05-2853 (SFD)P:_8. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
Application Number: L05=00002853 �
Property Address: 52285_SHINING STAR LN
APN: 767-200-999-15 -312022=
Application -description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 165860
Applicant: 1--4111hitect or Engineer:
S., 3��
-------------'-------------------------------------
ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines d fessionals Code, and my License is in full force and, effect. ,
License CI ss: B License No.: 753190
✓ Dat ntractor: y
OWNER -BUILDER DECLARATION .
1 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).:
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, 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.).
( 1 I am exempt under Sec. , B.&P.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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/05
Owner:
DESERT ELITE, INC. FPFAU6
78401 HIGHWAY 111, SUITE G
LA QUINTA CA 92253e�(760)777-9920 2.3 2005
CITYOF LA QUINTA
Contractor:
HERINGTON DEVELOPMENT, JAMES O
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951)677-8415 "
Lic. No.: 753190
WORKER'S 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
�(ssued.
Y� 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 h Policy Number 1542746
_ I certify that, in the perforc of the work for which this permit is issued, I shall not employ any
person in any manner so t become subject to the workers' compensation laws of California,
and agree that, if I shout a ome subject to the workers' compensation provisions of Section
/ 700 of the Labor Code, II forthwith comply with those provisions.
I icant:
WARNING: FAILURE TO SECURE WO E S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ,
SUBJECT AN EMPLOYER TO CRIMINA 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 appli ation becomes null and void if work is not commenced
within 180 days from date of issuance uch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify.that I have read this application and state that a ve information is correct. I agree to comply with all
city and co
u ty ordinances and state ws relating to b i di g onstruction, and hereby authorize representatives
of this cou y to nter upon the a e- mentioned prop y o inspection purposes.
12 • � Sign a (Applicant or Agentl:
Application Number .
. . . . 05-00002853
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
4.00
FIRE SPRINKLERS
NO
l
GARAGE SQ FTG
658.00
PATIO SQ FTG
319.00
NUMBER OF UNITS
1.00
-----------------------------------------------------------------------------
IST FLOOR SQUARE FOOTAGE
2600.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
870.50 Plan Check Fee.
565.83
Issue Date . . . .
Valuation . .
165860•
Expiration'Date
1/07/06
`
Qty Unit Charge
Per
Extension
BASE FEE
639.50
66.00 3.5000
THOU BLDG 100,001-500,000
231.00 .
Permit . .
MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date
Valuation . . .
.. 0
Expiration Date
1/07/06
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.
32.50
T.00 6.5000
----------------------------------------------------
EA MECH EXHAUST HOOD
-----------------------
6.50
Permit> . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
119.16 Plan Check Fee
29.79
Issue Date
Valuation . . .
. 0
Expiration Date
1/07/06
Qty Unit Charge
Per
Extension .
BASE FEE
15.00
2600.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
91.00
Q
LQPERDtIT '
LQPERAIIT - -
:,Application Number
. . . . 05-00002.853
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
658.00' .0200
----------------------------------------------------------------------------
ELEC"GARAGE OR NON-RESIDENTIAL
13.16
Permit . . . PLUMBING
Additional desc .
Permit Fee . .
166.50 Plan Check Fee
41.63
Issue Date
Valuation . . . .
0
Expiration Date
1/07/06
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
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
1/07/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
'Special. Notes and Comments
SFD - LOT 15, PLAN 2AR, 2600 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
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
56.58,
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
S02.00-
02.00STRONG
STRONGMOTION (SMI) - RES
16.58
DIF STREET MAINT FAC -RES
15.00
LQPERAIIT - -
Application Number
. . . . .
05700002853
Other Fees
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid
----------
Credited
----------
--Due
Permit Fee Total
1261:16
.00
----------
.00
1261.16
Plan Check Total
659.75
.00.
.00
659.75
Other Fee Total.
2478.16
.00
.00
2478.16
Grand Total
4399.07
.00
.00
4399.07
FEB-28�,� 3 PM
-@ERTI)F'ICATIC OF FI1
z
P.01
TESTING . CF -4R
Plan Number
HER Rater, Telephone Sample Group Number
rtifylnq Signature at Sample House Number
Flrm:__c��, �' /i9s�OG/g7� S HERS Provider: C r7 �� /Q s
Street Address: ����a �rQ41wd' C/YGle, Clty/state/Zip: /-,a �i/Ivj%a
Copies to: Builder, HERS Provider
RS RATER COMMIANCE
The house was; ested ❑ - 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
comp . with the diagnostic Tested compliance requirements as checked on this form,
Distribution system is fully ducted (Le:, 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% Duet Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test leakage Flow In CFM rr -7j
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here PI)
If fan flow Is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow.) _ //C �• T /�
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
NERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
zPf�Y;s ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) Is Installed and Access Is provided for Inspection ❑
Yes Is a pass ass Fail
CI MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 • ❑ Yes ❑ No RCCA Manual 0 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 -1 R.
Measured Fan Flow =
Yes for both 1 and 2 is a. Pass
111M
Pass
Fail
A=Fj-
i/
. ,'
,
..,
(Page 3 of 13)
INSTAL ATION CERTIFICATE CF -6R
ORanicl,,2 14_06_ne. PA - 9�__
Site Address Permit NUMDOr
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE R.EQQC'1'1QN
I Pressuilzatl0ii Test Results (CFM @ 25 PA) Test Leakage (CFM)1
Fan Flow
If Fan Flow is Calculated as 406 cfn-Vton x number of tons, or as 21.7 x Heating Capacity
In Thousands'o(Stu/hr, enter calculated value here
If fan flow Is measured, enter measured value here
Leakage Fraction m Test Leakage/(Measured or Calculated Fan Flow) =9P-0
Pass if leakage fraction < 0.06
Pass Fail
C3 For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan PressurizAtion at rough -in, measured leakage (CFM)
CHECK AFTER FIMSHING WALL:
C3 Yes 0 No 13 Pressure pan test or House pre'sSurization test
C3 Yes c3 No [3 Visual Inspection of, Duct Connections 7
13 C3
±Pass Fall
❑ TAtIC EXPANSION VALVE (TXV)
ff'res Cl No Thermostatic Expansion Valve. is installed and Access is - provided for inspection
Yes is a,pass
Pass Fail
0 DUCT )DESIGN
ACCA Manual Design cilculations have been
1. 0 Yes C3 No completed, Duct Design Is on the plans and duct Installation
matches plans.'
2. 0 Yes [3 No -TXV is installed or Fan flow has been verified. If no TXV,
C3 0
Pass Fail
.:4r A r. now matches; design from CF -1R
ve
Measured Fan Flow -
Yes for both I and 2 is a Pass
C3 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance
with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder
employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for Compliance credit. j
Lo: D -Z MeCXAnt_CgL__
Tests Sfipature, Date Installing'Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
A-25
I- A-:
M
�' INSTALLATION CERTIFICATE t (Page 3 of 13)
CF-6R -
•:r
' A'&"" A 4 Q SQ n +0113 .' Pk.- off-
Site Address Permit Number
i'
DUCT LEAKAGE AND DESIGN DIAGNOSTICS :>
DQQLEAKAGE REI)UC 1,0N
s
Pressurization Test. Results (CFM Q 25 PA) ., .Test Leakage (CFM) LL
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons,'or as 21.7 z Heating Capacity
In Thousands of Btu/hr, enter. calculated value here
If fan flow is measured, enter measured value here
Leakage Fraction Test Leakage/(Measured or Calculated Fan Flow) -o•O
' Pass if leakage fraction <0.06 Pass
Fall
O For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing,was completed:
Duct Fan Pressurization at rough-in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
O Yes O No O Pressure pan test or House pressurization test
O Yes O No . O Visual Inspection of Duct Connections' ` . o
a .
Pass
Fall
❑ THERMOSTATIC EXPANSION VALVE tT7M
w es O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass.
Pass
G
Fall
❑ DUCT DESIGN -
ACCA Manual D Design calculations have been
1. O Yes O No completed, Duct Design Is on the plans and duct Installation
,
matches plans.
'
TXV is installed or Fan flow has been verified. If no TXV, o
2. O Yes O No Pass
o '
Fall
verified fan flow matches design from CF-IR
' Measured Fan Flow m . -
4
Yes for both 1 and 2 is a Pass
O I, verify that the above diagnostic test results and the work I performed associated with the test(s) is in confomtance i
3 the undersigned,
with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF-6R signed by the builder
employees or-sub-contractors certifying that diagnostic testing and installation.meet the requirements-for compliance credit. J
L D.2 Metiaa,'ca f
Tests Sfipature,Datet, 7 Installing Subcontractor (Co. Name) OR.
Performed - _ General Contractor (Co. Name)
COPY TO: Building Department.
HERS Provider (if ipplicable)
.
- Building Owner at Occupancy `
. ,
Compliance Forms August2001
A-25
_r
MAR -17-2006 FRI 09:54 AM DESERTELITE FAX N0. 7607779918 P, 01
EMPIRE INSULATION,'INC,
3901 CARTER AVENUE, SITE
RIVERSIDE, CA 920-1
(951) 787-4844 PHONE
(951) 797-4849 FAX
INSULATInN CERTIFICATE
This is to certifythat Insulation ,las �Ao n 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,2 LOT# 15
SITE ADDRESS: 53-285 SHINING STAR LANE LA QUINTA, CA
Number Str--_t city State
{ CEILING AREA: BLOWN
Manufacturer: GREENFIBER T'nickness/Type: 8.36" R -Value: R-30
CEILING AREA: SATTS
Manufacturer: GUARDIAN Thickness/Type: 91/2" R -Value: R-30
EXPOSED FLOORS:
Manufacturer: Thickness/Type: R -Value;
EXTERIOR WALLS: SATTS
Manufacturer: GUARDIAN Thickness Type: 3 5/8" R -Value, R-13
GENERA TRACTOR; LICENSE
B ----- TITLE:—rte DATE; zs
INSULATION CONTRACTOR: Eh4RY E I S A7 ON LICENSE # 860072
BY: JOHN MIRANDA TT%E: PEQQ! C Z MANAGER DATE: 312/C 6
•
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