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04-4538 (SFD)I� BOX 1504 5 CALLE TAMPICO JINTA, CALIFORNIA 92253 BUILDING PERMIT BUILCING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 r . . . . . 104-00004538 ,, Date 1/11/05 Property Address . . . . . . 52185 VIA CASTILE APN: 772-410-998-6 -32453 - Application description . . . DWELLING'- SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTiIAL Application valuation 254368 Owner --------------------------------- ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 Contractor A & M CONSTRUCTION P.O. BOX 366 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 f i P.O. BOX 1504 • /: w 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: 04-1453E, Date: 05` Applicant: Architect Applicant's Mailing Address: chitect c. No.: or Er' I . or Engineer's Address: _3-70 14-* t/ -3ka ­6� t$UILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Iii ensed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals C . and Licen is in full force and effect. icense Class ss --( icense No. 14WIT tl-o5;- 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: 1 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' compensatio insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ed. w ers' crompensMtVwork nce carrier and polic�r nyyr�r artier umber _ ti(ti6'% _-Z04f _ I certify that, int performance ofor which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers'* compensation laws of Califomia,,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 pro kions. 11`D5� WARNING: FAILURE TO SECURE WOROERS' 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.). Lenders 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, indemnity 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 ncellation. 1 certify that I have read this application and state that the abov information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co to enter upon the above-mentioned property for inspection purposes. Date �' / Signature (Applicant or Agen4 ---------------------------------------------------------------------------- Application Number . . . . . 04-00004538 ---------------------------------------------------------------------------- Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=-0 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO PATIO SQ FTG 426.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3078.00 Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1182.00 Plan Check Fee 768.30 Issue Date . . . . Valuation . . . . 254368 Qty Unit Charge Per Extension BASE FEE 639.50 155.00 ----------------------7----------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 542.50 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension 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 . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 122.73 Plan Check Fee 30.68 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3078.00 ---------------------------------------------------------------------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.73 Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 184.50 Plan Check Fee 46.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ;.---------------------------------------------------------------------------- Application Number . . . . . 04-00004538 -------'--------------------------------------------------------------------- ----------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check ,ee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 6, PLAN 1B, 3078 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 135.92 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 76.83 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 25.43 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited. Due Permit Fee Total ---------------------------------------- 1587.73 .00 .00 1587.73 Plan Check Total 865.99 700.00 00 165.99 Other Fee Total 2643.18 .00 .00 2643.18 Grand Total 5096.90 700.00 .00 4396.90 r - m N N m m 0 m Certificate of Insulation Your home has been insulated with John Mansville 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# 1 B Phase: 1 Lot No: 6 Job Address: .. SFR - 52-185 Via Castile, La Quinta, CA Ceiling Area: R-30 Batt -insulation Garage Coiling: 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:%c:�.:.`�<c �..(�J ,��•, ry6�c'c_���.:� �._ Mike Dickerson, General 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 -01-2006 07:16 AM� P.01 TINA AND uate A4-tn_ &Tek-pi����' Builder Name Plan Number Sample Group Number Sample House Number .._elder, C #R CX 5 Street Address: 7il��b 4�� n;6/f, City/statemp: /—'W 0l✓11., ,rte Copies to: Builder, HERS Provider HERS -RATER L E STATEMENT The house was: ArTested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, 1 certify that the houses entified on this form I 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 lieu coX 9rf 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 0% Duct Leakage) Measured Duct Pressurization Test Results (CFM (M 25'Pa)- values 0 Test Leakage Flow in CFM r If fan flow is calculated as 400cfm/ton x number of tons enter gem �., calculated value here If fan flow Is measured enter measured value here ,... ,..._,.,.:._.__y ...._.._... //JJ ��D 9... �% Leakage Percentage (100'x Test Leakage/Fan Flow) _ !Y / �❑ Check Box for Pess or Fall (Pass=6% or less) " Pass Fall l THERMOSTATIC EXPANSION VALVE,(T)t'or Commission a roved equivalent J¢ Yes ❑ No Thermostatic Expansion Vdive (or Comiriission approved �vv/ equivalent) Is installed, and Access is provided for inspection ❑ Yes Is a pass ass Fall 13 MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes D 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. 2. ❑ Yes ❑ 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 = Yes for both 1 and 2 Is a Pass Pass Fail L- Certificate of Occupancy ot 'M SAIM G� OF'Tk�9w� Building YDepartment. & Safet This Certificate is issued pursuant to the requirements of Section 1 u9 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: 52-185 Via Castile Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4538 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: ND La Quinta Partners, LLC. Address: 81-100 Avenue 53 City, ST, ZIP: LA QUINTA, CA 92253 By: Steven Willett Date: May 8, 2005 Building Official POST IN A CONSPICUOUS PLACE