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04-3878 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application'Number . . . . . Property Address . . . APN: Application description . . . Property Zoning . . . . . . Application valuation . . . . Owner ------------------------ POWER FINANCE P 0 BOX 134 LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00003878 Date 5/20/04 51466 EISENHOWER DR 773-092-006- - - DWELLING - SINGLE FAMILY DETACHED' COVE RESIDENTIAL 119370 Contractor i�----- ----------------- a ADDINGTON, DAVID 41760 HERMITAGE DRIVE INDIO CA 92201 Qty Unit Charge Per Extension WCC: STATE FUND WC: 2290019787 01/01/05 CSLB: 682901 12/31/05 - CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type— . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . Li . H NON -AO FLOOD ZONE Other struct iR o ..... /_._..11—.�--CO��E EDITION 2001 CBC I U 4BEDROOMS 3.00 uLJUN2 3 2004 FI�'pE SPRINKLERS NO GARAGE SQ FTG 480.00 CITY OF LA QUINTA PATIO SQ FTG 19.00 FINANCE DEPT. NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1918.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc a� Permit Fee . . . . 657.00 Plan Check Fee 427.05 Issue Date . . . . Valuation . . . . 104147 Qty Unit Charge Per Extension BASE FEE 639.50 5.00 --------------------------------------------------------_-------------------- 3.5000 THOU BLDG 100,001-500,000 17.50 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 1504�� VOICE (760) 777-7012 Tlihf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: L ---CAI Date: ✓`' •Z4 • r9� Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. 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 i ' full force and effect. �Q a ytl J License Class License No. Date — / Contractor jt 2-P.V�s�; 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. , 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 , Ssu d. My workers' ompensation insurance carrier antro'cy number are: Carrier 5r� I//��_Policy Number Cat�/G 7 P .! I certify that, in the performance of the work for which this permit id issued, I sh�all�ot 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 forthwith comply with those prow Date ral Applicant - �N 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. 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, 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 en)q upon the above-menfion property for inspection purposes. Date ?3 'QL Signature (Applicant or Agent): -r { Page 2 Application Number . . . . . 04-00003878 Date 5/20/04 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 6.500.0 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 r Qty Unit Charge Per Extension BASE FEE 15.00 y 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. Y' Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments 1918 S.F:;SFD PERMIT DOES NOT INCLUDE -!4 r Fee summary Charged Permit Fee Total 966.73 Plan Check Total 500.73 Other Fee Total 2559.64 Grand Total 4027.10 .Paid Credited Due ---------- ---------- ---------- .00 .00 966.73 250.00 .00 250.73 .00 .00 2559.64 250.00 .00 3777.10 Page Application Number . . . . . 04-00003878 Date 5/20/04 ---------------------------------------------------------------------------- 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 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 42.71 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 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.93 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 966.73 Plan Check Total 500.73 Other Fee Total 2559.64 Grand Total 4027.10 .Paid Credited Due ---------- ---------- ---------- .00 .00 966.73 250.00 .00 250.73 .00 .00 2559.64 250.00 .00 3777.10 CERTIFICATE OF COMPLIANCE � X)FIEOSc Desert Sands Unified School District Z4BERMUs O DUNE 47950 Dune Palms Road Date 6/23/04 La Quinta 7 CA 92253 RANCHO MIRAGE Cf � INDIAN WELLS No. 26084 (760) 771-8515 �,�PALQUINA :V %INDIO 1�5 0 Owner Power Finance APN # 773-092-006 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Unit 1 51466 Eisenhower Dr 1918 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 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: This certifies that.school facility fees imposed pursuant to 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. 11 Fees Paid By CCNIB-David Addington Check No. 305651 Name on the check Telephone By Dr. Doris Wilson Superintendent Fee collected /exempted by SharQa McGilvrey Signature Funding Residential Payment Recd $4,296.32 Over/under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to'Mify 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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant . Copy -Applicant/Receipt Copy - Accounting CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS 4&JbV0c,_ tgj2RPERMIT NUMBER _ OWNER BUILDER Gc15 S This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. a to COMIDIV will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. ,"On File" is not an acceptabler se ponse. Trade / Classification Contractor State Contractor's License -�1 Norkers Compensation Insurance City Business License Company Name Classification . (e.g. A, B, C-8) License Number (xxxxxx) , Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) A , rLO(2eS A)& G' Z 5 L -5 11-0);Q 5 •1•o -31-K CONCRETE (C-8) FRAMING (C-5) ' STRUCT. STEEL (C-51) �j �.()5 l s .s �� ,q. •�- S' •OS MASONRY (C-29) PLUMBING (C-36) ;'GA C , 5SA(o9oo T ,09 LATH, PLASTER (C-35) KrZA3T 0657FAU, J c ES C.• I •30�OS *�4�48•0 E F-43 t01 •O S •31.OS DRYWALL (C-9) HVAC (C-20) ELECTRICAL (C-10) J. L L ILpt, &.110 Io -311• 2 40 93 12..31-04 ROOFING (C-39) SHEET METAL (C-43) I FLOORING (C-15) i GLAZING (C-17). INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) ha -L Q I t_ 4 2t T •3 IE S 2• l•0 5• t 1 Dk t MAR -02-2005 07:32 AM ICATE OF FIELD V tact HER P.02 AND DIAGNOSTIC TESTING C1174R. Date Builder Name Telephone Plan Number 573 _ ^ yeophone Sample Group Number �Aifying Signature ate Sempie House Number HERS Provider, Street Adcress: % p"il'17 COYC �✓ c1ty/sfate0p: u �t'U�✓!la ; C� Z1 �z Copies to: Builder, HERS Provider HERS BATTER COMPLIANCE STATEM N The house was:da Tested ❑ Aaproved as part of sample testing, but Nes not tested As the HERS rater provldin dta. nostic testing and field,verification. I certify that the houses identified on this form com y with tha diagnostic este compliance requirements as checked an this form. Distribution system is fully ducted (i•e., does rot use building cavities as plenum& or platform ret.irns in lieu f ducts) Where cloth backed. ru`rber adhesive duct tape is Installed, mastic and arawbands are used in combination with cloth oacked, rubber adhesive duct tape to sea' leaks at duct connections, MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTIOPI COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM (M 25 Pa) values Test Leakage Flow in CFM n If fan flow is calculated as 400cfm/ton x number of ;ons enter hers calculated value If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Far Flow) _ J I Check Box for Pass or Fail (Pass=8% or less)t] ass Fail THERMOSTATIC EXPANSION VALVE {TXV} or Cotsttnissio-t approved a uivalent es No Therrnostailc Expansion Valve (or Commission approved equivalent) Is installed and Access is provided for inspection (� Yes is s pass mass Fail MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. O Yes O Nei RCCA Martaal D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. A 1 t 2. 0 Yes 0 No TXV is installed or Fan flow has been verified. If no TXV. verified fan flow matches design from CF. 1R, Measured Fan Flow Yes for both 1 and 2 is a Pass Pass Feil Certificate of Occupancy G OF'iBuilding Y p & Safety Department 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 construction and/or use. BUILDING ADDRESS: 51-466 EISENHOWER Use classification: SFD Building Permit No.: 04-3878 Occupancy Group: R3 Type of Construction: VN Land Use Zone: CR Owner of Building: POWER FINANCE Address: P.O. BOX 134 City, ST, ZIP LA QUINTA CA 92253 By: KIRK KIRKLAND 44, Date: 3-17-05 uilding O ICI POST IN A CONSPICUOUS PLACE