05-2861 (SFD)P.O. BOX 1504
78-495 CALLETAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 0-5=-00002861-2,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Property Address: 81609 HIDDEN LINKS DR
APN: 767-200-999-26 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 165860
Applicant:
/chitect or Engineer:
r
1lCENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines d Professionals Code, and my License is in full force and effect.
License Cl/ss. JV License No.: 753190
at Q Co ctor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_) 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 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.).
(_) 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
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:
LQPERA1 T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 77777153
Owner:
DESERT ELITE INC.
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920
Contractor:
HERINGTON DEVELOPMENT, JAMES O
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
Date: 7/11/05
P
Q D
A U 6 2 2dr5
CITY OF LA QUINTA
-----------------------------------------------
WORKER'S 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 issued. My workers' compensation
insurance carrier and olicy number are:
Carrier STATE FUND Policy Number 1542746
.I certify that, in the perfor anc of the work for which this permit is issued, I shall not employ any
person in any manner s as become subject to the workers' compensation laws of California,
nd agree that, if I shout b ome subject to the workers' compensation provisions of Section
700 of the Labor Code, I all forthwith comply with those provisions.
Od—
a 4� plicant:
WARNING: FAILURE TO SECURE WORERS' 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.
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 ermit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that t o e information is correct. I agree to comply with all
city and c unty ordinances and state laws relating to bui i g onstruction, and hereby authorize representatives
of this c my t nter upon the above-mentioned proper o inspection purposes.
4 nature (Applicant or Agent):
Application Number . . . 05-00002861
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
Expiration Date . .
1/07/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
66.0.0 3.5000
--------------------------------------7-------------------------------------
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
Expiration Date
1/07/06.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.O000
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 VENT FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
2600.00 .0350
LQPER1N4IT
ELEC-NEW RESIDENTIAL
119.16 Plan Check Fee .
Valuation . . .
1/07/06
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
7.45
0
Extension
15:00
91.00
611
Application Number .
. . . . 05-00002861
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
658.00. .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
13.16
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
166.50 Plan Check Fee
10.41
Issue Date . . . .
Valuation . . . .
0
Expiration Date
1/07/06
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
------=---------------------------------------------------------------------
EA PLB GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
1/07/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 26, PLAN 2A(d) 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
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
r - -
LQPERMIT
LQPERMIT
R
Application Number
. . . . .
05=00002861
----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
STRONG MOTION (SMI) - RES
16..58
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1261.16
------------------------------
.00 .00
1261.16
Plan Check Total
164.95
.00 .00
164.95
Other Fee Total
2435.73
.00 .00
2435.73
Grand Total
3861.84
.00 .00
3861.84
LQPERMIT
R
FEB -28-2006 04:08 PM
.{ CERTIFICATE OF FIELD VERIFICATION AND
TESTING .'
P. 12
ProJec Jitle ,9 / �r / nate .
[ / Lle Z u Lv l off— rains,
Prole t Ad rens Builder Name
%J S LI 71
Builder Con act Telephone Plan Number
HER Rater Telephone Sample Group Number
901ifying Signature Datd Sample House Number
Firm: SLU1,. f o HERS Provider:
Sheet Address: g �e�h �r4d �aY� Circ l6 City/State/Zlp: �- u M l6 ,j 0f 472-2'.12-1
Copies to: Builder, HERS Provider
HRBA RATER COMP61AUCC STATEN
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
Cdistribution
with the diagnostic tested compliance requirements as checked on this form.
system is fully ducted (Le„ does not use building cavities as plenums or platform returns in lieu
Wducts)
here 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.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test leakage Flow In CFM
If fan flow Is calculated as 400cfm/ton x number of tons enter
calculated value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fall (Pass=8% or less)
THERMOSTATIC EXPANSION VALVE (TXV) or Commission a2proved equivalent
❑
ass Fail
Yes ❑ No ' Thermostatic Expansion Valve (or Commission approved
equivalent) Is Installed and Access is provided for Inspection—
❑
Yes Is a pass
Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. O Yes ❑ No ACCA Manual D Design requirements have been met
(rater has verlfled that actual Installation matches values In
CF- 1R and design on plan.
