04-8082 (SFD)P.O. Box 1504
Appljicatc lonv°N;urh' b' 1- I
Prope-r-ty Add-r.e�ss .
APN:
Application description
Property Zoning
Application valuation
BUILDING & SAFETY DEPARTMENT
(760),777-7012
MPICO FAX (760) 777-7011
FORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
04-00008082 Date 1/18/05
. . . 81920 ELYNOR CT
764-040-023- - -
. . . DWELLING - SINGLE FAMILY DETACHED
. . . LOW DENSITY RESIDENTIAL
. . . 244659
Owner
Contractor
------------------------
BIRDIE HOMES
------------------------
FIRST PACIFICA DEV CORP
5 EAST CITRUS, STE. 105
300 EAST STATE ST,
SUITE #100
REDLANDS
CA 92373 REDLANDS
CA 92373
(909) 798-3688
WCC: STATE FUND
WC: 0008353-2005
01/01/06
CSLB: 760044
03/31/05
CCC: B
--------------------------
Structure Information -------------------
- -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
649.00
PATIO SQ FTG-
550.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2780.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
'1147.00 Plan Check Fee
745.55
Issue Date
Valuation
244659
Qty Unit Charge
Per
Extension
BASE FEE
639.50
145.00 3.5000
THOU BLDG 100,001-500,000
507.50
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
140.50 Plan Check Fee
35.13
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
10.00 6..5000
EA MECH VENT FAN
65.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
P.O. BOX 1504�� VOICE (760) 777-7012
Todf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: U4- 908a Date: .2-q -os-
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Addres .
ic. No.: l -1— \ 12A%
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen ng with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lice - in full force and effect.
Cicense Class icense No. lD
//�Uate� d Contract d—'�"
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 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 1, 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
Owner
WORKERS' 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.
Y:I have and will maintain wort rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i y wor com ation' rance carrier and polic n4f�b , ��
Carrier olicy Number C9[�O a rLri� 5
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 Califomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fortiyvith comply with those p(ovisions. ^ A
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. r
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 inf ation is correct. I agree6to comply with all city and county ordinances and state laws relating to building
construction, and ereby authorize representatives of this county to nter upon a above -m Toned property for inspection purposes.
ate Signature (Applicant or Age �—
Page
2
Application Number .
. . . . 04-00008082 Date
1/18/05
----------------------------------------------------------------------------
Permit . . . . ELEC-NEW RESIDENTIAL
Additional desc : .
Permit Fee . . . .
125.28 Plan Check Fee
31.32
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2780.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
97.30
649.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
12.98
----------------------------------------------------------------------------
Permit . . . . PLUMBING
Additional desc
Permit Fee . . . .
177.75 Plan Check Fee
44.44
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
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
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
Qty Unit Charge
Per
Extension
BASE FEE
15.0.0
7 ----------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 1, PLAN 2A 2780 SF. PERMIT
DOES NOT INCLUDE POOL,.SPA,
BLOCK WALLS
OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
111.64
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER.- RES
366.00
ENERGY REVIEW FEE
74.56
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
L •`
Page 3
Application Number
. . . . .
04-00008082
Date
1/18/05
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF PARK MAINT FAC
- RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI)
- RES
24.46
DIF STREET MAINT FAC
-RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------
Charged
Paid Credited
Due
------
Permit Fee Total
----------
1605.53
--------------------
.00
----------
.00
1605.53
Plan Check Total
856.44
.00
.00
856.44
Other Fee Total
2615.66
.00
.00
2615.66
Grand Total
5077.63
.00
.00
5077.63
Q_c
Certificate of OccupancyO p
�.
_ ==
-^
DMOL
C� OF TBuilding & Safety Department
This Certificate is issued pursuant to the requirements of Section 709 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: 81-920 ELYNOR COURT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8082
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: BIRDIE HOMES 111, LLC Address: 5 E. CITRUS AVE. STE. 105
City, ST, ZIP: REDLANDS, CA 92373
By: GARY HARTMAN
Z:Z: Date: APRIL 25, 2006
Eruildiln"I Official
POST IN A CONSPICUOUS PLACE
Apr 26 06 06,37a THE PALMS 7607771965
u / S
CITY OF LA OUINTA
BUILDING & SAFETY DEPARTMENT
�rFi� Ov rt���w 777-7012
INSPECTION REQUEST LINE
777-7153
Owner BIRDIE HOMES
Contractor FIRST PACIFICIA DEV. CORP.
