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05-2318 (SFD)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00002318 O Owner: Property Address: 52280 AVENIDA HERRERA POWER FINANCE APN: 773-264-002-21 -000000- 4 PO BOX 134 Application description: DWELLING - SINGLE FAMILY DETACHED A�^ LA QUINTA, CA 92247 Property Zoning: COVE RESIDENTIAL U /" Application valuation: 119117 FAN ?®�ss A. ntractor: Applicant: Architect or Engineer: Lic. No.: --------------- 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.: 736920 Datee.��ontractor: OWNER•BUILD ECLARATION 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 f any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: f (_ 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, as owner of the, property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State Lice6se 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.). 1._ 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: LQPERDIIT ,CONTEMPORARY HOMES INC 75271 STARDUST LANE INDIAN WELLS, CA 92210 (760)568-1404 Lic. No.: 736920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 9/17/05 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 Sectionz37,00 of'the Labor.. Code, for the performance of the work for which this permit is issued. My w_ orrke s."compensations insurance carrier and policy number are: _ Carrier STATE FUND Policy Number 1576408-2005 I certify that, in the performance of the work 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 California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I hall forthwi omply with those provisions. Dat •�Z ' ®SZplicant: WARNING: FAILURE TO SECURE S' COMPENSATION VERAGE 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 nuli 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 pro r inspection ses. Dat' T 'dtlignature (Applicant or Agent): Application Number . . . . . 05-00002318 Permit BUILDING PERMIT Additional desc . Permit Fee 709.50 Plan Check Fee 461.18 Issue Date . . . . Valuation . . . . 119117 Expiration Date •3/16/06 Qty Unit Charge Per Extension BASE FEE 639.50 20.00 --------------------=-------- 3.5000 THOU BLDG ----------------------------------------------- 100,001-500,000 70.00 Permit MECHANICAL Additional desc . Permit Fee 59.00 Plan Check Fee . 14.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/16/06 Qty Unit Charge Per Extension , BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EAMECH 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 as Permit Fee . . . . 106:73 Plan Check Fee 26.68 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/16/06 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 . . . . 135.00 Plan Check Fee 33.75 Issue Date Valuation 0 Expiration Date 3/16/06• Qty Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 LQPMNIIT Application Number . . . . . 05-00002318 Permit . . . . . . PLUMBING Qty. Unit Charge Per Extension 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 Expiration Date 3/16/'06 Qty' Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1918 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 46.12 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 11.91 DIF STREET MAINT.FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total - 1025.23 .00 .00 1025:23 Plan Check Total 536.36 250.00 .00 286.36 Other Fee Total 2483.03 .00 2483.03 .00 Grand Total 4044.62 250.00 .00 3794.62 LQPERINUT Date 9/27/05 No. 27697 Owner Thomas Buffin Address City Zip CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road < BERMUDA DUNES Cr RANCHO MIRAGE La Quinta, CA 92253 INDIAN WELLS PALM DESERT y (760) 771-8515 . , LA OUINTA :b O INDIO y7 APN # 773-264-002 Jurisdiction La Quinta Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street Unit 1 52280 Avenida Herrera Unit 2 Unit 3 Unit 4 Unit 5 S.F. Lot # No. 1918 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Comments CC#361344 in the amount of $4,296.00 plus 32 cents changes = total below. 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, crooking, 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 1,918 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/Rabobank - Amanda Valez Name on the check By Ar. Doris Wilson Superintendent Check No. 361344 Telephone Funding Residential Fee collected /exempted b Payment Recd p y on McG�lvrey $4,296.32 ~i?verlunder _ 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 District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting JUL-23-2006 s0 >k CERYL Prniact Ti; 05:42 PM TE OF tej Street Address: Zgtl'oliS ffeydl4-l"d CIYC l e' P.01 i, /j /7�i.c0�� �/✓lti�n Gtr lySSyLi�� Builder Name Plan Number Sample Group Number Sample House Number elder: C. HJf R S City/State/Zip:L u 4'/P"4 j LAI 9d-?- �? - 3 Copies to: Builder, HERS Provider HgRS RATES COME61ANCCSMEMEbIT The house was:Tsated 13 Approved as part of sample testing, but was not tested e As the HERS rater providing diagnostic testing and field verification, I certify that the houses Identified on this form eom with the diagnostic tested compliance requirements as checked on this form. EDistribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu ducts) Where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are 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 In CFML If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 17D . If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = / • r� Check Box for Pass or Fall (Pass=6% or less) ❑ ass Fall j ICJ THERMOSTATIC EXPANSION VALVE(TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approvcd equivalent) Is installed and Access is provided for inspection 0 Yes Is a passass Fall ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1, ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. 2. ❑ Yes ❑ 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 both 1 and 2 is a Pass Pass Fall s" 9 C Testing Engineers - U.S. Labs !_1 Tosting Engineers- Inland Empire Vesting Engineers - Palm Springs N 7895 Convoy Court, Suite 18 41146 Elm Streel, $ulle A 820 Research Drive, Suite 2 San Diego, California 82111 Murrieta, California 92562 Palm Springs. California 92262 Phone: (858) 715.5800 Phone: (951) 677-0366 Phone: (760) 325.8378 Fax: (858) 715.5810 Fax: (951) 677.5161 Fax: (780) 325-7480 NUCLEAR FIELD DENSITY TEST SHEET Project Name:-- zga A.v� ieQeaa ._. Contra(;[ No.; Page — u — 1 1 - 1 Td Wd9T:2T S00Z TT '100'ON XdJ------- —------- Nonf-nNnN: WON -i 9/Z 'd 0888'ON NIddNB NVIIIIA Nd60:L 9002 'N'100 1