06-1907 (SFD)P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 _06-00001907
81916 RANCHO SANTANA DR
767-200-999-10 -312023-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
165860
Applicant: ,chitect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t at am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine d Professionals Code, and my License is in full force and effect.
License Claps: B License No.: 753190
Dater 1i d � rector:
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 _ 1 1, 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, 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/17/07
Owner:
DESERT ELITE, INC..
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920
Contractor: nom,
HERINGTON DEVELOPMENT, JAMJ
40960 CALIFORNIA OAKS RD, 8 ��� dl
MURRIETA, CA 92562
(951)677-8415
LiC. No.: 753190 MIR LwA«PK
------------------
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 bySection 3700 of the Labor
Code, for the performance of. the work for which this permit is issued. My workers' compensation
insurance carrier and poli,y number are:
Carrier STATE FUND Policy Number 1542746-2006
I certify that, in the performlirkelof the work for which this permit is issued, I shall not employ any
person in any manner so s become subject to the workers' compensation laws of California,
ary agree that, if I should -me subject to the workers' compensation provisions of Section
/ 00 of the Labor Code, I SII forthwith comply. with those provisions.
ate) 6 7 icant: '
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 ($100,0001..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 is permit.
2. Any permit issued as a result of this applica 'on becomes null and void if work is not commenced
within 180 days from date of issuance of s ch 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 ove information is correct. I agree to comply with all
city and county ordinances and state laws relating to builds construction, and hereby authorize representatives
of this cou to nter upon the above-mentioned property r inspection purposes.
/Date 1Y ( • nature (Applicant or Agent):
Application Number . . . . 06-00001907
LQPERAIIT `
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
-----------------------------------------
1ST FLOOR SQUARE FOOTAGE
L--------------------------
2600.00
--------
Permit . . .
BUILDING PERMIT
Additional desc .
Perr..it Fee . . . .
870.50 Plan Cheek Fee
565.83
Issue Date . . . .
Valuation
165860
Expiration Date
7/16/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
66.00 3.5000
THOU BLDG 100,001-500,000
231.00
Permit
MECHANICAL
Additional desc
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date
Valuation
0
Expiration Date
7/16/07
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
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
119.16 Plan Check Fee..
29.79
_ Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2600.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
91.00
LQPERAIIT `
Application Number .
. . . . 06-00001907
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
658.00 .0200
-----------------------------------------------------------*-----------------
ELEC GARAGE OR NON-RESIDENTIAL
13.16
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
166.50 Plan Check Fee
41.63
Issue Date . . . .
Valuation
0
Expiration Date
7/16/07
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 DATER 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
6.00
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
Expiration Date
7/16/07
Qty Unit Charge
Per
-Extension
BASE FEE.
15.00
-------------------------------
Special Notes and Comments
------------
SFD - LOT 10, PLAN 2BR,
2600 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH.
2001 CBC, CMC,
CPC, 2004 CEC, 2005 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
56.58
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
STRONG MOTION (SMI) - RES
,892.00
16.58
LQPERA1IT
Application Number'
. . . . .
06-00001907
----------------------------------
Other Fees . . . .
-
. . . . .
-------=---------
DIF STREET
------------------------
MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
1261.16
------
.00
---------- ----------
.00
1261.16
Plan Check Total
659.75
.00
.00
659.75
Other Fee Total
4548.16
.00
.00
4548.16
Grand Total
6469.07
.00
.00
6469.07
LQPERAIIT
05-16-'07 15:12 FROM -
Empire Insulation, Inc.
3901 Carter Avenue, Suite 1
Riverside, CA 92501
T-474 P05/14 U-503
Phone: (951) 787-4844
Fax: (951) 787-4849
INSULATION CERTIFICATE
This is to certify that Insulation has been installed in conformance with the current
Energy Regulations & Building Codes of the City, County and State Governing Agencies
for the State of California.
PROJECT: RANCHO SANTANA PH 4B
SITE ADDRESS: 81-916 RANCHO SANTANA DF LA QUINTA CA
Number City State
Lot IO Plan 2
CEILING AREA: BLOWN
Manufacturer: GREENfFIBER Thickness/Type: 8.36" R -Value R-30
CEILING AREA: . BATT '
Manufacturer: GUARDIAN Thickness/Type: 9 1/2 " R -Value R-30
EXTERIOR WALLS:
Manufacturer: GUARDIAN Thickness/Type: 35/8" R -Value R-13
GENERAL. CONTRACTOR:
BY; TITLE:
LICENSE #
DATE:
INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860092
BY; JOHN MIRANDA DATE: 511.6/07
J
n
L�
INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Mode:
Number
Efficiency
# of '
Identical (AFUE, etc.)
S terns (>_CF -IR value)
Duct
Location
attic, etc.)
Duct or
Piping
R-v�al.ue
Heating
Load
Btuly
Heating
Capacity
(Btu/hr
Cooling
Capacity
(EalOhr
O' O U
l 3,
i
Cooling Equipment
Equip Type
(0g. beat um
CEC Certified Mfr.
Name and Mode:
Number
3+ of
Identical
S steno
E: ficiency
i
(SEER or EE.R)
(,KF- I R value)
Duct
Location
attic, etc.
Duct
R-value(Btu/hr)
Cooling
Load
Cooling
Capacity
(EalOhr
l 3,
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓
011, the undersigned, verify.that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance E(ficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. N R Owner
Signature: Date: _z
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILL)INU vwtvlrx A t viit,urruNC ,
Residential Compliance Forms
b -d 8020-LTB-TS6
April 2005
IeotueyoaW I0l WH60:11 L00a Li ReW
t
INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections: (The
information provided on this form is required) Ater completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat U
CEC Certified Mfr.
Name and Model
Number
>* of '
Identical
S stems
Efficiency
i
(AFUE, etc.)
KF. -IR value)
Duct
Location
attic, etc.
Duct or
Piping
R•value
Heatin B
Load
. BtAr
Hcating
Capacity
(Butlhr)
�-
fL
�g�
o
,a
o eov
Cooling Equipment
Equip Type
k eat u
CEC Certified Mfr.
Name and Model
Number
H
Identical
Systems
Efficiencyof t
(SEER or EER)
>-CF-IR value)
Duct
Location
attic etc.
Duct
P--valueBeu/hr
Cooling
Load
Coating
Capacity
(Butthr)
�Z_Lo;
o
13
-
ya, 6od
1. > symbol reads greater than or equal to what is indicated on the CF -JR .value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓ [311, the undersigned, verify.that equipment listed above -is: 1) is theactual equipment installed, 21 equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efliciency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Narne) OR General
Contractor (Co. Na R Own r
Signature: ,_ 1i Date: /1-7
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms
April 1005
8'd 2680-6bE(09L) IUOIWUH03W I0-1 WdbE=B LOOZ 22 ReW
:u
TE
4 of 1,2) CF -6K
Permit Number
Site Address
W-oIb rAA .o ��n��yjri ORDUCTLEAKAGE --
INSTALLER COMPLIANCE STATEMENT F
n"TALLER CQ PLMANCR STAT811MM
The building was, ❑ Tested at Final Of Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior
finishing wall are properly sealed.
