04-3677 (SFD)Tihf, °F 4 Q"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760).777-7012
78-495 CALLS PAMPICO FAX (760) 777-7011,
LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
Application Number
Property Address,.:
APN:
Application description
Property Zoning . . . .
Application valuation -
BUILDING PERMIT
. . . Date 12/16/04
. . . 78410 CLARKE CT
643-170-999-15 -31348 -
. . . DWELLING - SINGLE FAMILY DETACHED
. . . LOW DENSITY RESIDENTIAL
. . . 173868
Owner
Contractor
PH RANCH LLC
EHLINE COMPANY
78370 HIGHWAY 111 STE 200
55375 MEDALLIST DR
LA QUINTA CA 92253 LA QUINTA
CA 92253
(760) 771-8130
WCC: STATE FUND
WC: 2290006783
01/01/05
CSLB: 4$2086
11/30/05
CCC: B
------ Structure Information
2800 SQ. FT. S'FD MODEL B-2
-----
Construction.TypeTYPE
V - NON RATED
Occupancy Type . . . . .
. DWELLG/LODGING/CONG <=10
Flood Zon . . .
. NON -AO FLOOD ZONE
Other str inf,&-\. .�. .
CODE EDITION 2001 CBC
# BEDROOMS
3.00
DECFIRE
S NO
2 9 'M
GARAGEPSQNFTGRS
504.00
PATIO SQ FTG
288.00
CITY OF QUINTq
FINANCE
NUMBER OF UNITS
1.00
DEPT.
1ST FLOOR SQUARE FOOTAGE
2800.00
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee' . . . . 898.50 Plan Check Fee'.
584'.03
Issue Date
Valuation . . . .
173868
Qty Unit Charge Per
Extension
BASE FEE
639.50
74.00 3.5000 THOU
BLDG 100,001-500,000
259.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 101.50 Plan Check Fee
25.38
Issue Date
Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 9.0000 EA
MECH FURNACE <=100K
27.00
3.00 9.0000 EA
MECH B/C <=3HP/100K BTU
27.00
4.00 6.50.00 EA
MECH VENT FAN
26.00
P.O. Box 1504ICE VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 3to 7 7 Date: / 2 • j' U q
Applicant:—Architect
Applicant's Mailing Address: Architect
ic. No.
or Engineer:
or Engineer'sA ress: .
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 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 or 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 safe.).
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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt un1depr SSe)c. B&P.C.. for this reasonp�:n;r
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and wilt 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 insurance carrier and policy number are:
Carrier Policy Number
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 workers•
compensation laws of California, and agree that, if) should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
ate I�g:_-
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.
CONSTRUCTION LENDING AGENCY
affirm I hereby arm 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
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, indemnity 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 such permit, or
cessation of work for 180 days will subject permit to cancellation.
1 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 county to enter upon above-mentioned property for inspection purposes.
ate ��)69
Signature (Applicant or Agent): \
Page 2
Application Number 04-00003677 Date 12/16/04
Qty
Unit Charge
Per
Extension
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit
. . . . . ELEC-NEW-RESIDENTIAL
Additional
desc
Permit Fee
. . . .
138.08
Plan Check Fee
34.52
Issue Date
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2800.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
98.00
504.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
10.08
1.00
15.0000
EA
ELEC TEMPORARY POWER POLE
15.00
----------------------------------------------------------------------------
Permit
. . . . . PLUMBING
Additional
desc
Permit Fee
174.75
Plan Check Fee
45.75
Issue Date
. . . .
Valuation . . . .
0
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
.0.0
3.0000
EA
PLB GAS PIPE 1-4 OUTLETS
.00
11.00
.7500
EA
PLB GAS PIPE >=5
8.25
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
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT
15,PLAN B2,2800'SF.
PERMIT
DOES NOT INCLUDE
POOL,
SPA,:BLOCK
WALLS,
OR DRIVEWAY
APPROACH.
--------- ------------------------------------------------------------------
Other Fees
. . . . .
. .
