05-0950 (BLCK)z
U.
BUILDING.&t SAFETY DEPARTMENT
` .O. Box 1504 (760).777-70 12
Af 78-495 CALLS TAMPICO FAX (760) 777-7011
G�F��1P LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 0.50>0=0�Q0.9�5�0 Date 3/17/05
Property Address 50265 VIA AMANTE
APN: 772-390-035- - -
Application description. WALL/FENCE
Property Zoning . . . . . LOW DENSITY RESIDENTIAL 1.
Application valuation 500
Owner Contractor
R J T HOMES RJT HOMES LLC
1425 E UNIVERSITY DR -1425 E'. UNIVERSITY DRIVE
PHOENIX AZ 85034 PHOENIX AZ 85034
WGC: STATE FUND
WC: 1583906 10/01/05
CSLB: 690645 06/30/06
CCC: A -B
Permit . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 15.00 P1an.Check Fee .00
Issue Date Valuation 500
Qty Unit Charge Per Extension
BASE FEE 15.00
--------------------------------_--------------------------------------------
-Special Notes and Comments
20 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid ;Credited Due
Permit Fee Total 15.00 .00 ...:00 15.00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 .00 -.00 15.00.
ciiF
P.O. Box 1504 •
VOICE (760) 77;-701:
78-495 CALLS TAAIPICO FAX (760) 777-7011
LA QufnrA, CALIFORNIA 92253 'INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 6.5— 9 j (J "Date: -3-27--05-
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
ItSUlt_UING 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 Licggnse,S�I n full force and effect. /+ /�
Lice a Class -4 Lee License No.�c Q® 641 S—
Dale —3"L —5 Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from 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 (5500).):
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 ;s
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 cf 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
V"DDattee 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 quired by Section 3700 of the Labor Code. for the performance of the work for which this permit is
iss d. M orkers' c mpensation insurance carrier a olilicy numb( are:
Carrier Policy Number f 3 Y A 6
I certify 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'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
�//, forthwith comply with those provisions.
Ua1e ���� A,plicant WARNING: FAILURE TO SECURE WORKERS' OMPENSATIO:77,
AGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), 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 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
co truction, and hereby authorize representatives of this county to a upon the above-mentioned property for inspection purposes.
• Da1e 73_ Signature
(Applicant or Agent):
T.-
-rr
1
ENERGY 51� --
A o E
P0. Box 621
Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270
Cell: (7601250-1852
Email: DESNRG MAOL.COM
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
PALMILLA PH 9
Project Title ,
50-265 VIA AMANTE LA QUINTA, CA. 92253
Project Address
CHAD MEYER 760-5646555
Builder Contact Telephone
RICHARD KROWN 760-250-2084
HERS Rat Telephone
7If4-1, #CCNRK613292 07-1405
Certifying Signature Date
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
DATE TESTED 7-07-05
Date
RJT HOMES
Builder Name
PALO BREA P-3 2 UNITS
Plan Number
GROUP 7
Sample Group Number
LOT 140
Sample Lot Number
HERS Provider: CHEERS
City/State/Zip: RANCHO MIRAGE, CA. 92270
HERS RATER COMPLIANCE STATEMENT'
The house was: ❑ Tested ® 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 comply
with the diagnostic tested compliance requirements as checked on this form.
❑ The installer has provided a copy of CF -6R (Installation Certificate.
❑ Distribution 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 6% Duct Leakage)
c '
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
Leakage Percentage (100 x Test Leakage/Fan Flow) _
Check Box for Pass or Fail (Pass =6% or less) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve°is Installed and Access is
provided for inspection ❑ ❑ .
h
11INSTALLATION CERTIFICATE CF -6R
50-265 Via Amante
Site Address Permit #
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is
required; however, use of this form to provide the information is optionl.) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
Equip. Type
(pkg. heat CEC Certified Mfr, Make & .
pump, etc.) Model Number
FAU CARRIER 58STXI01 22
FAU CARRIER 5877095116
Cooling Equipment
# of
Efficiency
Duct
Duct or
Heating Heating
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
Systems
[zCF-IR value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
1
80.0%
ATTIC
R-4.2
110,000
1
80.0%
ATTIC
R-4.2
90,000
Equip. Type
# of
Effeciency
Duct
Cooling Cooling
(pkg. heat
CEC Certified Compressor Unit
Identical
(SEER, etc)'
Location
Duct
Load Capacity
pump, etc.)
