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SFD (04-8119)U BUILDING & SAFETYDEPARTMENT .O. Box 1504 (760):777-7012 C� OF 9 h 7 495 CALLE TAMPICO ' FAX (760) 777-7011 LA UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Ql �,BUILDING PERMIT �,`h��► ation Number . . . . 04-00008119 Date 2/02/05 Pry erty Address .c 81380 NATIONAL DR N: 767 -570 -006 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 323904 .b 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 01/0.1/06 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 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG „r 646.:00 PATIO "'SQ 'FTG `7'29. 00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE.FOOTAGE .3732.00 Permit ELEC-NEW RESIDENTIAL` Additional desc Permit Fee 158.54 Plan Check Fee 9.91 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE. FEE 15.00 3732.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 130.62 646.00 :0200 ELEC GARAGE OR NON-RESIDENTIAL 12.92 ---------=------------------------------------------------------------------ Permit . . . . . . BUILDING_PERMIT Additional desc Permit Fee . . . . 1423.50 Plan Check Fee 231.32 Issue Date . . . . Valuation 323904 Qty Unit Charge Per Extension 'BASE 'FEE- 639.50 224.00 3.5000 THOU BLDG 100,001-500,000 784.00 P.O. BOC 1504 78-495 CALLE TAMPICO Tiff 4 LA QUINTA, CALIFORNIA 92253 BUILDING cot SAFETY DEPARTMENT Application Number: 04 -PIN Applicant: Applicant's Mailing Address: UO /\/ 7-XIL) C Tof VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 "bate: 3 •cR4y� chi ct r Ennine u-� �oac� �rr��il�ed-� Fran1�51-nt�z: Architect or Engineer's Address:- 7: ddress:r A/ wIr rr Lic. No. tsUILUING 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 ¢ode, and my Licens in full force and effect. � , r ��Q�� ✓Liccense Class License No. q Lpate A 106 Contractor XF-Wine 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 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. 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 C s ed,�uly wo ers' compensation insurance carnee jp l&3umber are - Ca der . 4R {—fi,�� Policy Number/ c(aL`'10p0 (,, r7 8A_ _ 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 comply with those provisions. —bete Applicant► —a lute, 0, 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 thisapplication 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 Ouinta, 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 county to t r upon the above-mentioned property for inspection purposes. —mate 05 Signature (Applicant or Agent):/ Page 2 Application Number . -------------------------------.---------------------------- . . . . 04-00008119 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 ------7---------------------------- MECHANICAL . Additional desc Permit Fee . . . . 109.50 Plan Check Fee 6.85 Issue Date . . Valuation . . . . 0 ' a ;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 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 203.25 Plan Check Fee 12.70 Issue Date . . . . Valuation . . . . 0 Qty :Unit Charge Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE 132.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 15.0000 ----------------------------------------------------------- EA PLB GAS METER 15.00 Special Notes and Comments SFD - LOT 38. PLAN 3A, 3732 S.F. 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 309.76 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number ---------------------------------------------------------------------------- . . . . . 04-00008119 Date 2/02/05 Other Fees . . . . . . . . . ENERGY REVIEW FEE 23.13 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 32.39 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1909.79 -------------------- .00 .00 ---------- 1909.79 Plan Check Total 260.78 :00 .00 260.78 Other Fee Total 2770.28 .00 .00 2770.28 Grand Total 4940.85 .00 .00 4940.85 JAN 23,2006 11:08 BCI*TESTING,ri1 000-000-00000 Page 7 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Pace I of 7) CF 4R GREG NORMAN ESTATES PH -4 12-12705 Project Title Date 91.390 Nafiop.al Drive La El ....... Project Address 14uilder Name Brian,Brown 7610-42777288 Plan 3. (pg. I a 1) BuildcrConW.ct. Telcolione Rex Graham ((-'('W.:. ("('2004077) 602-999-13 50 Plan Number Group 3 I WAS Rater Telcphono.. Sampic Group Number 12-12-05 38 (ph 4) CULifying Si6natUrl! DaItc SampicHouscNumbcr Finn: BCI Testing HERS Provider: CAL.CERTS Street Address: 4180OWashington St.,,-Bi..05-314 . City/-StatJZjP,- Bermuda Dunes, CA 02203 Copies to: Builder, HERS Provider HERS RATER COMPLNCH; STA'T'EMENT The house was: ❑ Tested Approved as pan of sample testing, but was not tested As the HFFS later providing diagnostic and fluld'vefification I certify that the houses identified on this form Comply with the diagnostic tested compfianm requirements as checked on this film]. 0 The installer has provided a copy of CF -6R (Tustiill.ation Certificatc. 