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04-3915 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-70.12 78-495 CALLE TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (7 60) 777-7153 BUILDING, PERMIT Application Number . . . . . 04 00003915 Date 5/07/04 Property: Address 502801VIA AMANTE APN: 772-390-043-132 -29858 - Application description DWELLING =. SINGLE FAMILY ATTACHED Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation-.�i-186025 Owner Contractor ------------------------ o �,� CNJ R.J T HOMES cc RJT HOMES LLC 1425 E UNIVERSITY DR 11'Wu 1425 E.. UNIVERSITY DRIVE PHOENIX AZ8:5[034p - PHOENIX AZ 85034 v WCC: STATE FUND WC:1583906 10/01/04 �. CSLB- 690645 06/30/04 CCC: .. B -P, - Structure Information BATT Construction Type.. TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 ,Flood Zone. . . . . . .. NON -AO FLOOD.ZONE Other struct info . . . . . CODE -EDITION 2001 CBC GARAGE SQ FTG 457.00 PATIO SQ FTG .867:00 TOT ELIGIBLE NO NUMBER OF.,UNITS. 1.00 FIRST.FLOOR SQ FTG 2894.00 Permit BUILDING PERMIT - Additional desc Permit Fee 944.00 Plan Check Fee 613.60 Issue _Date Valuation 186025 Expiration Date -5/07/05 Qty Unit Charge Per Extension BASE FEE 63.9.50 87.00 3.5000 -------------.---------------------------------------------------------------- THOU BLDG 100,001-500,000 304.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 125.43 Plan Check Fee 3.76 Issue Date: Valuation 0 Expiration Date 5/07/05 Qty Unit Charge Per Extension P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253. INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: eZ)F7=/b.-4,��s- /-AL,4,z-,,a I z -Lc Applicant's Mailing Address: G A ri7iv-� rA - _ 15 3 Date: Architect or Engineer: i2L�2 tM.6,1LNj!' `- Architect or Engineer' Address:s bow-QEiP, Co eo 3n Lic. No.: 3 60 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 Licens�ee r n full force and elle . r License Class lriVERAL License No. 60 Date) 9 -D 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 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 hereby affirm under penalty of perjury one of the following declarations: _ 1 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.,M�t,workers' compensation insurance carrier and p i u , ec�re• / Cartier -S / i r= Q&-119 Policy Number / J Z/ 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 1 �nforthwith comply with those provisions. Date, / d�4- 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 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 _ NI Lenders 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, indemnity 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 correct. 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): �QQ n" l -e Page 2 Application Number 04-00003915 ..Date 5/07./04 Qty Unit Charge Per Extension BASE FEE 15.00 2894.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 101.29. 457.00 0200 ELEC GARAGE OR NON-RESIDENTIAL 9.14 -------------------------------------------------- Permit --------------- GRADING PERMIT -.---------- Additional desc Permit'Fee 15.00 Plan Check Fee .00: Issue Date . . . . Valuation . . 0 ''Expiration Date 5./07/05 Qty Unit Charge Per Extension BASE FEE 15.00 --------------- Permit ------------------------------------------------ . . . .. MECHANICAL .------------- Additional desc Permit Fee 79.50 Plan Check Fee 19.88 Issue Date Valuation. . . . 0` Expiration Date 5/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA ''MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU. 16.50 5.00 6.50.00 EA MECH VENT FAN 32.50 1.00 6:5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------'--------=------------------'------------- Permit ... PLUMBING Additional desc Permit Fee 207.00 Plan Check Fee 51.75 Issue Date Valuation 0 Expiration Date 5/07/05 .. Qty Unit Charge Per Extension BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 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 ice% %i.•� Page 3 Application Number . . . . . 04-00003915 Date' 5/07/04 Qty Unit Charge Per Extension 1.00. 15.0000 EA PLB GAS METER ----------.------------------------------------------------------------------ 15.00 Special Notes and Comments SATT. LOT 132. PLAN P1B. PERMIT DOES NOT INCLUE BLOCK WALL, 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. 61.36 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. 18.60 DIF STREET MAINT FAC -RES 15.00 DIF.TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1370.93 .00 .00 1370.93 Plan Check Total 688.99 .00 .00 688.99 Other Fee Total 2080.96• .00 .00 2080.96 Grand Total' .4140.88 .00, 00 4140.88 D"alt NERGY S�► 4'E C Po. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92276 Cell: (76,01250-1652 Emall: QESNRG 9DAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) PALMILLA PH 8 Project Title 50-280 VIA AMANTE LA QUINTA, CA. 92253 - Project ress CHAD MEYER 760-564-6555 Builder Contact Telephone RICHARD KROWN 760-250-1852 HERS Rater Telephone. #CCNRK613292 Q1-17 - Certifying Signature Firm: DESERT ENERGY SERVICES LLC E TES x CF -4R Date RJT HOMES Builder Name OCOTILLO P -I 3 UNITS Plan Number GROUP 6 Sample Group Number LOT A 32 Sample Lot Number HERS Provider: CHEERS, Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 12270 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: 0 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 (0 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 fl.ow 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 .r ❑-THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve,is installed and Access is El -E] provided for inspection P1 TSTALLATION CERTIFICATE (Page 3 of 1 Site Address Permit Number CF -6R DUCT ,LEAKAGE AND DESIGN DIAGNOS'T'ICS QUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM).128 Fan Flow If Fan Flow is Calculated as 400 cfmtton x number of tons, or as 21.7 x Heating Capacity In Thousands of BW/hr, enter calculated value here If fan flow Is measured, enter measured value here Leakage Fraction*, Test Leakagel(Measured or Calculated Fan Flow) _ N • 6 ��D o Pass if leakage fraction < 0.06 Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FNSHING WALL: Oyes O No . O Pressure pan test or House pressurization test O Yes. ❑ No 0 Visual Inspectiori of Duct Connections ❑ 0 pace Fail THERMOSTATIC EXPANSION_ VALVE A, Yes O No Thermostatic Expansion Valve is installed. and Access is - provided for inspection Yes is a pass 0 O DUCT DESIGNPass Fail ACCA Manual D Design calculations• have been 1. ❑ Yes O No 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, 0 0 verified fan flow matches design from CF -UL pass Fail Measured Fan Flow = Yes for both 1 and 2 is a Pass O 1, the undersigned, verify.that the above diagnostic test results and the wort I perforated 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-contractona certifying that diagnostic testing and installation meet the requirements for compliance credit. J 7 Tests S store, Date Installing Subcontractor (Co. Name) OR Perforated General Contractor (Co. Name). COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 m INSTALLATION CERTIFICATE. (Page 3 of 13) . CF -6R Pi, - R �o-4- 40; -'13011 Site Address Permit Number $. DUCT LEAKAGE AND DESIGN DIAGNOSTICS• DUC: I' LEA.KAGL REDUCTION Pressurization Test Results (CFM,@ 25 PA) '.Test Leakage (CFNI)SI- Fan Flow If Fan Flow is Calculated as 400 cfrWwn 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 19*0 Leakage Fraction m Test I eakagel(Measured or Calculated Fan Flow) _ S• ��a �' ( ❑ 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 FINISHING WALL: O Yes O No .O Pressure pan test or House pressurization test O Yes O No O Visual Inspection of Duct Connections ❑ ❑ Pass Fail THERMOSTATIC EXPANSION VALVE fTXVI AYes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass ❑ 17 DUCT DESIGN Pass Fail ACCA Manual D Design calculations have been 1. O Yes O No 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, ❑ ❑ verified fan flow matches design from CF -1R Pass Fail 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 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 certifying employees or sub -contractors that diagnostic testing and installation meet the requirements for compliance credit. ] 7 - os L 0 z Tests -Srpature, Date Installing Subcontractor (Co. Name) OR Per6ormcd General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forrns August 2001 A-25 INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Rai wt, 11 a Pti R L o 4- _410 /3A Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUC: I' LEAKAGE REDUCTION Pressurization Test Results (CFM aQ 25 PA) Test Leakage (CFM) JrS Fan Flow If Fan Flow is Calculated as 400 cfmlton x number of tons, or as 21.7 x Heating Capacity In Thousands of Btuthr, enter calculated value here If fan flow Is measured, enter measured value here _Z22 Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Y- ❑ 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 FINISHING WALL: D Yes O No O Pressure pan test or House pressurization test D Yes ❑ No O Visual Inspection of Duct Connections ❑ ❑ Pass Fail THERMOSTATIC EXPANSION VALVE X Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass K ❑ Pass Fail O DUCT DESIGN ACCA Manual D Design calculations have been 1. 0 Yes O No completed, Duct Design is on the plans and duct installation matches plans. 2. O Yes 17 No TXV is installed or Fan flow has been verified. If no TXV, ❑ ❑ verified fan flow matches design from CF -IR Pass Fail bteasured Fan Flow= Yes for both I and 2 is a Pass O 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the tests) 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-contructors certifying that diagnostic testing and installation meet the requirements for compliance credit. ] 7 - o S. L. D Tess 's4wture, 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.