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SFD (05-0547)P.O. Box 1504 7.8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number ,a y r, 05-00000547 Date' 2/10/05 Property Address . . . 8123-5—NA"T110NAL DR APN: 767 -500 -011 -- Application description •DWELLING = SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW-DENSITY RESIDENTIAL Application valuation .. 363387 Owner Contractor NORMAN ESTATES II EHLINE COMPANY C/O MEDALLIST GOLF DEVELOPMENT 55375 MEDALLIST DR -501 NORTH AlA LA QUINTA CA 92253 JUPITER FL 33477 (760) 771-8130 WCC: STATE FUND WC: 2290006783 01/01/06 D CSLB: 482086 • CCC: 11/30/05 Q B. -------------- ----a---- - ure Information ------------------------- Construct T 5 zoQS TYPE V -,NON RATED Occupancy T pe DWELLG/LODGING/CONG <=10 Flood Zo e .CITypF NON -AO FLOOD ZONE Other st ft QUINTA E'DejPb CODE EDITION 2001 CBC # BEDROOMS 5.00 •FIRE SPRINKLERS NO GARAGE SQ FTG 843.00 PATIO. SQ FTG "� 461.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4217.00 Permit . . . . .. . BUILDING PERMIT Additional desc Permit Fee . . 1563.50 Plan Check Fee 1016.28 Issue Date . . Valuation . . . . 363387 Qty Unit Charge Per Extension BASE -FEE 639.50 264.00 3.5000 THOU -------------------=---------------------------- BLDG 100,001-500,000`x' 924.00 Permit . . MECHANICAL ----------------------------- u Additional descl. Permit Fee 109.50 Plan Check Fee 27.38 Issue.Date . . . . Valuation, 0 �- Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K _ 18.00 2:00 9.0000 EA MECH BIC <=3HP/-100K BTU 18.00 P.O. Box 1504• 1���/: • w 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: D ' .5�� Date: Applicant: Applicant's Mailing Address: Architect --Architect ic. No.: or Engineer: or Engineer's Address: 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 my License is in full force and effect. /l�ggo�r ,,_/license Class � �e No. l0 Bate 9 Contractor Co 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.). L) 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 �11 __igsued. My workers' compensation m nce carrier and policy number are: arner �1 Giel Rpl 4, Lolicy Number Ja Ci (SC)n (n'7 ij _ 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 p visions. ate—a 0�5 0rJ plicant Ch I n G C� 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 Ouinta, 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 nter upon the above-mentioned property for inspection purposes. Date � o� Si( gnature (Applicant or Agent): Page 2 Application Number . . . 05-00000547 Date 2/10/05 Qty Unit Charge Per Extension 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 179.46 Plan Check Fee 44.87 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 4217.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 147.60 843.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.86 ------------------------------------ . . . . . .' ------------------- PLUMBING. Additional desc Permit Fee 211.50 Plan Check Fee 52.88 Issue Date . . . . Valuation 0 Qty Unit Charge, Per Extension BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 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 12.00 .7500 EA PLB GAS PIPE >=5 9.00 1.00 ----------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 25, PLAN 4A -ENC., 4217 SF. PERMIT DOES -NOT INCLUDE POOL, SPA BLOCK WALLS OR DRIVEWAY APPROACH ------------------------------------------------------- Other Fees . . . . . ----------------- . . . ART IN PUBLIC PLACES -RES 408.46 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number -------------------------------------------- . . . . . 