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11-0861 (AR)P.O. BOX 1504 VOICE (760) 777-7012 .78-495 CALLE TAMPICO FAX'(760) 777-7011 LA QUINTA,'CALIFORNIA 92253 BUILDING.& SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/28/11 A plication.Numbel=1-Q0000861� Owner: Property dress: 8-0120 VIA VALEROSA SAPETTO LIONEL & MARIA APN: 777-230-012- - - 2609 PALOMINO DRIVE Application description: ADDITION - RESIDENTIAL COVINA, CA 91724 Property Zoning: LOW DENSITY. RESIDENTIAL Application valuation: 25000. Contractor: Applicants Architect or Engineer: , JBM -CONSTRUCTION & DEV INC 35670 ABELIA STREET ffr MURRIETA, CA 92562 `0 (951)698_8782 - fr • Lic.,'No.: 906786 ———--—---———————.————--———————----———————-————----——-——.----———-----——-—-=—————— -- zr P-;7 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and V 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 Lice nse Class:. B - License No.: 906786. for.by Section 3700 of -the Labor Code, for the performance of the work for which this permit is 2 F issued. Date: N omractor. .. _ 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 theCarrier ULLICO CAS CO Policy Number UWHA48600003910 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 orshe'is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the.w,orkers' compensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or *pplicant: f the Labor Code,4 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 - -� 1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: -I, as owner of the. property, ormy 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 'Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,, provided that the . DOLLARS ($100,000). IN ADDITION TO THE COST -OF COMPENSATION, DAMAGES AS PROVIDED FOR IN • improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year'of completion, the owner -builder will have the burden of proving that he or she did not build'or improve for the purpose of sale.l. - APPLICANT ACKNOWLEDGEMENT - • (_) I, as owner of the property; am exclusively, contracting with licensed contractors to construct the project (Sec. • ' IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1 . Each person upon. whose behalf this application.is made, each person at whose request and fon pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, , I am exempt under Sec. , B.&P.C.,for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City .... ' of La Quinta, its officers, -agents and employees for any act or omission related to thework being .. performed under or following issuance of this permit. ' Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation.. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that,l have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city, and county ordinances and state laws relating to building construction, and hereby authorize representatives [his county to enter pon the above-mentioned prop ty fot inspection purposes. n Lender's Name: I� - Date: ignature (Applicant or Agentl:Vt/\! 1- Lender's Address: 3 LQPERAIIT - - ."Application Number 11-00000861 Structure Information Construction Type .TYPE V, UNPROTECTED." Occupancy Type . ."". DWELLG/LODGING/CONG <=10 Oth"er,struct info CODE EDITION 2010 #BEDROOMS °1.00 FIRE SPRINKLERS NO FLOOD ZONE NO -1ST FLOOR SQUARE FOOTAGE. 218.00 Permit" BUILDING PERMIT Additional desc " Permit Fee . . 252.00 Plan Check Fee 163.80 • Issue Date Valuation 25000 Expiration Date 6/25/12 'Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2'•,001-25,000 207.00 Permit . . . ELECT. - ADD/ALT/REM" Additional desc " Permit Fee ,22.63 Plan Check"Fee '5.66_ Issue Date, Valuation 0 Expiration Date 6/25/12 Qty Unit Charge Per Extension BASE FEE 15.00 218.00 .0350 ELEC NEW RES - 1 OR 2.FAMILY 7.63 Permit MECHANICAL Additional desc. =— - ---° - -_ _.Permit_Fee __.-.-39.50 --PlanP _Ch(k FPP—`- - 9.8A Issue Date Valuation, 0 Expiration Date .. 