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SFD (04-5102)
54330 Avenida Martinez 04-5102 ox 1504. i CALLE TAMPICO INTA, CALIFORNIA 92253 Iber . . Property Address APN: Application description Property Zoning . . Application valuation F wQ rw BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00005102 Date 8/02/04 . . . 54330 AVENIDA MARTINEZ 774 -254 -004 -15 -000000 - DWELLING - SINGLE FAMILY DETACHED . . . COVE RESIDENTIAL . . . .110739 - Owner Contractor ------------------------ SUNSHINE DEVELOPMENT ------------------------ A & M CONSTRUCTION P.O. BOX 450 LA QUNITA P.O. BOX 366 LA QUINTA CA 92253 LA QUINTA CA 92253 (76 0) 564 -4 832 WCC: STATE FUND WC: 0460009232 01/01/05 CSLB: 746198 02/28/06 CCC: B -C10 ------ Structure Information 1936 SQ. FT. SFD - ---- 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 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 447..',00 PATIO SQ FTG 19.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 1936.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 678.00 Plan Check Fee 440.70 Issue Date . . . . Valuation . . . . 110739 Expiration Date 2/02/05. Qty Unit Charge Per Extension BASE FEE 639.50 11.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 38.50 Permit' . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 106.70 Plan Check Fee 26.68 Issue Date . . . . Valuation 0 Expiration Date . 2/02/05 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: Date: Applicant: Applicant's Mailing Address: 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 underprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licfull force and efferJ. License Class / icense No. A D -G' —B 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. 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. work ' comwp� atio2jpsurance carrier and gkc� qup)b p 7 �arrier 15 0 N W /Policy Number pgk —1 V 25VD-171 I certify that, in the ormance of the work for which this permUit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomi 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 pr9kisions. 1-1'--0 4 / __. LYL WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THCIUSAND 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.). Lenders 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 abovp 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 cou to enter upon tty�above-mentioned property for inspection purposes. /Signature (Applicant or Agent): r1 Application Number . . . . . 04-00005102 Page 2 Date 8/02/04 Qty Unit Charge Per Extension BASE FEE 15.00 1936.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.76 447.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- .Permit ... . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .0,0 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/02/05 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 59.00 Plan Check Fee 14.75 Issue Date . . Valuation . . . . 0 Expiration Date 2/02/05 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 3.00 6.5000 EA MECH VENT -FAN 19.50 1.00 ----------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . PLUMBING Additional desc Permit Fee 135.75 Plan Check Fee 33.94 Issue Date Valuation . . . . 0 Expiration Date 2/02/05 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA . PLB FIXTURE 66.00 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 r` Application.Number . . . . . 04-00005102 Page 3 Date 8/02/04 Qty Unit Charge Per Extension 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ----------------------------------------------------------------------------- Special Notes and Comments 1936 SQ. FT. SFD. THIS PERMIT DOES NOT INCLUD POOL& SPA,BLOCK WALLS 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 44.07 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 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.07 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee ---------- Total 994.45 ------------------------------ .00 .00 994.45 Plan Check Total 516.07 250.00 .00. 266.07 Other Fee Total 2560.14 00 .00 2560.14 Grand Total 4070.66 250.00 .00 3820.66 TUT 4 4 a" P.O. BOX 1504 Building - 78-495 CALLE TAMPICO Address V /`K I ! 4ORNIA 92253 Mailing Address 'P p. T2;;&< 4 --CC) C''ty-- Zip Tel. lb. Z: -)q ZS 5&4- • /e ity & Classif. I Lic. # Designer - Addrl;!! 2 o Tel. I I I c - T.. e 4--© clry up I state 2y Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). 111, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date -Ow WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT jl _ ,loa APPLICATION ONLY BUILDING: TYPE CONSTT OCC. GRP. A.P. Number -7-7 Legal Description u +7- 3 % Project Description d\_ r,L:D f-7-;- rvJi I!J 1 Sq. Ft. Size / f j 6 NO l St, New Add ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure i TOTAL REMARKS No. Dw. I Initc Alter ❑ Repair ❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:_ Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Date 8/9/04 No. 26290 Owner Sunshine Development Address 54330 Avenida Martinez City La Quinta Zip 92253 Tract # Type Single Family Residence Lot # No. Street Unit 1 Unit 2 Unit 3 Unit 4 Unit 5 Comments CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Q BERMUDA DUNES rn RANCHO MIRAGE d INDIAN WELLS PALM DESERT ,y `r LA QUINTA 1101 0 O L APN # 774-254-004 Jurisdiction La Quinta Permit # Study Area No. of Units 1 S.F. Lot # No. Street 1936 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 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 tothe 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/PD National Bank - Roy Schubert Check No. 089479 Name on the check Telephone 760-771-3458 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Gr n Payment Recd $4,336.64 Over/Under Signature NOTICE:Pursuant fo overnment 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 id ti ed 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 a aid 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 MAR -04-2005 07:06 AM 4 , ress i - Firm: IT ss0 /u7 i Street Address: Copies to: Builder, HERS Provider d7 ' Builder Name Telephone Plan Number Tpleohone Sample Group Number Sample House Number HERS Provider: Clty/State21p: P.02 CF HERS RA COMPLt NCF T Yg EMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providingg dlaggnostiC testing field verification, ias checked on th,6at the houses identified on this form com with the diagnostic fested co p Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileo of ducts) duct tape is In Where cloth backed, rubber adhesive stalled, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seat/ leaks at duct connections. 0-M-INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum S% Duct Leakage) Measured es Duct Pressurization Test Results (CFM 0 25 Pe) s Test Leakage Flow In CFM —YE valu If fan flow Is calculated as 400cfmlton xnumber of tons enter calculated value here c If fan flow Is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ 1 ❑ Check Box for Pass or Fail (Pass=6% or less) Pass Fall THERMOSTATIC EXPANSION VALVE TXV or Commission aPPTOVed c uivalent Ves ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access Is pY Bdaed a or Inspection ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF.I R and design on plan. 2. ❑Yes ❑ N0 TXV Is verified fanInstalled lflow matchesow has been design from CF -11 If no TXV, 1R. a Measured Fan Flow = M j a Yes for both 1 and 2 Is a Pass law 0 Pass Fall A1% ❑ ❑ Pass Fall (wSladden Engineering 6782 Stanton Ave., Suite A. Buena Park, CA 90621 39-725 Garand Ln.. Suite G. Palm Desert, CA 92211 if 4- ` ' 4 : 523-0952 523-4369 (7 0) 772-3893 Fax(71 (760) 772-3895 Date y/zy/oct Job No. FIELD MEMO Project Name -99 C,1c - Client: Site Address 5!j —330 _ &VC V11W y^ - t-'ez Job Phone _ .. woHc Done Test Summary / Footinas Inenected Test ---r f 1 No. location t v Elev. Ory Density Moist % % Relative Compaction Ref. Max Pd% Moist \ ,.. /Z6.7 vTi I2 rz7. yf OF z 7 .- { . Comments Field Tech. Super. or Agent 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service, I d SWLLZO89 'ON/S91 '1S/b9:6 WZ lZ d3S (361) 1a3S30 Wlbd N30aVIS W08J CITY OF LA QUANTA BUILDING -& SAFETY DEPARTMENT F 777-7012 » : -INSPEC ION REQUE T LINE 777-7153 Owner SUNSHINE DEw',11ol v'IENT Contractor A& M BUl!,L'El-lS Permit Number 04-510?. POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 54- 30 .' ".7t ,NlD.1 ilrlAi-tTIrls,d V)36 SQ. vr. SISI`. '?''i`.: ,3 l'lJ' lVAl'1' DO%'S NO'.► INCLUDE POOLS OR DRIVEWAY AI - s R 0..Cl1. TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL ,..CONCRETE SLAB ff DO NOT POUR CONCRETE UNTIL BOV IGN ROOF NAIL / PRE -ROOF OKAY TO WRAP f• ` _ FRAMING (COMBINATION)_ ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL 4, EXTERIOR LATH G GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER Z -/ v d ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING no- ,- Certificate -of Occupancy. I V Q9 € c ITED OF w Building & Safety Department a 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. s BUILDING -ADDRESS: 54-330 AVENIDA MARTINEZ j Use classification: SFD Building Permit No.: 04-5102 I Occupancy Group R3 Type of Construction VN Land Use Zone: RC Owner of Building: SUNSHINE DEVELOPMENT Address: P.O. BOX 450 i V I City, ST, ZIPLA QUINTA CA 92253 By: KIRK KIRKLAND Date: 3-21-05 Building Offici III F POST IN A CONSPICUOUS PLACE