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BRES2018-035678-495 CALLE TAMPICO 4�P LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Application Number: BRES2018-0356 Property Address: 49500 AVENIDA VISTA BONITA APN: 773350011 Application Description: DONOHOE - 80SF ATRIUM ENCLOSURE Property Zoning: Application Valuation: $12,000.00 Applicant: THOMAS DONOHOE Li 49500 AVE VISTA BONITA LA QUINTA, CA 92253 JAN 0 3 2019 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 473996 Date: • 7 f ^ Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: () I, 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 am exempt under Sec. B.&P.C. for this reason 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 Nam Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/3/2019 Owner: THOMAS DONAHOE 49500 AVENIDA VISTA BONITA LA QUINTA, CA 92253 Contractor: VANTAGE POINT CONSTRUCTION INC 42 - 240 GREEN WAY #B PALM DESERT, CA 92211 (760)340-5157 Llc. No.: 473996 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 ofthe MWk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by See lon 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: CALIFORNIA INSURANCE COMPANY Policy Number: 4687690101 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: fplicant: -r WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the 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. �7 Date: Signature[ApplicantorAgent) . Date: 1/3/2019 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: THOMAS DONOHOE 49500 AVE VISTA BONITA LA QUINTA, CA 92253 BRES2018-0356 49500 AVENIDA VISTA BONITA 773350011 DONOHOE - 80SF ATRIUM ENCLOSURE $12,000.00 Detail: 80 SF ATRIUM ENCLOSURE, NEW SLAB, NEW ROOF, REMOVAL OF 3 SLIDING GLASS DOORS. Owner: THOMAS DONAHOE 49500 AVENIDA VISTA BONITA LA QUINTA, CA 92253 Contractor: VANTAGE POINT CONSTRUCTION INC 42 - 240 GREEN WAY #B PALM DESERT, CA 92211 (760)340-5157 Llc. No.: 473996 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF 101-0000-42400 0 $134.48 DESCRIPTION ACCOUNT CITY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $188.92 Total Paid for ADDITION: $323.40 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 0 $218.75 Total Paid for BLDG CITY STAFF - PER HOUR: $218.75 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($72.17) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($52.83) DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $72.17 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.56 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, NEW/ALT, EA ADDITION 1 101-0000-42400 0 $11.21 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, NEW/ALT, EA ADDITION 1 PC 101-0000-42600 0 $12.86 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST 1 101-0000-42400 0 $70.91 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, NEW/ALT, FIRST 1 PC 101-0000-42600 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $85.85 $180.83 taz �+� QaW — GE,N f,b, UESCRC — PERMIT # PLAN LOCATION: Project Address: Yf q00 fiW U(f A �py l7�1 Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 772 ^ � SO — ® Fo G 16i vie liecv s,14b, hew PoW. Ae6tdve 3 Applicant Name: -Th mf s UQl1 a 4e S 444; 1,00r4 Address: T ` ,S 00 Ilu e UL f 4 City, ST, Zip: C et 4outh CA e'ZZ -7� 3 Telephone: q00 , 7V0 Email: Valuation of Project s Contractor Name: U(Ih &f Co pQ(�t New SFD Construction: Address: q 2 ^ j y61?e( tt)Q V�ll Conditioned Space SF Garage SF Patio/Porch SF City, St, Zip A 4, Aejevt CA 12211 Telephone: -7� 0 . 