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
Page 3
Application Number . . . . . 04-00003677 Date 12/16/04
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 58.40
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
D.IF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 17.38
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged
Permit Fee Total 1327.83
Plan Check Total 689.68
Other Fee Total 2480.78
Grand Total 4498.29
Paid Credited Due
---------- ---------- ----------
.00 .00 1327.83
500.00 .00 189.68
.00 .00 2480.78
500.00 .00 3998.29
4
_.-tv
OccupancyCertificate of0
o
Tdf ot
G�
OF I'1Building & Safety Department
y"
€.
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: 78-410 CLARKE COURT
F
.
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3677•
.ti.
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
i
r
a
Owner of Building: PH RANCH, LLC Address: 78-370 HIGHWAY 111, STE. 200
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: AUGUST 25, 2006
Building Official
POST IN A CONSPICUOUS PLACE
08/29/2006 TUE 13:37 FAX
> CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner P.I-I RANCH, LLC
Contractor EIILINE HOMES
Permit Number 04-3677 —
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-410 CLARKE COURT
SFl) – LOT 15, PLAN 132. PERMIT DOES NOT
INCLUDE, POOL, SPA, BLOCKWALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSR
TEMPORARY POWER
SETBACKS - Lf
61 45'-
U/G PLUMBING / WASTED"
U/G ELECTRICAL /GROUNDING �/ 0 �
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
- , o -s-
OKAY
OKAY TO WRAP
O
FRAMIN_G�COMBINATION) —
ROUGH ELECTRIC
ROUGH PLUMBING
_
ROUGH MECHANICAL
INSULATION
d
COVER NO WORK UNTIL ABOVE SIGNE
INTERIOR GYP. BD. (DRYWALL) - c1 t7
EXTERIOR LATH %� %moi
SEPTIC ABANDONMENT
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. l�G
FINAL / JOB COMPLETED. i -
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
ertificate of Insulation
Your Hor�je has been insulated with CertainTeed Fiberglass Insulation products, which are designed
Ifor today's safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
with fire -r tardant chemicals that will likely lose their effectiveness over time. It has not been treated
with ch micals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it
settle over time as may other insulation materials.
This also ce ifies that CertainTeed Fiber Glass Insulation has been professionally installed in this home
to provide* the following thermal performance:
Job Name: The Estates at Point Happy Ranch Phase: 1 Tract:' 30872 Lot #: 15
Plan: B2 Bldg. #: Address: 78-410 Clark Ct., a Quinta, CA
Ceiling Area: R-38
PartyWalls:
Cantilevered Floors:
R- r
Ask
Batts Interior Walls:R-13 Unfaced Batts Knee Walls:
Exterior Walls:
R-21 Unfaced Batts
Garage Ceiling: , Overhangs:
Title 24 Caulking Included
Subcontr ctor.. OJ Insulation -Co., Inc.
600 S. Vincent, M. 41-ra. %;7NA (46) 812-4Q7b 4?4n je #/465709
Signed
Chita Ortiz, Secretary/Treasurer--or-- R.'Sdbtt Jenkins, President--or--
Lou Merola, Director of Operations Officer
ins resistance to heat flow. The higher the R- value, the greater the insulating power.
your builder for the fact sheet on R- values. Keep this certificate with your other
papers. If you ever sell this home, this certificate "should be passed on to the buyer.
AUG 21,2006 11:53 BCI*TESTING,ril 000-000-00000 Page 2
tr
C ERTIFICATF OF FIELD VEWFICATION & DIACNOSTI(; TES ING (pmxe 1 "r8) CF -4R
Pr ja;t Maws's
�S•t��p 04W6,0- La Quinta, CA,
❑ No
13uildutof InsTmIcr Namc
EHLINE
T3uilticr ur Lr,l:rticr Contac(
Arian Drown
Tclephune
760-777-4190
Plan Number
E 1 OF EACH PLAN
HERS Rmcr
William I Jenson. CCN# CC2004076
Telaphonc
760.772 2954
Sontplc Ornup Number
1
compliance Meth -d (1'reseri livej
1
Climate %cue 15
Certifying Signawre
/%.
.;./
Darc
71(/2011(
Sample Ilousc (I,ul) NUmher
14
Firm
BCI TESTING
ITERS Provider
CALCERTS
Street Addre\s
F,ntcr Toted Gan Flow in CFM.
