05-2857 (SFD)Tb.0. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: COS -00002857 ~- Owner:
Property Address: 52435 SHINING STAR LN DESERT ELITE INC.
APN: 767-200-999-20 -312022- 78401 HIGHWAY 111, SUITE G
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920
Application valuation: 165860
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: hitect or Engineer: ' - HERINGTON DEVELOPMENT, JAMES O
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951) 677-8415
' Lic. No.: 753190
I hereby affirm under penalty of pe
Section 7000) of Division 3 of the
License C Ess: 33
;ED CONTRACTOR'S DECLARATION "
licensed under provisions of Chapter 9 (commencing with
Professionals Code,and my License is in full force and effect.
License No.: 753190
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury th t 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 ($5001.:
(_) 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.).
(_) 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , BAP.C. forthisreason
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:1.- - -
Lender's Name:
Lender's Address:
Address: (�
LQPER111IT
7/11/05
AUG 2 Zuni j J
CITY ?, LAA D
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
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
_ I certify that, in the perfor Vncethe work for which this permit is issued, I shall not employ any
person in any manners come subject to the workers' compensation laws of California,
and agree that,ifIshoute subject to the workers' compensation provisions of Section
Dat��//3.700of the L bor Code orthwith comply with those provisions.
y ' f Applicant:
WARNING: FAILURE TO SECURE WO ERS' 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 suc 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 ov formation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi c n ruction, and hereby authorize representatives
of this court to nter upon above-mentioned property s action purposes,
Date: Z d, Signature (Applicant or Agentl:
,x Application Number . . . . . 05-00002857
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
GARAGE'SQ FTG
658.00
PATIO SQ FTG
319.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2600.00
Permit . . .
BUILDING PERMIT•
Additional desc .
Permit Fee . . . .
870.50 Plan Check Fee141.46
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
5.63
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
.1.00 6.5000
----------------------------------------
EA ' MECH EXHAUST HOOD
------------------------------------
6.50
Permit . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
119.16 Plan Check Fee
7.45
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
LQPERMIT
LQPERMIT
.. `Application Number .
. . . . 05-00002857
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
10:41
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
96.0.0
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
--------------------E--------------------------------------------------------
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
1-5.00
----------------------------------------------------------------------------
Special Notes and•Comments
SFD - LOT 20, PLAN 2AR, 2600 SF. PERMIT
DOES NOT INCLUDE POOL;
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF.SAME PLAN TYPE.
--------------------------------------------------------------
Other Fees . . . . .
-------------
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00..
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.15
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
LQPERMIT
LQprnlrr
Application Number
. .
05-00002857
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
STRONG MOTION (SMI) - RES
16.58
DIF STREET MAINT FAC -RES
15.00
_
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1261.16
•.00 .00_
1261.16
Plan Check Total
164.95
.00 .00
164.95
Other Fee.Total
2435.73
.00 .00
2435.73
Grand Total
3861.84
.00 .00
3861.84
LQprnlrr
PP77EB -28-2006
A'
04:05 PM
OF FIELD VERIFICATION AND
REIV44•f.'i
P. 06
TESTING CF -4R
Date ,
Build Mame
Plan Number
Sample Group Number
Ifying Signature 136te Sample House Number
Firm: ��.t C �f' i�sso�isr S HERS Provider:
Street Address; 79blolotrll'L �� City/State/Zlp: L u
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STA NT
The house was: ❑ Tested pproved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, ( certify that the houses Identified on this form
corn ly with the diagnostic tested compliance requirements as checked on this form.
JODistribution system is fully ducted (i.e., 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 0% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM 25 Pa) val as
Test Leakage Flow in CFM
if fan flow is calculated as 400ctm/ton x number of tons enter
calculated 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) ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
Yes ® No Thermostatic Expansion Valve (or Commission approved
equivalent) is Installed and Access is provided for Inspection13Yes is a pass 482SIS Fail
CJ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. Q Yes ❑ 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.
2, ❑ Yes ❑ No TXV Is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R. .
Measured Fan Flow =
❑ ❑
Yes for both 11 and 2 Is a Pass Pass Fail
e i
INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R
Q_ R * i -CA o sea rt -s< -o,., e. Pb = oL 1-0i -*,XSite Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUCTION
5
Pressurization fest Results (CFM Q 25 PA) ,Test Leakage (CFM) i0
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
In Thousands'o( Btu/hr, enter calculated value here
If fan flow is measured, enter measured value here
Leakage Fraction a Test Leakage/(Measured or Calculated Fan Flow) mo•D p
Pass if leakage fraction <0.06 Pass Fail
O For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FIMSHING WALL:
O Yes ❑ No O Pressure pan test or House pressurization test
O Yes O No O Visual Inspection of Duct Connections o 0
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE
W es, O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass o
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. ❑Yes O No completed, Duct Design Is on the plans and duct Insfaiiation
matches plans.
2. O Yes ❑ No -TXV is installed or Fan flow has been verified. If no TXV, o 0
verified fan flow matches design from CF -IR Pass Fail
Measured Fan Flow m
Yes for both I and 2 is a Pass
O I, 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
f _ Le D. 2 Mecx&'. 'c x I
Tests gnature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPYTO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August2001 A-25
❑ I, 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
Le Del: MecXan,^coL 1
Tuts Sfignature, Date Installing Subcontractor (Co. Name) OR'
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
i
Compliance Forms August2001 A-25
INSTALLATION CERTIFICATE (Page 3 of 13)
CF -6R
R 0,n C gi Scx„ +0"I eL PG - a- Lof �o
Site Address Permit
Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE KEDUC21ON'
Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)A
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands'o( Btu/hr, enter calculated value here
If fan flow is measured, enter measured value here
Leakage Fraction - Test Leakage/(Measured or Calculated Fan Flow) mo•D
p
Pass if leakage fraction <0.06
Pass Fail
❑ For AEROSOLTYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured. leakage (CFM)
CHECK AFTER FINISHING WALL: -
❑ Yes O No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ No ❑ Visual Inspection of Duct Connections
o 0
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TW
@'Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass
t7
Pass Fall
❑ DUCT DESIGN
ACCA Manual D Design calculations have beer
1. ❑ Yes ❑ No -completed, Duct Design Is on the,plans and duct Installation
matches plan's.
2. O Yes ❑ No 'TXV is installed or Fan flow has been verified. If no TXV,
o 0
verified fan flow matches design from CF -13L
Pass Fall
Measured Fan Flow m
Yes for both 1 and 2 is a Pass
❑ I, 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
Le Del: MecXan,^coL 1
Tuts Sfignature, Date Installing Subcontractor (Co. Name) OR'
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
i
Compliance Forms August2001 A-25
MAR -17-2006 FR I 09:55 AM D11-ZH ELITE FAX N0. 7607779918 P. 06
EMPIRE INSULATION, INC.,,
3901 CARTER AVENUE, SUITE 1 (951) 787-4844 PHONE
RIVERSIDE, CA 92501 (951) 787-4849 FAX
IfISULATION 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.
PROJECT: RANCHO SANTANA PHASE 2 LOT# 20
SITE ADDRESS: 53-435 SHIRTING STAR LANE 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:
Manufacturer: Thickness/Type: R -Value:
EXTERIOR WALLS: BATTS
Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value: R-13
GENERA R -J, �Y � 1 -�' "--
�/� LICENSE # _ S : (7
TITLE: _i' / DATE:
INSULATION CONTRACTOR: EtIP111E INSULATION LICENSE # 860072
BY: JOHN MI2gNDA TITLE: PRODUCTION MANAGER DATE: 3/2/06