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04-5966 (AR).i r AU& 2 31284 �LfVA '' —P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ot I& QuAra BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777 -:7.153' - BUILDING PERMIT Application Number 04-00005966 Date Property Address . . . . . 78622 TALKING ROCK TURN ,8/18/04 APN: 770-300-021- - - Application description ADDITION— RESIDENTIAL Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application -valuation . . . . 66931 Owner Contractor - BISHOP EUGENE DAVIS JACOBS HOMES INC, PETER 26 OLD COURSE DR P.O. BOX 692 NEWPORT BEACH CA 92660 LA QUINTA CA 92247 (760). 777-9921 WCC: EXEMPT WC: EXEMPT 04/30/05 CSLB: 799499 04/30/05 CCC: B ------ Structure Information, SUPPLEMENTAL PERMIT CORR TO #0212-066 ----- .Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info.. CODE EDITION 2001 GARAGE SQ FTG 271.00 FIRST FLOOR SQ FTG 791.00 ---------------------------------------------------------------•------------- Permit . . . ... BUILDING PERMIT Additional desc Permit Fee . . . . 491.00 Plan Check Fee .319.1'5 Issue Date Valuation . . 66931 Qty Unit Charge Per Extension BASE FEE 414.50 17.00 4.5000 THOU BLDG 50,001-100,000 76.50 Permit . . . ... . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 48.11 Plan Check Fee 12.03 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per, Extension BASE FEE 15.00 791.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 27.69 271.00 .0200 ELEC GARAGE OR,NON-RESIDENTIAL 5.42 Special Notes and Comments F Supplemental permit,to CRW'#0212-066. Y •t. P.O. BOX 1504 • V VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 3UILDING &t SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 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 Licenseis 'n full force and effect. / �, Z4, �9 License Class . License No. or 7 Date Z '� Contractor / V/46ec�/?/ /7C• OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt fron 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 permit 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 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 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner 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 performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Numoer _Lcertify 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' 7" compensation laws of California, an gree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi r Dat 2 � Applicant WARNING: FAILURE TO SECURE WORKERS' COM rENSATION 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 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 Ouinta, its officers, agents and employees for any act or om,ssion 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 cancel ation. I certify that I have read this application and state that the above in ati n i mact. I agree to comply with all city and county ordinances and state:laws relating to building construction, and hereby authorize representatives of this coin ty t u the above-mentioned property for inspection purposes. Date /2 2 Sighature (Applicant or Agent):' F i Page 2 Application Number . . . . . 04-00005966 Date 8/18/04 ------------------ --------------------------------------------------------- Special Notes and Comments This permit corrects living area from 4,387.sgft to 5,178 sqft and Garage. -from. 644 sqft to 915 sqft as constructed. ---------------------------------------------------------------------------- Other Fees .. . . . . .. . . ART IN PUBLIC PLACES -RES .00 ENERGY REVIEW FEE 31.92 STRONG MOTION (SMI) - RES 6.69 Fee summary Charged. ---------- Paid -------------------- Credited, ---------- Due ----------------- Permit Fee Total 539.11 .00 .00 539.11 Plan Check Total .331,.18 .00 .00 331.18 Other Fee Total 38.61 .00 .00 38.61 Grand Total l 908.90 .00 .00 908.90 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF -4R Project Address o (Q ui Builder Name EP&9'r /A 69AS_,-RU&V0A Builder ContactTelephone '7tfl S�/PM 0� 66 Plan Number HERS Ater 1//07 K 1 NA Telephone Sample Group Number Certi ing Sin ur ❑ O Date Sample House Number Firm N1 of/ ?—�� HERS HERS Provider 'Street Address: 2 55 WO - V , City/State/Zi c05 A cA C1202 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ gTested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with all applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on this form. Note that to PASS and receive compliance credit, NONE of the BOXES below may be checked "No" and the first three boxes also must be checked. Check "NA" only if the item is not part of the design of the building (i.e., single story buildings do not have rim joists or there may be no recessed can lights installed, etc.). ✓ REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE.CREDIT ✓ '94,be building is wood frame construction with wall stud cavities, ceilings,, and roof assemblies insulated with mineral fiber or cellulose insulation in low-rise residential buildings. (CXAJe4/� ✓ description of insulation, (CF -611, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches. ✓ Znstallation Certificate, (CF -6R) signed by the installer certifying that the installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH). ✓ FLOOR ❑ Yes ❑ No NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ Yes ❑Insulation No NA in contact with the subfloor or rim joists insulated ❑ Yes ❑ 1 No K 1 NA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS ❑ ❑ Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back es No N6, ❑ ❑ No gaps i7r Yes No NA ❑ Yes ❑ No NA No voids over %" deep or more than 10% of the batt surface area. ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind tub/shower es No NA enclosures insulated to proper R -Value Yes ❑ No ❑ NA Small spaces filled Yes ❑ No ❑ NA Rim joists insulated Yes. No ❑ NA Wall stud cavities caulked or foamed to provide an air tight envelope Residential Compliance Forms April 2005 L ' ' CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8) CF -4R Project Address Builders Name 79,462 SAY, Rock 12VRA) , M QuIAV' EAA5s7�01 MAAMUC270,d. ✓ ROOF/CEILING PREPARATION ❑ Yes ❑ No V-' NA All draft stops in place to form a continuous ceiling and wall air barrier ❑ Yes ❑ No NA All drops covered with hard covers ❑ Yes ❑ 'No Qlf NA All draft stops and hard covers caulked or foamed to provide an air tight envelope ❑ ❑ 4ir All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes No NA housing and the ceiling ❑ Yes ❑ No NA Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ Yes ❑Eave No A vents prepared for blown insulation - maintain net free -ventilation area ❑ Yes ❑ No Knee walls insulated or prepared for blown insulation ❑ Yes ❑ No NA Area under equipment platforms and cat -walks insulated or accessible for blown insulation ❑ Yes ❑ No A I Attic rulers installed - V ROOF/CEILINk'✓BATTS / ❑ ❑ Yes No N s ❑ Yes ❑ No N No voids over % in. deep or more than 10% of the batt surface area ❑ Yes ❑ No N Insulation in contact with the air -barrier ❑ Yes ❑ No NA Recessed light fixtures covered Y ❑es � A Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING OSE-FIL ❑ Yes ❑ No n Qus"uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls ❑ Yes ❑ No Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent ❑ Yes ❑ No Attic access insulated ❑ Yes ❑ No NA Recessed light fixtures covered ❑ Yes ❑ No NA Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value Loose -fill mineral fiber insulation meets or exceeds manufacturer's minimum weight and thickness ❑ ❑ requirement for the target R -value. Target R -value Manufacturer's Yes No NA minimum required weight for the target R -value (pounds -per -square foot). Sample weight(pounds per square foot). Manufacturer's minimum required thickness at time of installation (inches) Manufacturer's minimum required settled thickness (inches). Number of days since loose -fill insulation was installed (days). At the time of installation, the insulation 0 ❑ shall be greater than or equal to the manufacturer's minimum initial insulation thickness. If the HERS Yes No NA rater does not verify the insulation at the time of installation, and if the loose -fill insulation has been in place less than seven days the thickness shall be greater than the manufacturer's minimum required thickness at the time of installation less 1/2 inch to account for settling. If the insulation has been in place for seven days or longer the insulation thickness shall be greater than or equal to the manufacturer's minimum required settled thickness. Minimum thickness measured (inches). Residential Compliance Forms April 2005 )N Insulation Installation Quality Certificate ✓ ascription of Insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches ✓stallation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures ( CM, Appendix RH) ✓ FLOOR ❑ Yes ❑ No. NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ Yes ❑ No NA Insulation in contact with the subfloor or rim joists insulated ❑ Yes ❑ I No NA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS ❑ ❑ Wall stud cavities caulked or foamed to provide an air tight envelope Yes No NA Yes ❑ No ❑ NA Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back ❑ ❑No � a s gaps Yes No .T IA ❑ Yes ❑ No NA No voids over 3/4" deep or more than 10% of the batt surface area. ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind Yes No NA tub/shower enclosures insulated to proper R -Value Yes ❑ No ❑ NA Small spaces filled Yes ❑ No ❑ NA Rim joists insulated ❑ ❑ Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot Yes No INA I requirement ✓ ROOF/CEILING PREPARATION ❑ Yes ❑ No 0— NA All draft stops in place to form a continuous ceiling and wall air barrier ❑ Yes ❑ No 0§` NA All drops covered with hard covers ❑ Yes ❑ No NA All draft stops and hard covers caulked or foamed to provide an air tight envelope ❑ ❑ 7, All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes No NA housing and the ceiling ❑ Yes ❑ No V_ NA Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ Yes ❑ No NAI Eave vents prepared for blown insulation - maintain net free -ventilation area ❑ Yes No ❑ A Knee walls insulated or prepared for blown insulation ❑ Yes ❑ No NA Area under equipment platforms and cat -walks insulated or accessible for blown insulation ❑ Yes ❑ No 1 NA Attic rulers installed Residential Compliance Forms April 2005 "!f 0 ❑ ❑ Signature: Date: � Yes No A No gaps ❑ ❑ Yes No NA No voids over % in. deep or more than 10% of the batt surface area. Yes -No A Insulation in contact with the air -barrier Yes No A Recessed light fixtures covered ❑ ❑Net fr•eerventilatio. area maintained at eave vents Yes 1,No A ✓ ROOF/CEILIN LOOSE -FILL Yes No NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. ❑ ❑ Yes No NA Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent ❑ ❑ Yes No NA I Attic access insulated ❑ ❑ Yes No A Recessed light fixtures covered Yes No T A Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value ❑ ❑ Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements Yes No NA for the target R -value. Target R -value Manufacturer's minimum required height for the target R -value (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation . Manufacturer's minimum required settled thickness . Note: To receive compliance credit the HERS rater shall verb that the manufacturer's minimum weight and thickness has been achieved for the target. R -value. CF -6R only) DEqARATION - ✓ '-+ereby certify that the installation meets all applicable requirements as specified in the Insulation Installation i Procedures. Installing Su contractor (Co. Name) OR General Contractor o. Name) OJ4 Owner n 9 V'rpum Signature: Date: � 77_ -Copies to: UILDING DEPARTMENT, HERS RATER (IF APPLI BLE), BUILDING OWNER AT OCCUPANCY • T Residential Compliance Forms April 2005 •06/23/2008 14:26 FAX 76072.77901 INSTALLATION CERTIFICA Site Address County Subdivision U Description of Insulation (Form 1. RAISED FLO Material Thickness (inches) 2. SLAB FLO ERIMETER Mateiial Thickness (inc ) Perimeter Insulat�n Depth (inch 3. EXTERIOR WALL Frame Type A. Cavity Insulatio Material - !� • Thickness (inches) S.5 B . -Exterior Foam Sheathing Material Thickness (inches) 4. FOLTNDA ON WALL Material Thickness (inclmo S. CEILING Batt or Blanket Type Thickness (inches) Loose Fill Type Contractor's min installed weigh Manufacturer's installed weight 1 6. ROOF ~ defsl Material Thickness (inches) 9.,ieh Declaration V' 0. 1 hereby certify that the above in: cuff ent Fnergy Efficiency Standards for on the Certificate of Compliance, where COMMON SENSE SOLUTIONS IC -1 Form) la002 (Page 12 of I2 CF -6R Permit Number ' Lot Number ' Brand Name Thermal Resistance ( Value) Brand Name Thermal Resi ce (R -Value) Brand Name r `Q- s, Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal. Resistance (R-Va Brand Name Thermal Resistance (R -Value) _ Brand Ib Minimum thickness inches quare foot to achieve Thermal Resistance (R -Value) M4 Brand Name yAl >+X 4- ,,_.,. Thermal Resistance (R -Value) was installed in the building at the above location in conformance with the ial buildings (Title 24, Part 6, California Code of Regulations) as indicated ple. Item #s (if applicable), Sienatum Date ;In"ing Subcontractor (Co. Name) OR al Contractor (Co, Nan1e) OR Owner indow Distribut rItem #s Si a Date ing Subcon r (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor . Residential Compliance Forms 14 April 2005