Mfr. Name and Model Number
Systems -
[,aCF-IR value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
A/C COND.
CARRIER 38BR7060 000
1
12
ATTIC
R-4.2
60,000
A/C COND.
CARRIER 38BRC048000
1
12
ATTIC
R-4.2
48,000
1 >_ reads greater than or equal to
I, the undersigned, verify that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
certificate of compliance (Form CF -I R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets
or exceeds th _appropriate re uirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
AMPAM LDI Mechanical
Sharldene AuXrey U 2/4/2005 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
WATER HEATING SYSTEMS:
Water CEC Certified Distribution If Recir- Rated Input Tank Efficiency Standby External
Heater Mfr Name & Type (Std, culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R -
Type/# Model Number Point -of -Use) Control Type Systems Btu/hr) (gallons) value
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, Subchapter 2, Section 111.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds
the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment
specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings.
RCR COMPANIES
Signature, Date Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
COPY TO: Building Department ,
HERS Provider (if applicable)
Building Owner at Occupancy
' INSTALLATION CER'T'IFICATE (Page 3 of 13) ",
CF -6R . •
PA M11) CIL P 140 S
Site Address Permit Number
DUCT,. LEAKAGE AND DESIGN,DIAGNOSTICS •
; ' .
DUCT-LEAXAGE REDUC-TION
Q
Pressurization Test Results (CFM Q 25 PA) - Test Leakage (CFM) 70
Fan Flow
=
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
In Thousands of Btu/hr, enter calculated value here
- If fan flow Is measured, enter measured value here la D
Leakage Fraction =Test Leakage/(Measured or Calculated Fan Flow)
t7
Pass if leakage fraction < 0.06 Pass
ss
Fail
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: m
"
O Yes 0 No O Pressure pan test.or House pressurization test .. .
❑ Yes O No O Visual Inspection of Duct Connections o
0
- Pass
Fail ..
O THERMOSTATIC EXPANSION VALVE (TXV)
O Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is s pass
❑ DUCT DESIGN Pass
Fall .
ACCA Manual D Design calculations have been
1. ❑ Yes O No completed, Duct Design Is on the plans and duct Initallation
matches plans.,-
13
2. O Yes O No -TXV is installed or• Fan flow has been verified. If no TXV,
O
verified fan flow matches design from CF -IR. Pass
Fail
Measured Fan Flow =
' Yes for both 1 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. )
} S��Q'OS �-• �:1�
2C�hckn)1C,Ci_ 1
Tests ignature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
<
-
Building Owner at Occupancy
Compliance Forms August2001
A-25
INSTALLATION CERTIFICATE
Site
of /y0 L
3 of
CF -6R
DUCT LEAKA►GE.AND DESIGN DIAGNOSTICS
DUCT LE :4GE REDU(." JOIN
Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
In Thousands 'of Btu/hr, enter calculated value here
If fan flow Is measured, enter measured value here 1 �Q
Leakage Fraction . Test Leakage/(Measured or Calculated Fan Flow)
Pass if leakage fraction < 0.06
P C
. Fall
O For AEROSOL TYPE SEALANTS ONLY -The following
.Pass
diagnostic testing was completed:
`
Duct Fan Pressurization at rough -in measured leakage -
CHECK AFTER FINISHING WALL: age (
•
O Yes O No O Pressure pan test or House pressurization test
O Yes O No ❑ Visual Inspection of Duct Connectjons
0 0
Pass Fail
O THERMOSTATIC _EXPANSION VALVE (TW
O Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
O DUCT DESIGN Yes is a pass
o
Pass Fall
1. O Yes O No ACCA Manual D Design calculations have been
Completed, Duct Design Is on the plans and duct installation
matches plans. ,
2. O Yes O No 'TXV is installed or Fan flow has been verified. If no TXV,
t7 p
verified fan flow matches design from CF -IR
pis Fall
Measured Fan Flow
Yes for both 1 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
with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF
conformance
-6R signed by the
employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.
builder
)
DDL
Tests �Stpature, Date
Performed Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August 2()01
A-25