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BRES2017-003078-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BRES2017-0030 Owner: Property Address: 50655 CALLE GUAYMAS WILLIAM LAKES APN: 770094007 79840 MEMORAIL PLACE Application Description: LAKES/ 2,623 SF DWELLING/VB/RES-3/CLASS A-FR/13D LA QUINTA, CA 92253 Property Zoning: Application Valuation: $172,599.70 Applicant: Pp Contractor: WILLIAM LAKES OWNER BUILDER 79840 MEMORAIL PLACE MAY 2 2 2017 LA QUINTA, CA 92253 CITY OF LA QUINTA DESIGN AND DEME!-OPMENT DEPARTMENT Llc. No.: LICENSED CONTRACTOR'S DECLARATION Lhereby 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.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that lam 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 ofthe 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 sub'ects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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.). 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 contractors) licensed pursuant to the Contractors' State License Law.). fUKJ am exempt under Sec. B.&P.C. for this reason Ll r' e tiDate: S 22 �� / 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: Date: 5/22/2017 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 mai ntain'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: cert _ a ify 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, I shall forthwith comply with those provisions. Date:` 5 — 2_Z—Z6 (?'Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE. LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the 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 workbeing 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: `ZZ-26Signature (Applicant or Agent): Date: 5/22/2617 Application Number:' . BRES2017 0030 Owner: Property Address: 50655 CALLE GUAYMAS WILLIAM LAKES • APN: 770094007 79840 MEMORAIL PLACE Application Description: LAKES/ 2,623 SF DWELLING/VB/RES-3/CLASS A-FR/13D . LA QUINTA,-CA 92253 Property Zoning: Application Valuation: $172,599.70 Applicant: Contractor: WILLIAM LAKES OWNER BUILDER 79840 MEMORAIL PLACE LA QUINTA, CA 92253 -------------------------------------------------------------------------------------------- Llc. No.: Detail: LAKES / 2,623 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000=43200 0 $344.00 DESCRIPTION ACCOUNT QTY 'AMOUNT . DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT. QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $25.84 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-000042600 0 $10.64 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $50.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $238.64 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0.. $190.00 Total Paid for GRADING: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 '$50.66 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD. 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT. FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT' QTY AMOUNT VENT FAN 101-0000-42402 0 $76.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $30.42 Total Paid for MECHANICAL: $377.50 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE 101-0000-20310 0 $1,221.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,221.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $586.32 Total Paid for NEW CONSTRUCTION PERMIT: $586.32 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-4.2600 0 $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101=0000-42600 0 $15.36 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,215.36 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE •101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $228.06 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $228.06 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.20 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $646.13 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $22.44. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $22.44 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 Bin.#AD Permit # " 17 C�tX of, La QumLa Btidfding 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 003 6 Building Permit Application and Tracking Sheet ProjectAddrrss: Zj- 1� �V < •.O.wner'sName: .�(I\A - kE A_ P. Number. -1-10- — 667 � Address: -19-5+o Keµ ori P/ p,ep_ Legal Description: (j K. ( -dcity, ST, Zip: 1-1, CiV t i qP-),55 Contractor: N h Telephone: Address: l� Project Description: City, ST, Zip: iW 'D l L) 11/l iIj z. Telephone: a State Lic. 4: City Lic. #t Arch, Engr., Designer F Address:g! _ o City, ST, Zip ' -[7(,,--D �� 3 Telephoner : Y Y Construction Type: \) Q, Occupancy: 3 State Lia #: m` " _ may« ` ' :i �- Project type (circle one): a Addt'n Alter Repair Demo Name of Contact Person: t3 Sq. Ft .