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SFD (04-8297)BUILDING & SAFETY DEPARTMENT O. Box 1504 (760) 777-7012 ALLE TAMPICO ; FAX (760) 777-7011 -A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 .BUILDING PERMIT plea umber . . . . 04.00008297 Date 3/18/05 per O dress, 81420 NATIONAL DR 767-570-008- - - Ap lic ion description . . . DWELLING - SINGLE FAMILY DETACHED Pro y Zoning . . . LOW DENSITY RESIDENTIAL Application valuation . . 342299 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 ------------------------- 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 843.00 PATIO' SQ " FTG 69 8. 00 NUMBER OF UNITS 1.00 ----------------------------------- 1ST FLOOR SQUARE FOOTAGE 3917.00 Permit . . . . - -- --.-------- BUILDING -,'PER IT ----- - - ---- Additional desc Permit Fee 1490.00 Plan Check Fee 968.50 Issue Date . . Valuation . . 342299 Qty Unit Charge Per Extension BASE FEE 639.50 243.00 3.5000 THOU BLDG 100,001-500,000 s` 850.50'" ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL\ Additional desc Permit Fee . . . . 109.50 Plan Check Fee 27.38 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension. ,BASE FEE,, "'_- -MECH' '<=100K 15.00 `` 2.00 9.0000 EA• FURNACE ` -'i8. 00 2.00 9.0000 EA MECH BIC <=3HP/100K BTU 18.00 P.O. BOX 1504 78-495 CALLE TAMPICO VOICE (760) 777-7012 � FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT 1. Application Number: 04 -B-xGI 1 r� Date: �� '� 05 - Applicant: Architect or Enginee : X4- fAe t G Sf oft Applicant's Mailing Addres rchitect or Engineer's Address: 13 C ter 00 MAf- P lQ a SrtLki2, Nor c. No.: L' - a 4409. L '' 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 �e, and License in full force and effect. ice nse Classss cense No. ate 3 ontractor E� 1 ty(� . 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 of the work for which this permit is issued. I have and will maintain workers' compensatio surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ssue y w rkers' compensation ins ce carrier and policy number re: crier e \ icy Number n _ 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. 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 Quinta, its officers, agents and employeesfor 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 ter upon the ab ve-mentioned property for inspection purposes. ate d. Signature or Agent): Page 2 Application Number . . . . . 04-00008297 Date 3/18/05 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 . . . . 168.96 Plan Check Fee 42.24 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per - Extension BASE FEE 15.00 3917.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 137.10 843.00 .0200 ELEC GARAGE•OR NON-RESIDENTIAL 16.86 -------------- - ------------------------------ i - Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 187.50 Plan Check Fee 46.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 36. PLAN 4A -OPEN, 3917 SF. PERMIT DOES -NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. -------------------------------------------------- Other Fees .. ... . . -------------------------- . . . . ART IN PUBLIC PLACES -RES 355.74 DIF COMMUNITY CENTERS -RES 97.00: DIF CIVIC CENTER - RES 366.00 Page 3 Application Number ---------------------------------------------------------------------------- 04-00008297 Date 3/18/05 Other Fees . . . . . . ENERGY REVIEW FEE 96.85 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 1 .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 34.22 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 .Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1970.96 ------------------------------ .00 .00 1970.96 Plan Check Total 1085.00 .00 .00 1085.00 Other Fee Total 2891.81 .00 .00 2891.81 Grand Total 5947.77 .00 .00 5947..7.7 DEC -07-2005 WED 09:15 AM Ehline Co I FAX N0, 7607718131 P. 03 12/07/2005 10:07 FAX PARABONPSCHIMID vu�i�vo INSULATION CERTIFICATE This is to certify that insulation has been Installed In confoMnce with the current energy regulation, California Administrative Code, Title 24, state of California, In the buodino at 11 LOT 38 PHASE 4, LA GUINTA, CC ti NORMAN ESTATES, O A CEIL THICKNESS: R-38 TYPE: BATTS MANUFACTURER: Certaintsed AL THICKNESS: R-19 TYPE: SATTS MAUNFACTURER- Certelnteed GENERAL CONTRACTOR: EHLINE co BUILDERS LICENSE BY: TfTLE; PARAG SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY TITLE: ACCOUNT REPRESENTIVE DATE: JAN 23,2006 11:07 BCI*TESTING,ril 0,00706.0-00000 L, CFRTIFIC:ATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R GREG NORMAN ESTATES Projuct Title P11-4 61420 National.Drive LaQuirtla.-.CA.9225 Projekt Address Duct Diagnostic Leakage Testing Result.: (M x nium 6% Duct Le'akake) . Brian Brown 760-427-72h,) ..: Builder Contact TclWhore ` Rcx Graham (CCIV i'('(.'2004077) 602-999-1356 HiiRS•Rater ' C.�•�.�:' �.•G•t.•rr.L Telephone' . 