Permit Number 04=8082
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 81-920 ELYNOR COURT
SFD — LOT 1,. PLAN 2A. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH
TYPE OF INSPECTION
DATE
INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
S
U/G ELECTRICAL / GROUNDING
FOOTINGS/ STEEL
.3 %' c,
CONCRETE SLAB
7- � 116 J
6`
iDON T POUR CONCRETE
UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
5 l/ S
OKAY TO WRAP
FRAMING COMBINATION
I ROUGH ELECTRIC
j ROUGH PLUMBING
.%
ROUGH MECHANICAL
INSULATION
2�
COVER NO WORK UNTIL A OVE SIGNED
INTERIOR GYP. BD. (DR ILL)
2
/,
EXTERIOR LATH
SEWER CONNECTION - ;r-- Itel-'
SEPTIC / GREASE INTERCEPTOR
I i
MASONRY INSPECTIONS
FOOTINGS / STEEL
d�OND [SEAM
i •
POOL / SPA! WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBUC WORKS DEPARTMENT 7 W fb. ' -
COMMUNITY DEVELOPMENT DEPT. •'
FINAL / JOB COMPLETED ZZA e-1131(- I
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY,BUILDING
p.2
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TES/TING (Part l) CF -411
The Palms
Project Title Date
81-920 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact
Telephone
Ti 4 () ,, n r ' 1' s `G F� 951 780-7265
HERS Rater, Telephone
46
Certifying Signature Date
First Pacifica Dev. Corp.
Builder Name
2-S
Plan Number
6
Sample Group Number
1 Svs. 1
Sample House Number
Firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: 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
comply with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R ( Installation Certificate)
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 draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
R1 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
values
Test Leakage Flow in CFM
If fan flow is calculated as 400cf Vton x number of tons enter
calculated value here 800
If fan flow is measured enter measured value here
January 5, 2001
6'o
Leakage Percentage (100 x Test Leakage/Fan Flow =
Check Box for Pass or Fail (Pass=6% or less)
❑
Pass
Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
\,❑X
'tll
❑
Yes No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection
El
Yes is a pass
Pass
Fail
January 5, 2001
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING I
The Palms
Project Title
81-920 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman
(909) 322-7140
Builder Contact l- Telephone
am h 1' 11 S �U �, t 951 780-7265
HERS Rater
Tel7relo� hone
Tele
Certifying Signature
Date
a
First Pacifica Dev. Coro.
Builder Name
2-S
Plan Number
6
Sample Group Number
1 Svs. 2
Sample House Number
Firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638
The house was: V Tested ❑ Approved as part of sample testing, but was not tested
CF -4R
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
comply with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R ( Installation Certificate)
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 draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
El 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
Test Leakage Flow in CFM _G7_
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here 1200
If fan flow is measured enter measured value here /
Leakage Percentage (100 x Test Leakage/Fan Flow =`O
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
M 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 is a pass Pass Fail
January 5, 2001
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part
The Palms
Project Title
81-920 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact Telephone
Ti . s' n n Y�& 951 780-7265
HERS Rater Telephone
Certifying Signature Date
t -
Date / '
First Pacifica Dev. Corp.
Builder Name
2-S
Plan Number
6
Sample Group Number
1 Svs. 3
Sample House Number
Firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638
The house was: "0 Tested ❑ Approved as part of sample testing, but was not tested
CF -4R
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
comply with the diagnostic tested compliance requirements as checked on this form.
`LL.I The installer has provided a copy of CF -6R ( Installation Certificate)
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 draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
❑O 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
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here 1600
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow 7 \�,.,
Check Box for Pass or Fail (Pass=6% or less) 'M ❑
Pass Fail
L1 THERMOSTATIC EXPANSION VALVE TX or Commission approved equivalent
Yes ❑ No Thermostatic Expansion Valve (or Commission approved ,
equivalent) is installed and Access is provided for inspection ❑
Yes is a pass Pass Fail
January 5, 2001