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SFD (05-0546)ot.�wa�rw BUILDING & SAFETY. DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 C.ALLE TAMPICO FAX (760) 771-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number zo,obOO546 _q0000546 Date, 2/10/05 Property Address . . . . . .. E�172�_6 _D�TTIONAL DR APN: .76.7 -500 -019 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 284559 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 CSLB: 482086 11/30/05 CCC: B ---------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type ... . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . .NON -AO FLOOD ZONE rU ot truct info ... Ct info . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE' SQ FTG 733'-',,00. FEB. F PATIO SQ FTG 9,11.00 2 5 2005 NUMBER OF UNITS. -1.00 I op ------ ---- CITY'WLAQUI - ------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE �3194.00 -2f INA�NCE DEP . Per 't BUILDING .PERMIT Additional desc Permit Fee 1287.00 Plan Check Fee 209.14 Issue Date . . . . Valuation 284559 Qty Unit Charge Per Extension BASE FEE 639.50 185.00 3.5000 - - - - - - - - - - - - - - - - THOU BLDG 100,001-500,000 -- 647.50 - - - - - - - - - - Permit . . . . . . - - - - - - - - - - - - - - - - - - 7 - - - - - - - - --- - - - MECHANICAL - - - - - - - - - - - - - Additional desc Permit Fee . . . . 127.50, Plan Check Fee 7.97 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 .3..00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 .8.00 6.5000 EA -MECH VENT FAN 52.00 M • P.O.. Box 1504 • " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 44 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: I Architect or Engineer: Date: Applicant's Mailing Address: 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 C�Pde,ancl License.is in full force and effect. r , ��D icense Class ssj icense No. !•f /bate 1 a 01 b tractor_ FbItIt'1Z C_0 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 Owne 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 bisection 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 i ued. worker compensation in!yyV�wnce carrier n policy number ar arrier Q P u � cv Number G1 f� ( U: 3 _ 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. 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 county to enter upon the above-mentioned property for inspection purposes. __*ate Signature (Applicant or Agent): v .r 'J. . n.• Application Number . . . . . 05-00000546 z� Page 2 Date 2/10/05 Qty Unit Charge Per Extension 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 145.01 Plan Check Fee 9.06 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3194.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.79 911.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.22 '.,. Permit . . ... . . PLUMBING Additional desc Permit Fee 164.25 Plan Check Fee 10.27 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 9.00. .7500 EA PLB GAS PIPE >=5 6.75 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 44, PLAN 1A, 3194 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------=------------------------ Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 211.39 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 0 Page 3 Application Number . . . . . 05-00000546 Date 2/10/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 20.91 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 28.45 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1738.76 -------------------- .00 ---------- .00 1738.76 Plan Check Total 236.44 .00 .00 236.44 Other Fee Total 2665.75 .00 .00 2665.75 Grand Total 4640.95 .00 .00 4640.95 0 09/16/2005 15':26 FA PARA60NPSCHIMIO �j006/014 q - INSULATION�..ta2TIFICATE This is to certify that insulatio,i nas been installec it conformance with the current energy regulation. C21ifornia Administrative Code, Tltle 24, State Cf CalifOIN3, in the build ng at NORMAN ESTATES, LOT 44, PHASE 3, LA QUINTA CA CEILINGS: TYPE: BATTS MANUFACTURER: Certointeed THICKNESS: R-35 WALLS: TYPE: BA'i TS MALWACTURER: Ce,iaintr;ed THICKNESS: R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE BY: TITLE:__._ PARAGON SCHMID BUILDING PRODUCTS A MASCO Ccrnpeny LICENSE P 221517 C� 2lLcv' ' ;" TITLE: ACCOUNT REPRESENTIVE GATE:_ 7'0- O���1 J BY. SEP 27,2005 13:11 BCI*TESTING,ril 000-000-00000 Page 2 CERTIFICATE OF FIELD VERiFICATION'AND DiAGNOSTiC TESTING (Page 1 of 7) CF4R GREG NORMAN ESTATES PH -3 9-13-05 Projcct Title (Yate - 81260 National Drive La Quinta, CA.. 92253 'EKLINE CO. Project Addres Builder Mime Scott 760-238-2383 Plan ilt (p�. 1 of 1) Build �. tact - -- - - c1el� Plan�v umher WtlHenson (('(.'N 11CC2004076) 7iift-e7022 crroup 1 HERS Rater TGlcphunu Sample Group Number 46 9-13'-U5 44 (ph 3) TESTED Certifying Signature nate Sample House Number Firm: 13(:1 Testing HERS Provider. CALCEI(TS 4 Street Addres PO Box 50575 ' _ City/slaic/z �:` Phoenix, AZ 85076 Copics to: builder, MRS Provider HERS RAT R OMPLIANCE STATEMJENT 'lhc house was: Tested [3, Approved as part•uf wmplc tcst•ing, but wits not tested As the 14FAS rater providing diagnostic toting and field verification, l certify that the houses identiliml on this form comply with t • diagnostic tested complianco ruquinmaunts-us cheeked on thix 116nil. 'ilte installer has provided a copy uf('F4)R (inxlallxGnn;.(:cr1.ifical•c. Uistributiun sysu:in is fully ducted (i.u., dues not tixc huilding cavities as plenums or platform returns in lieu ni'ducte) Whtrrc cloth bucked, rubber adhesive duct ape is. Installed, mastic and drawhund are u;rud in combination with cloth acked, ruhber adhosive duct tape w seal Icakx at ducl'cnnnrY l.inns, MINIMUM REQUIREMENTS FOR DI)Cl' IAAKAGE REDIX'TION COMPLIANCE CREDIT Duc Diagnostic Leakage Testing Results (Maximum 6% Duct LtAkage) , Measured Duct Pressurization Text RL%tiks ((:FM (a) 25 PH) values Test I xukagu Flow in CFM 88 7 a � It' fan flow is calculated as 400clhm/tun x num) Ir ol'tians enter uik:nlatut value here (000 i 11' len Ilow is rneHsufcd enter nicasured Value here' imakgye Pmcunlagu (100 x Tcst Lcakagc/Fan flow)•R Check liox for Pass or fail (Paxv--6% or lvs.)' E3 Pa.. rail 1'HERMUs'1'A'I'IC EXPANSION VAI,VF. T r. "")^. '• • oxr: Expsnsiun Valvc is•umstallcd and Access is''`';: 1 Ycs ❑ No Tlacrrnta4 provided for inspection «.;r ❑ Yes 1% pass Pail .8 ❑ MINIMUM RF.Qt;lREMFNTS FOR VUC'I' DESIGN CUM PLIANCE (:REDIT 1' ❑Yes [3, o ACOA Mammal D Ucsign requirements have been mel (rater Tin.,; vcrillcd drat actual insLallation nuatuhm valttcs,in (.1-llt mid 4 design on plan. t 2' ❑ Ycs ❑. No TXV is installed or Pan flow has heen,veri i ied. • l l'no; TXV, - vcrilied lan flow nmatches dexibn loan Cr -I R;, • Measured Fan Plow a Yes Ior.Klih I Hpd•2 is a pass Pass all Compliance Forms August 2001 - A-16