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04-3935 (SFD)6v 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=00063935 W � Date 5/07/04 , Property, _Address ..:. �- 7-9665` VIA S-IN"-CUIDADO, APN: 772-3.70-027-37 =29858 - -Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . .... LOW DENSITY RESIDENTIAL Application valuation 275236 Owner. Contractor -------------------- -----------.------------- R.J T:HOMES - R HOMES LLC 1425 E UNIVERSITY DR 4425 E...UNIVERSITY DRIVE PHOENIX AZ 85034.. �. PHOENIX AZ 85034 ,� GQWCC: STATE FUND C: 15839,06 'may�CSLB: 10/01/04 69064'5 06/30/04 CCC: B -A -_=-- Structure 'Information SF D v ----- Construction Type NON RATED Occupancy Type. �-D E LG/L,ODGING/CONE <=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 859.00.. NUMBER OF .UNITS.. 1.00 FIRST .FLOOR SQ FTG 4364.00 . --------------------- Permit . . . BUILDING PERMIT Additional desc Permit Fee 1255.50 Plan Check Fee:. 816.08 Issue Date Valuation 275236 Qty Unit' Charge Per Extension BASE FEE .639..50 176.00 3..5000 THOU BLDG 100,001-500,000 616.00 ------------------------------------- Permit . . . . ELEC-NEW, RESIDENTIAL ) Additional desc Permit Fee 182.22 Plan Check Fee•. 45.56 Issue bate Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1. P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMP LA QUINTA, CALIFORNIA 92253. FAX (760) 777-7011 FAX (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: ;I�T - _ ,4 . LL G Applicant's Mailing Address: P rte. !3 k Z62 -- Date: Architect or Engineer: tr2 (n// fl"� -,f- Architect Architect or Engineer's Address: d oui_D EiP, C0 9.0 3n .� 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 License i,S,in full force and effeft.� License Class License No. Date ��lo" C/ Contractor 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 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 Date S 1rN Owner WORKERS' COMPENSATION DECLARATION 1 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. Mm workers' comnsation insurance carrier and p iu re- Cartierr=K=4f7 Policy Number f _ 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. r 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/Vl 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 Quinta, 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 cancellafion. 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. Date �� Ji Signature (Applicant or Agent): 0 -T-0-4wn 11-e l Page 2 Application Number. : 04`-00003935 Date ` .5/.07/04 ,Qty Unit Charge Per Extension 4364.00.0350 ELEC NEW RES ='1 OR 2 'FAMILY 152.74 .724.00. --------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.48 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 Permit -- - - - - - - - - - - - - - - - - MECHANICAL - -- - - - - - - -. Additional_desc . Permit Fee 150.00 Plan Check Fee 3.7.50 Issue Date ` Valuation 0 Qty Unit Charge Per Extension BASE FEE 15 . 0.0 3`.00 9.0000 .EA MECH FURNACE.<=100K 27.00 3.00 16.5000 EA .:MECH B/C >3-15HP/>100K-500KBTU.-- 49.50 8.00 6..5000 EA MECH VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50. Permit. . . . PLUMBING _--- ------------------------- - . Additional'. desc ' . .. . Permit Fee *291.00. Plan Check Fee '. 85.13 Issue Date .. Valuation0 .Qty Unit Charge Per Extension- xtension BASE BASE FEE •15.00 31.00 .'6.0000 EA PLB-FIXTURE 186.00, 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 12.00 .7500 EA PLB GAS PIPE >;=5 9.'00 1.00 -------------- .15.0000 'EA PLB GAS METER .1.5.00 Special Notes. and Comments --------------------- ----------- SFD 'LOT 37 .PLAN SF3-C4B. PERMIT DOES NOT Page 3 Application Number 04-0000,3935 ..Date 5/07/04 Special Notes and Comments ---------------- ------. --------------- INCLUDE BLOCK WALL., POOL, SPA OR DRIVEWAY'APPROACH. ---------------------------- O.ther Fees ------------------------------ .. ART ------------------ IN PUBLIC PLACES -RES 188.09 DIF COMMUNITY CENTERS -RES 97.00 DIF:CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 81:6.1 DIF FIRE PROTECTION -RES. 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5..00 DIF PARKS/REC - RES •502.00 DIF STREET MAINT FAC -RES 15. 0Q, D.IF,TRANSPORTATION -RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1893.72 ------ ----------- ---------- .00 .00 1893.72 Plan.Check Total 984:27 -.00 .00 984:27 Other Fee.Total 274.70 6' .00 .00 2674'.70' Grand Total 555'2.69 ..00 .00'' 5552.69 J I r fan' flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Plow)= Check Box for Pass or Fail (Pass =6% or less) ❑ ❑ Pass Fail �' ❑ THERMOSTATIC EXPANSION VALVE (TXV) 'Yes ❑' N,Thermostatic Expansion Valve is:installed.and Access.is: ElElprovided for inspection Den , ENERGY CA 0 E emces S r Pb. Box 621: Ph/Fax (760),564-2044 ` , Rancho Mirage, CA 92270 Cell: (760) 250-1852 ' EmaiI:;DESNRG AAOL.COM c c. T CERTI,FICATE OF FIELD VERCFICATION AND DIAGNOSTIC TESTING (Page l of'Z): CF -4R r PALMILLA PH8 DATE TESTED 1-13-05 Project ;Title Date 79465' VIA SIN CULDADO LA QUINTA,.CA..92253 RJT HOMES. N` '+ =-17TO-i-e-ClAdcliess }-� Builder Name 760 CHAD MEYER 68-6555 PALO VERDE SF2C4 3 UNITS Builder Contact Telephone Plan Number .;.. . RICHARD KROWN 760-250-1852 GROUP 6 ' HERS Rater Telephone Sample Group Number, #CCNRK61329201-17-04 :LOT 37 j Certifying Signature Date Sample Lot Number ? t Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS . f Street Address: P:O. BOX 621 CRY/State/Zip: RANCHO MIRAGE, CA. 92270 I Copies to; Builder;:HERS Provider , HERS RATER COMPLIANCE STATEMENTG The'house was: ❑ Tested Z' 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 diagnostic4ested compliance requirements as checked on this form: 'The installer has provided a copy 'of CF-6K(Installation Certificate. I El Distribution.system is fully ducted(i.e., does not use building cavities.as plenums;orplatform retums in lieu of ducts) h . Where cloth backed, rubber adhesive duct.lape 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 CO.MPLIANCE�CREDIT Duct Diagnostic Leakage'Testing Results (Maximum'6% Duct. Leakage) Measured. ' Duct Pressurization Test Results (CFM-@ 25 Pa) values Test Leakage Flow in CFM If fan flow:it calculated as 400cfm/ton x number:of tons enter calculated; - value here I r fan' flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Plow)= Check Box for Pass or Fail (Pass =6% or less) ❑ ❑ Pass Fail �' ❑ THERMOSTATIC EXPANSION VALVE (TXV) 'Yes ❑' N,Thermostatic Expansion Valve is:installed.and Access.is: ElElprovided for inspection INSTALLATION CERTMCATE (Page 3 ON 3) CF -6R �a/rMr;Ila PA- A [of 2!tE 37 Sits Address Permit Number { DUCT LEAKAGE AND DESIGN DIAGNOSTICS _ DUM LKAKAGLr RMUCTION , Prenurtsatlon Teat Results (CFM 25 PA) Test Lc6mge (CFM) _0 Fan Flow If Fan Flow is Calculated as 400 efrNtea x number of tons, or as 21.7 x Heating Cap. -Icy In Thousands of Bbtfhr, enter calculated value hers If fan flow Is measured, enter measured value hero --94kvb +. . t akage Fraction -Test LeabecAMearjmd or telculsted Fan