04-8051 (SFD)01
T4hf 4 4 Q"
BUILDING & SAFETY DEPARTMENT
ix 1504
(760).777-7012
CALLS TAMPICO FAX (760) 777-7011
VTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
r 04.-00008051 Date 1/11/05
Property Address . . . . . . 52145 VIA CASTILE
APN: 772-410-998-3 -32453 -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 221781
Owner Contractor
--------------------------------- ---------------------------------
ND LA QUINTA PARTNERS A & M CONSTRUCTIDN
375 N FRONT ST STE 200 P.O. BOX 366
COLUMBUS, OH 43215 LA QUINTA, CA 92253
(760)564-4832
WCC: STATE F:JND
WC: 0009232-2005 01/01/06
CSLB: 746198 02/28/06
CCC: B -C10
j
P.O. BOX 1504•
VOICE (760) 777-7012
78-495 CALLS TAMPICOY TFAX (760) 777-7011
. LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: L Date: 3• l �OS�
Applicant: Architect or Engineer-
Applicant's Mailing Address: rchitect or Engineer's Addr s:
c. No.: 3i0gl6G
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am,' ensed under provisions of Chapter 9 (commencing with Section 7(X70) of Division.3 of the Business and Professionals
Code, and my Licen is i full force and effect. 11 !
cense Class �- l ense No._ 1 `�
Date ^ t 1-6 -5tractor
I 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 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 Sec. , BA P.C. for this reason
Date
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.
be -A 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
My wgykers' compensation in�Surance carver and policy number
K _,licv Number 0&0 97T ?j Z�DIT�f
_ I certify that, in performance of th�j 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 Catifomia. mi../
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 pro lions.
3'-(1- 05
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 3708 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 P 1A
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 cancellati .
I certify that I have read this application and state that the above info on 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 a upon the above-mentioned property for inspection purposes.
Date a � � 0�gnature (Applicant or Agent):
C.----------------------------------------------------------------------------
Application Number . . . . . 04-00008051
14 ----------------------------------------------------------------------------
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Per
Occupancy Type
. . .
. . . DWELLG/LODGING/CONG <=:10
Flood Zone . .
. . .
. . . NON -AO FLOOD ZONE
FEE
Other struct info
2703.00
CODE EDITION
2001 CBC
ELEC
NEW RES - 1 OR 2 FAMILY
# BEDROOMS
4.00
.0200
FIRE SPRINKLERS
NO
.00
Permit .
GARAGE SQ FTG
646.00
PATIO SQ FTG
254.00
desc . .
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
Permit Fee
1ST FLOOR SQUARE FOOTASE
2703.0.0
Permit . . . .
. .
BUILDING PERMIT
Issue Date
Additional desc
. .
Valuation . . . .
Permit Fee . .
. .
1066.50 Plan Check gee
173.31
Issue Date . .
. .
Valuation . .
. . 221781
Qty Unit
Charge
Per
Extension
15.00
20.00
BASE FEE
639.50
122.00
----------------------------------------------------------------------------
3.5000
THOU BLDG 100,001-500,000
427.00
Permit . . . .
. .
MECHANICAL
BUILDING SEWER
Additional desc
1.00
7.5000
EA
Permit Fee . .
. .
83.50 Plan Check -ee
5.22
Issue Date . .
. .
Valuation . .
