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SFD (05-0550)fl. P.O. Box 1504 78-495 CALLE TAMP.ICO LA QUINTA, CALIFORNIA 92253 Application Number Property Address APN: Application description Property Zoning Application valuation BUILDING PERMIT BUILDING & SAFETY DEPARTMENT ;�• (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 05-0000__ 055© Date 2/10/0.5 8 280 NATIONAL DR " .1,767-500-018- DWELLING ,767-500-018 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 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 Other struct info 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 FOOT 4217.00 ----------- --- ------------ Permit BUILDING PERMIT D Additional desc Permit Fee . . . 1563.50 n c�cSF`��5 254.07 Issue Date . . . . 1 ation363387 CITY OF LA QUINTA' Qty Unit Charge Per pINANCEDEPT. Extension BASE FEE 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 2.00 9..0000 EA 2.00 9.0000 EA BASE FEE MECH FURNACE <=100K MECH B/C'<=3HP/100K BTU Extension 15.00 18.00 18.00 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 ApplicationNumber: Of" Date:ZZS�J Applicant: Architect or Engineer: Applicant's Mailing Address: itect or Engineer's Address: No.: 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 License is full force and effect. N0�C Os License Class ss cense No. /ate 2 19^521,05, ntractor 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.). (_) 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. 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 ssued y wor ers' compensation i .5.mnce carrier apd olicy number are: rner L icy Number iii Cj OCO (� 7 _ 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 perforated 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. 1 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 a ter upon the above-mentioned property for inspection purposes. ate O` / signs/tune (Applicant or Agent): Page 2 Application Number . . . . . 05-00000550 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 . . . . 211.50 Plan 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 43, PLAN 4A -ENG. 4217 SF. PERMIT DOES NOT INCLUDE POOL, SPA BLOCK WALLS OR DRIVEWAY APPROACH.*75o 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 ---------------------------------------------------------------------- . . . . . .05-00000550 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.Q0 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 .00 523,9.52 SEP 27,2005 13:13 BCI*TESTING,ril '000-000-00000 L CERTIFICATE OF FIELD VERIFICATION A'\D DIAGNOSTIC TESTING (Page 1 of 7) (iItFG N 0 1 t M A N FS'1'A1'FS PM 9-13-05 Project Title -- _ Date _ A1280 National Drive La Quinia, CA 02253. EHLINE CO. 'Builder Name Scott 760-238-2383 .. Plan rfA pg, 12f L) BuildC tact 1'cic hone Plan �hmtht.T Wham Henson (C(. -'N#(.-'(.720040'76)- •760.250-7022 `. Group 2 . HRS 'Cater Telephone Sample Group Number �J 9-13-05 43 (ph 3) Certifying Signature Dale Sample House Number Firin: IiCI 'fCStinK HERS I''rovider. CAKERTS ['O Box 50575 Phoenix, AG 85076 Street Address: PO Copies w: (Builder, HERS Provider , HERS RATER COMPLIANCE STATEMENT The house was. ❑ Tested Approved as pari o(samplc testing, but was not tested As the H1iltS rater providing diabnu. tic fey Bob s,nd'Bold verification, I certify that the houses identified im this l6mt comply with the: diagnostic tested compliance rcqui men's as chi:e.keel oti thi,.Icrno. ; ❑ The inswilm has provided a copy of Ch 6R (installation C:ettilicate. ❑ Distribution system is fully ducted (i.e., docs not use, building cavities as plueurns ur platibrm returns in lieu of ducts) ❑ Wherc cloth backed, rubber adhesive: duct tape is in tallexl, mastic and drawbands arc used in combination with cloth backed, rubber adhesive duct tape; to seal leaks at duct ccmtia'Buns, . ❑ MINIMUM RF.QU`TREMENTS FOR DUCT LIEAKA(yL REDUCr1UN COMPLIANCE CREDIT Duct Diagnostic Leakage Testing; Resalm (Maximum 6% Duct Leakage) ' Measured Duct Pressurization Test Results (CFM (t), 25 Pa) values TCwt tkube.Fbew in CFM If fm flow is calculated as 400cfin/t6n x-nuinbee ol" tnnc"enter calcitlatcd yaluc here II Ian flow is measured enter me csurcd v51uc here Leakage Percentage (100.x'.1 L,icakage/Fan (•low)%. Chci;k fiox'for'Pass or.h'ail (l'a'ss 00/hor'l6sky ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSIQN VAI.VF (TXV) ❑ Yes ❑ No, Thermostatic Expansion Valve, is installed and Acecss is provided for inspection ❑ [) Yes is,a pass Pass Nail ❑ MINIMUM RF.Q(IIRFMENTS FOR UUC'1' DESI(',N COMPT.IANCF. (:REU['1' 1. ❑ Yrs ❑ No RCCA Manual D De:sign'rcquirctiiaht, have heen met (rater.has verified that actual in`stallntion niatclics values in'CF-1 R and design on plan. CF -4R 2.❑ Yc� ❑ No 'i'XV is installutl or Fan flow has:hccnwcrifieil: LEWD TX V, verified fan flow matches design (Tom C F-1 R, Me:awred ran Fleiey _ ❑ ❑ Yes for both 1 and 2 is it pass Pass Fail Compliance Forms August 2001 A-16 r.. Page 13 Uy/ 16/1VU0 10:2b FAX F AKAIi6NF Jl;H1MlU � Y d 1Q UV4/V 14� '4= INSULATIWt --CERTIFICATE This is to certify that insulation has beon Instilled it contormance With the•current energy regulation. California Administrative Code. Titlo 24, State of California, in the building at NORMAN ESTATES, LOT 4& PHASE 3, LA WIN rp. CA • r D CEILINGS: TYPE: BATTS MANUFACTURER: Ce-tainti ed THICKNESS: R-38 WALL $; TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS R-+.9 GENERAL CONTRACTOR:. I;HLINE GO BUILDERS LICENSE # BY: TIT -E:__. _ PARA G N SCHMID BU L40G PRODUCTS A N.ASCO Company. LICENSE # 221517 TITLE: ACCOUNT REPRESENTIVE DA1 E: GIS BY: � s