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04-5027 (SFD)Property Address ". APN: Application description Property Zoning . . . . . Application valuation . . Owner ----------------- ------- R J T HOMES 1425 E UNIVERSITY DR. BUILDING & SAFETY DEPARTMENT (760).777-7012 c FAX (76 0) 777-7011 to 92253_ - -'. INSPECTION REQUESTS (760) 777-7153 ILDING PERMIT PHOENIX AZ 85034 04-00'005027 . Date 6/25/04 050285 VIA AMANTE 772-390-036-• - - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL, 197233 Contractor RJT HOMES LLC 1425 E.,UNIVERSITY DRIVE PHOENIX AZ 85034 Qty Unit Charge 'Per Extension WCC: STATE FUND WC: 1583906 10/0i/04 CSLB: 690645 06/30/04 CCC: A -B ------------.-------------- Structure Information ---------------- --------- Type :. TYPE V - NON RATED .Construction Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info . . . CODE EDITION 2001 CBC FLOOD ZONE NO GARAGE SQ FTG 538.00 PATIO SQ FTG 313:00 TOT ELIGIBLE NO NUMBER OF UNITS 1':00 =------------------------------------- FIRST FLOOR SQ FTG 3191.00 Permit ------------------------=-------------- BUILDING PERMIT• Additional desc Permit` Fee . . 982.50 Plan Check Fee 638.63 Issue Date Valuation . . . . 197233 Qty Unit Charge -Per Extension BASE FEE 639.50 98.00 3.5000 THOU BLDG 100,001-500,000 -------------=-------- 343.00 ------------------------------------------- Permit . . . . . MECHANICAL ----------- Additional desc Permit Fee 90.00. Plan Check Fee 22.50' Issue Date . . . . Valuation 0 Qty Unit Charge 'Per Extension I P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0qL DS7 Date: 7 -a 3 V Applicant: ' Applicant's Mailing Address: architect or Engineer: Architect or Engineer's Address: ,sem 1 ic. No.: -2-36 oy . t3UILDING 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 Licens is in full f rce and effect. ` License Class icense No. ( OWNER43UILDER 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 ($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 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& 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 Aof the work for which this permit is issued. l 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 ssue . My v��p�rkcers' co pensation Pw;rnce caner nd ppli number a Carner S `j }y�old icy, Number \ 1� _ 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, anis 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. WARNING: FAILURE TO SECURE WORKERS' COMPEN§AfION 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 1 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 1 Lender's Address A J Aa 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, indemnity 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. 1 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 construction, and hereby authorize representatives of this coOnty to enter upon above-mentioned pro rty for inspection purposes. ate '� Signature (Applicant. or Agent): Application Number . . . . . 04-00005027 P Page 2 Date 6/25/04 Qty Unit Al Per a Application Number . . . . . 04-00005027 P Page 2 Date 6/25/04 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 . . . . 137.45 Plan Check Fee 34.36 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3191.00 .0350 ELEC NEW.RES - 1 OR 2 FAMILY 111.69 538.00 ----------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.76 Permit . . . . PLUMBING Additional desc Permit Fee . . . . 234.00 Plan Check Fee 58.50 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE 144.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF.DRAIN 12.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------- ------------------------ Special Notes and Comments SFA - LOT 139, PLAN P2A, 3191 SF. l t Page 3 Application Number . . . . .. 04-00005027 Date 6/25/04 ---------------------------------------------------------------------------- Special Notes and Comments. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH --_-------------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER -RES 229.00 ENERGY REVIEW FEE 63.86 DIF FIRE PROTECTION -RES 78.00 .GRADING PLAN CHECK'FEE ...00 DIF LIBRARIES - RES 158.00 DIF PARK MAINT FAC - RES 3.00 DIF PARKS/REC.- RES 352.00 STRONG MOTION (SMI) - RES 19.72 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.0.0 Fee summary Charged Paid Credited Due Permit Fee'Total 1458.95 .00 .00 1458.95 'Plan Check Total 753.99 00 ..00 753.99 Other Fee Total 2084.58 .00 .00 2084.58 Grand Total 4297.52 .00 .00 4297.52 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R PALMILLA PH 9 DATE TESTED 7-07-05 Project Title Date 50-285 VIA AMANTE LA QUINTA, CA. 92253 RJT HOMES Project Address 760-564-6555 Builder Name CHAD MEYER ACACIA P-2 3 UNITS Builder Contact Telephone Plan Number RICHARD KROWN 760-250-2084 GROUP 7 HERS Rate Telephone Telephone Sample Group Number OCCNRK613292 07-14-05 LOT 139 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270 Copies to: Builder, HERS Provider 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) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton z 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 ❑ ❑ DesenLECENERGY ��C A O S�� PO. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (7601250-1852 Email: DESNRG OAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R PALMILLA PH 9 DATE TESTED 7-07-05 Project Title Date 50-285 VIA AMANTE LA QUINTA, CA. 92253 RJT HOMES Project Address 760-564-6555 Builder Name CHAD MEYER ACACIA P-2 3 UNITS Builder Contact Telephone Plan Number RICHARD KROWN 760-250-2084 GROUP 7 HERS Rate Telephone Telephone Sample Group Number OCCNRK613292 07-14-05 LOT 139 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270 Copies to: Builder, HERS Provider 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) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton z 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 ❑ ❑ INSTALLATION CERTIFICATE CF -6R 50-285 Via Amante Site Address it # 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 # of Efficiency Duct Duct or Heating Heating (pkg. heat CEC Certified Mfr, Make & Identical (AFUE,etc.)' Location Piping Load Capacity pump, etc.) Model Number Systems [zCF-]R value] (attic, etc.) R -value (Btu/hr) (BTU/Hr) FAU CARRIER 58STX0901 66 1 80.0% ATTIC R-4.2 90,000 FAU CARRIER 58STX070112 1 80.0% ATTIC R-4.2 70,000 FAU CARRIER 58STX045108 1 80.0% ATTIC R-4.2 45,000 Cooling Equipment 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 [>_CF -1R value] (attic, etc.) R -value (Btu/hr) (BTU/Hr) A/C COND. CARRIER 38BRC048000 1 12 ATTIC R-4.2 48,000 A/C COND. CARRIER 38BRC036000 1 12 ATTIC R-4.2 36,000 A/C COND. CARRIER 38BRCO24000 1 12 ATTIC R-4.2 24,000 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 -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or exceeds th appropriate equirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. AMPAM LDI Mechanical Sh ene brey 1/28/2005 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. 1, 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. Signature, Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy RCR COMPANIES Plumbing Subcontractor (Co. Name) OR General Contractor OR Owner Dewrt NERGY, CADEC Samces P0. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (760] 250-1852 Email: DESNRG 9DAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R PALMILLA PH 9 DATE TESTED 7-07-05 Project Title Date 50-285 VIA AMANTE LA QUINTA, CA. 92253 RJT HOMES Project Address Builder Name CHAD MEYER 760-564-6555 ACACIA P-2 3 UNITS Builder Contact Telephone Plan Number RICHARD KROWN 760-250-2084 GROUP 7 HERS Rate rTelephone µ Sample Group Number #CCNRK613292 07-14-05 LOT 139 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270 Copies to: Builder, HERS Provider, HERS RATER COMPLIANCE STATEMENT f 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 copypf 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) 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 ❑ ❑