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04-6091 (BLCK)54610 Avenida Alvarado E28 IE ceitit4 4 atimsai P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number Property Address APN: Application description Property Zoning Application valuation Owner TWIN PALMS DEV CORP INC PMB 348 231 E ALESSANDRO BLV RIVERSIDE CA 92508 . BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 '04-00006091 Date 8/30/04 54610 AVENIDA ALVARADO 774-273-006-19 -00'0000- WALL/FENCE COVE RESIDENTIAL 5413 'Contractor DESERT HOME CONSTRUCTION, INC. 231 E. ALESSANDRO BLVD, #348 RIVERSIDE CA 92508 (909) 641-3269 WCC: WC: CSLB: CCC: STATE FUND 00261312004 824985 B 04/01/05 09/30/05 Permit Additional desc Permit Fee . . Issue Date WALL/FENCE PERMIT .81.00 Plan Check Fee . Valuation . Qty Unit Charge Per BASE FEE 4.00 9.0000 THOU BLDG 2,001-25,000 .00 5413 Extension . 45.00 36.00 Special Notes and Comments 250 L.F. 5' GARDEN WALL, CITY STANDARD Fee summary Charged Permit Fee Total Plan Check Total Grand Total 81.00 .00 81.00 Paid Credited . 00 ..00 . 00 .00 .00 .00 Due 81.00 .00 81.00 P.O. BOx 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tilitot 4 attintai BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: Q 4 609 Applicant: Applicant's Mailing Address: Date: g" 3-c4 Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 de, and my License is in full force and effect. License Class cense No. ff.? y 4 8 - ate ' ontractor /L '°JiU OWNER -BUILDER 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 sole 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 thrpugh 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.). U 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. , B.& 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. Fhave 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 ssyyed.workers' compensation in a carrier and policy number are: • arrier SW -e "F t4 olicy Number 602.g/3/.20004/ 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, 1 shall forthwith comply with those provisions. Date 30-6'/Applicant /I..%- 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 ($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 Lender's 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, 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 this county to enter upon the above-mentioned property for inspection purposes. ure (Applicant or Agent): ,414 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING '• Prolec Title • � -1 D . /Mr/Q,o Prote A r�ss j L Builder Contact J i C 77o Telephone HERS/ ater Tephone ifying Signature / Dat Firm: 3, (i 15-<00747e1. S Street Address: 7g‘‘6, ,'r4 Copies to: Builder, HERS Provider Date CF -4R 02,21 Builder Name Plan Number Sample Group Number Sample House Number HERS Provider: C HEE R S t City/State/Zip: L u 4/11;i. H Cif q 2.24 3 HERS RATER COMP IANCE STATEMENT The house was: Tested 0 Approved as part of sample testing, but was not tested As the HERS rat providing diagnostic testing and field verification, I certify that the houses identified on this form co ,• with the diagnostic tested compliance requirements as checked on this form. 7A Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu f ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination ith cloth backed, rubber adhesive duct tape,to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM 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) = Check Box for Pass or Fail (Pass=6% or less) Measured values al /o/2_ t 27z71) Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection Yes is a pass 0 MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes 0 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. 2. 0 Yes 0 No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass )0 ❑ Pass Fail 441/1 0 0 Pass Fail IIIIIIIIIIIIIIIIIIIIII 29 1, III IE Date 4/26/04 No. 25819 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 0 0 Q BERMUDA DUNES r rn RANCHO MIRAGE CI INDIAN WELLS PALM DESERT LA QUINTA QINDIO L Owner Twin Palms Development APN # 774-273-006 Address 54-610 Avenida Alvarado Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Unit 1 54610 Unit 2 Unit 3 Unit 4 Unit 5 Street S.F. Avenida Alvarado 1936 Comments Ck# 8799687 $3861.52 & Ck# 8799688 $475.12 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,936 S.F. or $4,336.64 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Union Bank of CA. -Ernie Smith Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Signature Check No. 8799687 Telephone 760-880-6866 Funding Residential Payment Recd $4,336.64 $0.00 Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting