The URL can be used to link to this page

0210-228 (SATT)H N LU W Ouch W C Z (O 0 O/ I— CD LULU r1_a U) Z co LO N ON Urn a_ Q Z Cr T Q O XW mUU O Il rnH v Z cb 5 N d LICENSED CONTRACTOR DECLARATION 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 is in full force and effect. License # Lic. Class Exp. Date 690645 BIUC A 61150104 .Date II?- ; 1 '" Signature of Contractor �, 0 1 - F•',..". _..,. � -ter.-.�- ,,.,v.l' w...• y OWNER -BUILDER DECLARATION fJ I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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. �( f,) 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 & policy no. are: Carrier VATE k9UND Policy No. 1Y*390fS- 2 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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: Applicant s? fZ 1 - 19 -• Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 tq any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for �inspection purposes. Signature (Owner/Agent)---Q Date BUILDING PERMIT PERMIT# 0210-228 DATE VALUATION 719;+ 61, ?; M LOT 113 TRACT 7719858. 1 JOB SITE' ADDRESS 7 •: '� a�d1. S ie �i ��i � APN 772-44-005 OWNER CONTRACTOR / DESIGNER / EN (NEER 1' M.to/ O LLC RJrr 1biVh.,�'.i°1�W M .1N'C, PO BOX 810 1425 t> j: NIM. t??". Y DRIVE L&QuT STA CA 9"7253 A1.d1:'1 W.. AZ 85034 ('602)257.1656 cI33:h 4990 USE OF PERMIT 0-WOU.FIML Y1`.d9.0,14i SPA LOT 1171 Vi.APd Wit's. FUMIT KIM NOT INCLUDE SIX)CI WA:G1.APOOL, PA OR DRURVAY APPROACH TRACT CONSTRUCTION PORICHYPATICi 997.00 sy CtARAC1E/C'Afi1'owr 461,00 SF RXIMATED COST 0114 t.'" OMRXICI.tOF 6 71x,: 4%'W plai WE ,'tJC�7C,+VIIek' CCNSTRtit T10141iP?, 101.0041-410.000 PLAN CHECK FEK 1!�!•��JC�139-31� .6 MHANICA-14"01 101.000.421-000 411�,Stg R•1.�3X;,CTR.fG.fti. IM 101-000-420-0€10 P1UMMO 1KZ 101.00.0.419.000 i�0�.6f► WFP,0W0 Ar10`iP.ION Ift'v ., RVIlln 101-000-241-000 �f7,90 Q ADJNW FEE )tis _000-42.3-000 515100 .DE'4'P.1,0J-%R,IMPACT M1+' s�,001.Lii AT1711 1.2101AL COd"i�7;Ld'ti7yal{•lOAV AND P.L. AN =aK $4,202,05 Es; PITY OF LA E;�UIN-0441 4 FINAIZICE GEPT. 1 DATE - BY DATE FINALED _ INSPECT09 7, INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings 7_ Ducts Slab Grade Z _ Return Air Steel -Z - 7-- Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. , Framing — 7-3 Compressor Insulation —3 Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath - Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings t Bond Beam 1--25- _ Main Drain Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ /_ -Pj z Heater Final Water Piping _ Plumbing Final Plumbing Top Out ?� Equipment Enclosure Shower Pans / O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection y Encapsulation Gas Piping oe Gas Test Appliances Final Final _ Utility Notice (Gas) �-- ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring 3 Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final — 72 Utility Notice (Perm) COMMENTS: o y_ ENERGY CAD�c- S =„ — . P.D. Box 621 Ph/Fax (760) 564-2[744 Rancho Mirage, CA 92270 Cell: t76D) 8 2SD-1&52 Email. RKromi6237@aol.com ��- FyS- 546'e, 5&-'L CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -411 ��T�� Projec Title Da ��-700 AVYAlele, �y /� Qul��} . I P Udss wilder Na e tiNUdzukk�&— - I U J Contact Telepl Plan Number ARD r�Moo, 250-1 o52 GA 2DLJP # I �t Telephone Sample Group Number #GcNtbC 132 2 'sL92frA 1 1 3 ig ignature bate Sample House Number T— Firm: 6E12v1 C -Es Street Address: P-0 . BOX (i21 Copies to: Builder, HERS Provider HERS Provider: C.ti•�-E-Q.S. City/State/Zip: 1,Id!HD 1jIItACr- •'52270 HERS RATEUOMPLIANCE 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, 1 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 -611 (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Q�here 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. to 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 I If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here ()VO• If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass=60/o or less) �� ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ENERGY ~' CADEC Se„i� — P.O. Box 621 Rancho Mirage. CA 92270 Email: RKrawn6237@anl.com Ph/Fax (760) ssa loan Cell: (760)8Bt:a 2SD-I&sz CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -411 ProTitle ��-70 4Vy ovivc �v / 'Da Qui P .. l o,*m P Project d ss �� HAedJU,C.1( ��) uilder Na e — i Uti,4 Builder Contact Telephone Plan Number e-AAg0r�l2nw4 Moo 1250-1052 af2odPf H R ter Telephone Sample Group Number #mac-NRoc �32�2. t l.o-r-� 1 I s al � Cenifytng rgnature Date I Sample House Number Firm: �f SEQ'��EQVI �E3 HERS Provider: C-fi•E.E.Q.S. Street Address: Po . E6g (.21 City/State/Zip: J A90 -Ho M IIILA4E & •0592 o Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: IJ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification. 