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SFD (05-0309)T-Vf 4 4 a" P.O. BOX 1504 X-495 CALLE TAMPICO LA PI.NTA,,.CALIFORNIA 92253 BUILDING PERMIT Vation Number rty Address_. v: pplication description Property Zoning . . . . Application valuation . Owner NORMAN ESTATES II C/O MEDALLIST GOLF DEVELOPMENT 501 NORTH AlA JUPITER FL 33477 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 (0.5 OOC-003_09� Date 2/02/05 81400 NATIONAL DR 767-570-007- - - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 363387 Contractor ----Z_ 7(7,=-,°��------- - - ---- EHLINE COMPANY 55375 MEDALLIST DR LA QUINTA CA 92253 (760) 771-8130 WCC: STATE FUND WC: 2290006783 01/01/06 CSLB: 482086 11/30/05 CCC: B ------------------------=- Structure Information ------------------------- Construc tion Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . ... . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS ' 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 843.00 PATIO SQ FTG 461.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE.FOOTAGE .4217.00 Permit . . . . . . ELEC-NEW RESIDENTIAL' ° Additional desc . . Permit Fee . . . . .179.46 Plan Check Fee 11.22 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00' 4217.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 147.60 843.00 ---------=------------------------------------------------------------------ .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.86 Permit . . . . . . BUILDING PERMIT 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 r P.O. BOX 1504• 'G`�� 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: 05- 309 1 at,:3 •ay .or Applicant: Applicant's Mailing Address: o�(,T%Acio� t hitect or Engineer: Sir kvi4ec_�- I ry Architect or Engineer's Address: /V7+ly y' C- Lic. No.: Ru 409 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 Code, and my Licens' in full force and effect. f r1 w�QQ/� License Class License No. yga (JU(O C-6/ate-3198.105Contractob' 2&c� � 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.). L) 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 Xof 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 Policy Number 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. ,pate 205 Applicants✓ Ehitn Co 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 /Date constrand hereby authorize representatives of this county to ter upon the above-mentioned property for inspection purposes. G 0 Signature (Applicant or Agent AZ Page 2 Application Number . . . . . 05-00000309 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 109.50 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 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 . . . . 211.50 Plan Check Fee 13.22 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 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 Special Notes and Comments SFD --LOT 37, 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 DIF'COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 . f Page 3 Application Number . . . . . 05-00000309 Date 2/02/05 ---------------------------------------------------------------------------- ' Other Fees . . . . . . . . . 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 JAN 23,2Q06 11:07 BCI*TESTING,ri1 000_000-00000 Page 6 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TF,SSTIN(: (Page 1 of 7) CF -4R 6RE(i NORMAN ESTATES P11-4 . 12-12-05 Project Title Date dj6j81400 NF1ional.TWrivc La Quinta, CA_._92253 '_. • I:HLINE. M. Projei t Address Builder Namc Brian Brown 766,427-72.88.. Plan 4 (pg, I of l) Builder Contact Telephone Plan Number Rex Graham ((Y'N :CC20(. 4017) , 602-999=115(1 . Group 3 HERS Rater � Telephone Sample Group Number 12-12=05 37(0114.) Certifying Signature Date Sample House Number Firm: RCI 'Testing tteliS Provider: CALCERTS . . Street Address: 41$00 WashlTigitrtt Sl., lid 05-3.14 liry/State/Zip; Bermuda Dunes, CA 4220:3 Copia to-, Builder, HERS Provider HERS RATER COMPLIN NCE STATEMENT . The house was: ❑ Tested Approved as part of sample testing, but. was not tested As the HERS rater providing,diag-nosti ting and field verification', i certily that the houses identified on this form uimply with the diagnostic tested compliance reyuin:rnente as checked on this form ❑ The installer has provided a copy ot'C:F-6R (Installation' <..'eruficate'. ❑ Distribution system is; fully ducted (i.e., docs nut use building cavities as plenums or platform returns in lieu of ducats) ❑ Where cloth backed, rubber adhesive duct tape is insfalled, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at ducat connec-Lions. ❑ MINIMUM RF.QUIREMEN'1-, FOR DUCT LEAKACr