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06-2598 (AR)Ow P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002598 Property Address: 54217 EISENHOWER DR APN: 774-215-023-11 -000000- Application.description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 200000 Applicant: Ti&t 4 etP Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT - BUILDING PERMIT Owner: RHODES DONALD 53945 AVENIDA LA QUINTA, CA Contractor: Owner DEAN OBRE 9225 VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/26/07 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: _ _ License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is r issued. Date: - Zontractor: _ _ 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 ' OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy Number ' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,, permit to file a signed statement that he'or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 _) 1, 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 am exempt under Sec. , B.&P.C. for this reason p/ Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Date: _ Applicant: 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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ,df this county to enter u on the above-mentioned property for inspection purposes. Date: ignature (Applicant or Agent): Application Number . . . . . 06-00002598 ------ Structure.Information REMODEL TO RESIDENCE ----= Other struct info . . . CODE EDITION 01BMP04E05EN # BEDROOMS 2.00 FLOOD ZONE NO GARAGE SQ FTG 440.00 PATIO SQ FTG .270-.00 ------------ ---------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1104.00 Permit BUILDING PERMIT Additional desc INT REMODEL & DEMO REAR PATIO Permit Fee 989.50 Plan Check Fee 643.18 Issue Date . . . . Valuation 200000 Expiration Date 5/24/08 Qty Unit Charge Per Extension BASE FEE 639.50 100.00 3.5000 --------------------7------------------------------------------------------- THOU ,BLDG 100,001-500,000 350.00 Permit ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 53.64 Plan Check Fee 13.41 Issue Date . . . . Valuation 0 Expiration Date 5/24/08 Qty Unit Charge Per Extension BASE FEE 15.00 1104,00-- .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 38.64 Permit MECHANICAL Additional desc . Permit Fee .19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . 0 Expiration Date 5/24/08 Qty Unit Charge Per Extension BASE FEE 15.00 1:00 4.5000 --------------------------------- EA MECH VENT INST/ DUCT ALT --------------------------------------=---- 4.50 Permit PLUMBING Additional desc . Permit Fee 43.50 Plan Check Fee. 10.88 Issue Date . . . . Valuation 0 Expiration Date 5/24/08 LQPERn11T LQPERMIT Application Number 06-00002598 Permit PLUMBING Qty Unit Charge _Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 6.00 3.0000 EA.• PLB FIXTURE DRAIN/VENT REP/ALT 18.00 -------------------------------------------------------------- Special Notes and Comments ------------- INTERIOR REMODEL TO EXISTING RESIDENCE. DEMOLISH UNPERMITTED ENCLOSED PATIO (360 SF). CODE CASE 05-1535.2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES -- ---- --- ----------------------- Other Fees ENERGY REVIEW FEE 64.32 STRONG MOTION (SMI) - 'RES 20.00 Fee summary Charged Paid Credited Due ----------------------------------------------- Permit Fee Total 1106.14 .00 ---------- .00 1106.14 Plan Check Total 672.35 .00 .00 672.35' Other Fee Total 84.32 .00 .00 84.32 Grand Total 1862.81 .00 .00 1862.81 LQPERMIT Co C AlAw *r,*e0i Awry- r Bin. # - TC,� City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# r �5 eb ProjectAddress:'s` ey Owner's Name: =0— A. P. Number: Address: Legal Description: ZOf . .,Z yyf City, ST, Zip: L . Contractor: - Telephone: f % V z%� s Address: 91 11MF (1;M Project Description: G � City, ST, Zip: ,q acl: p �° v� CiliL Telephone: -7 y yd State Lic. : City