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0306-450 (SFD)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 J> r:SiEi°S Yj .` 131AYi y� D,ate�°Signature of ContractorN� OWNER -BUILDER DECLARATION I hereby affirm underpenalty 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 r WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: j (') 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 ( I have and will maintain workers' compensation insurance, as required by Sec ) tion 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: CarrierPolicy No. i f ti (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: V-. `+t=a� Applicant '� �•�t A� 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.to S 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.] 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/AgerL Date' BUILDING PERMIT PERMIT# tB:dK4 ,Oa r DATE VALUATION U90 i1:4Z LOT 1 TRACT JOB SITEtl. ;il�ra rv..)OT APN ADDRESS ADDRESS - _ OWNER CONTRACTOR / DESIGNER / EN INEER ti e;~'kZt .4 k r r';r i'�.� .°i -TE'li r�tf .S F i ar c!'o :� �'�. hiF3A3di.�Rt: �?�.£s:J �^..�3��••vyc�`����*21�;3f 3 Tin�eYJtt���tAp� {C�. �7•i➢��'i 5'W"r7 �Ji"'�u Gi.[:n.4fl i� �tr'Sz � USE OF PERMIT �, •e .�s� nem a'�•., •..7 . rei w. Y„ .+Y.rro �� Y L . 6�FAJ a ,fr4+!l � 1dC.l rn. J.Ci 1. r 4rit RY 1A .b tiri..ua t9Mm ra vb i � r.rrr.r�:.m. r 'r .<r�. . ` GpsTOM CONSTRUCTION Z't'.i:M SP ' iC)FiK }3lf�A71CJ . U61.W SF ' SSI>UJ ` t1 fad fCAli}'013Y P �s,,�.k ��.e�i�i�r�i ���!�''�� �l.°•��'�.C����'�.-��C�1� 1'�e�?fi.� ' '7ry;�([�.ry7��������(ttp��pp pp••++��pp PYy� ,/gyp' . P.7i<A�.l°�:kd,d .ffAIT 4] 6d�•dL"LY.i AR 34 .. , tY••'�J[`,a �'Ft]J�°�'I�N .''.'JC?, WAN ,.. .11011-1000-418-000 PLAN CHUX n� 161_000439-3 I A MECHANICAL VE 101 Rt�'JCf��9 � 1 �0y��3 '$11.4,00 101-000-420-000 1?L11 iSiNCi T` t ." 1.01-t 00.4.1,9x0%) Xf,R01g0 MOTIMI; YEA= I2I?SID . 101-000-241-000 $I! 30 O11ADING FEF. f3i%1`121 ZPFR IMPt'r,C? isk�P. ' ?:fid45.ff� PLAN �.63 �uA,liC��0 94,rr��L.R�77 • �/':-1... .. +yam q/�' l,j. ga�y�q ♦•P �{, �'y+ y�.��y�err 7 *� ''A 6JSJ'11�,A .' .S S.L :d' Se V.xY nJ�laCi . V 7` v'OGago�63.��, ...' . .. •. _. NOV 2 2'6� •RECEIPT DATE BY DA F ALE � INSPE WqRl-. .Std. .. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade VE Return Air Steel Combustion Air Roof Deck Z p Exhaust Fans 0. K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath / Final Final BLOCKWAL A PROVALS 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 APPROVAL Gas Test Electric Final Waste Lines -' Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for'Finish Plaster Sewer Lateral Pool Cover Sewer Connection S' Z Encapsulation Gas Piping Gas Test O Appliances Final COMMENTS:: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Z Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final r - Utility Notice (Perm) CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING ePart 1) CF -4R THE LAURELS 1-27-05 Project Title Date 54955' Winged Foot, La Ouinta, CA. First Pacifica Dev. Corp. Project Address Builder Name Dave (909) 841=1942 1-R Builder Contact Telephone Plan Number Tim Topham (951) 780-7265 1 HERS Rater Telephone Sample Group Number '1'7 /2005 13 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 i The house was: ❑X 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 w comply with the diagnostic tested compliance requirements as checked on this form. 4 The installer has provided a copy of CF -6R ( Installation Certificate) F Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform .� returns in lieu of ducts) y ❑ 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. D 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 ., 27 If fan flow is calculated as 400cfin/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 = 2.7% Check Box for Pass or Fail (Pass=6% or less) • ❑ Pass Fail 0 THERMOSTATIC EXPANSION VALVE (TXV) or Commissionapprovedequivalent 0 Yes ❑ No. Thermostatic Expansion Valve (or Commission .approved '. equivalent) is•installed and Access is provided for inspection- ❑x ; ❑ Yes is a pass. Pass Fail January 5, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF4R THE LAURELS 1-27-05 Project Title Date ' 54955 Winged Foot, La Quinta,'CA. First Pacifica Dev. Corp. Project Address Builder Name Dave (909) 841-1942 1-R Builder•Contact Telephone Plan Number Tim Topham (951) 780-7265 1 ` HERS Rater Telephone Sample Group Number 7- -7 /2005 13 Sys 2 Track 29121 Certifying Signature Date Sample Ho•.jse Number Firm: Energy Calc Services. Inc HERSProvider: CI1'=ERS Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 ' Copies to: Builder, ,HERS Provider r HERS RATER COMPLIANCE STATEMENT The house was: 0 Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that thr houses identified on this form . comply with the diagnostic tested compliance requirements as checked on this form.: :0 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) , ❑F 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. ❑O 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~ 29 - t If fan flow is calculated as 400cfln/ton x number of tons enter- calculated value here 1200 - If•fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow = 2.42% ` Check Box for Pass or Fail (Pass=6% or less) Y_ Q ❑ Pass Fail ❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑x Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑x ❑ Yes is a pass Pass Fail January 5, 2001 Dec 16 04 11 t 46a EnergB Calo Services Inc. 7430•-05.58 cSL 9 SS Wcflo Faa INSTALLATIOXCERTIMCATE p'agc 3 ut.13) C'f VR. tiit� Addrex+ -- Prr':uit Numllivi• . DUCT LEAKAGE AND DESIGN DIAGNOSTICS t1:N 1: 1)11( ntaxurtzaltOn.Teat Results (CFM ($t 25 PA) T.111 1:111W I'cst l,wlcra; (t-' I tut ) . Ir Fan Flow IS CJICUI1lOd as dQQ CfrNtt)n x,numbOr of tons, Or or, 21.7.x HOJhrKj Cap.'+Cdy in Thousands of 8tu/hr, actor calculntod vacuo horn If fan Now Is measured, enter measured Value here Leakage Fraction Test Leukage/(Measured or Calculated Fan Flow) b Pass if 102K09C rracaon -/• 0.06 [] ' Psti f i:d IN's 2: DIVA' IYAKACF, RI•:Dlt('I'ION n>sst,rtvttton Tust Results (CFM IDD 25 VA) 11 F Flow 11 For Flew is Calculalod ac 400 cfrnIter x nurnb^r of tons. oras 21.7 x Heating Capacity tA' ThOusanox of atulhr, anter calculated wiluet hent . Z-- If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fon Flow) Pars if loakago fraction • /• O.fki ]/ ❑ Parti 1-'411 For AlIMOyOI, TYPE SKA1.AN'I;k UNkX-• Tho following alagnmitiic totting was complotod:' Duct Fan Pressurization at rougn-in measurod ietaxago (GFM) CHECK AFTER FINISHING WALL: Yes ❑ No ❑ Prossura pan lost or Houno proocurtzation test Yes ❑ No © Visual Inspedtion of Duct Connections ❑ Pass f -•an EXPAN %ION VALVE ('t'\V) 'L/7 Yqs ❑ No. Thomlostatic Expansion Valva is nlstalind and Accrts:i is w� \1 provided for rnnpoctson �Fwl Cl yfe, rs rt pwtx Pas" Yes. ❑ No ACCA Manumi d 'Design calculations have been CornpluWd Duct Duwon lu ort tl:o plann and'duct vent illauan Matchin plans, 7 Y. ❑ No TXV' is inrtallod or'Fan (low 'h us boon vonfiOA, If no TXV verdmid fan flow matches destgr_ from CF -1R Measured Fan Flow = Yos for oath 1 and 2 1.