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07-3215 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 etP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00003215 Property Address: 78601 DEACON DR E APN: 770-220-010- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 302141 Applicant: Architect or Engineer: oc- 4;lV1005- Owner: JAMES KELLY. PO BOX 5999 LA QUINTA, CA 92248 Contractor: KELLY PACIFIC CONSTF 100 DRAKE'S LANDING GREENBRAE, CA 94904 (415)464-0900 Lic. No.: 346196 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/24/08 ------------------------------------------- ------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I'hereby affirm under penalty of perjury one of the following declarations:' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as' provided License Class B Lic se No.: 346196 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / - issued. _ � �3 • ! \/ Date: yc:onuactor: — 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penal of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0001375-2007 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is therefrom the basis for the alleged exemption. Any violation of Section 7031.5 by 3700 of the Labor Code, I shall forthwith co with a provisions. exempt and 40�3_U Applicant: any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: (_) 1, 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 and Professions Code: The WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN improvements are not intended or offered for.sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 'sale.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( ) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPE%N11T of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county Jo enter ✓upon the above-mentioned property for inspection urposes. -- Sate:S_ ignature (Applicant or Agent): Application Number . . . . . 07-00003215 ------ Structure Information 3,477 SF-SFD ----- Other struct info . . . . . CODE EDITION 01BMP04E05EN # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 722.00 PATIO SQ FTG - 530.00 NUMBER -OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3477.00 Permit . . . BUILDING PERMIT Additional desc . . 3,477 SQ FT SFD Permit Fee . . . . 1350.00 Plan Check Fee 877.50 Issue Date . . . . Valuation . . . . 302141 Expiration Date 9/20/08 Qty Unit,Charge Per Extension BASE FEE 639.50 203.00 3.5000 ----------------------------------------------------------- THOU BLDG 100,001-500,000 ----------------- 710.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 166.14 Plan Check Fee 41.54 Issue Date . . Valuation . . . . 0 Expiration.Date 9/20/08 Qty Unit Charge Per Extension BASE FEE 115.00 3477.00 .0350 ELEC NEW -RES - 1 OR 2 FAMILY 121.70 722.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.44 1.00 15.0000 ------=------------------------------ EA- ELEC.TEMPORARY POWER POLE --------------------------- 15.00 ' ------------ Permit . . . MECHANICAL Additional desc , Permit Fee 101.50 Plan Check Fee 25.38 Issue Date Valuation . . 0 Expiration Date 9/20/08 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 LQPEILNIIT - Application Number, . . . . Permit . . . PLUMBING Addit'ional desc . . Permit Fee . . . . 187.50 Issue Date . . . . Expiration Date . . 9/20/08 07-00003215 Plan Check Fee . . 46.88 Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension ---------------------------------------------------------------------------- Special Notes and Comments BASE 'FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ' 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 -------------------=-------------------------------------------------------- 15.0000. EA PLB GAS METER 15.00 Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 9/20/08 Plan Check Fee .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 3,477 SF SFD (INCL 281 SF CASITA) R-3 OCC.TYPE V -N CONSTR. 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. 2006 DIF.**PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, SPA, WATER FEATURES and BBQ'S**COMPLIANCE WITH ALL FEDERAL & STATE LAWS, INCLUDING THE ENDANGERED SPECIES ACT OF 1973 IF APPLICABLE,IS REQUIRED Other Fees . ... . . ... . . ART IN PUBLIC PLACES -RES 255.35 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 87.75 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00. DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 30.21 LQPERINIIT Application Number . . . . . 07-00003215 -------------------------------------------------- Other Fees . . . . . . . . DIF STREET -------------- MAINT FAC -RES ------------ 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1820.14 ---------- .00 ---------- --- .00 --- ---- 1820.14 Plan Check Total 991.30 500.00 .00 491.30. Other Fee Total 4848.31 .00 .00 4848.31 Grand Total 7659.75 500.00 .00 7159.75 11 LQPERMIT Building Address �i� TUT 4 4 " P.O. BOX 1504 78-495 CALLE TAMPICO QUINTA, CALIFORNIA 92253 ,V4"i , b\ 01"�a APPLICATION ONLY 77 �3 ,! BUILDING: TYPE CONST. OCC. GRP.y 4-71A.P. Number—2249 — Q —0/0 Legal Descriptio Ata k i 6 -- 90 Project Description wef1 Ar iNrc ice[ . K t=,iC~A A". 1 61§9 WO 9/ 1 */' Y- OV% 0 90 0 State Lic. — Y6196 / City Sq. Ft.� & Classif. ,ab Lic. # Size Arch., ErrgrNewt_ Designer S C .S Ze, Address Tel. t S-/-, ?,ro a .�Ga% _ 76**0 - 7 7 / - ?//-Z Citys ZipR State 1 hereby afjir�fi t I am licens)!tyGnde r is' Chapter 9 (comme 000) of 3 of ttV Bysin s an a Bode, and my license I hereby affirm that I am exempt o he Contractor's License Law for the following reason: (Sec. 7031.5, Business and P o ssions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such isare not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. Sec. 3800 Labor Code Policy No. Company QN — �« a D ey C El Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT, If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application stat hat above information is correct. I agree to comply with all ci nd count rdin a state laws relating to building construction, and hereby ooze re nta' o city to enter the above-mentioned property for inspection oses. Signature of ap ice Date Mailing Addr s City, State, Z r�/y ���F(I'rE -- eUrLDING 77 No. Sto Add ❑ No. Dw. $!Qu ft Demolition O Estimated Valuation PERMIT Y AMOUNT Plan Chk. Dep. i Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE APPLICATION VA,LUATI011T _, SQ: FT. - UNIT COU1V'1'S` / ' ;:GA.S TOILETS .. Ad F1,OOR COVERED PATIO BIDET: SHOWERS GARAGE - BATHTUBS: TYPE. CONST SINKS. OCCUPANCY (� . BAR SINK ASCD_ Lill—B$Q7177777 FIRE SPRINKLER. aVEr ' # OF BEDROOM FLOODSCf�Q XT UNITS DRINKING:: F.OUN COD87, EDITION C- WASHER ROOF TYPE -.DRYER d WATER HEATER ' MECHANICAIr, ROOFDRAINS FLOOR DRAINS VENT FANS . KITCHEII SINK ## EXHAUST. FOOD VEG. SINK A/C -<3 TON LAUNDRY SINK I A/C .>3 TON. ® FIREP.LACE FAU <100,000 BTU ®®� FAU >100,000 BTU ' DUCT ALTERATION ELECTRICAL SQ FT,IV .T. GARAGE SQ . FTS . f; TEMP POWER: t . Q' K2'URES FIXTURE.... ° #: - SEPTIC SYSfiE:M � - G RARING ROOF ::DRAINS;' WATER HEATER. <.So . CU YDS'. rniATER PIPING: �. >50 CU YDS: LA. SPRINKLER '. . .. SAS GAS F.IPING >4 CD!D -.APPROVAL bm GAS METER ' ENGINEER-APP. IYA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 3) CF -4R Project Address I Kelly Residence I Duct Pressurization Test Results (CFM @ 25 Pa) Builder / Installer 78-601 Deacon Drive / La Quinta / CA / 92253 1 Kelly Pacific Contractors Builder / Installer Contact Telephone Plan Number / Permit Number Mark Powell 7604094848 Kelly Res LaQuinta HERS Rater Telephone Sample Group Number Jack LaFontaine - JE1E1RJS® ID #CCNJL348610 7603604631 0 Com li ce Metho Pre riptive) 