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0306-449 (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 7 60D 4a: w`� '•Signature of Contractor,�`� 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). ( ) I am exempt under Sectinn _ V&P.q. for thio rzasor, 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. ( 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 S1,tk'i•r�:,'.�H�S7 Policy No. 46•S7a-*i3 (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 370,0 of the Labor Code;tl shall forthwith comply.,w„ith those provisions\ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in ' addition to the cost of compensation, damages as provided for in Section 3706 ' of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his ' application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agerit.),\ •_ •-. • • �•� . ��� Date �A BUILDING PERMIT PERMIT' . DATE VALUATION LOT LOT j J TRACT 20121 JOB SITEi•:.9 1� ir,4/i�6iII'Z� D flow. ADDRESS " ' APN . 7� v���-� ,��• OWNER CONTRACTOR / DESIGNER / ENGINEER 101WF.•.RXi,,'aA'{k�T/K :tom,^ V,1.;5.fA1)X•?31E?1'1'� DRT. [ 7 r�Y:3"�1{��[A,yC'�ty�:l��t".Zl�- 14.10 d o YMAi:.Cdl:.vl �Y.�•J { D. J 7 wV fi; � d.Gl UD s� V Pi. EI U.'er :20 5 MA1K;:SPIA 6k 918043 R:iY:i1;LAk�'I :Q CNA, :-J2 _-�7 USE OF PERMIT - J �i:r a -,Xi' d Sart 3k .L1 FiSisq,„� &a?6tiv� E?:68' IYa4 •?r3} t.a Cld. t. 1..fn U'6 s;�lr/ _ -.” . CHUCK AE a7Ul 1`0 JSSUA'HC1?, ht, � L. iPL&V 7 `f PF � r• i C:UST0 SF tin (.1101ST OF Cr'd?.1`T&MI!F"1101q 2wlilf^si:; .70 (10N.13 R.W.4TION F111%, 101•.;01DO-418-ft(3C) 1�s.(;i► PLA14 f .4FCFC frL{%; 2 3i.-9tlLi fa35ry i1$ 9�61+r.�1 M3 9CFf.fiNICA1, ITKF? 101-000.421.000 EllI n'I'RICA[,;�'EF. tti-ciflti-��" 9-AUQ �d t:r.,35+ Pi11,11►9f INO WE. 1 19-000 STROND MOT1014 FP3., ►rZIUD ' I01,:.0UU-x'.+41-000 OR,AWTHO Fs'' it 101 _000.423-000 D:_V_"Lr?PF,:A lav1D'.°CT F&F $z.4ft;.C�fi ,tiu 114 P'l3pi, c., r1n."lC;Eq - REM 27U,:t Oi 1445.000 SI3fls••WrAE, C`°OYu��,:i.2,UC°JUNN A1L1 Px..AX C:z�'!`MIC 0. C41, lZbi FT2.F,�P FEW .: �ny e•� �j_ r�..�y. .�'i[�•��+ y. �q�e y /�,•�cp 1a1 10-.73 Q�,9 dry, j C" c • RECEIPTI DATE BY r DATE FIN ED 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 Q Exhaust Fans O.K to Wrap Z,Z F.A.U. Framing o 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 �s 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 I Gas Piping PLUMBING APPROVA 9 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 Encapsulation Gas Piping Gas Test Appliances Final Final �L Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: - REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION��� PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY C0 4t)" 'X<.j ❑ POST TENSIONED CONCRETE O ASPHALT O OTHER ❑ REINFORCED MASONRY O FIRE PROOFING J08 LOCA�TIJQN 2 S4— ~ REPORT SEQUENCE N0. T: TRUCTURE- ® V •-L-© S PERMIT NO. - DATEIt [[ q DAY OF WEEK Yi TERIAL DESCRIPTION ARCHITECT INS ECT R HRS. CHARGED ENGINE R ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR SUB CONTRACTOR c . L41 I KJ�`s� !( f aj ` "t' f1/ G.ie1 `— i - �`� S T ' (A:: t �:J� h J -1.0, SSI a. �~ l COPY SENT TO CLIENT O CONTINUED ON NEXT PACE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNA E .,OF REGIST ED INSPECTOR I v ��ZZ Z I:' D E OF REPORT REGISTER NUMBER - Sof C $ -3 U -yy,—Q �erk­ La.urels 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 FROVIDED 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 TYPEAND SYSTEMS CF -IR 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 1 806/.. ATTIC 4.2 112K 90K COOLING EQUIPMENT EQUIP CEC CERTIFIED_COMPRESSOR . # OF EFFICIENCY DUCT DUCT COOLING COOLING TYPE PKG UNIT MFG NAME AND IDENTICAL (SEER ETC.) LOCATION VALUE -LOAD .'CAPACITY HEAT PUMP MODEL NUMBER SYSTEMS (CF -1R VALUE) (ATTIC) (BTU/HR) (BTU/HR) 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, AND (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,,DAfE