04-6824 (SFD),r
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BUILDING & SAFETY DEPARTMENT
—P -.-O-13 0 X-
P.:O—BOX 1-5°0.4— (760).777-7012
pFOti' '7_.95 C1A.L.L.E T��PICO FAX (760) 777-7011
LADINT CA�iItFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
FEB 9 2505
BUILDING PERMIT
coir Cay R,- CIL,
Application.Number . . . . . C04=00006824 Date 10/19/04
Property Address . . . 8'19-64—ELYN0R CT
APN: 764-040-025- - -
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
FIRS.Tc FLOOR: SQ FTG 2550 .-0.0
-------------------.---------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 1080.5.0 Plan Check Fee 1.75.58
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
----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
P.O. Box 1504I4 4 CE 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: --Architect or Enginee77
-A
Applicant's Mailing Address:—Architect or Engineer's Address:
ic. No.: Ll b
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmun% enalty of perjury that I am licensed under provisions of Chapter 9 ( m encing with Section 7000) of Division 3 of the Business and Professionals .
Code, and my Lice_
in full force and effect.
License Class ense No
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. , B.& 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 maintainwork compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
d1 cork comp ation in ce cam aa� nd cp,Zlicy��r� pods
�C>arier olicy Number �ril� 1S
_ I ce-rfiTy that, in the performance orlhe work for which this permit is iss ed, Is all n� of 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
_L 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, 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 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 'nformati is correct. agree to comply with all city and county ordinances and state laws relating to building
construction, a her y authorize representatives of this cou o enter e b mentioned property for inspection purposes.
Date nature (Applicant or Age
I
Application Number
Permit . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
. . . . . 04-00006824
ELEC-NEW RESIDENTIAL
117.53 Plan Check Fee
Valuation . .
Page 2
Date 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
----------------------------------------------------------------------------
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
19.00 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 3, PLAN 1A 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
----------------------------------------------7-----------------------------
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
. . . . .
04-00006824
Date
10/19/04
-----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
DIF LIBRARIES'- RES
225.00
DIF PARK MAINT FAC
- RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI)
- RES
22.54
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1538.03
--------------------
.00'
----------
.00
1538.03
Plan Check Total
203.24
.00
.00
203.24
Other Fee Total
2508.79
.00
.00
2508.79
Grand Total
4250.06
.00
.00
.4250.06
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (
The Palms
Project Title
"81=964 Elynor Ct. La Quinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact Telephone
Tim Ipo4em D s (951) 780-7265
14F -RS Rater ` Telephone
Certifying Signature Efate
Date '
First Pacifica Dev. Corp.
Builder Name
1-S
Plan Number
6
Sample Group Number
3 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
CF -4R
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
c ly 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 400cfin/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
❑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 FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part
The Palms
Project Title
81-964 Elinor Ct. La Ouinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact Telephone
Ti h �' )S 1J � " 951 780-7265
Hr=RS Rater, Telephone
OJ�-X'NXA 0., / e-/o�6
Certifying Signature Date
� job
First Pacifica Dev. Corp.
Builder Name
Plan Number
6
Sample Group Number
3 Sys. 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 V1 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
scZmply 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
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
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
The Palms
Project Title
81-964 Elynor Ct. La Quinta, CA
Project Address
Herb Herman (909) 322-7140
Builder Contact
, Telephone
Ti d.) L 11►�) S, 951 780-7265
HERS Rater r Telephone
Certifying Signature Date
Part 1) CF -4R
First Pacifica Dev. Corp.
Builder Name
1-S
Plan Number
6
Sample Group Number
3 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 IZI 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.
NP 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 1488- �ES C
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 Occupancy
Tit!� 4 OC4f
G' OF9��' Building & Safety Department
This Certificate is issued pursuant td 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 andlor use.
BUILDING ADDRESS: 81-964 ELYNOR COURT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6824
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: DAVE GATICA
_
b"t Date: MAY 17, 2006
Building Official
POST IN A CONSPICUOUS PLACE
III
May 17 06 10:39a THE PALMS
�. .
F '
CITY OF LA QUINTA.
Faf ? tea" BUiLDItVG.&SAFETY DEPARTMENT
7
of (77-7012
INSPECTION REQUEST LINE
.777-7153
Owner BIRDIE HOMF��ITT. r.i�`�
Contractor FIERST-PACIFICA DEVELOPMENT
Permit Number 04.5924
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 81-964 ELYNOR COURT
SFD — LOT 3, PLAN IA. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
T
NOT POUR
OKAY TO WRAP A! EYE
FRAMING COMBINATION
ROUGH ELECTRIC [ •S /
ROUGH PLUMBING
ROUGH MECHANICAL
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD.(DRYWALL) 6614
EXTERIOR LATH
GAS TEST z a d
SEPTIC ABANDONMENT
SEWER CONNECTION z , zsS
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
TEMP. USE OF
ELECTRICAL
COMMUNITY DEVELOPMENT DEPT. -A-
FINAL 1 JOB COMPLETED llsZ Y'L- 6G'
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING