05-2009 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
,. Application description
Property Zoning:
Application valuation:
Applicant:
05-00002009
78311 DEACON DR W
770-210-030- - -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
453623
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCLIN STEPHEN T
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S 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 CI s: //', �License o�./�'��� p
ate: Contract /�'I/ L Y w'��lJ /r��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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).:
(_ 1 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 Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
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:
LQPERMIT
Contractor:
HUDSON CONSTRUCTION,
WCC: EXEMPT
WC: EXEMPT
CSLB: 818121
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
INC., K.P
07/31/06
03/31/07
Date: 10/31/05
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 and policy number are:
Carrier B Policy Number 200
tZ 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 om subject to the workers' compensation provisions of Section
3/00 of the Labor C e h orthwith comply with those provisions.
Applican .
WAR G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 an ,county ordinances and state laws relating to buildin 'ons uction, and hereby authorize representatives
of cou y t renter upon the above-mentioned prop y f i ction purposes.
Dart /� 07 Signature (Applicant or Agent):
Application Number. . . . . . 05-00002009
Permit
... .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1878.50
Plan Check Fee
1221.03
Issue Date
. . . .
Valuation . . .
453623
Expiration
Date
4/29/06
Qty Unit Charge
Per
Extension
•
BASE
FEE
639.50
354.00
----------------------------------------------------------------------------
3.5000
THOU BLDG.100,001-500,000
1239.00
" Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
235.74
Plan Check Fee
58.94
Issue Date
Valuation . . . .
0
Expiration
Date
4/29/06
Qty Unit Charge
Per
Extension
BASE
FEE.
15.00
5292.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
185.22
1026.00
.0200
ELEC
'GARAGE OR NON-RESIDENTIAL
20.52
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
. . .
GRADING PERMIT
Additional
desc
`
Permit Fee
15.00
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration
Date
4/29/06
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit -Fee
. .
139.00
Plan Check Fee
34.75
' Issue Date
Valuation.
0
Expiration
Date
4/29/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4.00
9.0000
EA MECH
FURNACE <=100K
36.00
4.00
9.0000
EA MECH
B/C <=3HP/100K BTU
36.00
7.00
6.5000
EA MECH
VENT FAN
45.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
LQPERMIT
Application Number.
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
. . . . 05-00002009
PLUMBING
201.00
4/29/06
Plan Check Fee . . 50.25
Valuation . . . . 0
Qty Unit
Charge Per
1364.97
Extension
3206.51
.00
BASE FEE
15.00
20.00
6.0000 EA
PLB FIXTURE
120.00
1.00
15.0000 EA
PLB BUILDING SEWER
15.00
2.00
7.5000 EA
PLB WATER HEATER/VENT
15.00
1.00
3.0000 EA
PLB WATER INST/ALT/REP
3.00
1.00
9.0000 EA
PLB LAWN SPRINKLER SYSTEM
9.00
12.00
.7500 EA
PLB GAS PIPE >=5
9.00,
1.00
15.0000 EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD w/attached
Guest House
5,292 sqft.
.Permit does not
include block wall,
pool or driveway
approach.
2001 CBC
------------------------
Other Fees .
-------------------------------------------------
. . . . . .
. . ART IN PUBLIC PLACES -RES
634.05
DIF COMMUNITY CENTERS -RES
97.00.
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
122.10
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES-
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
45.36
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
2469.24
.00
1364.97
750.00
3206.51
.00
7040.72
750.00
.00
6290.72.
Credited
Due
.00
2469.24
.00
614.97
.00
3206.51
.00
6290.72.
}
Mc GEE SUR VEYING, INC.
