07-3045 (SFD)121
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
407-00003045_
49555 VISTA LUNA
602-180-999-5 -29457
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
371288
Architect or Engineer:
Owner:
T D DESERT DEV
P O BOX 1716
LA QUINTA, CA 92253
Contractor:
TD DESERT DEVELOPME
P O BOX 1716
LA QUINTA, CA.92247
(760)771-1941
Lic. No.: 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
FW'20
Date: 11/28/07
----------------------------------------------------------------------
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.cenificate of consent to self -insure for workers' compensation, as provided
License ClaX K License No.: 2987
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
- _
issued.
- eQ ntractor:
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. My workers' compensation
O EF:- BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that am exempt from the Contractor's 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
an agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7600) of Division 3 of the Business and Professions Code) or
00 of the Labor Code, I s 1 with those s,on
that he or she is exempt therefrom and the basis for the alleged exemption. Any violationofSection 7031.5 by
=ply
any applicant for a permit subjects the applicant to a civil penalty of not more than fivehundred dollars ($500).:
atm licant:
(_) 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
WARNING: FAILURE 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 T OUSAND
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 PRO IDED 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.
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 contractorls) licensed
pursuant to the Contractors' State License Law.).
( ) 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:
LQPFR11ffT
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
whosebenefitwork 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.
f.certify.that I have read this application and state that the above information is correct: I agree to comply with all
city and c unty ordinances and state laws relating to struction, and h bp'aa orize representatives r
of this my enter up the above-mentio roperty for ins ection ses.
a e: ��O ignature (App or Agentl:
LQPEPAIIT
Application Number .
. . . . 07-00003045
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1591.50 Plan Check Fee
1034.48
-Issue Date
Valuation
371288
Expiration Date
5/26/08
Qty Unit Charge
Per
Extension
BASE FEE
639.50
272.00 3.5000
THOU BLDG 100,001-5.00,000
952.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
139.00 Plan Check Fee
34.75
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
36.00
7.00 6.5000
EA MECH VENT FAN
45.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50,._
-=--------.-------------------------------------------=------
--- -"--'-----'------
Permit . .
ELEC-NEW.RESIDENTIAL
_ _• ..: _. Additional desc
Permit Fee
181.00 Plan Check 'Fee
45.25
Issue Date
Valuation . .
0
,. Expiration.Dat,e,•`•
5/26/08
e
r;
1 Qty : Unit Charge.
Per
Extension
BASE FEE
15.00
4337.00 0350
ELEC NEW RES - 1,OR 2 FAMILY
151.50
710.00 0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
14.20.
Permit
PLUMBING
Additional desc
Permit Fee
244.50 Plan Check Fee
61.13 .
- Issue Date
Valuation
0
Expiration Date
5/26/08
Qty Unit Charge
Per
Extension
BASE FEE
.15.00
25.00 6.0000
EA PLB FIXTURE
150.00 '
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPEPAIIT
Appl-ication Number 07-000030.45
Permit . . PLUMBING
Qty Unit Charge Per,
Extension
2.00 6.0000 EA PLB ROOF DRAIN
12.00
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
1 14.00 .7500 EA PLB GAS PIPE >=5
10.50
1.00 _ 15.0000 EA .PLB GAS METER
15.00
Permit . . . . . . GRADING PERMIT.
Additional desc .
Permit Fee 15.00 Plan 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 5, PLAN M3R/M2 GUEST SUITE,
4337 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 ,-
428 22'-' - -
DIF COMMUNITY'CENTERS-RES
74.00'
DIF CIVIC CENTER - RES -
995.00
ENERGY REVIEW FEE
103.45
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
37.12 -
DIF STREET MAINT.FAC-RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
Due
Permit Fee Total2171.00 .00 .00
2171.00'
Plan Check Total 1175.61 .00 .00
1175.61 .
Other Fee Total 5043.79 .00 .00
5043.79
Grand Total 8390'.40 .00 :00
8390.40
. NLAN® INSPECTI.®NS . CONSULTING
7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE; CA 92508
(951)" 697-1000•- FAx (951) 697-1030
DSA FILE # N/A
f SPECIAL INSPECTION REPORT DSA APPL # N/A
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be
distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and
signed by the special inspector conducting the inspection.
Client/Project Name: 3CM/ Montanas Trail Lots 1-7 (Lot 5)(08-34) - Date: 4-23-2008
IIC Job No. 1488013 DFR #:1
Project Location: Vista Luna, La Quinta CA1 Time Arrived:
k Contractor: PSW Bldg Permit #: Time Departed:
Reviewed -by: _ �__, t - ,__ —DayE R€vieiar�":-"� --_ -�T• ehTrr�e�c-. .. � --
Type ot Inspection ❑ Reinforcing Steel. ,, ❑ Pre -Post Tensioned Tendon- ❑ Fireproofing
❑ Engineered Fill ❑ Concrete ❑ -High Strength Bolting X Other (Specify)
❑ Foundation ❑ Shotcrete ,. ' ❑ Metal becking (Ultrasonic Testing)
❑ Batch Plant ❑ Masonry ❑ Welding
DSA Approved Documents:.N/a
Work Inspected: A
As requested,by the client, an Ultrasonic Inspection was performed'on" the aboveproject. Eight welds were inspected
and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected.
