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BRES2017-0148� a � VOICE (760) 777-7125 78-495 CALLE TAMPICO 4 C` V FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/28/2017 Application Number: BRES2017-0148 Owner- wnerProperty PropertyAddress: 50285 HEATHER GLEN RON AND PATTY SLEGG APN: 776020012 50285 HEATF:ER GLEN Application Description: SLEGG /734 SF OFFICE ADDITON TO EXISTING DWELLING LA QUINTA, CA 92253 Property Zoning: Application Valuation: $90,000.00Applicant: Contractor: FM SOUTH WEST CONCEPTS, INC. ONWER BUILDER 78115 CALLE ESTADO, SUITE 105 LA QUINTA, CA 92253 CS 2 C Llc. No:: � LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed under pro isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a d Pr fessions Code, and. my License is in full force and effect. License Class: Li No.: Dat ✓ Contractor vd, + OWNER -BUILDER DECLARATION T� affirm I hereby arm under penalty of perjury that I am exempt from the ntractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit .subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year'of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracti with licensed contractors to construct the project. (Sec. 7044, Business and Professio Code: The Contractors' State License Law does not apply to an owner of property wh uilds or improves thereon, and who contracts for the projects with a contractors) ensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. f ason Date: '1040, Owner: CONSTRUCTION LENDI 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 t4eVork for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the peraormance of the workor which this permit is issued. My workers' compensation insuran_e carrier and policy 61 mber are: Carrier: _ Polity Number: _ _ I certify that in the performance of the work for wh' h his permit is issued, I shall not employ any person in any manner ao as to become ect to the workem! compensation laws of California, and agree that, if I should me subject to the workers' compensation provisions of Sectio 13700 of t ode, I shall forthwith comply w' .20r.0 thorrovisions. • [9BCe: AppIican� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.QOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100 l00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKAOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on tis 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 tothe work being performed under or following issuance of this permit. 2. Any permit issued as a result of.this app5cation becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation oork for 180 days will subject permit to cancellati.3n. / . I certify that I have read this application and :tate that the above informationi orrect. I agree to comply with all city and county orcinances and state laws relati wilding construction, and hereby authorize represen-atives of this city to enter po bove- mentioned properaty for inspection purposes - Da ��/ Signature (ApplicantorAgent): • 1 Date:. 8/28/2017 Application Number: BRES2017-0148 Owner: Property Address: 50285 HEATHER GLEN RON AND PA—TY SLEGG APN: 776020012 50285 HEATHER GLEN . Application Description: SLEGG /734 SF OFFICE ADDITON TO EXISTING DWELLING LA QUINTA, CA 92253 Property Zoning: Application Valuation: $90,000.00 Applicant: Contractor: SOUTH WEST CONCEPTS, INC. ONWER BUILDER 78115 CALLE ESTADO, SUITE.105 LA QUINTA, CA 92253 Llc. No.: ----------------------------------------•---------------------------------------------------- Detail: 734 SF ADDITION TO EXISTING DWELLING + 45 SF UNCONDITIONED MECHANICAL ROOM. ADD OFFICE, OFFCE BATHROOM, LAUNDRY ROOM, NEW HVAC SYSTEM, NEW WATER HEATER. THIS PERMIT DOES NOT INCLUDE ALTERATION. TO THE KITCHEN OR OTHER PARTS OF THE DWELLING. 2016 CALIFORNIA BUILDING CODES. 1 0 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY• AMOUNT . ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $130.72 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $36.48 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $127.68 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $179.36 Total Paid for ADDITION: $474.24 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1.5 $142.50 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1.5 $142.50 Total Paid for BLDG CITY STAFF - P=R HOUR: $305.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $4.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 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 CONST1UCTION: $202.16 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 .$10.14 Total Paid for MECHANICAL: $162.14 DESCRIPTION ACCOUNT QTY F AMOUNT BUILDING SEWER 10170000-42401 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 $50.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $50.68 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS ' 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 .0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY 'AMOUNT WATER HEATER/VENT PC .101-0000-42600 0 $7.60 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: $253.37 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $11.70 Total Paid for STRONG MOTION INSTRUMENTA—ION SMI: $11.70 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # e oFLa ta_- - r Buttding er Safety DW&I" < PeriWt # P.4. Box 1504,78-493 Cafe Tampfro i s OW3, CA 92253-x(760) 77747012 Bulldrng Pei*t Applrcatlon and Tracking Sheet A.: Number -76— p 2v - Addrrss:� r Leo n paon: at►. sr, 4: 1_� 6141,�VL CA l 22 5-3 Contractor:AUresTelephone: Z' v p �� ' _ Ptojectl odor: 7 � �Cl city.; T. Zip:Gt Telephone: n - ..p.,e Caty,wl Zip:- Tdephoa6:.76o Gq '-(7o`7 Construction Skate Lie M, ptgcci type (ourde OMY. Alta Rem Demo Name of CoasaotPerson: S4# Stories Tcicpliouc .a�Coatact Peon: Zo SL Lt 7V7 Estiaictod Vskc of Project APPLICANT: DO NOT WRITE MWW TMS UNE # Sabmttdtl, 'IRAQMG . Y�MLY FSif.S Ptna SNs :Month ecicsabmttted _ Amotmit Sttgdn al CsiIcs. Pcvlewed, rewly far artuffoils rM Wit, TYus: Cale:. Called CantaetPawn Pian [:heck S>�nes Zide34( leaf laaspl&idup CMdMcdoa I;ooQ pi�tiu pine Pluts rembniitttd Med °g Ply° 2" Rev!,ew, ready fw corFectionsr=e - II Teal SubcoAtAciOr List Gained Contact Person Piuiah5ng ' GYaat Deed Plans pfdmd ap gin &O:A. Approvstl Plans ranbndW (rWlni Ift HOUM.. ''{ Review; ready for corsectiondume Dtvdapec Impact Fee PlanclaS APPS (�Iled Conhci Pessan AdB.P. Fu6: V.kL Appr" I1att of perm[t issue . School Fees ' TOW PermftFem YOUNG ENG[NEERING V. s G c S i Letter of Transmittal 1 To: City of La Cluinta' '. Today's Date: 8-16-177 , 78-495 Calle Tampico City Due Date: 8-16-17 La Quinta, CA 92253 Project Address: 50285 Heather Glen Attn: MARY Plan Check #: BRES2017-0148 Submittal:' 0 1st ❑ 4th ❑ 2nd ❑ 5th r • ❑ 3'd ❑ Other: We are forwarding: • ; Q By Messenger ❑ By Mail (Fed Ex or UPS) ❑ ` Your Pickup, Includes: Descriptions: Includes: #Of Desciptions: ! "t Copies: I O Structural Plans D Revised Struct. Plans O Structural Calculations ❑ Revised Struct. Calcs t ❑ Truss Calcs ❑ Revised Truss Calcs ❑. Soils Report - Update ❑ Revised Soils Report " •, , Structural P/C Responses Approved Structural Plans, Comments 1 D 1, Redlined Structural Plans D 1 Approved Structural Calcs ❑ 1, Redlined Structural Calcs O 1 Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report O Redlined Soils Reports ❑ Other: - Comments: Structural content is approvable once the following items are completed: M 1. Engineer will submit new stamped & signed sheet S4 with revised detail 1 on this sheet. 