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. Climate Zone 15 rti 'n i at re Date Sample House Number _Zr & 1 rm Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 ] ] HERS Provider ergy Management Services 10 CIHIEIEIRIS© Address Cl Pass ❑ Fail City/State/Zip 41-485 Adams St., Unit C Indio /CA /92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT This house was: V Tested As the HERS rater providing diagnostic testing and field verification,;I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS -rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building.'The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample andT6sted buildings. M M I Affi V The installer has provided a copy of CF -6R (Installation Cert_cate)!' 1I. 1./1 iti. V New Ducts are fully ducted (i.e., does not building cavities as plenums or platform returns in lieu of ducts). .,'''r -j`� �. -^., �. V New ducts with cloth backed, rubber adhesive duct tape s�mstalled mastic and "draw bands are -used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. i i V MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results System # 1 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values �- 1 Enter Tested Leakage Flow in CFM 72 2 Fan Flow: Calculated (Nominal: f Cooling ❑ Heating ❑ Measured) Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] 4.5% �/ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or'Equipment Change -Out. 4 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5]-(OnlyJf Applicable). 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). + I { 8 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for Compliance 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] ] Cl Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 Pass f ❑ Pass ❑ Fail Residential Compliance Forms Generated by CIHIEIEIRISO http://www.CHEERS.org December 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 3) CF -4R Project Address 1 Kelly Residence I 78-601 Deacon Drive / La Quinta / CA / 92253 Builder / Installer Kelly Pacific Contractors System # 2 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM 93 2 Fan Flow: Calculated (Nominal: / Cooling ❑ Heating ❑ Measured) Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] 5.8% V Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out, i 1 ", k 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only if Applicable). TEST OR VERIFICATION STANDARDS: For AlteredDuctSystem and/or HVAC Equipment Change -Out, Use one of the following four Test or Verification Standards for Compliance 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 ] ] ! 8 Enter New Duct System - Pass if Leakage Percentage < 6% [ F100 x [Line #5 / Line #2 ] ] Cl Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered DucttSystem'and/o HVAC Equipment Change -Out Use one of the following four Test or Verification Standards -for Compliance,) 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #5{/ Line #2 ] % r 1 ^ ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10%11 100 z [ Line #,7I, Line #2 1], j ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 i -[Line #61 Line,#4 ],] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection,'-' ❑ Pass ❑ Fail Pass if One of Lines#9 through #12 Pass ❑ Pass ❑ Fail System # 3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM 70 2 Fan Flow: Calculated (Nominal: V Cooling ❑ Heating ❑ Measured) Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] 4.4% f Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out, i 1 ", k 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only, if Applicable). 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). 