06-0009 (BLCK)t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00000009_
Property Address: 052320—SILVER STAR TR
APN: 767-200-999-59 312021 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1850
Applicant:
c&ht 4 4 Q"
Architect or Engineer:
P., A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LIGENSFn r,nNTROnTnR's nErl ARATInhI ,
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: B Lis�e%% : 7,1j2190
VIA P,
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 that he 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):
(_) 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
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.).
(_) I, 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 am exempt under Sec. , BAP.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: PIP
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE G
UI CA 92253
D60 920
JAN 17 Afcto
HEkING1 N EVELOPMENT, JAMES O
CWIiYOpLAr , CALI ORNIA OAKS RD, #283
FINANCE A 92562
(951)677-8415
Lic. No.: 753190
i
Date:. 1/09/06
wunAEH'S UUMPENSAIIUN UECLARATION
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 performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: '
Carrier STATE FUND Policy Number 1542746-2005
I certify that, in the performance of the work for which this permit is issued, I shallnotemploy 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 C/o/de�shall f hwith ply Xrovisions.
peter' Icant: �(,!i/ 1j2��
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 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.
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 hereb authorize representatives
of this county to enter upon the above-mentioned property f r inspectio purpose ���
pa(L a _3_0 ure (Applicant or Agent),
Application Number . . . . 06-00000009
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 43.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 1850
Expiration Date 7/08/06
Qty Unit Charge Per
Extension,
" BASE
FEE
15.00
14.00 2.0000 HND BLDG
501-2,000
28.00
Special Notes and Comments
74 L.F. 6- GARDEN WALL ORCO SYSTEM
Fee summary Charged
Paid Credited
Due
Permit Fee Total 43.00
00
.00
.43.00
Plan Check Total .00
.00
.00
.00
Grand Total 43.00
.00'
.00
43.00
LQPERMIT - _
..
... .
07-05-'06 09;31 FROM- T-908 P14/15 U-821
EMPIRE INSULATION, INC.
3901 CARTER AVENUE, SUITE 1 (951) 7874844 PHONE
RIVERSIDE, CA 92501 (951) 787-4849 FAX
INSULATION CERTIFICATE
This Is to certify that Insulation 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.
ROJECT: RANCHO SANTANA PHASE 3 LOT# 59
SITE ADDRESS: 52-320 SILVER STAR IL LA &INTA, CA?
�-- .___, _ Number — ,_ - .._..—Street. , -Clty ___•State
CEILING AREA:. BLOWN
Manufacturer: GREENFIBER Thickness/Type; 8.36" R -Value: R-30
CEILING AREA: BATTS
Manufacturer: GUARDIAN Thickness/Type; 91/2" R -Value: R-•30
a
EXPOSED FLOORS: BATTS
Manufacturer: GUARDIAN Thickness/Type., 3 5/8" R -Value: R-13
EXTERIOR WALLS: BATTS
Manufacturer: GUARDIAN Thickness/Type: 3 8/8" R -Value: R-13
r
GENERAL CONTRACTOR: LICENSE #
{Y TITLE: DATE:
INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860072
8Y: IOUNMIRANDA TITLE:,, • PRODUCTION MANAGER, DATE:. 715/0 4
-
JUN- W-2006 1.0:05 AM
P.13
�Gh- a- -!411 Ena
Bu de e
Plan Number
J//A Cr4rMddN LLkyJd6/[-S 1042
HERS star Y eph a Sample Group Number
tying Signature f Daw Sample House Number
Firm: Sj�e. �-,&age/Af A HERS Provider. l�E� les
Street Address: CltylState2ip:
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STAT&MENT
The house was: ❑ Tested proved 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
com I with the diagnostic Tested compliance requirements as checked on this form.
Distribution system Is fully ducted (I.e., does not use building cavities as plenums or platform returns in lieu
ducts)
here 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
l r
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fail (Pass=e% or less) .❑
J .
zes's Fall
1Tt4ERMOSTATIC EXPANSION VALVE (TXV) or'Commission approved equivalcnt'� -.
Yea ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for Inspection❑
Yes is a pass ass Fall
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. 0 Yes O No ACCA Manual D Design requirements have been met
(rater has verified that actual installation matches values in -
CF -1 R and design on plan.
A///
/ /%
2. 13Yes 0 No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow e
C3 p
Yes for both 1 and 2 Is a Pass Pass Fall
r�
r�
INSTALLATION CERTIFICA ;
CF -6R
52-320 Silver Star Trail
r?
Site Address t>.
Permit #
t
Equip. Type
An installation certificate is required to be posted }� a building site or made available for all appropriate inspections. (The information provided on this form is
requited; however, use of this form to provide the
on Is optical.) After completion of final inspection, a copy must be provided to the building department:
(upon request) and the building owner at occupan .
r section 10-103(b).
HVAC SYSTEMS:
A1C COND. YORK BMD048
Heating Equipment
A/C COND. YORK E RD060
Equip,.Type i A
# of Efficiency Duct Duct or Heating
Heating
(pldg. heat CEC Certified Mfr, Make & Mo. :�i
Identical (AFUE,etc.)' Location Piping Load
Capacity
t»1D, etc.) Number
Systems [ZCF-1R value] (attic, etc.) R -value (Bw/hr)
(BTU/Hr)
FAU YORK LY8SI00C20
1 80.00/0 ATTIC R-4.2
100,000
FAU YORK LY8S080BI_
1 80.0% ATTIC R41 80,000
r?
Cm ing Equipment
t
Equip. Type
# of Effeciency Duct Cooling Cooling
(pkg. beat CEC Certified Compressor Unj
Identical (SEER, etc)' Location Duct Load Capacity
,rare t, r.l Mfr. Name and Model Numbei
Systems PtCF-iR value] (attic, eta. R -value (BTU/W)
A1C COND. YORK BMD048
!(Budlir)
1 14 ATTIC R-4.2 48,000
A/C COND. YORK E RD060
1 14 60,000
n�
d 2 • reads greater than or equal to.
Fk
I, the undersigned, verify that the equipment listed
ve
is: 1) is the actual equipment installed, (2) equivalent to or more effcieat than that specified in the
certificate of compliance (Form CF -1R) submitted
, compliance with the Energy Efficiency Standards for residential buildings, and (3)oquipment that meets or
exceeds the appropriate requirements for manu
d devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
l
N61 Choumas 3/1V2( HVAC Subcontractor (Co. Name)
c; OR General Contractor OR Owner
WATER HEATING SYSTEMS:
water CEC CertifiedE, If Recir- Rated Input Tank Efficiency Standby External
Heater Mfr Name & Distribution T ' 'culation, # of Identical (kW or Volume (EF, RE) Loss (4'0) Insulation R-
T # Model Number (SA Point -of- Control Type Systems Btulhr (gallons) value
HEADS: t
FAUCET'S & SHOWER
All faucets and showerheads installed are listed in iiP Commisions Directory of Certified Faucets and Showerheads,
pusF:uS:. C0 Title -24, Part 6, Subchapter 2, Section
I, the undersigned, verify that the equipment listedElezae
category above my signature is the actual equipment installed and that the equipment meets or exceeds the
requirements of the Appliance Efficiency Standardddition, l have verified that the equipment is equivalent to or more efficient than the equipment specified
on the Certificate of Compliance submitted to demcompliance with the Energy Efficiency Standards for residential buildings.
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
RCR COMPANIES
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
I
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