05-1689 (SFD)P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
CITY OF LA
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: B License No.: 862631
ate: ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 (5500).:
1 _ 1 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 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.).
1 1 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.).
( I I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
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: ,1 �/
Lender's Address: M I2
LQPERMIT
LA QUINTA, CA 92247
(760)409-7070
Lic. No.: 862631
Date: 8/23/05
WORKER'S COMPENSATION DECLARATION
1 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 carrier and policy number are: -
'Carrier EXEMPT Policy Number EXEMPT
n[ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
�C 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 forthwith comply with those provisions.
ate: plicant:
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.
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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Io !-- gnature (Applicant or Agent):
BUILDING PERMIT
05-00001689 1
Owner:
51065 AVENIDA HERRERA
JOSEPH BIRDSELL
773-063-014-3 -000000-
P O BOX 630
DWELLING - SINGLE FAMILY
DETACHED
LA QUINTA, CA 92247
COVE RESIDENTIAL
124915
kA'U6'2
Contractor:
Architect or Engin
6 2005
BIRDSELL BUILDERS INC
P O BOX 630
CITY OF LA
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: B License No.: 862631
ate: ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 (5500).:
1 _ 1 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 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.).
1 1 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.).
( I I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
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: ,1 �/
Lender's Address: M I2
LQPERMIT
LA QUINTA, CA 92247
(760)409-7070
Lic. No.: 862631
Date: 8/23/05
WORKER'S COMPENSATION DECLARATION
1 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 carrier and policy number are: -
'Carrier EXEMPT Policy Number EXEMPT
n[ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
�C 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 forthwith comply with those provisions.
ate: plicant:
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.
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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Io !-- gnature (Applicant or Agent):
Application Number . . . . . 05-00001689
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
727.00
Plan Check Fee
472.55
Issue Date
8/15/05
Valuation . . . .
124915
Expiration
Date
2/18/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
25.00
----------------------------------------------------------------------------
3.5000
THOU ,BLDG
100,001-500,000
87.50
Permit
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
108.35
Plan Check Fee
27.09
Issue Date
8/15/05
Valuation . . . .
0
Expiration
Date
2/18/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1970.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
68.95
470.00
.02.00
ELEC
GARAGE OR NON-RESIDENTIAL
9.40
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
PermitGRADING
PERMIT
Additional
desc .
Permit Fee
15.00
Plan Check Fee
.00
Issue Date
. . . .
8/15/05
Valuation . . . .
0
Expiration
Date .
2/18/06
Qty_. Unit Charge
Per
Extension
----------------------------------------------------------------------------
'BASE
FEE
15.00
Permit
MECHANICAL
Additional
desc .
Permit Fee
65.50
Plan Check Fee
16.38
Issue Date
8/15/05
Valuation
0
Expiration
Date
2/18/06
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
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
--------------------------------------------------------------------=-------
6.5000
EA MECH
EXHAUST HOOD
6.50.
LQPERMIT
Application Number . . . . . 05-00001689
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
141.00 Plan Check Fee
35.25
Issue Date . . . .
8/15/05 Valuation . . .
. .. 0
Expiration Date
2/18/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
12.00 6.0000
EA PLB FIXTURE
72.00
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
---------
Special Notes and Comments
1970 SF. SFD PERMIT DOES
NOT INCLUDE
BLOCK WALL, POOL/SPA
OR DRIVEWAY
APPROACH
_
----------------------------------------------------
Other Fees . . . . .
----------------
. . . . ART IN PUBLIC PLACES -RES
-------
20.00
CHANGE OF CONTRACTOR
4.50
DIF COMMUNITY CENTERS -RES
97.00
•
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
.47.26
DIF.FIRE PROTECTION -RES
97.00
DIF.LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
12.49
DIF STREET MAINT FAC -RES
15.00.
DIF TRANSPORTATION - RES
1098.00
.Fee summary Charged
Paid Credited
Due
Permit Fee Total
1056.85 1056.85 .00
.00
Plan Check Total
551.27 551.27 .00
.00
Other Fee Total
2489.25 2484.75 .00
4.50
Grand Total
4097.37 4092.87 .00
4.50
LQPERMIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
Tiht 4 4 Qumk
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
05-00001689
510-65 AVEN3DA HERRERA
773-063-014-3 -000000-
DWELLING - SINGLE FAMILY
COVE RESIDENTIAL
124915
Architect or Engineer:
-
---'----------------------------------------- - - - - --
LICE D CONTRACTOR'S DECLARATION
I hereby affirm under penalty of per' ry that I am cense under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the usi sand rofessio als Code, and my Li nse is in full force and effect.
License Class: B .� icense No.: 8112 3
iinmict5r.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury t t I am exempt from the Contractor's 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 Contractor's 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).:
1 ) 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 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 co ntractor(s) licensed.
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/05
'Owner:
JOSEPH BIRDSELL
P O BOX 630
LA QUINTA, CA 92247
BIRDSELL BUILDERS,
P.O. BOX 680
LA QUINTA, CA 92247
(760)360-2301
Lic. No.: 811293
JOSEPH
------------------
WORKER'S 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 carrier and policy number -are:
Carrier ROSTEN INS�PolicylNumber 2292649105
I certify that, in the performances f the work fo(which this permit is issued, I shall not employ any
person in any manner as to becom subjec to the workers' compensation la of California,
and agree that, if I st�ou) ecome su ject to th "kers ' compensation provisio of Section
C� 3700 of th Labor de,� \ f ith comply those provisior�s\\ //
' -Date /J
—Ii ant:
�� v
WARNING: FAILURE TO SECUR WOR S' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI INAL 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.