without an air handler installed, inspect the conte on points
13 If the house rough -in duct leakage test was conducted
between the air htn filer and the supply =d remple®ams to verify that the connection points are proper�y Seated
inspect all jomta to Mm tbat no cloth backed rubber adhesive, duct tape is used
❑ DUCT I,EA,KAGE REDUCITON _w1ivAram jrAem. .moend&RC .3
NEW COMMUCTIONt
Tested Leakage Flow in CFM
Fan Flow, Catculswd (Nominal: Cooling / ii==W or tnaasurca
2 If Fan Flow is Calculated as 400 cfm/ton x number of toms or as 21.7 cfm/(kBtn/br) x Heating.
CThoussnds of Btu/hr ender total calculated or measured fan flow. in CFM here:
am
Ps�aa �ir�i�e percentage is at or below 6% for Final or 4% at Rough -in: Pass / Fall
3 [100 x [ (Line 4 1) / (Line # 2)ji Percent Leakage
13 THERMOti 1'A -11e: AArjU'%0ivL1. CZAJ , Jw S.— . , endlx RI.9
Procedurw�JorJkld vettean Of wam°stQ� ansion valves are available be RAM,ofP
Access is provided for hmectlom The procedure shall consist of visual
'Yes ❑No
verification that the TXV is Installed on the system and installation of the
specific equipwMA ahallbe verified.
Yes is a pass
❑ HIGH EER AIR CONDITIONER
Procedures w v cation are avatia8le br R4CM, Appmdbt Rl,
1 ✓ Yes 1] No SER values of installed systems match the CF -1R
2 ✓ Yes D _ For split system. indoor coil is matchedto outdoor coil
3 ✓ Yes 13140 Time Delay Relay VedW (If Required)
Yes to I and 2; and 3 (If Required) is a P
System 1 1 : System 2
5q
1HOO 1900
0,036 0,03)
9
Pam I Fail
FA
Pass
I, the rmdecaignad, verify that the above dlagnostk
test results wore performed in conformance with the re erts for
credit. is the tmdersigned, also c� that the newly installed or retrofit Air -Distnbntion Syseeml ,Plenums end
Fans comply wi* Man,�Dery+ requirements specified in Section 150 (m) of the 2005 Building Energy Sificien , standards.
Instaft Suboonnr WW (CO. Name) OR (metal
Coats= (Co. Name) OR Owner
Coataa tot B=E.R, BUILDING DZPARTMSM, KM RATER
Residential Compliance Forms April 2005
0
6'd 2680-EbE(09L) IUOIWUH33W I0-1 Wdt,6:B L002 22 ReW
JUN -18-2007 04:41 PM
r
CERTIFICA'
d
Plan Number
Sample Group Number
P.04
CAfifting Signature Detat Sample House Number
Irma, �� f' SSO -�u7rG HERS Provider
Street Address:C�YL �P� _ CitylStateall): 1—a
Copies to: Builder, HERS Provider
HIFg§ Baffi GOME61ANCEA
The house was: ested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, l certify that the houses Identified on this form
comply,with the diagnostic tested compliance requirements as checked on this form.
JZ istributlon system Is fully ducted (I.e., does not use building canes as plenums or platform returns in lieu
49Af ducts)
Where cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used in combination
W,th cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
�—MIINIMVM
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
4
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM
If fan now is calculated as 400cfmlton x number of tons enter /1 Acalculated value here
If fan flow is measured enter measured value here `1
Leakage Percentage (100 x Test Leakage/Favi Flow) X ��%P
Check Box for Pass or Fall (Pass=6% or. less)
Pass Fail
i
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
Yes ❑ No - Thermostatic Expansion Valve (or Commission approved
❑
equivalent) is Installed and Access is provided for inspection
Yes Is a pass
Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. ❑ Yes ❑ No ACCA Manuel D Design requirements have been met
,
(rater has verified that actual Installation matches values In
h
CF -1R and design on plan.
2. ❑ Yes d 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
Certifidate of Od'cupancy
Qum&
OF 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 andlor use.
BUILDING ADDRESS: 81-916 RANCHO SANTANA DR.
Use classification: SFD Building Permit No.: 06-1907
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RL
Owner of Building: DESERT ELITE, INC. Address: 78-401 HWY 111
City, ST, ZIP: LA QUINTA 92253
By: STEVE TRAXEL
Date: OCTOBER 8,2008
Building Official
P 0 ST IN A CONSPICUOUS PLACE