The URL can be used to link to this page

0109-050 (SFD)N 111 perch P C3 u7 W (2 i o Z OO I— J � f1 Z Cf) LO N ON U °) dQ Z Q O 0 J J co Q U OU d rn F ,It Z_ co 5 �C) 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 a ect. License # Lic. Class '187R.56p. Date }/� nt 7V6 Date � Signature of Contractor 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: Carrier Policy No. PACRIC RAOLE M& 450)"M (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 1P, become sub' ct the workers' compensation laws of California, Agr2 that if I sh , d�fecome subject to the workers' compensation pr oSection 37��,�// ot/the Labor Code, I shall forthwith comply with tho ovls+ns,,,• G"—^^^' Date: a ! m f Applicant Warning: Failure to secure orkerst�1Compensation 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, indemnity & 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�y9 6 State lawsrel ti f to the building construction, and hereby authorizer sen �tives oft s ity to enter upon, the above-mentioned property for nspectlo purposes i f Signature (Owner/Agent,, 4 Date BUILDING PERMIT PERMIT# DATE VALUATION LOT M09 -M y TRACT JOB SITE APN ADDRESS �.y _QQ q_qri„ ��yt � ��p,�e�� •pOy��Tyy'• a �i,•-.7. _0 ltiii Yb.S7.cY DMVF F; " 761-39a.01 OWNER 4 CONTRACTOR/DESIGNER/EN INEER sluliro XILC SHLR OF CAi.,I.E'U.1�'Ja'> A WC 16940 VOR KAP A%rr*. WS 200 n coRpok-Aa PLA7LA S.10117.245 R.Vi2+8E CA. 92606 NEVIP RT MACH C'A. 92660 (949)719-4.975 (MIA A 6364 USE OF PERMIT MOLE YAWLY V90 -1,12.1'C3 S111) • LM 32, PLAY, 98. PZRJM) T' '00. NOT INC LUI )E R1.00K MIALIZN POOUSPA OR DRIV KWAY• APPROACH C:tYvrtimCOmmuCrow 3,316,00 3F PQRMPAT10 81100 SF 0.Al'.,AlR6("-A11.Pt)RT 1350100 OF E.r ° "DCOST 10111 C-ONMUMIDN 32417.1601m) CMUTRUCTJON ME 101.000.418.000$1,427.00 fi'.%'A'N C HWK 111F�r 101-000-439-318 $1,132.01 MECHANICAL Eg 101-OO101-000-421-000 f, i,'t.nEa.T,MCAL FU1 , 101-000Q 42 0-OGI) PLIJIMBPAC F91Z 101.000-419-000 li'TAC114t:) :1d91Q'1'N0 4 YZE, - RI?B- 17 101.000-241-000 Clk3.AD010 FRE 101-€00-423-000 $20>00 L7'EVEi,OPER HNIPACT PRE $1,1.07.00 leiWr IN PUBLIC PiA&C'n - USK 270--000445-000 $311,62 1 i13- 3r !"laiJ c" t7 Fs 7'REb�" MON AM PLAU CIT-T'M,CJ.. $5,377.11 D eq r LESS P:RRI-P M FEES $Oo L J : 4 IFER ° 11TI..��X6 E NOW SEP 11 2001 CITY OF LA QUINTA FINANCE DEPT. ' RECEIPT DATE BY 1vi:d DAT F D INSPECT INSPECTION RECORD 'OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings Slab Grade _ _ �b- a _ 6p ,-Z61, Underground Ducts Ducts Return Air Steel Combustion Air Roof Deck ��S_�a// Exhaust Fans O.K. to Wrap l/ F.A.U. Framing Insulation 4C/ /�� (�� Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ Drywall - Int. Lath Final _ (pl��c)'L 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 _ �Q� �— 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 _ _ _ �Q/ ��/ Encapsulation Gas Piping Gas Test 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. :i Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) MRY.06.2002 09:52 17CO2334081 MRYER ROOFING P � e Corporate O1`ticc: P_(). Box 462890 L•'.scondido, CA 92046 INCORPORATED Licenge.tt 6633N1 WESTERN PACIRC HOUSOG LA QUINTA 760-564-7022 (FAX) Attn: JOIiN #2583 Y.004/009 Rootine on "LEGENDS tai P.G.A. WXSP Ph 2.i.,01 #22 Phone: (7 ii0) 737-8848 fA.k: (760) 737-0150 05-6-02 Mayer Roofing has supplied and installed "15 11-01harin eloakgd roof vents, on lot 422 at 81-314 GOLF VIFVl1' DRIVE 'Tile vents have been installed per manufacturers specifications. Note: Exact vent locations are.detercnined by builder RESPECTFULLY SUBMITTED SCOTT BEECIiAM OPERATIONS MANAGER Mayer Roofing, Inc. Page 1 of 1 558 Library Street . San Fernando, CA 91340 193 Orange SlreoL . Riverstc)e, CA 9-1502 (418) 831 4)064 . FAX (81$)1 39-4493 (!)01))7X2-0601 . FAX(409)782-0804 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/-2, PHASE 2 LOT #: 2022 SITE ADDRESS: 81-310 GOLF VIEW DR. LA QUINTA, CA ------------------------------------------------------------------ EXTERIOR WALLS: MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13 CEILINGS: ATT:� 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: TITLE:*JUARY ION MANAGER DATE: 28, 2002 INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address $15t v Cn fl -LF V I l: W b9- LAT A- 22 Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS 2` 5- TZ_" e-ua �wW DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) �c 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 (O� If fan flow is rtmeasuied, enter measured,value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction 5 0.06 ❑ 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 ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ 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 becn.verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = LY Pass Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail Yes for both 1 and 2 is a Pass Pass Fail 0-<,,cundersigned, vera that the above diagnostic test results and the work I performed associated with the tests is in gn verify _ P test(s) conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -8R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] sI�y16� Tests gnature, 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 . INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address S 1'!j (0 (.� V 1 w 6��=%2-2 Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS Y L! vi.v y SPACF— S /DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfn/ton x number of tons, or as 21.7 x Heating Capacity 9� 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 O,N1Y - 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 =V' ) 2 Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN I ❑ Yes ❑ No 2• ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 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 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.] I ests Performed COPY TO: _ 1 (t7_ S' azure, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 —A-25 . INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address $ 1310 q 0CF VIA W QPz ' La 1 -R 22 Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS q Ta N SL�F—Pi/'UG1 S f'''4 CF i;r/DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) ,r1 Test Leakage (CFM) 1 Fan Flow If Fan Flow is Calculated as 400 cfnVton x number of tons, or as 21.7 x Heating Capacity q 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:5 0.06 a ❑ 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 tat 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 pass• 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 - IR. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail �,'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 -611 signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) s Iy �aZ Testsg ature, 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: 81-310 GOLF VIEW DRIVE Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0109-050 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: SRHI, LLC Building Official Address: 16940 VON KARMAN AVE STE 200 City: IRVINE, CA., 92606 By: DANIEL P. CRAWFORD JR. Date: 6/18/02 POST IN A CONSPICUOUS PLACE