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04-3902 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUIN TA, CALIFORNIA 92253 BUILDING. PERMIT BUILDING & SAFETY DEPARTMENT (760).777-70.12 FAX (760) 777=7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 04-00003902 Date 5/07/04 Property,Address_.. 50325'VIA AMANTE APN:772-390-038-137 -29858 - Application description . . . DWELLING - SINGLE FAMILY ATTACHED Property Zoning . . . . . . LOW DENSITY.RESIDENTIAL .Application valuation 197233 Owner`—®-�s Contractor R.J T'HOMES ---------------- v " RJT HOMES LLC ------- 1425 E UNIVERSITY DR N 1425 E.. UNIVERSITY DRIVE PHOENIX AZ 85034. �. PHOENIX. AZ 85034 WCC: STATE FUND WC: 1583906 10/01-/04 CS LBi 690645 06/30/04 CCC: B -A ------ Structure Information- nformationConstruction ConstructionType .. 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 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 Expiration Date 5./07/05 Qty Unit Charge Per Extension BASE FEE 63.9.50 98.00 ,3.5000 THOU BLDG 100,001-500,000 '. 343.00 Permit ELEC-NEW RESIDENTIAL Additional desc. .. Permit Fee 141.30 Plan Check Fee 3.76 Issue Date.. Valuation 0 Expiration' Date 5/07/05 Qty . Unit Charge Per Extension P.O. BOX 1504 • �IIIG i1Y7 � 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: Applicant's Mailing Address: Date: Architect or Engineer: f)) I MS �&62f_ 1 - Architect or Engineer's Address: C�OtJID EiP, C C> Lic. No.: 3 to o - 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 License i n full force and effect License Class <r AA RI L 1S License No. p Dete S'�a �JGj 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 hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to self4nsure 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�[ workers' compensation insurance carver and p i u , er.�re• Carrier s77i J r r= Q,, Its 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, 1 shall c /forthwith comply with those provisions. Date J d —O(7 Applicant v 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 �I 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. 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 county to enter upon the above-mentioned property for inspection purposes. Date �� �� Signature (Applicant or Agent): Page 2 Application -Number . . . . . 04-00003902 Date 5/07/04 Qty Unit Charge Per Extension BASE FEE 15.00 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 Expiration Date .5/07/05 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 Expiration Date 5/07/05 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 214.50 Plan Check Fee 53.63 Issue Date . . . . Valuation 0 Expiration Date 5/07/05 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 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 8.00 .7500' EA PLB GAS PIPE >=5 6.00 Page 3 Application Number. 04-00003902 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 137. PLAN P2A. PERMIT DOES NOT INCLUDE 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 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'.00 Fee summary Charged. Paid Credited Due Permit.Fee Total 1458.30 ------------------ .00 .00 1458.3'0 Plan Check Total 722.27 .00 ..00. 722.27 Other Fee.Total .2084.58 .00 .00 2084.58 ,Grand Total 4265.15 ..00 .00 .4265.15 Dmm>i - - ENERGY �� _ C•A D E C ces PO'. Boz 821 Ph/Fax (760) 564-2044 Rancho Mirada, CA 92270 Cell:.(760) 250-1852 Email: DESNRG'CdIAOL.COK9 0 n ' CERTIFICATE OF- FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R PALMILLA PH 8 DATE TESTED, 1.13=05. Project Title Date 50-325 VIA AMANTE LA QUINTA, CA. 92253 RJT HOMES rojec ress Builder Name CHAD MEYER 760-564-6555 -ACACIA 07.2 3 UNITS Builder Contact Telephone Plan Number 'RICHARD KROWN 760-250-1852 GROUP 6 HERS Rater / Telephone Sample Group Number #CCNRK613292. 01-17-04 LOT -137 Certifying Signature Date, Sample Lot Number Firm: DESERT ENERGY SERVICES LLCHERS: Provider: . CHEERS . Street Address: P.O., BOX 621'_Cry/State/Zip: RANCHO MIRAGE, CA. -92270 Copies to: Builder,.HERS Provider. HERS RATE_ R 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 ho uses, 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.1InstallationI 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 now is measured enter measured value here Leakage. Percentage (100 x TestLeakao6fFan Flow) _ Chock Box for PassorTail (Pass =6% or less) ❑ ❑ Pass . Fail ❑ THERMOSTATIC EXPANSION VA'LV.E (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for'inspection ❑ taS 4<x INSTALLATION .CERTIFICATE (Page 3 of 