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04-6821 (SFD)s BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),.777-7012 ' -FAX (760) 777-7011 1FORr�92253 INSPECTION REQUESTS (760) 777-7153 U 9 2005 B ING PERMIT LCiTy'JUFEB OF�LA .+SciiRfTA ; ApplicatiDEPT.. 04-00006827 Date 10/1,9/04 Property Address: .' '81877 COUPLES CT APN: 764-060-041- - - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 2254.78 Owner Contractor BIRDIE HOMES. FIRST PACIFICA DEV CORP 5 .EAST CITRUS AVE. STE. 105 300 EAST STATE ST, SUITE #100 REDLANDS CA 92373 REDLANDS CA 92373 (909) 798-3688 WCC: STATE FUND WC: 00083532004 01/01/05 CSLB: 76004.4 03/31/05 CCC: B -------------------------- Structure Information -------------------------- Construction Type . . . . . TYPE V - NON.RATED Flood Zone . ... . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC F'I'RE SPRINKLERS NO GARAGE SQ FTG 664.00 PATIO SQ,FTG 4.83.00 NUMBER OF UNITS 1...00' FIRST ,FLOOR. SQ FTG 2550.1-00 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1080.5.0 Plan Check Fee 175.58, Issue DateValuation ' 2:25478 Qty Unit Charge Per Extension BASE FEE 639.50 126.00 3.5000 'THOU BLDG 100,001-500,000 441.00 Permit . . . . . . MECHANICAL Additional desc . Permit Fee . . . . 140.50 Plan Check Fee 8.78 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=1,00K 27.00 3.00 9.0000 EA MECH+B/C.<=3HP/100K BTU 27.00 10.00 6.5000. EA MECH VENT' ,FAN 6-5.00 1.00 6.5000'EA - MECH EXHAUST HOOD 6.50 P.O. BOX 1504 4 4 �� VOICE (760) 777-70'12 - 78-495 CALLS TAMPICOT-afFAX (7.60) 777-7011 LA QUINT -A, CALIFORNIA 92253 INSPECTIONS (760) 777-.7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: e37 -q- Applicant: chitect or Engineer. Applicant's Mailing Address: chitect,or Engineer's d s: ALA Ic. No.: BUILDING, PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm undo ally of perjury that l am licensed under provisions of Chapter 9 (codng with Section 7000) of Division $ of the Business and Professionals Code, and my Lice full force and effe /� I 1--License,las OWNER43UILDER DECLARATION I hereby:affirrn under penalty of perjury that I am exempt from the Contractors' State License Law for the following,resson (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'permlt'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 applicartt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).)` U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struchire1s 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 buildworImproves thereon, and who does the work himself or "If 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 ofsale.). 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 Licensetaw does not apply to an owner of property who builds or tmproyes 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. B.& 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 oertificate 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.. eon will maintain work' compensation insurance, as required by,Secdon 3700 of the Labor Code, for the, performance of the work for which this permit is pe tion in nce ca Number certity that, in the pe mrance o the work for which this permit is issued, l shall not employs person In any manner so as to become subject to the workers' compensation laws of California and agree that, if I should me subJed to tiie workers' compensation provislons of Section 3700 of the Labor Code, I shall forthwith comply with those sions. /Osla pli WARNIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S.FEES. CONSTRUCTION LENDING AGENCY I hereby afire under penalty of perjury that there is a construction lending agency for the performance of the work for which th'is,pernit is Issued (Sec. 3097, Civ. C.). Lender's Name Lenders 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 mader. 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 Quints, Its officers, agents and emp"es;for any act or omission related to the work being performed under or following Issuance of this pernit. 2. Any permit issued as a result of this application becomes,null and void If work is not commenced within 164 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 applicatiorrand statethat the above In m� ton corre t. g e to comply wltti all city and county ordinances and state laws relating to building construction, a d.he by authorize representatives of this county enter u fie a ntioned property for inspection purposes Nate• Signature (Applicant or Agen I ./ Application Number Permit . . . Additional desc . . Permit Fee . Issue Date . . . . Page 2 . 04-00006821 Date 10/19/04 ELEC-NEW RESIDENTIAL 117..53 Plan Check Fee 7.35 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 255.0.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 8:9.25 664.00 .02.00 ELEC GARAGE OR NON-RESIDENTIAL 13.28 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 1.84.5.0 Plan Check Fee 11.53 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 19.010 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 9.00 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 7, PLAN lb 2.550 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE Other Fees . . .. . . . . ART IN PUBLIC PLACES -RES 63.69 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 17.56 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 4-1 Page 3 Application Number . . . . . 