The URL can be used to link to this page

BRES2019-014378-495 CALLE TAMPICO C - - 0 D' "' VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/19/2019 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2019-0143 MODERN STRUCTURES LLC Property Address: 79540 TOM FAZIO LN N PO BOX 1573 APN: 766031018 RANCHO MIRAGE, CA 92270 Application Description: MODERN STRUCTURES/3,500SF DWELLING/VB/RES-3/CLASSA-FR/13D Property Zoning: Application Valuation: $307,901.50 Applicant: Contractor: CHUCK FRASE / MODERN STRUCTURES LLC D MODERN STRUCTURES LLC PO BOX 1573 PO BOX 1573 RANCHO MIRAGE, CA 92270 AUG 16 2019 RANCHO MIRAGE, CA 92270 0 II �a (760)835-0926 Llc. No.: :CON V: 140528101254110314 U DEVEOPMEXT WEN WENT 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:_ Ucense No.;M)!)Y_j 52810125411 }3 a Date:-----, 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, prlor 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 ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold wi hin one year of completion, the own er-bullder will have the burden of proving that h she did nut build or Improve for the purpose of sale.j- ( I. a$ owner of the property, am exclusively contracting with licensed contractors t construct the project. (Sec. 7044, Business and Professlons Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves th1teon, and who contracts for the projects with a Contractorts) licensed pursuant 19 2Ctpr5 State Urense Law.). am e�x -Pt under Sec. . 84P.C. for this reason Date:_ t n Owner, CONSTRUCTION L NIS E I hereby affirm under penalty of perjury tha there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097, Civ. C.), Lender's Name: Lender's 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. My workers' compensation Insurance carrier and policy number are: Carrier: Policy Number: _ e-temploy certify that in the performance of the work for which this permit is issued, shalany 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 ❑.lie: Sf^A IL 7 _Applicant-,----- -- WARNING: FAILURE TO SECURE WORKERS' COMPENAVOty CO%rERKsE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONF 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 ands laws relating to building constructitxf, and hereby authorize representatives of t CI to enter upon the above.meytmned properly for inspection purposes Date: -__ d&eSignature (Apphca n Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Date: 8/19/2019 BRES2019-0143 Owner: 79540 TOM FAZIO LN N MODERN STRUCTURES LLC 766031018 PO BOX 1573 MODERN STRUCTURES / 3,500SF DWELLING/VB/RES-3/CLASS A-FR/13D RANCHO MIRAGE, CA 92270 $307,901.50 Applicant: CHUCK FRASE / MODERN STRUCTURES LLC PO BOX 1573 RANCHO MIRAGE, CA 92270 Contractor: MODERN STRUCTURES LLC PO BOX 1573 RANCHO MIRAGE, CA 92270 (760)835-0926 Llc. No.::CONV:140528101254110314 -------------------------------------------------------------------------------------------- Detail: MODERN STRUCTURES LLC / 3,5005F DWELLING [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, OUTDOOR KITCHEN AREA, FIRE PITS, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION I ACCOUNT I CITY I AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $269.75 Total Paid for ART IN PUBLIC PLACES - AIPP: $269.75 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($40.00) DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.25 $40.00 Total Paid for BLDG CITY STAFF - PER HOUR: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $13.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $13.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $54.44 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $22.40 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC I 101-0000-42600 I 0 I $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $289.77 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $200.12 Total Paid for GRADING: $240.14 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $120.06 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $80.04 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $120.06 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $80.04 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $66.70 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $26.70 Total Paid for MECHANICAL: $512.28 DESCRIPTION ACCOUNT CITY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2019 UPDATE 101-0000-20310 0 $1,331.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,331.00 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $708.95 Total Paid for NEW CONSTRUCTION PERMIT: $708.95 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,514.19 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,514.19 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $1,200.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $1,200.00 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $240.12 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $240.12 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN 101-0000-42401 0 $53.36 I DESCRIPTION ACCOUNT CITY AMOUNT I ROOF DRAIN PC 101-0000-42600 0 $53.36 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: $744.38 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $40.03 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $40.03 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 101-0000-42600 ($1,160.00) DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,160.00 DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,150.00 Total Paid for TUMF - RESIDENTIAL: $1,150.00 Bin # City of La Quinta Building 8't Safety Division P.O. Box 1504, 78-495 Calle Tampico C1 1t1� i a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permft # 46AiVal Project Address:79-540 Tom Fazio Lane North La Quinta, CA Owner's Name: Modern Structures, LLC A. P. Number: 766-031-018 Address: P.O Box 1573 Legal Description: Lot 6 Tract 28189 MB 256 pgs 28-29 Riv Cty Contractor: Owner Builder - Contact person Chuck Frase City, ST, Zip: Rancho Mirage, CA 92270 Telephone: 760.835.0926 Address: P 0. Box 1573 Proj ect Descr iption: Single Family Home City, ST, Zip: Rancho Mirage, CA 92270 Telephone: 760.835.0926 State Lic. # : N/A City Lie. #: N/A Arch., Engr., Designer: William O'Keefe - Architect Address: City., ST, Zip: Newport Beach, CA Telephone: 714-222.5168 State Lic. #: Construction Type: Wood Framed Occupancy: R Project type (circle one). New Add'n Alter Repair Demo Sq. Ft.: 3500 # Stories: single # Units: one Local Contact Person: Chuck Frase Telephone # of Contact Person: 760.835.0926 1 Estimated Value of Project: $500,000.00 APPLICANT: DO NOT WRITE BELOW THIS LINE ff Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CAlcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue school Fees Total Permit Fees P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildings t hen s Mitted in yo me listing urself as the builder of the property improvements specified at / _ . We are providing you with an Owner -Build r Acknowledgment a d nformation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. P?j 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers of rriy property. 4-2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4 _ I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on p is and contracts. (� I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value '6 my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �_6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 4ctur7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential es cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 48. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any nancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all cable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I 1 a provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with s meone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can.be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is r qWmd�, presented when the permit is issued to verify the property owner's signature. Signature of property ow6f— _ Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: UNANIMOUS ADOPTION OF RESOLUTIONS BY MANAGERS OF MODERN STRUCTURES, LLC a California limited liability company The Managers of this limited liability company ("Company"), constituting all the Managers thereof, passed the following resolution by unanimous adoption without the holding of a meeting as provided by the Operating Agreement of Company. RESOLVED, the managers of company are Jeff Ellenz and Brian Foster. WAIVER This resolution by unanimous consent of the Managers is passed pursuant to a waiver of notice of and consent thereto, confirmed by the execution by the Managers hereinbelow. This waiver is now made a part of the records of this resolution and shall be kept in the Book of Minutes this Company. ADJOURNMENT There being no further business to conduct, this resolution, to be effective on June 28, 2019, shall be adjourned. MODERN STRUCTURES, LLC, a California limited liability company By. ��w, Jeff Ellenz, Member/Manager By: Brian Foster, Member/Manager CITY OF LA QUANTA SUB -CONTRACTOR LIST JOB ADDRESS__? 5�0 TO zoo c,t`i. PERMIT NUMBER-' -32o114-OI�OWNER L. ( � �1Z-BUILDER own1611L'��uD>r� This form shall be posted on the 'oh with the Building Inspection Card at all times in a cQD-;-Quous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be cmmnleted by annlicant. "On File" is not an arrentahle resnnnse. Trade I Classification.. -- ..r . ... - .. Cgntracto State Contractor's License Workers Cornodnsation Insurance city -Business,License 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 (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xxlxx) EARTHWORK (.C.lz / �A ( , 11 5 1�' CONCRETE-(C-8) �II� �? +'%GJ "� C $ u 8SZ3 7 FRAMING: (C-5). P ~-(, C��(n l`. $S I TO 3?ZO 2-1 0 31.o STRUCT. STEEL (C 51} A.E +_S C2 t{1Z2�1� 2 rj 3�2C MASONRY (.C-29:) PLUMBING (C-36) C 3 IO t{ At 0Zp ?jZ O 3f 2 LATH, PLASTER (C-35) DRYWALL (C=9). HVAC (:C-20) f _ ELECTRICAL (C 1;0:) 1� Z clo QQ// p �rJb� /S� �l 'yh r �o3o�S 1 11 3IM11 ROOFING (C-.3:9.}:- SHEET METAL FLOORING (C-95) GLAZI.N:G: (C=17) INS:U.L:.ATIOU (C-2) 8EWAGE- DISP: (C:42) PAINTING ('C-33) CERAMIC TILE(C-54) CABINET$ (C•6) FENCING (C=13) LANDSCAPING (C-27) POOL (C 53) 91 M RECORDING REQUESTED BY: Orange Caeat Title Company AND WHEN RECORDED MAIL TO: gw;�".wre s PO Box 1573 Rancho Mirage, CA 92270 DOC # 2018-0326303 08/15/2018 10:48 AM fees: $30,00 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: REGINA #080 OPT ,'laaa ` THIS SPACE FOR RECDRDEKS USE ONLY - TM order No.: 2101q&10(�7in --- -• Escrow No.: 043803-MB .APO: 76M31-018 —p GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX Is $110.00 [XI computed on full value of property conveyed, or [) computed an full value less value of Teens of en cu rn bra nces remaining at time of sale. Unincorporated area �Q City of L4 Cx c,,r lci FOR A VALUABLE CONSIDERATION, receipt of which is hereby acicnowledged, MACK D. RICHEY and SUSAN R. RICHEY, as trustees of the Richey Fa NIV Revocable Trust uR/d October 17, 2012 hereby GRANT(s) to: Modern Structures LLC, a Califorrda Llmfted Uabilfty Company the real property in the County of Riverside, State of California, described as: LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF Also Known so: 79540 Tom Fazio Lane North, La Quinta, CA 92253 DATED: July 9, 2018 ftnSWM Page a tsched hmft and nu le a part hereof MAIL TAX STATEMENTS TO PARTY SHOWN BELOW, IF NO PARTY SHOWN, MAIL AS SHOWN ABOVE. RECEIVED 3uN 2 6 20 CM OF 0 Qu1NTA DESIGN AND DEgF�OPMENT DEPAR Date: 8/15/2019 No.: 19-01437-1 Owner: Modern Structures, LLC Address: 79540 Tom Fazio Ln. N. City: La Quinta Type: Single Family Residential Lot # Street No. 79540 Comments: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 Street Name Tom Fazio Ln. N. Email: Jurisdiction: La Quinta Tract #: Sq. Feet APN 3500 766-031-018 U-0 P Y(' �% 9Efi'Ik111- 61AW W.Iti[:I IO td 3:A[:I� � Y 1y,7lN714FL�$ q `�1�4Api31fiTA� ►� Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.79 X 3500 S.F. or $13,265.00 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: wine transfer./leff_Eilenz Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent Fee Collected/ Exempted by: Rodney Slagle Check No.: Wire transfer Telephone: Funding: Residential Certificate Fees Due: $13,265.00 Original Payment(s) Rec'd: $0.00 New Payment Rec'd: $13,265.00 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. CF1 R-PRF-01 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x Page 1 ot,3 GENERAL INFORMATION 01 Project Name Lot 6, Quarry 02 Calculation Description Title 24 Analysis 03 Project Location 79-540 Tom Fazio Lane, North 04 City La Quinta 05 Standards Version Compliance 2017 06 Zip Code 92253 07 Compliance Manager Version BEMCmpMgr 2016.3.1 (1149) 08 Climate Zone CZ15 Software Version EnergyPro 7.2 10 Building Type Single Family �� -14-_. --- - Orientation (deg/Cardinal) 180 12 Project Scope Newly Constructed Number of Dwelling Units 1 14 Total Cond. Floor Area (ftZ) 3500 !( °-�)�� 113( �I�/I`�9 Number of Zones 3 16 Slab Area (ftZ) 3500 i — $ �a r i Number of Stories 1 18 Addition Cond. Floor Area(ftZ) n/a ' �sf� 'I. a�� Natural Gas Available Yes 20 Addition Slab Area (ftZ) n/a 21 Glazing Percentage (%) 38.1 % 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 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ftZ-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 1.35 3.80 -2.45 -181.5% Space Cooling 83.37 79.52 3.85 4.6% IAQ Ventilation 0.95 0.95 0.00 0.0% Water Heating 4.07 3.51 0.56 13.8% Photovoltaic Offset — 0.00 .00 -- Compliance Energy Total 1 89.74 87.78 X IL—Ne `I V v 2.2% JUN 2 6 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Registration Number: 219-P010059547A-000-000-0000000-0000 Registration DatefFime: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 1�4r:23:47 �` M CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x CF1 R-PRF-01 Page 2 of 9 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 under the 2016 Building Energy Efficiency Standards is significantly more efficient than the baseline EDR building, the EDR of the Standard Design building is provided for Information. Similarly, the EDR score of the Proposed Design is provided separately from the EDR value of installed PV so that the effects of efficiency and renewable energy can both be seen EDR of Standard Efficiency EDR of Proposed Efficiency EDR Value of Proposed PV + Battery Final Proposed EDR 52.1 51.2 0.0 51.2 ❑ 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 QII verification prerequisite. LJ 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. • Cool roof • 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 Watts/CFM HVAC Distribution System Verifications: • Duct Sealing • Low -leakage Air Handling Unit Domestic Hot Water System Verifications: • -- None -- Registration Number: 219-P010059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 HERS Provider: CaICERTS inc. Report Generated at: 2019-03-13 14:23:47 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 CF1 R-PRF-01 Page 3 of 9 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Lot 6, Quarry 3500 1 4 3 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Master Suite Conditioned AC 11 796 10.5 DHW Sys 1 n/a Great/Kitchen Conditioned AC 22 1406 14 DHW Sys 1 n/a Bdrm 2, 3 & 4 Conditioned AC 33 1298 10.5 DHW Sys 1 n/a OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ftZ) Window & Door Area (ftZ) Tilt (deg) N Wall Master Suite R-21 Wall 0 Back 160 0 90 E Wall Master Suite R-21 Wall 90 Right 465 32 90 150d Wall Master Suite R-21 Wall 150 - specify - 135 100 90 250d Wall Master Suite R-21 Wall 250 - specify - 125 100 90 W Wall Master Suite R-21 Wall 270 Left 75 0 90 Interior Surface -Master Master Suite»Great/Kitchen R-0 Interior Wall n/a n/a 390 0 n/a Roof 2 Master Suite R-38 Roof + R-12 n/a n/a 796 n/a n/a N Wall 2 Great/Kitchen R-21 Wall 0 Back 456 300 90 S Wall Great/Kitchen R-21 Wall 180 Front 616 561.7 90 Interior Surface -Master 2 Great/Kitchen»Master Suite R-0 Interior Wall n/a n/a 390 0 n/a Interior Surface-Bdrms Great/Kitchen»Bdrm 2, 3 & 4 R-0 Interior Wall n/a n/a 340 0 n/a N Wall 3 Bdrm 2, 3 & 4 R-21 Wall 0 Back 250 80 90 E Wall 2 Bdrm 2, 3 & 4 R-21 Wall 90 Right 160 0 90 S Wall 2 Bdrm 2, 3 & 4 R-21 Wall 180 Front 210 0 90 W Wall 2 Bdrm 2, 3 & 4 R-21 Wall 270 Left 520 160 90 Interior Surface-Bdrms 2 Bdrm 2, 3 & 4>>Great/Kitchen R-0 Interior Wall n/a n/a 340 0 n/a Roof 3 Bdrm 2, 3 & 4 R-38 Roof + R-12 n/a n/a 1298 n/a n/a Registration Number: 219-P010059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CF1 R-PRF-01 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x Page 4 of 9 OPAQUE SURFACES - Cathedral Ceilings 01 02 03 04 05 06 07 08 09 10 Name Zone Type Orientation Area (ft2) Skylight Area (ft2) Roof Rise (x in 12) Roof Reflectance Roof Emittance Cool Roof Roof Great/Kitchen R-38 Roof + R-12 Cath. Left 1406 0 1 0.61 1 0.86 Yes ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Master Suite Attic RoofMaster Suite Unventilated 1 0.61 0.86 No Yes Attic Bdrm 2, 3 & 4 Attic RoofBdrm 2, 3 & 4 Unventilated 1 0.61 0.86 No Yes FENESTRATION / GLAZING 01 02 03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width (11) Height (ft) Multiplier Area (ft2) U-factor SHGC Exterior Shading 6 Window E Wall (Right-90) - - 1 16.0 0.31 0.22 Insect Screen (default) 5 Window E Wall (Right-90) - 1 16.0 0.31 0.22 Insect Screen (default) 103 Window 150d Wall (- specify --150) - 1 100.0 0.31 0.22 Insect Screen (default) 102 Window 250d Wall (- specify --250) ---- - 1 100.0 0.31 0.22 Insect Screen (default) 104 Window N Wall 2 (Back-0) 30.0 10.0 1 300.0 0.31 0.22 Insect Screen (default) 101 Window S Wall (Front-180) 35.0 10.0 1 350.0 0.31 0.22 Insect Screen (default) 4 Window S Wall (Front-180) 35.0 3.7 1 129.5 0.31 0.22 Insect Screen (default) 100 Window S Wall (Front-180) 4.0 10.0 1 40.0 0.31 0.22 Insect Screen (default) 1 Window S Wall (Front-180) 1.0 10.0 1 10.0 0.31 0.22 Insect Screen (default) 2 Window S Wall (Front-180) 1.0 10.0 1 10.0 0.31 0.22 Insect Screen (default) 3 Window S Wall (Front-180) 6.0 3.7 1 22.2 0.31 0.22 Insect Screen (default) 105 Window N Wall 3 (Back-0) ----- ---- 1 80.0 0.31 0.22 Insect Screen (default) 107 Window W Wall 2 (Left-270) --- 1 80.0 0.31 0.22 Insect Screen (default) 106 Window W Wall 2 (Left-270) -- 1 80.0 0.31 0.22 Insect Screen (default) Registration Number: 219-Po10059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x CF1 R-PRF-01 Page 5 of 9 OVERHANGS AND FINS 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Overhang Left Fin Right Fin Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up Dist L Bot Up Depth Top Up Dist R Bot Up 104 11 0.1 11 11 0 0 0 0 0 0 0 0 0 101 8 0.1 8 8 0 0 0 0 0 0 0 0 0 4 8 0.1 8 8 0 0 0 0 0 0 0 0 0 100 8 0.1 8 8 0 0 0 0 0 0 0 0 0 1 8 0.1 8 8 0 0 0 0 0 0 0 0 0 2 8 0.1 8 8 0 0 0 0 0 0 0 0 0 3 8 0.1 8 8 0 0 0 0 0 0 0 0 0 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R-value U-factor Assembly Layers • Cavity / Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofMaster Suite Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 R-38 Roof + R-12 attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. R 38 0.025 Over Ceiling Joists: R-28.9 insul. Inside Finish: Gypsum Board Cavity/Frame: R-21 /2x6 R-21 Wall Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.069 Exterior Finish: 3 Coat Stucco Inside Finish: Gypsum Board Cavity / Frame: no insul. / 2x4 R-0 Interior Wall Interior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.277 Other Side Finish: Gypsum Board • Inside Finish: Gypsum Board • Cavity/Frame: R-38/2x12 • Roof Deck., Wood Siding/sheathing/decking • Above Deck Insulation: R12 Sheathing R-38 Roof + R-12 Cath. Cathedral Ceilings Wood Framed Ceiling 2x12 @ 16 in. O.C. R 38 0.021 Roofing: Light Roof (Asphalt Shingle) • Cavity / Frame: no insul. / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofBdrm 2, 3 & 4 Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) Registration Number: 219-P010059547A-000-000-0000000-0000 Registration DateiTime: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Description: Title 24 Analysis Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Input File Name: Quarry Lot 6-LQ-Frase-19.ribdl6x CF1 R-PRF-01 Page 6 of 9 SLAB FLOORS 01 02 03 04 05 06 07 Name Zone Area (ft) Perimeter (ft) Edge Insul. R-value & Depth Carpeted Fraction Heated Slab -on -Grade Master Suite 796 97 None 0.8 No Slab -on -Grade 2 Great/Kitchen 1406 76 None 0.8 No Slab -on -Grade 3 Bdrm 2, 3 & 4 1298 113 None 0.8 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 Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 DHW Standard DHW Heater 1 (2) 2 .0% WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 12 Input Rating / Tank Standby Heater Tank Uniform Energy Pilot / Insulation Loss / First Hour NEEA Heat Pump Tank Location Element Number Volume Factor / Energy Thermal R-value Recovery Rating / Brand / Model / or Ambient Name Type Tank Type of Units (gal) Factor / Efficiency Efficiency (Int/Ext) Eff Flow Rate Other Condition DHW Heater 1 Gas Small Instantaneous 2 0 0.95 EF <= 200 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 AC 11 Other Heating and Cooling System Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 AC 22 Other Heating and Cooling System Heating Component 2 Cooling Component 2 HVAC Fan 2 Air Distribution System 2 AC 33 Other Heating and Cooling System Heating Component 3 Cooling Component 3 HVAC Fan 3 Air Distribution System 3 Registration Number: 219-P010059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CF1 R-PRF-01 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x Page 7 of 9 HVAC - HEATING UNIT TYPES 01 02 03 04 Name System Type Number of Units Efficiency Heating Component 1 CntrlFurnace 1 80 AFUE Heating Component 2 CntrlFurnace 1 80 AFUE Heating Component 3 CntrlFurnace 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 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 1-hers-cool Cooling Component 2 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 2-hers-cool Cooling Component 3 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 3-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 Required 350 Required Required Required Cooling Component 3-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 Air Distribution System 1 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 1-hers-dist Air Distribution System 2 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 2-hers-dist Air Distribution System 3 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 3-hers-dist Registration Number: 219-P010059547A-000-000-0000000-0000 Registration DatefTlme: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 CF1 R-PRF-01 Page 8 of 9 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification Duct Leakage Target (%) Verified Duct Location Verified Duct Design Buried Ducts Deeply Buried Ducts Low -leakage Air Handler Air Distribution System 1-hers-dist Required 5.0 Not Required Not Required Not Required Not Required Required Air Distribution System 2-hers-dist Required 5.0 Not Required Not Required Not Required Not Required Required Air Distribution System 3-hers-dist Required 5.0 Not Required Not Required Not Required Not Required Required HVAC -FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1-hers-fan HVAC Fan 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 SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1-hers-fan Required 0.58 HVAC Fan 2-hers-fan Required 0.58 HVAC Fan 3-hers-fan Required 0.58 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 73 0.25 Default 0 Required Registration Number: 219-P010059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Lot 6, Quarry Calculation Date/Time: 14:23, Wed, Mar 13, 2019 Calculation Description: Title 24 Analysis Input File Name: Quarry Lot 6-LQ-Frase-19.ribd16x CF1 R-PRF-01 Page 9 of 9 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: 7641-� Tim Scott Company: Signature Date: Scott Design and Title 24, Inc. 2019-03-13 14:44:40 Address: CEA/HERS Certification Identification (If applicable): 77085 Michigan Drive City/State/Zip: Phone: Palm Desert, CA 92211 760-200-4780 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 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 - 0- Responsible Designer Signature J% Tim Scott Company: E R Date Signed: Scott Design and Title 24, Inc. 2019-03-13 14:44:40 Address: License: 77085 Michigan Drive NA City/State/Zip: Phone: Palm Desert, CA 92211 760-200-4780 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Easy to Verify at CaICERTS.com Registration Number: 219-P010059547A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 14:44:40 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2019-03-13 14:23:47