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 ct 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 Jill aj(�d void if work is not commenced
within 180 days from date of issuance of such permit, cess tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state at th above i ormation 's correct. I agree to comply witl�,all
city and county ordinances and state laws relating uil�di co [ruction, an, hereby authorize representatives
of ntv t�er[ttyer upon the above-mentioned pr p y f i, spection purpo s. l\
"'' 31-�1J✓ c�,...�..,.!-re��r..�.--Tom.^e-..e...�.
Application Number . . 05-00001689
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. .
727.00
Plan Check Fee
472.55
Issue Date
. . . .
Valuation . . . .
124915
Expiration
Date
12/19/05
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
25.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
87.50
Permit
MECHANICAL
Additional
desc .
Permit Fee
. . . .
65.50
Plan Check Fee
16.38
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/19/05
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
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
108.35
Plan Check Fee
27.09
Issue Date
. . . .
Valuation
0
Expiration
Date
12/19/05
Qty Unit Charge
,Per
Extension
BASE
FEE
15.00
1970.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
68.95
470.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.40
1.00
----------------------------------------------------------------------------
15..0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit
PLUMBING
Additional
desc . .
Permit Fee
. . . .
141.00
Plan Check Fee
35.25
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
.12/19/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
12.00
6.0000
EA PLB FIXTURE
72.00
LQPERAIIT
Application Number . . . . . 05-00001689
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATERHEATER/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
Expiration Date
12/19/05
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
1970 SF. SFD PERMIT DOES NOT INCLUDE;
BLOCK WALL, POOL/SPA OR DRIVEWAY
APPROACH
--------------------------------------------
Other Fees . . . . .
----------------------=---------
. . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
-ENERGY REVIEW FEE
47.26
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
12.49
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-"----------------
Permit Fee Total
1056.85 .00 .00
1056.85
Plan Check Total
551.27 250.00 .00
301.27.
Other Fee Total
2484.75 .00 .00
2484.75
Grand Total
4092.87 250.00 .00
3842.87
LQPEILAIIT
Certificate of Occupancyo
d
=
E
� L.cmwnim
I
C OF'TBuilding & Safety Department
k
4
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
I
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.
k
r
BUILDING ADDRESS: 51-065 AVENIDA HERRERA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-1689
5
-
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC
R
Owner of Building: BIRDSELL BUILDERS, INC. Address: P.O. BOX 630
;.
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
`
s
Date: APRIL 10, 2006
Building Official
POST IN A CONSPICUOUS PLACE
CO)
APR -18-2006 07:23 AM
OF
TION
I/
Builder Name
Telephone Plan Number
2/P. C72 -Jt
Sample Group Number
P.03
CF
r Iyln�gr-Signature "DatW Sample House Number
Firm: tf. 4' ArdCia'l;_S HERS Provider: C ly E J 9 S
Street Address: 2W -'o &a01444 CiAc le'
City/State2lp: _ u �/lnla ,C� 9'zZrL3
T
Copies to: Builder, HERS Provider
CATER COMt STATEMENT
The house was: #1Tested ❑ 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
coTply with the diagnostic fasted 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
rf ducts)
here cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used In Combination
wlth cloth backed, rubber adhesive duct tape to seal leeks at duct connections.
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Teeting Results (Maximum 0% Duct Leakage)
Duct Pressurization Test Results (CFM ® 25 Pa)
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) =
Check Box for Pass or Fail (Pass=6% or less)
1C EXPANSION VALVE (TXV) or
Measured
values
valent
❑ ❑
Pass Fall
Plea ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) Is Installed and Access is provided for inspection [j
Yes is a pass ass Fall
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. Q Yes- 0 No ACCA Manual 0 Design requirements have been met
(rater has verified that actual installation matches values in
CF -1 R and design on pian. Al `
2. 0 Yes O No TXV Is Installed or Fan flow has been verified. If no TXV, All
.-K
fan flow matches design from CF -1 R.
Measured Fan Flow =
Q 0
Yes for both 1 and 2 is a Pass Pass Fall
i 'CZ 7" l"[ L'r/ el N o ( .� I ►r- &'�c kA, N VLZ-1 /VI Q tz Gry
Date 8/9/05
No. 27516
Owner Joseph Birdsell
Address 51065 Avenida Herrera
City La Quinta Zip 92253
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
BERMUDA DUNES r
Cr RANCHO MIRAGE l7
%,- INDIAN WELLS
V_. PALM DESERT y
LA QUINTA
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APN # 773-063-014
Jurisdiction La Quinta
Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F.
Unit 1 51065 Avenida Herrera 1970 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 1,970 S.F. or $4,412.80 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 OC/EI Paseo Bank - Joseph Birdsell Check No. 475058058
Name on the check Telephone
Funding Residential.
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharo ilvrey Payment Recd
Oye
$4,412.80 Under.
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Signature
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 o
r 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 DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting