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0202-084 (SFD)1 U) I— N co W perch CY Lr)W oZr� O' O I— LUa U) Z M LO N O N U °) CL. Q `.i-� Q ccO 0 J J m Q U d rn H It Z obZ) r�,O D 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 71,4188 B A 9..) 101131f0:. Date-:' //�l , Signature of Contractor ' 1' YA4 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 Section , B&P.C. for this reason Date Sianature 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. t�)' 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 Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. Date:.- : •�+ �`� Applicant- ,_%� % 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. f Signature .(Owner/Agent). Date x f "" `�• BUILDING PERMIT PERMIT# DATE, ;'' f VALUATION LOT Cty{:2-(.*4 TRACT , JOB SITE ADDRESS APN i i v �� 7yp y y� �g �t� 604-0724W OWNER CONTRACTOR/DESIGNER/EN INEER C`. W1..1JR'Y' C:12C'iiRYLL r_'0Mb,4UWT:(E8 CENTURY CROWnl'L CCJMJbIi M1*201 1535 80'A"Vf F ., 4, STE, 0200 '15;3 5 so. "D° vinrdET, WR -A-200 BA14 BERNARVbIO Cis. 92108 &AN hERNAWitWO Cis 92408 .905)381.6007 CB1141 2120 USE OF PERMIT .3170 - LOT 47,14ONTIC4ILD HSRUTA0Z PLAIN' %dt;1X PFA,+1M DO ..,, I.OT 'IRC.i UDF SLOCK WAUA PtiO.WPA Oft DRIVEWAY APPROACH. PLANT C'ff.I'�TrL��'EI��;,wiDY30�'I'S i+C1L AAli11�Y'II?i,�;1:;5•fiIA•Nt'�:� OI'' SA1�IS p 'I'�;�i�lG.. TRACT CONSTRUC`I'IUN 3,213,00 of PORCPi!PATTO x0.00 Sit O.ARACDCARPOR:T 025.00 F CON T RUCT1034 nE 101-000-418-000 $755.60 P1,AX CHECK Mid $160.11. ,iL fi l� I+F 101-000-4614 13 $60,00 IU.,?X. TRJC.A1, ",If, '101-000-42,0-000 P1�tJ1����3 T�SI� 14b3 �Ot9i1�41 �1�OQ0 �i�4:� S'Y. ���w�Yyy���Orr��Iy�>ggiyj'�,ION I - RMSID 1 1-(t3y(7y0 $13.39q x€11-�t1{f00-24y t�dS!'LF:/�7i' O ['6.J?, di,1-000-421, "000 $20,00 101-000-421,-000 DWZLS3PERIM:P:ACT 5Fte-6 1,9fY7.fyir g ; <a"�i �1`C1 Pia CJ�,�S(:1�6' ' ,. .;9'7`1.9 M1 U-,35 PRE -FAM .I' ams �pr r +n ;v $0.00 ttlltt 1 � 2002 � ��� 7' ' - S �u•L: MflC FhT-5 SYUX dY`!.^ ..� Cffyo LAOUNTA � S2,177.93 RECEIPT DATE Bl';=. „j. DTE FINALED INSPE O rej INSPECTION RECORD OPERATION I DATE I INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings — Ducts J 9� Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap Z F.A.U. Framing— r©- 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 —C9 Final" �� BLOCKWALL APPROVALS steel POOLS - SPAS Set Backs Electric Bond Footings i7_o _ ::;5 Y .—,:2, Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste 1. Heater Final Water Piping Plumbing Top Out^ Y _ Plumbing Final Equipment Enclosure Shower Pans _ O.K. for Finish Plaster Sewer Lateral Sewer Connection _ _ i Pool Cover Encapsulation Gas Piping _ _ Gas Test _ Appliances Final Final —% Utility Notice (Gas) O ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit _ Rough Wiring Low Voltage Wiring Fixtures _ Main Service _ Sub Panels Exterior Receptacles _ G.F.I. 7_ Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: 10/17/2013 01:31 FAX 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: 44602 Franklin Court, Lot 47 Monticello -Heritage, La Gulnte, California CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed Thickness: R-38 WALLS: TYPE: BATTS MANUFACTURER: Certainteed Thickness: R-13 GENE L CON RACTOR: CENTURY CROWELL CC/OMMUNITffES LICENSE #z�y,��d BY: TITLE: r�P SCJY%2y PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072 Bl"— TITLE: ADMINISTRATIVE ASSISTANT DATE: 12/12/2002 