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06-1917 (SFD)r , j P.O. BOX 1504 4 Qum& 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: 1/17/07 Application Number: 106_-000.0191-7- ---'_. Owner: Property Address: 81909 RANCHO SANTANA DR DESERT ELITE, INC. APN: 767-200-999-21 -312023- 78401 HIGHWAY 111 Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 179688 Contractor: Applicant: rchitect or Engineer: HERINGTON DEVELOPMENT, J 40960 CALIFORNIA OAKS RDW MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190. F _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (commencing with - Section 7000) of ivision 3 of the Bu ss and Professionals Code, and my License is in full force and effect. License C s: V License No.: 753190 y1 /a/// 1 ntractor: 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 _ 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.). 1 _ 1 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 workfor which this permit is issued (Sec.. 3097, Civ. C.I. Lender's Name: Lender's Address: rl LQPERn11T 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 by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and olicy number are: Carrier STATE FUND Policy Number 1542746-2006 _ I certify that, in the perfo na ce of the work for which this permit is issued, I shall not employ any a person in any manner to become subject to the workers' compensation laws of California, and agree that, if I sho ecome subject to the workers' compensation provisions of Section � 3 0 of the Labor Cod shall forthwith comply with those provisions. 17 -i plicant: 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 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 applic tion becomes null and void if work is not commenced within 180 days from date of issuance of uch permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t above information is correct. I agree to comply with all city an county ordinances and stale laws relating to b ing construction, and hereby authorize representatives of s cou to nter upon a above-mentioned prop y for inspection purposes. Dater _ I✓ gnature (Applicant or Agent): Application Number . . . . 06-00001917 LIJPERA fl' 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 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 634.00 PATIO SQ FTG 263.00 NUMBER.OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2863.00 Permit BUILDING PERMIT Additional desc . Permit Fee 919.50 Plan Check Fee*. 149.42 Issue Date . . . . Valuation 179688 Expiration Date 7/16/07 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.5000 THOU BLDG 100,001-500,000 280.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 5.63 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 . . . 127.89 Plan Check Fee 7.99 Issue Date Valuation . . . . 0 Expiration Date.. 7/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 2863.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 100.21 LIJPERA fl' Application Number 06-00001917 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 634.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 12.68 PermitPLUMBING Additional desc . Permit Fee . . . . 172.50 Plan Check Fee 10.78 Issue Date . . . . Valuation . . . 0 Expiration Date 7/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB .FIXTURE 102.00 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 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 21, PLAN 3AR, 2863 SF..PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 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. 14.94 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 LQPERMIT . Application Number . . . . . 06-00001917 ---------------------------------------------- Other Fees . . . . . . . . . =----------------------------- DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 17.96 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due ----------------- Permit"Fee Total ---------- 1324.89 ---------- ------ - .00 ------------- .00 1324.89 Plan Check Total 173.82 .00 .00 173.82 Other Fee Total 4507.90 .00 .00 4507.90 Grand Total 6006.61 .00 .00 6006.61 4QPERINUT 05-16-'07.15;13 FROM- Empire Insulation, Inc. 3901 Carter Avenue, Suite I Riverside, CA 92501 ` T-474 P08/14 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 4113 (SITE ADDRESS: - 81-909 RANCHO SANTANA DF LA QUINTA CA - Number - - city- -_ State Lot 21 Plan 3 CEILING AREA: BLOWN Manufacturer: GREENEISER 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: 3 5/8" R -Value R-13 GENERAL CONTRACTOR: BY: TITLE: LICENSE # DATE: INSULATION CONTRACTOR; EMPIRE INSULATION LICENSE # 86007a BY: JOHN MIRANDA DATE: 5./16/07 ro INSTALLATION CERTIFICATE (Page 3 of I2) CF -6R Site Address \ Permit Number 9 09 :Ic-\��j 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 u CEC Certified Mir. Name and Model Number # of Identical Systems Efficiency� (AFUE, etc.) KF-II�R value) Duct Location (attic, etc.) Duct o; Piping R-v�alfue Heating Load (Btu/hr Heating Capacity (Btulhr) � a 1 0 a systems t DVt0o v C -1' gLJ ow 600 I I Cooling Equipment Equip Type heat CEC Certified Mfr. Name and Model Number # of Identical' Efficiencyt (SEER or EER) (zCF-IR value) Duct Location Duct (attic etc.) R -value Coaling Load BbAr) Cooling Capacity (BaJhr) (pkg. TI r � a 1 0 a systems t �t c — `I '(4 A 1 000 600 I 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. ✓ 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 -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 Efficiency Regulations or Part 6), where applicable.. Copies to: Residential Compliance Forms , HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY 1, -Cl 8020 -LTB -TSG April 2005 IeotuegoaW I0-1 WHOE=TT L002 LT ReW INSTALLATI0N 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 forth 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 Model Number # of ldentical Systems Efficiencyt ! Duct (AFUE, etc.) Location ZCF-)R value I attic etc. Duct or Pip?ng R -value Heeling Load Btulhr Healing Capacity (Btu/hr) IF 0�of L SO , QO[oa tJ ` _qt o00 U Off; I I . Cooling Equipment Equip Type (pkg. heat U CECCertified Mfr. Nameand Model Number it of Idemicul ' S .reins Efficiency t (SEER or EER) 2CF-lR value) Duct Location Duct (attic, etc.) R-vaiuc Cooling Load Btulhr Cooling Capacity (Btuihr) TI ° ` o a , 3 l C� - q. o00 ro NA 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. ✓ 01 1, the undersigned, yerify.that equipment Iisted above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -)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 Efficiency Regulations or Part 6), where applicable.. Installing Subcontractor (Co. Name) OR General Contractor.(Co. N Owner Signature: Date: Copies to: B&MIN"EPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY . Residential Compliance Forms bl - d ?680-6t,6(09L)- April 2005 _1133INHH0314 I0-1 WU96:8 L002 22 ReW 4 Site Address n , Permit Number 21-C+- 6R -_ 90 R K rA jq C, -Q C� a n+lx V1 G )),I've- INSTALL= ),I'ye-INSTALL= COMPLIANCE STATEMENT FOR DUCT LEAKAGE IIWALLER COMPLIANCE STATENMNT The building was: Q Tested at Final � Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one rietma re&W, and verify that the spaces between the register boot anil the intmlor. tushing Wali are properly sealed. ❑ Ifthe house rough -In duct leakage test was conducted Without an air handler installed, inspect the connec points between the air handler and the supply and raft= plenums to verify that the connection points are prope>py sealed or Inspect all jolpo to ensure that no cloth backed ribber adhesive duct tape is used ❑ DUCT LEAKAGE REDUCTION ._el_il_ w. a A/�11.I nasi e..d?r R/'L.i Procedum r aW yaV&ywana Q{a resrrn 2 -r ma, rwa«�.. J - NEW CONSTRUCTION: stem 1 System 2 Duct Pressurization Test Results CFM M 25 Pa 1 Enter Tested Leakage Flow in CFM: 3q -7 Fan Flow: Calculated (Nominal: Cooling / Heating) or Measured 2 If Fan Flow is Calculated as 400 cft ton x number of toms or as 21.7 aft/(kBtn/hr) x Heating ) q00 11000 cqmyx is Thousands of Btu/hr enter total calculated or measured fan flow in CFM here: PAMMIAMPPM=0up is at or below 6% for Final or 4% at Rougb-ln: Pass / Fail pt' as -5 '5 [100 x ( (Line # 1) / (Line # 2)jj Percent Leakage= O►M 01035 [7 TSERMU,TA-1 ll: JU rAMM MMil v ru.. Jw%i n • r endlx RL 9 9 .. a ra,Uan...,neh of db�ro4fad a emanslon wrh M are available In)ucv, APP 'Yes [3140 verMcation that the TXV is installed on the system and installation of the speeme equipment shall be verified Yes is a pass, ass Fait D HIGH EER AM CONDITIONER Procedures a v on e available In RAAP we RL l ✓ Yes G No EER vahus ofinstslled slate=s match the CF -1R ✓ ✓ 2 ✓ IX Yes O No For split system, indoor coil is matched to outdoor coil 3 Yes O No Time Delay Raley Verified (If Required) ; Yes to I and 2; and 3 (If Required) is -a Pass Fail i ,,the undersfgaal, verity that the above diagnosdo lost results were porfbnried in conformance with the re eats for coed& I, the tmdersigaed, also carbiijr that the newly installed or retrofit Air -Distribution System Du Pie== and Fags comply with Mmtd4MY in Section 150 (m) of the 2005 Building BMW Bffici standards' Installing Subcontractor (Co. Name) OR General / �YGlJpI7 / G Contractor (Co. Name) OR Owner !�- ,5" Copies tot BuxDMBU1M1NG1D1PARTMNTHMRATZR Residential Compliance Forms April 2005 S T - d 2680-6t,6(09L) -1d0I WUH03W I 0-i Wd96 :8 L002 22 Few JUN -18-2007 04:42 PM a — C/P on /9/10' / t3�er yeme Plan Number Sample Group Number 5-ghtying Signature oath . Sample House Number Flan: HERS Provider: C llf f f 5 rr , Street Address: 7��4 �Qc(�aY.� C.IYL�e+ City/State/Zlp: u l2r „L C.4 9 Copies to: Builder, HERS Provider The house was: ❑ Tested pproved as pert of sample testing, but was not tested P.07 As the HERS rater providing diagnostic testing and field verifleation, I certify that the houses Identified on this form mI cowith the diagnostic Vested compliance requirements as checked on this form, bistribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of 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, MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 28 Pa) values Test Leakage Flow in CFM If fan Flow Is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100.k Teat Leakage/Fan Flow)_ Check Box for Pass or Fail (Paas=896 or less) ❑ ass Fall [THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent .Am- yea ❑ No Thermostatic Expansion 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. q 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. 2. ❑ Yes O 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 ❑ ass Fail ❑ ❑ Pass Fail