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04-7853 (SFD)P.O. Box 1504 BUILDING & SAFETY DEPARTMENT (760),777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number . . Property Address . . . APN: Application description Property Zoning Application valuation .. Owner ------------------------ PH RANCH,LLC 78370 HIGHWAY LA QUINTA BUILDING PERMIT 0 4- O.0.M0 7 8 5 78390 CLARKE CT 643-170-999-17 -31348 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 192449 Contractor Date 12/16/04 DETACHED ------------------------ EHLINE COMPANY 111 STE 200 55375 MEDALLIST DR CA 92253 LA QUINTA CA 92253 ------ Structure Information Constr c--t-i°on Occupa ,,� TYPE' L; Flood Zone Other r rue" info RION LU IC TY 5F LA QUItjTAq -- (760) 771-8130 WCC: STATE FUND WC: 2290006783 CSLB:. 482086 CCC: B 3136 SQ. FT SFD MODEL D-1 TYPE V - NON RATED DWELLG/LODGING/CONG <=10 NON -AO FLOOD ZONE 01/01/05. 11/30/05 CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 504.00 PATIO SQ FTG 240.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3136.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 965.00 Plan Check Fee'. 627..25 Issue Date . . . . Valuation 192449 Qty Unit'Charge Per Extension BASE FEE 639.50 93.00 3.5000 THOU BLDG 100,001-500,000 325.50 --------------------------7------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 108.00 Plan Check Fee 27.00 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 .00 16.5000 EA MECH B/C >3-15HP/>100K-•500KBTU .00 P.O. BOX 1504 • '�� 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: t) 4--79:5-3 Date: /.2 ' 4;w'O Applicant: --Architect or Engineer: Applicant's Mailing Address: hitect or Engineer's Address: tc. No. C 9 d.11 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I 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. OWNER43UIL.DER DECLARATION 1 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 permtt 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 sate (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 sale.). f, 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.). U 1 am exempt under �Secc., B.& P.C. for this reason �Own. WORKERS' 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. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor Code, for the perforrmance 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall /forthwithcomply with those provision �� ate J`� v 'licant 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 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 A 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 Ouinta, 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 1 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 herebyauthorize representatives of this�to on a ve mentioned property for inspection purposes. ate U i nature (A licant or A ent�� Application Number'-. . . . 04-00007853 Page 2 Date 12/16/04 Qty Unit Charge. Per Extension 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 . . . . 149.84 Plan Check Fee 37.46 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3136.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 109.76 504.00 .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 . . . . 177.00 Plan Check Fee 44.25 I Issue Date Valuation . . . . 0 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 4.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 12.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 17, PLAN D1,3136 sq.ft. PERMIT DOES NOT INCLUDE POOL, SPA,BLOCK WALLS OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . ART IN PUBLIC PLACES -RES. .00 I r Page 3 Application Number . . . . . 