0310-104 (SFD)k LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
I— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
WProfessionals Code, and my License is in full force and effect.
O =) ch License # Lic. Class Exp. Date y
�
'W 82006613iH'. OSSA
r` Z r- Date 2 Signature of Contractor
CDO� g `1
W W (D OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ tl License Law for the following reason:
Z_ ( ) 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 & Professionals Code). -
( ) I, as owner of the properly, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
co () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
O N -
d Q WORKER'S COMPENSATION DECLARATION
oZ I hereby affirm under penalty of perjury one of the following declarations:
U-) � O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W �: compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q "`performance of the work for which this permit is issued.
r m Q C) ` ( ) I have and will maintain workers' compensation insurance, as required by
OU :Q Section 3700 of the Labor Code, for the performance of the work for which this
rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
"t Z -CarrierPolicy No.
Ds STATI; T+Ut�} 1,6416U-02
J (This section need not be completed if the permit valuation is for $100.00 or less).
() I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
�•a workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions ofiSection 3700 of the Labor
3Code, I shall forthwith comply,%OK those�prAslonSf
Date: J A Applicant
Warning: Failure to secure,Wor errs' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 pur antto
any permit issued as a result of this applicaton agrees to, & shall, inc Rhify
& hold harmless the City of La Quinta, its officers, agents and emp res
d 2. Any permit issued as a result of this application becomes null andLoll if
+ work is not commenced within 180 days from date of issuance ti h 9
permit, or cessation of work for 180 days will subject permit to canc I�Ati n.
I certify that I have read this application and state that the above inform tior
correct. I agree to comply with all City, and State laws relating to the t uilding CI
construction, and hereby authorize representatives of this City to ent
the�above- mentioned propeq-for inspection purposes.
(.Signature (Owner/Agent) _ Date��
1_14/ I
. BUILDING PERMIT PERMIT#
0326-104
DATE _ VALUATION LOT TRACT
$42.0,84 AO 1 k�9T0»
JOB SITE
ADDRESS 53-9W DFL GATO DPW&
APN
7704VO 001
OWNER
CONTRACTOR / DESIGNER / EN (NEER
MR RYCHARD 13BOROE-
ALMA OW)GA (NEWD.A AJ P11A 01ALOA i
PAIAA DEW -T CA 92260
(760)5613-1712 W1.4 2337
USE OF PERMIT
SWO E DAMILY .D11VELLWO
a`
4901 3X SV0 PEWIT DOFr..,S NOT DJC..t UDE FA1= 11'A:IJ.,1POWSPA
OR DRIVEW.A.Y.t PPROA.CH,
CUSTOM CONSTRUCTION 4,901.00 OF
PORCi' PA.T.IO 1,537.00 -SF
GARAO&CA'RPORT 1,409,00 Sr
•. J}J�. 2LAmm coF oLAY drV/.Lf mVC✓.S.QK✓m
42RAW.40
CONSTRUCTION FU 101-000»418'000 $1,'if4.50
PLAN CHECK FEE 101-000.439-318 $1,456.87
�
PER D POST T 101-000-439-318 ,1,000.00
MWHANICAL 7.11 ' 101.000-421'-0110 $144.00
ELECTRIC:A1, YEE 101400.420.000 $199,7"x
'
PL61M1 DID FEE 102 -.000.419-000 1261.50
STRONG MOTION F19E - R ESID 101-00117-241,000 $42.98
01i.!',.i INO,iiVIE 101-0011-423-000 '$15.00
DEVELOPER IMPACT kEF $2,405.00
PREC1SZ PLAN 101-CiOO-441-343 $100.MI
ART 1N Pt Bwe PI.AC'Es r Rain 277 0-000.345.000 $374.62
-
.'iiTF3-r6TAL. CON U(MI TOM LARD PLAN CaWZX
19
n IMS PRE PAW EE;P»9
G=�1
41.000.00
XO'IAL FERMffftES WE IOW
)rC 2 3 2003
ry OF LA QUINTA
-INANCE DEPT
RECEIPT
DATE ���
BY .l
DAT I LE
INSP OR
±01
11
INSPECTION RECORD
",.TION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Baclfsf
Underground Ducts
Forms &'Footingaf,
Ducts
Slab Grade t
Return Air
—Steel____
Combustion Air
Roof Deckl,,A
Exhaust Fans
O.K to YVr4p
F.A.U.
"Framing
Compressor
Insulation:
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wad Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final low
POOLS - SPAS/
BLOCKWALL
APPROVAL
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test'
Final,
Gas Piping
PLUMBING, APPROVALS
Gas TestElectric
Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Mumbing Top Out
Equipment Enclosure,
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
A
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Ae i A 9
J-7le-15
110?:�w P
Final ss,4
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power"P611k /05 7
Underground Conduit or
VR6u -h
g -Wiring
L;WToftage Wiring
Fixtures
Win Servicer'
S4b Panels
Baer& Receptacles
GFS
Smoke Detectors
Temp. Use of Power
4,
Final
Utility Nbtic6, (Perm)
S
Building
Address J r ( E l
4Qubtm
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
1
rt LA QUINTA, CALIFORNIA 92253
Owner '0 C6 M ",�
X1
Mailing
Address .
Contractor�����
Address + BSG.' CUai, f/ ' Jzt /0�
City 1 1% Zip�Z Tel. 71 G
State Ljc. Q 0O L / City
8 Classif. v b Lic. # 0 3S
Arch., Engr.,
Designer /O�
��� j�
Address Z CDD J ;7 I Tel '17
City City State
Lic. #
LICENSEd'CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license Is In full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con.
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
I 7 I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
t7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 9 the permit is for one hundred dollars (E100) valuation
or less.)
I certify that in theperformance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above.
mentioned property for inspection purposes. '
Signature of a0plicant -Date-
Mailing
ateMailing Address
City, Slate, Zip
BUILDING: TYPE'CONST. OCC. GRP.`'��_//�'
A.P. Number 7 ;70 c,/T?�,0�- 00 [/ _
Legal Description Lo / 7/cC_/ 4d" Z 7 70 —3
Project Description p &/
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Seek+font-Prgpe Hrju
.FINAL DATE,
Issued by:_
Validated by:
Validation:
CITY OF LA QUINTA
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
(Vyojo�
Sq. Ft.
Size Vi J
No. /
Stories
No. Dw. /
Units
New Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
(/
PERMIT
AMOUNT
Plan Chk. Dep.
,f ove>
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Seek+font-Prgpe Hrju
.FINAL DATE,
Issued by:_
Validated by:
Validation:
CITY OF LA QUINTA
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Date 12/15/03
No. 25277
Owner Sir Richard George
Address 808 Inverness Dr.
City Rancho Zip 92270
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
4���ZFt�
rsc�o
z 1� o
Q BERMUDA DUNES r
RANCHO MIRAGE
INDIAN WELLS
PALM DESERT ,y
LA QUINTA
�IN0 y�
O
770-380-001
Jurisdiction La Quinta
Permit # 0310-104
Tract # 28470-3 Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F.
Unit 1 1 53-960 Del Gato Drive 4901 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Mitigation Agreement
in the amount of $2.14 X 4,901 S.F. or $10,488.14 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By C/C-Pacific Western Bank- Regan Check No. 241849
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exe ted by Patricia Barbuzza Payment Recd $0.00
$10,488.14 OveNunder
Signature l
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
NOV-26-03 11:54AM FROM -Southland Title 760-636-0156 T-060 P.002/002 F-057
RECORDING REQUE=STED BY:
SOUTHLAND TITLE - INLAND EMPIRE (TItJe)'
AND WHEN RECORDED MAIL To:
Richard W. George
Order No.: 63500635
I_sorow No.: IN3862-KC
A.P.N- 770~380-001-4
SPACE ABOVE THIS LINE IS FOR REI
S 3- 9 60 DF L 6Ai a Dezi'1 i ' GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOUMENTARY TRANSFER TAX IS $1.072.50
[ X ] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale_
[ ] unincorporated area [ x ] City of Le Quints
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Coyote Comer, LLC, A California Limited Liability Company
USE
hereby GRANT(S)to I Sir Richard George and Lady Jane George, Husband and Wife as Joint Tenants
the following described real property in the County of Riverside, State of Califomia
Lot 1 of Tract No. 28470-3, in the City of La Quinta, County of Riverside, State of Califonnia,
as per map recorded In Book 276, Page(s) 78 and 80 of Miscellaneous Maps, in the office of
the County Recorder of said County.