Li.,. #: Arch., Engr., esigner:--—v.zj Address: h h S City, ST, Zip: _ Telephone: y State Lic. #: Name of Contact Person: Construction Type: Occupancy: 3, 13 . Project type (circle one): New Add'riAlt Repair Demo Sq. Ft.: # Stories: it Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec.'d TRACKING . PERMIT FEES Ian Sets Plan Check submitted 746 Item Amount Structural Calcs. Reviewed, ready for orrection Plan Check Deposit 91 Truss Calcs. Called Contact Person % Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading. plan V Review, ready for rrection issue Electrical Subcontactor.List Called Contact Pers n �. Plumbing Grant Deed Plans picked up , S.M.I. H.O.A. Approval: Plans resubmitted 11 1 -jot Grading IN HOUSE:- ''" Review, ready for correctio is 11 Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that. as "Owner/Builder" you are the responsible party -of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by -contacting the Contractors—State -Licen`se Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters: The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760 012 F (760) 77-70 PROPERTY ADDRESS PERMIT NUMBER(S) I 4 TITLE 24 REPORT I Title 24 Report for: - Residence - '54217 Eisenhower La Quinta, CA Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 41-921 Beacon Hill, Suite A Palm Desert, CA 92211 (760) 779-0657 Job Number: Date: 11/7/2007 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTI N DATE dl 0 BY Oro -2r—� . 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 4.3 by EnergySoft Job Number: User Number: 2655 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 8 Form WS -5R Residential Kitchen Lighting 10 HVAC System Heating and Cooling Loads Summary 11 Room Load Summary 12 I EnergyPro 4.3 by EnergySoft Job Number: User Number: 2655 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R Resicienre 1,104 ft2 Existing Floor Area: 111712007 Project Title Raised Floor Area: 0 ft2 Date 54917 Eisenhnwer I Quinta Average Ceiling Height: 8.0 ft Project Address 1.00 Number of Stories: Building Permit # Insu-firm Inc_ (760) 779-0657 Documentation Author Telephone Plan Check/Date FneraVPrt, Compli ce Method 15 Climate Zone Field Check/Date TDV Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 4.22 2.49 1.73 Space Cooling 137.06 113.79 23.27 Fans 17.26 14.61 2.65 Domestic Hot water 16.77 15.38 1.40 Pumps 0.00 0.00 0.00 Totals 175.31 146.27 29.04 better than Standard: Building Type: [j] Single Family ❑ Multi Family Building Front Orientation: Fuel Type: Fenestration: ❑ Addition nX Existing + Add/Alt (E) 90 deg Natural Gas Area: 199 ft2 Avg. U: 0.59 Ratio: 18.1% Avg. SHGC: 0.40 BUILDING ZONE INFORMATION Zone Name Floor Area Volume OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Wall Wnnd 172 n 109 R_11 R -n n An An Dno>— None 20 0.500 None R_n n An An Wall Wood 208 0 102 R_13 R -n n 180 A Mill Wnnd 24n _0102 R_13 R -n Q-270 An nnnr Nnne 90 0500 None R -n n 770 An Wall Wood 221 n 1n7 R-13 R -n n n 90 .Rnnf Wnnd 11n4 n n49 R_14 R -n n n n 16.6% Total Conditioned Floor Area: 1,104 ft2 Existing Floor Area: 1,104 ft2 Raised Floor Area: 0 ft2 Slab on Grade Area: 1,104 ft2 Average Ceiling Height: 8.0 ft Number of Dwelling Units: 1.00 Number of Stories: 1 # of Units Zone Type Conditioned — Gains Condition Y / N Status JA IV Reference Thermostat Vent Type Hgt. Area Setback 2 —n1a Location / Comments Run Initiation Time: 11/07/07 10:39:44 Run Code: 1194460784 EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:3 of 12 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Residence 11/7/2007 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments J__ Window Front (F) 24 0 n59pNFRr _0.4p NFRC q.Q __qJ)_Altered IWC 6200 Alum/I ow -E iving Zone 2 Existing 1.280 NFRC 0.80 NFRC Single Mill Uncoated Default pre -altered for above 3 Window Front (E) 24.0 0.590 NFRC 0_40 NFRC 90 90 Altered IWC 6200 