05-4606 (SFD)P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application'Number: x_05-00004606
Property Address: 52138 ROSEWOOD LN
APN`. 772-410-997-35 -32070
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 100157
Applicant:
T4hf 4 - 4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Owner:
RJT HOMES - CODORNIZ
P.O. BOX 810
LA QUINTA, CA 92253
Contractor:
RJT HOMES LLC
1425 E. UNIVERSITY DRIVE
PHOENIX, AZ 85034
(760)123-4567
Lic. No.: 6.90645
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date 10/14/05
-
-----------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
--
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Cod2,,§Hg wy License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: A -B690645
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/at�� C> actor:
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
OWNER -BUILDER DECLARATION.
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 0014793-2005
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the rkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I'shall forthwit with those provisions. '
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 1$500).:
,/
ate/ ��� plicant:
(_) 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 _ 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.).
(_ I 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:
LQPERMIT
WARNING: FAILURE TO SECURE WORKERS' 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
NSECTION 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 and county ordinances and state laws relating to building construction authorize representatives
of this cou y to enter upon the above-mentioned property for in purposes:
p I V ature (Applicant or Agent):
Application Number .
. . . . 05-00004606
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
643.00
Plan Check Fee
104.49
Issue Date . . ..
Valuation . . . .
100157
Expiration Date
4/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
1.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,0017500,000
-3.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . .
52.50
Plan Check Fee
3.28
Issue Date . . . .
Valuation . . . .
0_
Expiration Date
4/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
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 . . . . .
7.9.66
Plan Check Fee
4.98
Issue Date . .
Valuation
0
Expiration Date
4/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1592.00 .0350
--. ELEC
NEW RES - 1 OR 2 FAMILY
55.72
447.00 .0200
-----------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
-------------------------=---
8.94
Permit. . PLUMBING
Additional desc .
Permit Fee . . .
140.25
Plan Check Fee
7.83
Issue Date . . . .
Valuation . . . .
0
ExpiratiQn Date
4/12/,06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
12.00 6.0000
EA PLB FIXTURE
72.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . 05-00004606
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
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 4/12/06 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------=-----------
Special Notes and Comments
SFD - LOT 35, PLAN SF3B, 1592 SF.
PERMIT DOES
NOT A, BLOCK R
UAPPROACH. E POOL, S75%
-01 BLDG M,
P/ 04 CEC/ OS.ENERG
DRIVEWAY REDUCTIONLTO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
10.45
DIF FIRE PROTECTION -RES
97.00 `
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC- RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
10.01
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 930.41 .00 .00
930.41
Plan Check Total 120.58 .00 .00
120.58
Other Fee TQtal 2425.46 00 .00
2425.46
Grand Total 3476:45 .00 .00
34'76.45
LQPERMIT
CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING CF411
Access is provided for inspecdw. Ttme procedure shag consist of visual verificc�6 M ow
SuiT er
2 3s
mlz SZ/.�
RJ Hom�sb&
Builder' Corded
Telephone
Plan Num
Jinn(760)
5-8519
SF31159%11.
HERS Rater
Telechone
Sample Group Number
Godfrey RI
(209) 588.2879
I
CwMUam Method
)
Climate zone
Certif SI n
13ampie 1100 p Number
2Z
Firm
HERS Pravder
California Living
and Energy _
,.0410ERTS
Street Address:
CttvlSbtelZm:
3013 Dols CT.
Ceres, CAlsw
Copies to BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT i
The house was: ki Tested 11 Approved as part of sample testing, Mut was not tested
As the HFAS rater pro%MV diagnostic lasting and field verification, l oer" that ft house iderglfied on this form oomplIn with the diognaatic testedGwrownce
mquiremerb as shacked on this form. The HERS rater must dieck and vmeftfy that the new distribution sys ' Is fully ducted and cured taped is used before a CF,
4R may be released on every tested tudlding. The HEMS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the
sample and tested buHdings.
The installer has provided a copy of CF -6R (Installation Certificate).
® New Distribdon system is fully dueled (i.e, does not use building cavities as plenums or platform returns in lieu of duct
New systems where doth backed, rubber adhesive duct tape is installed, m�estic and draw bards are used
✓I MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COM
ftcedmas far field vermnaetion and dragnosdc f**V of air ds *VbGn systems aro Moble in
_Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: y
Duct PressuriEdm Test Results (CFM® 25 Pa)
1 1 Fuer rested t wire Flaw in CFM ooe
_ Er>ter Yom1 Fan Flow
in CFM:
9 Pass 9 Leelmage Perosntage _ s% [100X q :tJnmy, 0.9) Nnwm
Il SUPPLY DUCTS LOCATED IN CONDITIONED SPACE COMPLIANCE
L. Yea 11-3 No I Ducts arelocated w thrtm tto coma; ed volume of ttui bV.
Yes to this Comp
Dud systern design vartfteation Is required for a compfloce Credit for Ute foffowing:
1. Supply dud aurifte arae reduction
2. Buried supply ducts on the calling
3. Desply buried supply duds
U DUCT SYSTEM CESIGN VERIFICTION
RCE CREDIT
i
i�
i ti Measured Valaos
�(p0U
i S. H ❑ Fa
Ise
Pass
YesI No The duct system design Plan meem the requirements sped ied In RACM, Appendix RE, Section RE.4.2 .
Yes - 7 NO n0 duct system design plan aidsts an bWWq p%ft
Yes -T--]No Dud sizes, duct system layout and looatitma of Supply and return registers rrmdcii',the dud system desfgn plan
Yeiltoallisapass (l p994 I F1 Fail
WTHERMOSTATIC EXPANSION VALVE MM i
Frooedmas for Feld vertbcadw of then"asWc expaubn valves am available !rr RACM, ApperK* Rl.
s9o0
i
YVd LV:TT 9009/ZZ/80
Access is provided for inspecdw. Ttme procedure shag consist of visual verificc�6 M ow
YW
.f Yes
n No
TW is installed an lime system and instablion d the aped6c etl4mat shall lie verified.
G Yes is a pass
i Pass
E F Feil
s9o0
i
YVd LV:TT 9009/ZZ/80
No
Yes
ICATE OF FIELD VERIFICATION DIAGNOSTIC
'11%0" %dwMLJ IT IN* 11AVIATION OF INSULATION"
The bubrig's WOW ft=*mWt1vdW Wilk wall stud cM'B, COIkV, and Mda"m
resldwft haUnp
Desooffon of ftuWm, (CUR, fMMlY IC -1) 4W by the bmtMer SbOV: inautaft
installed Rvekft, and for kmeM insuld,, mhmum VMSM W square Not WW UM
IftWWM CarlikaK (CF -6R) *!Ww by aw jnMW ow" that the fttaam meet
High Ouglity hvda6m Mm"m PMOOMMS (ACK APPnft 1l
L44as I f. I No 11 F.) NA
AD floor joist wMty mWeem inete!!ed to uniformly fd fire Cavity side 1
Insulmitim in P r njo e, %th ft smoor or " jai* Insulated
'M'aUm PMP" OW Fto Q;Rd —gaps, yoft, and ompregsim
No 9V&
N0voids over ;/-.- deep ormore
Kam to wofts Will am mvxm sum as; =W &WInrlells, Wall irlden
proper Ill
CF -4R
i MMPUANC.E CREDIT
Iter mineral fiber or ceaullose h=daft in ll
Tanufadumes nanmo, material w&au*m,
PM him.
'all applicable
mquhwents In sll in the
3ca
-Lim
LUNA
WdStud W&ft=u0mdor tOamed to pfoAds an air tight ernelope
)OPfMUNG PFd=PARn
N
-- es
❑ No
—.
Ij NA
II
An draft stage in pupa to 64n a ammuOM calling and wall & harrier
:!es
No
['I NA
All drops cmered with hard CWft
'Yes
Cj No
11 —
AU " stop and had cawertli cmftw or WMW to WaMe an * I wjd*
Kes 7
'YOS
1
NA
M.R�rresand & 0gM 07) rmad and scow vim gasket i aMb—ow im
OF
Yes
0 No
I... I No
NA
p7mr cavift on MU1141104t0tv bulduvs have ewvQhtdraft $tqmtDail G44drd-
L NA
---------------
Inadallon UWM* C&,m ft enure wkV (or 16M0 area FrwD we outside of ap,exteft wall
Ej NA
Caw %eftl prepared for blOvm IMWWgn- mWntaln M ftemMIdon areaT—
ilt
Yes
I No
L:J NA-
Yes
No
1. TNA
Ii
Area under equipment M,8tfarms andC"Ilft Mutated or accessible for Motj h msuMm
A access inactlabad
No
I.'. T—NA
Awc Merl mb&d
FUFICEIUNGI
At
Yes
LJ IrTrTs
NA
Nogm
Yes
J- No
—Na-
NA
NO Ndft am % in.dap-or More 'tm 10% Wft —battem am
Yes
171
NA
Insulation in conbd with Lt aJnbaitier--7—
Yes
RecessedNARecessedRam nmum covered'It
Yes
I J No
NA
—
Net fr ee rerddatlat area maintained at em �
---
E
OFICUNG Lo
— —
03
Y'"
1.-1 No
L NA
---------------
Inadallon UWM* C&,m ft enure wkV (or 16M0 area FrwD we outside of ap,exteft wall
N
ED o
[i
05
odnim Majam at saves Joan% or ventsmaintain net m* vera
Ya
LI No
A access inactlabad
hwiBw to
L -J 14 ProperUOPW ffuwlWM rullam vjwj* MW Micaft propi;
r dfpth and R -value
Yea WOWS mineral ftar ftul
D No [I NA value Target R-VWUOL meets or eXMft manufactuW$ "unim i'1111 and I I I I I I I knm
4'u T reqWMM&O for the Wrgg FZ-
-.—a4mUjfecbffws Zmum Mquiredi'll for ft
)121641 taw
Wax's per num fW0
--WOW
jW
nuf 11-MIUIFRMnrCqLBMW#CkrUMatUrTMef' ---;' kid=) RU
Z7-5 (mcbm). Number of Installation 'A-7r_l V --lanuf4dumes mwmurn required tailed
_(dap). At dell
gf
verve
Yes E] No ❑ NA
el ;!M" do,,a n1hifflUrn Inkid Im
not "ft UmARdm M11106110 Of and If the fboomsfM " ulstionhdCAM. I(OwHERS
Y6"m has been In place to than seven days ft
mwmLn required 111190M21i ft line of
B the Insubdon has been in place for kwWWM IMS % inch to a=unt for
seven days or lmw ft vmWi6A ftk*sg
'"mufwhffses nmIUM required waled Wcknm. Wff.,,,= ftftm rmflemm WW be Weater Ulan or equal to the
Pass l�atl
3
L90 In IfYva 96:TT 9002/ZZ/90
CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC
ADEQUATE AIRFLOW VERIFICATION
Procedures for rigid vevFaban W dWnosW b9 tp otadequete wilow are avar>bbl in RACM,
AAalbod For Airflow AAeasrrremint
(] Yes L.1 No Dud design exists on plans
RE 4.1.1 I ftnoaft Fon Flow Using Flow deplore Hood
RE 4.1.2 Diagnoeb: Fan Flow, Using Plenum Pressure Matching
PFMI RE 4.1.3 Dimna tic Fan Flow Using Grid McMi n ant
I . J Yes I L.I No Measured airflow Is gmater than the aWa In Table RE
II -. -Il-- Yes
MAXIMUM COOLING CAPACITY
Procwduras for determhung maxinwrn coa f bad CVPO* aro evadebm 61 RACM, Agoendx RF3,
1 I I _ I Yes LI No Adequate airflow verified (See adequaw airflow awill)
21 L] Yes n No Rethigenant chore or TXV
31 Li Yes f...I No Duct %WMe muton orWit verflfes
41 ❑ Yes (.j No Cookca'ads es of Inst
alta lled RFS system ata to mumum cooling a
Petfwna5 1 [-1 Yes I.:j No If the coating capacities of Installed Systems anf> than mWdmurn a
the electrical input for the installed systems must be a to e►eotrice
Yes to 1, 2,aid 3
Re't f.
Pass
CF -4R
Total CFM
ofrnnon
V mdic W on the
Ll
capacUy in lha CF -1 R, tican
In the C!~1 R
Yes to either 4 or 5 Is a pass Pass Fail
RCI HIGH EER AIR CONDITIONER
Pmaduros for verfi aibn aro aveb* in RACM, Appgi7dbl RL
1 [] No HER vahras of insWW systems xt9ft! the CF -1R Ij
2 L41Y [-j No I For split symtern, indoor cod is matched to outdoor cdl Al
No Tirne Delay "ay Verified (If Required) Jg -
Yes to 1 sad 2; and 3 (If Req d*) Is a pass Pis Fed
I�����III11- I Irl ■ ���
EJ MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT
FieoeduroS for Geld verrJkallorr end draynoetb tesgrlg W uridlradon raducdon ere eveUBbta N RACM �Sec;Abn 3.6
a�^°sik ra>�rne, Reauft l
awlding awatope Leakage (C so So Pa) as rneasUfed by Reber p
1 C Yes L I No Is xtteasued envelope leakage We that or equal to the required Iam,:°from CF -SR?
2 Yes No Is Ma mkw ventilation shown as rmgcxlred an the CF -1 R? ;1F
2a Yes No If Medanlxmt vGr"Won is requlred on the CF -1 R (Yes In line 2) * it been installed?
2b I Yes ❑ No Check this bw yes if mechanloel uponisls rpquked (Yes in One 2) and vergdation fan watts are no
greater that shown on CF -1 R. I;
3 Check this box yes if me—woed bWWN infdMan (CFM Q 60 Pe )IIs greater than the CFM @50 -
n Yes I.7 No vakm shown foran SLA an 1.5 an CF -1 R (If box is checked no, , Ime`I cbenieal vent lalion is required.)
.r
4
Check this box yes 9 maesured bulkIN inffteban (CFM @ 5o P� 6 kms Ulan the CFM ® 50
F3Yes Il No values shown foran SLA of 1.5 an CF -1R, mechanical ventilation l6 InsC9ltad and house preaskae is
greater than firms 5 Pascal with A bhowl tans apersGxtg, l
Pass If., a) Yes in One 1 and One 3, or b) Yes In One 1 and 2.2a, anil2b, or c) Yes in One 1 end line 4,
III Oltwwlse FaO, Pass Fail
2
990[ %Yd 8b:TT 900Z/ZZ/80
CertificateLiof OccupancY
Lcoirotnhn �4�
OFBuilding Y & Safety Department
.
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
" construction and/or use.
BUILDING ADDRESS: 52-138 ROSEWOOD LANE
Use classification: SINGLE FAMILY DWELLLING Building Permit No.: 05-4606
Occupancy Group: R3, Type of Construction: V-N Land Use Zone: RMH
Owner of Building: RJT HOMES--CODORNIZ Address: P.O. BOX 810
City, ST, ZIP: LA QUINTA, CA 92253
By: DANIEL P. CRAWFORD, JR
Date: AUGUST 23, 2006
Building Official
POST IN A CONSPICUOUS PLACE