6/25/12 .Qty Unit Charge Per Extension BASE FEE 15..00 1.00 9.0000 EA MECH FURNACE<=100K 9.00 1.00 9.0000 EA MECH B/C-<=3HP/100K BTU 9.00 1.00 6.5000 EA MECH.VENT FAN 6.50 Permit. PLUMBING - Additional desc . LQPERNIIT _ .. Application Number 11-00000861 Permit . . . PLUMBING Permit Fee 39.00 Plan Check Fee .. 9.75 • Issue. Date.`. Valuation. 0 Expiration Date 6/25/,12 Qty''Unit'Charge Per Extension . BASE 'FEE 15.00 3.00 6.0000 -EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA. PLB FIXTURE DRAIN/VENT - REP/ALT 3.00 - ----- - - --- ---- Special.Notes and Comments -------- -------- - - - - -. -218. SF BEDROOM ,& ,BATH ADDITION ATTACHED TO EXIST FRONT BEDROOM. 2010 CODES. ARCHITECT: DAVE MADDEN C25793. ------------------- Other Fees. ENERGY,REVIEW FEE 16.38 STRONG MOTION .(SMI) - RES 2.50 Fee summary.-: Charged Paid Credited Due -.-------- ---------- ------------------- Permit Fee Total 353.13 .00 ---------- .00 353.13 Plan. Check Total. 189.09 .00 .00 189.09 Other Fee Total.,. 18.88._ .00 00. 18:88 Grand Total- 561.10 :00 ._. ;,, 00 561.10 LQPEMUIT Bin # P City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 CalleTampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l �1„ \ �C , Project Address: F -012 V3 0 �V6 bv_ly Owner's Name: 61, t U A. P. Number: Address: FolZp L/�, Legal Description: City, ST, Zip: Q Contractor: Telephone: Address: Project Description: 4Vbo Gtu City, ST, Zip: iY ell Zjzz Telephone: �' 6�1�` �%�2. Er. State Lic. # : 966 qK City Lic. #.. Arch., Engr.; Designer: Address: City., ST, Zip: Telephone: P }} duz::;•.d g•;s, :...:..:>...<..... • ii�:i�.:in'%!rii'i::'Yii}j?v(ri%jiiii%i:::� i}.i�ii 3;>::^::+,:>s;>:z<:>::»::;<:`?'<r;;<? :.::•.:::;<:;:;:::::;...:..:.....:•:::,::•:,:::;•:%: ................... Construction Type: ,1 Occupancy: State Lic. #: Project type (circle one): New P Alter Repair Demo Name of Contact Person: J Sq. Ft.: �- # Stories: # Units: Telephone # of Contact Person:� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready fororreconsr Plan Check Deposit Truss Calcs. Called Contact Pers Plan Check Balance, Title 24 Caics. Plans picked up g �q Construction Flood plain plan Plans resubmitted I✓ Mechanical Grading plan 2". Review, ready for correctio issue �Z Electrical Subcontactor List Called Contact Person ►L'Combing 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 A CoachellaAValle'y 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: COMM/IND. AMOUNT: . DATE: "- RECEIPT: CHECK #: - INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name:. Mountain View, -Date: February 14, 2012 ' Owner.'s Name: Ciro & Maria Sapetto" Phone No. 951-545-0978 Project Address: 80-120 Via Valerosa, LaQuinta, CA 92253 Project Description: Attached Casita Addition to Exist SFD APN: 777-230-012: Tract #:: Lot #'s: XX Type of Development: Residential u - Commercial Industrial . Total Square Feet of Building Area:,. 218 sq. ft Certification of Applicant/Owners: The person signing certifies that the above information is correct.and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: February 14, 2012 ' Signature ' �!J 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. 218 sq. ft _' Amount per Sq.Ft. $ 0.00 Amount Collected $ 0.00 Building Permit Application Completed: Yes/No: By: Darryl S. Adams; Superintendent Certificate issued by: Laurie Howard Secretary.III : Signature: Y X14 4 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 this 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 paymentof 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. ma be ranted. ,: .. O Y. g alt MV:C/mydoesidevfees; certificate of compliance lixm tables`I'O USE.doc 1/16/03 T MOUNTAIN VIEW -3 COUNTRY CLUB at La Quinta February 8, 2012 j t Mr. &`Mrs. Sapetto 9w 80-120 Via Valerosa La Quinta, CA 92253. Re: Architectural Request 80-120 Via Valerosa j Dear Mr. & Mrs. Sapetto ' The Architectural/Landscape Committee