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BLCK (04-7851)51840 Avenida Martinez 04-7851 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . —04=00007851 —\ Date 12/16/04 Property Address . . . \-15_1840 AVENIDA MARTINEZ APN: 773-18'1-005-20 -000000- Application description . . . WALL/FENCE Property Zoning . . . . . . COVE RESIDENTIAL Application valuation . . . . 7464 Owner Contractor -- - - - - - - - - - - ------ - - - - -- ------------------------ CORONEL ENTERPRISES INC CORONEL CONSTRUCTION 78150.TAMPICO P.O. BOX 389 LA QUINTA. CA 92253 LA QUINTA CA 92247 (760) 564-4604 WCC: STATE FUND WC: 1744453 01/01/05 CSLB: 634981 01/31/06 CCC: B -C13 Permit . . . . WALL/FENCE PERMIT Additional desc Permit Fee 99.00. Plan Check Fee .00 Issue Date . . . . Valuation 7464 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 54.00 ---------------------------------------------------------------------------- Special.Notes and Comments 250 LF OF 6' GARDEN WALL CITY STANDARD. 45 LF OF 5' GARDEN WALL CITY STANDARD. 15 LF.OF 4' GARDEN WALL CITY STANDARD. Fee summary Charged Paid Credited .. Due -------------- - --------------- ------ ---------- ---------- Permit Fee Total 99.00 .00 .00 99.00 Plan Check Total .00 .00 .00 .00 Grand Total 99.00 .00 OQ 99.00 P.O. BOX 1504 • '�� VOICE (760) 777-7012 78-495 CALLS FAX (760) 777-7011 LA QUINTA, CALIFORNIAFOR 9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engin is Address. Lic. No.: t$UILUINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lic a is in full force and effect. ' l` nse Class License Date --\ 1,0-� 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 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.). 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. , BA P.C. for this reason Date 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 issue. worlEers' compensation insurance carrier and policy number are: Carver_ ..�Z Policy Number 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. Date )P 1 c—o t Applicant `1 �A "A,_QZ1__Z1 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 abtinformation is correct. I ree t comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coer up a bov en ' red property for inspection purposes. Date - VZ \ L ai Signature (Applicant or Agent): FEB -04-2005 08:58 AM P-07 INSTALLATION CERTIFICATE CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS YJ DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Bwhw, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction S 0.06 Pass Fail 13 For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual lnspection'of Duct Connections 40 E] ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) i ;d"Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass ass Fail ❑ DUCT DESIGN 1' ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans, l4 2' ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV / verified fan flow matches design from CF -IR. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in on rmance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests ignature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy