The URL can be used to link to this page

SFD (04-8118)BUILDING & SAFETY DEPARTMENT 504 (760).777-7012 _LE TAMPICO FAX (760) 777-.7011 CALIFORNIA 92253 INSPECTION REQUESTS (7'60) 777-7153 BUILDING PERMIT ppl E� Number 04-00-1--8- Date 2/02/05 r ty Address'814 IT'80 NATIONAL DR APN: 767-570-012- - -. Application description DWELLING'—SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 298162 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 CRC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 806.00 PATIO SQ FTG 514..00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3410.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 1336.00 Plan Check Fee 868.40 Issue Date . . . . Valuation 298162 Qty Unit Charge i Per Extension BASE FEE 639.50 199.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 696.50 Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . ..127..50 Plan Check Fee 31.88 Issue Date . . . Valuation p 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 BIC <=3HP/100K BTU 27.00 r ) P.O. Box 1504 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: OLI - 8 11 Fi Date: Applicant: Architect or Engineer:r a►�k 64 01tz_ Applicant's Mailing Address: Architect or Engineer's Address: -Lic. No.: C.` LI 0q 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 License -j5 in full force and effect. License Class /� I_, / License No. [-f "Date � '- _ V ^ Contractor' a I I rj L (11 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 issye �tyworkers' compensation insurance carrier armed olicy number are: Carrier SA.G(`I �. { to Via Policy Number ZL�06 >7 5 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. C/ Date L'—I I'" Applicant �1�! I (I�� 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 construction, and hereby authorize representatives of this county to u the above -men 'oned property for inspection purposes. /ate � � � It Signature (Applicant or Agent): f e . - . Page 2 Application Number . . . . . 04-00008118 Date 2/02/05 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 . . . . 150.47 Plan Check Fee 37.62 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3410.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 119.35 ,�. 806.00 ---------------------------------------------------_------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.12 „;. Permit . . . . . . PLUMBING Additional desc Permit Fee . . . 172.50 Plan Check Fee 43.13 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 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 56. PLAN 2A, 3410 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES 245.40 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ">' i r.,. J Page 3 ,Application Number -------------- . . . . . 04-00008118 Date 2/02/05 -------------------------------------------------------------- Other Fees . . . . . . . ENERGY REVIEW FEE 86.84 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 29.81 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1801.47 .00 .00 1801.47 Plan Check Total 981.03. .00 .00 981.0.3 Other Fee Total 2767.05 .00 .00 2767.05 Grand Total 5549.55 .00 .00 5549.55 J DEC -07-2005 WED 09:16 AM Ehline Co FAX N0. 7607718131 �-•P,..`07 12/07/2005 10:08 FAX PARABDNPSCHINID 1�uuiiwo.... r � • INSUh T10N CERTIFiC� - + This b t0 certify1stinstalled in conformance h ienergyhe current n the Wilding a regwation. Cal 18minlratNo Code, Title Stale of Callfomis NORMAN ESTATES, LOT 33, PHASE 4, LA QUINTA. CA ILINGS;THICKNESS: R -W TYPE: BATTS MANUFACTURER. Certainteed , WALL&THICKNESS: R-19 ' t 9ATTS MAUNFACTURER: Certainteed _ 47 ` LICENSE GENERAL COWpAdTORt EHLINE CO BUILDERS4 BY: :PARAG SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517' GATE: TITLE: ACCOUNT REPRESENTIVE , JAN 21 2006 11:07 BCI*TESTING,ril 000-000-00000 Page,2 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOST1C TESTTNG (Page I of 7) CF4R GRECY NORMAN ESTATES Pi1-412-12-05 Project Title -- nate �•4� R1840 Naliongl•.Drive La. Ouini.a, CA... 9.3--FHLINh CO...._ _._._..... ._ Project Address liuildur Name Brian Brown 760-427-7288 Plan 2 (pg, I of I) ' Builder Qmtgcl'-- _ Tulcphtinc Plan Number Rex Graham (C(W ; C('2004077) 602-999-1356 ' GrOup 2 HERR Rater Telephone Samplc Group Number (_ k-�- 6-ciet, . I2 -12 -OS 33 (ph 4) ('.urtifying Signature Date Sample Rowe NUmher Fimr BC1 Testing HERS Provider: _ CALCERTS Strcct Addn:ss: 41 x00 WashiriL,,tOn St., B 105-314 c;�yistate�zip: Rcrmuda Dunes. CA 92203 Copies us: Builder, HERS Ptnvider HERS RATER COMPLIANCE STATEMENT The house was: ❑ TestedApproved as parrof sample testing, huc,was nrrl tustcd Aa the HrRS rater providing diagnostic testing and field verification, l.ccrtify that