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04-3613 (SFD)4 O� BUILDING & SAFETY DEPARTMENT �P.. Box 1504. (760),777-7012 `SOF T 1 �0�� 7�8-4y95 CALLE TAMPtCO FAX (760) 777-7011 QIIINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 4 Olt- EPS' BUILDING PERMIT U s�yPNc Application Number . . . . 04-0.0003613 Date 6/24/04 Property Address . . . . . .51295 CALLE HUENEME APN: 770-163-015-3 -000000- Application description : . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . MEDIUM DENSITY RES Application valuation . . 119370 Owner ------------------------- POWER•FINANCE P.O. BOX LA QUINTA CA'92253 Contractor -------------------------- CONTEMPORARY HOMES INCORP P.O. BOX 1141 LA QUINTA CA 92253 Qty Unit Charge Per Extension WCC: STATE FUND WC: 157649.8 07/01/04 CSLB": 736920 03/31/05 CCC: B ------------------=------- Structure Information --- : Type TYPE V - NON RATED Occupancy Type . ... . . . DWELLG/LODGING/CONG <=10 Flood Zone .. . . . . . . . NON=AO FLOOD ZONE Other struct info . . . . . .CODE EDITION 2001 # BEDROOMS 3.00. FIRE.SPRINKLERS NO GARAGE SQ FTG 480.00 PATIO SQ FTG 19.00. NUMBER OF UNITS 1.00 ------------------------ FIRST FLOOR SQ'FTG\ 1918.00. -----------=---------------------= Permit . . . . . ------------------ BUILDING PERMIT Additional desc Permit Fee 709.50' Plan Check Fee*. 461.18 Issue Date Valuation 119370 Qty Unit Charge Per-., Extension BASE FEE 639.50 20.00 3.5000 ------------------------------------------ THOU BLDG 100,001-500,000 70.00 Permit . . . . . . --------------------------------- MECHANICAL Additional desc Permit Fee 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 •ot :�G�i, �/ 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: Applicant: Applicant's Mailing Address: Date: �o 'o?'`�• d y 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 1 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 / 7 1 irancw Nn A OWNER -BUILDER DECLARATION I he y a 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 cityor oo ty 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 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.). U 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under SK. , BA P.C. for this reason Date AOwner WORKERS' COMPENSATION DECLARATION I hereby affirm der penalty of perjury one of the following declarations: I ave and will maintain a certificate of consent to self4nsure 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 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' comp,m,ye,/,,C1sation la of Califomla, and agree that, if I should ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I forth Vn`n complyAith4 t se rovisions. —' WARNING:/FAILUO SECURE WORKERS' COMPENSATION COVERA6E4&VN09_FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI�IN,,11//@9S UP TO NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO 3706 OYTHE 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,perfornance 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, indemnity 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 followingIssuance 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 f r 180 days will subject permit to cancellation. certify that I hal"/read this plication and state that the above irk on is ce comply with all city and county ordinances and state laws relating to building c/ons�icn, a hereby a 6 rQ epr�esentatives of this county to enter upon the above-mentio d property for inspection purposes. pate Signature (Applicant or Agent): Page 2 r . . . . . 04-00003613 Date 6/24/04 Page 2 Application Number . . . . . 04-00003613 Date 6/24/04 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 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 . . . ., 106.73 Plan Check Fee 26.68 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1918.00 - .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.13 480.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.60 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ----------------------------------------------------------------------------- Permit . . . ... . PLUMBING Additional desc Permit Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 11.00 9.0000 EA PLB LAWN.SPRINKLER SYSTEM 9.00 6.00 ..7500 -EA PLB GAS PIPE >=5 4.50 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 t 1918 S.F. SFD PERMIT DOES NOT INCLUDE U Page 3 Application Number . . . . . 04-00003613 Date 6/24/04 -------------------------.-----.---------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH L ------------------=------------- Other Fees . . ------------------------ . . . . . . ART ------------- IN PUBLIC PLACES -RES ------ .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 46.12 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 11.93 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1019.23 ---------- -------------------- .00 .00 1019.23 Plan Check Total 534.86 .00' .00 534.86 Other Fee Total 2463.05 .00 .00 2463.05 Grand Total 4017.14 .00 .00 4017.14 r r r CERTIFICATE OF COMPLIANCE Desert Sands Unified School District z4�cST�Rl7�:��°o 47950 Dune Palms Road ¢ BERMUDA DUNES r Date 7/1/04 ✓ La Quinta CA 92253 rn RANCHO MIRAGE d Quinta, INDIAN WELLS '1 ALM DESE No. 26116 (760) 771-8515 _ PLA QUINTAT y QINDIO Owner Power Finance > APN # 770-163-015 Address 5429TT.a 1=i1-ieneme '�� Jurisdiction La Quinta City La Quinta Zip 92253 /y" " Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 51295 Calle Hueneme Unit 2 Unit 3. Unit 4 Unit 5 Comments 1918 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 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 $2.24 X 1,918 S.F. or $4,296.32 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 -Power Finance Check No. 305670 Name on the check _-_ Telephone 564-8470 By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth Schieferstine Signature A 4 �� Funding Residential Payment Recd $0.00 $4,296.32 Over/under NOTICE: Pursuant to Government Code Section 66020(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 eadier. NOTICE:'This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting ,W04/04 10:51 FAX , RECORDING REQUESTEb BY First American Title Company 2004 AND WHEN RECORDED MAIL TO: Power Finance Associates, Inc. 51370 Avenida Bermudas, #1 La Quints, CA 92253 Space Above This Line for Rft-ordCrll Use only GRANT DEED A.P.N.:_770-163 015 and 770-163- T.R.A. No, File No.: RPD -140409 (sl) 016 and 770-163-015-6 and 770-163- 016-7 The Undersigned Grantpr(s) Dedare(s): DOCUMENTARYTFANMR TAX $220.00; a YTMNSPERTAX $0.00; computed on the cnnslderation or full value of property conveyed, OR computed on the wn: �WaTion or full value less value of Hens and/or encumbrances remaining at time of sale, oincorporated area; ( ] Qty of La Quint a, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Nancy Hope, a widow hereby GRANTS to Power Finance Associates, Inc., a California Corporation the following described property in the City �)f La Quirtta, County of Riverside, State of California: Dated: QS/211L004 Nancy Ho Certified to be ,, true and correct copy -as the salne appears In our files. K crow Offter Mall Tax Statements To: SAME AS Al3OVE 9 'd ' 81'WON Nlddfl9 NVI.111M N'd99:6 ti00Z 1 'APH 21/04/04 10:51 FAX A.P.N.: 770-163-015 STATE OF �� (Y�(Y'� COUNTY OF "0 Grant Deed - continued Z005 File No.:RPD-1404090 (SO Date: 03/31/2004 On h 0100 before me, 0 personally appearedr N , e - w (or rove to me on the basis of satisfactory evidence to be the personal whose narw e Is/aria' subscribed to the.within Instrument and acknowledged to me that /she/thy executed the same inr/tl r authorized capac'�ty( and t hat 01her/tt* sighatureW, on the I strument the person or tie enon behalf of which the persons acted, executed t instrument. WITNESS my hand and official seal, Signature My Commission Expires; o s� ;L-60-7 I Paso 2 of 2 Nolo y A* • Ca Mric Los Angeles County Certified to be a true and correct COPY as the s files. ame appears in Our BY-�Cl/l Craw Officer L 'd 8M'ON NIddNB hdI]]IM hd00:6 ti00Z 't '.Aeh 05/04/04 10:51 FAX f Q006 EXHIBIT 'A' Date; April ifi, 2004 File No.. RPD -1404090 (sl) LOTS 3 ANT) 4 IN BLOCK 5 0f DESERT C:= TRACT UNIT NO. 2, AS SHOWN BY MAP ON FILE IN BOOK 20 PAGE 6 OF MAPS, RECORDS OF PIVERSIDlE COUNTY, CALIFORNIA. A.P.N. 770-163-015-6 8 '.d 81h6'0N Certified to he a true avid correct copy as the same appears in our files. BV�l�Lt i -_ Crow Officer ` Page 1 of Y NI��N9 WNI111M Wb'66:6 MZ 't 'AeN a�w 78-495 CALLE.TAMPICO LA QUINTA; CA 92253 (760) 777-7075 APPLICATION �GD . ulllb. FLOOD PLAIN DEVELOPMENT. PERMIT BUILDING SITE LOCATION FLOOD ZONE 'AD' - DEPTH 1 COMMUNITY- PANEL NUMBER S 1 " ?,C( S% . eA H . N.rh%060709 0005 B ZZS3 Map Revised: 8/19/1991 APPUCANT INFORMATION SECTION ' APPLICANT NAME. Q.�i Ce nC APPLICANT ADDRESS . Z& (MAILING ADDRESS, NOT THE BUILDING SITE) 'PO�'✓%` `' ii.— / . '�. DAYTIME TELEPHONE NO.�(170 INSTRUCTIONS t , A Flood Plain Development Permit is required 'by LQMC Section 8.11.040(A1. The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the ' required documentation noted, hereon at the same time the Precise Grading. Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for. STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safe ty Department authorizes foundation construction. • Submit a completed FEMA "Elevation. Certificate" form to the Engineering Department. • Submit 95% relative density soils' compaction certification to the EngineeringDepartment. STEP 1 OF 2 APPROVAL CTFP 2 OF 2 APPROVAL The Precise Grading Plan submitted for this application has. been . All requirements have been satisfied. This Flood Plain reviewed and found to. contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible.to receive a building permit upon satisfying all other. Building & fety Depart ent requirements. AUTHORIZED SIGNATURE DATE AUTHORIZED SIGNATURE DATE La Quinta Engineering Department La Quinta Engineering Department FILE: Upon Step 2 approval' original goes in "Flood Plain Development Permit' file; copy goes to Applicant ,090 REV -2 WOO Oil -C,-C Certificate of Occupancy 4 QUM& G� OF'I1Building & 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. BUILDING ADDRESS: 51-295 CALLE HUENEME Use classification: SFD Building Permit No.: 04-3613 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: POWER FINANCE Address: PO BOX 134 City, ST, ZIP: LA QUINTA CA 92247 By: KIRK KIRKLAND Date: 3-30-2005 Building Official POST IN A CONSPICUOUS PLACE ESSI SHA HAI NDEHo Cl V11 EN6D VEER 45175 Panorama Dr., Suite E Telephone (760) 340-5597 Palm Desert, CA 92260 Fax (760) 340-1121 �y, r ll F. August 13, 2004 Department of Building & Safety ~City of La Quinta Re: Finish Floor Certification 51-295 Calle Hueneme La Quinta, CA 92253 Lot 3, block 5 M.B. 20/006 Desert Club Tract, Unit 2 APN: 770-163-015 To Whom It May Concern: We have performed a field survey to determine the vertical location of the building Finish Floor for the above referenced project. The elevation's observed are as follows: FF (DESIGN) FF (AS -BUILT) 42.00 42.00 These field observations are in substantial conformance with the Precise Grading Plan Prepared by ESSI SHAHANDEH, CIVIL ENGINEER, dated -----------, approved by the City of La Quinta on--------------, and the building pad horizontal location substantially Conforms to the required setbacks and site layout as shown on the approved Site plan and Precise Grading Plan.. Sincerely, ESSI SAAHANDEH, CIVIL ENGINEER r Q�OFESS/py e — A—, *o\NR SH//- < Essi Shahandeh, Principal yCO P.E. 47834,'Exp 12/31/05 c"c "' No. -47834 = m Jx CIVI 4 FOF CALIF MAR -14-2005 09:19 AM P.05 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF -4R Pro' ct TitlD e at A? Pl7 Fw► G Z_ 1' ®w ea. Bul Pro t Address 6s Ider Name Bui der Contact Telephone Plan Number HERS star T le hone Sample Group Number i z/C/* s rcrying Signature to Sample House Number ir:_ �� ^ /��OY�-yam S HERS Provider: Street Address; City/State/zip: Copies to: Bullder, HERS Provider HERIA61ER COMP IANcg STATQdENT The house was:P" Tested ❑ 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 com y with the diagnostic tested compliance requirements as checked on this form, 9Dlstrlbution system is fully ducted (Le., does not use building cavities as plenums orlatform r of ducts) p returns in lieu where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are use y�with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. din combination 2f MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM.Q25 Pa) Measured values Test Leakage Flow In CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here �7UZJ If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) 0 Check Box for Pass or Fail (Pass=6% or less) P TTHIERMOSTATIC EXPANSION VALVE (TXy) or Commission approved equivalent 'E Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is installed and Access Is provided for Inspection Yes Is a pass ❑ 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. Q Yes D No TXV is Installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 Is a Pass 0 ri Pass Fall Pass Fail N/W ❑ ❑ Pass Fail