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05-2880 (SFD)P.O. BOX 1,504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 444 VOICE (760) 777-7012 • FAX (760) .777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date- 7/11/05 05=00002880"1 Owner: rAUG C81625 -'HIDDEN -LINKS DR DESERT ELITE, INC.767-200-999-27 -312022- 78401 HIGHWAY 111 DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253����� LOW DENSITY RESIDENTIAL 179688 chitect or Engineer: ,f 1 ?y,. -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury at I licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi s Professionals Code, and my License is in full force and effect. License ss: License No.: 753190 Da�11rontractcr: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury rth/tI 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 155001.: 1—) 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.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:�� LQPERAIIT CITY OF LA (oli7 N AT Contractor: EINANCE DEPT. HERINGTON DEVELOPMENT, JAMES O 40960 CALIFORNIA OAKS RD, #283 MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 ----------------------------------------------— 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 poi y number are: Carrier STATE FUND Policy Number 1542746 1 certify that, in the perform ce the work for which this permit is issued, I shall not employ any person in any manner so to ecome subject to the workers' compensation laws of California, and agree that, if I shout c e subject to the workers' compensation provisions of Section 00 of the Labor Code, h forthwith comply with those provisions. e�d d �/ plicant: WARNING: FAILURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 s h permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the bove ormation is correct. I agree to comply with all city and county ordinances and state laws relating to build g c ruction, and hereby authorize representatives of this cotj/ tty t)lenter upon the above-mentioned propert yr ' ection purposes. (Applicant or Agent): Application Number . . . 05-00002880 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 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 634.00. PATIO SQ FTG 263.00 NUMBER OF UNITS 1.00 ---------=------------------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE 2863.00 Permit . . . .BUILDING PERMIT Additional desc . Permit Fee . . . . 919.50 Plan Check Fee 149.42 Issue Date . . . . Valuation . . . . 179688 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.5000 -------------------------- THOU BLDG 100,001-500,000 -------------------------------------------------- 280.00 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 9.0000 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 VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 127.89 Plan Check Fee 7.99 Issue Date Valuation 0 Expiration Date 1/07/06 Qty Unit Charge. Per Extension BASE FEE. 15.00 2863.00 .0350 ELEC NEW RES - 1 OR,2 FAMILY 100.21 LQPERMIT Application Number . . . . . 05-00002880 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 634.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.68 Permit PLUMBING Additional desc . Permit Fee 172.50 Plan Check Fee 10.78 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/06 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 Expiration Date . . 1/07/06 Qty, Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 27, PLAN 3BR, 2863 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 14.94 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 LQPERMIT Application Number 05-00002880 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 17.96• DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 1324.89 .00 .00 1324.89 Plan Check Total 173.82 .00 .00 173.82 Other Fee Total 2437.90 .00 .00 2437.90 Grand Total 3936.61 .00 .00 3936.61 FEB -28-2006 04:08 PM I _0 t ik 2 rt P.13 .,CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING : `'\ CF -4R quo u7 Address eulld%Name Sample Group Number rtifying Signature Dat Sample House Number Firm: HERS Provider: Street Address: 7s���a �✓aJ�oy.� C/rL /� City/state/zip: L u 417fa Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STAT MENT The house was: ❑ Tested Awpproved 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 c7Dstirlbutlon with the diagnostic tested compliance requirements as checked on this form. system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 8% Duct Leakage) Duct Pressurizetlon Test Results (CFM ® 25 Pa) Measured 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 Fail (Pass=8% or less) ❑ ess Fall I)WTHERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Q'J Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection`' ❑ Yes Is a pass Pass Fall ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. �� 1 2. ❑ Yes D No TXV is installed or Fan flow hes been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Q ❑ Yes for both 1 and 2 is a Pass Pass Fal) ge 3 of 13) CF' -6R JNS'TALLA,T'®N CERTIFICATE (Pa San+ ne. PA - a- Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDU( TION Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)_S_ Fan Flow If Fan Flow is Calculated as 400 efm/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 Leakagel(Measured or Calculated Fan Flow) -0.0 g� p 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 ❑ Pressure pan test or House pressurization test O Yes O No D Visual Inspection of Duct Connections o e Pass Fall ❑ THERMOSTATIC EXPANSION VALVE (TXV) me' es O No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass ❑ DUCT DESIGN Pass Fail ACCA Manual D Design calculations have been 1. (7 Yes . O No completed, Duct Design Is on the plans and duct Installation matches plans. 2. O Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, o 0 verified fan flow matches design from CF -Qt. Pass Fail Measured Fan Flow Yes for both 1 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. (Time 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. J Le D. 2 MecXa,,.-Ca I Tests SIgnature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August2001 A-25 a` INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurllatloa Test Results (CFM Q 25 PA) Test Leakage (CFM) A Fan Flow 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 s Test Leakage/(Measured or Calculated Fan Flow) a-, o 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 FINISHING WALL: O Yes O No O Pressure pan test or House pressurization test O Yes O No O Visual Inspection of Duct Connections o 0 Pass Fall ❑ THERMOSTATIC EXPANSION VALVE (TXV) l9'Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass 0 ❑ DUCT DESIGN Pass Fail 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. ❑ Yes O No TXV is installed or Fan flow has been verified. If no TXV, O o verified fan flow matches design from CF -IR Pass Fall Measured Fan Flow Yes for both 1 and 2 is a Pass O 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 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. ) { Lo D• Z McG40.ni^cg 1 Tests gnature, Date Installing Subcontractor (Co. Name) OR performed General Contractor (Co. Name) COPY TO: 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 (951) 787-4844 PHONE (951) 787-4849 FAX INSULATION CERTIFICATE 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* 27 SITE ADDRESS: 81-625 HIDDEN LINKS DR. LA QUINTA, CA Number Street City State CEILING AREA: BLOWN Manufacturer:. GREENFIBER Thickness/Type CEILING AREA: BATTS Manufacturer: GUARDIAN EXPOSED FLOORS: Manufacturer: EXTERIOR WALLS: BATTS Manufacturer: GUARDIAN GENERAL BY • Thickness/Type: Thickness/Type: 8.36" R -Value: R-30 91/2" R -Value: R-30 R -Value: Thickness/Type: 3 5/8" R -Value: R-13 +tm t-VCjj* N A-+ , -.1J 1G LICENSE #_ �I TITLE: DATE: 6 loo" 001 INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860072 BY: JOHN MIRANDA TITLE: PRODUCTION MANAGER DATE: 3/2/06