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SFD (04-4075)
BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 q + A--9- 253 INSPECTION REQUESTS (760) 777-7153 BUI IG PERMIT ' JUL 0 6 2004 Application N"04=00004075 'Date 5/12/0.4 Property Ad resslFINA ED- M ; 81120 NATIONAL DR APN: 767-600-003- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation 298162 ' Owner Contractor ------------------------ , NORMAN ESTATES II EHLINE COMPANY C/O MEDALLIST GOLF DEVELOPMENT 55375 MEDALLIST DR 501 NORTH AlA J LA QUINTA CA 92253 JUPITER FL 33477 (760) 771-8130 WCC: STATE FUND WC: 2290006783 01/01/05 CSLB: 482086 11/30/05 CCC: B _ -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V'- NON RATED Occupancy Type . . . . .. . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . CODE EDITION 2001 CRC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 806.100 PATIb SQ FTG 514.00 NUMBER OF UNITS 1.00• FIRST FLOOR SQ FTG 3410.00 --------------------------------------------------�--1------------------=---- Permit . . BUILDING PERMIT ., Additional desc Permit Fee 1336.00 Plan Check Fee 217.10 Issue Date . . . . Valuation 298162 Qty Unit Charge Per Extension BASE FEE 639.50 199.00 3.5000 THOU BLDG 100,001-500,000 1:f' 696.50 --------------------.--------------------------------------------------------- Permit . . . . . . EL_EC-NEW RESIDENTIAL Additional desc Permit Fee 150.47 Plan Check Fee 9.41 Issue Date . . . . Valuation 0 Qty Unit Charge Per ti Extension F t P.O. Box 1504 • " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA Ql INTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: 7 Date: chitect or Engineer: IArchitect or Engineer's Address: I—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 Code, and Licetts is in full force and effect. e (^�� % �Tcense Class (� License No. �j Date /'_G__0 Cnotreetor �T� l p. (:�p . 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 sole compensation, will do the work, and the structure is not intended or offered for safe (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 safe. 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 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 Awned: work omQerlation ins nce carrier an old uumber re ,6emar cc�� 113olicy Number _-- %y©� G _ 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 provjeit 4. 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, indemnity 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 info i n is co ect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize represen as of this county to e t upon a above-mentioned property for inspection purposes. 40 -40 "t ignature (Applicant or Agent): 7Q_11:F-- m � Page 2 Application -- Number . . ' ' . 0�-00OO407S Date ' S/I2lO4 ' ' Qty Unit Charge Per Extension BASE FEE 15'00 . 34I0 . 0O .0350 EI^EC NEW RES - I OR 2 FAMILY 119.35 806.00 ----' . EL EC �EC GARAGE OR NON-RESIDENTIAL 16.12 ----------- Pernuit ' ----------_---------------------------------------- ' ' ' . ' GRADING PERMIT ' ---------- Additional deoc Permit 'Fee . ' ' ' 15.00 ` Plan Check Fee ' ' ' OO Issue Date ^ ' ' ' ' Valuation� ' ' ' ' � ` 0 {}tl' Unit Charge Per Extension ---------------------------------------------------------------------------- . BASE FEE 15'00 -r Perncit ' ' ' ' ' ' MECHANICAL .° Additional �eoo . Permit Fee /' ' ' ' ' 127.50 Plan Cbeo}c Fee . ' 7 ' 97 - Issue Date . ' ' . Valuation ' ' ' ' ' ' O Qty Unit Charge Per Extension BASE FEE I5'00 3.00 9'0000 EA MECB FURNACE <=I00}{ 27.00 3.00 B.O0OO EA MECB B/C <=3I{P/I00]I BID 27.00 ^ 8.00 6'5O0 / EA MECB VENT FAN 52.00 1.00 --------------------------------- ' 6.5000 EA MECB EXHAUST HOOD 6.50 'Peznuit ' ----------------_--------------------------- ' ' . ' ' PLUMBING' ' AdditiooaI deoo .Permit Fee ' ' ' . 172.50 Plan Check Fee ' ' 10.78 Issue Date ' ' ' ' Valuation ' ' ' ' O Qty Unit Charge Per Extension ' BASE FEE I5'00 17.00 6.0000 EA PLB FIXTURE l02'' 0O 1.00 l5'O{>OU EA .-PLB BUILDING SEWER ' 1S.00 1.00 7'5OOO EA PI,B WATER HEATER/VENT ' 7.50 1.00 3'0000 EA PI,B WATER IDJST/ALT/IlEP 3.,00 1.00 9'000O EA PI,B I^AWN SPRINKLER SYSTEM 9.00 8.00 ' 7S8U EA PI,B GAS PIPE >=56.00 ' 1.00 ---------------------------------------------------------------------------- I5'O000 EAPI,B GAS METER 15.00 3peciaI Notes and Comments SFD - TB 29800 , LOT 4'' PLAN 2C. PERMIT Page 3 Application Number . . . . 04-00004075 Date 5/12/04 Special Notes.and Comments DOES NOT INCLUDE BLOCK WALLS, POOL; SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES-RES. 245.40 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC.CENTER - RES 366.00 ENERGY REVIEW FEE 21.71 DI.F FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES f 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 29.81 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1801.47 --------------------=--------- .00 .00 1801.47 Plan Check Total 245.26 .00 .00 245.26• Other Fee Total 2701.92 .00 .00 2701.92 Grand Total 4748.65 .00 .00 4748.65 �$ - Desert - - ENERGY �1'- ADE C Services — PO. Box 62' Rancho Mir- q., �m v4z, v Email: DESNRG tWAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R GREG NORMAN ESTATES PH -2 Project Title 81-120 NATIONAL DRIVE LA QUINTA, CA. 92253 Project Address GILBERT LEVZA 760-578-4301 Builder Contact Telephone RICHARD KROWN 760-250-1852 HERS Rateo�L Telephone �J #CCNRK613292 03-21-05 Certifying Signature Date DATE TESTED 3-21-05 Date EHLINE CO. Builder Name PLAN 2 3 UNITS Plan Number GROUP 3 Sample Group Number LOT 51 1 OF 1 Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address: P.O. BOX 621 Copies to: Builder, HERS Provider City/State/Zip: RANCHO MIRAGE, CA. 92270 HERS RATER COMPLIANCE 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 houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. ❑ - The installer has provided a copy of CF -6R (Installation Certificate. ❑ Distribution system is fully ducted(i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ Where 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. ❑ 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) ❑ THERMOSTATIC EXPANSION VALVE ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Measured values ❑ ❑ Pass Fail MENLO 03/07/2005 20:50 -17603401819 PAGE 09/1B -All INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, Caldomia.Administrative Code, Title 24, State of California, in the building at 81.120 NATIONAL DRIVE, LOT 51, PHASE 2, LA QUINTA CA PEILINQS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR:'EHLINE CO BUILDERS LICENSE N BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 TITLE: ACCOUNT REPRESENTIVE DATE: 0 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulatl C lif mia Administrative Code, Title 24, State of California, in the building located CEILINGS: TYPE: BLOW MA FACTURER: Certainteed WALLS: TYPE- BATTS MAUNFACT ens Coming GENERAL CONTRAC LICENSE #,_ ITL BY: TTITLE.: PARAGON SCHMID BUILDING PRODUCTS A MASCO Coi R-38 THICKNESS: R-13 BY: TITLE: ACCOUNT REPRESENTIVE DA # 221517