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0109-058 (SFD)C0 C14 W O =) M f`W� r_ W oZt,- 0000 H WaP_ U) Z co LO N 0 0) CLd — ,It aoz 0 XW�= M < O aMLO It Z_ ao � C3 Q J 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 ff ct. License ,# Lic. Class xp. Date Dater d� Signature of Contractor 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). ( ) 1, 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 Itt, 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. I . PACIIi1C; RAOLE 1'O. 4.I -0i£=3 (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 I sued, I shall not employ any person in any mann as�//to become sIe to the workers' compensation laws of Californiajfa� agfee that if I ffo come subject to the workers' compensation��6y_i f SecYn Q ofthe Labor Code, I shall forthwith comply with thos,,/� Date: - -� Applicant -��. Warning: Failure tosecurAorker 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 nformation is correct. I agree to comply with all Cid St� laws rel In o the building construction, and hereby authorize e e.se t`atives of t ig o enter upon the above-mentioned property for 'h pectl purpo s Signature (Owner/Agent r� •� � � Date a /_)A BUILDING PERMIT PERMITN DATE VALUATION LOT TRACT 0R1 442A) JOB SITE APN ADDRESS _ OWNER CONTRACTOR / DESIGNER / EN (NEER Hm SIER OF CKt.S ORNLIk C-4 169-10 VON KARMA14 AVK MY— 200 .13 C ORTIO:t%M YLPZA W3T:'L 24 S MVIDNE CA 92606 4T?,WPa rBHA(N, CA 92"0 (849)719.4.975 CTA,,# 6364 USE OF PERMIT '013.1.0T !7, PLAN Sn1L PERMIT LaCflr,> 1dC3'i' IZdlrf.ao.i?1r kliR3Cr! 4E1'.>'+,.LL,% 1±000.9P.4 OR DRrV'FWA.Y APPROACH, W't PT A)4 CFIPrl: FEE RZT)UCT1014 FOR IM'UA1402, OF BAME PLANTYPE CUSTOM CONST°RU t1ON1,30&00 �,qIv PORCIWPATIO 760.00 SF GJ�.R.ACiLPIf°,l`�.tPl'e�R`T 4C�,9a �� XM) COST OF :O1S'MC.nox 2SIA,220 ytiIAyyyW pLWSM`Y CO STR11CT1Os ;EE: ]01-W10.418.000 Sl+aib.so PI.AX CHECK FCL 101-000439�3 t I3 $260.17 WCHA1,11CAL nt+i. 101-000-421-000 $124.00 LLi CTRICAL ITER 101-000-420-000 $192.20 PLC,rIHli3ING FEE 101-000-419-100.0 $20.115 SY'R.ONa MOTION FLS', • RZSW 101 -Ut30-2v14)OD $23.0 C1tb.AE'j#?Rt0 FEY. 101!-000-423-000 3I�a•09 , t1E1{Ei.+ PER 1:I19.PA.C;'T PIPSO ,ART 11'1 PI.1BIAC PLACPS - R-WIL 270.000.445.000 �293,tIk S IB"' tAL, t 41MU4`.IY;fUI•'i' AND I Abl CHECK,207.37 SEP 112001 ..� ►.�' ' $0.00 XUAL P'ER e T1' E"...`.',•1:'6 DUE 400 CITY OF LA QUINTA FINANCE DEPT. VM)7_37 7 FjECEIPT DATE, ;. ,.a BY `' J DAT FI LEDINSPECT INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms &Footings zk�llj�5�0/ Slab Grade �p�l6lpj �1 Underground Ducts Ducts Return Air Steel Combustion Air, Roof Deck _ / ��(% Exhaust Fans 0. K. to Wrap F.A.U. Framing �� Compressor Insulation /�'fi Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOC KWALL APPROVALS steel Set Backs 'y 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 /ds� Electric Final Heater Final Water Piping _ Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral _ Pool Cover Sewer Connection 1t��s/6� Encapsulation Gas Piping Gas Test ����� of Appliances Final COMMENTS: / Final Utility Notice (Gas) ELECTRICAL APPROVALS 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 Final Utility Notice (Perm) N WESTERN INSULATION, 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 i-2, PHASE 2 LOT #: 2037 SITE ADDRESS: 81-245-GOLFVIEW-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: 7 4484 BY: TITLE: P OD ION MANAGER DATE: JA ARY 28, 2002 j MA".06.2002 09:53 17602334091 MRYER ROOFING � o (;orporate Office: RD, Rax 462890 Escoadido. CA 92046 rNcoaPa ATED Licensc # 03381 WESTERN PACIFIC HOUSING LA QUINTA 760-564-7022 (FAX) Attn: JOHN T2543 ?.007%009 Roofing on_"LEGEND R E.G.A. 3YEST" Ph 2 LOT #37 rhonc: (760)737-8888 rAX: {76{)) 7:37-0350 Og-6-02 Mayer Roofing has supplied and installed "12 " O'haa in cloaked roof vents, on lot #37 at 81-245 GOLF VIEW DRIVE Tile vents have been installed per manufacturers specifications. Note: Exact vent locations are determined by builder RESPECTFULLY SUBMITTED r a SCOTT BEECHAM OPERATIONS MANAGER, Mayer Roofing, Tnc. Page I of 1 118 Library Street . Sari Fermindo, (.,A 91340 193 Change Strcct . Riverside, CA 9-7502 ($18) 835-60(4 . FAX (818) 938-4493 (*909)X.78"-06011 . FAX(909)7K2-08(14 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R PROJECT INFORMATION Project Title: LaCala Project Address: gl—Z�iSGo(�'!/;e�,1 OR Builder Name: Western Pacific Voice #: Builder Contact: Michelle Lopez Voice #: 442-6199 ext462 Project ID #: ZW3E- -Z- Lot iLot # -3 7 Plan # 1W Sample Group #: HERS INFORMATION HERS Rater: Scott Johnson Certification # : 30027 HERS Firm: Action Now Voice #: 949-631-2274 Address: 2575 Westminster Avenue, Costa Mesa, CA 92627 HERS Provider: CHEERS Voice #: 800-424-3377 HERS Address: 9400 Oakdale Avenue, Chatsworth, CA 91311 HERS RATER COMPLIANCE STATEMENT 24 Compliance Credit was Taken for Tight Ducts T-24 Compliance Credit was Taken for TXV TXV Verified YesO The house was: Tested/ Verfied Approved as a part of sample, but was not tested / verified The installer has prove ed a copy of CF -6R Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct) Where cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at the connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: System EIJ of 1 1 Indicate the maximum a owa le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x 100 x Test Leakage / Fan Flow Other uct Pressurization Test Results (CFM @ 25 PA) Check Box for Pass or Fail (Pass = 6% or Less) Pass System L:�-- of Indicate the maximum a owa le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x 100 x Test Leakage / Fan Flow Other uct Pressurization Test Results (CFM @ 25 PA) Check Box for Pass or Fail (Pass = 6% or Less) Pass System 1 �3 1 of Indicate the maximum a ov 0.7 x Floor Area x (W 0.5 x Floor Area x (0.1 400 x (Cooling Capac 21.7 x (Heating Capa 100 x Test Leakage / Other uct Pressurization Test R( Check Box for Pass or Fail Raters Certifying Signature S7, rcuu i-uc ky-uc)mcuon rvow, i-zw%.r-4m i va i nvmaciu.xiS ` INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address 8j2JJT L7a - Q T 3 1 Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS 2 -00 0.l ff DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) ' Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cWton x number of tons, or as 21.7 x Heating Capacity in Thousands of Bt0ir, 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 (TXV) ❑ Yes ❑ 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 I, 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 b -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] l % 3 Tests Ognature, 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 . 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: 81-245 GOLF VIEW DRIVE Use Classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: Owner of Building: SRHI, LLC Building Official Bldg. Permit No.: 0109-058 VN Land Use Zone: RL Address: 16940 VON KARMAN AVE, STE 200 City: IRVINE, CA., 92606 By: DANIEL P. CRAWFORD JR. Date: 6/5/02 POST IN A CONSPICUOUS PLACE