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05-3909 (SFD)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 "`&t!t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: OS00-0.0039097�� Property Address: 54140. EISENHOWER DR APN: 774-221-025-19 -000000- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: COVE RESIDENTIAL Application valuation: 125487 Applicant: Architect or Engineer: Lic. No.: OOR SQUARE FOOT -------------------------------------------------- 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;as : 13License No.: 782324 Drate: 7 D P Contractor:"- .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 ($500).: 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.). I _ 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.). (_ 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.I. Lender's Name: _ Lender's Address: LQPERMIT Owner: POWER FINANCE P.O. BOX 134 LA QUINTA, CA 92253 Contractor: PACIFIC HOMES P.O. BOX 1023 LA QUINTA, CA 92247 (760)408-3495 Lic. No.: 782324 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/09/05 ----------------------------------------- ------ WORKER'S COMPENSATION DECLARATION 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 STATE FUND I Policy Number 1576557-2005. _ 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 odd/eeI hall fo r •-•'�^ •^ cr provisions. Dater A Czplicant:-�(V 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 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 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 cou ty ordinances and state laws relating to bu' ding c nstruction authorize representatives of thi cunt /tno' nter upon the above-mentioned pro y fo i sped ses. Date:' v��.Signature_IApplicant or_Agentl:= LQPERMTT Application Number . . . . 05-00003909 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 730.50 Plan Check Fee 474.83 Issue Date . . . . Valuation 125487 Expiration Date 6/07/06 Qty Unit Charge Per Extension BASE FEE 639.50 26.00 3.5000 THOU BLDG 100,001-500,000 91.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 112.04 Plan Check Fee 28.01 Issue Date Valuation . . . . 0 Expiration Date 6/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1948:00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.18 693.00 .0200 ELEC GARAGE OR.NON-RESIDENTIAL 13.86 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 . Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation. 0 Expiration Date 6/07/06 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00. Permit MECHANICAL Additional desc . Permit Fee. 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Expiration Date 6/07/06 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 3.00 6.5000 EA MECH VENT FAN 19.50- 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 LQPERMTT Z. Application Number . . . . . 05-00003909 Permit PLUMBING Additional desc . Permit Fee . . . . 141.00 Plan Check Fee .35.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/07/06 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 1948 sq. ft. sfd this permit does not include pool & spa block walls or driveway.approach.December 9, 2005- 0057:10:34 7:10:34AM jjohnson --------------------------------------------------------------.-------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00" DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 47.48 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI).- RES 12.54 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 1057.54 .00 .00 1057.54 Plan Check Total 552.84 250.00 .00 302.84 " Other Fee Total 3776.02 .00 .00 3776.02 Grand Total 5386.40 250.00 .00 5136.40 LQPERMIT At the present time, the Desert Sands Unified School_ District does not collect fees on garages/carports, covered patiosAvalkways, 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 paring 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 1,948 S.F. or $4,363.52 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/1 st Bank - Dick Scott Name on the check By Dr. Doris Wilson Superintendent Check No. 76956 Telephone Funding Residential Fee collected /exempted Shar n McGil Payment Recd $4,363.52 OviedUndnir' ~ F Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which ryop 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; ,w,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 M P. 02 �D VERIFICATION AND DIAGNOSTIC TESTING : CF -4R re N Pian Number Sample Group Number Sample House Number HERS Provider: C 9j CX 5. , street Address: %�� [5 �r4 �pv.� C/rC �� City/StatelZip: a 4,J,7a 164 2.?,� Copies to: Builder, HERS Provider HERS RbT_ ERGgMP61AUCE fjTATEMENT The house wow- sted ® 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#orm com with the diagnostic t-ested 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 f CiUCts) 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 C 25 Pa) values Test Leakage Flow In CFM if fan flow is calculated as 400cfmfton x number of tons enter calculated value here If fan flow Is measured enter measured value here Leakage Percentage (100 x Test LeaKagelFan Flow) a '7. r � Check Box for Pass or Fall (Passr.6% or less) ❑ ass Fail eTHERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yss ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) ?s installed and Access Is provided for inspection ❑ Yes is a pass ass Fail © MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT t . O Yes l3 No ACOA Manual D Design requirements have been met (rater has verified that actual installation matches values In CF -1 R and design on plan. / 2. D Yes D 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 D a Yes'for both 1 and 2 Is a Pass Pass Fall � f CITY OF LA QUINTA L BUILDING & SAFETY DEPARTMENT `.V of 1laEJ 777-7012 INSPECTION REQUEST LINE 777-7153 vner POWER FINANCE ;ontractor PACIFIC HOMES 'ermit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES IOB ADDRESS 54-140 EISENHOWER 1948 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR ')RIVEWAY APPROACH. TYPE OF INSPECTION I DATE I INSPP, 4PORARY POWER `4 •cTBACKS ;!G PLUMBING / WASTE - O JG ELECTRICAL/ GROUNDING . :DATINGS / STEEL DO NOT POUR CONCRETE UNTIL ABOVE SIGNED i00F NAIL / PRE -ROOF - ?KAY TO WRAP Q L :RAMING COMBINATION TOUGH ELECTRIC DUGH PLUMBING "DOUGH MECHANICAL NSULATION COVER NO WORK UNTIL ABOVE SIGNED NTERIOR GYP. BD. DRYWALL XTERIOR LATH 3AS TEST SEPTIC ABANDONMENT SEWER CONNECTION 41 - 3EPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS ' COTINGS i STEEL ND BEAM POOL / SPA / WATER FEATURE INSPECTIONS DRE-GUNITE / SETBACKS J/G PLUMBING J/G GAS J/G ELECTRICAL 'RE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER =LECTRICAL O 'LUMBING -CHANICAL 3LIC WORKS DEPARTMENT MMUNITY DEVELOPMENT DEPT. 'NAL i JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TI IDKI nnl I ITn ITIFC nR nrrl IPv RI nl nINr, a •� CITY OQ A BUILDING & AR NT F'y of 7�Ev 74-12 oO�p INSPECTES�Ic�I� 53 PQ Owner PACIFIC HOMES % \ ,-�'Q&A Contractor Permit Number 06-1555 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS- 54-140 EISENHOWER POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER U/G PLUMBING / WASTE. U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED _ COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING -MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL /-JOB COMPLETED / .ALL CONCRETE FLAT WORK SHALL BE PLACED A MINIMUM OF 2" BELOW WEEP SCREED. Certificate of Occupancy 3 > 4 -� r ISCORKQ1� OF IN -Building. &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: 54140 EISENHOWER DR 053989 ' Use classification: SFD Building Permit No.: 05-3909 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC Owner of Building: PACIFIC HOMES Address: PO BOX 1023 City, ST, ZIP: LA QUINTA 92247 -� By: KIRK KIRKLAND Date: 7-19-06 Building Official POST IN A CONSPICUOUS PLACE