SFD (05-0548)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number
Property Address
APN : "
Application description
Property Zoning . . . .
Application valuation .
BUILDING & SAFETY DEPARTMENT
(760).777-7012
w FAX (760) 777-7011
INSPECTION REQUESTS (760)-777-7.153
�'_4
BUILDING PERMIT '
05-000_0054.8Date 2/10/05
. .81255 NATIONAL DR F
767-500-012-
. . . DWELLING —SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
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.
-
------=-----------------
Construction Type
Occupancy Type
Flood Zone . . . .
Other struct info
WCC: STATE FUND
WC: 2290006.783 01/01/06
QfiLB: 482086 11/30/05
C. B
tion-------------------------
N RATED
ING/LONG <=10
ION
D ZONE
11 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
254.07
Issue Date . .
. .
Valuation . .
. . 363387
Qty Unit
Charge
Per
Extension
BASE FEE tr
639.50.
264.00
3.5000
THOU BLDG 100,001-500,000 `"
924.00
----------------------------------------------------------------------------
Permit
. .
MECHANICAL
Additional desc
Permit Fee . .
. .
109.50 Plan -Check Fee
6.85
Issue Date
Valuation . .
. . 0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2.00
9.0-000
EA 'MECH FURNACE <=100K
18.00
2.00
9.0000
EA MECH B/C <=3HP/100K BTU
18.00
P.O. Box 1504 • /; ,
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: O s' iiij'dl Date::
A I;
pp Icam:
Applicant's Mailing Address:
Architect
--Architect
4 -tic" No.:
or Engineer:
or Engineer's Address:
t3UILUINU 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
Co e, and my License is in full force and effect. n !�
icense Class_ 19 icense' No.
,,_-Alka"te 2Ou5 0 Contractor F_tl I I nQ C_
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. , B.& 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.
1 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
iqsued. M work rs' tom ensation i ante carrier nd olicy number are,
order �Qte. Fla yl� p �licv Number ' Onb 6,'l P) -
_ 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.
�te pplicant I�YI I f� C,n
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 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 countyt enter upon the above-mentioned property for inspection purposes.
ate Signature (Applicant or Agent):
Page2
Application
Number .
. . . . 05-00000548 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
11.22
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
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
211.50Plan Check Fee
13.22
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
26, PLAN 4B
-ENC. 4217 SF.
PERMIT DOES
NOT INCLUDE POOL, SPA BLOCK
WALLS OR DRIVEWAY
APPROACH. 75%
REDUCTION
TO PLAN CHECK FEE DUE TO
MULTLIPLE
ISSUANCE OF
SAME PLAN TYPE.
Other Fees
. . . .
. . . . ART IN PUBLIC PLACES -RES
408.46
Page 3
Application Number
. . . . .
05-00000548 Date
2/10/05
Other Fees
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
25.41
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
285.36
00 .00
285.36'
Other Fee Total
2875.20
00 .00
2875.20
Grand Total
5239.52
.00. .00
5239.52
09/16/2005 15:26 FAX PARA60NPSCHIMID
F
INS�IQN :3EKTIFI..ATE
This -s to certify that insulation hes been Installeo it cunformance with thY current ene-gy
regulatior, California Administrative Code. Titic 24, Stitt: cf Cali`omia, M thea build,ng Et
NORMAN ESTATES, LOT 26, PHASE 3, LA QUINTA CA
CEILINGS:
TYPE: BAITS MANUFACTURER: Certainteed THICKNESS: R-38
WALLS -
TYPE: BA';7S MAUNFACTURER: Ceita,nteed THICKNESS: R-19
GE=NERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE N
BY: TITLE:
PA RAG SCHhtID B ING PRODUCTS A MA;..,CO Company LICENSE 1! 221517
By 2TITLE: ACCOUNT REPRESEN T IVE DATE:
9011/014
SEP 27,2CD5 13:12 BCI*TESTING,ril 000-000-00000•
Page 4
..
t
CERTIFICATE OF FIFLD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
CF -4R
GREG NORMAN ESTATES PH -3 :::. 9-13-05
Pro.icct Title oak
81255 National Drive 1.a Qpint.a, CA 92253 EHLINE CO.
Project Address : ' Builder Name
Scott _ 760-238-2383 Plan ,d F, (pg. I of 1)
Builder (.:ontact Telc honc Plan Numhcr
William Henson ((,`(:N l�CC2009076) _ 760-1-50-7022.1 .... Group
IIERS Radar Telephone Sample Group Number
9-13-05 26 (ph 3) TESTED
-- - - -
Certif ying .'ib�nature Date Sample Hous: Nunther
Firm: BCI Testing _ 11 ERS Priivida�: CALCERTS
Street Addre.": PO Box 50575 _.._..----_._..._.._.. ('fly/Slrtu/7,ip: Phoenix, A% 85076
Copies tn: Iluil(Icr, HFRs Provider
HERS RATER COMPLIANCE STATER N`T..
The house was: Tested ❑ Approved as part of sample testing, but was not tasted
As the I IERS rater roviding diahnostic tml.ing and field vcrificatiort 1 certify that the houses identified on this lb in corrtply
with the diagnnstic tc,tc(l c(impliance requirements as checked•orrthtr:,ft)mi.
The installer has provided a copy of CF -GR (Installation Certificate.
nistrihution system is fully ductcd (i.e., docs not use building cavities as•plentims or platform returns in lieu of dueu)
Where cloth backed, rubber adhesive duct tape is ir1.gWlcd, mastic and drawbands arc used in combination with cloth
backed, rubber adhesive duct tape in seal leaks at duct eonnecwion,.
MINIMUM REQUIRFMFNTS FOR DtJrT LEAKAGE REDUCTION COMPLIANCE CREDIT
Dint Diagninlie i.Cakage Tc,ting Results (Maximum 6% Duct Leakage) .
Measure d
Duct Pressurizatioq'fest Results (CTM 25 Pa) values
CAS irA
.,Test. Leakage Flow. in (TM
—��r
I I• Ian flow is caluulalcd as 400cf n/ton x:numbd of tons`cnter calculated
value here V
If fan flow is measured enter aitu sumd,value her ,
Lcakago Percentage ('100 )L_ l eSt Leakagefflap Flow)
Check Bim' -for Paw. urT,aiI (11av;=6% or`k Ns) j`
❑
:. Pass
Feil
IdTHERMOSTATIC EXPANSION VALVE (TXV)'.'
YUS ❑ No lliermostatic Expansion YAN0,is installed and,.Acccss is
provided lire inspi:etion
❑
Yes is a pass Pass
Fail
❑ MINIMUM REQUIREMENTS FOR DUC F DESIGN COMPIAANCF^CRFI)[T
l ❑ Year ❑ No AC'CA Manual D Dcsign'icquircnicnt%have h':i:n tint (rater has
verified that actual insiallatiiui rnatchis'valu' s in CF -1 (t and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan -flow has bben verili6d. lfiio TXV,
verified fan flow matches design from CT -1 R.
Measured Fan plow •_
❑
❑
,Yes for both I and 2 is a Pass Pass
Fail
Compliance Forms - Augusf,2001A-16