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BRES2016-000578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity, 4 4v Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0005 Property Address: 54705 AVENIDA RAMIREZ APN: 774275022 Application Description: 1,924 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $123,369.00 Applicant: RIOS DESIGN 49-901 CINNARBAR COACHELLA, CA 92236 LICENSED CONTRACTOR'S DECLARATION - I. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 926190 A I Date: X'— z ) /� Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided'that the improvements are not intended or offered for sale. If, however, the building or improvement is sold . within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'. State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). , I I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address: 24 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/22/2016 Owner: EDMOND CABRITA 54420 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: q .....-... HUITRON CONSTR TON __J COACHELLA, (` 50427 RIGO COUR f P; '-' COACHELLA, CA 9L23^2 2 2016 (760)457-9960Llc. No.:926190 i�uir',`T/DEV�h!AQ0Ihi?i.. c4 rlE„0EPARTi,!kNT • WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance ofthew rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall fo hwith comply with those provisions. n Date:^' ZZ-� A7 Applicant: '1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application ,.the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation: I certify that I have read this application and state that the a ov information is correct. I agree to comply with all city and county ordinances and st to c ws relating to building construction, and hereby authorize representatives of this y o enter uLjan the f/ above-mentioned property for inspection purposes. /I I Date:r 2Z-1 � Signature (Applicant or Agent): i FINANCIAL •• • DESCRIPTION ACCOUNT 'QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION 'BSA: $5.00 $5.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # ' CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION - ACCOUNT QTY. AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0• $433.00 $433.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 3/18/16 PAID BY METHOD RECEIPT '# CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 3/18/16 PAID BY. METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 3/18/16 PAID BY = METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $24.66 $24.66 3/18/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION = ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.16 $10.16 3/18/16 PAID BY METHOD RECEIPT # CHECK # .. CLTD.BY EDMOND CABRITA CHECK R14015 3151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 3/18/16 PAID BY -METHOD RECEIPT #. CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 .$227.71 DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-42408 0 $36.26 $36.26 3/18/16 PAID BY METHOD RECEIPT # CHECK # 'CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION _ ACCOUNT QTY 'AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $36.26 $36.26 3/18/16 PAID BY = METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Y Total Paid for GRADING: $72.52 $72.52 DESCRIPTION ACCOUNT. QTY AMOUNT PAID - PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 3/18/16 PAID BYMETHOD RECEIPT # CHECK # CLTD BY. EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY - . AMOUNT PAID PAID DATE. CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 3/18/16 PAID BY METHOD RECEIPT. # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY 'AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT # . CHECK.# CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT: QTY AMOUNT PAID PAID. DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83. $4.83 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 3/18/16 PAID BY METHOD RECEIPT # CHECK #: CLTD BY, EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $24.17 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY " AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $48.36 $48.36 3/18/16 PAID BY METHOD RECEIPT # CHECK .# CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH •DESCRIPTION ACCOUNT -QTY AMOUNT PAID PAID DATE. VENT FAN PC 101-0000-42600 0 $19.32 $19.32 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for MECHANICAL: $205.46 $205.46 DESCRIPTION ACCOUNT..QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2015 UPDATE 101-0000-20310 0 $541.00 $541.00 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for MULTI -SPECIES RESIDENTIAL: $541.00 $541.00 DESCRIPTION • ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $519.17 $519.17 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY. EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for NEW CONSTRUCTION PERMIT: $519.17 $519.17 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $750.00 $750.00 1/15/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RIOS DESIGN CASH R12162 AOR DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $266.96 $266.96 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for NEW CONSTRUCTION_ PLAN CHECK: $1,016.96 $1,016.96 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT # CHECK .# CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT: QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 3/18/16 PAID BY METHOD'. RECEIPT #:: . CHECK #' CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT: - .' QTY,- AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT # . CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE BUILDING SEWER PC 101-0000-42600. 0 $12.09 •$12.09 3/18/16 PAID BY METHOD RECEIPT .# ;CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT . QTY AMOUNT. PAID ` PAID DATE FIXTURE/TRAP 101-0000-42401 0 $132.99 $132.99 3/18/16 PAID BY METHOD RECEIPT # . CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $132.99 $132.99 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY .. EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT CITY,. AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 3/18/16 PAID BY METHOD. RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 3/18/16 PAID BY METHOD '' RECEIPT # CHECK # CLTD:BY EDMOND CABRITA CHECK R14015 1151 SKH 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-02401 0 $36.27 $36.27 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $36.27 $36.27 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION,. - ACCOUNT CITY' AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . n EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT #,. CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH DESCRIPTION. ACCOUNT QTY AMOUNT. PAID 'PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for PLUMBING FEES: $483.57 $483.57 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $16.04 $16.04 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD 8Y EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for STRONG MOTION INSTRUMENTATION SMI: $16.04 $16.04 DESCRIPTION ACCOUNT,• QTY AMOUNT 'PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 3/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY EDMOND CABRITA CHECK R14015 1151 SKH Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: Description: 1,924 SF DWELLING/VB/RES-3/CLASS A-FR/13D ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 1/15/2016 AOR FAMILY DETACHED CHRONOLOGY TYPE Approved: 3/17/2016 BHA Parcel No: 774275022 Site Address: 54705 AVENIDA RAMIREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 307 Lot: 10 Issued: UNIT 28 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $123,369.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 1,924 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. NOTE BURT HANADA 62� __-_.l Applied to Approved X_ Printed: Tuesday, March 22, 2016 8:56:05 AM 1 of 7 C SYSTrmS ADDITIONAL CHRONOLOGY TYPE STAFF NAME. ACTION DATE COMPLETION DATE NOTES CANNOT FIND SECOND SUBMITTAL DOCUMENTS. LEFT PACKAGE ON RAMSES DESK. INFORMED BY APPLICANT THAT ONLY 1 TRUSS CALC PKG NOTE BURT HANADA 3/17/2016 3/17/2016 WAS RESUBMITTED. Gabriel RIOS BROUGHT IN 1 ADDITIONAL SET WITH EOR STAMP OF ACCEPTANCE. NO REVISED STRUCTURAL CALCS RESUBMITTED. OK'D PER ESGIL REVIEWER. PLANS ARE APPROVABLE W/ ADMINISTRATIVE CONDITIONS. PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL ' 2/24/2016 2/24/2016 STRUC READY FOE CORRECTIONS 2/24/2016 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT RAMSES SEVILLA 3/15/2016 3/15/2016 RECEIVED Printed: Tuesday, March 22, 2016 8:56:05 AM 1 of 7 C SYSTrmS PLAN CHECK PICKED UP RAMSES SEVILLA 3/2/2016 3/2/2016 GABRIEL RIOS PICK UP PLANS PLAN CHECK SENT TO KAY HENSEL 1/15/2016 1/15/2016 STRUC TO ESGIL FOR STRUC P/C ONLY - DUE BACK 2/5/2016 OUTSIDE PC STRUC TO ESGIL. APPLICANT SUBMITTED WRONG CALCS AT PLAN CHECK SENT TO KAY HENSEL 2/12/2016 2/12/2016 FIRST SUBMITTAL SO ESSENTIALLY ESGIL MUST START OVER OUTSIDE PC EVENTHOUGH THIS IS THE 2ND PLAN CHECK. STRUC TO ESGIL. APPLICANT SUBMITTED WRONG CALCS AT PLAN CHECK SENT TO KAY HENSEL • 2/12/2016 2/12/2016 FIRST SUBMITTAL SO ESSENTIALLY ESGIL MUST START OVER OUTSIDE PC EVENTHOUGH THIS IS THE 2ND PLAN CHECK. 'PLAN CHECK SENT TO RAMSES SEVILLA 3/3/2016 3/3/2016 OUTSIDE PC PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/3/2016 3/3/2016 RECEIVED RESUBMITTAL STEPHANIE KHATAMI 2/11/2016 2/11/2016 TELEPHONE CALL BURT HANADA 2/26/2016 2/26/2016 NOTIFIED GUSTAVO THAT CORRECTIONS ARE READY FOR PICKUP. CONDITIONS CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE BURT HANADA 3/17/2016 3/17/2016 3/22/2016 COMPLETE CHECKLIST CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT RIOS DESIGN 49-901 CINNARBAR COACHELLA CA 92236 (760)485-7431 CONTRACTOR HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA CA 92236 (760)485-7431 OWNER EDMOND CABRITA 54420 AVENIDA LA QUINTA CA 92253 (760)485-7431 RAMIREZ Printed: Tuesday, March 22, 2016 8:56:05 AM 2 of 7 SYSTEMS Permit Details PERMIT NUMBER a1 City of La Quinta BRES201-6 70005 --idden Printed: Tuesday, March 22, 2016 8:56:05 AM 3 of 7 CPR" SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. RECEIPT # CHECK # ` METHOD " .,PAID- BY BY BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH Total Paid for BUILDING STANDARDS ADMINISTRATION $5.00 $5.00 BSA: DIF -CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH' CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH DIF - PARK 256-0000-43200 0. $40.00 $40.