City/State/Zip
77-760 Country u rive, buffe
3
Puss if l.uuku e I'ctasuTipt �C 6% 1 100 x I (Linc i/ l) / (Line i12)
Cu iK•stu: BUIL1tb:R tutxti 1'xUvtuP:x ANll BUILll1NG UEY.A1t'I'ML:N"I'
EYPeas ❑hail
HERS RATER
COMPLIANCE STATEMENT
*11C hnn3C was: !J Tested ✓❑ Apitiuvcd as part ofsample issfing. but was not lcslcd
As the 111-16 rater providing diagnostic testing w)d lield verification, I certify That the hotmu idewificd on this form complies with
the diagnostic tested vompludloe reriuirentonts as checked ✓ un this fnrin. floc H{ ..RS rater musL check and vcrif� tout the new
dLstrihution system is fully ducted :ntd carruet urpe is used N fore a CF -4R may be rolmscd on every tested building. The l iFRS
ruler must nut reieasc the (T -4R until a properly complete] and signed CF -GI( has been received fur the sample and lc-,lctl huik ings.
0 The ntsisllcr his provided a uvlry uFCF GR (Ins1allation Ccrtilicale)
&1 New du0s tidy ductal (i.e., docs not use building cavities as plenums ur ph;tftxm returns in lieu of ducts).
E1 New ducts with ckdh b:lekcd, rubber adhesive duct tope is instullcd. mastic trod draw hands arc used in
combination with c(ol)t lmuked, rubber adhu3ive duct tape to seal Icaks t11 duct cnnnLe6ons.
0 MWNTMUM REQUIREMENTS FOR DUCT LFAKAGF REDUCTION COMPLIANCE CREDIT
Prau:durew fur fiehl verir3culion and diagnostic Itub;g of coir dislribrrliorr ,systr'ntr ore rrvailahle in /LA(:AI. Appendix RC4.3
Duct Diaenurtic i.cakage Tcstint' Results
NEW COMMUCTION:
0 Yes
❑ No
jtccgs is provider. fnr incpccl.ion, The prttcaclurc shall consist of visual
vurilicution that the TXV is ins1rdleT un the system and installation M'
the specilic equipment shall be: vcri6cd.
✓ ✓
wsare
System i
Duct T'ressurirutiuu Test Rusults (CFM {ai 25 Pa)
V
1
Einer Tcsted leakage now in CFM:
119
F':ut flow: Calculated (NominalCooling IQ I Icating) or ✓CJ Ma+surcd
2
F,ntcr Toted Gan Flow in CFM.
1 2Q{M
✓ J
3
Puss if l.uuku e I'ctasuTipt �C 6% 1 100 x I (Linc i/ l) / (Line i12)
5.956/a
EYPeas ❑hail
Muttsur ad
Sy61P111 2
Ducr Pracsuri7ztion'1'esl Results (CFM ti,,' 25 Pa)
Values
I
T'Ater Tcslud lxua a v flow in GFM:
cY5
Fuu Fl„w: C:alculatul (Nominal: 0 Uooling ✓C7 l Icating) or ✓❑ Me9cwxi
z
Enter Total Pun 11vw in CFM.
1600
✓ ✓
3
Puea ifL�ul:uge Percentage -. N'ie (lU(t x ( (1 .;n if 1) / ((.inc i12)II
5.94%
�It'nza ❑i ail
� 'I'tiT':RMI)S'1'A'!'iC IdXAN�S[(tN YAi,VF; ('IxV)
Arucc•chvc<,' ur rte/t{ v,rriltCprinr, n rlu>»nn.et,liie expmn+irni cuh�es ore crvuilaLle in 29 ('A'1, Apprrrdix Rl..
Ycs Is n pass
0 Yes
❑ No
jtccgs is provider. fnr incpccl.ion, The prttcaclurc shall consist of visual
vurilicution that the TXV is ins1rdleT un the system and installation M'
the specilic equipment shall be: vcri6cd.
✓ ✓
❑
D HIGH I':I';lt AIR CONDITIONLR
Yrneedurrslur verifcaliun am uvuiluble. in ltrt(.:M1h AopendixW.
i Q Yes 1 ❑ No f•:1?R vaules of installed s sterns tnutuh the CF -1R
2 ❑ Yes ❑ No 1vr s pfit aytiTcrn, i0mr cnil Is tnatchcd to outdoor coil ✓
:3 D Ye Q No 'I'imc iR:lay Relay Verified (URuyuired) ❑ 0
Yes to I and 2: and 3 (lf Retluired) is :t pass Pit's PyiI
1Reruienliul Compliance bores Ap,•il ?Ons
INSTALLI ►TION CERTIFICATE
CF -GR
LOT 15 .� fbf „ Plan B
Site Address.
An installation c erfiimte is required to be posted at the building site or mane available for all appropriate inspections. (The information
provided on ails form Is regtited; however, use of ttis form to provide the irftffnation Is optional.) After complail1w 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
h%aBng
:
"'(AF1DE; etc)
'Duct'
Dud or
Heating
beating
Equip. Type (Pkg. CEC Certified Mfr Name
t/ of Identical.
L>CF-1R
Location
Piping R-
Load
Capacity
tx:at pump) and Model Number
Systems
vague]
(attic. etc.)
value
(ShAv)(BbAr)
Split as 585TX090-116
80%
_.__........
Attic
8.0
g 0 0 _00 ..._
; 9 0 _.
, . 000 :
58STX090-116
80%
Attic'80
.
--_._ .._.._.... .
N � 90'000 ' i 90000'
Cooling EgWpmemf
CEC Certified
Efficiency
Compressor unit Mfr
(SEER; etc).
-Duct
Cooling
Cooling
Equip. Type (Pkg. Name and Model
i# of Identical
-1f2
Location
Dud R-
Load
Capacity
heat pump) Number
Systems
"vawfay °:°"
(attic; etc.)
value
(Blufhr)
(Btu/hr)
Spit Cooling 38BRC042-3
`ti 2.0
Attic
8.0
t 42,000
42,000
...._.. _....._...._ __.t
386RC04273
j 12.0 ::
Attic
..._
8.0
_.
" 1. 42,000
42,000
1. > mads greater Man or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed,
2) equivalent to or more efficient than Uri specified in the certificate of compliance (Form CF -1R) submitted for compliance with
the Energy Efficiency Standards for resider►tial buildings, and 3) equipmerat.ttiat meets,or exceeds the appropriate regtkements
for manufactured devices the Appliance FJlxarency Regulations ar P,art 6);.where app ficablec
JBS Mechanical, Inc.
law
Sign re, Date Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
YYAI R HEATING TENS•
Distribution -.... jMedrcu S of - Rated Tank External
CEC Certified Mfr Name Type (Std lation,_ _ Identicai Input (kW Volume Eifi-deny Standby insulation R -
Heater Type 8 Model Number Paint -0f --Use) CQrh^rol Type Systems or Bbdhr) (gallons) (EF,RE) Loss (%) value
2. For smart! gas storage (rated input of less than or equal to 75,000 8tu/tlr); elecPrie resistance and heat pump water heatem, list Energy Factor.
For large gas storage water heaters (rated input of greater thain75,000,t31ulhr); list Recovery Efficiency, Standby Loss and Rated Input.
For instantaneous gag water heaters, list Recovery Efficiency and Rated Input.
3. R-12 eitemal insulation Is mandatory for storage water heaters with an'60,argy factory of less than 0.58.
Faucets A Shower Heads:
Aft faucets and showerheads installed are certified to the Commission, pursuant id Title 24, Part 6. Section 111.
1, the undersigned, verity that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that spedfied
In the certificate of compliance (Form CF -1 R) submitted for compliance with the Eneigy Efficiency Standafds for residential buildings,
and 3) equgxnent that meets or exceeds the appropriate requirements for manufadLred devices (from the Appliance Efficiency Regulations
or Part 6), where applicable.
Signature, Date Installing Subcontractor (Co. Name)
:.'' .:= •... OR general Contractor (Co. Name) OR Owner
COPY TO: Building Department
HERS Provider (if applicable) rn
Building Owner at Occupancy
g•ol~ __ '0NI -1U3INdH03W SST WdT2:6 9002 TT imC