Use Additional
Sheets if Needed
The Work N/A
INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected MET
OF THE DSA APPROVED DOCUMENTS THE REQUIREMENTS OF THE APPROVED DOCUMENTS
Material Sampling N/A
PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS Signature o Sp ci I Insp cto
cc: Project Architect -
Structural Engineer -
Project Inspector- Printed Name and itle
DSA Regional Office -
School District- Wade A. Clark (Project Inspector)
Certified By - II&T Certification Number Level II.
iq;1z,-N,1100
INLAND SPECTIONS CONSULTING.
7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508
(951) 697-1000 - Fax (951)'697-1030
ULTRASONIC TESTING REPORT
CLIENT: JCM Inspections 0834 DATE: 4-2348
JOB NO.: 1488013
INVOICE NO.:
REPORT NO.:
Reviewed by:
PROJECT: Montanas Trail Lots 17 (Lot 5) CODE: AWS D4.1
FABRICATOR: PS TECHNICIAN: Wade Clark ASNT LEVEL: 11
WELDING PROCESS: FCAW SURFACE: As Welded
EPUIPMENT: Epoch II B PROBES:'[ ] NORMAL [Xj ANGLE [Xj HIGH ENERGY [ j NORM ENERGY
CALIBRATION: [X] SOUND PATH PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER:
..+.--: ;,.:� ,-,_�.;-_.`:.. w... �.�_
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1
Col 4A Cont Plate 1
X _
70
1&2
52
1'6
5/8
2,
Col 4A Cont Plate 2
X
70
1&2
52
6
5/8
3
Col 413 Cont Plate 1
X
70
1&2
52
6
5/8
4
Col 4B Cont Plate 2
X
70
1&2
52
6
5/8
5
Bm 4C North Top Flan e
X
70
1&2
52
8
5/8
6
Bottom Flange
X
70
1&2
52
8
5/8
7
Bm 4C South Top Flange
X
70
1&2
52
8
5/8
8
Bottom Flange
X
70•
1&2'-
52
8
5/8
1-4 Column Continuity Plates
5-8 Moment Frame Beam
,
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SIGNATURE: GL
Aug 08 2008 11:05 HP LASERJET FAX P.6
- .. .. ;:. ;. , ,,:, � , .. .• ,: .t. r r: ., ..:>.a:.n;z•.:u , .:. ..:.,: ru-s,., c,.a .c .r....n: ue:r+ . vf. N:.-- e -u ,r••.•a;..•:ra>.:.:.: �.:.. ..,-nr.-.. ..
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance wlth the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
49-555 Vista Luna, Lot 5, Montanas Project, 'La Quinta, California
CEILINGS: .
TYPE: BATTS' MANUFACTURER: CERTAINTEED Thickness: R-38
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED. -Thickness: R-13
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-) 9
GENERAL CONTR TOR: T.D. DESERT DEVELOPMENT - LICENSE #-7(,-,, t -f$
c/o Spark Construction Inc.
BY: TITLE: Co•1/S1�` ��—
MASCO CONTRACTOR SERVICES OF CALIFORNIA; INC. LICENSE # 221517
(formerly known as Paragon SchmidBuilding Products)
BY: - TITLE: OFFICE MANAGER DATE: 8/812008
i.
- t f � •
•. PROTO IITm WALL SYSTEMS
F IRS
I SPECIAL DEPUTYJNSPECTION FORM
Date of Deputy Inspection:
As an accredited and certified Special Deputy Inspector of Proto-IITM Wall Systems, 1, Tim Young, hereby wit nessed and.
certified the torquing of the post-tension rods to 6,000 lbs. by: '
! ❑ visual inspection of the DTI verifying collapse of the tabs (no light leaks between DTI, tabs and bottom of %z'.' nut)'
witnessing and certifying the torquing of the rods to 6,000 lbs. via a calibrated torque wrench set to 55 ft/lbs.
A. Installer:��ihn '�e�yf'c 5 GSon.n/ • Builder/Owner. TLS j��5.-r+
-716
t�ync, G4 c(ZZO3,• i; L- �L.: n C4 9 z2 S �
B. Project Name/Location: RC��) r _k v L_ at'
j4 64c_7-
z Lot(s) inspected:.- 5 .a;Permit No. QLS — U ouo (i b 6
Wall locations: j�, (-IJ c (,JJ I ,
C-7 ILI
C. Block Sizing. (7
D. Visual inspection of mortar integrity. Acceptable k3Yes —]'No
Height: °7-0 -Length:y LF - t Rods @ Z —$ O.C:
Height: �� FSy Length: ? S LF Rods @ (— �i O.C.•
Height-. S �(Length: 1. (0 LF Rods @ +—"y O.C.
