Loading...
08-0969 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253' Application Number: r_M8=0-0000969 Property Address: 52925rHUMBOL,DT BLVD APN: 76i---200-091-6 -34968 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW-DENSITY RESIDENTIAL Application valuation: 44182 Tiht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: -Architect or Engineer: 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B C10 License No.: 746198 Date: Contractor: . OWNER -BUILDER DECLARATION I.hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 Contractor's 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).: (_) 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 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 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.). ( 1 I am exempt under Sec. , BAP.C. for this 'reason Date: Owner: 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: �1r Lender's Address: r , LQPERMIT (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/06/08 Owner: EAST OF MADISON LLC PO BOX 1482 LA QUINTA, CA 92247 /1 or: vl( 1ACONSTRUCTION P. OX 366 L INT, CA JUN 13 2006 (1564-A4832 92247 Llc. No.: 746198 WORKER'S COMPENSATION DECLARATION I 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 insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which, this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 044-0028137-07 1 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 -� 37700 of he II fo mply wthose ns. oOl cate6 00 WARNING: FA411RE 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. 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 ree to comply with all city and county ordinances and state laws re to building con truq hereby a orize representatives of this county to enter upon the above-ment, ned property for ' pection pu ses. pore: G-1 Z S, re (Applicant or Agent): (' VOICE �- Application Number 08-00000.969. Permit . . . BUILDING'PERMIT Additional desc . Permit Fee .. . . . 382.00 Plan Check Fee 248.30 Issue Date . . . . Valuation . . . . 44182 Expiration Date 12/03/08 Qty Unit Charge Per Extension BASE FEE 252.00 20.00 6.-5000 THOU BLDG 25,001-50,000 130.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 15.04 Plan Check.Fee 3.76 Issue Date Valuation 0 Expiration Date 12/03/08 Qty Unit Charge Per Extension BASE FEE. 15.00. 1.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .04 -----------------------------------------_----------------------------------- Special Notes and Comments REVISION WHILE UNDER CONSTRUCTION TO PLAN 1. ADDITIONAL 524 SF ADDED TO HOUSE AND 94 " SF. TO GARAGE - ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 24.83 STRONG MOTION (SMI) - RES 4.41 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ------------------------------ 397.04 .00 .00 397.04 Plan Check Total 252.06 .00 .00 252.06 Other Fee Total 29.24 .00 .00 29.24 Grand Total 678.34 .00 .00 678.34 LQPERMIT 0010 Certificate of Occupancy0 o LwoM MD ova G OF Building & Safety Department 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 Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 52-925 HUMBOLT BLVD Use classification: SFD Building Permit No.: 8-969 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: EAST OF MADISON LLC Address: P.O. BOX 1482 City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: 04/03/2009 Building Official POST IN A CONSPICUOUS PLACE MAR -06-2009 09:04 AM P.06 CERTIFICATE OF FIELD VERIFICATION do DIAGNOSTIC TESTING CF -4R Prosect Address 710. Builder or Irfitalifir N e Builder or I seller Contact C—Telophone Plan/Permit (Additions or Alterations) Number HERS RaterTelephone 740 ll Z Sa le Grou Number Hng or ✓ assured Fan Flow: Calculated (Nominal: ✓ D Cooling Oeati Enter Total Fan Flow in CFM: Compliance Method rescri ivo ✓ ✓ Climate Zone 5 Certifying Signatt n „pate 'J Sample House Number Firm HERS Provider Street Address: City/Statip: Mf, m Copletr to: $1ILDER, HERS PROVIDER AND BUMDING DEPARTMElff HERS RATER COMPLIANCE STATEMENT The house was: ✓ J* tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field v tication, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked -on this forth, The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a Cir -41t may be released on every tgWd building,. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of CF -6R (Installation Certificate). New ducts are fully ducted (i,e., does not use building cavities as plemtms or pladbtm returns in lieu of ducts), New ducts with cloth backed, rubber adhesive duct tape is inslo,11 , mantle and draw bands are used in combination with cloth backed, rubba adhesive dud tape to seal leaks at duct connection;.) ✓ Al.WINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of au distribution systems are available in� Appendix RC4.3. Duct Diagnostic Leakage Testinit Rewire Xl/. »In, Ile, i4> NEW CONSTRUCTION: Duct Pressurisation Test Results (CFM @ 25 Pa) Measured Values I Enter Tested Linkage Flow in CFM: -7 2 Hng or ✓ assured Fan Flow: Calculated (Nominal: ✓ D Cooling Oeati Enter Total Fan Flow in CFM: / t eV ✓ ✓ 3 Pass if Leakage Percentage � 6% ( 100 x [_(Line # 1) / (Line # 2)]] ss 13 Fail ALTERATIONS: Duct System and/or RVAC Equipment Otanip t 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Pr to Duct System Alteration and/or Equipment Change -Out S Enter Tested Leakage Flow in CFM; Final Test of New Duct System or Alt Du System for Duct System Alteration and/or E ui magi Chan e-0ut, 6 1 Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Mi us (Line ASA (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 6 Entire New Duct System • Pass if Leakage Percentage <. 6% 100 x ine # 5 / Lino # 2 ❑ Pass O Fail fE-ST OR VERIFICATION STANDARDS: For Altered Duct System and/oe HVAC Equipment Use one of the followin lour Test or Verification Standards for coin linnce: an t V✓ 9 1 Pass if Leakage Percentage < 15% (100 x I (Line # 5) / (i e # 2)11 ❑ Pass ❑ Fail 10 Paas if Leakage to Outside Percentage < 10% [ 100 x [(Line # 7) / (L' e # 2)11 ❑ Pass a Fail 11 Pass if Leakage Reduction Percentage > 600/6 (100 x (__(Line # 6 /---Wine # 4A) and Verification by Smoke Test and Visual Inspection 0 Pass ❑ Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection G Pass 0 Fail Pass It One of Lines # 9 through # 12 pass 1 G Pass D Fail Residential Ca mance Foos / — 7;- "5. /y, December 2003 -A0" -q, i:"% lAn-3, 9,7, MAR -06-2009 09:05 AM P.07 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING 4 CF4R Project Address F5 � ' &/-4 eI& ! 114 -0 � Builder Na ' � Builder Contact Tolephone Alan Number FIRS hater �� �yvrl oc�c 760 Telephone - •7� Sam le GroupNumber ✓ Compliance Method (Prescriptive) Q No Climate zone S Certifying Signature /� (� 3 D Date Sample House Number Firm installation of the agwific qUipmant shall be verified. HERS Provider Street Address: Ci /Statai Copies to: BUILDM HERS PROV ER AM BUILDING DEPARTMENT i rrwr�rrr^r- HERS RATER COMPLIANCE STATEMENT The house was: ✓ Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic teating and field verification, I certify that the house identified on this form complies with the dlosdc tested compliance requirements as chocked on this form. ✓ JU The installer has provided a copy of CFAR (Installation Certificate). VX—TFI=MOSTATIC EXPANSION VALVE (TXV) ! U j'!!.� ell �f� Procedurm for field verjficution of thermostatic eVanatan wr/ves aro atatlabi'e to RACU ppendix RI ✓ ❑ RIrFRIGERANT CHARGE MEASUIt1t U NT Verification for Re uired Refrigerant Chara for 3 lit 3 stem Scace Cooling S sterns without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity _ Btu/hr Date of Verification_ Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration I (must be checked monthly) SSgadud.ChArge Measurement (outdoor sit dol -bulb Sg T_and ahovel: Note: The system should be installed and charged in accordance with the shall be documented on CF -6R before starting this procedure, If outdoor Charge Measure Procedure r's spa fi and installer verification is bel =. rater shall use the Alternative Procedures for Determining Refristannt Chorus usinj the Standard Me d ar a ailabl in RACK Appendix RD2. ✓ U Yes C3 No A copy of CF -6R (Installation Cartific"10#5been provid& with refrigerant charge Residential Compliance Forms April 20()5 ./ ✓ Access is provided for inspection. The procodure shall consist of ✓ Q No visual verification that the