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0305-299 (SFD)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date x.572;"I4�Tr1It"��'>y/t}3ia't. DateC- A5- '? Signature of Contractor _.O �";� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business &'Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S 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 & policy no. are: Carrier 9TAI:E FUND Policy No. 16033-23 (This section need not be completed if the permit valuation is for $100.00 or less). (.) 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 Secticn 3700 of -the Labor Code, I shall forthwith comply with those. provisions"*"' Date: ' -fir Applicant- Warning: pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth .on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and .void if work0s 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 State laws relating to the building y construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purprpgseS_ ,,Signature (OwnerlAgent) /, _ BUILDINGPERMIT PERMIT/i DATE VALUATION. -' LOT TRACT .70 BLK 32 JOB SITE ADDRESS514NO ,ALV: MA ,51,IARl? Z, APN 773-1155-00115 OWNER CONTRACTOR/DESIGNER/EN (NEER ]3EAL'r. EMMI'MSES WT��1�3 , T. WMIR TMT.E,'R.PR.i:'?'£;&9 11375 IYUMIATEXIS CI, T17—C DR.IVE 1875,BU l&=3 C29M xaIUV , sllAf BIMNAtZDINO CA 9`�-408 SIs2 BMITARDfRO CA 321 O8 (909)SS4.7241 CKA 4706 USE OF PERMIT 11� 1T cp 1 ��arP�T S f MWOLE E .tiradl.Mc M ]. ..¢.✓ Yv.f:�.a1.. NG 1710 S.k'"SF0 PERMIT LIDES NOT INC'1:tfl)AI, ZLOCK YVAIA , PO01., OR DP.iViWAY APPROACH, 75% Reduced plaQ c1enh fee fir w th k plans of Saint type. 1'Itr't T CONSTRUCTION 0111.00 SP P+ORC%iif>!I TTO 43,00 SF GRAMOWARPOU 468.00 Or' WMd 4AT CQS'.0 Ort C0.N,MPM1)'6.'"XION' 1€22, ,S97.'0 0 CONSTRtiCTIO—A Prx" 1151-000.418-006 $6,10.00 PLATT CHECK PER 101-000-459-31 $1$01.58 FEE I>EPOWT 101-000.439.31.8 425(00 ` t'r€ArtiCAL YOU 1,04 -000-421-000 $59,00 ELECTRICAL =7 101~000-420.000 SI IX71 PLU1b1i3►1dC4FEZ. 10)-0010-419-1100 $124.00 S1'Ii.CrI°IO IviarION RM - RES 1()1.0110.241.000 $10,26 C)14,:A'DIND T4Z 1.01.000.42.3.000 $13.00 DEVELOPER IMPACT FEE ffi2,40&00 Ppylcllst PLAN 101-000-'441-345 T� m,21$j�� ST RUC11t�%Y.4�,%�7f9 T•�1�41` CNECT, sn' 61-Je.95 11 E 13 PRE-PAIDEM1. U 4250,00 '1 AL.1'I+, RM r MS kJUR NOW SEP 18 2003 CITY OF LA QUINTA FINANCE'DEPT . RECEIPT DATE hI;`t 'BY D E FINA INSPECT INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Q Underground Ducts Forms & Footings Ducts Slab Grade 4. Return Air Steel Combustion Air Roof Deck - - Exhaust Fans OX to Wrap 2 � � F.A.U. Framing Compressor Insulation Q Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines — Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation J Gas Piping Gas Test Appliances Final COMMENTS: f - ; Final Utility Notice (Gas) G ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) _ _ p (.9` • P O BOX 1504 Building Address ' � -1 S os • e� V.4,, t Jn C City lZip ITel. Cont Address City jZip_ ITe State Lic. City & Classif. I Lic. # Arch., Engr., Designer Address Tel. 030,161.14? 9Q 78-495 CALLE TAMPICO APPLICATION ONLY CIUINTA, CALIFORNIA 92253 S t: CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason; (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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'; I, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of Sale.) I I I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) t'! I am exempt under Sec. B. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company Cl Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of th? 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. Date Owner NOTICE TO APPLICANT: If. after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number '-? `-13 005,4 Legal Description n4he Gam-T� _PS, arr�c Project Description Z07 AO BLK -9.2— Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ rd— Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. �Q Plan Chk. Bal. Const.' Mech. Electrical Plumbing S.M.I. \ Grading l Driveway Enc. Infrastructure AfAt C law, Dt�a. TOTAL "!Z1 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Comments Certificates 24797, 24798 & 24799 paid with Cashier's Check #2015081736 ($10,978.20). 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 $2.14X 1,710 S.F. or $3,659.40 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 C/C-Bank of America, Rick Webb Check No. 2015081736 Name on the check Telephone By Dr. Doris Wilson Superintendent Fee collected /exempted by Patricia Barbuzza Signature Funding Residential Payment Recd $0.00 $3,659.40 over/Under NOTICE: Pursuant to Government Code Section 156020(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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting MAY -14-03 WED 02;28 PM NEAL T, BAKER ENTERPRISE FAX NO, 909 885 4059 Pr 02 `QW wIlr-1.1 mcorujED MAR. 10: EAL T. BAKER ENTERPRISES, INC 1875 Business Center Dr San Bernardino, Calif 92408 EScnoW mUrnnEn: 1'165-K onoEn NUM ,Ell: MAIL TAX r.;TAI'FMCMIS 101 NEAL T. BAKER ENTERPRISES, INC 1875 Business Center Dr San Bernardino, Calif. 92408 .- - r:vu• r•ri-,.•i 5-i,..v.l n, nq,•ni d••,•^Nrnnq n. rnm u:+,n!. IAN`i' 1�r_r_n FOn A VAI.UAGLE CONSIDMAll01.1, leCript ul whirh L 11r'IChy 2(.I 1lgwlprlOnd, M JOHN REGINALD MURPIIY l Nhcrehy GnANT(S) Io MQ -NEAL T. BAKER ENTERPRISES, INC., A California Corporation % the M'11 nroporly i11 the City of La quinta \ County or Riverside AS PER LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF: Sill') of G lilouli;l, deor,lihml as rt 0Mod July 12, 1988 /JOHN REG] JA ID MURPHYcouNlY or vuc - / Opp on_ -- - . boldo mo, (III 1ndc151gncJ. a rIM rubllc•In and 101 snld 31-11P, pen .---' -• ............ sa,auy app^,rod 1 oimlk SEAL BAREARA MCCULLEY - prrsw171Iy Ann'xa (9 ale (of pruvrd to nln In Ihn bnai= of ^.allzlnctmY �. . , ,l: r�.; 11I m!xr,'f ri-RIC. U.1 If ONNIA rvlrkl,rn) Io be Ihn per mnki vd.nnr Nwwm I:.lnrr aub;rl.hnd In Ihq j+•�'��r,,�{ q mr, IMT nfflr.. 111 1� Ko—L' 01CC0 Cr1V:!tY wilhlu h,3luugm,l nod nrluu+wlydgrd lu Inn loot hnr•:1+rllh?y r:rrulyd All romn.ision rap. Sept. I0, 1990 . I i , 1 1, vtrli�il l a..alu WITNESS WY hand and rifiClal Sc• I. ' FunM I'IO. ("•) 4(10 ("83) MAII_ W SIAIEMENIS AS 0I(IECIE0 AHOVF wUj� LYI ,• Uj lXJ v�\7,�. ci I1 _FQ`ta vz.(� O n N 0.~ z '� A 2 uK E m w } A 7 > N U F, l�� c -'-- cr _ srnae An(+VF lull: I IIdE 1-011. rIFCOfilllill-'S LII,C $S'• ' oocuMr:Nrrny rnANSHA TAX Ste• .... '� I;nnqudr,l ,n Idr . u. drinlnpnn ar vnhlr ql plop^.11' C•+nmq'rd, on f.. •,+.I'l 11 r••I .n Ilv , r\•,^.rlrl.,l i•+.. •• ,�I..r In :•• lir. r+ n. r r....\d �r.,.\rn, nl I ...... ... c,lr. .- - r:vu• r•ri-,.•i 5-i,..v.l n, nq,•ni d••,•^Nrnnq n. rnm u:+,n!. IAN`i' 1�r_r_n FOn A VAI.UAGLE CONSIDMAll01.1, leCript ul whirh L 11r'IChy 2(.I 1lgwlprlOnd, M JOHN REGINALD MURPIIY l Nhcrehy GnANT(S) Io MQ -NEAL T. BAKER ENTERPRISES, INC., A California Corporation % the M'11 nroporly i11 the City of La quinta \ County or Riverside AS PER LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF: Sill') of G lilouli;l, deor,lihml as rt 0Mod July 12, 1988 /JOHN REG] JA ID MURPHYcouNlY or vuc - / Opp on_ -- - . boldo mo, (III 1ndc151gncJ. a rIM rubllc•In and 101 snld 31-11P, pen .---' -• ............ sa,auy app^,rod 1 oimlk SEAL BAREARA MCCULLEY - prrsw171Iy Ann'xa (9 ale (of pruvrd to nln In Ihn bnai= of ^.allzlnctmY �. . , ,l: r�.; 11I m!xr,'f ri-RIC. U.1 If ONNIA rvlrkl,rn) Io be Ihn per mnki vd.nnr Nwwm I:.lnrr aub;rl.hnd In Ihq j+•�'��r,,�{ q mr, IMT nfflr.. 