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SFD (04-8159)r_. �F�Q�rw BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO. ' . FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153. BUILDING PERMIT Application Number . . ..04=Q:000_,_8159 Date 2/10/05 Property Address .81340 NATIONAL DR APN: 767-570-004- - Application description DWELLING —SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation.. 298162 Owner ---=-------------------- NORMAN ESTATES II C/O MEDALLIST GOLF DEVELOPMENT 501 NORTH AlA JUPITER FL 33477 Contractor EHLINE COMPANY" 55375 MEDALLIST DR LA QUINTA CA 92253 (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 . . COD DITION 2001 CRC -------------------- Permit Additional desc Permit Fee Issue Date . . . . O B OOMS 3.00 RINKLERS NO EARA SQ FTG 806.00 2 5 FTG 51 M FUNITS 1.00 PNFLO SQUARE -FOOTAGE 3410.00 �pG-QS ------------------ UI PERMIT 1336.00 Plan Check Fee 217.10 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 • /: • w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: 2-0d .--Architect or Engineer: f—Architect or Engineer's Address: Ic. 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 �, and ss License isjn full force and effect. � A �� icense Class � �--(,, ense No. l/ /Date (i Contractor 1-.I I I ` _Q�C 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 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 `ssued y wor rs' compensation insurance carrier n�(policy numbf erg Carrier S�a�? �u►�fc� 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. , ate �C)pfican_ 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 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 t r upon the above-mentioned property for inspection purposes. �te �S V5 Signature (Applicant or Agent): r Page 2 Application Number . . . . . 04-00008159 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 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 Extensibn' ---------------------------------------------------------------------------- BASE FEE 15.,.00. Special Notes and Comments SFD - LOT 40. 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 . . 04-00008159 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 4748.65 00. .00 4748.65 SEP 27,2005 13:13 BCI*TESTING,ril '0,00-000-00000 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTINt. (Page t of 7) CF -412 GREG NORMAN ESTATES P1 1-3 9-13-05 Project Title value here Date 81340 National Drive __.... La Uuinta; "CA 92253 lil lI,1Nl: CU. project Address _...-- •-•• --- - - - - — - - -- - - Liuildcr Namc Scott --_- --- - 760-238-238.3. Plan 0A (pg. 1 of 1) Builds tel 'elephone '" Wiflniati Henson ((:(.N #('(..'2004076).,,!,'607250-7022,.,, --•• `Clan Number • Group l HERS Rat/ Telephone SH6splcGrcutp Number provided for inspection 9713-051--', i 40 (ph 3) l'crttfymg Signature ❑ MINIMUM RF.QUIRFMF.NTS FOR Dtj(-r DESI(..N COMP.1.IANCE (:R'EDIT Sample l louse Numher Finn: 1301 'bestingH1;RS Pruvidcc. CALCERTS Street Address: PO BOX 50575.. _._ _...._.._.... _—_ City/Statc/2ip: Copies to: Builder, H1416 Provider Phoenix, AZ 85076 HERS RATER COMPLI CE SY'A'TEMENT The house was_ ❑ Tcstcd Approved as p.!trt,gf sample tcst.ing, but was not tested As the HERS rater providing diaposlic tea 'nb and field""vcrilic Ilion, f ccrtil'y l}ialthc hu�tse; ide�tilial un this li,rrn wmply with the diagnostic tcstcd compliance rcyuirancnts as chce.ked`on this form. ❑ The installer has provided a copy of CF -(PR (Installation'C utificatc. ❑ Dis&ihution system is fully -ducted (i.c., docs tint usic building 'cavitics as plenums or platform returns in lieu cif ducts) ❑ Where cloth backed, rubber adhesive duct laps is installed, mastic and drawhands are used in combination with cloth hacked, nthher adhc.ive duet tape to seal leaks at duet�connections. ❑ MINIMUM RF.QUIREMFNTS FOR DUCT LFAKA(.E REDUCTION COMPLIANCL CREDIT Duct Diagnostic Leakage TrAink Rcxull. (Maximum 6% puce Leakage) Meas ured Duel i'ressun•ratiun Test Result.~ (CPM @d 25 Pa) values Text f.cakage Flow in CPM ' If fan flow is calculated as 400cfrn/to.n x'nuriibcr n17t6ns'enter calculatul value here If fan flow is measured,cntcr mcitsured value here: Leakage Percentage (10'(t x 76A'i:cakagc/Fan Flew) Check &)x "fiir Pass or Fail (Pass=(i%o iJr Icss). ❑ ❑ Pass Fail ❑ THXRMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Therm-mutic 13-xpun.ion Valve iii installed and Au e.s in provided for inspection ❑ ❑ Yes is a pass, Pass Fail ❑ MINIMUM RF.QUIRFMF.NTS FOR Dtj(-r DESI(..N COMP.1.IANCE (:R'EDIT nients'have been met (rater la I' ❑ Ycs ❑ Nu AC(:A Manual D Design requtre's verified that actual installation matches'vAucs in -CF -I R and design on plan. . 2, ❑ Ycs ❑ Nu TXV is installed or t?xn:flnw hag hccn'vcrificd. 1'f nu TXV, verified fan flow matches dcsigT from C;F-1R Measured Fan Flu-":: . _.,_..... ❑ ❑ Yes For Mali I and 2 is a Pais Pass Fail Compliance Forms August'2001, ; : A-16 Page 9 09/16/2005 15:26 FAX PARAGONPSCHIMID 12010/014 INSULATION CERTIFICATE This is to certify that insulation has been installed in confo-mance with the current energy regulation, California Administrative Coda. Title 24, State of California, in the building at NORMAN ESTATES, LOT 40, PHASE 3. LA QUINTA CA CEILINGS: TYPE: BATTS MANUFACTURER: Certainteed THICKVESS R•38 WALLS: TYPE; BATTS MAUNFACTURER: Certaintc,ed THICKNESS- R­9 GENERAL CONTRACTOR: EHLINE CO BUILDERS LICENSE # BY: PARAG CHMID BUILDING PRODUCTS A 141ASCO Ccmpany LICENSE #:221517 BY: ' _ �' TITLE: ACCOUNT REPRESENTIVE GATE: l