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09-0227 (AR)4: P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 T4ht 4 44ur«rw Application Number: 09-00000227 Property Address: 53435 FREMONT WY APN: 767-200-998-90 -330762- Application description:. ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 55349 Applicant: Architect or Engineer: Cf - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. License Class: B License No.: 848057 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does n6t 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 1, 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERn1IT Owner: AZOFF RESI ACE n 53435 FREM ft W_ax_l LA QUINTA, 92253 1H Ay 13 2009 Contractor: CITY OF !4.A ;U;N '.'J BRADSI-IAW- 46248 ROUDEL LN LA QUINTA, CA 92253 (760)347-4246 Lic. No.: 848057 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/09 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 DELOS INS Policy Number 01DKRM22005875 I certify that, in the performance the work for which this permit is issued, I shall not employ any person in any manner so as ecome subject to the workers' compensation laws of California, and agree that, if I should ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, all forthwith comply with those provisions. �Date:� 'Applicant: WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL 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 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building co ruction, and hereby authorize representatives of this county to enter upon the above-mentioned property for i pe ion purposes. Date: S /11� 07 Signature (Applicant or Agent): Application Number . . . . . 09-00000227 ------ Structure Information 685SF ADDITION/VB/RES/CL A -FR [ENG] ----- Other struct info . . . . . CODE EDITION 2007CODES FLOOD ZONE NO ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 685.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 441.50 Plan Check Fee 286.98 Issue Date . . . . Valuation . . . . 55349 Expiration Date . . 11/08/09 Qty Unit Charge Per Extension BASE FEE 414.50 6.00 4.5000 -------------=-------------------------------------------------------------- THOU BLDG 50,001-100,000 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 38.98 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/08/09. Qty Unit Charge Per Extension BASE FEE 15.00 685.00 .0350 - ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 23.9.8 Permit . . . . . MECHANICAL Additional desc . Permit Fee . . . . 35.00 Plan Check Fee 8.75 Issue Date Valuation, 0 Expiration Date 11/08/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH AH <=10K CFM 6.50 Permit . . . PLUMBING Additional desc . . Permit Fee 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/08/09 Qty Unit Charge Per Extension LQPERMIT Application Number . . 09-00000227 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------•------------- Special Notes and Comments 685SF GYM ADDITION TO UNDER -CONSTRUCTION POOL BATHROOM/VB/RES-3/CL A .(ENGINEERED] SFD PERMIT: 07-1697. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO POOL BATHROOM OR OUTDOOR PATIO AREAS. 2007 CALIFORNIA BUILDING CODES. May 12, 2009 10:48:35 AM AORTEGA ---------=------------------------------------------------------------------ Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 ENERGY REVIEW FEE 28.70 STRONG MOTION (SMI) - RES 5.53 Fee summary Charged Permit Fee Total 536.48 Plan Check Total 310.73 Other Fee Total 37.23 Grand Total 884.44 LQPE"11T Paid Credited Due -00 .00 536.48 .00 .00 310.73 .00 .00 37.23 .00 .00 884.44 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK N: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name:AzoffTrust (Madison Club) Date: 04/22/09 Owner's Name: Azoff Trust Phone No. Project Address: 53-435 Fremont Way Project Description: Gym Addition While Under Construction APN: 767-710-002 & 767-710-008 Type of Development: Residential Tract #: Total Square Feet of Building Area: Certification of Applicant/Owners: The person signing certifies penalty of perjury and further represents that he/she is authorized t Dated: 04/22/09 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR ACCORDANCE WITH ONE OF THE FOLLOV Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 685 sq. ft. $ 3.78 $ 2,589.30 Building Permit Application Completed: Yes/No Lot #'s: Commercial 685 so. ft. Industrial e above information is correct and makes this statement under on behalf of the owner/developer. IF ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN IG: (CIRCLE ONE) Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement By: Carey M. Carlson, Asst. Supt., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst NOTICE OF 90 DAY PERIOD FOR PROTEST OF )EES AND STATEMFXT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that tTiis District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance less 3% for Administrative Fees to process the reimbursement. MV:c/mydocs/devfees/certificate of compliance form tablesTO USE.doc 1/16/03 T CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT (760) 7-77-7012 INSPECTION REQUEST LINE (760} 777-7153 Oin Ener �.AiO_4 RESIDENCE Contractor MARK BRADSHAW CONST. I :`-7--69 -0227 Perm_ it NumbeF-- POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 53-435 FREMONT WY 685SF GYM ADDITION TO UNDER -CONSTRUCTION POOL BATHROOM/VB/RES-3/CL A IENGINEEREDI SFD PERMIT: 07- 1697. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO POOL, BATHROOM OR OUTDOOR PATIO AREAS. 2007 CBC TYPE OF INSPECTION DATE INSP. TEMPORARY POWER ccTbnrvc L1 U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED- l ROOF NAIL/ PRE -ROOF '5- OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC j ROUGH PLUMBING ROUGH MECHANICAL f INSULATION A . COVER NO WORK UNTIL ABOVE SICKLED INTERIOR GYP. BD. DRYWALL P� 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 TEMP. USE OF PERMANENT POWE - v ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT D Zz o COMMUNITY DEVELOPMENT DEPT. /O 2 Z44 9-� FINAL / JOB COMPLETED X ei ABOVE APPROVALS DO. NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING I TITLE 24 REPORT I Title 24 Report for: The Azoff Residence Gym 53-435 Fremont Way (Madison Club) La Quinta, CA 92253 Project Designer: Waldo's Design 620 N. Almont Dr. Los Angeles, CA 90069 (310) 278-1803 Report Prepared By: CJ McFadden BREEZE AIR CONDITIONING 75-145 ST. CHARLES PLACE PALM DESERT, CA 92211 (760) 346-0855 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED , , FOR CONSTRUG110M DA BY „_ Job Number: fill ir- If MgRI,� Date: ey ?009 3/3/2009"`�� 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 4.4 by EnergySoft Job Number: User Number: 3665 1 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary 7 HVAC System Heating and Cooling Loads Summary 9 Room Load Summary 10 Room Heating Peak Loads 11 Room Cooling Peak Loads 12 Manufacturer's Specifications 13 EnergyPro 4.4 by EnergySoft Job Number: User Number: 3665 Certificate Of Compliance : Residential W Single Family (Part 1 of 4) CF -1 R The A7nff Residence GVm ❑ Multi Family 3/3/200 i Project Title 53-435 Fremont Way(;Madison Club) I a Quinta Building Front Orientation: Date Project Address 0 ft2 Fuel Type: Building Permit# BRFFZF AIR CONDITIONING Slab on Grade Area: 680 (760) 346-0855 Fenestration: Documentation Author Average Ceiling Height: Telephone Plan Check/Date EnergyPro Compliance Method 171 ft 2 CA Climate Zone 15 Climate Zone Field Check/Date TDV Standard Proposed Compliance SHGC: 0.38 (kBtu/sf-yr) Design Design Margin INFORMATION Space Heating 2.90 3.55 -0.65 Space Cooling 83.56 76.92 6.63 HVAC: - Gym Fans 11.23 12.39 -1.16 Domestic Hot Water 24.32 28.53 -4.21 Pumps 0.00 0.00 0.00 Totals 122.01 121.39 0.62 Percent better than Standard: 0.5% Building Type: W Single Family ❑ Addition Total Conditioned Floor Area: 680 ft2 ❑ Multi Family ❑ Existing + Add/Alt Existing Floor Area: n/a ft2 Building Front Orientation: (N) 0 deg Raised Floor Area: 0 ft2 Fuel Type: Natural Gas Slab on Grade Area: 680 ft2 Fenestration: Average Ceiling Height: 11.0 ft Area: 171 ft 2 Avg. U: 0.42 Number of Dwelling Units: 1.00 Ratio: 25.2% Avg. SHGC: 0.38 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume 660 7 480 Units Zone Type Type 1 nn Condjtinnad Sethark Hgt. Area n/a HVAC: - Gym _2 OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Rnnf Wood 660 0 025 R_18 R_0 0 _3_4.5_ 0 Wall Wood 260 0.069 R_21 R-0 0 45_ 90 Wall Wood 293 0.069 R-21 R-0 0 135 90 Wall Wood 97 _n n69_ —821 R-0 0 925 A0 Wall Wood 153 0.069 R_21 R-0 0 _315_ 90 Gains Condition Y / N Status JA IV Reference Location / Comments Run Initiation Time: 03/03/09 15:48:22 Run Code: 1236116902 EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number: Page:3 of 13 Certificate Of Compliance: Residential (Part 2 of 4) CF -1 R The Azoff Residence Gvm 3/3/2009 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U-Factorl SHGCZ Azm. Tilt Stat. Glazing Type Comments L Window Rear (,134 21.4 0.990 116-A 0.74 116_8 225 AQ_ New Default Non -Metal Clear (SwngDr) Gym 2 Window Right (NW) 150.0 0.340 NFRC 0.33 NFRC 315 90 New Andersen Permashield (SGD) Gvm 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Type Area Thick. Heat Inside (so (in.) Cap. Cond. R -Val. JA IV Reference Condition Status Location/ Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 90 None No Insulation 26-A1 New Gym Run Initiation Time: 03/03/09 15:48:22 Run Code: 1236116902 EnergyPro 4.4 by Energysoft User Number. 