Installation Certificate: Residential CF -611 Site Address 44-602 Franklin Court 1. BUILDER INFORMATION Century Homes 1535 South D St. #200 San Bernardino, CA 92408 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors DUCT OR PIPING R - VALUE Flexible Ductwork Will have a R -Value of 4.2 or Better PERMIT # SUBDIVISION: Heritage CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDITIONING I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, Ihave verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. 3. HEATING INFORMATION HEATING MANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING EQUIP. MAKE MODEL # AFUE CAPACITY LOAD Furnace Lennox G40UH-48B-090X 80% 88000 G40UH-36A-070X 80% 66000 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING EQUIP. MAKE MODEL # SEER CAPACITY LOAD A/C Lennox 12ACB36 12 12ACB30 10 The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. 5. SUBMITTED BY_.na Signature Installing HVAC Contractor DATE: 11-18-01L, Builder Name: Project Name: Builder Field Contact: HVAC Company Name: HVAC Installer: Duct Testing Certification Form Self'Certifier Results Duct Leakage Measured @ 25 PA L411—<p07— F%4,VX IIAJ (.OJO"-T Tract # ZLf .1417 ^7 Lot # System of 1' (One form per system) r Telephone No. ft&. Telephone No. jvq-77c/"57cV q6 CFM Indicate the maximum allowable Duct Leakage and the calculation method used.- 0 sed.❑ 0.7 x Afloor x (0.06) for Climate Zone 8 through 15 CFM ❑ 0.5 x An,,,,, x (0.06) for Climate Zone 1 through 7 & 16 CFM l 400 x (Cooling Capacity in Tons) x (0.06) CFM ❑ 21.7 x (Heating Capacity in Thousands of output BTU per hour) x (0.06) CFM Print Name Signature Date Builder Name: Project Name: Builder Field Contact: HVAC Company Name: HVAC Installer: Duct Testing Certification Form 14K-to02 FrANK- ►tN Co,r%,T tract # Lq I 9 -7 Lot # q System ( of �- (One form per system) Self�-Certifier Results Duct Leakage Measured @ 25 PA Telephone No. L Telephone No. 104 3% i50) CFM Indicate the maximum allowable Duct Leakage and the calculation method used. ❑ 0.7 x Attoor x (0.06) for Climate Zone S through 15 CFM ❑ 0.5 x Anoor x (0.06) for Climate Zone 1 through 7 & 16 CFM hl 400 x (Cooling Capacity in Tons) x (0.06) CFM ❑ 21.7'x (Heating Capacity in T!ahousands of output BTU per hour) x (0.06) CFM s Print Na►ne Signature 4- 1 � -6.-?-. Date Jan 29 02 11:37a Richard Simpson 661 947-6889 p.4 INSTALLATION CERTIFICATE. (Page 3 of 8) CF -6R ite Address H l.� (pdZ Permit umbtr FAANK.. I f 0 .a (L DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTiOH Pressurization Tact Rcsults (CTM ru) 25 PA) TONT I.cakage (CTM) E'an I low If fan blow is Caloul" aK 400 ofka/ton x numbor of Iona, or as 21.7 x IIoolitng Capaoity /��� in Thougmd:t of litu/br, onlor calculatod valuo horo ( _ If fan flow is numux:d, cmlLT measured value hum Lookago fraction = Tont Loakagu/(MuarurW or C:aloulalod lean flow) — Pamc if loakagu frnolion S 0,116 ❑ Pass Fail ❑ For AEROSOL. TYPE SEALANTS ONLY -The following dingoontic testing was completed: . Owl Fan Prc;xsuruation al rough -in mc:asurul Icakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pm-zum pan I" or I Iuuw proxxorivalioa IcA ❑ Ycs ❑ .No ❑ Visual Inspcution of Duct Cunnuotions ❑ ❑ Pass fail THERMOSTATIC EXPANSION VALVE (TXV) ❑ No Theyn►oslatio lixpan4Oft Valve (or Commission approved equivalent) is instaltod and Au:c= is providW for mrprxtion all ❑ Yes 6 a pns Pas% fail, ❑ DUCT PE91GN 1' ❑ Yes ❑ No RCCA Manual D Muign oalaulations havo bum complulud, Ihmi Design is on tho plans and dual installation malchos Plans. 