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04-7057 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)-1777-7012 78-495 CALLS TAMPICOErr—al AX-(•760) 77I7-7011 LA QUINTA, CALIFORNIA 92253. 1 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT i Cts "i'CE JCi" . Application Number . . . . 04-00007057 Date 11/08/04 Property Address . . . . . . 541355 CALLE HUENEME APN: 770-163-018-6 -000000- Application description . . . DWELLING -SINGLE FAMILY DETACHED Property Zoning MEDIUM DENSITY RES Application valuation... 113704 Owner ------------------------- POWER FINANCE P.O. BOX 134 LA QUINTA. CA 92247 Contractor ------------------------ CONTEMPORARY HOMES INCORP P.O. BOX 1141 LA QUINTA CA 92253 WCC: STATE FUND WC: 16764082004 07/01/05 CSLB: 736920 03/31/05 CCC: B . ------ Structure Information SINGLE FAMILY DWELLING ----- Construction Type TYPE V -NON RATED Flood Zone . . . . . . . . FLOOD ZONE AO Other struct -info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 481.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1823.00 ----------------------------------------------------=----------------------- Permit . . . . . .; BUILDING PERMIT _ Additional desc . Permit Fee 688.50 Plan Check.Fee 111.88 Issue Date . . Valuation . . 113704 Qty Unit Charge Per Extension BASE FEE 639.50 14.00 3.5000 -------- THOU BLDG 100,001-500,000 49.00 ------------------------------------------------------- Permit . . . . . MECHANICAL ------------- Additional desc . Permit Fee 59.00_ Plan Check Fee 3.69 Issue Date . . . . --Valuation -. - 0 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 P.O. Box 1504 • ot VOICE (760) 777-7012 78-495 CALLS TAMPICO aawcul FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: /(—&V— Architect r—&V—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 Contractor OWNER -BUILDER DECLARATION 1 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 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 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.). 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 Sec. , BA P.C. for this reason rBate 1 " Z9 ' O'- e Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have 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. —.1 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 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' 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. 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 3706 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 Lenders 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. certify that I have read this application and state that the above information is correct. 1 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. ,/Date i i ' 0'02-1 - o4 ignature (Applicant or Agent): 1 - Y Page 2 Application.Number . . . . . 04-00.007057 Date 11/08/04 Permit ... . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 103.43 Plan Check Fee 6.47 Issue'Date . . . . Valuation . . . . 0 Qty Unit Charge Per. Extension BASE FEE 15.00 1823.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 63.81 481.00 .0200 ELEC GARAGE'OR NON-RESIDENTIAL 9.62 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit PLUMBING Additional desc Permit Fee . . . 135.00 Plan Check Fee 8.44 Issue Date . . . . Valuation . . . . 0 Qty • Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 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 1.00 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 1823 S.F. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH. 75% REDUCED PLAN CHECK FEE FOR MULTIPLE PLANS OF SAME ----------------------------------------------------------- TYPE APPLIES Other'Fees . . . ------------------ . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 11.19 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 f `Page 3 Application Number 04-00007057, Date 11/08/04 ---------------------------------------------------------------------------- Other Fees ... . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 11.37 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid, Credited ---------- Due ----------------- Permit Fee Total ------ --- 1000.93 ---------- .00 ---------- .00 1000.93 Plan Check Total 130.48 .00 .00 130.48 Other Fee Total 2427.56 .00 .00 2427.56 Grand Total 3558.97 .00 .00 3558.97 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road BERMUDA DUNES Date 11/29/04 La Quinta, CA 92253 RANCHO MIRAGE 0 INDIAN WELLS No. 26657 d.� PALM LA QUINTA (760) 771-8515 �QINDIO y7� a Owner Power Finance' APN # 770-163-018 Address 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 51355 Calle Hueneme 1823 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho 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 1,823 S.F. or $4,083.52 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. 319773 Name on the check Telephone 5648490 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by haron McGilvrey Payment Recd So.00 J v $4,083.52 Over/Under Signature TtweNOTICE:Pursuant to Government Code Section 66020(d)(1), this o 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 JUL-10-2005 .i CCEi 05•:32 PM ATE'OF FIELD V] TIC TESTING `: Street Address: 7';014- &9W 6;e A, Copies to: Builder, HERS Provider �J Builder Neme Plan Number Sample Group Number Sample House Number HERS Provider: C IyER S City/State/zlp. /—u ohil C g,2Z P.01 CF -4R HERS RATER COMPLI• The house was: XTested ❑ Approved as part of sample testing, but was not tested As the HERS rater providingdiagnostic testing and field verification, I certify that the houses identified on this form com I with the diagnostic asted compllance-requlrements as checked on this form. FDistrlbution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileu f 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 LZ Test Leakage Flow in CFM / If fen 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=846 or less) ❑ Fess Fall YJ THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access Is provided for Inspection Yes I6 a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. Cl Yes ❑ No ACCA Manual D,Deslgn requirements have been met (rater has verified that actual Installation matches values In CF -1 R and design on plan. 2. ❑ Yea O No TXV Is Installed or Fan flow has been verlfled. 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 ❑ p - Pass Fall