Loading...
04-3907 (SFD)\ " �`�k� - P.O. -Box 1504 (760) 777-7012. c�'VOFT '9 78-495 CALLE TAMPICO "` ' FAX (760) 777-701.1 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777=7153 BUILDING PERMIT Application Number . . . '. .� 04-,00*00390_7� Date 5/21/04 Property Address 53325 AVENIDA VILLa APN: 774-093.-016- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning:. COVE RESIDENTIAL Application valuation : 119569 Owner -- Contractor - O -- - - - - - - - - - - - - - - - - - POWER FINANCE - -- -- -.- - - - - - - - - - - - - O RAUCKMANN 4NC - - - - - - - P 0 BOX 134 w' 0 BOX 517 LA QUINTA CA 3 `�� �Q LA QUINTA CA 92253 (760)- 485-9269 s�0 WCC.. EXEMPT WC: EXEMPT 06/17/04 CSLB': 781.834 07/31/04 CCC: B --------------------------- S uct e Information, -------'-----=--=---------- Construction'Type . . . YPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone . . . . ... NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # BEDROOMS .3. 0 0 FIRE SPRINKLERS NO GARAGE SQ'.FTG 480.00 PATIO.SQ FTG 34.00 NUMBER'OF UNITS 1.00 FIRST FLOOR SQ FTG 1918:00 ---------------------------------------------------------------------------- 'Permit . . . . . . BUILDING PERMIT.' Additional desc - Permit Fee 709.50 Plan Check Fee 115.30 Issue Date' .Valuation., 1.1.9569 Expiration Date 11/21/04 Qty_. Unit Charge Per Extension BASE FEE J 639.50 20.00, 3.5000 THOU 13LDG`100,001-500,000.1_ 70.00 ------------------------------------------------- Permit .. . . --------------------- MECHANICAL Additional desc Permit Fee .59.00 Plan'Check Fee 14.75 Issue Date Valuation 0 Expiration Date 11/21/04 t 5 P.O. Box 1504 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: Oy— 390 f Date: 5..0-0 41 Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: —ttc. 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 Lice is in full force and effect. ^ vLicense Class / J 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.). (--) 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 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 maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is uEd M Carrier pensation insurance carrier anQ1l m i� `S �G/G Policy Number / L I certify that, in the performance of the work for which this permit is issue .I shall not employ any person in any manner so as to -become subject to the workers' compensation laws of California, and a if I should beco subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fort ith comply with those provis' S. /Date© f�_Applicant WARAGAILURE 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 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 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 informatio rrect. agree to comply with all city and county ordinances and state laws relafing to building construction, a h by authorize representatives of this county toent pon the ab e-menboned prope r-inspe%iion purposes. i ateSignature (Applicant or Agent): 17141 Page 2 Application Number 04-00003907 Date 5/21/04 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. Expiration Date 11/21/04. 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, Expiration Date 11/21/04 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/REF 3.00 1.00'. 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 G.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 Expiration -Date.. 11/21/04 Qty Unit Charge'. Per Extension; Page, 3 _ Application Number. 04-00003907. Date 5/21/04 r Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------------ Special Notes and Comments 1918 S.F. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA.OR DRIVEWAY. APPROACH. 75% REDUCED PLAN CHECK FEE FOR 'MULTIPLE' "HOMES OF SAME PLAN TYPE APPLY ----------------------------------------------------------------------------- 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 DI;F PARKS/REC --RES 502.00 COVE PRECISE PLAN .FEE 100.00 STRONG.MOTION (SMI) - RES 11.95 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary,. Charged ------------------------=-- Paid Credited Due - e Permit Fee -Total 1019.23. ------------------------------ .00 00 1019.23 Plan Check Total 188.98 .00 1.00 18 -8.98 - Other Fee Total 2563.07 .00 1.00 2563.07 Grand Total" 3771.28• .00• .00 3771.28 a CERTIFICATE OF COMPLIANCE Desert Sands Unified School District J�FJrs� 47950 Dune Palms Road :. Q' BERMUDA DUNES r Date O 6/8/04 - Cq La Qulnta,- CA' 92253 00 RANCHO MIRAGE No.. 26008 (760) 771'8515 ILLS NDIAN DESERT - �� PALM DESERT .y LQUINTA INIO DIO C+ Owner Power Finance APN # 77t-093-016 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 Unit 1 53325 Avenida Villa 1918 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patbs/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, easing 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 tl-e 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/V113 - Mike Brauckmann Check No: 305614 Name on the check Telephone 485-9269 Funding Residential By' Dr. Doris Wilson Superintendent Fee collected /exempted by Sha n Gllvrey Payment Recd $0.00 $4,296.32 Over/Under Signature NOTICE: Pursui(ntto Government Ode Section 660 d)(12, s will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will egin to run from the a e on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the Dis rict(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 EB -04-2005 08:30 AM P.01 �C 1pf IFICATE OF FIELD VERIFICATION AND.DIAGNOSTIC TESTING CF -4R f�� ;Z_1205 Projecl Titlg, "� Date Protect ddress Builder Name Builder Cont t Telephone Plan Number ,9/Sl' - 57;. 3 HERS ater Telephone Sample Group 'Number ifying Signature. D to Sample House -Number irm:.�C. d•�SS'DGi�BS HERS Provider: -G LAgd6/1� Street Address: 7660 �I'.✓(�� DY,� CY�i�sa - City/,State/zip: Zy ►0!'jrra &OF Copes_ to: Builder, HERS Provider HERS RATER COM561ANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was no: tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on,ihis form coy with the diagnostic tested compliance requirements as checked on this form. Distribution system is fully'ducted (I,e., does not use building cavities as plenums or platform returns, in lieu ILI Orf ducts) Where cloth backed, rubber adhesive duct tape. is Installed, mastic and drawbencs ere 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 * " Test Leakage Flow.ln CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value.here 2 If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = ► a Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail i THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Ryes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access Is provided for inspection ❑ Yes Is a pass ass Fail MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT O Yes 0 No ACCA•Manual D Design requirements have been met (rater has verified that actual installation matches values In CF -1R and design on plan, 2. ❑ Yes O No TXV is installed or Fan flow has been verified.. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = ❑ p ' Yes for both 1 and 2 is a Peas Pass -," Fan f {y e ca o ccu :c o� _ r � ey a n L"� - � w` •' j til' ,� '- ., � , h T . E♦ r � ' _ � r'. 4 Buildin A �Saf e ' t" Dartmen,t Y - i ,. t 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 - b construction and/or use. ' ��✓ 'L, L4 �� J t 1. 1. �'� �C'y4t•�-, S ,S, r _ • Y, � -_ �t. •' a . r - . Yr. ,� �I .s 32Wit5' V.- D�R.l.�E, 3-, v�. : :�r LABUILDING, 6 LLA' . 't Use classification: SINOLE FAMILY" DWELLING _ 4j Building Permit No. 04-3907 `,.Occupancy Group: R3 - :� Type of Constructior%'VN Land Use Zone: RL Owheraof Building: POWER, FINANCE' ° ° ` " Address: P.( :BOX"134 _', ,. , - - r City, ST',"ZIP: LA QUINTA KIRK KIRKLAND '-� .�y tom- �- t� � • �'' [ .-" �''�., Y>� � - � Date FEBRUARY 9,.2005 Building Official" POST IN A CONSPICUOUS PLACE,-, - - „ y �� ...' � �♦, rl �` !w _ ', ,. r, i r ,r _. ,�... ` _ ^�" ., .ter ?'.. � J• " _ �y ,. � ��