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04-6596 (SFD)• TAW f 44Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number . . Property Address . . . APN: Application description Property Zoning . . . Application valuation . Owner BUILDING PERMIT P. 04-00006596 f Date 1/20/05 . . . _ 52-8-6-5*LATROBE,rL-N 770-340-004- - - . . . DWELLING- SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL 368397 JAC & BILLIE BERNARD P.O. BOX 676007 RANCHO SANTA FE RANCHO SANTA FE CA 92067 Contractor ALPHA OMEGA COMMUNICATIONS INC 42829 COOK STREET PALM DESERT CA -92260 (760) 568-1712 WCC: STATE FUND WC: 164166403. 06/30/05 CSLB: 820066 05/31/05 CCC: B ------ Structure Infformation 4250 SQ. FT. SFD ----- Construction Type . .. TYPE V - NON RATED Occupancy Type .. . . DWELLG/LODGING/LONG <=10 Flood Zone. 1. . . . . .� NON -AO FLOOD ZONE Other stripf-o CODE EDITION 2001 CBC N 6 T' #� BEDROOMS 4.00 �P aV�N�P FIRE SPRINKLERS NO 1C. GARAGE SQ FTG 875.00 G�F�N�►c`' PATIO' SQ FTG 590.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 4250.00 ------------------------------7--------------------------------------------- 1 Permit . . . BUILDING PERMIT Additional desc Permit Fee 1581.00 Plan Check Fee 1027.65 'Issue Date . . Valuation . . . . 368397 Expiration Date . . 7/20/05 Qty Unit Charge Per Extension BASE FEE 639.50 269.00 3.5000 THOU BLDG 100,001-500,000 941.50 ------------------------.---------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . , Permit Fee . . . . 196.25 Plan Check Fee 49.06 Issue Date . . . Valuation . . 0 Expiration Date . . 7/20/05 Qty Unit --Charge -Per Extension BASE FEE 15.00 C&If 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Cr% Applicant: /' Applicant's Mailing Address: Jr VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777.7153 Date: l Architect or Erigineer. Arcrinect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under' natty 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 Ucen in full force and effect. License Class License No.0(06 � ~ Dat Contractor—'.1-4/L11^0 � V- Contractor , �,v OWN R$UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 ft permk to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 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).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the sbvcture 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 or 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.). U 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 the Contractors' State License Law.). puisuant to U I am exempt under Sec. BA P.C. for this reason Date Owner. WORKERS' COMPENSATION DECLARATION 1 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 -perfor mance of the work for which this permit is i ued. My waters' comp nation insurance carrier an p icy u are Gamer 4' �"k h Policy Number ep _ _ I certi y 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, l shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS!' COMPENSATION COVERAGE IS 18NLAWFUL, 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penal! of CONSTRUCTION LENDING AGENCY y 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this a 1. Each person u ppticabon. 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, indemnity and hold harmless the Ciof La ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. ty 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date ` 0 gnature_(Applicant or.Agent): �. �. Page 2 Application Number . . . . . 04-00006596. Date 1/20/05 Qty Unit Charge Per Extension 4250.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 148.75 875.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 17.50 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 . . 7/20/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 " Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/20/05 Qty Unit Charge Pet Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 --------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . 7 ------------------------------------------------- PLUMBING Additional desc Permit Fee . . . . 213.75 Plan Check Fee 53.44. Issue Date . . . . Valuation . . . . 0 Expiration Date 7/20/05 Qty Unit Charge Per Extension 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 6.0000 EA PLB ROOF DRAIN 12.00 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 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments 4250 SQ. FT. SFD THIS PERMIT DOES NOT i:11 * Page 3 Application Number 04-00006596 Date 1/20/05 ---------------------------------------------------------------------------- Special.Notes and Comments INCLUDE POOL-& SPA BLOCK WALL OR _DRIVEWAY APPROACH., 1/14/05 1:54:40 PM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . .ART IN PUBLIC PLACES -RES 420.99 :DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 'ENERGY REVIEW FEE 102.77 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 36.83 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 2120.50 ------------------------------ .00 .00 2120.50 Plan Check Total 1158.78 500.00 .00 658.78 Other Fee Total 2965.59 .00 .00 2965.59 Grand Total -, 6244.87 500.00 .00 5744.87 I � � C� p P.O. BOX 1504 APPLICATION ONLY Building f I 78-495 CALLE TAMPICO Address I") d> t :tai t� i� P�,,D!'6,E LA OUINTA, CALIFORNIA 92253 Owner f r A. t t-"' F i l ata F�1�,• BUILDING: TYPE CONST \J OCC. GRP. Mailing Address `i (^ ao A.P. Number City Zip Tel._ Legal Description V� �� L✓�J�� 7� Contractor I Project Description 2 1 1-,1 ' a- i �- . . i "t.)✓t l 'v�� `, �1. Flo i T )i L3 (• �{ C`� .�6:`v.Ja t �i l !,_S1' -2:5t i Address City ZipTel`. Gr.b s/t C cue c "` q -t i' I I 1, & Classif. r �C,��,^� ILic. #�� Arch., Engr., r Y l Designer ,/� ,,..,f -r ,t, 6 City t ` Zip State �� .F-)tr`ti" �t�. 9 Lic. #C (L -T5 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 (5500). O 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or -improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.' If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. . I certify that I have read this application and. state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip 0 WHITE = BUILDING DEPARTMENT Sq. Ft. - , - No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ". Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure i TOTAL REMARKS — '- ZONE: , BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated bv: Validation: YELLOW = APPLICANT PINK = FINANCE N U `bate 1 /24/05 'No. 26805 . •f' Owner Cart Webb Address City Zip CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 . I (760) 771-8515 APN # oC, �c �o BERMUDA DUNES r Cr RANCHO MIRAGE INDIAN WELLS PALM DESERT y LA QUINTA QINDIO O 770-340-004 Jurisdiction La Quinta Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52865 Latrobe Ln Unit 2 Unit 3 Unit 4 Unit 5 Comments 4250 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 4,250 S.F. or $9,520.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Pacific Western Bank - Fran Espinosa Check No. 243153 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent 'I Fee collected /exempted by Sharon MCGilvrey Payment Recd 0:00 $9,520.00 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This -Document NOT VALID, if Duplicated Embossed Original -Building DepartmenUApplicant Copy - Applicant/Receipt , Copy -Accounting Certificate of Occupancy • �Illlr/�1�� 4 Icasronhn� C� OF'IBuilding & 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: 52-865 Latrobe Lane Use classification: Single Family Dwelling Building Permit No.: 04-6596 Occupancy Group: R3/U1 Type of Construction: VN Land Use Zone: RL Owner of Building: Jac & Billie Benard Address: 52-865 Latrobe Lane City, ST, ZIP: La Quinta, CA 92253 .ems By: Daniel P. Crawford Jr. Date: 5/18/06 Building Official POST IN A CONSPICUOUS PLACE CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 2) CF4R 'Project Address I Bernard Residence ] Builder / Installer Name 52-865 Latrobe Lane / La Quinta / CA / 92253 Gordon Ross Construction Builder / Installer Contact Telephone Plan Number Gordon Ross 7605681752 Bernard Residence HERS Rater Telephone Sample Group Number Michael Willeford - CJHJEJEJRJS@ ED 7608363789 0 #CCNMW263496 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Sample House Number 1 Firm HERS Provider Guthy - Renkeir CJHJEJEJRJS@ Address City/State/Zip 41-550 Eclectic Palm Desert /CA /92260 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-certify.that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. h`�'L ✓ The installer has provided a copy of CF -6R (Installation Certificate) ✓ Distribution system is fully ducted (i.e.,,do � �t use building,cavities as pleniuns or platform returns in lieu of ducts). 1-111 � I ,r . �.. F'V U " ,-, ✓ 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 duct connections �`'+ ✓ 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 9,6 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) = q, 5K* Check Box for Pass or Fail (Pass=6% or less) ✓ Pass U Fail System # 2 Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1 If fari flow is measured enter measured value here Leakage Percentage (100 x Tested Leakage / Fan Flow) = S� Check Box for Pass or Fail (Pass=6% or less) ✓ Pass ❑ Fail Residential Compliance Forms Generated by C HJEJE RJS@ http://www.CHEERS.org August 2001 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 2) CF4R Project Address [ Bernard Residence 1 52-865 Latrobe Lane / La Quinta / CA / 92253 Builder / Installer Name Gordon Ross Construction System # 3 Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values Test Leakage Flow in CFM 0 If fan flow is calculated as 400c&n/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) = C. f , 3 Check Box for Pass or Fail (Pass=6% or less) ✓ Pass 0 Fail System # 4 Duct Pressurization Test Results (CFM @ 25 Pa) I MeasuredValues Test Leakage Flow in CFM 36 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 Tested Leakage / Fan Flow) Check Box -for Pass or Fail. (Pass=6 /o or less) ✓ Pass a Fail ✓ THERMOSTATIC EXPANSION VALVE ( System # 1 ❑ Fail ✓ Pass ✓ Yes System # 2 ❑ Fail ✓ Pass ✓ Yes System # 3 ✓ Yes System # 4 ✓ Yes ❑ No ❑ No U No cxV)l 11.101 I r*-,_ I i 1 I.- 5 Therrmmostat csion Valv�sn taped grid Access is provided for inspection'. - Thermostatic Expansion Valve is installed and Access is provided for inspection. Thermostatic Expansion Valve is installed and Access is provided for inspection. ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection. [ i 1 ✓ Pass ❑ Fail ✓ Pass ❑ Fail ✓ Pass ❑ Fail ✓ Pass ❑ Fail a Residential Compliance Forms Generated by CJHJEJE RAS® http://www.CHEERS.org August 2001 CERTIFICATE eOFQFIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R s—/ to/Db Project Title Date _ -Zaro v moi, Project Address Builder Name Builder Contact ter, � / ,/i HERS Rater i Certifying Signature Firm: Street Address: yS = �%6 p o�A D.^ Copies to: Builder, HERS Provider Telephone Plan Number Sample Group Number Sample House Number HERS Provider:1,., r!/P City/State/Zip: HE RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify 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. /qDistribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) . 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 duct connections. (1 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) ' Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM 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 Test Leakage/Fan Flow) = y S Check Box for Pass of Fail (Pass=656 oi less) ` P s r Fail THERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT Fail 1' ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. 2' ❑ Yes ❑ No TXV is installed or.Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R 1 } Measured Fan Flow = ❑ ❑ Yes for both I'and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7 CF4R Project Title Date 9225 Z2 Project Address Builder Name Builder Contact Telephone Plan Number HE Rater Telephone Sample Group Number Certifying Signature Firm: _ Street Address: 963 Dr - Copies to: Builder, HERS Provider Sample House Number / HERS Provider: J City/State/Zip: P tN y 7 HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify 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 -611 (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) 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 duct connections. (tel MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Measured values Test Leakage Flow in CFM 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 Test Leakage/Fan Flow) _ V ATIC EXPANSION VALVE Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on'pldn. 2. ❑ Yes ❑ No TXV is installed or.Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. i Measured Fan Flow = Yes for both 1 and 2 is a Pass Fail ❑ Pass Fail ❑ ❑ Pass Fail Compliance Forms August 2001 A-16 CE//R��TIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING(Page1 of T) CF -4R �-�'C'1` a �`_ ZPt1�PA7ef �/ ID/Ob . Project Title Date SoZ -� /��. ,�� f� �, ✓ ��„ ,Cat t Project Address Builder Name Builder Contact Telephone Plan Number HERS Rater. i Telephone Sample Group Number .___...N.__._.........1 Certifying Signature rat( Firm: Street Address: Copies to: Builder, HERS Provider Sample House Number / HERS Provider: City/State/Zip: HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification? I certify 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. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) 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 duct connections. (I MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM /O 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 Test Leakage/Fan Flow) _ .157 f chnGk Box fer- Pass or. Fail 56 V1 less) THERMOSTATIC EXPANSION VALVE (TXV) j P s Fail ? Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT Pass Fail 1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or.Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. i Measured Fan Flow = _. ❑ ❑ Yes for both -.1 and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R n cif l�Pt,�P1�r-G 57-I0106b Project Title Date 4 �t r Project Address Builder Name Builder Contact Telephone Plan Number _HERS Rater ITelephone Sample Group Number Certifying Signature ate Sample House Number . Firm: HERS Provider: Street Address: Dl- City/State/Zip: _ /--o Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. 69 The installer has provided a copy of CF -6R (Installation Certificate. /qDistribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) . 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 duct connections. til MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) ' Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM_ 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 Test Leakage/Fan Flow) Box for Pass or. THERMOSTATIC EXPANSION VALVE (TXV) 13 P s Fail Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT Pass Fail 1' ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has ` verified that actual installation matches values in CF -IR and design on'plan. 2' ❑ Yes ❑ No TXV is installed or.Fan flow has been verified. If no TXV, verified fan flow matches design from CF -IR i Measured Fan Flow = �..... ❑ ❑ Yes for both I and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 b8/29/2005 .09:02 7603605719 YOUNG ENGINEERING SE PAGE. 02 YOUNG ENGINEERING SERVICES 77804 Wildcat Dr., Palm >aesert, Ca, 92211 (760) 360.5770 (760) 31N1-5719 August 26, 2005 Tom Hartung Building Official City of La Quinta Re: Dear Tom, We have performed structural observation with regards to the framing for the above referenced project and find it to be in general conformance with the approved structural plans with the exception of the following items - 1. Provide blocking and coil strapping above and below all shear wall opening as shown on detail 6/S5.1. 2. Provide MST60 horizontal strap and MST48 vertical strap to beam (R7) 6x12 to shear wall #15 and shear wall #16 located at Dining Room as shown in detail 20/S5.3. 3. Install missing HD2A holdown for shear wall # 18 .located at Office Room. 4. Provide MST48 drag strap to shear wall #9 to 6x8 beams located on both sides of shear wall 09 as shown in detail 5/S5.3. This shear wall is located at Kitchen. 5: Shear wall # 9 (Master Suite) at the break in the sill plate, provide CS16 coil strap 48"long out side face of wall. 6. Provide MST60 horizontal strap and MST48 vertical strap to beam (R1.3) 5 1/8 X 18 GLB to shear wall #28 and shear wall #27 located at Great Room as shown in detail 18/55.3. 7, Provide MST60 horizontal strap and MST48 vertical strap to 6X8 beam to shear wall #24 located at Master Suite as shown in detail I8/S5.1. 8. Provide MST60 horizontal strap and MST48 verticaI strap to 6X1.0 beam to shear wall #29 and shear wall #30 located at Guest Casita as shown in detail 18/S5.1. 9. Install missing holdowns for shear wall # 20 with PHD2 epoxy 5/8" diameter A.T. 12" into existing footing using Simpson SET epoxy (Special inspection required) 10. At shear wall # 32 (Guest Casita) opening, provide b.locldng and strapping w/ CMST 1.4 all around the opening. This structural observation does not relieve the City in any way from performing their standard structural inspections nor is it in lieu of any code required special inspections. The structural observation perforated should not be construed as a detailed structural inspection but as a structural observation for general conformance as per CBC 1702. If you have any questions please call. Sincerely, Jeffrey . Young S.E. P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 January 26, 2005 Gordon Ross 42-829 Cook Street _ Palm Desert, CA 92067 Subject: Approval of Minor Use Permit 2005-592 (760) 777-7000 FAX (760) 777-7101 Dear Gordon Ross: Your request for Minor Use Permit 2005 -592 -to -allow the _construction for a new custom.guest casita at Lo 4, Tract # 28867 for Jac and Billie -Bernard is hereby approved. Enclosed is the approved original-DeedRestriction for- - this Minor Use Permit. It must be signed by Jac and Billie Bernard .in front of a Notary Public. The original approved documents are then to be recorded with the County Recorder with a recorded .copy given to use for our files. Until the recorded copy is received, our Minor Use Permit is not complete. After we review our copy, we will provide our clearance. to the Building Department to issue the building permit..' Should you have any questions, please call me at (760) 777-7070. Very truly yours, Tim Nguyen Assistant Planner Attachment C -Building andySafety- Department - .pg