09-1299 (SATT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
09-00001299
80235 VIA TESORO
772-250-019-50 -30357 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
199102
Architect or Enc
Is)A
T4'!t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
Contractor:
TOLL BROS, INC.
73121 FRED WARING DRIVE, #100
PALM DESERT, CA 92260
(760)674-9699
Lic. No.: 777699
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/22/09
-------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 777699
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
LL// L,�Iracto-
issued.
Section 3700 Labor
Date:7'W ( 19
I have and will maintain workers' compensation insurance, as required by of the
Y' Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier ZURICH AMERICAN Policy Number WC3878213-03
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California, _
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by_
_110
" ���
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):
Date: licant:
(_ 1 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 and Professions Code: The
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
71`144, eurcnr)np Ckno arvf000iono :orai Tho 6aiuraslala' Owty Li,c. y Lu,, Jvca iivr apply lu au uwnei 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.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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: ,
LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
laJnunlulls anu resuiutwns set turtlt on tnls applleailen.
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 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�his(ccounty to enter upon the above-mentioned prop y for inspection p rposes.
Date: • �V'rjignature (Applicant or Agent):
Application Number . . . . . .09-00001299
Structure Information
Construction Type . .
. . . TYPE V - 1 HR
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info
. . . CODE EDITION 2007
# BEDROOMS
2.00
FLOOD ZONE NO
GARAGE SQ FTG
532.00
PATIO SQ FTG
132.00
TOT ELIGIBLE NO
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2252.00
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
107.10 Plan Check Fee
26.78
Issue Date . . . .
Valuation . . . .
0.
Expiration Date
6/20/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2252.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
78.82
664.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
13.28
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
919.50 Plan Check Fee
597.68
Issue Date . . . .
Valuation . . . .
179781
Expiration Date . .
6/20/10
Qty Unit Charge
Per
Extension
BASE FEE
639.50
80.00 3.5000
-----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
280.00
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
65.50 Plan Check Fee
16.38
asgue Date . . . .
Valuation . . . .
0
Expiration Date . .
6/20/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
LQPERMIT
Application Number . . . . . 09-00001299-
9-00001299Permit
Permit. . . . . . MECHANICAL
Qty Unit Charge Per
Extension
4.00 6.5000 EA MECH VENT FAN
26.00
1.00 6.5000 EA MECH EXHAUST HOOD
----------------------------------------------------------------------------
6.50
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 178.50 Plan Check Fee
44.63
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 6/20/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
17.00 6.0000 EA PLB FIXTURE
102.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
7.50
6.00 .7500 EA PLB GAS PIPE >=5
4.50
1.00 15.0000 EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFA - PLAN TYPE C1 - GROUND FLOOR UNIT -
2252 SQ.FT. LIVING, R-3 OCCUPANCY, TYPE
V- 1HR CONSTRUCTION, 2007 CODES.
**PERMIT DOES NOT INCLUDE TEMP POWER ,
TRASH ENCLOSURE, BLOCK WALLS AND SITE
LIGHTING** LOT 50, BLDG. 10
THIS PERMIT REPLACES EXPIRED PERMIT #
05-3147,ISSUED ON 8/22/05 BUT NEVER
BUILT.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
8.00
ENERGY REVIEW FEE
59.77
STRONG MOTION (SMI) - RES
19.91
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 1270.60 .00 .00
1270.60
Plan Check Total 685.47 .00 .00
685.47
Other Fee Total 87.68 .00 .00
87.68
Grand Total 2043.75 .00 .00
2043.75
LQPERMIT
t' -'r FlMn wif] CATION & DIAGNOSTIC TESTING (Page i of SL CE:LR
L� a�rti' Z `7b C ;
Buiidcr canxrc: Telephone
)ay=e /(5 9) 499-6354
FiE.R:: RA -a7 ?Iephpne
Builder Name
Qv
Plan Number
Sample Group Numbcr'.. ce►..
(�'C t jRi7 ' i1Y'� Date Sample House Number L wami
D«v ; Ii ghlar� Testing & Diagnostics HERS Provider CHEERS r EPARTMENT
FirTl1.R,!
I 't- f
Sir t,&,&u=1.6,32'1 McPherson Avenue
,c: iluilidec, ITKRS Provider and Budding
City/Stateaip:Lake Elsinore CA 92530
HERS R,&TER COMPLWNCE STATEMENT - - -- - -- (s
rase House was: +� 41\� T- estad , ®Apg�
Iii roved as part of sample testing, but was f RSQN AVE LAKE ELSIlVORE CA 91539
AS 21c -rwter mAding diagnostic testing and field verification, I certify that the he '4"?tifi '
with the, diagnostic trstcd ccmpir,anoce requirements as checked 1 on this form The HERS s ust' AZt63,t�
'tie new di:,rabaabon systn is ducted and correct tape is used before a CF -4R may be relgse¢o)}y�! "'; tom+ e
The: H �,R.; rater must not release the CF -4R until a properly completed and signed CF -6R has been recerv�for e �+
ana :c:;tcd be:ildira615.
7'4e mistalh-x b" provided a copy of CF -6R (Installation Certificate).
:` m .Distributicn systcua is fully ducted (Le., does not use building cavities as plenums orplatfiarm returns in lieu of
ducts}.
15 Xew systrrns where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
r c3mbinatioa with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
d' MLNI�M M REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Pro -eJurev forfield wificaiion and &agnostic teslmg of air distribution systems are available in RAC&4 Appendix RC4.3.
tact Diapostic Leakage Testing Results
NEW CO2'kJSTRUC`nOX. Ac- 1
Duet Presaurizatioc '.'est Results (CFM @ 25 Pa) Meastired
Values
3 F—nta Testca l cakaagc Flow in CFM:
Fa.r Flow: Calculated (ivominah Cooling ,/ 0 Heating) or V ❑ Measured
�
✓ ✓
f E,nL,-' Total Fan Flow in CFM: [c Ca Ix� _
I---�-'
Pass ❑ Fail
Pas:, if Lr;�age Percentage S 6% [ 1 GO x [,_(Line # 1)1 (Line # 2)]] - ,
A.LTEI RAi'10NS: Duct Systzm and/or HVAC Equipment Change -Out
j Entex Tested Leakage Maw in CFM from CF -6R: Pre -Test ofExisting'Duct system Prior to ;
j a�adGt Syr tC1DZ r'ttYCTJ lO.� 1n�/Or llip�y� C11aIIg0-OuL "� •�� r�' *6
mcnt
I= rater Tested LraLige Flow in CF7 : I7YaW Test of New }duct System or Altered Duct Sy `�=
SUP f f_r."L.uct sst(�mAliYL.�R�_ation an /or ^ uiment l-.han a-Vtat.
L ria Roductioa in f—kag'e for Altered Duct System
I - -- Lir..; #4) Minus (Line # 5)] - (Only if Applicable)
7 i ? +ter ' ^ sic ci Lealsge Flaw i.. CFM to Outside (Only if Applicable) V/ d
---
1 Entire .New Duct Sy=m - Pass if Leakage Percentage S 6%
Ig
11.0
Pass ❑ Fail
1. -,ix x s.�...... (Liar; # 5i ! _ _ Line # 2)11
TL.'4"f OR WER IF'1'C4,TION STANDARDS: For Altered94-et System and/or HVAC (Equipment Change -Out f �
use cat al' the 'allowing four Test or Verification Standirds for compliance:
Prss ; L x:�ig. remcntage S 15% [10o x (Line # 5) / (Line #'_)]] ❑Pass ❑Fail
i:; fyai rare tv Ct side percentage5 % [100 x ___(Line # 7) / (Line # 2)]] [1 Pass ❑Fail ;
''r ss r = Lc sl:rsge :2rcluctiou Pcrcen a 260% [100 x [— (Line # 6) /—_ (Line # 4)]]
- -
i
a, .:I w'e�.:i:.atIon by JmOkC';'CS � Vtsuad LIOn
❑ Pass ❑ Fail
t2 1�_ S il'Scs.din, ufr,'1 A le Leaks and Verification by Smoke Test and Visual Inspection _
13 Pass ❑ Fail
Pass if One of Lines # 9 through .# 12 pass .:
❑Pass ❑ Fail
Res•ideatiul Co, pliunce, Fornis• August 2009
N
DIAC NOSI , W TESTING (Page 3 of 8) CF-4!�
Ruilcier'Nanic
V tA 7CL-:5Dx0 _ilq I'l-It 0
Telephone Plan Number
Telephone Sample Group,'um er
Y-
UJI,
VJ A-UDate, I Sarnpic Nouse Number O EE S
I WR's Pro-idCl
A
Citv-Statc Zip:
TA
verification, I ccrLii - y diat the house
<,:6 on this form.
lon Cci I
"V\ FAX: (951) W2422 PHONE. (909) 499-6354
t+tNi,,�j 1,till-es are mwilable in RACAI, Approthy R1.
Hie proccdui-r shall Consist 01 El
is installed on the 'srsten) 11110
:,:LIMPnlcIIt shall be \clificki.
Yes is a a
'W"'iell-I Space Cooling Si stem" witilout Hicrillox.tic 1",,q),111sioll Vak'cs
C Ch
(ilia:r, ecked monthly)
lust he cticci,co monthly)
ILI ai
ince
N\'iJJI the liLlilklilICILLINI"S speciticatium anti installer �crilicalinn
rater shall use (hcA1tcrnati\,c
Standard Method are available in RACK A, endix RD2.
7
.,.t,t;n Certificate) has been provided with refrigerant charge
Au list 2009
TIESU:NG (?age 5 of 8) CIF -4R
Builder Name
SaPE�w "COF?s _ 11r.1 �� a5
2BC^ mss! oP
tiaBtion. �' ce a"e ;ae at khc��`o7a`e AlHS roan. / D` A MOWS
Telephone
flan Numbcr —
CERTIPIEL ,.I.R.S RATER CHEERS ID#CM2163,14
eleplione
Samis Group Number
]Date Sample Mouse Numbcr �4s3�
/� e< r/lr,e rcyea erg fre/nhle is P R. l TAX. (15�6MYkNONE; (90) 4
Hood
,��,�eaa�a�a•2:a� ,�o�'���®.. ii �i B'o"aB9 �"����
- ��an4(safl uvrr
;.ic cr teriaB �gi'l'a llc RVI.)
—_ Yes is F9 p"-'sS
,yPE+ilrrhic idrl?.:'.:�1 �-aa5'FIe1�.Y?�f_i.
�•� ;.��axd�auc �ap:�da^0e�,eavitD • . .
V,i Poo pnBBB4i".bBPe,iB t.Q�C�� neo
� h � i� ti� aP➢C, ��� m? vasfl�..�F (�fAQ
o� e fl'�Cin� BnrS w 'Q�' 111C ➢ ^��aByacLr m! �C--mN Inus-4 t�
_r7
o 2. and 1 SBO h eS t4 L CNBC P N* 11 [D N Pass
U r_c RI.
,:.<.s match the CF -IR
s maidled to outdoor coil ✓ ,r ✓
Ci IZC
2; and 3 Ir Re uircd) is a
Q pass ass Fail
IDerenther 2005
SaPE�w "COF?s _ 11r.1 �� a5
2BC^ mss! oP
tiaBtion. �' ce a"e ;ae at khc��`o7a`e AlHS roan. / D` A MOWS
1#S21MePRERSORAVE LAU MORE CA92530
CERTIPIEL ,.I.R.S RATER CHEERS ID#CM2163,14
/� e< r/lr,e rcyea erg fre/nhle is P R. l TAX. (15�6MYkNONE; (90) 4
Hood
,��,�eaa�a�a•2:a� ,�o�'���®.. ii �i B'o"aB9 �"����
- ��an4(safl uvrr
;.ic cr teriaB �gi'l'a llc RVI.)
—_ Yes is F9 p"-'sS
,yPE+ilrrhic idrl?.:'.:�1 �-aa5'FIe1�.Y?�f_i.
�•� ;.��axd�auc �ap:�da^0e�,eavitD • . .
V,i Poo pnBBB4i".bBPe,iB t.Q�C�� neo
� h � i� ti� aP➢C, ��� m? vasfl�..�F (�fAQ
o� e fl'�Cin� BnrS w 'Q�' 111C ➢ ^��aByacLr m! �C--mN Inus-4 t�
_r7
o 2. and 1 SBO h eS t4 L CNBC P N* 11 [D N Pass
U r_c RI.
,:.<.s match the CF -IR
s maidled to outdoor coil ✓ ,r ✓
Ci IZC
2; and 3 Ir Re uircd) is a
Q pass ass Fail
IDerenther 2005