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04-7178 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT kl e Application Number 04. 0.00` 0.7178 Dat2�a2005 Property Address . . . 77_7_8.O—CALLE SINALOA APN: :' 773-141-011-11 ,-000000 CITY OFLAQUINTA Application description . . DWELLING SINGLE FAMILY -DE NANCEDEPT. Property Zoning . . . . . .COVE RESIDENTIAL Application valuation . . 99448 Owner Contractor --------------------------------- --------------------------------- ruwEx r'llvHivCE . CONTEMPORARY HOMES I11CORP P.O. BOX 134 P.O. BOX 1141 LA QUINTA, CA 92247 LA QUINTA,—CA-92253 WCC: STATE FUND WC: 16764082004 07/01/05 CSLB:-- 736920 03/31/05 CCC: B P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 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 CoJ ntracto� OWNER -BUILDER DECLARATION I hereby affirm under penalty 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. 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 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 Ksold 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.). , 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. , BA P.C. for this reason Date t ( Owner V 101– W KERS' 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:- Carrier 1 Policy -Number /' L_ ' 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 forthwith comply with those provisions. Date Appy t 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 3708 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 Quinta, 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 enter upon the above-mentioned property for inspection purposes. --•-------------------------------------------------------------------------- Application Number . . . 04-00007178 ----------------------------------------------------------------------------- -.---- Structure Information SINGLE FAMILY DWELLING ----- Construction Type TYPE.V - NON RATED Occupancy Type. . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . NON -:AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 536.00. PATIO SQ FTG 176.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1514.00 -------------------------------------------------------------.--------------- Permit . . . . BUILDING PERMIT Additional desc Permit Fee 639.50 Plan Check Fee .415.68 Issue Date . . . . Valuation 99448 Expiration Date 6/22/05 Qty -Unit Charge Per Extension i�tiSE FEE 414.30 50.00 4.5000 THOU BLDG 50,001-100,000 225.00_ Permit . . . . MECHANICAL Additional desc Permit Fee 52.50 Plan Check Fee 13.13 Issue Date Valuation . . 0 Expiration Date 6/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 93.71 Plan Check Fee 23.43 Issue Date Valuation . . . . 0 Expiration Date 6/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 1514.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 52.99 536.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.72 1:00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit PLUMBING Additional desc Permit Fee . . . . 135.00 Plan Check Fee 33.75 Issue Date . . . . Valuation 0 Expiration Date 6/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 Application Number 04-00007178 Permit PLUMBING _ Qty 'Unit Charge Per Extension 11.00• 6.0000 EA r PLB FIXTURE 66-.00 - 1:00 15.0000 EA ?LB 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 6.00 .7500 EA PLB •GAS' PIPE >=5 _ 4.50 1.-00 . 15.0 0 0 0 'EA': PLB GAS METER y - "15.00 " Permit GRADING PERMIT ' ' Additional desc Permit Fee . . . .15.00 Plan Check Fee .00 Issue Date P Valuation . . . . 0 'Expiration Date 6/22/05.- s , Qty- Unit .Charge- Per - Extension r BASE FEE 15.00 ' ., Special 1voLes and Comments ,1514 ' SF. ' SFD• PERMIT DOES NOT INCLUDE � ` 3 BLOCK WALL,` POOL/SPA,OOR'DRIVEWAY , APPROACH - - - - - - - - - -. - - - - - - - - - - - - - -,- - - - - - - - - - - - - -.- - - -.- - - - - - - - - - - - - - - -.- Other•Fees- ART IN PUBLIC PLACES -RES- - - - : -'- - - - - - - - - .00 DIF COMMUNITY CENTERS -RES 97.00 ' ' DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 41.57 DIF FIRE PROTECTION -.RES, 97.00 DIF LIBRARIES = RES .225.00 _ - DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES ' - _ _ . � , r ,.... _• - ., _. - • --:.'STRONG - MOTION- (SMI) RES .502.00 � ' 9'.;94: DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -'RES 1098.00 } Fee summary Charged 4 Paid Credited, ry Due. Permit Fee Total 935.71 .00 .00 935.71 " -Plan.Check -Total 485.99 •250-.00 .00 235.99 Other Fee Total 2456.51 . 