3 q0 , 515 7 Email: Fire Sprinklers SF State Lie: q 7 3 ! City Bus Lie: Arch/Eng Name: C(jht of r4 W fi?JI Construction Type: _ Occupancy: A Grading: Bedrooms: Stories: # Units: Address: 7 2 Fee tm- & Ja�yy Xl r_ _ 5 City, St, Zip A,714, OeJept Of q 2Z,(0 Telephone: 760 Email: �/vho State Lic: City Bus Lie: Property Owner's Name: a/Y!q S �Dha�O New Commercial / Tenant Improvements: Address: a�aVe Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 1z --* 9% 0 S 2 �1,q r, OFFICE USE ONLY # Submittal Plan Sets Req'd I Rec'd Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License Date: 12/7/2018 No.: 18-01197-1 Owner: Thomas Donohoe Address: 49500 Avenida Vista Bonita City: La Quinta Type: Residential Addition < 500 Sq ft Lot # Street No. 49500 Comments: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 Street Name Avenida Vista Bonita ��tfreo j ud veMxsukau' o021 L i i %AI�NER � CAiA,,y Email: Jurisdiction: La Quinta Tract #: Sq. Feet APN 80 773-350-011 Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detoched accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, orsanitation) 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: Residential Addition 500 Sq Feet or Less Exempt This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 80 S.F. or $0.00 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: EFrancisco Estrada Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent Fee Collected/ Exempted by: Rodney Slagle Check No.: Telephone: 760-265-7411 Funding: Exempt Certificate Fees Due: $0.00 Original Payment(s) Rec'd: $0.00 New Payment Rec'd: $0.00 Over/Under: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) 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 .iota Site Owners N Number, Street, or PO City, State, Postal C Owner's Phone Nur Owner's E-Mail Add Project Manager's Project Manager's Phone N Project Manager's E-mail A Bulkier / Contn Number, street or PO City, State, Postal C Project Square Building Permit Plumber: I -B IDS Zoli— 0-3 Project Q. _ n: Itenant improvement Exempt: 0 -Nmad"May-"in hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 12/7/2018 49500 Avenida Vista Bonita Tom Donohoe 495DO Avenida Vista Bonita La Ouinta, Ca. 92253 c/o 780-340-5157 Francisco Estrada 760-365-7411 VDCofficej _(1aq aiI Cpi7 Vantage 42240 Greerlway #B Palm Desert, Ca. 92211 80 sq R City Approval By DECiBurrtecc thfaste;�! x' Date of City Approval j Materials To Be Discarded. Product Trash Asphalt BricklBIOCic Cardboard Commingled Concrete Drywall Donated / Reuse' 'Describe items Tons RECt---IVED JAN 0 3 RECI - 2 o t j CITY OF LA QUINTA COMMUNITY DEVELOPMENT 0.25 Not recyclable Product Tons 0.00 Recyclable Masonry (broken) 0.( 0.00 Recyclable Plaster 0.( 0,00 Recyclable Scrap Metal 0,( 0.00 Recyclable Tile (floor) 01 020 Recyclable Tile (roof) 0.( MR"able Wood 0, i Recyciabte Landscape Debris 0.( Totals: Roc cie Trash Projected Diversion: 0.5 0.3 fi5.28"� i understand It Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby oertify that completion, implementation and adherence of the lohrit Manacemanl Plan (nMP) for fhe ahaye namsd rsrojeat shalt puaran " thsi at Mast 6561. of the j0iso6le waste j. diverted from landtlflkng. The remaining material will be recycled or reused. l will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to The property owner(s) and general contractor shall be kept informed of the diversion progress through bi• hty re if sal all refuse material from this project site must be taken to an approved racycler or transfer r eat Manager 1 ntandani Dale STATE OF CAUFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification 1' CEC-CFIWADD•02-E iReviseo 04ASl CAUFORNIA FNERGv COMMISSION CERTIFICATE OF COMPLIANCE CF111dADD-02-E Prescriptive Residential Additions 300 FL` or Less, or Additions That Do Not Require HERS Field Verification Page 1 of 5 ..«+"sN'"Donohoe Residence 1 acPrecel 11/5/2018 This complance document is only oppliicable to additions 300fir" or less, or odditrons that do not require HERS field verification for cornpharicc, When HERS verification is required a CUR-ADO.01 shall first be registered with a 14ERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-02 and CF2R- ADD-02 Compliance Documents. Possible exemptidns from duct leakage testing include: less than 46ft o{ducts were added or replaced; or the existing duct system was insulated with asbestos, or the existing ductsystem was previously tested and passed byo HEMS Rater. !f sprare conditioning systems are altered and are not exempt from HERS verification, Chen a CF1R-ACID-01 must be completed and registered with a HERS Frovider Data Registry, Additions or alterations that utilize close Cell' Spray Polyurethane Foom (c€_SPF) with a density of 1.5 zo less than 2.5 pounds per, cubic foot havin_q on R-value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of G.4 to less than 1-5 pounds per cubit foot having an R-value of 3.S per inch, shall cornplete and register• o CF1R ADD -ill with a HERS Provider Data Registry. ly more thap one.person has responsibility for installation of the items on this certificate, each person shall prepare and sign a cenifrcate applicable to the portion of construction for which they are responsible_ Alternatively, the person with chief responsibility for construction shaft prepare and sign this certificate for the entire construction. All applicable Mandatory Measrzres shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information u 01 Project Name: Donohoe Residence 02 Date Prepared: 11/5/2018 03 Project Location- 49500 Avenue Vista Bonita 04 Building Front Orientation (deg): 90 05 CA City: La Qtuinta 06 Nunthe.r of Owelling Units with Additions: 1 07 Zip Code: 92253 08 Fuel Type' Natural Gas 09 C;3nrate Zone: 5 i 10 Total Conditioned Floor Area (rt"j (Addition). 80 11 8urlding Type: 12 Slaty Area (ft`)r 80 13 Project Seape: 300 ft2 or less { 14 Addition Wall Type: %, Framed Non -framed i Mass Walls None 15 Roof Type: Steep slope Low slope! None - — — - 16 Roo-A-eiling ebi5018111on: e✓ QFi(L3f€ t5, - Above deck i4TSL.idt€art .^� Option 8 - 6elovc deck in SU.iatiSJn Option C - DuciS & Air handler in co - itloned space. None 17 Windows being installed? 1 Yes _ _ RECEIVED _- nr�1 1 lit r:_yf` � / 18 New water heater being installed, YesDIVISION N REVIEWED FOR CA Euilding Energy Efficiency Standards - 2016 R sidentiai Camplianc? COMPLIANCE DATE , � 5BY _ _ DEC 0 7 Z018 ��1���r ST ''`�kp►1l 2p16 CITY OF � -A J GONS1JL.TiNG GROUP STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-CF1R-ADO-02-E (Revised 04/18) CERTIFICATE OF COMPLIANCE UMIMCFIR-❑2E ChLiFORNt4 ENERGY CpRi5At5SlON Prescriptive Residential Additions 3GO Ft or Less; or Adti�tianS Tn�st Da Not Require HERS Field Verificauan Page - 2 5 ''�•`: ", "" Donohoe Residence nix sprra i11512t118 E. Slab Insulation (Table 150.1-A) -- 01 02 03 j 04 05 06 Proposed Required insulation�Insulatiofnlation Insulation FloorType R-valuevalue U-factor Comments Add Row i Delete Row Heated slab floors require mandatofy slab insulation (see Table 110.8-A), Radiant Barrier (Section 1501.1(c)2) ❑1 Radiant Barrier installed below the roof deck and on all Yes l" No Add Row Delete Row 02 end walls Comments Notes: • Radiant barriers shall meet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards for low-rise residential buildings. Refer to RA4-2.1 The emittance of the radiant barrier shall be. less than or equal to 0.05 as tested in accordance with AS7M C1371 or ASTM E408. I • for Prescriptive Compliance the attic shall be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of attic floor area with no less than 30 percent upper vents. Ridge vents or gable end vents are recommended to achieve the best performance. The material should be cut to allow for full airflow to the venting. CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification JILF CEC-CFiR-ADD-42-E {Revised M15] _ _ _ CALIFORNIA ENERGY CC7UMISSIQN CERTIFICATE OF COMPLIANCE -E Prescriptive Residential Additions 300 Ft` or Less, or Additions That Do Not Require HERS Field Verification Page 3 CF1R-ADD-02 2 S `-'Donohoe Residence N.e�r,r ,J: 11/5/2018 'H. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150-2(a)1) ` 01 02 03 04 05 i 06 07 08 09 10 Maximum Allowed Maximum Allowed West - Fenestration Area for All Faring Fenestration Area Only Orientations (ft2) (ft2) I 1 The Greater The Greater Imaximum Maximum Maximum Maximum Addition Type Calculates! based Maximum Calculated Calculated ` Maximum Allowed U- Calculated Allowed U- Nlax,mwn Maximum (ft�) on Allowed Allowed ft2 based on I Allowed % {actor Allowed ft2 (Windows) factor (skylights) Allowed SHGC Allowed SHGC (windows) I (Skylights) Con:nients -'400 ft2 ; 5.6 S 6 5.5 30 ri — !. Fenestration Proposed Areas and Efficiencies ENote; If meeting Exception 1 to 150.1(c)3A, lnstalling <_ 3fta glass in door or tubular skylight, it is not required to meet the minimum U-factor & SHGC requirements Exception 2: For up to 16ft of new skylight area, the U--(actor can be 0,55 or less and the SHGC can be 0-30 or less. Exception 3: if using dynamic giaxing, use the lowest tested U-factor and SHGC in Columns 9 and 10. F01 02 03 04 fly 06 1 07 08 G9 1.0 11 12 13 I 14� Proposed West Orientation Proposed Facing l Exterior JJ Combined Tag/ID Fenestration Type Dynamic (N,S,W,E or Number of Fenestration Fenestration Proposed Proposed 1 Shad! ng SHGC from j !! Type Glazing Roof) Panes Area (ft2) Area [ftx) U-{actor Source , SliGC. ' Source i €device f CF1R-ENV-03 Skylight I Metal Roof 2 5.G 0.5.5 0.30 1 i Add Row Delete Row 15 ITotat Proposes! Fenestration Area 16 Maximum Allowed Fenestration Area 6 17 [Compliance Statement •'ietai Proposed Fenestration Area S Maximum Allotired Fenestration Area 15 18 %tal Proposed West -Facing fenestration A+'ea yes No 19 ax#mum Allowed West -Facing Fenestration Area 20 omplianee Statement Total Proposed West -Facing Fenestration Area S Maximum Allowed WP,5t-Fazing Fenestration Area yes i No CA Building Energy E aciency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-CFIR DO-02-e(eerierM16) CAUFORNIA CERTIFICATE OF COMPLIANCE Prescriptive Residential Additions 300 Ft` or Less, or Additions That Do Not Require HERS Field Verification 'Donohoe Residence 21 rroposed Fenestration U-factor (windows) 22 Required Fenestration U-factor (Windovrs) 23 Compliartfe Statement 2 roposed Fenestration SHGC (Windows) 25 equired fenestration SHGC (Windows) 26. Compliance Statement 27 lPraposed Fenestration U•-factor (Skylights) 29 �equired Fenestration U-factor (Skylights) 29 Compliance Statement 30 Proposed Fenestration SHGC (Skylights) i 31 ;Required Fenestration SHGC (Skylights) 32 !Compliance Statement (Proposed Fenestration U-factor < Required Fenestration U-factor Proposed Fenestration SHGC c Required Fenestration SHGC Proposed Fenestration U-factor <_ Required Fenestration U-factor Proposed Fenestration SHGC s Required Fenestration SHGC 11/5/2018 lulflsston LAN CFIR-ADD-02-E Page 4 of S i- Yes ;" No Yes s No .55 :55 Yes C No .30 .30 Yes No CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ftz or Less, or Additions That Do Not Require HERS Field Verification CEC-CFTR-ADD-W-E (Revised D4;tG) C.4tEFORNFA CERTIFICATE Of COMPLIANCE Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification Residence LIMENTATION AUTHOR'S OECLAR I certify that this Certificate of Cor, nenta2loo author game: ,loan Hacker 43585 Monterey Avenue ENT entabon Is accurate and corn e Dates 11/5/2018 Joan Hacker 5/2018 Iy4Mi551dN CF1R-ADD-02-E Page 5 of 5 Palm Desert, Ca 92260 phole 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. the information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 5 of the California Code of Regulations_ 4. 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. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, i understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. ---onsNe OPsi rlCf flame' �- _ pane: 7 Z f eo 04)qA As Fi-e w Redekt C4 qzz& a •=+iw.r.v2 .ra+Tincr igf+divre- S_ y� Data S+Sn ed- C(Nj��J Ucense: r Phone For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300, CA Building Energy Efficiency Standards • Z015 Residential Compliance -- - — - — — - April 2016