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09-1298 (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: 09-00001298 80241 VIA TESORO 772-250-019-49 -30357 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 310315 T-i&t XP Q " .t+ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 Contractor: Architect or Engi r: AA TOLL BROS, INC. 6J 0 Zr�,O 73121 FRED WARING DRIVE, #100 PALM DESERT, CA 92260 I'r flb�4r�i (760) 674-9699 h �'2t01( 1 j. Lic. No.. 777699 -------------------------------------------------- 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 is in full force and effect. License Class: 13 LicenseNo.: 777699 ate:��Ca tractotf r: / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 Contractor's 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).: 1 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 Con:r3ctors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself 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.). (_ 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.). ( 1 I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/22/09 ----------------------------------------------- WORKER'S 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 �r issued. /1I 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. My workers' compensation insurance carrier and policy number are: Carrier ZURICH AMERICAN Policy Number WC3878213-03 _ 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. ate: y �47 licCo« ant: /o 19/t7A-/ 3 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 1$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. 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 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 this county to enter upon he above-mentioned prope y for inspection rposes. pate: -��0 nature (Applicant or Agent): Application Number . . . . . 09-00001298 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 3.00 FLOOD ZONE NO PATIO SQ FTG 108.00 TOT ELIGIBLE NO TTTTMRFR nF TTNTTG 1 . n n ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 2530.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 105.71 Plan Check Fee 26.43 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/20/10 Qty Unit Charge Per Extension BASE FEE 15.00 2530.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 88.55 108.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 2.16 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1028.00 Plan Check Fee 668.20 Issue Date . . . . Valuation . . . . 210345 Expiration Date . . 6/20/10 Qty Unit Charge Per Extension BASE FEE 639.50 3.5000 ------------ ------------------------=-------------------------------------- ;.^'; BLDG 100,001-500,000 388.50 PC�;;,' t . . . MECHANICAL Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/20/10 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00. 5.00 6.5000 EA MECH VENT FAN 32.50 LQPERMIT Application Number . . . . . 09-00001298 Permit . . . . . . MECHANICAL Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 170.25 Plan Check Fee 42.56 Issue Date . . . . Valuation . . . . 0 Expiration Piro . . ti/,>n/1n 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 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - PLAN TYPE B2 - UPPER FLOOR UNIT, 2530 SF LIVING, R-3 OCCUPANCY, TYPE V-1HR CONSTRUCTION, 2007 CODES. **PERMIT DOES. NOT INCLUDE TEMP POWER, TRASH ENCLOSURE, BLOCK WALLS AND SITE LIGHTING** BLDG. 10, LOT 49 THIS PERMIT REPLACES EXPIRED PERMIT # 05-3144,ISSUED ON 8/22/05 BUT NEVER BUILT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 9.00 -= RFL'--:�' 66 . n2 �; i-i,G MUT.IuN RES 21.03 Fee su^.;7. :.1 Charged Paid Credit -:d Due --------------------------------------------------------- Permit Fee Total 1393.96 .00 .00 1393.96 Plan Check Total 759.69 .00 .00 759.69 Other Fee Total 96.85 .00 .00 96.85 Grand Total 2250.50 .00 .00 2250.50 LQPERMIT OF MLB. VEIMCATION & DUGNOSTIC VESTING (Page 1 of 8) C.F-4R G -'r BuildcrName Buiidc--- Car WA Telephone Plan Number _ tIlERS3 I-,ie- .