04-8379 (SFD)J
r c •
BUILDING & SAFETY DEPARTMENT
P.O. 1504
1 9 20ME (760).777-7012
� 49 LLE TAMP,ICO FAX '(760) 777-7011
LA IN ,A, CALIFORNIA.92253 INSPECTION REQUESTS (760) 777-71,53
CITY OF LA QUINTA
BUILDING PERMIT
Application Number
.; 04-'00008379
Date 4/12/`05
Property Address . .
. . . . 81612 CHARISMATIC WY
APN:,
767-20.0-999-39 -3120.21-
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL
Application valuation
165860
Owner
Contractor
DESERT CHEYENNE, INC.
HERINGTON DEVELOPMENT, JAMES O
78'401 HIGHWAY 1.11, SUITE
G 40960 CALIFORNIA
OAKS RD, #283
LA QUINTA
CA 92.253 MURRIETA
CA 92,562
(76.0) 777-9920
(9.51) 677-8415
-
WCC: STATE FUND
WC: 1542746
11./01/05
CSLB: 753190
04./30/06
CCC: B
--------------- -----------
Structure Information- ---------=-----------------
Construction Type .
. . . TYPE V - NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/CONE <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
6.58.00
PATIO SQ FTG
31.9.00
'NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2600.00
Permit . . . . . . .BUILDING
PERMIT
Additional desc .
Permit Fee . . . .
870.50 Plan Check Fee
., 141.46
Issue Date
Valuation . .
. . 1.65860
Qty Unit Charge
Per
Extension
BASE FEE.
639.50
66'. 0'0 3.50 0 0
'THOU BLDG 100,0'01-50'0,0,00
231.0:0
Permit . . . . . .
MECHANICAL
Additional desc .
Permit_ Fee
90.00 Plan Check Fee
5.._6.3
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
BASE .FEE
15.00
2.00 9.0000
EA MECH FURNACE <=!100K
18.00
2.0'0 9..0000
EA MECH B/C <=3HP/100K BTU
18'..00
5.00 6.5000
EA MECH VENT FAN
32.50
• \4
P.O. Box 1504 VOICE (760) 777-7013
78-495 C,ALLE TA`MPICO FAX (760) 777-7011
LA QUIN.TA, CALIFORNIA 92253 INS-PECTIONS (760) 777=7153
BUILDING & SAFETY DEPARTMENT
Application Number: U S 3�l Date: ! $ • OS
Applicant:
Applicant's Mailing Address:.
Architect gr Engineer: '
--Architect or Engineer's Address:
No. Yui
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am li n under provisions.of Chapter 9 (commencing with Section 7000) of Division 3. of the Business and Professionals
Code, and my License is i ull forceeand'effect.
�Cicense Class cense No. J O
i
V ' OWNER -BUILDER DECLARATION
I hereby affirm under penalty ofpedury that I am exempt from the Contractors' State License Law forthe 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.pernitto file a signed
statement that he or she is,licensed pursuantao the provisions of:the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ohthe Business
and Professions Code) or that he or sheis exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for pernitsubjects
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 notintendedar 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 orherself'orthrough his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvementis
sold within one year of completion. the owner -builder willhave the burden of proving that he or, she,did not build or improve for the purpose of sale. ).
U 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 doesnot 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,).
U I am exempt under Sec. , BA P.C. for this reason
Date - Owner
.YO^KERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pedury 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 permitis issued,.
_rl have.and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfornance:of the work for which this permit is
�I:ued w0 compensatione carrier
employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia,, an ag that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisio s. .
ate �2 0 licant
WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE`.HUNDRED THOUS ND 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the perfonnance:of the work for which this permit is issued(Sec. 3097, Civ. C.),
Lender's Name p
Lenders Address A
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby, made to the Director of Building and Safety for a, permit subject to theconditions and restrictions set forth on this application.
1. Each person upon whose behalfethis application is made, each person at whose request and 11 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'harnless the City of La Quina; its
officers„agents and employees for any act or omission relat d to the work being performed under or following issuance of this permit:
2. Any permit issued as a result of this application becomes nu nd v id,if work is not commenced within 180 days from date of issuance of such permit, or
cessation.of work for 180 days will subject,pernit to cancella n.
I certify I have read this application and state that the above, informa n i rrect. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authonz�sentatives! of this county to enter p the above-mentioned property for inspection purposes.
ate 8 �� Signature (Applicant or Agent):
41
Application Number . . . . . 04-00008379
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
2600.00 ..0350
ELEC NEW RES - 1 OR 2 FAMILY
91.00
658.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.16
Permit PLUMBING
Additional desc . .
Permit Fee . . . .
166.50 Plan Check Fee'.
10.41
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
15_00 .
1.00 7.5000
EA PLB' WATERHEATER/VENT
7.50
1.00 3.0000
EA PLB'WATER INST/ALT/REP
3.00
1.00 9.00:00
EA PLB LAWN SPRINKLER SYSTEM
9.00
8.0'0 .7500
EA PLB GAS PIPE >=5
6.00
1.0110 15.0.0.00
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Permit . . . . . . GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 P1an,Check Fee
.00
Issue Date . . .
Valuation. . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
-----------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 39, PLAN 2B,
2600 SF. PERMIT -
DOES NOT INCLUDE POOL.,
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH.
75% REDUCTI.ON.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
Page 3
Application Number . . . . . 04-000108379 Date 4./12/05
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 502.00
STRONG MOTION (SMI) - RES 16.58
DIF STREET MAINT FAC. -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged
Permit Fee Total 1261.16
Plan Check Total 164.95
Other Fee Total_ 2435.73
Grand Total 3861.84
Paid Credited Due
.00 .00 1261.1.6
.00 .00 164.95
.00 .00 2435.73
.00 .00 3861.84
OCT -29-2005 10:09 PM
W
FIELD
TESTING .'
Plan Number
Sample Group Number
CjM-Ifylrfo- Slgnature 768 Sample House Number
Irm:_ �. 4-,�ssariare- � HERS Provider: C y��~le f
Street, Address: ognat d C/YL Cttylstate2lp: 4W 41� zC 1 u -
Copies to: Builder, HERS Provider
HEM RATER COMPLIANCE
The house wast ❑ Tested Approved as part of sample testing, but was not tested
P. 07
As the HERS raterproviding diagnostic testing and field verification, I certify that the houses identified on this form
comply.with the diagnostic tested compliance requirements as checked on this form.
Distribution system Is fully ducted (Le., does not use building cavities as plenums or platform returns In Ileu
sof 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.
Q MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 81/6 Duct Leakage)
Duct Pressurization Test Results (CFM (0.25 Pa) Measuredvalues
Tett Leakage Flow in CFM
`ftn flow is calculated as 4000mlton 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) a
Check Box for Pass or Fall (Pass=6% or less)
VALVE (TXV) or Commission a
g Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for Inspection
Yes Is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT'DESION COMPLIANCE CREDIT
1. 0 Yes D No ACCA Manual D Design requiremente have been>met
(rater has verified that actual Installation matches values in
C10-1 R and design on plan..
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 =
Yes for both 1 and 2 is a Pass
Pass Fail
i
ass Fall
A/M
M 0
Pass Fail
1012.412005 10:22
951-686-8786.
WESTERN INSULATION
CF6R INSULATION CERTIFICATE
PAGE 01/01
G��s9 t A
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED INCONFORMANCE WITH
THE CURRENT'ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACTIPHASE. RANCHO SANTANA/PHASE I
LOT 39-1
SITE ADDRESS: 81-612 CHARISMATIC WAY LA QUINTA, CA
CEILINGS: BLOWN INSULATION
MANUFACTURER: GREENFIBER THICKNESS: BAR R VALUE: R-30
Gs• BAITS
MANUFACTURER: KNAUF THICKNESS: 10" R- VALUE: R-30
91MOR WAILS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3 W R- VALUE: R-13
GENERAL CONTRACTOR_: DESSERT ELITE
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE N M R: 794484
BY:
TITLE: /PRODUCTIOT4 MARAGER
DATE: OCTOBER 24,2005
Oct 3`1 2005 8:45AM L,DI MECHANICAL (760).343-0892 p.8
TRICATE
a
DUCT LEAKAGE AND DESIGN/ DIAGNOSTICS
......A . Y A V♦ 1.1W is w M it�wl•111N EA -to l?I dV A, e ijr s � G. ' G, 4W
CF
Prmurlaatloe Tet AvIlls (CFM 0 2$ PA) Teri Liakwo (CFM
Fie Flow
[fro Flow fs Calouhltod a 400 of ift z vend ar of eoaa, la sa 21.7"L HaedU CIPAWW
In 711ousendabf BLM,,ordor00PA iad wfus here
11 fan flow IS elonvi d, enter moisnaed vslw h@Mj
AW
Leakage Fraedon - Ten LUMP(CM 1 er Coed fm Fbn)
ff o
Pala e b alimp f codon' a o4s
Paas Ftn
D FwAMOSOL TYPE SSALAIYTS,ONLY Aft fono�iag dtappede tabs wu eel
iseadl
Duet Pan Proreurioda at to*4n asuwW laahag
5 (CFW
CH= AIS POMMO WALL'
O Yes O No O Praasure pea► teat or House plvi=haefon feat
O Yp O No O VWAd Inspa don of Duce CoramU. ns
a o
Pao Fan
IWM O No Mm cost fla Bxpaasion Valve Is ill"Ifad and Awns is - pt *od for bqwdan
Ya 1e a pap
� �
Pap Fon
n nuerDMIGN _
I. eyes ONO Cyd, p -D-o-W-pto on dw plans and duct WaWledon
a o
2.O Yes 0 No •TXV is I=Wled or Fu flow hu bean ve Ub& If DO TXV, peq
vai8ed file now marches &din am CF -M
Maeaurod Pan 1Row �,_..,__
Yo for both I and Z Is a Pap
O 4 dla .verily drat @la 6m dbpaoatk Im muhs sad do wak i pwbn ald atsaelaaed 146 do In*) bin aep6003ee
wh6d�ateoldl+ameettlbresaapNarleaalrtdlLC�buddpsheUfa��l�itilpaovlsblrseopyatths . al�led,lrPt>sebender
pl�llldep srsabaasaraeora o"PA" do dlageoade wft adisaellhdm =dew mwivjHeloaeaedll. j
T40 !W _ plre� Dela
f.1b
omm elioftDepormolif
i187t:t Plodder at apPI asble)
8W1dh►g t>~r w at oeogmq
huelRlAt;g416eoaflaotar(Co. Naaro)
Oenelal Conkaoror (Ca Name)
A-25
Certificate of Occupancy
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 909 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: 81-612 Charismatic Way
Use classification: Single Family Dwelling
Occupancy Group, R-3/1.11
Owner of Building: Desert. Elite, Inc
,Building Official
Building Permit No.: 04-8379
Type of Construction: VN Land Use Zone:- RL
Address: 78-401 Highway 111
City, ST, ZIP: La Quinta, CA 92253
Byw Daniel P. Crawford Jr..
Date: 1126/06