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.
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