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BRES2014-115178-495 CALLE TAMPICQ. LA QUINTA, CALIFORNIA 92753 4 4v aui�w r' COMMUNITY DEVELOPMENT DEPARTMENT J" Application Number:' BRES2014-1151 Property Address: 53551 ROSS AVE APN:' 767680039 Application Description: 5944 SF. RESIDENCE Property Zoning: Application Valuation: $536,596.50 Applicant: BRADSHAW CONSTRUCTION INC 46-248 ROUDEL LANE LA QUINTA, CA 92253 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: 8 License No.: 848057 / Date: ' Contractor: / OWNER -BUILDER DEC RAT N I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a . signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollar ($500).: I ),I, as owner of the property, or my employees with wages as their sole compensation; will do the work, and the structure is not intended.or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/9/2015 Owner: SURES, JONATHAN & MOLLY 9336 CIVIC CENTER DR BEVERLY HILLS, CA 90210 Contractor: BRADSHAW CONSTRUCTION INC 46-248 ROUDEL LANE LA QUINTA, CA 92253 (760)347-4246 Llc. No.: 848057 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate cf consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 37CO of the Labor Code, I shall forthwith Comply with those {provisions. ,gate: 'J '� Applicant: _ a WARNING: FAILURE TO SECURE WORKERS' CO PENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above - mentioned property for inspection purposes. j / n Date: ' ( Signature (Applicant or Agent) FINANCIAL • ' + • DESCRIPTION ',ACCOUNT '- QTY AMOUNT. PAID• PAID DATE ART INN PUBLIC PLAF, S r SIDENTIAL 270-0000-43201 0 $841.49 $0.00 PAID,BY ., ".METHOD '' ~' 'RECEIPT # n `CHECK # CLTD BY. Total Paid forART IN PUBLIC PLACES - AIPP: $841.49 $0.00 " '',r DESCRIPTION '' :' i' 'ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $22.00 $0.00 ' PAID BY : . METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $22.00 $0.00 .'DESCRIPTION.- ACCOUNT QTY ." AMOUNT '. PAID ` PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY' METHOD RECEIPT'# CHECK # CLTD BY , •DESCRIPTION ACCOUNT- QTY AMOUNT . ` PAID a PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY ' �. r;. METHOD _RECEIPT # = CHECK # . CLTD BY -, ,' • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY '' METHOD, RECEIPT # CHECK # CLTD BY + DESCRIPTION.. ACCOUNT .:', QTY,_ AMOUNT PAID ". PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID`BY. METHOD _ RECEIPT # CHECK # CLTD BY , DESCRIPTION ACCOUNT ` ' QTY' AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 „ PAID BY s 'METHOD RECEIPT # CHECK # CLTD. BY JDESCRIPTION t ` ACCOUNT," - QTY' AMOUNT. PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 ' PAID.BY - METHOD _ RECEIPT# < CHECK # CLTD BY DESCRIPTION -: ACCOUNT;. QTY AMOUNT .PAID PAID DATE. DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 '�` ;• PAID,BY' ' METHOD} s ? RECEIPT # -CHECK # CLTD BY DESCRIPTION - ACCOUNT QTY ,, s, AMOUNT PAID_ . PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID'BY ' ' ` ax ''-'METHOD ;, ;RECEIPT # CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 a .DESCRIPTION. - :,. 'ACCOUNT' ., ', .QTY' :` .AMOUNT, PAID =PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID'BY° METHOD RECEIPT# CHECK# 4' .. CLTD BY' s DESCRIPTION ACCOUNT -QTY' .5 AMOUNT PAID PAID DATE: TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $0.00 PAID6Y,' METHOD ;RECEIPT #' CHECK #. CLTD BY Total Paid for ELECTRICAL: $41.09 $0.00 DESCRIPTION ACCOUNT " QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $86.31 $0.00 'PAID.BY 4 ; METHOD' RECEIPT # ••` - CHECK # CLTD BY :DESCRIPTION - . ACCOUNT QTY AMOUNT `. ' -. 'PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 •$35.56 $0.00 '- —PAID-BY - - . ' ' METHOD,• ` RECEIPT # ' CHECK# CLTD BY DESCRIPTION ACCOUNT QTY :AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 y` x. PAID BY ; METHOD RECEIPT CHECK#' `CLTD BY - 'DESCRIPTION ACCOUNT- QTY. AMOUNT -'PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY - METHOD " a RECEIPT # - CHECK # ` :CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 $0.00 DESCRIPTION , ` ACCOUNT QTY• AMOUNT PAID, PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY ; ., METHOD'RECEIPT # CHECK # CLTD_BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION' ACCOUNT' '' QTY AMOUNT „ PAID PAID DATE, CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 $0.00 PAID, BY METHOD ` ' ."'RECEIPT #: y CHECK #` CLTD BY DESCRIPTION 'ACCOUNT', - QTY', AMOUNT PAID "PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 $0.00 PAID BY METHOD .' , RECEIPT # , :' CHECK # . , CLTD BY DESCRIPTION -t:' A000UNT QTY , AMOUNT - PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 r PAIDIBY „ ,, ' `METHOD '• RECEIPT'# CHECK# '. CLTD BY DESCRIPTION ACCOUNT, CITY; AMOUNT PAID- • PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY ', METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION _,.' ACCOUNT - ' ' _ CITY -'AMOUNT PAID -PAID DATE FURNACE 101-0000-42402 0 $181.30 $0.00 'PAID BY'- METHOD '- ' - , RECEIPFT # CHECK # CLTD: BY DESCRIPTION., ACCOUNT CITY` AMOUNT• - --,.PAID PAID DATE' FURNACE PC 101-0000-42600 0 $120.85 $0.00 PAID BY, . , METHOD RECEIPT # - CHECK # CLTD BY f" =DESCRIPTION ACCOUNT* - QTY AMOUNT PAID ' r PAID DATE VENT FAN 101-0000-42402 0 $120.90 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY DESCRIPTION ' ACCOUNTS CITY ; .AMOUNT,_ PAID PAID DATE VENT FAN PC 101-0000-42600 0 $48.30 $0.00 .PAID BY T 'METHOD • ', -• .: „ RECEIPT # ` CHECK #' CLTD BY Total Paid for MECHANICAL: $790.42 $0.00 DESCRIPTION. ACCOUNT CITY AMOUNT _ PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $770.29 $0.00 ' . PAID BY METHOD +^ RECEIPT:# = CHECK# " ' CLTD BY: Total Paid forNEW CONSTRUCTION PERMIT: $770.29 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT ., s PAID PAID;DATE. NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $464.12 $0.00 PAID BY �, METHOD RECEIPT,#. CHECK # {` CLTD BY } :DESCRIPTION ACCOUNT.' x .. CITY r AMOUNT = PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 $1,200.00 10/27/14 PAIjD BY METHOD "' „ RECEIPT # CHECK # ; . «CLTD BY SORES, JONATHAN & MOLLY CHECK R2425 2385 SKH Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,664.12 $1,200.00 DESCRIPTION - == ACCOUNT ° CITY AMOUNT. PAID PAID DATE' BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 'PAID BY- ,• f % , METHOD RECEIPT,# "i CHECK # ` CLTD BY . f DESCRIPTION' • ,`,: �' ACCOUNT. ,:,QTY 4 'AMOUNT PAID PAID DATE .1. BACKhOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 ,. r • PAID BY - - s, ;'. METHOD ., , ` 'RECEIPT*' _. 'CHECK # {LTD BY DESCRIPTION • ACCOUNT. 4TY ,AMOUNT'. -PAID , PAID -DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY -DESCRIPTION ,ACCOUNT, QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY -METHOD ,< .. RECEIPT.# CHECK'# CLTD BY DESCRIPTION' `. + - ACCOUNT" QTY AMOUNT PAID PAID DATE' FIXTURE/TRAP 101-0000-42401 0 $350.61 $0.00 PAID BY • `: a s .;METHOD RECEIPT # - -CHECK # CLTD BY ;. DESCRIPTION p ACCOUNT - a ; QTY - AMOUNT - - PAID PAID.DATE FIXTURE/TRAP PC 101-0000-42600 0 $350.61 $0.00 PAID.BY'" ».' ,-' "METHOD, a „;RECEIPT # CHECK #, CLTD BY . . '.DESCRIPTION y "" -'ACCOUNT QTY' ' AMOUNT PAID' PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $0.00 PAID -BY " `. METHOD ' ' _ :'RECEIPT# ' CHECK # r CLTD BY D `. •.DESCRIPTION " • 'ACCOUNT QTY' AMOUNT . PAID PAID DATE' GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY, -' M METHOD , RECEIPT.# CHECK #' CLTD BY ' > - DESCRIPTION ACCOUNT CITY `AMOUNT , ^; PAID PAID.DATE ROOF DRAIN 101-0000-42401 0 $193.44 $0.00 PAID BY." . '; T '{ METHOD ,- RECEIPT # - ' -:' CHECK # . , ' CLTD BY, Y DESCRIPTION. "' ACCOUNT,, - ' C3TY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $193.44 $0.00 PAID, BY' . METHOD RECEIPT# `" CHECK # CLTD BY DESCRIPTION ''' '.,A000UNT • '-.., `" w QTY . t - ,AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 PAID,By, _ •METHOD a, RECE" t I PT # M CHECK # CLTD BY `i)ESCRIPTION;;. Y 1 AACCOUNT' _QTY AMOUNT ; PAID ' PAID. DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $0.00 PAID: BY z` . r METHOD .. _ RECEIPT # '. ;'CHECK # CLTD'BY ' bESCRIPTION" 'ACCOUNT QTY. AMOUNT „ PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 tPAID :BY METHOD RECEIPT# CHECK# CLTD BY DESCRIPTION' _`' ACCOUNT QTY' ' AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 • PAID'BY '' r: , METHOD r; `•-' ' - RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $1,252.49 $0.00 DESCRIPTION' `" " .ACCOUNT- _QTY AMOUNT PAID PAID DATE, SMI - RESIDENTIAL 101-0000-20308 0 $69.76 $0.00 g. ,PAID BY ' METHOD RECEIPT # " Y . CHECK # • "CLTDBY: Total Paid forSTRONG MOTION INSTRUMENTATION 5Mt $69.76 $0.00 :. DESCRIPTION ' ", ACCOUNT :QTY AMOUNT ' - PAID, wPAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY _,:, _ METHOD RECEIPT.# CHECK # ' CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:• • .00 0 Description: 5944 SF. RESIDENCE Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED . Applied: 10/24/2014 KHE FAMILY DETACHED Parcel No: 767680039 Site Address: 53551 ROSS AVE LA QUINTA,CA 92253 Approved: 3/5/2015 JJO Subdivision: TR 33076-1. Block: Lot: 34 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $536,596.50 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPAS, BLOCK WALLS, DRIVEWAY APPROACH, FIRE -PIT, BBQ, OR WATER FEATURES. HOME IS FIRE SPRINKLED PER 2013 CRC CODE. ADDITIONAL CHRONOLOGY : STAFF NAME ACTION DATE: COMPLETION DATE., NOTES. .CHRONOIOGYTYPE , .'_ ,' NOTE PHILIP JUAREZ 2/12/2015 2/12/2015 PLANS RESUBMITTED APPLICANT SAID GIVE SPECIFICALLY TO GIVE TO KAY PER MARK BRADSHAW PUT ON KAYS DESK. PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 31/14/2014 11/14/2014 STRUC RFC 11/14/14 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 12/19/2014 12/19/2014 STRUC RFC 12/19/14 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 1/30/2015 1/30/2015 STRUC RFC 1/30/2015 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 2/20/2015 2/20/2015 STRUCTURAL APPROVED 2/20/2015 RECEIVED , ' I - - Printed: Monday, March 09, 2015 1:50:05 PM 1 of 7 �J EAAF nts PLAN CHECK PICKED UP KAY HENSEL 2/4/2015 2/4/2015 PLANS & DOCS PICKED UP FOR CORRECTIONS/4/2015 PLAN CHECK PICKED UP STEPHANIE KHATAMI 11/17/2014 11/17/2014 PLAN CHECK SUBMITTAL KAY HENSEL 10/24/2014 10/24/2014 RECEIVED • 't PLAN CHECK SUBMITTAL RESUBMITTED PLANS AND SENT TO KAY'S COUNTER FOR MARY FASANO 1/13/2015 1/13/2015 RECEIVED PROCESSING. 4TH ROUND OF PLAN CHECK RECEIVED ON 2/12/2015, RE SUBMITTAL KAY HENSEL 2/13/2015 PROCESSED 2/13/2015 SENT TO PLAN CHECK - KAY HENSEL 10/27/2014 10/27/2014 STRUC TO YOUNG DUE 11/14 CONSULTANT SENT TO PLAN CHECK KAY HENSEL 12/8/2014 12/8/2014 2ND P/C SUBMITTAL SENT TO YOUNG - DUE 12/22/14 CONSULTANT SENT TO PLAN CHECK KAY HENSEL 1/14/2015 1/14/2015 STRUC TO YOUNG - DUE 1/28/2015 CONSULTANT TELEPHONE CALL JIM JOHNSON 11/17/2014 11/17/2014 CALLED BRADSHAW CONSTRUCTION TO INFORM THEM THE PLAN CORRECTIONS ARE READY FOR PICK UP. TELEPHONE CALL JIM JOHNSON 12/22/2014 12/22/2014 CALLED BRADSHAW CONSTRUCTION @347-4246 PLANS READY FOR CORRECTIONS 2ND. PLAN CHECK TELEPHONE CALL JIM JOHNSON 2/3/2015 2/3/2015 CALLED DRADSHAW CONST. PLANS READY FOR 3RD - CORRECTIONS TELEPHONE CALL JIM JOHNSON 3/5/2015 3/5/2015 CALLED MARK BRADSHAW TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS CONTACTS NAMETYPE : k -NAME " ";.ADDRESSi CITY 4STATE3 ^ZIP ._' - `PHONE - EMAIL ' ,=. ,};FAX' - APPLICANT BRADSHAW CONSTRUCTION INC 46-248 ROUDEL LANE LA QUINTA CA 92253 CONTRACTOR BRADSHAW CONSTRUCTION INC 46-248 ROUDEL LANE LA QUINTA CA 92253 OWNER SORES, JONATHAN & MOLLY 9336 CIVIC CENTER DR BEVERLY HILLS CA 90210 Printed: Monday, March 09, 2015 1:50:05 PM 2 of 7 CRSYSTEMS FINANCIAL INFORMATION DESCRIPTION', ,., PAID ACCOUN MOUNT 'CLBTYDi PAID BYz PAID DATE .:� • RECEIPT # CHECK #METRO1) Jq w, ART IN PUBLIC PLACES - 270-0000-43201. 0 $841.49 $0.00 J RESIDENTIAL - Total Paid forART IN PUBLIC PLACES - AIPP: $841.49 $0.00 s BSAS SB1473 FEE 101-0000-20306 0 $22.00 $0.00 Total Paid forBU1LDING STANDARDS ADMINISTRATION $22.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 - $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.92 $0.00 PC Total Paid forELECTRICAL: $41.09 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $86.31 $0.00 ADDITION 1,000SF [RESIDENTIAL, EA 101-0000-42600 0 $35.56 $0.00 ADDITION 1,000SF, PC Printed: Monday, March 09, 2015 1:50:05 PM 3of7 CRFway SYSTEMS ., DESCRIPTION + 'ACCOUNT �1,. �'x' QTY AMOUNT PAID;- 7 PAID DATE' i:` h • �_ RECEIPT.#' ::.: � °CHECK# :METHOD {'_;. �> ':-�' PAID BY";yt LT �,.r '� i . .:.. :'.. ;'...":: a r _r r: ,?z'_. - �._ -' ..: 2$ >. ':?' ,'r r K e� ,e 1 .. _._ a' •; - . - ..... • BY RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00.• 1,OOOSF - RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 r 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $314.76 $0.00 RESIDENTIAL FINISH 101-0000-42600 0 $143.00 $0.00 - GRADING PC Total Paid forGRADING: $143.00 $0.00 CONDENSER/COMPRES SOR 101-0000-42402 0 $181.30 $0.00 CONDENSER/COMPRES SOR PC 101-0000-42600 0 $120.85 $0.00 EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 FURNACE 101-0000-42402 0 $181.30 $0.00 FURNACE PC 101-0000-42600 0 $120.85 $0.00 l VENT FAN 101-0000-42402 0 $120.90 $0.00 VENT FAN PC 101-0000-42600 0 $48.30 $0.00 Total Paid forMECHANICAL: $790.42 $0.00 NEW CONSTRUCTION 101-0000-42400 0 $770.29 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $770.29 $0.00 NEW CONSTRUCTION 101-0000-42600 0 $464.12 $0.00 PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $1,200.00 $1,200.00 10/27/14 R2425 2385 CHECK SURES, JONATHAN & SKH PLAN CHECK MOLLY Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,664.12 $1,200.00 . BACKFLOW DEVICE 1 101-0000-42401 1 0 $12.09 $0.00 Printed: Monday, March 09, 2015 1:50:05 PM 4 of 7 CRsrsreMs ;. •. DESCRIPTIONY -- a ,r. ':`:.j ACCOUNT "`w.'n 'QTY , AMOUNTS ", `..µ-M.Y PAID c' '''PAID sue-., "�°"_"'"".�".�p'""♦"g�"�-`� DATE RECEIPT# CHECK # x METHOD ♦ .. s �','1 _. ° ' PAID BY ". CLTD`; F f ?'' BY_ BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 y BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $350.61 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $350.61 $0.00 GAS SYSTEM, 5+ 101=0000-42401 0 $36.26 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00- OUTLETS PC ROOF DRAIN 101-0000-42401 0 $193.44 $0.00 ROOF DRAIN PC 101-0000-42600 0 $193.44 $0.00 WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $1,252.49 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $69.76 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $69.76 $0.00 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $0.00 I DETACHED _I Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:000• Printed: Monday, March 09, 2015 1:50:05 PM 5 of 7 CRSY57EM5 PARENT PROJECTS r .�.. a- •��: :.. RETURNED' REVIEWS . - w STATUS ` REMARKS 'NOTES REVIEW TYPE :: REVIEWER SENT DATE DUE DATE ' DATE _ i r. - ;' t ; 4, NON-STRUCTURAL JIM JOHNSON 10/24/2014 11/14/2014 11/5/2014 REVISIONS REQUIRED CORRECTIONS Need to revise valuation when applicant gets proper square footage ARMEN 10/24/2014 11/14/2014 11/17/2014 REVISIONS REQUIRED CORRECTIONS STRUCTURAL ALTOUNIAN 1ST. PLAN CHECK CORRECRTIONS REQUIRED 1ST PW GREEN AMY YU 10/30/2014 11/6/2014 11/13/2014 APPROVED SHEET SUBMITTED BY KELLY BRADSHAW 760-347-4246 NON-STRUCTURAL JIM JOHNSON 12/8/2014 12/22/2014 12/22/2014 REVISIONS REQUIRED CORRECTIONS CORRECTIONS REQUIRED KATHRYN STRUC TO YOUNG - DUE 12/22/14 STRUCTURAL 12/8/2014 12/22/2014 12/22/2014 REVISIONS REQUIRED CORRECTIONS CORRECTIONS REQUIRED SAMUELS NON-STRUCTURAL JIM JOHNSON 1/13/2015 1/27/2015 1/22/2015 APPROVED APPROVED NON STRUC APPROVED KATHRYN 1/13/2015 1/27/2015 1/30/2015 REVISIONS REQUIRED RFC 1/30/15 STRUCTURAL SAMUELS KATHRYN ACTUALLY 4TH STRUC TO YOUNG - DUE 2/20/2015 STRUCTURAL 2/13/2015 2/20/2015 2/20/2015 APPROVED APPROVED 2/20/2015 SAMUELS REVIEW" Printed: Monday, March 09, 2015 1:50:05 PM 6 of 7 AAF CIM SYSTEMS ATTACHMENTS t--'Ritiac-hment=Tjpe ,OWNER: EkOPTION' ,�tHNAME,V' §U`iblk' ETRAkipjNABLEDAd CERTIFICATION OF CERTIFICATION OF DOC 1/29/2015 STEPHANIE KHATAIVII BUILDING BUILDING AREA 53551 0 AREA/BRES214- I . ROSS.pdf - . - - 1115/53551 ROSS.pdf � �2•E S �� I � - 1151 r= P.O. BOX 1504 APPLICATION ONLY Building S3,SS n- ter �A" 78-495 CALLE TAMPICO Address O �sg x LA QUINTA, CALIFORNIA 92253 Address iq?R ik4L.\1 A_, -t�j.t, & Classif. IZL417 CiS I ILic. # „y,., Designer 14 6 V-A-G -roE c-g_S Address n Tel. 9130 1'o a LAC rk W , Ip 9 boc,,4 I��t# LICENSED CONTRACTOR'S' DECLARATION I hereby affirm th m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t Buss and Professions Code, and my license is in full force and effect. l SIGNATUREATE OWNER -BUILDER DECLARATION I hereti affirm that I am exempt from the Contractor's License Law for the fallowing reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 or the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he CWd not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B.IC. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensate n Ins rance, or certified copy thereof. (Sec. 3800, Labor Code.) Policy No. b Z Company VLL�opy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subje to Workers' Compensation Laws of California. Date Owner M eA— NOTICE TO APPLICANT.' If, after making this ertificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize represent lives of this city to enter the above -mentioned property for inspection purposes. Signature of applicant ti� Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. q - S OCC,. GFIR 93 A.P. Number -XI - t,TO O 1 p1 Legal Description 't( Project Description iTn� CID Sq. Ft. No. No. Dw. Size Stories 'Units New l$, Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATIO NAME: 6yu PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE IN:PECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Coac4e)laWalley Unified School District 83-733, Avenue 55,, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: - AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK#: .INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Madison Clubj Date: March 6, 2015 Owner's Name: Sures Isaksen Family Trust Phone No. Project Address: 53-551 Ross Avenue, LaQuinta Project Description: New Single Family Dwelling APN. 767-680-039 Tract #: Lot #'s: Type of Development: Residential Commercial Industrial Total Square Feet of Building Area: 6,064 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: . March 5, 2015 Signature: v v SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH•ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code.: Project Agreement Existing Not Subject to Fee 17620A } 65995 Approval Prior to 1/1/87 Requirement _ N t Number of Sq.Ft. 6064 Amount per Sq.Ft. $3.36 Amount Collected $20375.04 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance o e. Pursuant to AB 181.any room addition's: or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Secretary Signature NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide.(1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other appLcable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of tine fees or performance.of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as hertin set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty, (30) days from the.date of.issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/mydocs/devfees/certificate of compliance fonn updated 3-2007 11/2010 e , r DOC #2014-0194244 05/28/2014 10:52 AM Fees: $21.00 Pagel of 3 Doc T Tax Paid Recorded in Official Records County of Riverside ' Larry W. Ward RECORDING REQUESTED BY,Assessor, County, Clerk.& Recorder First American Title'Company _ ' AND WHEN RECORDED. MAIL DOCUMENT TO: The Sures Isaksen Family Trust This, document was electronically submitted c/o United Tdlent,.9336 Civic Center Drive to the County ofRiverside for recording" '"' Receipted by: CTOLOSSA Beverly Hills, CA 90210 Space Above This Une;for Recorder's Use Only _ GRANT DEED' !` A.P.N.: 767-6 "39-2T.R.A. No.020-205 File No.: RIW-4616490 (SE) The Undersigned:Granto (i) Dedare(s): DOCUMENTARY TRAtdSFER TAX $1650.00;, CITY TRANSFER TAX $; X computed on the consideration or full value of property conveyed, -OR ,computed on the cDnsiderdbon or full value less value of liens and/or encumbrances remaining at time of sale, [ ,unincorporated area; ( X j ' Cdy of La Quints, and FOR A VALUABLE CONSIDERATION,. -receipt of which is hereby acknowledged, Irving Azoff, and Rochelle j . Azoff, Trustees of the Aaoff:Family Trust; of,1997 as'to an undivided 50.0/b interest and Kenneth B. Gorelick, Trustee of the Kenneth'B: Gorelick Trust dated October4, 1996, as to An undivided 50% interest as tenants in common hereby GRANTS to Jonathan Jason Sures- and Molly Isaksen Sures, Trustees of The Surer Isaksen Family Trust dated September.25, 2010 the following described property in the City of La Quinta, County of Riverside, State of California: PARCEL NO.1: , LOT34 (THE "LOT") OF TRACT NO. 330764, AS SHOWN ON SUBDIVISION MAP (THE "MAP") RECORDED:ON SEPTEMBER 7, 2005, IN BOOK 388, PAGES 57:THROUGH 79, I.NCLUSIVE, OF MAPS, IN' THE OFFICE OF COUNTY RECORDER OF -SAID COUNTY. PARCEL NO. 2: NONEXCLUSIVE S; _E EASEMENTS FOR ACCESS, DRAINAGE, MAINTENANCE, REPAIRS "AND, FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. i V cam® EC - JAN 13 2015 CITY OF I -A QuINTA COMMUNITY DEVELOPMENT r Mail. Tax Statements.To, 'SAME AS ABOVE r r� .QrI RECORDING R.EQUESTEDBY , First, American Title Corripany AND WHEN RECORDED MAIL. DOCUMENT TO: ' The Sures Isaksen`Farriily Trust c/o United Talent; 9336 C.i.vlc Center Drive BeJerly Hills, CA 90210 Space Above This Line for Recorder's Use Only _ GttANT,DEED! . A:P.N.:.767-680=039-2 T:R.A. No.'020-205�- File No.: RIW-4616490 (SE) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $1650.00;.CIfY.TRANSPER TAX $; } 'X computed; on. the'consideration or fulLvaiue ofpropertyconveyed, OR— ..-k ( wmputed,6. the consideration or full valueless Value of liens and/or encumbrances remaining at time of sale; ( unincorporated area [ X ] City of La Qwnta and FOR A VALUABLE CONSIDERATION, receipt of which is hereby, acknowledged,; Irving Azoff ar--;d Rochelle Azoff, Trustees of the Azoff Family Trust of:1997,as to an undivided 50% mterest'and Kenneth B. Gorelick, Trustee of the Kenneth B. Gorelick Trust dated October 4, :1996, as;to an undivided 50% interest as tenants in common hereby GRANTS to Jonathan Jason Sures and Molly;Isaksen Sures,Trustees of`The Sures Isaksen Family Trust dated September 25, 2010 the following described property.in'the City`of La Quinta, County:of Riders de, State of California: PARCEL NO ,1: LOT 34 (THE, "LOT")OF. TRACT, NO 33076- 1; AS SHOWN ON SUBDMSION MAP (THE "MAP"). RECORDED,ON SEPTEMBER 7: 2005; IN BOOK 388,,PAGES.57 THROUGH:J9, INCLUSIVE, OF MAPS, IN THE OFFICE OF COUNTY RECORDER OF SAID COUNTY. PARCEL NO. 2: Y NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS,: EGRESS, DRAINAGE; MAINTENANCE, REPAIRS AND. FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. T - _. Mail Tax Statements To SAME AS ABOVE. - Dated: 04/ 10/2014 Irving Azoff, Trustee of the Azoff Family Trust of 1997 as to an undivided 50% interest signed in rt Irving Azoff, Trustee signed in counterpatrt Rochelle A//zof��f, Tru5Cee STATE OF-i"L!! rq )SS COUNTY OF U S A-AAe,6 ) Grant Deed - continued D 3te: 04/ 10/ 2014 Kenneth B. Gorelick, Trustee of the Kenneth B. Gorelick Trust dated October 4, 1996, as to an undivided 50% iinnte �—�L Ib Kenneth B. Gorelick, Trustee 44- On &n 1 11101011 , before e, , e-1'G� Notary Public, personally appeared yvA, C ofe la who proved to me on the basis of'satisfactory evidence to be the person(6), whose: name(r4 is/are• subscribed to the within instrument and acknowledged t:) me that he/sbe iey executed the: same in his/he4thek authorized capacity( es), and that by his/t ied signatures) on the instrument the person(e}, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoinc paragraph is true and correct. WTfNESS'my hand and official seal. Signat re �^ h My Commission Expires:. 1 Oil11)b TERESA A. NICHOLL r Commission 01993592 NOWY Public.- California C1 V@f1Ul)i1.: Ci0Uflhl t�• ff W Comm. Expires oa*11,;2016 This area for official notarial seal Page 2 of 2 Dated: 04/10/2014 Irving off and Rochelle Azoff, Trustees of the FamilyTrust of 1997 as to an Rochelle STATE OF C*<LAF09W l A )SS COUNTY OF 1iA5 *(0bV_r5 On MAU It, 2Q Public, personally appeared Grant Deed - continued Date: 04/ 10/ 2014 Kenneth B. Gorelick, Trustee of the Kenneth B. Gorelick Trust dated October 4, 1996, as to an undivided 50% interest signed in counterpart Kenneth B. Gorelick, Trustee me, Pj a&-tw iA (f _ —nIV W S0t,3 : Notary who proved to. me on the basis of satisfactory evidence to be the person(s) whose name(s)1s/'are subscribed to the within instrument and acknowledged to: me that be/sffi€/they executed the same in hWtjerjtheir authorized capacity(ies), and that by hjs/IWther signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed tle instrument. I certify under PENALTY OF PERJURY under the Jaws of the. State of California that the foregoinc paragraph is true and correct. WITNESS my hand and,official seal BRENNA C. THOMS01 ConOssion 0 2030796 Notary, PuDfie • caldoMia Los Angeles County MY Caner. E " es Doe 30L 2017 My Commission Expires:. pe.F . This area for offiaal notarial seal Page 2 of 2 THE MADISON CLUB OWNERS' ASSOCIATION February 20, 2015 The Sures Isaksen Family Trust 485 Halvern Drive Los Angeles, CA 90049 RE: Lot 34A at _43551 Ro« A Final Working Drawings #2 (Landscape Only),' Dear Sures isaksen Family Trust: The Madison Club Design Review Committee (DRC) received your revised landscape drawings --or review at the 1-evl uary 1 z, zU i 5 meeting. The committee appreciates the effort of the design team to meet he agreed upon timeline for submittal. ;The project -has been appro"ved-to start construction'subject to the following comments being addressed with revised plans and/or in the field as applicable. A. Towards the end of construction the committee will evaluate if additional trees are needed in the front yard to provide proper softening of the architecture as viewed from the street. As proposed adequate screening may not be provided. 2; The plant locations on the planting plan vs. the lighting plan are not consistent. Please apdate the plan sheets for our files to indicate the proper locations. 3. Courtesy comment: Carissa is utilized in highly visible areas and may need constant maintenance and replacement. The committee suggests the use of a more hearty plant that will look good throughout the year in highly visible locations throughout the lot. 4.. Courtesy comment: The lighting plan does not appear to have been carefully reviewed as there are several well lights located under layers of shrubs. These lights will not be able to provide proper illumination. In addition, there are fixtures proposed within the paving and driveway. Please correct the lig&ting plan and resubmit for our files. In addition, if the lighting proposed will exceed the guideline maximums a Variance Request must be submitted with the plans for consideration by the DRC and the Board. 5. Courtesy comment: Please review the proposed motor court material and installation proc?ss with your builder. The committee finds the application acceptable; however, the application may not work given the extreme desert temperatures. Please submit any changes that may be necessary if the approved design cannot be installed. Please contact Brook Marshall at (760) 219-8057 or by email at DRCFacditator@gmail.com or Jim .Brown at the Association Office with any questions regarding this review.or to schedule your Pre -Construction Meeting once a Building Permit has been received. Sincerely, MAD1S N UB D CN(V�E,W COMMITTEE By: G�N Title: / Date: 1 / Pursuant to Col Civil Code, ally rejection by the DRC may be appealed to the Board of Directors for the Association. IJyou wish. to pursue an appeal, please contact the Association's property manager so that you may be put on the next meetine aeendn cc: Micheal Kovac: sb@kovacarchitects.com Christine London: Christine@christinclondonitd.com Suresj@unitedialent.com DRC File .53035 MKR1WE'llIER WAY, L. Qu,rrra. CA 92253 Tec 76o 391-4564 FAX 760 391-4591 P� January 27, 2015 The Sures Isaksen Family Trust 485 Halvern Drive Los Angeles, CA 90049 RE: Lot 34A at 53551 Ross Avenue Final Working Drawings #2'(ArchitecturaiOnly) Dear Sures Isaksen Family Trust: The Madison Club Design Review Committee (DRC) received your revised final arc-iltectural drawings for review at the January 22, 2015 meeting. Per our previous agreement,,the project was approved tccstart construction;-; however, . the landscape plans must be submitted no later than February 5, 2015 or construction' will be halted until the full submittal is available for review. In addition to the previously noted landscape comments, the stipulations below must be addressed with your next s0mission. 1. The plans were labelled as "Preliminary, Not For Construction" although the design team was requesting a construction approval. Please clarify with your next submittal. 