05-4358 (SFD)tm
to
'. P.O. BOX 1504
78495 CALLE TAMPICO
Ok QUINTA, CALIFORNIA 92253
T4'(t 4 e(P Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: x.05-00004358
Property Address: 81721 HIDDEN LINKS DR
APN: 767-200-999-33 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185831
Applicant: 1<hitct or Engineer:
Sz3y,-
ce
-----------------
LICENSED CONTRACTOR'S DECLARATION
Owner:
DESERT ELITE, INC.
78401 HIGHWAY 111
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
a Contractor:
OINGTON DEVELOPMENT, JAMES O
409 ALIFORNIA OAKS RD, #283
�Y�FB 0 TA, CA 92562
77-8415
No.: 753190
I hereby affirm under penalty of perjur t I am licensed under provisions of Chapter 9 (commencing with .
Section 7000) of Division 3 of the Bus and Professionals Code, and my License is in full force and effect.
License Cla License No.: 753190
to Q v � Contractor:
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).:
(_ 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 contractor(s) 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: - Q
Lender's Address:
LQPERMIT
Date: 9/28/05
--------------- - - - —
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 policy number are:
Carrier STATE FUND Policy Number 1542746
_ I certify that, in the per r ance of the work for which this permit is issued, I shall not employ any
person in any mann_ as to become subject to the workers' compensation laws of California,
and agree that, iIWO
become subject to the workers' compensation provisions of Section
�O of the LabI shall forthwith comply with those provisions.
Dat t Applicant:
WARNING: FAILURE TO SECURERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CPENALTIES 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 s ch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that th above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil construction, and hereby authorize representatives
of this cou ty t enter upon the above-mentioned propert r inspection purposes.
Dateel z Signature (Applicant or Agent): -
t
LQrERMrr
Application Number . . . . . 05-00004358
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
# BEDROOMS
6.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
486.00
PATIO SQ FTG
183.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3180.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
940.50 Plan Check Fee
152.83
Issue Date . . . .
Valuation . . .
. 185831
Expiration Date
3/27/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
86.00 3.5000
7 ----------------------------------------------------------------------
THOU BLDG 100,001-500,000
301.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
127.50 Plan Check Fee
7.97
Issue Date . . . .
Valuation . . .
. 0
Expiration Date .
3/27/06
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 B/C <=3HP/100K BTU
27.00
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 . . . .
136.02 Plan Check Fee
8.50
Issue Date . . . .
Valuation
0
Expiration Date ,.
3/27/0.6
Qty Unit Charge
Per
Extension
BASE .FEE
15.00
3180.00 .0350
ELEC NEW RES - 1 -OR 2 FAMILY
111.30
Application Number .
. . . . 05-00004358
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
486.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
9.72
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
206.25 Plan Check Fee
12.89
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
21.00 6.0000
EA PLB FIXTURE
126.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
2.00 7.5000
EA PLB.WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
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
3/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 33. PLAN TYPE 4YB,W. OPTIONAL .
_
GUEST SUITE, 3180 SQ.FT. PERMIT DOES
NOT INCLUDE BLOCK i�-01,BLDG.
M;'P/
04 CEC/ 05;ENERGY
WALLS, POOL, SPA OR DRIVEWAY
APPROACH.
75% REDUCTION TO PLAN
CHECK FEES DUE.TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE
Other Fees . . . .
. . DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
15.28
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC -'RES
22.00
DIF PARKS/REC - RES
892.00,
STRONG MOTION (SMI) - RES
18.46
LQPERMIT
LQPERMIT
f
Application Number
05700004358
----------------------------------------------------------------------------
Other Fees . . . .
. . .
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
-----------------
Charged
----------
Paid Credited
----------------------=-------
Due
Permit Fee Total
1425.27
.00 .00
1425.27
Plan Check Total
182.19
.00 .00
182.19
Other Fee Total
3729.74
.00 .00
3729.74
Grand Total
5337.20
.00 .00
5337.20
LQPERMIT
f
07-05-'06 09;31 FROM- T-908 P05/15 U-821
co
EMPIRE INSULATION, INC.