Alum/Low-E Living Zone 4 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 5 Window Front (E) 20.0 0.590 NFRC 0_40 NFRC 90 90 Altered IWC 6200 Alum/Low-E Living Zone 6 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above Z Window Front (F) 20.0 0.590 NFRC 0.40 NFRC 90 _ 90 Altered IWC 6200 Alum/Low-E Living Zone 8 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 3 Window Left (S) 33.4 0.590 NFRC 0 40 NFRC 180 90 Altered IWC 6200 Alum/Low-E Living Zone 1Q Existing 1.280 NFRQ _0_0 NFRC Single Mtl Uncoated Default pre -altered for above 11 Window Left U 9.0 0.590 NF 0 40 NFRC 180 90 Altered IWC 6200 Alum/Low-E Living Zone 12 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above Ja Window Rear (W) 20.0 0.590 NFRC JIAO NFRC 270 qQ Altered IWC 6200 Alum/Low-E Living Zone 14 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 15 Window Rear (1N) 4.0 0.590 NFRC 0.40 NFRC 270 90 Altered IWC 6200 Alum/Low-E Living Zone 16 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 17 Window Rear (W) 16.0 0.590 NFRC 0_40 NFRC 270 90 Altered IWC 6200 Alum/Low-E Living Zone 18 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 1,Q Window Right (N) 12.5 0.590 NFRC 0 40 NFRC 0 90 Altered IWC 6200 Alum/Low-E Living Zone 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. 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 4.0 6.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 4.0 5.0 2.0 0 1 2.0 2.0 7 Bug Screen 0.76 4.0 5.0 2.0 0.1 2.0 2.0 9 Bug Screen 0.76 6.8 2.5 2.0 0.1 2.0 2.0 11 Bug Screen 0.76 3.0 3.0 2.0 0.1 2.0 2.0 13 Bug Screen 0.76 6.8 3.0 2.0 0.1 2.0 2.0 15 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 17 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 19 Bug Screen 0.76 5.0 2.5 2.0 0.1 2.0 2.0 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Concrete, Heavyweight 500 3.50 28 0.98 0 26-A1 Existing Living Zone / Slab on Grade Concrete, Heavyweight 604 3.50 28 0_98 2 26-A1 Existing Living Zone / Slab on Grade PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 35 None No Insulation 26-A1 Existing Living Zone Slab Perimeter 18 None No Insulation 26-A1 Existing Living Zone Run Initiation Time: 11/07/07 10:39:44 Run Code: 1194460784 EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:4 of 12 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Residence 11/7/2007 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U -Factors SHGC2 Azm. Tilt Stat. Glazing Type Comments 20. Fxisting 280 NFRCn �o NFRC Sinel - Mtl l In .oat -d Default pre -altered for ahove 21 Window Right (N) 12.5 0.590 NFRC 0_40 NFRC 0 90 Altered IWC 6200 Alum/Low-E Living Zone 22 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 23 Window Right (N) 4.0 0.590 NFRC 0_40 NFRC 0 90 Altered IWC 6200 Alum/Low-E Living Zone 24 Existing 1.280 NFRC 0_80 NFRC Single Mtl Uncoated Default pre -altered for above 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. 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. 21 Bug Screen 0.76 5.0 2.5 2.0 0.1 2.0 2.0 23 Bug Screen 0.76 2.0 2.0 2.0 0. 9.0 9.0 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside -Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation R -Val. Location Condition Location/ JA IV Reference Status Comments Run Initiation Time: 11107/07 10:39:44 Run Code: 1194460784 EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:5 of 12 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Residence Tank Energy Tank Insul. Water Heater # in Input 11/7/2007 Project Title Standby R -Value System Name Type Distribution Syst. (Btu/hr) (gal) , Date Loss (%) Ext. HVAC SYSTEMS 50 New 0.62 n/a n/a Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type Living Zone Central Furnace 75% AFUE Split Air Conditioner 8.0 SEER Altered Setback pre -altered for above Central Furnace 75% AFUE Split Air Conditioner 8.0 SEER Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? Living