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04-4095 (SFD) I IIIIIII VIII III VIII IIII 01 iE a ---- -- - - - Q � oz V BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 C� pF �'c`? -,1 78'=495 CALLE TAMPICO FAX (760) 777-7011 LAQUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number " . . . . . �0-4==-00bQ_4:0-9-5, Date 5/17/04 Property Address . . . . . . 80944 CALLE AZUL APN: 762-240-003-27 -300961- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 85886 Owner Contractor ------------------------ ------------------------ PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC 17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE #105 SUITE 100 ENCINITAS CA 92024 PORTLAND OR 97224 (760) 634-2350 WCC: STATE FUND WC: WC298892003 06/12/04 CSLB: 813480 10/31/04 CCC B -------------------------- Structure Information ------------------------- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10. Flood Zone . . . . . . . . NON-AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 2 . 00 " FIRE SPRINKLERS NO GARAGE SQ FTG 244 . 00 PATIO SQ FTG 163 . 00 NUMBER OF UNITS 1 . 00 FIRST FLOOR SQ FTG 1380 . 00 -7-------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - Additional desc Permit Fee . . 576 . 50 Plan Check Fee 374 . 73 Issue Date . . . . Valuation 85886 Qty Unit Charge Per Extension BASE FEE 414 . 50 36 . 00 4 . 5000 THOU BLDG 50, 001-100, 000 162 . 00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 78 . 50 Plan Check Fee 19 . 63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _��- Z1a95 Date: -TO Applicant: Architect o E gin er: Gam✓ G Applicant's Mailing Address Archit qr' gin er's Adess: Yly BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(cormen ng with Section 7000)of Division 3 of the Business and Professionals Code and my Licenseds in iiull force and effect. _ roense Class4 _Ln-e No.. Date OWNER43UILDER DECLARATION 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 sdle 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.). (, 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 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 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 issu My workers'compensation nce carrier nd.�policy number re: nZ p �rie_t.�,�t� - a jaf:r T olicy Number irk,`(_ 9 I certify that,in- performance of the work for which t ih s permit ssued,I shall not employ an on 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 f rth 'h comply with those provisions. D�/-,We C7 &-pplicant � a✓t✓ •�— WARNI G: LURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INE 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.). Lender's Name 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 o�becom n related talhework being,perforned under or following issuance of this permit. 2. Any permit issued as a result of this application r ll and void if work is t mmenced within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject permancellation. 1 certify that I have read his application and state that the information' correct a comply with all city and county ordinances and state laws relating t0 building construction,an here authorize representatives of this county to enter on th -m property for inspection purposes. Date 0 Signature(Applicant or Agent): Page 2 Application Number , 04-00004095 Date 5/17/04 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 6 . 00 6 . 5000 EA MECH VENT FAN 39 . 00 1 . 00 6 . 5000 EA MECH -EXHAUST ,HOOD 6 . 50 -----------.----------------------------------------------------------------- Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 68 . 18 Plan Check Fee 17 . 05 Issue Date . . . . Valuation' 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1380 . 00 . 0350 ELEC NEW RES. - 1 OR 2 FAMILY 48 . 30 244 . 00 . 0200 ELEC. GARAGE OR NON-RESIDENTIAL 4 . 88 --------=------------------------------------------------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 139 . 50 Plan Check Fee 34 . 88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 r 12 . 00 6 . 0000 EA PLB FIXTURE 72 . 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 3 . 0000 EA PLB GAS PIPE 1-4 OUTLETS 3 . 00 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 Qty. Unit Charge Per Extension BASE FEE 15 . 00 ---------------------------------------------------------------------------- .Special Notes and Comments SFD - LOT 27 . PLAN 1B. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004095 Date 5/17/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . .. . . ART IN PUBLIC PLACES-RES . 00 DIF COMMUNITY CENTERS-RES 97 . 00 DIF CIVIC CENTER - RES 366 . 00 ENERGY REVIEW FEE 37 .47 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 8 . 58 DIF STREET MAINT FAC-RES 15 . 00 DIF TRANSPORTATION - RES 1098. 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 877 . 68 . 00 . 00 877 . 68 Plan Check Total 446 . 29 . 00 . 00 446 . 29 Other Fee Total 2451 . 05 . 0.0 . 00 2451 . 05 Grand Total 3775 . 02 . 00 . 00 3775 . 02 I1111I�IIIIIIIIMI1 78 IF `• ,- Certificate of Occupancy0 o u�i�cv Lrwtroennn�.� C� 0 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 construction and/or use. BUILDING ADDRESS: 80-944 CALLE AZUL ` Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4095 Occupancy Group: R3 Type of Construction: VN. Land Use Zone: RM PUERTA AZUL PARTNERS LLC. Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: GARY HARTMAN Al Date: JANUARY 28, 2005 Building Official a POST IN A CONSPICUOUS PLACE Coln .., r---- -- --- - -- -— -� �} 0. 20/2005 08:17 17603401819 PAGE 06/09 79 INSULATION CERTIFICATE • This I:: to certify that insulation has been installed in conformance with the current energy regular on, California Administrative Code, Title 24, State of California, in the building at 80-944 CALLE AZUL,LOT 27, PHASE 3, LA QUINTA CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALL :: TYPE: BATT;:i MAUNFACTURER: Certainteed THICKNESS: R-19 GENEF;AL CONTRACTOR: DAVIS-REED CONSTRUCTION LICENSE# BY: TITLE: PARA(:;ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE A 221517 BY. TITLE: ACCOUNT REPRESENTIVE: DATE: D • INSULATION CERTIFICATE This 1:; certify that insulation has been installed in conformance with the current energy regulati,:,California Administrative Code, Title 24, State of California, in the buildin ated CEILING:iS: TYPE: El,I-OW MAU CTURER: Certaintee THICKNESS: R-38 WALLS: TYPE, IIATTS MA U CTURER: O s Corning THICKNESS: R-13 GENERA l.L CON C7� TOR: LICENSE#>` BY: / TITLE: PARA(:,DN SCHMID BUILDING PRODUCTS A MASCO Company LI 3E#221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: • JAN-28-2005 08 :00 AM P. 06 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R Pro)eTitle Date Project Address Builder Name ss3 � Builder Cont t , Tel ph Plan Number _ ins cjf-/�v A 3�lS(' HER5 ater T leph ne Sample Group Number lying Signature Oat Sample House Number Firm, 're, d- f'OGi HERS Provider, -T6. �S�aG/lTt;S Street Address: '79 6 Xi" oYr( 6-11�66-1 City/State/zlp: L4 OL Zn 6 t: f 9X2,5 Copies to: Builder, HERS Provider UEURA COMP STATEMENT The house was' In Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, 1 certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. Distribution system is fully'ducted (I,e„ does not use building cavities as plenums or platform returns in lieu '°f ducts) zWhere 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, 01*-m-INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct leakage) Measured • Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM ?L If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow Is measured enter measured value here Leakage Percentage(100 x Test Leakage/Fan Flow) a 5-- 77v Check Box for Pass or Fall (Pass=e% or less) ❑ Pass Fall THERMOSTATIC EXPANSION VALVE (TXV)or Commission approved equivalent e?�—Y es ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is Installed and Access Is provided for inspection ❑ Yes Is a pass ass Fail 0 MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes O No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF-1 R and design on plan. J )� 2, ❑ Yes Q No TXV Is installed or Fan flow has been verified. If no TXV, Y" / verified fan flow matches design from CF-1 R. Measured Fan Flow= © Q Yes for both 1 and 2 is a Pass Pass Fail •