' Height: Length: LF' Rods @ O.C.
i
Is rod spacing and location'per the PDS for this project? es ❑ No
4 F. Are threads, plates lubricated and plates bearing on three block surfaces? bYes ❑ No
• Wall approved by Special Deputy Inspector
` 1 P Young .
`T ICC 5278047-84 ,
.. 66145 Calle Cerrito Desert Hot Springs, CA 92240 - (760) 427-8869
i
Installation Certificate
CF -6R
• Site Address: 49 Vista Luna
Permit #61 -36'1�
La Quinta, Ca 92253
Lot# 5
Builder Information: TDD Sparks Construction
Water Heater #1
Heater Type:
Large Gas Storage
I CEC Certified Mfr Name & Model:
"American G62-75T75-4Nv
Distribution Type (Std/POU):
Circulating pump
Recirculation Control Type:
Timer
# of Identical Systems:
Two
Rated Input (kW or BTU):
75,000 BTU_
Tank Volume:
75 Gallon
Efficiency (EF, RE):
80% RE
Standby Loss (%):
N/A
External Insulation R -Value:
R-12
Water Heater #2
-
4 Heater Type:
Small Gas Storage
CEC Certified Mfr Name & Model:
American G62-4OT40-3NV
Distribution Type (Std/POU):
Circulating'Pump
Recirculation Control Type:
Timer
# of Identical Systems:
One
Rated Input (kW or BTU):
36,OOBTU
Tank Volume:
• Efficiency (EF, RE):
40 Gallons
.59 EF
Standby Loss (%):
N/A'
- External Insulation R -Valuer -
N/A'
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: l/
Date:_"
Elijio Villarreal
Project Manager
Copy to: Building Department
HERS Provider (if applicable)
Building Owner or Occupant
•
Williams Mechanical, Inc.
75090 St. Charles -Place, Suite B
F Palm Desert, CA 92211
CSL #373896-C36
' WILLIAM8 MECffANICAL
incorporated
EMPLOYEE OWNED,- ESOP
75-090 St Charles Place, ' Suite 0, Palm Desert, CA 92211 (760): 341-0557 NOR) 341-5534 CA Lie. 373896-C36
f ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING y CF -4R
Project Address
� �
�
Builder orJ,, er Name
Builder or Instal Contact
Values
Telephone
Plan/Permit (Additions or Alterations) Number
HERS Rater
Telephone
Sample Group Number
Compliance Method
(Prescriptive)
Enter Total Fan Flow in CFM:
Climate Zone 15
Certifying Signa
Pass if Leakage Percentage < 6% [ 100 x (ez
� % (Line # 1) / (Line # 2)]]
5�
Date
Sample House Number
Firm
A-
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Du Syste:7 Prior to
HERS Provider
Street Address:
Y , /
City/State/Zip:
/Zip: C�
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER CIANCE 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 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 CF -411 until a properly completed and signed CF -6R has been received for the sample and tested
buildin
he installer has provided a copy of CF -61K (Installation Certificate).
ew 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
Pr cedures for field verification and diagnostic testing of air distribution systems are available in RACK Appe dix
Duct Diagnostic Leakage Testing Results� i
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measur
Values
I
Enter Tested Leakage Flow in CFM:
2
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ensured
Enter Total Fan Flow in CFM:
✓ ✓
3
Pass if Leakage Percentage < 6% [ 100 x (ez
� % (Line # 1) / (Line # 2)]]
5�
Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Du Syste:7 Prior to
4
Duct System Alteration and/or Equipment Change Out
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or ltered u em
5
for Duct System Alteration and/or Equipment Chane-Out.
Enter Reduction in Leakage for Altered Duct System [ in # 4) nus e # 5)]
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if App icabl
Entire New Duct System - Pass if Leakage Percentage < 6%
8
100 x ine # 5 / Line # 2 `
❑Pass 13 Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct stem and/or HV C Equipment Change -Out
✓
Use one of the following four Test or Verification Standards fo compliance:
9
Pass if Leakage Percentage < 15% [100 x [__(Line / (Li e #�fl Y
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage < 10% [100 x F (Line 7) / e # 2)]]
❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage > 60% [100 x --/—Ai # 6) (Line # 4)1]
I 1
and Verification b Smoke Test and Visual Inspection
❑Pass ❑Fail
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass -if One of Lines # 9 through # 12 pass
':
❑ Pass ❑ Fail
Residential Compliance Forms December 2005
-0)
p0i�lllA2 4,.0 Certificate of Occupanco Y
INcaeoanrFn�'�'
r
OFT9► Y p Building & Safety Department
k
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
i
construction and/or use.
BUILDING ADDRESS: 49-555 VISTA LUNA LOT #5
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 07-3045
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RL
i
Owner of Building: T D DESERT DEV Address: P O BOX 1716
City, ST, ZIP: LA QUINTA, CA 92253
a
`r By: STEVE TRAXEL
Date: FEBRUARY 12, 2009
Building Official
z
f
POST IN A CONSPICUOUSP LACE