`1 a Poe; rnti I, tho unoerstgned, wirrfy that Ihri above d1WOMIC trust reaVitft and the worn I Pertormed aS3Jt;i3ted'with the tests) is -n ' co fdernanco with tho reauuanonte for cornptranCVj crodrl (The buiaw I till pn)vido tnn MFRS providur a copy of tho CF -GR ;-grwo by the builder ompay000 or Dub- 001factors Ounitymg that diagnoctte Uniting and inttlallalior, tttxri the rrqutr(•.mnnt:: for complianoo credit.) -------------- fr-stO Stgnaturc. Delo ' IrtMLOMg' Subcontractor (co..Jama) OR Porformed General Contractor (Co. Naur!e) COPY T0: Buildinq 0apartment HERS Nrovtd'sr {d appllcablol fiuilding Owner at Occup2ncy COnlp6anc0 F6m1S :inpUtml)< r 2.00? Laurels pl. I INSTALLATION CERTIFICATE (PAGE 1 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 10-103(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 YORK P4H1UA12LW201 2 80%_1 ATTIC 4:2 40K 32K 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) (BTU/HR), A/C CARRIER 381-IDC0303 1 12 SEER ATTIC 4.2 36K W.2K A/C CARRIER 38HDC0363 1 12 SEER ATTIC 4.2 36K 30.7 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-IR) SUBMITTED FOR COMPLIANCE WITH THE ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS, AND (3) EQUIPMENT THAT MEETS OR EXCEEDS THE APPROPRIATE REQUIREMENTS FOR MANUFACTURED DEVICES (FROM THE APPLIANCES EFFICIENCY REGULATIONS ON PART 6), WHERE APPLICABLE. �/I v WILLIAMS HEATING CO. R§SiIG0A&,_DfATE INSTALLING SUBCONTRACTOR (CO NAME) OR GENERAL CONTRACTOR (CO NAME) OR OWNER THERMOSTATIC EXPANSION VALVE (TXV), qaL YES 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) Western tion h,p,,. RESIDENTIAL CONTRACTING 4211 Latham Street • Riverside, California 92601 - Phone: (909) 886-8760 Fax: (909) 888-8786 License # 794484 ` CF6R 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: r TRACT/PHASE: THE LAURELS/ PHASE 1 , - LOT 13 SITE ADDRESS: 54-955 WINGED FOOT — LA QUINTA, CA ------- CEILINGS, BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS: 13" R- VALUE: R-8 3 CEILINGS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 8.1" R- VALUE: R-30 CEILINGS: BATTS Z • MANUFACTURER: KNAUF THICKNESS: 10v R -VALUE: R-30 CEILINGS: BATTS MANUFACTURER: KNAUF THICKNESS: 6'A" R- VALUE: R-19 EXTERIOR WALLS: BATTS `^ MANUFACTURER: KNAUF THICKNESS: 3 %i R- VALUE: R-13 INTERIOR WALLS: BATTS + MANUFACTURER: • KNAUF THICKNESS: 3 Ya" R -VALUE: R-11 ENERAL CONTRACTOR; THE BREHM COMPANIES a BY: TITLE: DATE: f . INSULATION CONTRACTOR: WESTERN INSULATION, I.P. LICENSE NUMBER: 794484 P. BY: TITLE: PFpIjUCTION MANAGER DATE: JANUARY 11, 2005 r e . 01/60 3Wd NDI117mSNI N831S3M 98LI3939156 LB :80 S00i;/L1/10 ri -: > - •. - - - fir.- . '' - � - - - = r �-- Cej fica to of Occu anco�a p y a _ 'rye ` j , r f Buildin.&`�Safety..Department 40 g Ol'� ,.. '' - - .? �.. .c.•- r, _ /� /q r . Certificate is issued= w ursuant to the re uirements of Section 1Wdf,the California Building :This,C• � • Code, , certifying that, at" the `'tune of. issuance, this,'structure' was in compliance 'with 'the i '. rdinanceis~Arovisions of "the BuildingCode{'and the various oof, -City regulatingregulaiing 66ildin9- .the it � ` V • � . �. construction and use. ry BUILDING ADDRESSY54 -955 WINGED_ FOOT, ' , r ti. ; �•_ _ r_ t� �t.'-`, j'�t a .. ...S ., n,. -, r: ` - ._,,.. - _ V�) , �, rte:: t' Z .r Use classification: SINGLE,FAMILYDWELLING "J r- ,: %', L �, `--` " _Building Permit No.,: 0306-450 OCCupancy Group: 143 ^, _ TType of Construct on X -N , '� _ Land Use Zone --R! % ID 'Owner of`Building:(GENERAL BANK " s '' ` ' ' - -" ,Address 1420-E: VALLEY BLVD ity ST'ZlP -ALHAMBRA, CA 91801 ; ,vim ,� 4 . _ , � . _ � '•� � - By: -GARY HARTMAN _ ' - a ti � � �, .. ::•., y , 7 Date"MARCH 14,2005 - - Building Official' r• Q, I ' • POST IN A CONSPICUOUS PLACE -� : 1`- { ri -: > - •. - - - fir.- . '' - � - - - = r