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04-4785 (SFD)P.O. Box 1504.. 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number. Property Address APN: Application description Property Zoning Application valuation BUILDING &' SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 0.4-x0004785 Date 6/23/04 . . . 52800 EISENHOWER DR 773-331=002-25 -000000- . DWELLING - SINGLE FAMILY DETACHED COVE RESIDENTIAL 119596 Owner --------------- POWER FINANCE P. O BOX 134 LA QUINTA CA 92253 Contractor ------------------------ CONTEMPORARY HOMES INCORP P.O. BOX 1141 LA QUINTA CA 92253 Qty . Unit Charge Per Extension WCC: STATE FUND ... WC: ': .1:5764'98 07/01/04 CSLB:.. 736920 03/31/05 ".,..... ... f ..' CCC: B' ------- - ------------ - ----- Structure Information --------- --------------- Construction Type TYPE V -.NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone . ... . . . . NON -AO FLOOD ZONE Other struct info.. . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRES.PRINKLERS... .NO GARAGE SQ FTG 480.00 PATIO SQ FTGc 36.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG\ 1918.00 ------------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 709.50 Plan Check Fee'. 461.18 Issue Date Valuation 119596 Qty Unit Charge Per Extension BASE FEE 639.50 20.0.0 3.5000 THOU' BLDG 100,001-500,000 70.00 ---------------------------------------- Permit . . . . . . ------------------------------- MECHANICAL ----- Additional desc. . Permit Fee 77.00 Plan. Check Fee 19.25 Issue Date . . . . Valuation 0 Qty . Unit Charge Per Extension or `• P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O �% 'y��Jr Date: •.� 3 O� 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 is in full force and effect. - ? —3 9 License Class se No. Date Z � Con OWNER -BUILDER DECLARATION I hereby affirm u der 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.). (-.) 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 ca`rier and pmber are: Cartier Policy Number f _ S- G `-/ R �i 1 certify that, In the performance of the work for whichthis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, a�agre that, if I should be ubject to the workers' compensation provi ' ns of Section 3700 of the Labor Code, I shall forthylith comp with t visions. WARNINV. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U t�WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FID&S UP ONE HUNDRED THOUSAND DOL RS ($100,000), IN ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI 3708 OF THE LABOR CODE, INTEREST, AND ORNEY' S. / 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 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 ' ork is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subjeapermit to ca n. I certify that I haver this app ation and s3te'1 at the mformab s cored. I agree to comply with all city and county ordinances and state laws relating to build• construction, and y auth ze repr tentative is county toe r upon the _9) ' ed property for inspection purposes. �n Z ZSlg ature (Applicant or Agent): Page 2 Application Number . . . . . 04-00004785 Date 6/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 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 . . . . 1.06.73 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 w 1037.23 .00 289.36 Page 3 Application Number . . . . . 04-00004785 Date 6/23/04 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH ----'------------------------7----------------------------------------------- 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 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total. Charged Paid ---------- ---------- 1037.23 .00 539.36 250.00 2463.07 .00 4039.66 250.00 r Credited Due .00 1037.23 .00 289.36 00 2463.07 .00 3789.66 CERTIFICATE OF COMPLIANCE ��11;IEI) SC' Desert Sands Unified School District �4eERMUDA s 47950 Dune Palms Road Date 7/21/04 La Quints MIRAGE f INDIAN WELLS CA 92253 RAN AN WELLS N ti No. 26203 (760) 771-8515 PALM DESERT LAQUINTA �y .QINDIO 1� Owner Power Finance APN # 773-331-002 Address 52800 Eisenhower Dr Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # $tudy Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Unit 1 52800 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 patiosJwalkways, 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 Wilding 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 By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth Schieferstine Signature Funding Residential Payment Recd $0.00 $4,296.32 Over/Under 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 DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting MAY -12-2005 07:48 AM OF FIEI,D VERIFICATION AND DIAGNOSTIC P.02 G .' ' CF -4R Date( ' //A�,,� )4_ h4nLV �SS ra7eS Builde Plan Number L q - HERS_Rater Telephone Sample Group Number / v Cjdffiing Signature V Dath Sample House Number HERS Provider: C HJEE R S Street Address: .28'd D �I�Q�?'o1��iC�YC�t✓ City/State/zip: �t' '7�a L_ Copies to: Builder, HERS Provider HERS RATER OMPLI STATgMCNT The house was: JOrTested ❑ 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 comply with the diagnostic tested compliance requirements as checked on this form. PIDistributlon system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileu 6:°f ducts) I.ld 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. iZl 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) 4 values Test Leakage Flow In CFM /O 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) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ;!�Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for Inspection ❑ Yes Is a pass . Pass Fail ❑ 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. 1'`i 2. - D Yes 0 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 = --J Yes for both 1 and 2 Is a Pass ❑ ❑ Pass Fail