04-5150 (SFD)i�.
r
z
BUILDING & SAFETY DEPARTMENT
1504
I (760).777-7012
ipFuT9�(,
237
95 LLE TAMPICO FAX (760) 777-7011
LA QUINT k, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
CITY OF IA QUIdTA
---FINANCE DEPT. BUILDING PERMIT
Application Number . . . . . 04-00005150 Date 6/25/04
Property Address .. . . . 50015 VIA PUENTE
APN: 772-370-007- - -
Application.description . . . DWELLING - SINGLE ,FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 255128
Owner Contractor
R J T HOMES RJT HOMES LLC
1425 E UNIVERSITY DR 1425 E. UNIVERSITY DRIVE
PHOENIX AZ 85034 PHOENIX AZ 85034
WCC: STATE FUND
WC: 1583906 10/01/04
CSLB: 690645 06/30/04
CCC: A -B
------ Structure Information SFD -----
Construction Type TYPE V - NON RATED
Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 .
Flood Zone . . . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 729.00
PATIO SQ FTG 802.00
NUMBER OF UNITS 1.00
FIRST'.FLOOR SQ FTG 4024.00
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . 1185.50 Plan Check Fee 7`70.58
Issue Date . . . . Valuation . . . . 255128
Qty Unit Charge Per Extension
BASE*FEE 639.50
156.00 3.5000 THOU BLDG 100,001-500,000 546.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 114.50 Plan Check Fee 34.25
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
P.O. BOX 1504 /i •
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 5150 Date: ?- a3 -oq
Applicant.
Applicant's Mailing Address:
--Architect or Engineer:
Architect or Engineer's Address:
ic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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, anse is�nd my Lice in ful o
rce and effect.O
iccense Class_ -----License No.
A / / e 71—r J� in 141, i
�—A
101- -
OWNER -BUILDER 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 the permit 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 structure 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 pursuant to
the Contractors' State License Law.).
U 1 am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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
S ed. y work comp nsation i nce carrier apd lily number a
arrier�� .P d�olicy Number /r Al 3 0
_ I ceRify that, in the perfortnan a 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 those provisions.
�te:r— 0 L��Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENS ON COVE E IS UNLAWFUL, 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of 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
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quints. its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
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.
1 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.
ate �O ignature (Applicant or Agent):
f
Application Number
. . . 04-00005150
Page 2
Date 6/25/04
Qty
Unit Charge
Per
Extension.
3.00
9.0000
EA
MECH FURNACE <=100K
27.00
3.00
9.0000
EA
MECH B/C <=3HP/100K BTU
27.00
.00
16.5000
EA.
MECH B/•C >3-15HP/>100K-500KBTU
.00
6.00
6.5000
EA
MECH VENT FAN
39.00
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
------------=---------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
170.42
Plan Check Fee
42.61
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
4024.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
140.84
729.00
.0200
ELEC GARAGE OR NON -.RESIDENTIAL
14.58
--------------
Permit .
-------------------------------------------------------------
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
246.75
Plan Check Fee
61.69
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per,
Extension
BASE FEE
15.00
28.00
6.0000
EA
PLB FIXTURE %
168.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
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
9.00
.7500
EA
PLB GAS PIPE >=5
6.75
1.00
15.0000
EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Permit ...
. . . .
GRADING PERMIT
Additional
desc
Permit Fee
. . . .
15.00 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD LOT 17
PLAN SF1AC1.
PERMIT
DOES NOT
4'
Fee summary Charged
Permit Fee Total 1732.17
Plan Check Total 909.13
Other Fee Total 2645.39
Grand Total 5286.69
Paid Credited Due
---------- ---------- ----------
.00 .00 1732.17
.00 .00 909.13
.00 .00 2645.39
.00 .00 5286.69
Page
3
Application Number . . . . .
04-00005150 Date
6/25/04
--------7-------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALL, POOL, SPA
OR
DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
137.82
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
77.06
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
25.51
DIF STREET MAINT FAC -RES•
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1732.17
Plan Check Total 909.13
Other Fee Total 2645.39
Grand Total 5286.69
Paid Credited Due
---------- ---------- ----------
.00 .00 1732.17
.00 .00 909.13
.00 .00 2645.39
.00 .00 5286.69
t..
DIS ,
ENERGY C A 0 E
P0. Box 621
Rancho Mirage, CA 92270
Email: DESNRG RAOL.COM
Ph/Fax(760)564-2044
Cell: (7601250-1852
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
PALMILLA PH 9
Project Title
50-015 VIA PUENTE LA QUINTA CA. 92253
Project Address
CHAD MEYER 760-564-6555
C
Builder Contact Telephone
RICHARD KROWN
HERS Rater// Telephone
/V/� #CCNRK613292 07-1405
Certifying Signature Date
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
DATE TESTED 7-07-05
Date
RJT HOMES
Builder Name
MESQUITE SF1C1 3 UNITS
Plan Number
GROUP 7
Sample Group Number
LOT 17
Sample Lot Number
HERS Provider: CHEERS
City/State/Zip: RANCHO MIRAGE, CA. 92270
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.
