Loading...
SFD (04-8157)P.O. Box 1504 78-495 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 04-00008157 Date 2/10/05 Property Address . . 81275 -NATIONAL DR APRT: 767-500-013- - - Application description DWELLING..- SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation 298162 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)• 771-8.130 WCC: STATE FUND_ WC: 2290006783 01./01/06 CSLB: .482086 11/30/05 CCC: B -------------------------- Structure .Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Typ"CIIOF�A�UIN DWELLG/LODGING/LONG <=10 Flood ZoneN AO FLOOD ZONE Other structEDITION. 2001 CRC DROOMS 5 3.00 E SPRINKLERS NOA A GE SQ FTG 806.00 PA I O SQ FTG 514.00 BER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3410.00 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 1336.00 Plan Check Fee 868.40 Issue Date . . . . Valuation . . . . 298162 Qty Unit Charge Per Extension BASE FEE 639.50 199.00 '3.5000 THOU BLDG 100,001-500,0010•-' '696.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . 127.50 Plan Check Fee 31.88 Issue Date Valuation 0 Qty Unit Charge Per 3.00 .9.0000 EA 3.00 9.0000 EA BASE FEE MECH FURNACE <=100K MECH B/C <=3HP/100K BTU Extension 15.00. 27.00 27.010 P.O. Box 1504 • 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: Date: Z'�J Applicant: I Architect or Engineer: Applicant's Mailing Address: itect or Engineer's Address: No.: t3U1LDING 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 Cede, and my License is full force and effect. ��'�O o 5 /License Class_ i`) icense No. Bate ontractor Il I Yl A O 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 Owner 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. -6I have and will maintain workers' compens tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued y work rs' compensati urance carrier and policy number are: amer >° via Policy Number oo Q r,7'7 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. ,-6ate �Al Q/Applicant E h 11 Y1 Eti CQ 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.). Lenders 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 thisapplication 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 employeesfor 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 t n r upon the above-mentioned property for inspection purposes. ate n �S ignature (Applicant or Agent): l Page 2 Application Number . . . . 04-00008157 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 150.47 Plan Check Fee 37.62 Issue Date . . . Valuation 0 Qty Unit Charge' Per Extension BASE FEE .15.00 3410.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 119.35 806..00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.12 Permit . . . . . . PLUMBING -------- Additional desc Permit Fee . . . '172.50 Plan Check Fee 43.13 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 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB.GAS PIPE >=5 6.00 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 27. PLAN 2C, 3410 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ----------------------------------------------------- Other Fees . . . . . ---------------------- . . . . ART IN PUBLIC PLACES -RES 245.40 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER 7 RES 366.00 i Page 3 Application Number ----------------------=----------------------------------------------------- . . . . . 04-00008157 Date 2/10/05 Other Fees . . . . . . . . . ENERGY REVIEW FEE 86.84 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 29.81 DIF.STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1801.47 ------------------------------ .00 .00 1801.47 Plan Check Total 981.03 .00 .00 981.03 Other Fee Total 2767.05 .00 .00 2767.05 Grand Total 5549.55 .00 .00 5549.55 DEC 12,2005 13:16 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION AND BLAGNOSTIC: TEST] Nd (Page 1 of 7) GREG NORMAN ESTATES I►H-4 12-12-05 Doti: f nR] Drive La Quinta, CA 92253 EHLINF. CO. yet sat lluit/ku Name Rrian Brown _ 760-427-7288 Plan 4 (pg. I of 1) !Builder Contact Telephone , . Plan Number Kex Graham (CCN cCC2004077) 602-999-1350 Group 2 IIERtiRator Tcicphonc Sample Group Number 12-12-05 32 (ph 4) Certifying Signature Date Sample I Inure Number Fimt• n0 Teming HERS Providct: CAL. IM'S Page 3 CF -4R Struul nddre~,: 41800 Washinbton Sl., li I OS_314 city/Statc0p: Bermtida Dunes, CA 92203 Coplec ua: Builder, HFRS Provider I1 ERS RATER COMPLrCE STATEMENT '11he house was: ❑ 'ftAcd Appnlvlxl ax purl of l:ungdc ti dirlg, heal was lull wstud As the HL -KS rater providingdiaprhostic tcWng and field vuriliitmdain, I mytify (hill the himse% lalelltlflwl iM this (alnol comply with the diagrutstic la-•skxl compliance ruyuirentents as ch eked on this form. ❑ Tow: incWllcr ham' pnwidcd a copy of (:1'-61t (Inslallatlon C:enifacatc. ❑ Distribution systan u fully ductal (f.c., docs not use building cavities as plenums (w plat6irm reprcnv in lice of(flicu) ❑ Wlurc ok,th hacked, rubber adhesive duct tape is installed, mastic and drawbands aro used in combination with cloth hacked, rubber adhesive duct tape to seal leaks at duct connections. ❑ MINIMUM RF.QUIRrmrNT51 F4.)R DU(rr I.FAKAGE REDWI-ION C;UMPLIANCE C;ltir'Dl'f Duct Diagmstie Leakage Tcrtiog Results (Maximum 6% Duct Leakage) Duct Pm suriyAori Test Results ((:FM (.4 25 1'a) Twat Leakage Flow in (:FM If fen fhaw i+ uvlwluwJ us 400cfin/kon ). nunther at'imis atter calculated value hero Measured values If fan flow is inaal:ured enter meagutW value hero Lcatkagc Pw4;vnW8i: (100 x Toa Leakage/ran Flnw) Chisuk Dun liw Pwei or rail (Pax -GY9 or leu;) ❑ ❑ Pavy mil ❑'I'IIERM(WI'A'I'IC EXPANSION VALVE (TXV) ❑ Yes 13N, Thermostatic Expansion Valve is installed and Access is provi&-il filr inspcw4ioo ❑ ❑ Yes is a pati ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT I- ❑ Yea ❑ No ACCA Manual D EX -sign requirements have been incl (raker hats verified that actual installation owtches values in (:17-1 R and tlusign on plan. z• ❑ ye% u No TXV u installed or Pan flow haw been verift&l. if no TXV, vuffed I•an Ilow nhatebesdecign front ('F -IR. Mchswcd ran Flow = Yes thr both 1 and 2 is a Pew. Pass Fuil 13 ❑ Pass Fail Compliance fo(ms August 2001 . A-16