06-1025 (SFD)P.O. BOX 1504
�* 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
[06-00001025
81809 RANCHO SANTANA DR
767-200-999-27 -312023-
DWELLING - SINGLE FAMILY
LOW DENSITY.RESIDENTIAL
179688
TWyl aF �w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DESERT ELITE, INC.
78401 HIGHWAY 111
DETACHED LA QUINTA, CA 92253
rchitect or Engineer:
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perju y h I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu i and Professionals' Code, and my License is in full force and effect.
License Clas • B License No.: 753190
ate: 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 thathe 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 /010
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, 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—) 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
Contractor:
HERINGTON DEVELOPMENT, JAMES
40960 CALIFORNIA OAKS RD, #28
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
O
3 AUG 012006
CITY OF LA QUINTA
FINANCE DEPT.
------------------
WORKER'S COMPENSATION DECLARATION
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
insurancecarrierand p is number are:
Carrier STATE FUND Policy Number 1542746-2005
I certify that, it the perfor a of the work for which this permit is issued, I shall not employ any
person in any manner so o become subject to the workers' compensation laws of California,
and agree that, if I shoul come subject to the workers' compensation provisions of Section
700 of the Labor Code, all forthwith comply with those provisions.
te� / 4 pplicant
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 c permit, or cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that th ove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil construction, and hereby authorize representatives
of this toynter upon toe above-mentioned propert r inspection purposes.
(Applicant or Agent):
y Application Number ..
. . . . 06-00001025
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
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
LQPGAhIIT
2 Application Number .
. . . . 06-00001025
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 27, 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
:
------------
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
Application Number
. . . . .
06-00001025
---------------------------------
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
LQPERMIT
Sladdep Engineering
:.:.
03:4375
6782 Stanton Ave., Suite A
39-725 Gararid 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
r Fax (714) 523-1369
Fax .(760) 772-3895.
Fax (951) 845-8863
Fax 760-962-1878
- 1 ,
Date fav �•w
FIELD MEMO Job No..
Project Name , ; ` r /<
�: f.�� .r.
Client:
• •
Site Address '5 f
Job Phone
Work Done _
Test Summary /footings Inspected
Comments
7
r
Fiel Tech. v - . i Supe or gent
t ;
24 -.hour notice requested to schedule.Fie'ld Technician: Thank you,for the Opportunity-to.be of service.
y
AM
• •
�_�®
Comments
7
r
Fiel Tech. v - . i Supe or gent
t ;
24 -.hour notice requested to schedule.Fie'ld Technician: Thank you,for the Opportunity-to.be of service.
y
IIINSTALLATION CERTIFICATE i- I' = ' s2-' f IV l _+ '`Y CF -6R
lRaricho Santana Drive
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:
Heating Equipment
Equip. Type
(pkg. heat
pump, etc.)
CEC Certified Mfr, Make & Model
Number
FAU
YORK LY8S080BI6UHII
Cooling Equipment
Equip. Type
(AFUE,etc.)'
(pkg. heat
CEC Certified Compressor Unit
pump, etc.)
Mfr. Name and Model Number
A/C COND.
YORK H2RD042
A/C COND.
YORK H2RD048
1 >_ reads greater than or equal to
# of
Efficiency
Duct
Duct or
Heating Heating
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
Systems
[ZCF-1R 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)
1 14
ATTIC R-4.2
42,000
1 14
ATTIC R-4.2
48,000
I, 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 appropria 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
DUCT LEAKkM AND D9SWN DIAGNOSTICS
pressufltationTestRaults (CFK@ 25 PA) Test Leakage (CFM),7Z5
Fin -TIO
if Fin: Slow-ist Cal'cul'ated as 400 cfftVton.x number of tons, oras 21.7 x Heating Capacity
in Th ousands'Of.,81ulbr, enter cdlcu.119W� value -here
IfIgn flow. -Is measured, enter measured value here
Leakage Fraction - Test Leakagel(MtisuredforCglculatediFM.Fliow)
Pius if1eakage1raction <-OiO6 ass Fill
a;..Fbr A-r%OS'OL MY E'SEALA.-N-TTS -On,-Y- -The f6llbW4bg,dlA9 00$t1t't*sdftg was, completed:
.
Duct fiftvPressurization at -rough -in measured leak -age (CEM)
F"IN19HING MALL:
0: Yes O:No N6 .0
Our Wj�tdjt Ot fl6umpreigurimflon' test
0 Yes 0: No 13 VibUdl: inspection cif-buct, C onnec4ons
Pan Fall
kid, m"
0 Yes a Ni). J'b
e
ogtitic Expansion VWve is Iristalled and Access is provided for inspection
Yes is &pass
lass F-911
'dA
AC -bf#
1. OY--ds ONO ObOed p�ld ,6U�tb on -the plane and dUctihstallation
M alowis
mab*fts.-Olian's.
