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0309-230 (SATT)LICEN-SED-CONTRACTOWdECLARA ION—` itie,F4by,.affirm"-6nder.penaliy-of--p':e�rjtirythat'l-am-licens6d under provisions of -Chgter'9'. (commencing with Section 7000) of Division.3 . of the Business, -and Pn3iessi6nals Code, and my License is in full force and effect. License # Lic. Class Exp; Datd B IfIc A ?_Date. /7 'Signature of Contractor OWNER -BUILDER DECLARATION'' .1 hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: 1, 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). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044: Business & Professionals Code). O 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 o , f the following declarations: O 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. 1) 1 have'and will maintain workers' compqnS a-t-ior insurance, as required'by Section ion 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. 1r 61fit (This section need not, be completed ompleted 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 to become -subject to the workers' compensation laws of California, and, agree that if I should become sybject to the workers' compensation provisions of Section 3700'of the Labor Code, l,shall forthwith comply with those provisions. ae: Applicant Warning: Failure to secure Workers. Compensation 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 perso , n 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, indemnify & 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 state4hat the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and -hereby authorize representatives of this City to enter, ; upon the above-mentioned property for inspection purposes. .,"Signature (Owner/Agent) J Date /6 J -e, J BUILDING PERMIT'. PERMIT# DATE .VALUATION LOT _11k TRACT JOB SITE APN ADDRESS !I vx. OWNER CONTRACTOR/DESIGNER/EN INFER -�mffa�am�rm, 1w L,iQunim'A C11-11% 91253 _'YTKPUNWX AZ 101502121 5 1('56 rYPIL4f .j."tcX USE OF PERMIT i CrT nA im_kx 112.0. PERMIT DOtES N.0TJN-0.A1DZ1 AtX)CK, ?R CTCONWTRUCTION qi.vil I 5334b,K? OF tONSINU-1111 P11 CHECK PIR11% i3l -00 -439-, n. 4, 6 q1 ♦ -=Ti, x 12KI15 4*04*,, -00Q. t I flAo IMPACT FRIlp, A14D �,1:AKCTISM. .05 N� Pr&YATXTTE,8 $0.00 xx, rXI'ma.T imss" o,� no1w UJ* T" ECEIPT BY PATE FJNALED 7INSPECTORA_ 0 , i INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR - BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings -- Ducts Slab Grade Return Air — Steel Combustion Air Roof Deck Exhaust Fans OX to Wrap F.A.U. Framing Compressor Insulation j"'- Vents Fireplace P.L. Grills Fireplace T.O. _ Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final ' Final — POOLS - SPAS BLOCKWALL APPROVALS Steel — Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric _ s Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test - Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover- overSewer SewerConnection Encapsulation Gas Piping Gas Test Appliances Final - 'Z:5, COMMENTS: �� / / ,e r . dlL �Ra; 1 �.••, ��% k%L � � �-�/ 19�T)1_ ��rz J �� -/� 4/5� Final Utility Notice (Gas) _ � _ ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring j .- Low Voltage Wiring, Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) ,.:•r..:�.::..•r'.:•-r:>..,.....r'.••?'%err'n'Tar.•�>•'%.,,••.,r-..%.r,,P:r;%.•rwrir.. .. - r.-r•r,r•:^•%'i.�!rrnv.r%"..,,-wn%u+rr•uv.r,.•.rrr.r.•%.r.y^r:r•,..:rr.� ..e^J.,J.r:J:r,.•.r•r.r✓•:.r 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 at 50-185 VIA SIMPATICO LOT 122, LA QUINTA CA CEILINGS: !' TYPE: BATTS 'MAUNPACTURER: Certainteed THICKNESS: R-38 WALLS: v ` TYPE:, WALLS MANUFACTURER: Certainteed THICKNESS:R-13, GENERAL. CONTRACTOR: RJT HOMES LICENSE # ,, •. BY: TITLE: � � � " '" � . r • - PARAGON S HMID BUILDING PRODUCTS A MASCO Company LICENSE # ' BY:4 , 221517 TITLE: ACCOUNT REPRESENTIVE DATE: l' , '../: -:Y .<r .. rN.^.��,•.✓.:..r:n:Tyryi.%:i..s'.r,•,rnrn:..�r.'!:Y!i✓N.'Yvs.,.str.Y.. �J•lYY.G1..�.:f .