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 3/18/16 _R14015 1151 CHECK EDMOND CABRITA SKH DIF - STREET 255-0000-43200 0 $116.00 $116.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH MAINTENANCE DIF -TRANSPORTATION 250-0000-43200 0' $2,842.00 $2,842.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 RESIDENTIAL, 101-0000-42403 0 $24.66 $24.66 3/18/16 R14015 1151 CHECK EDN40ND CABRITA SKH ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $10.16 $10.16 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $14S.03- $145.03 3/18/16 • R14015 1151 CHECK EDMOND CABRITA SKH 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH' 1;000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 $227.71 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH HOME LOT <=7KSF Printed: Tuesday, March 22, 2016 8:56:05 AM 3 of 7 CPR" SYSTEMS Printed: Tuesday, March 22, 2016 8:56:05 AM 4 of 7 0? SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #. METHOD - PAID BY BY RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $36.26 $36.26 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH HOME LOT <=7KSF PC Total Paid for GRADING: $72.52 $72.52 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH SOR CONDENSER/COMPRES 101-0000-42600. 0 $24.17 $24.17 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH FURNACE 101-0000-42402 0 $36.26. $36.26 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH FURNACE PC 101-0000-42600 0 $24.17 $24.17 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH VENT FAN 101-0000-42402 0 $48.36 $48.36 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH VENT FAN PC 101-0000-42600 0 $19.32 $19.32 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH Total Paid for MECHANICAL: $205.46 $205.46 MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $541.00 $541.00 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH UNITS - 2015. UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $541.00. $541.00 NEW CONSTRUCTION 101-0000-42400 0 $519.17 $519.17 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $519.17 $519.17 NEW CONSTRUCTION 101-0000-42600 0 $750.00 $750.00 1/15/16 R12162 CASH RIOS DESIGN AOR PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $266.96 $266.96 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,016.96 $1,016.96 Printed: Tuesday, March 22, 2016 8:56:05 AM 4 of 7 0? SYSTEMS Printed: Tuesday, March 22, 2016 8:56:05 AM 5 of 7 RWSYS7Eti1S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH . BUILDING SEWER PC 101-0000-42600. 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH FIXTURE/TRAP 101-0000-42401 0 $132.99 $132.99 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH FIXTURE/TRAP PC 101-0000-42600 0 $132.99 $132.99 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH OUTLETS PC ROOF DRAIN 101-0000-42401 0 $36.27 $36.27 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH. ROOF DRAIN PC 101-0000-42600 0 $36.27 $36.27 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH INST/ALT/REP PC Total Paid for PLUMBING FEES: $483.57 $483.57 SMI - RESIDENTIAL 101-0000-20308 0 $16.04 1 $16.04 3/18/16 R14015 1151 CHECK EDMOND CABRITA SKH Total Paid for STRONG MOTION INSTRUMENTATION SMI: $16.04 $16.04 SINGLE FAMILY 224-0000-20320 T07 $1,837.44 $1,837.44 3/18/16 R14015 1151 CHECK 1.EDMOND CABRITA SKH DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: Printed: Tuesday, March 22, 2016 8:56:05 AM 5 of 7 RWSYS7Eti1S Printed: Tuesday, March 22, 2016 8:56:05 AM 6 of 7 RSYSTEMS PARENT PROJECTS ATTACHMENTS Attachment Type : RETURNED REVIEWS STATUS REMARKS PAT.HNAME REVIEW TYPE REVIEWER SENT DATE DUE DATE GATE 1ST REVIEW BRES2016-0005 - 1ST NOTES IST BLDG NS (3 WK) JAKE FUSON 1/15/2016 2/5/2016 1/25/2016 REVISIONS REQUIRED SEE 1ST REVIEW CORRECTION LIST. 1ST BLDG STR (3 KURT CULVER 1/15/2016 2/5/2016 1/25/2016 REVISIONS REQUIRED WK) 1ST REVIEW BRES2016-0005 - 1ST DOC 1/25/2016 2ND BLDG NS (2 BURT 2/12/2016 2/26/2016 2/26/2016 REVISIONS REQUIRED WK) HANADA CALL GUSTAVO 760-457-9960 WHEN READY. BRES2016-0005 - 2ND DOC 2/24/2016 AJ ORTEGA STRUCTURAL APPLICANT SUBMITTED CALCS FOR ANOTHER 2ND BLDG STR (2 KURT CULVER 2/12/2016 2/26/2016 2/23/2016 REVISIONS REQUIRED CORRECTIONS.pdf HOUSE AT FIRST SUBMITTAL. THIS PLAN CHECK. WK) WILL INCLUDE THE CORRECT CALCS AND THE TRUSSES. BURT 3/4/2016 3/18/2016 3/17/2016, APPROVED 3RD BLDG NS (1 WK) HANADA 3RD BLDG STR (1 KURT CULVER 3/4/2016 3/14/2016 3/11/2016 READY FOR APPROVAL WK) . Printed: Tuesday, March 22, 2016 8:56:05 AM 6 of 7 RSYSTEMS ATTACHMENTS Attachment Type : CREATED OWNER DESCRIPTION PAT.HNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW BRES2016-0005 - 1ST DOC 1/25/2016 AJ ORTEGA STRUCTURAL FEE SHEET REVIEW STRUCTURAL 0 (ESGIL) FEE SHEET.pdf 1ST REVIEW BRES2016-0005 - 1ST DOC 