Flow) Pan Tleakagafraction<0.06 _pass Fail C3 'For AEROSOL TYPE SEALANTS ONLY -The following diagnostic testiog was completed: Duct Fan Presmaization at rough -in measured leaf®ge (CF3i) - CHECK AFTER FMSH ING WALL:71 , 0 Yea 0 No 0 Pressure pan test or House pressurization test 0 Yes O No 0 Visual Inspection of Duct Connections o 0 Pass Fall -h;T%BRMMATIC EXPMSION VALVE QXV) A%Yes 0 No 72 F=otadc Expansion Valve is installed feud Access is -:provided for inspection Yes is a pato r� 0DUCTDES M Pass Fall ACOA Manual D Design calculations have been 1. O' Yes 01`4o' trotripieteti, 0=1 Deslgn is on the plans and dud Installation MbChM plans. • 2. 0 Yes 0 No TXV is installed or Fsn flow has ben 'vexi&d. If no TXV, - verified An flow mantes design from MUM Pass Fall Measured Fan Flow - Yes for both ] and 2 is a Pest 0 4 the mder gncd, ver4i flat the above diagnostic tat moults and the work] pwfbtmed vsorciated with the test(s) it in eonfarmance with the tegairaaatb for compliance credit (The builder stall provide tie HBRB provider a copy of the CF -6R signed by the builder employees orsubcortttacton ocrtilying dart diagnostic testing and instaliadon ateet the regtsimmenis foreorri;ivance credit. ] - - al /-,/x -__0 or L p ' Torts 9lgnsatrc, Dots . Installing Suboontr=a (Co. Name) OR Paroveed Oane al Contractor (Co. Name) ;OPY TO: Btaldieg Depa tmezit HERS Provider (if applinbk) 11 Wlding Owner at Otx:upctey Gompliatr" Forms August 2001 It -25 21,'d 2680-EtIE109L1 1d0INidH03W I01. WIdSStG SOOZ bZ u"C I . INSTALLATION.CERTIFICATE. (P2ge3 of 13) CF-6R -f- #' 3 Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS I)U('P LN.AKAGh RXDQQ'1UN Presrurizatloc Tess Results (CM Q 25 PA) Test Leakage (CFM) Fan F.ow If Fan Flow is Calculated as 400 cfhVton x number of tons, or as 21.7 x Heating Capacity i In Thousands of Btttihr, e.•tter c"lated valua here It fan flow is measured, enter measured value here bda ° L;talage Fmcilon = Test LeakaVAMeuwcd at Caleulamd Fan Flow) - O.O 6 p + Paas ifiealroge fiction <0.06 Pats Fail ❑ For AEROSOL TYPE SEALANTS ONLY -Tbe followtng diagaostic testing was completed; Duct Fan Pressurization to rough-in measured leal®ge (CFM) CHECK AFTER FINISHING WALL: O Yee O. No O Pressure pan test or House pressurizaticn test D Yes O No O Visual Inspection of Duct Coatnections ' p p " Pass Fal! t -WMIE RMOST TIC E ANSION VALVE Q'XVI •kl3res O No TW=ststic Expansion Valve is it> Wled and Access is - provided for inspection Ya is s Faso p 0 P—UCT DFMW Pass Fall E3 Yes O N0 ACCA Manual D Design calculadow have been I. completed, Duct Design Is an the plana and disci Installation matches plans. - , 2 (3Yes O No M is installed or Fan. Row has been verified. If no r", D pPass Fan fan flow tratches design firm CF-IR. Meamed Fm Flow= Yes for both land 3 is a Pass O 4 tho tmdasigred, verity that the above diagnostic test results and the worts ( perfotmed sasodaud with the test(s) is in eonfotmartce ` with Ilse requber=ts for cotnpllmce credit rnw burAff Atilt provide the HERS provider a copy of the CF4& aigaed by the bolder anpayea or sub—contractors certifying drat diagnostic testing sad btsWladon meet the cequhoments for come lbnce cretfit) " Taro Sfpawm, Datc Installing Subcontractor (Co. Name) OR r Pafotmed , Oataat. Contractor (Co. Name) . CDFY r0: gutlding Department HERS Provider (f app}iable) Building Owrter at Occupancy Compliance Foam August 200! 0I -d 2680–EbE (09L 1 -iU3I WHH03W IQ-1 << WkJbS eL SOOZ bZ ueC