of. -the Mountain- View Country Club - Homeowners' Association have reviewed the plans to install a -room addition to the front of your home per the application submitted. The committee is pleased to inform you that it has approved the application. Thank you for your patience and understanding during ,this approval process. If .. - there are any questions please contact me at 760-776-5100 ext: 333: . Sincerely, A FOR THE BOARD OF DIRECTORS MOUNTAIN VIEW COUNTRY CLUB Heather Yslas. - Association Assistant Manager , cc: Board of'Directors Unit.File " BUILDING ENERGY. ANALYSIS REPORT I.. PROJECT: Sa etto Addition �i 8012GVia Valer6sa La Quinta, CA ` it •' Project Designer: Dave Madden, Architect 40984 Oak Creek Rd. { Murrieta, CA 92562 �j 951-634-2712 Report ' Prepared by: DAVE. MADDEN 40984 oak creek rd murrieta, ca 92562. ,� 951-634-2712 ! PEcEIVEh DEC 13 2011 { BY:' ' Job Number: j 11-024 Date: ' 12/2/2011 The EnergyPro computer program has beenused 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 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number: 5268 RunCode: 2011-12-02T06:04:05 ID: 11-024 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Sapetto Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 12/2/2011 Project Address 80120 Via Valerosa La .Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 240 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST El Yes ❑ No HERS Measures -= If Yes,.A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special, Construction Type Cavity (ft) Features see Part 2 of 5 Status Wall Wood Framed R-15 502 Ext --R-4.0 New Roof Wood Framed Attic R-38 240 Int --R-38.0 Radiant Barrier Cool Roof Venting New Slab Unheated Slab -on -Grade None 240 Perim = 62' New FENESTRATION U- Exterior Orientation Area(ftz) Factor SHGC Overhang Sidefins Shades Status Front (S) 16.0 0.300 0.23 none none. Bug Screen New Right (E) 40.5 0.300 0.23 none none Bug Screen New HVAC SYSTEMS Oty., Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC System Ductless /with Fan Ductless n/a n/a New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Energ Pro 5.1 by Energ Soft User Number: 5268 RunCode: 2011-12-02706:04:05 ID.-, 11-024 Page 3 of 10- PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name® Sapetto Addition TBuilding Type Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1.121212011 SPECIAL FEATURES INSPECTION CHECKLIST The 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 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. The Roof R-38 Roof Attic Reflectance = 0.30, Emittance = 0.75 shall be rated and labeled by the Cool Roof Rating Council in accordance with Section 10-113 of the standards. The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof R-38 Roof Attic 1/150 Vent Area 50% of Vents Located High requires verification. i i n HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Compliance credit for quality installation of insulation has been used. HERS field verification is required. 1 11 ii Y'y j I r Ener Pro 5.1 by Ener Soft User Number: 5268 RunCode: 2011-12-02T06:04:05 ID: 11-024 Page 4 of 10 ,_, PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑Addition Alone Date Sapetto Addition ❑ Multi Family ❑ Existing+ Addition/Alteration 1121212011 ANNUAL ENERGY USE SUMMARY Standard ' Proposed Margin TDV kBtu/ft2- r Space Heating 3.05 0.36. 2.70 Space Cooling 99.55 96.80 2.75 Fans .21.01 23.72 -2.71 Domestic Hot Water 0.00 0.00 0.00 Pumps 0.00 0.00 0.00 Totals 123.62 120.87 2.74 Percent Better Than Standard: " 2.2% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S) 180 deg Ext. Walls/Roof Wall:Area Area . ' Number of Dwelling Units: 1.00 (S) 135 16 Fuel Available at Site: it Natural Gas (K9 144 0 Raised Floor Area -0 (N) 135 0 Slab on Grade Area: I' 240 (E) 144 41 Average Ceiling Height:9.0 Roof 240 0 Fenestration Average U -Factor: I 0.30 TOTAL: 57. Average SHGC: 0.23 Fenestration/CFA Ratio: 23.5% REMARKS if p STATEMENT. OF COMPLIANCE' This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. ,1 The -documentation author hereby certifies that the documentation is accurate'and c I e. Documentation Author ,l Company DAVE MADDEN 12/2/2011 Address 40984 oak creek rd Name Citv/State/Zip murrieta, ca 92562 Phone 951-634-2712 Signed Date The individual with overall design responsibility hereby certifies that the proposed buing design represented in this set ' of construction documents is consistent with the other compliance forms and works a s, with the specifications, and with any other calculations submitted with this permit application, and recognizes th t mpliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and buil i envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) ` Company Dave Madden, Architect Address 40984 Oak Creek Rd. Name City/State/Zip Murrieta, CA 92562 ,Ij Phone 951-634-2712 Signed License # Date 1Ener,qVPro5.1bVEnenqVSoft' User Number: 5268 RunCode: 2011-12-02706:04:05 ID:. 11-024 Page 5 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Sapett0 Addition Building Type O Single Family ❑ Multi Family ❑ Addition Alone ❑ Existing+ Addition/Alteration Date 112/2/2011 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area I Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 1191 0.069 R-15 4.0 None 180 90 New 4.3.1-A4 Zone 1 Wall 104 0.069 R-15 4.0 None 90 90 New 4.3.1-A4 Zone 1 Wall 135 0.069 R-15 4.0 None 0 90 New 4.3.1-A4 Zone 1 Wall 144 0.069 R-15 4.0 None 270 90 New 4.3.1-A4 Zone 1 Roof 240 0.013,R-38 38.0 None 180 18 New 4.2.1-A21 Zone 1 Slab 240 0.730 None 0 180 New 4.4.7-A1 Zone 1 FENESTRATION SURFACE DETAILS ID Type Area U-Factor SHGCz Azm Status Glazing Type Location/Comments 1 Window 16.0 0.300 NFRC 0.23 NFRC 180 New Milgard Vinyl Tuscany 3D Max F Zone 1 2 Window 40.5 0.300 NFRC 0.23 NFRC 90 New Milgard Vinyl Tuscany 3D Max F Zone 1 (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Ove hang ID Exterior Shade Type SHGC Hat Wd Len Hat LExt RExt Left Fin Right Fin Dist Len Hat Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 ------------ Ener Pro 5.1 by Ener Soft User Number. 5268 RunCode: 2011-12-02706:04:05 ID: 11-024 Page 6 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name _ Sapetto Addition Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 12/2/2011 BUILDING ZONE INFORMATION S stem Name Zone Name Floor Area New Existing Altered Removed Volume Year Built HVAC System Room 1 240 2,160 Totals 2401 01. 01 0 HVAC SYSTEMS System Name oty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC System 1 Central Furnace 94% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Ducts Cooling Duct Location R -Value Tested? Status HVAC System Ductless / with Fan Ductless n/a n/a ❑ New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status CEC Standard MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 Q — ' System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried Ener Pro 5.1 by Ener Soft User Number: 5268 RunCode: 2011-12-02706:04:05 ID: 11-024 Pae 7 of 10 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Sapetto Addition Date 12/2/2011 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed desi n labeled R -Value. *§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent LI -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Va or barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no cireater than 2.0 erm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. §1500): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1506)113: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: 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 are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §1 500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 5268 RunCode: 2011-12-02T06:04:05 ID: 11-024 Page 8 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Sapetto