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07-3153 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00003153 Property Address: 57431 PASEO DE LA PAZ APN: 764-010-008-15 -31910 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 165.971 Applicant: I hereby affirm under penalty of pe Section 7000) of Division 3 of the License Class: B, .Co ctor: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION at I am licensed under provisions of Chapter 9 (commencing with :s and Professionals Code, and my License is in full force and effect. License No.: 753190 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perlr atI am exempt from the Contractor's S tate 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 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).: (_ 1 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 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 I, 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: LA QUINTA 57 ESTATES INC 78401 HWY 111 STE G LA QUINTA, CA 92253 Contractor: HERINGTON DEVELOPMENT, JAMES 40960 CALIFORNIA OAKS RD, 428 MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/17/07 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 ILabor olicy number are: Carrier STATE FUNDPolicy Number 1542746-2007 I certify that, mance of the work for which this permit is issued, I shall not employ any person in ao as to become subject to the workers' compensation laws of California, and agree uld become subject to the workers' compensation provisions of Section 3700 of the, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURECRI ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO INAL 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. 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 Quinta, its officers, agents and a loyees for any act or omission related to the work being performed under or following issuance this permit. 2. Any permit issued as a result of this app ation becomes null and void if work is not commenced within 180 days from date of issuance s ch permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that above information is correct. I agree to comply with all city nd county ordinances and state laws relating to b ing construction, and hereby authorize representatives this coun y to ter upon the above-mentioned prop for inspection purposes. Dated 2_, ,nature (Applicant or Agent): Application Number . . . . . 07-00003153 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 870.50 Plan Check Fee 565.83 Issue Date . . . . Valuation . . . . 165971 Expiration Date . . 6/14/08 Qty Unit Charge Per Extension BASE FEE 639.50 66.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 231.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/14/08 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 . . . . 117.22 Plan Check Fee 29.31 Issue Date . . . . Valuation 0 Expiration Date.. . 6/14/08 Qty Unit Charge Per Extension I BASE FEE 15.00 2660..00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 93.10 456.00 ---------------------------- .0200 ELEC ----------------------------------------------- GARAGE OR NON-RESIDENTIAL 9.12 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 160.50 Issue Date . . . . Expiration Date . . 6/14/08 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 15.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERAIIT 40.13 0 Extension 15.00 90.00 15.00 Application Number . . . . . 07-00003153 Permit . . . . PLUMBING Qty Unit Charge Per Extension Extension 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 -------------------------------------------------- 15.0000 EA PLB GAS METER -------------------------- 15.00 Permit . . Additional desc . Permit Fee Issue Date Expiration Date GRADING PERMIT 15.00 6/14/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 15, PLAN 2B, 2660 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, - CPC, 2004 CEC, 2005 ENERGY CODES -----------------------------------------------------=---------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 56.58 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC .- RES 892.00 STRONG MOTION (SMI) - RES 16.59 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 1240.22 .00 .00 1240.22 Plan Check Total 654.52 .00 .00 .654.52 Other Fee Total 4568.17 .00 .00 4568.17 Grand Total 6462.91 .00 .00 6462.91 LQPERMIT i i•!'=; 06-2008 06 :46 AM M CF -JR C Ing Signature Ate Sample House Number --irm: (:!� 4'rr / HERSProvider: �tRS Street Address: /0" CltylState/zip: Coples to: Builder, HERS Provider RS BATER 22MPLIANCESTATEMENT The house was: Tested ® Approved as part of sample testing, but was not tested 49 As the HERS rater providing dia noetic testing and field verification, I certify that the houses Identified on this form com y with the diagnostic teste� compliance requirements as checked on this form, ;Distribution system is fullyiducted (i.e., does not use building cavities as plenums or platform returns In lieu f ducts) YJ Where cloth backed rubbor adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber Whesive duct tape to seal leaks at duct connections, INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM ® 25 Ps) values 11 Test Leakage Flow in CFM 7� If fan flow Is calculated as 400cfmlton x number of tons enter calculated value here If tan'flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) Check Box for Pass or Fail (Pass=6% or less) rte- ` Pass Fail THERMOSTATIC EXPAN810N VALVE (TXV) or Commission approved equivalent ;t"'Yes ❑ No Thermost�'tic Expansion Valve (or Commission approved equivalent) is installed and Access Is provided for inspection ❑ Yes is a pass ?St� Fail ® MINIMUM REQUIREMEOYS FOR DUCT DESIGN COMPLIANCE CREDIT t . O Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual InstallatiUrmnatchns valu s in CI? -1 R and design on plan. 2. C Yes C7 No T�V isinstalled or Fan flow has b nf n T vc�nied fan flow matches design f om Mdasured Fan Flow Yes for both 1 and 2 is a Pass Pass Far Empire Insulation, Inc. 4211 Latham St. Riverside, CA 92501 Phone: (951) 787-4844 Fax: (951) 787-4849 INSULATION CERTIFICATE This is to certify that Insulation has been installed in conformance with the current Energy Regulations & Building Codes of the City, County and State Governing Agencies for the State of California. PROJECT: CAPISTRANO SITE ADDRESS: 57-431 PASEO DE LA PAZ LA QUINTA CA Number City State Lot 15 Plan 2 CEILING AREA: BLOWN Manufacturer: GREENFIBER Thickness/Type: CEILING AREA: BATT Manufacturer: GUARDIAN Thickness/Type EXTERIOR WALLS: 8.36" R-vaule: R-30 9 1/2" R -Value R-30 Manufacturer: GUARDIAN Thickness/Type: 3 5/8" R -Value R-13 GENERAL CONTRACTOR: ��4�.:1 �l �► U Ile-, LICENSE # 51 Iq r' 'J BY: TITLE: Ni 1p DATE: l INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860072 BY: JOHN MIRANDA DATE: 4 2Z 08 r ,-Cerl ficate of Occupancy IK�7f �.�• ..- . F G� OF9w� Building, & Safety Pepartment 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 ordinances Citregulating .the various ornanceof the y re g g buildin g r - construction and/or use'; I , BUILDING ADDRESS: 57-431 PASEO DE LA PAZ Use classification: SINGLE FAMILY DWELLING 'Building Permit No.: 07-3153 Occupancy Group: R3 Type of Construction: VN Land Use Zone:. RL," Owner of Building: LA QUINTA 57 ESTATES Address: 78-401 HIGHWAY 11:1, STE. G. City, ST, ZIP: 'LA QUINTA, CA 92253 By: AJ ORTEGA ` Date: OCTOBER 2, 2008 Building Official POST IN A CONSPICUOUS PLACE r