The URL can be used to link to this page

04-6573 (SFD)TW�t 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Qty Unit Charge Per BASE FEE Extension 15.00 ApLt _- �, _- - plication Number . . . . 04-00006573 'Date 10/01/04 Preper-ty - Address=- , .. . . . . 50180 VIA PUENTE CT APN: 772-370-002- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 275794 Owner ------------------------------------------------ Contractpr , 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 10/01/05 CSLB: 690645 06/30/06 CCC: A -B -------------------------- Structure Information -------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . NON-AO'FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 724.00 PATIO SQ FTG 901.00 NUMBER OF UNITS 11.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 4364.00 Permit . . . . . . BUILDING PERMIT Additional desc � Permit Fee . . . . 1255.50' Plan Ch@ck Fee 816.08 Issue Date . . . . Valuation . . . . 275794 Qty Unit Charge Per Extension BASE FEE 639.50 176.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 616.00 Permit . . . . . .. MECHANICAL Additional desc . . Permit Fee . . . . 127.50 Plan Check Fee 31.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension 15.00 P.O. BOX 1504 VOICE (760) 777-7012 . 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: o4- & Applicant: Applicant's Mailing Address: �,A ttg� —Architect .—Architect Date: or Engineer: or Engineer's Address: 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, and my Lice a s . full force and effect. �y License Class License No. 6 -i O 6 Data �' Contractor a` 7 •Pis, `f'..G 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 Sec. , BA P.C. for this reason 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 �' iss :d. Kworkeps' compensation insurance carrie� arld pgl npimb r are: Carrier J Policy Number _ S Y �f T _ 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. DateG iv Applicant P 4—cor" 4; 4ze, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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, indemnify and hold harmless the City of 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. 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. Dat'60 —:2 Signature (Applicant or Agent): Page 2 Application Number . . . . 04-00006573 Date 10/01/04 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 8.00 6.5000 EA MECH.VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit ELEC-NEW RESIDENTIAL. Additional desc . . Permit Fee . . . . 182.22 Plan Check Fee 45.56 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4364.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 152.74 724.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.48 Permit PLUMBING Additional desc Permit Fee . . . . 279.00 Plan Check Fee 69.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 31.00 6.0000 EA PLB FIXTURE 186.00 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 12.00 .7500 EA PLB GAS PIPE >=5 9.00 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 SFA - LOT 12. PLAN SF2AC2, 4364 SF. Page 3 Application Number . . . . . 04-00006573 Date 10/01/04 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 189.48 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 81.61 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 27.57 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1859.22 ---------------------=-------- .00 .00 1859.22 Plan 'Check Total 963.27 .00 .00 963.27 Other Fee Total 2703.66 .00 .00 2703.66 Grand Total 5526.15 .00 .00 5526.15 J-0-40 vtA 1600 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOS'T'IC_ TESTING (Page I of 7) CF -4R PALMILLA PH -6 09-14-04 Project Title ® Date 50 TH & JEFFERSON Fail R J T BUILDERS_ Project Address DARRELL MORGAN _ 760-275-8230 Builder Name _ PALO BREA P-3 2 UNITS Builder Contact i Telephone _ Plan Number RICHARD KROWN 760-250-1852 GROUP 4 20172 HERS Rater Telephone -- - = #CCNRK613292 09-14-04 LOT N t2 i Certifying Signature Date Sample House Number Firtn:DESERT ENERGY SERVICES HERS Provider: CHEERS Street Address: P.O. BOX 621 _ _ Ci tydState;Zip: RANCHO MIRAGE CA. 92270 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. ® 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 tope is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal Ieaks at duct connections - MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) v Measured Duct Pressurization Test Results (CFM L25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400efm/ton x numberof tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = . Check Box for Pass or Fail (Pass=6% or less) ® THERMOSTATIC EXPANSION VALVE (TXV) ® Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass 51 1600 3.1875 Pass Fail ® ❑ Pass Fail CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC 'FE STING (Page I of 7) CF -411 PALMILLA PH -6 09-1404 Project Title Date 50 TH & JEFFERSON _ _ _ _ R J T_BUIL_DERS Project Address DARRELL MORGAN ^ 760-275-8230 Builder Name _ _ PALO BREA P-3 2_ UNITS Bu_ilder Contact Telephon_ _e -- Plan Number RICHARD KROWN 760-250-1852 GROUP 4 1 OF 2 HERS Rater �% Telephone e _ _ #CCNRK613292 09-14-04 LOT # 12 _ Ccrtifying Signature i i — Date Sample House Number Firm:DESERT ENERGY SERVICES HERS Provider: CHEERS Street Address: P.O. BOX 621 _ CitycState"Zip: RANCHO MIRAGE CA. 92270 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. ® 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 tope 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) Measured Duct Pressurization Test Results (CFM L25 Pa) values 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 Leakage Percentage (1 00 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass=6% or less) ® THERMOSTATIC EXPANSION VALVE (TXV) ® Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass 56 2000 1 O ® ❑ Pass Fail ® ❑ Pass Fail INS17ALLATION CERTIFIC'AT'E Rage 3 of 13) CF -6R Site Address S 1-& DUCT LEA ' Permit Number 1�.A� AND' DIAGNOSTICS Pressurizntion Test R Fan Flow esults (CFM ®ZS PA) Test Leakage (CFM) If Fan Flow is Calculated as 400 cfdton x number of tons, or as 21.7 x Heating Capacity In Thousands of btu/hr, enter calculated value here If tan flow Is measured, enter measured value here _ Leakage Fraction = Test Lcakagc/(Measured or Calculated Fan Flow) AT Pass ifleakagc fraction < 0.06 P 0 O For AEROSOL TYPE SEALANTS ONLY -The followiug diagoostic testing was completed: pass Fail CHECK AFTBItFINISHING WALL; Duct Patz Pressurization at rough -in measured leakage (CFM) ❑ Yes Q No 0 Pressure pan test or Douse pressurization test ❑ Yes 0 No Q 'Visual Inspection ofDuet Connections o n Pass 'Fail 12 T RMOST TIC EXPANS ON V L T ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is - provided for inspection )DU _T DP TGN Yes is a pass o Pass Fall 1. ❑ 'Yes O No ACCA Manual D Design calculations have been completed, Duct Design Is an the plans and duct installation matches plans. I 2. ❑ Yes ❑ No TXV is installed or FOR flow has been verified, if no TXV, 0 verified fan flow matches design from CF -IR Pass Fail Measured len Flow - Yes for both 1 and 2 is a pass ❑ I, the undersigned, verify that the above diugnostic test results and the work I performed associated with the t(s) is onformance in c with the requirements for compliance credit. [The builder shall provide the HEM provider a copy of the CF.6R signed by the builder employees or sub-contructors certifying that diagnostic testing and installation meet the requirerttents for compliance credit. ] Testa Si stare, Dnte Pertbrmcd Installing Subeontraetor (Co Name) OR General Contractor (Co. Name) COPY TO; Building Departrnent MFRS Proyider (if applicable) Building Owner at Occupancy Compliance Forms August2ooi A-25 10 39Vd bZ6Z88Z Zb:tt b09Z/bZ/11 INST'ALLAT'ION CERTIFICATE q 3 of 1 CF -6R DICT LEAKAGE AND DESIGN DIAGNOSTICS ",,•1"�um46r WU LLQ' G ll WON Pressurization Test Results (CFM ® 25 PA) Test Leakage (CPM)_j IL Fan Flow If Fan Flow is Calculated as 400 efrrthon 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 `W Leakage Fraction - Test Leakage/(14iMeasurcd of Calculated Fan Flow) Pass if leakage fraction < 0.06 Pass ❑ For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed. Fall CHECK AFTER FINISHING WALL: Duct Fan pressurization at rough -in measured leakage (CFM) ❑ Yes 0 No 0 pressure pan test or House pressurization test D Yes ❑ No ❑ Visual Inspection of Duct Connections' o a Pass Fail ❑ THERMQ§TATtC EXPANSION V V1g ❑ Yes 0 No Thermostatic Expansion Valve is iostalled and Access is - provided for inspection Yvu is a pass ❑ DUCT b IGN R' o pass Fail 1. 0 Yes la No ACOA Manual D Design calculations have been completed. Duct Design Is an the plans and duct installation matches plans. e 2, ❑ Yes O No " XV is installed or Fan flow has been verified. Ifno TXV, t7 p verified fan flow matches design from CF -M Pass Fail Measured Fan now Yes for both i and 2 is a Paas ❑ 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the tests) is in eonformanco with the requirements for "Hance credit. Me builder shall provide the HEM provider a copy of the CF -6R signed by the builder employees or sub-contraefors certifying that diagnostic testing and installation meet the requirements for compliance credit. ) Testat�gnamre, Date Installing Subcontractor (Co. Name) OR Parformcd General Contractor (Co. Name) C(]PY T0: Building Department ITERS Provider Of applicable) Building Owner at Occupancy G=pl ance Forms August=a A-25 Z0 39dd bZ6Z88Z Tb:TT b00Z/bZ/TT