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04-8052 (SFD)T4hf 4 4 Q" BUILDING & SAFETY DEPARTMENT 3. BOX 1504 (760),777-7012 -495 CALLE TAMPICO FAX (760) 777-7011 QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . Property Address . . . . . APN : . Application description Property Zoning . . . . . . Application valuation . . . Owner --------------------------------- ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 X04-00008052 Date 1/11/05 52205 VIA CASTILE 772-410-998-7 -32433 - DWELLING"- SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 221781 Contractor A & M CONSTRUCTION P.O. BOX 366 LA QUINTA, CA 92253 (760)564-4832 WCC: STATE FUND WC: 0009232-2005 01/01/06 CSLB: 746198 02/28/06 CCC: B -C10 P.O. BOX 1504 • /i , 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: Zi Applicant: Applicant's Mailing Address: Date: 3.1 l' o s - Architect or Engineer' - (t t c 0;� Me hitect or Engineer's Add ess: IC. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Ii nsed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals e, and my Lice a is in full force and effect. Law Q C License Class License No. ( d OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (See. 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 taw (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 taw 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 contractors) 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 self4nsure 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. 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 slue My Arkers' compensation ins a carrier an icy number are: wartier ttAiD cy Number_ -"a75 _ 1 certify that, irLft 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, nd 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 bions. ?2 —1-419125� 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 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 pem* 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 pemm t, 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 i formation is correct I agree to comply with all city and county ordinances and state laws relating to building constriction, and hereby authorize re sentatives of this county enter upon )�me above- mentioned property for inspection purposes. ate—© igB nature (Applicant or Agent): (APP 9 ) ---------------------------------------------------------------------------- Applicat.ion Number . . . . . 04-00008052 ---------------------------------------------------------------------------- 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 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 646.00 PATIO SQ FTG 254.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2703.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1066.50 Plan Check Fee 173.31 Issue Date . . . . Valuation . . . . 221781 Qty Unit Charge Per Extension BASE FEE 639.50 122.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 427.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 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 . . . . 109.61 Plan Check Fee 6.85 Issue Date . . . . 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 ---------------------------------------------------------------------------- Application Number . . . . . 04-00008052 ---------------------------------------------------------------------------- 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 - R:ES 366.00 ENERGY REVIEW FEE 17.33 DIF FIRE PROTECTION -:SES 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. Charged ----------------- Paid Credite3 Due ---------- Permit Fee Total 1465.11 ------------------------------ .00 .30 1465.11 Plan Check Total 197.29 .00 .30 197.29 Other Fee Total 2531.87 .00 .30 2531.87 Grand Total 4194.27 .00 .30 4194.27 r` m N N m 11 m 0 cn �o m._ N. ai 0 m 0 0 .r, L CL CC 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# 213 Phase: 1 Lot No: 7 Job Address: - SFR - 62-205 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 Between Floors: Overhangs: ; .: Access Attic_: With Living Above Interior Walls: Subcontractor ...0 J Insulation, Inc. 72-227 Adelaid St, Thousand Palms, CA 92276 y9 \ 1 Signed: �� l ccs G � c,.:_-.(� ,� t �-�!r'.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. 06:31 AM b Ian Number Sample Group Num ger P.01 001ty(n0 Signkture s Sample House Number Firm:_ze*. 4-/i aellmT&S HERS Provider: G f� ,irIQ.S Street Address: "610 Ar4gIf Ci►y/8tete/Zip: Lg CIS Copies to: Builder, HERS Provider HRAT R COM%I E STATEMENT The house was: J2rTe9W ❑ Approved as part of sample testing, but was not tested As the HER$ rater providing diagnostic testing and field verification, I certMy that the houses identified on this form ?Distribution y with thediagnostic wed compliance requirements as decked on this form, system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu Adude) fteris doth backed, rubber adhesive duct tape is Installed,. mastic and drawbands are used In combination with doth backed, rubber adhesive duct taps to seal leaks at duct connections. J MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duet Diagnostic Leakage TwOng Rssuits (Maximum e% Duct fie) Duct Pressurization Test Results (CFM ® 28 Pa) - Measuredvalues Teel Leakage' Flow in CFM �O �% •2 If fen flow is calculated as 40ocfm/ton x number of tons enter calculated value here ;7-0—w- ;- If H fan flow Is mesa ured."enter measured value here Leakage Penrontage (100 X Test Leakage/Fan Flow) tia Check Sox for Pass or Fail (Pessaft or less) �^' ❑ Pass Fell THERMOSTATIC EXPANSION VALVE _or Commission Wroved equivalent pry" ❑ No Thermostatic Expansion Valve (or Commiasion approved equivalent) Is Installed and Access Is provided for inspection ❑ Yes Is a pass ❑ ass Fall MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT D Yes D No ACOA Manuel 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 Q No TXV Is Installed or Fan flow has'been verified. If no TXV, I " I " verified fen flow matches design from CF -1 R. Measured Fen Flow = D D Yes for both 1 end 2 is a Pass Pass Fall i �• r t.i 2 -1 1-2 riC C!'✓'��1.fi3�:� =?{�? j �.3�,ti�.tx;'!L' Lj.m ia'ial�lIx;�} ..-...-.w,...��.-�•ti'.� •l«N'�,1•w - f -.•� t� ter` K � � �i\�.'•—+L,. L4►.e�:_s�.� zit wr..ti.+Y.f�rwwM..+vr�'LTR+Mr• +w�Msww/iJJ1n.••..•r••.-.w.... wrr+�w. a+Mw.ti.++weJ WIC-brr•�r•Y+NrH#••••.w.r.r...+r_.�..-.�.i+••/..�,(w�r(�aPti.+.�.-.wV'R•�v N^ (}} ryr,yr� ♦/� 1' --?4 y /^�.i.�+I�+uria�+.Jr.Yr f� L~r� '�I�.''..�1V��1T.L l7_'�'7'1,����•y �' l )P Qy/i 1�fi1 1i1. y��F�r�� '4.11 }.moi �i`. 1'1'� UT {r�`%,II 1�1.Y'1�` �..� F«:+1 a � {�,� .-Tr\ �-���(•r? .. �p ,iliil i1f11 f;Q',za!1ts {f:1S S iZ} �itln £. f: i';if 1('aii ii 1 .:"vff^•' ifi." :' i1:9 1 filCtt�i ii iilr ` i ,`. L�:3 i'�jr i% l't t� o-► 1 H. I lit !A {/-II.-A r if . 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BUILDING ADDRESS: 52-205 Via Castile Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8052 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 3, 2005 Building Official POST IN A CONSPICUOUS PLACE