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06-2844 (BLCK)X17 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:OA0.0284177L­-. Property Address: 77187 CASA DEL SOL APN: 773 -360 -016 - Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 3000 Tay/ 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I, hereby affirm under penalty of perjury that am lic:e1.hsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the 8 sines nd ssionals Code; and my License is in full force and.effect. License.Class: H License an, 862631 . Dater actor: OWNER -BUILDER DECLARATION I hereby affirm under penalty,of perjury that I am exempt from the Contractor's Stste: License Law for the following reason ISee: 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fife a signed statement that he orshe is licensed pursuant to the provisions of the Contractor's 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):: (_) I, as owner of the property, or my employees.with wages as.their: sole compensation, will do the work; and the structureIs not intended or offered for sale (Sec. 7044, Business,and Professions Code: The Contractors' State License Lew doas,not apply town owner of property who builds or improves.thereon, and who does the,work himself or herself through his:or her own employees, provided that:the improvements are not intended or offered'forsale. If, however, the building or improvement is sold within one ,year of completion, the, wner-builder will have the burden of proving that he,orshe did not build or improve for the purpose of sale.).. 11, as owner of the property, am.exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State Ueeme.Law does not apply to amowner of property who builds.or improves thereon; and who contracts for the projects with a contractor(s) licensed pursuantto the Contractors' State License Law.)... (_) I am exempt under Sec. .B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penaltyof perjury that there is a construction lending agency for the performanoe of the work for which this permit Is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: JOE BIRDSELL PO BOX 630 LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/06 Contractor: BIRDSELL BUILDERS INC, VJUL P OBOX 630 LA QUINTA, CA 92247 (760)409-7070 3 1 2005�[� Lie. No.: 862631 CITY OF LA WORKER'S COMPENSATION DECLARATION Thereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate ofconserit to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which,thWpermh is issued. I 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 issued. My workers' compensation insurance carrier and policy number are: carrier EXEMPT P ' Number EXEMPT _ I certify that, in the perfor a of work forwhich this permit Is issued, 1 shall not employ any person in any manner as bac a subf,l to the oro ars' compensation laws of California, and agree that, if I o, Id me 'act to the workers mpensation provisions of Section 3700 of the or, e, I Trth ' h compl with thgse ovisione. Data-3�wG liean l WARNING:,FAILURE TO SEGUR RKER COMPENSATION COVERAGE IS uN FUL AND, SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS (6100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES PROVIDED FOR'IN SECTION 3708 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES: 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 Quire, 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 au r cessation of work for 180 day&will subject permit to cancellation. 1111'` I certify that -I have read this application and state t °a ve i rmstion.is,correct. I agrk.to comply with all city and county ordinances and state laws ratan 'Idi 0onstruolio and hereby authori a representatives off this county to enter upon the above-mentio pr or inspectio rpo bate:°7 ��� �ign re b4pplicant cr Age :/ Application Number . . . . . 06-00002844 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee 00 Issue Date . . . Valuation . . . . 3000 Expiration Date 1/27/07 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------- Special Notes and Comments 120 LF 6' BLOCK WALL PER CITY STANDARD. Fee summary Charged - --- -- -------- Paid Credited. --- Due ----------- Permit Fee Total 54.00 ---- .00 ---------- .00 54.00 Plan Check Total .0.0 .00 .00 00 Grand Total 54.00 .00 .00 54.00. Ir LQPERUff DEC -20-2006 07:1,2 PM Plan Number Group Number Sample House Number werc C NEICRS 1lb"Addrese: alb brad Cir.%� ply/s�taJZlp: L• �� '1�, ' 3 Copies to: BWlder, WAS PWICIV ICE OTATEMdENT The house ra Tsseted ❑ Approved as part of sample testing, but was not tested As the HERS rater pr�ovidina d teefing and field verilrcatlon I Dern% Um houses Identified on this form com with the dtagnostic 6e�PNanoe roquiraments ae ohersi;kad on Is ' DldMbution system is fully ducted (i.e., does not use building 0"99 as plenums or platform returns in ileo dude) Whom doth hacked, rubber adhesive duct tape Id Installed, r�astlo and drawbands ere used in combination doth backed, rubber adhealve duct tape to seal Inks d duct connections, Pi__M_Rw4bwUM WIQUIREMENTS FOR DUCT LEAKAOI REDUCTION COMPLIANCE CREDIT Duet Dhgmostla Lealkaoa Teatdno Reauft (Maximum 9% Duet Leakage) Dud Pressurization Teel Results (CFM ® 25 Pa) Teel Leakage Flow M CFM If fan flow Is calculated as 400dm/ton x number of tats enter calculated value here If fan flow Is measured enter measured value hens Leakage Percentage (100 x Test LakegerFen Flory) a i Check Box for Pees or Fel (Pasr4% or Isssj Measured value LArTMERMOS mne WIPANSION VALVE (TXV) or Commission saroved equivalent �Ya ❑ No Thermoetatfc Expanakm Valve (or Cormnission approved equivalent) is installed and Access la provided Ibr Inspection Yes Is a pass ❑ MINIMUM REl lU1REMRNTS FOR DUCT onm COMPLIANCE CREDIT 1. O Yes O No ACCA Manuel D Design requirements have been met (rater has verified that actual Inetallatim matches values in CF -1R and design on, plan. 2. O Yes C No TXV is installed or Fan flow has been verified. If no TXV, verified tan flow matches design from CF -1 R. Measured Fan Flow a Yes for both 1 and 2 is a Paas J C3 Pass Fag O0 Pace Fail a bftdWE6 ftsm ma Lewd Fbmdo& gad Sbodma ondw oto a GodWd, AMM Aa NWX Bf Wn hMenny &Vbmw b Tlabkv 28 Jun 2WO The city of La Quinta DeparfrnM of Bdft end Safety 78.495 Calle Tampion Lo Quints, CA 92253 project The Single FomlyReddeWio IIr*d T =1VCMwDakSW p La QuhHar Cellfomia Regarding: Studwal ConWucdon Obserwdon To Whom My Cmem, I am a licensed Arr td in the Sime of Cali OW& and the design pmbssional of mcord 'for the nobd pnWs stru�ral sysbm. On 25 April Ml I vIWW th nobd prat file to pdmfam code mandated **butyl observadm pft b Cites final training ikon. 1 found`the shwh e b be in subftl is oonfOmv= X11 th@ sbrucMW design bt M of tim slrucbird Oort hftn dotmme* Of nf=IJ 1 [�aeby:t�etlrsr�; thatthe project is t'�St�9. Nyou have any Chartee D. Gariand Architect queOmmWng Us Proles please do not heslbde in con adng me. 74404%% tVftw SWk5 n PWm fbwml, CA 9"60 n Pia d%8) .WWX4W n Vatmimft: I7601:i "Tm