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04-3980 (SFD)
c BUILDING & SAFETY DEPARTMENT P.O: BOX 1504 (760).777-70.12 78-495 CALLS TAMPICO FAX (760) 777=7011 LA QUINTA,"CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING: PERMIT . Application Number .. . . . . 04-00003=980_ -Date 5/10/04 Property Address. ... 79625 VIA SIN CUIDADO APN: 7727370-025-35 -29858 - Application description DWELLING — SINGLE FAMILY DETACHED Property, Zoning .. .. LOW .DENSITY RESIDENTIAL Application valuation : 2'95702 r ;Owner -----.------------.--------``- Contractor - ------------- - - -"- - - - - - - R -i T:HOMES kit HOMES LLC 14.25 E UNIVERSITY DR -a- g. 1425 E. UNIVERSITY DRIVE PHOENIX AZ 85©�3e4 H PHOENIX AZ 85034" l. WCC: STATE FUND. WC:15839.0.6 10/0.1/04 CSLB: 690645 06/30/04 Q CCC: B -A - - - - - Structure Informat ion'. SRR -. �`" --- - - - Const ruct ion Type ... .. . TYPE V • - NON. RATED* Occupancy Type-..' DWELLG/LODGING /LONG <=10 FloodZone• NON -AO FLOOD ZONE Other. struct info CODE EDITION . 2001' CBC .FIRE SPRINKLERS NO GARAGE SQ FTG 763.00 PATIO .SQ FTG 1248'.00 NUMBER -OF UNITS .1.00 FIRST FLOOR SQ FTG .461.8.00 Permit. BUILDING.PERMIT' Additional desc . Permit Fee ,1325.50 Plan Check Fee 215.40 Issue Date Valuation: 295702 Qty Unit Charge Per Extension BASE FEE 639:50 *.1.96. 00 3..5000 THOU BLDG 100,001_500,000 686:00 . Permit ELEC-NEW,RESIDENTIAL Additional desc . Permit Fee 19.1.89 Plan Check .Fee 12. OG Issue Date Valuation 0 Qty. :. Unit Charge Per. Extension BASE FEE.. 15.00 P.O. Box 1504� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253. TWYINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: e ;�FT- L G Applicant's Mailing Address: /f, C-2- Q -k— Z- L A a A -faa S Date: Architect or Engineer: Architect or Engineer' Address: dress: t�OCJ�lJEiP, C Q Fjp -� Lic. 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, and my Licen,Se ,4jn full force and effes;}.� License Class/ r Nf%C�1 L /� License No. ILDate �'�/ �-F� Contractor ' OWNER -BUILDER DECLARATION 1 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 contractors) licensed pursuant to the Contractors' State License Law.). U I 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 issued. Mit workers' compensation insurance carrier and pli u ,erre- Carrier S71 i F'c1j!/t9 Policy Number _ 1 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 r forthwith comply with those provisions. Date Applicant 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 prope for inspection purposes. Date �"�—� Signature (Applicant or Agent): �J?.� ►�►� f e Page 2 Application Number . . . 04'00003980 Date 5/10/04 Qty Unit Charge Per Extension 4618.00 .0350 ELEC NEW RES - 1 OR 2 -FAMILY 161.63 763.00- .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.26; Permit GRADING PERMIT Additional desc.... Permit Fee . .'. . 15.0.0 Plan -Check Fee 00 Issue Date Valuation . . 0 ry Qty Unit Charge Per Extension BASE FEE 15..0.0 Permit MECHANICAL Additional desc Permit.Fee 170.50 Plan Check Fee 10.67 Issue Date Valuation 0 Qty Unit.Charge Per Extension BASE FEE 15.00 4.00 11.0000 EA MECH FURNACE >100K ..44.00 4.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 66.00" 6.00 6.5000 EA MECH.VENT FAN 3.9.00 1.00 6.5000 .2A- MECH EXHAUST HOOD 6.50; ----------------------------------- Permit ". . . . I PLUMBING Additional desc Permit Fee' 267.00 Plan Check Fee 14.72 Issue Date . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 27.00 6..0000 EA PLB FIXTURE' 162.00° 1.00 15.000;0 EA PLB BUTLDING 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 9.00'00 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 Special Notes and Comments SFD LOT 35 PLAN SF3C3A. PERMIT DOES NOT 1 f Page 3 Application Number 04-00003980 Date 5/10/04 ----------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75o REDUCED -PLAN CHECK FEE FOR'MULTIPLE ISSUANCE OF SAME PERMIT TYPE. ------------------------------------------------------------------ Other- Fees ART . IN PUBLIC PLACES. -RES 239.25 DIF COMMUNITY CENTERS -RES 97.00 DIF_CIVIC CENTER - RES 366.00 ENERGY. REVIEW FEE 21.54 DIF FIRE PROTECTLON-RES 97.00 4 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 29.57 �. DIF STREET MAINT FAC -RES .15'.00 DIF TRANSPORTATION - RES 1098.Ob Fee summary Charged Paid, Credited- Due Permit Fee Total 1969.89 .00 .00 1969.89 " Plan Check Total 252.79. .00 .00 252.79 Other Fee Total 2695.36 00_ ..00 2695.36 Grand Total. 4918.04 .00 .00-; 4918.04 r NERGY r P0. Box 621 Ph/Fax. (760):564:2044 f. ( Rancho Mirage, CA 92270 Cell.: (7601 250-1852 1 - Email: DESNRG'0A0LC0Mt t _ 1 CERTIFICATE OFYI.ELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7): -.CF -41R ' � PALMILLA PH 81' PATE TESTED 1-13-05 1 `Project Title I Date 4 _ T-79-625' VIA SIN CULDADO ,LA QUINTA,.CA. 92253 RJT. HOMES I Project—Address - Y .�-- , _ Builder Name I CHAD'MEYER 760=564-5555 IRONWOOD. SF3C3 3. UNITS . ..Builder Contact Telephone Plan Number . RICHARD KROWN '760-256-1852 GROUP 6 { HERS Ra Telephone- Sample Group Number. . Gam'"-' #CCNRK6132920 _ LOT 35 �1Z-09 .:.Certifying.Signature Date, Sample Lot Number js Firm:. DESERT ENERGY SERVICES LLC HERS`Provider: 'CHEERS 3 . Street Address: P.O. BOX 621 btyiState/Zip: . RANCHO MIRAGE, CA. 92270 ] Copies to: Builder,:HERS-Piovideir HERS RATER COMPLIANCE STATEMENT' The house was: i ❑ Tested: N' Approved as part.of sample testing, but.was not tested As the, HERS rater providing. diagnostic testing. and field verification, .l certify that "the houses identified-on.this form comply 3 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 ptatformseturris 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. :0 .MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE; CREDIT ` Duct Diagnostic Leakage. Testing Results:(Maximum:6% Duct Leakage),° h Measured I ' Duct Pressurization Test Results (CFM @ 25 Pa) values ,,• Test Leakage Flow in CFM If.fan flow.is calculated as`400cfm/ton x number of"tons enter calculated y value here, If fan flow is measured enter measured 'value' here I' Leakage Percentage (loo x Test Leakage/Fan Flow) _ Check Box for Pass or Fail (Pass =6% or less) ❑. ❑ Pass Fail i ❑ THERMOSTATIC EXPANSION -VALVE (TXV) t - ❑ Yes', 0 No Thermostatic E_xpansion.Valve is installed and Access is. �. provided for inspection ❑ ` ❑' LNSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUM' LLrAKAGE MI)UC TION " Presscrlatlon Tat Ruults (CFM ® 25 PA) . Test Imlonge (CFhi)1Ar t a Fan Flow. VPa- Flow is Calculated as 400 cfirartm z number cf toes, ores 21.7 x Heating Cspaaty ' In Thousands of Bllhr, enter calculated value here If fan flow Is measured, enter measurad value here �g�p Leakage Frac don Test LeakagrJ(Measured or Calculated Fan Flow) = D• LLS a Pau if lealtage fraction < 0.06 Pass Fall • 0 For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testing was completed: Duct Fan Preaaurbation at ro*4n measured kakage (CFM) CHECK AFTER FWISUgG WALL: 0 Yea 0 No 0 Pressure pain test or House pressurizarian test 0 Yes 0 No 0 Visual Inspection of Duct Connections o 0 Pan Fall _N'FHERMOSTATIC WANSIGN VALVE ITXV1 des 0 No Tbpmtostatic Expansion Valve is installed and Access is -:provided for Inspection Yes is a pees 0DUCT DESIGN Pass Fall RCCA Manual D Design ealeuiati®a have been 1. O Yea O :Y0 completed, Duct Design Is on the plana and duct Inatailaton 3 matchas plana 2. 0 Yea . 0 No TXV is installed or Fan flow has boon velifled. Ifno TXV, o vaiHod fan flow mateha design from CF -IR. Pass Fail Meatved Fm Flow Yes for both 1 cad 2 is a Pass 0 L the undersigned, verity that the above diaynastic test results and the workJ pclonred associated with the test(s) is in conbrwwee with the requirements lbr compliance aedlL [The builder d" provide the IMRS provider a copy of the CF4.Raigrted by the builder or terrifying Ow diagnostic testing and iaa40ation reed rbc requirements far ownphance credit ) Teats 5filinattire, Date Icaulling Suhcontraetor (Co. Tame) OR General Contractor (Co. Name) ' COPY T0: BuMng Depammt ` HERS Provider (if applicable) Building Owner at Occupancy , CompfisTm Forms August2001 