04-3924 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-70.12
C��►1OF >t�9 78-495 CALLS TAMPICO FAX (760).777=7011
,LA QUINTA,.CALiFORNIA 92253. INSPECTION REQUESTS (760) 777-7153
BUILDING. PERMIT -
Application Number 0`4-00003924 Date 5/10/04
Property<Address;:. 79685 VIA SIN CUIDADO.
APN: .772-370-028-38 -29858 -
Application description :. DWELLING -SINGLE FAMILY.DETACHED
Property Zoning LOW, DENSITY. RESIDENTIAL
Application valuation 293042.
Owner Contractor
'.
R'.J T HOMES . RJT HOMES LLC
Ubf
-:1425. E UNIVERSITY DR ),Fp1425 E. UNIVERSITY DRIVE
PHOENIX AZ.85034PHOENIX.. AZ -85034
C':. STATE FUND
v 1.583906' 10/01'/04
CSLB 690645 06/30/04.
CCC B -A
----- Structure.Information SFD. ,. -----
l Construction Type TYPE V --NON RATED
Occupancy Type DWELLG/LODGING/LONG <=10
. Flood Zone NON -AO FLOOD.ZONE t
Other struct info CODE EDITION 2001, CBC
FIRE 'SPRINKLERS . NO.
.GARAGE SQF.TG 763.0Q
PATIO SQ FTG 1048.00
NUMBER':OF..UNITS 1.00
:FIRST:FLOOR SQ FTG : 4618.00
Permit BUILDING PERMIT
Additional. desc
Permit Fee .1318.50 Plan Check Fee 857.03
Issue.Date .. Valuation. 293042
Expiration Date 5/07/05
Qty, Unit Charge :Per Extension
BASE FEE 639.50
194.00 3.5000 THOU BLDG 100;001-500,000' 679.00
Permit ELEC=NEW RESIDENTIAL
Additional desc
Permit Fee 191.89 Plan Check Fee 3.77
Issue Date Valuation' 0
...:Expiration Date 5/10/05
Qty Unit'Charge .. Per Extension
� r ,
P.O. BOX 1504
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 9225.3. Ot INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
L L. C
Applicant's Mailing Address:
4A a e'er • 3
Date:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S.DECLARATION
1 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 Licenge i n full force and elle C
License Class krr�it/GC/C. L Ucense No.
Dater 2'G Contractor
OWNER -BUILDER DEC LARA N
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 constrict, 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, as owner of the property; or my employees with wages as their sole compensation, will do the worts, 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. 1.
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. B.& 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 selfinsure 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. �M�C,workers' com ensation insurance carrier and palm u re
Carrier S�JQ i� �U'1✓� Policy Number_ / J �/ 0:
_ 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 (should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shaft
forthwith comply with those provisions.
Date5�� ��•�7 . 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 _�A11A
Lender's Address
IMPORTANT Application is hereby made to the Director of Building ne
APPLICANT
Sa to 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 peril
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 1 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.
Data —U Signature (Applicant orAgent):
-J P124 Inn E2
Page
2
Application Number
. - .. 04-.00003924 Date
- 5/10/04 .
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
461.8.00
.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
15.00- Plan Check Fee,.
.00
Issue Date
Valuation .
.0
- Expiration
Date
5/07/05
.Qty
Unit Charge
Per
Extension.
BASE FEE
15.00-----------------------------.
Perm,it
--------------------------------------------
.. MECHANICAL
Additional
desc .
Permit Fee
..
170.50 Plan Check Fee
42.63
Issue Date
Valuation
0
Expiration
Date
5/07/05
Qty
Unit Charge
Per
Extension
BASE FEE
15.:00
4.00
11.0000
EA MECH FURNACE >100K
44:00
4.Q0'16.5000
EA, MECH B/C >3-15HP/>100K-SO.OKBTU
66.00
6.00
6.5000
EA' ' MECH VENT.FAN
39.00
1_.00
6.5000
EA .MECH EXHAUST HOOD
6.50
Permit .
------------------------------------
. ... . .. PLUMBING
--- -------
Additional
desc .
Permit Fee
267.00- Plan Check Fee
58.88
Issue- Date
:
Valuation
0'
Expiration
Date
5/07/05
Qty Unit'Charge
Per
Extension
BASE FEE
.27.00.
6.0000
EA PLB FIXTURE
j 162.00
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
Page 3
Application-Number.'04-00003924
Date 5/10/04 -
Qty. Unit Charge Per
Extension
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 28 PLAN .SF3C3B.. PERMIT
DOES'.NOT
INCLUDE BLOCK.WALL,. POOL-, SPA OR
DRIVEWAY.APPROACH..
Other Fees
ART IN PUBLIC PLACES -RES
232.6.0
DI.F COMMUNITY CENTERS -RES
97.00.
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW.FEE
85•.70
DIF FIRE. PROTECTION -RES
97.00
GRADING.PLAN CHECK FEE
-.00.
DIF LIBRARIES -RES
225.00,
DIF PARK MAINT FAC - RES
5.0.0
DIF PARKS/REC = RES
502.00
COVE PRECISE PLAN FEE
100.00
STRONG MOTION (SMI) - RES.
29.30.
' ;DIF
STREET,MAINT-FAC-RES
15.00
DIF TRANSPORTATION.- RES
1098.00
Fee.:summary, Charged.`
Paid. Credited
Due
Permit Fee -Total 1962.89
.00` .00
1962.89
Plan Check Total. 962.31
.00' .00
962.31
Other Fee Total 2852.60
.00 .00
2852.60
Grand Total 5777..80
.00 -.00
5777.80
Deseft
f„ EN%Y c.a o e c
"Cos
P0. Box.621' •Ph/Fax.(700).564-2044
Rancho Mirage, CA.92270 CeII:.(7601 250=1852.
Emah::DESNRG '(Z1AOL.COM
CERTIFICATE OF FIELD NERIFICATION AND DIAGNOSTIC TESTING (Page I of 7)' CF-40
PALMILLA` PH 8 DATE TESTED 1-13-05
t. Project Title'- Date
79485 VIA.SIN CULDADO LA QUINTAXA: 92253'• RJT HOMES
',-,'.Pmject Address Builder Name''
3, CHADVEYER 760-564-6555 IRONWOOD.. SF3C3 : 3 UNITS •
Builder Contact Telephone Plan Number a
RICHARD KROWN 7604504852 GROUP 6 y 3
` °,HERS Rater Telephone, Sample Group Number .
1 #dCNRK613292 . 01-17-04
LOT '38 LOF3 i
Certifying Signature Date -Sample:Lot'Nur'nber }.
1[1 Firm: DESERT ENERGY SERVICES LLC --- HERS Provider: •CHEERS
r
Street'Address: P O..BOX.621. city%State2i6: RANCHO MIRAGE, CA: 92.270 '
Copies to: Builder,,:HERS Provider.
HERS. "RATER COMPLIANCE STATEMENT r:
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 certity that the houses identified. on this form comply
with the diagnostic:testedcompliance requirements'as checked on this form.
® The installerhas provided a copy of CF-6R: (Installation Certificate. .
® Distribution system is fully ducted(i:e., does not use building cavities as.plenums or platform.retums in lieu of ducts) is .
Where cloth backed, rubber adhesive duct tape is installed, mastic and dmwbands 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- 1.
Duct Diagnostic•Leakage Testing Results .(Maximum 6% Duct" Leakage)
.!• '
Measured
Duct Pressurization Test Results.,(CFM'rLD.25 Pa) values, f z.
j Test LeakageaFlow in CFM 44
If fan flow is calculated as`400cfm/ton x number of tons enter calculated:
value here SOO
• If fan flow is measured enter measured value here
* ' F Leakage Pcrcentage,(100 s Test Leakage/Fan Flow) 5.5
3 Check Box for Pass'or Fail (Pass =6%,orless) ®:
Pass Fail
® THERMOSTATIC EPANSION:VALVE (TXV)
® Yes D No Thermostatic E pansion Valve is installed and.Access:is. .
provided.for inspection ® 0
ENERGY �AI�E
R �.
S i
P0: Box 621 Ph/Fox.(760) 564-2044'
Rancho Mirage,.CA 92270 Cell: (7601 250=1852•
Email:'DESNRG "-olAQUCOM
] CERTIFICATE OF'FIELD VERIFICATION AND DIAGNOSTIC TESTING. (Page I of 7). CF. -4R
PALMILLA PH 8 DATE TESTED 1-13-05
. Project Title Date
79-685. ,VIA SIN CULDADO, LA QUINTA,.CA. 92253 RJT HOMES
Project Address Builder Name
CHAD-MEYER,- 760-564=6555 IRONWOOD. SF3C3 3 UNITS
Builder Contact TelephonePlan Number I
RICHARD KROVM :760-2504852 'GROUP .g
HERS RaterTelephone. Sample Group Number {
Y #CCNRK613292' 01-17=04 LOT 38
Certifying Signature Date Sample,Lot Number
Firm: DESERT ENERGY SERVICES LLC' .HERS Provider: ,CHEERS '
Street.Address: P:O'. 60X•621 City/State/Zip: ,RANCHO MIRAGE, CA.'92270
Copies to: Builder, HERS Provider;
- ! HERBS' 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 tapeto seal.leaks at duct:connections.
"® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE. CREDIT .
Duct Diagnostic: Leakage..Testing Results (Maximum.6%6 Duct Leakage). .
Measured
.'Duct Pressurization Test Results (.CFM @ 25 Pa). values
Test LeakageFlow in CFM 87 If fan flow is calculated as 400cfm/ton x number;of tons enter calculated;
value here 2000:.
If. fan. flow. is measured enter measured value here.
Leakage,Pcrcetitage:(I00 x.Test,Leakage/Fan Flory) 4.35. -
Check Box for Pass or fail (Pass =6% or less) ® ❑
Pass Fail
•0 THERMOSTATIC.EXPANSION VALVE (TXV)
Yes, ❑,No. Thermostatic Expansion Valve is installed and Access is ® El),
= proyided.for inspection
AV_'`' <
fexert �.
NERGY S� - E t
K ew
e p
�ces
M Box 621 Ph/Fax (760) 564-2044
Rancho Mirage CA 92270. Cell: (760) 250-1852
} Email' DESNRG OAOL.COM
CERTIFICATE OFFIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7); CF-4R 1
PALMILLA PH 8 DATE TESTED 1-13=05
Project Title Date
79-685. V7A SIN CULDADO LA QUINTA, CA. 92253 RJT HOMES
'Project Alddress Builder Name '
CHAD MEYER, 760-564-6555 IRONWOOD SF3C3• '3 UNITS
Builder:Contact Telephone Plan Number
RICHARD KROWN 760-250-1852 GROUP fi
HERS Rater_ - - Telephone Sample Group.Numiier,. i
#CCNRK613292 ,LOT 38 3.OF3`
�'r -
Certifying Signature Date -Sample Lot Number I
Firm: DESERT ENERGY SERVICES LLC 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 ❑.'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: 1
® 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,. rub ber.adtiesive duct tape. is-installed, mastic and drawbands are used. in combination with eloth
,
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 @ 25 Pa) values
Test Leakage Flow in CFM 107
lflf n' flow is calculated as 400cfm/ton x numb_ erof tons enter calculated
value here 2000
If.fan.now is measuredenter measured value here
Leakage. Pcrcenlagc.(100 x Test.Leakage/Fan Flow) = 5.35 ,
Check Box for Pass or Fail (Pass =61/o or less) ®. 0
Pass Fail
:THERMOSTATIC EXPANSION VALVE (TXV)
® Yes No Thermostatic Expansion Vale is instal led:a d Access is
provided for inspection
t"
INSTALLATION CERTTEICATE (Page 3 of 13) CF-6R
P.IM;Ila PA- 'A +
' Site Address permit Number
-
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUGI' LXAKAGE REDUCTION
Pressurization Test Rnuin (CFM Co 25 FA) Test Iral®ge (CFb)1D 7
Fen now
E'Fan Flow is Calatlated as 4C0 cfMtan x number of tons, or as 21:7 x lieadhil Capacity
In Thcusands of Stwhr, enter calculated vWua here
If fan flow Is measured, enter measured value here _
Leakage Faction -Test LeakapA.Meearred or Calculated Fan Flow) O.Osq o
Pass if leakage 11raetion < 0.06 Paas F&H
O For AEROSOL TYPE SEALANTS 014LY -The following dlagnortle testing was completed:
Duct Fen Pressurization at rough-in measured icaimge (CFM)
CHECK AFTER FIMSHRNIG WALL:
O Yea 0 No 0 Pressure pmt its or House pressurization test
C Yea O No 0 Vital Inspection of Duct Connections o 0
t Pass Fail
tMOSTA77C EXPANSION VALVE 47XVl ,..,
45�'es 0 No slawostatic Expansion Valve is installed and Access is - provided for inspection .
Yu is a Pon
I� o .
D DUCT DESIGI•f Pass Fall
ACCA Manual DDesign calculations have been
1. 0- Yes ❑ No. con pleted, Duct Dealpn Is on the plana and duct Installation
rnatdhes piens:
2 0 Yes, lJ No TXV Is tnstafled or Fan flow bas been.=iGed. Ifno M, o 0
t ve34&d far flow trsatrlta design from CML Pass; Fan ,
Measured Fan Flow. .
Yes for both l and 2 is a Pass `.
0 L the undersigned, verity that the above dlagnosdc test results ad the work I performed associated with the test(:) is in confitaumce
whh the requiravAtts for comptimce aediL [The btnlder shall provide the HERS pwida a copy of the CF4Rsiprod by ft builder
empkry a or tub-caatacton certifying Qtat diagnostic testing and inrra0adoa meet the regttir meats for eomtpftence credit. )
Tars 91poze, Date Installing 5ubcaattaotot (Co. Name) OR
Cameral Contractor (Co. Nerve)
COPY M. Building Department
HERS Provider Of applicable)
' Building Owner at Occupancy
Compliance Forms August2001
' J
• t •
t 6 - d 2680—EbE l 09L l _IU3I WUH03W I QT ' WEitsS :L S002 ,bZ uer
=' Ili 1STALLATIOIV CERTIFICATE (page 3 of 13), Cl{-6R
PA - 11 - - Site Address -- Permit Number
DUCT LEAKAGE ASND DESIGti DIAGNOSTICS
tri: T LEA.KAUL REALUJUN
Brenurtrstioo Test Results (CFM Ca 25 PA) Test Leakage (C}'��
Fan Flow
If Fan Flow b Calculated as 400 cfrWtm r number of tons, or as 21.7 x Hating Capacity "
In Thousands of Btrlhr, enter calculated value here
If fan flow Is measured, enter measured value here _iQ&Wb
I,aka Faction Test Lul agd(Mmsured or Calculated Fan Flow) - O. OAU o
Paas ifkaltagefraetim <0.06 Pass Fail
0 For AEROSOL TYPE SEALA-N"n ONLY -The follovving diagnostic testing was completed: '
Duct Fan Pressurization at rough-in measured leakagi (CFlvi)
CHECK AFTER FWSHINO WALL:
ayes 0 No D Presstre pan teat or House pressurized on test
0 Yea D No 7 Vitual Inspection of Duct Cormections O
Pus Rau
M05TAT[ EXPA.` WX VALYA (TXY)
dyes 0 No libemortabc Expansion Valve is installed end Acros Is -:provided for Inspection
Yes is a pass
R DUCT DESIGN Pns4 F4
ACCA Macual D Design calcu Mons have been
1, 0 Yes D No completed, Duct Deslan Is on fits plans and duct Instttiiailon
matrhas plus.
a
2. 0 Yes 0 \0 f7(V b installed or Fan flow has been vatfled. H'no TXV, o 0
verified fat flow maubcs design ffom CMEL Pus Fal
Meastaed Fan Flow-
Yes for both I and ? is a Pass
O 4 rite t adenfgned, verify Oat the above diagnostic test results and the work 1 perfamod usociated with the trst(s) Is in confomtutce .
wits the tsgouaateaou for complisnm cedit. [TM builder shall provide the FIRS provider a copy of the CF.6R rigged by ft builder
ca ployees orsub-contractor; certi*bg that diagnostic testing and 6u; lata meet the reWftecacnts for cempiltmce credit
Teas Stpaurc, Dau laatallIng subembaetor (Co. Name) OR
Ptrfsrmad Gerttral Cm tractor (Co. Name) -
COPY TO, Building Deputnrent
HERS Provider (if applicable)
Building Owner at Oaupeney ,
Compliance Formas August 2001 A-25
B •ol 2680-6bE 109G1 lFiO'INdHO,
3W I Q-1 . WHES tL SOOZ tt'a U"C
R STALLATION CERTIFICATE (Page 3 of
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
. llUCi' LLrA,KAtr>;12LrlJUCI'IUIV - ,
Prexruriatloo Test Raub (CM ® 25 PA) Test Leskage (CFM)
Far Flea
L' Pen Flow is Calculated as 400 cfWton z number of tons, or as 21.7 x Heating Capacity '
In Thousenda of Stukr, enter calculated value here 4
If fan flow Is measured, enter measured value here
Leakage fraction - Test L:akaget(MemTH or Calculated Fan Flow) - d • OS p ,
Pose if kakage haetlon <0.06 Pass FRU
O For AEROSOL TYPE SEALA.\TS ONLY -The following diagnostic testing was completed:
Duct Fan Pmstrization at rough -in messmd Makage (CFM)
CHECK AFTER F'IMSHING WALL:
0, Yes 0 No :1 Pressure pan test or House pressurization test