*� +-I3 # Stories: 1 # Units: Telephone # of Contact Person:-L"(g g D ' " 3� �� ` '1 Estimated Value of Project p d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd 'Rec'd TRACKNG PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction " Flood plain plan Plans resubmitted.. Mechanical Grading plan 2" Review, ready for correctionslissue Electrical Subeontactor ISst Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE., ''' Review, ready for correctionvIssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. f4'ks. Appr Date of permit issue School Fees Tota . ■ ■ � � nt� a er tau. asraP FEB 2 4 2017 CITY OF LA ®UINTA COMMUNITY DEVELOPMENT CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date: 3/24/2017 La Quinta, CA 92253 No.: 17-00530-1 (760)771-8515 Owner: William Lakes Email: Address: 50-655 Calle Guaymas Jurisdiction: La Quinta City: La Quinta, CA Tract #: Type: Single Family Residential Lot # Street No. Street Name Sq. Feet APN 50-655 Calle Guaymas 2623 770-094-007 Comments: JN�Fieo s r°y coo tt r N BERMUDA DUNES' RANCH0 K%AGB 2 d INDIAN IAp 9�g y c C fr .a NTA 5� o �NDtO > Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.48 X 2623 S.F. or $9,128.04 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: CC Bank of America\William Lakes Bank Name/Recipient of Cert iicate By Kathleen Felci Interim Superintendent Fee Collected/ Exempted by: Virgilio Check No.: 1295708328 Telephone: Funding: Residential Certificate Fee3.D4e: .: 9,.1-28.04-;- = Original Paymerj (s) Rec'# = 0.00 -7, _ New Payment aec'd: YJ.;'128.04 ^j OiQ-Qnde'r: $O.C.U~ NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to that the 90 -day approval period in which you may protest, he 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) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. APR 2 5 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT RECORDING REQUESTED BY: Ticor Title Co. tM au -r64,ez AND WHEN RECORDED MAIL TO: Mr. and Mrs. William P. Lakes 79840 Memorial Place La Quinta, CA 92253 THIS SPACE FOR RECORDER'S USE ONLY: Title Order No.: 00402066-993-SS1 Escrow No.: 007037 -CM AP#: 770-094-007-6 GRANT DEED THE UNDERSIGNED GRANTORS) DEC.LARE(S) DOCUMENTARY TRANSFER TAX is $140.25 0 �� D� — [X] computed on full value of property conveyed, or - -com utea on full valueless val""ue of lien`s or encumbrances remaining at time of sere. - [ ] Unincorporated area [X] City of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lvonne Weber, who acquired title as Lvonne Yessayian, a widow hereby GRANT(s) to: William P. Lakes and Joanna Lakes, Husband and Wife as Joint Tenants the real property in the City of La Quinta, County of Riverside, State of California, described as: LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF Also Known as: Vacant lot known as APN: 770-094-007-6, La Quinta, CA 92253 Dated June 28, 2016Lvonne Weber A notary public or other 'completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFR RNIA COUNTY OF Krvers de On L b! before me;_ r/" -MIA L . AIDVA-140 A Notary Public personally appeared Vry IOF�B£�, who proved to me on the. basis of satisfactory evidence to be the person(, whose name(,I) is/are subscribed to the within instrument and acknowledged to me that-lie/she/they executed the same in His/her/tketr authorized capacity(i®s), and that by His/her/thok signature() on the instrument the person(, or the entity upon behalf of which the person(?) 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. CYNTHIA L. MOZtNGt) COMMI86ton # 2043609 a Notar Signature zy public - California.: (Seal) ' Riverside County _ MAIL TAX STATEMENTS TO PARTY -TOWN BELOW; IF NO PARTY SHOWN, MAIL AS SHOWN RECEDE® APR 2 5 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Plan Submittal Job Site Building Permit Number: Project Description: SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Owners Name Number, Street, or PO Box City, State, Postal Code Owners Phone Number Owners E -Mail Address Project Managers Name Project Managers Phone Number Project Managers E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage 4/10/2017 50-655 Calle Guaymas William Lakes ` 79840 Memorial PI La Quinta, CA. 92253 William Lakes 760-423-7237 casadelakestaaol.com William Lakes/Owner-Builder 79840 Memorial PI La Quinta, CA. 92253 Approx. 