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14-0789 (SFD)l�1 78-495 CALLE TAMPICO C& 0 D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/12/2014 Application Number: SFD-14-789 Owner: Property Address: 53605 FREMONT WY JACK AND SILVIA DUDUM APN: 767200998 .O. BOX 979 Application Description: 6,382 SF SINGLE FAMILY DWELLING kLAMO, CA 94507 Property Zoning: a Application Valuation: $575,395.900 r� ¢ o N � �z O L U Applicant:. a So ontractor: JACK AND SILVIA DUDUM ] g EHA CONSTRUCTION, MICHAEL P.O. BOX 979 d Q CZ)0 OUTSIDE CITY LIMITS ALAMO, CA 94507 Z LA QUINTA, CA 92253 O c' (925)250-4040 LIc. No.: :LIC -0102596 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: _ License No.: :LIC -0102596 Date: Il / Z i Contractor: OWNER -BUILDER DECLARA ON I hereby affirm under penalty of perjury that I am exe pt fr the Contractor's State License Law for the following reason (Sec. 7031.5, Busi and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not -intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have.and.will-maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' pensation insurance carrier and policy number are: Carr' P cy Number: T_ 1 ify that in the performance of the work for which this permit is issued, I shall not p y any person in any manner so as to become subject to the workers' compen ti laws of California, and agree that, if I should become subject to the worker pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Y01 //c/Applicant:/ WARNING: FAILURE TO SECURE WORKERS' COMFEN ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: is Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ', ";ACCOUNT'-,, •- QTY .• :"AMOUNT PAID :PAID'DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000=43201 0 $938.49 $0.00 PAID BY • METHOD " RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $938.49 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT, PAID PAID DATE BLDG PC 200K-1M 10160003428200 $1,200.00 $1,200.00 6/6/14 PAID BY _ METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG PC 200K-1M: $1,200.00 $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $24.00 $0.00 PAID BY METHOD RECEIPT # CHECK # _ CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $24.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 257-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT1,Q7Y AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 257-0000-43200 0 $129.00 $0.00 4 PAID BY METHOD RECEIPT # . . CHECK # CLTD BY DESCRIPTION' ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # _'CHECK #. - CLTD BY DESCRIPTION ACCOUNT QTY; AMOUNT PAID PAID DATE DIF - LIBRARIES 257-0000-43200 0 $344.00 $0.00 PAID BY, ';ETHOD a x ,M_ ., ,� s i. RECEIPT.# CHECK # CLTD BY ,+ DESCRIPTION . .. ACCOUNT QTY AMOUNT,' -PAID PAID DATE DIF - PARK MAINTENANCE 257-0000-43200 0 $40.00 $0.00 -PAID BY METHOD RECEIPT d : - -s CHECK # CLTD BY ;DESCRIPTION :� ACCOUNT QTY ' AMOUNT =� PAID• PAID DATE DIF - PARKS/REC 257-0000-43200 0 $2,048.00 $0.00 "PAID BY tz". . METHOD RECEIPT # h CHECK #. _ ' - CLTD;BY-'= t'•;o DESCRIPTION ACCOUNT 'QTY-. AMOUNT PAID ' PAID DATE DIF - STREET MAINTENANCE 257-0000-43200 0 $116.00 $0.00 PAID BY. METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE DIF -TRANSPORTATION 257-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # - CHECK # CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING, $6,894.00 $0.00 -DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $72.96 $0.00 PAID BY- METHOD RECEIPT # CHECK # ;';, CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42403 0 $30.06 $0.00 'PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,OOOSF 101-0000-42403 0 $143.00 $0.00 `{ .PAID BY,. ' x METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ,• ACCOUNT QTY `, AMOUNT. PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42403 0 $47.19 $0.00 PAID BY METHOD RECEIPT # "' CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $293.21 $0.00 DESCRIPTION ACCOUNT" QTYI I AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $214.50 $0.00 PAID BY METHOD - RECEIPT # CHECK # CLTD BY 3, DESCRIPTION ACCOUNT . QTY AMOUNT ;PAID PAID.DATE CONDENSER/COMPRESSOR PC 101-0000-42402 0 $142.98 $0.00 PAID BY ' - METHOD RECEIPT # CHECK # . CLTD BY DESCRIPTION ACCOUNT; -•.QTY. AMOUNT. PAID's - • rPAID DATE EXHAUST HOOD 101-0000-42402 0 $23.84 $0.00 PAID BY METHOD . RECEIPT # . ,. CHECK '-K : # ' 'CLTD BY, DESCRIPTION ACCOUNT .- CITY - AMOUNT,, PAID c `. PAID DATE EXHAUST HOOD PC 101-0000-42402 0 $9.54 $0.00 PAID BY METHOD RECEIPT # CHECK #' CLTD BY DESCRIPTION ACCOUNT ' ' ' QTY' AMOUNT> ,` PAID PAID DATE ,_... � Y . FURNACE 101-0000-42402 0 $214.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION. ACCOUNT QTY AMOUNT PAID • PAID DATE FURNACE PC 101-0000-42402 0 $142.98 $0.00 " PAID BY . METHOD RECEIPT # CHECK #. CLTD BY' ` 'DESCRIPTION ' ACCOUNT `` QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $166.88 $0.00 PAID BY METHOD RECEIPT # CHECK #. CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42402 0 $66.78 $0.00 PAID BY, METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $982.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID-, PAID DATE BACKFLOW DEVICE. 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY `' AMOUNT :PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42401 0 $4.77 $0.00 . PAID BY .. METHOD RECEIPT # CHECK # CLTD BY _-DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 PAID BY, METHOD-., RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE' BUILDING SEWER PC 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT #' CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $369.52 $0.00 ' PAID BY METHOD' RECEIPT # CHECK # , CLTD BY DESCRIPTION-, ACCOUNT_ _• QTY, AMOUNT �. PAID PAID DATE FIXTURE/TRAP PC 101-0000-42401 0 $369.52 $0.00 p PAID BY METHOD RECEIPT #,-. �„ CHECK # Ze.