000-42600 0 $71.49 $0.00 PAID BY r. ': " ^ METHODr RECEIPT # CHECK # CLTD BY ` DESCRIPTION ,.'' 'ACCOUNT QTY AMOUNT PAID '' PAID:DATE. VENT FAN 101-0000-42402 0 $95.36 $0.00 PAID BY METHOD ..: ' 'RECEIPT # 'CHECK # '` CLTD BY t DESCRIPTION ACCOUNT QTY AMOUNT " ; PAID =PAID DATE` f VENT FAN PC :. 101 0000-42600' 0 $3816 $0:00; -•s! ;s; yy .: ^k 3`'i, :.�':� '*t -^X}:- $- , f sa �t.. rt T PAID:BY �MV � �'; ,'�`. x+. x' ' ` ,.sR;:,Y.na:zt, :.* . :" ; v METHOD 1� � :�`f'. .,.�d�i :. n. ..':'S i x „ i •.r RECEIPT# � �i '. ' CHECKr# a � :)rg �.L' D' �?C: .< r.. ., „ _. >. ._3 r r » r { si� <n. r_ t rz„ . 1 : TafBYy�IIE k Total'Pa'id forMECHANICAL. ,.. $524 38 $0.00 ':�� @'G `•LC".ax' . 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" S: P -',,i4 R E... r ::£2i ,t' CHECK # �� ? z �.' 4 ..i§;' CLTDjB,Y 5 ;PAID x � _ c a.»,ar .. .. � •.i ,' - -.. yam, f^ ;�..ttnFtiv? .............,�:ESS.,��d's . SDE IP• I *. a, SCR. TN; ;F.,,`Y7ap ,r; �z' a, A000UNT:< '; i4x,4 'M d 'd�. A"&': ; °xa' ';'��+� (sr.. . Rx.. 4 €. x t� .: ;QTY=nAMOUNT�a':. PAIA< .�PAIDDATE NEW CONSTRUCTION PLAN CHECK 101m0000-42600 0 ; ,$1,200 00." ' • : $1,200.00 7/9/14. . xi .a`j:Srrp�<;evc. ..� ,?z -`Ni: '° 4 N. r. ."C' y� PAIDyBY* ate, ,� �� '�. w?4�f.5:yt•' @ a METHOD. ;33F.�e�.�+;: x r fe; '.a< w7:., ,�z, ;4 ^� ,nN1?S4'..� P".'_Y`."'-,xffi RECEIPT#` 1 � '� ',;�' 1 S .3 " �., .,;..r�"3�.,:::?E.. F. FCIiECK#�CLTDBY< .MONARCH' HOMES' CHECK R302' 1623 SKH Tota 'Pail. forNEW CONySTRUCTION PLAN,CHECK. " ' ; $1;548.24., $1,200:00 '. . ... ... - Y, :."k`.nCS , ^C:S3,."s> v '.t'i' .5"T"' 1ZM��`DESCRIP,TION 3�ti Lhx �i y.a$i: Ali. i..". 'w:,n f ACCOUNT 'Ebui`#•3Yv 'S ¢ TY" y >:1,' .. kb£i@.r d'n':in, .n f* PAID: @' = 'V PAIDSDATE . t a�:# _� : q�•:s�5 ::AMOUNT E� 7:.F BACKFLOW. DEVICE 101 0000=42401 .` 0 :,$1192. ` .F $0.00; . IN & `�" .Y£^.w -.rr- `y"' b :-.; 3v T''.3� � '..E`e'4"''; i �� BY*ti F:� . n - :s3:'`a u. !w' �.' �` �;w{,, D _ 1:' _ -St; Y:;YS:>;efwti&°2R.. q3x `*,"' tt:»;Sa REGEEIP ms a,n*.„:fu:[.. eoq t #� * .it9°'1>..,; zl BYE +PAID & .,. ., � kr s. r ,` 4. eT., METH �� a t # Ea�F :CHECK �CLTD ..; , ,. .,z.;..e .n .F+n+s� mt,1B1.. MINE ' :r -'LL"`"s�n`'kFC•• . :. :' ACCOUNT¢{`gQTYylAMOI'1NT ,'^e�,vn.%• .. n: EiE. �.�e..xi t . .caw i ,4'. :-. �b '''.t' r ."�.i INN', PAID` C.N` : PAIDD`ATE ,,DESCRIRTION M�-.o-"N: '. Nx`i''. ;A"Mm'sFpi .53•_:.D .^F.,P: .J<x <i k "i .f�`i�. :.E : x'F'r( ,... ii?..h '..:.-d:Wi .Y -ii•F .,' 'T S?31M v:t.F`£:.. _s'ESvC 4 - .W Sii:r."^ `nJ.Aw'`ikxett BACKFLOW',DEVICE.PC ;l 101 000042600, . 0 $4.77 $0.00 �;!: Ge. 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FIXTURE/TRAP:PC . 101-0000-42600 - ' , . 0 , .$321.84. $0.00 f1 9.v.'.x, i:b.Lo''• ,3e.5 '; ¢gss-p y : x, iui. vAiiJ ':....;qt *pn�'•' yx„kC :y E'i:F :f` �E .N.a' ,ai. EtE6:",vir;; 4 4p'VE y� i _`Yul v L; :: • `"_�' UESCRIPTIONn' €f 7 A000't NT r €•e DATE1 �,.,?gg S:S'GNSP_:`�v..<x.. .:::. ...... <, va.+,,. 5cw, a'k_....,•,i>?.C�,Y.''N�i. .,tPAID .. .i,i_Lx.'`kYivr.n,$i�i GAS SYSTEM, 5+OUTLETS 101-0000-42401' ' 0 $35 75 $0.00 . aa�.,:' Y ., s rk. ..; `t+T .',? ,;''"u"$ PAIDtBYgx w :,Fzx: ., rz E S'E t ,..; x fia"s :Rf 4 2..,f�i:'d':: -,. ! E. FJ. METHODS �� r , ?.<.E"..•ti;•. ;*--..' P c.s r50.�Y'ui.r<`Ea.ris_x€ ��. t ;.A ?;3"t, --:AE" �".0 Nxz:-ue#rR`x`: ,�c.t4•;`rr...�....z"s.�r'...,:dR€•. Rig :RECEIPT# n=s ��. r fi=CHECK-`# CLTD;BYr SS..'ii.y'Y4'�s. ,.4 .i` °;DESCRIPTION, k4�'.E' iNi .:RY%F _A �i a. �:.:d 'M.<: '''✓:R%: $3 ACCOUNTPs '6Sn' f' x TzY :xf..xW''%''`�'0 `tib ice 'AMOUNT cT W £.,., g'� E PAIDUATE -.,. r.t... ! _. t{.. A -h t..A: .....:.,Yv.•,- ..1..,-,. �...��.'E .: ,.,�� gra .. z:`�-�Eaav`r...t hs.; .daa2''.a as ,'�r.f.n....0.�'4ia'xEe`s .x.4> rtFa ns.:..,frs::,PAIDz -` GAS SYSTEM, S+OUTLETS PC. ,101-0000-42600 = 0 ' $23.83 i.'P`��t�moi. '•y>3'£ :9i f`f' pp 4a;,:.! °'%x^yr, aEfr- x,,,. y,`:d-i` �� :F(:��`oE "�5 `FE` oarwr`fP%i«� 4`!L�:.Ya..`v .,Ef.Y.-"i*:m��.« p- s.cCus;taFAD .RE: .3,C. l ,•w{„.n d :.n<:?.-Mit`n?k.<.::.'l:ZhY�a3.y":.'?:`3:;iEf `.PxA.,aI..aD;'B.asY,:'.'F�,3.a'i.n._.r'<m.-:•r�.•�E`�-a.,.�" fti, _3: ;S<.,Rf+ •Mt•M:s>ei=E`..T`<'sr.kIt.` 'E;tiFn;� . naEazur.,T•a "'�GFE..0 1� .....'.. .. Rttit.. -4 MN f- � s ��, �, DE mk ' .�i e;R'FS '3Y.' i'i:: ` 'yj'.�,.; E r ti �'�'.: �E ,E, � "F�.,� "T" r. € E 3 � aR;. fr n �'- L QT�1f�AMOtUNT �rc .±V. :, k R.ti }l',�. .� � zf ,,: , 4wtffia.,�T �., r t ':. g H' n:EE.., � ..R r�„ �"� x»e`.. � y ;E� ', a ''•�, ( MAMMATE .SCRIPTION k:,v t dACCOUNTweun€ ' PAIp: -ROOF DRAIN. 101-0000,-42401:. 0 $23:84 ': $0.00 - PAID°BYE a„_; : Ey ' 4 METHODN 9 �� ;:.`d+r."4 � nk is �-q RECEIPT t& �r��d` ,R -.'F p.q N CHECK M ; CLTD BY .. r`' E .c6.w? ;# jj d'A` _£PiEe #t, L .;ur_;, r..r�t:a`E$�FE'R`-`;g`•+ -a ,>-, =%N:>a :7.� s -7 r"'s,... .�`1 �tF_m � DE SCRIPTION¢ �PACCOUNTfi �r :...- C, Q TY : d .. m+?,YyW'�S kpfiN `' aftio w"r r� `<,xAMOUN u.,.,.:'-��eE: t ES S LSk^j. PAID T PAID DATE _k ON_�>.. : r �$ :: .�E ,a�. ��- E ``,ROOF•DRAIN PC' ' ,101-0000-42600' • . 0 $23 84 $0.00 �' .. .` d�'"Y .i.' SE '^`P/?il D BYE a:= ,yr{.'"%' Y-.�<f,{,_ 5,';q, fYek.S x�3 k pig E .E *� D,twE�cE „mlK, w- Rr X4: .r -S EIPT #� CHECK # 3:p E {``[q, e•'°4 CLTR BYE„ N. Ry „ E • .r. .:. u''k'y'aNP^Us.. �DESCRIPTIONE.:a_ of n• E Y ACCOUNT ` � ��r Q� s' AMOUNTaPAID.� �� '° ` "a aP:,� v _ { .. `+.1YY,.`:k*.�4 R+s v �..aS..t:' n :u.:.-.riri:-u v`.' s :-,& .,z+ 'e'$; .a .Y.€:S ,i:tR!. <"'c... &, k IIMM EMU �PAID9DATE :' .WATER HEATER/VENT 101'-0000742401' 0,` $1192 $0:100 ... ..: ,G ,. . "3 BY �. Y sR, .'Y.GV'3,'4, - . SME. , :.� T,M9 OD « s RECEIPT #CHECK 4 E `Yf,g a x ae #Y� ,,.., .',f+f`sA.; if .f;:t CLTD"BYx #' yy+PAID , y.E`= r9 m 4�.b->. LCL[ YS. .e.Tx.'k+'aF3!�.r ,.�:$ . � .....•_ 14 �� Ill, �'5:,4'.,:a �Yzdib.eS�fx".frk,.a,� � `k � .K'Ak�' :'zr E ' J -qy': r,."_'t.: +.,` `kf; fri.., Y' -s, r� ACCOUNT ',`�i4.t,`,�v; T,Y ` E�rx`45ki"fxq'KiY`X' "'$n Rill z 3k:d,,Nn`Eai;s,i€,a.Y'"<::Z.,.A;S,'�:: g, r E �u fCyt{ , .. MSDESCRIPTION y 3Yfrh {si3dSW .k.:;4i. Y¢Pdr%E,w �` ._�;'1`i �• E q -;, Y.;x�tN.i-.N ,::..:;fr.i..Sx',�^F,..y., v.. Q :w+....�bSiiw.„',•YC„L�"it:-"`#'iR. AMOUNT r. N.s,.:�ic,•.,`9r1 - PAID � f N`i�'ca�E.;E•`.i,;?v,. w?sEiAj';'• PAID;DA`TE w:t{`P?,..e.:k-Jh.av?:x .Tyt "WATER HEATER/VENT PC,101-0000-42600' 0 $Z:15 $0:00 ;. . s A'.. 't.:: .I£ :� Xsrc'l`Dh%?r,.. fi . °3@`w:le.. .Tai...„': ( hy, l '' f XiA '.:" �«� '}rc_fS . f,•�`s`iY,'-•l i`: `M;%a iP : K ?�:r . �,r€t,PAIDBY ,t AMETHODtr�RECEIP..# :,CHECK#CLTDaBY, y rc , ';k:',' ffi F`. iY•';aF�zr ,,. .:r�+r.., i".`W "+,ix xffi”! , v DESCRIPTIONS, ` � '. .: "9 . ',E "» ,y�"'s�,,'SsB,Ra..'+"+a,, .. "a, - ,; , :. �� ' ;' , - a� �a4Ng3;<.AMQUIVT�PAID,a,. :^. ast ,EMm IZR . ` ' x E PAID DATE a��:�'nM000UNT.. ..:R.t.„, I ,:. s a' ,gyma WATER SYSTEM:INST/ALT/REP 101-00004240 �: 0 $11:92.. ' , $0:00 ^�. • `R-"'.1§`` t PAID BY X'.�.v" :s•'aa-s,%`:„`�. e uv"%`.5yt'":L ': METHOD y �``{Y`e.s&` ': E` ua7ti' € kptzr� �y YC:S3 RECEIPaT�# E+,,<aes�i+r,'. v < 4"Ef' �`.,it��•t: • EON, CHECK#, � y '� F,-.>°„, r� ,.r a..��'-W E .. a . w P. :., NU.. , .. & _ �r .,�,:� ..... CLTD BYY pis go-, wv� F..:: ; SXQs:r •i`x_..:.._'�. .d, X'�PA_•: .I..Dd_ _s { :.r„ t P:A,'�ID,a A3�T._E_x.p... _x . .:�w��...i.TaC-'`c n �.NT, ...' '-.g-;-,0-5,g$0DESCRIFTJON .. WATER SYSTEM'INST/ALT/REP PC 1U1-0000-42600• 0 $il 92 ”- $0:00 •.i .:k+'C�XS .... k.a �� { , a.f.:. ?' '�$ &:*,s?ezP$h'rs+'�.-).fi}w METiIiOD; `:, . : a. � � a ;gm -R�6"•,S'F{E(:�+Y EV E .:; "%`y�YE. RECEIPT:# � � %�,a '"Y-�: (y-3Y:;Gc1, 4 ':"'E �E � CHECI(s# rf jyR.ZAeTT L"4' `.AfS `.F'�i..-v5av�`,`.'i'C,as..v:EE�'....E�Ya'?IS.eftEx'..«i'.fi..=&,: E .y¢ .n y w,�CLTD?BYnx`�5 C.:'S1,itiS.'ltn�n^FY. Total Paid focPLUMBINGFEES ', .$834.38 ±'zip xDESCRIPTION�p,rc �; Ion -, � :Sb,ti �i."it: ^ <ACCOUNT_; AMOUNID. s 'P. AID°DATE- , y SMI - RESIDENTIAL . ` .101-0000-20308,- 0:` $59.91 ., ... $0:00 "c ai�,+Ye W. st, :>< •, x iytts&' R r , r -::i l+ . <Sy : E.:.. " . ° x1:. n �cIR i PAID 8Y v� e`X c "qts, . "s _sitA,;E�t�;ylrk 5,,. ..' - sn k` M �y°;.= NG a '. 4 A' s f . IVIE$TIiOU ± "4 E s y c `&"S,x ::rte' - r E[. ..C^ + ` ,4r � RECEIPTW# •'� :a, �•;i°'P�`�•r ..>_stt : ,a : CHECK # � ;,•* . ” E .' CLTD BY :>.;Ic+....._.?.-:a-,.,..�?i1.-<. a.,.,:',k: r..d,:,,Wena;:.a",A�dt.xv:vy' ,; „ a =s .'gym.:-c�mS..:Z<..:..";...:xxu•::..x�n>..'.. �'; :. -'�5r :: `asx?;l- zw•,:='r< ;a '`'x;.s,::.'`isk�i�,•, :tr.3r-t,-:.,..,:>'F.::,.E'��matcxzs�va*1F�,R;+e > Total Paid forSTRONG:MOTION INSTRUMENTATION SMI: $59 97: $0.00 `ry�,DESCRIPIION.x,; s�:,rc:A000UNT .....::... 3.>::.w{,*4`rY'Y'. � ` eek TY, 4e'v ; f AM r N �� 'GY.xr,'E' Y,kn E°Eg•Fi E�€� �` �� ID DATE i":$ta'yMn3:e`EYI<R:.F h..:: : i t . E hs R96 i :: r `t� _ 4.,Q. r� z” U Tv (%,,. 8,.p,. k :PAID s�RM x&,<v li #iS,�IDAfikrta -.SINGLE FAMILY DETACHED-'` 224 0000-20320` 0 $lA37 44 :. .,� $0.00 Ugc. ' t' �'is'S ?yyRAIDBYg°y_ "w,� p,�- 'asw hx- <P c "" t' r sMETtHOD _.j l:� >Sa.' t`'Y,:. €t d ""x^x''T' '{_< - s[, p- tafi ,�.V' `�.,. S"r aha 2 ;CHECK#CLTD:EBY.k 'E irk;,: „ y&R4Cr4'x ..�'C.�aII:.: -,Sa '+ �Sor:..;$nr.3'iF''n'i(ie5.-�f'�t"."r!'•ni �S.:F «!eE,'fi� j#� s:,. .v ��xRECEIPT#.., �h ,. � � v��-%i":f-�.f fiF.R� i:.4 K.»kr ��4 :.:: ..4 `YiS D�..v� 5.,3?` ::Z¢i f:l -`r�``r,'!�rc'v,a firs=�',R.;."E p��,�� S�%E.,-. �'-r .,`..e .,."�"C.;�Cti�''-'`.`b". r T Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 1 Description: Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 7/8/2014 SKH FAMILY DETACHED Approved: 10/20/2014 SKH Parcel No: 777160036 Site Address: 80801 VIA PESSARO LA QUINTA,CA 92253 Subdivision: TR 29894-2 Block: Lot: 346 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $461,303.60 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ROOM. APPROVED BY TOM HURTONG 10/27/2014. READY TO Details: NEW SFD WITH WINE CELLAR AND 2ND. FLOOR. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCKWALL, DRIVEWAY APPROACH, BBQ PIT, WATER FEATURES. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. Applied to Approved Printed: Tuesday, October 28, 2014 10:48:57 AM 1 of 7 SYSTf. iYtS CHRONOLOGY CHRONOLOGYTYPE STAFF -NAME:. ACTION DATE. COMPLETION DATE NOTES OFFICE MEETING WITH ARCH & CONTRACTOR ABOUT WINE OFFICE MEETING JIM JOHNSON 10/28/2014 10/27/2014 ROOM. APPROVED BY TOM HURTONG 10/27/2014. READY TO ISSUE NEE ASSESSORS SET. PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 10/17/2014 10/17/2014 STRUCTURAL APPROVABLE - BE SURE TO READ COMMENTS RECEIVED ON TRANSMITTAL FROM YOUNG PLAN CHECK ITEM RESUBMITTED 2 REDLINED PLANS 2 REVISED PLANS 2 REDLINED STRUCT. CALCS. RESUBMITTAL ANGELICA ZARCO 9/19/2014 9/19/2014 2 REVISED STRUCT. CALCS. 2 TRUSS CALCS. 2 SETS TITLE 24 PER ANTONNE, PM10 AND BUR RTEC WASTE MANAGEMENT HAS BEEN SUBMITTED BY AUGUST. Printed: Tuesday, October 28, 2014 10:48:57 AM 1 of 7 SYSTf. iYtS TELEPHONE CALL I ARMEN ALTOUNIAN I 10/20/2014. I 10/20/2014 I PLANS READY TO PICK-UP CONDITIONS NAME:TYPE ; . ;NAME <: CONTACTS ADDRESSl LITY STATE RESIDENTIAL ZIP,; PHONE FAX EMAIL .` APPLICANT MONARCH HOMES 49950 JEFFERSON LA QUINTA CA STREET 92264 (760)413-8863 CONTRACTOR MONARCH HOMES 49950 JEFFERSON LA QUINTA CA STREET 92264 (760)413-8863 OWNER GARY BEUTLER 11399 HUNTINGTON GOLD RIVER CA VILLAGE 0 (760)413-8863 FINANCIAL INFORMATION =_ DESCRIPTION. ACCOUNT QTY AMOUNT. PAID PAID DATE._ `RECEIPT # CHECK # _` `METHOD . PAID BY CLTD BY ART IN PUBLIC PLACES - 270-0000-43201 0 $653.26 $0.00 RESIDENTIAL Total Paid.forART IN PUBLIC PLACES - AIPP: $653.26 $0.00 HOURLY PLAN CHECK - 101-0000-42600 11 $770.00 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $770.00 $0.00 BSAS SB1473 FEE 1 101-0000-20306 1 0 $19.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $19.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION' 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE Printed: Tuesday, October 28, 2014 10:48:57 AM 2 of 7 V sysTems Printed: Tuesday, October 28, 2014 10:48:57 AM 3 of 7 NAff CRww SYSTEMS 7 1 DESCRIPTION... ACCOUNT. QTY A MOUNT PAID DATE ;RECEIPT CHECK ME PAID BY' t, ILT, D' 1 7' BY: DIF - PARKS/REC 251-0000-43200 0 $2,0.48.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.68 $0.00 PC Total Paid for ELECTRICAL: $40.51 $0.00 RESIDENTIAL, EA 101-0000-42403 0 '$72.96 $0.00 ADDITION 1,OOOSF RESIDENTIAL, EA 101-0000-42403 0 $72.96 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $30.06 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, EA 101-0000-42600 0 $30.06 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $143.00 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42403 0 $143.00 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.19 $0.00 1,000SF, PC L, FZT RESIDENTIAL, 0 1 $47.19 $0.00 1,OOOSFT101-0000-42600 , PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: -$586.42 $0.00 RESIDENTIAL FINISH 101-0000-426000 1 1 $143.00 1 $0.00 GRADING PC Total Paid forGRADING: $143.00 $0.00 Printed: Tuesday, October 28, 2014 10:48:57 AM 3 of 7 NAff CRww SYSTEMS 77711 777 �DESCRIPTION T# HECK # CONDENSER/COMPRES SOR 101-0000-42402 0 $107.25 $0.00 CONDENSER/COMPRES 101-0000-42600 0 $71.49 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $23.84 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $9.S4 $0.00 FURNACE 101-0000-42402 0 $107.2S $0.00 VENT FAN 101-0000-42402 0 $9S.36 $0.00 VENT FAN PC 1 101-0000-42600 1 0 $38.16 $0.00 Total Paid forMECHANICAL: $524.38 $0.00 NEW CONSTRUCTION 101-0000-42400 $720.15 $0.00, PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $720.15 $0.00 NEW CONSTRUCTION 101-0000-42 1 600 0 $348.24 $0.00 PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $1,200.00 $1,200.00 R302. 