2,623 square feet CityApproval By Renado Gouldlock-DECBurrtecWaste Date of City Approval RECEIVE® APR 2 5 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Materials To Be Discarded: Product Tons Trash 10.50 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 3.25 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0.25 Recyclable Concrete 11.00 Recyclable Tile (roof) 0.50 Recyclable Drywall 1.25 Recyclable Wood 4.50 Recyclable Donated / Reuse* 0.00 Recyclable Landscape Debris 0.00 Recyclable *Describe Items Totals: Recycle Trash 20.811 10.5 Projected Diversion: 66.40% I understand it is the property owner's 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 50% 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 responsibility 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 It Owner / Developer / Project Manager / Superintendant Date P:'O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495, CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT - PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures &-Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in our name listing yourself as the builder of the property improve ments:specified at We are providing you with an Owner-Burlder.Acknowledgment and Info tion Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. . OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION . DIRECTIONS: Read and initial each statement below to signs you understand or verify this information: LL I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. LAA2. I understand building permits are not required to be signed .by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. (3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her.name instead of my own. (,AL4: I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. i.,D-S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of -my -construction -is -at -least -five hundred dollars ($5U0)—including labor and materials, I may be considered an "employer" under state and federal law. lop understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment compensation for each "employee." I also understand my failure to'abide by these laws may subject me to.serious financial risk. LAP7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with .the intent to offer them for sale, unless all work is' performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. �. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for .any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. UX. I understand I may obtain more information regarding my'obligations as an."employer" from the Internal Revenue Service, the United States Sma1l.Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents: I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 8--0,,,,0-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. �8. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party.legally, and '�y'`�,`��}r�cially responsible for proposed construction activity at the following address: tA FhLI . I agree that, as the party legally and financially responsible for this proposed construction activity, I will; abide by all applicable laws and requirements that govern Owner -Builders as.well as employers. 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, ,you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner „ �'Q� Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION 'OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agents) to.apply for, sign; and file. the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the.owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature: Date: WM 0 CITY OF LA QUINTA SUB -CONTRACTOR. LIST JOB ADDRESS 5d' C5"CL wLa PERMIT NUMBER OWNER - >: „BUILDEl3 This'.fbrni-sha1F he posted bit the.joh .witli'the �lildiiia•'inspection Card at, all times in. a - conspicuous -place. Only persons appearing on this list or their emuloyees are authorized to work on this job. Any 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 -. __ .• . . -- -'- -" t__-_-��--- _--..__+..1 L...1.,... ,.....,,+ L..,..,.,.,.,al.,+.,.-1-t-.;,I; + ,r)n gild' ie not an arranl'ahlp. rp-,dohse •. Of DUIIafFig pelf tll t: rUJ COlal d1J Pucau U uauc�. an ni�v��u uv�> i� yu. �w.. .+�.. •. .... r r ^nr -- - " � Y" _.,.,.. ..�, : .... ... ,.� r -►dc ClasslflCa long T 1 t .x :t.",.:.:.-� ...�. w .. ..... ... > »•sr.> Contractor r �,,,:..>:..,.. �, �•�:.>-. �_.. r _ , . ;� S atb C ntracto s L i s ,.:"� 4 � � r.,..:, ._ �., >ftisur n c� �. r-�:� ckers C ►> >ensa ion :.c:.: 3,. ,>. z,Wa ! , s .. s r � - — _ Zsews ` Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date'' (e.g. A, B, C-8)' (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies)=(xxlxx/xx) (xxxx) (xx/xx/xx)' hRTHWOt�Kr(C ` S l Dr,�O 12)�� ! V` Ot C'.v. l�� 1. rCCNC�iETC (C 8) ,� e MING 5) ��II 63 ZD (C l�O' r r 'STRUGT STEL*(C 5Y1)' - • 1VIASONRY {C'29) f` � - F � uME31NG-P-(:h01rr•t l (Uwb- Ci' 3� LATH ALASTCR DRYWALL. (C 3j <HVAC (C 20) C-- '. Z -304 b x Cott" , >:LECTRICAL (C 10) ' �^ I s 0. _. - S C 9) �s `�' ROOFING( .... <...... e SNEF7 N(ETA( (C 4$) 'INSUI A---------- -TiOlp(C 2) SLWl�Gc D1SP (C"4. — CLI�/aMIC CABINCTS fC,G) a i ENCING ( POOL `lC rg), a _ YOUNG ENGINEERING W a V 0 r 8 -1n.. ........ .. . . .1 1 •t f e v - a ` Letter of Transmittal To: City of La Quinta Today's Date: 5-4-17 78-495 Calle Tampico City Due Date: - 5 -9 -17 - -9 -17 -La La Quinta, CA 92253 -Project Address: 50655 Calle Guaymas Attn:. MARY - Plan Check #: BRES2017-0030 _ Submittal: 0 1 St ❑ 4th 0 2nd. ❑ 5th ❑ 3�d ❑ Other: We are forwarding: By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: • Copies: ' ❑ Structural Plans V❑ Revised Struct. Plans ❑ Structural Calculations ❑ Revised Struct. Calcs D 1 Truss Calcs - O Revised Truss Calcs ❑ ,Soils Report - Update ❑ Revised Soils Report Structural P/C Responses •' O 'Approved Structural Plans 1 / Comments 1 D 1 Redlined Structural Plans 1 Approved Structural Calcs D 1 Redlined Structural Calcs ❑ Approved Truss Calcs- O , 1 Redlined Truss Calcs ❑ - _ Approved Soils Report • ❑ Redlined Soils -Reports ❑ Other: Comments: Structural content is approvable once address is provide on truss cover sheet and the EOR provides letter of review of trusss calculations or a shop drawing stamp on truss calculation package. Transit Per Diem= Admin Time = 0.25 hrs. Structural Engineer/Principal Review Time = 0.0 hrs. Plan Review Engineer Time = 1.0 hrs. This Material Sent' for,: ❑ Your Files .Per Your Request ❑ Your Review ❑ .Approval ❑ Checking ❑ At the request of: Other: ❑ [ �, ®r _ow—`,,V By: Joe Venuti Office: - El (760) 772-5107 s MAY 10 2017 Other: _0 LQPC@VALUENGR.COM CITY OF (4 QUINTA COMMUNIly DEVEL9P4,NT RT4500 SERIES TRADITIONAL EXCLUSIVE FEATURES Available in 36" 42" and 50" models Massive smok-2 dome for reliable operation Fully insulatec< f rebox for irn_reased performance in colder climates Refractory panels in two patterns with integrated ash lip Heavy duty cast iron log graze with rugged forged andirons�� Midden asp cramp with pull mg Easy access damper control Includes rnesr fire screens Dual (left ha-d/right hand) outside air kits ova fable for maximum performance Durable text -red powder ccat finish Uses IHP 12 DrA (1700) doutle wal air cooled wood burning chimney 6Uses IHP 12 H— ;2100) heavy gauge double wail air cooled wood burning chimney, recommended for cold climates (required for Canada) �A �20 year limited warranty �_..._..�.�._,..�.�.�. r.'4tT1542 f replace and its large heavy our.g co ,.r'-,te .anc rugged ?o 9e04 < rtdirorS (Required) Choose refry -tory penels in stacked or herringbone patterns. White Stacked Whi•e HeFringbone GLASS DOORS at ' Tempered : -fold glass doors are expertly .rifted and firthed in three options. Platinum Brushed Brass Black Maintain 1 '/Z' Clearance at Sides and Back of Fireplace 1 '/Z' Clearance Not Required at F Nailing Flanges E �0� WRT4536 WRT4542 WRT4550 _..-._._._...._........._......._.. ... — --- --.-----.._._............._.....__..--..-_.-.._._._..._......._.._-- 0 45-1/4' 51-1/4' 59-1/4' ............ _-_-- ......... ............. ....... - - - -- - -- -..._._......_... - ..__....__........ E 86-12' 92' 100' F 61' 65' 71' I— S —1 WRT45M WRT492 WRT4550 G 36' 42' 50' H 45-1/8' 51-1/8' 59' 1 29' 30-12' 38-12' 1 26-5/8' 29' 28-12' K 30' 30' 30' L 49' 49' 49' M FLAT WALL FRAMING SPECIFICATIONS 67' N APPLIANCESPECIFICATIONS 10.12' 10-12' 0 ............ ...... - .......... 9-12' _.__. — 9-12' 9-12' P 3-12' 3.12' 3-12' Q7-1/4' ........_............_ Uses IHP •. 8-12' 8-12' R 11' 13' 13' Wood Burning Chimney Pipe 7B_�'. III \M , r] /,I I�TI I 0 �i 'I i .. IOUTSIDEAIR ACCESS GAS LINE 1 ,,ACCESS illl , Maintain 1 '/Z' Clearance at Sides and Back of Fireplace 1 '/Z' Clearance Not Required at F Nailing Flanges E �0� WRT4536 WRT4542 WRT4550 _..-._._._...._........._......._.. ... — --- --.-----.._._............._.....__..--..-_.-.._._._..._......._.._-- 0 45-1/4' 51-1/4' 59-1/4' ............ _-_-- ......... ............. ....... - - - -- - -- -..._._......_... - ..__....__........ E 86-12' 92' 100' F 61' 65' 71' I— S —1 WRT45M WRT492 WRT4550 G 36' 42' 50' H 45-1/8' 51-1/8' 59' 1 29' 30-12' 38-12' 1 26-5/8' 29' 28-12' K 30' 30' 30' L 49' 49' 49' M 67' 67' 67' N 10-12' 10.12' 10-12' 0 ............ ...... - .......... 9-12' _.__. — 9-12' 9-12' P 3-12' 3.12' 3-12' Q7-1/4' ........_............_ ............ ............... ........ _ .............. 