0 Yes ❑ No 7 Visual Inspection of Duct Coniseetions °
Pass FaU ,
RMOSTATIC EXPANSION YAM tTXY]
iTlres O No Themostatic Expaotsion Valve is installed and Acoess is - provided for Umpection
Yes is a pan �� p
0 DUCT DFSMGN Pass Fall
ACCA Manual D Desip-miculatiats have been
1. 0 Yes ❑ Na completed, Duct Design is on the plans and duct Installation
matches plana,
t 2. 0 Yes 0 NO TXV is installed or Fan flow has Ines verified. If no TXV,
verified for Dow mawbes desige from CF-tR, Pass Fail
Measured Fan Flow -
- Yes for both I and 2 is a Pass `
0 1, the ueden igned, ve:4 that the above dfagnoslc tett resuhs end the work I perfanned associated with the tcst(s) is fn conformvtee '
with dee raluiranents for cotrtpliaxe credit. ('Ibe builder sball provide do HM provlda • copy of the CF -6R. aigaed by the bWldc '
employees or mb-contree ors cerd*ing dw diegaostic testing and installation meet the moluiremoab for corry dance credit) ;
Tan SIVAtum Date laetalling Subcontractor (Co. Noose) OR
Perbimed Cenral Ccotractor (Co. Name)
COPYTO:- BJIdmgDepanment
- ITERS Provider (if applicable)
Bm'idfog Owner at Occupancy
09mpilance Forms Augusl2001 A-zs
L'of 2680-EbE(091') IUDIWUH03W IQ1 WUCSL SOOz .bz ue
- - PREPARED 10/21/13,"
16:04:19
INSPECTION HISTORY REPORT
-
PAGE 1 _
- PROGRAM
BP521L
0/00/00 THRU 0/00/00
- -. -
CITY OF
LA QUINTA-
-
-------------------.------------------------------------------------------------------------
PROPERTY ADDRESS
APN
--------- -------APPLICATION
- Alternate ID.
STRUCTR
------------------------------------------------------------------------------------------------------------------------------------
PERMIT
._INSPECTION -
RESULT DATE/STATUS
INSPECTOR-
- 04'00003924
CUIDADO�
..'776.=290-028--
- 000
000-
B001
00
BUILDING
PERMIT -
100
000I.SETBACKS
-6/23/04
APPROVED
- GS ,
• 000
000
B001
00
BUILDING
PERMIT -
120
,0001
FOOTINGS
7/09/04
APPROVED
GS - - -
" - 000
000
B001
00
BUILDING
PERMIT
125
0001
SLAB
'7/09/04
APPROVED
GS'
000
000\
B001
00
BUILDING
PERMIT
196,
0001
BOTTOM PLATE .BOLTING
7/28/04
APPROVED
GS
000
000
B001
00
BUILDING
PERMIT
135
0001
ROOF NAIL - -
8/31/04
APPROVED-
GS - - -
' 000
.000
B001
00
BUILDING
PERMIT
140
0001
OKAY TO WRAP
9/30/04
APPROVED
GS -
000
000
B001
00
BUILDING
PERMIT -
- 145-
0001
FRAMING
10/18/04
APPROVED
-GS. ,.
" 000
000
B001
00
BUILDING
PERMIT
- 150
0001
INSULATION
10/20/04
APPROVED
GS -
-000
000
B001
00
BUILDING
PERMIT
155
0001
LATH
10/20/04
APPROVED
GS
000
000
B001.00
BUILDING
PERMIT,
160
0001
DRYWALL'NAIL
11/01/04
APPROVED-
GS -
' 000
000
B001
00
BUILDING
PERMIT
- 199
0001
FINAL '-
4/12/05
APPROVED
-GS - - -
000'000
-"E01
00
ELEC-NEW
RESIDENTIAL
- .315
0001
TEMP USE OF PERMANENT
POW 1/14/05
APPROVED
'GS. -
000
000
E01
OOELEC-NEW-RESIDENTIAL
399
0001
ELECTRICAL FINAL
.4/12/05
APPROVED
GS ".
000
000
GP
00
GRADING
PERMIT
197
0001
GRADING.FINAL -
4/12/05
APPROVED.—
- GS
000
000
MO1,
00
MECHANICAL
499
0001
MECHANICAL FINAL
4/12/05
APPROVED
GS _ - ". ,•
000
000
POI
00
PLUMBING
200
0001_
UNDERGROUND PLUMBING
6/23/04.
APPROVED
GS -
.•000.000
P01
00
PLUMBING
. 210
0001
SEWER CONNECTION
10/07/04'APPROVED
GS -
000
000
P01•
00
PLUMBING.
245
0001
SHOWER PAN
10/18/04
APPROVED-
GS
000
000
P01
OO*PLUMBING
-
235.'0001
GAS LINE / GAS TEST
12/06/04
APPROVED
GS
"- 000.000
PO1
00
PLUMBING
-- .299
0001
PLUMBING FINAL
4/12/05
APPROVED
GS -