%t%% /Y!y rr►iCfth'Mff.'1..»:v,•ay ` Y KN Y •�.. A • f. _ / .TY.'N/.r.. l>�Y.i r r. %moi 'Y... r.. .�: N•.:'r.. isr:v,:,! :r., i. /. w VI .::v•�+i.•/r..av•%r.vi-n. r. nn•::.•„ v%/, r -r. n...r..,vr: .n.'r. n�•ni-•->••�•,'•r'•%rri�• /:........�';'.vr:..•rr-rriii.�a•ui•r.r�rarr,n,,.rr r•r.. r:..,.or ri r. r: ,.rr.vr,r: r,v..•.; rr,J •J. :.•r :% INSULATION r ION CERTIFICATE , This is to certify that insula n has been installed i6 conformance with the Trent energy ' regulation, Califomia.Adminis tive Code, Title 24, State of Californi the building located at CEILINGS: TYPE: BLOW MAUNFACT UR Ce teed THICKNESS: R-38 W- M. TYPE: BATTS MAUNF URER: Certaintee - `< . THICKNESS: R-13 Y �. GENERAL CONTRACT :ICE E# �~ ' t BY: TITLE: :7 f• PARAGON HMID BUILDING PRODUCTS A MASCO Company ENSE # 221517 ' 8Y: TITLE: ACCOUNT REPRESENTIVE DA' 4 •-•..:.•.y.�.,:•r....;:.::.,,r.w:.,..,;.;r>r:..r,'•ri:.r-i<r...rrrux:.::...�;,'..r,.:u..�.,,':.nry�.r'.•rr,"..,�..r••r..rer• " �" RS&LATION CERTIFICATE (Page 3.6f 13) CF-6R :Site Address Permit Number. DUCTUEAKAGE AND DESIGN DIAGNOSTICS DUCT' LEAKAUL REDUCTION Pressurization Teit-Resulb (CFM Q 25 PA) Test Leakage (CFM) > Fan.-Flow . If Fan Flow Is Calculated as 400 cfm/ton x number of tons, or P 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/(Mcasured or Calculated Fan Flow) a 0 Pass if lcakgg fraction <'0.06 Pass Fail 0 For.AEROSO`L TYPE SEALANTS-ONLY-The following diagnostic testing was completed: Duct Fan Pressurization at rough-in measured leakage (CFM) CHECK AFTER FWSHINO WALL: 0 Yes -.0 No . O Pressure, pan test, or House pressurization-test. O Yes 0 No 0- Visual Inspection of Duct Connections 0 0 Pass Fail 0 JHERMOSTATIC EXPANSION VAI{VEM(TM ' es O.No ' Thermostatic'Expansion Valve is Installed apd Access is - provided for. inspection Yes`is a pass ,,0 0 O DESIGN Pass Fall. D RCCA Manual D Design calculations have. been L "13 Yes O No completed, Duct Design is on the plans and duct Installation matches'plans., 2: C3 Yes O No i7CV is Installed or Fan ilow'has been verified. If no TXV, 0 . 0 verified fan flow matches design from CF-IR Pass Fall - Measured Fan Flow - Yes for both I and 2 is a Pass 0 I, the undersigned, verify thafthe above diagnostic test results and the work I performed associated with the test(s) is in conformance with the rcquircmeau for compliando credit. I•Ihe 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 Testi —T �gna rt; Date Installing Subcontractor (Co. Name) OR Performed General Contraetor(Co. Name) COPY 70: - Building Department ` HERS.Provider (if applicable) Building Owner at Occupancy ' .. A-•25 gUgust 2001 - TALEA,TION CERTIFICATE . (Page 3.of 13) . CF -6R Site Address P..ormlt Number. DUCTAAKAGE AND DESIGN DIAGNOSTICS DUUF LEAKAG4 REDUCTION Pressurization Teit Results (CFM Q 25 PA) Test Leakage (CFM) ' Fart:Flow If Fan Flow is Calculated as 400 cfm/fon x number of tons, or @s21'.7,x Heating Capacity In Thousands of-Btufnr, enter calculated. value here If fan flow Is measured, enter measured value here Leakage Fraction - Test Leakagel(Measured'or Calculated Fan Flow) a 0 0 Pass ff lcakgg fraction <0.06 - Pass Fall 0 For AEROSOL TYPE SEALANTS' ONLY -The following diagnostic testing was completedr Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISH. MO WALL: b Yes .C3 -N6'. O Pressure pan test or House pressurization -test. O Yes O No 0 Visual Inspection of Duct Connections o 0 Pass Fall THERMOSTATIC EXPANSION VALVE?TM 'Yes 0 No Thermostatic -Expansion Valve is Installed and Access is- provided for. inspection Yes'is a pass Pass 0 Fall O DUCT DESIGN RCCA Manual D Design calculations havebeen L C! Yes : 0 No completed, Duct Deslgn 4s. on the plans and duct Installation matches plans., C3 2. 