06-1887 (SFD)-
P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00001887 - Owner:
Property Address: 54-042 RIVIERA RIVIERA VILLAS
APN: 775-030-018- - - 1651 E 4TH ST NO 228
Application description:. DWELLING - SINGLE FAMILY DETACHED SANTA ANA, CA 92701
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 208104
Applicant:
Architect or Engineer:
C_ I
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 Professionals Code, and my License is in full force and effect.
License Class: B License N.: 760044
'1-17 actor: V (J�
/ OWNER -BUILDER DELLAATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and 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.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to'construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Contractor:
FIRST PACIFICA DEV
300 EAST STATE ST,
REDLANDS, CA 92373
(909)798-3688
Lic. No.: 760044
CO
SU
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/15/06
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number W613-4291
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I. shall forthwith\cpmplgwith th(Ve,provisions.
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 (5100,000). 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 Director of Building and Safety 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 cority to enter upon the above-mentioned property for inspection purp6 s.\\\
ate: �- ' ature (Applicant or Agentl
I..0
6
Application Number . . 06-00001887
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
1021.00
Plan Check Fee
165.91
Issue Date
. . . .
Valuation
208104
Expiration
Date
12/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
` 109.00
------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
----------------------
381.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
83.50
Plan Check Fee
5.22
Issue Date
. . . .
Valuation
0
Expiration
Date
12/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA' MECH
FURNACE <=100K
18.00
2.00
19.0000
EA MECH
B/C <=3HP/100K BTU
18.00
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
--------------------------
6.5000
EA MECH
----------------------
EXHAUST HOOD
-------------------
6.50
--------.-
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
109.09
Plan Check Fee
6.82
Issue Date
. .
Valuation
0
Expiration
Date
12/12/06
Qty Unit
Per
Extension
-Charge
BASE
FEE
15.00
2422.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
84.77
466.00
------------------------------------------------------------------.----------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.32
Permit
PLUMBING
Additional
desc .
Permit Fee
. . . .
167.25
Plan Check Fee
10.35
Issue Date
Valuation
0
Expiration
Date
12/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
16.00
6.0000
EA . PLB FIXTURE
96.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
(i.
LQPERMIT
Application Number . . . . . 06-00001887
Permit PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
9.00' .7500 EA PLB GAS PIPE >=5
6.75
1.00 15.0000 EA PLB GAS METER
15.00
Permit GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . Valuation .
. 0
Expiration Date 12/12/06
Qty Unit Charge, Per
Extension
BASE FEE
15.00
--------------------------------------------------
Special Notes and Comments
SFD -LOT 4,PLAN 3B, 2422 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
-------------------------------------- -------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC.PLACES=RES
20.26
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
16.59
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
20.81
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
---------- -
Due
------ ---------- ---------- ---------- ----------
Permit Fee Total 1395.84 .00 .00
1395.84
Plan Check Total 188.30 .00 .-00
188.30
Other Fee Total 3753.66 .00 .00
3753.66
Grand Total 5337.80 .00 .00
5337.80
LQPERMIT
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R
Project Address 4
Builder N
Builder Contact Telephone
3 -Zlc %
Plan Number
3
HERS Rater Telephone
Z- r3
Sample Group Number 3
Compliance Method (Prescriptive)
Climate Zone l 45
Certifying Signature l�Gf)le
Sample House Number
:G r;; :A:
�c'..... ,.
rovider
Street S
Addres _
jJ r+� IRC/�G STGaM— �'o.1.a-T
City/State/Zi
C�R�K�:q Ldp �7'iZ0
a.opies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATTER COMPLIANCE TATEMENT ,
The house was: ✓ ❑ Tested ✓ XApproved as'part of sample testing, but was not tested
As the HERS rater providing diagno tic testing and field verification I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this izorm. The HERS rater must check and verify that the new
distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for ►tie sample and tested
buildings.
1� The installer has provided a copy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
Cr New systems where cloth backed, rubber adhesive -duct tape is installed, mastic and draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
P educes for field verification and diagnostic testing of air -distribution systems are available in RACM, Appendix RC4.3,
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:e1is2
Duct Pressurization Test Results CFM n 25 Pa Measured ''. toll•"•.;;,s'
1 Enter Tested Leakage Flow in CFM:
L32
Values an Flow: Calculated (Nominal: •;Wooling v' El Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM:
Pass if Leakage Percentage S 6% [ 100 x L_ -___(Line # 1) / (Line # 2)]] s ❑ Fail
ALTERATIONS: Duct System and/or HVAC Eouioment Chanaan..r 1'..-"74::,,,::
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
'' °' -
Duct System Alt
y Alteration and/or Equipment
on an ent Change•Out.