8 Enter New Duct System - Pass if Leakage Percentage <6% [ 100 x [ Line #5 / Line #2 ] T-, ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For AlteredDuctSystem and/or HVAC Equipment Change -Out, Use one of the following four Test or Verification Standards for Compliance 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 ] ] ! ❑Pass ❑Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] ] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 Pass ❑ Pass ❑ Fail Residential Compliance Forms Generated by CJHJEJEJRJS© http://www.CHEERS.org December 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 3) CF -4R Project Address I Kelly Residence I 78-601 Deacon Drive / La Quinta / CA / 92253 Builder/ Installer Kelly Pacific Contractors ✓ THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. System # I ✓ Yes ❑ No Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. Yes is a pass I v' Pass ❑ Fail System # 2 ✓ Yes O No Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. Yes is a pass �/ Pass O Fail System # 3 v/ Yes ❑ No TAAccess is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. Yes is a pass �/ Pass O Fail ✓ HIGH EER AIR CONDITIONER I< h -"'� V� fi ,4 Procedures for verification are available in RACM, �Appen'dix RI. System # I �� L L1.1 [�-J U I ✓ Yes O No EER Values of installed systems _match _the �CF- I 2 ✓ Yes O No For split system, indoor coil is matched to outdoor coil 3 O Yes ❑ No Time Delay Relay Verified (If Required) i I Yes to 1 and 2; and 3 (If Required) is a pass I ✓ Pass O Fail System # 2 j� \ \'--- . — -- 1f / `, I ✓ Yes ❑ No EER Values of installed systems match the CF- 1R. 2 ✓ Yes ❑ No For split system, indoor coil is matched to outdoor coil 3 O Yes ❑ No Time Delay Relay Verified (If Required) 1 ; Yes to f and 2; and 3 (If Required) is a pass �/ Pass O Fail System # 3 j .i � ti_ ., I ✓ Yes ONO EER Values of installed systems match the CF -1R 2 ✓ Yes ❑ No For split system, indoor coil is matched to outdoor coil 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) 1 ( 1 (P I n n i r-1 --I i f --Yes to I and 2; and 3 (If Required) is a pass v1 Pass ❑ Fail Residential Compliance Forms Generated by CJHJEJEJRJS© http://www.CifEERS.org December 2005 Certificate of ARI -Certified Performance The following Split System: Air -Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: H2A348GKA" Manufactured by: HEIL combined with Indoor Unit Model Number: C(A,C,D,E)48A3X+TDR Manufactured by: ASPEN MANUFACTURING under the Trade/Brand name: ASPEN has been rated in accordance with ARI Standard 210/240-2006 for UNITARY AIR-CONDITIONING AND AIR -SOURCE HEAT PUMP EQUIPMENT and is certified by the Air -Conditioning, Heating, and Refrigeration Institute to meet the following product performance ratings: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.50 A' following a rating indicates a voluntary rerate of previously published data, unless accompanied with a WAS which indicates an involuntary rerate. ARI Reference #: 1478832 Today's Date: 2/6/2009 tStatus: Discontinued t Models in 'Active' status are those that are currently in production. Models in 'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models in 'Obsolete' status are those that the manufacturer is required to stop manufacturing due to a test failure in the ARI Certification Programs. CERTIFIED RATINGS ARE VALID ONLY FOR THE PARTICULAR COMBINATION OF INDOOR AND OUTDOOR UNITS LISTED IN THE AIR-CONDITIONING, HEATING, AND REFRIGERATION INSTITUTE'S DIRECTORY OF CERTIFIED EQUIPMENT. VISIT VWM.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE. SEARCH ON THE ARI REFERENCE # TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. TERMS AND CONDITIONS This Certificate shall be used for individual, personal, and confidential reference purposes only, and may be used only pursuant to the terms and conditions listed. This Certificate and the contents hereof are proprietary products of AHRI. The contents of this Certficate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. Contained herein are product information and certified ratings. AHRI does not endorse the product(s) listed in this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed in this Certificate AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data, listed in this Certificate. Date 5/23/08 No. 30050 Owner James F. Kelly Address P. O. Box 5999 City La Quinta Zip 92253 Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Q BERMUDA DUNES to RANCHO MIRAGE d �. INDIAN WELLS PALM DESERT ,y LA T �3QINDIOy�� 4t APN # 770-220-010 Jurisdiction La Quinta Permit # No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78601 Deacon Drive East 3477 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.97 X 3,477 S.F. or $10,326.69 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By C/C-Palm Desert National Bank, Mark Powell Check No. 2634 Name on the check Telephone 10,326.69 Funding Residential By Dr. Sharon P. McGehee Superintendent Fee collected /exe ted by Pa icia Barbuzza Payment Recd $0.00_ $10,326.69 . ;:.Over/lender N- Signature - NOTICE: Pursuant to Government Code Secti 6020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting • RECORDING REQUESTED BY: SOUTHLAND TITLE - INLAND EMPIRE (Title) AND WHEN RECORDED MAIL To: James F. Kelly and Camillo Kelly P O box 5999 La Quinta, CA 92253 Order No.: 87622199 Escrow No.: IN8420•CY A.P.N.: 770.220-010-7 / / / / 'j"p- A� 60�" i aa-, DOC # 2008-0005285 01/04/2008 08:00{1 Fee:10.00 Page 1 of 2 Doc T Tax Aaid Recorded in Official Records County of Riverside Assessor Larry W. Llerd 11 ou^tY Clerk 8 Recorder _ 11111111111111111111111111 1111111111111111111111111 Il M A I L 495 428 1frCOR44COR S.W, NCHG cTY uNl GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) / DOCUMENTARY TRANSFER TAX IS $&tpg;`�t= J ' [ X ] computed on full value of property conveyed, or [ n/a j computed on full value less value of liens or encumbrances remaining at time of sale. [ n/a ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Joseph D. O'Brien, a married man as his sole and separate property .e i ♦ / le hereby GRANT(S) to r�. James F. Kelly and Camille Kelly husband and wife as joint tenants the following described real property in the County of Riverside, State of California Lot 10 of Tract No. 28470-1, in the City of La Quinta, County of Riverside, State of California, as per map recorded in Book 283, Page(s) 70 through 90 of Miscellaneous Maps, In the office of.the County Recorder of said County. bated: August 15, 2007 STATE OF - 9R► itA \-o`3�z c. '1st CGL3N*1OFCkS� 1`�c��2 } SE n ©cp= before me a Notary Public, pers I appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s). istare subscribed to the within instrument and acknowledged to me that he/sheflhey-execuled the same In his/her/their authorized capacily(ies) and that by his/her/their signalure(s) on the Instrument the person(s), or the entity upon behalf of which the person(s), acted, executed the instrument. - hand and official seal. IU 0 Slgnawr,• �. r �� JJKoCox `Clc�e.��tD�� (This area for official notary seal) L? • , r�� MAIL TAX STATEMENTS AS DIRECTED ABOVE g - led I Dchtot—t:�v .t UNDER THE PROVISIONS OF GOVERNMENT CODE 23761.7. I CERTIFY UNDER THE PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE DOCUMENT TO WHICH THIS STATEMENT IS ATTACHED READS AS FOLLOWS' NAME OF NOTARY: [� COMMISSION NUMBER: LJ� COUNTY WHERE BOND IS FILED: STATE WHERE BOND IS FILED: Lo ILA IS t A�bj A DATE COMMISSION EXPIRES: l R ! / - PLACE OF EXECUTION: `IJI�C I� �1� W4,SthiA DATE: - Sl GNATURE: ATE:SIGNATURE: PRINT NAME:_ _,KZRB ]1 MMIN �_� N J -VENTS y: FA4CM0 DESIGN PROVIDES MAXIMUM FREE AREA FOR GREATER EFFICIENCY ♦ For pitched or flat roofs. ♦ Provides low silhouette. ♦ Open on all sides for better air flow. ♦ Helps eliminate moisture within buildings. ♦ Quality constructed