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08-0800 (SFD)4 P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: , -0.8-0:00.00800 . Property Address: 81589 RUSTIC CANYON DR APN: 764-280-999-57 -300236- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: V Architect or Engineer: AIA -------------------------------------------------- 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 is in full force and effect. License ass: _ I J License No.: 672285 a ontractor. k 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.). (_) 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.). 1 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: t LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/08 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SC'OTT'SDALF. , A7, R529R Contractor: A SHEA HOMES, INC.."Y 2 3 1008 81260 AVENUE 62 CITyQF LA QUINTA, CA 9225 FINgNC QUINTA (760) 777-6005 F�EPT, Lic. No.: 672285 ----------------------------------------------— 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 AMERICAN HOME Policy Number CA 1593364 1 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, a3nd agree that, if I should becorrl subject to the workers' compensation provisions of Section 00 of the Labor Code, I shall f hwith comply with those provisions. ate: �/pficant: WARNING: FAILURE TO SECURE RKERS' 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 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 andounty ordinances and state laws relating to building const` ction, and hereby authorize representatives of thi my tojj;nature pon the above-mentioned property for inion purposes. te: (Applicant or Agent): Application Number . . . . . 08-00000800 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 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NTTMRhR OF TTNTTS 1.00 0 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 888.00 Plan Check Fee . 144.30 Issue Date . . . . Valuation 170639 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 248.50 . Permit . . . MECHANICAL Additional desc . Permit .Fee . . . . 70.50 Plan Check Fee 4.41 Issue Date . . . Valuation . . . . 0 Expiration Date 11/03/08 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 94.53 Plan Check Fee 5.91 Issue Date Valuation 0 Expiration Date 11/03/08 Qty Unit"Charge Per Extension' BASE FEE 15.00 1943.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 68.01 576.00 :0200 ELEC.GARAGE OR NON-RESIDENTIAL. 11.52 LQPERMIT Application Number 0'8-0000.0800 -------------------------------------------------------------------------- Permit . . PLUMBING Additional desc . Permit Fee 152.25 Plan Check Fee 8.95 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 11/03/08 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------------.----------------------=--- Special Notes and Comments SFD - LOT 57, PLAN 45200, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR -26 SF 4- GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE ISSUANCE OF SAME PLAN TYPE. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES ------------------ '-----------------------'-------.-----------------------_--- • Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -'RES 995.00 ENERGY REVIEW FEE 14.43 DIF FIRE PROTECTION -RES. 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355,00 ' DIF PARK MAINT FAC - RES 22..00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 17.06 LQPERMIT r Application Number 08-00000800 ---------------------------------------------- Other Fees --------------------------- DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ---------- Paid Credited -- Due ----------------- Permit Fee Total 1220.28 .00 00 1220.28 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 4506.49 .00 .00 4506.49 Grand Total. 5890.34 .00 nn saan;Z4 ' LQPERMIT CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 Project Address Builder Name 81589 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4520 HERS Rater Te ep one Sample Group Number I Lot # (if app ica e William Irvine 760-772-2954 97650 / 6057 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438234 Firm: BCI Testing HERS Provider: Ca ICE RTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes/ CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems 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: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Associated 2 Fan Flow: Calculated (NominalCooling Q Heating) or QD Measured Enter Total Fan Flow in CFM: Associated 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )]: Associated Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. Associated 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. Associated 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) Associated 7 . Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Associated i 8 . Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Associated ❑ Pass ❑ Fail TEST LJ OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 )]: Associated ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 100% [ 100 x ( Line 7 / Line 2 )]: Associated ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Associated El Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass 0 Pass ❑ Fail t CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address Builder Name 81589 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4520 HERS Rater Te ep one Sample Group Number I Lot # rif applicable) William Irvine 760-772-2954 97650 / 6057 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Num er September 10, 2008 CC3-1798438234 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes/ CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. R The installer has provided a copy of the CF -6R (Installation Certificate). E -3L uTMERMOSTATIC EXPANSION VALVE (TXV): Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV Q Pass ❑ Fail r CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -411 Project Address Builder Name 81589 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4520 HERS Rater Te ep one Sample Group Number Lot # if applicable) William Irvine 760-772-2954 97650 / 6057 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certitiicate Number September 10, 2008 CC3-1798438234 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate). HIGH EER AIR CONDITIONER: Associated in Sample Procedures for verification are available in RACM, Appendix RI. 1 ❑ Yes ❑ No EER values of installed systems match the CF -111 2 ❑ Yes ❑ No For split systems, indoor coil is matched to outdoor coil 31 : [:]Yes ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2• and 3 (If Required) is a passQ Pass ❑ Fdll �_. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF -411 Project Address Builder Name 81589 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4520 HERS Rater Telephone Sample Group Number I Lot # (if app ica /e William Irvine 760-772-2954 97650 / 6057 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438234 Firm: BCI Testing HERS Provider: CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip:Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 2 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residertial ACM, Appendix RH and as checked on this form. Note that to PASS and receive compliance credit, NONE of the BOXES below may be checked "No" and the first three boxes also must be checked. Check "NA" only if the item is not part of the design of the buil,Jing (i.e., single story buildings do not have rim joists or there may be no recessed can lights installed, etc.) REQUIREMENTS FOR HIGH QUALITY INSTALLATION OF INSULATION COMPLIANCE CREDIT: 0 The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber cellulose insulation in low-rise residential buildings. Description of insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches. Q Installation Certificate, (CF -6R) signed by the installer certifying that the installation meets all applicabbe requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH). Yes No N/AFLOOR ❑ E]Q All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-erd ❑ El Insulation in contact with the subfloor or rim joists insulated ❑ E]W gg Insulation properly supported to avoid gaps, voids, and compression _I Yes No N/A WALLS Q ❑. ❑ Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back No gaps Q ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. a ❑ El to access wall stud cavities such as; corner channels, wall intersections, and behind tub/shower enclosures insulated insulated to proper R -Value. Q ❑ ❑ Small spaces filled ❑ ❑ Q Rim -joists insulated Q ❑ ❑ Wall stud cavities caulked or foamed to provide an air tight envelope. Yes No N/A ROOF/CEILING PREPARATION Q n ❑ All draft stops in place to form a continuous ceiling and wall barrier. Q ❑ ❑ All drops covered with covers. Q ❑ ❑ All draft stops and hard covers caulked or foamed to provide an air tight envelope. © ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with gasket or caulk between the housing and the ceiling. ❑ ❑ 2 Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8) CF -4R Project Address Builder Name 81589 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT U t. ❑ ❑ . Eave vents prepared for blown insulation - maintain net free -ventilation area i ❑ ❑ Q Knee walls insulated or prepared for blown insulation. Q ❑ ❑ Area under equipment platforms and cat -walks insulated or accessible for blown insulation i ❑ Attic rulers installed Yes No N/A ROOF/CEILINGBATTS • 0 ❑ ❑ .. No gaps Q ❑ ❑ No voids over 3/4 in. deep or more than 10% of the batt surface area. Q ❑ ❑ Insulation in contact with the air -barrier. Q ❑ ❑ Recessed light fixtures covered 0 ❑ ❑ Net free -ventilation area maintained at eave events Yes No N/A ROOF/CEILING LOOSE -FILL ❑ ❑ Insulation uniform) covers the entire ceilin Y g (or roof) area from the outside of all exterior walls. ❑ ❑ Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave v`nt © ❑ ❑ Attic access insulated 0 ❑ ❑ Recessed light fixtures covered © ❑ ❑ Insulation at proper depth - insulation rulers visible and indicating proper depth and R -Value Loose -fill mineral fiber insulation meets or exceeds manufacturer's minimum weight and thitkness requirements for ❑ ❑ Q the target R -value. Target R -value . Manufacturer's minimum required weight for the target R -value (pounds -per -square -foot). Sample weight_ (pounds per square foot). Manufacturer's minimum required thickness at time of installation 10.59 (inches) Manufacturer's minimum i required settled thickness 10.27 (inches). Number of days since loose -fill insulation was installed 10 (days). At the time of installation, the insulation shall be greater than or equal to the manufacturer's minimum { ❑ ❑ initial insulation thickness. If the HERS rater does not verify the insulation at the time of installation, and if the loose -fill insulation has been in place less than seven days the thickness shall be greater than the manufacturer's minimum required thickness at the time of installation less 1/2 inch to account for settling. if the insulation has been in place for seven days or longer the insulation thinkness shall be greater than or equal to the manufacturer's ' minimum required settled thickness. Minimum thickness measured 10.5 (inches). U t.