12-12-05 ' Certifying Signature nate 12-12-05 Date F.HLINE CO. -- Builder Name Plan 4 (pK. I of 1► Plan Number' Group 3 Samplc Group Number 36 (ph 4) . , _ Sample Hnuse Number Firm: 1301 Tesling _ Aliks Provider.. CALCERTS streetAdduvss: 41800 Washin'ITt0l1 St•, (3105-314 ;iyis,awZ;p: Bcrmuda Dunes, ('A 92203 Copies ur Nuilder, IIF.RS Provider HERS RATER COMP ANCE STATEMENT The house was: ❑ Tcstcd Approval as'part ofsampte testing, but was not tested As the HERS r4ter pruviding.diagnostie tes 'ng and field verification, l certify that the houses identifiutl on this lb o comply with the diagnostic tested enmpluarwee requirements as checked on thL, form.. ❑ The installer has provided a copy uf'Cr-6R (Installation Ceitifctitc. ❑ Disirihution system is fully ducted (i.e., dna- not me huilding cavities as plenums or platform rdi ns in lien of ducts) ❑ Where cloth hacked, rubber adhesive duct ape is installed, mastic and drawhandx aro used in combination with cloth hacked, rubber adhesive duct tapc,Urscal Ieuks at dtict connections. ❑ MINIMUM REQUIREMENTS FORS DUC l' I.EAICAG'E REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Result.: (M x nium 6% Duct Le'akake) . C_� >�( Measured �' �-. Duct PressurizationTcst.Rc6,iW%-(CFM (p) Pa) F '�„ values . Tust Luakabe Flow in (;FM If 1411 Ilow is calculated as 400cWton/x mmuhcr ul' ums'entcr calculated i ! value here If fan flow is measured enter measured value here Leakage Pun:cnurgc (lUb x`t'ect LeakagclNan blow)= Check Box for Puis� or f eiI (Pass 6% or less) ❑ ❑ Pass Fail ❑ THERMu!rTATIC EXPANSION VALVE gXV. D Yes ❑ No Thermostatic Expansion Vulve'is"installcd3ind-Acetas is' for inspection 13 13provided Ycs is a pass Pass Fail O MINIMUM HEOVIREMENTS FOR DIK'T DESIGN COMPLIANCE CREDIT 1 ❑ Yw; (] No ACCA Manual D Design requirements have been met (rater has vcrilled that actual insUillatiun rn itches'values in CF -I R and design on plan. 2- ❑ Yes ❑ No TXV is installcdorFan flow has.bceri verified. IfnoTXV, verified fon flow matches design from CF -IR, Measured Fan Vluw = ❑ ❑ YesTor both I and 2 is a Pass Pass Fall ' Compliance Forms August 2001 A-16 Page 5 INSTALLATION CERTIFICATE a i (Page 3 of 13) CF -6R j' Site Address — I' I , Permit Nu nber� l ; 'DUCT LEAKAGE? AND DESIGN DIAGNOSTICS' DUCT LEAKAGE REDUCTION! Pressurization Test Results (CFM @ 25 PA) Z� Fan Flow Test Leakage (CFM) i .' If Fan Flow is .Calculated.as 400 cfin/ton x number of tons, or as 21.7 x Heating Capacity (. . I G in Thousands of Bfu/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 ro ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing Inas completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: Cl Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections K THERMOSTATIC EXP Yes ❑ No ❑ DUCT DESIGN VALVE Thermostatic Expansion V provided for inspection and Acc yss is Yes is a pass J 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 -IR. I Measured Fan Flow = Yes for both 1 and 2 is a Pass ❑ ❑ Pass Fail 0 El Pass FI W ❑ Pass Fail PJ 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.) Tests S' Installin%Su Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) ; - Building Owner at Occupancy uompuance t-orms August 2001 A-25 1 i. INSTALLATION CERTIFICATri,,i �i ., ; (Pa e 3 f 13 Site Address ; I ! :'Permit Nu'mkier. IJCT LEA,ICAGE'AND'DESIGN DIAGNOS'T'ICS i{ 3i' I'd DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM) –1,00— If fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity F. 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 < 0.06 ❑ Pass Fail ❑ For AEROSOL TkTE 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 THERMOSTATIC EXPANSION VALVE (TXV) W Yes ❑ No ❑ DUCT DESIGN u 2. Thermostatic Expansion Valve is instal-6ri Access is provided for inspection / Yes is -a pass/ / ❑ Yes ❑ No- -ACCA Manual D Design calculations have beef] completed, Duct Design is on the plans/and duct install matches plans. ❑ 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 = pass al W' ❑ Yes for both 1 and 2 is a Pass Pass Fail V@ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with life 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 ! S la e, a Installing Subcon ctor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy uompuance corms August 2001 A-25 �� +:I:, Ili t`� •.I l I EI kit �I; i �� :Ijl INSTALLATION CERTIFICATE .+ I. I � I i+ I , FIS I1, +e i. I,I i.l' I � i • II: (,' ( (Page'31 of 113)+ + ! ' i.. Cr 6R ,Sire Address i I it 6I j Tel Number -I , r 'DUCT L%EA"GE.A D_ DESIGN DIAGNOSTICS ® DUCT LEAIfAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Pan Flow Test Leakage (CFM) ;L- r I If Fan Flow isCalculated as 400 cfin'/ton x number of tons, or as 21.7 x Heating Capacity ;! 1! i - ; ! in Thousands of Btu/hr,' enter calculated value here '; ? 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 ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The"foll6wing.diagnostic testing was, completed: I 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 InspectionofDuct Connections ❑ ❑ } Pass Fail IN THERMOSTATIC 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 --c Iculatiiins have been completed, Duct Design is on the plans and duct installation matches plans. V i� I 2• ❑ Yes ❑ No TXV is installed or Fan flow;has been verified. If -no TXV, . verified fan flow matches desfign fiom CF -IR: Measured Fan Flow = ❑ ❑ Yes for both I and 2 is a Pass Pass Fail VA 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 o certifying that diagnostic testing and installation meet the requirements for compliance credit.] • ��•� blf',Ila fill G, LdLG Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name OR General Contractor (Co. Name) Compliance Forms Au ust 2001 9 A-25