0 Distriflution -sysLwn is fully ducted (i.e., does riot use building cavities as plenums or platform returns in lieu oklueLs) nWhere cloth backed, rubber adhesive duct tape is.imstalici], mastic and drawbun& are used in combination with cloth backed, rubber adhesive duct tape to seal leaks. at diict connections. [IMINIMUM RFQUIRFMENTS FOR DUCT LEAKAGE -RF,r)tX'TI0N COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Result% (Maximum 6% Dud Leakage) Measured Duct Pressurization Test RestilN ((FM (q) 25 Ila) values Test Lcakagc,Flow in CFM Il' fan flow is calculated as 400cl'ot/tan x number of thns'chtcr calculated valu6 here II' Ian Ilow is measured enter mcasurixi.valtic hen; f,elikitge Percentage (100 x T.csttcitkagc/F.an Flow) Check Box for Pass or 1'aiH'Pas*S--6% or'ics.) [Y 11 Pass Fail ❑ THFRmos'rA:rjc EXPANSION VALVE (TXV) [I Yes [3No Thermostatic Expansion Valve is installed and Access is provided for inspection 0 11 rev is a pas [lass rail ❑ MINIMUM REQUIREMENTS' FOR Dtj(-r DESIG.N COMPLIANCE CREDIT 1. El Yes 11 No A((.A Manual D Design requirements 'have been met (rater has verified that actual installation Tnati-hes vHlocs- in (.T-1 R and design oil plan. 2, ❑Yes 0 No TXV is installed OT Fan flow hH.4i beenJ&i) ied I I'no TXV, verified fan flow matches ttu-iibrii From CT -1 R. Wastired Fan Flow. — 13 13 yes For Firth I and 2 is it Pass Pass Fail Compliance Forms Augur( 2001 A-16 12/07/2005 18:49 FAX PARAGONPSCHIMID INSULATION CERTIFICATE 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 38, PHASE 4, LA QUINTA, CA CEILINGS: TYPE: BAITS MANUFACTURER; Certainteed THICKNESS: R•38 WALLS: TYPE: BATTS MAUNFACTURER: Certalnteed THICKNESS:,R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE # BY: TITLE: PARAG SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 By: ,.0 l.� ��< : t ti .-A"TITLE: ACCOUNT REPRESENTIVE DATE: Ia 002/007 .II .I Ili I II ',''� (� .• � t:1 I j:l• •�'. . k` � i •. •l ' I � I:I � y I.. �. ;i;1, ;'. u� Vii•; 'v( � ,. i' INS. AL"LATION CERTIFICATE, r 1 •1 I ige 3 of 13) Cr -fill - ;,:Sl ite Address'M DUCT ' DUCT i EA ACEI AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM Q.25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfin/ton x number of tons, or as 21.7 x Heating Capacity ' 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 &action < 0.06 ❑ ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: Dyes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections I , 91 'TIIERMOSTATIC EXPANSION VALVE I 'Pass Fail ❑ ❑ Pass Fail Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspectionElYes is a pass as Fail ❑ DUCT DESIGN 1' ❑ Yes ❑ No ACCA Manual D Design calculationshave been completed, Duct Design is on the plans and duct installation matches plans. 2' ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan .Flow = El 0 Yes for both I and 2 is a Pass Pass Fail I, 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 -6R signed by the builder employees or sub -cont r ctors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Tests is e, D to Installing ubcontraclor Co. Name) OR Performed COPY TO: Building Department General Contractor (Co. Name) ' HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-25 I i .i Il � Ic � II i. !' �:, !I u 1 � i• •� •t Ii. I i i ' � li' � i. � i i Ili ! � � :I6 i � :�� II a 11, � I; •.� I�1 h .ti: i i �t� , i , ':iii ;•, ..• � t i; i �� .I .. :. i��. , ,- . t ,., , ! �,.; I..• 1 � ,, � ,,' I, ! � INSTALLATION CERTIFICATE (Page3 of 13) CV -6R Site Address _ 4 i l i; it j Permit Numl►erk: tl Ili r4 I I �" DUCT I-EAIC&GEIAND DESIGN DIAGNOSTICS .' II DUCT LEAKAGE REDUCTION rressurizanon t est xestuts (( FIVJ L 25 PA) Test Leakage (CFM) Pan Flow If Fan Flow is Calculated as 400 cfin/ton x number of tons, or as 21.7 x Heating Capacity. in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here lJ Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction 5 0.06 ❑ ?ass Fail ❑ or AEROSOL TYPE SEALANTS ONLY - The foll0ving 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 C] No ❑ Visual Inspection of Duct Connections ❑ . ❑ Pass Fail El THERIIIOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection �] Yes is a pass ass Fail ❑ DUCT DESIGN I' ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes'. ❑ No TXV is installed or Fan flow has been verified. If no TXV, . verified fan flow matches design fi"om CF -1R. Measured Fan Flow = ❑ ❑' Yes for both 1 and 2 is a Pass Pass Fail I, 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 -6R signed by the builder employees or sub -c tractors certifying that diagnostic testing and installation meet the requirements. for compliance credit.4ir At— Tests ateel— Installing Subcontr ctor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance ForITIS August 2001 A-25 .f i I I' I �7 �i �'. . .,,� i' j °•�n �IN TA" 'LILATION CERTIFICATE of 13 CF -6R F . ..I :.� C -6R t✓ l L 1 N Gf�y'tL@�t 111 5 �S`C1P:T S Lo —1 #- Site Address t - I, i Permit Number I i DUCT I.,EAIUGEiAND'DESIGN DIAGNOSTICS' „'I+; i., ® DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 efin/ton x number of tons, or as 21.7 x Heating Capacity. in Thousands of Btu/Imr, 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 ❑ P1, 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 slmall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub-contrac s certifying that diagnostic testing and installation meet the requirements for compliance credit.] Ar Tests )ature, to Installing Subcontract r (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance ForiTts August 2001 I , ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Pass Fail 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 ❑ [l Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) IR' Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection �7 ❑ Yes is a pass Pass Fail CJ DUCT DESIGN I' ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matclies design fi-om CF -IR. Measured Fan Flow = ❑. ❑ Yes for both I and 2 is a Pass Pass Fail P1, 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 slmall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub-contrac s certifying that diagnostic testing and installation meet the requirements for compliance credit.] Ar Tests )ature, to Installing Subcontract r (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance ForiTts August 2001 I ,