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BRES2018-041478-495 CALLE TAMPICO C� 0 D 4 l��MCRI LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2018-0414 Property Address: 54660 AVENIDA JUAREZ APN: 774263008 Application Description: PALOMA HOMES/ 1,977SF DWELLING Property Zoning: Application Valuation: $129,262.10 Applicant: LA PALOMA HOMES INC PO BOX 10179 PALM DESERT, CA 92255 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: 8 License No.: 736753 �1 Date: �Z Contractor: yz�v OWNER-BUILDERD CLARATION 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 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 Date: 4/19/2019 Owner: LA PALOMA HOMES INC PO BOX 10179 PALM DESSTDI 255 Z` .- DU APR Contractor: LA PALOMAgqjLN, �Y 0� � 011,1`(1 FA PO BOX 1�7iT !�) 912-la�'�-0 17�) _N�'nE�arRTNIENT PALM DESERT, CA 5 (760)272-4691 Llc. No.: 736753 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M orkers' compensation insurance carrier and policy number are: Carrier M T 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, andagree th , if I should become subject to the workers' co m nsatlon provisions of Section 3 00 the Lab orC I shall forthwith comply w� t ase p ovisions. Date: C e Applicant: WARNING: F ILURETOSECURE WORKERS' C MPENSATIONCO RAGE 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 abo a information is correct. I agree to comply with all city and county ordinances an stat laws relating to building constructi , and hereby authorize representatives oft is cit to enter u on the above -me tioned roperty for inspection purposes. Date. Signature (Applicant or Agen Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: LA PALOMA HOMES INC PO BOX 10179 PALM DESERT, CA 92255 BRES2018-0414 54660 AVENIDA JUAREZ 774263008 PALOMA HOMES/ 1,977SF DWELLING $129,262.10 Owner: LA PALOMA HOMES INC PO BOX 10179 PALM DESERT, CA 92255 Contractor: LA PALOMA HOMES INC PO BOX 10179 PALM DESERT, CA 92255 (760)272-4691 Llc. No.: 736753 Date: 4/19/2019 Detail: 1,977 SF DWELLING - SANTA CARMELITA VALE LA-QUINTA UNIT 25, LOT 17 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH [SHEU ENGINEERING]. 2016 CALIFORNIA BUILDING CODES. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 i DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $85.38 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $27.22 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,OOOSF, PC 101-0000-42600 0 $11.20 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC 101-0000-42600 0 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $251.35 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF 101-0000-42408 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT <=7KSF PC 101-0000-42600 0 $40.02 Total Paid for GRADING: $80.04 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $16.02 Total Paid for MECHANICAL: $208.12 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2018 UPDATE 101-0000-20310 0 $537.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $537.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $579.05 Total Paid for NEW CONSTRUCTION PERMIT: $579.05 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,152.36 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,152.36 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - RESIDENTIAL 101-0000-42600 1 $750.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $750.00 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $186.76 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $186.76 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $586.96 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $16.80 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $16.80 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $2,310.00 Total Paid for TUMF - RESIDENTIAL: $2,310.00 0,"Pcra W( ;F,Nf - 1, ) U �; I K F - Project Address: APN #: —7-7 4 — Z 6 3 ^ 00 .► �7 Applicant Name:L-Ar Address: Pfd d "� City, ST, Zip: �r-- Telephone- Email: PERMIT # rJ--1 t PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech aluation of Project $� Arch/Eng Name: Address: City, St, Zip A Telephone: Email: Ldeoc H 0. State L' City Bus Lic: m !0 1 Property Owner's Name: Address: City, ST, Zip Telephone: Email: o ruction Type: Grading: Bedrooms: I Stories: Occupancy: # Units: New Commercial / Tenant Improvements: Total Building SF ��- Construction Type: Occupancy: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District a Ag 47950 Dune Palms Road Date: rJkfa4t�yyO.��O M1 p�¢sR[;r; r iM6eAefwYF[f.s 4/18/2019 La Quinta, CA 92253 y~ ,C(N No.: 19-01306-1 (760)771-8515 [ A'Y,��" R Owner: La Paloma Homes Email: Address: 54-660 Avenida Juarez Jurisdiction: La Quinta City: La Quinta Tract #: Type: Single Family Residential Lot # Street No. Street Name Sq. Feet APN Permit No. 54-660 Avenida Juarez 1977 774-263-008 Comments: At the present time, the Desert Sands Unified School District does not collect fees on garages carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do nat contain facilities for fiving, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason; EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.79 X 1977 S.F. or $7,492.83 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: � f S t I'f i d Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent ree LOuected/ Exempted by: Arianne Catano Check No.: 212581 Telephone: 760-272-4691 Funding: Residential Certificate Fees Oue: $7,492.83 Original Payment(s) t(s) Rec'd. $0.00 New Payment Rev'd: $7,492.83 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 m:,y protest thefees 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 Mstrict('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. RECORDING REQUESTED BY Lawyers Title - IE WHEN RECORDED MAIL THIS DOCUMENT AND TAX STATEMENTS TO: Dan Arthofer, President Po Box 10179 Palm Desert, CA 92255 A 774-263-006 Escrow No: PDL16133-LT139-NB Title No: 618692194 GRANT DEED DOC # 2018-0213697 05/25/2018 04:17 PM Fees: $20.00 Page 1 of 3 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder ""This document was electronically submitted to the County of Riverside for recording— Receipted by: TONI #642 Space above this line for Recorder's use THE UNDERSIGNED GRANTOR($) DECLARE(S) �L DOCUMENTARY TRANSFER TAX IS $435.60, ® computed on full value of property conveyed IM City of La Quinta, o� IM Exempt from fee per GC 27388.1 (a) (2); recorded concurrently in connection with a transfer subject to the imposition of documentary transfer tax, AND cQ Cp FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, E]C Investments, LLC, a California Limited Liability Company t hereby GRANT(S) to La Paloma Homes, Inc. the following described real property in the City of La Qulnta, County of Riverside, State of CALIFORNIA: For legal description of the real property herein, see Exhibit A attached hereto and made a part hereof. Commonly known as: APN's 774-263-006, 774-263-007, 774-263-008, 774-263-009 , La Quinta, CA 92253 Dated: May 16. 2018 EJC Investments, LLC, a Californla Limited Liability Company SIGNED IN COUNTERPART By: Craig E. Middleton, Manager [zit ,�►:yf1 r�.�.G; � 111 A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATEOF �Ifl COUNTY OF �E N V!Q j SS. On _/q I d { a�d� before me,,_ _ ,Notary Public, personally / 7 who proved to me on the basis of satisfactory evidefice) to be the person(s) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capaclty(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and correct. WITNESS my h and fflcial seal. Com• �� Sig Hato Mail tax statements ,Return address as shown abo EDITH 77 PEAY Notary Public State of Colorado Notary ID 8 1 98741 56141 My Commission Expires 02-21.2021 Page 1 of 3 Requested By: bowens.m, Printed: 4/2/2019 9:47 AM Doc: RV:2018 0021369706065 RECORDING REQUESTED BY Lawyers Title - IE WHEN RECORDED MAIL THIS DOCUMENT AND TAX STATEMENTS TO: La Paloma Homes, Inc. Po Box 10179 Palm Desert, CA 92255 -t � Deo -015 A 774-263-006 Escrow No: PDL16133-LT139-NB Title No: 618692194 GRANT DEED DOC #2018-0213697 Page 2 of 3 Space above this Ilne for Recorder's use THE UNDERSIGNED GRANTOR(S) DECLARES) DOCUMENTARY TRANSFER TAX IS $ D ,-Q Q ® computed on full value of property conveyed IK City of La Quinta