2. 0 Yes C3 No I", is:installed :orFan flow, haisiboon vedfltd. If no 7XV,
v6dfied,tin flow mtdhes design from C F41X Pm Fag
Measured, Fan Flow
Yes for bolt I and 2 is a Pass
thatal ova: JR00 and ;pc associated ."th' d' ttip*s ulti* d"di,
anc
Oft".ft. t�w . rp Awprbd Wr A. yrdt, iC- sfghjed,bytha-buRd&
' a copy p
fVhkjMdt'd aig'nbse6lta ngian I'd installationraiNWrequimftents for
Z-eZ6
tiati m-eiiiuie, Oita l"tailing-S:66fittictor(clo. Name) OR
PetYormed General Contractor (Co. Name)
COPY`TO: TO: 13y11ding,9tpatunent
R66 --howiar (it applicable)
Building at Occupancy
A-25
PEL 10:12 AM
OF FIELIVERIFICAI'iOIY
> U, h A'►e6�
Street Address:
Copies to: Builder, HERS Provider
r ninprwnn
f7
<; 4 rvt ti
Sample Group Number
P.10
Sample House Number
HERS Provider: C N-4EX S
City/State/Zip: 1-v 414j ,jCo� 9.Z.2-0—
The house was: ❑ Tested �, A proved as part of sample testing, but was not tested
As the HERS rotor providing diagnostic testing and field verification, I certify that the houses identified on this form
nomnly with the diagnostic Cued compliance requirements as checked on this.form.
4 Distribution 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, mash and drowbands are used in combination
with doth backed, rubber adhesive duct tape to seal leaks at duct connections.
Ae-M'INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Tgsting Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM ® 25 Pa) values
a
Test. Leakage Flow In CFM
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here
r
if fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage)Fan Flow)
Check Box for Pass or Fall (Pess=894 or lees) ❑
Pass Fall
�VAERMOSTATIC EXPANSION VALVE (TXV) or Commission aimrovcd couivalent
ry'a� 4
v ;tl ❑ No Thermotatlo.Expansion:Val•ve,(or.•Cotnmission approved...:
equivalent) Is installed and Access Is provided for Inspection ❑
Yee is a pass Pass Fall
O MINIMUM REQUIREMENTS FOR OUCT DE81ON COMPLIANCE CREDIT
7 . ❑ Yes ❑ No ACCA Manual 0 Design requirements have been met
(mater has verified that actual installation matches values in
dFAR and design on plan. f,
2. ❑ Yes ❑ No *V is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
❑ O
Yes for both 1 and 2 Is a Pass Pass Fall
INSTALLATION CERTIFICATE CF -6R
81-809 Rancho Santana Dr 02,�
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
seat 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
Seat Pump, etc.) Manuf, Make & Model Number (Seer) Location R -Valve
Signature, Date
WATER HEATING SYSTEMS:
Distrib. Water CEC Certified
System Heater Manuf, Make &
Tvne Tvne/# Mndel it
RCR COMPANIES
HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
Energy Tank Insul Internal Pilot Rated Solar/
Factor/ Volume Wrap Insul. Energy Light Input Wood
Fffir. (anllnnc) R-vnhie R-vnhiP Fnrtnr (Rh,hl Kw/Rt.. ("rerlitc
���• 1 1� m-� 1 � 11 :111111
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, Subchapter Secti1on�1 11 l .
RCR COMPANIES
S 1njure, Date Plumbing Subcontractor (Co. Name)
OR General Contractor. OR Owner
01-15-'07 11;26 FROM- T-404 P11/11 U-666
c
s
Empire Insulation, Inc. Phone: (951) 787-4844
3901 Carter Avenue, Suite 1 Fax: (951) 787-4849
Riverside, CA 92501 '
.t
rn
INSULATION CERTIFICATE
This is to certify tt:w: 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,
• PR03ECT: RANCHO SAN`8'ANA
SITE ADDRESS: 81-809 IRANCMo-sANTANA LA QUINTA CA
Number Street City State
LOT # .27 PLAN # 3
CEILING AREA: BLOWN
Manufacturer: GREENFIBER Thickness/Type; 8.36" R -Value: R-30
' t CEILING AREA; BATTS
Manufacturer: GUARDIAN Thickness/Type; 91/2" R -Value: R-30
EXTERIOR WALLS.
' f Manufacturer: GUkRbIAN Thickness/Type; 3 5/8" R -Value: R-13
6
i
GENERAL CONTRACTOR: LICENSE #
,
BY i. TITLE: DATE;
i :i
7
1
'INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE #B 860072
BY: JOHN MIRANDA DATE: 12/14/06
3