Zone 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. A O SMITH PGCG-50-246 Small Gas No Pipe Insulation 1 40,000 50 New 0.62 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP TVDe 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: Address: Telephone: Lic. #: (signature) Enforcement Agency Name: Title/Firm: Address: Telephone: (date) (signature) (date) Documentation Author Name: Joan D. Hacker Title/Firm: Insu-form, Inc. Address: 41-921 Beacon Hill, Suite A Palm Desert, CA 92211 Telephone: (760) 779-0657 (sig ur % (date) I EnergvPro 4.3 by EnergvSoft User Number: 2655 Job Number: Paoe:6 of 12 1 Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R Residence 1117/2007 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Plan I Field The Existing Furnace "Existing" has an AFUE less than the Table R3-11 CEC Default Vintage Values. The Existing Air Conditioner "Existing" has an SEER less than the Table R3-11 CEC Default Vintage Values. HIGH MASS Design - Verify Thermal Mass: 500 sgft Exposed Slab Floor, 3.50" thick at Living HIGH MASS Design - Verify Thermal Mass: 604 sgft Covered Slab Floor, 3.50" thick at Living HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- .rr....`..—.. F.v..— —... 1, —aFF.w— aca....y a.........o.. .........�.......� a..,....,.�..,� .�r,,..�.. �.....� .. �.. I Plan I Field nstallation certificate. EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:7 of 12 1 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the permit application documentation. N/A DESIGNER ENFORCE - MENT Building Envelope Measures ❑ ❑ ❑ f§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling. ❑ ❑ ❑ § 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 ❑ ❑ ❑ apply to exterior mass walls). ❑ ❑ ❑ e§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ ❑ ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. ❑ ❑ ❑ 1. Masonry and factory -built fireplaces have: ❑ ❑ ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ ❑ ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑ ❑ ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ ❑ ❑ CF -6R Form: ❑ ❑ ❑ § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑ ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ❑ ❑ Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑ ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑ ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑ ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑ ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ❑ ❑ ❑ having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ ❑ ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150-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 ❑ ❑ ❑ length of recirculating sections of hot water pipes shall be insulated to Table 150B. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑ ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑ ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑ ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:8 of 12 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 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ ❑ ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the requirements 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 tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than ❑ ❑ ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and a. At least 36" of pipe between filter and heater for future solar heating. ❑ ❑ ❑ support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause ❑ ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. ❑ ❑ ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ ❑ ❑ duct tapes unless such tape is used in combination with mastic and draw bands. ❑ ❑ ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are 4. Exhaust fan systems have back draft or automatic dampers. ❑ ❑ ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ ❑ ❑ dampers. provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ❑ ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water ❑ ❑ ❑ controlled by an occupant sensor that complies with Section 1'19(d) that does not turn on automatically or have an retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ ❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. 