05-00000547 Date 2/10/05 Other Fees . . . . . . . . . ------------------------------- ENERGY REVIEW FEE 101.63 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 STRONG MOTION (SMI) - RES 36.33 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 2078.96 .00 .00' 2078.96 Plan Check Total 1141.41 .00 .00 1141.41 Other Fee Total 2951.42 .00 .00 2951.42 Grand Total 6171.79 .00 .00 6111.79 09/16/2005 15:25 FAX PARABONPSCHIMID 9 002/014 INSULATION CERTIFICATE This is to certify that insulation nos been installed it cunfolmance wish the current energy regulation, Celifornia Administrative Code, Title 24, State cf California, in the building at NORMAN ESTATES, LOT 25, PHASE 3, LA QUINTA CA CEILINGS: TYPE: BAITS MANUFACTURER: Certainteed THICKNESS: R-39 WALLS: TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE # _ BY; TITLE: PARAGO CHMID BUILDING PRODUCTS A MASCO Ccmpany LICENSE #221517 BY: r�� e. VW'TITLE: ACCOUNT REPRESENTIVE OATS: r ,. Compliance Forms August 2001= `" A-16 SEP 27,2005 13:12 BCI*TESTING,ril 60,0400-00000, Page 5 L1 ' cERTIFICATE OF FIELD VERIFICATION AND'.DTACNOSTIC TESTING (Page 1 of 7) CIN -4R GREG NORMAN ESTATES PH -3 9-13-05 Project Title Date 81235 National Drive I.a Quinta, CA 922..3 F.11LINE CA. Prgjecl Address :: Buiidcr. Name Scott ` ; 760-238=2383: Plan y!� (pg. 1 of 1) Build C otact Tc1ut u . ` Pla number --- — �/llilarn IJenson ((.('NItQ-2004076) 7G0-Z5�-7022 trroup I HERS Ratcr ;; .. Telephone, , ,i r. ; ",Sample Uroup Number Date".` Sample Ho"ww" Numb' cr BCl TetitinK (:A1.C:h,R'i'S Fimt: Hl ftS 1Pruvidcr: Street Address: PO Box 50575 (pity/statc/zip: Phoenix, AZ 85076 Copies to: Builder, HI4RS Provider HERS RATER COMPLIANCE S'T'ATEMENT • The house was- ❑ Tcs vil Approvcd as part of sarntplc testing, but was not tested As the HERS rater providing diabmos ,c testi g and field verification, 1 certify, that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this'. Conn. ; '~` (•, - ❑ The installer has provided a copy of CV -6R (installation Certificate. , ❑ Distribution system is fully ducted (i.c., docs'riot usc•building' cavitiai as plenums br jalatlin•an returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is'irt.tali&l,•nia,slic and drawliands are; used in combination with cloth backed, rubber adhesive duct tape to scat Icaks at duct oonnections. ❑ MINIMUM RFQUIRF.MFNTS FOR DUCT 1,F.AKAGF. RFDUCTION,COMPI,IANC:E CREDIT Duct Diagnostic Leakage TcsNng Rcsulls (Maximum 6% Duct Leakage) L Measured Duct Pres,urizaliun Tu,,L ResulL,i((:f M (u), 25 Pa) values ;., Test Udkaic Flow in CFM If Iiin flow is calculated as 400i;Wton x number of tons enter calculated value here , If fan flow is measured enter measuied Value here lr; i7 5 Leakage l'cnunagc (1(IU'z I'e t Leakaga/Pao Flow)" Check Box for Pass or Fail (firs G% or less) ❑ ❑ Paas Fail ❑'1'11ERMOSTATIC EXPANSION VALVE (TXV) . . ❑ Ye. ❑ No Thermostatic Expansion Valvc.is installed and Access is provided for inspection ❑ ❑ yes is a pass, ,- Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT UESIG: COMPLIAN'C'E CREDIT I ❑ Ycs ❑ No ACOA Manual D Design icquircn cntsh:ivc been met (rater has vcriliud that actual iii i 1l18lion nmtchci - V tics in CF -I R :Ind design on plan. A. �. ❑ Ycs ❑ No TXV is im nallcd ur'Fan.floW ,Ls brain vcrifted: If no TX V, veril lel I'au Ilow matchi:s design Crinn CT -1 R. Measured Fan Flow.-• ❑ O •Ycs'for both I and 2 isa Pass Pass Fail Compliance Forms August 2001= `" A-16 ;"11C r 25 05 04 ; 47p RF STRUCTL RRL�SHNTr"iHARIR 11=0 836 0856 F Li TRUCTURAL CCNSUL.TANTi�, INC. -153 MEALF. DP VE. STI=:. 8, PALM DESERT. C,'; 92211 71IONE ;760) 836-1000 FAX (760) 836-0856 `:- MAIL RAYMOND ;Rl S'TY2UCTiJRAL.(OM APS; IL 25,^^` F,KL INECO 78-'>O0 AVE..: ; I.A QI1IN;'A, CA. 92253 Att;:: MR. GILB RT LEYVA Re.: THE NORMAN ESTATES AT It A �'L' MEDj LL ►5'C, LOT n' 25, ^;.niv 4 ,y781- 23;}-NATIONALDRiV•: ' LA QUINTA, CA. 92253 FOLLOW-UP TO WALK THROUGH JOB NO.: 4082 DEAR GIC.A3ERT TI IIS LF".TTER ADVISES'rHAT WE HAVE OBSERVED THE STR.UC''URAL RF.QUIRF..ME?`ITS'?HAT.AAKE .' I;3Lc,D'uRiNu—iO7v5fKlJCTICINATTFIk TIME OF OUR SITF. VISIT. WE BELIEVE THAT Ti E AS -BUILT CONISTRUCT='ON AT T'i-IE '1'I;v[Fi OF OUR VISIT IS IN GENERAL CONFORMANCE WITH OU S I'I2:i11:'i'i,lEtAi... i%Li�.l`SS AND RELEVANT COIC[iESPONDENC [7, ISSU�:D P,Y O;.,'R U± WE OBSERVED TI lI; ''RU(E DING IN ITS FRAMED CONDITION PRIOR TO INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND ACCESSIBLE STRUCTURAL REQUIREMENTS, ( EXCLUSIONS ARE. ITEMS SUCH AS: FOOTING -SIZE ANIS R,NINHORCEMENT, TOP PLA'.1TI? SPLICES, ROOF SHEATIIING, AND .ANY S?"R APS .A.BaN rE Tt-i : ROOFSH 1 Q�pFESj�p � ?'('S.'ECTFfi,LY SUBMIT?'FD �cc� p M. �+? No. 57958 �o r 1 �TqT CIVIL .� OF CAL - �r .r,Vi- -D XAO'j. PE