INSTALLING SUBCONTRACTOR (CO NAME) OR GENERAL CONTRACTOR (CO NP.IVIE) OR OWNER, . THERMOSTATIC EXPANSION VALVE' (TXY+) S THERMOSTATIC EXPANSION VALVE (OR COMMISSION APPROVED EQUIVALENT) IS INSTALLEC AND ACCESS IS PROVIDED FOR INSPECTION. O NO YES IS A PASS PASS �X FAIL COPY TO: BUILDING DEPARTMENT HERS PROVIDER (IF APPLICABLE) BUILDING OWNER AT O'CCUPANCY. Doo 16 04 llt46a Energy Calc Services Inc. '780'-:0558 P,3 -1:7-q C i g t -n e� CC—', -r- a INSTALLATIOV.CERTI FICATE (11"age J. of. 13) J CFVR. Ful J�,'i• f)l;14:'4 Site Addttpo Yes. ❑ No RCCA hlltnual O bestgn calculations have been Permit Numbri, Mnpiutod Duct Oustgn III 64,ft) plans and duct lent Illabon DUCT LEAKAGE AND DESIGN DIAGNOSTICS matches plans. - 7. YOr. ❑ No TXV Is Inrt: llod or Fan now Ni, boon vonfiod, If no TXV, 1tiu1: DII(`I' 1,l;AKAGl; Iq•;Dil(•!'IpN vertltad fan flow matches dowgr- from CF -1R rIZAhoA Test Results (CFM 0 25 PA) Measured Fan Flow = UM I AWk.Uta•. (C l' Ivl ) Yo, for both 1 and 2 if; a Pies I I Fan Fbw I& Calculated os 400 .gWWton x numUof of tons, or mr, 21. % r Hoatirg CopoCdy ' 1, tho unaers�gned, verify that then above diagnostic nest reavittl and the work I performed as"Cilted with the tests) iso o Thousands Of Btu/hr, Anton C21Cu1110d valuo hero �____ . •_. If ton flaw Is measured, efftr measured Value. here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) b Pass If Ioaxoge fraction -/- 0-06 ❑ ;s;+s f ail IW("1' IXAKA(3: MEDU(9'1ON ' PrtmsvrwtUon Test Results (CFhA 1p, ?,y PA) NNE i.kJ6agi: PIm Plow II Fan Flow is Calculated ac 400 cfmAcn x numbor of tons, or as 21.7 x Hooting Capacity In' ThoLjnanos of Stuilir, anter calCulatrd vatun hero H fan flow is measured, enter measured value hero Leakage FFactlon n Test Leakage/(Measured or Colculated Fon Flow) r Pry If loak Igo traction •/• 0.00 ✓6 -• ❑ Patti Fan For ARHOKOI, 7'1'1`h: SKAI.AN 1'K (rNli,P-• Tho following alag;nosGe touting was Conlplotod: Duct Fan Pressurizatlon at rougn•in meaourod leakage (CFM) CHECK AFTER FINISHING WALL: Yes ❑ No ❑ Prossuro pan toot or Houso proosureatlon tc:d Yes ❑ No ❑ Visual Inspection of Duct Cormoctiuns . ❑ Pass F•au 111) Yqs ❑ No. Thermostatic Expansion Valva is Installed and Accns-.i Is provtdod for Inapoctlon Tonto Signature. pato Installing Subcontractor (co. Name) OR —' Porformod General Contractor (Co. Name) COPY TO: Suildtnq Dopartmont HERS Nrovtdut id appbcablo) Building Owner at Occup2ncy Conlpwr.o Forms :ittpu,mb<!r 200: - A :�!, Ya, IA A paxs PE, j Ful J�,'i• f)l;14:'4 ' Yes. ❑ No RCCA hlltnual O bestgn calculations have been Mnpiutod Duct Oustgn III 64,ft) plans and duct lent Illabon matches plans. 7. YOr. ❑ No TXV Is Inrt: llod or Fan now Ni, boon vonfiod, If no TXV, vertltad fan flow matches dowgr- from CF -1R Measured Fan Flow = Yo, for both 1 and 2 if; a Pies 1, tho unaers�gned, verify that then above diagnostic nest reavittl and the work I performed as"Cilted with the tests) iso COMormanCo-with th0 re4voom6nic for Cornpllanc/i Crodil (Tho bulldor nhnll provido tnu MLRS provd(ir a copy of the CF -6R ,•gnda by the builder omploy000 or out)-eontroctoru Ourtltytng that dlogno tic totting and Installatiorz m(wi tho negwrvmllnt:: for Compliance credit.) Tonto Signature. pato Installing Subcontractor (co. Name) OR —' Porformod General Contractor (Co. Name) COPY TO: Suildtnq Dopartmont HERS Nrovtdut id appbcablo) Building Owner at Occup2ncy Conlpwr.o Forms :ittpu,mb<!r 200: - A :�!, •r{ ' al _ CERTIFICATE .OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -411' THE LAURELS • 1-27-05 ;4 Project Title Date 5496:3 Winged Foot, La Ouinta, CA. �' +, First Pacifica Dev. Corp. Project Address J t Builder°Name i Dave (909) 841-1942 A -R Builder Contact Telephone Plan Number ^ e. Tim Topham (951) 780-7265 1 HERS Rater Telephone Sample Graap Number • = Z 7 /2005 12 Sys. 1 Track 29121 Certifying Signature Date '1 Sample