Dated: March J19, 2003STATE OF CALIFONIA COU OF �u�I!',s�e— ) SS. ,
Coyote Comer, LLC, A California Limited
1, before me Liability Company
A Notary I
appeared
personally known to me ("-Iemueel In w a the. basic et
selldencs) to be the personf s�whose name(e'r
isle ee ssubbicrriibed to the within Instrument and acknowledged
to me that he/spe oy-executed the same in his/ber/horr
authorized capacityWand that by his/t�eff
on the Instrument B)p pemon,(erbi the entity upon behalf of
which the persoW, acted, examted the instrument
WITNESS rdk hbnd and
Signature
By: An Pierce Corpo Ion, Manager
By: Ga ohmen, Vice President
BECKY It FERGUSON
Commission! 1339215
Notary Public - California
Rivemlde County
C 1411100""W -W -
%MyComm- Fvirw Jen 12, 2008
(This area for official notary seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
Certificate of Occupancy
k 15 W M
4
K-0
OFT9� Building & Safety Department
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: 53-960 Del Gato Drive
Use classification: Single Family Dwelling Building Permit No.: 0310-104
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: Sir Richard George Address:
�,..6 By: Daniel P. Crawford Jr.
Al
Date: 2/3/05
Building Official
POST IN A CONSPICUOUS PLACE
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#I StructureNumberl SampleGroupl Address) Verification statu L Date
1 1 53-960 Tested Approved 01
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http://www.cheersregistry. orglindex.php?Realm=Site&Action=List&PlanlD=10244 1 /19/2005
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -411
I
Project Title Date
JI -3 - 96b bee l �f� A r--. 10 -moo,► leos< 110-,1r.1I .-4
Project Address Builder Name
Builder Contac//t
/ l-1.4
HERS Rater
Certifying Signature
Firm:
Street Address: Z-// "62CCl cfc
Copies to: Builder, HERS Provider
Plan Number
/off- 713 'r
Sample Group Number
Sample House
/Number
HERS Provider:eG�s
City/State/Zip: Al Qi2Z _XO
HERS RATER COMPLIANCE STATEMENT
The house was: Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R (Installation Certificate.
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, mastic and drawbands are used in combination with 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)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM,
If fan flow is calculated as 400cfm/ton x number of tons enter 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 Fail (Pass --6% or less) gr ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
P9 Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has .
verified that actual installation matches values in CF -1R and
design on plan:
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
kf ❑
Pass Fail
❑ ❑
Pass Fail
Compliance Forms August 2001 A-16
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
17rOQJ t Almk"C-e
Project Title Date / l
S-3 - 96b Ate? 0� • f7Q,-do.T
Project Address Builder Name
Builder Contact
4,
HERS Rater
Certifying Signature
Street Address: SX'
Copies to: Builder, HERS Provider
Plan Number
Sample Group Number
Sample House Number
HERS Provider:
City/State/Zip:
HERS RATER COMPLIANCE STATEMENT
The house was: Jk Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked on this form.
JP The installer has provided a copy of CF -6R (Installation Certificate.
