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04-4783 (SFD)T4Af 4 4 a" BUILDING & SAFETY DEPARTMENT 1504. (760),777-7012 kLLE TAMPICO FAX (760) 777-7011 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 �r Property Address APN: Application description Property Zoning . . . . . Application valuation BUILDING PERMIT Owner ------------------------ BUFFIN WILLIAM THOMAS .P 0 BOX 134 LA QUINTA CA -92253- 04-0.0004783 A 92253 04-0.0004783 Date 6/23/04 51445 CALLE GUATAMALA 770-162-010- - - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL . 119596 Contractor ------------------------ CONTEMPORARY HOMES INCORP­ P.O. BOX 1141 LA QUINTA CA 92253` WCC: STATE FUND WC: 1576498 07/01/04 CSLB: 736920 03/31/05 CCC: B ------------------=------- Structure Information -------- ------------------ Construction Type . . . . TYPE V - NON RATED Occupancy Type . ... . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . .CODE EDITION 2001 CBC # BEDROOMS 3.00.. FIRE SPRINKLERS NO GARAGE SQ FTG 480.00 PATIO SQ FTG 36.00. NUMBER OF UNITS i.00 FIRST FLOOR SQ'FTG� 1918.00 ------------------------7--------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 709.50Plan Check Fee'. 461.18 Issue Date Valuation 119596 Qty Unit Charge Per Extension BASE FEE 639.50 20.00 3.5000 THOU ­BLDG 100,0017500,000 70.00. ------------------------------------------=--------------------------------- Permit . . ... . . MECHANICAL Additional desc Permit Fee . . 59.00 Plan Check Fee 14.75 Issue Date Valuation . . 0 Qty Unit Charge Per Extension P.O. Box 1504ICE VOICE (760) 777-7012 78-495 CALLS TAMPICo .44QFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: o V - A{ 783 Applicant: Applicant's Mailing Address: Date: to •A 3 -0 fZ Architect or Engineer: Architect or Engineer's Address: tic. 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 nse No. / (7 Date � Z �Con6-ctor OWNER -BUILDER DECLARATION 1 hereb 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 projec 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 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 nce carrier and policy number are: / / —� / Carrier Poli Number 1 certify that, in the performance of the work for whic ermit is issue , shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and a r if I should beco ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fortco ly with those provi ,trMthX Date � Applicant WARNIN :FAIL RE TO SECURE WORKERS' COMPENSATION CO RAGEil�ONTO UL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 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 Quinta, its officers, agents and employees for any act or omission related to the ing performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and4oZd if rk 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 information i rrect. I agreC rfi j yi7with all city and county ordinances and state laws relating to building construction, an hereby thorize representatives of this county to enter on the ab entio d property�inspectionpurposes. t�/nature Date 2/ Si (Applicant or Agent): t Page 2 Application Number . . . . . 04-00004783 Date 6/23/04 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 ..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 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/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 -------------- 1918 S.F. SFD PERMIT DOES NOT INCLUDE Fee summary. Charged Permit -Fee Total 1019.23 Plan Check Total 534.86 Other Fee Total 2463.07 Grand Total 4017.16 Paid Credited Due ---------- ---------- ---------- .00 .00 1019.23 250.00 .00 284.86 .00 .00 2463.07 250.00 .00 3767.16 Page 3 Application Number . . . . . 04-00004783 Date 6/23/04 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 c 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 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 11.95 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary. Charged Permit -Fee Total 1019.23 Plan Check Total 534.86 Other Fee Total 2463.07 Grand Total 4017.16 Paid Credited Due ---------- ---------- ---------- .00 .00 1019.23 250.00 .00 284.86 .00 .00 2463.07 250.00 .00 3767.16 Date 7/21/04 No. 26204 Owner Power Finance Address 51445 Calle Guatemala City La Quinta Zip 92253 Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units q�13 DIED z c� 5�7 N" o Q BERMUDA DUNES r rn RANCHO MIRAGE d �_A INDIAN WELLS ti PALM DESERT y LA QUINTA �. QINDIO y� O 770-162-010 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 