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0306-448 (SFD)Y U) N U) W O =) ch W C:) Z l� (D H� J W 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, Date �, "fit•,_ r�� Signature of Contractor N 'N, - OWNER -BUILDER OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's w 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. ( i)• 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 BUILDINGQq PERMIT PERMIT# DATE VALUATION 'LOT.. ' TRACT. JOBSITE' ^ia�a+3.,d�`a���o� APN ADDRESS OWNER CONTRACTOR / DESIGNER / EN (NEER Cbl%?:��:;€2.�1! r'T.•.�.1' ��Lfi',^•'�','t�At�":tT'.t�';,�`'i.�1r.Q�."1.�7I���L+�4'1"�:Ca�2�. 1�4ia)�♦.�VAUEY i', ,JVD: i p f9 9 Y+. Ey l:1.�eT'EY,�x{l5p M .ALRltll &P.�A cA `--sa�7 I�I°�.F rI'LL 7061 fey(9, :i}(iid1: (32,41 4911, USE OF PERMIT Pc"OX, R#PA OR. WUVWAY A FPRa.' &CH j f a 23161�0 Fire 0AIIACTraCfiR-POILT St t:tg93F permit Is issued., My workers' compensation Insurance carrier & policy no. are: �,6 A Cartier e i1'.sS`is.:: t.TA)f:• Policy No. 46-[;i U353 :�5�:-1.7 l'(:+f�s�t.. or cr>.l�f�-i:1'At!.,van+��m (This section need not be completed if the permit valuation is for $100.00 or less). COr�IIPi•L1CI IOT j (�1 "170t��'I;�`QL~ °'�aS�°G O I certify that in the performance of the work for which this permit is issued, PLAIN C)ig('t; FVX I shall not employ any person in any manner so as to become subject to the W3(;HA IC.r L III? 101.000-4,21.000 workers' compensation laws of California, and agree that if I should become &Z rA,TPJCA.LPTY, ;01 a3 .subject .subject to the workers' compensation provisions of Section 3700 of the Labor R H. -Code I shall forthwith comply with those provisions'. PLUI�!'�iNG F E S \ Date:,-' Applicant `�`1 �`.. �\-.r, e�. S'f't,'C)ld€4 E1'd(3Y"C):j1 !.'+2t� zw:1:D q07-6i�!) En!' i.-J©QIlrt.ltr _ �. ti, t3:E e�I`iil�ft3 t i± Iol-00ii423—G' O 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 3706I%F�Jl f l3LaC(3t3-�4�3:1^3Y�1Ci'il.f fi of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director ofBuilding.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 A0AT. 8 f :3°,rAL ("-ON' CIT104 4 AND Xr z'4N i iID2.K.. 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 �_�] ' T�' �l"'Q?fbL1'� work is not commenced within 180 days from date of issuance of such J permit, or cessation of work for 180 days will subject permit to cancellation.KOV.2 .` , 2fl03 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. �3 .• _ ` 1 \ I <s • RECEIPT DATEBY DAT ALE INSPE i S,ignAture (Owner/Agept) ,tet= �' Date c INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Underground Plbg. Test Ducts Slab Grade PLUMBING APPROVAL Return Air Steel Heater Final Combustion Air Roof Deck Z Exhaust Fans O.K. to Wrap Z7 F.A.U. Framing f" D Compressor Insulation Vents Fireplace P.L. Appliances - Grills Fireplace T.O. Final Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Z Q Drywall - Int. Lath Final I 3 BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam _ Approval to Cover Equipment Location - - Underground Electric E 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 2 Encapsulation Gas Piping Gas Test ? Appliances - Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole UnrWrimund CnrAidt COMMENTS: Low Voltage Wiring Fixtures Main Service � • Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Notice ........WesternIm RESIDENTIAL tion LP.-' CONTRACTING 4211 Latham Street- Riverside, California 92501 • Phone: (909) 686-8760 Fax: (909) 686-8786 License # 794484 , CFOR INSULA'T'ION CERTIFIC_� 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:` s ,a TRACT/PHASE: THE LAURELS/ PHASE 1 ` LOT 11 + 0 SITE ADDRESS: 56.011 WINGED FOOT LA QUINTA, CA ---------------------------------------------- ------ bL/L0 3Jtid N0Ild-1nSNI.NN31S3M 981-8989TS6, L5:130.. 5002/LT/Z0 CEILINGS: BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS:. 13" R VALUE: R-38,. CEILINGS: BLOWN INSULATION MANUI✓ACTURER: GREENFIBER THICKNESS: 8.1" , R- VALUE: R-30 - CEILINGS: BATTS MANUFACTURER: KIVAUF THICKNESS: 10" R- VALUE: R-30 CEILINGS: BATTS MANUFACTURER:. KJVAUF THICKNESS: 6'/: R -VALUE: R-19 EXTERIOR WALLS: BATTS MANUFACTURER: KNAUF THICKNESS: 3 %d' R- VALUE: R-13 INTERIOR WALLS: BATTS MANUFACTURER: KNAUF THICKNESS: 3 W R—VALUE: R-11 GEN€RAL.CONTRACTOk THE BREHM COMPANIES BY: TITLE: _ DATE INSULATION CONTOMTOR: WESTERN INSULATION; L.P. , LICENSE N MBER: 794484 BY:; . TITLE: 7@56CTION MANAGER DATE: JANUARY 11, 2005 , bL/L0 3Jtid N0Ild-1nSNI.NN31S3M 981-8989TS6, L5:130.. 5002/LT/Z0 Laurels pl. I 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 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) IBTU/HR) (BTU/HR) HEAT PUMP MODEL # FAU YORK P4HUA12LO3201 2 80% ATTIC 4.2 40K 32K' COOLING EQUIPMENT EQUIP CEC CERTIFIED COMPRESSOR # OF EFFICIENCY DUCT DUCT COOL34G COOLING TYPE PKG UNIT MFG NAMEAND IDENTICAL (SEER ETC.) LOCATION R VALUE LOAD CAPACITY HEAT PUMP • MODEL NUMBER SYSTEMS (CF-1R VALUE) (ATTIC) (BTU/1-fit) (BTU/HR) A/C CARRIER 38H.DC0303 11 12 SEER ATTIC 4.2 30K 29.2K 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 EQUIPivfENT INSTALLED (2) EQUIVALENT TO ORMORE 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. IGNATURE, DATEINSTALLING SUBCONTRACTOR (CO NAME! OR GENERAL CONTRACTOR (CO NAME) OE OWNER THERMOSTATIC EXPANSION VALVE (TXT) - - S THERMOSTATIC EXPANSION VALVE (OR COMMISSION APPROVED EQUIVALENT) IS INSTALLED AND ACCESS IS PROVIDED FOR INSPECTION. .O NO YES IS A PASS PAS<--� FAIL COPY TO: BUILDING DEPARTMENT HERS PROVIDER (IF APPLICABLE) Deo 16 0.4 11t46 EnerCy Calo Servioes Ino. 760-OS58 P,�` iNSTALLATIOV.CERUFICATE (1'agc ! uf.13) C'%-6R. sit, AddreK� Permit Nurnhvr DUCT LEAKAGE AND DESIGN DIAGNOSTICS �l:` I: Dli("1' I,h;AKACk 1<I•;1>i�(-PIAN Pr.tgavrrealion Test Rwwit s (CFM {t 25 PA) V,ut 1'111%, .. 11 Fon Flow Is CACulitod as doo cfhVton x n 'umbor of tons, or or, 21.7 x Hooting Copocdy in Thousands of Sturne, ortor calcvInled valuo horo It fon flow Is measured, enter measured value here Leakage Fraction = Test LeA;+pe/(Measured or Calcvialed Fan Flow) ti Pass if leakage fraction -/- 0.06 ❑ pass f wl �1'A?.: Iltt<"1' 1,4;AIv�GF; lt1•a)tt<'1'ION roxsytwition Tust Results (CFhA rly 7.5 VA) I'uit ixukapi: Fan 1How n Fan Flow is CoiIculaitod ac 400 cfm/tcn x numbor of tons• or as 21.7 x Hcoung Capncity in' Thousanos of Stu)ltr, inter calcuiatud waluH hero If fan flow is measured, enter measured value hord J Leakage Fraction = Test leakage'Weasured or Calcvloted Fon flow) r Paas if Iaukago faction • /. O.Ou' El For AVRUNAI, TY11; SEAI ANTS ONt,Y -• The. following alagnostic totting was complobd: 1 Duct Fal Preasu?satlon of rougn•in meacuroa leakage (CFM) CHECK AFTER FINISHING WALL: Yes ❑ No ❑ Pressuro Pon test or Houco proccurtzation tont Yes ❑ No ❑ Visual Inspection of Duct Connectiuns ❑ 1ILRIVIONTATIC LNI-A.MION VALVE YqA ❑ No. Thormostatic Expansion Valvo.is installed and Aocostv is proviaod for utnpection YON is a pm%.4 Para Fml Y&S. ❑ . No ACCA Manuml D Design calcu%ttlons have been complututl Duct Duaign iu on the plann and 'd-act i.rirttllabon matches moons, 7,. YpF ❑ No TXV is inrtaWod'or F;tn flow hrLs boon vonfio4. It no TXV, verdnid lye flow matches dowgr from