06-1018 (SFD)J
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T -&t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: ' 06-00001018 Owner:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Property Address: 81853 RANCHO SANTANA DR DESERT. ELITE, INC.
APN: 767-200-999-25 -312023- 78401 HIGHWAY 111, SUITE G
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920 O
Application valuation: 165860
Contractor:
Applicant: rchitect or Engineer: HERINGTON DEVELOPMENT, JAME 0
40960 CALIFORNIA OAKS RD, 42B3
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
---------------- ---------------------------------
CENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th t I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines a Professionals Code, and my License is in full force and effect.
License Clas : B License No.: 753190
ate: U �. ontractor:
`OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tha 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 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.).
(_) 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 contractors) 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
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Date: 3/13/06
eu L
AUG 012006
CITY OF LA QUINTA
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.
- 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 policy number are:
Carrier STATE FUND V Policy Number 1542746-2005
certify that, in the pe rm ce of the work for which this permit is issued, I shall not employ any
person in any manner o to become subject to the workers' compensation laws of California,
and agree that, if I sho d )ecome subject to the workers' compensation provisions of Section
3700 of the Labor Cod shall forthwith comply with those provisions.
at..,
te 'cant:
WARNING: FAILURE TO SECURE WORD ERS' 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 application becomes null and void if work is not commenced
within 180 days from date of issuance of suc 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 a ve information is correct. I agree to comply with all
city and co my ordinances and state laws relating to building o structian, and hereby authorize representatives
of thisty to enter upon tfja above-mentioned property fo inspection purposes.
(Applicant or Agent):
U
Application Number . . . . . 06-00001018
LQPERMIT
i
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
2600.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
870.50 Plan Check Fee
141.46
Issue Date . . . .
"Valuation . . .
. 165860
Expiration Date
9/09/06
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
5.63
Issue Date . . . .
Valuation
0
Expiration Date
9/09/06
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 . . . .
119.16 Plan Check Fee
7.45
Issue Date . . . .
Valuation . .
0
Expiration Date
9/09/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2600.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
91.00
LQPERMIT
i
Application Number . . . . . 06-00001018
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
10.41
Issue Date . . . . Valuation
0
Expiration Date 9/09/06
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 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 9/09/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------=-------------------------------------------------------------
Special Notes and Comments
SFD - LOT 25, PLAN 2BR, 2600 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH. 2001 CBC, CMC,
CPC, 2004 CEC, 2005 ENERGY CODES. 75%
REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
----------------------------------------------- --------------------
Other Fees . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
14.15
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
LQPERMIT
Application Number
. . . . .
06-00001018
-----------------------------------"----------------------------`-------------
Other Fees . . .
. . . . . .
DIF PARK MAINT FAC
- RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI)
- RES
•16.58
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION
- RES
1666.•00
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
1261.16
--------------------
.00
---=------
.00
1261.16
Plan Check Total
164.95
.00
.00
164.95
Other Fee Total
3726.73
.00
.00
3726.73
Grand Total
5152.84
.00
.00
5152.84
LQPERN11T
�. :. 034375
*51adden Engineering
6782-StantonAve., Suite A 39-725 Garand Ln., Suite G 114•S. California Ave. 15438 Cholane Road
Buena Park, CA 90621 Palm Desert, CA 92211 Beaumont, CA 92223 Victorville, CA 92392
(714) 523-0952. (760),772-3893 (951) 845-7743 760-962-1868
Fax (7114),523-1369, Fax .(760) J72-3895, . Fax (951) 845-8863 Fax 760-962-1878
• .4 Date' / y
T
Job No. 7-Z
FIELD- MEMO
_ Project Name . r /; ):h :� "' Client:
Site Address
S 7%
Job Phone { r
Work Done G F
s
Test Summary / Footings. Inspected
Test r Location Dry Moist •% Relative Ref. Max Moist
No. ; a Elev. Density % Compaction pcf % '
• rte. :. s �.,�` �� _ , W \ \'
•
:,. .•24 hournotice requested to -schedule Field Technician. Thank you for the opportunity to.be of service.
IN.,TALLATION CERTIFICATE
81-853 Rancho:Santana Drive
Site Address
tl
Permit #
CF -6R
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 option].) 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:
j Heating Equipment
Equip. Type
(pkg. heat CEC Certified Mfr, Make & Model
pump, etc.) Number
FAU YORK LY8S080BI6UH11
Cooling Equipment
Equip. Type
(pkg. heat CEC Certified Compressor Unit Mfr.
pump, etc.) Name and Model Number
A/C CON D. YORK HIRD042
1 >_ reads greater than or equal to.
# of
Efficiency
Duct
Duct or
Heating Heating
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
Systems
[>_CF -1 R value]
(attic, etc.) -.