8-12' 8-12' R 11' 13' 13' S 15-1/4' 17' 17' IMPORTANT NOTES: As with any fireplace, this appliance is extremely hot during operation. Read and understand all operating instructions before using this appliance. For further information, consult your dealer. On the Cover: `Jt/RT4542 fireplace t ith White Herringbone Refractor,/ Local conditions, such as elevation, wind, went configuration and choice of fuel will affect overall appearance Panels of the fire and heating performance. Performance can also vary with home design and insulation, climate. condition and type of fuel used, appliance location, bum rate. accessories chosen, chimney installation and how the appliance is operated. Diagrams, illustrations and photographs are not to scale—consult installation instructions. Product designs, materials, dimensions, specifications, colors and prices are subject to change or discontinuance without notice. u AV F lertov ® 2017 Innovative Hearth Products 785353M 01/17 Visit us online o SuperiorFireplaces.us.com c us Report NF09-095 Boral Roofing Build something great'" 40 Saxony° 900 Country Slate At 3" minimum headlap, 85 field files will cover approx. 100 square feet of roof area. Unique beveled edges precisely define each roof the for a staggered appearance. Compliant with Caltornla Ttle 24, 2013 Aged SRI requir6mrer t. Calculated Aged .rare sr Sea Peart Blend 1FECY4070 GRRG Rased Froduct - 0942-0186; Rett .19 /Aged Ref -1 E,,i:.91 % SR;: 18 I Agec SRI:,.,,%) Bronze Pearl Mend 1 FECY03J'i GRRO Rated Prcfuct - 0942-0187; Ref; .2 6 /Aged Ret. Emi:.91 r' SRI: 27 i Ageu SRI: S okey Topaz Blend 1 FECY3181 GRRG # 09-42-01911' Ref: .21 /Aged Ref 1 E ^<:.93 / SRI: 22 i Aged SRI :# The pnnt8d colors shown in this CIA S,hP,et rrIaV vary frOm 4RChIal 3WIiLable. file �Oiors. , • r „, • � v4.4 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFI R -PRF -01 Project Name: Single Family Residence Calculation Daterrime: 13:40, Tue, Apr 11, 2017 - Page 1 of 9 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence.ribd16x GENERAL INFORMATION - - 01 Project Name Single Family Residence 04 ' 02 Calculation Description Tille 24 Analysis Energy Use (kTDV/ft2-yr) 03 Project Location 50655 Calle Guaymas Compliance Margin Percent Improvement 04 City La Quinta 05 Standards Version Compliance 2017 ' 06 Zip Code 07 Compliance Manager Version BEMCmpMgr 2016.2.1 (695) 08 Climate Zone CZ15 09 Software Version EnergyPro 7.1' t0 Building Type Single Family 11 front Orientation (deg/Cardinal) 90 12 Project Scope Newly Constructed - 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft2) 2623 15 Number of Zones 1 16 Slab Area (ft2) 2623 s'''` y ;..17. Number of Stories 1 18 Addition Cond. Floor Area Na , F�;y<ta.: r 'j`; :'"ti`19i •. Natural Gas Available Yes ' 20 Addition Slab Area (112) rt/aY:?; Glazing Percentage (%) 16.3 COMPLIANCE RESULTS 1'`'`'d` 01 Building Complies with Computer Performance 02 This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CECapproved HERS provider. 03 This building incorporates one or more Special Features shown below CjOp655 VAY4kS Registration Number. PRF17-00160384 Registration DaterTme: 04/11/2017 16:19 HERS Provider. CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version'- CFl R-03032017-695 Report Generated at: 2017-04-11 13:41:03 lop? 2017 FDATIE F LA QUINTA G & SAFETY DEPT. 'OOVED' ONSTRUCTION .SOI BY ENERGY USE SUMMARY 04 a05 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 0.24 3.06 -2.82 -1175.0% Space Cooling 72.44 64.06 8.38 11.6% IAQ Ventilation 0.99 0.99 0.00 0.0% Water Heating 5.01 10.54 -5.53 -110.4% Photovoltaic Offset — 0.00 0.00 — Compliance Energy Total 78.68 78.65 0.03 0.0% CjOp655 VAY4kS Registration Number. PRF17-00160384 Registration DaterTme: 04/11/2017 16:19 HERS Provider. CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version'- CFl R-03032017-695 Report Generated at: 2017-04-11 13:41:03 lop? 2017 FDATIE F LA QUINTA G & SAFETY DEPT. 'OOVED' ONSTRUCTION .SOI BY I CERTIFICATE OF COMPLIANCE -RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 13:40, Tue, Apr. 11, 2017 Page 2 of 9 Calculation Description: Title 24 Analysis 'Input File Name: Lakes Residence.ribdl6x ' ENERGY DESIGN RATING Energy Design Rating (EDR) is an alternate way to express the energy performance of a building using a scoring system where 100 represents the energy performance of the Residential Energy Services (RESNET) reference home characterization of the 2006 International Energy Conservation Code (IECC)..A score of zero represents the energy performance of a building that combines high levels of energy efficiency with renewable generation to"zero out" its TDV energy. Because EDR includes consideration of components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics), it is not used to show compliance with Part 6 but may instead be used by local jurisdictions pursuing local