7. Flexible ducts cannot have porous inner cores. ❑ § 114: Pool and Spa Heating Systems and Equipment FNINERE-1 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ ❑ ❑ heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. ❑ ❑ ❑ b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ❑ ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) § 118 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ❑ ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ❑ ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ ❑ ❑ 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. ❑ ❑ ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ ❑ ❑ controlled by an occupant sensor that complies with Section 1'19(d) that does not turn on automatically or have an always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ ❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:9 of 12 Residential Kitchen Lighting Worksheet WS -5R Residence 11/7/2007 Project Title Date At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. Luminaire Type (4) 4 ft Fluorescent T8 Elec Hiqh Efficacv? High Efficacy Watts Quantity Watts Other Watts 114.0 x 1 = 114 or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or X = or x = or X = or X = or X = or Total A: 114 B: 0 COMPLIES IF A Z B YES ® NO ❑ EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:10 of 12 1 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Residence 11/7/2007 SYSTEM NAME FLOOR AREA Living Zone 1,104 ENGINEERING CHECKS SYSTEM LOAD Number of Systems. 1 Heating System Output per System 60,000 Total Output (Btuh) 60,000 Output (Btuh/sgft) 54.3 Cooling System Output per System 41,500 Total Output (Btuh) 41,500 Total Output (Tons) -3.51 Total Output (Btuh/sqft) 37.6 Total Output (sgft/Ton) 319.2 Air System CFM per System 1,395 Airflow (cfm) 1,395 Airflow (cfm/sgft) 1.26 Airflow (cfm/Ton) 403.4 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Dte: values above given at ARI conditions :ATING SYSTEM PSYCHROMETRICS 26.0 OF 68.4 OF 68.4 OF Outside Air 0 cfm Supply Fan 1395 cfm 68.4 OF Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply, Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent CFM I Sensible 1,226 19,192 1,937 1 458 18,152 0 3,414 2,329 0 0 0 0 0 0 0 0 0 3,414 2,329 26,0191 1.9371 22 809 Existing 28,657 9,499 60,000 Total Adjusted System Output28,657 9,a99 60,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am tream Temperatures at Time of Heating Peak) 108.8 OF Supply Air Ducts Heating Coil 107.3 OF ROOMS 70.0 OF K Return Air Ducts `i DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.6°F 80.3/66.7°F 80.3/66.8°F 61.0/59.9°F O4 Supply Air Ducts Outside Air 0 cfm Supply Fan Cooling Coil 63.3 / 60.7 OF 1395 cfm 53.6% R.H. ROOMS 80.3166.7 of 78.0 / 66.0 OF Return Air Ducts EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page: 11 of 12 1 ROOM LOAD SUMMARY PROJECT NAME Residence DATE 11/7/2007 SYSTEM NAME Living Zone FLOOR AREA 1,104 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 Living Zone Living 1 1,226 19,192 1,937 1,226 19,192 1,937 458 18,152 PAGE TOTAL 1 1,226 19,192 1,937 458 18,152 TOTAL 1 1,226 19,192 1,937 458 18,152 EnergyPro By EnergySoft User Number: User Job Number: Page:12 of 12 Rhodes Residence 54-217 Eisenhower La Quinta, Ca Electrical Load Calculations General lighting loads (1250s�.e. x 3 )--=------ —--------�---3750 Volt Amps 2 Appliance circuit loads::--"" --- 3,000 Laundry circuit loads ----- --------- ---------2,500° Dryer circuit loads ---------------------------------- -----------6,000 