2. ❑ Yea ❑ No TaV is h0allvd or Irtm [tow hox bean volilYvd. If no TXV, veriliud fan flow n►atchiw doxign from C11- IL Mcimurod Tan blow = ❑ ❑ Yea for both I and 2 it; a fans PASS Fail ❑ 1, the undmigncd, vcuify lhut Aho abovo diapostiV fust rosults and thq work I perfurmod associated with tho tunl(s) is in contbrv►anw with tho Mgoiocmants lhr onmpliance urudit_ 1110 buihlur shall provido dao 1 MRS pluvidur n copy ul' lhu CF -611 aciguW by the build► r eurployocs or sub-euntraelpm cartilying that diagouAiu ta�tiug and iwitallation uwo tho rvquuvruoaJ% lbr compliance crrdil.J APR 19 1'csls Signatum, Dato . hWalliug Suboontraolor (Co. Nawc) 01% Performcd Goneral Contractor (Co. Name) COPY TO: Building 1Xpnrhucul , 111:115 Providor (il'appficablc) . Building Owner ut Occutaa»cy January 4, 2001 Jan 29 02 11:37a Richard Simpson 661 947-6889 p.4 INSTALLATION /CERTIFICATE (Page 3 of 8) CF -6R C'et', v ��� � �� q-7 26, -?f 2— Site Site Addms �) �I _ G 0 Z F (Lq N k)r rel Cro Permit Dumber DUCT LEAKAGE AND riIESIGN DIAGNOSTICS I DUCT LEAKAGE REDUCTION Presxurriation'rcx1 Rcsulis (CFM (a) 21 PA) Tc%I Lcakage (CFM) =tom Nan Flow If Fan Flow is Calculated as 400 ol'aa/ton x number of tons, or as 21.7 x Hoafing C:apaoity =� in ThOUriandA of lltuAw. color caloulatod valuo boro _ If fan.11ow is nimHunsd, unlcr mcasurud valuu hero I.cakago I -=lion = Tom l.cakagol(Moasutud or C:aluulatod Fan I'low) - . G 3 Paxs if luakagu rtaotion s 0.06 ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY.- The following diagudatle testing was completed: Duct Fan Prcassurivation ai rough -in mcasural kakagc (CFM) CHECK AFTER FINISHING WALL: ❑ Y0.s ❑ No ❑ Pro VW pan tort or I louw prvaaurircation lost ❑ Yoe ❑ No ❑ Visual Inspcution of D act Connections ❑ ❑ Paas Fail THERMOSTATIC EXPANSION VALVE (TXV) YvS. ❑ No Th"Moslatic INPauuon Valve (or Commission approved i equivalent) is installed and Au:im is provido d for mmpoction ❑ Yw i. a pass 1'as. Fal! ❑ DUCT DESIGN 1 ❑ Yc, ❑ No RCCA Manual 111llcagn calculations havu bwn complolud, Duct Doxign is on Ilio plans and duct installalion rnatohc.4 plans. 2. ❑ Yon ❑ No TXV is m.�allcd or Flm flow h(o beets vordicd. If no TXV, voriliud fan flow matches da ign from CF y 1 R. Wes surod Fan Flaw = Yos Ior both 1 and 2 it; a Pasn Pass Foil ❑ 1, tho undoraignud, vwKj lhut tho abovo diaglloatiV toM rvnIts and the work I performed associatud with the tial(s) is in confort a nco with tho o;quWnx me fiat compWriou orudit I'lito builder shell provide dtu 111;Rti providur a copy of Iho CF -6R a:iguod by tho builder ctnployoca or sub-cwntriotors vcrtiiying that disgnu lio lusting tutJ iustallalion utuut tho rogauvmv k.- lk)f- complianu: credit.] 2� APR 19 I'Cxls Signature, Datu.. ILLctalliug.SVb0oj*Aoior (Co. aMO) t1R Pcrlormcd Gonera) Contractor (Co. Name) COPY TO: Jloilding Ikparfmout 111:118 Providor (il'applioahlc) Building Owner ut 0=11>01.1Cy Jaeuary 4, 2001 Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SINGLE FAMILY DWELLING 44-602 FRANKLIN COURT Bldg. Permit No.: 0202-084 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: CENTURY CROWELL COMM. Building Official Address: 1535 SO."D"STREET,STE #200 City: SAN BERNARDINO CA.92408 By: GARY SHOWALTER Date: 08/19/02 POST IN A CONSPICUOUS PLACE