04-00007853 Date 12/16/04 -----------------------------------7---------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 62.73 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 19.24 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1414.84 ------------------------------- .00 .00 1414.84 Plan Check Total 735.96 .00 .00 .735.96 Other Fee Total 2486.97 .00 .00 2486.97 Grand Total 4637.77 .00 .00 4637.77 La,uwt7`a,.c`�t Certificate of Occupancyo f • b 9 INCORPORAIM ivez � a e c� OFT9ti Building. & Safety Department' s } k 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 z construction and/or use. BUILDING ADDRESS: 78-390 CLARKE COURT Use classification: SFD Building Permit No.: 04-7853 s Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL i v Owner of Building: EHLINE HOMES Address: 78-390 CLARKE COURT 1 City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND r Date: SEPTEMBER 14.2006 Building Official POST IN A CONSPICUOUS PLACE Certificate of Insulation Your Home has been insulated with CertainTeed Fiberglass Insulation products, which are designed for 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 -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies 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 #: 17 Plan: D1 Bldg. #: Address: 78-390 Clark Ct., La Quinta CA Ceiling Area: R-38 Urifaced Batts PartyWalls: Cantilevered Floors: Signed Interior Walls: R-13 Unfaced Batts Knee Walls: Exterior Walls: Garage Ceiling: Title 24 Caulking Included R-21 Unfaced Batts Overhangs: SubconM-S'AjP toy.. O I sulation Co.,Inc. 600 S. Vincent, 9172 62 j 812-607A hce 4�7e Conchita Ortiz, Secretary/Treasurer --or-- RAcoVenkins, President--or-- Lou Merola, Director of Operations Officer R- means resistance to heat flow. The higher the R- value, the greater the insulating power. Ask your builder for the fact sheet on R- values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. r: ft INSTALLATION CERTIFICATE CF -6R LOT 17 Plan D Site Address An installation Certificate is.requined to be posh at the building site or made available for ell appropriate inspections. JThe information provided on this form is required; however, use of this form to provide the:inf ormation is optional.) 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: �r ' *of Heating Equip Mt Tank External CEC Certified Mfr Name Type (Std lation, Identical Input (kW .(ASE, etc) `Duct Dud or Heating Heating Equip. Type (Pkg. CEC Certified Mff Name t of Identical L>U-1R Location Piping R- Load Capacity heat pump) and Moder Number Systems. ; .. value) .. (attic, eta) value (Btultr) (StWlx) __...... ..._.......I....._......,... Split Gas 58STX090-116 _....,....:... 80% :-._..._. _....._,. ...,.:.. .,...._. Attic 8.0 9U,D00 1 90,000 58STX090-118 89'% ! :Attic 1,...,.8.0.._:..< = 90,000 90,000 Coolk►g Egr*mant CEC Certified Efficiency , Compressor unit Mir (SEER, etc) Duct Cooling Coding Equip. Type (Pkg. Name and Model rt of identical L>CF-1 R Location Duct R- Lm d Capacity heat pump).._ Number Systems Satriej - ' ,; (attic, etc.) value (Btuthr) (B1Wlr) • Spfit Cooling: 38BRC048-3 12;0 ! i__ AMC_' ; 8.0 i 48,000 i 48,000 38BRC042-3 ;..::12�...._: '_....Attic 8.0 42,000 y 42,.000 1. > reads greater than orequai ta. I, fFre undersigned, verify that equipmm*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) equipmentOat.meets or -exceeds the appropriate requirements for manufactured devices ( the Appliance Efficiency Regulatiars or FariL6),,where applicalote. JBS NAechanical, Inc. Sigmkure, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING STEMS: Distribution IM�Recirar- *of Rated Tank External CEC Certified Mfr Name Type (Std lation, Identical Input (kW Volume EM-ciency Standby insulation R - Heater Type 8 Model Number Point -of -Use) do,:trd Type Systems or Bhdtt) (gallons) (EF,RE) Loss (%) value 2. For small gas storage (rated input of less than or equal to 75,000 Btuihr), blectdc resistance and heat pump water heartere, fist Energy Factor. For large gas ti go water haamrs (rated input oI greater than 75,0009tuflir), W Recovery EfGcian y, Standby Loss and Rated Input. For Instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory for storage water heaters with an energy factory, of lass than 0.58. Faucets & Shower Heads: All faucets and showerheeds installed are certified to the Commission, puisuarit to Trtle 24, Part 6, Section 111. , I, the undersigned, verify that equipment listed above is: 1) is the actual equipment erstalled, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CFA R) submitted for compliance with the Energy Efficiency Standards for residentiat buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactwed devices (from the Applianoe Efficiency Regulations or Part 6), where applicable. Signature, Date 'Installing Subcontractor (Co. Name) OR;General Contractor (Co. Name) OR Owner CQPYTO: Building Department HERS Provider (if applicable) Building Owner at Occupancy .:4 L'cl 'DNI -IUDIWUH03W SBf WUI2=6 9002 IT Inc 06/15/2006 1034 951-6809210 JBS-AIVIECHANICAL PAGE 07/19 ravto i AiLIA ii we,% yr -m It irkom i r - LOT 17Plan D Site Address An installation certificate is required to be posted at the building site or made available for am appropriate Inspections. M* Information Provided on this form Is MUM; however, use of ft f6mi to provide the in"alori Is oatlonal,j Ager completion of final lnrpoctlon, a copy must be provided to (he building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC Heeft Equornent Efficlency (AI`-Ut-_ etc)- Duct Duct or Heating Keating Equip. Type (Pkg. C5C Certified M* Name #of Identical LCF -1 R Ui:il:106 Piping R- Load Capacity how pump) and Model Numw systems value) - r(aturVc.) • value (Muffir) (ftAr) SpIR r; 90,000. 89SI-9090-116 80%., COWMg EWIPMew CEC Comfled cZa_'0*, Comoressar unit Mfr (SEEk ) Cooling Cooling Equip, Type (Pkg. Name and Model 9 of identical L>CF-1R Location' Duct R_ load" capacity heat pump) Number Systems value) (attic, ate,) %! IN MUM (stwhr) SPIN Cooling' 38BRCn48-3 -12 0 Atft� 0.0 48,000.., rt,:. --; 48 000 38BRC042-3 ... .... ........ .. 8.0 42,000 42 000 1. P- roach gmatcr Mail croquet (0. 1, uvaundarrigneo, vert MM equipmem "M above 15%1) lathe actual equipment installed, 2) equivalent to or more efficient than that spedfied in the certificate of compliance (Form CF -1 R)'iubmkted for compliance with ... . . . .. 1, - — - the a7aW Efflderny Standards for residenWal buildings, and 3) "W, that moats or ON00006 the appropriate requirements for manufactured do7VW8A1hoApPfi*n Eftencyftgule"orFa where app , I iceto. U v�, acna"iesi, inc. SlgniWre, Date installing Suboontractor (Co. Name) OR General Contractor (Ca.karnn) OR Owner WATERHEATINQ�STEUS: Distribution If Redrcu- #'of," Rated Tank CCC Codified Mfr Name, Tyle (W -_13666, - ldinai;il Input (kW Volume Efflclenicy Heater Type & Model Number Poh-*Wse) Control Type Systems'-. • or Bhdhr) Walans) (EF,RF-) Bdernal Standby Insulation R - Loss M value —77- 2. For &MR gas glongs (rated Input of less then Or equal to 75,000 BtuftR194r!C ' end 110011t PUMP WOW h*9I1W% list Energy Factor. For W" gas storage Viftet houtm (rated Input of greater than 75,660 9�0,113t K t . ry lifficlarmy, Standby Loss and Rated Input. For W4hmtffn9oU9gas wolf I= ra. IM Recovery Efficiency and Rated Input. . ••r^•' - .I I . . 3. R-12 external insulation is mandatory for storage water heaiters with an energy factory ofzlcie than O.W. Fauco* & Shower Hwels: An faucets and showeriteads Installed are ceffied to the Commission, pursuant to Title 24, Part 8,- SaMn 711. r, the undersigned, verify that equipment fisted above Is: 1) Is the actual equipment hstalled..'2jocit&alent to or more efficient than that specified In the canl1icate of compliance (Form CF -1 R) submitted for compliance6*'CVWcy Standards for .1 .� 1.. residential buildings. and 3) equipment that meets or exceeds the appropriate re4utramenis for nunuffaftm%6 t!w (from •Appfien- S%cioncy Rogulaftn. of Part 5), where applicable. Signature, Date (Co. Name) iralCcinikaotor(Co. Name) OR Owner COPY TO., Buildirg Department NIERS Provider (it applicable) Building Owner at Occupancy tit