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05-3952 (SFD)--P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: (05-00003952 54060 RIVIERA`! 775-030-015- - - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 208104 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RIVIERA VILLAS 1651-E 4TH ST DETACHED SANTA ANA, CA Act or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/1S/06 44 Contractor: FIRST PACIFICA DEV CORP 300 EAST STATE ST, SUITE #100 REDLANDS, CA 92373 (90.9)798-3688 Lic. No.: 760044 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 60044 1 G� 1 �✓ ractor _, l ,t 1� _ 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 ' OWNER -BUILDER DECLARATIO insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number W613-4291 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or / 3700 of the Labor Code, I shall forthwith cggiply with those p(ovisions. 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec: , BAP.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 Name: Lender's Address: LQPERMIT 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 1$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 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 my ordinances and to laws relating to building construction, and hereby authoriz epfesentatives of t county to en er upon above-mentioned roperty for inspection purpo A ate• nature (Applicant or Agent \� Application Number' 05-00003952 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 1021.00 Plan Check Fee 663.65 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 20.88 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• 9.0000 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 27.27 Issue Date Valuation . . . . 0 Expiration Date 12/12/06 Qty Unit Charge Per Extension 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 41.81 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 rW Application Number, 05-00003952 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 -PLAN 3B, 2422 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 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 66.37 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 753.61 .00 .00 753.61 Other Fee Total 3803.44 .00 .00 3803.44 Grand Total 5952.89 .00 .00 5952.89 LQPERMIT CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address Q Of 0l00 Builder N Builder Contact �-- elephone Plan Number -zit 1 3 HERS Rater : -, 44 w Telephone to /Vt *66 777- 137S Sample Group Number Climate Zone ! Sample House NumberArm Com liance Meth (Prescriptive) Certifying Signature `a�,�te i' '7 �/ ��_ t-O/�cM�Z-cam Yi��..� -• �% _ RS rovider Street Addr<s S ---:: City/State/Zi _v■u............._�_.... �Onlesto. 111111.1111111.111F.11-i1I1.1_ HI%rtll RC PVlncnr o sn no two n.. ate-. HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑Tested ✓ pproved as part of sample testing, but was not tested As the HERS rater pravidin%g diagnos c testing and field verification I certify that the house identified on this form complies with the diagnostic tested compilence req irements as checked ✓ on this Norm. The HERS rater must check and veri.fy 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 CF4R until a properly completed and signed CF -6R has been received for ffe sample and tested buildings. 12 The installer has provided a copy of CF -6R (Installation Certificate). Oto New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). GY 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 cedures• for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Pressurization Test Results (CFM @ 25 Pa) Measured {'i 'ifR; : -: Enter Tested Leakage Flow in CFM: Values ,` YPDuct Fan F low: CalculatedHe-. (Nominal: ✓�ooling ✓ ❑ ating) or ✓ ❑ Measured = 7r" =� : �r.{{NN�U•=;' ; Enter Total Fan Flow in CFM: ass if Leakage Percentage 5 6% [ 100 x _(Line # 1) / (Line # 2)]J ✓ ✓ ALTERATIONS: Duct System and/or HVAC Equipment Change -out ass ❑Fail r Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 , i;=�' System Alteration and/or Equipment Change -Out. PEnte ,..�i••.._._��rri ,:':... 5r Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System uct S stem Alteration and/or Change-Out. Equipment �i;,� 'i« ;:�,:• . i, � : �:: �;kr.s Enter Redu Reduction in L Leakage for Altered Duct System L e # 4 6 (Only if Applicable)---( )Minus (Line # 5)] �:;�. �• 7 Enter Tested Leakage Flow in CFM to Outside;,k (Only if Ap : t{ - i4 i±''; .:• e) Entire New Duct System - Pass if Leakage Percen ✓ ✓ 8 /° 100 x Line # 151 / Line # 2 TEST OR VERIFICATION STANDARDS- ❑ Pass ❑ Fail r Altered Duct System and/or HVAC Equipment Use one of the following four Test or V kation Standards for compliance - Change -Out 9 Pass if Leakage Percentage /o [ 100 x [_(Line # 5) / (Line # 2)1] 10 Pass if Leakage to O e Percentage < 10% [ 100 x L—(Line # 7) / 13 Pass ❑Fail (Line # 2)]] Pass if Leak eduction Percentage z 60% [100 x I I # 6) / ❑Pass ❑Fail _(Line (Line # 4)]] and Veri tion b Smoke Test and Visual Ins tion ' ❑Pass ❑Fail 12 Pas ealin of all Accessible Leaks and Verification b Smoke Test and Visual Ins ions:•=^t;s+}•rtiv, Pass if One of Lines # 9 through # 12 pass ti rs{kti';;1i ❑Pass ❑Fail Residential Compliance Forms ❑ p ❑Fail April 2005 s- I ;:CERTIFICATE OF FIELD VERIFICATION' & DIAGNOSTIC TESTING (Page 3 of 8 CF -4R Project Address�p++,, Builder N�� 5140(00 t J � ceec3 0 601C. , R sr t�Ac► �� . Builder Contact Telephone Plan Number V`•} 3 ! i i ;:CERTIFICATE OF FIELD VERIFICATION' & DIAGNOSTIC TESTING (Page 3 of 8 CF -4R Project Address�p++,, Builder N�� 5140(00 t J � ceec3 0 601C. , R sr t�Ac► �� . Builder Contact Telephone Plan Number C.+ rcJctc� 909 713 - z.t t 1 3 HERS Rater Telephone 'D Sample Group Number 'P"3 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. td soN GO 2 Z1355 compliance Method Prescri ive . Climate Zone / Certifying Signal a Sample House Number ass Fail rF H S P vider _ /4C.tI IKarm �a a—' Street Address: 41Ci /State/Zip: Copies to: BUILDER, ITERS PROVIDER AND BUILDING DEP » • }� ARTMENT `.' 'HERS RATER COMPLIANCE ST EMENT ' The house was: ✓❑ Tested pproved as part of sample testing, but was not tested As the HERS rater providing diagnostic tes/ting and field verification, I certify that the house identified on this form complies wVhA diagnostic tested compliance requirements as checked on this form. ✓he installer has provided a copy of CF -6R (Installation Certificate). ✓ U THERMOSTATIC EXPANSION VALVE (TXV) - Procedures.Jor field verificatioir of tbermostatic expansion valves are available in RACM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant 'Charge for Split System Space Cooling Systems without Thermostatic Exp Valves tdoor Unit Serial # .J Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity B r Date of Verification A I I • Date of Refrigerant Gauge Calibration n(must be c onthly) Date of Thermocouple Calibration be monthly) ---" _' _. ... .ice ■ auu dl!OVC Note: The system should be installed and c ed in accordance with the manufacturer's specifications and installer verification shall be documented on CF- before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall use the Alternative Charge Measure cedure Procedures for Determining ri erant Charge using the Standard Method are available in RACM A2pendix RD2. ✓ ❑ Yes ❑ No Copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residentio0ompliance 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 s ass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant 'Charge for Split System Space Cooling Systems without Thermostatic Exp Valves tdoor Unit Serial # .J Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity B r Date of Verification A I I • Date of Refrigerant Gauge Calibration n(must be c onthly) Date of Thermocouple Calibration be monthly) ---" _' _. ... .ice ■ auu dl!OVC Note: The system should be installed and c ed in accordance with the manufacturer's specifications and installer verification shall be documented on CF- before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall use the Alternative Charge Measure cedure Procedures for Determining ri erant Charge using the Standard Method are available in RACM A2pendix RD2. ✓ ❑ Yes ❑ No Copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residentio0ompliance Forms. April 2005 CER'T'IFICATE OF FIELD VERIFICATION & .DIAGNOSTIC TESTING (Page 5 of•8) CF -4R Project Add res r Buuii der Name r(� r. Builder Contact Telephone CER'T'IFICATE OF FIELD VERIFICATION & .DIAGNOSTIC TESTING (Page 5 of•8) CF -4R Project Add res r Buuii der Name Total CFM it� Builder Contact Telephone Plan Number cfm/ton HERS Rater A Telephone Sam le Grou Number �. ✓ Certifying Signature 1 �,yfew Date Sample House Number is a ass MJ 0=L _1 V p�LA_= t�.v� Q_e._ J� sc +s .r-pI• H RS rovider Street Address: City/State/Zip: / G �+'�'�-�. R � Art► s C.i4 � 2ac Copies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT 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 esting and field verification, I certify that the house identified on this form complies wit diagnostic tested compliance requirements as checked on this form. ✓ he installer has provided a copX of CF -6R (Installation Certificate). . ✓ Ll ADEQUATE AIRFLOW VERIFICATION Procedures for field veri rcallon and A ostic f-0., ad nca=esn o e uate anlow are mailable in RACM, Appen ' /:4.1. Method For Airflow Measurement ❑ Yes ❑ No. Duct design exists on plans RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood RE4.1.2 Diagnostic Fan Flow Using Plelium Pressure Matchi RE4.1.3 _Diagnostic Fan Flow Usina Flotv third M, -ac, ..t M red Airflow: Total CFM Rated Toils: cfm/ton ✓ ✓ ✓ ❑Yes ❑ No EMeapredairtlowisg;reatan th riain Table RE-2.Yes is a ass Pass Fail❑MAXIMUM COOLING CA rix educes yr determinin maximum co rn load c ci are available in R,4CM, Appendix RF3. I ✓ ❑ Yes ❑ No equate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ Refrigerant charge or TXV 3 ✓ ❑ Yes No Duct leakage reduction credit verified 4 / ❑ ❑ No 5 ❑ Yes ❑ No Cooling capacities of installed systems are 5 to maximum cooling cREity indicated on the Performance's CF- I R and RF -3. If the cooling capacities of installed systems are> than maximum cooling capacity in the CF -I R, then the electrical input for the installed systems must be:5 to electrical input in the CF -I R. Yes to 1 2, and 3; and Yes to either 4 or 5 is a Piawl ✓ '/ ❑ ❑ Pass Faif ✓ IGH EER AIR CONDITIONER educvert rcation are available in RA CM, Appendix Rl. ❑ Yes ❑No EER values of installed systems match the CF -IR. 1,4r 2❑ Yes 1 ❑ No I Fors lit system, indoor coil is matched to outdoor coil 3 ✓ ❑ Yes 1 ❑ No I Time Delay Relay Verified (If Required) Yes to I acid 2; and 3 If Required) is a pass ✓ ✓ ❑ ass Fail Residential Compliance norms April 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 6 of 8 CP -4R Project Address- ''; .<ycL >I + �, A - �u4 1i,� .� ra . CJ's 1 Builder Contact Telephone Plan Number HERS Rater a (� Telephone Sam le Group Number 3 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 6 of 8 CP -4R Project Address- ''; .<ycL >I + �, A - �u4 1i,� .� ra . CJ's Builder N , �ts� PAc, Ke Z A Builder Contact Telephone Plan Number HERS Rater a (� Telephone Sam le Group Number 3 Certifying SignatureZlc, ell evDate Sample House Number Firm Pass H RS rovider Street Address: ®��r �.- DIIt■ Tf!ff City/State/Zip: ...y ...,.w ..w � ■ai a:.� n11v "VIXILJII1V VLrAms IVIZI, I HERS RATER COMPLIANCE. STATEMENT The house was: ✓ ❑ Tested ✓ ❑ Approved as part of sample testing, but was not test As the H ERS rater providing diagnostic testing and field verification, I. certify that the se 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 -6R (instal tion Certificat _ ✓ ❑ FAN WATT DRAW Procedures or measuring the air handler ►I)au drmv ✓ Method For Fan Wait nra— na—...— in RA CM, Appendix RE3.2. Watts cfm Watts/cfm HERS RATER COMP ANCE STATEMENT The house was: ✓ ❑ Tested ✓ Approved as part of sample testing, but was not tested As the HERS rater providing di gnostic 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. ✓ NPThe installer has provided a copy of CF -6R ( Installation Certificarei ✓'U MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT Procedures for Jield verircalion and diagnostic• testing of inf ltradon reduction are available in PuC•M. tion 3 S r DisionnOir Tactina '� `� I • es ❑ No ble Meter Measu t evenue Meter M urement 2 ❑ Yes o ed Fan watt Draw: eMhere)re)d Zeasured Fan Flow Enter total cfm from airflnEnter If Mechanical Ventilation is required on the CF - I R (Yes in line 2), has it been resultm:ulated installed? 2b. ❑ Yes �o Check this box yes if mechanical ventilation is required (Yes in line 2) and ventilation fan watts are no reater than shown on CF -1 R. fan watt/cfm is equal to or lowercfm draw documented in CF- I R❑ ❑ss Pass Fail Watts cfm Watts/cfm HERS RATER COMP ANCE STATEMENT The house was: ✓ ❑ Tested ✓ Approved as part of sample testing, but was not tested As the HERS rater providing di gnostic 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. ✓ NPThe installer has provided a copy of CF -6R ( Installation Certificarei ✓'U MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT Procedures for Jield verircalion and diagnostic• testing of inf ltradon reduction are available in PuC•M. tion 3 S r DisionnOir Tactina '� `� I • es ❑ No BuildingEnvelopeLeakage (CFM a) 50 Pa) as measured b Rater: Ismeasured envelope leakage less than orequal to the required level from 2 ❑ Yes o CF -JR? Is Mechanical Ventilation shown as required on the CF- I R? 2a. ❑ Yes �No If Mechanical Ventilation is required on the CF - I R (Yes in line 2), has it been installed? 2b. ❑ Yes �o Check this box yes if mechanical ventilation is required (Yes in line 2) and ventilation fan watts are no reater than shown on CF -1 R. 3• �'es ❑ No Check this box yes if measured building infiltration (CFM @ 50 Pa) is greater than the CFM (a, 50 values shown for an SLA 1.5 of on CF- I R If this box is checked no mechanical ventilation is required.) 4. ❑Yes o Check this box yes if measured building infiltration (CFM c@ 50 Pa) is less than the CFM @ 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 operating. 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. Re.yide vial ( •ony)lianc a ! vrms tssFaii April 2005 t Nov 15;,2G'0'7 3: 46PM K I SS I NGER RC 909-595-6357 p.1 aaIALL.AI IUN CERTIFICATE Pae 1 CFBR SlteAddress' 54-080 Riviera Way Permit Number An tnstallatton COrtif '1119 Is required to be posted at the building elte or made available forall appropriate tnspectlons. (The Information provided on this form is required) After completion of sinal Inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(x) HVAC SYSTEMS: Netting Equlpvrteat Equip Type heat CEC certified Mir Name and Model No. Number # of Identical Systems i EMclancy (AFUE, etc)' 2!CF-1 R value Duct Duct or Location Piping attic etc R Velue Heating Load BWlhr Beating Capacity Btulhr AIRE FLO AF80MPA07584 SEASON ALL STYLE 80°�6 ATTIC 4.2 t30 000 75 000 AIRE FLO AF80MPA07584 80% 4.2 60 000 75 000 Cooring If"llo rrerrt Equip Type Wo heat m SEASON ALL STYLE CEC certified m1t blame and Model No. Number CCAG4813 ASFL60-27A35 # of Identical Sys toms Efficiency (SEER or EER,etc) MCF -1 R vakm 13.0111.0 Duct Location attic etc Duct or Piping R Value Heating LOW 13tufir 48 000 Hoofing Capacity. Bbyhr 48 000 SEASON ALL STYLE CCAG34813 AS80-M22f3 13.0 ! 11.0 48,000 4$ Q00 1 t symbol reads greater than or equal to what is indicated on the. CF -1 R value. Include both SEER and EER If compliance credit for high EER air conditioner is clalmed. ❑ I, the undersigned, verify that equipment listed above is, 1) Is the actual equipment inelafled, 2) equivalent to or more efficient then that specified In the camcate of compliance (Form CF -1 R) submitted for compliance with the Energy Eft 2617cfardg for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devises (From the Appffence EfiTrciency Regulations or Part (0) where applicable. Nov 15'\2007 3:46PM KISSINGER AC 909-595-6357 P.2 t INSTALLATION CERTIFICATE Page 2 Site Address CF6R 54-068 Riviera We Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE OnTALI.ER COMPLIAIE STATEMENT The 9ulidlrtg was Teated at Final ❑ Tested at Rough -tri INSTALLER VISUAL DISPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remcve at least one supply and one return register, and verify that spaced between the register boot and the Interior finishing wall are prolowly sealed 0 If the house rough -In duct leakage teat was conducted wltwut an air handler installed, Inspect the cannecton pofrna baly can the air handler and the supply and return plenums to verity that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. �D18tr(putlon ay3tem is fully ducted (Le. does not use building cava plenums or platforms returns In Ileu of • �. .wu�w a.rrvr CD t'a SYSTEM 1 /DOWNSTAIRS ---- - 1.Enter Tested Lea Flow In CFM: Values 2. Fan Flow Catcumm (Nominal U00oling Heating) or Uhlbasured ,d if Fen Flow fa calculated 83 400 CtM/ton x number of tone or as 21.7 ofml(kBtulhr) x heating C ICI In Thousands of C�tulhr ou u enter total aarCulated or me&aurad fan Row In CFM H1600are: B. Pass It Leakage Percentage S 6% for Final or s 4% at Rough -in: 100 x --June Ar 1 /Line # 2 2.55%❑ I, the undamigned, verify that the above diagnostic teat resuits were performed 1n confl rM13FI a with the requlfwmntg for compUanee credit. I, the undersigned, 0130 certify that the newly Installed Air-Diaftution System Ducts, Plenums and Fans Comply vrkb Mandatory requirements specified in Section 150 (m) of the 2005 Building EnerW Elficiancy standards. Iffier Air Conditioning, Inc Thursday, November 15, ❑ THERMFUTA71C EXPAMWN VALVE (TXV) Pmoedures for field verftation of thaimostaNc expansion valves are available at RACM, Appendbr R1 I Is provided for inspection. The procedure shall . slat of visual verification that the TXV is installed an rYes h 8 811510M and installation of v_rMthe specific equipment �F_71� II Ann ❑ HIGH EER AIR CONDITIONER Pass 110v 10 euu•t 3:46pm KISSINGER RC 909-595-6357 TALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLM COMPLIAME STATEMENT The Building'" Tested, let Final ❑ Tested at Roul INSTALLER VISUAL INOPECTiON AT FINAL. CONSTRUCTION STAGE. ❑ Remove at leastons Supply and one return m9ister, and verify that spaced betmillen the rsgbter boot and the intertor finishing wall aro property sealed ❑ H the house rough -In duct teakaga Oast was conducted without an sir handler installed, inspect the comottlon points between the elf handler and the supply and return plenums to verify that the connection points are properly seelstl. ❑ Inspect all joints to ensure that na cloth backed rubber adhesive duct tape Is used. ❑ New DlBtrfbtrtton eysDem Is flrly ducted (i.e_ does not use building cavaties pbr►uma or plafibnne returns in lieu of ducts). in .ucr rressurtzatfon Test Result(CFM 90 25s Erder Tasted Lea Fiow In MeasurePSYSTEM 2 ! UPSTAIRS Values Fen Flow Catcutatad (Nominal Cooling Resiting) or Measured 45 Fan Flow Is calculated as 400 cfmftcn x number of bons or as 21.7 ChW(kBtu/hr)x Heating t In Thauaends of tlturtrr out anew total calcxdated of measured fan flow In CFM Flare: 1800 Pana 8 Leakage Perconloga s (1%-6r Final or s I% et Rough 00 x [ (Line A' I I t t1l 1- Al 1%%, ❑ i, the urtderalgned,M. varffy that III above diagnostic test results were performed in conformance with the Por compffence credit I. the undersigned, also certify that the newly installed Air-Diatritwtion Plenums and Fane Campy with Msndat system Ducts, Plenums sifrrd cry requirements specifled In Section 150 (m) of the 2006 Building Energy Efficiency standards, p.3 ❑ THERMOSTATIC EXPANSION VALVE (TXV) Procedures t%r ffvrd vwNbelton of therrrwatoo expensiorr va"s ars evetfaM at RACM, AAMdhr R) F►Gooes Is provided for Inspection. The procedure shall consist of visual verl6catlon that the TXV is Installed on F'asa the system and installation of the specttic equipment Fall Bt�O ba mrra..� ❑ HIGH EER AIR CONDMONER e EER values of Installed ax nr. syatams Meech the CF -1 R Yes No Yes to 1. 2; Atld S For Ida stem, indoor call Is matched to outdoor coil me Dell Rate Vertfled N R uire Yes ❑ No (If w'e+qufnedj 1s a pass Yes fVo Pass all 'atatling 9ubcontraCeor (Co ma) OR General Summa re: Date lgnagmre: co a► Kissin er Air COnditiOnin , Inc. oThumde NOVeMber 15, 2007 ogee to, DEP RTINENT, HERS RATER ( IF ePDt rrree� e. s 1338 JAN, 02, 2007 ID: GCI ASSOC., INC. FAX N0= 7560208 #11391 PAGE: 2/2 t GCI ASSOCIATES INC. 3831 Birch Street Newport Beach, California 92660 Phone: (949) 756-1525 Fax (949) 756-0208 To: Dennis Schall Company: First Pacifica Development Corporation From: Robert Favela Re: The Laurels @ Riveria — Exterior wrap and lathe Date: January -2, 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. 949-756-1525 x308 a G ASSoc1FIDLEFTMFU exterior wrap.aoc Certificate of Occupancy 0 OF 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 construction and/or use. BUILDING ADDRESS: 54-060 RIVIERA LOT 1 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-3952 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: RIVIERA VILLAS Address: 1651 E. 4TH ST. City, ST, ZIP: SANTA ANA, CA 92701 By: STEVE TRAXEL Date: JANUARY 18, 2008 Building Official POST IN A CONSPICUOUS PLACE ma 03/28/2008 04:40 7605649849 :ITX OF LA QUINTA L -DING -B -SAFE- -Y-DEPARTMENT— -- _ 777-7012 Owner R.r Permlt Number�p�.�q FINA hit aV.IcNr'q I POST ON JOB IN CONSPICU-bdtf LAGS --I INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS SFD - PL AN 3% 2422 SF. PERMIT DOES NOT ILNCLUDE POOI4 SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION I . DATE I INSP. INGS / STEEL :RETE SLAB DO NOT POUR CONCRETE UNTIL ABOVI NAIL/ PRE -ROOF it - 4 - o G TO WRAP 1 -'3 -.eiq ING COMBINATION IGH ELECTRIC I IGH PLUMBING p IGH MECHANICAL AT00N COVER NO WORK UNTIL ABOVE SIC IOR GYP. BD. DRYWALL IIOR LATH EST -- • d - a o - e ABANDONMENT R CONNECTION ./GREASE INTERCEPTOR MASONRY INSPECTIONS GAS ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING t � '1. REQUEST FOR PROPOAL INSTALL POLYURETHANE FOAM ROOF SYSTEM 8 BUILDINGS (30 UNITS) id2 85 3 LOCATIONS• Ilitted in Prioritvl PGA WEST Residential Association, Inc. 2012 Foam Roofing RFp I (45-1 Numbers• • Street Phase Units Bldg Type 55-485,467,449,431 Southern Hills EO O" 26 17B 4 SM 80'-5"7'5,587,599,611 Cherry Hills 11B 4 17M 54-655,639,623'607 Riviera 31B 4 SM 55-682,670,.6.58, 646 Riviera 354 4 V: 9M 55-070,: 060 . Riviera 374 1 '% --JD 2 27M 55-270,259',246,234 Shoal Creek 144 E , : 4 9IVL . 54-732, 720, 708, 696 Shoal Creek 18A 4 9M 54-516,504,492,480 Shoal Creek 4 1.0M :;• , SCOPE OF WORK Furnish all labor, this document materials,equipment and services necessary for completion of all roofing and related work as g specified m POLYURETHANE FOAM ROOFING wITH ACRYLIC AND GRANULES 1) All loose gravel, dust and residue shall be removed using power vacuum equipment, power sweeper, air blowing or other suitable means. r=. 2) Grind all loose paint from Z -bar metal, solvent wipe and prime with metal foam roofing.Primer before application of Install new Z -bar metal (will be identified at job walk) as needed and solvent wipe and prime with metal primer before application of foam roofing. 3) 4) Remove two (2) courses of file and cut 3" water blocks where slope meets flat roof areas. All surfaces shall be primed with neoprime primer at the rate of not less than %2 gallon. per feet prior to foam application 100 square 5) Urethane foam shall be sprayed — applied to a minimum thickness of 1.5". Additional foam shall be applied In ponding areas to help disperse the standing water. 6) Coating shall be applied in a minimum of two (2) separate coats. Acrylic in to be 55%solids. a) The base coat shall be applied at a rate of 2.0 gallons per 100 square feet. b) The topcoat • shall be applied at the rate of 2.0 gallons per 100 square feet, with a combined thickness of 32.total dry mils. Ceramic granules shall be embedded into coating is wet. the final coat while the PGA WEST Residential Association, Inc. 2012 Foam Roofing RFp I