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, mastic and drawbands are used in combination with 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 Results (CFM @ 25 Pa)
Measured
values
Test Leakage Flow in CFM_
If fan flow is calculated as 400cfm/ton x number of tons enter 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 Fail (Pass=6% or less) ❑
Pass Fail
I THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
— provided for inspection ❑
Yes is a pass Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
`❑-Yes ❑ No —RCCA-1Glanual-D-Design rdquirements-have 6eeri met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
Project Title Date
.S--3 - 96b b j e5&,S 9 A T
Project Address Builder Name
Builder
HERS Rater
Certifying Signature
Firm:
Street Address: Z7//
Copies to: Builder, HERS Provider
Plan Number
Sample Group Number
Sample House Number
HERS Provider:c.�.G2��1/%/����
City/State/Zip: �� -Zea-r6,,� Qi22 6U
HERS RATER COMPLIANCE STATEMENT
The house was: 0� Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply
wit�.the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R (Installation Certificate.
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, mastic and drawbands are used in combination with 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 Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton 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 (Pass=6% or less) ❑
Pass Fail
I THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
"` ^--1 -" -❑ Yes ❑ No ACC A -Manual -D -Design requirements have beenmet (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow =
Pass Fail
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
Y4�0!: t / e-!57,k"CL e ///U�eS--
Project Title3 11�� Date'
// �
S- - 9 U
66 e 9,e,A%-• f d' rdd.� , ot<' `Or�_r/r'vcl o
Project Address Builder Name
Builder Contact
/e_4,
HERS Rater
Certifying Signature
Firm:
Street Address:
Copies to: Builder, HERS Provider
Plan Number
Telephone, Sample Group Number
Sample House Number
HERS Provider:
City/State/Zip:, %�e✓%f t�� Qi22 6U
HERS RATER COMPLIANCE STATEMENT
The house was: Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, l certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -611 (Installation Certificate.
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, mastic and drawbands are used in combination with cloth
backed, rubber adhesive duct tape to seal leaks at duct connections.
XMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
J Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton x number of tons enter 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 Fail (Pass=6% or less) K ❑
Pass Fail
�I THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
- "- —� _1 - `❑-Yes ❑ No —RCCA-Manual-D-Design`rdquirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
4, 'o
Pass Fail
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
- CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
14' 0!! zt t Aew,de"C�e 111U/�s---
Project Title f� Date' 'ff 1/� L
.-3 - 96b .�P_ l ,�� � d r-. 141 i-G/on 4CoSf Cor2sCvCT
Project Address Builder Name
Builder Contact Tel phone
�t/1.44 f G��1� �. ��/g -7,2 y2"
HERS Rater Telephone
Certifying Signature
Firm:
Street Address: -e e% c i
Copies to: Builder, HERS Provider
Plan Number
Sample Group Number
Sample House Number /
HERS Provider:c.�,
City/State/Zip:
HERS RATER COMPLIANCE STATEMENT
The house was: Tested 11Approved as part of sample testing, but was not tested
As the HERS rater provi ing diagnostic testing and field verification, I certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -611 (Installation Certificate.
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, mastic and drawbands are used in combination with cloth
backed, rubber adhesive duct tape to seat leaks at duct connections.
K. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
values
Test Leakage Flow in CFM 3�-
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) _ `I -
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
$-Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑
Yes is a pass Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
--�--
-- --- - - - - - -- - - -ACCA Ivtanual-D-Desi -- re uirements have been met rater has
Yes No � - _ � q (
verified that actual installation matches values in CF -1R and
design on plan.
2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
e.
Sladden
Engineering
6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369
39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895
July 21, 2003
Stein and Associates
41-945 Boardwalk, Suite K
Palm Desert, California 92260
Project: 53-960 Del Gato Drive
Lot 1, Tract 28470-3
Tradition Golf Club
La Quinta, California
Project No. 544-3323
03-07-458
Subject: Geotechnical Update
Ref 1. Report of Observations and Testing During Rough Grading prepared by Sladden
Engineering dated July 30, 1997, Project No. 522-6138-G1.
