BLCK (06-1467)P
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: iczb6--00-0Q1467" }
Property Address: 81160 NATIONAL DR
APN: 767 -500 -024 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application Valuation: 250
Applicant: Architect or Engineer: .
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DE RATION
I hereby affirm under penalty of perjury that I am licensed under provisio of Chapter 9 (commencing with
Section 7000) of'Division 3 of the Business and Professionals Code, an my License is in full force and effect.
License Class: C27 License f J 849837
ntr or.
OWNER -B DER ECLARATION
I hereby affirm under penalty of perjury that I am exempt from th Contractor's State License Law for the
following reason (Sec. 7031'.5, Business and Professions Code: ny city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior o its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursu nt to the provisions of the Contractor's 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 lexemption. 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).:
(_ 1 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 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.).
(_ 1 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.).
1 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner: '
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:
LQPERMIT
Owner:
RAZOOK
81160 NATIONAL DRIVE
LA QUINTA, CA 92253 -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
DESERT CONCETS LANDSCAPE/MAINT
41800 WASHINGTON ST, B-105.
BERMUDA DUNES, CA 92201--0
(760)200-9007
Lic. No.: 849837
Date: 4/11/06
APR '112006
CITY OF LA
WORKER'S COMPENSATION DECLARATION
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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier REDWOOD INS Policy Number W5734284
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' c nation laws of C61ifornia,
and agree that, if I should besetf% sub' t to the workers' co satian provisions of Section
3700 of the Labor Co aU:f.6rf ith comoly with t e. revisions.
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIOpfCOVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORNEY'S FEES.
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 coup ordinarices and laws relating to building construction, and hereby authorize r ntatives
:0f this co y to enter upon above-mentioned property for i ection purposesL ( ignature (Applicant or Agent):
Application Number . . 06-00001467'
Permit . . . WALL/FENCE PERMIT
Additional desc .
- Permit Fee 15.00
Plan Check
Fee
.00
Issue Date
Valuation"
.
250 j
Expiration Date .. 10/08/06
P Qty Unit Charge Per e
Extension
BASE FEE
15.00
Special Notes and Comments
10.L.F. 6' RETURN WALL, ORCO SYSTEM
Fee summary Charged.. Paid
'Credited
Due,
----------------
Permit Fee'Total 15.00.
-
.00.
.00
15.00
- Plan Check Total .00
.00
.00
.00
Grand Total 15.00
.001
.00
15.00
LQPERMIT -
Bin #
Cit of La Uinta
Y Q
Building U Safety Division
P:O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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i
Project Address:
Owner's Name:
A. P. Number:
Address:_ ��
r�
Legal Description:
Contractor:61Fa13, �J � � �j/ f1�%y¢fl(
Address: CnLAjDtg Ct V&
City, ST, Zip. Z0
Xs
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Telephone: - �•
Project Description:
City, ST, Zip:—fl aZz�
F= BG (pX Xl !>�✓
Telephone:
State Lie. #
City. Lic. #: QZ
-yy
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: T'
Name of Contact Person: 16 b
Construction Type: Occupancy:
Project type'(circle,one) N Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
Units:
Telephone # of Contact Person: (p0—j7 — (� f �
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACING _
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2nd Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact -Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
.7rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of per issue
School Fees
Total Permit Fees
*9
03/07/2005 20:50 17603401819 PAGE 18/18
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INSULATION ERTIFICATE
This is to certify that insulaaon has been installed in conformance with the current energy
ode, Title 24. State of California, in the building at
regulation, California Administrative C
81-160 NATIONAL DRW LOT 49, PHASE 2, LA QUINTA CA
CE LI
TYPE: BAITS MANUFACTURER: Certainteed THICKNESS: R-38 >
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TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS; R-19
GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 r
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gY. / TITLE: ACCOUNT REPRESENTIVE DATE: % //OS
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INSULATION CERTIFICATE
This i certify that insulation has been installed in conformance with the current energy
regulation, lifornia Administrative Code, Title 24, State of California, in the building located
A
CEILINGS.
TYPE: BLOW MAUNFACT : CertainteedTHICKNESS: R-38 ;
TYPE: BATTS MAUNF ER: Owens Corning THICKNESS: R-13 ?
GENERAL CONTRAOT6 LICENSE ii
BY: TITLE:
P AGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 22151
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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ENERGY CADEC
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PO. Box 62' semees
Rancho Wag., �-w4civ vu. k' _J
Email: DESNRG OAOL.COM
CERTIFICATE- OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
GREG NORMAN ESTATES PH -2
Project Title
81-160 NATIONAL DRIVE LA QUINTA, CA. 92253
Project Address 760-578-4301
GILBERT LEVZA
Builder Contact Telephone
RICHARD KROWN 760-250-1852
HERS Rate
Telephone
Telephone
#CCNRK613292 03-21-05
Certifying Signature Date
DATE TESTED 3-21-05
Date
EHLINE CO.
Builder Name
PLAN 4 3 UNITS
Plan Number
GROUP 3
Sample Group Number
LOT 49 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)
x •
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
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%o or less) ❑ 0
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection 1:1 0