SFD (05-0549). BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 "� '(760).777-7012
78-495 CALLE TAMPICO ' FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . 0-5=0-0-0-0-0-5_49 Date' 2/16/05
Property Address . . . . . 81335 NATIONAL DR
APN:. 767-570-003-
Application
67-570-003 Application description .'•DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 363387'
Owner Contractor -
NORMAN ESTATES II EHLINE COMPANY
C/O MEDALLIST GOLF.DEVELOPMENT 55375 MEDALLIST DR
501 NORTH AlA LA QUINTA CA '92253*-.
JUPITER FL 33477. (760) 771-8130
WCC: STATE FUND
WC: 2290006783 01/01/06
CSLB: 482086 11/30./05
CCC: B
--------------------'------ Structure Information ---------------------- 7 --
Construction Type'. TYPE V - NON RATED
Occupancy Type . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . . NON -AO FLOOD ZONE
Other struct info CODE EDITION 2001 CBC
D i n MS 5.00
G� IRE INKLERS NO
GA RA Q FTG 843.00..
FEB 2 5 I Q FTG . 4 61.0 0
B OF UNITS 1.00
CITY OF 6A L OR SQUARE FOOTAGE 4217.00
----=----I!Ikl -DEPT ----- ---------------------------- - ------
Permit . . . . BUILDING P
Additional desc ,
Permit Fee 1563.50 Plan Check Fee 254.07
Issue Date Valuation . . . . 363387
Qty Unit Charge Per Extension
BASE .FEE 639.50
264.00 .3.5000, THOU BLDG 100,001-500,000. 924.00
---------------=------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . 1 i09.50 Plan Check Fee 6.85
Issue Date Valuation 0
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
J
P.O. BOX 1504 •4
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0.5-5 �9 Date: Z Z� Q -S--
Applicant: Architect or Engineer:
Applicant's Mailing Address: rchitect or Engineer's Address:
COY"'
ic. No.:
BUILDING PERMIT DECLARATIONS
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
�, and my License in full force and effect. � 8� r -
icense Classicense No. lD
ate 9,05ntractor Eh`cne�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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. 1 � I
All have and will maintain workers' compensation insurance, as req'uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i sued.—My worhers' compensation insur nce carrier a d o_licx' r2�umber
am
er'F_ 11/LC] Number�(X�U
_ I certify that, in the performance of the work for which this permit is issued, I sha I nowt employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
ate R scant Q
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 >�
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
co�onstruction, and hereby authorize representatives of this county Meriter upon the above-mentioned property for inspection purposes.
S ignature (Applicant or Agent): k'11t1,Ze_e
0 : ,, tlr
,.
page
2.
Application
Number
05-00000549 Date
2/10/05
Qty
Unit Charge
Per
Extension
8.00
6.5000
EA MECH VENT FAN
52.00
1`.00
6.5000
EA MECH.EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
179.46 Plan Check Fee
11:22
Issue Date
. . . .
Valuation . . . .
"10
Qty
Unit Charge
Per
Extension
BASE 'FEE
15.00
4217.00.
.0350
ELEC NEW RES - 1 OR 2 FAMILY
147.60
�r.�. 843.00
----------------.------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
16.86
;., Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
211.50 P1an'Check Fee
13.22
Issue Date
. . . .
Valuation. . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE t
15.00
23.00
6.0000
EA PLB FIXTURE
. 138.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
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
12.00
.7500
EA PLB GAS PIPE.>=5
9.00
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
' Qty
Unit Charge
Per
Extension
=---------------------------------------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT'30,
PLAN 4A
-ENC. 4217 SF.
PERMIT DOES
NOT INCLUDE POOL, SPA BLOCK
WALLS OR DRIVEWAY
APPROACH. 75%
REDUCTION
TO PLAN CHECK FEE DUE TO
MULTLIPLE
----------------------------------------------------------------------------
ISSUANCE OF
SAME PLAN TYPE.
Other Fees
. . . . .
. . . . ART IN PUBLIC -PLACES -RES
408.46
Page 3
Application Number
. . . . .
05-00000549 Date
2/10/05.
Other Fees . . .
. . . . . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
25.41
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES.
502.00
STRONG MOTION (SMI) -.RES
36.33
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
2078.96
------------------------------
.00 .00
-2078.96
Plan Check Total
285.36
.00 .00
285.36
Other Fee Total
2875.20.
.00 .00
2875.20
Grand Total
5239.52
.00 .00
5239.52
SEP 27,2005 13:12 BCI*TESTING,ril 00070007_00000.
Page 8
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page i of 7)
CF -4R
GREG NORMAN ESTATES PH -3 9-13-05
Projecl. Title --- _ Date
� La�uinta CA 92253 ', . BHLINE CO -
ve
_., . •• •• .
Project Addres,l —j Builder Name
Project
Scott- . _ _ 760=238-2383 Plan 4=1 Ar g, 1 of 1)
_
Builder Contact - Telephone Plan Number
William Henson ((:(:N 9Q...'2004076) -760-250-7022 Group 1
HERS Rater Telephone Sample Group Number
9-13-05 30 (ph 3)
Curti('ying . gnature Date Sample House Number
�7�'`IIE?RS=Provider:
Firm; fiC:.l Testin!, CALCHR'I•S
Street Addrew- I'O Dox 50575 City/S��e/Zi P: Phoenix, AZ 85076
Copies to: Builder, ITERS Provider.
HERS RATER COMPLIANCE: STATE MF.NT
T►Ic house was: ❑ Tested A)provted as.pan of sample testing, butywas,not tested
ri':,;;
As the HERS ERS rater providing diagno c testi p and field verification, I'certify that the houses identified on this form
comply
with the diagnustic Wstrud eompliant:c Tcyuirernettt+ as checked on this fOrrtt.
❑ The instalh:r hNS provided a etlpy of CF -6R (Ini+tallntinn'CcrtifiCa, 1C. _.., 4 a;
❑ Distribution system is fully ducted (i.e., docs not use building vrrviticy as plenums or platform returns in lieu of ductal)
0 Where cloth hacked, rubber adhesive duct tape is insiallcd;•mastic and drdwbA6 arc' used in combination with cloth
backcal, rnbber adhesive duct tape to seal leaks at duct connections.
❑ MINIMUM REQUIREMEN IN FOR DUCTLEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnoslic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurisation Test Results ((-.'FM (tr 25 Pa) , t - values
�
Test Leakage Flow in CI M
If fim flow is calculated as 400efn>/ton x number of tons enter calculated
If Ian flow is frleasured entei flleasured..Value herol -
Leakage Percentage (100 z Test Leakage/Fan, Flow)
( heck liox I'( Past fir, Fail (Pass 6"�� iq Igznti) ❑
❑
Pass
Fail
❑ THFRMOSTATIC' EXPANSION VALVE (TXV) ;
❑ Yes ❑ No 'Thermostatic Expansion, Valve i, installed and ALccss is
provided for inspection ❑
❑
Yes is u pais .. Pass
Fail
❑ MINIMUM REQUIREMEN-IN FOR DUC' T D1k,S1(;WC6MP1,LkNCE (:RFDIT
1 ❑ Yes ❑ No . ACC:A Manual D Design requirements l ave been nict (rater has
vert lied that actual iustallatlt)n nlatchcs+value,i IIT CF -I R and
design on plan.
2 ❑ Yes ❑ No TXV is insL•rlledorFun •(Iow, fiasbeLn`vcrilicd; tfnuTXV,
vcrificxl Ian flow matches design from CF -1 R.
Measured Fan 1`16w =
❑
❑
Yes for both 1 and 2 is a Pas, Pass
Fail
A-16
Compliance Forms ;4ugusl 2001^M'
08/16/2005 15:26'FAX PARA60NPSCHIMID 014/014
INSULATION C iRTIFICATE
This is to certify that insulation has boon installed in eonfoimence with the current energy
regulation, California Administrative Code, Title 24, State cf Caffoinia, in the build,ng at
NORMAN ESTATES, LOT 30, PHASE 3, LA QUINTA CA &,33
CEILINGS:
TYPE: BATTS MANUFACTURER: Owens C<�rn:nq THICKNESS; R-33
V/ALLS:
TYPE: BATTS MAUNFACTURER: Owens Cornhi; THICKNESS: R-19
GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE #
BY: TITLE:_
PARA/CHkl.ID BU LDING PRODUCTS AA/ASCOCompany LICENSc" 9 21517
BY 'cCt — � --- TITLE; ACCOUPIT REPRESENTIVE DATE: `'1 G
r