04-8057 (SFD)BUILE•1NG & SAFETY DEPARTMENT
K 150.4 (760).777-7012
;ALLE TAMPICO FAX (760) 777-7011
TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
. . . . . j04-00008057 Date 1/11/05
Property Address . . . . . . 52225 VIA CASTILE
APN: 772-410-998-8 -3243 -
Application description . . . DWELLING— SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 241870
'Owner
---------------------------------
ND LA QUINTA PARTNERS
375 N FRONT ST STE 200
COLUMBUS, OH 43215
Contractor
A & M CONSTRUCTIDN'
P.O. BOX 366
LA QUINTA, CA 92253
(760)564-4832
WCC: STATE FJND
WC: 0009232-2005 01/01/06
CSLB: 746198 02/28/06
CCC: B -C10
P.O. BOX 1504 /; ,
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Cr - 8U5 q Date: 3 ' I I ' Os_
Applicant: Architect or Engineer: &,::$I � �`G �p �
Applicant's Mailing Address: chitect or Engineer's Addres .
ic. 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
and my Lic%se is in full force and effect.
'Ito
��
ricens'e Class� ens. No. I IG
Date 3�1 �� S ontractor
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.).
( j 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:
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' compensati n insurance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is
�s�ued�MY wWkers' compensation i nce carrier anc,poli n ber rg,
Cartier. 1tQ�(,[ ALA A'T olicy Number __ (yr�� � �
_ I certify that, in W performance of the rk 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, an 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 provisi S.
5
Date �_�� I O oolicant
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.
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 f t
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 ca Ilation.
I certify that I have read this application and state that the above i rotation is correcL 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize repr ntatives of this county, enter upon the above-rnentidned property for inspection purposes.
ate .- O 5 ignature (Applicant or Agent):
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Application Number . . . . . 04-00008057
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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
FIRE SPRINKLERS NO
PATIO SQ FTG 270.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2949.00
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 1136.50 Plan Check '=ee 184.68
Issue Date . . . . Valuation . . . . 241870
Qty Unit Charge Per Extension
BASE FEE 639.50
142.00 3.5000 THOU BLDG 100,001-500,000 497.00
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Permit . . . . . . MECHANICAL
Additional desc . .
Permit Fee . . . 83.50
Issue Date . . . .
Plan Check Fee . . 5.22
Valuation . . . . 0
Qty
Unit Charge
Per
1.00
15.0000
Extension
1.00
7.5000
EA
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
118.22 Plan Check Fee
Valuation . .
7.39
0
Qty Unit Charge Per Extension
BASE FEE 15.00
2949.00 .0350 ELEC NEW RES - 1 OR 2 F?4MILY 103.22
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Permit . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 190.50
Issue Date . . . .
Qty Unit Charge Per
20.00
6.0000
EA
1.00
15.0000
EA
1.00
7.5000
EA
1.00
3.0000
EA
1.00
9.0000
EA
8.00
.7500
EA
1.00
15.0000
EA
Plan Check Fee . . 11.91
Valuation . . . . 0
BASE FEE
PLB FIXTURE
PLB BUILDING SEWER
PLB WATER HEATER/VENT
PLB WATER INST/ALT/REP
PLB LAWN SPRINKLER SYSTEM
PLB GAS PIPE >=5
PLB GAS METER
Extension
15.00
120.00
15.00
7.50
3.00
9.00
6.00
15.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Application Number . . 04-00008057
f----------------------------------------------------------------------------
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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
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Special Notes and Comments
SFD - LOT 8, PLAN 3A,
2949 SF.
PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK
WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION
TO
PLAN CHECK FEE DUE TO
MULTIPLE
ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . .
. . . .
ART IN PUBLIC PLACES -RES
104.67
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
18.47
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
24.18
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
---------------------------
Paid Credited
Due
Permit Fee Total
1543.72
------------------------------
.00 .00
1543.72
Plan Check Total
209.20
.00 .00
209.20
Other Fee Total .2552.32
.00 .00
2552.32
Grand Total
4305.24
.00 .00
4305.24
E'-
(7)
N
N
m
m
0
ra
r,
Certificate of Insulation
Your home has been insulated with John Mansvine 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# 3A Phase: 1
Lot No: 8 Job Address: SFR - 52-225 Via Castile, La Quinta, CA
Ceiling Area:. R,30 Batt insulation Garage-Celling: Non -Access:
With Living Above & Sloping Areas
Exierlor Wall: R-19 batt insulation Overhangs: Access Attic: With Living Above
Between Floors: Interior Walls:
Subcontractor.. - O J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92278
Signed:
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.
APR -19-2006 09:21 PM
P. 01
Builder Name
..........................
Plan Number
Firm: J, C. f jfgW e-0 I&-& t HERS Provider. G #&,Cif 5
street Addross: vOd end (..N'L A City/3teteop: � a �1w171t � 9z.��'
Copies to: Builder, HERS Provider
O TE EBa
The house was: Artested ❑ Approved..as part of sample testing, but was not tes: ed
As the HERS rater providin diagnostic testing and.field verification, I vertify that the houses identified on this form
conp
jy with the diagnostic Ce$tcompliance requirements as checked on this form.
jff Distribution system Is fully ducted (i.e., does not use building csvides as plenums or platform returns In lieu
of ducts)
Where doth backed,ber adhesive duct tape ie..instelled;.mestk: and drawbands are used In combination
with Goth backed, rubD�r adhesive duct tape.to seal leeks at duct Connections.
�INIMUM REQUIREMEt 6 FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct 01"noatio Leakage T#sdng Results (Maximum 6% Dual L.eaka9o)
Duct Pressurization Test Results (CFM ® 25 Pa)
'Tett :Leakage Flow In CFM
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 Fall (1*858=6% or less)
Measured
valw*
�3
a�
b" 0
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or.Commission approved equivalent
Yes ❑ No Thermostatic Expansion Valve (or Conini fission approved
equivalent) is installed and Access Is provided for inspection
[]
Yes Is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESION COMPLIANCE CREDIT
Pass Fail
1 • O Yes Q No . ACCA Manual D Design requlrsi ments have been met
(rater has verified that actual installation matches values in
CF -1 Rand design on plan.
2. D Yes G 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 11 and 2 Is a Pass
Pass ah
,- Certificate of Occupancya o
`.�C. Lrwsrowhv �4�
OBuilding & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 or 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: 52-225 Via Castile
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8057
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: April 28, 2005
Building Official
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