ordinances under Title 24, Part 11 (CALGreen). As a Standard Design building under the 2016 Building Energy Efficiency Standards is significantly more efficient than the baseline EDR building, the EDR of the Standard Design building is provided for Information. Similarly, the EDR score of the Proposed Design is provided separately from the EDR value of installed PV so that the effects of efficiency and.renewable energy can both be seen _ EDR of Standard Design EDR of Proposed Design EDR Value of Proposed PV ' Final EDR of Proposed Design _ 51.4 51.3 0.0 - 51.3 ❑ Design meets Tier 1 requirement of 15% or greater code compliance margin (CALGreen A4.203.1.2.1) and QII verification prerequisite. ❑ Design meets Tier 2 requirement of 30% or greater code compliance margin;(CALG een 44.203.1.22) and Oil verification prerequisite. ❑ Design meets Zero Net Energy.(ZNE) Design Designation requirement for Si1.ngile`0 iii. in climate zone CZ15 (Palm Springs) (CALGreen A4.203.1.2.3) including onsite photovoltaic (PV) renewable energy generation sufficient to achieve a final,Energy Design Rating (EDR) of zero or less. The PV System must be verified. REQUIRED SPECIAL FEATURES `"!'l 'ijM""="""!:'{'' »w:s?i. ' Ya�3 .mv . The following are features that must be installed as condition for meeting the modeled ene'rgyrperfortna«ynce for this computer analysis. • Cool roof :v?:"'•" Window overhangs and/or fins Pipe insulation, all lines HERS FEATURE SUMMARY The following is a summary of the features that must be field -verified by a ceNfied HERS'RaieFlas a condition for ineeGng the modeled energy performance for this computer analysis. Additional detail is Provided in the building components tables below. Building -level Verifications: .. •<, a. x;.: ::.cE _;.:•: s;,-:< :•:;,:.; :•,..:::,:::c.y - • IAQ mechanical ventilation Cooling System Verifications: ' • Minimum Airflow • Verified EER Verified SEER • Refrigerant Charge Fan. Efficacy Watts/CFM HVAC Distribution System Verifications: Duct Sealing • Low -leakage Air Handling Unit ' Domestic Hot Water System Verifications: None — Registration Number. PRF17-00160384 Registration Date/Time: 04/11/2017 16:19 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-03032017-095 HERS Provider. CHEERS Report Generated at: 2017.04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence - Calculation Date/Time: 13:40, Tue, Apr 11, 2017 Calculation Description: Title 24 Analysis Input File Name: Lakes Resi6ence.ribdl6x CF1 R -PRF -01 Page 3 of 9 BUILDING - FEATURES INFORMATION .,-..'�' fed:•: Ot 02 `'03 ' �`• "• � a.a. '-3%; :'.:i:: `'• 04` ' �' � .> OS 06 07 08 Name Construction Type ' 01 Attic Whole House Attic RoolWhole House Ventilated 02 03 04 05' 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Single Family Residence 2623 1 3 ' 1 0 1 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 2623 9 DHW Sys 1 OPAQUE SURFACES01 K;,l�r •�,,-z 02 :�iO3r::, .�:r�;4.c - 04 OS 06 07 08 Name Zone :zsxa:..f,•;..;g:u-�. Constructioh'•, i'° -� Azimuth Orientation Gross Area (1`12) Window & Door Area (ft2) rift (deg) Front Wall Whole House R=2�1`.VYall'1�;;;;� • 90 Front 500 78 90 ' Left Wall - Whole HouseR-21 Wall •. 0 Right 300 97 90 f Rear Wall Whole House R-21 Walks 270 Back 650 167 90 Right Wall Whole House R-21 Wall - 180. Left 300, 85.9808 90 Roof Whole House, R-38;Roof Mm. 2623 'sem-u. i� iE-._. ' 1". . S ffi_ ...- A ATTIC .,-..'�' fed:•: Ot 02 `'03 ' �`• "• � a.a. '-3%; :'.:i:: `'• 04` ' �' � .> OS 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Whole House Attic RoolWhole House Ventilated 0 0.9 0.9 Yes Yes Registration Number. PRF17-00160384 Registration DateRme: 04/1111201716:19 - _ HERS Provider. CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CFIR-03032017-695 Report Generated at: 2017.04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation DaterTime: 13:40, Tue, Apr 11, 2017 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence. ribd I 6x CF1R-PRF-01 Page'4 of 9 FENESTRATION f GLAZING O1 02 03 04- 05 '06 07 08 09 10 . Name -Type Surface (Orientation- Azimuth) Width (ft) Height` (ft) Multiplier Area (ttZ) - LI -factor SHGC Exterior Shading Window Window Front Wall (Front -90) 4.0 2.0 1 8.0 0.40 0.32 Insect Screen (default) Window 2 Window Front Wall (Front -90) 6.0 5.0 1 30.0 0.40 ..0.32 Insect Screen (default) Window 3 Window Front Wall (Front -90) 8.0 5.0 1 40.0 0.40 0.32 Insect Screen (default) Window 4 Window Left Wall (Right -0) 6.0 2.0 1 12.0 0.40 0.32 Insect Screen (default) ' Window 5 Window left Wall (Right -0) 5.0 5.0 . 1 ! 25.0. 