0 Yes O No T`XV is installed or Fan Row'has been verified. If. no TXV, pass 0 Fail verified fan flow matches design from CF -IR _ Measured Fan Flow = ' '-Yes for both I and 2 is a Pass - l3 I, the undersigned, Verify that'the above diagnostic test msuld and the •workf performgd associated with th'e 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 diaginustic.testing and Installation meet the requirements for corpliance credit. j - Installing Subcontractor (Co. Name) OR Tern re; Date , Performed General Contractor (Co. Name) COPY TO: - Building Department HERS.Provider (if appllcable) Building Owner at Occupancy • • ' �_ August 2001 0 R-25 'WTALLATION CERTIFICATE (Page 30 13). CF+ -6R Site dress Permit Number. DUCT•EAKAGE AND DESIGN DIAGNOSTICS J)UCI' LLAKA(sh', REDUCTION Pressurizatlon Teit 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 @s 21••7 x Heating Capacity In Thousands of•BWAr, enter calculated value hors If fan flow Is measured, enter measured value here Leakage Fraction - Test Leakaget(Measured or Calculated Fan Flow) a 0 Pau if leakgg fraction <0.06 pass Fall 0 For AEROSOL TYPE SEALANTS' ONLY-The'following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHINO WALL: D Yes :O No . 0 Pressure pan test.or House pressurization -test. 0 Yes 0 No •0' Visual Inspection of Duct Connections . o 0 Pass Fail. THERMOUATIC EXPANSI0N'VALy!'(TM' Pf Yes O No Thermostatic Expansion Valve Is, installed aAd Access is - provided for. inspection G Yes`is a pass Pass Fall O DUCT DESIGN - RCCA Manual D Design calculations havOcen 1, O Yes O 140 completed, Duct Design -is on the plans and duct Installatlon matchesplans., o 0 2. 0 Yes 0 No TXV is installed or Fan flow'has been verified. If no TXV, Pass Fall verified fan flow matches design from CF -HL ' Measured Fan Flow Yes for both 1 and 2 is a Pass 0 1, the undersigned, Verify that•the above diagnostic test msulU and the' tk I•perforrned associated with cite test(s) is in contom—cc with the requirements for compliance credit. [The builder shall provide the HERS provider , a copy of the CF -6R signed by the builder employees orsub-contractors certifying that diagncstic.testing and Installation meet the requirements for compliance credit. J Tats rDate Installing Subconuuctor (Co. Name) OR Performed General Contractor(Co:,Name) COPY TO: - Building Department HERS Provider (i.f appiicabley Building Owner at Occupancy ' A-25 Augus12001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R PALMILLA PH 5-13 07-12-04 Project Title Date 50 TH & JEFFERSON R J T BUILDERS Project Address DARRELL MORGAN 760-275-8230 Builder Name ACACIA P-2 3 UNITS Builder Contact Telephone Plan Number RICHARD KROWN 760-250-1852 GROUP 3 HERS Rater Telephone tOtL #CCNRK613292 07-12-04 LOT # 122 Certifying Signature Date Sample House Number Firm:DESERT ENERGY SERVICES, HERS Provider: CHEERS Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE CA. 92270 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested N'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) Measured Duct Pressurization Test Results (CFM (L25 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 (I 00 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 ❑ ❑ Yes is a pass Pass Fail • - • anc fca�te pz `Cert�0010 �of .0ccu . ...Y ry Incaro�nhn �� u` '. - A. ' •artment G� Buildin ` & Safet Mo - g Y p, ofr H - This. Certificate' is issued pursuant` to the requirements df. Section 109 sof the", California. Building-- F^ 1 a fir• ,E Code, certifying, `that, at the time `•of - issuance,,-ahs structure wwas , m compliance 'with the t ..=Y -, . �y = .l -:: ` _ provision"s of. the Building -,Code` and._ the various ,ordinances�of the City, regulating buildings s . construction, and/or use. ,` •`�.^..f 5 -♦ �.. J4•' •� .. r4 }. .r _.i • ._ - A .. a ,♦�4 • r. .. _t. ~S. ru`�. � �{ �- _ ♦ BUJLDiNG ADDRESS: 50-185�VIA SIJMPATICO r J • S.F.D. s Building Permit No.: 0309-230 Use classification - �. d Occupancy Group: R 3 _ ,: Type of Construction. V-N -.. Lan .Use Zone:'.R=L� .r' �'. r n , :. . mOwner of BuildingRJT•HOMES" LLC; �`r .; Address: r PO BOX 810 k; ,.o `� ,:. '�.' r• .' i r •'City, §T, 21F., LA QUINTAICA 92253 , By'. G SHOWALTER :� F ,,;,r 6 ; Date 08/10/04 Building Officia i POST IN A CONSPICUOUS PLACE •