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04-3932 (SFD)• oo44 BUILDING & SAFETY DEPARTMENT P.O. Box .1504 (760).777-7012 OF 94`� 78-495 CALLE TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 .. BUILDING. PERMIT Application -Number . : 04-00003932 Date 5/07/04 PropertyrAddres.s 79645 VIA S,IN CUIDADO, APN: 772-370-026-36 -298.58 - Application description DWELLING -.SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 255128 Owner ntractor ------=-------------------------- R J T:HOMES JT HOMES LLC 1425 E UNIVERSITY DR� . N � 11425 "E.. UNIVERSITY DRIVE PHOENIX AZ 8.50 4'.. �r�PHOEN.IX AZ 85034 ®WCC: STATE FUND C: 1583906 10/01/04 U CSLB: 690645 06/30/04 CCC B -A' ------ Structure InformationSF-D ----- Construction Type TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/CONE-<=10 Flood Zone . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 729:0.0 PATIO SQ FTG 802.00 NUMBER OF UNITS.. 1.00 "FIRST.FLOOR`SQ FTG 4024.00. Permit . . . BUILDING PERMIT Additional desc Permit Fee 1185.50 Plan Check Fee 770.58. Issue Date Valuation 255128 Expiration Date 5/07/05 Qty Unit'Charge Per Extension BASE FEE 639'.50.. 156.00 3.5000 THOU. BLDG 100,001'-500,000 546.00 Permit . . ELEC-NEW RESIDENTIAL. Additional desc Permit Fee 170.42 Plan Check Fee 42.61 Issue Date Valuation 0 Expiration Date 5/07/0;5 Qty Unit Charge' -. Per Extension J %.+ P.O. BOX 1504 • 'G�� 78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QutNTA, CALIFORNIA 92253. INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant' Applicant's Mailing Address: Date: Architect or Engineer: ik) t446, -Z �&efzf � 1)k, -4g5 - Architect or Engineer's Address: 6oyz,D6X, CQ ffo C� 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 e i n full fore and elle . License Class L License No. Date— Contractor ` OWNER -BUILDER DECLARATf 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 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 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 selfAnsure 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�! workers' com ensation insurance carrier and p i u . re Cartier — - , � � i= U,✓/j Policy Number 2 f [j.G 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' compensafion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date -5-1- 1a-1:�'VApplicant 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.). Lenders Name N� Lenders 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, indemnity 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, andherebyauthorize representatives of this county to enter upon the above-mentioned propertyfor inspection purposes. ,12�4 Date I/�y Signature (Applicant or Agent): Page J(k` t , Page 2 Application Number 04-0"0003932 ": Date 5/07/04 Qty Unit 'Charge. Per Extension BASE FEE 15.00 4024.00 0350 ELEC NEW RES - 1.OR 2 FAMILY 140.84. 729.0.0 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.58 ---------------------------------------------------------------------------- Permit '. ...G RADING 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. --------------------------------------------------------------- Permit . . . MECHANICAL -------------- , Additional desc Permit Fee . . . . 137.00 Plan Check Fee 34.25 " Issue Date . . . . Valuation . . . 0 Expiration Date 5/07/05.. Qty Unit Charge Per Extension BASE FEE 15.00 3.00._. 9.0000 EA. MECH FURNACE <=100K" 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU_. 49.50 6.00 6.5000 EA MECH VENT,FAN 3,9..00 1.00 6.5.000!EA MECH EXHAUST HOOD 6.50 Permit . . . . PLUMBING Additional desc Permit Fee. 246.75 Plan Check Fee 61.69 Issue Date Valuation . . . . 0. " ..Expiration Date 15/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 28.00 6.0000 EA PLB FIXTURE r 168.00 _. 1.00 15.0000 EA', PLB BUILDING'SEWER. 15".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 9.00 .7500 EA PLB"GAS PIPE >=5- 6.75 t Page _ 3.. Application Number. 04-00003932 Date 5/07/04 Qty Unit Charge Per -Extension ' 1.00 15.0000 EAPLB-GAS ---------------------- METER 15.00 Special.Notes and Comments SFD LOT 36 PLAN SFICIA: PERMIT DOES'NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. Other Fees * . . . . . ART IN PUBLIC PLACES -RES .137.82 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW -FEE 77.06 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 25.51 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION '- RES 1098.00 Fee summary Charged Paid Credited ..Due Permit Fee Total 1754.67. .00 .00. .1754.6'7 Plan Check Total 909..13 .00 00 .909.13 Other Fee Total 2645.39 00 .00 2645.39 Grand Total 5309:19 .00 .00 5309.19 , la-N�•tf G �� C A D E C emices PO. Box 621, Ph/Fax (760) 564-2044 Rancho Mirage; CA 92270- Celli (760) 250-1857{ , Email: DESNRG (alAOL.COM .CERTIFICATE OF -FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) &41k. PALMILLA '0148 DATE TESTED - Project Title, Date: _�. 79-645" VIA.SIN CULDADO LA QUINTA, CA. 92253. RJT HOMES Project Address e :.-. Builder Name. CHAD MEYER. 760-564-6555 IVIjESQUITE . r SF1C1 3 UNITS �+ Builder Contact Telephone Plan Number RICHARD-KROWN. 