R -value
(Btu/hr) (BTU/Hr)
2
80.0%
ATTIC
. R-4.2
80,000
# of
Effeciency
Duct
Cooling Cooling
Identical
(SEER, etc)'
Location Duct
Load Capacity
Systems
[>_CF -1R value]
(attic, etc.) R -value
(Btu/hr) (BTU/Hr)
2
14
ATTIC R-4.2
42,000
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 -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or
exceeds the appro ri a requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
LDI Mechanical
Cindy 11/16/2006 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
DU T LEAAKA AND D,.E,,,SWN DIAGNOSTICS
A U 9MA ,,VT N—
, SAMAN , M M
,pressfititationVest-Raults (CFM-@ IS PA) Test Leakage (CFM).��k
if #wF1'ow,ftZ0cu1atedzs 4GOWhVton x number of tons, or as 24.7 x Heating Capacity
In Thousimda%b[Stuft, enter ddicuf9te'dwalue-here
Ulan hbw4S measured, enter measured vaiva here
Leakage Fraction Test -Leakage/(M,6asure&ot Caloulitedfainflow)
Pass - ifleakafe:ftaction <:OM lass Fall
E -F6r dl bWbg,;dl'9 A fft lesfibg was; co�np
r Alx$t' 'A'LAN-TIS, MY T– e:f 1 41,01 , diftd:
Dutttih,PtessuftWon st-rough4n rhe"Urid leak -age (CF' 1M)
-A,,FIMSi INt i WALL:
l7 Yes l7:°No O Piessurt.p,"en=test or House test
13 y(is t3: No 0 VjjUW; jhtpectlm of'Duct -Connections
Pass Fall
O Yes C) No 7,b-imottatic'Expantion Valve it installed and Access is - provided for inspection
Yes ist-pass
❑uAUCT DItglQ'M, . -% Tan Fall
1. 0 Yes 0. No cbM'pf#W-d,, buctmeelgnils-on- the plans and duct-installaUon
2. M Yes 0 No -TWis-ifistalled.,orfAm flow has verified. If no TXV,
veiuledttin; how thatthatchesdesignC-,p-jL Pass FaU
Mewured-Fan-flow-
Yes for both I and 2 is a Pass
f.
46
0, 1diewpooftod'-V - *Ah'iFthelibove.4i 0
Rp
withe f_ Orance!0witm,s itOtt"siiellfproAde the if�
0.
providers• copy of the GF 6A signed the builder
, I
0' LI
7
'' Tau gnaturc, Dine In'sialling.Subcontractor (Co. Narru) OR
001.0ftd General Contractor (Co. Name)
COPY, B611ding-pe,pat'rneint
0 r (it applicable)
9WIdtht-4mverat Occupancy
Q;IMI A-25
DEC -22-2006 10:11 ... 1 P-08
Sample Group Number
CF
,Pbrtirying Sigmture ' a Sample House Number
Firm: HERS Provider: C IyRICX5
Street Address: b �21- /01 City/State/Zip: 1—a 41g,rit .Z
Copies to: Builder, HERS Provider
��,R, RATER COM PLIANCE-8TA7EMEhj
The house was: ❑ Tested�pproved as pert of sample testing, but was not tested
As the HERS rotor providin cO nostic testing and field verification, I certify that the houses Identified on this form
complywith the diagnostic ested compliance requirements as checked on this form,
Distribution system in wuy ducted (I.e., does not use building cavities as plenums or platform returns In Ileu
f ducts)
Where cloth backed, ruder adhesive duct tape Is Installed, mastk:and drawbande are used In combination
with doth backed, rubbO adhesive duct tape to seal leaks at duct connections.
INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage testing Results (Maximum 8% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM ® 26 Pa) values
Test Leakage Flow In CFM
If fan now Is ciculated as 400cfm/t n x number of tans enter
"x !, calculated value here
If fan flow Is measured enter measured value here
Leakage' Percentage (100 x Test Leakage/Fan Flow) ■_
Check Box for Pass or Fall (Pass■ft or less) ❑
a as Fail
:a
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approvcd cquivalent
i
Yes ❑ No Thar!r^'"" Fy^anslon Valve (or Commission approved
equivalent) �e installed and Access Is provided for inspection❑
Yes is a pass 4a'ssFall
U MINIMUM REQUIREMENT'S FOR DUCT DESIGN COMPLIANCE CREDIT
t Q Yes O No ACA Manual D Design requirements have been met
(titer has verified that actual installation matches values in
CF -IR and design on plan.
2. O Yes ❑ No TXV Is Installed or Fan now has been verified. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
4 ❑
Yes for both 1 and 2 is a Pass Pass Fail
R
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 CFAR). 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 Heating
Type (Packaged Manuf, Make & Effeciency Type and Before Over- Equipment
heat pump, etc.) Model Number AFUE, etc. Location Sizing luh 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
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- (gallon-) R -value R. -value Factor (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, S�b``chapter 2, Section 1 11.
RCR COMPANIES
Si nAjre, Date Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
01-15-'07 11:26 FROM -
T -404 P09/11 U-666
Empire Insulation, Inc. Phone: (951) 787-4844
3901 Carter Avenue, Suite 1 Fax: (951) 787-4849
Riverside, CA 92501'
;INSULATION CERTIFICATE
• iQ
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_
i a
PR03ECT: RANCHO SANTANA
r,
SITE ADDRESS: 817853 RANCHO-SANTANA LA QUINYA CA
Number Street, City State
LOT # 25 PLAN # 2
CEILING AREA: BLpWN
Manufacturer: GREENFIBER Thickness/Type: 8.36" R -Value: R-30
CEILIING AREA: BATTS
Manufacturer: GUARDIAN Thickness/Type: 91/2" R -Value: R-30
EXTERIOR WALLS:
Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value: R-13
GENERAL CONTRACTOR;; LICENSE #
BY: 4 TITLE: DATE:
-INSULATION CONTRACTOR:—EMPIRE INSULATION LICENSE # 860092
BY: JOHN MIRANDA DATE: 1W_g06
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