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
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
Measured
values
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fail (Pass =6% or less) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
JJIN�TALLATION CERTIFICATE CF -6R
50-015 Via Puente
Site Address
Permit #
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is
required; however, use of this form to provide the information is optionl.) After completion of final inspection, a copy must be provided to the building department
(upon request) and the building owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
Equip. Type
(pkg. heat CEC Certified Mfr, Make & Model
pump, etc.) Number
FAU CARRIER 58STXI10122
FAU CARRIER 58STX045108
Cooling Equipment
Equip. Type
Duct
(pkg. heat
CEC Certified Compressor Unit
pump, etc.)
Mfr. Name and Model Number
A/C COND.
CARRIER 38BRC060000
A/C COND.
CARRIER 38BRC048000
A/C COND.
CARRIER' 38BRCO24000
1 z reads greater than or equal to
# of
Efficiency
Duct
Duct or
Heating Heating
Identical
(AFUE,etc.)'
Location
Piping
Load Capacity
Systems
[ZC]7-111value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
2
80.0%
ATTIC
R-4.2
110,000
1
80.0%
ATTIC
R-4.2
45,000
# of Effeciency Duct
Cooling Cooling
Identical (SEER, etc)'
Location
Duct
Load Capacity
Systems [>_CF -1R value]
(attic, etc.)
R -value
(Btu/hr) (BTU/Hr)
1 12
ATTIC
R-4.2
60,000
1 12
ATTIC
R-4.2
48,000
24,000
I, the undersigned, verify that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or
exceedstl}�arQpriate re uirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
-7
AMPAM LDI Mechanical
Sh ene brey 2/4/2005 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
WATER HEATING SYSTEMS:
Water CEC Certified Distribution If Recir- Rated Input Tank Efficiency Standby External
Heater Mfr Name & Type (Std, Point- culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R -
Type/# Model Number of -Use) Control Type Systems Btu/hr) (gallons) value
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, Subchapter 2, Section 111.
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, I have 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.
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
RCR COMPANIES
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
INSTALLATION CER'T'IFICATE (Page 3 of
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCTLEAKAGE REDUCTION
Pressurization Test Results (CFM Q 25 PA)
Test Leakage (CFM) -a
CF -6R
Fan Flow
If Fan Flow is Calculated as 400 cfmRon x number of tons, or as 21.7 x Heating Capacity
In Thousands'o( Btu/hr. enter calculated value here
If fan flow Is measured, enter measured value here -TOO
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) _ Q,D$q X 0
Pass if leakage fraction <0.06 Pass Fail
❑ For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
CHECK AFTER FINISHING WALL: Duct Fan Pressurization at rough -in measured leakage (CFM)
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ No ❑ Visual Inspection of Duct Connections
OTHERMOS_TATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
0 0
Pass Fall
Yes is a pass /' 0
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. ❑ Yes ❑ No 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, t]
verified fan flow matches design from CF -IR. Pass Fail
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
❑ 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. ]
}� 6 •-) q—C) - I-• D .L M e t h c4_n I ICS I
Tests ignature, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY T0: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms
August 2001
A-25
INSTALLATION CERTIFICATE
(Page 3 of 13) CF -6R
h'►4W1t�IG. PlttA-SP_ A lD4- r7 S
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCTLEAKAGE REDUCTION
Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM)_B 7
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands*o( Btu/hr, enter calculated value here
If fan flow Is measured, enter measured value here Job
Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) o
Pass if leakage fraction <0.06 Pass Fail
0 For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
CHECK AFTER FINISHING WALL: Duct Fan Pressurization at rough -in measured leakage (CFM)
O Yes O No O Pressure pan test or House pressurization test
D Yes O No 0 Visual Inspection of Duct Connections o 0
Pass Fall
0 _THERMOSTATIC EXPANSION VALVE (TXVI
O Yes O No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass /' o
O DUCT DESIGN Pass Fail
ACCA Manual D Design calculations have been
1. O Yes O No completed, Duct Design Is on the plans and duct Installation
matches plans.
2. O Yes O No 'TXV is installed or Fan flow has been verified. If no TXV, 13 o
verified fan flow matches design from CF -111. Pass Fail
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
O 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. J
S_jq_OS • .h—Dy, &C.-Ic.-ni16C*_ 1
Testsignature, 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
_4
INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R
PAM;))&. P1,t4sP a
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUCTION
Pressurization Test Results (CFM @ 25 PA) Test leakage (CFM)aL
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) - 0.03t3 p
Pass if leakage fraction < 0.06 Pass Fail
t7 For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed:
CHECK AFTER FINISHING WALL: Duct Fan Pressurization at rough -in measured. leakage (CFM)
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ No ❑ Visual Inspection of Duct Connections Cl Cl
Pass Fail
❑THERM_O_STATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection
Yes is a pass "'W o
❑ DUCT DESIGN Pass Fall
ACCA Manual D Design calculations have been
1. ❑ Yes ❑ No completed, Duct Design Is on the plans and duct Installation
matches plans.
2. ❑ Yes ❑ No TTXV is installed or Fan flow has been verified. If no TXV, 0 0
verified fan flow matches design from CF -IR. Pass Fail
Measured Fan Flow =
Yes for both I and 2 is a Pass
O 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. J
-- 5 --1 q -®s x.17c.
.L l
�n 1 C� I
Tests ignature, 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
August2001
A-25