O Exempt from fee per GC 27388.1 (a) (2); recorded concurrently in connection with a transfer subject to the imposition of documentary transfer tax , AND FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, EJC Investments, LLC, a California Limited Liability Company hereby GRANT(S) to La Paloma Homes, Inc. the following described real property in the County of Riverside, State of CALIFORNIA: For legal description of the real property herein, see Exhibit A attached hereto and made a part hereof. Commonly known as: APN's 774-263-006, 774-263-007, 774-263-008, 774-263-009 , La Quinta, CA 92253 Dated: May 8 201 E+y-E. m its, LL a Calif r la Limited Liability Company BMiddleton, Manager SIGNED IN COUNTERPART By: Jennifer M. Barkey, Manager A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFQ�NIA i'EkAs } ) SS. COUNTY OF. _ )s ) On M Notary Public, personally appeared _ f C C , 11] 10 who proved to me on t e basis of satisfactory evidence) to be the person%) whose name'() Ism subscribed to the within Instrument and acknowledged to me that he/�Ke/t1Tey executed the same In hls/t�er/thsir authorized capacity('teq), and that by his/*/frteir signaturejs)_ on the Instrument the person(, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State ofornia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. JON GOROSH Notary ID #1091188 My Commission Expires October 19, 2021 Signature_.wqw H ''f ���� �� ' Q � 2 of 3 Q vC Requested B : bowens.m Printed: 4/2/2019 9:47 AM 9 Q Y , Doc: RV:2018 0021369706065 DOC #2018-0213697 Page 3 of 3 Exhibit A All that certain real property situated In the County of Riverside, State of California, described as follows: LOTS 16, 17, 18 AND 19, BLOCK 271, SANTA CARMELITA AT VALE LA QUINTA, UNIT 25, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN BY MAP ONFILE IN BOOK 19 PAGES 50 AND 51, OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. ASSESSOR'S PARCEL NUMBER: 774-263-006, 774-263-007. 774-263-008 AND 774-263-009 Page 3 of 3 Requested By: bowens.m, Printed: 4/2/2019 9:47 AM Doc: RV:2018 0021369706065 Building Permit Number: Project Description: ' Exempt: 0 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Datel Job Site Addressl Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owners E -Mail Address 2/11/2019 54660 Avenida Juarez c/o Lench Design Studio, Inc. 78080 Calle Estado #204 La Quinta, CA. 92253 c/o 760-578-1077 Project Manager's Name Lench Design Studio, Inc. Project Managers Phone Number 760-578-1077 Project Managers E-mail Address lenchdesipn@sol.com Builder/ Contractorl Lench Design Studio, Inc. (Skip Lench) Number, Street or PO Boxi 78080 Calle Estado #204 City, State, Postal Codel La Quinta, CA. 92253 Project Square Footage) Approx. 2,422 sq ft City Approval By Renado Gculdlock-DEC/Burrtec Waste- .f Date of City Approval 02,` i1 la Materials To Be Discarded: Product Tons Trash 9.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 2.50 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0.22 Recyclable Concrete I 10.00 Recyclable Tile (roof) 0.28 Recyclable Drywall 1.00 Recyclable Wood 3.75 Recyclable Donated / Reuse' 0.00 Recyclable Landscape Debris 0.00 Recyclable 'Describe Items Totals: Recycle Trash 17. 1 9.0 Projected Diversion: ti6.36% I understand It Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP Is Issued In the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owners) and general contractor shall be kept informed of the diversion progress through bl-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner 1 Developer / Project Manager / Superinlendant Date v V { I tr 1; Z 9D CITY OF LA QUINT/ SUB -CONTRACTOR LIST JOB ADDRESS B� ��11JA �Z PERMIT NUMBER OWNER p-�"'� P BUILDEi�_' S�"t This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are auth rice w«� c on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance, .d of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. -T3rad••e•.! Clossif c-ation.-. .. Contractor Stage Gnntractor'.s. License .............. Siriess License War.lc:e�s Campe�satiati Insurance. City Bu - Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date License Number (xx/xx/xx) (xxxx) Exp. Date (xx/xx/xx) EARTHWORK .