1/25/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 CORRECTIONS (ESGIL) CORRECTIONS.pdf 2ND REVIEW BRES2016-0005 - 2ND DOC 2/24/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 CORRECTIONS (ESGIL) CORRECTIONS.pdf Printed: Tuesday, March 22, 2016 8:56:05 AM 6 of 7 RSYSTEMS Printed: Tuesday, March 22, 2016 8:56:05 AM 7 of 7 rP SYS 7Eti1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 3RD REVIEW BRES2016-0005 - 3RD DOC 3/14/2016 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 TRANSMITTAL TRANSMITTAL (APPROVED) (APPROVED).pdf 2ND REVIEW DOC 2/26/2016 BURT HANADA NONSTRUCTURAL 54-705 Avenide Ramirez 1 - 2nd.docx REVIEW SCHOOL FEE'AREA CERT DOC 2/26/2016 BURT HANADA SCHOOL FEE AREA CERT FORM - 54705 AVE. 0 FORM RAMIREZ.pdf, Response Letter2 - Response Letter2 - DOC 3/17/2016 BURT HANADA 54705 Avenida 54705 Avenida 0 Ramirez.pdf Ramirez.pdf BRES2016-0005 - 1ST 1ST REVIEW - DOC 1/25/2016 JAKE FUSON NONSTRUCTURAL REVIEW - 1 NONSTRUCTURAL CORRECTIONS CORRECT IONS.pdf SCHOOL FEE RECEIPT SCHOOL FEE RECEIPT DOC 3/18/2016 STEPHANIE KHATAMI 54705 AVENIDA 54705 AVENIDA 0 RAMIREZ RAMIREZ.pdf DOC 3/18/2016 STEPHANIE KHATAMI GRANT DEED 54705 GRANT DEED 54705 0 AVENIDA RAMIREZ AVENIDA RAMIREZ.pdf Printed: Tuesday, March 22, 2016 8:56:05 AM 7 of 7 rP SYS 7Eti1S t t u 1 Building Address Owner c Mailing 7� Address City Zip mft v Contractor Address City Zip & Classif_ I Lic. # Designers Address lei. �ti �I��,�, L. "71 Lic. # P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for suchpermit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (8500). OI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 01 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of.California. Date Owner NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 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 of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip F.Joutlo • 6005' APPLICATION ONLY BUILDING: TYPE CONNS°TT v- OCC. GRP. f-_3 A.P. Number `�L`1 2-,,7L— Legal -,,7 '� Legal Description K! L6/J<- J u Project Description ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Sq. Ft. I �ZQ- Size 1 No. ` No. Dw. Stories j Units Ne nz Add Alter Repair Demolition OCC -1c 11 Ic n JAN 15 2016- 016Estimated EstimatedvaluationCRY OF Lok QUINTA COMMUNITY DEVELOPMENT PERMIT AMOUNT Plan Chk. Dep. ,Plan Chk. Bal. s Const. IIJ Mech. 11 1 J j Electrical NA„T Plumbing ...,nctIFlOPhIENT ,�,.� S.M.I.-- Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE:. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE CERTIFICATE, OFjC1OMPLIANCE.- Desert,Sj nds, Unified School District. d - I - 47950 Dune ..Pa ihsRoa : Date: 3/18/2016 'La Qunita,.CA 92253 No.: 16-00158-1 (760)1.71-8515 Owner: Edmundo Cabrito Email: Address: 'Jurisdiction: La Quinta City: Tract #: Type: Single Family Residential C+1 0 0 ERMUDADUNW' i,PANCK0M1RAGF_;0 1��WDJAN WELLS,,' k1VA&YEU1 79 Lot # Street No. Street Name Sq.; Feet APN. . Permit No. 54705 Avenida Ramirez .1924 774-275-022 Comments: At the present time, the Desert Sands Unified Sqh6ol,District d6es'hot-c61lect.fees on gjrages/car I ports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces th6i'do-rot contain facilities Jo . r Ii . ving,'sleeoing,' cooking eating, gr-sanitition)-or replacement mobile homes. It has been determined that the above-named owner is 'exempt from paying school I fees at this: timeAue to the following reason: EXE* rwflON-NOT APPLICABLE This Certifies that scho6 I facility fess imposed pursuant to Education Code Section 17620 and Gove'enment .Code 65995 Et*,Se.q.. in the amount of $3.30'X 1924.�, S.P.'or •.$6,464.64'. have -b'e'en paid for the property listed above a nd that building permits and/or Certificates of Occuoan.cy,_f6r this ' qb4re-footage, in'the,proposed,'project May now be issued. Fees Paid BY: CC/Bank of America - Edm'bndo"Cabrito Check.No.: 12.95705143 Telephone: 702-727-9386 Bank .N6mL-/keci''piOntof.Certifitate Funding� -Residential By Dr. Gary ,Rutherford Superintendent Fee Collected/ Exempted by: Sh r Gilvr-Due: Arnount $6464*64 $.0.00 �--1 OrigiralTaymerif(siRec'cl: New-Paytnent he'd: $6464.64 &er/under:. '0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify.you that the 90 -day approval. period in may protest the fees or other payment identified above will begin to. -run from the date on Which. the- building or installation permit for.this 'project is issued, or from the date on which those amounts are paid to the District(s).br to another public eniiity'autho rized to collec . t th e m on . the Dis . tric : t('s) behalf, whichever is earlier. Notice to Building Department: THIS.DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. Lawyers Title RECORDING REQUESTED BY Lawyers Title - IE WHEN RECORDED: MAIL THIS DOCUMENT AND TAX STATEMENTS TO: Edmundo Cabrita 3838 Broom Place Port Coquitlam, B.C. Canada V3B4A4 APN: 774-275-022-6 Escrow No: PDL12313-LT139-RK Title No: 614691427 DOC # 2014-0176912 05/15/2014 10:26 AM Fees: $21.00 Page 1 of 3. Doc T Tax Paid Recorded in Official Records County of Riverside Larry w. Ward. Assessor, County Clerk & Recorder ""This document was electronically submitted to the County of Riverside'for recording— Receipted by: YSEGURA above this line for Recorder's use .rxA QZO - O l y GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $'66.00,'CITY TRANSFER TAX $0.00 X computed on full value of property conveyed , AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Diane Watkins a married woman as her sole and separate property hereby GRANT(S) to Edmundo Cabrita, a married than the following described;real property in the City of La Qu,inta, County of Riverside, State of CALIFORNIA: For legal description of th'e real property Herein; see;Exhibit A attached hereto and made a part hereof. Commonly known as: #774-275-022-6 (Vacant Land) Avenida Ramirez , La Quinta, CA 92253 Dated: �A ril 1, 2014 STATE OF CAL FO IA Tom. 5 COUNTY OF I,Q }ss: On , 4� aD l y , before me, zcye►1 4 Tk k1 a Notary Public, (here insert name and title'of the officer). f personally appeared 0i (4 W& L lA.{> I 1 S who proved to me on the basis of satisfactory evidence to be the person(4 whose name( is/are subscribed to the within instrument .and. acknowledged to me that 06/she/tbey executed the same in IKs/her/tt)efF authorized capacityQp< and that by bK/her/thef - signatureW on the instrument 'the persoroy, or the entity upon behalf of which the p'eeson(< acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. AI`RIM- DI'a- IRENE SALAZAR Commission s 1979119 Z -+ Notary Public - California i Z Los Angeles County My Comm:, Ex ires Ma _21, 2016 Signature jT (This area for notary stamp) MAIL TAX STATEMENTS AS DIRECTED ABOVE DOC #2014-0176912 Page 3 of 3 05/15/2014 10:26 AM File No: 614691427 EXHIBIT "A" THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: LOT 10 BLOCK 307, OF TRACT ENTITLED "UNIT NO. 28 SANTA CARMELITA AT VALE LA QUINTA" IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 19 OF MAPS, PAGES 59 AND 60, RECORDS OF RIVERSIDE COUNTY. ASSESSOR'S PARCEL NUMBER: 774-275-022-6 DOC #2014-0176912 Page 2 of 3 05/15/2014 10:26 AM GOVERNMENT- CODE 27361.7 I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE bbCUMENT TO WHICH THIS STATEMENT IS ATTACHED READS AS FOLLOWS: NAME OF NOTARY: Irene Salczaur COMMISSION NO: 1979119 PLACE OF EXECUTION: Los Angeles DATE COMMISSION EXPIRES: 5-21-16 MANUFACTURER/VENDER NO: NNA 1 a . % SIGNATURE: DATE: 4- /S• I 1W..:,. Building Permit Number: Project Description:SFR Exempt: (Materials may contain hazardous wastes and are --not subject to recycling provisions) Construction Debris ;Management Plan Plan Submittal:Dat Job Site Addres Owner's -Nam Number, Street, or ;PO Bo City, State, Postal Cod Owner's Phone Nu•mbe Owner's E -Mail Addres Project Manager's -Nam Project Manager's.Phone Numbe Project Manager's E-mail Addres Builder /.Contr< Number„Street or PO City, State, Postal C Project Square City Approval'By r Date of City Approval 3/18/2016. 54-705 Avenida Ramirez Ed Cabrita . 3838. Broom PI ; r .Pt Coquitla'm BC B3B 4A4 Materials To: Be'Disddirded: Gustavo Huiton '760-457-9960 huitonconstrucftion0vahoo.com Huiton Construction 50427 Rigo Qt Coachella, CA. 92236 1,924 square feet x 2 t a ± . i.:.r+�. ..,,fit f.,+• ,,y. +' a7 ,ik,^3/: '^'.i 2 2 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Product Tons Trash `"8.50 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken).'-. 0.00 Recyclable Brick/Block 0..00 Recyclable Plaster 2.00 Recyclable Cardboard 0:00. Recyclable Scrap' Metal. 0.00 Recyclable Commingled ••0:00 Recyclable Tile '(floor), 0.00 Recyclable C011Crete' :8.00. Recyclable Tlle,•(roof .25 Recyclable Drywall 0.75 Recyclable Wood L�2 .50 Recyclable Donated /Reuse” 0.00 Recyclable Landscape Debris .00 Recyclable *Describe Items•' t ' S: Re c 'cle Trash Projected Diversion: 13:5 8.5 61.36% I understand it is the property owner's res.666bility`to submit copies of weight tickets or receipts to the District Environmentdj Coordinator as these hauls occur: 1 hereby ceertify.that completion',irAplementation and adherence of the Debris Management:Plan-(DMP) for thb above named, project shall guaranteeAat atWst50% of the jobsite waste is diverted. from landfilling. The remaining material will,berecycled'or reused.`l will desert, for recycling or re -use, remaining materials.generated from the first day'ofthe projectahrough the completion of the proleciin accordance with this plan. This DMP is iss d in the name* f the•property owner(s) and shall remain their property thioughoutdhe construction and/or demo) tion, r ect.