04-3911 (SFD)c�3 �
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-70.12
C��►tOF 94` 78-495 CALLE TAMPICO FAX (760) 777=7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (.760) 777-7153
;BUILDING: PERMIT
Application.Number 04-100003911 Date 5/07/04
. Property, Address , . . . 503`85 VIA AMANTE
APN: 772.-390-041-134 -29858
Application description DWELLING - SINGLE FAMILY ATTACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation �__�_ 187754
Owner Contractor
--------------------- ®�f�-------------------------.
R.J T:HOMES cam. RJT HOMES LLC
1425 E UNIVERSITY DR `�' 1425 E. UNIVERSITY DRIVE
.PHOENIX AZ 85034.. ;y ' ccs+ PHOENIX AZ 85034
`'i WCC :STATE FUND
W
v . C: 1583906 :10./01/04
CSLB: 6'90.645, 06/30/0.4
CCC B -A
=_-- Structure Information SATT -----
Construction Type TYPE V - NON RATED:
Occupancy Type DWELLG/LODGING/CONG <=10
Flood Zone . . . NON -AO FLOOD ZONE
-Other 'struct info CODE EDITION 2001 CBC
GARAGE SQ FTG 457.00
PATIO SQ FTG 997.00.
TOT ELIGIBLE NO
NUMBER OF UNITS.:. 1.. 00
FIRS.T.FLOOR.SQ FTG 2.894.00.
Permit BUILDING PERMIT
Additional desc
Permit Fee 947.50 Plan Check Fee:. 615.88
Issue Date Valuation. 187754
Expiration. Date 5/0.6/05
Qty Unit'Charge Per Extension
BASE FEE 639.50
88.00 3.5000 THOU BLDG 100,001=500,000 308.00
Permit ELEC-NEW RESIDENTIAL
Additional desc
Permit'Fee 125.43 Plan Check Fee 3.77
Issue Date Valuation 0
Expiration Date .. 5/06/0.5
Qty Unit Charge Per :Extension
P.O. BOX 1504 • ��ci
V � ..VOICE (760) 777-7012
78-495 CALLE TAMPICO: PAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253. INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
� ;�FT- A444: c
Applicant's Mailing Address:
z - A - acdALZA f. Cg--La 3
Date:
Architect or Engineer:
C4 I d4da — ,e- TA,.ME�
Architect or Engineer' dAs dress:
A/W77/ ST Scrr7-1—<' /['>3
6C>Uz ,--X , CQ eo 3 n
Lic. No.: ,�3 6OQ�
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 Ucen Wn full fortg and effeyy��
License Class <riVfiC/y L l`�� License No.�
Dat —014 Contractor
OWNER -BUILDER DEC TION
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 laensed 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).):
( j 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structureIs 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. H, 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. B.& P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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.
1 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._ My workers' com ensation insurance carrier and pgJi u re-.
Carrier 5 7 f� i a� � AIJ-0 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, I shall
forthwith comply with those provisions.
Date J �—�? 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
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
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 thisapplication 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 hartNess 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):
��P.cLWn l' -e
Page
2
Application Numbers
04-00003911 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
5/06/05
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
5/06/05
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
6:5000
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
5/06/05
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
e
4.50
Page
3
Application Number
04-00003911 Date
5/07/04
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB GAS METER
15.00
Special Notes and Comments
SFA LOT 134 PLAN'P1A. PERMIT DOES NOT
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
.00
DIF COMMUNITY CENTERS -RES
68.00
DIF.,CIVIC CENTER - RES
229.00
ENERGY REVIEW FEE
61.59
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
18.77
DIF STREET MAINT FAC --RES
15.00
DIF TRANSPORTATION - RES
1098.00.
Fee summary Charged
Paid Credited
Due
Permit Fee Total 1374.43
.00 .00
1374.43
Plan Check Total 691.28
00 .00
691.28
Other'Fee Total 2081.36
.00 00
2081.36
Grand Total 4147.07
.00 .0.0
4147.07
ENERGY
C o_E M_. �• :. t
Po:' Box 621 Ph/Fax (7.60)'564-2044 ,
Rancho Mirage; CA 92270 Cell: (760) 250-1852
rr Email: DESNRG'40L=M'.
E
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING'(Page I of -7) ' CF -4R
PALMILLA PH 8 • "' DATE TESTED ' '11-1101
Project Title f Date. n,
11.
51)-385. VIA AMANTE LkQV CA. 92253 RJT HOMES.;
rojec Address Builder Name - )
{. i'CHAD-MEYER 760-564-6555 'OCOTILLO P -I -3 UNITS
Builder Contact "Telephone Plan Number
...
'RICHARD KROWN 760-250-1852 GROUP 6
HERS Rater Telephone Sample Group Number
s
#CCNRK613292. 01-17-04' LOT 134 +
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.
ElThe installer has.provided' a copy'of CF -6R (Installation Certificate..
El 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.adhe"sive dust tape, is installIa , stic and drawbands are used ;in combination with cloth,
backed, rubberadhesive`duct tape to seal.leaks at, 'ductrconnections.
