04-8382 (SFD)rw►u
O.. Box 1504
9 4.95 CALLE TAMPICO
QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-701,2
FAX' (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
of aE/'
BUILDING PERMIT
���,�
F�aA�
Application Number .
. . .F-04-000'083,82
Date 4/12/05
Property Address . .
. . . . 81.587 CHARISMATIC WY
APN:
767-2,00-999-47 -31202.1-
Application description . . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning
LOW DENSITY RESIDENTIAL
Application valuation
. . . . 165860
Owner
Contractor
DESERT CHEYENNE, INC,.
HERINGTON DEVELOPMENT, JAMES 0
78401 HIGHWAY 111, SUITE
G 40960 CALIFORNIA
OAKS RD', #283
LA QUINTA CA 92253 MURRIETA
CA 92562
(760) 777-9920
(951) 677-8415
WCC: STATE FUND
WC: 1542746
11/01/05
CSLB: 7.53190
04/30/06
CCC: B
--------------------------
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
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
658..00
PATIO SQ FTG
319.00
NUMBER OF UNITS
1.00
IST FLOOR SQUARE FOOTAGE
2600.00
Permit . . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
8'70.50 Plan, Check Fee
141.46
Issue Date . . . .
Valuation . .
. 165860
Qty Unit Charge
Per
Extension
BASE FEE
639.50
6.6.00 3.5000
THOU BLDG 100,001-•500,000
231.00
Permit . . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
90.00 Plan Check Fee
5.63
Issue Date . . . .
Valuation
.. 0
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/1001< BTU
18.00
5.00 6.5000
EA MECH VENT FAN
32.50
. Y
P.O. Box 1504�� VOICE (760) 777-7012
78-495 CALLE T'AMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 9.2253 4INSPECTIONS (760) 777-7133
BUILDING & SAFETY DEPARTMENT
Application Number: �'i - 838 Date: • / g 'OS
Applicant:
Applicant's Mailing Address:.
Architect or
E�
IV hitect or Ensaineer'
tris. No.: 'Z 7 y)
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of ;perjury that 1 am licensed nder provisions of Chapter 9 (commencing with Section'7000),of Division 3 of the Business and Professionals
Cgpa, and my Licenseis i ull force and effect.,AT-7
cense. Class e No..
/Date nt tf Tactor
/ I OWNER• 3UILDER DECLARATION
I hereby affirm under penalty of perjury that I' am; exempt from the.ContractoW State. License Law for the following reason (Sec. 7031.5, Business and Professions. Code: Any
city or county that requires a permitto construct, alter, improve, demolish; or repair any prior to its issuance, also requires the applicanMor the permit -to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (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).):
U 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 or 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 oompletion:.;the owner -builder will have the burden of proving that he or she, did not build or improve foithe purpose of sale.).
U I, as owner ofthe 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 am exempt under Sec. , B.& P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and willmaintain a certificate of consentto self -insure for workers' compensation, as providedtor by Section 3700,ofthe Labor'Code, forthe performance
of the workr for which this permit is issued.
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
My oPke1� compensation m ce carrier and
artier.�d�iyi �y--*I-Pb icy Number
_Tcertify that, in the performance of thew rk fo hich this permit isFiissued. I shall not employ any person in any manner so as to become subject.to-the workers'
compensation laws of California, and 4ree t, if t should become subjectto the workers' compensation provisions of Section 00 of the Labor Code, I shall
I rthwith comply with those provi37
sions.
C
to Ippl?� icant
WARNING: FAILURE TO SECURE WORKERS' C NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES -AND
CiVILTINES UP TO ONE HUNDRED THOUUSAND OLLARS, ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penaltyof 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
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 Phis 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 ofthis application becomes nu 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 cancellalonA
I certify that 11 have read this application and state that the: above inform o i correct. I agree.to comply with all city and county ordinances and state laws relating to building
construction, a d herebyauthorize re _ entatives of this county to ant p the above-mentioned property for inspection purposes.
Date � rJ,� ' ignature (Applicant or Agent):
Application, Number . . . . . 04-0000838.2
Page 2
Date 4/12/05
Qty Unit
Charge
Per
Extension
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee
119.16 Plan Check Fee
7.45
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2.600.00
_0350
ELEC NEW RES'- 1 OR 2 FAMILY
91.00
658.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
13.1.6
Permit .. . .
. . .
PLUMBING
Additional desc
.
Permit Fee .
. . .
166.50 Plan Check Fee
1.0.41
Issue Date
Valuation . . . .
0.
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
16.00
6.0000
EA PLB FIXTURE
96.00
1.00
15.0000
EA PLB BUILDING SEWER
1.5.00
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
61.00
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
Qty Unit
Charge
Per
Extension
BASE FEE
1.5.00
Special Notes
and Comments
SFD - LOT 47,
PLAN 2AR, 2.600 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
v!
Page 3
Application Number
. . . . .
04:-00008382 Date
4/1.2/05
Other Fees . . .
. . .
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.15.
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
50.2.00
STRONG MOTION (SMI) - RES
16.58
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited.
Due
Permit Fee Total
1261:16
.00 .00
1261.16
Plan Check Total
164.95
.00 .00
164.95
Other Fee Total
.2435.73
.00 .00
2435.73
Grand Total
3861.84
..00 .00
38,61. 84
10/ 24/ 2005 09:43
951-686-8786
WESTERN INSULATION.
PAGE 08/22
4.0r-161.47 * 1 '04
CftR INSULATION CERTIFICATE
THIS IS TO' CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED:AT:
TRACTIPHASE: RANCHO SANTANA I PHASE 1
LOT 47-1
SITE ADDRESS: 81.-587 CHARISMATIC WAY LA QUINTA, CA
--------------------------------- -------------------------
CoElLINGS: BLOWN INSULATION
MANUFACTURER: GREENFIBER THICKNESS: 8.1" R—VALUE: R-30
CEILINGS: QATTS
MANUFACTURER: KNAUF THICKNESS: 10" R- VALUE: R-30
EXTERIOR WALLS; BATTS
MANUFACTURER: KNAUF THICKNESS: 3 W R- VALUE: R-13
-GENERAL CONTRACTORS DESSERT ELITE
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY: _�Q
TITLE:
DATE: OCT(
OCT -29-2005 10:12. PM
Datehb y LL,♦ ��1J�iYL�
Builder Name
elephone Plan Number
_ 7Lo) 2
Tt ephone Sample Group Number
D!;
P'. 13
?"`IX 7/7
f✓l >a;���1�yk„n �t1����
Ge g Signature _ at Semple House Number
rm:,1j.— {' Ate/i�r'T << _ HERS Provider. C R A
Street Address: 2U�ra�� C/rC��, Clty/8tate/zip: 1-4W0)1.1&.C, 'Of
Copies to: dullder, HERS Provider
HEB ,UTIR.GOMPLIAN E 3
The house was, ❑ Tested Approved as part of sample testing, but was not tested
As the HERB rater providing diagnostic testing and field verIfication, I certify that the houses Identified on this form
com 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 lieu
Pf ducts)
herce cloth backed, rubber adhesive.duct tape Is installed,, mastic and drawbands are used In combination
with cloth backed, rubber adhesive duct tape to soul leaks at duct,connectlons.
❑ MINIMUM REQUIREMENTS FOR DUCT.LEAKAOB REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct pressurization Test Results (CFM Q 25 Pa)
Test Leakage Flow In CFM
If fan flow Is calculated as 400cfm/ton x number of tone 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 (Passz6% or less)
ATIC EXPAN
VE (TXV) or Commission a
Measured
values
acryes ❑ No Thermostatic Expanslon Valve (or Commission approved
equivalent) is installed and Access Is provided for Inspection
Yes Is: a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. O 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,
13
ass Fail
2. ❑ Yes ❑ 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
Q I7
Yes for both 1 and 2 Is a Pass Pass Fall
Certificate of Occupancy
Building &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: 81-587 CHARISMATIC WAY
Use classification: SFD
Occupancy Group: R-3
Owner of Building: DESERT ELITE INC.
Building Official
Type of. Construction: V -N'
V
Building Permit No.: 04-8382
Land Use Zone: LDR
Address: 78-401 HWY 111 SUITE G
City, ST, ZIP: LA QUINTA 92253
By: GARY SHOWALTER
Date: 10/31/05