n -is BT d 2680-EbE i 09L l �EjO I NkiH03W I Q-1• WdLS L :SOOa ;bZ ueC Y , INSTALLAMN CERTIFICATE (Page 3 of 13) CF-6R PJ !La P A - 51 Site Address Permit Ntanber DUCT LEAKAGE AND DESIGN DLA-GNOSTICS BBC1' ""&GE iltE)UC'1IUN Pressurization Test Results (CFM ©15 PA). Test Lea)sge (CFM) �i� ` Fan Flow If Fan Flow Is Calealaaed as 400 cilmUn : namberof tots, or as 11.7 z Heating Capacity In Thousands of SbAr, enter calculated value here If fan flow is measured, enter maasured value here CoQ :i Leakage Fraction -Test 7 eakagal(Meuured or Calculated Fac Flow)- -0—_qs7p - Past if leakage Ihtcdon < 0.06 Pass FaB « . 0 For AEROSOL TYPE SEALANTS ONLY ,The following diagaostic testiag.was completed: Duct Fen Pressurization at rough-in measured leakage (CFNO CHECK AMMk FIN ISHING WA -- � 0 Yes 0 No 0 PMWure pan test or House pressurization test 0 Yea 0 No 0 Vitatal Inspection of Duct Connections e "Put Fall _tgRMOSTATJr EXPANSION VALVE rMl �l.4'es 0 No . Z=vmtadc Expawdon Valve is installed and Access is -:provided for inspectiae Yes is a pass c 0 D= DESIGN Past Fail 1. D Ya 0 No RCCA Mmual D Design calaTatioro have b= completed, Duct Design Is on the plans and duct Ins talletion matches plans 2. O Yes D No TXV is installed or Fan flow bas bmn verified. Lf no TXV, o- verified fm matches atches design ftm CRIB Pass Fall { Mcam, Fan Flow= Yea for both 1 and 2 is a Pass 0 4 the undetsigned, verify that the above diagnostic U31 results sad the work I performed associe:ad with the tost(s) is in conformance with tie requinanaits for eotcpliaace credit [The builder shall provide Ibe HERS provider a copy of the CUR signed by the builder g employees or wb-conaaetcn certifying tient diagnostic testing and iaao<llation meet the requirements for compHmtec credit j Tan Spature, Date laualltag Subconvoctor (Co. Name) OR Pccsbaad General Contractor (Co. Num), COPY T0: Building Dep==t t HERS Provider (d applicable) . Building Osmer at Occupancy - Compliance Forms mg=t 2001 A-25" Li d 21380-611016 (09L) 3431-WUH33W IQl WULStL."SOOz bZ -ul'C INSTALLATION CERTIFICATE (Page 3 of 13) CF-6R PAlm:Ila, Ph - $ Lo+ **r 33' Site Address Permit Ntmber DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT' LI "AUZ EEDU(.'1 ON > Przanrizatfon Teit Results (CFM ® 25 PA) Test leakage (CFM) b Fut Flow If Fan Flow"ii Ceicalawd as 400 cfrnitm x number of tom, or as :1.7 x Heating Capacity I In Thousands of Bhsihr, enter calculated value here LL , y : } If tan flow Is rrteaswvd, enter nneasumd value hen _ oDp t 7 a I.eabse Fraction Test Lealmgel(Mes+ured or Calculated Fen Flow) O Pais ifleakage Auden <0.06 Pass Fell 0 For AEROSOL TYPE SEALANTS ONLY -The Moving diagnostle tesdng was completed: Duct Fen Pr+essuriratfon at rough-in measured leafage (CFIVn CHECK AFTER FWSHING WALL: O Yea O No ❑ Pressure pan test or House pressorizadou test 0 Yes O No '❑ Visual Impaaioa of Duct Connections o o Past Fat! •b;ff=Mo6�'A�CwANSI0N VALVEnwrl 't%Yes O No Thermostatic Expansion Valve is installed and Access is --provided for inspection Yes it a pace DUCC D-ES GN Paw Fall 1. O Yes ❑ No ACCtary Manual D Design calculations have been =nPlated, Duct Deslpn is on the plan3 and duct Instaht;on matches plans 2. O Yes ❑ No la'V is installed or Far. flow haa bum verified. If no TRV, C r; verified fan flow matches d=ign from CF -M Pass Fall Measured Pan Flow� Yes for bods I itod 2 is a Pass O L the undersigned, verify that the above diagnostic tat results sad the word pta•lbrmed associated with d= tats) is In oo dormance with the regtmernmtts for cotaplimee credit. rMe builder oball provide the MW provider a copy of the CF-6P,etgned by tete budlder empkrym to sub•contnactors certifying that dktgnostie testing and ntsultation meet the mquirements for compliance credlL l Teo FPtuure, Dau InatalGag St:beaneraetor (Co. Name) OR , Perbasd Gana Lout actor (Co. ?hme) COPY f0: Building Dcpartrnrnt HERS Pmvfda (d applicable). ' Btildio= Owner at Occupancy Compliance Forms August 2001 A- s 91 ' al2680-EbE 109L) ILIO I WUH03W I (I1 WiI9S L. SOOZ `i" ueC