00, 00 245=651 - , Grand Total 387-8'2-1'-'-2-50. 00 . 00 X3628.21 Building �'% � K, Address / ! /0(/ Address jL /A/ C&ttJ1 4 4 " JA34,� � PO. BOX 1504 APPLICATION ONLY 178-495 CALLE TAMPICO O X21 LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONSTOCC. GRP. A.P. Number 91, _ ��✓'�(/y�/ Tel. , ' Legal Description Lly f�Y/v/1&"Ia I L�' �'7 7 Te LQ !�/�6 I Statesi f. � `� ( Lic.City 2 f-7 / Arch., Engr., Designer �lvj�Iew a civ %%%/� z') (�(Z 2,0/ l int# I LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I a er provisions of Chapter 9 (commencing with Section 7000) of Divis' usines an Professions Code, and my license is in full force and effect. SIGNATU 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, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds ort mroves thereon and who does such work himself or through his own employees, provided that such improvements are not int ed-&- for sale. If, however, the building or im- provement is sold within o r o/ completion, the caner -builder will have the burden o/ proving that he did not d or improve for the pur se of sale). ❑owner of t r?party, am exclusio ti with licensed contractors to construct the project. ( 7044, Business a , ns Code: The Contractor's License Law does not apply t n owner of props o bu' or improves thereon, and who contracts for such projects dh a contractor censed rsuant to the Contractor's License Law) ❑ 1 a exempt u ec. B. & P.C. for this reason Date Owner I -� I hereby affirm that I have a c ficale of nt to self -insure, or a certificate of Worker's Compensation Insurance, or a certied hereof. (Sec. 3800, Labor Code.) Policy No. Company O 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 if the permit is for one hundred dollars ($100) valuation 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 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 slate 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 WHITE = BUILDING DEPARTMENT Project Description /9 ZONE: BY: Sq. Ft. �� No. / Size Stories No. Dw. Units New,V- Add O Alter ❑ Repair ❑ Demolition 0 Rear Setback fromRear Prop. Line C Side Street Seiback from Center Line -I:;,. ;1,. i% Side Setback.'from Property Line " FINAL DATE INSPEGTQf ` '' " Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing ' S.M.I. Grading - rlveway Enc. Infrastructure TOTAL REMARKS Validated by: Validation:_ YELLOW = APPLICANT PINK = FINANCE /9 ZONE: BY: Minimum Setback Distances:% :s`f •�s, Front Setback from Center Line 7 Rear Setback fromRear Prop. Line C Side Street Seiback from Center Line -I:;,. ;1,. i% Side Setback.'from Property Line " FINAL DATE INSPEGTQf ` '' " Issued by: Datey'Permit Validated by: Validation:_ YELLOW = APPLICANT PINK = FINANCE Unit 1 Unit 2 Unit 3 Unit 4 Unit 5 Comments R78M�Galle_'Sinaioa4 1514 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under .5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanitation) or replacement mobile hog mes. 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 $2.24 X 1,514 S.F. or $3,391.36 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 CC/Valley Independent Bank -Amanda Velez Check No. 319830 Name on the check Telephone 5648470 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sha`,_ McGilvrey Payment Recd 1 $3,391.36 Over/Under Signature- C„ &-ev V NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r 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 f w CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road BERMUDA DUNES Date 1/6/05 La Quinta, CA 92253 v% RANCHO MIRAGE CJ ,� INDIAN WELLS No. 26766 (760) 771-8515 dt� PLAQUINTA DESERTy j",�vINDIO y� O Owner Powers'Finance APN # 773-141-011 Address t Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 ; Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 Unit 2 Unit 3 Unit 4 Unit 5 Comments R78M�Galle_'Sinaioa4 1514 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under .5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanitation) or replacement mobile hog mes. 