CF-IR' Measured Fan Glow = Yes for both 1 and 2 is a Pass LLI I, tho unoerstgnao, vartfy that It-4 abavo diagnostic tact r"sviw and the work I pertormed associated with the test(&) is -n c� with Cho mgwranontc for compliant, crodil (Tee buildw -Ihali provrSn Inn n6KS provider a coe•r of thio CF-GR s•91`1000 Dy trio builder omploy000 or Dub-eonvoctoru twnitying that aiagno,tte touting and installation mcmi the rc!qujmrn nI!; for complianco credit.) freta 1,12natuee. Data InstallingSubeonteaetor (cc. Name) CR Porformed 'General Contractor (Co. Ncane) COPY TO: Buddinq Dopartmont HERS Nrovidur ftf appltoablu) Building Ownor ai Occvpricy A ;• f, . CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R THE LAURELS 1-27-05 Project Title Date 55011 Winged Foot, La Ouinta, CA. First Pacifica Dev. Ccm. 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 �;L,. Z6 -Z— /2005 11 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/State/Zip: Riverside, CA 92504-9638 Copies to: Builder, HERS Provider 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: ❑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 o-- platform returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands a e 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 r If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1000 n 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) S ❑ Pass Fail ❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent, - . Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspe;cion D' ❑ Yes is a pass Pass Fail, January 5, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1') CF -4R THE LAURELS 1-27-05 Project Title _ Date 55011 Winged Foot, La Ouinta, CA. First Pacifica Dev. Ccrp. 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 Numbar 2 —7 /2005 11 Sys. 2 Tract 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: ❑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. ^ t ❑X The -installer has provided a copy of CF -6R ( Installation Certificate) f ❑x Distribution system is fully ducted (i.e., does not use building cavities as plenums o- platform returns in lieu of ducts) ❑ ', Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands we 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 23 If fan flow is calculated as 400cfm/ton x number of tons enter, calculated value here 1200 . If fan flow is measured enter measured value.here a Leakage Percentage (100 x Test Leakage/Fan Flow = ` 1.92% Check Box for Pass or Fail (Pass=6%. or less)` Ell ❑ 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 ❑ Yes is a pass Pass Fail . January 5, 2001. r J � ■ a ■. Aff ���/, 1 = Cejt�fic.ato ,., Occu ancrt �a ; o - ." s f 4_4 11 f ' w o Lcoaowrnt,�� ofd E-� �� t- ��Building & Safety YDeptmari� s . a u- , f �� .. r. q ,. �• v C -- � 7 This Certificate is issued pursuant to: the requirements of Sections 109 -of the 'California ,Buildin'g, - , �ti Jar -" Code,.• certif in that, at -the ,time 'of 'issuance,. this structure: -wasp Vin; compliance' -with ,the provisions 7of the Building 'Code. and.,., the various ordinances --,'of the "City regulating: 66ilding - construction andlor use. " L -, �BUILDING ADDRESS: V55=011-WINGEDFOOT a e _ P' ' *� '_ Building P6 Building 0306-448' - s_ .4 �, Use classification::SINGLE�FAMILY DWELLING - ;�, Occupancy Group: R3 `{ ; J G _, .Type of Construction. V -N,, Land.Use Zone: RL 47 iV Owner of'Building: GENERAL''BANK' x �> - Address: -1420 E VALLEY BLVD 4 �..: City(.,ST, IP HAMBRA,'CA`91801 . , By: GARY HARTMAN "' Date: MARCH' 14 2005 4 i ,Building Official 4 'POST -IN. ACONSPICUOUS PLACE ■ a ■.