Addition 12/2/2011 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum 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 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: 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 support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: 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(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off eak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 5268 RunCode: 2011-12-02706:04:05 /D: 11-024 Page 9 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3)* MF -1 R Project Name Date Sapetto Addition 12/2/2011 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1.: Permanently installed low efficacy luminaires shall be'allowed provided that,they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets.less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk. between the luminaire housing and ceilin . §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units; entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that - they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not. having. an override or bypass, switch that disables the photocontrol; OR an ' astronomical time clock.not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having'an override or bypass switch that allows the luminaire to'be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be hi h efficacy luminaires. §1.50(k)l4: Internally illuminated address signs shall comply with Section 1.48; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for'parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)l6: 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. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119: I, EnergyPro 5.1 by EnergySoft User Number: 5268 RunCode: 2011-12-02706:04:05 ID: 11-024 Page 10 of 10 Electronically Filed by and Authenticated at CalCERTS.com - 12/20/2011 Electronically Signed at Ca10ERTS.com by James Marshall (JBM Construction)'1/13/2012 r ,�. t t PERFORMANCE CERTIFICATE: Residential Pa rt 1 of 5 i CF -1 R Project Name ' Sapetto Addition 1 Building Type ® Single Family ❑ Addition Alone '❑ Multi Family ❑ Existing+ Addition/Alteration Date 12/20/2011 Project Address 80120 Via Valerosa La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 240, Addition n/a , # of Stories 1. FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures --If Yes, A CF -413 must be provided per Part2 of 5 of this form. EIYes ❑ No Special Features --If Yes, see Part 2 of 5 of this form for details. INSULATION Area - ,Special Construction Type Cavity Features see Part 2 of 5 Status Wall Wood Framed R-15 502 Ext=R-4.0 - New Roof Wood Framed Attic R-38 240 Int=R-38.0 Radiant Barrier Cool Roof Venting New Slab Unheated Slab -on -Grade None 240 Perim = 62' New t FENESTRATION U- Exterior _ Orientation Area ` Factor SHGC Overhang Sidefins • Shades Status Front (S) 16.0 0.300 0.23 none none Bug Screen New Right (E) 40.5 0.300,p*s,r1j,0:23,,,none .r none„Bug Scn end New ” 2141 f'Si}'3'e� •' `Y.�•. •p.,...{�/yA `.t.�+'j•J' ,eu r F .i}'�-'t'e "`.4!°!' .'p♦rS }r'�F/J"C�t`¢:1g, ��7v° {p,� OF U , 1 1 P�G5 C C x-'11 r APP�• HVAC SYSTEMS -Qty. Heating M FOR CW%J11401 n. Eff C lin Min. E Thermostat Status - 1 Central Furnace 94 ( t S Air ndltioner Setback New HVAC DISTRIBUTION Duct Location 'Heating Cooling Duct Location R -Value Status HVAC System Ductless / with Fan Ductless n/a n/a New WATER HEATING ' (fit . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number. 5268 RunCode: 2011-12-20717:59:01 ID: 11-024 Pae 1 of :5] Reg: 211-N0066262A-000000000-0000 .Registration Date/Time: 2011/12/20 21:11:08 HERS Provider: Ca10ERTS, Inc , 1 r r i • 1 1• V. Electronically Filed by and Authenticated at CalCERTS.com-e12/20/2011 Electronically Signed at CalCERTS.com by James Marshall (JBM Construction) 1/13/2012 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Sapetto Addition Building Type ® Single Family ❑ Addition Alone • ❑ Multi Family , ❑ Existing+ Addition/Alteration Date • . 12/20/2011 SPECIAL FEATURES INSPECTION CHECKLIST. The 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 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 •ustification and documentation submitted. The Roof R-38 Roof Attic Reflectance = 0.30, Emittance = 0.75_ shall be rated and labeled by the Cool Roof Rating Council in accordance with Section 10-113 of the standards. The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. " The Roof R-38 Roof Attic 11150 Vent Area 50% of Vents Located High requires verification. • ii III � ' • . . `+., T <eMG" { Yw� f'-4+'+e� IV' ✓�+)''`T4 I+ia' �W - ^ 14�.:C T I'• ,fiw8 Vim. .. t J >nw-,, s7^.ky tC• .rS ''.» .+ HERS REQUIRED VERIFICATIONY}�.,"'�� '-�.:� fi•=+ ,.x z;. �`:.•. s_.... fFa Items in thissecUon requirefield testingrandior verification by,a certified HER&Rater. The`inspector must receive a completed CF -411 form for each of the measures listed below for final to be given. Compliance credit for quality installation of insulation has been used. HERS field verification is required. - n _ Ener Pro 5.1 by EnergySoft User Number. 5268 RunCode: 2011-12-20T17:59:01 ID: 11-024 Page 2 of 5 Reg: 211-N0066262A-000000000-0000 Registration Date/Time: 2011/12/20 21:11:08 HERS Provider: CalCERTS, Inc • i f • Electronically Filed by 'and Authenticated.at CalCERTS.com - 12/20/2011 Electronically Signed at CalCERTS.com by James .Marshall kJBM Construction) 1/13/2012 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building T✓pe ' m Single Family ❑ Addition Alone Date Sapetto Addition ❑ Multi Family ❑ Existing+ Addition/Afteration 12120/201 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.05 0.36 2.70 Space Cooling 99.55 96.80 2.75 Fans 21.01 23.72 -2.71 Domestic Hot Water 0.00 0.00 0.00 Pumps 0.00 0.00 0.00 Totals 123.62 _ . 120.87 2.74 ,. Percent Better Than Standard: 2.2 BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration - Building Front Orientation: (S) 180 deg xExt" Walls/Roof" Wall Area Area Number of Dwelling Units: 1.00 ' .(S) 135 -16 Fuel Available at Site: Natural Gas (w)•: 144. 0 Raised Floor Area: t 0 (N) 135 0 Slab on Grade Area: 240 (E) 144 41 Average Ceiling Height: , 9.0 Roof 240 0 Fenestration 'Average U -Factor: '0'30 TOTAL: 57 Average SHGC- 0.23 Fenestration/CFA Ratio: 23.5 % ' REMARKS' a •� ... -�w� +�-+21.21-_ { �.... i. ai `C„j,j��+ i � w I « �i7 /� •,�,,.' w.°'. T4s". ' ]jJ��fj�y`/�� STATEMENT OF COMPLIANCE. ; This certificate of cornplianceIlists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulgions and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation, is accurate and complete. x Documentation Author Company DAVE MADDEN 40984 oak creek rd 12202011 Address Name City/State/Zipmurrieta, ca 92562 Phone 9-51-634-2712 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation nstallation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professio;is Code)' Company , Dave Madden, Architect ` «• Address 40984 Oak Creek Rd. Name t• M city/State/Zip Murrieta, CA 92562 Phone 9_1-634-2712 - Signed License # DaJof5 Ene Pro 5.1 6 Ene Soft User Number. 5268 RunCode:2011-12-20T17:59:01 ID: 11-024 Page 3 Reg:1211-N0066262A-000000000-0000 Registration Date/T:.me: 2011/12/20 21:11:08 HERS Provider: CalCERTS, Inc It- I 1 • 1 ,rl Electronically Filed by -and Authenticated at CalCERTS.com - 12/20/2011 1 Electronically Signed at CalCERTS.com by James Marshall (JBM Construction) 1/13/2012 t CERTIFICATE OF COMPLIANCE: Residential - (Part 4 of 5) CF -1 R Project Name Sapetto Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration. Date 2/20/2011 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 119 0.069 R-15 4.0 None 180 90 New 4.3.1-A4 Zone 1 Wall 104 0.069 R-15 4.0 None 90 90 New 4.3.1-A4 Zone 1 Wall 135 0.069 R-15 4.0 None 0 90 New 4.3.1-A4 Zone 1 Wall 144 0.069R-15 4.0 None 270 90 New 4.3.1-A4 Zone 1 Roof 240 0.013 R-38 38.0 None 180 18 New 4.2.1-A21 Zone 1 Slab 240 0.730 None 0 180 New, 4.4.7-A1 Zone 1 FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status Glazing Type Location/Comments 1 Window 16.0 a300 NFRC 0.23 NFRC 180 New Milgard Vinyl Tuscany 3D Max F Zone 1 • 2 . Window .40.5 0.300 NFRC 0.23 NFRC 90 New Milgard Vinyl Tuscany 3D Max F Zone 1 • Vii•':' �% '+�"T ,� i� ' ��' " � �...