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04-6332 (SFD)A BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760) 777-.7012 78-495 CALLE TAMPIC.o FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS. (760).777.-7.153° BUILDING PERMIT Application Number 04-00006332 Date -10/01/04 Property Address 52355 EISENHOWER DR APN:.- 773 -265 -016 -5• -00000.0 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL. Application valuation 119596 Owner Contractor POWER FINANCE CONTEMPORARY HOMES-INCORP P . O.. BOX -134 .. P.. 0. BOX. 1141 LA QUINTA : CA 922.53: LA QUINTA CA :922'53 ., WCC: STATE FUND.. WC:. ,16764082004.' 07/.-01/05 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 2007 CBC. BEDROOMS 4:00..- FIRE. SPRINKLERS. NO. GARAGE SQ FTG 4 8 0..' 0 0. PATIO SQ FTG 36.00.. NUMBER OF UNITS 1.-00 FIRST FLOOR SQ FTG` 1918.:00: Permit . . . BUILDING PERMIT Additional desc Permit Fee .709:.50 Plan Check Fe.e 461:18 Issue Date Valuation 119596, :Qty Unit Charge Per. Extension BASE FEE .639'.50 20..00 .3,.5000 THOU BLDG 100,001-50b,000 70.00 Permit . . . . MECHANICAL Additional.desc -Pe it Fee. 59.00 Plan ,Check Fee . 14.75 Issue Date. Valuation 0 Qty Unit .,Charge.- :Per Ext.ens ion I w P.O. Box 1504 • VOICE7(:760) 777-701-2 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)-777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 Al (.33ZDate: Applicant: I Architect or Engineer: Applicant's Mailing Address: o Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u er lty of perjury that I am licensed under 9 ncing with Section 7000) of Division 3 of the Business and Professionals p a P1�[ (Wnme , and my Lice e ' full foroe and eNect. � C r � • nse Cla se No. !!! J v — . OWNER -BUILDER DECLARATION I hereby a under penalty of perjury that 1 am exempt from the Contractors', State License Law for the following reason (Sea 7031.5, Business and Professions Code: Any city or oo ty that requires a permit to constrict, alter, improve, derm AA% or repair any strudure,'prior to its issuance, also requires the applicant for the permit to Me 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 "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 himsetf 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 bwld or improve.lor the purpose of sale.). () 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. 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 Sea —.B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided (or 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' compensatlranoe, as required by Section 3700 of the Labor Code, for the perfomrance of the work for which this permit is issued. My workers' compensation ipsur5hoe carer and policy number are: trier olkc Number _ I certify -that, In the performance of the work'for which 9kpeffiR ls_Wbed, I shad not employ any person In any manner so as to become subject to the workers' compensationJawsof Califomiai and agree should subject to the workers':compensation of Section 3700 of the Labor Code, l shall forthwith coy Uy with those CURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ' TO ONE HUNDRED THOUSAND DOLLARS (=100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the.perfornance of the work for which this permit Is issued (Sea 3097, Civ. C.). Lender's Name or Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a pernit 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 old if work Is not commenced within 180 days from date of issuance of such permit, or cessation of work for t80 days will subjectalon. I certify that I havereIt adplication and the above information is I agree to comply with all city and county ordinances and state laws relating In building construction, ar%A. oris _ sen >a ves of this county to ente ve nmeimtaned property for inspection purposes. (Applicant or Agent): Application Number . . 04-00006332 Page 2 Date 10/01/04 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 1.918.00 .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 . . . . .. 04-00006332 Date 10/01/04 ----------------7---------------------------------7------------------------- 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 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 11.95 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 10/18/04 No. 26540 Owner Power Finance Address City Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street Unit 1 52355 Eisenhower Dr Unit 2 Unit 3 Unit 4 Unit 5 APN # Jurisdiction Permit # Study Area No. of Units S.F. Lot # No. 1918 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Comments CC#319709 in the amount of $4,296.00 plus $.32 paid in cash.. Q BERMUDA DUNES i Cn RANCHO MIRAGE 1,1 INDIAN WELLS C� PALM DESERT y� LA QUINTA O INDIO l� 773-265-016 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, 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 CCNIB - Thomas Buffin Check No. 319709 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted qy Sharon McGilvrey Payment Recd $4,296.32 Over/Under Signature Juic",/ el ?'e44 NOTICE: Pursuant to Government Code Section 66020(d)(1), th`is`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 District('s) behalf, whichever is earlier. NOTICE:.This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting 14��,Oa A7,�5- Building _ oj_7 Ividililly Address C&4 4 4 " o4 RO. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO ��A QUINTA, CALIFORNIA 92253 State Lic. City & Classif. `7 � Lic. # Arch., Engr., `• /`�� / Design %1// ��/.,'/ �/j�9�,n Z Zig�j��,,,., (State Lic. # BUILDING: TYPE CONST. OCC. GRP. A.P. Number :270 — �� ^ 0/�i�� / 7 Legal Description Project Description I hereby affirm that 1 a ee under pro isions of Chapter 9 (commencing with Section 7000) of Division effect. 3 o ss an essions Code, and my license is in full force and / , P OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). ❑ 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds ort mproves thereon and who does such work himself or through his own em to ees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the prope , am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, am exclusively and Professions Code: The Contractor's License Law does not apply to an owner o property who ' improves thereon, and who contracts for such projects with a contra'or(s) licens pursuan to the Contractor's License Law) ❑ 1 am exempt unde( Sec. B. C. for this reason Date • caner WORKER'S COM NPS SCION DECLARATION I hereby affirm that I have a certificate o consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE_ Issued by: Validated by:— Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE Sq. Ft. /� Size < No. Stories / No. Dw. Units New ❑Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. (� Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Eno. Infrastructure I_ t rr•v (` _ 'ry TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE_ Issued by: Validated by:— Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE UL -20-.2005 03:35 PM CERTIFICATE AND Telephone T Builder Name Plan Number Sample Group Number L; rtlfying Signature D4ts Sample House Number Flrm:Z'. 4- A<Vel'al s HERS Provider: C HELR S Street Address: �b �r ��et-r� C/YL le, City/Stateaip: /-,w OL4,r. Coples to: Builder, HERS Provider HERS RATCR COME61ANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested P.01 141VA 61-1 As the HERS rater providing diagnostic testing and field verification, I certify that the houses Identified on this form co ly 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 Ileu of 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. a MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum B% Duct Leakage) Measured Duct pressurization Test Results (CFM @ 25 Pe) values Test Leakage Flow In CFM If fanflow 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) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Conunission approved equivalent V- 0-1y"s ❑ No Thermostatic Expansion Valve (or Commissiop approved equivalent) Is Installed and Access Is provided for inspection ❑ Yes Is a pass a$s 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. A f 2. 0 Yes ❑ No TXV Is Installed or Fan flow has been verified. If no TXV, J" verified fan flow matches design from CF -1 R. Measured Fan Flow = D ❑ Yes for both 1 and 2'is a Pass Pass Fail