3901 CARTER AVENUE, SUITE 1 (951) 787.4844 PHONE
RIVERSIDE, CA 92501 (951) 787-4849 FAX
NSUALATION 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 3 LOT* 33
r
SITE ADDRESS: 81-721 HIDDEN LINKS DRIVE LA QUINTA, CA
Number Street City State
CEILING AREA: BLOWN
Manufacturer: GREENEIBER Thickness/Type: 8.36" R -Value: R-30
CEILING AREA: BATTS
Manufacturer: GUARDIAN Thickness/Type: 91/2" R -Value: R-30
EXPOSED FLOORS: BATTS
Manufacturer: GUARDIAN Thickness/Type; 3 5/8" R -Value: R-13
EXTERIOR WAILS: BATTS
Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value: R-13
GENERAL CONTRACTOR: LICENSE #
BY: TITLE: DATE:
p
INSULATION CONTRACTOR:—EMPIRE INSULATION LICENSE # 860092
BY, JOHN MIRANDA TITLE; PRODUCTION MANAGERDATE: 7/5/06
k
11
2
JUN -30-2006 10:01 AM
CERTIFICATE OF F1
7;-I �/lI/� Zihk /fir
A
yr Zhe ah
Builder N e
--4 y
Plan Number
Sample Group Number '
P.04
U ing signature ate Sample House Number
HERS Provider: C /Q S
Street Address: 7UA"0 A,l (.. iYC ��^_ Ci /State2i : Z u I r
�r p
Copies to; Builder, HERS Provider
HERS RATER COMPLIANGE STATEMCNT
The house was: ❑ Tested fflrApproved 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
comely 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 Ileu
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.
AINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 8% Duct Leakage)
Duct Pressurization Test Results (CFM ® 25 Pa)
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=e% or less)
tMOSTATIC EXPANSION VALVE i
scion
Measured
values
�
rs ` _ 13No Thermostatic Expansion Valve (or Commission approved
+ equivalent) is installed and Access is provided for Inspection
Yes Is a pass
C3 MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. 0 Yes C3 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.
2. O Yes Q 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
Yes for both 1 and 2 Is a Pass
rass Fail
ass Fall
❑ o
Pass Fail
IRUCT LuXAAM
P"I&W4069 Ust FAMISS (CF
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If FIN SUW is QW14ted mi 400
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DESIGN DUGNOST14CS
25 PA) Tesi Letkme (cpmLm
on r amber artens, oras 21.7 x HCjbS.C&pmd§,
In 7h0 . JaN.
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Fan now hu been vaft& Sno TXV, a a
lick" ft.ipftmt%zk Post who
vo&*aasc�!4d
Ipgoo
2680-6tic(09L)
omw,rA mamo OR
Qmml cwamt4r (co, mum)
I
(760)343-0892 P.8
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81-721 Hidden Links Drive
An installation certificate is required to be posted
required; however, use of this form to provide the
est) and the building owner at oc cupan
HVAC SYSTEMS-
Xeadag Equipment
Equip. Type
(pkg. heat CEC Certified Mff, Make & K
YORK LY8S0$OB16U1
Cooling Equipment
Equip. Type
(pig. heat CEC Certified Compressor
A/C COND.
1 ? reads greater than or equal to.
1, the undersigned, verify that the equipment
certificate of compHance (Form CF -IR) subs
excmds the appropriate requirements for ata
71r,\1 a Dhpti W
WATERHEATING SYSTEMS:
Water CEC Certified
Heater Mfr Name & Distribution
Type/# Model Number (Std, Point -o
Permit #
t
building site or made available for all appropriate inspections. (The information provided on this form is
nation is optionl.) After completion of final inspection, a copy must be provided to the building department
r section 10-103(b).
# of
Efficiency
Duct
Duct or
Heating
Heat
Identical
(AFUE,etc.)'
Location
Piping
Load
Capacity
Syntams
[zCF-1R value]
(attic, ete.)
R-vahie
(Btu/hr)
(BTU/Hr)
1
80.09'0
ATTIC
R-4.2
100,000
1
80.0%
ATTIC
R-4.2
80,000
# of
Effeciency
Duct
Cooling
Cooling
Identical
(SEER, etc)'
Location
Duct
Load
Capacity
Systems
[2CF-1R value]
(attic, etc)
R -value
(Btu/hr)
(BTU/Hr)
1
14
ATTIC
R-4.2
48.000
1
14
60,000
ve is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or
1 devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
AWAM LDI Mechanical
HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
If Recir- Rated Input Tank Efficiency Standby External
culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R-
mtrol Type Systems Btu/hr) (gallons) value
U17 -
FAUCETS & SHOWER HEADS: (r,.
All faucets and showerheads installed are listed' e Commisions Directory of Certified Faucets and Showerhead%
pursuant to Tide -24, Part 6, Subchapter 2, Sectio 11.
I, the undersigned, verify that the equipment E
requirements of the Appliance Efficiency Star
on the Certificate of Compliance submitted to
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
the category above my signature is the actual equipment installed and that the equipment meets or exceeds the
In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified
rtrate compliance with the Energy Efficiency Standards for residential buildings.
ts2'd 2660-EbE(09L)
RCR COMPANIES
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
1d0IWUH03W IQ1 WUSO:L 900? on Tnr