-.,:td (9 } 499-6354 Telephone Sample Group Number * CHEERS 0 10 c;,- i ' Bate Sample House Number �h��t Highland Testing & Diagnostics HERS Provider: CHEERS Str=tAdw-e=16821 McPherson Avenue City/Stat&2ip:Lake Elsinorgiffi 02M.0 Copies to: $ailder, FLYAItS Provider and Budding Deparuneut DEPARTMENT HERS RATER COMPL A NCE STATEMENT COPY the house was: ✓ Tested ✓ 0 Approved as part of sample testing, but was not tested _4s the HERS iaicr pi4AiiDg diaOaostic testing and field verification, I certify that the h od on this form complies W11h the diagnostic tested compliance requirements as checked,/ on this form. The verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may c -Tb(-, ffERS rater must not release fine CF -4R until a properly completed and signed C! and is seed auisduags. Q ` U.� i'�e wm% ller 1" provided a copy of CF -6R (Installation CertificaL). � ' � �,�' (9�R4 TER �4 tNew Distribution sysiem is fully ducted (Le., does not use building cavities as plenums or P6 'rdii ducts). ar�1J Newr systems where cloth backed, rubber adhesive duct tape as Installed, mastic c draw bunds . combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. V P MINUdU'M REQUIREM&24'I u FOR DUCT LEAKAGE REDUC'T'ION COMPLIANCE CREDIT ,j'roceaure-r for field venf tcation and diagnostic testing of air distribution systems are available in RACA,4 Appendix RC4.3. Duct Diagnostic Leal -age Testing Results W CONSTRUe" i iON: C r- 111C 2� :? /Cr Measured Duzi Pres-., tr=tior, Tcs: ReiUits (CFM @ 25 Pa) _ Values l ' Sntcr Tested Leakage Flow in CFM: ry ^uu Flow: Calculated (Nominal ✓i Cooling ✓ Ci Heating) or ✓ ❑ Measured ✓ ✓ " Eracr Tout Fan flow in CFM: / ` 10 C x e; 3 Prix if Lregc Percentage S 6% [ 100 x ZQ (Line # 1)1�gj 2(Line # 2)]] = Pass ❑ Fait AlffF:ATIONS: Duct System and/or HVAC Equipment Change-Out 1 Y' F�ratar Tested L�l:abe clow in CFM from CF -6R: Pre -Test ofExisting'Duct System Prior to ,..,;.•>, j.:�•,�',; 4 D:aci System Altmutioa and/or Equipment Chango-Out. 4 y Ent --r Tested Leegc Flow in CFM: Final Test of New Duct System or Altered Duct System _. for Duct System Alteration and/or Equipment Chan e-OuL i Enter t` o&xtiou in Leakage for Aliened Duct System it w Minus # S(Only ifApplicable) 7 Sntcc 11cste.c Lege Flow i:a CFM to Outside (Only if Applicable) --- ✓ ✓ b ( 2 --tire New Duct System - Pass if Leakage Percentage:5 6% ass ❑ Fail 11-0- P i 00 x (Linc # S / ...mooLine # 2 �,:__--) - - - TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out �� '✓ Use sac of he following four Test or Verification Standards for compliance: ss it L xsugc Percentage S :5°h [100 x [_____(Liar # 5) /(Line # 1)]j ❑Pass ❑Fail i 0 zs;; if,'_ c aL-Lge to Outside Percentage 510% [1 00 x_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail r Pa.;s i1"'-c:akzge Rc-duction Percentage L> 60% [l 00 x f_ (Line # 6) /__ (Line # 4)]1 ` ` ; : r.d Vc;i;cx:ion by SmoLe Test and Visual Inspection ❑ Pass ❑ Fail =2 t !'�•ss fS link ofa�l !�a;ssiblc .i_eaks and Verification by Smoke Test and Visual InsPOLon _ 4_❑ Pass ❑Fail Pass if One of Lines # 9 through # 12 pass .: ❑Pass ❑Fal( rees;rfennce!Co)nipli nce.Forms A't.,gzisl2009 a ° :I: ii''FC:? TE OF FII'LD l,T:RIFICATION & DIAGNOSTIC TESTING P r,);ect ?.ddress Builder Name i 0 ^Z�/ \(/_/_-�E--50_,_2_0 &4 j -A- I litsit +c Cora ct ^— — Telephone Plan Number I KERS I: t;cr--%i�'l// c phone SamDle Grour ' Ccl ifying : 1..� 'Irlit hC TO I:DIYG:: ! CS /,' 161 / CURS ID4C(1�("!VDR216344 ' ti'c'�i 1dd ass: itiii7�1jr>'ux•�4" lII�� ')7-ci q Page 5 of bL ! Number Date Sample House Number (;D HERS Provider J City/state/zip: CF -4R �oilic;c t'>L i�. !l;:N, IT1�ri's ??3�23`,'flili 1d Ai�L3 I3?;1I..JING DEPARTMENT a "ATEI: C011"MANTCE STATE-NIE T DEPARTMENT ENT Thu house .:s. Y 6_! T, st d �! A;;provice as part of sample testing, but N�-a not tested r 1aY .^\s the ,'. i"S .,:t,r providir•g dia,^clic iz:snnq ,tad. fiold verification. 1 ecrtifv that the oosc identified on this Conn complies with ' U1� d1;14;nc5t:; t,.,:;.:d complrinc% 1'cfl?lrei ^I11S :, chcclwd on this form. ✓ "fhb tl.