2. Per discussions with Mark Bradshaw, the utility and service area at the front of the home is not large enough to accommodate the amount of equipment proposed; however, there appears to be ample room throughout the side yards to accommodate everything. Please relo.-ate the equipment and meters as necessary and provide appropriate screening with walls and gated as required in the guidelines. 3. The size of the site wall ends should be increased. 4. The following plans are required: Landscape, Landscape Details, Hardsmpe, Mechanical, Plumbing and Electrical. 5. As a reminder, trash service must be accessible via an unlocked pedestrian. gate (or by other means) as Burrtec provides walk-up waste removal services at Madison Club. We look forward to receiving your full, revised final working drawings. Please contact Brook Marshall at (760) 219-8057 or by email at DRCFacilitator@gmail.com or Jim Brown at the Association Office with any questions regarding this review or to schedule your Pre -Construction Meeting once a Building Permit has been received. Sincerely, MADISON CLUB DESIGN REVIEW COMMITTEE Title: Date: Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board o/'Directors %r the Association. // you wish to pursue an appeal, please contact the Associations property manager so that you maybe put on the next meeting agenda. cc: Micheal Kovac: sb@kovacarchitects.com Christine London: Christine@christinelondonitd.com Suresj@unitedtalent.com DRC File YOUNG _ ENGINEERING, A v ,.• o Letter of Transmittal To: City of La Quinta `" Today's Date: 1.-30-15 78-495 Calle.Tampico City Due Date: 1-28-15 La Quinta, CA 92253 Project Address: 53-551 Ross Avenue Attn: Kay' Plan Check #: BRES 2014-1151 ;. Submittal: ❑ 1st .0 4tn ❑ 3rd ❑ Other: We are forwarding ®• By Messenger El By . Mail (Fed Ex or UPS) ❑ Your Pickup -Includes: # Of Descriptions: Includes: # Of' Descriptions: Copies: Copies: El Structural Plans ® 1 Revisad Structural Plans ® 1 Structural Calculations ® 1 Revisad Struct. Calcs Truss Calculations Floor ❑' ❑ Revised Truss and Roof ❑' Soils Report ❑ ' Revis=d Soils Report ®. 1 Structural Comment List/ ❑.. Approved Structural Plans Responses ® 3 r ' Redlined Structural Plans ❑ Apprcved Structural Calcs " ❑ Redlined Structural Calcs ❑ Apprcved Truss Calcs ❑ Redlined Truss Calcs ❑ Apprcved Soils Report El Redlined Soils Reports ❑ Other, - .,Comments: Structural content is approvable. If you have any questions, please call. Time =.75 HR This• Material'Sent for: , Your Files ® Per Your, Request FEB 2 0 2015 ~? Your Review . El 'Approval Ut QUI�dT. c A Checking ❑ a At the request of L)FVELOPMENT 'Other: ❑; By: Kathryn Samuels :. -5107 Palm Desert Office ® (760) 772 �" •Other: ❑ f Building Permit Number Project Description: SFR Exempt: .0. (Materials may contain hazardous wastes and are not subject to recycling pTvisions) Construction Debris .Management Plan 'Plat) Suomjltal Dali Job SiteAddressl 53551 Ross Ave .(Lot 34A) •Sures IsAsen r,5551 .fLpss Orr - f f°rd tJ t N rf4.. G - �ZZS3 I 50 fZC_$-Sty U111 rE70t-1Arc.4_r-04 i . Goril Projec(Manager..Nime Ma*.Bradshaw. Project Managel's`Ppone Ndmber 760-275-6891 Project.Mailager s E-mail Address da%4d0_markb.radshaweonstruction.com Builder I Contractor Bradshaw Construction :Number, Street or PO Box 4624$ Rougel Ln city.'$fate. Postal C6dal La vinta. Ca. 92253 ojeci;SquareFcotage Tj9'� City. Approval By Date of City Approval R E I V IE ED JAN 13 2015 CITY Or ..A Q'LiI ETA COMMUN Y DEVELOPMENT To Re.Discarded: Product Tons Trash 0.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry., (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 0.00 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0.00 Recyclable Concrete 0:00 Recyclable Tile (roof) 0.00 Recyclable Drywall 0.00 Recyclable' Wood 0.00 Recyclable Donated? Reuse' 0.00 Recyclable Landscape Debris �0.00 Recyclable 'Describe Items Totals: Recycle Trash F001 1 0.0 .Projected Diversion: #DIV/ot I understand it is the property owner's responsibility to submit copies of weight tickets or receipts b 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 jobste waste is diverted from landfilling: m The reaining 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 ot the project in accordance with this plam. This DMP Is Issued in the name of the property owner(s) and shall remain their property throughout the construction andfor demolition project. A contractor serving as agent of the owner may obtain a OMP for the.owner. However. the DMP.is still issued in the name of the property awner(s) and the owner retains legal responsibility for ensuring that the. provisions of :he DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. If sett -hauling. all refuse material from this project site must be taken to an approved recycler or transfer station. Owner / Developer / Project Manager / Superintendant Date CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Private Residence Calculation DatelTime: 11:30, Mon, Dec 29, 2014 Page 1 of 11 Calculation Description: Title 24 Analysis Input File Name: Sores-Isaksen.xml GENERAL INFORMATION 01 Project Name Private Residence 02 Calculation Description Title 24 Analysis 03 Project Location 53551 Ross Avenue 04 A City LaQuinta 05 Standards Version Compliance 2014 06 Zip code 92253 07 Compliance Manager Version BEMCmpMgr 2013-3 (651) 08 Climate Zone CZ15 09 Software Version EnergyPro 6.3 10 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) 6064 15 Number of Zones 5 16 Slab Area (FTZ) 6064 17 Number of Stories 1 18 Addition Cond. Floor Area N/A' .r::; :: 19 Natural Gas Available Yes 20 Addition:Slab; Area (FT�) N/A ::,;`e ! ; 21 Glazing Percentage (%) 24.7% COMPLIANCE RESULTS !(! "'.itt'!1: Vyui "( "'t i (t.'?;I!lit;'., '° p;i!'!.+.;, ;;(im;r„ p�u,l i` ; ttt C',.:.. it.lIi01., -. : fitly::. I:i ;1 ;., : l aR1.:.,,, .:::::":i . I:,:::.r,!,,,::,,::: t!:::". 01 .1 ➢1 t I. .... -to- t • ,-,:: }•IV I ;,::.:=. Building Complies'. h,ComputernPterforn �icea 'i,lli'{;iei'•: tl ! a!+. 1:;•:; I`;-` '1 02 . � { ,A.",r;:<:II)e;6gii;tiifrlilA'; ^'� .: .. � �., ! iatiN:i;i:' fi�ii5i:I't"` i-:. [ ,.... ;;;' �;,:�,;_; . � _ ..: � {!t'fr :.,-.,�Yti,: �,;:.. ::ar ..; , . This building incooiates fgatu 1 ire lucre. field t 1�g apola�ve catiorFaa cettrfie Eft$ fef n. derthe supervision of a CEC•approved HERS provider. INIG.., . n t II4b!. F{IttFd..t....r a�tai,, ...::,Ar•:: nt ,iri . ,., ,�tl .. i,'t7it! . ,.h.. ttnt .:1.:..lfnftir , N!.,1,... iit,. tt.!.r i,er. 1p .. 03 n;; !.,i.. ,Ii. :�„ y$t!' .!, 1 , is �• cF E.fii;;�•Y- This building incorporatesarfe:OT:rn a. tFeaf4�reststrodin below .';=. ^ "'r•'' '.` ENERGY USE SUMMARY 04 05 06 LA 8 Energy Use (kTDV/ft) Standard Design Proposed Design BU SAFEDEP� e cent „p Pement Space Heating 3.88 5.77 1. 7% Space Cooling 95.20 92.90 4% IAQ Ventilation 1.33 1.33 0% Water Heating 4.47 2.78 3 -8% Photovoltaic Offset -- 0.00 0.00 s, o._ Tv If— Compliance Energy Total 104.88 102.78 2.10 q ° fi^� L'2-0"/V r JAN 13 2015 Ct*p,/ i tF LA QUINTA Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-2912:17:50 HERSeP(3•vider); `1 r- 1"EVELC ICEi� n1 c. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Page 2 of 11 Calculation Description: Title 24 Analysis Input File Name: Sures-Iseksen.xml tEQUIRED SPECIAL FEATURES he following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. Ducts with high level of Insulation Window overhangs and/or fins 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: • High Quality Insulation Installation (QII) • IAQ mechanical ventilation Cooling System Verifications: • Verified EER • Verified SEER • Refrigerant Charge • Fan Efficacy Watts/CFM HVAC Distribution System Verifications.*...'..•, • Duct Sealing Domestic Hot Water i V t S sem erfications: Y • None - ,6: !r,„ %i:i e� .L: lt;:: ' IN::: • -!:..' '�%; '!i r::...,1.!,.,:., l i �l' : _+ !:i - oi1l,iNii%i1�! tth'irf l�:l;-;;i11i1�;t i.`!e {ii`".li ,�iii:: �6h.!:J:S'i¢!!•�I lPtiilI!'.i�?i11��I!iui!i'`+1<<'1if :�itl�:��!t.c:° ;i!iii!'":..,iil ao:::,:: dllliiii;?:.:.' I!liiils=.:.' "....;:.:...• ENERGY DESIGN RATING il1. 1i.ij l!�'i!ici!ii:(:a.i.I': This is the sum of the annual TDV enerrf#iri t)o!i�if�ri us d jiotyi{s!itiNNudei '61theUKrforrxi'ance c"o" Iranc'e '°�'ottii!tbt'!ihe Standard Design Building (Energy Budget) and the annual 9y a P n rnP17 9 9( 9Y 9) .:.: TDV energy consumption for lighting and comporents not �egula d by'T-111 24 Parf.6 (such as'domes tic'appllances and consumer electronics) and accounting for the annual TDV energy offset by an on -site renewable energy system. . :.:...... ... ..�*•--- ..},.i::,:x:...�- _'— ---- -. Reference Energy Use .iil.ti�i' •;.:•.: ;;i i'•. ;.rE eFgy U si' "R e sting€ ij;i3if;i?! Margin Percent improvement . x Total Ene kTDV/f2 rgY ( ) ( y� .`L.Yid: K: :rc.. _::, :. 0. 0 " 14 7 !:A 1!—m-u; lEi_6 374_ij'a rCu,,i;: ,.- i:::;.....;.,' il„ir iiitilii ; a:: ;!.!,;.:.a3it!iE ;:e;:i,t:!1i1$6l) iit..; 2.10 o 1.5 / t -- or7 w�"3nA0 .9 n1�1� I�FJ�"+ I includes calculated ApplianceslandtM6scellaneous•Energy Use (AMEU) r -IN a ! BUILDING - FEATURES INFORMATION p VICK-) RQ 01 02 E 03 04 05 06 07 Number of DwellingNumber of Ventilation Number of Water Project Name, ---*—.:Conditioned Floo?Aiea (sit). _- f Units Number of Bedrooms Number of Zones Cooling Systems Heating Systems Private Residence __ .., 6064 1 15 5 1 2 Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-29 12:17:50 HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml CF1 R-PRF-01 Page 3 of 11 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 Zone 1 Conditioned HVAC System 11 1522 10 DHW Sys 1 Zone 2 Gondluoneo HVAC System 22 I'11L is UHW b'yS 1 Zone 3 Conditioned HVAC System 33 1479 14 DHW Sys 1 Zone 4 Conditioned HVAC System 44 735 8 DHW Sys 1 Zone 5 Conditioned HVAC System 55 1206 10 DHW Sys 1 OPAQUE. SURFACES 01 02 03 04 05 06 07 08 Name Zone..;;[; :°`:; Construction Azimuth Orientation Gross Area (ft2) Window Area (ft2) Tilt(deg) North Exterior Watt :'< .::'; _;;..:.;...Zone 1 .. . ? R-21 Wall 0 Right 200 0 90 South Exterior Wall Zone 1 s .,__..: ..-.. :-_ �.:.v,n•r:nu,....nnmmwu•rnnr R-21 Wall.. ...;nxvrwnw;.: � nmun.nmo 180 ;r.'nnn� �' Left 390 162.453 90 West Exterior Wall:.``•;;II`::..one 1 �gth=r I, QIh,;<. ' ... , ..- .. ... •II„ 1!::HIl�,t: ' ?;' ;},i� I .: a ,:a"( ';R=21"��pyyafl` ..@lal;. ai�i?m .Itfii.. Bedc 330 143.96 90 Roof yi i i-li" . Z e i {jjI ; �rir.::' ., ;:,r1� Ili 4; 111N>_l,t!:' �jj((((g n{1R-88 fr ttfo . : ai�lll!l,!ip !:;s lr: ,r i cif ,_. �, .!rdr .-t,; ii:i;.:s: `' ,•a;. `:'dry: '. 1522 North Exterior Wall 2 ..I.,: -:. -r ..,•� ;�gn.,,�; :, lfi ::: i, :i j��t,i:::. ii':: It. i fi�{l.• 'r,:.,a !Ili I; Z�np�.��t., � °� „ .:�1 +p,�j .1Li;�i.-•.iu+t:. ••inllr:,!,(IrIfL:�,•:' n�tIAlhGn!!i II h . :f�:.f.. - t•ui; 1 I:: ;ii["I ! I'' L: ,11f��I``II ��' ,jj,R;� �tla�l �h:.,, ,{rl j( .a' [IIIIIIt,!J',IIIIIiWIII•S.Jt�l�1,la::vv�.upp:{�(ryL•- . _ - - ; it •;:r` I I:• ! ' 'I,�'{� 'i�.;u, . ' � �ill� �.:{+•._ ,,ylc. �ll��ifi `ii . Right ! `i�+lac�,t. 260 0 90 South Exterior Wall 2 _;::;::''Zone'2:!180 ` Left 460 225.982 90 East Exterior Wall ''tii:;=ra`'`Zone 2 : `[;! R-21 Wall 90 Front 310 0 90 Roof 2 Zone 2: ;!: ! ' ;.: ' R-38 Roof Attic 1122 East Exterior Wall 2 Zone.3 ::;?°' R-21 Wall 90 Front 900 90 90 West Exterior Wall.2 Zone 3 R-21 Wall 270 Back 330 230 90 Roof 3 Zone 3 R-38 Roof Attic 1479 North Exterior Wall 3 Zone 4 R-21 Wall 0 Right 320 180 90 South Exterior Wall 3 Zone 4 R-21 Wall 180 Left 320 0 90 East Exterior Wall 3 Zone 4 R-21 Wall 9P F1 0 90 o, 2799 West Exterior Wall 3 Zone 4 R-21 Wall 2 0U1 Y Ew 0 90 Roof Zone R-38 Roof Attic BU MLDINN FMFTA?5r)I=P- North Exterior Wall. 4 Zone 5 R-21 Wall PLOD x/an 243.02 90 South Exterior Wall 4 Zone 5 R-21 Wall 130 34.5 90 West Exterior Wall 4 Zone 5 R-21 Wall 2 rO Bade 24 187.925 90 Roof 5 Zone 5 R-38 Roof Attic 1206 I I Registration Number:- 214-N0169182A-000000000-0000 Registration Date/lime: 2014-12-29 12:17:50 HERS Provider: CaIGERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07 If CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml CF1 R-PRF-01 Page 4 of 11 ATTIC 01 02 03 04 05 06 07 Name Construction Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Attic Roof Cons 0 0.1 0.85 Yes No WINDOWS 01 02 03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width(ft) Height (ft) Multiplier Area (ft2) U factor SHGC Exterior Shading Window 110-S Window South Exterior Wall (Left-180) 3.0 11.5 1 34.5 0.50 0.18 Insect Screen (default) Window 110a-S Window South Exterior Wall (Left-180) 8.1 11.5 0.998 93.0 0.48 0.19 Insect Screen (default) Window 109b-S Window South; Exterior Wall (Left-180) 4.0 8.8 0.994 35.0 0.48 0.19 Insect Screen (default) Window 109a-W Window : West Exterior Wall (Back-270) 8.0 11.0 1.045 92.0 0.50 0.18 Insect Screen (default) Window 109b-W Window .:;_ West°Exterior Well (Back-270) 8.0 6.5 1 52.0 0.48 0.19 Insect Screen (default) Window 118a-S Window' ;'. ...:: SouthExterior Wall 2 (Left-180) 10.0 9.0 1 90.0 0.50 0.18 Insect Screen (default) Window 120a-S Window :' )ZHl ,.:; South r Wali (L' 11$0} ,.. �C�I!, .; i''I!;1! �` if TDB " 1 90.0 0.50 0.18 Insect Screen (default) Window 112a-S Window Wall 2 -46.0 0.50 0.18 Insect Screen default Window 100-E Window l?I j `I'., , tifi.'�f�jiilltil o i erjez Wall'2 (�E �o t 9Pif �ry�M�l`I iR 11� !!, .: INs o-: �f(! .,. t ,,r �� a�!! 41 T1 , :, 90.0 0.50 0.18 Insect Screen (default) Window 101b1-W Window. ; '. " "`.::;' West Ex &d&.�Walf�2(Bacic'270j .......:' • 10':0 } „_ 11':5`' 1 115.0 0.50 0.18 Insect Screen (default) Window 101 b2-W Window ; ,; ::;;, ; i'.i-; ;: i ii'.r` : West Exterior Wall 2 (Back-270) 10.0 11.5 1 115.0 0.50 0.18 Insect.Screen (default) Window 114a-N Window' ' `: :: ' `?:,NortfExterior Wall 3 (Right-0) 10.0 9.0 1 90.0 0.50 0.18 Insect Screen (default) Window 116a-N Window Nortf Exterior Wall 3 (Right-0) 10.0 9.0 1 90.0 0.50 0.18 Insect Screen (default) Window 10415-N Window North Exterior Wall 4 (Right-0) 10.0 6.0 1.017 61.0 0.50 0.18 Insect Screen (default) Window 104c-N Window North Exterior Wall 4 (Right-0) 15.0 6.0 1 90.0 0.48 0.19 Insect Screen (default) Window 107b-N Window North Exterior Wall 4 (Right-0) 8.0 11.5 1 92.0 0.50 0.18 Insect Screen (default) Window 104b-S Window South Exterior Wall 4 (Left-180) 3.0 11.5 1 34.5 0.50 0.18 Insect Screen (default) Window 104a1-W Window _ _ West Exterior Wall 4 (Back-270) 7.1 11.5 1.004 82.0 0.50 0.18 Insect Screen (default) Window 104a2-W Window �, West ExterioriWall4,(Rack-270) 10.8 10.0 0.981 105.9 0.48 0.19 Insect Screen (default) Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-2912:17:50 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01 Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Page 5 of 11 Calculation Description: Title 24 Analysis Input Fife Name: Sures-Isaksen.xml DOORS 01 02 03 04 Name Side of Building Area (ft2) U-factor Door 118b-N North Exterior Wall 2 21.0 0.50 Door 120b-N North Exterior Wall 2 21.0 0.50 Door 114c-S South Exterior Wall 3 21.0 0.50 Door 116b-S South Exterior Wall 3 21.0 0.50 OVERHANGS AND FINS 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Overhang Left Fin Right Fin Window Depth ilk-'W: ' Left Extent Right Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up Dist R Bo! Up Window 110 S :01`.i.!?'