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0101-314 (SFD)U) F- N U ' W o�co W I oZr� to 0 H(D CDJ F - a Z ch LO N 0) UQ Il — Z a 0 0 Lu J J m<0 Ci 0rn H ,�* _Z ob 5 C) Q J LlQF:N5F_U UL 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 7878% B «Dat Signature of ContractoF^'` /�•+�` �, �r 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 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: Cartier Policy No. MARBIA USA ROC (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 Jaws of California, and agree that if I should become subjeet4o, the workers' ,compensation provisions of Section 3700 of the Labor Code(l shall forthwith comply with those provisions. tDate: Applicant"t, " °-_• �' �� , Warning: Failure to secure VArkers' Compensation coverage is unlawful and shall subject an emp!oyer 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/AgentDate f ) BUILDING PERMIT PERMIT# DATE VALUATION LOT1��,{�t-314 - TRACT (�Vl "AJC412191442M 351 29931-2 JOB SITE APN ADDRESS,. _ OWNER '-- -- CONTRACTOR / DESIGNER / ENGINEER 23 COIF.C'C9R,r''lEI'"W%SUITE 2.43 23 CC3. PORA `I &'IAM,S'C:JI"!E245 9..tt"POR T' .E+l ACH CA 92660 ��"iXi'FyORT BFACH Cass: 92660 (949Y'i19-4975 CBVf E36A• USE OF PERMIT wFL?d1"i,dxb OUR 1 /fB ASJT.A E.t T:33 PERMIT DOM 1+ OT lT+i4+drUDE ,tl..U)Cb'KWA t .xq:l.POOL,(I) ?I�%1tiWA`st'°AlbPl?C1M;H, CUSTOM CO-1411RUCT WNW V08100 SF VORCHNIAT 10 11"MORItv'„ARPORT 9F s''J°,�i,�.'lE;'�M COST OF �'02�'°. 1RUC`"T"I.O.�1 Ia4�se�, gy�yp �a �y; R' g�,, ,Q �y .3��Y!r3.5 MIT �l .fS4E fRUMM t RY OLNSTRLEC''YION FEM 101-000-418-000 -000 S1,r)6.50 PLAIN CHECK ,FES 101-OOdJ-+t:3'i-31 � �760.1.'� �.YP'('B1:e AC.t L FEE 101.000.421.000 5124.00 MW-TPJCAL PEE 101-000-120-000 X PLU. MB1NOYFIR 103 -MO -419.000 420°, 35• . ST11,0t;0 MOTION XEZ • RESIT) M-000-241-000 P..R.14 ORAODk10 F99 101.1100-4.23.000 1):E V Y'LO PER Itt "sir w fl' .fr40 .Ot3 ART IN PUBLIC PkA0 qi, - iLM£ 701-000-255-000 �a 1d1�.61 r�£3.a I :A.i.C4J CFC."]'£iI?3"t+di�Y��l7C"�y'.F�.'pCy�p`wy,g^�� `�4y'zd�l.f��'+7y PRE -P ?�l.I.a 8rf�L%:V 1~'.1 , .x' MIS D CIS V QVV S44207X JUL - 2 2001 - TV OF LA OUINTA FINANCE OEK j RECEIPT r (DATE r9Y D7��L�D�ECTO INSPECTION RECORD OPERATION DATE I INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & FootingsZp(p� Underground Ducts Ducts _ Slab Grade �j�� I Retum Air _ Steel _ _ Roof Deck 9! _ 6 _ Combustion Air Exhaust Fans _ O.K. to Wrap Framing/'Q� Insulation ��:/Q i Fireplace P.L. F.A.U. Compressor Vents Grills — — Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Nid Drywall - Int. Lath� Final _ Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test _ Waste Lines /!_g�0/ Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral _ Sewer Connection /�//( Pool Cover Encapsulation Gas Piping _ Gas Test Appliances - Final COMMENTS: Final _ Utility Notice (Gas) _ ELECTRICAL ROVALS ,j_'F" 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 _ -4 Final l�D'� Utility Notice (Perm) --.'rUL.11.2002 13:33 17602334091 MAYER ROOFING #2917 -P.004/007 D Corporate Office: P.O. Box 462890 tu Phony: (76q) 737-88$8 Y',swadido, CA 92046 ORPORATED N.T) FA*X: (760)737L03j0 WESTERN PACIFIC HOUSING LA QUINTA 760-564-7022 (FAX) Attn: JOHN Roofing on "LLUNDS, (a-) P.G.A. WEST" Ph I LOT #35 m 07-11-02 IvLaycr -Rooling has supplied and installed "13 " 0%min cloaked roof ventm, on lot #35 dt -81 -205 GOLF'VIEW'DRIVE., Tile VC -tits have leen. installed per n-mnuflicturers speciJIcaLimis, Note: Exact vent locations are determined by builder RESPECTFULLV SUBMITTED SCOTT BEECHAM OPERATIONS MANAGER Mayer Roofing, Inc. Page I of 1. 558 Nbrm-y StrccL . Sam Permxido, CA 91:34) 193 Orange, Street Ti iyersidc, CA 92,5(1, (8 18) 838-.6064 -, I -AX (8 IS) 838-4493 (909) 782-0601 FAX (.909) 7S2-0804 WESTERN INSULA'T'ION, L.P. 4211 Latham Street, Riverside, California 92501 ' Tel. (909) 686-8760 Fax (909) 686-8786 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 LEGENDS @ PGA WEST #28838-1/-2, PHASE 1 LOT #: 2035 SITE ADDRESS: 81-205 GOLF VIEW DR. LA QUINTA, CA ------------------------------------------------------------------ EXTERIOR WALLS: MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13 CEILINGS: BATTS BLOW MANUFACTURER: JOHNS MANVILLE THICKNESS: 11 R -VALUE: R-30 GENERAL CONTRACTOR: WESTERN PACIFIC HOUSING BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 BY: �r4 TITLE: POgjdCTION MANAGER DATE: -"JOAUARY 28, 2002 f INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Stte Address t,) 0i, F V I AP--% L6T # .-3S. ermit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS To LEAKAGEfJ DUCT LEAIaGE REDUCTION Pressurization Test Results (CFM @ 25 PA) ' � Z Test Leakage (CFM) Fan Flow If fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btuft, enter calculated value here _ ? If fan flow is measured, enter meastired value here Leakage Fraction = 'Fest Leakagel(Measured or Calculated Fan Flow) _ Pass if leakage fraction 5 0.06[] Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: - Duct Fan Pressurization at rodgh-in measured leakage (CFM) ' CHECK AFTER FINISHING WALL: []'Yes ❑ No ❑ Pressure pan tat or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (I'XV) ET'Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided. for inspection -3 Yes is a pass- Pass Fail ❑ DUCT DESIGN I • ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. '— Cl Yes ❑ No TXV is installed or Fan flow has bear verified. If no TXV, . verified fan now matches design from CF -IR. Measured Fan Flow = Yes for both I and 2 is a Pass Pass Fail • L7 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) 16 Tests ti::Ure, Date. Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 -'"A-25 . .a INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Stte Address �S1 42 0S h0 �F" vl -'� �� 'T tM�`? ermit Number DUCT LEAKAGE AND DESIGN, DIAGNOSTICS 2 (o rJ . 'DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) 9 , Test Leakage -(CFM) `d g Fart Flow If Fan Flow is Calculated as 400 cfrn/ton x number of tons, or as 21.7 x Heating Capacity � �} in Thousands of Btu/hr, enter calculated value here _ If fan flow is measured, enter measured value here Leakage Fraction = `fest Leakage/(Measured or Calculated Fan Flow) Pass if leakage fractioc 5 0.06[] Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) ' CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes 0 -No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ETYes ❑ No Thermostatic Expansion Valve is installed and Access is provided.for inspection .� Yes is a pass Pass Fail ❑ DUCT DESIGN I ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2 ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, . verified fan flow matches design from CF -IR. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2 is a Pass Pass 'Fail: L7 I, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -@R sign -d by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Tests ,:::_re, Date. Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department t HERS Provider (if applicable) Building Owner at Occupancy ""A-25 Compliance Forms August 2001 . INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address (61 soS 6 per- vr-:-� i>IZ— '-,)T- il;r 3s Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) ? �- Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction < 0.06 ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) ' CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (MV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a passr Pass Fail ❑ DUCT DESIGN 1 ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail I, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -9R signed by the builder employees or sub -contractors certifying that diagnostic testing ar• d installation meet the requirements for compliance credit.] n - Tests ignature, D e Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-25 �a�(�uw�1`a,•c �f. Certificate of Occupancy �' Inca.roa+hn �C� OF�w 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: 81-205 GOLF VIEW DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0101-314 Occupancy Group: RR=3 Type of Construction: VN Land Use Zone: RL Owner of Building: SHLR OF CALIFORNIA INC Address: 23 CORPORATE PLAZA STE 245 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: KIRK KIRKLAND Date: 1/17/02 Building Official POST IN A CONSPICUOUS PLACE ow,