>tsticr hr;5;;;o',1d rI 1 copy )f -CF -6'2 (Installation Certificate). I� LJ ; ll; Ff'; AfRFLOW VEA111FICA TON I Aj(ji NPHERj� EISIlVORECA92530 ?r'!c "Iere�/ .r 1fe1d verifica.,lon on(idi-?roslic r sling ofade .ra e air o1 are available ill_li!tL'tho, Fi-ii-Aili*tcii- .'-,istl>.:'rlirnfi��1i�1�J1SA R("�HEI�RSID#C IDH21634� _ ✓ � � � I� :.. ~— l FitUl'; (95Ij609�114Z� � �° .. 1w I —_ ;• * ' t ' j Vii: < .lcsti: Fir, HOW Using Flog , a turc Hood �L l:f�-'•. { )U nosfc Fal"'Flow lisin", Kenum Pressure Kuching C_l ; ?<.F4.iFar i=1ow Usinyf-'loNv Grid Measurement 1 _ _ u Yes Measured Ahflovv: Rated Tons: L, -N,:- 1uSlt•: ill;'sS b'rcawr than the criteria in Table RE -2 CJ rl -.X1 :1UINI Co ►.ANG I TI: i ! 9'!iC.'P(l,l�'P ' 7.'' <��'le'Yl11!i7fllf,'7%l a.\'!1)J•i!I?; i'U01l�`1,Q 1(�aCl Yes is a pass 01-C (71'all0ble ill 1Z'1 C.1 l i T `%,,s D No I /A.6equlte an icly verified (sec adequate airfloNk edit) Total CFM cfln/Ion Pass I Fail ix RI'3. I 2� J" + . `,';a C No F:cfrigcthnt cha ,,c or T\V 0 XO i Dilct Ica:<aac rc,ducron credit Verified { Cofihng capes c ies of installed systems re S to maximum cooling capacity ' t on th:; Pc:formm,= s CF -IA and RF -3 i t1K CGC',I C, c:1p?clties of 111Stilll94wsteins are > Ihan maximum cooling caNaciv, 1n the CF -IR. then the ectrical input for the installed systenls must be _< tr, in the -1R and RF --f. Y/s to 1, 2. and 3: and Yes to either 4 or 5 is a pas: HIG;, `Jr� AIR CON–DIT.–ON i- xr-'riflcatim? a ai/,z, h.' !, RA'C A1, 4ip7C17di RL I 1 ✓ 1--, 1'cs ! u 'No I F T-: values of systems match the CF -1 R December 2005 ✓ C� '.'e-. i 0 Nc, i "or_~fht_k',te �. indoor coil is matched to outdoor coil ✓ ✓ j U ✓ j =' es El No I Timi_� 10 e .lav R%lay Verified (If Required)El Yes to I and 2; and 3 (If Required) is a pass ass Fail December 2005 7CERTG Tg, �_(Fb__,ATE P -E OF LD VERIFICATION & DIAGNOSTIC TB -_ - N lder INNameae 3of 8) CF -4R - VIA' 0-0-140 (YJA.1 B,2, n:l7-A- Telephone Fan Number Telephone Sam le Grou Nwnber- Climate Zone Date Sample House.. 160 MCPHRO ANT LWELMOUCAM HERS Provider Firl't tIRTWO 1W RkTR Cm fl) # CM84 City/State/zip: Url: DI 31 _D BUILDING DEPARTMENT . t'A'.R, iliL-k6 Prc, *11DER AN, L)IW(i PLIANCf STATEMENT DEPARTMENT 0 Approved as part of sample testing, but was not tested., r 1O)PY. d- Lc_,-,o6t:c testing and field verification, I certify that the h a boo ia i" CA90 cou r-lillentS as checked on this form.. .,:,,:.I,�c1;npiiance r jj;, 1;.-i-misprovided a copy of CF -6R (Installation Certificate). PXPkNSION VALVE (TXV) / /a vvi-qi, talon qf thcrtnoslafL expansion valves are available i-nR,4CM, Appendix R1. tor Lit 100I Ul'. i ',"Cl V, Si. ol, 4, ,I wfi -ioc MEASUREMENT S lit S stern Snace Coolinic Expansion Valves a Systems without Thermo t* L LZ Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system an d iilsia!lation of tile equipment shall be verified, -specific Yes is a pass P 'Fail tor Lit 100I Ul'. i ',"Cl V, Si. ol, 4, ,I wfi -ioc MEASUREMENT S lit S stern Snace Coolinic Expansion Valves a Systems without Thermo t* ,,,)litaoor air o-nutl Nc.,:: 1-1_ 'w_cU and charged in C, -JRol-f -c Startingtl Ch,ar�;_-- vicasure P:-oc,�Jure d above): ce with the rnanufactul-er's specifications and installer verification If outdoor air dry-bulb is below 55 'F rater shall use the A Iternative .1 for Determining Refrigerant Char gLygn&.the Standard Method are available in RACM, Appendix RD2. ✓ "D Yes ZINO A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. I ial Conipiiance Forms August 2009 L LZ Btu/hr Cal"lorat I (in un checked monthly) ust be checked monthly) ,,,)litaoor air o-nutl Nc.,:: 1-1_ 'w_cU and charged in C, -JRol-f -c Startingtl Ch,ar�;_-- vicasure P:-oc,�Jure d above): ce with the rnanufactul-er's specifications and installer verification If outdoor air dry-bulb is below 55 'F rater shall use the A Iternative .1 for Determining Refrigerant Char gLygn&.the Standard Method are available in RACM, Appendix RD2. ✓ "D Yes ZINO A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. I ial Conipiiance Forms August 2009