2. Engineer will stamp & sign the truss layout sheet. Transit Per Diem=. i, Admin Time, = 0.25 hrs. Structural Engineer/Principal Review Time = 0.0 hrs. Plan Review Engineer Time = 1.5 hrs. . This Material Sent for: i ❑ Your Files ❑ Per Your Request ElYour Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ 3 By: Joe Venuti Office; ❑ (760) 772-5107 Other,: Q LQPC@VALUENGR.COM r ^ The Management Trust OWNER INSPIRED. CHALLENGE ACCEPTED. DESERT DIVISION THE ESTANCIAS AT RANCHO LA QUINTA May 19, 2017 RONALD SLEGG P.O. Box 2400 SIDNEY, BC V81- 3Y3 RE: Architectural Submittal for 50-285 HEATHERGLEN Account #818656 Dear Homeowner: The Architectural Review Committee for THE ESTANCIAS has reviewed and APPROVED your architectural submittal per the plans submitted. ARC approval of plans shall not constitute a representation, warranty, or guarantee that such plans and specifications comply with engineering design practices or zoning and building ordinances, or other governmental agency regulations or restrictions. The ARC shall not be responsible for reviewing, nor shall its approval of any plans or design, be deemed approved from the standpoint of structural safety or conformance with building or other codes. By approving such plans and specifications, neither the ARC, the Members thereof, the Association, any Member thereof, their Board of Directors, any Members thereof, or the Declarant assumes any liability or responsibility therefore or for any defect in the construction or improvement from such plans or specifications. As provided in the CC&R's neither the ARC, the Association, the Board of Directors or the Association or any Members thereof, not the Declarant or Developer shall be liable to any Member, Owner, Occupant, or other person or entity for any damage, loss or prejudice suffered or claimed on account of (1) the approval or disapproval of any plans, drawings, or specifications, whether or not defective, or (2) the construction or performance of any work whether or not pursuant to the approved plans, drawings, or specifications. Your patience and cooperation with the architectural review process is appreciated. If you have any questions, please contact the association at (760) 776-5100. Sincerely, On behalf of the THE ESTANCIAS Architectural Review Committee t Lydia Pfannkuche The Management Trust - Desert Division Enclosures (1) cc: Board of Directors Unit File 39755 Berkey Drive, Suite A, Palm Desert, CA 92211-1106 WASHINGTON • OREGON • NEVADA • COLORADO • CALIFORNIA • ARIZONA ( PH: 760-776-5100 FAX: 760-776-5111 www.managemenftrust.com I^ The Management Trust n OWNER INSPIRED. CHALLENGE ACCEPTED. The Estancias Homeowners Association July 29, 2015 RONALD SLEGG 2030 MALAVIEW AVENUE SIDNEY, BC V8L 5X6 RE: Architectural Submittal for 50-285 HEATHERGLEN Account -#818656 Dear Homeowner: AUG °L 3 2016 CITY OF LA QUINTA COMMUNITY ncyELoPMENT The Architectural Review Committee for THE ESTANCIAS has reviewed and APPROVED :your architectural submittal for the installation of Attached Guesthouse per the plans submitted (2nd submission). ARC approval of plans shall not constitute a representation, warranty, or guarantee that such plans and specifications comply with engineering design practices or zoning and building ordinances, or other governmental agency regulations or restrictions. The ARC shall not be responsible for reviewing, nor shall its approval of any plans or design, be deemed approved from the standpoint of structural safety or conformance with building or other codes. By approving such plans and specifications, neither the ARC, the Members thereof, the Association, any Member thereof, their Board of Directors, any Members thereof, or the Declarant assumes any liability or responsibility therefore or for any defect in the construction or improvement from such plans or specifications. As provided in the CC&R's neither the ARC, the Association, the Board of Directors or the Association or any Members thereof, not the Deoarant or .Developer shall be liable to any Member, Owner, Occupant, or other person or entity for any damage, loss or prejudice suffered or claimed on account of (1) the approval or disapproval of any plans, drawings, or specifications, whether or not defective, or (2) the construction or performance of any work whether or not pursuant to the approved plans, drawings, or specifications. Your patience and cooperation with the architectural review process is appreciated. If you have any questions, please contact the association at (760) 776-5100. Sincerely, *orsealf of th THE ESTANCIAS Architectural Review Committee M t The Management Trust - Monarch Group Division Enclosures (1) cc: Board of Directors Unit File 39755 Berkey Drive, Suite A, Palm Desert, CA 92211-1106 WASH INGTONI OREGONI NEVADAI COLO RAO 01 CALIF OR NIA IARIZONA PH:760.776.5100 FAX:760.776.5111 www.managemenftrust.com Date: 8/14/2017 No.: 17-00687-1 Owner: Ron and Patty Slegg Address: 50285 Heather Glen City: La Quinta CA Type: New Residential Addition Lot # Street No. 50-285 Comments: F CERTIFICATE OF COMPLIANCE 0O%FIED s Desert Sands Unified School District 0 47950 Dune Palms Road "BERMUDA DUNES RANCHO MIRAGE La Quinta, CA 92253 I; I INDIAN WELLS Z;� PCO S ALNELLA �y (760)771-8515 v+QUINTA �o INo10 y� Email: Jurisdiction: La Quinta Tract #: Street Name Sq. Feet APN Permit No. Heather Glen 734 776-020-012 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 _o 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 734 S.F. or $2,554.32 have been paid for the property listed atove 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\Nick Nieto Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent Fee Collected/ Exempted by: Virgilio Ga Check No.: 0846808604 Telephone: 750-564-4707 Funding: Residential Certificate Fees Due:.. `$2,554.32 Original Fayment(s)_Rec'd: ,$Q:00 New Payment Rec'd':. $2,55432 Over/Uln-der: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees'er 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) tehalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL CERTIFICATE OF COMPLIANCE 0N`"EO s Desert Sands Unified School District 4AW00 47950 Dune Palms Road r. �UREIF& : IAN t Date: 8/14/2017 La Quinta, CA 92253 L cA`Ht�tfin` a~ s� I:A UIN A 7� No.: 17-00687-1 (760)771-8515 0 oro y: Owner: Ron and Patty Slegg Email: Address: 50285 Heather Glen Jurisdiction: La Quinta City: La Quinta CA Tract #: Type: New Residential Addition Lot # Street No. Street Name Sq. Feet APN Permit No. 50-285 Heather Glen 734 776-020-012 AUG 2.3 2016 CITY OF LA QUINTA Comments: COMMUNITY DEVELOPMENT At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered Ratios/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 734 S.F. or $2,554.32 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 Ba"nk of AmeFica\Nick NieCheck No.: 6846808604to -4707 Funding: '760 564- 760564 Telephone: Bank Name/Recipient of Certificate sidential By Scott L. Bailey ` Superintendent \ Fee Collected/ Exempted by: Virgilio Gar a t. Certificate Fees Due: $2,554.32 Originall Payment(s) Rec'd: $0.00 M . . A\ New Payment Recd: $2,554.32 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you this the 90 -day approval pericd in which you may protest the fees er 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. Plan Submittal Job Site Owner's N Number, Street, or PO City, State, Postal C Owner's Phone Nur owners E -Mail Add Project Managers Project Managers Phone N Building Permit Number/ — Project Description- qAddmprovement Exempt: ❑ (Maberlals,may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 8/21/2017 50-286 Heatherglen La Quanta, CA 92253 Ron & Pattl Slegg 60-286 HeaMerglen La Qulr>ta, CA 92253 250-7449078 psleggmaol.com Stephen R. Mato 780-333-2179 Builder /CopTator Stephen R. Nieto Number, Stmt or PO Box 78-115 Celle Estedo, Ste 105 City, State, Postal Code La Quinta, CA 92253 Project SquareFootagel Approx. 734 square feet City Approval By Renado Gouldlock-DECdBurriec W Date of City Approval 013/11h07 Materials To -Be Discarded: Product Tons Trash 3.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken)dRecyclable Recyclable Brick/Block 0.00 Recyclable PlasterRecyclable Cardboard 0.00 Recyclable Scrap MetalRecyclable Commingled 0.00 Recyclable The (floor)Recyclable Concrete 2.75 Recyclable The (roof)Recyclable Drywall 0.39 Recyclable WoodRecyclable Donated / Reuse' 0.00 Recyclable Landscape Debris •Describe Items Totals: Re cle Trash Projected Diversion: 6.8 3.0 66.28% I understand It is the property owner's responsibility to submit copies of waighttickets orreceipts 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 85% of the jobsits 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 propertyy 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 A.__._ Z V Av 4 201'] Owner / Developer / Project Manager / Superintendent Date �6�nss.uV ir�,ot�ES• March 29, 2017 S" Wa&,-e4upf4--e, Architectural Design & Development 78-115 Calle Estado, Suite 105 La Quinta, CA 92253 Tel (760) 564-4707 Fax (760) 564-4955 City of La Quinta The Management Trust Re: Residential Addition 50-285 Heatherglen La Quinta, CA 92253 Written Authorization To all concerned, Let it be known that Patti Slegg, the legal owner of the above referenced property, hereby authorizes Stephen R. Nieto/South West Concepts, Inc. to act as my agent. Mr. Stephen Nieto shall be authorized to provide signatures on the owner's behalf regarding all matters dealing with submittals and permits required for this proposed project. All required agency fees will be paid by the legal owner. Patti Slegg Dat P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 PROPERTY OWNER'.S.PACKAGE -.;,�; '.-! c-.4 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 your name listing yourself as the builder of the property improvements specified at 5po 2 AT vo. Q &, 22 3 We are providing you with an Owner -Builder Acknowledgment and Information 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. qLo. 1. 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. I, 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. TL, 2. I understand building permits are not required to be signed by property owners unless thew 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 cir her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employor otherwise engage any persons, other than California liceiised`Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I maybe considered an "employer" under state and federal law. 7L, 6. I 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. 11�jr 7. 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. ,q &8. 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. R'19. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small 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- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. ?L.-10. 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 financially, responsible for proposed construction activity at the following address: 50 2b5 �t.at �Etza �-1 t.or c2 ]taro. ca '11. 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. ?Li 12. 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 Date: Q.2$. l'1 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. 1 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 agent(s) 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): 'l 3� 2!9 VT '.cTac-µ ot7 cpOr-le-0• Project Location or Address: 5 o -g4bc�y I CA"r"%Z Name of Authorized Agent: ST$ PNGty @. NIETO Tel No Address of Authorized Agent: Till 6 c.^u s SSs^bo *tom t,a. Q %Nr4# I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above ' a 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: b.2$ , j1 r� CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Date/Time: 22:13, Tue, Jul 18, 2017 Calculation Description: Title 24 Analysis Input File Name: 1 R-007-SLEEG RESIDENCE ADD.ribdl6x CF1 R -PRF -01 Page 1 of 7 GENERAL INFORMATION ENERGY USE SUMMARY 01 Project Name SLEGG RESIDENCE 04 - 02 Calculation Description Title 24 Analysis 08 Energy Use (kTDV/ft2-yr) 03 Project Location 50285 HEATHERGLEN Compliance Margin Percent Improvement 04 City LA QUINTA 05 Standards Version Compliance 2017 06 Zip Cade 02263 07 Cimipliance Manager Veisiuii 0EMCmpMyi 2010.2.1 (095) 08 Climate Zone CZ15 09 Software Version CBECC-RQ20 .1 6 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) 0 12 Project Scope Newly Constructed (Addition Alone) 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft?) 734 15 Number of Zones 1 16 Slab Area (ft) 734 17 Number of Stories 1 18 Addition Cond. Floor Area 734 19 Natural Gas Available No CITY OF LA QUINTA 20 Addition Slab Area (ffZ)' 734 21 Glazing Percentage ('/o) 24.5% COMMILIN1W DEVELOPM ADDITION ALONE PROJECT ANALYSIS PARAMETERS 01 � I'' v7 -.0211 e � rrt IMOV 0 OS O6 Existing Area (excl. new addition) ft2 Addition Area:(exch eiisting)�ft2� 1K A A Bedrooms Total Bedrooms _ - 5744.38 rf •`t` L7-34ti' tax tk 1ti tti . t . 0 3 COMPLIANCE RESULTS ,t t 4— VA ..,.0 V VA DEPT. 01 Building Complies with Computer Performance AFHKOVED 02 This building incorporates features that require field testing and/or verification by a ertifeEQR6"f4RWO ion of 3 CECapproved HERS provider. 03 This building incorporates one or more Special Features shown below` • ` . 1 UAIt=#J---1 UT v r 1 Vrr�w Registration Number: 217-Po10244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-1916:51:49 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-07-18 22:14:05 VT ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 1.53 9.02 -7.49 -489.5% Space Cooling 94.95 88.99 5.96 6.3% IAQ Ventilation 0.00 0.00 0.00 0.0% Water Heating 23.82 20.56 3.26 13.7% Photovoltaic Offset -- 0.00 0.00 ---- Compliance Energy Total 120.30 118.57 1.73 1.4% Registration Number: 217-Po10244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-1916:51:49 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-07-18 22:14:05 VT CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Date/Time: 22:13, Tue, Jul 18, 2017 Calculation Description: Title 24 Analysis Input File Name: 1R-007-SLEEG RESIDENCE ADD.ribd16x CF1 R -PRF -01 Page 2 of 7 REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Cool roof • Insulation below roof deck • Exposed slab floor in conditioned zone HERS FEATURE SUMMARY The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: --None-- Cooling System Verifications: • Minimum Airflow • Verified EER • Verified SEER • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing Domestic Hot Water System Verifications: • —None -- "Iz�' BUILDING -. FEATURES INFORMATION �,� �F I f M,* j 01 y r �02'r +�Q3�. {{ ht 1f"`!)4fe05 I 06 07 Project Name f Conditioned Floor Area (ft2) 'CNumber of Dwelli gl LJ tpnits> C --=9 U U 44 QX Number of-Bedroomsry V ;U it f Number�of Zones 0 Number of Ventilation Cooling Systems Number of Water Heating Systems SLEGG RESIDENCE 734 x V 1 W3tr - v1 v 0 1 ZONE INFORMATION 01 02 03 04 -06 06 07 Zone Floor Area Avg. Ceiling Zone Name Zone Type HVAC System Name (fl2) Height Water Heating System 1 Water Heating System 2 ZONE 3 Conditioned B -AC -1 734 9 DHW Sys 1 Registration Number: 217-P010244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-19 16:51:49 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 HERS Provider: CaICERTS inc. Report Generated at: 2017-07-18 22:14:05 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Date/Time: 22:13, Tue, Jul 18, 2017 Calculation Description: Title 24 Analysis Input File Name: 1 R-007-SLEEG RESIDENCE ADD.ribdl6x CF1 R -PRF -01 Page 3 of 7 OPAQUE SURFACES 01 02 03 04 06 Attic ZONE 3 Attic RootZONE 3 1 06 01 02 03 04 06 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft) Tilt(deg) N- 603 ZONE 3 R-21 Wall 0 Front 603 80 90 E-110 ZONE 3 R-21 Wall 90 Left 110 0 90 0-000 ZONE 3 R-21 Wdll 1du ti8i5K 3UU 92 90 W- 225 ZONE 3 R-21 Wall 270 Right 225 4 90 7342 ZONE 3 R-38 + R-6 0.34 Insect Screen (default) 730 Window S- 300 (Back -180) OPAQUE SURFACES — Cathedral Ceilings 01 02 03 04 06 Attic ZONE 3 Attic RootZONE 3 1 06 07 08 09 10 11 Name Zone A t Type Orientatio n Area (Itz) Skylight Area (ft2) Roof Rise (x in 12) Roof Pitch Roof Tilt (deg) Roof Reflectance Roof Emittance Framing Factor 734 ZONE I __R-38 + R-61 Front 4.1 4 0 0 0 0.86 0.88 0.07 ATTICtt,�s41f 01 01 } 02 ,% 1. 