Dishwasher circuit loads ------------__ -----1,200 Disposal circuitr loads ----. ---------- -------------- 700. Refrigerator circuit loads (2;): --- -------1,200 Microwave circuit loads `'- ------ 1,500 Exft+nown circuit loads -- - = -- -------------------------- 3,000:.. Total Loads :30850Volt Amps First 10KW at 100% 10,000 Remaining at 40 % 8.340` - HVAC 4 tons x 2000 per ton 8,000 Total Loads---------------------------------------------------------------26,340 CITY OF �SAFaE:TUY INTA BUILDING & DEPT. , Total Loads APf Ft®26340 = 119 amps FORNSTRUCTION 220 DAT E I1 2� 0 BY 39480/220 volts.=119 amps. Use 200amp service min. This electrical load calculation was produced by Electro -Com Electrical Contractors as of 8/1/07 0 6PF1 (Ciff. � i f" Cod' PE:2 7-0 r .15 ii:rns 3IU7641136 FORENSIC ANALYTICAL Forensic Analytical Bulk A.sbest®s Analysis (EPA Method 600/R-93-116, Visual Area Estimation) PAGE 01/03 Final .Report J&H Enviro tmental. Client ID: 4172 Tom Sulliva i Report N umber: 8099190 41800 Wasbington St. Date Received: 05/16/07 B-105, PML' 201 Date Analyzed: 05/17/07 Indio, CA 9,203 Date 1('rim ted: 05/17/07 First Rep trtcd: 05/17/07 Job ID/Site: Rhodes Project, 54217 Esienhower 1FASI Yob ID: 4172 Total Samples Submitted: 7 Date(s) Coll :eted: 0511512007 _ Total Sainples Analyzed: 7 Asbestos Percent in Asbestos Percent i s Asbestos Percent in Samplc 1D Lab Numbcr Type Layer Type Layer _ �- Type Layer 1 50386378 Layer: St( nes ND Layer: Bb ck Tars ND Layer.: 131. ck Felts ND Layer: Tai i Foam ND Layer: Wt ite Non -Fibrous Material ND Total Composite Values of Fibrous Components:- Asbestos (NE)) Cellulose (45 %) Synthetic (3 %) 2 50386379 Layer: Bla ;k Tar ND Layer: Tac Foam ND Layer: Wh to Non -Fibrous Material ND Layer: Wh to Cemcntitious Material IND Total Com. iosite Values of Fibrous Components: Asbestos (ND) Cellulose (i %) Fibrous Glass (5 %) Synthetic (Trace) 3 50386380 LayeY: Stoi es ND Layer: Blas lc Tars ND Layer: i3)ac k Felts ND Layer: Tan Foam ND Layer: Whi .c Non -Fibrous Material ND Total Coml osite Values of Fibrous Components: Asbestos (ND) Cellulose (-, 5 %) Synthetic (3 %) 4 50386381 Layer: Ston :s ND Layer: Blac :'bars ND Layer: Bloc_ Felts ND Layer: Tan : oam ND Layer: Whit: Non -Fibrous Material ND Layer: Blacl: Semi -Fibrous Tar Chrysotile 5 % Total Comp isite Values of Fibrous Components: Asbestos (Trace) Cellulose (4.1 %) Synthetic (3 %) _J OF,� fl� I of 2 2959 Faciiic Cor inierce Drive - Rancho Dominguez, CA 90221 Telephone: 310/763-2.174 • Tull Fax:.'.. 10/763-8684 s� _ 2/7 t� ,'S"/70*jef , A9 -r -V Forensic AnMyfacal Client Nattn 3&H Environmental FORENSIC ANALYTICAL PAGE 02/03 Report?'.umber: B099190 Date 1P fitted: 05/17/07 Asbcsto:l Percent in Asbestos Percent in Asbestos Pcrcent in Sample ID Lab Number Type Layer Type _ Layci Type Laycr a 50336382 Layer: W iite Drywall[Tape ND Lo.yeT. W lite Skimcoat/Joint Compound ND Layer: Pa nt ND Total Con Iposite Values of Fibrous Components: Asbestos (N;?) Cellulose :50 a/a) Fibrous Glass (2 %) 6 50386383 Layer: Vtti ite Drywall ND Layer; W1 itc Skimcoat/]oin3 Compound SVD Layer: Pai at ND Total Cott posite Values of Fibrous Components: Asbestos (ND) Cellulose (20 %) Fibrous Glass (10 %) 7 50386384 Layer: Wh to Drywall ' ND Layer.: Wll .te Skimcoat/Joint Compound ND Layer: Pail it ND Layer: Bei: (e Mastic ND Total Composite Values of Fibrous Components: Asbestos (NU) Cellulose (.:0 %) Fibrous Glass (2 a/o) Stevcn Takahashi, Laboratory Supervisor, Rancho Dominguez Laboratory Note: 1,i: nit of Quantification (10Q) _ 1 %. 'Trace' denotes the presence of asbestoi below the 1,0Q. '.ND' -'None .DeTeCt.ed'. Analytical results and reports arc generated by Forensic Analytical at the request or and for the exclusive use o:'the person cr entity (client) named an such rcporl. Results. reports or copse Of :atnC will nor. he released by Fmm�sic Analytical to any third parry without prior written rrqucst from Iicnr. This �Cpr-. •t applies only to the samples) tested. Supporting la mratory documentation is available upon request. 