04-00006821 Date 10/19/04 Other Fees . . . . . . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 22.54 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee.Total 1538.03 .00 .00 1538.03 Plan Check_ Total 203.24 .00 .00 203.24 Other Fee Total 2.508.79 .00 .00 2508.79 Grand Total 42.50.06 .00 .00 4250.06 TE OF FIELD The Palms Project Title DIAGNOSTIC 81-877 Couples Ct. La Ouinta CA Project Address Herb Herman (909) 322-7140 Builder Contact c� Telephone -u�'� n) S vU 951 780-7265 HERS Rater • Telephone Certifying Signature Date 0 First Pacifica Dev. Co Builder Name 1-S .Plan Number 6 Sample Group Number 7 Svs: 1 Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS. StreetAddress: 16551 Mockinabird Cyn. Rd. City/State/Zi.p: Riverside. CA 92504-9638 Copies -to: . Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: 10 Tested ❑ Approved as part of sample testing, but was not tested CF -4R As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic testedcompliance requirements as checked on this form. The installer has provided.a copy of CF -6R ( Installation Certificate) Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ Where cloth backed, rubberadhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 60% Dud Leakage) Duct Pressurization Test Results -(CFM @ 25 Pa) Measured values Test Leakage Flow in CFM 7 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 800 If fan flow is measured enter measured value here Leakage Percentage (1.00 x Test Leakage/Fan Flow= 57 S Check Box for Pass or Fail (Pass=6% or less) 19 ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission aooroved equivalent `W Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and.Access is provided for inspection 'IL] ❑ Yes is a pass Pass Fail January 5, 2001 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING I The Palms Project Title Date 81-877 Couples Ct. La Quinta,. CA Project Address Herb Herman (909) 322-7140 Builder Contact Telephone Ti m ��► 4/b 951 780-7265 ERS Rater . ` Tele hone i 1 � Certifying Signature D e 1) CF -4R First Pacifica Deva Co Builder Name 1-S Plan Number 6 Sample Group Number 7 Svs. 2 Sample House Number Firm: Enemy Calc Services, Inc HERS Provider: CHEERS Street. Address: 16551 Mockinablyd Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing,and field verification, I certify that the houses identified on this form eelnply with the diagnostic tested compliance requirements as checked on this form. \� The installer has provided a copy of CF -6R ( Installation Certificate) `CJ Distribution system is fully ducted (Le., does not use building cavities as plenums or platform rettims.in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape. is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. 191 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Ma)dmum 60/6 Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Measured values Test Leakage Flow in CFM If fan flow is calculated as 400c&Vton x number of tons enter calculated value here 1200 If fan flow is measured enter measured value here Leakage. Percentage (100 x Test Leakage/Fan Flow = Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail 0 THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass . Pass Fail January 5, 2001 'V CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R The Palms Project Title 81-877 Couples Ct. La Ouinta. CA Project Address Herb Herman (909) 322-7140 Builder Contact I Telephone Tim To �► r 1 �I L 951 780-7265 HtIM Rater Telepho e Certifying Signature ate First Pacifica Dev. CorD. Builder Name 1-S Plan Number 6 Sample Group Number 7 Svs. 3 Sample House. Number Firm: Eneray'Calc Services. Inc HERS Provider: CHEERS Street Address:. 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 925044638 The house was: V Tested ❑ Approved as part: of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form eQmply with the diagnostic tested compliance requirements as checked on this form. The installer has -provided a copy of CF -6R ( Installation. Certificate) Distribution system:is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination, with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. IM MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Ma)imum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here - 4w/6-0 O If fan flow is measured enter measured value here Leakage. Percentage (100 x Test Leakage/Fan Flow Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail \ M THERMOSTATIC, EXPANSION VALVE (TXV) or Commission approved equivalent `blJ Yes ❑ No Thermostatic Expansion: Valve (or -Commission approved equivalent) is installed and Access is provided for inspection `NJ ❑ Yes is a pass Pass Fail January 5, 2001 A " �- 1W OWN CerriTicate of Occupapcy 0 i 4 - �j 1, �:j0 I Building Safety Department 14 o This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. i J BUILDING ADDRESS: 81-877 COUPLES COURT Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6821 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building' BIRDIE HOMES 111. LLC Address: 5 E. CITRUS, STE. 205 ty Ci, ST, ZIP. REDLANDS, CA 92373 E Ir By: STEPHEN WILLETT Date: AUGUST 30, 2006 ak Building Official POST IN A CONSPICUOUS PLACE A "