06-1024 (SFD)P.Q. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application_Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
r 06-00001024
81867 RANCHO SANTANA DR
767-200-999-24 -312023-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
179688
T&f 4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/14/06
Owner:
DESERT ELITE, INC. /�
78401 HIGHWAY 111
DETACHED LA QUINTA, CA 92253P1
AUG 012uG6
Architect or Engineer:
---------------- ---------------------------------
I NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th t licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines Professionals Code, and my License is in full force and effect.
License Clas . License No.: 753190
Date: L ontractor:
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 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 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 1 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.1.
Lender's Name:
Lender's Address:
LQPERMIT
Contractor: I CITY OF LA QUINTA
M
HERINGTON DEVELOPMENT, JA G Q FINANCE DEPT.
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951)677-.8415
Lic. No.: 753190
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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.
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 a d policy number are:
Carrier STATE FUND Policy Number 1542746-2005
_ I certify that, in the p f mance of the work for which this permit is issued, I shall not employ any
person in any man o as to become subject to the workers' compensation laws of California,
and agree that, if I uld become subject to the workers' compensation provisions of Section
/ 3700 of the Labor e, I shall forthwith comply with those provisions.
d'- Ap nt:
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 ofis permit.
2. Any permit issued as a result of this applic ion becomes null and void if work is not commenced
nce
within 180 days from date of issuaof 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 th bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil i g construction, and hereby authorize representatives
of this n to enter upon the above-mentioned prop. or inspection purposes.
ate:J� Si ure (Applicant or Agent):
r Application Number .
. . . . 06-00001024
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
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
127.89 Plan Check Fee'.
7.99
d
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/10/06
Qty Unit Charge
Per
Extension
BASE FEE
.15.00
2863.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
100.21
LQPERMIT
Application Number .
. . . . 06-0000102.4
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 15.0.000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
E: 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 24, PLAN 3A,,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
3.55.00
LQPERNM
Application Number . . . . 06-00001024
--------=-------------------------------------------------------------------
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
R
LQPERMIT
D Q �
AUG 012006
CITY OF LA QUINTA
. FINANCE DEPT.
11INSTALLATION CERTIFICATE'[ji;� %� CF -6R
Site Address
Permit #
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; however, use of this form to provide the information is optionl.) 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(b).
HVAC SYSTEMS:
. Duct
Cooling Cooling
Identical (SEER, etc)'
Location
Heating Equipment
Load Capacity
Systems I [>_C]7 -IR value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
Equip. Type
# of
Efficiency
Duct
Duct or
Heating Heating
(pkg. heat CEC Certified Mfr, Make & Model
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
pump, etc.) Number
Systems
[>_CF -1R value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
FAU YORK LY8S080BI6UH11
2
80.0%
ATTIC
R-4.2
80,000
Cooling Equipment
Equip. Type
(pkg. heat CEC Certified Compressor Unit
pump, etc.) Mfr. Name and Model Number
A/C COND. YORK H2RD042
A/C COND. YORK H2RD048
I >_ reads greater than or equal to.
# of Effeciency
. Duct
Cooling Cooling
Identical (SEER, etc)'
Location
Duct
Load Capacity
Systems I [>_C]7 -IR value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
1 14
ATTIC
R-4.2
42,000
1 14
ATTIC
R-4.2
48,000
1, the undersigned, verify that the 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 -I R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or
exceeds the appropriat requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
LD1 Mechanical
Cindy llalest 11/16/2006 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
C/9 A071
DUCT LEAKkM AND DESIGN DIAGNOSTICS
its (CM@ 23 ?A) Test Leakage (CM)AL
MR01bviv.Calculated as 40'0WrrVton-x number of tons, or as 21.7 x Heating Capacity
In Th6uterift'OfStu/br, enter acu,1614-dwalue-here
Ififan 6W.Itmeasu red, entermeasured value here
Leakage Fraction= Test ;Leakage/(Mcasured�oe C-91culatediftwFlow)
Pass-ifleak#ge:fraction <-0i06 Irass F411
GTOAMO OL
Duct-kh%F'ressufizWon avroagh, in treasured leakage (CF, . M.)