+�3 CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT' PAID_" -PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $0.00 PAID BY = METHOD ' RECEIPT # �.' ' CHECK # CLTD BY DESCRIPTION 'ACCOUNT L AMOUNT PAID"' PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42401 0 $23.83 $0.00 PAID BY _:', METHOD _ RECEIPT # CHECK # CLTD BY DESCRIPTION -,ACCOUNT. ". QTY AMOUNT PAID PAID DATE' ROOF DRAIN 101-0000-42401 0 $83.44 $0.00 PAID BY METHOD:_ RECEIPT#• CHECK # "CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42401 0 $83.44 $0.00 _ ',PAID BY METHOD RECEIP,T•# CHECK # , CLTD BY `DESCRIPTION' ACCOUNT - QTY AMOUNT .. PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $35.76 $0.00 PAID BY .. METHOD . RECEIPT # CHECK # CLTD BY ' a „DESCRIPTION "- _ ACCOUNT CITY • AMOUNT PAID PAID DATE' WATER HEATER/VENT PC 101-0000-42401 0 $21.45 $0.00 �PAID,BY: ' • METHOD °:: RECEIPT # _ "' CHECK # CLTD BY DESCRIPTION ACCOUNT' . QTY =' AMOUNT " 'PAID' PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 - 'PAID BY. y METHOD RECEIPT # CHECK # - CLTD BY DESCRIPTION ACCOUNT -QTY AMOUNT PAID PAID'DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42401 0 $11.92 $0.00 4 PAID BY METHOD RECEIPT # CHECK # ` = CLTD BY Total Paid for PLUMBING FEES: $1,087.08 $0.00 y'.DESCRIPTION Y ACCOUNT F QTY -AMOUNT ,: '' PAID= . PAID�DATE SMI - RESIDENTIAL 101-0000-20308 0 $74.80 $0.00 PAID BY METHOD RECEIPT #CHECK #.` . CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $74.80 $0.00 -,.DESCRIPTION ACCOUNT ,' QTY R AMOUNT, . PAID PAID DATE SINGLE FAMILY DETACHED *NONE* 0 $1,837.44 $0.00 PAID BY METHOD.. RECEIPT•# CHECK # �,*;; CLTD BY ' Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:• 0• •• Permit Details PERMIT NUMBER City of La Quinta SFD-14 789- rt Description: 6,382 SF SINGLE FAMILY DWELLING Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 6/6/2014 FAMILY DETACHED Approved: 10/14/2014 AAL Parcel No: 767200998 Site Address: 53605 FREMONT WY LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Scl Ft: Building Sq Ft- Zoning: Finaled: Valuation: $575,395.90 Occupancy Type: Construction Type: Expired: No. Buildings: No. Stories: No. Unites: Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL, DRIVEWAY APPROACH, FIREPIT, BBQ, WATER FEATURES. THIS HOME IS FULLY SPRINKLED PER 2013 CRC CODES. Printed: Wednesday, November 12, 2014 2:29:31 PM 1 of 5 C SYS rEMS ADDITIONAL CHRONOLOGY TYPE- r F" . : STAFF NAME '. ACTION DATE . CHRONOLOGY COMPLETION DATE i' NOTES ° r � - �i :n, PLAN CHECK PICKED UP JIM JOHNSON 9/15/2014 9/15/2014 PLANS PICKED UP BY ARLEAN 9/15/14 PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 9/2/2014 9/2/2014 SECOND SUBMITTAL PUBLIC COUNTER VISIT KAY HENSEL 11/7/2014 11/7/2014 GRANT DEED, SCHOOL FEES AND CORRECTED PM10 RCVD PUBLIC COUNTER VISIT PHILIP JUAREZ 11/5/2014 Contractor came in and I gave school fee letter & copy of check list. TELEPHONE CALL ARMEN ALTOUNIAN 9/15/2014 9/15/2014 SPOKE TO EDDIE. HE WILL PICK THEM UP TODAY. TELEPHONE CALL ARMEN ALTOUNIAN 10/14/2014 10/14/2014 PLANS READY FOR PICK UP. CONDITIONS °NAME TYPEx"" t4 s ` ` NAME : ''ADDRE551 # CITY STATE ZIP , PHONE' FAX EMAIL APPLICANT JACK AND SILVIA DUDUM P.O. BOX 979 ALAMO CA 94507 (925)768-9393 Printed: Wednesday, November 12, 2014 2:29:31 PM 1 of 5 C SYS rEMS NAMETYPE ;.' NAME,`r t E *T£ ADDRESSl a y 'CITY .STATE FZIP PHONE FAX` E' ;� EMAIL CONTRACTOR JEHA CONSTRUCTION, MICHAEL 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (925)768-9393 OWNER JACK AND SILVIA DUDUM P.O. BOX 979 ALAMO CA 94507 (925)768-9393 Printed: Wednesday, November 12, 2014 2:29:31 PM 2 of 5 CeSYSTEMS -,PAID DATE: RECEIPT # CHECK # METHOD • .a PAID BY CLTD BY FINANCIAL DESCRIPTION .. ACCOUNT:-, QTY AMOUNT '. INFORMATION '* PAID ART IN PUBLIC PLACES - 270-0000-43201 0 $938.49 RESIDENTIAL $0.00 Total Paid forART IN PUBLIC PLACES - AIPP: $938.49 $0.00 BLDG PC 200K -1M 10160003428200 $1,200.00 $1,200.00 ` 6/6/14 Total Paid forBLDG PC 200K -1M: $1,200.00 $1,200.00 BSAS SB1473 FEE 101-0000-20306 0 $24.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $24.00 $0.00 BSA: DIF -CIVIC CENTER 257-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY CENTERS 257-0000-43200 0 $129.00 $0.00 , DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 25770000-43200 0 $344.00 $0.00 DIF - PARK MAINTENANCE 257-0000-43200 0 $40.00 $0.00 DIF - PARKS/REC 257-0000-43200 0 $2,048.00 $0.00 DIF - STREET 'MAINTENANCE 257-0000-43200 0 $116.00 $0.00 DIF - TRANSPORTATION 257-0000-43200 0 $2,842.00 $0.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 Printed: Wednesday, November 12, 2014 2:29:31 PM 2 of 5 CeSYSTEMS DESCRIPTION x * 7'fi 7- T ACCOUNT r �- QTY �,AMOUNTkv - '4', � PAID t PAID DATE. ^RECEIPT # 7-7 CHECK # METHOD PAID BY . ,?- LTD BY � RESIDENTIAL, EA 101-0000-42403 0 $72.96 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42403' 0 $30.06 $0.00 • ADDITION 1,000SF, PC - RESIDENTIAL, FIRST 101-0000-42403 0 $143.00 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42403 0 $47.19 $0.00 - 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $293.21 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $214.50 $0.00 SOR CONDENSER/COMPRES " 101-0000-42402 0 $142.98 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $23.84 $0.00 EXHAUST HOOD PC 101-0000-42402 0 $9.54 $0.00 FURNACE 101-0000-42402 0 $214.50 $0.00 FURNACE PC 101-0000-42402 0 $142.98 $0.00 VENT FAN 101-0000-42402 0 $166.88 $0.00 VENT FAN PC 101-0000-42402 0 $66.78 $0.00 Total Paid for MECHANICAL: $982.00 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $11.92 $0.00 BACKFLOW DEVICE PC 101-0000-42401 0 $4.77 $0.00 - BUILDING SEWER.' 101-0000-42401 0 $11.92 $0.00 BUILDING SEWER PC 101-0000-42401 0- $11.