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04-5155 (SFD)z U BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 OFTt78-49.ALL TAMP FAX (760) 777-7011 D A QUINTA, ALIFO 92253 INSPECTION REQUESTS (760) 77.7-7153 JUL, 2 3 7004 DING PERMIT on ie.AQUINTA — -- Propert APPlicatv 04-00005155-� Date APN: 50020 VIA PUENTE 6/25/04 Application description 772-370-006- Property Zoning DWELLING - SINGLE FAMILY DETACHED Application valuation • LOW DENSITY RESIDENTIAL • 255181 Owner. ------------------------ Contractor R J T HOMES 7 ------ .1425 E UNIVERSITY DR RJT HOMES LLC PHOENIX AZ 85034 1425 E. UNIVERSITY DRIVE PHOENIX AZ 85034 WCC: STATE FUND WC: 1583906 10/01/04 CSLB:690645 06/30/04 --------- -- --- ----- CCC: A -B 77 ------ Structure Information ---___ _ Construction.Type _____________ ___ Occupancy Type TYPE V - NON RATED -- Flood Zone DWELLG/LODGING/LONG <=10 Other struct info NON -AO FLOOD ZONE • CODE. EDITION FIRE SPRINKLERS 2001 CBC GARAGE SQ FTG NO - PATIO SQ FTG 729.00 NUMBER OF UNITS 806.00 -------------------- FIRST FLOOR SQ FTG _ 1.00 ------------------------------------ 4024.00 Permit BUILDING PERMIT Additional desc Permit Fee 1185.50 .Issue Date Plan Check Fee 770.58 Valuation* 255181 Qty Unit Charge Per 156.00 BASE FEE Extension _ -------------3_500.0-THOU_-BLDG-100,001_500,000 639.50 -- 546.00 Permit MECHANICAL ----- ----------- Additional desc --- Permit Fee _ Issue Date 114.50 Plan Check Fee . Valuation 28.63 QtY Unit Charge Per BASE FEE Extension 15.00 P.O. Box 1504 • '�� • w 77-7012 78-495 CALLE TaMatCO VOICE (760) 7FAX (760) 777-7011 La QutNrA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q �� `j S�j Date: • oZ 3-d Applicant. Applicant's Mailing Address: chitect or Engineer: IArchitect or Engineer's Address: r.. � ,- IF r 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 7060) of Division 3 of the Business and Professionals Code, and my Licens in full rCe and effect. License Class } ✓ ,,cense No. --Date 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 I am exempt under Seca , 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 'ssue My ers' cpmpensatio ' ance carrier a d h y number a �emer d� Policy Number ��7 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 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATICA COVERAGE 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 Lenders 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, indemnify 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. 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. ate '. -Gt ,gnaturq (Applicant or Agent): Application Number . . . . . 04-00005155 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 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 . . . . 270.75 Plan Check Fee 67.69 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 4.00 6.0000 EA PLB ROOF DRAIN 24.00 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 16. PLAN SF1BC1, 4024 SF. . _j/ . Page 3 Application Number . . . . . 04-00005155 Date 6/25/04 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ------------------------.---------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 137.95 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 ---------- Paid Credited Due Permit Fee Total 1756.17 ------------------------------ .00 .00 1756.17 Plan Check Total 909.51 .00 .00 909.51 Other Fee Total 2645.52 .00 .00 2645.52 Grand Total 5311.20 .00 .00 5311.2.0 Deseft- - ENERGY C AD EC services P0. Box 621 Rancho Mirage, CA 92270 Email: DESNRG OAOL.COM Ph/Fax (760) 564-2044 Cell: (760] 250-1852 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R PALMILLA PH 9 Project Title 50-020 VIA PUENTE LA QUINTA CA. 92253 Project Address CHAD MEYER 760-064-6555 Builder Contact Telephone RICHARD KROWN 760-250-2084 HERS R4%j. Telephone �! #CCNRK613292 07#CCNRK613292 07-14-05 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 PALO VERDE SF2C2 3 UNITS Plan Number GROUP 7 Sample Group Number LOT 16 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 INSTALLATION CERTIFICATE 50-020 Via Puente Site Address Permit CF -6R 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 Duct or (pkg. heat CEC Certified Mfr, Make & pump, etc.) Model Number FAU CARRIER 58STXI10122 FAU CARRIER 58STX045108 Cooling Equipment Equip. Type (attic, etc.) (pkg. heat CEC Certified Compressor Unit pump, etc.) Mfr. Name and Model Number A/C COND. CARRIER 38BRC060000 A/C COND. CARRIER 38BRCO24000 1 >_ reads greater than or equal to # of Efficiency Duct Duct or Heating Heating lentical (AFUE,etc.)' Location Piping Load Capacity Systems [2CF-IR value] (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) 2 12 ATTIC R-4.2 60,000 1 12 ATTIC R-4.2 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 -1 R) submitted for conpliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or exceed hg propria requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. AMPAM LDI Mechanical Sh lene ubre 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, culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R - Type/# Model Number Point -of -Use) Contnl 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 ca-egory 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 CERTIFICATE (Page 3 of 13) CF -6R PA M;))C,. P64Se- a 10i Hev L Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM) -2 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 _MTV Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) t7, Q 2q ❑ 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 g Yes is a pass /' ❑ ❑ 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, ❑ o 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. J } 5--)q'0s- I-•1DI M 6 C.., h CA_ Y1 I ICr.41 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 Fortes August 2001 A-25 INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R. PO MII)C'. h,4st a lob Ito S Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM Q 25 PA) Test Leakage (CFM) -9 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 _0t7D Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = 0 X03 fo t7 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 (3 o Pass Fall ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass /' o ❑ DUCT DESIGN Pass Fail 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, t7 verified fan flow matches design from CF -Qt. 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. ] 5 --) q-0 S L D .L 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 August 2001 A-25 'INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R M;Jy-. Pl AASe a lob' 16 G Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM ® 25 PA) Test Leakage (CFM)33 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 X00 Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) - O 1 D 9/0 O 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 o 0 Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection Yes is a pass t7 ❑ 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, O O 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. J 5 -) q_os- 11-D y, (NCAC-_w1t,) 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