1623 CHECK MONARCH HOMES SKH PLAN CHECK .7/9/14 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,548.24 $1,200.00 BACKFLOW DEVICE' 101-0000-42401 0 $11.92 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $0.00 BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 BUILDING SEWER PC 101-0000-42600 0 $11.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $321.84 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $321.84 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0. $35.7S $0.00 OUTLETS Printed: Tuesday, October 28,Z014zO:48:57Aw1' 4of7 CorwIVSHMS DESCRIPTION :,'ACCOUNT QW." AMOUNT , PAID PAID: DATE =RECEIPT -# `tHECK Ji METHOD v 'PAID BY. CLTD BY GAS SYSTEM, S+ 101-0000-42600 0 $23.83 I $0.00 OUTLETS PC ROOF DRAIN 101-0000-42401 0 $23.84 $0.00 ROOF DRAIN PC 101-0000-42600 0 $23.84 $0.00 WATER HEATER/VENT 101-0000-42401 0 $11.92 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.15 $0.00 PC WATER SYSTEM 101-0000-42401 0 $11.92 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $11.92 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $834.38 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $59.97 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $59.97 $0.00 SINGLE FAMILYJ 224-0000-20320 0 1 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS: $14,630.75 $1,200.00 StQlolf INSPECTION TYPE I INSPECTOR I SCHDATEEDULED CO DATE �:RESULT REMARKS NOTES DAT E OKAY TO WRAP ROUGH PLBG SETBACKS FINAL" DRYWALL NAIL Printed: Tuesday, October 28, 2014 10:48:57 AM 5 of 7 OCRIffsYSTEAS s `r �cs'�OF'r1jE9� Printed: Tuesday, October 28, 2014 10:48:57 AM 6 of 7 — SYSTEAnS DRYPACK GAS LINE/TEST ROOF NAIL SEWER CONNECTION SHOWER PAN PIERS UNDERGROUND PLBG UNDERGROUND ELEC ROOF DRAIN TEMP USE OF PERM PWR LATH INSULATION ROUGH MECH EPDXY UNDERGROUND GAS TEMPLATE FOOTING UNDERGROUND MECH GRADE BEAM ROUGH ELEC FRAMING SLAB FLOOR NAIL FOOTINGS TEMPORARY POWER KKI 10/6/2014 10/6/2014 APPROVED Printed: Tuesday, October 28, 2014 10:48:57 AM 6 of 7 — SYSTEAnS :.REVIEW TYPE: REVIEWER SENT DATE BOND INFORMATION DUE. DATE RETURNED.. REVIEWS STATUS REMARKS:`:1 NOTES ATTACHMENTS A Attachment Type =CREATED , FIRE JACQUELINE 7/8/2014 7/18/2014 9/18/2014 APPROVED 10/14/2014 JACQUELINE GARCIA LAQ-I4-RS-113 Beutler GARCIA 0 W/CONDITIONS Residence.docx NON-STRUCTURAL JIM JOHNSON 7/8/2014 7/13/2014 8/13/2014 REVISIONS REQUIRED CORRECTIONS 1ST PLAN CHECK COMPLETE. SEE ATTACHED DOC 8/13/2014 JIM JOHNSON COMMENTS 80-801 VIA Correction List (OS) 80- COMMENTS. STRUCTURAL BUILDING 7/8/2014 7/18/2014 8/13/2014 REVISIONS REQUIRED CORRECTIONS REQ DOC BUCKET JIM JOHNSON 80-801 VIA 80-801 VIA 0 PW GREEN SHEET - AMY YU 8/12/2014 8/21/2014 8/21/2014 COMPLETED DOC 8/26/2014 BP RELEASE PM10 80801 VIA PM10 80801 VIA 0 SEE ATTACHED APPROVED GREEN SHEET. PESSARO 8-21-14.pdf PESSARO 8-21-14.pdf RFC - PROVIDE EGRESS AT WINE CELLAR NON-STRUCTURAL JIM JOHNSON 9/26/2014 10/17/2014 10/20/2014 REVISIONS REQUIRED 2ND PLAN CHECK RFC BASEMENT Approved by Tom Hurtong 10/27/2014 BUILDING 2ND PLAN CHECK DURING PLAN REVIEW FROM YOUNG, ENGINEER STRUCTURAL 9/26/2014 10/10/2014 10/20/2014 APPROVED OF RECORD SUBMITTED REVISED PLANS, CALCS BUCKET APPROVED AND SOILS REPORT. Printed: Tuesday, October 28, 2014 10:48:57 AM 7 of 7 SYSTEMS BOND INFORMATION ATTACHMENTS Attachment Type =CREATED , OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED_ DOC 10/14/2014 JACQUELINE GARCIA LAQ-I4-RS-113 Beutler LAQ-I4-RS-113 Beutler 0 Residence.docx Residence.docx 1ST BLDG NS 0 - 2010 Residential DOC 8/13/2014 JIM JOHNSON COMMENTS 80-801 VIA Correction List (OS) 80- 0 PESSARO.docx 801 VIA PESSARO.docx DOC 9/29/2014 JIM JOHNSON 80-801 VIA 80-801 VIA 0 PESSARO.docx PESSARO.docx DOC 8/26/2014 MARY FASANO PM10 80801 VIA PM10 80801 VIA 0 PESSARO 8-21-14.pdf PESSARO 8-21-14.pdf Printed: Tuesday, October 28, 2014 10:48:57 AM 7 of 7 SYSTEMS n � Building Il L _ go j BuildAririring / VVVIf TA-V144Q" nq Po. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO fsfg/L D LA QUINTA, CALIFORNIA 92253 owner Mailing Address M D n/' �l4Gd1 Dig/ G naFF Address ^45 -7Sb �� enl sr -0/3-D City dto Z�Z2d 9SRP34 -10381 & Classif. Lic. # Arch., Engr., Designer City Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 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. It, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O 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 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name . Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 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 WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. OCC. GRP. A.P. Number % ?7- I COD - 0'5(g Legal Description - Project Description Sq. Ft. No. Size Sto New ❑ No. Dw. Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation Ff PERMIT Plan Chk. Dep. Plan Chk. Bal. 1 Const. Mech. Electrical AMOUNT O J S.M.I. Grading Driveway Enc. Infrastructure TOTAL 7 -r -r> c ()('�) CONTACT INF MATION NAME: JV 49J S % CO D PHONE: S( Lapi- U.T ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: 1 Validation: YELLOW = APPLICANT PINK = FINANCE ;r Coachella Valley Unified School District This Box For District use only 83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID (760) 398-5909 — Fax (760) 398-1224 AREA: AMOUNT - - LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND: AMOUNT: DATE: - RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: he Hideaway Date: 'October 21, 2014 Owner's Name: Gary. and Marcia Beutler Phone No. 951-634.-6381 Project Address: 80-801 Via Pessaro, LaQuinta Project Description: New Single Family Dwelling APN: 777-160-036 Tract #: Lot #'s: Type of Development: Residential XX! Commercial Industrial. Total Square Feet of Building Area: 5139 Certification of Applicant/Owners: The person signing certifi that t ov information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to on b alf of the owner/developer. Dated: October 21, 2014 Signature:. SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement + Note: Number of Sq.Ft. 5139 Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. $3.36 homes being relocated within the same school district's Amount Collected $17267.04 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Laurie Howard, Secretary Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES . 7 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 timeofpayment 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. Y1V:c/mydocs'devfees/certificate ofcompliance fonn updated 3-2007 11/2010 GRANT DEED The undersigned Grantor(s) declare that the DOCUMENTARY TRANSFER TAX IS: $ 394.90. County XX computed on the full value of the interest of property conveyed, or _computed` on the full: value less the value: of liens or encumbrances remaining thereon at the time of sale. _ OR.transfer.is EXEMPT. from tax for the following reason FOR A_VALUABLE pint Wh� ch is' hereby acknowledged, Dennis D. French LTD, A NEVADA t _ C . HEREBY _GRANT(S)to Gary. Beutler and Marcia Beutler, Husband & Wife, as Community Property All that -real property sifuated in the Cityof La Quinta, County: of Riverside, State of California, described as: Complete. Legal Description on'Exhibit'A' attached hereto and made a part hereof Commonly:Known ,As: 80801 Via Pessaro, La Quinta, CA 92253 Dated: June 6, 2,,0/13' STATE OE, . (i(�(,{�Y�'l tq;. } Dennis D. French LTD, A British Virgin Island couNTY of ✓l,✓�i' 0: t International Business Company On ::,ry� SU1'IZ :14 �. 2oh� before me, "a Notary Public personealedelhn /S FYPyI �t Denni . Fren , CEO who proved to me on the basis of satisfactory evidence to be the person' whose nameK is/sfe- subscribed to the within instrument and acknowledged to me that he/sheilhey executed the same in 'his/4er their authorized capacityp&s), and that by his/4efM4L* signatureW on the instrument the person(,[;), or the entity upon.; behalf of which the person(g)_acted, executedthe instrument. I certify -.tinder :PENALTY OF. PERJURY under the laws of the State of California :that: the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (SEAL) MAIL TAX STATEMENTS AS DIRECTED ABOVE ANGELINA AR 1A . Caraniuion # 2007938 Ndhry Public - CtlgonNtf. Rhrtrel011 co" Caaei. ritl:}7,•?Ot T r. Fib l7/ Zo)� -R<CORDINGREQUESTED BY: FIRST AMERICAN TITLE COMPANY DOC # 2013-0301083 n WHEN RECORDED MAIL DOCUMEPIT AND 06/24/2013 04:15 PM Fees: $18.00 Page 1 of 2 Doc T Tax Paid 3 rn TAX STATEMENT TO: Recorded in Official Records D Gary County of.Riverside Larry W. Ward Ca `n Beutler e, ba 11399Huntington Village Lane Assessor, County Clerk & Recorder CJ , Gold River; CA 95670 o "This document was electronically submitted � .� to the County of Riverside for recording— Receipted by: CARAGON rn APN: 771-160-036-5 TITLE ORDER NO.: 4410036 ESCROW NO.: 27724-004 -Wp. MD -4tCr) THIS SPACE FOR RECORDER'S USE ONLY GRANT DEED The undersigned Grantor(s) declare that the DOCUMENTARY TRANSFER TAX IS: $ 394.90. County XX computed on the full value of the interest of property conveyed, or _computed` on the full: value less the value: of liens or encumbrances remaining thereon at the time of sale. _ OR.transfer.is EXEMPT. from tax for the following reason FOR A_VALUABLE pint Wh� ch is' hereby acknowledged, Dennis D. French LTD, A NEVADA t _ C . HEREBY _GRANT(S)to Gary. Beutler and Marcia Beutler, Husband & Wife, as Community Property All that -real property sifuated in the Cityof La Quinta, County: of Riverside, State of California, described as: Complete. Legal Description on'Exhibit'A' attached hereto and made a part hereof Commonly:Known ,As: 80801 Via Pessaro, La Quinta, CA 92253 Dated: June 6, 2,,0/13' STATE OE, . (i(�(,{�Y�'l tq;. } Dennis D. French LTD, A British Virgin Island couNTY of ✓l,✓�i' 0: t International Business Company On ::,ry� SU1'IZ :14 �. 2oh� before me, "a Notary Public personealedelhn /S FYPyI �t Denni . Fren , CEO who proved to me on the basis of satisfactory evidence to be the person' whose nameK is/sfe- subscribed to the within instrument and acknowledged to me that he/sheilhey executed the same in 'his/4er their authorized capacityp&s), and that by his/4efM4L* signatureW on the instrument the person(,[;), or the entity upon.; behalf of which the person(g)_acted, executedthe instrument. I certify -.tinder :PENALTY OF. PERJURY under the laws of the State of California :that: the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (SEAL) MAIL TAX STATEMENTS AS DIRECTED ABOVE ANGELINA AR 1A . Caraniuion # 2007938 Ndhry Public - CtlgonNtf. Rhrtrel011 co" Caaei. ritl:}7,•?Ot T r. Fib l7/ Zo)� DOC #2013-0301083. Page 2 of 2 06/24/2013 04:15 PM Exhibit"A" Legal; Description. A.P.N.: 777-160-036-5 Real property in the City of La. Quinta; County of. Riverside, State of California, described as follows: PARCEL 1: LOT 346.OF:AMENDED.TRACT;NO. 29894-2, IN 7HE.CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE. OF CALIFORNIA; AS:PER MAP.RECORDED:IN:BOOK 327, PAGES) 56 THROUGH 88, INCLUSIVE OF MAPS,.IMTHE OFFICE OF THE:000NTY. RECORDER OF SAID. COUNTY. EXCEPTING:THEREFROM INTEREST IN ALL WATER,: MINERALS, OIL, GAS, PETROLEUM, OTHER HYDROCARBOWSUBSTANCES AND: ALL .GEOTHERMAL ENERGY SOURCES IN OR UNDER SAID LAND OR WHICH MAY BE PRODUCED FROM:SAID.LAND. PARCEL 2: NON=EXCLUSIVE. EASEMENTS FOR ACCESS, INGRESS,.EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND `FOR OTHER.PURPOSES, ALL AS DESCRIBED INTHE DECLARATION, RECORDED DECEMBER 13, 2002 AS INSTRUMENT'N0: 2002445938 OF OFFICIAL' RECORDS. September 4, 201.4 Mr. and Mrs. Gary Beutler 78940 Via Ventana La Quinta, CA 92253 RECEIVED SEP 19 2014 Re: Lot 346 at 80801 Via Pessaro CITY OF Cq QUINTA Final Construction Documents COMMUNITY DEVELOPMENT Dear Mr. and Mrs. Beutler, ----- --- The Hideaway Design Review Committee (DRC) eceived the final", wor ing drawing submittal for review at the September 4, 2014 meeting. Tpe project was approved to sta construction subject to the following comments being submitted for final review prior to foundation being poured at the lot. 1. 'The color board previously submitted the larger samplesspr'ovided for review at the September 2nd meeting, and the call -outs listed on the elSinion are not consistent. Please present a revised color board and update the elevations so that all references are consistent. The roof tiles presented as a photograph on the color board, along with the house color and large stone sample are approved conceptually. The large roof tile .samples submitted for the September 2nd meeting do not match the color board and are not complementary to the house color and stone sample provided. Please modify as necessary to accommodate these comments. 2. The fascia detail does not appear to relate to the overall design of the home. The committee suggests eliminating the fascia and enlarging the corbel details for a more cohesive design. 