05-1546 (RPL),t
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BUILDING & SAFETY DEPARTMENT
(760).777-7012
TAMPICO FAX (760) 777-7011
LIFORNIA 9.2253 INSPECTION REQUESTS (760) 777-7153
L�
Application Number . . .
Property Address . . .
APN:
Application description
Property Zoning . . . . .
Application valuation . .
BUILDING PERMIT
05-000015.46 f Date
7 -5 -8407 -DE- SOL A SOL
772-390-046- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
15000
4/25/05
Owner Contractor
--------------------------------- ---------------------------------
R J T HOMES RJT HOMES LLC
1425 E UNIVERSITY DR 1425 E. UNIVERSITY DRIVE
PHOENIX, AZ 85034 PHOENIX, AZ 85034
WCC: STATE FUND
WC: 1583906 10/01/05
CSLB: 690645 06/30/06
CCC: A-B
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0
.i;
P.O. Box 1504 • ��'�� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 hf Of INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05 - 1.114(10 Date:.. t�-
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
JJt 4
Lic. No.:
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
de, and my Lice a is in ,§ force and effect.
License Class 1 ense No. to
ate _ntractor `A–
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 exbmpt 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 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
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.
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 vac4ers compensation in ce carrier and poles number are:
mer icy Number r S Oc
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 S ^� nt
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 perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
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.
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, andherebyauthorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
a't'e — L Sure (Applicant or Agent):
` - - --
-
Application Number . . . . . 05-00001546
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Permit . . . . � . .
Additional desc'. .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BLDG POOL PERMIT
162.00
10/22/05
Plan Check Fee . 105.30
Valuation . . . . 15000
Qty Unit Charge Per Extension
BASE FEE 45.00
13.00 9.0000 THOU BLDG 2,001-25,000 117.00
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Permit . . . . . . MECH POOL
Additional desc
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/22/05
Qty Unit Charge Per ' Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
----------------------------- ----------------------------------------------
Permit . . . . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/22/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 33.00
Issue Date . . . .
Expiration Date . . 10/22/05
Plan Check Fee.. . 8.25
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 6.0000 EA PLB FIXTURE 12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
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Special Notes and Comments
POOL/SPA, BBQ (UL#ETL3020914).
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged
Permit Fee Total 264.00
Plan Check Total 130.80
Grand Total 394.80
Paid Credited Due
.00 .00 264.00
.00 00 130.80
.00 .00 394.80
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Dese>I1t
ENERGY S�� - CA 5 E C
Services
P0. Box 621
Rancho Mirage, CA 92270
Email: DESNRG MAOL.COM
Ph/Fax (760) 564-2044
Cell: (7601250-1852
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
PALMILLA PH 9
Project Title
79-840 DE SOL A SOL LA QUINTA, CA. 92253
Project Address
CHAD MEYER
C
Builder Contact Telephone
RICHARD KROWN 760-250-2084
HERS Rater�t, Telephone
/1�/1�� #CCNRK613292 0744-05
Certifying Signature Date
Firm: DESERT ENERGY SERVICES LLC
DATE TESTED 7-07-05
Date
RJT HOMES
Builder Name
OCOTILLO P-1 3 UNITS
Plan Number
GROUP 7
Sample Group Number
LOT 86
Sample Lot Number
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.
❑ 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 @ 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 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) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑ ❑
IIINSTALLATION CERTIFICATE CF -6R
79-840 De Sol A Sol
Site Address
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is
required; however, use of this form to provide the information is optionl.) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
Equip. Type
(pkg. heat
pump, etc.)
CEC Certified Mfr, Make &
Model Number
FAU
CARRIER 58STX090116
FAU
CARRIER 58STX070112
COIL
FIRST CO 24 HXO
Cooling Equipment
Equip. Type
Load
(pkg. heat
CEC Certified Compressor Unit
pump, etc.)
Mfr. Name and Model Number
A/C COND.
CARRIER 38BRC048000
A/C COND.
CARRIER 38BRC030000
HEAT PUMP
CARRIER 38BYCO18
1 >_ reads greater than or equal to
# of
Efficiency
Duct
Duct or
Heating
Heating
Identical
(AFUE,etc.)'
Location
Piping
Load
Capacity
Systems
[zCF-]R value]
(attic, etc.)
R -value
(Btu/hr)
(BTU/Hr)
1
80.0%
ATTIC
R-4.2
90,000
1
80.0%
ATTIC
R-4.2
70,000
1
# of
Effeciency
Duct
Cooling
Cooling
Identical
(SEER, etc)'
Location
Duct
Load
Capacity
Systems
[>_CF -IR value]
(attic, etc.)
R -value
(Btu/hr)
(BTU/Hr)
1
12
ATTIC
R-4.2
48,000
1
12
ATTIC
R-4.2
30,000
1
12
ATTIC
R-4.2
18,000
I, the undersigned, verify that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
certificate of compliance (Form CF -I R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets
or exceeds thpw 'ate req 'rements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
AMPAM LDI Mechanical
Sharle a Aub 2/4/2005 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
WATER HEATING SYSTEMS:
Water CEC Certified Distribution If Recir- Rated Input Tank Efficiency Standby External
Heater Mfr Name & Type (Std, culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R -
Type/# Model Number Point -of -Use) Control Type Systems Btu/hr) (gallons) value
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, Subchapter 2, Section 111.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds
the'requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment
specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings.
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
RCR COMPANIES
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
INSTALLATION CERTIFICATE (Pate 3 of 13) CF -6R
S
rm
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUC ION
Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM)
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 Btu/hr. enter calculated value here
If fan flow Is measured, enter measured value here _[�
Leakage Fraction - Test Leakaget(Measured or Calculated Fan Flow) m-01Q's-7 X t7
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:
0 Yes 0 No O Pressure pan test or House pressurization test
O Yes O No O Visual Inspection of Duct Connections
O THERMOSTATIC EXPANSION VALVE (TXV)
O Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
0 0
Pass Fall
Yes is a pass "W a
❑ DUCT DESIGN Pass Fail
ACCA Manual D Design calculations have been
1. 0 Yes 0 No completed, Duct Design Is on the plans and duct Installation
matches plans.
2. t7 Yes O No -TXV is installed or Fan flow has been verified. If no TXV, 0 O
verified fan flow matches design from CF -IR: Pass Fail
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 f7be 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
q-0 -• .L r I I efA c, -n i IC.^A-1
Tests ignature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Fortes August2001 A-25
INSTALLATION CERTIFICATE (Pate 3 of 13) CE -6R
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
llU(;'1' Lh;AKAGE REDUC'110N
Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) 35
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity .
In Thousands o(Btu/hr, enter calculated value here
If fan flow Is measured, enter measured value here .Q
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) m D,Q o
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:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes O No ❑ Visual Inspection of Duct Connections D p
Pass Fall
❑ THERMOSTATIC_ EXPANSION VALVE
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. ❑ Yes ❑ No completed, Duct Design Is on the plans and duct Installation
matches plans.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, O O
verified fan flow matches design from CF -IR. Pass Fail
Measured Fan Flow
Yes for both I and 2 is a Pass
❑ 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 -611 signed by the builder
employees or sub-contmctonr certifying that diagnostic testing and installation meet the requirements for compliance credit. )
} 5 q-0 S r!-• .lr 11 I ?. C� h c� n t tC�C� I
Tests gnature, 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