760-2504852 GROUP 6• a HERS`Rate Telephone Sample Group Number s OCCNRK613292 01-17-04 LOT 36 f Certifying -Signature Date Sample Lot Number, Firm: DESERT -ENERGY SERVICES. LLC HERS Provider. CHEERS . . Street Add s- P.O. BOX 621. CitylState/Zip: RARICH0 MIRAGE, CA. 92270 Copies tol Builder, HERS Provider HERS.:RATER COMPLIANCE. STATEMENT The house was: El 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 asplenums or platform returns in lieu:'of ducts) l 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. > I .066t Diagnostic Leakage Testing Results• (Maximum 6% Duct. Leakage) ' Y - Measured: Duct Pressurization Test Results.(CFMC�3 25 Fa) values ' Test'Leakage Flow in CFM. If:fanflow is calculatedas 400cfm/ton x number of tons enter calculated value here 3 1 If fan now is rneasurcd enter measured value here Leakage Percentage (100 x Test LeakagdFan Flow) = jj Check Box for Pass or Fail (Pass =6% or less): Pass .Fail a. ❑TITERNMOSTATIC EXPANSION VALVE(TXV) w ' Yes 0 No Thermostatic Expansion Valve.is installed and Access is :❑ •0 provide' d.for inspection � r L STA. L LATION CERTIFICATE (Page 3 of 13) CE -SR Ph— 4p+ 4k 3 6 S1te Address Permit Number '. DUCT LEAKAGE AND DESIGN DIAGNOSTICS UUCX AAicAGE lZLDLtCl',IUN Pressurization Test FleseIts (CFM @ 2s PA) Test Ieaknge (CFM) Fan Flow . If Fen Flow is Calculated as 400 cfsrA= z nurnber of tans, or as 21.7 x Healing Capacity. "f { In Thousands of Bh&.r, enter calculated value here If fan flow Is measured, enter measured value here muco Leakage Rmctior =Test LsakaW(Measured or Calcuiated Fm Flow) Pass if lealasge fivAca < 0.06 Pus , Fail74 0 For AEROSOL TYPE SEALANTS ONLY -The fallowing diagnostic testing was completed: a ' Duct Fan Pressurization at rough -in measured leakage (CF1M) CHECK AFTER FMSHITO WALL: 0 Yes • 0 No a Presatue pan test or House prey mizatitw test 0 Yes ONO 0 Visual bspectioa of Duct Connections o ❑ r' Pass Fall ,t�THSRMQSTATIC EX_PANSIO VALirE (TXVI ZYes ONO Thermostatic Expansion Valve is installed and Access is -:provided for inspection Yes is a pass p O DUCT DESIGNPass Fall ACCA Manual D Design calculations have been 1. o Yes O No oorrvleted. Duct Design is on the plans and dud hutallaticn i. matches pians. 2. O Yes ONO TXV is installed or Fan flow bas been verified. if noTXV,' o p verified fat flow matches design from CLL Pass Fail Measured Fan Flow = Yes for boh 1 and 2is a Pass ` O 1, the undersigned, verify that the abo%* diagnostic test results and the work I performed associatrd with dw tests) bin conformance wb the requirements for compliance aedit [The builder shall provide the HILLS provider a copy of the CF-61taigned by the builder , employees or subcontractors certifying that dtagaostle testing and bt 1111don meet the tagtrirementa for cotttpliance credit. J Testa sl , Date WW Subcorrttucter (Co. Name) OR . PeCormed General Contractor (Co. Name) t COPY TO, Building Depwvnenc HERS Provider Of .applicable) Building Ownerat Occupancy Ctmtpilance Fouts August2001 A-25 ST ' d 2880-6b6 [ 09L l IUO I WUH33W IG -1 " WH9S :L S002 bZ uer LNSTALLATI®N CERTIFICATE (Page 3 of 13) CF -6R3,6 0+ 44L ' Site Address Permit Number ' DUCT LE AK4GE AND DESIGN DIAGNOSTICS DU(:X LIGA.KA(;K "QUSa1S2N Presarrlution Teat Results (CFM ® 25 PA) Teat Itakage (CFW,,) 3a1+ Fan flow • tf Pan Plow Is Calculated as 400 cfrrlton x number of tons, or as 21.7 x Heating Capacity r In Thousands of Bt td, enter calculated value here If fan flow Is mewured, enter measured value here Les by Fraction o Test Leabge/(Meawred or Calculated Fan Flow) O• .lt� o Pus if lealta p fiactian < 0.06 Pass Fail ❑ Foi AEROSOL TYPE SEALANTS ONLY -The following dlegaosdc testing was completed Duct Fan Pressurimion at rough -in t:t_-as•.ued leakage (CFA1) CHECK AFT13St FIXISIUNG WALL 0 Yes ❑ 'No O Prtsmm pan test or House preset b:kon test 0 Yee 0 No 0 VfaW Inspection cfDuctConnectiors o 0 Pass Fan -tE=M0S1A C MANSION YALVE f!'XN • . ;t%Yes O No Tnesmostatic Expansion Valve is installed and Access s ..provided for inspection Yes is a pssr 0 DUCT DESIGN . Pass Fall RCCA Manual D Design calculations have been 1. 0 Yes 0 No completed, Duct Design is on the plans and duct Instalw*n .matches plane. 2. 0 Yes 0 No TXV is installed of Fan flow has b= verified. L' no TXV, ri rcrifted fan flow matches design from CF -UL Pass Flit Measured Pan Flow= Yes for both l and 2 is a Paso O 4 tk uadaaign4 verify that the above diagnostic teat results and the work 1 perfbm:ed assoeia d with the text(s) is in ccadwmance with the rogairernents for compliance cmdi t (Tbe builder sball provide the EMU provider a copy of the CF -4R sigaed by the builds cMbyeea or r*-= racsm s cadtjinS that diagnostic testing and instst4Non meet the requirements for compliance credit J Taw tpmatwe, Date tmtalling Sukontraetor (Co. Nance) OR PQlmu4 Genersl Ca tracaw (Co. Name) COPY TO: Building Department HERS Provider, (ii applicable) Building Craver at Occupancy Compliance Fomts AugLSM01 A-25 £i'ol 2680-EbE(09L) 1dOItJ1:1H03W I0l WfjSStL SOOz bz'Uer