1 certify that the houses identified on this form complp with the diagnostic tested compliance requirements as checked on this form. U;KThe installer has provided a copy of CF -6R (iristallation Certificate. Y 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. L419INIMUM 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 &3 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here f !o p O If fan flow is measured enter measured value here t 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 Thentio'static Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail 'A Dt - ENERGYe- PD. CADEc S�� Box 621 Ph/Fax (760) 564-2044 Rancho Mirage. CA 92270 Cell: (760) 8050=1250-I&SSZ Email: Rxrown82370aol.com CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -411 PA //M /'Z P/./. 3 Tr-sTr= D = = 7 y3 Pr" Til 0 V a J "y Aq QuI k'Da T:T l -Jamal P s Project Addrss guilder Na e _ I N HAdw��c �? Builder Contact Telephone Plan Number vt/ 2 GI COL110 0 / H S R er Telephone Sample Group Number «IIIc I32�� I 3 l.oTt- 113 343 Certifying Signature Date Sample House Number Firm: P"Ee'r&ke4y 6-s2Vl e -Es HERS Provider. C•Ii•E.E.Q.S. Street Address: 1.0 - Bo tx G21 City/State/Zip: C"dJ4O tJ ItA,4tE &.1522 Copies to: Builder, HERS Provider HERS RATERR COMPLIANCE STATEMENT The house was: 13 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. O'MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM Q 25 Pa) Test Leakage Flow in CFM Measured values If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here o 0 If fan flow is measured enter measured value here Leakage Percentage (100x Test Leakage/Fan Flow) _ ,,3 7 it Check Box for Pass or Fail (Pass=60/6 or less) ❑ '1 r Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ''; Yes is a pass Pass Fail 0 INSTALLATION CERTIFICATE Site Address � 9 DUCT LEAKAGE AND DESIGN DIAGNOSTICS LEAKAGE REDUCTION 3of13 Permit Number 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) a Pass if leakage fraction S 0.06 CF -6R rw ass OI ❑ 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 ❑ No ❑ Visual inspection of Duct Connections ❑ ❑ Pass Fail ❑- THERMOSTATIC EXPANSION VALVE (TX ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is . provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN I- ❑ Yes ❑ No ACCA Manual D Design calculations have been 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, verified fan flow matches design from CF IR. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2. is a Pass Pass Fail ❑ 1, 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 ate InstalliQ Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: 13uilding Department HERS Provider (if applicable) Building Owner at .O.ccupancy INSTALLATION CERTIFICATE 3 of Site.Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS LEAKAGE R Pressurization Test Results (CFM Q 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) Pass if leakage fraction 5 0.06 fl For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: 13 - yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes . ❑ No ❑ Visual Inspection of Duct Connections ❑- THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ DUCT DESIGN I- ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes ❑ No TXT is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow Yes for both 1 and 2. is a Pass CF -bit Pass Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail ❑ 1, 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.] a Tests Si re, ate Iris 1 u contractor (Co. Name) OR' General Contractor (Co. Name) Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy INSTALLATION CERTIt FICATE (page 3 of 13) CF -6R Site.Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS CD DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM Q 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) Pass if leakage fraction S 0.06 � [3'Pass Fail fl 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 . ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑- THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ' ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ DUCT DESIGN I • ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. ❑ ❑ Pass Fail 2•. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -IR. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2. is a Pass Pass Fail ❑ 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 emplo es ;ub-cotractorsncertifying that diagnostic testing and. installation meet the requirements for compliance credit.] Tests ate s lin4 Subcontractor (Co. Name)'OR' General Contractor (Co. Name) Performed COPY T0: Building Department HERS Provider (if applicable) Building Owner at Occupancy INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building located at: 79-945 SE SOL A SOL, LOT 113,LA QUINTA ,CALIFORNIA CEILINGS: TYPE:BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-38 WALLS: TYPE : BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-21 GENEFj�4NTF' �CTO,RI RJT HC S LICENSE # 67 PGQN SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072 TITLE: ADMINISTRATIVE ASSISTANT DATE: 11/13/2003 r Coll Certificate of Occupancy0 o G� OFT19� 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: 79-945 DEL SOL A SOL Use classification: SFD Building Permit No.: 0210-228 Occupancy Group: R-3, U-1 Type of Construction: VN Land Use Zone: RM Owner of Building: RJT HOMES LLC Address: PO BOX 810 City, ST, ZIP: LA QUINTA CA 92253 By: GARY SHOWALTER tea' Date: 11-4-2003 Building Officia POST IN A CONSPICUOUS PLACE