1037 ,� 1 f 04 b 9� p5 f 06 07 08 Name Constiuction� Type '—' �+ f ^Roof Rise Roof Reflectance r '"Roof Emittance Radiant Barrier Cool Roof Attic ZONE 3 Attic RootZONE 3 1 tVentiiatedfj 0 10.86;1) 0.88 No Yes FENESTRATION / GLAZING 01 02 03 04 06 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width (ft) Height (ft) Multiplier Area (ft) U -factor SHGC Exterior Shading 80100 -A Window N- 603 (Front -0) ---- --- 1 80.0 0.51 0.24 Insect Screen (default) 80100 - B Window S- 300 (Back -180) --- 1 80.0 0.51 0.24 Insect Screen (default) 2020 - C Window S- 300 (Back -180) --- ---- 1 4.0 0.40 0.34 Insect Screen (default) 2020 - D Window S- 300 (Back -180) -- ---- 1 4.0 0.40 0.34 Insect Screen (default) 2020 - E Window S- 300 (Back -180) ---- --- 1 4.0 0.40 0.34 Insect Screen (default) 2020 - F Window W- 225 (Right -270) --- ---- 1 4.0 0.40 0.34 Insect Screen (default) 2020 - G Skylight 734 (Front -0) 1 4.0 0.51 0.24 Registration Number: 217-Po10244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-1916:51:49 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-07-1822:14:05 . CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: SLEGG RESIDENCE Calculation Date/Time: 22:13, Tue, Jul 18, 2017 Page 4 of 7 Calculation Description: Title 24 Analysis Input File Name: 1 R-007-SLEEG RESIDENCE ADD.ribd16x OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Building Envelope Air Leakage CFM60 Not Required Not Required Not Required -- Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R -value U -value Assembly. Layers System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 DHW Standard DHW Heater 1 (1) 1 .0% • Cavity /Frame: R -6/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofZONE 3 Attic Roofs Wood Framed Ceiling in. O.C. R 6 0.138 Roofing: 5 PSF (Normal Gravel) Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 R-38 + R-6 attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 38 0.025 Over Ceiling Joists: R-28.9 insul. • Inside Finish: Gypsum Board • Sheathing/Insulation: R6 Sheathing • Cavity/ Frame: R -38/2x4 R-38 + R-61 Cathedral Ceilings F Wood Framed Ceiling 2x4 @ 24 in. O.C. R 38 0.026 • Roof Deck: Wood Siding/sheathing/decking Roofing: 5 PSF (Normal Gravel) • Inside Finish: Gypsum Board Cavity/Frame: R-21 /2x6 R-21 Wall Exterior Walls ,P,,Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.069 Exterior Finish: 3 Coat Stucco SLAB FLOORS ` �i ./�•�` . /f","''1-• 01 2i`U44 Iri 05 06 07 Name . z e t If Area �ftZ) U U 0 Pe'imete- (tt) 0 VEdge InsuLA-value $ Depth Carpeted Fraction Heated 7343 ZONE3 R 5734 PR 0 x'0;1 I D F R None 0 No BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (011) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM60 Not Required Not Required 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 Standard DHW Heater 1 (1) 1 .0% Registration Number: 217-P010244274A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-07-1916:51:49 Report Version - CF1 R-05232017-695 HERS Provider: CaICERTS inc. Report Generated at: 2017-07-18 22:14:05 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Date/Time: 22:13, Tue, Jul 18, 2017 Calculation Description: Title 24 Analysis Input File Name: 1R-007-SLEEG RESIDENCE ADD.ribd16x CF1 R -PRF -01 Page 5 of 7 WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 Distribution Name B -AC -1 Other Heating and Cooling System Heating Component 1 Tank Energy Air Distribution System 1 Tank Insulation Not Zonal Single Speed Tank Location or Heater Number Volume Factor or Input Rwalue Standby Loss / Ambient Name Element Type Tank Type of Units (gal) Efficiency Rating/Pilot (Int/Ext) Recovery Eff NEEA Heat Pump Type Condition DHW Heater 1 Gas S mall Instantaneous 1 0 0.95 EF 182,000 Btu/hr R-0 n/a 0 Na SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name B -AC -1 Other Heating and Cooling System Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 HVAC - HEATING UNIT TYPES „ k int 01 02 03 04 Name- l - `�tl"""� ��.,...- System Type Number of Units Efficiency Heating Component 1`1�_,_ ,,. ",.�� 17 ,GWFurnace—m" t 1 80 AFUE HVAC -COOLING UNIT TYPES I I / �rr` w t I6 or 1 (__ ' I?% ��'I i t V 11 '( 01 t,X 02•� °�:. ;% i.03 + ; '= ''04 .D tt 66: O' U %'OSU 1k 07 08 Name 14 System Type e K_'S Number of Units P Efficiency EER SEER I U t" Zonally Controlled Compressor Type HERS Verification Cooling Component 1 SplitAirCond 1 12.5 15 Not Zonal Single Speed Cooling Component 1 -hers -cool HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 358 Required Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Air Distribution System 1 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 1 -hers -dist a Registration Number: 217-P010244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-19.16:51:49 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-07-18 22:14:05 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Daterrime: 22:13, Tue, Jul 18, 2017 Calculation Description: Title 24 Analysis Input File Name: 1 R-007-SLEEG RESIDENCE ADD.ribdl6x CF1 R -PRF -01 Page 6 of 7 HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Design Buried Ducts Deeply Buried Ducts Low -leakage Air Handler Air Distribution System 1 -hers -dist Required 5.0 Not Required Not Required Not Required Not Required -- HVAC FAN CYCTSM6 01 02 03 04 Name Type Fan 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 f11 Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan JJ k Required 0.58 PROJECT NOTES --ALL EXISTING AND PROPOSED INPUT DATA USED IN THIS4REPORTkWAS PROVIDED BY THE PLANS PREPARER. -- LO AD_GALCULATION3 AND AC SIZING EQUIPMENT SHALL BE VERIFIED BY THE AC CONTRACTIOR PRIOR TO,PLACEMENT,�OF ITS¢QRDER.ILOADS DOCUMENTEDyIN THIS-REPORT�ARE'SUGGUESTED LOADS ONLY. --AC EQUIPMENT'S EFFICENCY SHALL BE EQUAL OR BETTER THAN REQUIRED -BY THIS REPORT. r- ANY'ALTERATION-OF +DEVIATION FROM jTHIS REPORIWIL-L,BE GENERAL CONTRACTOR'S RESPONSABILITY. 5 rO"I DER Registration Number: 217-P010244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-1916:51:49 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-07-18 22:14:05 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: SLEGG RESIDENCE Calculation Description: Title 24 Analysis Calculation DatefTime: 22:13, Tue, Jul 18, 2017 Input File Name: 1R-007-SLEEG RESIDENCE ADD.ribd16x CF1 R -PRF -01 Page 7 of 7 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: _ ARMANDO CHAVEZ --' �— Company: Signature Date: TITLE 24 OF THE DESERT 2017-07-18 22:24:28 Address: CEA/HERS Certification Identification (If applicable): 74800 Shirley #62 N.A. City/State/Zip: Phone: PALM DESERT, CA 92260 760-278-1840 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business ,and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 1 1. - 1-1 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to..the enforcement.agency,for approval,with this -building permit application. Responsible Designer Name: Responsible Designer Signature: Stephen Nieto Company: ERS Pu Date Signed: South West Concepts 2017-07-19 16:51:49 Address: License: 78-115 Calle Estado N.A. City/State/Zip: Phone: La Quinta, CA 92253 760-564-4704 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-P010244274A-000-000-0000000-0000 Registration Date/Time: 2017-07-19 16:51:49 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 M. a ❑� Easy to Verify at CaICERTS.com HERS Provider: CaICERTS inc. Report Generated at: 2017-07-18 22:14:05