❑•MINIMUM REQUIREMENTSTOR DUCT,LEAKAGE` REDUCTION'COMPLIANCE,CREDIT
Duct Diagnostic Leakage t6siing'Resuits (MaximumZ% Duct Leakage): =
i
Measured. ,7
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 "
... a
if fan flow,is measured enter,mcasurcd,value here
^`
LeakageTcrcentage (100 s Test Leakagc/Fan•Flow)
Check Box for Pass or Fail (Pass =b% or less) ❑ ❑
�!
r Pass Fail
❑ THERMOSTATIC EXPANSION VALVE.(TXV)
❑ Yes ❑ No Tliermostatic'Expansion Valvc is installed and Access is
provided•for4inspection, ❑'❑
.i'
INSTALLATION: CERTIFICATE "" . (Page 3 of 13) :
CF -6R
Pal vr►" t''l.l a Ph - R L .o -Fo l.3
-
Site Address Permit Number
DUCT LEAKAGE AIN'D DESIGN DIAGNOSTICS
AUCs' LEAY,4QE REQU(:r1UN "
Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM) -33
Fan Flow
„
If Fan Flow is Calculated as 400 efrWton x number of tons, or as 21.7.x Hearing Capacity
in Thousands of Btu/he, entercalculated value here
p.if fan flow is measured, enter measured value here 9Cb"
Leakage Fraction = Test Leakage/(Mcuured or Calculated Fan Flow)
Pau 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 FKSHING WALL::
O Yes 0 No 0 Pressure pan test or House pressurization test
O Yes. 0 No 0 Visual Inspection of Duct Connections
o
Pass Fail
THEIUMOSTATIC EXPANSION VALVE (TXVI '
Yes O No Thermostatic Expansion Valve is installed and,Access is - provided for inspection
Yes is a pass
Q DUCT DESIGN
Pass Fall
ACCA Manual D; Designcalculatigns have been
r
0 Yes ❑ No 'completed, Duc( Design Is on the plans and duct installation
matches plans.
2. ❑ Yes 0 No TXV is installed or Fan flow has been verified. If no TXV,.-
verified fan flow matches design from CFeUL
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 wort I.performed associated with the test(s) is in conformance
with the requirements for compliance credit [lune 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. J
a
- os D
H
Tests -Slinature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY T0:" Building Department
HERS Provider (if applicable)
`Building Owner at Occupancy
Compliance Forms August2001
a-25
INSTALLATION CERTIFICATE(PaQe'3 of 13)CF-6R
b
p a 1. w► l/ c. P h 134
Site Address Permit Number ,
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUC°rm
Pressurization Test Results (CF7••1 Q 25 PA) . . Test Leakage (CFM)S g
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 Btulhr, enter calculatea value here
'if fan flow is measured, enter measured value here 6WO
Leakage Fraction-= Test Leakage/(Measured or Calculated Fan Flow)
Pass if leakage fraction < 0.06 g0� Pass Fail
0 For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFK, `
CHECK AFTER FINISHING WALL:
0 Yes O No O Pressure pan test or House pressurization test
0 Yrs. O No .E3 Visual Inspection of Duce Connections o
p. Pass Fail
THERMOSTATIC EXPANSION VALVE (TW*
A Yes O'No Thermostatic Expansion Valve is installed.add Access is -provided for inspection
Yes is a pass K u
D DUCT DESIGN Pass Fail F
ACCA Manual D Design calculations have beers
1. O'Yes 0 No completed; Duct Design is on the plans and duct Installation
matches plans.
2. 0 Yes O No TXV is installed or Fan flow has been verified) If no T)CV; o �
verified fan flow matches design from CFrIIL Pass Fail
„a 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 work [,performed associated with the tests) is in 'conformance '
with the requirements for compliance credit ['Ilse 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.
Z
Tests 'Sirpature, Date Installing Subcontractor (Co. Name) OR -
Paiarmed , General Contractor (Co. Name).
COPY To: Building Department
HERS Provider (if applicable)
Building Owner at oCCUpancy '
LNSTAL,LATION CERTIFICATE (Page.3 of.13) ' .
CF-6R '
I.:/
p a rt.►' a: Ph
Slte Address Permit Number
DUCT LEAKAGE.AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUC110N
• Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) �S
s
Fan Flow
If Fan Flow is Calculated as 400 cfrWton 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 fA&-P ,
Leakage Fraction = Test Leakaget(Measured or Calculated.Fan Flow) _. ,S .
Pus 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 (TXV1
All A Yes l7 No Thermostatic-Expansion Valve is installed and Access is - provided-for-inspection .
Yes is a pass K.
o
O 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.rl
2. O Yes O No TXV is installed or Fan flow has'been verified. If no TXV, -
Pass
Fail
.. verifiedfan flow matches. design from CF-UL :
Measured Fan Flow =
Yes for both I 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. ]
Tats S aturc, Date Installing Subcontractor (Co. Name) OR
,
Performed i General Contractor (Co. Name)
COPY T0: Building Department
HERS Provider (if 'applicable)
Building Owner at Occupancy
Cornpliance Forms, August 2001 '
A725
I