3. The detailing of the home appears to be much simpler than the style presented in the original renderings. Please update the plans so the detailing matches the elevations (for example, the garage doors are very plain but the detailsspecify clavos, etc.). 4. The committee suggests that the horizontal windows be modified to only four panes rather than the eight detailed on the elevations. 5. A written approval is required with regard to the location of the spa. This must be provided prior to pouring foundation at the lot. 6. As a reminder, decomposed granite can be utilized in planter areas but not at the property lines where transitional planting is required. 7. Gerry Tarsitano is required to review and approval all off property improvements. Please consult with Gerry and solicit the necessary approvals prior to the start of construction. Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any questions regarding this review or to schedule your Pre -Construction Meeting once a Building Permit has been obtained. Sincerely, THE HIDER WAY DESIGN REVIEW COMMITTEE By: Title: cc: GM Future Structs Gerry Tarsitano DRC File Date: Pursuant to Col. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. /f you wish to pursue an —non) .1-- r I"I /%o Ao—in/inn's n _.�h, mn.—n iii—I A, CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. IncomplEte applications or applications which cannot be processed will be returned to applicant. Date: b / I /Developer:0 J�-rC7 14eS Tract No.:2191 -ZTract Name: Address(s): ift— b 0 l Vr A Vers- s44-0 Lot No.(s): 3 4(P Phone Number: (7 -fl The following are the requirements for Public Works Clearance to authorize issuance ul gI erE PW the Building & Safety Department: t E ❑ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW } . ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW AUG 1 2 2014 ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW rITY OF LA QUINTA COMMUNITY DEVELOPMENT 1 . Attach Pad Elevation Certificates in compliance with the approved design elevation, for building pad (maximum allowable deviation of +/- 0 1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grad ng plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & resicential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building locations► for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach. supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-quinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the iproposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released -for building permit issuance. This section completed by City s aff. Recommended by: Date: �l ZrI�T Public Works Distribution: ( ) Green Sheet to Building & Safety ( 1 Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover;, PM10 less than 1 Acre Revised 10-02-12.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Aareement (< 1 acre/lot or Infill Proiect) Project Information Project Contractor: Project Phase (check one) Construction /0 Demolition Project Name: �/ j frU 7 -LA; -R— �= it rke-A) GF Project Tract/Lot Numbers: _Z/ g •, ' Z 1�3 7 Project Street Address: 0 Total Acres in Active Construction (< 1 acre Lot): 3 • Z. 9 Per Anticipated Start Date: �// / Anticipated Completion Date: PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction . status. Person listed below is responsible for dust control during business and non -business hours. Name: V J 'T" CQ3^1 Title: 7t-UT Company Name: OA) b4 40twtrs Mailing Address: Q SaN-E71 S d/1i �% •/ 3 City, State, ZIP Code: Ott 10 CA Z2 o / Primary Phone #: Fax #: 24 Hour Emergency Phone#: q c1 Cell Phone #: Email Address -T- Si C � cow k1•p A i .T. o l PM10 Certificate #: / V 1 3-..0 6 -SOD The above stated property owner (or authorized representative): Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to, SCAQMD Rules 403, 403.1, 401, 402, 201,203 and PERP; ❖ Shall constitute an Agreement to comply 'with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that` dust control is required twenty-four. (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; Shall ensure that each.and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with All requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are.necessary; ❖ Shall authorize representatives of 'City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold ess th City/County and its representatives from liability for any actions related to this dust control ,pla o any C /County initiated abatement activities. �o ' Signature of Property Owner or Authorized Representative Date Building Permit'Number: Project Description: SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date Job Site Address Owner's Name Number, Street, or PO Box City, State, Postal Code Owners Phone Number Owners E -Mail Address Project Managers Name Project Managers Phone Number Project Managers E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage City Approval By Date of City Approval (Materials To Be Discarded: 8/18/2014 80-801 Via Pessaro Beuber Residence c/o 49950 Jefferson St. #130 Indio, Ca. 92201 951-634-6381 August A. Iacono 951-634-6381 August iaconodevelopment.com R ECEIVED AUG 2 6 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Monarch Homes dba David Jacobsen Building Co. 49950 Jefferson St #130 Indio, Ca. 92201 5019 sq ft Product Trash Asphalt' Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse' Tons Not recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable 20.50 0.00 0.00 0.00 0.00 22.50 2.25 0.00 "Describe Items Totals: Recycle Trash 38.50 20.50 Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roofl Wood Landscape Debris Tons 0.00 Recyclable 5.50 Recyclable 0.00 Recyclable 0.50 Recyclable 0.75 Recyclable 7.00 Recyclable 0.00 Recyclable Projected Diversion: 65.25% I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A con ctor se ing as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name o er(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The pr perty r(s) an neral contractor shall be kept informed of the diversion progress through bi-monthly reports. If self -haul' g, all u material from.this project site must be taken to an approved recycler or transfer station. Owner / eveloper LpAject Manager / Supe ntendant Date dWI.S1fi1,1 lain# City of La Quinta: Building 8i' Safety Division _ P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # l%�So�91S-DI Project Address: 8(� — �O % /A PF,fs'iA P Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: M,J Telephone: S 1 v3 co i '<€ .........................................:::. Address: tro '2c- Ffr n-ra.J JT Project Description: City, ST, Zip: -7ij CC l u Z 2. 0% Telephone: h G0 one: S to 3 .�Q 3 I 9 mm � S r State Lic. # : City Lic. #.: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: e one: P <> Con tr s ucti n Type: e: anc Y P Occupancy: P Y: State Li # S . c Project hPa (circle one): New Add' n Alter Repair Demo Name of Contact Person: 6 S CO,) a Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: S O L L (L91 91 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Reed TRACKING PERMIT FEES - Plan Sets Plan Check submitted 4130 Item Amount Structural Cales. Reviewed, ready for corrections Pian Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted " Mechanical Grading.plan 2". Review, ready for correct i s/issue. Iq Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted 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 . Total Permit Fees • f, 1 "CEiiTIFICATE OF COMPLIANCE -RESIDENTIAL PERFORMANCE COMPLIANCE METHOD �CF1 R -PRF -NCB -01 Project Name: Hideaway Calculation Date/Time: 11:54, Wed, Jul 02, 2014 Page 1,of 11 Calculation Description: Hideaway - Stanadard-Model Input File. Name: 2014-0627 Hideaway. ribd GENERAL INFORMATION • e i ' help on. using, the CF 1 Cert fcate�of Comp lian�c�is�avallable Vla the by either seanning the WWCode or:browsind, o � ,�, 01 Project Name, Hideaway' - http l/www tttI' ycode.org , 4hblp/cf1'r�aspx., 02 Calculation Description 2 -Story Single Family Residence ` `'03 r Project Location - ,; 01 �s ' Building Complies with Computer Performan e" 04 A City La Quinta, CA 05 Standards Version Compliance 2015 06- Zip code 0 07 Compliance Manager Version BEMCmpMgr 2013-2 (595) 08 Climate Zone CZ15 09'' Software Version CBECC-Res 2013-2(595) 10 Building Type Single -Family 11 Front Orientation (deg/Cardinal) Cardinal .12 Project Scope Newly Constructed 13 Number of. Dwelling Units 1 74 + -' Total Cond. Floor Area (FTZ) 3753 15 Number of Zones 1 - 16 Slab Area (FT2)3753 a • 17 Number of Stories. 1 18 'Addition Cond. Floor Area NA 19 Natural Gas Available Yes r207 Addition Slab Area (FTZ) NA 21 Glazing Percentage (%) 33.1% i, KA"." E Detailed R Internet • e i ' help on. using, the CF 1 Cert fcate�of Comp lian�c�is�avallable Vla the by either seanning the WWCode or:browsind, o � ,�, �4 4 • - http l/www tttI' ycode.org , 4hblp/cf1'r�aspx., COMPLIANCE RESULTS' - ,; 01 �s ' Building Complies with Computer Performan e" r a 02,;^ This building incorporates features that require field testing and/or verification by a certified HERS, rater under the supervision of a CEC-approved HERS provider. 03 This building incorporates one or more Special Features shown below CITY 0 BUILDING & SAFETY DEPT. APP 1Q ' FOR .0 ION E - Q RUCTF C 2 � I �E QUINTA DATE ld Registration Number: 214-N0050864A-600000000-0000 Registration Date/Time: '2014-07-07 15:06:34 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version - CF111-05292014-605 Report Generated at: 7/2/2014:12:03:59 PM __ - _. __-• _- _ --,. a -.. - * � _. 1= _- f- _ ... o _ - - -- - . c. CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD ` Project Name: Hideaway Calculation DateITime: 11:54, Wed, Jul 02, 2014 .Calculation Description: Hideaway - Stanadard Model Input File Name: 2014-0627 Hideaway.ribd CF1 R -PRF -NCB -01 Page2of11 ENERGY USE SUMMARY ' Energy, Use Standard Proposed 'Compliance Percent (kTDV/ft2-yr). Design Design Margin Improvement Space Heating - 2.97 7, 2.63 • , 0.34 11.4% _ Space Cooling F 111.16 104.52 6.64 6.0% IAQ Ventilation 0.89 0.89 , 0.00, '01.0% Water Heating 7.09 -' i . 4.50 «` 2.59 36.5% _ PV Credit .. - 0.00 0:00 North Facing - TOTAL ° 122.11 . t, 112.54 9.57 7.8% Space Heating ' 2.97 2.70: 0.27 Space Cooling ,. 111.16 106:14 5.02 4.5% IAQ Ventilation -0.89 • 0:89 0.00 0.0% .. Water Heating c f: 7.094.50 2.59 36:5% r �., t ; PV Credit 0.00 0.00 East Facing -TOTAL 7122.11 �• 114.23. 7.88 6.5% Space Heating 2 97 2.36 0.61 20.5% ' + Space Cooling 11116 106� 33 4.83 4.3% IAQ Ventilation 0°t39 Og89 ° _ ., ''�k 0:0 ` . 0.00 % 4 n Water Heating " 709 4 50 ^� .•ti 2.59 36.5% M: PV Credit•...:.. .. 0:00 ". 0.00 pp ,:n:r x> South Facing - TOTAL, ,122.11 114.08. 8.03 6.6% r Space Heating 2.97 2.13 0.24 8.1% Space Cooling. . 111.16 108.88 - 2.28 2.1% IAQ Ventilation * 0.89 0.89 0.00 0.0% Water Heating c 7.09 • 4.50 2.59 36.5% PV Credit, ,. _ 0.00 0.00 West Facing -TOTAL 122.11 117.00 1 5.11 4.2% t 1 CITY OF L/'i QUI1t9T/'1 BUILDING & SAFETY DEPT, r FOR PrOVED R CONSTRUCTjON - 'a y ' DATE ----_- BY { Registration Number: 214=N0050864A-000000000-0000 Registration Date/Tirre: ''. . 2014-07-07 15:06:34 CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance _ Report Version - CF1R-05292014-605 ' Report Generated at: 7/2/2014:12:03:59 PM ti CERTIFICATE OF COMPLIANCE- RESIDENTIAL PERFORMANCE COMPLIANCE METHOD , Project Name: Hideaway + Calculation Date/Time: 11:54, Wed, Jul 02, 2014 Calculation Description: Hideaway - Stanadard Model Input File Name: 2014-0627 Hideaway.ribd REQUIRED, SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. Window overhangs and/or fins • s CF1 R -PRF -NCB -01 Page 3 of 11 ,. BUILDING -FEATURES INFORMATION -, 01' 02 + 03 04 05 06 07 ' Project Name Conditioned Floor Area (sft) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water _ Heating Systems ' Hideaway 3753' 1 4 1, 0; 1 ZONE INFORMATION 01 . 02" 03 04 05 06 07 � ' - Zone Floor Area Avg. Ceiling g Name Zone •,: Zone Name Zone Typed HVAC System Name (ft .) Height Water Heating System 1 Water Heating System 2 1st Floor Conditioned HVAC System -_.... .......... 3753' 14.4 DHW System 50 OPAQUE SURFACES 01 O 02° � � 06 07 08 Name Zone •,: Construction imuth� Ori®ntation ,.F. .:. ..............x ..:+.3„S,a,S"r s.... .. _.. L51.. ^.h..a,..ia,ibA••• w r. ...•. :.. Gross Area ft) Window Area (ft2) - Tilt(deg) •• R38 Attic ..- u4?w s .`uvKa1• rt ^'u➢I ` . <.,. :ic...-w"' 1st Floor R38"Attic Assembly n �........ 