09-1329 (SFD)4 P.O. BOX 1504 �VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/13/10
'Application Number: 09-00001329 Owner:
Property Address: 57514 BARRISTO CIR VILLA SIENNA LLC
APN: 762-500-028- - - 6347 DI VITA WAY
Application description: DWELLING - SINGLE FAMILY DETACHED CARLSBAD, CA 92009
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 147834
Contractor: or
Applicant:,Architect r Engingelr: SKYE CONSTRUCTION, INC.
��JfJ � I ENCINITAS BLVD, STE
ENCNITAS, 4 G�lll O
CA 92024
2 7q (760) 594-2282 14AI
Lic. No.: 854569
Zip-, %n
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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/: B License No.: 854569
�Date�1� Contractor:-a`17o��.cvC.
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 ISec.
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
WORKER'S COMPENSATION DECLARATION �.
I hereby affirm under penalty of perjury one of the following declarations:
1 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 far'which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
_ I 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 oor the Labor Cod_�yl�shall forthwith
�comply
►with those provisions.
Dater Applicant: ��{
WA NI 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 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 t4stinfor ation is correct. I agree to comply with all
city and county o dinances and state laws relating r ion, and hereby authorize representatives
is cou ty t enter upon the above-mentioned tion purposes.
Date: Signature (Applicant or Agent
Application Number . . . . . 09-00001329
------ Structure Information 2351 SF SFD
-----
Other struct info ..
CODE EDITION 2007
# BEDROOMS
2.00
FIRE SPRINKLERS NO
BASE
FEE
GARAGE SQ FTG
560.00
9.0000
PATIO SQ FTG
179.00
FURNACE <=100K
NUMBER OF UNITS
1.00
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1ST FLOOR SQUARE FOOTAGE
2351.00
Permit . . .
BUILDING PERMIT
4.00
Additional desc .
EA
MECH
Permit Fee . . . .
807.50 Plan Check Fee
524.88
Issue Date . . . .
Valuation . . . .
147834
Expiration Date . 1.
7/12/10
Qty Unit Charge
Per
Extension
BASE FEE
639.50
48.00 3.5000
------------------------------------------------------------7---------------
THOU BLDG 100,001-500,000
168.00
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
123.49 Plan Check Fee
30.87
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/12/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2351.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
82.29
560.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.20
1.00 15.0000
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EA ELEC TEMPORARY POWER POLE
15.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
98.50 Plan Check Fee
24.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date . . 7/12/10
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
2.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
33.00
4.00
6.5000
EA
MECH
VENT FAN
26.00
1.00
----------------------------------------------------------------------------
6.5000
EA•
MECH
EXHAUST HOOD
6.50
LQPERnIIT
Application Number
Permit . . . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 156.00
Issue Date . . . .
Expiration Date . . 7/12/10
09-00001329
Plan Check Fee . . 39.00
Valuation . . . . 0
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
10.00 .7500 EA PLB
GAS PIPE >=5
7.50
1.00 15.0000 EA PLB
GAS METER
15-.00
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Special Notes and Comments
CONSTRUCT SFD - LOT 28 PLAN 1A,
2351 SF
ON EXISTING SLAB PER ENGINEERED
PLANS.
**PERMIT DOES NOT INCLUDE BLOCK
WALLS,
FENCES, SWIMMING POOLS, SPA, DRIVEWAY
APPROACH and BBQ'S** 2007 CODES.
SEE
EXPIRED PERMIT 07-709 FOR PREVIOUS
INSPECTIONS.
---------7------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
6.00
ENERGY REVIEW FEE
52.49
Fee summary Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 1185.49
.00 .00
1185.49
Plan Check Total 619.38
.00 .00
619.38
Other Fee Total 58.49
.00 .00
58.49
Grand Total 1863.36
.00 .00
1863.36
LQPERAIIT
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project Title: Santerra FAU 2 of 2
Measured
Values
1 Date: 5/1412010
Project Address: 57-514 Barristo Cir Lot #26 La Quinta,
CA 92253
ilder Name:
T�
2.
Skve onstructioninc
Builder or Installer Contact:
V/ V/
Telephone:
Permit or Plan No.
Mac Stead
0 Pass El Fail
760-594-2282
HERS Rater:
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.
Telephone:
Sample Group No.
Kevin Rasmussen CCNKR350475,
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.
619-251-7982
Not S@fflpled
Certifying Signature:
Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)]
(Only if Applicable)
Date:
Sample House No.
7.
Enter Tested Leakage Flow in CFM to Outside (Only if applicable)
5/1:1/2010
XqLggMg1gLd
Firm:
Entire New Duct System — Pass if Leakage Percentage <6%
(100 x F (Line #5) / _ (Line #2)])
HERS Provider:
So Cal HERS Raters
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
Use one of the following four Test Verification Standards for compliance:
I CHEERS@
Street Address:
Pass if Leakage Percentage < 15% (1100 x L_(Line #5) /_(Line #2)1)
City / State / Zip
4840 Normandie Place
10.
La Mesa, CA 91941
Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature)
HERS RATER COMPLIANCE STATEMENT
The house was: V 0 Tested El Approved as part of sample testing, but was not tested.
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 V 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 sampled and tested buildings.
• The installer has provided a copy of CF -6R (installation Certificate)
• New ducts are fully ducted (i.e. does not use building cavities as plenums or platform returns in lieu of ducts).
• New ducts systems that use cloth backed rubber adhesive tape are also using mastic and draw bands.
DUCT LEAKAGE REDUCTION
z MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC 4.3.
Duct Diagnostic Leakape Testing Results
NEW CONSTRUCTION I
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1.
Enter tested leakage flow in CFM (@ 25 Pa)
83 CFM
2.
Fan Flow: Calculated (Nominal: Vo Cooling Vo Heating) or Vo Measured
Enter Tested Leakage Flow in CFM:
1600 CFM
V/ V/
3.
Pass if Leakage Percentage< 6% (100 x [83 (line #1)/ 1600 (line#2)])
5.2%
0 Pass El 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.
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.
6.
Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)]
(Only if Applicable)
7.
Enter Tested Leakage Flow in CFM to Outside (Only if applicable)
V, V/
8.
Entire New Duct System — Pass if Leakage Percentage <6%
(100 x F (Line #5) / _ (Line #2)])
El Pass El Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
Use one of the following four Test Verification Standards for compliance:
V/ V/
9.
Pass if Leakage Percentage < 15% (1100 x L_(Line #5) /_(Line #2)1)
0 Pass El Fail
10.
Pass if Leakage to outside Percentage < 10% {1 00 x L_(Line #7) _(Line #2)])
C3 Pass E] Fail
11.
Pass if Leakage Reduction Percentage > 60% (100 x [ (Line #6) _(Line #4)])
and Verification by Smoke test and Visual Inspection
0 Pass El Fail
12.
Pass if Sealing all Accessible Leaks with Verification by Smoke test and Visual Inspection
0 Pass 0 Fail
I Pass if One of Lines #9 through #12 pass
D Pass El Fail