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 $2.24 X 1,514 S.F. or $3,391.36 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 CC/Valley Independent Bank -Amanda Velez Check No. 319830 Name on the check Telephone 5648470 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sha`,_ McGilvrey Payment Recd 1 $3,391.36 Over/Under Signature- C„ &-ev V NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r 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 f 12/3/2004 12:54 PAGE 002/003 f ' RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL TO: Power Finance Associates, Inc. 51370 Avenida Bermudas, #1 La Quinta, CA 92253 Fax Server 1 Space Above Th Is Llnefor Recorder's Use Only GRANT DEED A.P.N.: 770-164-013 and 773-141- T.R.A. No,. File No.: RPD -1424302 (sl) 011 The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $286.00; CITY TRANSFER TAX $0.00; X computed on the consideration or full value of pn)perty conveyed, OR C computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; [ X) City of La Quinta, and FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Thomas M. Stellar, Trustee, pursuant to the terms of the Richard E. Stellar Living Trust dated August 14, 2003 and William A. Stellar and Richard F. Stellar hereby, GRANTS to Power Finance Associates, Inc., a California Corporation the following described property in the City of U;t Quinta, County of Riverside, State of California: PARCEL 1: LOT 1 OF BLOCK 4 OF DESERT CLUB TRACT NO. Z AS SHOWN BY MAP ON FILE IN BOOK 20 PAGE 6 OF MAPS, RECORDS OF RIVERSIDE COUNTY CALIFORNIA. PARCEL 2: LOT 11 IN BLOCK 114 OF UNIT 12, SANTA CARMELITA AT VALE LA QUINTA, AS SHOWN BY MAP ON FILE IN BOOK 18 PAGES 79 AND 80 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. Dated, 12/03/2004 Mail Tax Statements To: SAME AS ABOVE Z A £££1'ON NIJJNB WdI11IM W11 ti00Z Toon 1 I RC DISTRICT PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellings in the. RC. (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is'to determine: 1) that the proposed housing design does not duplicate the same architectural style of any house within 200 feet of the applicant, .and/or 2) if there is a need for the appllicant to file .for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmit this information to the Building and Safety Department as . part of your correction list. Please attach additional explanations' as necessary. APPLICANT: POWER FINANCE .SITE ADDRESS: 7E-7730 SINALOA APN 77.3 - 141 011 CASE NO..: 1041 r LEGAL: LOT BLOCK UNIT S.C:C?V1.Q. CHECK AND APPROVED.BY: D.'ATE! Inform the assigned Building plan checker .upon your assignment to this case. The CDD Executive Secretary maintains 'a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify.legal and<APN information Consistent with MDG on file.(as applicable) .MDG filing required (5 filings since 9/3/98) Architectural -variety within 200 feet of the surrounding area: - Architectural design. features roved b O Planning.Coe`o mmissionO Citv rno ---�_ `community Dev Dept. Initials cage Exhibit O With Conditio - ---------- Other Requirements: CT -03-2005 11•02 AM ' CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING - 05 Protect Title Date ProJec Address • - Builder Name Builde�Conct g Telephone ' �I r1a/d •170) P Plan Number HERS Rater_ // 1-i Telephone Sample TOUD Numt —Firm:. _ � • � O �. - - HERS Provider: Street Address:. City/Statialo: Copies to . Builder, HERS Provider - HERS RATER C6MP IANCE SWEMENT v i. The house was:Tested ❑ Approved as part of sample testingbut was not tested As the HERS raterroviding diagnostic testingand field verificatlon, I certify that the houses'Identified on this. • com with the diagnostic agnostic compliance requirements as checked oh,this form. form LP Dlstributlon system is fully ducted (i,e:, does not use building cavities as plenums ; or platform return ' .� �o•f ducts) . , • 1 p . s In.lieu 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 8% Duct Leakage) y Measured Duct Pressurization Test Results (CFM ® 25 Pa) - ' values Test Leakage Flow In CFM If fan flow Is calculated as 400cfm/ton x number,of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100.x Test Leakage%Fan Flow) Check.Box for Pass or. Fall (Pass=8% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV or Commission a roved equivalent &,Y. uivalent e❑ No. Thermostatic Expanslon Valve. (or Commission approved equivalent) is Installed and Access is provided for Inspection' • .❑ e Yes Is a pass p Pass Fail ❑ MINIMUM REQUIREMENTS -FOR DUCT DESIGN COMPLIANCE CREDIT'.' 1, CI Yes' . lD No ACCA Manual D Design requirements have been mete (rater has verified that actual Installation matches'velues in' •C.114R and design on plan. 2• ❑ Yes 0 No TXV is installed or Fan flow has been verified.. If no TXV, verified fan flow matches design from CF -1R, Measured Fan'Flow = ,. • h `', L .Yes for both 1 and 2. is' - � + � • a Pass Pass Fail