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0311-074 (SFD)_N t) W O � M f`d� ' w� IZ OZI� co H� LUa� U) Z LICENSED CONTRACTOR 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 is in full force and effect. License # Lic. Class Exp. Date 760044 D3 o3/ i/2( Date,Signature of Contractor 1���`�Rk OWNER -BUILDER DECLARATION 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). • ,IN, () I am _exempt under Section B&P.C. for this reason Date f ` Signature' of Owner WORKER'S COMPENSATION DECLARATION .l hereby affi.rm� under penalty of perjury one of the following declarations: () I have and wil[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 &, policy no. are: Carrier STATE ;E; Y ID Policy No. 46-03.931:7 (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; l shall forthwith comply with those provisions. Date:'t -� _ \ , Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and . shall subject amemployer 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 to any permit issued as a result of this applicatori 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 up9n,11 the above-mentioned property for inspection purposes. Sjgnature :(Owner/Agent)`� BUILDING PERMIT FERMI0- t}�iAa•-f374 - DATE t E VALUATION � -1.ya LOT ; �,� . TRACT .29121 +tv+ JOB SITE ADDRESS -94-M0111.. a�1oUr APN `775-330•0.1 7 OWNERCONTRACTOR I DESIGNER /EN 1NNEER Oiw.RLT� 7lNK FMcT.Pfi FrgCA V3»yy OyIPllRP , 1420,I> 5 E. S:TMUS AV. UM. 205 " ALELAMBRA. CA 911801 MLAND9 - CA 92373 (909)798.3688 " CZLM 4911 USE OF PERMIT SSM% - LOT 11111 VIi..��1]3��it�3�3.- PZI�pltii'f9',9DQESt,AWOT IAICU' JDE BLOCK ?NALJ.4° - .. POOL, 1311PA OR �h P.TY 5i's's'dtYv17�y1�y' 0A 4�.H , . CUSTOM CO2 "aT1UdCT'I('.>'N 2,422,00 SF PC3RMUP.A`t10 21 LCA Sp 0AR,A.C1i?dCARPORT ' 466.90 SF !;9fki191:Q'i°M..) QGYr OF ddj1 121ii�:`fi�COH 200,623.70 CaNSTRt1CT'ION ME 10143100> 4I8 000 $993.00 PIS Ci'IECK'LrE -000-43-0-23 16 $817.96 MRCH.ANICA,1.4EE 101-000.421.000.. V 16, of) EI•,1P,,CT IC„Fs.I.FEE $142.59 p6UMBINO ME 101.000419.000 S'I'1,'ONO MOTION FZE o REST 101-000-211-000 CfK.a4.DING FEE 101-000423-000 $ t `;100 1:DZVEIOPER IMPACT IF&19 �2,4fJ9.tt0 AIT 1141`' BiAC KAORS-1t.ESIE 270.00405--•01$913 3MPV 0TAL CiJR►711.4Ul.J. O AND FA—AN S.+U67.,'+E..K `y7 ylO .tlb DUE Now DEC*i'm 0 l 200 CITY DATE""" —^�" BY,' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck 2,? O Exhaust Fans O.K. to Wrap p F.A.U. Framing e Compressor Insulation _ Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath �f Drywall - Int. Lath d ZE Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines L Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final r Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Furfures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: APR-26-2005 TUE 10;04 AM THE PALMS FAX N0. 