04-8385 (SFD)APR 19 2005 101
P.O. BOX 1504
:1• + G'F�fOF 9 (01 $ I AMP CO
FINANCE
INTA, CALIFORNIA 92253
J
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT ,
Application Number .
. . . .C-04-0.0008385
Date 4/12/05
Property,Address •. .
. . . 81596 HIDDEN LINKS DR
APN:
767-200-999-43 -312022-
Application description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL
Application valuation
165860
Owner
------------------------
Contractor
-
DESERT CHEYENNE, INC.
------------------------
HERINGTON DEVELOPMENT, JAMES 0
78401' HIGHWAY 111, SUITE
G 40960 CALIFORNIA
OAKS RD, #283
LA QUINTA
CA 92253 MURRIETA
CA 92562
(760) 777-9920'
(951) 677-8415
WCC: STATE FUND
WC: 1542746
11/01/05
CSLB: 753190
04/30/06
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
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
658.00
PATIO SQ FTG
319.00=
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2600.00
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
870.50 Plan Check Fee
141.46
Issue Date . . . .
Valuation . .
. . 165860
Qty Unit Charge
Per
Extension
BASE FEE
639.50
66.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000, ?
231.00
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
90.00 Plan Check Fee
5.63
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
5.00 6.5000
EA MECH VENV,FAN
32.50
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: Date: • !$'
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Citi✓/r/4i�/_��—AMhitect or Engineer's Address:
Ic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C and my License is in I force and effect. Q
icense Class ),Inse No.
/bate d ntr�a�tor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am a mpt 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 1, 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.
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
(his d. Nfay,y ork compe4DLLARS
nsatio� � lic ance carrier andpo�yryum r ar C
Carrier ) /Q/j� J,, /lic umb Y
_ I certify that, in the performor or i h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Cag t I. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
rthwith comply with ths.
Date C �/� 6 A� ppl;cant
WARNING: FAILURE TO SECURE WE SATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED D LLARS ($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 t ti
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 r fated to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application become ull nd 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 can laf n.
I certify that I have read this application and state that the above info n is correct. I agree to comply with all city and county ordinances and state laws relating to building
;Date
onstruction, an hereby authorize representatives of this county to upon the above-mentioned property for inspection purposes.
�%� f — Signature (Applicant or Agent):
Page
2
Application Number .
. . . . 04-00008385 Date
4/12/05
Qty Unit Charge
Per
Extension
1.00 6.5000
----------------------------------------------------7-----------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . . . . ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
119.16 Plan Check Fee
7.45
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2600.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
191.00
658.00 .020.0
----------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
;
13.16
. . . . . . PLUMBING
Additional desc . .
Permit Fee . . . .
166.50 Plan Check Fee
10.41
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
16.00 6.0000
EA PLB FIXTURE
96.00
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
----------------------------------------------------------------------------
to 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 43, PLAN 2AR, 2600 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
----------------------------------------------------------------------------
Other Fees . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
Page 3
Application Number . . . . . 04-00008385 Date 4/12/05
-----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00.
ENERGY REVIEW FEE 14.15
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 16.58
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary- Charged
Permit Fee Total 1261.16
Plan Check Total 164.95
Other Fee Total 2435.73
Grand Total 3'861.84
Paid Credited Due
---------- ---------- ----------
.00 .00 1261.16
.00 .00 164.95
.00 .00 2435.73
.00 .00 3861.84
10/24/2005 09:43 951-686-8786
f
WESTERN INSULATION PAGE 15/22
X01.0( . 43
CF6R 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 LOCATED AT:
TRACT/PHASE: RANCHO SANTANA/PHASE 1
LOT 43-2
SITE ADDRESS: 81-596 HIDDEN LINKS DRIVE LA QUINTA, CA
-
-.