TXV is installed on the system and ❑ 0*1-es installation of the agwific qUipmant shall be verified. Yes is a on .Pass trail ✓ ❑ RIrFRIGERANT CHARGE MEASUIt1t U NT Verification for Re uired Refrigerant Chara for 3 lit 3 stem Scace Cooling S sterns without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity _ Btu/hr Date of Verification_ Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration I (must be checked monthly) SSgadud.ChArge Measurement (outdoor sit dol -bulb Sg T_and ahovel: Note: The system should be installed and charged in accordance with the shall be documented on CF -6R before starting this procedure, If outdoor Charge Measure Procedure r's spa fi and installer verification is bel =. rater shall use the Alternative Procedures for Determining Refristannt Chorus usinj the Standard Me d ar a ailabl in RACK Appendix RD2. ✓ U Yes C3 No A copy of CF -6R (Installation Cartific"10#5been provid& with refrigerant charge Residential Compliance Forms April 20()5 MAR -06-2009 09:05 AM lie P.09 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING G ,3 3 CF4R Project Address G Yes 0 No Builder Name Builder Contact 2 Telephone Plan Number HERS Rater / 6 / Telephone i sample Grou Number 0 Yes Certifying Signature Duct leakage reduction credit verified Date Sample House Number Firm .� 0 No Cooling capacities of installed systema are 5 m im eooli ci indicated on the Perforatance's CF -IR and -3. HERS Pr eider W e Street address; �� E���� , cvy 0 No City/ tatwxip; c �-z Conies to, RUELDER. HERS PROVIMER AND BUILDING DEPARTMENT 0 Q HERS RATER COMPLIANCE STATEMENT The house was; ✓P 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 house identified on this form complies with the dii ostic tested compliance requirements as checked on this form. ✓AQ The installer has provided a copy of CF-bR (Installation Certificate), ✓ C1 ADEQUATE AIRFLOW VERIFICATION 'J 0 Yes I 0 No I Duct design exists on plana ' N ® 1 RE4.1.1 1 Diaanaetia Fan Flnw LLlna Flnw Canlure W wf I i 1UCM, Appendix RFs, /. Total CFM (Awton ✓ ✓ G Yes O NoMeasured airflow is greater than the criteria in Table •2 0 Q ✓ © MAXMM COOLING CAPACITY PMCedtnw.r MnVim.ri -N.. rn...i.�.... iA� .... .w. O-Lld i.. Demi ec.1 I ✓ G Yes 0 No Adequate airflow vvifted (see adequate airflow credit) 2 ✓ 0 Yes 0 No Refrigerant charge or TXV 3 ✓ 0 Yes 0 No Duct leakage reduction credit verified 4 ✓0 Yep 0 No Cooling capacities of installed systema are 5 m im eooli ci indicated on the Perforatance's CF -IR and -3. 3 ✓ C Yes 0 No If the cooling capacities of installed system are> thanmaxi cooling capacity in the CF -IR. then the electrical i m for the installed systema must be:s to electrical i t in the CF•iR and -4, ✓ V 0 Q Yes to l 2 and 3• and Yes to either 4 or 5 is a pass. Pass Fail ✓ HIGH EER AIR CONDITIONER Prover hires 1br veri loadon are asuilable in RAC A ndix Rl. I 2rYes 0 No EER values of installed systems match the CF -IR 2 ✓ Yes 0 No Fora lit a stem, indoor coil is matched to outdoor coil ./ ✓ 3 ✓ RrYes 0 No Time Delay Relay Verified (If Required) Q Yea to I and 2: and 3 INReauiredl is a nnna Pnna I Fail I(C.rideppliul (""Plianve Forms Uecvmbrr 2005 Certificate of Insulation Your home has been insulated with Knauf or Guardian insulation products, which are designed for today's safety standards and tomorrow's energy requirements. All products used meet current standards for safety and effectiveness and were installed in a professional and proper manner. This certifies that insulation has been professionally installed in this project to provide the following thermal performance as required by California Energy Standards, Title 24. A & M Construction. Job Name: The Villas at Madison Club Tract: Plan# 1 Phase: Lot No: 6 Job Address: SFR - 52-925 Humboldt Blvd., La Quinta, CA Ceiling Area: R-30 Batt Insulation Exterior Walls R-19 Batt Insulation Raised Floor: Garage Ceiling: R-19 Batt Insulation Other C/A: With Living Above Overhangs: R-19 Batt Insulation With Living Above Interior Walls: Access Attic: i Pro Insulation, Inc. 2983 W. Lincoln St., Ste. 304, Banning, CA 92220 Signed: f),. Mike Dickerson R -means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer.