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BLCK (05-4771)f, " 41-N, f P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: C&t!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 1�)/A Owner: GREG PECK 81275 NATIONAL DRIVE LA QUINTA, CA 92253 q - /�/ 0 Ontractor: l/�ASSO POOLS, INC O ,9`or/s P 98RT, CA92211 L 4206 MDES �q� U 1760) 345-4600 IFAQ��iIA kiC. No.: 810111 -------------------------------------------------- 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. License Class: 13 C27 C53 nse No.: 810111 atd0i— onIra.or: � a> NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 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).: (_) 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, 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.). I—) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/05 ----------------------------------------------— WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1709395 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 sh II fort hwilth co with 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. 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 count�ignature ate laws relating to building construction, and hereby authorize representatives of thiiss county tobove-mentioned property for inspection purposes. - pate: ��s�'pplicant or Agent): Application Number: ":: 05-00004771 - Property Address: 81275 NATIONAL DR' APN: 767-500-013- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 64 Applicant: C&t!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 1�)/A Owner: GREG PECK 81275 NATIONAL DRIVE LA QUINTA, CA 92253 q - /�/ 0 Ontractor: l/�ASSO POOLS, INC O ,9`or/s P 98RT, CA92211 L 4206 MDES �q� U 1760) 345-4600 IFAQ��iIA kiC. No.: 810111 -------------------------------------------------- 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. License Class: 13 C27 C53 nse No.: 810111 atd0i— onIra.or: � a> NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 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).: (_) 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, 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.). I—) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/05 ----------------------------------------------— WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1709395 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 sh II fort hwilth co with 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. 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 count�ignature ate laws relating to building construction, and hereby authorize representatives of thiiss county tobove-mentioned property for inspection purposes. - pate: ��s�'pplicant or Agent): Application Number ' . ' . . 05-00004771 ' � Permit WALL/FENCE PERMIT , Additional deoc' ' ' Permit Fee . . ` . 15.60 eIao Check Fee . . , .00 Issue Date . . . . Valuation - . . . 64 Expiration Date . . 4/23/06 Qty Unit Charge Per. Extension BASE FEE -----------_----_----_----------_------_--------_----_-----__-----_- ogecial Notes and Comments 4 L.F. 4' EQUIPMENT omuLL' czzr STANDARD Fee summary Charged Paid ------ ---------- ---------- Credited ---------- ---------- Due ----_------ Permit Fee Total 15.00 .-OO .nO 15.00 rIao Check Total .00 .Oo. 'no .oO Grand Total �_ 15.00 .VV .00 15.00 / 00,25. 2005 11 : 35AM P I CASSO POOLS N6.1660 P. 2 :. • Igo City OfQuinta T4211 Scr I P.O. $ax T SC4, 754.95. Calle. TalrtR M . jPemaii �\ 2 QQl,dMZa CA 922.53 - (7&0) 777-7012 !:em Pe,rn* Applicadon and Trackia Sh-e_r, Pto}tet r�OGi�: S✓ " � 1 � 5 T13�L: c�11 0 r I • ft P. I�tffibrs ' Ad I,- + � D=ipd� cir. sr -Zip- P!an Check Dcpask 1 s dib Cj Add.. Projeu Description_ 40 Lot Plan Check fl:,iaoet S=, -6., 1 011. •Fn9e:!'a C I 'AcWr Pans picked. up Cotsstrpetiaa ot S= ia� _: - Pr6j= n (cilcit anis- Nom- Add'n :A3 R�r. Dano 1d�ue'.of Ean�acL?ersoln Sq. Ft: " Storm t'rits I x mf comam ?--son; raaied value of Proir�" A?PUC4 T: -DO NOT 1NRrrE BELOW TMS LINE Xleehnnieal I„► I Reed T4211 Scr I Paan Chcck submitted I !:em Amni i&melt ral Caj= ! 1 Reoirwmt rndv for corrections ( P!an Check Dcpask r= Csl Caked Contact Person. Plan Check fl:,iaoet •Fn9e:!'a C I Pans picked. up Cotsstrpetiaa ppb ��Ri� Pty I Plans r=ubamit¢d - Xleehnnieal �GmIIjao pwl '`Rvvic1T. r=& for carTruio sft55ae F1rtrxea� 5ubena=mr, List Called Camact Person . Plu;abi Gr= Dees ?tam picked up iaLt. IAC AFgroval I Pians re9abmiTftd Grading } Rtvirw. rzadl' for wrratiou5(msue Devaioper Impaa Ftr Tl=Uino �gptaral '} Cal!ed Cant= Pcrsoc I:Pub ks �ppr Datc of permit issue - 1 soul Prnafe�Fs -CITY STANDARD WALL N HIGH, 6" WIDE: 4' LONG ^` EQUIPMENT BLOCK WALL STUCCO ANIS PAINT TO MATCH HOME 09/16/2005 15:26 FAX PARA60NPSCHIMID 1 INSULATIOC_RT�F�CATE This is to certify that -nsulation has been Installed it corformnce wi�h the current energy regulation, California Administrative Code, Title 24, State cf Ca,ifornia, in the building at NORMAN ESTATES, LOT 27, PHASE 3, LA QUINTA CA CEILINGS' TYPE: BATTS MANUFACTURER: Ce,tamteed THICKNESS: R-38 WALLS: IA 007/014 TYPE: BATTS MAUNFACTURER: Certaintred THICKNESS R-19 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE fi_ BY.—__ TITLE:_ _ PARA --N SCHMID BU'LDING PRODUCTS A W'A9CO Ccmpany LICENSE # 221517 ' �%' k) TITLE: ACCOUNT,REPRESENTIdE GATE: S L-� SEP 417,7;5 13:12 BCI*TESTING,ril 000-000-00000 Page 3 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I uf7) CF -4R GRECi NORMAN ESTATES PH -3 9-13-05 Project Title Date 275. National Drive La Quiitta, CA 92253-'. EHLINE ('C). Project Address Iluilder Navyie Scott 7GU-238-23_83 Plan Z-C_(pg., l of 1) , Builder Contact "telephone Plan Nugtbet William Henson ((Y'N 4CC2004076) 760-Z50-7022' Group 2 HER'shater Telephone , : Samplc Group Number ��ov�� 9-13-Q5 27 (ph 3) TESTED Certifying sefmature Date' Samplc House Number Finn: BCI Testing HCRS'Provider., CALMTS ... PO Box � _ � Phoenix, AL 85076 Street Address: - 5 •A575 C',ity/StHteJ7 C'.opic-, tA): milder, HERS Provider :. TIERS RATE, OMPLIANCE STATEMEN`C The house was: GTested Approved as pari ul•sample testing, butwas not tested As the HERS rater providing diagnostic tasting and field vcriheation, i ceirlify that the houses idcmtified on this form comply with a diagnostic tested compliance n-•quirerncnly as chcvked on this firm. The installer has providr d a copy of CF -GR (lnstallation,Certilicate. Distribution system is fully ducted (i.e., does not use building cavities as plenimis or platliwm rehrms in lieu of ducts) Where cloth backed, rubber adhesive duct tape is itislallul, ntaAic anddra'wbands arc used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duet corinecticiris. MINIMUM REQUIREMENTS FOR UUCI' LEAKAGE• REDUCTION COMPIJANCF. CREDIT Duct Diagnostic leakage Testing Results (Maximum 6% Duel I.cakagr)' Mcasurcd - Duct Pressurization Test Results (CFM (i3 25 Pa) values C_AS&[A Test L.cakabc.Flow in CFM (0060g/ 3ra II• Ian Ilow is calculated as 400clitt/lon x'nutnher ol`toiis anter culcuIxte 1 value hereLOO NeOD/gOC7 If fan flow is nicasiucd'cnt r'.nicasurcd value heli, Leakage Percentage (100 x "I•cst'Lcakag&Fan Flow) ,3, 3. �{ , D Chcck Box for Passe or Fstil (Pas&=G% or less) xa'. ❑ : Fail .2THERMOSTATIC EXPANSION VALVE. 0 -XV)' Yes ❑ No Thermostatic Fxpansion,Valve is installed and,Acocss is JC Provided lir ius wetion •' , . ❑ Yes is'a pass ns, Fail ❑ MINIMUM REQUIREMENTS FOR DUCI' DESIGN COMPLIANCE CRF,DIT 1- ❑ Yes ❑ No AC'C'A Manual ll Design requirements have hetn'nwt (rater has verified that actual itistailatioti tnati tics values in CT -1 R and design on plan. - 2. ❑ Yes No TXV is installed or fariJlpw has.heeri,verificYl: Ifno TXV,.. veriliul lirn flow r u+1ches dcsi6m.from CF -I R. Measured Fan Flow - D d .,Yes ror hath I and 2 i, a Pass Pass Fail Gompliance Forms -August 2001 A-16