-A oont'ractor„serving= s agent of -the owner may obtain a DMP for ihe'owner. However, the DMP is still issue in t e W'-hau'li 'y.own r(s) an the owner retains legal responsibility for ensuring that the provisions of the DMP re hy'o r(s) a general contractor shall; be kept informed of the diversion progress through bi-mo thly rea sem terial from this project site must be takeri;to an approved recycler or. transfer r / ev per,/ Project Manag r / Superintendant Date t CERTIFICATE OF COMPLIANCE - RESIDENTIAL PER FORMANCE.COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation,Date/Time: 13:43, Thu, Feb 04, 2016 Page 1 of 9 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml GENERAL INFORMATION ENERGY USE SUMMARY 01 Project Name Single Family Residence 04 05 02 Calculation Description Title 24 Analysis 08 , Energy Use (kTDV/ft2-yr) 03 Project Location 54-705 Avenida Ramirez Compliance Margin Percent Improvement 04 City La Quinta 05 Standards Version Compliance 2015 c^o 06 Zip Code 07 Compliance Manager Version BEMCmpMgr 2013-4 (744) N 08 Climate Zone CZ15 09 Software Version, EnerdvPro 6.6 }„ :.10 Building. TypeSingle Family 11 - Front Orientation,(deg/Cardinal) 90 m 12 Project Scope Newly Constructed 13 Number of Dwelling,_Units 1 LL 14s:w Total Cond. Floor Area (ft2) 1924 15- Number of Zones 1 1.61 Slab -Area (ft2) 1924 17 Number of Stories, 1 18 -Addition Gond. Floor Area_ N/A 19 Natural Gas Available Yes 20:- Addition'Slab Areaa (ft2) N/A 21 Glazing Percentage (%) 1.2.3% - COMPLIANCE RESULTS 01 Building Complies with ComputerPeforma e'"f i , ': �"4 . R Of'. eam"d! - a".N'i - vti ;f�£ AR° _f V-1 A . 02 This building incorporates featuresahat.require field testing and/or verificationby a.certifirHERS rater under the supervision of a CEC-approved: HERS provider. 6 ea �. .. �...: r.:-. .01.-,�:�—+..�..•• w-a�.: tea- - �-r ._„e 03 This building incorporates one or�mo. Speii l Features show below . FOR C NSTRUC ION r�( DATE �✓ 17 BY � Re U1 Registration Date/Time: 2016-02-11 12:58:22 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-02-04 13:43:59 F— Z ILI Fa -:d Z M2 UJ 0.> 5 a U6. O_ Z O V ENERGY USE SUMMARY 04 05 06 07 08 , Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 2.35 2.20 0.15 6.4% Space Cooling • - 80.91 - 79.09 " 1.82 2.2% IAQ'Ventilation 1.14 1.14 0.00 0.0% 12.14 11.61 0.53 4.4% - i� i ' 0.00 0.00 BtIIL�fP►bQ*SAM E)tpT ': 96.54 94.04 2.50 2.6% FOR C NSTRUC ION r�( DATE �✓ 17 BY � Re U1 Registration Date/Time: 2016-02-11 12:58:22 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-02-04 13:43:59 F— Z ILI Fa -:d Z M2 UJ 0.> 5 a U6. O_ Z O V „ CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml REQUIRED SPECIAL FEATURES Theloliowing are features that must be iristalled•as condition for meeting the modeled energy performance for this computer analysis. • Cool roof • Window overhangs and/or fins CF1 R -PRF -01 Page 2 of 9 HERS FEATURESUMMARY The.following isa m sumary.;of the feaiures.that must be field -verified by'a certified HERS Rafer as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the 1. building components tables below. Building-level:Verifications: >-IAQ-mechanical ventilation Cooling Systetri:Veiifications: ` .. • Minim um Airflow, , -Veiified:SEER • Refrigerant Gf arge' • • Fan Effieacy Watts/CFM . HVAC Distribution System Verifications: Du11 ct Sealing .. Low•leakage Air Handling Unit Domestic Hot Water System Veri_ficaii ns: _ • ”- None .. ... - �Aameil'i'e6'�.:N� � td& _+.' .. -�ihj.• �t A�j+a-'e. r .. ENERGY'DESIGN RATING s 01 This is the sum of;ahe annual.TDV;:energy consumption foraenergy use,components,mcluded m the,performance compliance appioach.for the• Standard Design Building (Ene gy'Budg'et) and the "annual .. TDV energy consumption foriighting and -components not'�egulated by-Tdle.24; Part 6 (such as domestic appliances and consumerelectromcs) and accounting forthe annual,TDV energy offset by an, ; on site renewable energy system: O6 a • t' - `•Reference:Energy UseEne gyDesig Rating Margin RMOVIN. w.� M.. Percent Improvement Total Energy (kTDV/f2-yr)'. ^- ' Y 145:01` . X142'516 '� 2 50 :, - - 1:7%• { ' includes calculated Appliances and Miscellaneous Energy. Use (AMEU) BUILDING FEATURES INFORMATION " s _ - - S 01 02h 03 04 05, O6 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Cooling`Systems Number of Water Heating Systems Single Family,Residence 1924 1 3 1 0 1 Registration Number: 216-N0020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 3 of 9 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System:2. Whole House Conditioned Whole Housel 1924 9 DHW Sys 1 Gross Area (ft2)' OPAQUE SURFACES ,, 01; = 02 .. 03 04 . i 'ou_ V_ , 06 - 07 : ,' 08 Name C6n6e'ction ,Type + Roof RWse . ' Roof Reflec&tan.e Roof'Emittanc"e. _ Radiant Barrier - Cool Roof ` - Ventilated,-, . 0 0.5 0.75 Yes -:Yes. ;,02 03 i.'04 05- 06 07 Name ' Zone Construction Azimuth Orientation Gross Area (ft2)' Window&,Door Area (1ft2) rTilt.(deg) Front Wall Whole House R-21 Wall 90 front - 500 66 385 90- Left.Wall' Whole`House - R-21 Wall 5 180`y Left ' 500 ,62 90 Rear Wall Wliole,House R=2-1:'yl/all 270, Back 600 51.984` 90 ' - Right.Wall iWhole House • 44 .x. R 2_1tWall 0 Flight 1300 56 -90 Roof. Wh'19,'sHoue ` ., Vfi ;., R 38A&f,Attic `�~ 1924 ATTIC 01; = 02 .. 03 04 . i 'ou_ V_ , 06 - 07 : ,' 08 Name C6n6e'ction ,Type + Roof RWse . ' Roof Reflec&tan.e Roof'Emittanc"e. _ Radiant Barrier - Cool Roof Attic Whole House Attic RoofWhole House--!* K - Ventilated,-, . 0 0.5 0.75 Yes -:Yes. Registration Number: 216-N0020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version - CF1R-08252015-744 Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation Datefrime: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 4 of 9 WINDOWS 01 62 '03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Multipli Width (ft) Height (ft) er Area (ft) U -factor SHGC Exterior Shading " 'Window Window Front Wall.(Front-90) 1.5 .. 2.0 2.5 7.5 0.40 0.36 Insect Screen (default) Window 2 " , Window Front Wall (Front -90) 1.5 2.0 1 3.0 0.40 0.36 insect$cteen (default) Window 3 Window Front Wall (Front,90) 5.0 6.8 0.982 33.4 0.40 0.36 'Insect Screen (default) Window 4 Window Front Wall (Front -90) ' -1.5 6.0 " ` '0.833 7.5 0.40 0;36: Insect Scre en' (defaul I), Window 5. Window Front Wall (Fr6690): 1:5 2.0 1 - 3.0 0.40 0.36 Insect Screen (default) Window;6,- .. Window. Front Will (Fr6nt=90) 6:0 " 2.0. 1 12.0 0.40. 0.36; Insect Screen(default); .. Window 7 Window Left Wall (Left -180)-_- 5.0 -5.0 1 25.0 0:40 0.36 lnsect Screen (default) Window Window Left Wall (Left -180) . 5.0 5.0 1 25.0 0.40 ': ' 0.36. Insect Screen (default). Window 9 Window Left Wall (Left -180) 2.0 2.0 1 4.0" 0.40 0:36 Insect Screen -(default) Window 10 Window " , Left 1Nall(Left 1 80 . 2.0 2.0 14.0 040 0.36 -:; Insect Screent(default)' Window i t Window Left Wallw(Left 180)*,= 2'.0 2 O r , 1 4.0 0 40= 0 36 Trisect Screen (default) Window'12 Window t Re "cWaIIR(Back-270) - `6 68 - -. - 0:98 40:0 ' 0.40' 0.36. Insect Screen (default) Window 13 Windows " ?+ ` ;ReariWall'(Back 2710) -'6 0 lk 2.0 ..J 1 X2:0 0.40 0:36 Insect'Screen (default) Window 14 Window 'Ri9h4f >4 �kight-Q) x Cib '. �`�' :1 11 8;6.`. 0.40 0.36 Insect Screen (default) Window 15,1 Window Ri ht Wall,: Ri ht :0 : 9 :.amu (�9 ) 440 4 , `�4ag 1" :.a ` :.: + 16:0 •0.40 0.36 Insect Screen default ! Window 16" Window RightWal6(Right-0) 4.0 _ 2.0 T. 8:0. 040 0`.36. Insect Screen:( default) Window 17 Window Right Wall (Right 0)..- 4.0 4 0 -.' `'' 1 .16.0 0.40`: "0:36 Insect Screen (default) Window 18 Window ' Ri6htWall'(Right=0) 4.0- '12.0'-- 1 8.0 0.40-'_ >;'-0:36 Insect Screen (default) Registration Number: 216-No020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - U111-08252015-744 Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name:'Single Family Residence Calculation Datefrime: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 5 of 9 OVERHANGS AND FINS 01 02, 03 04 05 06 01 08 09 10 11 12 13 14 ' —. Overhang, Left Fin <Right Fin Window Depth Left Dist Up - Extent Right Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up. Dist R Bot Up Window 2 0.1 2 2, 0 0 0 0 0 0 0 0 0 Window 2- 2 0.1 2,, 2 0 0 0 0, 0 0 0 0 0 Window 3- 2 ..0.1 2. 2 = 0 0 0 0 0 0: 0 '., 0 0 Window 4 -2 0.1 2 2 0 01; 0 0 0 < 0- 0 0 0 Window 5 ; '. 2 0.1 2 2 0 0- 0 0 0- 0 0 0'.. 0 Window 6' 2 0.1 2 2 0 0: 0 0 0•--- 0 0 =0 0 Window 7 2 0.1 2 2 0 0 0 0 0 0 -'.0 0 0; - _nd_ Window 8 2. �.= ' 0:1 2. 2 0 0. 0 0 0 0 ,...0 0' -' 0~ YbWindliW9> _2�� 0.1 2 2 0 0: . . ^0 p 0 p. 0., 0 p ~r Window 10 2 1 ,T 0�1 2 a 2 0. 0 ^> p p. 0 0_ 0 0 p _. .Window 111 2 ':,ccw 1 2 ,� ' x_... - 2 0�i is 0+ 0 0. 'r , :0 .. 0 0 .. 0. Window 12 0 Q:.Q 0. 0 0 0 0= Window 13 : 2 ' y� 0 1 i"= �� 0 .;1 0 €1I` qfi = 0 t) . Window 14. .^ 2. 0.1: 2 0 -V 0 0 0 0 . Window'.15- .. a,�3?. - , a. ;'. di� �2 �,; ;_a �2 0 0 mom" maze n ..: 0. - 0 -.0' ,,, 0... 0 Window 16 2 -` 0.1 2 2 , 0 0 0. ,.. 0 , .0 0 0 0 '+ \ 0 wihdow.17 2 -. 0:1.: 22 0...: 4 0 •' 0 0 ' 0 0 ; :0 . .0. ' • 0.. Winliow'18 `2` 0.1 2 2 b, 0 0 0 0 0 0, 0. 0 Registration Number: 216-No020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-02-04 13:43:59 k CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 6 of 9 OPAQUE SURFACE CONSTRUCTIONS ' 01 02 03 64 05 ' 06,- 07 '''� Quality:Installation'of`Spray Foam lnsulation-�,- :• Building Envelope Air ,Leakage '.CFM50 = Not Required .:- r' Total Cavity Winter Design Input Rating Construction Name Surface Type Construction Type. Framing R -value U -value Assembly Layers 460004tu/hr 0 0 _ Cavity Frame: no insult /2x4 Top Chrd _ 2x4 Top Chord of Roof,Truss @ 24 Roof Deck: Wood.Siding/sheathing/decking'- Attic RoofWhole House Attic Roofs Wood Framed Ceiling ''in. O.0 :' none - 0:644 Roofing: Light Roof(Asphalt Shingle). %Inside Finish' Gypsum Board _ - Cavity / Frame: :R -19%2x6 F • Ext6i Jiinish: Wood' ' R-21 Wall Exterior Walls Wood Framed Wall 2x6. @,16 in.'O:C. R 19 - :0.069 Siding/sheathing/decking 9 Inside'Finish:Gypsum Board Ceilings (below , _ Cavity/Frame: R 9.1 /2x4 R-38, Roof Attic ;attic) ; Wood Framed Ceiling' 2x4 @ -24 in. O.C.. 38 .- 0.025 • .Over Floor Joisis�R-28 9.insul.: 1.R SLAB FLOORS F Ot 07 ., . . " 03 , .. 04.: 06 Name =, yasiZone,"` L rAtea (ft) r Perimeter (ff) Edge Insult R value`& Depth`s Carpeted Fraction Heated Slab -on -Grade WfiolexHouse'` ..� . '1L924 ` & `365 - "ti' None = - ' ' 0.8 No ` 11 •' Id iti' � � r . - ?F ""` `s1�'�a BUILDING ENVELOPE -HERS VERIFICATION _ _, . ,- _, $ , „ 01. iz F : -�, ,� 02 - 'l�` :. ': "R, "' .. T f., 04 Quality Insulation Installation (QII) '''� Quality:Installation'of`Spray Foam lnsulation-�,- :• Building Envelope Air ,Leakage '.CFM50 = Not Required .:- r' . Not Required. °° Not Required'" - WATER HEATING:SYSTEMS - « 01 01. 02 03.. 04 65 .O6 NameSystem Type _ Distribution Type _.. Water Heater_ Number' of Heaters Solar Fracf'ior ("/•) DHW Sys 1 - 1/1 DHW,,.Standard DHW Heater 1 :-1 7.0% .- WATER HEATERS « 01 02 - 03 04, 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Storage 50 0.62 460004tu/hr 0 0 Registration Number: 216-No020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family'Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 7 of 9 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06- 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation Control - Central DHW Distribution ' DHW Sys'1 - 1/1 '•Cooling Component 1 - Air. Distribution'System 1 Attic Name System Type SPACE CONDITIONING SYSTEMS 01 02 03 04 05 O6 SC'Sys,Name System Type Heating :Unit Nam _ e Cooling Unit Name Fan Name Distribution Name Whole House] Other Heating and Cooling. System Heating Component.1 '•Cooling Component 1 'HVAC Fan 1 Air. Distribution'System 1 HVAC -HEATING UNIT.TYPES ••• ' ' • y , J 01 02. s 03 w. Named, TYPe. r Efficiency Heating Component , CntrlFurnace, Fuel -fired central:furnace Ti "' c .w ins 80 AFUE' HVAC- COOLING UNIT TYPES .... .. 01 _. . _ •�.,�wx 02 a+� +w�L: 03Oq:: a05 06 - 07 Verified Airflow Airflow Target a.:;. .� W Ate.,, Verified Refrigerant Charge Cooling Con ponent, I -hers-cool Required 350 L Effic ency W V. 9 Required Multi -speed Attic Name System Type ?z= - EER SEER Zonally.Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond ".' s• 13 16 Not Zonal Single Speed Cooling Component 1 -hers -cool HVAC COOLING.- HERS VERIFICATION 01 02 03 04 05 06.E Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Con ponent, I -hers-cool Required 350 Required Required Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Air Distribution System 1 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 1 -hers -dist Registration Number: 216-No020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:59:22 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD ' Project, Name: Single Family Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml C01 R -PRF -01 Page 8 of 9 HVAC DISTRIBUTION - HERS VERIFICATION ` 01 02 03 04 05 06 07 08` Name Duct Leakage Verification Duct leakage Target (%) Verified. Duct Location Verified Duct Design Buried Ducts Deeply Buried Ducts Low -leakage Air Handler Air Distribution System 1 -hers -dist Required 6.0 . N&—ke-q fired; `'' Not Required : Not Required Not Required,-'-" ` Required, HVAC FAN SYSTEMS ..-at 02 03, 04' Name Type=.: Fan P,.ower-(Watts/CFM) HERS Verification HVAC'Fan' 1 Single Speed PSC Furnace fan 0.58 HVAC Fan lchers fan HVAC.FAN SYSTEMS- HERS VERIFICATION - y 01... t' �.. 02 f03` Name , - ,,, , " .. s ...n� .' Ve"rifled Fan:Watt Draw' - '• �' Regwred Fan Efficiency (Wafts/CFM) HVAG.Fan 1`-hersefan ' . ;r Required A 58 .IAO (Indoor Air Quality' ).FAN$ ..r . _ P t,. n --H. _4 -: IAO Recove ry: ,HERS Dwelling Unit' IAQ CFM IAQ Watts/CFM IAQ Fan Type Effectiveness(%o) Verification -: �., SFam IAQVentRptF„ t4 a 49.24 - 0 25 ` }4 - - Default ._ 0 �� Required Registration Number: 216-N0020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 HERS Provider: CaICERTS inc. Report Generated at: 2016-02-04 13:43:59 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation Date/Time: 13:43, Thu, Feb 04, 2016 Calculation Description: Title 24 Analysis Input File Name: Cabita Residence.xml CF1 R -PRF -01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT . 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: r7/�/� loan d acLr Joan Hacker Company: Signature Date: Joan Hacker '2016-02=04 14:26:42 Address �f'ZI., CEA/HERS'Certificatiori Identification (If applicable): 77810 Las:Montanas Road, Suite 201 -' City/State/Zip: - _ Phone: r '-Palm Desert; CA 92211;, 76013.45-1352. RESPONSIBLE PERSON'S`DECLARATION STATEMENT " I certify the; following underpenalty-of periury,•'under the -laws. of the State of California: -, 1. lam eligible underDivision3 of the Busmesss..and Professions Code to accept responsibility for the building -design identified -on this Certificate of Compliance. 2. I certify -that the;energy features and performance specifications identified on this -Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the -California bode -ofd' Regulations. " .3.` -The building design features oem ign featuresicientrfiedsonahis'Certrficate of Compliance are.eonsisfent with the information provided on other applicable compliance documents, worksheets, calculations; plans And specifications submitted tl ae: enforcement�agency for apprAoyal wi hiiss,building permit application. Responsible Designer Name: qgqg Responsible Designer Signature: Gabriel Rios �p7Qgj . . Company: : Date.Signed. N: 201b-U2-112:5b22:1. Rios Designs, Address: License: 49-901 Cinnabar Lane 'City/State/Zip: Phone: Coachella, CA 92236 760=485-7431 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-N0020724B-000000000-0000 Registration Date/Time: 2016-02-11 12:58:22 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2016-02-04 13:43:59