. . 0
Qty Unit
Charge
Per
Extension
PLB
LAWN SPRINKLER SYSTEM
BASE FEE
15.00
2.00
9.0000
EA MECH FURNACE <=100K
18.00
2.00
9.0000
EA MECH B/C <=3HP/100K BTU
18.00
4.00
6.5000
EA MECH VENT FAN
26.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
109.61 Plan Check Fee . . 6.85
Valuation . . . 0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2703.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
94.61
.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
.00
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
190.50
Plan Check Fee
11.91
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
20.00
6.0000
EA
PLB
FIXTURE
120.00
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
A----------------------------------------------------------------------------
Application Number . . . . . 04-00008051
d -
---------------------------------------------------------------------------
Permit . . . . . . PLUMBING
Qty
Unit Charge Per
Extension
8.00
.7500 EA PLB GAS PIPE >=5
6.00
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
----------------------------------------------------------------------------
Other Fees
. . . . . . . . . ART IN PUBLIC PLACES -RES
86.10
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
17.33
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
23.44
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
1465.11
.00
197.29
.00
2531.87
.00
4194.27
.00
Credited Due
D0
1465.11
D0
197.29
D0
2531.87
.D0
4194.27
r`
a�
N
N
m
m
0
co
ro
0
m
m
0
co
0
0
L
Q
Q
Certificate of Insulation
Your home has been insulated with John Man§ville Fiberglass insulation products, which are designed
for today's safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated
with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it
settle over time as may other insulation materials.
This also certifies that insulation have been professionally installed in this home to provide the
following thermal performance.
Job Name: A & M Construction Tract:
Plan# 2A Phase: 1
Lot No: 3 Job Address: SFR - 52-145 Via Castile, La Quinta, CA
Ceiling Area: R-30 Batt Insulation Garage Ceiling:. Non -Access:
.With Living Above & Sloping Areas
Exterior Walls R-19 batt insulation :.:,,.Overhangs: -Access Attic:
With Living Above
Between Floors:
Interior Walls:
Subcontractor...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
Signed: :%y%•� /ties �� ��,,(�� c �Zr �;z�-�
Mike Dickerson, Genera/ Manager - Palm Springs Division
R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
Ask your builder for the fact sheet on R -values. Keep this certificate with your other
valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
MAY -22-2006 08:24 AM
CERTIFICATE OF FIELD VERIFIC
;P_oject TiH
�',�� _ �. �� l/r ,,
Firm: J Ir &Sr ca
r
Street Address: h Cic l�
Copies to: Builder, HERS Provider
TESTING0-
Date I I
14 rF--A/j��felvd_
Builder Name
Plan Number
Sample Group Number
Sample House Numt:er
lder:
city/Statelzip:
P.01
HABS MTER COMP OR STATEMMU •-;.`-.` . -" - "• ` _
The house was: ested ❑ 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 dentifled on this form
com ly with the diagnostic tested compliance requirements as checked on this form.
Istribution system is fully ducted (Le,, does not use building cavities as plenums or platform retur
ns in lieu
91 ducts) • .
Where cloth backed, rubber adhesive duct tape is Installed, mastic and drewbands are used In combination
with cloth backed, rubber adhesive duct tape Co seal leaks at duct connections.
MINIMUM REQUIREMENTS FOR DUCT LEAIK'AGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (M*xlmum 6%Duct Leakage) Measured
Duct Pressurization Test Results (CFM @ 25'0b)'• values
Test'Leakage Flow'In CFM
If fan flow is calculated -as 400efrMon x number of tons enter
,.U: , calculated value here v2077V ;Z OVE2
If fan flow is measured enter measured value here
7
Leakage Percentage (1t)0`x Test LeskegelFan Flow) = � c � � p
Check Box for Pass or Fail (Pass=6% or less)
r ass Fail
.._ ,
THERMOSTATIC EXPANSION VALVE TA-V)".or,Cornmission approved equivalent
❑ No Thermostatic Expansion Veive (or Commission approved
�i O
equivalent) Is Installed and Access Is provided for inspection
4
V - Yes is a pass
Pass Fail
Q MINIMUM REQUIREMENTS FOR DUCT:DESIGN COMPLIANCE CREDIT
1. 0 Yes ❑ No ACCA Msnu6D;
Certificate of Occu ancyP
.
rr+caw�u*+v
'W
C�
OF Building 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: 52-145 VIA CASTILE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8051
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: ND LA QUINTA PARTNERS Address: 375 FRONT ST. STE. 200
City, ST, ZIP: COLUMBUS, OH. 43215
By: STEVE WILLETT
_
Date: MAY 25, 2006
Building Official
POST IN A CONSPICUOUS PLACE
ii