07-1562 (SFD). P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J r
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00001562
Property Address:
81923 SEABISCUIT WY
APN:
767-200-999-38 -312023-
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
179688
Applicant:
Architect or Engineer:
A.
Owner:
DESERT ELITE, INC.
78401 HIGHWAY 111
LA QUINTA, CA 92253
Contractor: U
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: 5/25/07
--------7------------------
L ENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000 of Division 3 of the Business d Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation,- as provided
License QaFX. 41 License No.: 753190for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: /6 j ntractor: ✓ 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
OWNER -BUILDER DECLARATION insurance carrier and olicy number are:
I hereby affirm under penalty of perjury that I am exemptfromthe Contractor's State License Law for the Carrier STATE FUND Policy Number 1542746-2006
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perf mance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any marine as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sh d become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 00 of the Labor C , I shall forthwith comply with those provisions.
_ 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).: /c cant:
1 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). . APPLICANT ACKNOWLEDGEMENT
1 _ I 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. _ IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business End Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person,at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I—) I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 appli 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.
1 certify that I have read this application and state that t above information is correct. I agree to comply with all
city and ounty ordinances and state laws relating to bu ing construction, and hereby authorize representatives
of thi 00,Y enter upon the above-mentioned prope y for inspection purposes.
a�/: Si ure (Applicant or Agent):
LQPERMTT
•
Application Number .
. .. . . 07-00001562
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
11/21/07
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
11/21/07
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
11/21/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2863.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
100.21
LQPERMTT
Application Number .
. . . . 07-000'01562
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
11/21/07
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
11/21/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00 .
--------------------------------------------------
Special Notes and Comments
SFD - LOT 38, PLAN 3B,
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
LQPERMIT
Application Number
07-00001562
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
1;930.00
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
LQPERMIT
API -10-200$ 10:10 AM
P.07
a
TIFICATE OF
LD VERIFICATION
l_0 I.9-39'
Telephone
'd
A A c l,A T11 et
Build r Name
PI umber
Sample Group Number
RdRifying Signature . .41, "084 Sample House Number
Firm: '37c- f' Araem-rg-5 HERS Provider:
Street Address: 7f'��h drq d l&4 Care /,F, Citylstatelzlp: L a 41 C ?-
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATENININT
The house was: ❑ Tested JZ Approved as part of sample testing, but wag not tested
As the HERS rater providingdiagnostic testing and field verification, I certify that the houses identified on this form
cwith the diagnostic ested compliance requirements as checked on this form,
Tlstribution system Is fully ducted (Le., does not use building cavities as plenums or platform returns in lieu
r ref ducts)
ftp"( Where cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used in combination
Ith 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)
Duct Pressurization Test Res_: --" Q 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfmlton x number of tons enter
calculated value here
Measured
values
if fan Flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fail (Pala=8% or less) ❑
ass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
[� No Thermostatic Expansion Valve (or Commission approved
�<Yes
equivalent) is installed and Access Is provided for Inspection13Yes Is a pass ass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. 0 Yes ❑ No ACGA Manual 0 Design requirements have been met
(rater has verified that actual installation matches values in r
CF -1 R and design on plan.
?. 0 Yes ❑ No TXV is installed or Fen flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
Cl C!
Yes for both 1 and 2 is a Pass Pass Fail
}
06-02-'08 09:24 FROM- T-429 P08/09' U-794
Empire Insulation. Inc.'
4211 Latham St. Phone: (951) 787-4844'
Riverside, CA 92501 Fax: (951) 787-4849
TNSl9LATIOFV CERT%EICATE
This is to certify that Ir-_�t; Ion 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: RANCHOSANTANA
SITE ADDRESS: 81-923 SEASISCUIT WAY LA QUINTA
Number CA
city State
Lot 39 Plan 3
CEILING AREA: BLOWN
Manufacturer: GREENFIRER . Thickness/Type: 8,381
R -Value t2-30
CEILING AREA: BATT
Manufacturer: GUARDIAN Thickness/Type: 9 1/2" R -Value R-30
EXTERIOR WALLS:
Manufacturer: GUARbIAN Thickness/Type: 3 5/8". ! R -Value R-13
GENERAL CONTRACTOR; ^ LICENSE #
BY:
DATE:
INSULATION CONTRACTOR: 4.EMPIRE INSULATION
LICENSE # 060072
JOHN MIRANDA
DATE
Oil Certificate ®f Occupancy
INC0111LATDJ y�
)1962
G� OF'I1�ti9w} Building & Safety Department
artment
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that; at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS�_81-923 SEABISCUIT WAY
Use classification: SFD Building Permit No.: 07-1562
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
4
Owner of Building: DESERT CHEYENNE INC. Address: 81-923 SEABISCUIT WAY
City, $T, ZIP: LA QUINTA CA 92253
By: A.J.ORTEGA
Date: JUNE 4 2008
Building Official
POST IN A CONSPICUOUS PLACE
p
_.