'Phis report must not be reproduced except in full, unless approved by Forensic Analytical. The client is solely responsible ib, the use and interpretation of test results and reports requested from Forensic Analytical. This report must not be user: by tt;e client to ciain; product pndorscri,cnt by NV .AP or any other agency of the UA Covcmmcnt. 1"orcnsic Analyti-A is not able to amcss the degree of hazurd resmiting frpm materials ?nalyzcd. Forensic AnalYtieal r :serve,¢ the right to dispnse of all samples after a Period arthirty (30) days, according to all state and lalcral guidelines. unless otherwise Rpccificd. All sarnples were receive I in acceptable condition unless otherwise noted. 2 of 2 2y5t1 F'aCifir ('41m nerve Drive • R:;ncho Qnrninguez, CA 90221 • Te:lellhinc: 3tO/7h:1-2'1,•-1 Toll Fr F.iAR!$1 3--1 41 i fix: al(1,?6a-tihtt4 _._ ­oo 31U/b4113b FORENSIC ANALYTICAL PACE 03/03 04-27-'07 10:56 FROG- T-0'15 F'001/0 I F-063 I Forensic-Ana(Acal Analvsis Reauogt Farm t'Phent Name & Address: (� J&H Environmental, Inc. Turn Around Timm, d 12hr ! 24hr t 418 ht r ant " i. 41800 Washington St., B-105, #201 Due Data: I 1 Duty TWO. _ re! m _ , Stand=wd 1 ® Point Count D PCM: NIOSH 7400 Indio, CA 92203 intact ❑ -rE-m Air. CI At1ERA 1 )1'r'amata2 / 13 tw6m 7402 Thomas Sullivan 1) TEN Bulk: ❑ Quantit3liva/ Q CIull afiv:1 ❑ Chatfield Q TEM Water. ® patatoie t t~I Non•Pombla ] Wt °t Pr fans #: (760) 772-1263 O TEMMlerovao '1' 60) 772-6254 O Spectst Project. Metala Atfalyai9: Method Gumments: Sample Sgpnpla ID Date] Sample LocaVon/Desc ription FOR AIR �3d1MPLES CII L. Ar" or Time Type Tune QNOfl° Avg. LF -$M Total Air Ti Vglumo i I r �'n,f� � CX4 t f i A AP i {%fw-. !#7[ Gam/ _" A P — -- , !" - G Add Qn -- jo 4r) f AP q4d tr'es4. 1 APlvd#n- �1 C A 5a sum co pate:- I f� I�b -� Tim®; ed via: ❑ >~eAirbome ❑ UPS 0 US Mail ElCourier O Drop Off C7 Other. iRi q 11bjk, 4I linquishsd by: RoOnqufsmcd ._ . trf0 P d. S Q e: Dow i Tlms: Y?rata I Tlar s; Re F.LiC� �- ttetrSvAd by. Reere;vi �y. •� C D Date ! 1 Imo: r Q Date / Time: Ua� J T►�rfe: t (QjQ 7(� Condjtj m Accep g UC Yes M4 Na Cand(ttan Accepmbtert C9. Yep [3 No Ce»dl4tas Aoeapt»bfmT (!I Yar ®No San Francisco Office: 3777 Oepot Roast, Suite 409, Hayward, Calfiornia 9? 5451 Talaphonq; (b10)887.8828 (1300)827 -FAS? I.70W (510)B87.4218 L is An>3ehn Office., 2959 Pacific Commerce Alva. Rancho DQmin®Uaa, Oa)ifbftlb 902211 TalePhane: (310)MS-2374 I Fr,:: (310)768-8684 Portland ( -Moo: 17400 SW Upper Boone$ Ferry Road, Suite 240, Durham. Oregon 9rt2241 TatepNane: (6U3)5915-74101 (a77ytitt 7 ft38 /Fax: (503)895.7008 Las Vegas Office: 3900 Paradise Road. 3uitra 181, Las Vegas, Norgda a41UR f 7cIgphojm.- (702)784-,7040 / fax: (7w)7u4-0030 Em u'1 2 -� � �k! d m� ! �� � is I � t i� I Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: ,q oZ S �. .0 LA Owner's Name: c" 1p—�,O CA A. P. Number: Address: S of y "J I P� Yc�j ,•~� Legal Description: City, ST, Zip: U Contractor: vlA.� ,e � Telephone: .W c Address: 6IJ 3,9 q A U Yt.) ©� Y r �^ Project Description: City, ST, Zip: L %t,4 r r-) G Telephone: State Lie. # : City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: 4 State Lie. #: — Construction Type: 100 G Occupancy: Project type (circle one): New Iter Repair Demo Name of Contact Person: pn tr Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: . Estimated Value of Project: - 0,C-) APPLICANT: DO NOT WRITE BELOW THIS LINE . N Submittal Req'd Recd TRACIUNG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans bicked up Construction Flood plain plan , Plans resubmitted Mechanical Grading, plan 21" Review, ready for correction d sue liq 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.