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06-1023 (SFD).r P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00001023 8188fRANCHO SANTANA DR 767-200-999-23 -312023- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 179688 I.hereby affirm under penalty of perjury Section 7000) of Division 3 of the Busi, Cla467 D'at eO / (f 6ontractor: Td4t 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DESERT ELITE, INC. 78401 HIGHWAY 111 DETACHED LA QUINTA, CA 92253 �rchitct or Engineer: ------------------------------- NSED CONTRACTOR'S DECLARATION I FI{, licensed under provisions of Chapter 9 (commencing with Professionals Code, and my License is in full force and effect. License No.: 753190 I\ 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 1$5001.: (_ 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 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: i 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: 3, Poe Lender's Address: LQPER11UT Contractor: HERINGTON DEVELOPMENT, 40960 CALIFORNIA OAKS MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/06 UD ##283Q a AUG 011006 CITY OF LA QUINTA FINANCE DEPT. ------------------ 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 ofthe Labor* Code, for the performance of the work for which this permit is'issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1542746-2005 1 certify that, in the per0mince of the work for which this permit is issued, I shall not employ any person in any maT,ERS' %come subject to the workers' compensation laws of California, and agree that, isubject to the workers' compensation provisions of Section 700 of the Laborthwith comply with those provisions. ' ate�� Q c plicant: WARNING: FAILURE TO SECUROMPENSATION 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 o this permit. 2. Any permit issued as a result of this apph anon becomes null and void if work isnot commenced within 180 days from date of issuance o 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 above information is correct. I agree to comply with all city and county ordinancesand tate laws relating to b 'I ing construction, and hereby authorize representatives 'of this odunry tq�enter upoabove-mentioned prop for inspection purposes. (Applicant or Agent): Application Number . . . . . 06-00001023 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 9/10/06 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 9/10/06 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 . . . Additional desc . . Permit Fee . . . . Issue Date . Expiration Date . Qty Unit Charge 2863.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 127.89 Plan Check Fee . Valuation 9/10/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 7.99 0 Extension 15.00 100.21 Application Number . . . . . 06-00001023 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 634.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.68 Permit . . . PLUMBING Additional desc . Permit Fee 172.50 Plan Check Fee .10.78 Issue Date Valuation . . . . 0 Expiration Date 9/10/06 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 9/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------ Special Notes and Comments SFD - LOT 23, PLAN 3BR, 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 480.00 ENERGY REVIEW FEE 14.94 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN.CHECK FEE 00 DIF LIBRARIES - RES 355.00 LQPERMIT ,Y j s LQPERMIT .Application Number . . . . . 06-00001023 ------------------------------------- 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 1666.00 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 3728.90 .00 .00 3728.90 Grand Total 5227.61 .00 .00 5227.61 a s 05-16-'07 15:13 FROM- r� Empire Insulation, Inc. 3901 Carter Avenue, Suite 1 Riverside, CA 92501 T-474 P10/14 U-503 Phone: (951) 787-4844 Fax: (951) 787-4849 INSULATION CERTIFICA 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 48 SITE ADDRESS: 82-881 RANCHO BANYAN C!F LA IU NTA' CA Number State Lot 23 Plan 3 CEILING AREA: BLOWN Manufacturer: GREENFIBER 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 * 860072 BY: JOHN MIRANDA DATE: .51.6147 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 infortnation provided on this form is required) After.cornpletion 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 um CEC Certified Mfr. Name and Model Number it of Identical S stents Efficiency j Duct (AFUE• etc.)' Location (KFAR value) attic, etc. Duct or Piping R -value Heating Load Btu/br Heating Capacity (Btu/hrl (kg. \heat t tTc t c wFS080 p cJ 0 � , Q/ —� 8G o00 � e6 ODL Cooling Equipment Equip Type kg. heatpump)t CEC Certified Mfr. Nameand Model ' Ntunbea 0of Identical S sterns Efficiency (SEEP EER) 2CF-IR value) Duct Location (attic etc.) Duct R -value Cooling Load Btu/hr Cooling Capacity (131uih: � e6 ODL 1. > symbol reads greater than or equal to what is indicated on the CF -.1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ❑I I, the undersigned, verify.that equipment listed above is: 1) is the actual equipment installed, 2) equivaient.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 building;, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Apphonce EJfciency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General ` Contractor (Co. N Owner 4-2— Signattue ate: Copies to. U DEP RTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms 6-d 8020–LIB-196 April 2005 IeoiueyoaW IQ1 WU06:TI L002 LI ReW 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- t 03(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number p of Identical Systems Efficiencyt Duct (AFUE, etc.) Location 2:CF-IR value) attic etc. Duct or Piping R -value Heating Load (Btu/hr) Heeling Capacity (Btu/hrl or �D l _4 , 000 ood I Cooling Equipment Equip Type k . heat um CF-CCertified Mfr. Nameand Model Number N of Identical Systems EIr'iciency I (SEER,or EER) (2CF• 1 R value) Duct Location Duct (attic etc.) R -value Cooling Load Btwhr Cooling Capacity (Bturhr) or �D l _4 , 000 ood 1. > symbol reads greater than or equal to what is indicared on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. V. CI I, 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 EJTiciency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Nit OwnerL�� 5tgnahtre Copies to. DEP TN ENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 B1'd 2680—EbE(09L) 3d0IWUH03W IQ -1 WULE=8'LOOE ZZ ReW r of 2;) CF - 6R Site Addressj Permit Number g X81 h o >r.� n7a ✓1 i 1r:�VL Ll 6 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE iNSTALM COMPLUINC$ STATEMENT The buadmg was: ❑ TesW 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 fuhishing wall are properly sealed. [3If the house tevgtt-in duct leakage test was conducted without an air handler installed, inspect the connec on points between the air handler and the supply and return plenums to verify that the connection points are propety sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ❑ DUCT LEAKAGE REDUCTION _ _ �._L,_ i.. n w,e�" armee-Aw >rr1_1 n anQW !L= 0 aw iTiJ/iH7KYVIl d 5-6-_- �NRVYw{{c{ nTq.WmIICTtot ., !stem S I System 2 Duct pressurisation Test Results LCEM S 25 Pa 1 Eater Tested Leakage Flow in CFM: S� 2 Pan Flow: Calculated (Nominal: Cooling / Heating) or Measured IYFan Flow is Calculated as 400 ofm/ton x number of tans or as 21.7 cfm/(kBtu/lhr) x Heating ! cal3acity in Thousands of Btu& enter total calculated. or measured fan flow. in CFM here: PW, L'f Al t1 PWC=tage is at or below 6% for Final or 4% at Rough -in: Pass / Fall ,�S 7Pa's5 3 poo x [ (Line # 1) / (Line # 2)]I Percent Leakage Q 13 nZRM05TA 11C; A&rA N 7ivt1 r esa. r aL to ser . ..�_�.--- ere au..NR„n tnh eltJkemnsta7lt a WLW#rr VaAW are av WIC ht Access is provided r InVeQtion. 1"110 proceanre saau coasrma ua. �'yeg Mo verification that the TXV is installed on the system and Installation of the specific equipment shall be verified. O MGH EER AM CONDITIONER Prmdurnfor ver err ane available in RAM Appendh RL i ✓ i6 Yes I C] No EM vahm of installed systems match the CF -IR 2 V Yes r C7 No For split system indoor coil is matched to outdoor coil Yes I O No i Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a dU Ar 9 9 a class Pass Fail MEW I 1, the undersigned, VW* d= the above diagnostic fast rrsutts were performed in conformance with the re ements for and compliance credii<.1, the hmdersigned, also cern$+ that the newly Installed or retrofit Air -Distribution Sy tsm Effictuea Y pstandarrdds. Fans Comply with ry requirements specified in Section 150 (m) of the 2005 Building Energy installing Subcontractor (Co. Name) OR General / Conbactor (CO. Name) OR Owner �.-9. Si Date: Copies to: BMDM BUILDING DEPARThWT, IRERS RATER .-Residential Compliance Forms April 2005 61-d 2680-EbE(09L) _1U3IWUH03W IGS WdL6:8 L002 22 ReW