2. ❑ Yes ❑ 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
.
D ❑
Yes for both 1 and 2 is a Pass
Pass Fail
N INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R
L� RA A CAQ sa„ +a„A PA -;L
Site Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUC T LPA.KA.GE REDUCTION
Pressurizatlon Test Results (CFM Q 25 PA) Test Leakage (CFM)
Fan Flow
If Fan Flow is Calculated as 400 efm/ton x number of tons, or as 21.7 x Heating Capacity
In Thousands'o( Btu/hr, enter calculated value here
If fan flow Is measured, enter measured value here
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) -0.0 W, 0
Pass if leakage fraction < 0.06 Pass Fall
❑ For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
O Yes ❑ No O Pressure pan test or House pressurization test
❑ Yes O No O Visual Inspection of Duct Connections o 0
Pass Fall
❑ THERMOSTATIC EXPANSION VALVE (TXV)
Mr' es O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass 0
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. O Yes O No completed, Duct Design Is on the plans and duct Installation
matches plans. P
2. O Yes O No 'TXV is installed or Fan flow has been verified. If no TXV, 0 0
verified fan flow matches design from CF -IR Pass Fail
Measured Fan Flow
Yes for both I and 2 is a Pass
❑ 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. ]
-�L D.2
Tests gnature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY T0: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August2001 A-25
INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R
r Rei n el+o
S014+0,4466 PA_;L
Site Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUCTION
Pressurization Test Results (CFM Q 15 PA) Test Leakage (CFM) GG
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 11.7 x Heating Capacity
In Thousands'o(Btu/hr, enter calculated value here
If fan flow Is measured, enter measured value here
Leakage Fraction @ Test Leakage/(Measured or Calculated Fan Flow) ao•o a-, o
Pass if leakage fraction <0.06 Pass Fail
O For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
O Yes O No O Pressure pan test or House pressurization test
O Yes O No O Visual Inspection of Duct Connections a o
Pass Fall
❑ THERMOSTATIC EXPANSION VALVE (TXV)
e -I es O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass . 0
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. O Yes O No completed, Duct Design Is on the plans and duct installation
matches plans. '
2. O Yes O No -TXV is installed or Fan flow has been verified. If no TXV, 0 o
verified fan flow matches design from CF -IR Pass Fail
Measured Fan Flow m
Yes for both 1 and 2 is a Pass
O 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. ]
Ly D-1: M e c4dL..,-cm
Tests gnature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY T0: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August2001 A-25
EMPIRE INSULATION, INC.
3901 CARTER AVENUE, SUITE 1
RIVERSIDE, CA 92501
INSULATION CERTIFICATE
(951) 787-4844 PHONE
(951) 787-4849 FAX
This is to certify that Insulation has been installed in conformance with the current
Energy Regulations & Building Codes of the City, County and State Governing Agencies
for the State of California.
PROJECT: RANCHO SANTANA PHASE 2
LOT# 26
SITE ADDRESS: 81-609 HIDDEN LINKS DR. LA QUINTA, CA
Number Street City State
CEILING AREA: BLOWN
Manufacturer: - GREENFIBER Thickness/Type: 8.36" R -Value: R-30
CEILING AREA: BATTS
Manufacturer: GUARDIAN Thickness/Type: 91/2" R -Value: R-30
EXPOSED FLOORS:
Manufacturer: Thickness/Type: R -Value:
EXTERIOR WALLS: BATTS
Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value: R-13
GENERAL C / LICENSE #
B TITLE: DATE: 6
INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860072
BY: JOHN MIRANDA TITLE: PRODUCTION MANAGER DATE: 3/2/06