�... �� `C�..>�. �;„”.-, � � a<`�-�',,.,i�`.:; •A.. .4 ' (1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value - (2) SHGC Type:. 116-13= Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS • 1. Window Ove hang Left Fin Right Fin ID Exterior Shade T e SHGC Hat Wd Len H t LExt RExt Dist Len H t Dist Len . H t 1 Bug Screen 0.76 2 Bug Screen 0.76 EnergyPro 5.1 by EnefgySoft User Number. 5268 RunCode: 2011-12-20717:59:01 ID: 11-024 Page 4 of 5 Reg. 211-N0066262A-000000000-0000 Registration Date/Time: 2011/12/20 21:11:08 HERS Provider: CalCERTS, Inc Electronically Filed by and Authenticated at CalCERTS.con - 12/20/2011 Electronically Signed at CalCERTS.com by James Marshall (JBM Construction) 1/13/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Sapetto Addition Building Type ® Single Family ❑ Addition Alone ❑ Multi Family 11Existing+ Addition/Alteration Date 12/20/201 BUILDING ZONE INFORMATION Floor Area 'System Name Zone Name New Existing__Altered Removed Volume . YearBuift HVAC System Room 1 240 '2,160 Totals ` 240 0 01 0 HVAC SYSTEMS t System Name Oty. Heating Type Min. Eff'. Cooling Type Min. Eff. Thermostat Type Status HVAC System ' 1 ; Central Furnace 94% AFUE Split Air Conditioner 15.0 SEER Setback New �%t':• ... � ' }. If HVAC DISTRIBUTION f .. 1 .1_ �•=]I-~ "1' 14- Vit:'l��' � Qk%0Ductlt.r?" V Ducts'C System Name' Heating ' • `6yCooh. nF. Duct Location'` R -Value Tested? Status HVAC System -. Ductless / with Fan Ductless n/a n/a ❑ New ❑ ❑ WATER HEATING SYSTEMS S stem Name Type Distribution Rated Input Btuh Tank Cap. al Energy Standby Factor Loss or or RE Pilot Ext. Tank Insul. R- Value Status CEC Standard MULTI -FAMILY WATER HEATING DETAILS r HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft , o v w' a System Name.. Pipe Length Pipe Diameter Irisul. Thick. Q HP Plenum Outside Buried ❑, EnergyPro 5.1 by Energj§oft User Number. 5268 RunCode: 2011-12-20T17:59:01 ID: 11-024 Page 5 of 5 Reg: 211-N0066262A-000000000-0000 Registration Date/Time: 2011/12/20 21:11:08 HERS Provider: CalCERTS, Inc Bin. # ... . CIty Of`. Qud[1ta Bonding 8z. Sarety Division ... P.O. Box 1.504,78-4.95. Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit #<. �• l Project Add[ess: Owner's Name:. A. P. Number. : Address:''0 c ek Legal Description: / City, ST, Zip. L,t A-14— Contractor. Telephone: Address: 7 < a Project Description: City, ST, Zip: i 1 ZA C -i CPJn X191.1 tai Telephone: S �r c . v a State Lica# : City Lia #; , Archy Eng., Designer: Address: City., ST. Zip: Telephone: M Construction Type' .; Cy..•t • E:,fi Occupancy: Project type (circle one): NewAdd�_n�_->Alter Repair Demo State Lic. #: . � _ r Name of Contact Person: /( —Sq., Ft :# Stories: / #Units: Telephone # of Contact Person: C% � -C) :/ Estimated Value of Project: APPLICANT: DO NOT WRITE. BELOW THIS. UNE # Submittal Req'd Reed . T � PERhIIT FEES Plan Sets SLAAAW — Plan Check submitted.- Item Amount Structural Cater. Reviewed, ready fo correction R n i FIX1. Ilan Check Deposit.Truss . �t�• Called Contact Person Y Plan Check Balance _ Title 24 Cates. Plans picked up a Construction Flood plain plan Plaits resubmitted _ . 3 (iv Mechanical Giading plan 2'! Review, ready for correctio sssue Electrical Subcontactor I.6t Called Contact Person .. •Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^` Review; ready for correedonstissae Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue . School Fees Total Permit Fees