04-5143 (SATT)Application Number
Property Address.
APN:
Application description
Property Zoning . . . . .
Application valuation . .
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
2253 INSPECTION REQUESTS (760) 777-7153
ING PERMIT
04-00005143 Date 6/25/04
.—"79870 DE SOL A SOL
772 -390 -049 -
DWELLING - SINGLE FAMILY ATTACHED
LOW DENSITY RESIDENTIAL
197233
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
10/01/04
CSLB: 690645
06/30/04
CCC: A -B
--------------------------
Structure Information -------------------------
Construction Type . .
. ... TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION.
2001 CBC
FLOOD ZONE
NO
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
159.66
Issue Date . .
Valuation . . .
. 197233
Qty Unit Charge
Per
Extension
BASE FEE
639.50
98.00 3.5000
THOU BLDG 100,001-500,000
343.00
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee
90.00 Plan Check Fee
5.63
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
P.O. Box 1504- VOICE VOICE (760) 777-7012
T-Vf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0q-/�i Date:
Applicant: hitect or Engineer: �D „r,�.
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.: �►� 6 Da—
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7060) of Division 3 of the Business and Professionals
ode, and my License is in full f(ce and effect. 1 C
License Class �'.�'Li l cense No. J
Date • 00 ear..to, Q j.L C.
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 1, 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.
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 wo ers' co pensation ink�s1Irance carrier nd polic numbejrare:
Cartier Qna fie X K 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENS7CfION COVERAtE 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.).
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 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, indemnity and hold harmless the City of La Ouinta, 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.
�Signature (Applicant or Agent):
:4
Page
2
Application Number .
. . . . 04-00005143 Date
6/25/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA MECH FURNACE <=100K
18.00
2.00
9.0000
EA MECH B/C <=3HP/100K BTU
18.00
5.00
6.5000
EA MECH VENT FAN
32.50
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
-----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee .
. . .
137.45 Plan Check Fee
8.59
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
3191.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
111.69
538.00.
.0200
ELEC GARAGE OR NON-RESIDENTIAL
10.76
------------------------------------------------7---------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
234.00 Plan Check Fee
14.63
Issue Date .
. . .
Valuation . . . .
0
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
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
----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
Special Notes
and Comments
SFA - LOT 89,
PLAN P2A, 3191 SF. '
Page 3
Application Number
04-00005143 Date
6/25/04
----------------------------------------------------------------------------
Special Notes and
Comments
PERMIT DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA OR DRIVEWAY
APPROACH. 75%
REDUCTION TO PLAN
CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
---------------------------------------------------
Other Fees . . .
. . . . . .
------------------------
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
68.00
DIF CIVIC CENTER - RES
229.00
ENERGY REVIEW FEE
15.97
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
1458.95
------------------------------
.00 .00
1458.95
Plan Check Total
188.51
.00 .00
188.51
Other Fee Total
2036.69
.00 .00
2036.69
Grand Total
3684.15
.00 .00
3684.15
Men
ENERGY C A DCC
S0%4=s
P0. Box 621
Rancho Mirage, CA 92270
Email: DESNRG %&AOL.COM
Ph/Fax(760)564-2044
Cell: (760] 250-1852
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
PALMILLA PH 9
Project Title
79-870 DE SOL A SOL LA QUINTA, CA. 92253
Project Address
CHAD MEYER
Builder Contact Telephone
RICHARD KROWN 760-250-2084
HERS Rated Telephone
#CCNRK613292
Certifying Signature Date
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
DATE TESTED 7-07-05
Date
RJT HOMES
Builder Name
ACACIA P-2 3 UNITS
Plan Number
GROUP 7
Sample Group Number
LOT 89
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.
❑ 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 retums 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)
Duct Pressurization Test Results (CFM @ 25 Pa)
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)
❑ THERMOSTATIC EXPANSION VALVE
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Measured
values
❑ ❑
Pass Fail
OME-01
'T IIINSTALLATION CERTIFICATE
79-870 De Sol A Sol
Permit #
CF -6R
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:
# of
Effeciency
Duct
Heating Equipment
(pkg. heat
CEC Certified Compressor Unit
Identical
(SEER, etc)'
Location
Equip. Type
# of
Efficiency
Duct
Duct or
Heating Heating
(pkg. heat CEC Certified Mfr, Make &
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
pump, etc.) Model Number
Systems
[KF-111value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
FAU CARRIER 58STX090116
1
80.0%
ATTIC
R-4.2
90,000
FAU CARRIER 58STX070112
1
80.0%
ATTIC
R-4.2
70,000
FAU CARRIER 58STX045108
1
80.0%
ATTIC
R-4.2
45,000
Cooling Equipment
Equip. Type
# of
Effeciency
Duct
Cooling Cooling
(pkg. heat
CEC Certified Compressor Unit
Identical
(SEER, etc)'
Location
Duct
Load Capacity
pump, etc.)
Mfr. Name and Model Number
Systems
[ZCF-111value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr;
A/C COND.
CARRIER 38BRC048000
1
12
ATTIC
R-4.2
48,000
A/C GOND.
CARRIER 38BRC036000
1
12
ATTIC
R-4.2
36,000
A/C COND.
CARRIER 38BRCO24000
1
12
ATTIC
R-4.2
24,000
1 z reads greater than or equal to
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 c ance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets
or excee a appy nate reAuirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
AMPAM LDI Mechanical
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 (Page 3 of 13) CF -6R
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUC T LEAKAGE RIJDUC:110N
Pressurization Test Results (CFM Q 25 PA)
Test Leakage (CFM) 65
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 J7Db
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) a LQ Lj 0 X O
Pass if leakage fraction <0.06 Pass Fall
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 ❑ Visual Inspection of Duct Connections
❑ THERMOSTATIC EXPANSION VALVE (TX_V)_
O Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
0 C
Pass Fall
Yes is a pass
O DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. ❑ Yes O No completed, Duct Design is on the plans and duct Installation
matches plans. '
2. O 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 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 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 -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit. )
1 i7 -L � CA— I ICCA- I
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 Forms August 2001 R-25
INSTALLATION CERTIFICATE (Pare 3 of 13) CF -6R
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUC'1' L.EAKA(GEM,llUCTION
Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM) -L,4
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 �Qa
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) a, Q�� O
Pass if leakage fraction < 0.06 Pass Fall
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 O a
Pass Fail
0 THERMOSTATIC EXPANSION VALVE
O Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass %� O
Q DUCT DESIGN Pass Fall
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 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 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. (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. ]
Tests gnature, Date Installing Subcontractor (Co. Name) OR
Perforated General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Complibnce Forms August2001 A-25