07-3035 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
E07=`000030
`649395 VISTA LUNA
602-180-999-1 -294574-
DWELLING - SINGLE FAMILY
LOW. DENSITY RESIDENTIAL
329953
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
T D DESERT DEV
P O BOX 1716
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
Contractor:
TD DESERT DEVELOPMENT
P O BOX 17164
.LA QUINTA, CA 92247
(760)771-1941'
Lic: No. ': 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/28/07
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION -
f hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
1 hereby affirm under penalty of perjury one of the following declarations:. -
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License ss: a No.: 762987
_
for by Section 3700 of the Labor Code, for the performance'of the work for which this permit is
-
at tractor'
issued. '
fI 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
OWNER -BUILDER DECLARATI N -
insurance carrier and policy number are:'
1 hereby affirm under penalty hat I am exempt from the Contractor' State License Law for the
Carrier COMPWEST Policy Number CA005001482003 '
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
- 3790 of the Labor Code, I s wo mply with th e -g visions.
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).:
atm pIicant:
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 andProfessionsCode: The
WARNING: FAILURE TO SECURE<RS'COMPENSATION COVERA 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 0 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.)..
APPLICANT ACKNOWLEDGEMENT
1—) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
ti 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.l-.
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. - , B.&P.C. for this reason r
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City .
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
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
ofGthhiis'co///yuurRRSry enter upon the above-mentioned property for in p poses.
D�EEti Si ature (Applicant or Agent)
Application Number .
. . . . 07-.00003035
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee ..
1444.S0 Plan Check Fee .
938.93
Issue Date . . . .
Valuation'
329953
Expiration Date ..
5/26/08
Qty Unit Charge
Per
Extension
BASE FEE
639.50
f 230.00 3.S000
THOU BLDG 100,001-500,000
805.00
Permit . . .
MECHANICAL
Additional desc .
`Permit Fee
158.50 Plan Check Fee
39.63
Issue Date . . . ..
Valuation . . . .
- 0
Expiration Date
5/26/08
Qty -Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH.FURNACE,<=100K..
36.00
4.00 9.0000
EA MECH'B/C <=3HP/100K BTU"
3'6.00
10.001 6'.5000
EA MECH VENT FAN
6S.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . .
ELEC-NEW RESIDENTIAL
Additional desc ...
Permit Fee
162.56 Plan Check Fee
40.64
Issue Date
Valuation
0
Expiration Date
S/2,6/08
Qty Unit Charge
Per
_Extension
BASE FEE
15.00
3820.00 .0350
ELEC,NEW RES - 1 OR 2 FAMILY
133.70
693.00 .0200
---------------=----------
." ELEC GARAGE OR NON-RESIDENTIAL
----------------------------------------
13.86
------ ----'
Permit
PLUMBING
Additional desc .
Permit Fee
252.75 Plan Check Fee
63.19
Issue Date
Valuation
0
Expiration Date
5/26/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
28.00 6.0000
EA PLB FIXTURE
168.00
1`.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT _
Application Number . . . 07-00003035
Permit . . . .. PLUMBING
Qty Unit Charge Per Extension
2.00,. 7.5000 EA PLB WATER HEATER/VENT 15.00
2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00
1.00 9..0000 EA PLB LAWN SPRINKLER SYSTEM 9.00
13.00 .7500 EA PLB GAS PIPE >=5 9.75
.1.00 15.0000 EA PLB GAS METER 15.00•
-----------------------------------------------------------------------------
Permit GRADING PERMIT
Additional desc .
Permit Fee . . 15.00. tPlan Check Fee-. ..00
Issue Date Valuation . . 0
Expiration Date 5/26/08
Qty Unit Charge .. Per Extension
BASE FEE 15.00
Special Notes and Comments
SFD LOT 1, PLAN Ml/M2 GUEST SUITE,
3820.SF. PERMIT DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY APPROACH.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
Other Fees ART IN PUBLIC PLACES -RES 324.88
DIF COMMUNITY CENTERS -RES-• 74.00 .
DIF CIVIC CENTER - RES 995.00'
ENERGY REVIEW FEE 93.89
DIF FIRE PROTECTION -RES 140.00
GRADING :PLAN CHECK FEE .00
DIF LIBRARIES - RES 355 00
DIF PARK MAINT FAC -: RES 22.00 "
DIF PARKS/REC = RES 892.00 .
STRONG MOTION ('SMI) - RES '. 32.99
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.'00
Fee summary Charged Paid Credited Due
Permit Fee Total 2033.31 .00 .00 2033.31
Plan Check Total 1082.39 .00 .00 1082.39 `
Other.Fee Total - 4926.76 00 .00 4926.76
Grand Total 8042.46 ',.00 .00 8042.46 .
LQPERAI[T
Aug 08 200811:04 HP LASERJET FAX p.2
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
49-395 Vista Luna, Lot 1, Montanas,Project, La Quinta, California
CEILINGS:
TYPE: BATT§ MANUFACTURER. CERTAINTEED Thickness: R-38
WALLS:.
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-13
WALLS
TYPE: BATTS . MANUFACTURER: CERTAINTEED _Thickness: R-19
GENERAL CONTRACTOR: 'T.D. DESERT DEVELOPMENT
c/o S ark Construction Inc. .
BY: TITLE: i 7f
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE '# 221517
(formerly known as Paragon Schmid Building Products),
BY: TITLE: OFFICE MANAGER DATE: 8/8;2008
t
Installation Certificate
• Site Address: 49-395 Vista Luna : _:L
La Quinta, Ca 92253
Builder Information: TDD Sparks Construction
Water Heater #1
Heater i ype:
CEC Certified Mfr Name & Model:
Distribution Type (Std/POU):
Recirculation Control Type:
# of Identical Systems:
Rated Input (kW or BTU):
Tank Volume:
Efficiency (EF, RE):
Standby Loss (%):
External Insulation R -Value: ,
Water Heater #2
Heater Type:
CEC Certified Mfr Name & Model:
Distribution Type (Std/POU):
Recirculation Control Type:
# of Identical Systems:
Rated Input (kW or BTU):
• Tank Volume:
Efficiency (EF, RE):
Standby Loss (%):
External Insulation R -Value:
Larae Gas Storaae
American G62-75T75-4Nv
Circulating pump
Timer
Two
75,000 BTU
75 Gallon
80% RE
N/A
R-12
Small Gas Storaae
American G62-40T40-3NV
Circulating Pump
Timer
One
36,OOBTU
40 Gallons
.59 EF
N/A
N/A
CF -6R
Permit #07"�35
Lot# 1
I, the undersigned, verify that the equipment listed above my signature is: 1.) the actual equipment installed; 2.) equivalent to
or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy
Efficiency Standards for residential buildings; 3.) equipment that meets or exceeds the appropriate requirements for
manufactured devices (from the Appliance Efficiency Regulations or part 6), where applicable.
Signature: Date: g-0
�
Elijio Villarreal
Project Manager
Copy to: Building Department Williams Mechanical, Inc.
HERS Provider (if applicable) 75090 St. Charles Place, Suite B
Building Owner or Occupant Palm Desert, CA 92211
CSL #373896-C36
®�Orm MOE@
WILLIAM6 MECHANICAL
W OW1W
incorporated
EMPLOYEE OWNED - L50P
Eso
E 75-090 St Charles Place; Suite 6, Palm Desert, CA 92211 (760) 341-0557 Fax(760) 341-5534 CA Lie. 373896.0
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING
Project'Addre'ss
Measured
Builder or Ing N e
Values
Builder or Install Contact
I
Telephone
Pl ermit (Additions or Alterations) Number
HERS Rater T
v/nn
- /�nUG�
%�U /
Telephone
5Z2-3
Sample oup Number
Enter Total Fan Flow in CFM:
Compliance Method
rescri tive
Pass if Leakage Percentage < 6% [ 100 x 2= (Line # 1) / 11D (Line # 2)]]
Climate Zone /$
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Certifying Signatur
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing D ct System Prior to,
Date
Sample House Number
4
Firm
OL iq i✓j
HERS Provider
C EE S
Street Address:
/
City/State/Zip:
L 1 00 1 n 1'4
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT '
HERS RATER CQWLIANCE STATEMENT
The house was: VA 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 house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new
distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS
rater must not release the CF4R until a properly completed and signed CF -6R has been received for ti�sample and tested
buildi gs.
The installer has provided a copy of CF -6R (Installation Certificate).
New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with
cloth backed, rubber adhesive duct tape to seal leaks at duct connections.).
✓ REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
ocedures for field verification and diagnostic testing of air distribution systems are available in RACK AppendixRC4.
Duct Diagnostic Leakage Testing Results ��k I/ I- /-- x /JC , y ,,, 1%I SVii/ ��
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
I
Enter Tested Leakage Flow in CFM:
2
Fan Flow. Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ easured
Enter Total Fan Flow in CFM:
✓ ✓
3
Pass if Leakage Percentage < 6% [ 100 x 2= (Line # 1) / 11D (Line # 2)]]
❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing D ct System Prior to,
4
Duct System Alteration and/or Equipment Change-Ou
Enter Tested Leakage Flow in CFM: Final Test of NjvADuct S stem Duct System
5
for Duct System Alteration and/or Equipment
ui ment Chane-0 t.
Enter Reduction in Leakage for Altered Duct Sys [ ine 4) 'nus (Line # 5)]
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ ✓
Entire New Duct System - Pass if Leakage Percentage < 60/c
8
100 x ine # 5 / Line # 2
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
✓ ✓
Use one of the following four Test or Verification Standards for compliance:
9
Pass if Leakage Percentage < 15% [100 x ine # ) / (Line # 2)]]
13Pass 17 Fail
10
Pass if Leakage to Outside Percentage < 101/6 [1 %iny# (Line # 2)11
❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage > 60% [ k6O x V_/(Li # / (Line # 4)11
11
and Verification b Smoke Test and Visual Ins ion
13 Pass ❑Fail
Pass if Sealing of all Accessible Leaks and Verification by 9moke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # 12 pass
❑ Pass ❑ Fail
Residential Compliance Forms December 2005
��- - Certificate of Occupancy.f
INCA RAM ��•
artment
OF Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
j
construction and/or use.
i
BUILDING ADDRESS: 49-395 VISTA LUNA LOT #1
s
s
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 07-3035
,
i
i
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RL
H
Owner of Building: T D DESERT DEV Address: P O BOX 1716
City, ST, ZIP: LA QUINTA, CA 92253
By: STEVE TRAXEL
l�d�t Ale --
Date: FEBRUARY 12, 2009
Building Official
POST IN A CONSPICUOUS PLACE
w.