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04-8161 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO tr FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS. (760) 777-7153 BUILDING PERMIT Application Number . . . 04=OOb0.81.61_ Date 2/10/05 Property Address . . . . 81315 NATIONAL DR - APN: 767-500-015- - - Application description . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . ... . . LOW DENSITY RESIDENTIAL_ Application valuation . . . . 342299. 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 . . . . . CODE EDITION 2001 CRC ROOMS 4.00 SPRINKLERS NO E SQ FTG 843.00SQ EA FTG 698.00 R OF UNITS 1.00 LOOR SQUARE'FOOTAGE 3917.00 -------------- ------ ------------.--- Permit '.IT Additional desc Permit"Fee 1490.00 Plan,Check Fee 968.50 Issue Date Valuation 342299. Qty Unit Charge Per Extension ,BASE FEE. f 639.50 243.00 3.5000 THOU BLDG,100,001-500,,000 850.50 Permit . . . . MECHANICAL Additional.desc • Permit Fee . . . 109.50 Plan Check Fee 27.38 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.000O,EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 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 8t: SAFETY DEPARTMENT Application Number: L.) I % I Date: Z 7� Applicant: Architect Applicant's Mailing Address: itect Ic. No.: or Engineer: 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 Cod nd my License ' in full force and effect. V�V �7 i ense Clais_ �nse No. C> C 6 Date212115105_ontractor t�h I I yu . t� 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date 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 Aof 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 i sued. A4y work rs' compensation in�*9nce card nd olic number are, amer � _ -run (I �licy Number Wn�ZL —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. Date o� D Applicants ( {L, rp 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 Ouinta, 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 ter upon the above-mentioned property for inspection purposes. Dated �`5�IgnatureApplicant or Agent): Page 2 Application Number 04-00008161 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 . . . . 168.96 Plan Check Fee 42.24 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3917.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 137.10 843.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.86 Permit ------------------------------------------------------ . . . . PLUMBING Additional desc Permit Fee . . . . 187.50 Plan Check Fee 46.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge_ Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 9.0.0 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 29. PLAN 4B -OPEN, 3917 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 355.74 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER- RES 366.00 Page 3 Application Number --------------------------.-------------------------------------------------- 04-00008161 Date 2/10/05 Other Fees . . . . . . ..ENERGY REVIEW FEE 96.85 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 34.22 DIF STREET MAINT FAC -RES 15.00 ' DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1970.96 .00 .00 1970.96 Plan Check Total. 1085.00. .00 .00 1085.00 Other Fee Total 2891.81 w .00 .00 2891.81, Grand Total.- 5947.77 .00 00 5947.77 SiSf- 27,.2005 13:12 BCI*TESTING,ri1 000-000-00000 Page 7 CERTIFICATE OF FIELD VERIFICATION ANDDIAGNOSTIC TESTING (Page I of 7) (3R176 NORMAN F. S- I ATI:S Pi 1-3 9-13-05 Project Title Date (8,71 ational Dii— La Quinta, CA 9225.3. 11II,1NL' CO.. Project Address — 11uildcr Mime Scott _ 760=238=2383 ' Plan NPS (pg. I of 1) Builder Cu tact 1'elephone Plan Number Wiliam I Icnson (CCN #C'C'2004076) 760-250-7022. Group 1 HERS Rater _.Telephone Sample Group Number �J...... _.. ..... 9-13-05" 29 (ph -3) Certifying 'ignature Date Sample Ilou?w Number Firm: B0 Testing lihRS`Pricvider CALCERTS Street Addrtss: PO Box 50575 C►ty�Statc/Lip. Phoenix, AZ 85076 Copies to: Builder, HERS 11rovidcr CF -4R HERS RATER COMPLIANCE STATEMENT The house was- ❑ TC::tetl Approved as•ptcft ol-sample cstinb; but was noL W-Acd As the HERS rater providing diab-nos .ic test g and field verification, l certify that the houaey identified on this fiorm comply with the diagnostic tested compliance requirements as checked onahis form.':'. ❑ The installer has provided a copy of UF -6R (Installation Certificatc. ❑ Di,trihution system is fully ducted (i.e., docs not use btiildink cavities as plenums or platform returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive dact tape is inntall.ed, mastic and drawharids are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at 63ct"conhectiim,;. ❑ MINIMUM REQ(AREMENTS FOR DUC-l' LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Resulls (Maximum 6% Duct Ix-4kage) Mc:asitrcxl Duct Pmsswiration Test Results (CFM (a? 25 I'a) values Test Leakage; Flow in CFM I1' fan flow is calculated as 4000TVton x• numher of tuns enter calculated' vttliic: here If fan flow is measuri d .enter "miasurud ,value fieri: Leakage Percentage (I 0'U x`Ccst'Ccakagc%Fan Flow) Check 130x fa(Pass or.tail (Pass=6%o or less) ❑ ❑ Pass rail ❑ 'ritERMOS"FATIC EXPANSION VALVE (TXV)--' ❑ Yes ❑ No TblRllnstatic Expansion Valve is inKtallul dTld'Access lK prtcvidcd lir inspection ❑ ❑ Yes is ;+ pass. E'ass Fail ❑ MINIMUM RFQIIIRFMFNTS FOR D(1( -r DFSI(.N,COMPI,IAN(:F. ('RFDIT ❑ Ye c ❑ No ACCA Manual 1) Dcsigq ri gain imcnfs liavc liu:n mut (rdtcr lues vcrilicd that actual installation matches values in(IF•I R and design on plan. 2' ❑ Yes ❑ No TXV is installed or.17kn ijciw"has,hacn v'L fie;ci: If no TXV, verified Ian Ilow'ntatclt�s.dcsign from .CF -1 R. Measured Fan blow ❑ Yes for both i and Z is a Pass Pass Fall Compliance Forms August 2001 A-16 09/1.6/2005 15:26 FAX PARABONPSCHIMID Ia 012/014 INSV LATION C-.RTIFICATE This is to certify thet nsulatio-i nas been instellec it cunfoimanee with the cur•ent energy regulation, California Administrative Cade, Title 24, State of Califoinia, in the building at NORMAN ESTATES, LOT 29, PHASE 3, LA QUINTA CA CEILINGS: TYPE: BATTS MANUFACTURER: Certeinteed THICKNESS R-38 WALLS: TYPE: BA'rTS MAUNFACTURER: Certainteed THICKNESS R-19 GENERAL CONTRACTOR: EWLINE CO 31,11I1-DERS LICENSE 4 BY: TITLE:y PARAGO . SCHA11p BUILDING PRODUCTS A tilA 3C0 Ccmpany LICENSE #'21517 1 BY Uur�� TITLE: ACCOUNT REPP.ESENTIVE JAPE:%� l''