111 1� Ko—L' 01CC0 Cr1V:!tY wilhlu h,3luugm,l nod nrluu+wlydgrd lu Inn loot hnr•:1+rllh?y r:rrulyd All romn.ision rap. Sept. I0, 1990 . I i , 1 1, vtrli�il l a..alu WITNESS WY hand and rifiClal Sc• I. ' FunM I'IO. ("•) 4(10 ("83) MAII_ W SIAIEMENIS AS 0I(IECIE0 AHOVF �f. MAY -14-03 WED 02,29 PM HEAL T, BAKER ENTERPRISE FAX N0, 909 885 4059 P, 03 �. LEGAL ORSCRIPTION 0 m 0 C1 PARCEL 1: l.,ots 4 and 5 of Block 29 of. Santa CarwaliLa at Vale l.a Quinti, Unit 2 as -howl, by Map oil file lu Book i8, Pages 55 and 56 of Maps, Records of Riverside County PARCEL 11: , I,ot J.0 of Ill.ock 30 of Santa Cartnclitn :It Vale L: Quinti, Unit- 2 ns shown by wap on file lit Book 18, Pages 55 azul 56 of Nnps, Records of Riverside County I'AIiCL'1_l Lots 3, J5, .1.7, •19, 20 And 11 of liluc.k 31 of Santa C. A iLA at VaLc Li Quin La, Unit 2 as shown by Map un file ill Book 3.8, 11agea 55 and 56 of Maps, Records of Riverside County PARCEL 1V: ots 20 and 24 of Clock 1 of Santa Cnrme.lita at Vale La Quinti, Unit 2 as shower b} Map on file in Book J8, Pages 55 and 56 of Map;, Records of Riverside County PARCEL V: Lots 7, B, 9 And .10 of Iil.ock 33 of Santa Catme .ita at Vale La Qulnta, Unit 2 as, sh, by Map oil file ill 11ook 1.8, Pages 55 and 56 of claps, Records of Riverside County PARCEL Vit Lots 3, 4, 7.0, 2.1 and 22 of. Block 34 of Santa larmelita at Vale La Quinti, Unit 2 as shown by Map on file in Book 1.B, Pages 55 and 56 of pIaps, Records of Riverside County ti RECEIVED AUG 0 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 1) CF -4R Project Title:Baker Enterprises Date: 2/02/05 Project Address: 51860 Avenida Juarez, La Quinta Builder Name: Neal T. Baker Enterprises Builder Contact: Rick Webb Telephone: 909-228-0918 Plan Number: N/A HERS Rater: Rick A. Madlin Telephone: (760)325-6125 Certifying Signature D afe Firm: A.I.R. COMFORT SERVICES Street Address: 68-155 PELADORA RD. Copies to: Builder, HERS Provider System Number: Sample House Number HERS Provider: C.H.E.E.R.S. City/State/Zip: CATHEDRAL CITY, CA 92234 HERS RATER COMPLIANCE STATEMENT The house was: ested ❑ 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 comply with the diagnostic tested compliance requirements as checked on this form. E41 he 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 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 @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here If fan flow is calculated as 0.7 x condition floor area enter calculated value here If<fan flow is calculated as 21.7 x heating output btu capacity in thousands/hr enter calculated value here Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass=6% or less) 01 THERMOSTATIC EXPANSION VALVE (TXV) ❑ Pass ❑ Fail ©es ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass Lei Pass ❑ Fail 7eq.gtpliance Forms .. August 2001 �i �r INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R 51 8!o D d vEnllb 4 z - L-4 Q u. 17?1- 144 Site Address - Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM) If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr; enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction <_ 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN 1 ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2' ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail ❑ 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy compliance Forms I August 2001 6 A-25 June 23, 2004 City of LaQuinta Dept. of Building & Safety Re: Baker Houses: 51833 Avenida Cortez 51849 Avenida Cortez U860 Avenida`Juarez - " 5l8� Pursuant to City requirements, I have performed Structural Observations of the house framing for the above properties as)pertains to the following items of work: 1. Anchor bolt size and spacing 2. Shear;wall sheathing, nailing and blocking 3. Roof sheathing nailing 4. Header/beam sizes 5. Strapping at wall openings 6. Beam hardware 7. Holdowns It has been observed that the above items of work have been performed in accordance with the approved plans. It is recommended that the city give its approval to the work and authorize the contractor to proceed with the remaining work. " l eASe3A m E 18932 CIVIV exp• 6l3%� � �lF OF CAl1F���