RF1?UCT1ON COMPLIANCE CREDIT Duct Diagnostic Leakagc Tcstiag Results (Maximum 6% Duct Leakage) . Measured Duct Pressurization Tact Results (CFM (u) 25 Pa) values Tc, --t Leakage blow in CFM If fan flow is calculated as 400cfhhVton x number of tiiri i eniar calculated •• value hart If fan flow is mearurul, ).niter measured value here Leakage Parecntage (100'x Test: LcakagdFan Flow) _ Check Box for Pa'ss or,Fail (Pass=69/6 or less) ❑ ❑ rags tail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic: Expansion Valva ir'installed-and Access is ❑ ❑ provided for inspection Ycs is a pans _ Pass hail ❑ MINIMUM REQUIREMENTS FOR DUCT'DESIGN• COMPLIANCE CREDIT l ❑ Yes ❑ No ACOA Manual U thsig4 rcguircmcnts have been,met (rater has verified that actual inKtadlaiion maitc�hes values in C11 -Ili and demign on plan. 2 ❑ Yes [INo TXV is installed orTan flow has been'verilied: If no TXV, vuriCrcl fan flow m4t6hes iiesign from C:F-1R. Measured Fan blow = ❑ ❑ Yek for both I and 2 is a Pass Pass Fail Compliance Forms August 2001 ' ' A-16 INSTALLATION CERTIFICATE i I';'.�'� ' :� I•.I�'�i ,�, it fj�i.�-ic�t f Itai; (Page 3 of 13) CP -611 Site Address i:' ,if.., i I ! l .Permit Number' DUCT LEAIC4,GE, AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM)�� 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 fraction:5 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 I EJNo 11Visual Inspection of Duct Connections [] ❑ Pass Fail & THERII7.OSTATIC EXPANSION VALVE (TXV) KJ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Irj ❑ Yes is a pass Pass Fail C] DUCT DESIGN I' ❑ Yes ❑ rto 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 from CF -1R. Measured Fan Flow ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail to 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 -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] TestsI t' fgnatur , Installing Subcontrac�(Co.Name) R Performed G 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,l is ,� .�1;. •� � � �. INSTALLATION CERTIFICATE (Page l of b) CF- 6R �I ,I i r� hit 11 :. l ua DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calylated as X400 cfin/ton x number of tons, or as 21.7 x Heating Capacity, i 1 ` in Thousands of Btu/hr, enter calculated value here e��40 I If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) Pass if leakage fraction _< 0.06 ❑ ❑ ElFor AEROSOL TYPE SEALANTS ONLY- The foil- ing diagnostic testing was completed: Pass Fail Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes 111,10 ❑ Pressure pan test or House pressurization test EJ Yes ❑ No ❑ Visual Inspection of Duct Connections [] ❑ Pass Fail THERMOSTATICEXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN 1' ❑ Yes ❑ No ACCA Manual D Design calculations have beers 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 = 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 s-contracto certifying that diagnostic testing and installation meet the requirements for compliance credit.) 1 4 l Tests S> �atnre,'� Installing Subcontractor (Co. Name) OR Performed COPY TO: Building Department General Contractor (Co. Name) HERS Provider (if applicable) Building Owner at Occupancy Uompliance Forms August 2001 A-25 j' �o I I t j { NSTALLATION CERTIFICATE i (Page 34 13); ' ' CF -6R I Site Address ( I ! I .:,, t. ,aR t ':�ermitNumber• - -DTJCT LEAKAGE AND DESIGN DIAGNOSTICS C DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM)' 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 Pass if leakage fraction _< 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TOTE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rougli-in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ElPressure pan test or House pressurization test ElYes ❑ No ❑ Visual Inspection of Duct Connections [] ❑ Pass Fail C� THERnIOSTATIC EXPANSION VALVE (TXV) (� Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ 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. 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 = 11 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 -contract rs certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests l ! ature, Date C � Installing Subcontract (Co. Name) O Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A=25 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 37, PHASE 4, LA OUINTA CA CEILINGS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38' WALLS: TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS: R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE # BY. TITLE: PARAGON HM ING PRODUCTS A MASCO Company LICENSE # 221517 BY. TITLE: ACCOUNT REPRESENTIVE DATE: vooi000 @I