0.40 0.32 Insect Screen (default) . Window 6 Window . Left Wall (Right -0) 6.0 _ 5.0 1 30.0 0.40 0.32 Insect Screen (default) Window 7 _ Window Left Wall (Right -0) 6.0 5.0 1 30.0 0.40 0.32 hued Sween (default) Window 8 Window Rear Wall (Back-270j�-,*" 8.0 1 24.0 0.40 0:32 Insect Screen (default) Window 9 Window Rear Wall (Back -276)' '�9 2:5 5.0 5.0 1 12.5. 0.40 0.32 Insect Screen (default) Window 10 Window - rs '<1 .' . Rear Wall (Bade -270) <g�. � '< -r ,- Y2,5 5.0 1 12.5 0.40 0.32 Insect Screen (default) Window 11 Window Rear Wall (Back -270) { t K''; 6.0 5.0 .1 30.0 0.40 0.32 Insect Screen (default) Window'12 Window Rear Wall (Back -270) ;,.,, 6.0 8.0 1 48.0 0.40 0.32 .Insect Screen (default) Window 13 Window Rear Wall (Back -270)8.0 5.0 1 40.0 0.40 0.32 Insect Screen (default) Window 14 Window Right Wall (Left -180) 2.0 4.0 1 8.0 0.40 0.32 Insect Screen (default) Window 15 Window Right,Wall (Left; 80)`. 4: 0 1 20.0 0.40 0.32 Insect Screen (default) Window 16 Window Right Wa0 (Left' -X180), t4"" L°` 4.0 Y'' !V0 1 20.0 0.40 0.32 Insect Screen (default) Window 17 Window Right Walh(Left-180)..1 0.694 .30.0 0.40 0.32 Insect Screen (default) Window 18 Window Right Wall (Left -180) 4.0 2.0 1 8.0 0.40 0.32. Insect Screen (default) Registration Number. PRF17-00160384 Registration DateTme: 04/11/2017 16:19 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-03032017-695 i HERS Provider: CHEERS Report Generated at 2017-04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence a Calculation Datelrime: 13:40, Tue; Apr 11. 2017 Page 5 of 9 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence.ribdl6x OVERHANGS AND FINS 01 02 03 04 1 05 06 07 08 1 09 10 - 11 12 13 ' 14 Overhang Left Fin Right Fin f Window Depth. Dist Up Left 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 t Window 3 2 0.1 2 2 0 -0 0 0 0 0 0 0 0 Window 4 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 5 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 2 0.1 2 2 0,. 0 0 0 0 0 0 D 0 Window? 2 0.1 2 2- 0 0 0 0 0 0 0 0 .Window8 2 0.1 2 2`;.,.'0,°t;tk;;' 0 0 0 0 0 0 0 0 Window 9 2 0.1 2 2 erg; ;£p *' t 0 0 0 0 0 0 0 0 Window 10 2 0.1 2 2 `.`x' y O i,k �€ 0 0 0 0 0. 0 0 0 Window 11 2 0.1 2 2 's0>': 0 0 0 0 0 0 0 0 Window 12 2 0.1 2 2 b 0 0 0 0 0 0 0 0 Window 13 .• 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 14 2 0.1 2''y 2; '- j "" 0'Hr"`" '_.. 0 0 0 0 0 - 0 0 o. Window 15 2 0.1 2 - a 2 -0`^°� d '�'0 0 0. 0 0 0 0' 0 Window 16 2 0.1 2, 2 .. '0. ._;:•0_.,.','0:�:...r 0 0 0. 0 0 0 0 0 Window 17 2 0.1 2�-- 2.::•: 0 0 0 0 0 0 0 Window 18 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Recislration Number. PRF17-00160384 Registration DateTme: 04/11/2017 16:19 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-03032017-095 HERS Providei: CHEERS Report Generated at: 2017.04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation DatefTime: 13:40, Tue, Apr 11, 2017 Page 6 of 9 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence. ribd I 6x OPAQUE SURFACE CONSTRUCTIONS 01 02 03 - 04 05 06 07 Construction Name Surface Type Construction Type ' Framing Total Cavity R -value Winter Design U -value Assembly Layers Attic RoofWhole House Attic Roofs Wood Framed Ceiling 2x4 Top Chord of Roof Truss @ 24 in. O.C. none 0.644 Cavity/Frame: no insul. /2x4 Top Chrd Roof Deck., Wood Siding/sheathing/decking Roofing: Light Roof(Asphalt Shingle) R-21 Wall Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.069' Inside Finish: Gypsum Board Cavity/Frame: R-21 /2x6 Exterior Finish: 3 Coat Stucco ' R-38 Roof Ceilings (below-- attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. R'38 0.025 • Inside Finish: Gypsum Board Cavity/Frame: R -9.1/2x4 Over Ceiling Joists: R-28.9 insul. SLA13 FLOORS Nom'. 01 02^^03. '�`�' 04 05 06 07 .M w: s...# .�� zpr, Name ZoneAiea�(ftZ)C'.•.e §'r1;r , Perimeter (ft) Edge Insul. R -value 8 Depth Carpeted -Fraction Heated Slab -on -Grade Whole House 2623u: y v ;.' 15 None 1 No BUILDING ENVELOPE -HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (011) Quality Installation of Spray Foam Insulation' k - .,,-Building Envelope Air Leakage CFM50 - Not Required Not Required;t Not Required — WATER HEATING SYSTEMS ) : ;;,, ;.