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $369.52 $0.00 FIXTURE/TRAP PC 101-0000-42401 0 $369.52 $0.00 Printed: Wednesday, November 12, 2014 2:29:31 PM 3of5 n Ot rg INSPECTIONS PARENT PROJECTS Printed: Wednesday, November 12, 2014 2:29:31 PM 4 of 5 SYSTEMS CLTD S DESCRIPTION ,, , ACCOUNT -1 QTY, ' ' AMOUNT - PAID PAID DATE RECEIPT # CHECK # METHOD .PAID BY BY GAS SYSTEM, 5+ 101-0000-42401 0 $35.75 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42401 0 $23.83 $0.00 OUTLETS PC - ROOF DRAIN 101-0000-42401 0 $83.44 $0.00 ROOF DRAIN PC 101-0000-42401 0 $83.44 $0.00 WATER HEATER/VENT 101-0000-42401 0 $35.76 $0.00 WATER HEATER/VENT 101-0000-42401 0 $21.45 $0.00 PC WATER SYSTEM 101-0000-42401 0 $11.92 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42401 0 $11.92. $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $1,087.08 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $74.80 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $74.80 $0.00 SINGLE FAMILY *NONE* 0 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:• 00 00 INSPECTIONS PARENT PROJECTS Printed: Wednesday, November 12, 2014 2:29:31 PM 4 of 5 SYSTEMS STRUCTURAL ARMEN 9/15/2014 9/29/2014 ARMEN ALTOUNIAN REVISIONS REQUIRED RFC 3RD PLAN CHECK BY ESGIL. RFC. 0 ALTOUNIAN - COMMENTS.docx NON-STRUCTURAL ARMEN 10/6/2014 10/20/2014 10/14/2014 APPROVED TO ESGIL COMPLETE APPROVED ALTOUNIAN LOT 95 DUDUM.pdf LOT 95 DUDUM.pdf P/C 10/6/2014 ' STRUCTURAL ARMEN 10/6/2014 10/20/2014 10/14/2014 APPROVED TO ESGIL COMPLETE APPROVED TRANSMITTALpdf ALTOUNIAN DOC .11/12/ 2014 P/C PM10 APPROVAL 14- PM10 APPROVAL 14- 0 789.pdf GAVE PG PLAN WITH GREEN SHEET TO MARY. 1ST PW GREEN AMY YU 10/6/2014 10/13/2014 10/9/2014 REVISIONS REQUIRED TOLD MARY I CALLED APPLICANT TO PICK UP SHEET REDLINES AND IT'S PLACED AT COUNTER FOR PICK UP. 2ND PW GREEN AMY YU 11/7/2014 11/14/2014 11/12/2014 APPROVED SHEET ' BOND INFORMATION ATTACHMENTS PATHNAME rSUBDIR :�a • 'Attachment Type CREATED _ OWNER DESCRIPTION • °' "� ETRAKIT ENABLED DOC 9/15/2014 ARMEN ALTOUNIAN NS 3RD REVIEW 53-605 FREEMONT.docx 0 ' - COMMENTS.docx DOC 9/12/2014 MARY FASANO 53605 FREMONT WAY 53605 FREMONT WAY _ 0 LOT 95 DUDUM.pdf LOT 95 DUDUM.pdf _ DOC 10/6/2014 ' MARY FASANO 14-789 14-789ITT 0 TRANSMITTALpdf TRANSMITTAL.pdf DOC .11/12/ 2014 STEPHANIE KHATAMI PM10 APPROVAL 14- PM10 APPROVAL 14- 0 789.pdf 789.pdf ' Printed: Wednesday, November 12, 2014 2:29:31 PM 5 of 5 C ' SYSTEMS 1 - Printed: Wednesday, November 12, 2014 2:29:31 PM 5 of 5 C ' SYSTEMS If 11-.` F s 1 P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address '(� �� 7�i�ir1'l.e�►� f/�� y LA QUINTA, CALIFORNIA 92253 { Owner ,� _ I Mailing / Address .4 .n ./1 _ . n h D 61, ntractor Address -WAUTI) WHQy & Classif. I Lic. # rucn., utyr., Designer ;0/)Z_ _ 1)„ A . I � . _ A.'--7- Address Tel. -7 ?6p I Pam Ae��I p�o2 ti/9 I LiC. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the Provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. 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). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION 1 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 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 BUILDING: TYPE CONSTOCC. GR�P. P. A.Number / ry_`' 7— 7zo — oe / 7� Legal Description nl1-t'f,14 o1 al_/..- 7Vr.C� Project Description _ I Validation: �` WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Sq. Ft. Size No. No. Dw. / Stories l Units New Add Alter❑ Repair❑ Demolition Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. j d Infrastructure f I CJ0<1r^" TOTAL __....... 1� 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: _ I Validation: �` WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83°'733 Avenue'.`55, Thermal; CA 92274 (760) 398-5909 — Fax (760) 398-1224, This Box For District Use Only DEVECDPER FEES PAID ay AREA: AMOUNT LEVEL ONE AMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: adison Club Date: November 7, 2014 Owner's Name: Jack & Sylvia Dudum Phone No. Project Address: 53-605 Fremont Way, LaQuinta Project Description: New Single Family Dwelling APN: 7677710-008. Tract #: Lot #'s: Type of Development: Residential 13 + Commercial Total Square Feet of Building Area: 6382 Industrial Certification of Applicant/Owners: The person signing certifies that the above information is coqegt and makes this statement under penalty of.perjitry and further represents that he/she is a onze o sign on e if of the owne A7eveloper. Dated: November 7, 2014 Signature: ' SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PRO . CT E BEEN OR WILL BE SATISFIED IN ..ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE E) HA Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement I ote. Number of Sq.Ft. 6382 Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. ' $3.36 homes -being relocated within the same school district's Amount Collected $21443.52 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Laurie Howard, Secretary Signature: C& `NOTICE OF 90 DAY -PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES f ~ Se_ction:66020-of-the :Governme'nteGodeasse-rted;by Asseinbly-Bill 3081, effective'January 1; 1997, requires that this District provide (1) a written notice to the =_ = proiect=appellant,-=at-the ti ne-oYpayment-of-school-fees; mitigation payment or other exactions("Fees"), of the 90 -day period to protest the imposition of these Fees;and'(2),theamount_ofthe fees ,-Therefore; in_accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to •.advise_you.that_the.901dayzprotestperiod in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other — -- • -requirements-as described in -section 66020 of•tU-'Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this ..time-or.. -in.whole_orrin, part prior to :issuance=of a Certificate of -Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of r .Comphaiice:is valid.for^ thirty_(30):daysifrom_the.date•.of-issuance.•_Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/mydocs/devfees/certificate of compliance form updated 3-2007 11/2010 L awyem Title RECORDING REQUESTED BY: Lawyers Title - IE WHEN RECORDED MAIL THIS DOCUMENT AND TAX STATEMENTS TO: Jack Dudum and Sylvia Dudum PO Box 979 Alamo, CA 94507 Order No.: 710690425 Escrow No.: PDL10384-CM A.P.N.: 767-710-008-6 °i d a(a I1t 4,C --1 r CA 040. a�,5� DOC # 2010-0212215-- 05/07/2010 08:00A Fee:38.00 Page 1 of 2 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk 8 Recorder + I IIIIII IIIIIII III IIIIII IIIIII VIII VIII III VIII IIII IIII ST RU P�,GE SIZE DA MISC LONG RFD COPY M A L 465 426 PCOR NCOR SMF NCHG EXAb) f�• . GRANT DEED _ THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $NONE: Transfer to Trust Y' ` X City of La Quinta FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, C)06 Jack Dudum and Sylvia Dudum, husband and wife as joint tenants hereby GRANT(S) to Jack Dudum and Sylvia Dudum, trustees of the Jack'and Sylvia Dudum 1997 Trust the following described real property in the County of Riverside, State of California Dated: April 29, 2010 State of California County of Ldl, t ►c1 �► } ss r On before