51445 Calle Guatemala 1918 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 garageskarports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating 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 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 1,918 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 -Valley Independent Bank -Power Finance Check No. 319541 Name on the check Telephone 564-6470 Funding Residential By Dr. Doris Wilson Superintendent � Fee collected /exempted by Beth Schieferstine Payment Recd $4,296.32 Over/Under Signature 4�4' )444aal�' NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above Will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REOUE$TE6AY: First American Title AND WHEN RECORDED MAI! TO; William Thomas Buffxn P.O. BOX 134 WRo.o M265§ 11113. Escrow No., PPM73-KC .R' A.P.N.: 770-162:207-6 — DOC " 2003-786541 11e/05/2ee3 ea;OeA Fre:27.ee Pegs I of l Doo T Tax Paid Recorded In Offlaijl Records Caunty of Rlveralde Cary L. Oreo Assgasr, County Clork 4 Recorder IN PHI 111111111 nnE, MMMM 'm WMERNOWN1 seeliiemme�i GRANT DEEP Tilt~ UNDERSIGNED GRANTOR(S) DECLAFt=(S) DOCUMENTARY TRANSFER TAX IS $259.60 [ x ] computed on full value of property corweyed, or [ ] computed on fun valueless value of Uens or etx=brances remaining at time of sale. v [ ] uninoorporated area ( x I City of Lt Qukita FOR A VALUABLE CONSIDERATION, receipt of Which is hereby adu> w=edged, Nan Glennon, Trustee of Nan Glennon L.iving`Trust Dated 811TH herebyGRANT(S)to William Thomas Suffin, a married man .ai$ his sole and seperate property , and Power Finance Associates, Inc., a.Califoxnia Corporation the following described real property in the Cotnty of Riverside. State of California Lot 1, 2 and S of Block 6 of Unit 2 of Desert: Club Tract,. In the City of La Qulrna, County of Riverside, State of CaRfornla, as per n=ap recorded In Book 20, Pago(s) 6 of Miscellaneous Maps, In the office of the County Recorder of said County. Dated: August 26, 2003 STATE OF CAUFORNIA q COUNTY OF L.Q S I�niL�' QtQ s, SS. On - A a e w j, -r 900 3 b6fore me NferyPePFared bl� r said County and/ Stale, personally proved to rte on the basis of . sa.WaLiory evidence) to be. erso Erase 9* =bed to the within Ins merd acid acknoMedged to me thalAQ460thoy executed the same In NaMilbaip authorized a e hat —by kiSIhs' tiro on the Instrurn or•the entity upon be tot whlc h the , acted. eweouted Itie Instrument WITNESS my ha o I stgr�ature _ ' !gn uro ol Wary (This area for official f+otary seal) MAIL TAX :iTATEMENTS AS DIRECTED ABOVE Nan Glennon Living Tnlst Dated 8117199 W. Nan Glennon. Trustee E ftAWbi& *'— a 1✓6 Q CorrrrtlrOn 6Aae1DP6 I=Y Any" COrORMO I�►Comn ,C"O r RPI 01 'd 0800'ON N1ddfl8 P1111M NdN:Z1 *0.Z 1 'Unf 'RPR -27-2005 10:49 AM - P..01 ■ �yf 4�IN ■ ■ CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING! CF -4R ■ Glr Project Title Da tg� �5'/�-4el 6- ��i��Ton ��� L_ q fit✓ ev Pro' ct A ess Builder Name 14 Builder Co tact �aoTelephone Plan Number HERS -Rater I Telephone Semple Group Number cA CjAifyoinug Slgnaturie ateV Sample House Number F)rm: TLC. �' �57+~ S r/ HERS Provider: lyEt Street Address: g ��n �rQ�v.+! (...IYG �� City/State/zip: Coplos to: Builder, HERS Provider HERS RATER COMP1,11ANCE STAT ENT The house was: Tested ❑ Approved as part of sample tasting, but was not tested As the HERS rater providing diagnostic testing and field verification, 1 certify that the houses Identified on this form comply 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 of ducts) where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbande are used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections, R MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM Q 25 Pa) values Test Leakage Flow In CFM If fan 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) = - r b /n Check Box for Pass or Fall (Passr-6% or less) ❑ ass Fail HERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent grYes ❑ No Thermostatic Expansion Valve (or Commission approved - cquivalent) is installed and Access Is provided for Inspection❑ Yes Is a pass ass Fail CI MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. O Yes M No ACCA Manuel D Design requirements have been met (rater has verified that actual Installation matches values in CF -.1 R and design on plan. 2. ❑ Yes D 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 Yes for beth 1 and 2 Is a Pass Cl Cl Pass . Fall Z 'd I9EZ'ON NIdd119 NVI11IM NVW01 9002 'LZ'add