04-4420 (SFD)IFA
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760),777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . .
. �04-00004420 J Date
12/16/04
Property Address, . . .
. 78`SE CCLARKE CT
APN:
643-170-999-29 -31348 -
Application description . .
. DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . .
. LOW DENSITY RESIDENTIAL
Application valuation . . .
. 0
Owner
Contractor
------------------------
PT. HAPPY RANCH
------- - ----------------
EHLINE COMPANY
78-570 HWY 111
55375 MEDALLIST DR
LA QUINTA CA 92253 LA QUINTA
CA 92253
(760) 771-8130
WCC: STATE FUND
WC: 2290006783
01/01/05
CSLB: 4.82086
11/30/05
CCC: B
------ Structure Information' 3189
SQ. FT.SFD OPTION-1,MODEL-A
-----
Construction.Type . . . .
TYPE V - NON RATED
Occupancy Type . . . . . .
DWELLG/LODGING/CONG <=10
Flood Zone . . .
NON -AO FLOOD ZONE
Other s tact J/n o jj
CODE EDITION 2001
CBC
D
/n1 u
# BEDROOMS
4.00
FIRE SPRINKLERS NO
ZF"Ej 2
GARAGE SQ FTG
633.00
PATIO SQ FTG
203.00
CITY�r- LA QUIVTA
NUMBER OF UNITS
1.00
)C -
1ST FLOOR SQUARE FOOTAGE
3189.00
----------------------------------------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc
Permit Fee' . . . 982.50 Plan Check Fee'.
638.63
Issue Date . . . .
Valuation . . . .
197518
Qty Unit Charge Per
Extension
BASE FEE
639.50
98.00 3.5000 THOU
BLDG 100,001-500,000
343.00
-----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 114.50 Plan Check Fee
28.63
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.
6.00 6.5000 EA
MECH VENT FAN
39.00
P.O. BOX 1504�� VOICE (760) 777-7012
Tdf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: e4- Date: 291016 {%7
Applicant:
Applicant's Mailing Address:
—Architect or Engineer:
Archite=Ee's re s:
ic. No.: G14 21140
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
Code, and my License is in full force and effect..
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 1, 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.).
1, 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. 8 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 certificate 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.
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:
Cartier. I 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
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 Ouinta, 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. to ent upon bove-mentioned property for inspection purposes.
Oate Icy" Signature (Applicant or Agent. l
s�
Page 2
Application Number. . . . . . 04-00004420 Date 12/16/04
Qty Unit
Charge
Per
Extension
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . . ELEC-NEW RESIDENTIAL
Additional desc
,
Permit Fee .
. . .
154.28 Plan Check Fee
38.57
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
3189.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
111.62
633.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
12.66
1.00
15.0000
EA ELEC TEMPORARY POWER POLE
15.00
----------------------------------------------------------------------------
Permit . .
. . . PLUMBING
Additional desc
Permit Fee .
. .
210.75 Plan Check Fee
52.69
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
21.00
6.0000
EA PLB FIXTURE
126.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
2.00
6.0000
EA PLB ROOF DRAIN
12.00
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
11.00
.7500
EA PLB GAS PIPE >=5
8.25
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 29,
PLAN Al,
3189 SF.
PERMIT DOES NOT
INCLUDE POOL & SPA BLOCK
WALLS OR DRIVEWAY
APPROACH.
----------------------------------------------------------------------------
Other Fees .
. . . .
. . . . ART IN.PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
_
Page 3
Application Number
. . . . .
04-00004420
Date
12/16/04
--------------'--------------------------------------------------------------
Other Fees . . .
. . . . .. .
DIF CIVIC CENTER -
RES
366.00
ENERGY REVIEW FEE
63.86
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
19.75
DIF STREET MAINT FAC
-RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
--------------------
----------
Due
Permit Fee Total
1477.03
.00
.00
1477.03
.Plan Check Total
758.52
500.00
.00.
258.52
Other Fee Total
2488.61
.00
.00
2488.61
Grand Total
4724.16
500.00
.00
4224.16
Jun 12 06 02:04p
OJ Insulation PS
7603432297
p.7
N N
CD m
C �
C. O w
� � N
O1
N Q _D
N
�. 7
O O (D
s 3
N (D
7 N
0 m
o m
� 3CD cc
�
g (D
N N 3
m
c
0 ? =r
O N (D
a co
(D
(D a
0) 3
(D M (D
� � c
=r
CD
c -o
(D m
T
i�
N
''ww
V!
N
a
a
O
C
a
�
OO
CL
V
O
N
�
r
D
CD
=I
N
N
`
V
�
0
left
a
O
go O
c
°a
A
?1
C-
0
a
z
d
m
s
n
O
7
m
(D
O cr
M
7
M-0
co 0
CD cOn
S
N
0
3
m
0
.o
O
n:
9
f M
M 1
1
D (D N
3 m N .
2 7
N :3
=3. 7
n
0
(ll C.
O N
o ��
C-CD
rt
O
O (0 ((DD N
mOZ3
m
3 m m �
m 31c
LD. :3
m 6 A
c5 o3
�0 <Cr
CD a M
5 _
c
O
�•
(D
3 Q '- C.
D3j — N O
(D
.« Q N
0 s0
m ID w W
fD O N
0 or O
M
a O
O
3
S
m
N
Q
7
�w
0�
INSTALLATION CERTIFICATE CF-6R
LOT 29 Plan A
Site Address
An IrWaiation certificate is required to be posted at the building site 6- made:i,available for all appropriate Inspections. (The information
provided on tltis form is required; however, use of this form to provide'he in,,,or radon is aptional.) Afler completion of final k"c ion,
a copy crust be provided to the building department (upon request) and the 6u)Iding owner M accupancy, per Seotion 10-103(b).
HVAC MTEMS:
liaafrrrp Equipment
t�clrancy
(Alta 7E, etc:) Duct Dud or heating Herding
Equip. Type (Pkg. CEC Certified Mfr Name of Identical LCf==1R Location Piping R- Load Capacity
treat pump) and Mode( Number Systems vial -re] (attic, etc.) , value (Btufhr) (Blufhr)
Split Gas 58STX09b-116 WfTXV 66% At60 8.-0 90,0D0 .0.00 .
58STX110-112 2 w1 7XV 81?°ro Attic_ 8.0 110,000 17O,b00'
c—ft Egmrprnarrt
CEC Certified
cfflc fgrw.
Compressor unit M[r
(SEUR, etc)
Duct
Cooling
Cooling
Equip, Type (Pkg.
Name and Model
g of Identical I>CF;-1 R
Location
Dud R-
Load
Capac-rty
heat pump)
Number
Systems valwil
(attic, etc-)
value
(Btulhr)
(Btulhr)
Split Cooling
38BROO48-3
12.0
Attic
8.0
48,000
48,000 '.
38BRC060-3
12.0
Attic
6.0
60,000 60,000
1. > reads greater than or equal to. 1, the undersigned, verify that equipmenA listed above is: 1) is the actual equipment irtslalled
2) equivalent to or more efficient than that specified in the certificate of compliarnce (Form CF-1 R) submitted fDr dorriplia ice with
the Energy Efficiency Standards for k1wWal buidkvs, and 3) equipment that meets or exceeds the appropriate requirements
for m� amlursd devices (from the >�pplisIce Efficiency Regulations of Rant 6), where gppikAblA-
Date
JBS M.schaniral, Inc.
Installing Subcontractor (Co. Name)
6R Gerierat Contractor (Ca. Name) OR Owner
Distribution rf Redreu- 0 of Rated N Tank Extemal
CEC Certified W Name Type (SW latlon, Identical input (kw . VolumC , r' ffi Clancy Standby Insulation R-
Heater Type a Moft.'Ntiir� Point-of-Usv) GcAW Type Systems or Btuft) (9813anc) ff,RE) Loss (%) value
2. For wriall gas eteorago (rated inp4 6f ass Own orequai to 75.000 Btultir)',-eteolzic reeletame and heat pump'is r hravat m 1st Erreryy Factor.
For" gas storage water bOdM-(f" IrW of gm&ter than 75,000 Btulhr), list Recovery Efficiency, Slaa ft Loss mM'Rated Input
For kmilanlaneatm gas list Recovery Efficiency attd Ratted Input.
3. R-12 extemal insulation is mandatory for storage water heaters with an energy factory of less than 0.58.
Faucets fL Shower Heads:
All faucets and showefieads installed are Certified to the Commission, pursuart to Tile 24, Part 6, Section 111.
I, the undersigned, verity that equipment listed above is: 1) is the actual equipment instaleo, 2) equivalenit to or more efficient than that specdltsd
in the oertlFiCate of compliance (Form CF-tf) submitted for Compliance with.lhe EnoV Etlicfency Standards for residential buildings,
and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (hom the Ap%Wsaw Ef idency Rep Wapans
or Part 6), where applicable. '
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
inatelling Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
I.d DWI -ldDIWUH03W SHr Wd9Z:G 900Z IT Inr
q
Certificate of Occupancy
V •
"
Law�owTFD
OF�w Building & Safety Department
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.
f
BUILDING ADDRESS: 78-385 CLARKE COURT
Use classification: SFD Building Permit No.: 04-4420
4
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: PT. HAPPY RANCH LLC Address: 78370 HWY 111
City, ST, ZIP: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 9-11-06
Building Officiaf
POST IN A CONSPICUOUS PLACE
`0
fa 9
s
CITY OF
LA QUINTA
pi III nM2JLSAEFW
DEPARTMENT
OF
7012
_e_
INSPECTIO
QUEST LINE.
!1 Iw , �'„ 7
,153
I
Owner
P�-I RANCH, LLC
Contraciar r tir tl� , sti7 lvir.� ?
Permit Number 04-4420
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES .
JOB ADDRESS fi8-385 CLARKE COURT
SFD — LOT 29, PLAN Al. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G.PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING d
FOOTINGS / STEEL
CONCRETE SLAB
oc
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF Z O
OKAY TO WRAP CJ
FRAMING COMBINATION
ROUGH ELECTRIC i
ROUGH PLUMBING
ROUGH MECHANICAL
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL D 014�
EXTERIOR LATH _2
GAS TEST Or.
SEPTIC ABANDONMENT
SEWER CONNECTION Z U 6 -
SEPTIC
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER • o '7
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT -�
COMMUNITY DEVELOPMENT DEPT. O
FINAL / JOB COMPLETED q
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
I TURN -ON UTILITIES OR OCCUPY BUILDING