CHECK AF
GY,ts- O.Nd O,P.tttsurep'an=tditor�H-6Use;.pr6guntation'test
13 Yes 0: No 0 VtWi1jitspection, of; Duct, ConnatiMs
Pass Fail
D, Yes 13 No - TbdmogtittcExpansion Valve is installed and Access is - provided for inspection
Yes is S -pass a
Iass F911
1. . ...... fift'
0 Yes 17 No
compoe OUct.,066lowls on the plans and duct,lhstallatlon
M—N. is4nst&IIt&orFAn) flow 1 0 a
2. a Yes C3 No %sib ' cen vedfied. If -no TXV,
veemed,tin bow matches design from C-'P.OL Pass Fall
Measured Ban low
-
Yes for both I and 2 is a Pass
G %,(h'ev }performedt(i
ma-ftft`0'66=41o'rct tiiplfaitcb credit. (T'i'e-bA*"I*W40dW DA'pfdAdera copy of the GF•6Rrei ted by the builder
juthit'di.. o , se. cites , d
agn, ngiamd i6sUMWbivrrWit;&rvqwr"ts for compliance -credit
Mai Q&AWt, Dite(Co: Nirneydk
h6kiftil General Contractor (Co. Naffie)
COPYTO: B'QIIdjhg,DiOaft-m'dnt
fjW, fimbVidir (it applicable)
twidbg4mver avoccupancy
QuMl A-25
ITEC -22-2006 10:11 AM
P.07
HER8Siater Te(Sphone Sample Group Number
Firm: -
Street Address:g'��D
Copies to: Builder, HERS Provider
Sample House Number
HERS Provider C 11116EX I
Cltyistste/zlp; /_ 4 4177. , Cl 9z,z?
RGRa MEER COMPLIANC9
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing dl nostic testing an field verification, I certify that the houses identified on this form
oQ with the diagnostic casted comp lance 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
ducts) r
Where cloth backed ru bar adheslvetic :duct.tape ie Installed,. masand.drawbands.are.used in combine":.
with cloth backed, rubb& adheslvpe e duct tap to seal leaks at duct connections,
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Twang Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM (M 28 Ps)
Test Leakage Flow In CFM
If fan Row Is calculated as 400cfm/ton x number of tons enter
calculated value here
If fa'n flow is measured enter measured value here
Measured
values
Leakage Percentage (100 x Test Leakage/Fan Flow) a
Check Box for Pass or Fall (PassuG% or lees) ❑
a
easFail
THERMOSTATIC EXPAN810N VALVE TXV or Commission Nyrovcd equivalent
Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) Is installed and Access Is provided for Inspection ❑
Yes Is a pass ass Fall
Q, MINIMUM REQUIREMEH S,FOi3.DU:CT.DESIGN.COMPLIANCE.CREDIT:
1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met
(rater has verified that actual Installation matches values in
and design on plan.
c
2• M 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
site address Permit #
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy
permit; this form may be used to meet these requirements. All appliance categories listed below are the actual
equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better
than the appliance specified on the certificate of compliance (Form CF -1R). This certificate (or its equivalent)
shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation.
Refer to the reverse side of this certificate for an explanation of information required.
I, the undersigned, verify that the equipment listed in the category above my'signature is the actual equipment
installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards.
In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified
on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards
for residential buildings.
HVAC SYSTEMS:
Heating Equipment
Heating Equipment CEC Certified Actual Distribution Heating Load
Type (Packaged Manuf, Make & Effeciency Type and Before Over-
Heating
Equipment
heat pump, etc.) Model Number (AFUE, etc.) Location Sizing (Bluh) Capacity (Bluh
Cooling Equipment
Cooling Equipment Actual
Type (Packaged CEC Certified Compressor Unit Efficiency Duct Duct
Heat Pump, etc.) Manuf, Make & Model Number (Seer) Location R -Valve
STD STORAGE AO Smith GVR-50 0.62 50 R-16.7 0.61 100 38,000.000 N/A
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, bchapter , ection 1 11.
`v y�
RCR COMPANIES
S Ana Fre, Date Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
RCR COMPANIES
Signature, Date
HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
WATER HEATING SYSTEMS:
Distrib. Water CEC Certified
Energy Tank Insul Internal Pilot Rated Solar/
System Heater Manuf, Make &
Factor/ Volume Wrap Insul. Energy Light Input Wood
Tvne Tvne/# Model #
Fffic. (gallons) R -value R -value Factnr ('Rluh) KW/Rtu Credits
STD STORAGE AO Smith GVR-50 0.62 50 R-16.7 0.61 100 38,000.000 N/A
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, bchapter , ection 1 11.
`v y�
RCR COMPANIES
S Ana Fre, Date Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
01-15-'07 11:26 FROM -
T -404 P08/11 U-666
Empire Insulation,
Phone: (951) 7874844
3901 Carter Avenue, Suite 1
Fax: (951) 787-4849
Riverside, CA 92501,�,
INSULATIQN 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.
CCT: :RANCH0 -SANTANA
SITE ADDRESS: 81'867 RANCHO-SANTAIYA LA QUINTA CA
Number Street
city State
LOT # 24 PLAN
CEILING AREAO. BLOWN
Manufacturer, GREENFIBER Thickness/Type;
8.36" R -Value, R-30
CEILING AREA:
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;.
LICENSE #
BY: TITLE:
DATE:
!INSULATION CONTRACTOR; EMPIRE INSULATXON
LICENSE # 860072
BY; JOHN MIRANDA
DATE:' 12LI6
_4L_
a