`:.. 8 8 0 0 0 0 0 0 0 0 0 Window 110a S ... . 8: :.:.. 0:1'i`:. `'; .[8..:::.:....:::.:. _$:.... 0 0 0 0 0 0 0 0 0 Window 109b S AR!'' 4�;. ,g ` ^' .:{,, ,jI ,.....:::: c !: 0.1 i:, j)v`'iE': Ili I; i+.:4' •I —ty; jli4,;`j:•.;:: i {, ;;;.., ir„ ,ii ; i l. �! i 1 !i t:•i �aii:: o 0 0 0 0 Window109a-W ! rii;4.n. 4�!Iil. 1 {'"! �`" a{ ,r ` 4 If'+t` : ' !I,i:...:. .; lill�hiil'' : , r't trl:._ �El►� ° E`'.-.. i ``I` ; o �!i , o = o 0 0 0 0 0 Window 109b-W {j y e 6 N ii' ��llu.;Ii ..II{��1 ,rr� iit ! 1 ,r Ij S! 1 { Ii 6: rt i{{I,:....,,, !<I i>rt13 ; :. I}I �{ ;j Lski u., :1,1 ia•I Kfi, fl I (� ! i li I 0 ! t(r..,.:.i�ia iiKfj p!i , lu r71.io .. , i 10` i 1{� 1 j �{ i 11 ,. :4I. , 1 .. 0 0 0 0 0 0 Window 118a-S . r'•'�: °;;;!rii+^; ij L';:',!Lip:. {4 ;i7 - :h, i i ;,r:,;il i i i, i:; a::fi: ilia„ ! - 'ii` Window 120a-S 9€t':2 t" 0A a i{i: ,{ 2 2 0 0 0 0 0 0 0 0 0 Window 112a-S '!'2 0>1 2 2 0 0 0 0 0 0 0 0 0 Window 100-E 6 01?^; 6 6 0 0 0 0 0 0 0 0 0 Window 101b1-W 6 01— 6 6 0 0 0 0 0 0 0 0 0 Window 101 b2-W 6 0.1 6 6 0 0 0 0 0 0 0 0 0 Window 114a-N 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 116a-N 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 104b-N 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 104c-N 2 0.1 2 2 0 0 nery ne i Inil I KITA0 0 0 Window 107b-N 2 0.1 2 2 0 0 %W b I I N.00Nffwl IV V0 0 0 Window 104b-S 4 0.1 4 4 0 0 0 0 0 Window 104a1-W 2 0.1 2 2 0 0 0 0 woo 0 0 0 Window 104a2-W 2 0.1 2 2 0 0 0 0 0 IDATE BY I Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-29 12:17:50 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-10172014-651 Report Generated at: 2014-12-29 11:33:07 _ CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project.Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Page 6 of 11 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 Construction Name Surface Type Construction Type Framing Total Cavity R value Assembly Layers 2x4 Top Chord of Cavity/Frame: no insul. / 2x4 Top Chrd Roof Truss g 24 in. Roof Deck: Wood Siding/sheathing/decking Attic Roof Cons Attic Roofs Wood Framed Ceiling O.C. none Roofing: 5 PSF (Normal Gravel) • Inside Finish: Gypsum Board • Cavity/Frame: R-21 /2x6 R-21 Wall Exterior Walls Wood Framed Wail 2x6 @ 16 in. O.C. R 21 Exterior Finish: Wood Siding/sheathing/decking • Inside Finish: Gypsum Board • Cavity/Frame: R-9.1 /2x4 R-38 Roof Attic Ceilings (below attic) Wood Framed Ceiling 1 2x4 @ 24 in. O.C. R 38 Over Floor Joists: R-28.9 insul. SLAB FLOORS 01 02 [ :il ! : 03 04 05 06 07 Name Zone .'•. .. Area (ft2) Perimeter (ff) Edge Insul. R-value& Depth Carpeted Fraction Heated ' Slab -on -Grade Zone 1: ..., , u.p,;i ,::r�....:.:: ::. t ,P^i:,..9�99 15 :..y , a P F p Ltit.�P•iLi;:.,01...`9ill.:�;� None 1 N O Slab -on -Grade 2 ?I :Uit:: 1'J;'Zo ie 2 1 '•'f,�jlt?ip'ir'1 d:: ��i!i4lil,la•?-! ° li cN y;:: i I { l 1{1�183:"i None 1 No Ai� <a. .I� „t��l!_f, ! i I ` t, Slab -on -Grade 3 't•`; llijlr :1'U• ijii I�i;i , I too ti';. l ?f i.:: i Iow, •I".t :,.:: U•I`� I (, ii ini "SI"' ..:Ij"i - None 1 No 1 iia , ...: �,. ;� !?{II I,I ::. t, :E: ill ;�4t,.t .I:I�:� ,?ilil � -:•;: 'i.: �„lili;:. „t:. „Il,.:iss>',.: .,. Slab -on -Grade 4 , ; t' C. , td,y,.Oil..d,. :!I il;l. i.: i:'IF't �; ��yy e.I ff�� 1 �� i It<..!: ?1: 'ii:'!fi i'4'::'t (?ri i(I,, S t ? i 1� f, ,+`•}� i,: { n � i•tr i AN!! . ! i:.. il:6ii,42,,,1.i1. Aa p:, :, No :!I�ll!m„n ,1 , ?1�:; n tip ,' ,t{ IK+ h ..La t , ►�{?� t• .II i:l! :Ji ,,;,u Slab -on -Grades ;_':.:::;;::::.'`!ZorieS:!:i;i'G!:i;;:'€;-;;::. °' `' " T206 ' 136 None . 1 No BUILDING ENVELOPE - HERS VERIFICATION 01 :: °: 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage ACH @ 50 Pa Required Not Required Not Required -- WATER HEATING SYSTEMS 01 02 _ _ 03 04 05 06 Name System Type, ! t Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 DHW Standard DHW Heater 1 1 .0% DHW Sys 1 DHW Standard DHW Heater 1 2 .0% Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-29 12:17:50 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 HERS Provider: CaICERTS inc. Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Page 7 of 11 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R-value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Instantaneous 0.2 0.82 199000-Btu/hr 0 n DHW Heater 1 Natural Gas Small Instantaneous 0.2 0.82 199000-Btu/hr 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation Control Central DHW Distribution DHW Sys 1 - 1/1 N/A NIA N/A N/A N/A N/A DHW Sys 1 - 112 N/A:!*:,.,'':';'7'' ; NIA N/A NIA N/A NIA HVAC SYSTEMS 01 : ,:; : i.•,: :!;, :. AI F" ti "'I L. 1i i i;Nl r'.},'` i I!.:.II ' (:: { i ` 05 06 07 �lrste�rr> i He i nc Systerri;, ;�;�',°��, t! {�i �:;t,:: 111 .� •;oolin stem; >::i: �iIt�:::�[:�Fi��i'.';!'UPt•-:1 ;•,�t!ti�dt'r'.•.i;Ei:i I Distribution Floor Area Name .'�faHi. ?f el� ��I"f.iyl,N 1. .. .. :._ ,:ll II�� li ! �.. ;yi ! i �!i �;� t"iii;:ili' ducted �!.'i System Fan System Served r.n Pi,flrhi•, :;' i lul, '.:,nA! �:::r:: i�•t,Ili�, " .!CDuedl�- 6�n3 HVAC System 11 ^lt',, •�_: _-;:- ;.,: +iu,Ei: i!=ii: '' OtFierH'eat/Cool.:: i; „;:; us;;:;, an•i' I .t• ,l5ij :;;:+z;>;:,c;y;jr.::,':::: ,•,t;!�ii!ilfi!rr:•u:;:-4rt:.�Fn:::�:,!__.:.;...,.; Beating Component`1 Yes "'Component 1 Cooling n r Distribution Ai °: ;,; tlrl, s^ Yes System 1 1522 :;:I it'tft HVAC System 22 . '`. Other Heat/Cool.; : `i ! , Heating Component 2 Yes Cooling Component 2 Yes Air Distribution 1122 System 2 HVAC System 33 Other Heat/Cool ' .. , Heating Component 3 Yes Cooling Component 3 Yes Air Distribution 1479 System 3 HVAC System 44 Other Heat/Cool Heating Component 4 Yes Cooling Component 4 Yes Air Distribution 735 System 4 HVAC System 55 Other Heat/Cool Heating Component 5 Yes Cooling Component 5' Yes Air Distribution 1206 System 5 CITY OF LA QUUINTPA BUILDING & SAFE D APPROVED FOR CONSTRUCTION DATE-�_BY Registration Number: 214-N0169182A-000000000-0000 Registration Date/1-ime: 2014-12-29 12:17:50 HERS Provider: CaICERTS;nc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-10172014-651 Report Generated at: 2014-12-29 11:33:07 a CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml CFI R-PRF-01 Page 8 of 11 HVAC - HEATING SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CntrlFumace - Fuel -fired central furnace 80 AFUE Heating Component 2 CntrlFumace - Fuel -fired central furnace 80 AFUE Heating Component 3 CntrlFumace - Fuel -fired central furnace 80 AFUE Heating Component 4 CntrlFumace - Fuel -fired central furnace 80 AFUE Heating Component 5 CntrlFumace - Fuel -fired central furnace 80 AFUE HVAC - COOLING SYSTEMS 01 02 03 04 05 06 07 Efficiency Multi -speed Name System Tvpe:=;`,;:: EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 ning Spli9.4'Cond:; =Split aircoriditi*;I.:,::. : `: 13 16 No Yes Cooling Component s stem' ;, Y=i;:a1:. 