SFD (04-8160)BUILDING & SAFETY DEPARTMENT-
P.O. BOX 1504 (760)_777-7012
78-495 CALLE TAMPICO FAX (760) 777-7.011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING OC RAI
T ...
Application Number
04-00008160 Date
2/10/05
Property Address
81300 NATIONAL DR
APN:
767 -500 -017 -
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) 771-8130
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/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info
a E EDITION 2001 CRC
EDROOMS 3.00
O
E SPRINKLERS NO
FEB
2 5 2005 GE SQ FTG
806..00
T 0 SQ FTG
514.00
QU1NTA NUM ER OF UNITS
1.00
CIT` OFLO' FLOOR SQUARE FOOTAGE
3410.00
_ _ _ _ X10
CE0E�'
Permit . . . . . . BUILDING PERMIT
Additional de.sc
Permit Fee
1336.00 Plan Check Fee
217.10
Issue Date . . .
Valuation_
'298162
Qty Unit Charge
Per
Extension
BASE FEE
639.50
199.00 .3.5000
THOU BLDG 100,001-500,000
696.50'
Permit . . . . . . 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.
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: R&00
A Date:
ppllcant.—Architect or Engineer:
Applicant's Mailing Address:
f—Architect 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
�de, and ss License is in full force and effect. "6120 o Q
icense Class_ "� icense No. r -i V
Date tor 00
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
Xof the work for which this permit is issued.
Lhave 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
issue . y work rs' compensationniinsurance carrier and polic number are:
order � J° /Policy Number
_ 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.
,�--'Date4S�5 �t l l
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 FJ
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 enter upon the above-mentioned property for inspection purposes.
Date of Signature (Applicant or Agent):
*a
f
Application Number . . . 04-00008160
Page 2.
Date 2/10/05
Qty Unit
Charge
Per
Extension
8.00
6.5000
EA MECH VENT FAN
52.00
1.00
-----------------------7----------------------------------------------------
6.5000
EA MECH EXHAUST HOOD
6.50
Permit .
. . . ELEC-NEW
RESIDENTIAL
Additional desc
Permit Fee .
. . .
150.47 Plan Check Fee
9.41
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
10.78
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 42.
PLAN 2A,
3410 SF. PERMIT
DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE
DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees
ART IN PUBLIC PLACES -RES
245.40
Page 3
Application Number
--------------------------------------------------------=-------------------
. . . . .
04-00008160 Date
2/10/05
Other Fees . .
. . . . . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC'CENTER - RES
366.00
ENERGY REVIEW FEE
21.71
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
245.26
.00 .00
245.26
Other Fee Total
2701.92
.00 .00
2701.92
Grand Total
4
4748.65
_
.00 .00
4748.65
vtl/ to/YVvO lo.Lo rAA rhliApuNrbwllNlu IQJvv4/v 14
:INSULATION'CERTIFICATE
t 71 =
- .i •r.�y4 t• S/ � 'J} !l. _. ? � Ji 9t>q •' .` •
-�._ 1. ..� YP +..- ,, .. ..
This is to certify that insulation has -bean (oStr0118� Ir contormanc0 with tha:current energy /� ",---
;
regulation: Calltomie Admirilscrativa Code Titin 24: StatR of GaIIfomia,°in the buUdirig at r
t„ -a r1 ,t.K_., `: < r? ` i y etta: ,, ±� ,. ,. •.
NORMAN ESTATES, LOT 4Z PHASE 3, LA QUIN rA CA' -
CEILINGS:
"
TYPE: BATTS MANUFACTURER: Ce•taintued THICKNESS: R•38
TYPE: BATTS MAUNFACTURER: Certaintood THICKNESS R-19
f
.;�
GENERAL CONTRACTOR:. EHLINE CO BUILDERS LICENSE ar
BY: TIT -E:_
PARAGN SCHh11D BUI G PRODUCTS A N•ASCO Company LICENSE # 221517
GJ f^
13Y: i:.G^' TITLE ACCOU�TREPRESENTIVE
,DATE:
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SEP 27,2005 13:13 BCI*TESTING,ril 000-OOA-00000.
CERTIFICATE OF FIELD VERIFICATION°AND llIAGNOSTIC TESTING (Page l of 7)
GREG NORMAN ESTATES Ph1 -3
Prr)ject Title
81300 National Drive
Project Address
Scott _
Builder C.ontAet.-
William Henson (C(:N#C(:2004076)
La Quinta, CA 9225
9-13-05
rya tc
3 EHLINE CO.
Builder Name
760-238-1383 Plan- 2. A (p& 1 of 1)
Telephune ..Plan Number:
760-250-7022 Group 2
HERS Rater Telephone Sample Group Number
9-13-05 • 42 (ph 3)
Certifyi4."gnature Date Samplc House Number
T'i, BCI Testing ill?Rs Pry vii 'i;. CALCFRTS .
Sonet Address: PU Box 50575City/State/Lip: Phoenix, AL 85076
Copies to: Builder, HERS Vrovidcr
CIM Ml 19
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tcstcd 4pprovcd as part.6r.Mmplc (A:4iting; biit was not tested
As the HERS raver Providing diabmasUu tes ng and lield vurilication, i certify that ]hc houses identilicd un this fornt amtply
with the diagnostic tested compliance requirements as checked -on thi's form.
❑ 17te installer has provided a copy of Ch -6R (Installation Certificate.
❑ Distribution system is lolly ductud (i.e., docs not use building L� jvitius as pleninn- or plutlnnn ruturnA in licit ufducLS)
❑ Where cloth backed, rubber adhesive duct tape is insltallcd, mastic and drawbands arc used in combination with cloth
hacked, ruhher adhesive duct tape to seal leaks at duct. coimections.
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duel. Pressurizatim Tcst RmulLs (CFM (u) 7.5 Pa) values
:Pest Leakage Flow in CFM
l i' fan flow is'ea lculatcd as 400cfnVton x hutnbcr of tons enter calculated
:value her:
If fan flow is mcasurcti cntcrmeasured value here
Leakage Percentage (100 X']'csl-Lcakagc/h'an Flow)
Check Box for fess fi ••Fail (Pas'4% or'lcss) ❑ ❑
Puss Feil
❑ THFRMOSTATI: FXPANsK)N VALVE (TXV
❑ Yes ❑ No Thermostatic Expansion Valve is in,.411lul•and.A.ma s is '
provided Ii)r inTmtion
0
❑
Yes is a pass
Pass
Fail
❑ MiNiMUM RF.QUiRF.M.FNT.S FOR DUCT DFSIGIV COMPIJANCE CREDIT
I' ❑Ycs [].No ACOA Manual D i)osign requircltrt:Uts have burn mut (nttcr has
vcritied that actual installatioti "meta c,.valucs iit•CF-I It and
design on plan.,
2. Yc, No TXV is installed or han`fl6v has beeti-verified. -If no TX V„
veri lied Ian flow matches design Iium CF -1 R.
Me surd Fnn Flow =
.13
13
Yes for both i and 2 is Pats
Pass
Fail
Compliance Forms `August 2001..' A-16
Page 10