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05-2132 (SFD)4 .P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/16/05 Application Number: 05-00002132 Owner: Property Address: 52690 AVENIDA JUAREZ POWER FINANCE APN: 773-281-028-13 -000000- P O BOX 134 Application description: DWELLING L SINGLE FAMILY DET D 0 LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 146991 cCp 1 C 'SEP 1 3 2005 Contractor: Applicant: Architect or Engineer: Com'®F L AQUI ITA CONTEMPORARY HOMES INC ��NC�BEPT. 75271 STARDUST LANE INDIAN WELLS, CA 92210- (760)568-1404 Lic. No.: OOR SQUARE -FOOT Lic. No.: 736920 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 13 License No.: 736920 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is q issued. te_9' (3'�S oni tractor: / I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7 Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1576408-2005 -. following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the L*Code,shal orthwth comply with those provisions.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by • ,11 -any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500):• App (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. _ IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 1 am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta its officers agents and employees for any act or omission related to the work being Date: Owner: 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPER.1111T 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 t the above information is correct. I agree to comply with all city and county ordinances and state laws relator to b ' ding construction, and hereby authorize representatives O�of this ounty to enter upon �.t�heaa/bove-mentione ropert for inspectio pu oses. ! tO SiS na:Ze-(Applicant or Age r Application Number . . . . . 05-00002132 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 804.00 Plan Check Fee 522.60 Issue Date . . . . Valuation . . . . 146991 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 47.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 164.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation 0 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 122.43 Plan Check.Fee 30.61 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2363.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 82.71 486.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.72 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . Permit Fee135.75• Plan Check Fee 33.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 LQPERMIT Application Number . . . . . 05-00002132 Permit . . . . PLUMBING Qty Unit Charge Per Extension 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 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 Expiration Date 2/12/06 Qty Unit Charge Per-_ Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 2363 S.F. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH = ----------------------------------- Other Fees . . . . . ---------------------------------------- . . . . ART IN.PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 'DIF CIVIC CENTER - RES• 366.00 ENERGY REVIEW FEE 52.26 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 - _ - - DIF LIBRARIES -.RES 225.00. DIF PARK MAINT FAC - RES 5.00 STRONG MOTION (SMI) - RES 14.69 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 1154.18 .00 .00 1154:18 Plan Check Total 606.40 250.00 :00 356.40 Other Fee Total 1989.•95 .00 .00 1989.95 Grand Total 3750.53 250.00 .00 3500.53 LQPERMIT JUN—.27-2006 07:16 AM 1 , N�CERTIFICATE OF FIE w r^i0 Project Title - ,e- TI Firm: ,J., C , f "9'04'/a7i?-S Street Address: 7F4610 Copies to: Builder, HERS Provider P.01 Date 6umer Name Plan Number Sample Group Number Sample House Number tiERS Provider: / y�k Rs City/StatelZlp: L a aia,1 194 '7;U-::CL- Copies .21::CL HERS RATER 'CgMPLIANCE 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 comps with the diagnostic tested compliance requirements as checked on this form. 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. 0 --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 5 Test Leakage Flow In CFM, If fan flow is calculated as 400efm/ton x number of tons enter LIlV calculated value here If fan flow Is measured enter measured value here 1 _ Leakage Percentage (100 x Test Leakage/Fan Flow) _ � v D Check'Box for Pass or Fall (Pass=6% or less) ❑ ass Fail j HERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ No Thermostatic Expanslon Valve (or Commission approved ,;t'�Yes equivalent) Is Installed and Access is provided for inspection13Yes 415's is a pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. ��� 2. ❑ Yes ❑ No TXV Is Installed or Fan now 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 Fall Y -