1-hers-cool CoolingComponent2 ;{p , SplitAirClircondi{�{tglsll i �„t Itl ,1:;71!i{liliiill'!;I:!I� :f:l il::.�,l r, ... ��fs Ii�rslt#{jjl�,.,s!: Ii,:.:Y:ii, i, �_„irii' •.."11 No Yes Cooling Component 2-hers-cool Cooling g Component 3 S IItAi ohd - S lifi'el : n ihomi i p P i!;., i :: ro::. i s ..,,� , ::y, . i i. ii,;, I i ; i�i:" }�,,!E;:�, �l i.;..13'a;:: ;. `I ; �: i r ;.: I i :..: ! ; :..r iYii,i i ;i ,1 !• :I,i:__;: ;,1 :i< ;:+' 11,� i:..:.:1 fi ;tial.., . 1 i^ `s, ,: a :i ;:.::.::^ f;.�1-' � . �:: t,: °'lo;,,: ;�: if. ;;,. Yes Cooling Component 9 P I, 11 •j1 .; . I i : ; 1::-;... I�Lt�1,.;. i:lal ::::: lit �l�•li,!, I , ! , �...: 3 hers cool Cooling Component 4 SpIitAlrCo.nd-;'$pllfairconditioriiri`=:"I'i:":`,''::' 19 No Yes Coolin Component tem:. 4-hers-cool Cooling Component 5 SplitAiiCond.-'Splitai�:condiConing - ;;;;;; :.' 13 16 No Yes Cooling Component system".::: ;::: 5-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 _ 350 Required Required Required Cooling Component 2-hers-cool- 4t.1/11 flJRequired_:J;-N \,t-f 350 Required. Required Required Cooling Component 3-hers-cool Required ,,` ' ' ` ` 350 Required Required Required Cooling Component 4-hers-cool fir— -- Required -'�' '. r 350 350 Required Required Required Cooling Component 5-hers-Pool Required , 350 Required Required Required -- I I , J. ,; H] r Registration Number: 214-No169182A-000000000-0000 Registration DateMme: 2014-12-29 12:17:50 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014=651 HERS Provider: CaICERTS ine. Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml CF1 R-PRF-01 Page 9 of 11 HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 08 Supply Duct Name Type Duct Leakage Insulation R-value Location Return Duct Bypass Duct HERS Verification Air Distribution System 1 Ducts located in attic Sealed and tested 8 Attic Attic None Air Distribution System 1-hPrs-fist Air Distribution System 2 Ducts located in attic Sealed and tested 8 Attic Attic None Air Distribution System 2-hers-list Air Distribution System 3 Ducts located in attic Sealed and tested 8 Attic Attic None Air Distribution System 3-hers-dist Air Distribution System 4 Ducts located in attic Sealed and tested 8 Attic Attic None Air Distribution System 4-hers-dist Air Distribution System 5 Ducts located in attic Sealed and tested 8 Attic Attic None Air Distribution System "ers-dist HVAC DISTRIBUTION -HERS VERIFICATION' 01 tiI„'•�... 04 05 os o 7 DLeakage:'f�rl.`i;P{!{•i,liihi'i... `� tl�!y::.. o..::1 ! �i. fi.:,�li � l .. !,; !: � ��;• j, iY t If TjIi!, .� 1 ., i•. •.I ,: �.:. .;i.';: •: .. ��!� ` �ifi - Verified Low -leakage to Name i cation 7 i `�:: 3{�Gidr,��!!. .ii�.,'.I: ,I� E: Duch Tca a Ta et o g �:: n: r .,�1.: i-; t fied! D"jit %b6itron Return Su supply Air Handier i.:i.l! .Ii :l�' ¢,ti i`' i ......:! I tl` Air Distribution System ^:ljl{4n; •il lily 1, � 1.}{rf r Required � t{ 1:�:"ii•::I l Ifl:!is L: ,'N :; r 1iri::"^n,r1;VC:N::i • r: il�:",:i-,�ii!!i:;l.:;d::f"1 =.!a?� 4 i;ii`'lii•f; :;ir';.'r':: •:..;:....:.' ,:::"-: 6 0. ,Iih, �; iY,,'Gi '. ilii . ; Not Required Not Required Not Required -- 1-hers-dist ..... Air Distribution System 2-hers-dist :,.:!.Require ':..:.=°... ' 6.0 Not Required Not Required Not Required — Air Distribution System 3-hers-list Required 6.0 Not Required Not Required Not Required Air Distribution System 4-hers-i Required 6.0 Not Required Not Required Not Required — Air Distribution System 5-hers-dist Required 6.0 . Not Required Not Required Not Required4_1 — -1 CITY OF LA WIN IA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE BY Registration Number: 214-110169182A-000000000-d0oo Registration Date/Time: 2014-12-29 12:17:50 HERS Provider: Ca10ERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 20, 2014 Calculation Description: Title 24 Analysis Input File Name: Sures-Isaksen.xml CF1 R-PRF-01 Page 10 of 11 HVAC-FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts]CFM) HERS Verification HVAC Fan 1 Single.Speed PSG Furnace Fan 0.58 HVAC Fan 1-hers-fan HVAC Fan 2 Single Speed PSC Furnace Fan 0.58 HVAC Fan 2-hers-fan HVAC Fan 3 Single Speed PSC Furnace Fan 0.58 HVAC Fan 3-hers-fan HVAC Fan 4 Single Speed PSC Furnace Fan 0-58 HVAC Fan 4-hers-fan HVAC Fan 5 Single Speed PSG Furnace Fan 0.58 HVAC Fan 5-hers-fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name VerifiedFanWaft Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1-hers-fan W. Required 0.58 HVAC: Fan Required 0.58 HVAC Fan 3-hers, Re%ired 0.58 HVAC Fan 4-hers.-f 0.58 HVAC Fan 5-hers-IffiliME., !W!"!1j1jw;1;[ It Hlij .'i'.11..........4j1-... 0.58 IAQ (indoor Air Quality) FANS 01 ei,itliit'ij::0203 04 05 06 IAQ Recovery Name IAQ CFM: IAQ Watts/CFM IAQ Fan Type Effectiveness(%) HERS Verification DwellingUnit 180.64-::." 0.25 Default 0 Required COOLING VENTILATION 01 02 03 04 Name Cooling Vent CFM Cooling Vent Watts/CFM Number of Fans H Fan 1 50 0.04 1 J Registration Number: 214-N0169182A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/nme: 2014-12-29 12:17:50 Report Version - CFlR-10172014-651 HERS Provider: CaICERTS inr- Report Generated at: 2014-12-29 11:33:07 CERTIFICATE OF COMPLIANCE RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Private Residence Calculation Date/Time: 11:30, Mon, Dec 29, 2014 Calculation Description: Title 24 Analysis Input File Name: Surer-Isaksen.xml CFI R-PRF-01 Page 11 of 11 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Butch White Company: Signature Date: BREEZE AIR CONDITIONING INC 2014-12-29 12:17:50 Address: CEA/HERS Certification Identification (If applicable): 75-145 ST CHARLES PLACE City/State/Zip: Phone: PALM DESERT, CA 92211 (760) 346-0855 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of4;the State of California: 1. I am eligible under Division 3 of the Business and:Professi6ns Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and'performarice 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. .: 3. The buildingdesign features or`s stem . e ' f t r s' db- -tiff i e grl fea u ;, s ea u e I or>,t ( ' tc.}ate oi.Co, Hari cq iSistUWith the information rovided on other a II p an I P I' I` II' 'I", ' tP PP cable compliance documents, worksheets, calculations, tans p paafica ;ors subm�I titd en grce enragerifo Qprc#vi�tfhbuilding permit application. Responsible Designer Name:Signature: I E-.' ••1 IIr;-: II4 ({eil{{tr:::i �r— I .r r t rp;:...'p ..I i,t.., �; �.- .1..,........ -.-.,� 41)i s•i;: � i"I �tIIY �i,li,•? f, .(! Butch White ji°f :��1:1, {�1 `�` Y1illii;; rtii,:i{ fiti?�Iili�'i{ r�'i ,i,ii) liili�liii(i��Eiiui 1{ r I:i•, I•.�Ivs o fi . IR{I :: it i Ir+i • t� 1 . , :�tli i 1 h Com an e Ign BREEZE AIR CONDITION IN 2014-12-29 12:17:50 Address: License: 75-145 ST CHARLES PLACE 416394 City/State/Zip: Phone: PALM DESERT, CA 92211 (760) 346-0855 r CITY OF LA QUINTA BUILDING & SAFETY. .E�T Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no WaJ implies R„ wb or the a curacy of the information. FOR CONSTRUCTION I DATE Registration Number: 214-N0169182A-000000000-0000 Registration Date/Time: 2014-12-29 12:1 50 '--Ti�ER3 Pluvidul. CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-10172014-651 Report Generated at: 2014-12-29 11:33:07