me a Notary Public, personally appeared Li .n who proved to me on the basis of satisfactory evidence to e the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/t ey executed the same in his/her/their authorized capacity(ie and that by his/her/their signature(s) on the instrument the person(s), or the- entity upon behalf of which the person(s), 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 nd official seal. See Attached Exhibit A M OMY D. GUTHRIEComm. # 1873575NOTARY PUBLIC•CAUFORNIACONTRA COSTA COUNTY COMM. EXP. DEC. 1B, 2013r iture of Notary (This area for official notary seal) I . MAIL TAX STATEMENTS AS DIRECTED ABOVE t THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL NO. 1: LOT 95 OF TRACT NO. 33076-2, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA AS SHOWN ON SUBDIVISION MAP RECORDED ON NOVEMBER 29, 2005,IN BOOK 393, PAGE(S) 61 THROUGH 80, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. -.PARCEL NO. 2: NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. ASSESSOR'S PARCEL NUMBER: 767-710-008-6 October 2, 2014 Mr. and Mrs. JJ Dudum 1181 Livorna Road Alamo, CA 94507 RE: Lot 95B at 53605 Fremont Way Final Construction Documents#4 Dear Mr. and Mrs. Dudum: This correspondence shall serve as notification from The Madison Club Design Review Committee ("DRC") that your final construction documents were approved at the September 25, 2014 meeting. This approval is subject to the submittal of a lighting variance for consideration as the current design indicatesl5 path lights and 51 up lights, exceeds the guidelines and the dark sky consideration. Please submit the variance request prior to the start of construction. Please contact Brook Marshall at (760) 219-8057 or by email at DRCFacilitator@gmail.com or Jim Brown at the Association Office with any questions regarding this review. Sincerely, MADISON CLUB DESIGN REVIEW COMMITTEE By:_ Title: cc: JackDudum@sbcglobal.net Arlene.Hinsley@ochoadesign.com DRC File Date: Pursuant to Cal. Civil Code. any rejection by the DRC may be appealed to the Board of Directors for the Association. If you wish to pursue an appeal, please contact the Association's property manager so that you may be put on the next meeting agenda. r EsGil Corporation In Partnership with Government for Building Safety DATE: OCT. 10, 2014 JURISDICTION: CITY OF LA QUINTA PLAN CHECK NO.: 14-789 SET: IV .7. PROJECT ADDRESS: 53605 FREEMONT WAY ,❑. APPLICANT �❑ JURIS...' ❑ PLAN REVIEWER ❑ FILE PROJECT NAME: DUDUM RESIDENCE ® The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. M ❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person. ❑ RLMARKS: By: ALI SADRE, S.E. (FOR D.Y.) (SA) Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 7/18 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 z, r� ,❑. APPLICANT �❑ JURIS...' ❑ PLAN REVIEWER ❑ FILE PROJECT NAME: DUDUM RESIDENCE ® The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. M ❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person. ❑ RLMARKS: By: ALI SADRE, S.E. (FOR D.Y.) (SA) Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 7/18 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 760-340-2732 02:33:28 p.m. 11-12-2014 1 /2 Plan Submittal Building Permit Number. Project Description: SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan , Job Site Address Owner's Name Number, Street, or PO Box City, Stale, Postal Code Owner's Phone Number Owner's E -Mail Address Project Manager's Name Project Manager's Phone Number Project Managers E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square 11/12/2014 53605 Fremont Way Michael Jeha Construction, c/o Jack Dudum 53408 Via Pisa La Quinta, Ca 92253 r Fax; 760-777-7011, Stephanie Mike Jeha 925-250-4038 iehaconstruction(a)aol.com Michael Jeha Construction 53408 Via Pisa La Quinta, Ca 92253 6,300 City Approval By Date of City Approval Materials To Be Discarded: Product Tons Trash 0 Not recyclable Product Asphalt 0 Recyclable Masonry (broken) Brick/Block 0 Recyclable Plaster Cardboard 0 Recyclable Scrap Metal Commingled 0 Recyclable Tile (floor) Concrete 0 Recyclable Tile (roof) Drywall 0 Recyclable Wood Donated / Reuse" 0 Recyclable Landscape Debris Tons 0 D 9J Recyclable 0 Recyclable 'Describe Items 0 0 0 Totals: Recycle Trash 0 Projected Diversion: #DIV/01 I understand it is the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 5D% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still Issued in the name of the property owner(s) and the owner retains legal responsibllity for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed. of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner / Developer / Project Manager / Superintendant Date CITY OF LA QUINTA SUB -CONTRACTOR, LIST JOB ADDRESS 53CaDf '" PERMIT NUMBER.:5F-r) 4 =29'�OWNER ( _ _ -BUILDER -� This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees•are authorized to work on this •ob An changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance 1 y - of building permit. For each applicable trade, PP all information requested below must be completed.by applicant. "On File" is not an acceptable response. - ` .... .:....::::...................,:::...:.:................................:..::.... n - ........................_ .....: Contractor ............................................... ............:::...:.,:.,.....:....................................:,.......:........::.:::.::....:...._..,.. ,. . .. .. ;.:..� Brise State Con tractor s L c .. :. :::....:::......:::.:.:...:........:....;...:..:.:...:.:.:...::::::::::.;:.> ..........:.:.::.............. o.m ens-:tion.Insuran................... ...... _. W.br ecs... p .............. <;.;::Cit.. ;:> usme.:�:._........................ .............. . ..... Company Name Clas if'cadon License NumberEx . Date Carrier Name 'Stat PoticYNumber Varies) Forma 1 Exp. Date x xx x/ xx/ ) License Number xx zx 1 Exp. Date xx xx 1 xx / e." . A B C 8 ( xx xxxx ) xx xx xx i O Fund, CaIC m eF .State ) e (e.g ( P t U�1 O o O O 6 b 3 0 z r L.