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04-3945 (SFD)N v � BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).77-7-70.12 pF4.9 78-495 CALLS TAMPICo FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 . BUILDING PERMIT Application Number 04-00003945 Date 5/07/04. Property, Address..-,. . . . 503-65' VIA AMANTE APN: 772-390-040-135 -29858 - -Application description DWELLING - SINGLE FAMILY ATTACHED Property'Zoning LOW DENSITY RESIDENTIAL Application valuation Com-- 209259 Owner. o..Contractor ------------------------ © .------------------------ N R J T HOMES RJT. HOMES LLC 1425,E UNIVERSITY DR 1425 E. UNIVERSITY DRIVE PHOENIX AZ 85034., eQ PHOENIX AZ 85034 v WCC: 'STATE FUND d WC:.1583906 10/01/04 CSLB*- 69064'5 06/30/04 CCC:. B -A ------Structure Information -SATT ----- Construction Type.. . . . . TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/CONE <=10 Flood Zone . . . . . NON -AO FLOOD. ZONE Other struct info . . . . CODE EDITION 2001 CBC GARAGE SQ FTG 568.00 PATIO SQ FTG 773.00 TOT ELIGIBLE NO NUMBER OF•UNITS.. 1.00 FIRST FLOOR SQ FTG 3284.00. Permit BUILDING PERMIT Additional desc Permit Fee 1024.50 Plan Check .Fee.. 166.48 Issue Date Valuation 209259 Qty Unit Charge Per Extension BASE FEE 639.50 110.00 3..5000 THOU BLDG 100,001-500,000 385.00 ---------------------------------------------------------------------------- Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 141.30 Plan Check Fee ..94 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 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: Applicant: Applicant's Mailing Address: G A r,A era -115 3 Date: Architect or Engineer: 0164de-Z:: z2 �ee{ Tk.-4ES- Architect or Engineer's Address: /,��/ Ni.✓Tl-i 5T__ �r�i� /U� doui,a61f, C0 Lic. No.:3 ©� 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 Licen?e i n full forcg and elle�Wt. License Class lr iVf%CH L IS License No. 4e Date 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 ($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 contractors) 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: _ 1 have and will maintain a certificate of consent to selfinsure 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. Myworkers' rsnsation insurance carrier and pq�icyru . e.G;�re• Cartier — . i r= cJ�✓t'J Policy Number ! J J �/y'. G _ 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. Date �''��a �y Applicant WARNING: FAILURE TO SECURE WORKERS' 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. CONSTRUCTION LENDING AGENCY 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 N1 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 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 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 torted. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): �( 1� no r -e Page 2 Application Number. 04-00003945 Date..' 5/07/04 Qty Unit Charge Per Extension .3284.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 114.94 568.00 .0200 ELEC GARAGE OR -NON-RESIDENTIAL 11.36 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 Permit : . . .. . . ------------------------------ MECHANICAL Additional desc . 'Permit Fee 73.00 Plan Check Fee 4.56 Issue Date' -Valuation 0 Qty Unit 'Charge PerExtension BASE FEE' 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9..00 1.00 16.5000 EA MECH.B/C >3-15HP/>100K7500KBTU -16.50.- 16.50:4.00 4.00 6.5000 EA MECH VENT FAN 26.00' .1.00 6.5000 EA MECH'-EXHAUST HOOD, 6.5.0 Permit : PLUMBING ------------ Additional desc Permit Fee . . . . 183.00. Plan Check Fee 11.44 Issue Date .. Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 _6.00 .7500 EA PLB GAS PIPE >=5: 4.50 1.00 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments ---------------7---------- SFA. LOT 135. PLAN P3A. PERMIT DOES NOT Page 3 Application Number . 04-00003945 Date 5/07/04 Special Notes and Comments ------------------------------- INCLUDE BLOCK"WALL, POOL, SPA OR DRIVEWAY'APPROACH. 75% REDUCED PLAN CHECK FEE FOR -MULTIPLE ISSUANCE OF.SAME PERMIT TYPE. Other Fees . . . . . . -------------------------------------- ART'IN PUBLIC PLACES-RES.23.14 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 16.65. 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 .20.92 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES '109.8.00 Fee summary Charged Paid Credited Due Permit Fee Total, 1436.80 --- .00 .00 ------ 1436..80 Plan Check Total 183.42 .00 .00 183.42 Other Fee Total. 2061:71 .00 .00 2061.71 Grand Total .3681.93 .00 .00 3681.93. Deliort- = ENERGY` CA0EC P0'. Box 621 Rancho Mi q , CA 92270 Email:. DESNRG r 40C.COM: Ph/Fax (760) 5642044 Cell: (7601250-18 52 CERTIFICATE OF•FLELD VERIFICATION AND :DIAGNOSTIC TESTING (Page I of'7). CF -4R PALMILLA PH 8 DATE TESTED, 1-13-05 Project:Title• Date 507365 VIA AMANTE LA QUINTA, CA. 92253• RJT HOMES Project. Address CHAD MEYER Builder Name 760264-6555• ACACIA P-2 3 UNITS Builder Contact Telephone Plan Number RICHARD KROWN 760-250-1852 GROUP 6 HERS Rater Telephone. Sample Group Number #C.CNRK613292 01-17-04 _ LOT 135 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 Co ies 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�iden6fied 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 orplatform .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.lo seal leaks at duct. connections. ❑ MINIMUM REQUIREMENTS FOR'DUCT.,LEAKAGE' REDUCTION COMPLIANCE CREDIT Putt 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.c iIculated.as 400cfrrVton:x numberof,toris enter calculated value.herc If fan, now is measured enter measured value here Leakage Percentage (100'x Test.Leaka;e(Fan Flow) Check Bos for Pass or Fail (Pass =6% or Iess) ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes, ❑ No Thermostatic E'pansion Valve is:installed and Access is 0 El for inspection N INSTALLATION .CERTIFICATE (Page 3 of 13) CF-6R aI tM r'1/a PA — R' Go f- It- ! 3S Site Address Permit Number . DUCT'LEAKAGE AiND, DESIGN DIAGNOSTICS DUCT LEAK4GE 1tEDUC'1'10N Pressurization Test Results (CFNI @ 25 PA) Test Leakage (CFM)-t' Fan Flow If Fan Flow is Calculated as 400 efmhon x number of tons, or as 21.7 x Heating Capacity ' in Thousands of Btuthr, enter calculated value here f If tan flow Is measured, enter measured value here DD 1 Leakage Fraction = Test Leakagey(Measured or Calculated Fan Flow) _ 41-01 °�O �( Pass if leakage fraction < 0.06 Pass Fail i ❑ For AEROSOL TYPE'SEALA.NTS ONLY -The. following diagnostic testing was completed: Duct Fan Pressurization at rough-in measured leakage (CFM) CHECK AFTER FrNISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ; Pass Fail A THERMOSTATIC EXPANSION VALVE (TXV) X Yes ❑ No Thermostatic Expansion Valve is installed and Access is - providedfor inspection Yes is a pass K ❑ DUCT DESIGN Pass Fail ' ACCA Manual D Design calculations have been ' 1. E3 Yes ❑ No completed, Duct Design Is on•the plans and duct installation ` matches plans., t� { 2. ❑ Yes ❑ No -T XV is installed or Fan flow has been verified. If no TXV, l] verified fan flow matches design from CF-UL Pass Fail I Measured Fan Flow Yes for both 1 and 2 is a Pass ❑ 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. I iT- Tests -Srpatum, Date Installing Subcontractor (Co. Name) OR - Performed General Contractor (Co. Name) COPY TO. Building Department . HERS Provider (if applicable) Building Owner at Occupancy . - Compliance Fortes _ August 2001 - A-25 N r Y INSTALLATION .CERTIFICATE (Page 3. of 13) CF -6R Site Address Permit•Number . DUCT•LEAKAGE.AIND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)_ " Fan Flow If Fan Flow is Calculated as 400 cf rVton x number of tons, or as 21.7 x Heating Capacity IrrThousand§ of Btuilir, entercalculated value here If fan flow is measured, enter measured value here, /LT Leakage Fraction = Test Leakaget(Measured of Calculated Fan Flow) _ ,5`: N '� Pass if leakage fraction <0.06 Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was.completedt Duct: Fan Pressurization at rough-in"measured leakage (CFM): .CHECK AFTER FINISHING WALL: 0 Yes 0 No 0 Pressure pan test or House pressurization test ❑ Yes 0 -No ❑ Visual Inspection of Duct Connections c o Pass Fail THERMOSTATIC EXPANSION VALVE (TX10 X Yes C3 -No Thermostatic Expansion Valve is installed and Access is - provided for inspection ' Yes is a pass .. K t7 Pass Fail 0 DUCT DESIGN ACCA Manual D Design calculations have been 1. ❑ Yes: • b No completed, Duct Design Is on the plans and duct installation matches plans. . 2. 0 Yes 0 No -TXV is installed or Fan flow has been verified. if no TXV, Pass Fail verified fan flow matches design from CF -IR. Measured Fan Flow = Yes for both 1 and 2 is a Pass. 0 .I, the undersigned, verify that the above diagnostic test results,and the work I perforin d associated with the tests) is in conformance with the requirements for compliance credit (lite builder shall provide the HERS provider a copy of the CF -6R signed by the builder . employees orsub-contractors certifying that.diagnostic testing and installation meet the requirements for compliance credit. J S Tests Si�taturc, Date Installing Subcontractor (Co. Name). OR Performed ' General Contractor (Co. Name) ' COPY M: Building Depamnent HERS .Provider (if 'applicable). Building Owner at Occupancy Compliance Forms August2001 A-25 4 S INSTALLATION -CERTIFICATE (Page 3 of 13) CF -6R p a l ,nK: 1.1 a Ph Site Address Permit Number DUCT LEAKAGE.A_ND DESIGN DIAGNOSTICS Duc* ' LEAIC4GE REDUL 110N Pressurization Test Results (CFM Q 25 PA) Test Leafage (CFM) Fan Flow If Fan Flow is Calculated as 400 efrrsrton 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 ,f2QO Leakage Fraction = Test Leakagd(Measwcd or Calculated Fan Flow) Pau if leakage fraction <0.06 Pass Fail 0 For AEROSOL TYPE SEALANTS'ONLY -Tbe following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured. leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes O No 0 Pressure pan test or House pressurization test ¢ 0 Yes. ❑ .No 0 Visual Inspection of Duct Connections d , i Pass Fall 'A 'THERMOSTATIC EXPANSION VALVE (TRV) X Yes. 0 No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass �.. O [3 DUCT DESIGN ' Pass Fall ACCA Manual D Design calculations have been I. 0 Yes 0 Nocompleted, Duct Design Is on the plans and dua installation { f matches plans. 2. 0 Yes 0 No' TXV is installed or�Fan flow has been verified. If no TXV, 'Pass Fail verified fan flow matches designfiom CF -IR. Measured Fan Flow = Yes for both i and 2 is a Pass 0 I, the undersigned, veiify.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-contrtutors certifying that diagnostic testing and installation meet the requirements for compliance credit ] os L rJ . Tuts 'Srpature, Date Installing S-Acontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: ` Building Department HERS Provider (if applicable).. Building Owner at Occupancy A-25