5
Enter Tested Leakage Flow in -CFM: (Final Test of New Duct System or Altered Duct System
:G r;; :A:
�c'..... ,.
for Duct m Alteration
S stem and/or vi ment Chan a -Out.
`i 1
' :'.. ,
6
Enter Reduction in Leakage for Altered Duct System �_•___(L e # 4) Minus Line # 5
( )]
(Only if Applicable)
7 Enter Tested Leakage Flow in CFM to Outside (Only if A
8 Entire New Duct System - Pass if Leakage Percent /0
101, V11,
100 x Line # 5 / Line # 2
11Pass ❑ Fail
TEST OR VERIFICATION STANDARDS- r Altered Duct System and/or HVAC Equipment Change -Out
Use one of the following four Test or V
tcation Standards for compliance:
V/ V/
9. Pass if Leakage Percentage < /o [ 100 x [__(Line # 5) / (Line # 2)]]
10 Pass if Leakage to O de Percentage 5 10% [ 100 x [__(Line # 7) / (Line # 2)11
❑ Pass 13 Fail
Pass if Leak eduction Percentage >_ 60% [100 x L_(Line # 6) / (Line # 4)]]
11
❑Pass ❑Fail
and Veri ation by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
12 Pas ealin of all Accessible Leaks and Verification b Smoke Test and Visual Ins ection
uilr'i
Pass if One of Lines # 9 through # 12 passti;1 )fin 1U5
❑ Pass ❑ Fail
❑
Residential Compliance Forms
pis ❑Fail
n
April
2005
k�
'
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
Project Address ,..
t1i1GQt3
�A httUt�,�o�A
..Buu-illdder N''_ .��
F',C29� TAGF�r�
Builder Contact . J
Telephone
C.•95r�..a �� . �y3 •- Zl t l
Plan Number
.3
HERS Rate l
Telephone
Sample Group Number
Compliance Method (PrescripUve
Climate Zone /
Certifying Signa
j Mte
L �T
Sample House Number T3
HUS Provider
Street Address:V
7t,671
///�
Ci /State/Zip:
kI ~A
'Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
r HERS RATER COMPLIANCE STATEMENT
The house was: ✓❑ Tested ✓ OPApproved as part of sample testingbut was not tested
As the HERS rater providing diagnostic testing and field verification, l certify that the house identified on this'form complies
wi h diagnostic tested compliance requirements as checked on this form.
✓he installer has provided a copy of CF -6R (installation Certificate).
LJ rR#ERMOSTATIC EXPANSION VALVE (TXV)
Procedures, for field verification of thermostatic expansion vdlves are available in RACM, Appendix R/.
❑ REFRIGERANT CHARGE MEASUREMENT .
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic
Valves
+ itdoor Unit Serial #
000
Location.
Outdoor Unit Make
Outdoor Unit Model
Date of Verification
Date of Refrigerant Gauge Calibration �ustl onthly)
Date of Thermocouple Calibration d monthly).
Note: The system shouZreed
nd ch ed in accordance with the manufacturer's specifications and installer
verification shall be do- before starting this procedure. If outdoor air -dry-bulb is below 55 °F rater shall
use the Alternative ChedureProcedures for Determit Char a usin the StandardMethod are available in RACM A ndix RD2.
❑ Yes ❑ NCF-6R (Installation Certificate) has been provided with refrigerant charge
measurement documented.
Forms
April 2005
✓
❑ Yes
❑ No
Access is provided for inspection. The procedure shall consist of
visual verification that the TXV is installed on the system and
installation of the specific equipment shall be verified.
(]
Yes is a
ass Fail
❑ REFRIGERANT CHARGE MEASUREMENT .
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic
Valves
+ itdoor Unit Serial #
000
Location.
Outdoor Unit Make
Outdoor Unit Model
Date of Verification
Date of Refrigerant Gauge Calibration �ustl onthly)
Date of Thermocouple Calibration d monthly).
Note: The system shouZreed
nd ch ed in accordance with the manufacturer's specifications and installer
verification shall be do- before starting this procedure. If outdoor air -dry-bulb is below 55 °F rater shall
use the Alternative ChedureProcedures for Determit Char a usin the StandardMethod are available in RACM A ndix RD2.
❑ Yes ❑ NCF-6R (Installation Certificate) has been provided with refrigerant charge
measurement documented.
Forms
April 2005
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8)
CF -4R
Project Addres r
��ioyZ t tt9t Ctw,
A-
M
Bui der Name
.Fic;.a
Builder Contact Telephone
Plan Number
HERS Rater -Telephone
f� A 7AW Z7_1aro
Sample Group Number
Certifying Signature
F*
1710ell0q,Date
Sample HouseNumber
HRS Provider
Street Address:
1 �t►c1� 5rs�..�
City/State/Zip:
�y� .�
C.R
-r---- ---ro •� �+.L ■/v�RJ./u I" VC.i HR. ivir It 1 '
HERS RATER COMPLIANCE T TEMENT
The house was: ✓ . ❑ Tested ✓ pproved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, •I certify that the house identified on this form compt ies-
witlpf diagnostic tested compliance requirements as checked on this form.
✓ he installer has provided a copy of CF -6R (Installation Certificate).
✓ ADEQUATE AIRFLOW VERIFICATION
Procedures orfield verification and diagnostic testing of adequate air ow are available in R,4CM. Append' (;4.1.
Method For Airflow Measurement
❑ Yes ❑ No Duct design exists on plans
❑ RE4.1.1 Diagnostic Fan Flow UsingFlow Capture Hood,
❑ RE4.1.2 -Diagnostic Fan Flow UsingPle um Pressure Matchi
❑ RE4.1.3 Dia ostic Fan Flow Usine Flo Grid Measure nt
M red Airflow: Total CFM
Rated Tons: cfm/ton
❑ Yes ❑ No Measured airflow is great an th ria in Table RE2 ❑ ❑
Yes is a. ass Pass Fail
✓ ❑ MAXIMUM COOLING CAPA Y
cedures or determinin maximum co ►n load ca ci are available in R4CM. Appendix RF3.
I ✓ ❑Yes ❑ No equate airflow verified (see adequate airflow credit)
2 ✓ ❑Yes ❑ Refrigerant- or TXV
3 ✓ ❑ Yes No Duct leakage reduction credit verified
4 ✓ ❑ ❑ No Cooling capacities of installed systems are:s to maximum cooling
capacity indicated on the Perfonnance's CF -I Rand RF -3.
If the cooling capacities of installed systems are.,; than maximum
5 ❑ Yes ❑ No cooling capacity in the CF -I R, then the electrical input for the
installed s stems must be < to electrical input in the CF -1 R.
Yes to ! 2, and 3; and Yes to either 4 or 5 is a oas
match the CF -1 R
Time Delay Relay Verified (If Reauiredl
Residential Compliance /'orms
Pass Fail
April 2005
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 6 of 8 CF -4R
Project Address
0 2 1 Ii i L'lu. i, 6
�tA 6,4, .� •z--4 . 6_"t.
Builder N
l ,eSf Ae r W,,e A
Builder Contact '
Telephone
Plan Number
HERS RaterAf.
1�. ►� : . .2k__
Telephone
/,e) -Z'fZ-13 5
Sam 'le GroupNumber -1-3
❑
Certifying Signature!.
Dale
1,Z1
Sample House Number
Finn
H RS rovider
Street Address:
I GIGS TC-NvJ�_ ��3�.�1/L-,F-
City/State/Zip:
�)Ples to: DVIL.UrN VIE" rKVYA.UI'.K ANU DUII,UANtr uLrAK1WILIV 1 -
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓ ❑ Approved as part of sample testing, but was not test
As the HERS rater providing diagnostic testing and field verification, I certify that the a identified on this form complies
with the diagnostic tested compliance requirements as ch ked on this form.
✓ ❑ The installer has provided a copy of CF -611 (Install tion Certificat
✓ ❑ FAN WATT DRAW IV
Prcwedier•es for nteavuring 1he air handler ivalt drawrle ail le in RACM. Appendix RE3.2.
✓ Method For Fan Watt Draw MeasSpeKenit
❑ 1 RE3.2.1 PortableVdff Meter Measu t
. ❑ 1 RE322 I I Itl t-vpni1P IAPfPr AAP P.,*
easured Fan watt Draw: enter watts here)
Measured Fan Flow Enter total.cfm from airflow verification
Enter results of Watts/cfm:
✓ ✓
✓ ❑Yes
❑ No
Calculated fan watt/cfm is equal to or lower than the fan
watt/cfm draw documented in CF -1 R ❑
❑
Yes is a pass I Pass
Fail
Watts
cfm
Watts/cfm
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓ pproved as part of sample testing, burwas not tested
As the HERS rater providing di nostic testing and field verification, i certify that the house identified on this form complies
with the diagnostic tested compliance requirements as checked on this form.
✓ The installer has provided a copy of CF -6R (Installation Certificate)
✓ ❑ MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT
Procedures for field verification and diatnastic to sling of infiltration reduction are available in R ACM Section 3.5.
Diagnostic Testing Results
Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater:
1. es ❑ No Is measured en'velope leakNe less than or equal.to the required level from CF -1 R?
2 ❑ Yes o Is Mechanical Ventilation shown as required on the CF -I R?
2a. ❑ Yes I�VNoIf Mechanical Ventilation is required on the CF -I R (Yes in line 2), has it been
installed?
2b.❑Yes ptimlo Check this box yes if mechanical ventilation is required (Yes in line 2) and
ventilation fan watts are no greater than shown on CF -I R.
Check this box yes if measured building infiltration (CFM @, 50 Pa) is greater than
3. 010yes ❑ No the CFM (cid, 50 values shown.for an SLA of 1.5 on CF -IR
If this box is checked no mechanical ventilation is required.)
Check this box yes if measured building infiltration (CFM @ 50 Pa) is less than the
4. ❑ Yes UONoCFM a, 50 values shown for an SLA of 1.5 on CF- I R, mechanical ventilation is
installed and house pressure is greater than minus 5 Pascal with all exhaust fans
Pass if: a) Yes in line I and line 3, or b) Yes in line I and line2, 2a, and 2b, or c)Yes in line I and
line 4, Otherwise Fail.
Residential Compliance Vorms
.April 2005
U
Nov 13 2007 8:40R" KISSINGER RC
909-595-8357 p.7
9ISTALLATION CERTIFICATE Page 1 CF6R
Site Afren 54042 RiViERA WAY Penni Number
An Installation Is mqulmd to be posted at tha building aIle or made available kW awromfeo InwmK tions_
(Tiro hfbrmation provided on Ibis farm to required) After completion of Mal Inspection, a copy must be provided
to the b%ddit depwWWA (upon request) and the building owner at occupancy, per Section 10.103(a)
HVAC SYSTEMS:
If eft Egiuonowd
Equip Type
heat
CLC oertlf" mfr
Name and Model No.
humber
0 of
Identical
systems
Ef idlency
(AFUE, etc)'
(ZCF-IR value
duct
Locasm
Dud or
Piping
"Ifflue(Buhr)
Haft
Loess
Heating
Capad(y
AIRE FLQ
AFBOMPA050B3
80%
ATTIC
4.2
40,000
54000
AIRE FLO
AFa0MPA050B3
80%
ATT iC
42
40,01W
50000
SEASON
CCAG3613
13.0 / 11.0
38.00
00
ALL STYLE
ASLB38-22A35
Equip Type
heat
CEC 0011ftd mfr
Name and Model No.
Number
0 of
IdensCa l
stems
Efficiency
(SEER or EER,etc)
F -IR value
Duct
Location
aftiretc
Dud or
P"V
R Value
Heating
Load
r
-
Heating
Cape ft
SEASON
CCAG3613
13.0/11.0
36 Opp
36,000
ALL STYLE
I ASLB38-22A35
SEASON
CCAG3613
13.0 / 11.0
38.00
00
ALL STYLE
ASLB38-22A35
1 z symbol MOCIS greater ftm or equal towhat is Indicated on the CF -1 R value.
include both SEER arta EER If compliance credit for h4h EER air conditioner Is claimed.
Q 1, the undersigned, verify that equipment listed above is: 1) Is the actual equipment InatalU4 2) equivalent to or
more of c[W than Cult apecUbd In the CWWCate of compliance (Form CF -1 R) submitted far compliance aMh the
Errargy Mffd@ftW Standards' for realdendal butidings, and 3) equipment tfmt meets or exceeds the appropriate
requirements for manufactured devises (From the Appllence Effldem7 Regulefibns or Part (B) W- hem appficebte.
IrlWUn9 Suboontrador (Co Name) OR Gensfat
Ccnftdor Cc OR Owner
Kitsin er Air Conditioning, Inc.
-
Tuesday, November 13,2
3 20- 7
Copks to: 9 HUMNG DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Foam - App 2005
nov 13 2007 8:41RM KISSINGER RC
909-595-8357 P.8
INSTALLATION CERTIFICATE Peae 2 CFBR
8116 Addrfn 54-042 RIVIERA WAY few Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEOKAc.1=
« WTALL OR COWUMIM STATEIDIT
TTN Bedk*tg vas�Tssted at Flnal ❑ Tested at Rough -In
MATALLER VISUAL INRIPECTM AT FINAL CONSTRUCTION STAG:
e. ❑ Remave at beet one euPpy end one return register, and verify that spaced between the
6Nshfng wall are property sealed roplslar boot and firm frrlerlor
❑ If the halves nxetNn duct leakage Oast was conducted w*md an atr handler installed, hoped the corufaefion pokb
between the air hwKWr and the supply and return plenums to ve ft that the connection poilft are Properly sealed,
❑ Inspect all J00 to ermare dO no sloth baoloed rubber adheshoe duct t W In used.
,4 f ❑ New Distrbdion system is Iugy ducted (I.e. does not use bugdhvg avattes plenums or pftlw rs returns in on of
LEAKAGE REDUCTWN
1 h
t
6rrler. sated �"%" I I um flow in W%MMIUS
v.rrvr Za ra OYSTER 1 / DOWN8TA1Rtes
8 vah
Fan Flow. CaNarlaisd (hlorrrtrurf QCooing D Heating) or Measured
Fan Flow Y cOICUIR ad in 400 dmRon x number of tons or as 21.7 dmfpd9to/hr) x Hearing .12pp
I&WIn Thousands of ftAv o enter 11MI calculated or mm ured fan flow in CFM Beres:
Peas If Leakage Percentage s 6% for Flna1 or s 4% at Rough -b:
111- the urn ned, veraly that the above dlagnostia tit results mrs parforrrrad In cAMonnanoe wllb Mas requirements
Ibr oompilanos crectt t, the undersigned, also CertHy "M the newly butaNed Alr-Dlsftution System Duda, Plenums and
Fano Comply Wth Mandatory requirements specified in Section 150 (m) of the 2005 OWk&Q Energy El dency slandards.
Insialfing Subcontractor (C.o ) OR General
�n co"eas ftsi er Air CondMonin Inc.
f3ignatur� ael "11!e 17ate
Tuesday,November 13 2007
r-1 nreerina�r.�. �................_. _
Ptecedrnrea 1br veritNcsflorr of pffih 17rOS - expansIbn vBhW ave avaAable at RACM, AplperX* Rr
❑ MGM EER AOR CONDITIONER
PMCedures for veru -Wm ave evaftb In R4 &EB20 Rf.
1. EER values of inswed RIMUMS match the CF -1 R as No Yes to 1, 2; and
2. For spa system, hufaw Coil is mawwd to outdoor coH Yea No (It r�tlnsd} b s pose
h Tiooe VarHtad d R uired Yes No as ❑ Fall
Actress Is Pnwkbd for Inspection. The MxxK rte shall
corastet of v1sual verHtoatbn !fust the TXv Is hvlelled on
1118 system and instWkftn of the spedife equipmentLj
ellen be waltied.
Pass
YM to a Pees
No
FOR
❑ MGM EER AOR CONDITIONER
PMCedures for veru -Wm ave evaftb In R4 &EB20 Rf.
1. EER values of inswed RIMUMS match the CF -1 R as No Yes to 1, 2; and
2. For spa system, hufaw Coil is mawwd to outdoor coH Yea No (It r�tlnsd} b s pose
h Tiooe VarHtad d R uired Yes No as ❑ Fall
Mow 13 20Q_7 B: 41 RM KISSIMGER AC
INSTALLATION CERTIFICATE
glee Address 54-042 RIVIERA WAY
INSTALLER COMPLIANCE STATEMENT FOR DUCT
909-595-6357 P.9
NrETAL SA C0l1PLJ E STATEMENT
The Hufldirtg was )Q Tested of Final ❑ Tested at Rough -In
INSTALLER VMUAL MPEOWN AT FINAL CONSTRUCTION STAGE:
❑ Ramm at least one supply and one robum register, and verify that spaced between the 969WW boot and tha btbrior
flnhtlblg wan we properly sealed
❑ B the horse mughwin duct leakep test was conducted willmut an air handler trude d. Inspect the coni""" points
boMrosn the air h and the supply and .elan plenums m =111 that the conncc*m pobifs are POW ly seelad.
❑ Inspect an joinits to am= that no doth backed rubber adhesive duct tape b used.
❑ Naw Distribudon system to kl y d wW (Le, does not use bulidfng crafti; ptenwro or pigdown rsbirms in iieu Of
duats).
mn=&e A0r j"fd vWMkU doe and dieosilk beano of stn df WbL$Wr spsdmm are In IEAGF& AOparrotrc RUW
a° Duct
r j4� i 1 1 _ EM
25 Pa) SYSTEM 21
2. Fan Flow. Calculate! (Nondnal 00000VU1leatrrrg) Or Vrrxmmu
H Fan Flow Is ca cutaW as 400 c fftn x number of tons or as 21.7 dkW(ld1kWW) x Heating 1200
CookAy In Thousands of Btulhr enter total calculated or measured fan flow in CFM Hare:
3. Peso if 1.aakaGe PeroetutaAe S 8%for Final .or S 495 at Rough -!n,
❑ 1. Bis undersigned, vsrffy that the above diagnostic test.eaufm were performed In cordonmance with the requirements
1br oomplience credit I, fine undersigned, also certify that the nearly installed Air-Distrfbutbn System Duds, Plenums and
Fans Comply Wth Mrnidatory requirements specified in Section 150 (m) of the 2005 Sulldfng Energy EMdNW Manft*.
Contractor Co a OR Kissinger Air Conditiortin Inc.
Ift"'C AL VIA -1 .4 " Tuesday. November 13.2007
❑ THERMOSTATIC EXPANSION VALVE (FXV)
PMeedurso ran 19a/d ved Ration of thennostaft exparn* n valves are avetfebb at RACK, Appara& Rl
Was Access is provided for Inspection. The procedure shall Pa Peas Yes Is a Pass
consist of visual verification that the TXV is installed on
No the system and installation of the specific equipment OFall
shall be versed.
❑ HIGH EER AiR CONDITIONER
EERvalues of installed systems match the CF -1R
For soft systsm. Indoor coil Is matdred to outdoor coil
to1,xand8
iquk*M is a prase
triatalling Subcontractor (Co N R General
Contractor OR Ogner
Kissinger Air Condifioning, Inc.
Soature:
Date Tuesday, November 13 2007
COptea to: FUIl 0111401REPARTMEiYT, KERS RATER (IF APPLICABLE) SWI -DING O MER AT OCCUPANCY
To: Dennis Schall
Company: First Pacifica Development Corporation
From: Robert Favela _I _
Re: The Laurels Gct Riveria — Exterior wrap and lathe]
Date: January2, 2007
GCI FN: 2005-589
Message
The exterior shear and exterior framing is in, general compliance with the intent of the structural
documents. Therefore, it is acceptable to apply exterior wrap and lathe. General compliance of
exterior is based upon the completion of all GCI memo's / RFI responses, faxed to the site.
If you should have any further questions please do not hesitate to call:
Thanks,
Robert Favela
GCI Associates, Inc.
949-756-9525 x308
CtXGCEASSOC%FWLE 6NFLF eidenor wmp.doc .
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
g
construction and/or use.
BUILDING ADDRESS: 54-042 RIVIERA LOT 4
Use classification: SINGLE FAMILY DWELLING
Occupancy Group: R3
Type of Construction: VN
Building Permit No.: 06-1
Land Use Zone:
Owner of Building: RIVIERA VILLAS Address: 1651 E. 4T" ST.
City, ST, ZIP: SANTA ANA, CA 92701
By: AJ ORTEGA
Date: MARCH 13, 2008
Building Official
POST IN A CONSPICUOUS PLACE
11
03/28/2008 04:40 7605649849
CITY OF LA QUINTA
BUILDIfS9EETY DEPARTMENT ----
x,,
Permit Number 06-1 R87
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS RA
SFD - PLAN 3B, 2422 SF. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH
ABOVE APPROVALS DO NOT INCLUDE RIGKr to
TURN ON UTILITIES OR OCCUPY BUILDING;