( 0 1 � � 30 EART:HWQ;RK I 'E 8} - (v k' C , O I / GONCf (C O f� XX Z 1 2• r� 4- STRUCT;. STEEL. (C. 53} (, MASONRY �� C �i' l�� 4�Q=�— W l I 1 61 �b PLUMBING {C 361 ::.:.:. °'� C=35 LAT1H`;P:LQ`STER.;.t::.:::::.:1:.:::. DRYWALL::(C HVAC (C ) (C 10) 3SL � ��I c.: p 1 b��j•o"Q ELECTRICAL SHEET METAL IC 43) 6 r SEWAG.F. CABINETS (C 6) a AND:SCAPIN'G CJPF/� cc BUILDING ENERGY ANALYSIS REPORT PROJECT: Dudum Residence Lot 95B - Fremont Way La Quinta, CA ' Project Designer: Ochoa Design Associates 73-626 Highway 111 Palm Desert, Ca 92260 760-773-6605 Report Prepared by: Joan D. Hacker Insu-form, Inc. 77810 Las Montana's Road, Suite 201 Palm Desert, Ca 92211 760-345-1352 CITY OF LA QUINTA BUILDING & SAFETY DEPT. REMOVE[) APPROVED FOR CONSTRUCTION JUL 14 2014 DATdPi"BY -- CITY OF LA QUINTA Job Number: COMMUNITY DEYhOPMENT Date: 7/2/2014 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2014-07-02T11:23:08 ID: 1! I TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary CITY OF LA WI BUILDING & SAFETY. DE.' APPROVED FOR CONSTRUCTION DATE BY EnergyPro 5.1 by EnergySoft Job Number. ID: User Number: 2655 1 2 3 13 16 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Dudum Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/2/2014 Project Address Lot 958 - Fremont Way La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 6,385 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST IZI 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 Construction Type Area Special Cavity Features see Part 2 of 5 Status Slab Unheated Slab -on -Grade None 6,385 Perim = 437' New Wall Wood Framed R-19 3,893 New Roof Wood Framed Attic R-38 6,385 Radiant Barrier New FENESTRATION U- Orientation Area Factor Exterior SHGC Overhang Sidefins Shades Status Front (SVt9 292.0 0.500 0.38 2.0 none Bug Screen New Left (NVV) 175.8 0.500 0.38 2.0 none Bug Screen New Left (NVtq 9.0 0.500 0.38 10.0 none Bug Screen New Rear (NE) 250.8 0.500 0.38 2.0 none Bug Screen New Rear (NE) 40.0 0.500 0.38 6.0 none Bug Screen New Rear (NE) 50.0 0.500 0.38 12.0 none Bug Screen New Rear (NE) 200.0 0.500 0.38 18.0 none Bug Screen New Right (SE) 237.9 0.500 0.38 2.0 none Bug Screen New Right (SE) 35.0 0.500 0.38 20.0 none Bug Screen New Rear (NE) 48.0 0.500 0.38 4.0 none Bug Screen New Front (VV) 3.0 0.500 0.38 2.0 none Bug Screen New HVAC SYSTEMS Qty- Heating Min. Eff Cooling Min. Eff Thermostat Status 5 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0 New Casita Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 3 Small Gas 50 _ 0.65 All Pipes Ins New EnergyPro 5.1 by EnergySoft User Number.- 2655 RunCode: 201407-02711:23:08 ID: Page= PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/2/2014 Project Address Lot 958 - Fremont Way La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 6,36 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. IZI Yes ❑ 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 FENESTRATION U- Exterior Orientation Area Factor SHGC Overhang Sidefins Shades Status Left (N) 64.0 0.500 0.38 2.0 none Bug Screen New Rear (E) 3.0 0.500 0.38 2.0 none Bug Screen New Right (S) 38.5 0.500 0.38 2.0 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number. 2655 RunCode: 2014-07-02711:23:08 ID: Page 4 of 17 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF-1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7212014 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 s ecial iustification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 2, 509.0 ft2 Covered Slab Floor, 3.500" thick at Whole House HIGH MASS Design - Verify Thermal Mass: 3,000.0 ft2 Exposed Slab Floor, 3.500" thick at Whole House HIGH MASS Design - Verify Thermal Mass: 876.0 ft2 Covered Slab Floor, 3.500" thick at Casita 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. 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. The Cooling System BDP CO. 563AN036-A indudes credit for a 11.0 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Whole House includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm. The HVAC System Whole House incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System Whole House includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System Whole House incorporates HERS verified Dud Leakage. HERS field verification and diagnostic testing is required to verify that dud leakage meets the specified criteria. The Cooling System Carrier 38ETGO3030 includes credit for a 11.7 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Casita includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm. The HVAC System Casita incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System Casita includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System Casita incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that dud leakage meets the specified criteria. EnemyPro 5.1 by EnemySoft User Number.- 2655 RunCode: 201407-02711:23:08 ID: Page 5 of 17 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date Dudum Residence 1 ❑ Multi Family ❑ Existing+ Addition/Alteration 7/212014 ANNUAL ENERGY USE SUMMARY - Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.40 5.15 -1.76 Space Cooling 49:24 45.46 3.78 Fans 9.72 10.23 -0.51 Domestic Hot Water 5.71 7.20 -1.49 Pumps 0.00 0.00 0.00 Totals 68.06 68.04 0.02 Percent Better Than Standard: 0.0% BUILDING COMPLIES - HERS VERIFICATION REQUIRED enestration Building Front Orientation: (SM 225 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SM 1,150 295 Fuel Available at Site: Natural Gas (NM 1,550 249 Raised Floor Area: 0 (NE) 1,240 592 Slab on Grade Area: 6,385 (SE) 1,400 s11 Average Ceiling Height: 10.9 Roof 6,385 0 Fenestration Average U-Factor: 0.50 TOTAL: 1,447 Average SHGC: 0.38 Fenestration/CFA Ratio: 22.7% REMARKS 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. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company lnsu-form Inc. 72/2014 Address 77810 Las Montanas Road, Suite 201 Name Joan D. Hacker - City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Si ned 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 installation quality, and building envelope sealing require installer testing. and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company Ochoa Design Associates Address 73-626 Highway 111 Name City/State/Zp Palm Desert, Ca 92260 Phone 760-773-6605 Signed License # Date En Pro 5.1 by Ener Soft User Number: 2655 Run Code: 2014-07-02T11.23:08 ID: Page 6 of 17 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/2/2014 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Factor Cavi Exterior Frame Interior Frame Azm Joint Appendix Tilt Status 4 Location/Comments Slab 2,509 0.730 None 0 180 New 4.4.7-A1 Whole House Slab 3,000 0.730 None 0 180 New 4.4.7-A1 Whole House Wall 478 0.074 R-19 225 90 New 4.3.1-A5 Whole House Wall 863 0.074 R-19 315 90 New 4.3.1-A5 Whole House Wall 259 0.074 R-19 45 90 New 4.3.1-A5 Whole House Wall 747 0.074 R-19 135 90 New 4.3.1-A5 Whole House Roof 5,509 0.025 R-38 0 New 4.2.1-A21 Whole House Slab 876 0.730 None 180 New 4.4.7-A1 Casita Wall 260 0.074 R-19 90 New 4.3.1-A5 Casita Wall 272 0.074 R-19 90 New 4.3.1-A5 Casita Wall 272 0.074 R-19 90 New 4.3.1-A5 Casita Wall 230 0.074 R-19 E225 90 New 4.3.1-A5 Casita Roof 876 0.025 R-38 0 New 4.2.1-A21 Casita Wall 117 0.074 R-19 90 New 4.3.1-A5 Casita Wall 166 0.074 R-19 90 New 4.3.1-A5 Casita Wall 117 0.074 R-19 90 New 4.3.1-A5 Casita FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 12.0 0.500 NFRC 0.38 1 NFRC 225 New IWC 6200 Alum/Low-E Whole House 2 Window 40.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 AlumAow-E Whole House 3 Window 12.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Whole House 4 Window 36.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 AlumAow-E Whole House 5 Window 36.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Whole House 6 Window 38.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Whole House 7 Window 26.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alumkow-E Whole House 8 Window 36.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Whole House 9 Window 36.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Whole House 10 Window 33.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alum/Low-E Whole House 11 Window 10.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alum2ow-E Whole House 12 Window 10.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alum/Low-E Whole House 13 Window 4.5 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alumkow-E Whole House 14 Window 9.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alumkow-E Whole House 15 Window 24.01 0.500 1 NFRC 1 0.38 NFRC 315 New IWC 6200 Alurnkow-E Whole House 16 Window 1 9.01 0.500 NFRC 1 0.38 NFRC 315 New IWC 6200 Alum/Low-E Whole House (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 ID Exterior Shade Type SHGC Window H t Wd Ove hanq Left Fin Right Fin Len I H t LExt RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 8.0 1.5 2.01 0.1 2.0 2.0 2 Bug Screen 0.76 8.0 2.5 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 4 Bug Screen 0.76 8.0 4.5 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 8.0 4.5 2.0 0.1 2.0 2.0 6 Bug Screen 0.76 8.01 4.5 2.0 0.1 2.0 2.0 7 Bug Screen 0.76 8.01 2.2 2.0 0.1 2.0 2.0 8 Bug Screen 0.76 8.01 4.5 2.0 0.1 2.0 2.0 9 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 10 Bug Screen 0.76 6.5 6.0 2.0 0.1 2.0 2.0 11 Bug Screen 0.76 5.0 2.0 2.0 0.1 2.0 2.0 12 Bug Screen 0.76 5.0 2.0 2.0 0.1 2.01 2.0 13 Bug Screen 0.76 6.5 5.0 2.0 0.1 2.0 2.0 14 Bug Screen 0.76 4.5 3.0 2.0 0.1 2.0 2.0 15 Bug Screen 0.761 2.01 2.0 2.0 0.1 2.0 2.0 16 iBug Screen 0761 2.01 2.0 10.0 0.1 10.0 10.0 EnergyPro 5.1 by EnergySoft User Number.' 2655 RunCode: 2014-07-02711:23:08 ID: Pae 7 of 17 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF-1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7�y2014 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor Cavity Exterior Frame Interiorl Frame Azm I Joint Appendix Tilt. Status 4 Location/Comments Wall 112 0.074 R-19 1801 90 New 4.3.1-A5 Casita FENESTRATION SURFACE DETAILS ID Type Area LI-Factor' SHGC Azm Status Glazing Type Location/Comments 17 Window 2.3 0.500 1 NFRC 0.38 NFRC 315 New IWC 6200 Alum/Low--E Whole House 18 Window 15.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alurnkow-E Whole House 19 Window 10.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alumkow-E Whole House 20 Window 10.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alum/Low-E Whole House 21 Window 15.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 22 Window 15.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 23 Window 15.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 24 Window 15.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 25 Window 40.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 26 Window 7.5 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 27 Window 3.8 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 28 Window 15.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 29 Window 9.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 30 Window 9.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 31 Window 48.01 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 32 lWindow 9.01 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House (1) U-Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t TWd Ove hang Left Fin Len H t LExt REA Dist Len Right Fin H t Dist Len H t 17 Bug Screen 0.76 1.5 1.5 2.0 0.1 2.0 2.0 18 Bug Screen 0.76 5.0 2.5 2.0 0.1 2.0 2.0 19 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 20 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 21 Bug Screen 0.76 6.0 2.5 2.0 0.1 2.0 2.0 22 Bug Screen 0.76 6.0 2.5 2.0 0.1 2.0 2.0 23 Bug Screen 0.76 6.0 2.5 2.0 0.1 2.01 2.0 24 Bug Screen 0.76 6.0 2.5 2.0 0.1 2.01 2.0 25 Bug Screen 0.76 8.0 2.5 6.0 0.1 6.01 6.0 26 Bug Screen 0.76 1.5 5.0 2.01 0.1 2.0 2.0 27 Bug Screen 0.76 2.5 1.0 2.0 4' 0.1 2.0 2.0 28 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 2.0 29 Bug Screen 0.76 6.0 1.5 2.0 0.1 2.0 2.0 30 Bug Screen 0.76 6.0 1.5 2.0 0.1 2.0 2.0 31 JBug Screen 0.76 8.0 6.0 2.0 0.1 2.0 2.0 32 IBug Screen 0.76 1.5 6.0 2.0 0.1 2.0 2.0 EnergyPro 5.1 by EnergySoft User Number 2655 RunCode: 2014-07-02711:23:08 ID: Page 8 of 17 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/2/2014 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor Cavity Exterior Frame Interior Frame Azm Joint Appendix Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status Glazing Type Location/Comments 33 Window 9.0 0.500 1 NFRC 0.38 NFRC 45 New IWC 6200 Alurnkow-E Whole House 34 Window 9.