• , „ • 01 02 03 04 05 06 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 DHW Pipe Insulation, All Lines DHW Heater 1 (2) 2 .0% WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 Name Heater Element Type Tank Type Number of Units Tank Volume (gal) .Energy Factor or Efficiency Input Rating/Pilot Tank Insulation R -value (Int/Ext) Standby Loss I Recovery Eff NEEA Heat Pump Type Tank Location or Ambient Condition DHW Heater 1 Gas Small Storage 2 40 0.63 EF 37000 Btu/hr n/a n/a n/a n/a Registration Number. PRF17-00160384 Registration DateTme: 04/11/2017 16:19 HERS Provider. CHEERS CA Building Energy Efficiency Standards = 2016 Residential Compliance Report Version - CF1 R-03032017-695 Report Generated at: 2017-04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation Date/Time: 13:40, Tue, Apr 11, 2017 Page 7 of 9 Calculation Description: Title 24 Analysis ' Input File Name: Lakes Residence.ribdl6x SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name' Whole Housel Other He System ystem Cnd ooling Heating Component 1 Cooling Component 1 HVAC Fan.1 ' Air Distribution System 1 HVAC - HEATING UNIT TYPES 01 - 02 03 04 - Name System Type Number of Units Efficiency Heating Component 1 CntdFumace 2 80 AFUE HVAC - COOLING UNIT TYPES 01 02 03 tt 1`Y 04 05 06 07 08 Name System Type Number of Un a,; .: ,�'' Efficiency SEER Zonally Controlled Compressor Type HERS Verification Cooling Component 1 SpIRAirCond •+'s 2 't + . ' 12 a '. 16 Not Zonal Single Speed CoolingComponent p 1 -hers -cool HVAC COOLING -HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow. '"' 43 Airflow Tang_ et "`rifiedEER _Ve Verified SEER Verified Refrigerant Charge ' Cooling Component 1 -hers -cool Required 350 Required Required Required HVAC -DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Dud Leakage Insulation R -value Duct Location Bypass Dud HERS Verification Air Distribution System 1 DuctsAltic Specified Lower Leakage Target 6 Attic None Air Distribution System 1 -hers -dist HVAC DISTRIBUTION -HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification Dud Leakage Target I%) Verified Duct Location Verified Duct Design Buried Duds Deeply Buried Duds Low4eakage Air Handler Air Distribution System 1 -hers -dist Required 6.0 Not Required Not Required Not Required Not Required . Required Registration Number. PRF17-00160384 Registration DateRme: 04/11/2017 16:19 HERS Provider. CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-03032017-095 Report Generated at: 2017-04-11 13:41:03 - r CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation DaterTirile: 13:40, Tue, Apr 11, 2017 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence.ribdl6x CF1R-PRF-01 Page 8 of 9 HVAC -FAN SYSTEMS ' 01 02 03 04 ' Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) Name Type Pan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1 -hers -fan HVAC FAN SYSTEMS -HERS VERIFICATION ' 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 0.58 IAQ (Indoor Air Quality) FANS _ 01 02 04 05 06 L- Dwelling Unit IAQ CFM IAQ Watts/CFM: . • IAQ Fan Type UIQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 56 ':025(s • ' Default 0 Required jt'' P • Y�'z Registration Number: PRF17-00160384 Registration Date/rime: 04/11/2017 16:19 •- HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 ResidenUal Compliance ' Report Version - CFt R-03032017-095 Report Generated at: 2017-04-11 13:41:03 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Single Family Residence Calculation DateMme: 13:40, Tue, Apr 11, 2017 Calculation Description: Title 24 Analysis Input File Name: Lakes Residence. ribd 1 6x CFI 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: Joan Hacker Joan Hacker Company. Signature Date: Joan Hacker 04/11/2017 Address: - CEA/HERS Certification Identification (If applicable): . 72875 Fred Waring Drive City/Stale/Zip: Phone: Palm Desert, CA 92260 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify lhe'following under penalty of perjury, under the laws of the State of Celifomia 1. 1 am eligible under Division 3 of the Business and Professions Code to acceptrespons�bddy tor�lhe b' itding design identified on this Certificate of Compliance. 2. 1 certify that the energy.features and performance spec ptions identified orvthis ,Certifipte;of Complianee conform to the requirements of Title'24, Part 1 and Part 6 of the California Code of Re ulations. t • 9 .y x z n h �a ,. consistent with the information provided on other applicable compliance documents, ,,. The building design features or system design features identified on thisCertificete of�Compllance:are worksheets, calculations, plans and specifications submitted to the enforcement agency;forapproval wiinformationthis building permit application. ..,:x�: Responsible Designer Name: :' v� Responsible Designer Signature: loan Hacker Joan Hacker Company: o as v rr Date Signed: .loan Hacker Address: 72875 Fred Waring Drive License: City/State/Zip: Phone: Palm Desert , CA 92260 760-345-1352 Digitally signed by CHEERS". 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. PRF77-00160384 Registration Date/Time: 04/11/2017 16:19 HERS Provider. CHEERS Report Generated at: 2017-04-11 .13;41:03 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-03032017695 4 ' r