2. Geotechnical Update prepared by Sladden Engineering dated December 12, 1996,
Project No. 444-6130.
As requested, we have reviewed the referenced geotechnical reports as they relate to the
design and construction of the proposed single family residence. The project site is located at
53-960 Del Gato Drive within the Tradition Golf Club development in the City of La Quinta,
California. It is our understanding that the proposed residence will be a relatively
lightweight wood frame structure supported by conventional shallow spread footings and
concrete slabs on grade.
The lot was previously graded during the rough grading of the Tradition project site. The
rough grading included overexcavation of the native surface soils along with the placement of
engineered fill material to construct the building pad. The site grading is summarized in the
referenced Report of Observations and Testing During Rough Grading along with the
compaction test results.
The referenced reports include recommendations pertaining to the construction of residential
structure foundations. Based upon our review of the referenced reports, it is our opinion that
the structural values included in this referenced grading report remain applicable for the
design and construction of the proposed residential structure foundations.
Because the lot has been previously rough graded, the remedial grading required at this time
for the proposed residence should be minimal. The building area should be cleared of surface
vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface
should be compacted so that a minimum of 90 percent relative compaction is attained prior to
fill placement. Any fill material should be placed in thin lifts at near optimum moisture
content and compacted to at least 90 percent relative compaction.
WY
July 21, 2003 -2- Project No. 544-3323
03-07-458
Allowable Bearing Pressures: The allowable bearing pressures recommended in the grading
report prepared by Sladden Engineering remain applicable. Conventional shallow spread
footings should be bottomed into properly compacted fill material a minimum of 12 inches
below lowest adjacent grade. Continuous footings should be at least 12 inches wide and
isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad
footings should be designed utilizing allowable bearing pressures of 1500 psf. An allowable
increase of 200 psf for each additional 6 inches of depth may be utilized if desired. The
maximum allowable bearing pressure should be 3000 psf. The recommended allowable
bearing pressures may be increased by one-third for wind and seismic loading.
The bearing soils are non -expansive and fall within the "very low" expansion category in
accordance with Uniform Building Code (UBC) classification criteria. Pertinent 1997 UBC
Seismic Design parameters are summarized on the attached data sheet.
If you have questions regarding this letter or the referenced reports, please contact the
undersigned.
Respectfully submitted,
SLADDEN ENGINEERING
Brett L. An erson n m rn
c�
Principal Engineer a53S9•°
d No. C
{� ExP• 9130106 \� i
SER/pc m Civ\I\-
0 F
OF C P1\0
Copies: 4/Stein and Associates
Sladden Engineering
July 21, 2003 -3- Project No. 544-3323
03-07-458
1997 UNIFORM BUILDING CODE INFORMATION
The International Conference of Building Officials 1997 Uniform Building Code contains
substantial revisions and additions to the earthquake engineering section in Chapter 16.
Concepts contained in the updated code that will likely be relevant to construction of the
proposed structures are summarized below.
Ground shaking is expected to be the primary hazard most likely to affect the site, based
upon proximity to significant faults capable of generating large earthquakes. Major fault
zones considered to be most likely to create strong ground shaking at the site are listed
below.
Fault Zone
Approximate Distance
From Site
Fault Type
(1997 UBC)
San Andreas
13 km
A
San Jacinto
30 km
A
Based on our field observations and understanding of local geologic conditions, the soil profile
type judged applicable to this site is SD, generally described as stiff or dense soil. The site is
located within UBC Seismic Zone 4. The following table presents additional coefficients and
factors relevant to seismic mitigation for new construction upon adoption of the 1997 code.
Sladden Engineering
Near -Source
Near -Source
Seismic
Seismic
Seismic
Acceleration
Velocity
Coefficient
Coefficient
Source
Factor, Na
Factor, No
Ca
C"
San Andreas
1.0
1.1
0.44 Na
0.64 N,.
San Jacinto
1.0
1.0
0.44 Na
0.64 Nv
Sladden Engineering