(C=12):: ��007 22-8 2� :CONCRETE. --8) j �UD� WNS-� �7 7[C� HGc-GMttuA�- nJS P-ln�� `T3$0?3aA e� L! I l 1gaw Z 2� .FRAMING (C-5) X-yVICE� f� �7Ts�v 1 30 l Z STR.UCT.:STEEL (C-611 — ti.4 MAS:O:NRY (.0-29:). P.LUIVIBI:N:G (C-3.6.) ` COIt/Sr— j .- Plrlu'c INto �' /- / �(ol g 5 2, �b �l / i�^+1 / g �� t/�� 'r 0(0 2!�� LATH, PLASTER (C-35) V "321�e! S�� C''3 � l / � DRYWALL (C-9:) 2'/tzpJ9 O�� �� O/OSI Z - -5-D HVAC (C-20) PAY fe-k, C- � 73 fg 37 l 3dZI `? ZI a3 - - ELECTRICAL (C40) ^� 13<<-L L� e (0 �1 /�/ 3 1 �1�5p Q 2 cJ?i RO:OfIN:G (C-39) -56vT}I W!?,TT �- �j 1 �� Z �0 F;44 XfQ l '�'" ®OO& SHEET:METAL FLQORING X-157 / 6-1 2-441 ?© / ( et y 10/31 GLAZING: (0-1:7):��1 INSULAT]ON (C-2) �T1�t1=1;E�4 �' �i 2 t� �y 7 C! I Z c t'�M� �j Wt!. O s� je%7 A ,1 .SEWAGE DISP. (C-=42) A1A' PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C,6).✓vr7�7rlYL �W e L We Z7 � .FEN Cl ING (.0-13) A,7DC LANDSCAPING (C-27) POOL (C-53) — �p14"10 u�� %– (% l i - yi 4 2Z \,�;— ati ly 1 FEB 26 2019 1-dVVEST .l IM C; GROUP CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 1 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ribd16x GENERAL INFORMATION - 01 Project Name Single Family Residence 04 05 02 Calculatlon Description The 24 Analysis 08 Energy Use (kTDV/ftZ-yr) 03 Project Location 54-660 Avenida Juarez Compliance Margin Percent Improvement 04 City La Quints 05 Standards Version Compliance 2017 06 Zip Code 92253 07 Compliance Manager Version BEMCmpMgr 2016.3.1 (1149) 08 Climate Zone CZ15 09 Software Version Energy Pro 7.2 to Building Type Single Family 11 Front Orientation (deg/Cardinal) 270 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ftZ) 1977 15 Number of Zones 1 16 Slab Area (ft)1977 17 Number of Stories 1 18 Addition Cord. Floor Area(ft2) n/a 19 Natural Gas Available Yes 20 Addition Slab Area (ftZ) n/a 21 Glazing Percentage (%) 25.6 COMPLIANCE RESULTS 01 Building Complies with Computer Performance 02 This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 This building incorporates one or more Special Features shown below Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/2019 15:05 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-01162019-1149 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE �COMPLIANCE � HERS Provider: CHEERS Report Generated at 2019-02-19 16 21 27 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ftZ-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 3-41 4.80 -1-39 -40.8 Space Cooling 110.09 109.29 080 0 7 IAQ Ventilation 1.16 1.16 0.00 00% Water Heating 6.44 5.62 082 12 7 Photovoltaic Offset •-- 0.00 000 --- Compliance Energy Total 121.10 120.87 0.23 0.2 Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/2019 15:05 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-01162019-1149 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE �COMPLIANCE � HERS Provider: CHEERS Report Generated at 2019-02-19 16 21 27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 2 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ribdl6x ENERGY DESIGN RATING Energy Design Rating (EDR) Is an alternate way to express the energy performance of a building using a scoring system where 100 represents the energy performance of the Residential Energy Services (RESNET) reference home characterization of the 2006 International Energy Conservation Code (IECC) with California modeling assumptions. A score of zero represents the energy performance of a building that combines high levels of energy efficiency with renewable generation to"zero out' Its TDV energy. Because EDR Includes consideration of components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics), it Is not used to show compliance with Part 6 but may Instead be used by local jurisdictions pursuing local ordinances under Title 24, Part 11 (CALGreen). As a Standard Design building underthe 2016 Building Energy Efficiency Standards is significantly more efficient than the baseline EDR building, the EDR of the Standard Design building is provided for Information. Similarly, the EDR score of the Proposed Design Is provided separately from the EDR value of Installed PV so that the effects of efficiency and renewable crier • can bout be seen EDR of Standard Efficiency EDR of Proposed Efficiency EDR Value of Proposed PV + Battery Final Proposed EDR 56.8 56.7 0.0 66.7 ❑ Design meets Tier 1 requirement of 15% or greater code compliance margin (CALGreen A4.203.1.2.1) and QII verification prerequisite. ❑ Design meets Tier 2 requirement of 30% or greater code compliance margin (CALGreen A4.203.1.2.2) and Qll verification prerequisite. ❑ Design meets Zero Net Energy (ZNE) Design Designation requirement for Single Family in climate zone CZ15 (CALGreen A4.203.1.2.3) including on-site photovoltaic.. (PV) renewable energy generation sufficient to achieve a Final Energy Design Rating (EDR) of zero or less. The PV System and QII must be verified. Notes: • Excess PV Generation EDR Credit: Bypassing PV size limit may violate Net Energy Metering (NEM) rules REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • 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: • Minimum Airflow • Verified EER • Verified SEER • Verified Refrigerant Charge • Fan Efficacy WattsICFM HVAC Distribution System Verifications: • Duct Sealing • Low -leakage Air Handling Unit Domestic Hot Water System Verlfications: - None -- Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-01162019-1149 Report Generated at 2019-02-19 16:2127 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 3 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.dbdl6x BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 08 09 01 02 03 Skylight Area Orientation Area (ft2) (ft2) 04 05 06 Cool Roof 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems No Number of Water Heating Systems Single Family Residence 1977 1 3 1 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type -HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Whole House Conditioned Whole Housel 1977 10 3 DHW Sys 1 n/a OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window 8 Door Area (ft2) Tilt (deg) Front Wall Whole House R-22 Wall 270 Front 600 156.5 90 Left Wall Whole House R-22 Wall 0 Left 500 18D.6 90 Rear Wall Whole House R-22 Wall 90 Back 600 69 90 Right Wall Whole House R-22 Wall 180 Right 550 80.796 90 Roof 2 Whole House R-38 Roof Attic n/a n/a 1957 n/a n/a OPAQUE SURFACES — Cathedral Ceilings 01 02 03 04 05 06 07 08 09 10 Name Zone Type Skylight Area Orientation Area (ft2) (ft2) Roof Rise (x In 12) Roof Reflectance Roof Emlttance Cool Roof Roof Whole House R-38 Roof Altic1 Front 201 20 0 0.1 085 No ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emlttance Radiant Barrier Cool Roof Attic Whole House Attic RoolWhole House Ventilated 0 0 1 0.85 No No Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/201915:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards -2015 Residential Compliance Report Version - CF1 R-011 62 01 9-114 9 Report Generated at: 2019-02-19 16:21:27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01 Project Name: Single Family Residence Calculation DatetTime: 16:20, Tue, Feb 19, 2019 Page 4 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ribd16x FENESTRATION I GLAZING 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 Window Front Wall (Front -270) 100 8,0 1 80.0 0.28 022 Insect Screen (default) Window 2 Window Front Wall (Front -270) 30 8.0 1 24.0 0.31 0.31 Insect Screen (default) Window 3 Window Front Wall (Front -270) 30 2,5 1 75 031 0.24 Insect Screen (default) Window 4 Window Front Wall (Front -270) 100 2.5 1 250 027 0.24 Insect Screen (default) Window 5 Window Front Wall (Front -270) 2.5 8.0 1 20 0 0,31 0.31 Insect Screen (default) Window 6 Wndow Left Wall (Left -0) 3.0 4.0 1 12.0 0.29 023 Insect Screen (default) Window 7 Wndow Left Wall (Left -0) 3.0 5.0 1 15.0 0.29 0.23 Insect Screen (default) Window 8 Wndow Left Wall (Left -0) 3.0 5.0 1 15.0 0.29 0.23 Insect Screen (default) Window 9 Window Left Wall (Left -0) 12.o 8.0 1 96.0 0.28 0.22 Insect Screen (default) Window 10 Window Left Wall (Left -0) 2,5 6.0 1 15.0 031 0,24 Insect Screen (default) Window 11 Wndow Left Wall (Left -0) 2.5 2.5 1.008 6.3 031 024 Insect Screen (default) Wndow 12 Wndow Left Wall (Left -0) 2.5 6.0 1 15.0 0.31 0.24 Insect Screen (default) Window 13 Window Left Wall (Left -0) 2.5 2,5 1.008 6,3 0.31 0,24 Insect Screen (default) Window 14 Window Rear Wall (Back -90) 6.0 8.0 1 48,0 0 28 022 Insect Screen (default) Wndow 15 Wndow Rear Wall (Back -90) 2.0 4,5 1 90 029 0 23 Insect Screen (default) Wndow 16 Wndow Rear Wall (Back -90) 6.0 2.0 1 12.0 0 31 0 24 Insect Screen (default) Wndow 17 Window Right Wall (Right -180) 4-0 4.0 1 16,0 0 29 023 Insect Screen (default) Window 18 Window Right Wall (Right -180) 2.8 5.0 0.957 134 0 29 0.23 Insect Screen (default) Window 19 Window Right Wall (Right -180) 2.8 5,0 0 957 134 0 29 0.23 Insect Screen (default) Window 20 Wndow Right Wall (Right -180) 4.0 2.0 1 so 029 023 Insect Screen (default) Wndow 21 Wndow Right Wall (Right -180) 3.0 5.0 1 150 0 29 023 Insect Screen (default) Wndow 22 Wndow Right Wall (Right -180) 3.0 I 5-0 1 I 150 0 29 023 Insect Screen (default) Skylight I Skylight Roof (Front -270) 1 20.0 1 0 48 026 Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R -01162D19-1149 Report Generated at: 2019-02-19 16:21:27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 5 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juare7-dbdl6x OVERHANGS AND FINS 01 02 1 03 J 04 1 05 06 07 08 09 1 10 11 1 12 1 13 1 14 Overhang Left Fin Rlghi Fin Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up Dist L Bot Up Dnpth Top Up Dist R Bot Up Window 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 2 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 10 0.1 10 10 0 0 0 0 0 0 0 0 0 Window 4 10 01 10 10 0 0 0 0 0 0 0 0 0 Window 5 10 0.1 10 10 0 0 0 0 0 0 D 1 0 0 Window 6 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 7 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 8 2 01 2 2 0 0 0 0 0 0 0 0 0 Window 9 8 0 1 8 8 0 0 0 0 0 0 0 0 0 Window 10 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 11 2 01 2 2 0 0 0 0 0 0 0 0 0 Window 12 2 0 1 2 2 0 0 0 0 0 0 0 0 0 Window 13 2 0 1 2 2 0 0 0 0 0 0 0 0 0 Window 14 6 0.1 6 6 0 0 0 0 0 0 0 0 0 Window 15 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 16 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 17 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 18 2 0 1 2 2 0 0 0 0 0 0 0 0 0 Window 19 2 0 1 2 2 0 0 0 0 0 0 0 0 0 Window 20 2 01 2 2 0 0 0 0 0 0 0 0 0 Window 21 2 0.1 2 2 0 0 0 0 0 0 0 0 0 Window 22 2 0.1 1 2 2 0 0 00 0 0 0 0 0 Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-01162019-1149 Report Generated at: 2019-02-19 16:21:27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 6 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ri1bd16x OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Construction Name Surface Type Constructlon Type Framing Total Cavity R -value Winter Design U -factor Assembly Layers Attic RoofWhole House Attic Roofs Wood Framed Ceiling 2x4 Top Chord of Roof Truss @ 24 in. O,C- none 0.644 • Cavity / Frame: no insul / 2x4 Top Chid Roof Deck: Wood Siding/sheathing/decking Roofing: Light Roof (Asphalt Shingle) R-22 Wall Exterior Walls Wood Framed Wall 2x6 @ 16 in. O. C. R 22 0 067 • Inside Finish: Gypsum Board • Cavity/Frame: R -22/2x6 Exterior Finish: 3 Coat Stucco R-38 Roof Attic Ceilings (below attic) Wood Framed Ceiling 2x12 @ 15 in- O.C- R 38 0-027 • Inside Finish: Gypsum Board Cavity/Frame: R-29 2/2x12 Over Ceiling Joists: R-8.6 insul R-38 Roof Atticl Cathedral Ceilings Wood Framed Ceiling 2x12 @ 16 in 0 C. R 38 0.030 • Inside Finish: Gypsum Board • Cavity/Frame: R -38/2x12 • Roof Deck.' Wood Siding/sheathing/decking Roofing: Light Roof (Asphalt Shingle) SLABFLOORS 01 02 03 04 05 06 07 Name Zone Area (ft2) Perimeter (ft) Edge Insul. R -value 8 Depth Carpeted Fraction Heated Slab -on -Grade Whole House 1977 989 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 CFM50 Required Not Required Not Required n/a WATER HEATING SYSTEMS 01 02 03 04 05 06 Name System Type Dlstrlbutlon Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 DHW Standard DHW Heater 1 (1) 1 .0% Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Date/Time: 02120/201915:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-02-19 16:21:27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 7 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ribdl6x WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 12 Name Heater Element Type Tank Type Number of Units Tank Volume (gal) Uniform Energy Factor / Energy Factor I Efficiency Input Rating Pilot I Thermal Efficiency / Tank Insulation R -value (Int/Ext) Standby Loss/ Recovery Eff First Hour Rating / Flow Rate NEEA Heat Pump Brand / Model / Other Tank Location or Ambient Condition DHW Heater 1 Gas Small Storage 1 50 0.99 EF <= 75 kBtu/hr R -0/R-0 0 n/a n/a n/a SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name Whole Housel Other Healing and Cooling Healing Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 System HVAC - HEATING UNIT TYPES 01 02 03 04 Name System Type Number of Units Efficiency Heating Component 1 CntrlFumace 1 80 AFUE HVAC - COOLING UNIT TYPES 01 02 03 04 05 06 07 08 Name System Type Number of Units Efficiency EER SEER Zonally Controlled Compressor Type HERS Verification Cooling Component 1 SplilAirCond 1 13 16 Not Zonal Single Speed Cooling Component 1 -hers -coal 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 HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Specified Lower Leakage Air Distribution System Air Distribution System 1 DuclsAttic Target 8 Attic None 1 -hers -dist Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Dale/Time: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1R-01162019-1149 Report Generated at: 2019-02-19 16:21 27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 8 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez.ribd16x HVAC DISTRIBUTION - HERS VERIFICATION 01 W 02 03 04 05 06 07 08 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Burled Design Ducts Deeply Buried Ducts Low -leakage Air Handler Air Distribution System 1 -hers -dist Required 6.0 Not Required Not Required Not Required Not Required Required HVAC -FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts1CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 058 HVAC Fan 1 -hers -fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 058 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ WattsICFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 50 0.25 Default 0 Required Registration Number: 419-P010016516A-000-000-0000000-0000 Registration Dale/Time: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-02-19 16:21:27 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01 Project Name: Single Family Residence Calculation Date/Time: 16:20, Tue, Feb 19, 2019 Page 9 of 9 Calculation Description: Title 24 Analysis Input File Name: La Paloma Homes 54660 Avenida Juarez,ribd96x DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Joan Hacker Joan.ttat*e Company: Signature Date: Joan Hacker 02/20/2019 Address: CEA/HERS Certification Identification (If applicable): 72875 Fred Waring Drive City/State/Zip: Phone: Palm Desert, CA 92260 760-345-1352 RESPONSIBLE P RSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the Slate of California: L I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance, 2. 1 certify that the energy features and performance specifications identified on this CertifiCate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3 The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents. worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: loan Hacker J Company: Date Signed: Joan Hacker 02/20/2019 Address: License: 72875 Fred Waring Drive City/State/Zip: Phone: Palm Desert, CA 92260 760-345-1352 Digitally signed by CHEERS—, This dlyltaf signature I5 provided in order fo secure the content o1 this registered document, and In no way implies Regrstralioh provider responsibility for the accuracy of the information, Registration Number: 419-P010016516A-000-000-0000000-0000 Registration DatelTime: 02/20/2019 15:05 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CFIR-01162019-1149 Report Generated at: 2019-02-19 16:21:27