79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201
Phone (760) 345-3828 — Fax (760) 772-5705
January 9, 2006
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
Re: Pad Certification — Lot 16, Tr. 28611
Pursuant to your request a field survey was conducted on the above referenced project to
determine the vertical location of the building pad. The above mentioned was found as
follows:
LOT
ADDRESS
PAD (DES)
PAD (FIELD)
16�78�11
�5eacon Dr.= Vest
50.0'
50.0'
Sincerely
gyne c ee
L.S. 5479
�$ 5479
�WES'�6
F
r
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 2) CF4R
Project Address [ Mc Lin Residence ]
System # 1
Builder / Installer
78-311 Deacon Dr., W. / La Quints / CA / 92253
K P Hudson Construction
Builder / Installer Contact
Telephone
Plan Number / Permit Number
Ken Hudson
7603455154
Mc Lin Residence
HERS Rater
Telephone
Sample Group Number
Dennis Hebert - CJHJEJEJRJS® ID #CCNDH263395
7607795161
0
Compliance Method (Prescriptive)
Climate Zone 15
gctify
Cing Signatbre
Date
Sample House Number
3
' / 5 -�
G
1
Firm
Values
HERS Provider
Air Management Services
Nest 1 n C
Leaks a Flow in
here
CJHJEJEJRJS®
Address
x number of tons enter calculated value
� 1 Jeasu1 J If fan flow is mred enter measuredi valve here
City/State/Zip
PO Bog 2824
I 4.2%
Palm Desert /CA /92261
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
This house was: ✓ Tested
As the HERS rater providing diagnostic testing and field verification; I cer�fify.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). ''jr.{{tt,
✓ Distribution system is fully ducted (.i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
v/Where cloth backed, rubber adhesive duct tape is installed;an
// mastic d drawbands are used in combination with cloth backed, rubber adhesive
duct tape to seal leaks at duct connections .,%i
✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
System # 1
`�
Duct Pressurization Test Results (CFM @ 25 Pa) —
Measured Values
;-,Test Leakage Flow, in CFM
76
If fan flow is calculated as 400cfin/ton x number of tons enter` calculated value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Tested Leakage / Fan Flow) =
4.2%
Check Box for Pass or Fail (Pass=6% or less)
✓ Pass ❑ Fail
System # 2
Duct Pressurization Test Results (CFM @
25 Pa)Measured
Values
_
If fan flow 400cf n/ton
Nest 1 n C
Leaks a Flow in
here
� 50
y
is calculated as
x number of tons enter calculated value
� 1 Jeasu1 J If fan flow is mred enter measuredi valve here
,
Leakage Percentage (100 x Tested Leakage / Fan Flow) =
I 4.2%
Check Box for Pass or Fail (Pass=6% or less)
✓ Pass ❑ Fail
Residential Compliance Forms Generated by CJHJEJEJRJS® http://www.CHEERS.org August 2001
'4"
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 2) CF411
Project Address [ Mc Lin Residence 1 1 Builder / Installer
78-311 Deacon Dr., W. / La Quinta / CA / 92253 K P Hudson Construction
System # 3
Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values
Test Leakage Flow in CFM 78
If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Tested Leakage / Fan Flow) = ' 3.9%
Check Box for Pass or Fail (Pass=6% or less) ✓ Pass ❑ Fail
System # 4
Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values
Test Leakage Flow in CFM 62
If fan flow is calculated as 400cf Vton x number of tons enter calculated value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Tested Leakage / Fan Flow) = 3.9%
\1 f .
Check Box for Pass or Fail (Pass= -6% or less) ✓ Pass ❑ Fail
System # 5
Duct Pressurization Test Results (CFM @ 25 Pa),] Measured Values
i�^ViistLeakage Flow in C� 48
If fan flow is calculated as 400cfin/ton x number of tons enter calculated `value here
If fan flow is measured enter measu ed value here
f
Leakage Percentage (100 x Tested Leakage / Fan Flow) ;=' 3.0%
Check Box for Pass or Fail (Pass-: 6% or less) ✓ Pass ❑ Fail
✓ THERMOSTATIC EXPANSION VALVE (TXV)
System # 1
✓ Yes Cl No Thermostatic Expansion Valve is installed and Access is provided for ✓ Pass ❑ Fail
inspection. � �
System # 2 it
✓ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for ✓ Pass ❑ Fail
inspection.
System # 3 F"21
✓ YesO No i Thermostatic Expansion Valve is installed and Access is provided for v1 Pass CJ Fail
mLspechj'on. L ! U \N,System # 4 L...._J �..!
✓ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for ✓ Pass 0 Fail
inspection.
System # 5
✓ Yes O No Thermostatic Expansion Valve is installed and Access is provided for ✓ Pass ❑ Fail
inspection.
Residential Compliance Forms Generated by CjHjEjEjRjS® http://www.CHEERS.org August 2001
08/13/2006 19:44 7603459304 HUDSON CONSTRUCTION PAGE 01/01
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 at
78-311 DEACON DRIVE, LA QUINTA, CA
CEILINGS:
TYPE: BATTS MANUFACTURER: Certalnteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19
GENERAL CONTRACTOR: HUDSON CONSTRUCTION LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: �l
01/25/2006 10:09 7603415794 PSI PAGE 02
- h�i .Information
1 r .ToBuild On
REPORT OF FIELD COMPACTION TESTS
OUR REPORT NO: 073-60016 CLIENT: Ken Hudson
DATE:
01/20/06 PROJECT: 78311 Deacon Dr. West L Qunita, Ca.
NUCLEAR GAUGE
DATLY STANDARD
CALIBRATION
VARIANT,
GAUGE
% VARIATION
INFORMATION AND
COUNTS
NUMBERS FROM
PERCENT, +/-
ADJUSTMENT
FROM LAST USE
CALIBRATION
READING
• SHEETS
SOIL
ID
NO
TEST
DEPTH,
IN
ELEVATION
OF TEST
GAUGE TYPE:
MOISTURE:
MOISTURE:
MOISTURE:
MOISTURE:
I
TROXLER
1
IV
F.G.