13) palm Il d cl' Ph - R G o f er /3 7 Site Address 1 Permlt Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT' EAKAG1 REDI1C•1` 00 ` Pressurtzation Test Resuite (CFM ® 25 PA) Test Leakage (CFM)_�3_0 { Fan Flow . If Fan.Flow is Calculated as 400 cfm/ton x number of tons, oras 21.7 x Heating Capacity : In Thousands of SM/hr; enter calculated value here If fan flow Is measured, enter measured value here $G1D Leakage Fraction m Test Leakage/(Meawed or Calculated Fan Flow) - Pass if leakage fraction < 0.06 Pass 'Fail s O For AEROSOL.TYPE SEALANTS•ONLY -The following diagnostic testing was.completed: Duct Fan Ptrssufization 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 o _ ' 0 Pass Fail A THERMOSTATIC EXPANSION VALVE t"PXVI XYes- O No Thermostatic Expansion Valve is installed and Access is - provided for inspection j Yes is a pass.. y � . l7 DICT 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 Fen flow has been verified. If no TXV, o Pass Fail verified fan flow matches design. from CF-IIL 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 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- mttractors certifying that diagnostic testing and installation meet the requirement for compliance credit ] Tests _Srpaturej Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) i coPY m: Building Department HERS Provider (if :applicable) : Building Owner at Occupancy : Compliance Forms August 2001 A-25 t - - . INSTALLATION CERTIFICATE (Page 3 of 13) CF -611 pal �, tl�a Ph - R- 4- -,0 137 Site Address Permit Number DUCT LEAKAGE AND DESIGN DLAGNOSTICS llUCT LEAKAGE REJ)UC'1'1QN Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)__Ag Fan Flow 13Fan.Flow is Calculated as 400 cftn/ton x number of tons, or as 21.7 x Heating Capacity In Thousands of Btwbr, enter calculated value here If fan flow Is measured, enter measured value here Leakage Fraction Test Leakagc!(Measured or Calculated Fan Flow) = s•6 °/, . �' ( ❑ Pass if leakage fraction < 0.06 Pass Fall O For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed: Duct Fan Pressurization at rougii-in measured leakage (CFK: CHECK AFTER FMSHING WALL: O Yes O No O Pressure pan test or House pressurization test O Yes O No O Visual Inspection of Duct Connections a c Pass Fail MMOSTATIC EXPANSION VALVE (TXV) XYes O'No Tbermostatic Expansion Valve is installed and Access is - provided for inspection ' j Yes is a pass K t7 Pass Fail ' O DUCT DESIGN t 1 ACCA Manual D Design calculadorrs have been j 1. O Yes ❑ No. completed', Duct Design Is on the plans and duct Installation ' matches plans. •C3 2. O Yes O No -TXV is installed or Fan flow has been verified. If no TXV, Pass 0 Fail verified fan flow matches design from CF -.UL Measured Fan Flow = Yes for both 1 and 2 is a Pass. O L the undersigned, verify that the above diagnostic test rtsults,and the work I performtc! 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. J Tem S Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable). Building Owner at Occupancy i Compliance Forms August 2001 A-25 A INSTALLATION -CERTIFICATE (Page 3 of 13) CF -6R RAI MaLo, PA R Go f- *: X37 Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCTLEAKAGE RED. C1"10N ' Pressurization TestResults (CFM Q 25 PA) Test. Leakage (CFM) Fan Flow .. If Fan.Flow is Calculated as 400 cWton x number of tons, or as 21.7 x Heating Capacity In Thousands of BW/hr, enter calculated value here 'if fan flow fs measured, enter measured value here • /6en Leakage Fraction .= Test Leakagd(Measured or Calculated Fan Flow) - Pass ifleakage fraction <0.06 Pass Fail o For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed: Dud Fan Pressurizadon 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 Q Visual Inspection of Duct Connections o i Pass ' Fail A THERMOSTATIC EXPANSION VALVE f TXVl X Yes .O No Thermostatic Expansion Valve is installed and Access is - provided for inspection - Yes is a pass K J Pass Fail O DUCT DESIGN a ACCA Manual D Design calculations have been 1. O Yes, O No complited, Duct Design Is on the plans and duct Installation matches plans. 2. O .Yes . O No -TXV is instilled 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 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. [ne builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub�ortttactors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Tab S tune, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department , HERS Provider (if applicable) - Building Owner at Occupancy ,4 Compliance Forms August 2001 r - 2 5 1 1.