3937 R19 Platform 1stFloor I R19 Platform Assembly 50 Front Wall 1st Flogor � R19 Exterior Wall 0 Front 1781 - 307 90 Left Wall - 1st Floor°. R19 Exterior Wall 90 Left 1100.25 460.5 90 Back Wall 1st Floor R19 Exterior Wall • 180 Back 1763.6 205.5 90 ' .Right Wall 1st Floor R19 Exterior Wall , 270 Right 789.75 269.5 90 Garage Wall 1st Floor»Garage GWall R15 775.5 • F GWall Garage - . Garage Ext Wall. 0 Front 410.5 0 90 L GWall . Garage Garage Ext Wall.. -90 Ir 2 90 B GWall Garage .. .. Garage Ext Wall 180 ' Bdek, I V 664. INT 90, Garage Attic . Garage . , •r RO Attic G1801SAFI =TY -DEPT. R GWell Garage Garage Ext Wall" 270 Right' 402e5 0 90 FOR CONSTRUCTION PATE_ BY Registration Number: 214-No050664A-000000000-0000 Registration,Date/Time: 2014-07-0715:06:34 . HERS Provider: CaICERTS inc. CA Building Energy.Efficiency Standards- 2013 Residential Compliance =Report Version - CF1R 05292014-605 Report Generated at: 7/2/2014:12:03:59 PM Bui CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Y CF1R-PRF-NCB-01 Project Name: HideawayCalculation Date/Time: 11:54, Wed, Jul 02, 2014 Page 4 of 11 Calculation Description: Hideaway - Stanadard Model Input File Name: 2014-0627 Hideaway.ribd ATTIC 01 02. 03 04 05 06 07 Name Construction Roof Rise Roof Reflectance Roof Emittance Radiant Barrier `Cool Roof Attic Tile Roof w RB, 5 0.11 0.85 Yes No a Registration Number: 214-N0050864A-000000000-0000 Registration,Date/Time: 2014-07-07 15:06:34 HERS Provider: ` CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-05292014-605 Report Generated at: 7/2/2014:12:03:59 PM CERTIFICATE OF. COMPLIANCE -RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-NCB-01 Project Name: Hideaway t Calculation Date/Time: 11:54, Wed, Jul 02, 2014 Page 5 of 11 • . Calculation Description: Hideaway- Stanadard Model Input File Name: 2014-0627 Hideaway.ribd , Registration Number: 214-N0050864A-000000000-0000 Registration Date/Time: 2014-07-07 15:06:34 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards =2013 Residential Compliance Report Version - CF111-05292014-605 Report Generated at: 7/2/2014:12:03:59 PM -CERTIFICATE OF COMPLIANCE -RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-NCB-01' Project Name: Hideaway Calculation Date/Time: 11:54, Wedia Jul 02, 2014 Page 6'of 11 Calculation Description: Hideaway .-.Stanadard Model- Input File Name: 2014-0627 `Hideaway. -r B Win -10 Window Back Wall (Back -180)-, a. ---- --- 1 16.0 •0.33 0.26 B Win -11 Window Back Wall (Back -180)' --- 1 12.0 0.33 0.26 B Win -12 Window, ,•., Back Wall (Back -180) - --- 1 • 12.0 0.33 •0.26 , B Win -13 Window , Back Wall (Back -180) 1 18.8 0.37 0.27 B Win -14 Window - Back Wall (Back -180) -- --- 1 18.8 0.37 '0.27. B Win -15 ' Window. Back Wall (Back -180) -- ---- 1'. 6.0 0.34.: 0.23 R WinWindow F Win -5, ; Right Wall (Right 270) -- ---- 1 40.0 0.34 0.23 R Win -2. Window Right Wall (Right -270)- 10.0 18.8 1 187.5 ' 0.34 0.23 R Win -3 Window Right Wall (Right -270) -- = 1 6.0 0.34' •0.23 R Wn-4 Window • Right Wall (Right -270) --- 1 36.0 0.34 0.23 DOORS ;. `:*+ win �� ,��83 . 01 - F: 02 ' 03 04 Name Side of Building Area (ft2) : U -factor Int: Garage Door , Garage Wall _ ��x,. .::. ....._. �... _.: . . 24:0' - 0.50 Ext. Garage Door V �`�� FGWaIIf �Q* - � � € fir° ,., u: a n � • __ 72.0 1.00 ' - Ext. -Garage Door R GWall� - V k 144.0 ' 1.00 1.3 14 OVERHANGS:AND FINS `:*+ win �� ,��83 y 01 4 iR 04' 05 06 '07 08 091• 10 11 12 1.3 14 ...... Overhang Left Fin ... Right Fin . Window ' Left ,e Depth Dist Up ' Extent Right Extent Flap Ht: * Depth Top Up.. DistL` BotUp Depth Top Up Dist R Bot Up F Win -5, a 2:5 0.15 , 0' 0 0 0 0 0 0 2 5 1.25 - 0 L Win -2 17.5 " 0.5 0 0 0 , 0 0 0 0 0' 0 0 0 U Win -5 10, 0.5 0 0 '; 0 0 0 0 0 0 0 0 0 R Win -2 0 0 , 0 0. 0 - 0 - 0 0 0 0. 0 .- 0 0' .` • : _ . •. CITY . OF. L-A C�� 91VTA µ BUILDING & SAF { ETY DEPT. APPROVED'' - FOR CONSTRUCTION g - DATE: BY + Registration Number: 214-No050864A-000000000-0000 Registration Date/Time: 2014-07-07 15:06:34 HERS Provider: C6ICERTS inc' CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version - CF1R-05292014-605 r r Report Generated at: 7/2/2014:12:03:59 PM CERTIFICATE OF COMPLIANCE —RESIDENTIAL PERFORMANCE COMPLIANCE METHOD, Project Name: Hideaway. Calculation Date/Time: 11`.54, Wed, Jul 02,2014' Calculation Description: Hideaway - Stanadard Model Input File°Name: 2014-0627 Hideaway.ribd CFIR-PRF-NCB-01 Page 7of11 OPAQUE SURFACE CONSTRUCTIONS 01 02• 03 04 05 06 e - Construction Name Surface Type " Constructlon'Type _ Framing Total Cavity R -value Assembly Layers Zone Area (ft2) - . -v I ap��i . '9�04Dd Fra ion Heated ' Inside Finish: Gypsum Board list Floor 3753 _ None 0.8 No Sheathing/Insulation: - no sheathingfinsul. - Garage ' . 79 None 0.8 No Cavity; R 119. ' Sheathing/Irisulation: - no sheathinglnsul. - - R19.Exterior Wall Exterior Walls Wood. Framed Wall , 2X6 @ 16 in. O.C. R19 Exterior Finish: 3 Coat Stucco - r Roofing: 10 PSF (RoofTile) Above Deck Insulation - no insulation - a 2x4 Top Chord of Roof Deck: Wood Sidinglsheathing(decking' Roof Truss @ 24 in.. Cavity: - no insulation - Tile Roof w RB Attic Roofs Wood Framed Ceiling O.C. Inside Finish: - select inside finish - } : Attic Floor: - no attic floor - ". Cavity: R 38. •N. r • '. Sheathinglnsu/ation,- no sheathinglnsul. - R38 Attic Assembly Ceilings (below attic) „Wood Framed Ceiling 2x4 @ 16 in. O.C. R 38 Inside Finish: Bo rd Attic Floor: - no attic Boor-, `.. .. g Cavity: R 19sa " - S eathinglnsulation - no sheathingfinsul.'- R19.Platform Assembly Ceilings (below-affiicc)� 1Nood Framed Ceil.mg 2x4 @ 16 m O O R 19 /nsideFinish: Gypsum Board � ' z n Attic Floor. - no attic floor- Cavity: no insulation - . 3 2x4 :Bo off, of � Sheathinglnsulation - no sheathinghnsul. - �- �... RO Attic Cedmgs (belowyatfic)1Nood'Framed Tr Ceiling Truss @ 24 in. O.C: Inside Inside Finish: Gypsum Board , _ Inside Finish: Gypsum Board Sheathing/Insulation: -no sheathinglnsul. - r _ Cavity: R 15 k Sheathing/Insulation: - no sheathingfinsul. - GWall R15 Interior Walls Wood Framed Wall 2x4 @ 16 in...'O.C. R 15 Other Side Flnish: Gypsum Board - Inside Finish: Gypsum Board Sheathing/Insu/ation: - no sheathingAnsul. - P Cavity:: no insulation (vertical) - no insulation Sheathing/Insulation: - no sheathingfinsul. - Garage Ext Wall Exterior Walls Wood Framed Wall ' 2x4 @ 16 in. O.C. (vertical) - - FYtecier-rtinisi-Co cT 1. . • - I r1.r 1•V r lo-- 1 H lJlii'im rr, 1 SLAB FLOORS I &SAFETY DEPT. 01 02 03 04 - O6 07 Name Zone Area (ft2) Perimeter (ft)rEdg6Ir, . -v I ap��i . '9�04Dd Fra ion Heated ' Slab On Grade list Floor 3753 337 None 0.8 No Garage Slab On Grade. Garage ' 1081 79 None 0.8 No _-----: Registration Number: 214-N0050864A400000000-0000 Registration Date/Tinie: 2014-07-07 15:06:34 HERS Provider: CaiCERTS inc.' CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-05292014-605 Report Generated at: 7/2/2014:12:03:59 PM CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD 'Project Name: Hideaway. Calculation Date/Time: 11:54*, Wed, Jul 02, 2014 Calculation Description: Hideaway - Stanadard Model t Input File Name- 2014-0627 Hid6awayribd - CF1 R -PRF -NCB -01, .'Page 8 of 11 BUILDING ENVELOPE - HERS VERIFICATION 03 04 01 02 Quality Insulation Installation(CIII) Quality installation of Spray Foam Insulation Building Envelope Air Leakage CFM @ 50 Pa REQUIRED NOT REQUIRED, NOT REQUIRED WATER HEATING SYSTEMS 01, 02 03 .04 Name Distribution Type Number of Heaters Solar Fraction DHVV System y Standard 1 n/a WATER HEATERS 01 02 03 04 05 06 07. 08 07 ..1 ;& 07. Cooling System, e . I .. . .... 0=4 Tank Volume Energy Factor or Recirculation with Tank Exterior ,Standby Loss Name Heater ElemenCT Tak Type (gal), ....... ....... Efficiency y Input Rating Insulation R -value (Fraction) Tankless (Small) EF 0.82 1,NaturalG - . ... . .......... . . : . ... .... . ' i0lEE-1, -: Small instantaneous 0 ... .: ... as 0.82, 195000-'Btu/hr 0 0 4 w0nr N WATER HEATING -HERS VERIFICATION W`".','�'. !R, t V 1 IWZ� SOME - 63 01 '05 06 07 07. Cooling System, e . I .. . .... 0=4 gv ggw Recirculation with Recirculation with Name A.`-Z.On "R.F.'a0, ara a ing ompidt bistilbution Point -of Use Manual Control Sensor Control DHW System -hers .......... ; -:s ........ Na Na. Na Na HVAC SYSTEMS 01 02 63 04 '05 06 07 Heating System Cooling System, Distribution Floor Area Name System Type Name Ducted Name Ducted System.Fan System Served n . . . . . . . cJ_R0 HVAC System Other Heating and Cooling System 80 AFUE Yes AqC2:0 EiypasL�/ 136 til F V53 Rn — • A . I MLJIL LAINIk7l C'di,-IM17-17- I T IJF—r— V- r• .. HVAC - HEATING SYSTEMS ..'APPRovF.n 01 02 FOR CONSTRUCTIC Name Type Efficiency 80AFUE4 CntrlFurnace - Fuel -fired central furnace 80AFUE V Registration Number: 214-N0050864A-000000000-0000 Registration Date/Time: 2014-07-07 15:06:34 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013" Residential Compliance Report Version - CF1R-05292014-605 Report Gen'eratecl at:, 7/2/2014:12:03:59 PM CERTIFICATE OF COMPLIANCE -.RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-NCB-01 - Project Name: Hideaway Calculation Date/Time: 11:54, Wed, Jul 02, 2014 Page 9 of 11 . Calculation•Description: Hideaway - Stanadard Model Input File Name: 2014-0627 Hideaway.ribd y 5 HVAC - COOLING SYSTEMS 01 02 03'. " 04 05 06 06 Efficiency Verified Airflow * ' Name System Type }` EER. _ SEER HERS* Verification P. AQC2.0 SplitAirCond -' Split air conditioning system 13 15 AQC2.0-hers-cool HVAC COOLING - HERS VERIFICATION r .. 01 02 03 04 06 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified, Refrigerant Charge AQC2.0-hers-cool Required 350 Not Required -Required Required HVAC -. DISTRIBUTION SYSTEMS _ 01 02 03 04 OS 06 ' 07• 08 05 O6 'Type ` Sup Duct Supply , Verified Duct Design Supply ' Name Name4 Duct Leakage Insulation R-vala, u Location Return. Duct Bypass Duct HERS Verification In -Attic / No.Bypass / R6 ��I ��a :�,� Ducts located�in unconditioned Sealedand tested ',� 6 Attic a •Attic �. • None in -Attic/ No Bypass / R6 Insulation @ attic ,w k j . ` . Insulation -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION..* :r ate......... . :. :: �• L 01 7 - 03 04 .. 05 O6 ` Verified Duct Design Supply ' Name Duct Leakage Verification:' Duct Leakage Target (%) Verified Duct Location . Return In -Attic / No Bypass / R6 Required 6.0. Not Required .. Not Rewired q Not Required Insulation -hers -dist HVAC -FAN SYSTEMS -01 02' 03 04 Name ,* Type Fan Pow ra s7C )Ei tion Single Speed Central Fan Single Speed PSC Furnace Fan 0.TY ire , . - . R-•. P-.• , . HVAC FAN SYSTEMS - HERS VERIFICATION. w ti 01 02 Name V_erlfledFanWatt Draw Required Fan Efficiency (W tts/CFM) . . Single Speed Central .Fan-hers-fanRequired DATE BY _ 058 Registration Number: 214-NO050864A-000000000-0000 Registration Date/Time:. 2014-07-07 15:06:34 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version - CFSR-05292014-605` Report Generated at: 7/2/2014:12:03:59 PM =CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway Calculation Date/Time: 11:54; Wed, Jul 02, 2014 Calculation Description: Hideaway - Stanadard Model Input File Name: 2014-0627 Hideaway.ribd CF1 R -PRF -NCB -01 Page 10 of 11 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification IAQ Fan 75 Exhaust 0 Required COOLING VENTILATION NONE Registration Number: 214-No050664A-000000000-0000 Registration Date/Time: 2014-07-07 15:06:34 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-05292014-605 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION I. DATE By J HERS Provider: CaICERTS inc. Report Generated at: 7/2/2014:12:03:59 PM "CEd2TIFICATE_OF COMPLIANCE.- RESIDENTIAL PERFORMANCE COMPLIANCE METHOD -Project Name: Hideaway Calculation Date/Time: 11:54, Wed, Jul 02, 2014 _ Calculation Description: Hideaway - Stanadard Model, Input File Name: 2014-0627 Hideaway.ribd DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this. Certificate of Compliance documentation is accurate and.'complete. Documentation Author Name: '. Documentation Author Signature: Brad Williams Company: i Signature Date: Beutler Corporation ' 2014-07-07 14:14:29 Address: CEA/HERS Certification, Identification (If applicable): - .4700 Lang Avenue - .. City/State/Zip: Phone: McClellan, CA 95652 916 646 2700 .. RESPONSIBLE PERSON'S DECLARATION STATEMENT '.. I certify the following under'penalty of perjury, under the laws of the State of California: '. •- 1. I ani eligible under Division• 3 of the Business andProfessions Code to accept responsibility for the building design identified on this Certificate of Compliance.. 2, I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. i 3. The building design features or system design features identified on t�h, isKCertificate�of Compllian ree�consistennt..with the information provided on'other applicable compliance documents, 'worksheets, calculations, plans andtsp cifications subm fled tothe nforcement agency�for approvaly !lj�th s building permit application. Responsible Designer Name: ResponsibleDesigneq Signature - Anton Makinkovlch Company: r„ �.,. _.., ..: .Dae igned k Stracts Inc. �. 2014-07-07 15:06:34 Address: c Desert Club " License: 51555 Drive 123456 City/State/Zip: + Phone: La Quinta, CA 92253 - 7607636-8951 CITY OFp► l-QUINTA BUILDING & SAFET=Y DEPT. APPF TION Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Reg tration r�rd�r [res�porlisiD�li (>�r`ff�e accuracy of t information. Registration Number:. '214-N.0050864A-000000000-0000 Registration Date/Time: 2014-07-07 15:06:34 HERS Provider: CaICERTS inc. - CA Building Energy Efficiency Standards 7 2013 Residential Compliance Report Version - CF1R-05292014-605 ReportGenerated at: 7/2/2014:12:03:59 PM