in galvanized, aluminum or painted. ♦ #8 insect screen installed. FANCO FRESHAIR MANUFACTURING CO. Technologies in Ventilation 649 N. Ralstin St., Meridian, ID 83642 * (208)884-8931 * 800-234-1903 * FAX. • (208)884-8943 J -VENTS OPTIONS: ♦ Greater clearance between flange and hood. ("G" dimension) ♦ Larger flange sizes. ♦ Curb mount models. ♦ Special materials (i.e., copper, stainless steel, etc.). a r ---------- I I BPAWW S 9M MOT TO SCUM !46 FA4CO FI E G n r* � a t�ILL OS Model sy: IAF%ICG Standard with Clearance J VENT DETAIL Size A B C D E F G Free Area in sq. in. ** 3" 8.5" 8.5" 3" 5" 3.25" 1.5" 1.25" 7 4" 8.5" 8.5" 4" 6.5" 3.5" 1.75" 1.75" 12.6 6" 12" 15" 6" 1 9.5" 5" 3" 2" 28.3 7" 12" 15" 7" 11" 5" 3.25" 1.75" 38.5 8" 15" 15" 8" 13.5" 5.25" 2.75" 2.5" 50.3 9" 15" 18" 9" 14" 5.75" 4" 1.75" 63.6 10" 15" 20" 10" 16" 6.5" 4.5" 2" 78.5 12" 20" 24" 12" 19" 7.5" 5" 2.5" 113.1 14" 22" 24" 14" 19" 7" 4.25" 2.75" 153.9 ** Free area is calculated without screen. FRESHAIR MANUFACTURING CO. Technologies in Ventilation RECEIVED CITY QF° 'H LA ­ T WORKS �OtPARTMENT �GRE EN:,"*;. EET PUBIL110 W A,.­REUAs*,E::0 .-' PERM 2 2,-�Pg F BUILDING :F riiv: 'a0dA qffecitiVe- 1.:1.11,712066:: ..q . .404. ... . . .1 ... .._ e Sy'7cwosrk-,. �Gfb`6h':Sh.khtov6ls: ar.e:forwardbd.'.to..ihe::,gulldio',:&,!S"�f.ei�.i P`Iegse: 00 NAT submit *.the .G.:r6.en:.She&t:':(Public Works: s: tl,­q- r' prce)PPacket - to : vW.icW -drkt7U,eDepartmentint requieem.nt.�-�iotqd:belv arp.compe eIncomplete,applicatio.s.or appIj tjons:whih'PaPhot. be e.processed '.Will b.ei,'returned: to: applicant: Develp .per.: Tract: N" Address($)tfe : .Q., q vvin -there mt sf4r..Public W"tks:Cle6fib& 16,authorize issuance of building 'p.ermit from :the Building &Safety aa. Department !'HI0Mt5If- PROVIDEITEMS-A163. MANDI "Sa'o :TRAQ--T.:;.HDME-S:r. PROVIDEJTEMS:11-,: 2,i �pkciv*,I[5.8ITEMS.-,#.:1. ;#2 '_#3::AND X5:.:BEL0W' WAS S ..:PROVIDE 47.:`ZED.W L SIG S PROVIDE-...ITE.M&-#g*..BEL.-O.W.. ac th 44 Vbfibh. ng, Att'*'*'h:.P'ad-E-16.v-at.i'6n.0 Certificates: 6 m, with: for b u'; j- 1, d, f pruve. esignJe.16 ;pAdAr_-axImOil allowable. dew on: of :food.. Paa Vat(`qn Certificates must. (within: 6;monihs;of.:curre..nt f.b.r:app I _Oto f: ap -9,r h approval, withhold green:.sheet submittal until' aFa-d:-: E1-fq '.vationC: ri. ffi'.Q­ate..:* ­" `b be — 12* :.-TUa.0':'h: geotechnical .certification o-fg'r'.-a­dIh`g'p-ill mcompliance tach,ZCtii re.q ,r�d p h49.p.,s 0010'Oro MgA.T2. 'Attftba:`com''p-I 6--ted-<1acre:1perlot-, or to#ill project NMI DControl-- a t*h:j": 'P01 . _-:20.fM.OV461A T-.. 'J. A. valid City,* approved ':''P*M'1*0';plan .:sf TOe' :f ) number or r PKP19.Pp—fNh#t t6l ,: silebti, A ..Vdldo 6h ey6hd.110 ff -are':sU ibbitt' :_separately q to 0 if." i9na,.. re.c{urrements . . . .... .... .6 -..z o nevdeve' developments 6 precisen:gippr.ovQ,....::.. -grading a n::f,' AD: f1bod:. MAP... -:p..lbn:. 'wilV,r.e.-.q:4ike- an approved development Mjq. 0.Attk an - ` ,approved: i 0. - a.pp bve.tre-qg,grading the :building 0C tfgq($) 7: Attach wall pfgm:jgpped: !gr4dDgwe S].: Att'ap. A p :-: vtfo* . .. ... Pit Form updated & effective ......... Mailing Address: 00 e=_ O � -_ State: Zip Code: Primary Telephone zt,` Y --0Q d 40* Number:. .Fax: 24 Hour �, w Access/Emergency Pho:ne.::.:.......:...::.::..: Cell Pliong:......... _._.......- ....... _... PM 10 Certificate Number: eq� •:• Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the City of La Quinta. Project Information Project Phase Project Contractor: Project Phase (Check One): Project Name: / L ❑ Construction Project Tract Number: �'Y-7 0 ❑ Demolition Lot Number(s).: Anticipated Starf-Date . Address: QrV fz Anticipated Completion: Total acres in active construction (< 1 acre per Lot): Project Contact: Please Note: Dust control is required 24 hours a day, 7 days a week, ; Information "regardless of construction status.. Person listed below is responsible _...._..._ for dust control durk.g..business and non- business hours. . .......... :.. .: Name ....