3665 Job Number: PageA of 13 Certificate Of Compliance: Residential (Part 3 of 4) CF -1 R The Azoff Residence Gym 3/3/2009 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type HVAC - Gym Split Heat Pump 7.00 HSPF Split Heat Pump 14.5 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? HVAC - Gym Ducted Ducted Attic 4.2 New No Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated Tank Energy Tank Insul. Water Heater # in Input Cap. Condition Factor Standby R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%) Ext. Standard Gas 50 gal. Small Gas No Pipe Insulation 1 40,000 50 New 0.53 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Tvoe In Plenum Outside Buried Insulation 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: �Waldo' Address: /,620 N. 0 Los Angeles, CA 90069 (3/10) 278-1803 Lic. #: �T Enforcement Agency Name: Title/Firm: Address: Telephone: Documentation Author Name: CJ McFadden Title/Firm: BREEZE AIR CONDITIONING Address: 75-145 ST. CHARLES PLACE PALM DESERT, CA 92211 Telephone: (760) 346-0855 (date) (signature) (signature) (date) (date) Certificate Of Compliance: Residential (Part 4 of 4) CF -1 R The Azoff Residence Gym 3/3/2009 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 fasea on the adequacy of the special justitication and documentation submitted. I Plan I Field The Roof "R-38 Roof' includes a Radiant Barrier. The HVAC System "Lennox SPB036H4/ CBX32MV-036" is designated as 3 Phase, or is Exempted from the NAECA 13 SEER HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a Plan I Field test or a HERS verified Thermostatic Valve. The Cooling System "Lennox SPB036H4/ CBX32MV-036" includes.credit for a 11.2 EER Condenser. Run Initiation Time: 03/03/09 15:48:22 Run Code: 1236116902 EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number. Page:6 of 13 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 permit application documentation. N/A DESIGNER ENFORCE - MENT Building Envelope Measures ❑ ❑X ❑ § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ Q ❑ § 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). ❑ ❑X ❑ § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ Q ❑ § 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 ❑ ❑X ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑X ❑ 2. No continuous buming gas pilot lights allowed. ❑ ❑X ❑ § 150(0: 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 ❑ ❑ ❑ perneance rate no greater than 2.0 perm/inch. ❑ ❑X ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include E] El ElCF-6R Form: ❑ ❑X ❑ § 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. ❑ ❑X ❑ 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 ❑ ❑X ❑ 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 ❑ ❑X ❑ 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-A/B 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 ❑ ❑X ❑ 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 ❑ ❑X ❑ indirect hot water tank shall be insulated to Table 150-8 and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 1123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑X ❑ 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 4.4 by EnergySoft User Number. 3665 Job Number: Page:7 of 13 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 duds 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 retum-air duds and plenums are insulated to a minumum installed level of § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ® ❑ R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other dud -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 or ❑ ❑X ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). tape shall be used. ❑ ❑X ❑ by an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always on option. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed ❑ ❑X ❑ sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support ❑ ❑X ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ in the cross-sectional area of the duds. § 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 ❑ ❑X ❑ duct tapes unless such tape is used in combination with mastic and draw bands. 