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 35 Window 50.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 36 Window 200.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 37 Window 12.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alurnkow-E Whole House 38 Window 40.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 39 Window 7.5 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alurnkow-E Whole House 40 Window 12.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alum/Low-E Whole House 41 Window 2.3 0.500 NFRC 0.38 NFRC 135 New /WC 6200 Alum/Low-E Whole House 42 Window 35.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alurnkow-E Whole House 43 Window 24.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 44 Window 48.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 45 Window 24.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 46 Window 35.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 47 Window 3.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alurnkow-E Whole House 48 Window 20.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window -HqA TWd Ove ang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 33 Bug Screen 0.76 1.5 6.0 2.0 0.1 2.0 2.0 34 Bug Screen 0.76 6.0 1.5 2.0 0.1 2.0 2.0 35 Bug Screen 0.76 10.0 2.5 12.0 0.1 12.0 12.0 36 Bug Screen 0.76 10.0 20.0 18.0 0.1 18.0 18.0 37 Bug Screen 0.76 6.0 2.0 2.0 0.1 2.0 2.0 38 Bug Screen 0.76 8.0 2.5 2.0 0.1 2.01 2.0 39 Bug Screen 0.76 1.5 5.0 2.0 0.1 2.01 2.0 40 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 41 Bug Screen 0.76 4.5 3.0 2.0 0.1 2.0 2.0 42 Bug Screen 0.76 6.8 6.0 20.0 0.1 20.0 20.0 43 Bug Screen 0.76 1.2 2.5 2.0 0.1 2.0 2.0 44 Bug Screen 0.76 1.2 2.5 2.0 0.1 2.0 2.0 45 Bug Screen 0.76 1.2 2.5 2.0 0.1 2.0 2.0 46 Bug Screen 0.76 5.5 6.0 2.0 0.1 2.0 2.0 47 Bug Screen 0.76 4.0 2.0 2.0 0.1 2.0 2.0 48 JBug Screen 0.76 1.5 2.0 2.0 0.1 2.0 2.0 EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2014-07-02711:23:08 ID: Page 9 of 17 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Dudum Residence • .F Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7212014 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor Cavi Exterior Frame Interior Frame Azm Joint Appendix Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGCz Azm Status Glazing Type Location/Comments 49 Window 14.0 0.500 1 NFRC 0.38 NFRC 135 New IWC 6200 Alurnkow-E Whole House 50 Window 20.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 51 Window 3.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 52 Window 2.3 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alurnkow-E Whole House 53 Window 2.3 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 54 Window 10.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 55 Window 10.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Whole House 56 Window 20.0 0.500 NFRC 0.38 NFRC 225 New IWC 6200 Alum/Low-E Casita 57 Window 48.0 0.500 NFRC 0.38 NFRC 315 New IWC 6200 Alum/Low-E Casita 58 Window 48.0 0.500 NFRC 0.38 NFRC 45 New IWC 6200 Alurnkow-E Casita 59 Window 20.0 0.500 NFRC 0.38 NFRC 135 New IWC 6200 Alum/Low-E Casita 60 Window 3.0 0.500 NFRC 0.38 NFRC 270 New IWC 6200 Alurnkow-E Casita 61 Window 12.0 0.500 NFRC 0.38 NFRC 0 New IWC 6200 Alum/Low-E Casita 62 Window 12.0 0.500 NFRC 0.38 NFRC 0 New IWC 6200 Alum/Low-E Casita 63 IMndow 40.0 0.500 NFRC 0.38 NFRC 0 New IWC 6200 Alum/Low-E Casita 64Window 1 3.0 0.500 NFRC 0.38 NFRC 901 New IWC 6200 Alum/Low-E Casita (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-13 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove anq Left Fin Ri ht Fin Len H t LExt RExt Dist Len H t Dist Len H t 49 Bug Screen 0.76 6.5 2.0 2.0 0.1 2.0 2.0 50 Bug Screen 0.76 4.5 3.0 2.0 0.1 2.0 2.0 51 Bug Screen 0.76 4.5 3.0 2.0 0.1 2.0 2.0 52 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 53 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 54 Bug Screen 0.76 8.0 1.5 2.01 0.1 2.0 2.0 55 Bug Screen 0.76 8.0 1.5 2.0 0.1 2.0 2.0 56 Bug Screen 0.76 1.0 1.0 2.0 0.1 2.0 2.0 57 Bug Screen 0.76 8.0 6.0 2.0 0.1 2.0 2.0 58 Bug Screen 0.76 8.0 6.0 4.0 0.1 4.0 4.0 59 Bug Screen 0.76 1.0 1.0 2.0 0.1 2.0 2.0 60 Bug Screen 0.76 3.0 1.0 2.0 0.1 2.0 2.0 61 Bug Screen 0.76 1.0 1.0 2.0 0.1 2.0 2.0 62 Bug Screen 0.76 1.0 1.0 2.0 0.1 2.0 2.0 63 Bug Screen 0.76 1.0 1.0 2.0 0.1 2.0 2.0 64 IBug, Screen 1 0.76 3.0 1.0 2.0 0.1 2.0 2.0 EnergyPro 5. 1 by EnergySoft User Number.- 2655 RunCode: 201407-02711:23:08 ID: Pae 10 of 17 • .F CERTIFICATE OF COMPLIANCE: Residential Part 4 of -1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/A014 "71212 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGCz Azm Status Glazing Type Location/Comments 65 Window 3.0 0.500 NFRC 0.38 NFRC 180 New IWC 6200 Alumkow-E Casita 66 Window 32.5 0.500 NFRC 0.38 NFRC 180 New IWC 6200 Alumkow-E Casita 67 Window 3.0 0.500 NFRC 0.38 NFRC 180 New IWC 6200 Alum/Low-E Casita (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 hanq Left Fin Right Fin ID Exterior Shade Type SHGC Hot Wd Len I Hot LExt I RExt Dist Len Hot Dist Len H t 65 Bug Screen 0.76 3.0 1.0 2.01 0.1 2.01 2.0 66 Bug Screen 0.76 6.5 5.0 2.0 0.1 2.0 2.0 67 Bug Screen 0.76 3.0 1.0 2.0 0.1 2.0 2.0 EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 201407-02711:23:08 ID: Pae 11 of 17 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Dudum Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/2/2014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existinq Altered Removed Volume Year Built Whole House Whole House 5,509 60,599 Casita Casita 876 8,760 Totals 6,3651 0 0 0 HVAC SYSTEMS System Name City. HeatingT e Min. Eff. Cooling Type Min. Eff. Thermostat Type Status Whole House 5 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New Casita 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Coolina Duct Location R -Value Ducts Tested? Status Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New Casita Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. all Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status A. 0. SMITH FPS -50-224 3 Small Gas All Pipes Ins 43,000 50 0.65 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ff c _ o id vPipe .2 — System Name Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2014-07-02711:23:08 ID: Pae 12 of 17 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Dudum Residence Date 7/2/2014 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 1: 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 U -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 -611 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. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design 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 or equivalent U -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 Vapor 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 greater than 2.0perm/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. 150(i): 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. §1500)1 B: 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. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §1506)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number. 2655 RunCode: 2014-07-02T11:23:08 ID: Page 13 of 17 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Dudum Residence 7/2/2014 §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-peak 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. 2655 RunCode: 201407-02711:23:08 ID: Page 14 of 17 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Dudum Residence 7/2/2014 §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)11: 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)12: 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 ceiling. §150(k)13: 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 Exceptions 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 high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: 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)16: 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. EnergyPro 5.1 by EnergySoft User Number. 2655 RunCode: 201407-02711:23:08 ID: Page 15 of 17 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Dudum Residence Date 7/2/2014 System Name Whole House Floor Area 5,509 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 5 COIL COOLING PEAK CFM Sensible Total Room Loads 3,940 64,180 Return Vented Lighting 0 Return Air Ducts 3,705 Return Fan 0 Ventilation 0 0 Supply Fan 0 Supply Air Ducts 3,705 TOTAL SYSTEM LOAD 71,590 COIL HTG. Latent CFM 4,240 1,510 0 0 4,240 PEAK Heating System Sensible Output per System 56,000 63,614 Total Output Btuh 280,000 Output Btuh/s ft 50.8 3,126 Cooling System 0 Output per System 35,0001 0 Total Output Btuh 175,000 0 Total Output ons 14.6 3,126 Total Output Btuh/s ft 31.8 Total Output s ft/Ton 377.8 69,867 Air System CFM per System 1,300 HVAC EQUIPMENT SELECTION Airflow(cfm) 6,500 BDP CO. 563AN036-A 113,293 46,932 280,000 Airflow cfm/s ft 1.18 Airflow cfm/Ton 445.7 Outside Air % 0-0% Total Adjusted System Output 113,293 (Adjusted for Peak Design conditions) 1 TIME OF SYSTEM PEAK 46,932 280,000 Aug 3 PM F Jan 1 AM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF 70 OF Outside Air 0 cfm Supply Fan 6,500 cfm 70 OF 70 OF 110 OF pp--��----�� Heating Coil 110 OF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112/78°F 79/67°F 79/67°F 62/61 OF �0� c - - �= Outside Air Z 0 cfm Supply Fan Cooling Coil 6,500 cfm 55.6% 79/67°F 63 / 61 OF - F ROOM I 78/67°F EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 201407-02T11:23:08 ID: Page 16 of 17 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Dudum Residence Date 7/2/2014 System Name Casita Floor Area 876 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING PEAK CFM Sensible Total Room Loads 563 13,477 Return Vented Lighting 0 Return Air Ducts 778 Return Fan 0 Ventilation 0 0 Supply Fan 0 Supply Air Ducts 778 TOTAL SYSTEM LOAD 15,032 COIL HTG. Latent CFM 747 478 0 0 7471 PEAK Heating System Sensible Output per System 53,000 17,526 Total Output Btuh 53,000 Output Btuh/s ft 60.5 861 Cooling System 0 Output per System 29,600 0 Total Output Btuh 29,600 0 Total Output (Tons) 2.5 861 Total Output Btuh/s ft 33.8 Total Output s ft/Ton 355.1 1 19,249 Air System CFM per System 1,395 HVAC EQUIPMENT SELECTION Airflow cfm 1,395 Carrier38ETGO3030 22,084 Total Adjusted System Output 22,0841 (Adjusted for Peak Design conditions) 1 TIME OF SYSTEM PEAK 3,219 53,000 3,219 1 53,000 Aug 3 PM F Jan 1 AM Airflow cfm/s ft 1.59 Airflow cfm/Ton 565.5 Outside Air^/0 0.0% Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF 69 OF Outside Air 0 cfm Supply Fan 1,395 cfm 69 OF 69 OF 105 OF Heating Coil o 104 F ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112178 OF 79 / 63 OF 79 / 63 OF 55154 OF - -- 0. &, a -- - M: I Outside Air 0 cfm Supply Fan Cooling Coil 1,395 cfm41.7% 79/63°F 4 A 4 56 / 54 OF ROOM 78/62°F EnergyPro5.1 by EnergySoft User Number. 2655 RunCode: 2014-07-02711:23:08 ID: Page 17 of 17 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Dudum Residence I ❑ Multi Family ❑ Existing+ Addition/Alteration 7/212014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.40- 5.15 -1.76 Space Cooling 49.24 45.46 3.78 Fans 9.72 10.23 -0.51 Domestic Hot Water 5.71 7.20 -1.49 Pumps 0.00 0.00 0.00 Totals 68.06 68.04 0.02 Percent Better Than Standard: 0.0% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (Svt7 225 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SM 1,150 295 Fuel Available at Site: Natural Gas (NV4 1,550 249 Raised Floor Area: 0 (NE) 1,240 592 Slab on Grade Area: 6,385 (SE) 1,400 311 Average Ceiling Height: 10.9 Root 6,385 0 Fenestration Average U -Factor: 0.50 TOTAL: 1.447 Average SHGC: 0.38 Fenestration/CFA Ratio: 22.7% REMARKS 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. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Insu-forM Inc. 72/2014 Address 77810 Las Montanas Road, Suite 201 Name ,loan D. Hacker - Ci /State/ZZ Palm Desert, Ca 92211 Phone 760-345-1352 Si ned 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 installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) CITY OF LA`U I NT® Company Ochoa Design Associates BUILDING & SAFETY DEPT. Address 73-626 Highway 111 Name City/State/Zp Palm Desert, Ca 92260 Phone 760.773-6605 Sig d ! 1' Ti ns) r—U Dat En Pro 5.1 by Ener Soft User Number: 2655 Runcode: 201407-02711:23:08 ID.r, Page 6 of{ 77