04-3914 (SFD)o�0
BUILDING & SAFETY. DEPARTMENT
•cw4 P.O. BOX 1504 (760) 77.7-70.12
OF•9 78-495 CALLE TAMPICo FAX (760) 777=7011
LA .QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING, PERMIT
Application .Number 04-00003914,Date 5/07/04
Pr6pertyzAddres.s -,. 503-10 VIA AMANTE
APN: 772-390-042-133 -29858 -
Application description DWELLING -.SINGLE FAMILY ATTACHED
Property Zoning LOW DENSITY.RESIDENTIAL
,Application valuation 200624
Owner Contractor
-
---------- ,---------_-- - _---
------
R J T HOMES RJT HOMES LLC
..1425 E UNIVERSITY DR 1425 E... UNIVERSITY DRIVE
PHOENIX AZ 85084' +PHOEN:IX. AZ. 85034
.� ® WCC c STATE FUND
--i.. :�. WC: 1583906` 10/01'/04 ..
�� CSLB; 690645 06/30/04
.I�._ . CCC B -A
----------- SATT'
_____
Construction T e STYPE - - NON RATED
YP ..._.�
Occupancy Type DW-ELLG/LODGING/LONG <=10
Flood Zone . . . . . NON -AO FLOOD.ZONE
Other struct info .. CODE,EDITION 2001 CBC
GARAGE SQ FTG 538.00
PATTO . SQ..FTG .568:00
TOT ELIGIBLE NO
•
NUMBER OF.UNITS.... 1.00
FIRST...FLOOR SQ 'FTG .3191.00
Permit BUILDING PERMIT
Additional desc
Permit Fee 993.00 Plan Check Fee .645.45
Issue Date Valuation: ..200.624
Qty Unit Charge 'Per Extension
BASE FEE .639.50
101.00 3.5000 THOU BLDG 100,001-500,000 353..50
Permit ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee 137.45 Plan Check F"ee 3 .77 .
Issue Date -Valuation .. 0
Q.ty. Unit Charge Per Extension
BASE FEE 15.00
P.O. BOX 1504 f�G�
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:
Date:
Architect or Engineer:
Architect or Engineer' dAs dress:
I4 -,i/ AllA17N
600z,0,!51,r, C0 9_0
Lic. li .0-3 Coop"
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOWS.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 License • n full force and effeete�t C
License Class (r iVF 2! g License'li �
Date ��—� Contractor
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 .6. 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 Iasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for 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 tha structure Is not intended or offered for sale (Sec. 7044,
Businowner of and Professions Code: The Contractors' State License Law does not apply to an owof 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.).
(, 1, as owner of the properly, 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
1 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 i:•msurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Issued. Mxworkers' coreQensation insurance carrier and pglic u . re
Carrier S?� i� �'Uf1,; Policy Number {
_ 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, [.shall
forthwith comply with those provisions.
Date 0 Applicant
r
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.).
Lenders Name / VIA
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, 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 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 pro rty for inspection purposes.
Dato! T Ql% Signature (Applicant or Agent):
_mon E•e
Page
2
Application.Number..
04-00003914
Date
5/07/04
Qty
Unit Charge
Per
Extension
3191.00
.0350
ELEC
NEW RES - 1 OR 2'FAMILY
111.69
538.00
:0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.76
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
105.00
Plan Check Fee
26.25
Issue Date
..
Valuation
0
Qty
Unit -.Charge
Per
Extension
BASE
FEE
15.,00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
2.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
33.00
5.00
6.5000
EA
MECH
VENT .FAN
32.50
.1.00
6'.5000
EA
MECH-EXHAUST
HOOD
6..50
Permit.
.. . . ..
PLUMBING
-------------------
Additional
desc '. .
Permit Fee
234.00
Plan Check Fee
39.75
Issue Date
Valuation . . . .
0
Qtyl. .Unit
Charge
Per
Extension
BASE
FEE
1.5.00
24.00
6..0000
EA
PLB,
FIXTURE
144.00 .
1.00
15'.000'0
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
Special Notes.
and Comments
SFA LOT 133
PLAN P2B.
PERMIT
DOES
NOT
1
Page 3
Application Number
04-00003914 Date 5/07/04
Special Notes and Comments.
INCLUDE BLOCK.WALL,
POOL, SPA
OR:
DRIVEWAY APPROACH.
Other Fees . . . .
. . . . .
ART IN -PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
ENERGY REVIEW FEE..
64.55
'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."06
DIF STREET MAINT FAC -RES
15..00
.
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1484.45'
.00 .00
1484.45
Plan Check Total
71.5.22
.00 .00
715.22
Other Fee Total
2105.61'
.00 .00
2105:.61.
Grand_Total
430.5.28
.00 .00
4305.28
Dates =
ENERGY C Al E C
Services
P.O. Box 621 Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270 Celle (760] 250-1852
Email: DESNRG' aOAOL.COM`
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) 6F -4R
- PALMILLA 'P'M 8
Project.Title
50-310 VIA AMANTE LA QUINTA; CA. 92253
Project AddressCHAD'MEYER
760-564-6555
Builder -Contact- ' " - -
Telephone ,
RICHARD KROWN
760-250-1852
HERS Rater '?,,
Telephone
#CC
Cert'Ifying=Signature Date
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
DATE TESTED 143-05
Date
RJT HOMES
Builder Name
ACACIA P-2 3 UNITS
Plan Number
GROUP 6
Sample Group Number
LOT '133
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.
El The installer has.provided a copy of CF -6R (Installation Certificate.
E 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 asA00cfm/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)
❑ THERMOSTATIC EXPANSION VALVE _(TXV)
❑ Yes ❑. No Thermostatic Expansion Valve is'installcd and Access is
provided for inspection
❑ ❑
Pass Fail
INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R,
DUCT LEAKAGE AND DESIGN DIAGNOSTICS.
DUC I' LEAKAGE REDW110N
Pressurization Tett Results (CF`I Q 2S PAj . Tesi Leakage (CFM)
Fan Flow
If Fan -Flow is Calculated as 400 cft*wn x number of tons, or as 21.7 x Heating Capacity
In Thousands.of BtuRir, enter calculated value'here .
If fan flow is measured,:enter measured value here
LeakaBe Fraction = Test Leakage!(Measured or Calculated Fan Flow) ---
�•
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'WALLi
❑ Yes O No O Pressure pan test or House pressurization test
O Yes .❑ No ❑ Visual Inspection of Duct Connections
o
Pass Fall
.!4 THERIMOSTAT"IC EXPANSION VALVE (TXV)
' . Yes O No Therostatic Expansion Valve is installed and Access is -provided for. inspection
Yes is a pass
K C
Pass Fail
0 DUCT DESIGN
ACCA Manual D Design calculations have been
-1. ❑ Yes ❑ No, completed, Duct Design Is on the plans and duct Installation ;
matches plans..~
2. ❑ Yes O No. TXV is installed or Fan flow has been verified. If no TXV,
0 0
verified fan flow matches design from CF -IR
Pass • Fail
Measured Fan Flow=
Yes for both 1 and 2 is a Pass .
O L 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,complianca credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by thrbuilder.
-employee or:sub-contractors certifying that diagnostic testing and installation meet the requirements for compliance credit. J
Tan _Sifpature,, 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 August 2001
A- 2 5''
Measured Fan Flow -
Yes for.both 1 and 2 is a Pass
❑ I, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the tests) is in conformance
with the requirements for compliance credit. ['Rte 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 L
Tem _Mpature, Date Installing St:bcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Depamnent
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August2001 A-25
INSTALLATION CERTIFICATE (rage 3 of 1'3)
CF -6R
pA1 w► t'1/o. Ph
Site Address Permit Number
DUCT LEAKAGE.AND DESIGN DIAGNOSTICS
DUCT -LEAKAGE REDUM-10N
Pressurization Test Results (CFM @ 25 PA) _ Tat Leakage (CFhI)_Aj
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or az 21.7 x Heating Capacity
In Thousands of BtuRtr, enter calculated value here
'If fan flow Is measured, enter measured value here 161-60
Leakage Fraction - Test Leakaget(Measured or Calculated Fan Flow) _ .3°�13
b.
Pass if leakage fraction <0.06
Pass Fail
a ForAEROSOL TYPE SEALANTS ONLY followiig diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL: '
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
. ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections
o ❑
Pass. Fail
A THERMOSTATIC EXPANSION VALVE n XV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass
^ ❑
13DUCT DESIGN
Pass Fail
ACCA Manual D Design calculations have been
1. ❑ Yes ❑ No completed, Duct Design Is on the plans and duct installation,
matches plans.
2. C?Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
o
verified fan flow thatches design from CF71
Pass.' Fail
Measured Fan Flow -
Yes for.both 1 and 2 is a Pass
❑ I, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the tests) is in conformance
with the requirements for compliance credit. ['Rte 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 L
Tem _Mpature, Date Installing St:bcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Depamnent
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August2001 A-25
INSTALLATION CERTIFICATE (Page 3.of 13)
CF -6R ;
a i 60K. t' 1 1 c. P h- R L o -f- /33 ..
Site Address Permit. Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
VUCr LEAXAGE REDQ(:TlQN
Pressurization Test Results. (CFhi Q 25 PA):. :Test Leakage (CFM) 2/
Fan Flow
If Fan Flow is Calculated as 400 cfrrJton`x number of tons; or as 21.7,x Heating Capacity
'in Thousands -of enter phntlated value here
If fan flow is measured, enter measured value here LQ6
Leakage Fraction - Test Leakage/(Measured or Calculated, Fan Flow) _. S . v .
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 (CF'K
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House_ pressurization test
❑ Yes. G No ❑'Visual Inspection of Duct Connections
= .
Pass
Fail
TRERMOSTATIC EXPANSION VALVE (TXV)
A Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass
` Pass
Fail '.
O DUCT DESIGN
+ ACCA Manual D Design calculations have been
;1. ❑ Yes O No completed, Duct Design.ls on the plans and duct Installation
matches plans:
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
Pass
verified fan flow matches design from CF -IR
.Fail
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
•
a;
❑: 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. [Tire builder shall provide the HE2S provider a copy of the CF -6R signed by the builder .
employeesor sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit. )
Tests -Sj( nature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS .Provider (if applicable) '
Building Owner at Occupancy
,- ,Certificate. bf-occopancys
G
OF't19� _ Building & Safety Department .
---
T
This Certificate .is' issued pursuant to the requirements of Section 109 of the California Building,
.Code, `certifying. that, .at" the time - of issuance, this structure was in! compliance with . the`
, ,- provisions• of the,. Zuilding,, Code, and the. various ordinances• of the City regulating' building,
construction and/or use.
- BUILDING ADDRESS.. 50-310.VIA AMANTE '
r
Use classification: 'S:F.D. , Building Permit No.: -04 3914
Occupancy. Group: R-3 Type of Construction: V -N k Land Use Zone: R -L
AS.
Owner of Building: RJT HOMES PALMILLA LLC Address:. PO BOX 810
'. City, ST, ZIP: •LA QUINTA CA 92253
' r By: G. SHOWALTER`.
—�' Date: 03/22/05 '
,Building,Official
' POST IN A CONSPICUOUS PLACE '