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SFD (05-0312)BUILDING & SAFETY DEPARTMENT Box 1504 _ (760).777-7012 O C� 78- 95 CALLE TAMPICO - FAX (760) 777-7011 pWN�P QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . CO-577-00-0-3-1-2-7;>Date 2/02/05 Property Address . . . . . 81440 NATIONAL DR APN: 767-570-009- - - Application description.. DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . 284559 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/CONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001,CBC FIRE• SPRINKLERS' NO GARAGE SQ FTG 733.00 PATIO SQ FTG 911.00 NUMBER OF UNITS 1.00 ' 1ST FLOOR SQUARE FOOTAGE 3194.00 -------------------------------------------.---------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 145.01 Plan Check -Fee 36.25 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3194.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.79 911.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.22 ------- Permit BUILDING PERMIT Additional desc Permit Fee 1287.00. Plan Check Fee 836.55 Issue Date Valuation 284559 Qty Unit Charge Per Extension BASE, _FEE 185.00--------3_5000 THOU 1-500,000. BLDG-1OD,00+ .c`*,..639.50 647.50 --------------------'------------------------------------------ P.O. Box 1504 w VOICE (760) 777-7012 78-495 CALLE TaMPlCOFAX (760) 777-7011 La QUINTA, CALIFORNIA 92253 4 1,kSPECTIONS'(760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 05-312— Applicant: 5-31ZApplicant: Applicant's Mailing Address: Date: Architect or Engineer: Ra VI kI ' ;5 -t -o Its Architect or Engineer's Address: r Lic. No.: C.1- � q q 09 I3UILDING 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 License is -pi full force and effect. ��O�d� License Class J`7 "License No. `i /Date .�f I " Zntrrtor Eh h'rn-e, o 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 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 reed. Wy—worker ' compensation insurance carrier and olicy number are: Carrier jGj C {-LA YlPolicy Number �2�0004a—j¢j3 i _ I certify that, in the performance of the work for which this permit is issued, 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. y Date _ Applicant —I, 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 tha 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, and hereby authorize representatives of this county to r pon the above-mentioned property for inspection purposes. i Gate �f f' Signature (Applicant or Agent): e Page 2 Application Number . . : 05-00000312 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 31.88 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 164.25 Plan Check Fee 41.06 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 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 35, PLAN lA, 3194 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 211.39 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 83.66 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 rf Page 3 Application Number ------------------------------------------------------------------------------ . . . . . 05-00000312 Date 2/02/05 Other Fees . . . . . . . . . DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 28.45 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1738.76 00 .00 1738.76' Plan Check Total 945.74 .00 .00 945.74 Other Fee Total 2728.50 .00 .00 2728.50 Grand Total 5413.00 .00 .00 5413.00. DEC-07-2005 WED 09:15 AM Ehline Co FAX N0,-7607718131 P. 04 PARA60NPSCHIMIO ,' aj ~01 vvo 12/07/2005 10:07 FAX , INS ULATKIN CERTIFIGAT-k This Is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, Stele of California, In the building at NORMAN ESTATES, LOT 35. PHASE 4, LA nuINTA. CA THICKNESS: R-38 � TrPE�THIC gpnS MANUFACTURER: CeRelnteed ` TYPE; THICKNESS: R-19 TTS MAUNFACTURER: Certainteed , GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE p, BY: TITLE: PARAGO CHMID BUILDING PRODUCTS A MASCO'Company LICENSE # 221517 Yc k�E: ACCOUNT REPRESENTIVE DATE:— � I , . y • C i i i JAN 23,2006 11:07 BCI*TESTING,ril .000=000-00.000 Page 4 ' CEWFIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R GREG NORMAN ESTATES bla 1-1 12-12-05 Pmjuct Title _ Date 814.40 Naliunal D1ivs� La Quinta. CA 92253 1 Fol .11V1•: r`p_ Projcut Address I • . • Builder Name Brian firown 760-427-7299 Plan 1 (pg. 1 of 1) _:- Builder Contact Telephone Plan Number Rex Graham (('(.'N :. ('(.'200407 -) 602-999-135(; Group 3 Nl?RS Rater Telephone Samplc Group Number �jLct.� Q-12-05- • 3 5 (ph 4) Certifying Sil;matutu Date Sample [louse Number Firm: BC:l Testing HERS Provider. CAI.CERTS Street Address: 41800 Washington St,, 13105-:314pity/Stxtc/Zip; Bermuda Dunes, CA 92203 Copics w; fluilder, 11FAS Provider HERS RATER COMPL . CE STATEMENT The house was: ❑ Tested Approved ps part ol'sanylc testing, but was not tested As the 11 LRS rater pnwidmg diabmuatic tw• ing and field verification,-1 certify that the houses idcntiflui on this Ibno utmpby with the (finpostie ti..Aud uornpliance requiremenu as checked on this furm,� ❑ Thc'in.sullcr has providutlacopy ol'(;F-6R (installation ccrtificatc:`, ❑ L)istribution system ix fully duuted (i.e., dtwx not use building ;cavities as plenums or platform rctumx in lieu of ducts) ❑ Where clout hacked, rubber adhesive duct tape is installod ma4ic and drawbands aro used in combination with cloth hucketl, rubber adhesive duct tapeto.scal Leaks at duct .ci nnuctiunx. /. ❑ MINIMUM REQUIREMENTS10k DUCT L!!AKAGIE DVCTION COMPLIANCE CREDIT Duct Diagnostic Leakage T sting Results-(Maximum 6% Duct Liakaee) Measured Due Pressurization Test. Results (CFM 25 Pa)j . ' values Tcst Ccakagc Flow in CFM if fan flow is calculated as 406clir✓6)11 x numhcr of tons enter calculated value here - If len flow is measured enter measured value hcrc Lcakago Pemuntage (hal) a "rest Lcakage/Fan Flow) _ .hwk flux 1'01'P2* or Mail (Pass=60/o ur less) ❑ ❑ Paye Fail ❑ THERMOSTATIC FXPANSION VALVE (TXV) ❑ Yes ❑ No Thermoststio Fxpanxion Vulve is Uistalled Arid 'Access is provided for inspection ❑ ❑ Ycs is it pacts Pass frail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPI,IAN(:F. CREDIT ❑ Ycx ❑ No ACCA Manual f) M.4ign ruquirements have been met (rater has verilled that actual insiallation•matchcs'valucs in CF-IR and design on plan. 2. ❑ Yes ❑ No TXV is inshilled or Fan now has been verified. if no'lxv, verified fan flow matches design from CF4R. Measured ran Flow Fr o a Ycs••for both I and 2J-; a Pitgx Pass Fail Compliance Forms ..r August 2001 , A-16 ! i � ' `'�� ' •1 I ill . .3 �• � I t � .a I f f I ' a �: j P L�! I t i t I �� i1 I I IG+ t 1• r i INSTALLATION CERTIFICATE� � " (Page 3 of 13)" CF -6R b \_� L_ u Site Address Permit Number '— DUCT �A LEAICAGENDDESIGN DIAGNOSTICS 1I a ! DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) TL k est- ea age (CFM)_ Pan Flow If Fan Flow is Calculated as X400 cfin/ton.x number of tons, or as 21.7 x Heating Capacity,. " in Thousands of Biu/hr', enter calculated value here e7) I If fan flow is measured, enter measured value here Leakage Fraction = Test'Lealcage/(Measured or Calculated Fan Flow) _ Pass if leakage fraction < 0.06 ❑ For AEROSOL TYPE SEALANTS ONLY - The folloiving diagnostic testing was completed: Pass Fail E Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes 3 ❑ No ❑ Visual Inspection of Duct Connections. I i. [] ❑ Pass Fail Q� THERMOSTATIC EXPANSION VALVE (TXV) / Yes El No Thermostatic Expansion Valve is installed and Access is provided for inspection IYe�.,is ❑ a pass Pass Fail ❑ DUCT DESIGN 1. ❑ Yes ❑ No 2• ❑ Yes ❑ No ACCA Manual D Design calculations have been,, completed, Duct Design is on the plans and duct'installation matches plans. . t� TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design fiom CF -1R. Measured Fan Flow = 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 -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.404.0te- QS Tests Installing Subcontr ctor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A225 i.. INSTALLATION CERTIFICATI+R, i I ► h (Page 3 of 13) CF -W 1:'Sife Address 1� ' ;' :i u . : t j'• I :Permif Number, DUCT LEAKAGE; AND DESIGN DIAGNOS'T'ICS 191 DUCT LEAKAGE REDUCTION .Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM) If Fan Flow is Calculated as 400 cfm/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 ❑ 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 IM' THERMOSTATIC EXPANSION VALVE (TXV) ® Yes ❑ No Thermostatic Expansion Valve is installed and Access�is provided for inspection Yes is a pass DUCT DESIGN U I. ❑ Yes ❑ No ACCA 1vIanual 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 fiom CF -IR. Measured Fan Flow = Yes for both 1 and 2 is a Pass ,IQ El Pass Fail ❑ ❑ Pass Fail ip USt ❑ Pass Fail ❑ ❑ Pass Fail 93 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 requirenients for compliance credit.) Tests ur , Installing Subcontracto (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy t,ompuance corms August 2001 A-25 INSTALLATION CERTIFICATE i I i I? .•i ! I�• -� tge 3 sof 13) C.F-6I1 Site Address l I IPei �nif NumGer:, ' j ! ' 1;.,, • ;.r 1. ,. { ,.:� I ' DUCT' LEAKAGE AND DESIGN DIAGNOSTICS 1 iI ! ,� I., I - I j I.1 t:• L DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leake (CFM) P If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heatg Capacity. . VC in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(1\4easured or Calcillated Fan Flow) _ Pass if leakage_fraction <_ 0.06 ❑ For AEROSOL TYPE SEALANTS ONLY - The folloivin 'd' ' g iagnoshc testing was completed: f C•I �. Duct Fan Pressurization -rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: 6( ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections� THERMOSTATIC EXPANSION VALVE (TXI� ® Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ DUCT DESIGN l' ❑ 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 = R] ❑ Pass Fail ❑ ❑ Pass Fail /'Pass Fail �l ❑ Yes for both 1 and 2 is a Pass Pass Fail 19 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.) q Tests to -Installing Subcontr ctor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A=25