04-6825 (SFD)A
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BUILDING & SAFETY DEPARTMENT
w P O: &o.x 1504(760).777-7012
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eT8�495lCALLE FAX (760) 777-7011
��AIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
L FEB 0 125 ID
BUILDING PERMIT
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Application Number . . . . 04-00-0.068.25 Date 10/19/04
Property Address . . . . 81945 ELYNOR CT
APN: 764-040-026- - -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 225478
Owner Contractor
BIRDIE HOMES FIRST PACIFICA DEV CORP
5 EAST CITRUS AVE. STE. 105 300 EAST STATE ST, SUITE #100
REDLANDS CA 92373 REDLANDS CA 92373
(909) 798-3688
WCC: STATE FUND
WC: 00083532004 01/01/05
CSLB: '760044 03/31/05
CCC: B
-------------------------- Structure Information -------------------------
Construction Type . . . . . TYPE V - NON RATED
Flood Zone NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 664.00
PATIO SQ FTG 483.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2550.00
Permit . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 1080.50 Plan Check Fee .175.58
Issue Date . . . . Valuation 225478
Qty Unit Charge Per Extension
BASE FEE 639.50
126.00 3.5000 THOU BLDG 100,001-500,000 441.00
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Permit . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 140.50 Plan Check Fee 8.78
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 6.50'00 EA MECH EXHAUST HOOD 6.50
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P.O. Box 1504�� VOICE (760) 777-7012
Tiff
78-495 CALLS TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: • D
Applicant: Architect or Engineer:
bA NA
Applicant's Mailing Address: --Architect or Engineer's Addre s.
.-tic. No.: l jq
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ncing with Section 7000) of Division 3 of the Business and Professionals
Co , and my U is in full force and effect.
icense Class icense Is o.
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
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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date 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.
I have and will mainta�rke' ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
worice car ' and r e:Y Y y Number
I certify that, in the perk 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 Catifomi ,and agree that, if I sh uId become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those r isions.
Date v ca
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.).
Lenders 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, indemnity and hold harmless the City of La Ouinta, 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 i formation' correct. I ag a to comply with all city and county ordinances and state laws relating to building
construction, and ereby authorize representatives of this coun t enter up he o - tioned property for inspection purposes.
Age
rSgnature (Applicant or `
ri.
Application Number
Permit . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Page
. . . . 04-00006825 Date
ELEC-NEW RESIDENTIAL
117.53 Plan Check Fee
Valuation . . . .
2
10/19/04
7.35
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2550.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
89.25
664.00 .,0200
ELEC GARAGE OR NON-RESIDENTIAL
13.28
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Permit . . . . . .
PLUMBING
Additional desc
Permit Fee . . . .
184.50 Plan Check Fee
11.53
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
119.00 6.0000
EA PLB FIXTURE
114.00
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
8.00 .7500
EA PLB GAS PIPE >=5
6.00
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
SFD - LOT 6, PLAN lA
2550 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
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Other Fees . .
. . . .. ART IN PUBLIC PLACES -RES
63.69
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
17.56
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
Page 3
Application Number . . . . . 04-00006825 Date 10/19/04
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Other Fees . . . . . . . . . DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 22.54
DIF'STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged
Permit Fee Total 1538.03
Plan Check Total 203.24
Other Fee Total 2508.79
Grand Total 4250.06
Paid Credited Due
---------- ---------- ----------
.00 .00 1538.03
.00 .00 203.24.
.00' .00 2508.79
.00 .00 4250.06
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING I
The Palms
Project Title
-81-945 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact Telephone
TD�/Y) Y\ ) S 0 + 951 780-7265
FIF,RS Rater i Telephone
Certifying Signature 6ate
First Pacifica Dev. Corp.
Builder Name
1-S
Plan Number
Sample Group Number
4 Sys. 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
The house was: ❑ Tested U 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
cow,ply 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.
D 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 800
If fan 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) ❑ ❑
Pass Fail
El 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
4
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part l) CF -4R
The Palms
Project Title
81-945 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman
(909) 322-7140
Builder Contact
Tim D S h n 15
Telephone
L ��� 951 780-7265
ERS Rater
Telephone
Certifying Signature
D to
V
Date
Cy
First Pacifica Dev. Coro.
Builder Name
1-S
Plan Number
6
Sample Group Number
4 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: ❑ Tested M 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
mply 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.
0 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 1200
If fan 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) ❑ ❑
Pass Fail
0 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 I
Project Title Da
81-945 Elynor Ct. La Ouinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact Telephone
Tim T bon �I j ��� 951 780-7265
HERS Rater Telephne
LAnL�'�A
Certifying Signature Date
First Pacifica Dev. Cor
Builder Name
1-S
Plan Number
6
Sample Group Number
4 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: ❑ Tested 10 Approved as part of sample testing, but was not tested
CF -4R
s the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
c ply 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
If fan flow is calculated as 400cfin/ton x number of tons enter
calculated value here M'0u 161T(yv
If fan 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) ❑ ❑
Pass Fail
❑X 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 Occupancy:
=� C&,�' ot
` G OF Building y p & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
R
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.
`
4
Y
`
BUILDING ADDRESS: 81-945.ELYNOR COURT
A
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6825
Y
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Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
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Owner of Building: BIRDIE HOMES 111, LLC Address: 5 E. CITRUS, STE. 205
City, ST, ZIP: REDLANDS, CA 92373
—. By: GARY HARTMAN
Date: JUNE 22, 2006
Building Official
POST IN A CONSPICUOUS PLACE
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7607771965 p.2
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BUILDING & SAFETY DEPARTMENT
or rr+t 777-7012
INSPECTION REQUEST LINE
777-7153
Owner BIRDIF.A MFC iT
Contractor FIRST P A C 4IEILF10PAIIIENT
Permit Number 0 6825 _
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 81-945 El- VwiDl;t COURT
SFD — LOT 4, PLAN IA. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UN73L ABOVE SIGNED
ROOF NAIL 1 PRE -ROOF
S // A-
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
7 G
a l -
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST 3o G
SEPTIC ABANDONMENT
SEWER CONNECTION z `,r /•,f"
SEPTIC / GREASE INTERCEPTOR
INSPECTIONS
FOOTINGS / STEEL I I
POOL/ SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
UIG GAS
UIG ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL r �"
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED I - Z ,.I -
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING