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04-8121 (SFD)`yl P.O. Box. 1504 �F�Q�rw AMPICO ,IFORNIA 92253 BUILDING PERMIT AppAicatiWA .J. . . Property Address t APN: i Application description Property Zoning . . Application valuation . . 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 04-00008121' Date 02 2 05 / / 81460 NATIONAL DR 767-570-010- - - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 342299 Contractor 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 ------------------------- 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 698.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3917.00 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 Permit . . . . BUILDING PERMIT 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 100,001-500,000 850.50 1 P.O. Box 1504 •/// VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 _?1 2 I I Date: �• 1 %•05� Applicant: Applicant's Mailing Address: Y 1 r Architect or Engineer: VIC(kV\ L i . crly I�i Architect or Engineer's Address: Lic. No.: l aLlwoq 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 Che, and my License is -r full force and effect. ,4icense Class License o. —ate - I' Contractor ✓ f-1/1 I (17 If,(G 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 d. M U kers'rcompensation insurance carrier and policy number a Carrier 1.54-M GI Policy Number __ 229000 _ 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, 1 shall forthwith comply with those/provisions. ✓Date!' /" I I - D "' Applicant _ T'kl f ( n e.- (o 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, and hereby authorize representatives of this coAtoa uponthe above-mentioned property for inspection purposes. /Date �� Signature (Applicant or Agent): Page 2 Application Number -- ------------------------------------------------------------------------- 04-00008121 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 27.38 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension a_ 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 . . 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 .Special Notes --------------------------- and Comments SFD - LOT 34. 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 ENERGY REVIEW FEE 96.85 DIF FIRE PROTECTION -RES 97.00 Page 3 Application Number ----------------------------------------------------------------------------- . . . . . 04-00008121 Date 2/02/05 Other Fees . . . . . . . . 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 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 5947.77 JAN 23,2006 11:07 BCI*TESTING,ril .000-000-00000 Page 3 CERTIFICATE OF FIELD VERIFICATION•AND DIAGNUS'fIC TESTING (PuEe I of 7) CF4R GREG NORMAN ESTATES P11-4• 12-12-05 &oject Title _ irate 91,160 National Drive. l,a Ouinta, CA 92253 E1 LINE CO. _ I'rckjcct Address Buiidcr Name Brian Brown 760-427-72RR Plan 4 (pg. I of I) _ 6uildt-r Contact 'I'elephonc Plan Numhcr ltex Graham (('('N :VC2004O?7) 602-999-1356 Group Group I IERS_ Rater . Tcicphunc ..Sample Group Number 12_,12-05 •34 (ph 4). t,�i�j�.. ..�: Ali✓►'1<......_ ...: Certifying Signature Date Saeitple Ilouse Number Firth; 110.1'estinB [iLikt frovidcr:. CALCER-1"S Slit nddr. s: 41800 Washington St., R 105-314 taty�5tatc/2ip= Bermuda Dunes- CA 92203 Copies to: Builder, HERS Provider HERS RATER COMPI ANC STATEMENT The house was: ❑ TvAud Approved as'part of sampkius(ing, but was not tested As the HERS rater providing diapobuc testing and Bald verilicxiUon, !.certify that the houses itivmtilied on this form comply with the diagnostic tested compl,amc:u rcxiuimments as checked on.this-form. ❑ The installer has provided a copy nl•Ci°-6R (Installation Ccitificatc- ❑ Distribution system is fully disr, i (i.e., douti not use building cavities as plenums or platform returns in lieu of t1twN) ❑ Whem cloth hacked, rubber adhesive duct tape is inztalW, mastic and drawban& are used in combination with cloth backed, rubber adhesive duct lapc to smil leaks at duct cunnci titins. Q MINIMUM REQUIREMENTS POR DUCT LEAKAGE. REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing RcsUhs (Maximum 6% Duct Lexkaze) Measured Duct Pressurization Test Rcvulw (CCM (n), 25 Pa) values Tc4 :cxtkage'I-'lnw in CFM If fan flow is calculated as 41NIcfnVton x number of -tone. enter calculated vabac be:re Klan How is measured enter mcasui=I value liere Lcakagu PMunlage,(100 k Test Lcakajedan Mow) Oiwk Box for Nass or Fail (PNst =6% or less) ❑ ❑ Pass Fail ❑ THFRMOS'1'A'I'IC &WIANSION VAGVF (TXV) ❑ Yes [3N, 'I'hcrmostatic Expanxit)n Valvais:instailed and'Acoi s is ': -' provided ter Inspection (' ❑ Yes is a pati% Pass Fail ❑ MINIMUM REQUIREMEM FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Ycs ❑ No ACOA Manual D Design requirements have been mut (raver has verified that actual insul1atuip•matchi:,, values In CF -1 It and _ design on plan, 2- ❑ Yes ❑ No TXV is installed or .Fan flow has been v�7iCtcd..11',mo.TXv, verified fan flow rnatchuk design lam► CF -1 R.. Measured Fan Flow = ` 0 0 Yes for both*1 and 2 is. Pass Pass Fail Compliance Forms August 2001 A-16 ' 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 a NORMAN ESTATES, LOT 34, PHASE 4, LA QUINTA CA CEILINGS: TYPE: BATES MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS: R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE # BY: TITLE: PARAGON CHMID BUILDI G PRODUCTS A MASCO Company LICENSE ## 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: /:;2A1_05 INSTALLATION CERTIFICATE t� (Page 3 of 13) CF -6R itAddress - � I ' '• ~^�' I::Se r . ! : I L .•;;Permit Numller. • ' it ,Ar: �I ' !i!I 'I I .4 .. ° (�i, 111 ,/. LEAKAGE,`AND DESIGN DIAGNOS'T'ICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFNI @ 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 �l •' �? 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 TITE SEALANTS ONLY - The following diagnostic testing was completed: i. Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ 11I0 ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ I � Pass Fail THERMOSTATIC .EXPANSION VALVE (TXV) Mj Yes ❑ No Thermostatic Expansion Valve is installed and Access is I provided for inspection ® ElYes 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, t . verified fan flow matches design fi•om CF -IR. Measured Fan Flow = C] ❑ Yes for both 1 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 HERSrovider' a copy py of the CF 6R signed by the builder employees or sub -contra tors certifying that diagnostic testing and installation meet the requirements for compliance credit.) 1 a� Tests t aur , Installing Subcontract (Co. Name) OR Performed COPY TO: Building Department General Contractor (Co. Name) HERS Provider (if applicable) Building Owner at Occupancy Uompllance Forms August 2001 A=25 i ji - INSTALLA ION CERTIFICATE . e t. 3 of 13) CF,-6II Site Address -- I 'JP ernufNumber 'DUCT LEAFAGE AND DESIGN DIAGNOS'T'ICS R� DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM 4;)),; PA Test Leakage (CFM) Fan�Flow 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 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 iTas 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 ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXI� 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 -IR. 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.) Tests gn . ue, 1J Installing Subcontrac r (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 .INSTALLATION CERTIFICATE, DUCT LEAKAGE 'REDUCTION Pressurization I est Results (CFM (a,) 25 PA) Test Leakage (CFM) Fail Flow If Fail 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 i.. 12 If fail '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 FINISHYNG WALL: El Yes No ❑ RreSpLire pan test or House pressurization test El Yes El No ❑ Visual inspection of Duct Connections Pass Fail �j (l?affi 10! 1 1 j 61 VQ 3 of 13) CF -611 -.gTHERA'IOSTATICEXPANSION VALVE (TXV) ItJ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ -,hs is a pass Pass Fail ❑ DUCT DESIGN 0 Yes,� No--"� ACCA-Maniial D Design calculations have been completed, Duct -Design is on the plans and duct installation matches plans. 2.❑Yes ❑ ,NoL T X , V is installed or Fail flow has been verified. If no TXV, Jerified fan flow matches design from CF -1R. Measured Fan Flow El B Yes for both I and 2 is a Pass Pass Fail ro 1, the undersigned, verify that the above diagnostic results tilts IV, I arid the work I performed associated with the test(s) is ill conformatice with the ke4i�iire-ineiits-f6i'coi-npliaiice credit. [The builder shall provide the HERS provider' a copy of the CF -6R signed by tile builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.], Tests re, a.. Installing Subcontractor jCo. Name) OR Performed COPY TO: Building Depailnierit, General Contractor (Co. Name) HERS Provider (if applicable) 136ildiiig.Owner at Occupancy Compliance Forms August 2001 A-25