7.9%
MODEL No,:
DENSITY:
DENSITY:
DENSITY:
DENSITY:
3430
2
M-
1
10"
PROCTOR INFORMATION
SOIL ID #
VISUAL CLASSIFICATION OF SOIL
MAX. DRY DENSITY, FCF
OPTIMUM MOISTURE, %
1
Grey Fine Silty Soil
.121.0
C = RETEST OF PREVIOUS TEST
4 = SUBBASE
D = MOISTURE IN EXCESS OF SPECIFICATIONS
5 = SOIL CEMENT
E = MOISTURE BELOW SPECIFICATIONS
COMPACTION REQUIREMEM3,
90.OVO
MOISTURE REQUIREMl1T5,
GENERAL LOCATION: Housc Pad
TEST
NO.
READING
QUOTIENT
/ PCF
SOIL
ID
NO
TEST
DEPTH,
IN
ELEVATION
OF TEST
MOISTURE,
CONTENT,
%
WET
DENSITY
PCF
DRY
DENSITY
PCF
PERCENT
COMPACTION
COMMENTS
I
M-
1
IV
F.G.
7.9%
122.8,
113.8
94.0%
4A
D
North West Conner
2
M-
1
10"
F.G.
10.3%
125.4
113.7
94.0%
4A
D
South East Cotner
M-
D-
M-
D-
M-
D-
M-
D -
TECHNICIAN: Glenn Meek Jr.
COMMENTS:
I = FILL MATERIAL
A=TEST RESULTS COMPLY WITH SPECIFICATIONS
2 - BACKFILL
B = COMPACTION PERCENTAGE DOES NOT COMPLY WITH SPECIFICATIONS
3 - SASE COURSE
C = RETEST OF PREVIOUS TEST
4 = SUBBASE
D = MOISTURE IN EXCESS OF SPECIFICATIONS
5 = SOIL CEMENT
E = MOISTURE BELOW SPECIFICATIONS
6 - OTHER
Professional Service Industries, Inc. • 42-240 Green Way, Suite C • Palm Desert, CA 92211 • Phone 760/341-5780 • Fax 750/341.5794
01/25/2006 10:09 7603415794 PSI PAGE 03
Me% Infomidfion
Iriris
k=wSff;.-TbBui1d0n
Report of Moisture Density Relationship of Soil
ASTM D 1557
Tested For: Ken Hudson Date. 01/20/06
Project: 073.6OOt6 78311 Deacon Dr. Wes -
La Qunita, Ca.
Report No.;.
Test Data
Visual Classification: Grey Fine Silty Soil
Sample Source:- Onsite
Test Itesults
Max6um.Dry Density: 121,0 lbs/ft
Optimum Moisture Content: 11.5 %
Specific Gravity: 2.65 (estimate)
Lab Report No.; 2-K
Lab Tech.:. Glenn
Remarks; To Be Used in House Pad
Moisture Density Relationship of Soil
ASTM D1557
0.0 2,0 4.0 - 6.0 8.0 10,0 12.0 14.0 16,0
Moisture Content (%)
cc: Respectfully Submitted,
Professional Service Industries, Inc.
R
Rick Ford
Branch Manager
REPORTS MAY NOT BE REPRODUCED. EXCEPT IN FuLt. wrmouT WRITTEN PERMISSION BY PROFESSIONAL SERVICE BOVSTRMS, JNC.
Professional Service Industrisa, Inc. - 42-240 Green Way, Sufte C - Palm Desert, CA 92211 - Phone 760/341-5790 - Fax 760/341-5794
000
000
0.0 2,0 4.0 - 6.0 8.0 10,0 12.0 14.0 16,0
Moisture Content (%)
cc: Respectfully Submitted,
Professional Service Industries, Inc.
R
Rick Ford
Branch Manager
REPORTS MAY NOT BE REPRODUCED. EXCEPT IN FuLt. wrmouT WRITTEN PERMISSION BY PROFESSIONAL SERVICE BOVSTRMS, JNC.
Professional Service Industrisa, Inc. - 42-240 Green Way, Sufte C - Palm Desert, CA 92211 - Phone 760/341-5790 - Fax 760/341-5794
05/01/2006 10:20 7603605719 YOUNG ENGINEERING SE PAGE 02
�77I-00
NO
ucw o �eN ert a2Re0F.(760) 30579 ce P 0:577 .1 "._..__.........
May 1, 2006
Tom Hartung
Building Official
City of La Quin.ta
Re: McLin Residence. 78-311. Deacon Drive West, La Ouinta, Ca 92253
Dear Tom,
We have performed Structural Observation per C.B.C. section 1702 for the above referenced project
and find it to be in General Conformance with the approved City plans and calculations.
Please note that this letter does not relieve the City or the Special Inspectors from determining
compliance with the approved plans.
If you have any questions please call.
Sincerely,
Jeffrey B. Young, S.F.
0