__ . ....-- Title: ,..._..... ...............__.._...._......... 3 Company Name: ......... Mailing Address: 00 e=_ O � -_ State: Zip Code: Primary Telephone zt,` Y --0Q d 40* Number:. .Fax: 24 Hour �, w Access/Emergency Pho:ne.::.:.......:...::.::..: Cell Pliong:......... _._.......- ....... _... PM 10 Certificate Number: eq� •:• Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the City of La Quinta. f ' r Plan updated & effective This plan shall take into account applicable SCAQMD Rule 403 regulations. Training may be obtained by contacting SCAQMD (Sharon Zamora _ Phone: (909) 396-2183). This plan shall consist of the following action items: •:• WATERING: Continuous watering is required to prevent dust and must occur a minimum of 4 times daily. Water shall be applied to dry soils to stop: • Visible dust emissions over 20% opacity • Visible dust emissions that travel over 100 feet. • Water source % hch water meter at front (south) side of pad ❖ EDUCATION: Responsible Dust Control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity. ❖ WEATHER MONITORING: Wind predictions shall be monitored.. SIGNAGE: Use Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage Guidelines. i TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering or sprinklers. 'Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. (15 mph maximum traffic speed)... ❖ PARKING: Parking is not allowed on the pad. All vehicles must park on street (at designated areas only). ❖ TRACK .OUT: Provide 24 hour street cleaning and track -out system--as--approved- by--City--Public---- ----- Works Inspector. (No dirt on public or private roads). Track out shallbe cleaned up within one hour of incident. DIRT. PILES: Dirt piles shall be limited to 5.0 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. A. FENCING: Provide PM10 fencing at perimeter of public roads and where applicable.. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. •:� EXCAVATION. MEASURES_:. All areas to be excavated or graded shall be pre -watered. Water shall be applied during excavation or grading operations also. DUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped prior to leaving site. INACTIVE SITE: Within 10 days of ceasing of activities; re -vegetate or permanently stabilize as required.. Agreement updated &effective 8/25/2005 The signature of the property owner (or authorized representative): ee Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant'to AQMD Rules 403 and 403.1; +:• Shall constitute and agreement �to comply with all project conditions as identified in the approved dust control plan; The property owner (or authorized representative): ❖ Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the period of project performance, regardless of project size or status; ❖ .Shall ensure that each and every contractor/subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all. necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representative of the City/County to enter upon the above mentioned property for inspection and/or abatement purposes; and . •:• .Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/County initiated abatement activities. perty Owner Printed Name J 'Title any .- Representative 21 1. .e 49, - Certificate of Occupancy Tit!t 4 4 a" 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: 78-601 DEACON DRIVE E Use classification: SINGLE FAMILY DWELLING Occupancy Group: RR=3 Type of Construction: V=N Owner of Building: JAMES KELLY (yam► 1-k�z��� Building Official Building Permit No.: 07-3215 Land Use Zone: RL Address: P.O. BOX 5999 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: FEBRUARY 5. 2009