-------------------------------------------------------------
-
CEILINGS. BLOWN INSULATION
MANUFACTURER:- GREENFIBER THICKNESS: 8.1" R-, VALUE: R-30
ILINGS: BATTS
MANUFACTURER: KNAUF THICKNESS: 10" R- VALUE: R-30
EXTERIOR (MALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3 Yz" R- VALUE: R-13
GENERAL CONTRACTOR: DESSERT ELITE
BY:
TITLE: '-
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY: 1�r
TITLE: PRODUCTION MANAGER
DATE: OCTOBER 24, 2005
,
Oc,t 31 2005 8:50AM LDI MECHANICAL (760)343-0892
INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R
1. R ,. ,.. e- b o SzX „-r"2 In IIX7 ph - - a 10+ L
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
,,UC aerrett, uMt)UL"1'lUNfirm G,) k- s- .DIT VSE
Pressurisation Test Rewlts (CFM Q 26 PA) Tat Leakage (CFM)
Fan Flow
if Pan Flow h Calculated as 400 eWton z number of tone, or as 21.7 x Hudull CapQity
In Thoueands'o( Btulhr, enter calculated value here
If fen flow is measured, enter measured value here
Leakage Fination ■ Test LeakWJ(Mastacd or Calculated Fan Flow) ■ >f t]
Pau if leakep freation e0.06 Pass Fait
O For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completedt
Duct Fan pressurization at rough -in measured leakage (CFM)
CHECK AFM FIMSHING WALL-
C)
ALLO Yea 13 No O Pressure pan test or House praeaurization teat
Cl Yea O No O Visual Inspection of Duct Connections o 0
Paas Fat!
O '
o,Yes o No 7hermostMie Expansion Valve is installed and Access is - provided for htepeetion
Yes is a pass 3� 0
Pass Fail
RCCA Manual D Dalgn calculations here been
1, 13 Yes O No twrroeted, Duct Design Is on the plane and Duct Installation
matches plans.
a o
.2. O Yes O No -7XV Is insmllad or Fan flow has been verified. If no TXV, Pus Fah .
reri&d fan flow msitehes desipt atom CILM
Measured Fm Plow
- Yes for both I and 2 is a Pass
O L the undmWftd. verity taut the above diagnostic teat results and the work I pu brined assoclansd with the WKS) is in conlmnAlm
with she retph=cfhts for cttahplianee credit Me builder stu11 provide the HERS pronWer a copy of the CF-6tt s[gned by the builds
employees orsub-eontraetms attioing that disgaoado tenting and instaladan mat the requirernmts ace eormlGmee credit 1
2/d L, D - -T M & CA a
Two S' r% Date Itutsltins Subcenbaotor (Co. Name) OR
ppm General Contractor (Co. Name)
COPYM Blinding Dapeoaherht
HW Provider Of applicable)
Building Owner at Oocapancy '
Compliance Forme August2001 A-25
p.28
NOV=0872005 03:34 PM P.04
-CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF -4R
Pros tTWq„/ 1 nl w'Vh Jor l34 at�yG�+,O .�HI�►�+
Pro Ajr�� ddresss BuliVre
___ �
Bu Ider o tact �. Telephone Plan Number
HER Rater T I phone Sample Group Number
Ii�vj
e
y1—�
Sature Date Sample House Number
f /�ssOC�u% S'' ff / HERS Provider:�
Street Address: 7-Vko) �r�� C...iYL �� City/State/Zip: ��6?'ra 16.4 9';-7 :rL 3
Copies to: Builder, HERS Provider
HERS RATER CQMLIANCE 5TATEMANT
The house was:ested ❑ Approved as part of sample testing, but was not tested
As the HERS raterroviding diagnostic testingand field verification, I certify that the houses Identified on this form
com with the diagnostic tested compliance requirements as checked on this form.
Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu
,'Of ducts)
E Where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination
with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
A-VINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 8% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM 25 Pa) values
Test Leakage Flow In CFM SO �-
If fan flowis calculated as 400cfm/ton x number of tons enter ��� /`! m
calculated value here L14 `
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) = /�/0 7► T /�
Check Box for Pass or Fall (Pass=8% or less) ❑
• ass Fall
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
A-Y*e's ❑ No Thermostatic Expansion Valve (or Conunission approved
equivalent) is installed and Access is provided for inspection ❑
Yes Is a pass ass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1, ❑ Yes 0 No ACCA Manual D Design requirements have been met
(rater has verified that actual installation matches values in
CF -1R and design on plan. ASM
2, D Yes CO No TXV is Installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
a a
Yes for both 1 and 2 is a Pass Pass Fall