7607778680 P. 02 04/15/2005 -08:01 7605649849 DENNIS PAGE .02 s CITY QF•L.A OUINTA BUILDING & SAFETY DI=PARTM=-NT m-7012 INSPECTION REQUEST LINE 777-7153 Owner GENERAL BANK contractor FMT FA,CMCA DEVEWPMENT PDrmlt Number, _ 031.1-074 POSTON JOB INCONSPICUOUS PLACE INSPECTOR MUST" SIGN ALL APPLICABLE SPACES JOB ADDRESS 54-843 VaNGED FOOT SFD - LOT 17, PLAN 3B. PERMIT DOES NOT ENCLUDE BLOCK WAU A POOI, SPA OR ORMWAX APPROACH. Tr'�E oP INSPECTION DATE. [Nor, TEMPORARY POWER SETBACKS . U o PLUMBING / w Ul Q ELECTRICAL I OROUND1Np FOO11NGS 13TEEL 1 CONCRETE SLAB r 00 NOT POUR CONCRME UNTIL A OVE SIGNED gOOF NAIL I PAE-ROOF OKAY TO WRAP m FRAMING COMBINATION ROUGH ELECTRIC RQVPH PLUMBING ROUGH MECHANICAL r INSULATION COV®R NO WORK UNTIL ABOVE SIGNED INTFAIOR QYP 8D. (DEMNALI 1 ZZ2 11-f•" 11 EXTERIOR LATH t QA8 TEST SEPTIC ABMPONMENT . §EM PONNECTION RUMC GARME INTERCEPTOR ONRY INGPECTIONB Foo ' GS R-TEEI - BOND BEAM POOL I SPA I WATER E;EAYURE INSPECTIONS GRE-QUNME 4 SETBACKS ULU PLUMBING U!O ELECTRICAL PRE-PIASTER ALARMSISARRIE91. FlNAL INSPOCTIO S TEMP USE OF PERMANENT P01NEli 3 PLU INO MECHANIpAL�., PU UC WORKS OEPARTME N r _ COMMUNITY DEVELOPMENT DEPT RNAL S COMPLETED - =, i;l ABOVE APPIfOVAL6 DO NdT INCLUDE RIGHT TO Westein t� n L* p. AFSIDBNTIA1s CaNRAACTINC ' 4211 Latham Street • Riverside, California 92601 • Phone: (909) 686-8760 • Fax: (909) 686-8786 License # 794484 CFC R INSULATION CERTIFICATR , THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADM INISTRATWE CODE, TITLE 24,. STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: w TRACT/PHASE: THE LAURELS/ PHASE 1 LOT 17 :z SITE ADDRESS: 6443 WINGED FOOT — LA DUINTA, CA , CEILINGS: BATTS , MANUFACTURER: - JOHNS MANVILLE THICKNESS: 13" R- VALUE: R-38 6EILINGS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 8.1'R VALUE. R-30, CEILINGS: BATTS . MANUFACTURER: KNAUF THICKNESS: 10" R- VALUE:. R-30 BATTS 'MANUFACTURER: KNAUF' THICKNESS: 8 V4 R- VALUE: R-19 EXTERIOR WALLS: BATTS MANUFACTURER: KNAUF THICKNESS: .3 Yi . R- VALUE: R-13 INTERIOR WALLS-, BATTS a MANUFACTURER: KNAUF THICKNESS: 3 W R—VALUE: R-11 GENE L QONTRACT R : THE BREHM COMPAMIES p BY: ` > TITLE: DATE. ' INSULATION QONTRACTOR: WESTERN INSULATION, L>P: 'LICENSE NU ER: 794484 BY: TITLE:PR TION MANAGER }h t > DATE: JANUARY 11,2006 OT/OT 39Vd NOI vinSNI N831S3M 98L89:39T96 1-9:80 .5002/LT/T0 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Fart 1). ,,CF -4R : THE LAURELS F - Z -05 Project Title Date 54843 Winged Foot, La Quinta, CA. First PacificE Dev. Corp. Project Address Builder Name Dave (909) 841-1942 •- 13-S Builder ContactTelephone Plan Numb&- . Tim Topham (951) 780-7265 1 HERS Rater Telephone Sample Groep Number c , �" T; Z /2005 17 Sys. 1 Track 29121 Certifying Signature, Date Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS Street Address: 16551 Mockingbird Cyn. Rd. City/StatefZip: Riverside, CA 92504-9638 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT . . The house was: ❑ Tested �R] 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 dra% bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. c © MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) r Measured - P b Duct Pressurization Test Results (CFM @ 25 Pa) - values t Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1000 '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 ❑x THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ Yes ❑ No Thermostatic Expansion Valve (or Commission approvedr equivalent) is installed and Access is provided for inspection ❑Y ❑ Yes is a pass Pass Fail January 5, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Fart 1) CF-4R THE LAURELS - Z -05 t Project Title . Date 54843 .Winged Foot, La Ouinta, CA. First PacificE. Dev. Corp. Project Address .Builder Nam?. Dave (909) 841-1942 3-S Builder Contact Telephone Plan Numbe- Tim Topham (951) 780-7265 1 HERS Rater Telephone Sample Group Number /2005 17 Sys.2 Track 29121 Certifying Signature Date Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS - Street Address: 16551 Mockingbird Cyn. Rd. City/StatefZip: Riverside, CA 92504-9638 Copies to:Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT , The house was: ❑ - Tested I& 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 forma ❑X 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 draw bands 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 1600 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 i 0 THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ Yes : ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail 1 January 5, 2001 Laurels pl..3 INSTALLATION CERTIFICATE (PAGE I OF 8) CF -6R SITE ADDRESS PERMIT NUMBER 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 OPTIONAL.) AFTER COMPLETION OF FINAL INSPECTION, A COPY MUST BE PROVIDED TO THE BUILDING DEPARTMENT (UPON REQUEST) AND THE BUILDING OWNER AT OCCUPANCY, PER SECTION 1C -103(b). HVAC SYSTEMS: HEATING EQUIPMENT CEC CERTIFIED MFG. #OF EFFICIENCY DUCT DUCT' -OR HEATING HEATING EQUIP NAME IDENTICAL (AFAU ETC.) LOCATION PIPING LOAD CAPACITY TYPE AND SYSTEMS CF -1R VALUES (ATTIC ETC.) (R -VALUE) (BTU/HR) (BTU/HR) HEAT PUMP MODEL # FAU CARRIER 58STX070112 1 80% ATTIC 4.2 87K 70K FAU CARRIER 58STX090116 1 80% ATTIC 4.21. 112K 90K COOLING EQUIPMENT " EQUIP ' CEC CERTIFIED COMPRESSOR # OF EFFICIENCY -DUCT DUCT COOLING COOLING TYPE PKG UNIT MFG NAME AND IDENTICAL (SEER ETC.) LOCATION R VALUE LOAD CAPACITY HEAT PUMP MODEL NUMBER - SYSTEMS (CF -IR VALUE) (ATTIC) (BTU/HR) OTUIRR) A/C CARRIER 38HDC0303 1 12 SEER ATTIC 4.2 30K 29.2K A/C CARRIER 38HDC1483 1 12 SEER ATTIC 4.2 48K 47.7 K I, THE"UNDERSIGNED, VERIFY THAT 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 -1R) SUBMITTED FOR COMPLIANCE WITH THE ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS, All -D (3) EQUIPMENT THAT MEETS OR EXCEEDS THE APPROPRIATE REQUIREMENTS FOR MANUFACTURED DEVICES (FROM THE APPLIANCES EFFICIENCY REGULATIONS ON PART 6), WHERE APPLICABLE. WILLIAMS HEATING CO. SIGNATURE, DATE KJ INSTALLING SUBCONTRACTOR (CO NAME) OR GENERAL CONTRACTOR (CO NAME) OR OWNER THERMOSTATIC EXPANSION VALVE (TXT THERMOSTATIC EXPANSION VALVE (OR COMMISSION APPROVED EQUIVALENT) IS INSTALLED AND ACCESS IS PROVIDED FOR INSPECTION. " ❑ NO YES IS A PASS PASS%FAIL COPY TO: BUILDING DEPARTMENT HERS PROVIDER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Deo 16 04 l l s 46a Energy Ca l o Sery i oes Ino. 700--0558 , S-L- SY3 INSTALLATIOXCERTIFICATE .13) tirt� Addrex+ ' IV rtuit Nuwhcr DUCT LEAKAGE AND DESIGN DIAGNOSTICS •. � y �l:` I; 1)Ir("I' 1,4;r11(AGi; 1<1{1)i�('I'I(1N " Ptaimurrzalron Test Re vits (CFM 0 25 PA) 1 Test IAWk Ir Fan Flow rE CJICUI llod is a00 0Wton x nMoor of tons, or or, 21.7 .x HoOUrg Copocity in Thousands of Stu/hr, actor calculated vaiuo If tan How is measured, ", r measured volue,here / Leakage Fractiw - Test leakage/(Measured or CalcO.'ted Fan Flow) e T Pass if lockage fraction-l- 0.06 ❑ , Pbu Fail • _ �1:\.: hlr("1'LL:.1KA(:F;RI?1)U<'1'1ON 1+ruxxt,rrvapon Tust Results (CF?J 20, 75 WA) [ , * :'an Flow I Fan Flow it, Calculalod ac 400 cfm/tcn it numbor of tons, or as 21.7 x Hcatmnq Capncity • ` . rA'Thaunandx df 8tu/11r, rnN:r wlculat+d wilur. hcrct ��� , If fan flow is.measured• enter measured value hero 1 ' leakage Fraction Test Leakage/(Measured or Calcul, ted Fon Flow) ^ ' Paras if Ioakago traction /.01.0,3 ❑ ' Pasti Fail JKJ Icor AEROSOL TYPE SI'::1UAKiN Mt,h •'rho:following alagnostie taatln(I wae. complotod: Duct Fan Pressueizatlon of rougn•in mearwroa leakage (CFM) 1 CHECK AFTER FINISHING WALL: Yes ❑ No ❑ Proscurb pan tort or House pmccu(¢atron toad r Yes ❑' No ❑ Visual inspection of Duct Connoctiuns ❑ - Past Fan )S' V_ Yqs ❑ No. Thormostatic Expansion Valvn is msthliM ana Acurss is peovrdoa for inapt-cton Y4s is h pxwx • pass wI dee\r ) r(rt' 1)F,�II:N �( YC�s. ❑ No , ACCA Manuml O bexrgn ca+lcul.ttions have been MIVI tuU Duct 00a19n It; on tho plan: and duct tisttllaton matches plans. 7, Yes ❑ No. T)(V rg rnrtallod or'F,n How h;tg boon vOr+flq)j, If no TXV, verdmid fan flow matchers desrgr. from CF- 1R ' e Mcasuroa Fan Flow Yes for both 1 and 2 is a P---ss Na:::: I-all I, tho unaerslgnea, varrfy that th& abava dmrtostro to%t rosVitB and the work I pertormed m7zoclited with the test(,.) is ,n conror nco-with tho reaurrornonts for complrancj credit. (Thr bu0ahr 9harll providn tnu MbRS pro+rdor a copy or tho CF-r)R ;.grwo by the ourlaer omploy000 or Dub-convoctoru Cerirtymg that dragno,;tte losting ana li'llitallaIWI. m+xti tho ntpuiremi:nl:: for complianro crodd.) Tinto Sognatum. Dato instaibng' Subcontractor (ca. Namu) 017 -- Porform(A Ceneral Contractor (Co. Name) COPY TO: Gulldrnq Onpartmnnt HERS peovrdur (rf apphcablu) Building Owner at Clccupgincy Comptianco Forms :inpD,mlx:r 1g01A0:' ..._ �.. A ?� + 4L 5 . fica, dy.;�te oa nc. up . hf 4A- %j Lica nhnAm �� � oBuilding&Safety' 6parftnent. •. • '4 O• • i f • � c' .� ., pi: UI � ��. . V• jyy � ., r+ n 1 ` j ,+.,7 F .. .C� ' .. r . This Certificate:is issued.pursuant. to-the' requir"ements: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 builaling construction and/or use_.F �t - , r G•- 1 r `�" r •- .` BU_ILDING•ADDRESS.'54-843rW1NGED�FOOT ,, µ A�l �5-���n� Y �. r r _ f.. �. 1 * I A `-., FI J . • J y` i '_' 'Z .f' • r .:1. . i Jr 6 ✓ Use classificationf SINGL'E1FAMILYrD.WEL`LING� 'k= �' .r E Building PermittNo.:fi0311-074 _. a ��'Occupancy Group: R3` „ ' t, �, Typeof Construction: VN_ h Land .'Use- Zone: RLQ — VN + ,, *T- ~, i - �• t �i � ter, _ "' t-� 1 u 14'20'E- Owner of Building: GENERAL:BANK 4 z „~ °_ Address: 1420'�E. VALL"EYFBLVD ,'City,,.ST;,ZIP ALHAMBRA, CA 91801 •By: STEVE"TRAXEL - -- .� A ;a'j"'L ,►- 3 .Date.,MARCH30,` 2005 Building Official :POST,IN A CONSPICUOUS PLACE