the houSILN idenlilied on this form comply with the diagnostic tested compliance requirements as checked on this -form: ❑ The installer has provided a copy of ('.F -61t (Ingtallation Cenificatc•. [3 Distribution system is fully ducted (i.e., docs not use building cavities av plenums or platibrtn returns in lieu of ducts) ❑ Where cloth backed, rubber adhoxive duct tape is installed, mastic and drawbands arc used in combination with cloth backed, rubber adhesive duct tape w scat Icaks at duct uinnections. ❑ MINIMUM REQUIREMENTS FOR DUCT I`,FAKAc:F REDUCT11ON COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) • Mc:asunxi Duct Pnysurization Test Results (CFM (ei) 25 Pa) values Test Lcakabc.Plow in CFM If fan flow is calculated as 4011cfm/ton x number of tens't ntcTbuluulsit I a value here II' Ian flow is measured enter mumurud value her Leakage Percentage (100 x Test Lcukabe/Pan Flow) Cbcck Dux for Pass or Pail (11ass=6% or less) ❑ ❑ Pas% Fail ❑ TRFRMOSTATIC EXPANSION VALVL (TXV) ' ❑ Yes ❑ No Thermostatic Expansion Valve -i?; installed and Access is ❑ ❑ provided far inspection. :�• Yes is a Priv Pass Fait CI MINIMUM RE(JULMMENTS FOR DUCT DFSI(GN COMPLIANCE CREDIT 1 ❑ Yes [I No ACOA Mamual D Design requirements have been met (rater has verified that actual installation matches valucs in CF -I R and design on plan., z 2. ❑ Yes 0 Na TXV is installed or Fan flow has been verilied. If no 1'XV, verified Fan flow matches design lium Cr- .1 R. . Measured Fan Plow ❑ ❑ 'Yc lite hotli 1 --and 2 is a Pass Pass Fail Compliance Forms :August 2001 A-16 I 1 !:' ! ill 1 •, I � ! � 1 . j ! � � i INSTAL ' ATION CERTHWATE ' „ ,! .f ' ;i E , ; i•,� 11 f �: r ;< !!. I;s;:! 7. f!li (Page 3 of 13) Cr -6R j $ite Address iPerInit Numlier 1, fit DUCT L +!ADAGE .ANWDESIGN DIAGNOSTICS L. I'll ii Ia ! s1 tl DUCT LEAKAGE REDUCTION. Pressurization iza.tion Test Results (CFM @ 25 PA) Test Leakage (CFM) -7 - V1 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 fats flow is treasured, 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: !lass Fail Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ 1`40 ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑. ❑ Pass Fail TIIERAIOST.ATIC .EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspectionElYes is a pass Pass 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 -LR. 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 HERSrovider' a co o - P copy f the CF 6R signed by the builder employees or sub-contrac rs certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests S. is tire, Installing Su c ntra or (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 IPS] STALLATION CERTIFICATE J. 9 Y . i (Page 3 of 13) CF -6R ,Site Address- ' DUCT LEAFAGE: ANDDESIGN DIAGNOSTICS ..rl ; I DUCT LEAKAGE REDUCTION Pressurization 'lest Results (CF1VI @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity { is in Thousands of Btu/hr, enter calculated value.here If fan flow is treasured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow)= Pass if leakage fraction < 0.06 ❑ ass 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 ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail r'THERIIIOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Pss Fail CJ 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 fi-om CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass [.7 ❑ 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-contracto certifying that diagnostic testing and installation meet the requirements for compliance credit.) dos Tests ilniahire, Date Installing Su contra t r (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 '� a, l i. � �. �' t.� i ',I y .'I �..I I I I • °f' "��",' , � •I :,I :n ia, i ��li [= t`ii �!P` !�� i ' �-e,y lj� II"'ITSTALLATION CERTIFI`CATE (Page3 of 13) CT -611 Site Address : i L . K qfj "Pefiiiit Number... DUCT LEAKAGE AND ;DESIGN DIAGNOSTICS W?UCT LEAKAGE REDUCTION Pressurization Test Results (CFNI @ 25 PA) Test Leakage (CFM) Pan Flow i If Fan Flow is :Calculated as 400 cfrn/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 _< 0.06 ❑ ❑ ❑ 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: El Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) t_.. les []No Thermostatic Expansion Valve is installed and Access is provided for inspection❑ Yes is a pass ass Fail ❑ DUCT DESIGN t' ❑ 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 = ❑ ❑ 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-contrac rs certifying that diagnostic testing and installation meet the requirements for compliance credit.) Tests ignatbre, Date Installing Subcon rac r Koo. 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 Z G 'F3