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04-4955 (SFD)). Box 1504. -495 CALLE TAMPICO QUINTA, CALIFORNIA 92253 cwtof n Number Property Address APN: Application description .. Property Zoning Application valuation BUILDING PERMIT BUILDING &SAFETY DEPARTMENT (760)' 7774012 FAX (760) 777-7011 INSPECTION REQUESTS (760).777-7153 04-0.0004955 Date 7/28/04 774.90 CALLE COLIMA 774-075-026-12 -000000- DWELLING - SINGLE FAMILY DETACHED COVE RESIDENTIAL 156428 Owner Contractor SUNSHINE DEV A & M CONSTRUCTION• :• P.O. BOX'366. P.O. BOX.366 LA QUINTA: CA 92.2.47 LA QUINTA 'CA :92253 . (760) .564.:=4832 . WCC: STATE FUND. WC:. ,. 04.6-0009232'--- 01/01/05 CSLB:. 746198 02%28/06 CCC: B=G10 ------=--==--------------- Structure Information. ------------ ------ Construction Type TYPE V-.NON,RATED. Occupancy Type DWELLG/LODGING/GONG <=10. .Flood Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CSG # BEDROOMS 3:00.: FIRE SPRINKLERS..... NO. GARAGE SQ FTG 71700 PATIO SQ FTG 310.00. - NUMBER OF UNITS 1.00 FIRST FLOOR -SQ FTG`2.417.0 Q Permit . . . BUILDING PERMIT Additional des Permit 'Fee .839.00 Plan Check Fee 545.35 Issue Date Valuation 156428 Qty Unit Charge Per Extension BASE FEE 639.50 57.00 .3,..5000 THOU BLDG '100,001-500,000 199.50 Permit . . . . .MECHANICAL Additional. desc . .Permit Fee. 59.00 P1an.Check Fee". 1.4.75 Issue Date Valuation 0 Qty Unit.Charge_.Per Extension P.O. Box 1504 d4t'4 a �� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922.53 BUILDING & SAFETY DEPARTMENT Application Number: CAI !%255 55 Applicant: Applicant's Mailing Address: VOICE7(760) 777-791-2 FAX (760) 777-7011 INSPECTIONS (760)-777-7153 Date: Chitect or Engineer: - Architect or Lic. No.: Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am ' ensed under visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and my LI a is i full force and effect. cense Class� A License No. 1 v f 1-30-0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Seo. 7031.5, Business and Professions Code: Any city or county that requires a permit to constrict, 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 fora permit subjects the applicant. to a civil penalty of not more than five hundred dollars ($500).): U (as owner of the property, or my employees with wages as their sole compensation, will do the work, and the sfnrcture 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 constrict 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. -.B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to self4risure 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. . I have and will maintain workers' compensation rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.workerrcompensation nce tamer �� _ I certify that, in the performance of the work for which this'pdmfd Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia; ap'd agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shag forthwith comply with those provis ris. QED WARNING: FAILURE TO SECURE WORKEKS' 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY5 FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the.perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 14 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 pemut issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity 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 can Ilation. I certify that I have read this application and state that the above int ation is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize�repre ntatives of this county t enter upon the ab6ve-mentioned property for inspection purposes. Signature : (Applicant or Agent): P 9 ) Page 2 Application Number . . . . . 04-00004955 Date 7/28/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------7------------------------------------------------ Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 128.94 Plan Check Fee 32.24 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per. Extension BASE FEE 15.00 '2417.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 84.60 717.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.34 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 7 ----------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 148.50 Plan Check Fee 37.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 c 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 2417 S.F. SFD PERMIT DOES NOT INCLUDE Page 3 Application Number . . . . . 04-00004955 Date 7/28/04 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH ---------------------- Other Fees . . . ------------------------------------------------------ . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE - 54.54 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 15.64 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1190.44 .00 .00 1190.44 Plan Check Total 629.47 250.00 .00 379.47 Other Fee Total 1378.18 .00 .00 1378.18 Grand Total 3198.09 250.00 .00 2948.09 CERTIFICATE OF COMPLIANCE v��IF-Dsc Desert Sands Unified School District BERMUDA 47950 Dune Palms Road Date 7/29/04 La Quinta f CA 92253 RANCHO MIRAGE d � INDIAN WELLS '1 No. 26234 (760) 771-8515 WNJ�. PALM LA QUINTA %INDIO L� Owner Sunshine Dev. APN # 774-075-026 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street Unit 1 77490 Calle Colima Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 2417 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,417 S.F. or $5,414.08 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC -Palm Desert National Bank -Roy Schubert Check No. 089461 Name on the check Telephone By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth SChieferstine Signature Aa�' Funding Residential Payment Recd $0.00 $5,414.08 Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtes) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting �5-Gtltl� tlJ :.71 MI'1 4 ATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING i Firm: .J, L Street Address: 7��rgt1 �e►-.l' C/yL �P� Copies to: Builder, HERS provider g /Z.//03 Dater 14- /fit Builder Name Plan Number Sample Group Number Sample House Number HERS Provider: city/State/zip: I CF -4R HERS RATER S;OMELIANCE SIATEMENI The house was;Tested ❑ Approved as part of sample testing, but was not tested Asthe HERS rater providing diagnostic testing and fleld verification, I certify that the houses identified -on this form cc ly With the diagnostic tested compliance requirements as checked on this form. WDistribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in Ileu of ducts) Where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands 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 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM Q 25 Pa) values Test Leakage Flow in CFM 5� / If fan flow is calculated as 400cfm/ton x number of tons enter here W calculated value 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) ❑ ass Fail Lo"TIIERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent �es ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is installed and Access Is provided for inspection ❑ Yes Is a pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values In CF -11R and design on plan. , y) 2. 0 Yes ❑ No TXV is installed or Fan flow hes been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = ❑ a Yes for both 1 and 2 is a Pass Pass Fail AAA -10 V_ttiw xavier urbina architect 268 alder street arroyo grande, calif. 93420 (805) 481-1958 November 27, 2004 The Lench Design Group P.O. Box 450 La Quinta, CA 92247 Re: Plan La Paz II Field Visit 77-490 Calle Colima Dear Skip, The field visit to the residence known as La Paz revealed the following discrepancies. 1. All the trusses need plywood across the ends and sides from top plate to top chord to prevent racking of trusses at all supporting walls, please install sheathing. 2. Straps are missing at one location where shown on plans, enclosed marked -up prints show the locations, and the work is to be performed according to enclosed revised details 3. Numerous locations are missing the "A35" anchors connecting roof trusses to top plates and/or supporting wall beneath, these must be installed 4. Anchor bolts are missing in the kitchen and master bedroom. Please install epoxy anchors 5. Provide all "x" bracing between trusses as shown on plans The city's building inspector may perform the follow-up inspection. Please feel free to call if you have any questions. Respectfully, w ..: �c��® Al QC�j�' Xavier Urbina v�' D. U , -v. No. C-13333 0 011�v - 4C L4,B� �(J P� i Certificate of Occupancy0 o 4 Lcovornhn�� G� ofBuilding & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building 7 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. BUILDING ADDRESS: 77-490 CALLE COLIMA Y Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4955 r. Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC A & M CONSTRUCTION. Address: 78-070 CALLE CADIZ City, ST, ZIP: LA QUINTA, CA 92253 I�%^1 By: KIRK KIRKLAND Date: MARCH 9, 2005 Building Official POST IN A CONSPICUOUS PLACE