4. Exhaust fan systems have back draft or automatic dampers. ❑ 2 ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ 2 ❑ dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ❑X ❑ 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 duds cannot have porous inner cores. ❑ 0 ❑ § 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)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ 0 ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Wafts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)1: 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. ❑ ❑X ❑ 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 kitchens, 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 controlled ❑ ❑X ❑ by an occupant sensor that complies with Section 119(d) that does not tum 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 ❑ ❑X ❑ 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 ❑ ❑X ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water 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 4.4 by EnergySoft User Number. 3665 Job Number: Page:8 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE The Azoff Residence Gym 3/3/2009 SYSTEM NAME FLOOR AREA HVAC - Gym 680 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 I Sensible Latent CFM I Sensible 18 512 2,88 1,084 14,217 1,619 0 2,884 1,619 20 339 HVAC EQUIPMENT SELECTION Lennox SPB036H4/ CBX32MV-036 29,480 0 21,860 Total Adjusted System Output 29,a8o 0 21,860 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am 26.0 OF 76.5 OF 93.5 OF Outside Air I 93.5 OF O Supply Air Ducts 51 cfm Heating Coil Supply Fan 1200 cfm 92.2 of ROOMS 7 8.7 OF 80.0 of Return Air Ducts DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0 / 77.4 of 75.1 / 60.6 of Outside Air 52.2 / 51.0 of 52.2 / 51.0 of O Supply Air Ducts 51 cfm Cooling Coil Supply Fan 1200 cfm 53.7 / 51.6 of 47.1% R.H. ROOMS 73.5/59.8 of 72.0/59.3OF h Return Air Ducts `S EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number: Page:9 of 13 ROOM LOAD SUMMARY PROJECT NAME The Azoff Residence Gym DATE 3/3/2009 SYSTEM NAME HVAC - Gym FLOOR AREA 680 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Gym Gym 1 641 12,559 1,709 641 12,559 1,709 1,084 14,217 PAGE TOTAL 1 641 12,559 1,70j 1,084 14,217 TOTAL 1 641 12,559 1,709 1,084 14,217 EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number: Page: 10 of 13 ROOM HEATING PEAK LOADS Project Title Date The Azoff Residence Gym 3/3/2009 Room Information Desian Conditions Room Name Gym Time of Peak Jan 12 am Floor Area 680 Outdoor Dry Bulb Temperature 26 of Indoor Dry Bulb Temperature 80°F Conduction Area U -Value AT of Btu/hr Items shown with an asterisk (') denote conduction through an interior surface to another room. Page Total: 11 354 Infiltration: r 1.00I X 1.072 X 680 X 11.00 X 0.397 / 6] x 54 = 2 862 `schedule Air Sensible Area Ceiling Height ACH OT Fraction TOTAL HOURLY HEAT LOSS FOR ROOM 14,217 EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number: Page: 11 of 13 680.0 X X x X X X X x X X x X X X X X X X X X X x X x x x x x x x x X X x X x X X X 0.0250 X X X X X X X x x x X X x x x X X X x X x x X x X X X X X X X X x X X X X X X 54 = = = = — = = = = = = = = = = = = = _ = = = = = = = = = = 918 260.0 0.0690 54 969 293.0 0.0690 54 1,092 96.6 0.0690 54 360 21.4 0.9900 54 1,144 153.0 0.0690 54 570 150.0 0.3400 54 2,754 perimeter = 90.0 0.7300 54 3,548 Items shown with an asterisk (') denote conduction through an interior surface to another room. Page Total: 11 354 Infiltration: r 1.00I X 1.072 X 680 X 11.00 X 0.397 / 6] x 54 = 2 862 `schedule Air Sensible Area Ceiling Height ACH OT Fraction TOTAL HOURLY HEAT LOSS FOR ROOM 14,217 EnergyPro 4.4 by EnergySoft User Number: 3665 Job Number: Page: 11 of 13 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Title Date The Azoff Residence Gym 13/3/2009 Room Information Desi n Conditions Room Name: Gym Outdoor Dry.Bulb Temperature: 112'F Floor Area: 680 sf Outdoor Web Bulb Temperature: 780F Indoor Dry Bulb Temperature: 72 of Outdoor Daily Range: 340F Opaque Surfaces R-21 Wall R-21 Wall Orientation Area X X X X X X x x x x X X U -Factor X X X X X X x x x x X X CLTD 1 = = = = = = = = = = = = N 680.0 0.0173 56.0 NE 260.0 0.0690 29.0 SE 293.0 0.0690 31.0 S 96.6 0.0690 31.0 N 153.0 0.0690 30.2 Pa a Total Items shown with an asterisk (') denote conduction through an interior surface to another room. g 1. Cooling Load Temperature Difference (CLTD) Fenestration Btu/hr Orientation Btu/hr Shaded Area X X x X X x x x X x X GLF + + + + + + + + + + + Unshaded Area X X X X X X X X X X X Page GLF = = = = = = = = = = Btu/hr S 0.0 47.3 21.4 64.0 1,369 N 0.0 19.0 150.0 29.7 4,449 Total 5 &18 Internal Gain Btu/hr Occupants �4 Occupants x 230 Btuh/occ. 920 E ui ment 1 Dwelling Units X 1 600 Btuh _ 1 600 Infiltration: 1.072 x o.s2 x a7.ss x = 18so Air Sensible CFM ELA Z�'T TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 12,559 Latent Gain Btu/hr Occu ants Occupants x 200 Btuh/occ. = 800 Infiltration: x,806 X 0.92 X 47.98 X 0.00429 = 909 Air Latent CFM ELA pW TOTAL HOURLY LATENT HEAT GAIN FOR,ROOM 1,709 EnergyPro4.4 by EnergySoft . User Number. 3665 Job Number: Page: 12 of 13 Bin. City of La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Lito M -r Owner's Name: ' A. P. Number: '"740-7-70 ba l- -7&-7 —7 (®Cao 3 Address: S n k Legal Description: City, ST, Zip: / min r i c uontracror. - c; q �� Telephone: r - - t.{ 4 - ' toLMEMENIM Address: (,_2g Project Description: City, ST, Zip: L,,kCp.tN^to"C `C k q'f�'Z J �v cmc► �\SiCftd- l.5\•i'1LSc lxa-�1J.�,�'- Czs�I�13� Telephone: Com . ;.(7 - it .Z City Lic. #: 611 -iz> c r�L. " ^--av ° State Lie. # : c) Arch., Engr. esigne Truss Cales. Address: blo Called Contact Person q City., ST, Zip: �� c\ iobcf Telephone: 31b.�-7� Ig03 State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: I�it ° N l()g Sq. Ft.: # Stories: #Units: Telephone # of Contact Persson: Sko . _V7 It - iZ01 Estimated Value of Project: l _ 10g / APPLICANT 1710 NC17 WRITE RFI (1W TNIC t INR # Submittal Plan Sets Req'd- ReW'd - - TRACKING �p PERMIT FEES % Plan Check submitted >I i Item Amount Structural Calcs. Reviewed, ready for corrections q. Plan Check Deposit Truss Cales. Called Contact Person q aw SwIl Plan Check Balance Energy Cales. Plans bicked up L. Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctio Electrical Subcontactor List Called Contact Person t� Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- sa 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 Tottal, Permit Fees -5 !/ APPLICATION # _ , ADDRESS gy VALiIATION SQ . FT . UNIT COITN�'S. ./ GA;S 19.E 7 2nd FLOOR TOILETS BIDET COVERED PATIO - GARAGE 2& cis SHOOTERS . BATHTTJB S TYPE CONST:, SINKS... . OCCUPANCY �. - BAR S INR FIRE SPRINKLER - O UEN. #. OF - .BEDROOM RAI�TCE `. #. OF :iiNTS DR:INKTNG` 'CODE EDI! _WASHER FOUN ROOF TYPE.-- �— -- DRYER MECHANICAL VENT FANS- #: 'EXHAUST ANS#:EXHAUST HOOD' A/C -<3 TON A/C >3 TON. FAIT <100,000 BTU FAU >100,000 BTU nrrnm AT M"T-1 mrn:a CDD APPROVAL ENGINEER APP.. Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: A,zoff_ Trust (Nadlson,Club) Date: 04/22/09 Owner's Name: Azoff Trust Phone No. Project Address: 53-435 Fremont Way Project Description: Gym Addition While Under Construction APN: 767-710-002 & 767-710-008 Tract #: Type of Development: Residential I=— Total Total Square Feet of Building Area: Certification of Applicant/Owners: The person signing certifies penalty of perjury and further represents that he/she is authorized t Dated: 04/22/09 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR ACCORDANCE WITH ONE OF THE FOLLOY Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 685 sq. ft. $ 3.78 $ 2,589.30 Lot #'s: Commercial 685 so. ft. Industrial le above information is correct and makes this statement under on behalf of the owner/developer. IF ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN "G: (CIRCLE ONE) Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that ttRis District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance less 3% for Administrative Fees to process the reimbursement. MV:c/mydocs/devfees/certificate of compliance form tablesTO USE.doc 1/16/03 T Desert, Ca. 92211 P.(760) 360-5770 F.(760) Letter of Transmittal To: City of La Quinta Today's Date: 5-11-09 78-495 Calle Tampico City Due Date : 5-11-09 La Quinta, Ca 92253 Project Address: 53-435 Fremont Way Attn: Michele / Phillip Plan Check #: 09-227 Submittal: ❑ 1st ❑ 4 t ® 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ❑ Structural Calcs ® 1 Revised Structural Calcs ❑ Truss Calculations ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ® 1 Structural Response List ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ® 1 Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: JOHN THOMPSON Palm Desert Office: ® # (760) 360-5770 (ext 102) Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: