SFD (04-8120)V
BUILDING & SAFETY DEPARTMENT
ox 1504 (760).777-7012
IVKh.7 495 ALLE TAMPICO FAX (760) 777-7011
-3 INTA„CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
9.1
BUILDING PERMIT
p is tion Number . .0 004 008120 Date 2/02/05
Pr ty Address � . . . 81360 -NATIONAL DR
APN: 767-570-005- - -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 298162
Owner Contractor
------------------------
7,77---------------- ,.
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 -------------------------
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CRC
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG:.` .806.-:00.
PATIO -SQ FTG -514.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 3410.00
--------------------------------- --------------
-7,-,177--------
,r ,,.
Permit . . . . . . ELEC-NEW RESIDENTIAL,:—
Additional desc
Permit Fee 150.47 Plan Check Fee 9.41
Issue Date . . Valuation 0
Qty. Unit Charge Per Extension
BASE FEE 15.00
3410.00 ..0350 ELEC NEW RES'- 1 OR 2 FAMILY 119.35
806.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.12
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 1336.00 Plan Check Fee 217.10
Issue Date . . . . Valuation . . . . 298162
Qty Unit Charge Per Extension
'39.50
'BASE' FEE � ,
6
199.00 3.5000 THOU BLDG 100,001-500,0.00 696.50
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT */,
11
Application Number: 2-0 Date:
Applicant:
Applicant's Mailing Address:
Dchitect or Engineer•
oul h ((1asA- AOA-4ee*s Rdi k.* (-{&
Architect or Engineer's Address: -
Lic. No.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provigions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
tyde, and my Licens in full force and effect. 1/ II'' ^ Q f _
✓License Class License No. 'l SOC D illy
✓Date Contractor Ehlin 2, Co
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 1, 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 Owner
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.
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
ssue yy wo ers' compensation insurance carrier �J,poli number re: /�
Carrier Q �lAI Policy Number .1;,(� nQn�,!76_9
I certify that, in the performance of the work for which this permit is issued, I shat n—' i of 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, 1 shall
forthwith comply with those provisions.
b at e"3 ail o Applicant r/E:h(i n e 040
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
construction, a� nd hereby authorize representatives of this county to a upon the above- entioned property for inspection purposes.
VDate `t 105 Signature (Applicant or Agent): /A
Page
2
Application Number .
. . . . 04-00008120 Date
2/02/05
----------------------=--------------------------------------------
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
Permit . . . . . . MECHANICAL
Additional desc--.
Permit Fee . . . .
127.50 Plan Check Fee.
7.97
Issue Date
Valuation
0
' Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
8.00 6.5000
EA MECH-VENT FAN
52.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . .
172.50 Plan Check Fee
10.78
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
17.00 .6.0000
EA PLB FIXTURE
102.00
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
8.00 .750.0
EA PLB GAS PIPE >=5
6.00
1.00 15.0000
EA PLB GAS METER
15.00
---------------
Special Notes and Comments
SFD - LOT 39. PLAN 2B,
3410 SF. PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL, SPA
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
Other Fees . . .
------------------
. . . . ART IN PUBLIC PLACES -RES
245.40
DIF COMMUNITY CENTERS -RES.
97.00
DIF CIVIC CENTER - RES
366.00
J
r
Application Number
----------------------------------------------------------------------------
. . . . .
04-00008120 Date
. 2/02/05
Other Fees . . .
. . . . .
J
Page 3
Application Number
----------------------------------------------------------------------------
. . . . .
04-00008120 Date
. 2/02/05
Other Fees . . .
. . . . .
ENERGY REVIEW FEE
21.71
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
29.81
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1801.47
.00 .00
1801.47
Plan Check Total
245.26
.00 .00
245.26
Other Fee.Total
2701.92
.00 .00
2701.92
Grand Total
4748.65
.00 .00
4748.65
i
DEC -07-2005 WED 09:16 AM Wine Co FAX N0, 7607718131 P, 08
152/07%2005 10:08 FAX PARA80NPSCHIMID ® 006/008
INSULAT19W CEBIIF19ME
This Is to certify that Insulation has been installed In conformance with the current energy
regulation, California Administrative Code, Title 24, State Of California, In the building at +
NORMAN ESTATES, LOT 39, PHASE 4, LA DUINTA, CA
IL GS:
TYPE; SATTS MANIUFACTURPA: Certainteed THICKNESS: R-35
WAL
TYPE: BATTS MAUNFACTURER: Censinteed THICKNESS: R•19
GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE 4�_�
BY: TITLE:
PARAGON SCHMID BU DI ROoUCTS A MASCO Company LICENSE 0 221517
BY: TITLE: ACCOUNT REPRESENTNE DATE: -j ......��S
t
, a
JAN 23,2006 11:08 BCI*TESTING,ri1 000-000-00000
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
6RF(i NORMAN FS'1'ATFS
01"1-1
12-12-05
Project 'Title
Dale
81360 National llrive Ld
(aunt&,_ .92253
JEHLINf-X11....
Project Address
Builder Name
-Brian Brown
760=427-7288'
Plan 2 1 of 1)__.
Iluilder Contact
Telephone
Plan Number
Rex Graham ((_'(.'N ,!(.Y.'2004077)'
602-999-1356
Group 3
HERS Ratcr ,
fcicphonc
Sample Group Number
12-12-05
39. (ph 4)
C:ertil'yinS Signat'urc
Date .
Sample Hous Number
Firm: 8C.1 •l'esting
-MFRS Provider:
CALCERTS
StrcctAddress: 11800 %shinglon Sl., B
105-3,14 (.'iiy/Stale/zip Bermuda Dtlnei, CA 92203
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house wa_C, ❑ 'rested Appruvacl as part, iif sample. testing, but was not tested
As the H FRS rater providing diagnostic " g and Geld verification, l certify that the houses identified on this Ibmt comply
with die diagnostic tested compliance roqui nenL, as checked on this form.
❑ The installer has provided a copy of CF -FR (lnstallalion Certificate"
❑ Distribution system is fully ducted (i.e., does not rise building cavitiLs as plenums Bir platliinit returns in lieu of duce)
❑ Where cloth hacked, rubber adhesive duct tripe is in vtulled,'niastic and drawbands are used in bombination with cloth
backed, rubber adhesive duct tape to seal leaks at ducat conbections.
❑ MINIMUM REQUIREMENTS FOR Dtl(:T LF:AKA(:E REDUCTION COMPLIANCE C:RFDIT
Duct Diagnostic Leakage •Testing Results (Maximum 6% DuctLcakage)
Measured
Duct Pressurization Test Results (CFM (4 25 Pa) values
Test Lrakage flow in (. FM
If fan flow is calculated as 400cfmilton x number ueions'enter calculated
value here
If fan flow is measured enter measured value here
Leakage Percentage (IUO,x'Tcvt
Check Box for Pass or I
❑ TRERMOSTATIC EXPANSION VALVE: i
Flow) = r�
or less)/Zl ❑ ❑
Pass ' Fail
❑ Yes ❑ No Thcrmostatic Expansion V„Ivc is in+:tr,Ilai:arid:Aedes,, is
provided for inspection /� ❑ ❑
Ycs is a pass Pass Fail
❑ MINIMUM RF,QUIRF.MF.NTS FOR DUCT DESIGN COMPLIANCE CREDIT
I ❑ Yes ❑ No ACOA Manual D Design rcquucmyn'K have been mel (rater has
vc6ficd that actual ulrlallatlon niatchcx values in CF -LR and
dctign on plan.
2 ❑ Ycs ❑ Nu TXV is installed orran•flow has Nivn'vtni lied. II'no TXV,
verilied (an flow matches dcsign from CF. IR.
Measured Fan Flow
❑ a
Yes for both land 2 is a Pass Pass Fail
Compliance Forms August 2001'' A-16
Page 8
' .. - aIX � .!' S i •! +I � I r�! i , - � !I. � 4 I i ••IV � ,.il :,�� l Ii! 'q! 1` j �, If
'� iL' ! ,L fl :� .. :.lf ..• �.�!�I J- ., �� ��.I I.( f i .! ,Sii ,.. y, �I r1
I-, ;. i
WSTALLATION C ' RT i ICATE (Page 3 ac 13) C -6It
Site Address i I i` I ; !, it : ` I , ; : y t; ;Permit Nuinlier`��-'
. ti li ir•.� 'C;, n , 1. �. !. i. l f�
DUCT LEAlCkGE AND (DESIGN DIAGNOSTICS
f i I,a , i � • i `i
91 DUCT LEAKAGE REDUCTION
Pressurization Test Results (CFM.@ 25 PA)
Fan Flow Test Leakage (CFM) A7 .
If Fan Flow is Calculated as 400 cftn/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands of Btu/hr, enter calculated value here I.21
If fan flow is measured, enter measured value here
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow).=
Pass if leakage fraction _< 0.06 �' ❑
Pass Fail
❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed:
!
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes' ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑
Pass Fail
�! THER1110STATIC EXPANSION VALVE (TX"
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection R] ❑
Yes is a pass Pass Fail
❑ DUCT DESIGN
1 ❑ Yes ❑ No ACCA Manual D Design calculations have been
completed, Duct Design is on the plans and duct installation
matches plans.
v
2'
Yes . ❑ No TXV is installed or Fan flow has b�n'verified. If no TXV,
verified fan flow matches design;frorolCF-1R.
Measured IF`atiF1'ow =
��r ❑ ❑
Yes for both 1%and 2 is a?ass Pass Fail
1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in
conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -611
signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements
for compliance credit.)
Tests
Sigi at Installing Su contra (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A72
INSTALLATION CERTIFICATE
— (Page 3 of 13) C J -6R
Site Address i, ;�; , ( Perm ;
it Numher
.'DUCT LEAFAGE: AND DESIGN DIAGNOSTICS
91 DUCT LEAKAGE REDUCTION
Pressurization 'fest Results (CFM @ 25 PA)
Pan Flow Test Leakage (CFlvl)
If Fan Flow is Calculated. as 400 cfin/ton x number of tons, or as 21.7 x Heating Capacity . ' G�
in Thousands of Btu/hr, enter calculated value here ;!!
If fan flow -is measured, enter measured value here
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) _
Pass if leakage fraction _5 0.06 ❑
Pass Fail
❑ Tor AEROSOL TYPE SEALANTS ONLY - The 6110ving diagnostic testing ryas completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑
Pass Fail
THERDIOSTATIC EXPANSION VALVE (TXV)
® Yes ❑ No Thermostatic Expansion Valve is installed and Accu / 1'
provided for inspection �� l
Ye' s -is a pass ' Pass ail
❑ DUCT DESIGN 'A .
I ❑ Yes ❑ No ACCA Manual D Design calculations have been
completed, Duct Design is on the plans and duct installation
matches plans. i
2• ❑ Yes ❑ No ' TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow =
Yes for both I and 2 is a Pass
❑ ❑
Pass Fail
1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in
'conformance with the requirements for compliance credit. [The builder shall provide the HERSprovider' a copy of the CF -
6R
signed by the builder employees or sub-contr tors certifying that diagnostic testing and installation meet the requirements
for compliance credit.]
Tests i re, a.e -Installing Subcont ctor (Co. Name) R
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms
August 2001
A-25