05-5372 (SFD),i
4 P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:
05-00005372
Owner:
Property Address:
52380 SILVER STAR TR
DESERT ELITE, INC.
APN:
Application description:
767-200-999-57 -312021-
DWELLING - SINGLE FAMILY DETACHED
D
Q a
78401 HIGHWAY 111
LA NTA, CA 92253
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
179688
AE,3 2006
.02
C. tor:
Applicant:
>5ch"itct or Engineer:
CITYO
�AUINTA
H RI GTON DEVELOPMENT, JAMES O
��..
i'JfJ/J.
FIM ANC�
409 0 CALIFORNIA OAKS RD, #283
�.
MUR IETA, CA 92562
(951) 677-8415
Lic. No.: 753190
------------------- ------ -----------------------
LICE CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am i nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P o ssionals Code, and my License is in full force and effect.
License Cla s: License No.: 753190
te: 6 ontractoir
OW -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Licens'a 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, howevei, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
Date: 1/10/06
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 py number are:
Carrier STATE FUND Policy Number 1542746-2005
_ I certify that; in the perform n) the work for which this permit is issued, I shall not employ any
person in any manner so s become subject to the workers' compensation laws of California,
and agree that, if I should me subject to the workers' compensation provisions of Section .
700 of the Labor Code, I I forthwith comply with those provisions.
e: 1 b6 plicant:
WARNING: FAILURE TO SECURE WORKECOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES 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 aresult 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 su 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 ve information is correct. I agree to comply with all
.city and county ordinances and state laws relating to build onstruction, and hereby authorize representatives
of this coun to nter upon the above-mentioned propert f inspection purposes.
/Date: 1 dC Si ture (Applicant or Agent):
Application Number .
. . . . 05-00005372
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
597.68
Issue Date . . . .
Valuation . .
. . 179688
Expiration Date
7/09/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
80.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
280.0.0
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date
Valuation . .
. . 0
Expiration Date
7/09/06
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
132.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50'
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc_.
Permit Fee . . . .
127.89 Plan Check Fee
: 31.97
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
7/09/06
Qty Unit.Charge,
Per
Extension
-
BASE FEE
15.00
2863.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY 100.21
LQPERMIT
LQPERMIT -
Application Number .
. . . . 05-00005372
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
43.13
Issue Date
Valuation
0
Expiration Date
7/09/06
Qty.. Unit Charge,
Per
Extension
BASE FEE
15.00
17.00. 6.0000
EA PLB FIXTURE
102.00
1.00 7 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
7/09/06
Qty Unit Charge
-Per
Extension
BASE FEE
.15.00
-----------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 57, PLAN 3AR, 2863 SF. PERMIT
DOES NOT INCLUDE POOL.,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
------------------------------------------------------------------------
Other Fees . . . .
. . . ART IN PUBLIC PLACES -RES
---
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER -.RES
480.00
ENERGY REVIEW FEE
59.77
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
3.55.00
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.
LQPERMIT -
r-
_ Application Number
05-00005372
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF TRANSPORTATION
- RES
1666.00
Fee summary
-----------------
Charged
Paid
Credited
Due
Permit Fee Total
1324.89
.00
:00
1324.89
Plan Check _Total
695.28
.00
.00
695.28
Other Fee Total''
3773.73
.00
.00
3773.73
Grand Total
5793.90
.00.
0,0:
5793.90
LQPERMIT
07-05-'06 09.31 FROM- T-908 P12/15 U-821
y..a
EMPIRE INSULATION, INC.
3901 CARTER AVENUE, SUITE 1 (951) 787-4W PHONE
RIVERSIDE, CA 92501 (951) 787-4849 FAX
]INSULATION CERTI ICATE
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.
PROJECT: RANCHO SANTANA PHASE 3 ` LOT# : 57
SITE ADDRESS 52-380 SILVER STAR TRAIL,LA QUINTA, CA
Number Street city 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
EXPOSED FLOORS: BATTS
Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value: R-13
EXTERIOR WALLS: BATTS
Manufacturer: GUARDIAN Thickness/Type; 3!5/8" R -Value: R-13
GENERAL CONTRACTOR: LICENSE #
BY: TITLE: DATE:
INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # OB0072
BY: JOHN . TITLE: PRODUCTION MANAGER DATE: 7/5/06
t
f;
JUN -30-2006 10:04 AM
P.11
Sample Group Number
crying Signature Dat
Sample House Number
Firrn:.��. �' /I�cOG��T�S _ ' . HER$ Provider: C #,ECX,5'
Street Address: City/State/zip: L a ,ZX
Copies to: Builder, HERS Provider
HERS RATER COMPLIAN9X3TATEMEbjT
The house was: 0 Tested pproved 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
cpm ith the diagnostic crested 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
f 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.
e�itriiiiliMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 8% Duct Leakage) .
Duct Pressurization Test ResultsPa 26 CFM Measured
( ) values
Test Leakage flow in CFM
If fan flow is calculated as 400drn/ton x number of tons enter '-
r ' cialculated 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)❑
ass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent _ -
Yes ❑ No Thermostatic Expansion Valve (or Commission approved
T.
equivalent) is installed and Access is provided for Inspection
[]
Yes Is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
Pass Fail
1. D 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.
l
2. 0 Yes 0 No TXV is Installed or Fan flow has been verified. If no TXV, //1
verified fan flow matches design from CF -IR.
Measured Fan Flow
Yes for both 1 and 2 is a Pass
Q ❑
Pass Fail
I
Silver Star Trail
Site Address
An installation certificate is required to be postedt,buillding
site or made available for all appropriate inspections. (The information provided on this form is
required; however, use of this form to provide thensoptiool.) After completion of final inspection, a copy must be provided to the building department
(upon request) and the building owner at occupanin 10-103(b).
HVAC SYSTEMS:
Heating Equipment
Equip. Type
(pkg.: heat CEC Certified Mfr, Mahe &
Cooling Equipment
Equip. Type
(pkg., heat
mar•', .w:� •'•',
CEC Certified Compressor Unit
Mfr. Name and Model Number',
A/G COND.
YORK 0UP2
A/C COND.
YORK HIRD048
12: reads ereater than or cuual to.
# of
Efficiency
Duct
Dud or
Heating
Heating
Identical
(AFUE,etc.)'
Location
Piping
Load
Capacity
Systems
[iCF• ] R value]
(attic, etc.)
R -value
(Btu/hr)
(BTU/Hr)
2
80.0%
ATTIC
R-4.2
80,000
#of
Effeciency
Duct
Cooling
Cooling
Identical
(SEER, etc)'
Location
Duct
Load
Capacity
Systeme
[zCF-1R value]
(attic, etc.)
R -value
(Btu/br)
(B'IU/Hr)
l
14
ATTIC
R-4.2
42,000
I
14
ATTIC
R 4.2
48,000
I, the undersigned, verify that the equipment listed ve is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
certificate of compliance (Form CF -1R) submitted mpliance with the Energy Efficiency Standards for residential buildings, and (3) equipment ;:_ , <is or
exceeds the appropriate requirements for man devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Nicole thoumas 312
WATER HEATING SYSTEMS:
Water . CEC Certified
Heater Mfr Name & Distribution
Type/# Model Number (Std, Point -o.
FAUCETS & SHOWER HEADS:
and showerheads installed are listed in
putrstumt to Title -24, Part 6, Subchapter 2, Swdon
I, the undersigned, verify that the equipment listed
requirements of the Appliance Efficiency Standard
on the Certificate of Compliance submitted to dem
Sigasture, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
AMPAM LDI Mechanical .
HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
If Rech Reeled Input Tank Efficiency Standby Extemal
ailatioN # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R-
3ntrol Type Systems Btu/hr) (gallons) value
Directory of Certified Faucets and Showerheads,
e category above my signature is the actual equipment installed and that the equipment meets or exceeds the
addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified
tie compliance with the Energy Efficiency Standards for residential buildings.
RCR COMPANIES
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
I E ' of 2680—ESE (09G l IU31 WUH03W I 01 WUBO : G 9002 90 I nr