HoLse Number : Firm: Energy Calc Services, Inc HERS Provider: CHEERS Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 ' r . Conies to: Builder. HERS Provider 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 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) ❑X 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. D MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) . . Measured M- Duct Pressurization Test Results (CFM @ 25 Pa) F values. Test Leakage Flow in CFM 29, If fan flow is calculated as 400cf Vton 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= 2.9% Check Box for Pass or Fail (Pass=6% or less) Q ❑ Pass Fail ❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved eeuivalent t ❑x Yes ❑ No Thermostatic Expansion Valve (or Commission approved , f K equivalent) is installed and Access is provided for inspection `❑x : ❑ • Yes is a pass Pass, Fail f .• CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF-4R THE LAURELS 1-27-05 Project Title Date q®3 54963 Winged Foot, ' La Ouinta, CA. First Pacifica Dev. Corp. 1 Project Address Builder Name • Dave (909) 841-1942 3-R Builder Contact Telephone =Plan Number , Tim Topham (951) 780-7265 1 HERS Rater. Telephone Sample Grajp Number 7-7 /2005 12 Sys. 2 Track 29121 Certifying Signature rDate Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS - Street Address: 16551 Mockin-gbird Cyn. Rd. City/StatefZip: Riversiae, CA 92504-9638 Copies to. Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT 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 comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF-6R ( Installation Certificate) ❑x 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 clothbacked, 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 23 If fan flow is calculated as 400c$n/ton x number of tons enter calculated value here 1600 If fan flow is measured enter measured value here a Leakage Percentage (100 x Test Leakage/Fan Flow = 1.42% Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved ecuivalent ❑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 Certnicareffof Oc- r:.0 ancol U -- � i V ; M : V J • y �I/iI�'ll�' � � y� �y �` �y i . � J - - _ L ` � � �G reQ •r` .(DC7 iz+.•Of y �oF9 "�� Building �& Safety Department J ,t This Certificate is~issued ^ `ursuant to the„re u r” ; " q irements of Section"109 orthe .California Building A 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. J t -" '�-BUILDING; ADDRESS: 54-983 WINGED`FOOT j 41 ` ;Use classification: SINGLE FAMILY DWELLING', Building Permit No ; 0306-449^ _3 V f' Occu anc Grola R3 '' :Type.of Construction:.V-N " �: : i Land Use, Zone: RL _ . Y `Owner. of. Building:. GENERAL BANK ' ,: 4v f �` Address: 1420',E. VAL'LEY`BLVDAr f• • - City; ST, ZIP: -ALHAMBRA,'CA 91801 f - :r By:.�GARY'HARTMAN `Date: MARCH 14, 2005 j lr - yI li tBuildirig`Official t - POSTIN A CONSPICUOUS PLACE''.. s ... western, - uun L.F. ,% RESIDENTIAL CONTRACTING 4211 Latham Street • Riverside, California 92501 - Phone: (909) 686-8760 • Fax: (909) 686-8786 License # 794484 a 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: TRACT/PHASE: THE LAURELS/ PHASE 1 LOT 12 SITE AODRESS: 54-983 WINGED FOOT LA QUINTA, CA CEILINGS: BATTS I MANUFACTURER: JOHNS MANVILLE THICKNESS: 13" R- VALUE: R38 EG ILIN BLOWN INSULATION MANUFACTURER: GREENFISER THICKNESS: 8.1" R VALUE: R-30 EILI S: BAITS MANUFACTURER: KNAUF THICKNESS: 10 R- VALUE: R-30 CEILINGS: BATTS MANUFACTURER: KNAUF THICKNESS: 6 Y4" R- VALUE: R-18 EXTERIOR WALLS: BATTS MANUFACTURER: KNAUF' THICKNESS: 8 W R VALUE: R-13 INTERIOR WALLS: BATTS MANUFACTURER• KNAUF THICKNESS• 3 ib" 4 ­ R — VALUE• R-11 • 01/80 39Gd: r , GENERAL Q2NjWTQR;'THE BREHM COMPANIES ' BY: TITLE: DATE: INJULATION CONTRACTOR: WESTERN INSULATION, L.P. , LICENSEBER:794484 „ BY: TITLE: PRTUCTION MANAGER ; DATE: JANUARY 11, 2005 NOI vinSNI NH31S311 98LB989196 L5�80 960Z/LZ/10