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04-8062 (SFD)` P.O. Box 1504 DIr 9 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 MAR 14 2005 BUILDING PERMIT CITY OF LA ®UINTA FINANCE DEPT. 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 BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00008062 Date 1/11/05 52245 VIA CASTILE 772-410-998-10 -32453 - DWELLING-- SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 254368 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 ININ P.O. Box 1504 • 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: 0 - �� Date: 3 - li ' ()57 Applicant: Applicant's Mailing Address: Architect or Erigineer: &emtcI Lip ,.Architect or Engineer's Addres . ic. No.: 6l olf (0 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals Code, and my Licen is infullforce and effect. -7 u r� cense Class Eense No. 1 L Date ?a 1 --& '5 --C—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 Divisiori 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 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , B.8 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. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor mance of the work for which this permit is ued wztrs' compen a6 in ce carrier and gQljpy r�i ajg artier olicy Number z --ZEDS _ I certify that, in th erfommance of tFbns�. ork 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,gree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 3-f1�-a5 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 Lender's Address A 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 caab" 1 certify that I have read this application and state that the above inf tion is correct I agree to comply with all city and county ordinances and state laws retating to building construction, and hereby authorize resentatives of this county t ter upon the above-mentioned property for inspection purposes. 2 ` Date J� �tr 5 Signature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number . . . 04-00008062 ---------------------------------------------------------------------- - - - - - - Structure Information Construction Type . . . . . TYPE V - NON RATED EA Occupancy Type . . . . . . DWELLG/LODGING/CONG <=-LO EA Flood Zone . . . . . . . . NON -AO FLOOD ZONE EA Other struct info . . . CODE EDITION 2001 CBC 1.00 # BEDROOMS 4.00 8.00 FIRE SPRINKLERS NO 1.00 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 192.08 Issue Date . . . . Valuation . . . . 2543.68 Qty Unit Charge Per. Extension BASE FEE 639.50 155.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 542.50 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 . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . ELEC-NEW RESIDENTIAL 122.73 Plan Check Fee Valuation . . 7.67 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 Issue Date . . . . Qty Unit Charge Per 19.00 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 11.53 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 15.00 114.00 15.00 7.50 3.00 9.00 6.00 15.00 ---------------------------------------------------------------------------- �'` Application Number . . . . . 04-00008062 ---------------------------'------------------------------------------------ ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 10, PLAN 1A,.3078 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 135.92 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 19.21 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 Permit Fee Total 1587.73 Plan Check Total 216.50 Other Fee Total 2585.56 Grand Total 4389.79 Paid Credited Due ---------- ---------- ---------- .00 .)0 1587.73 .00 D0 216.50 .00 .)0 2585.56 .00 D0 4389.79 4 L0 39Cd S d SMaisnaNI O L6ZZEVE09L • C m :2 w i Zb:60 9002/Z0/"L0 IL S d SMaisnaNI O L6ZZEVE09L • C m :2 w i Zb:60 9002/Z0/"L0 "BAR -31 -2006 CERTIF Prnlart Titl 06:46 AM Sample Group Numcer Sample House Nuirber FIrm:_4j, C. it HERS Provider. C�IF,S Street Address: 2!S C�/rL ��. City/Stste/Zip: Copies to: Builder, HERS Provider HERSWESQ011CLIAN The house was:Tested 13 Approved as part of sample testing, but was not tested As the HERB rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply( with the diagnostic esteel compliance requirements as checked on this form, JDistribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu 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 leeks at duct connections. ;?,**M"INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results .(Maximum 0% Duct Leakage) Duct Pressurization Test Results (CFM ® 25 Pe) - .Test -Leakage Flow In CFM If fan flow Is calculated as 460efm/ton x number of tons enter ; calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Pan Flow) = Check Box for Pass or Fall,(Pass=6% or lose) THERMOSTATIC EXPANSION VALVE or Commission Measured values gI. ' -71-1 79 Aass s>UI jr Yea ❑ No Thermostatic Expansion Valve (or Conunission approved equivalent) Is installed, and .Access Is provided for inspection ❑ Yes Is a pass ass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes ❑ No ACOA Manuel•D Design requirements have been met (rater has verified that actual Installation matches values in i 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 -1R. Measured Fan Flow = 0 O Yes for both 1 and 2 is a Paas Pass Fall e. e&CITY OFU QUINfA DEPARTMENT OF MAR 11 {(����� 7 012 �INSI��&O QUEST LINE CITY OF LA QUINTA 7- 153 Owner -- Contractor ,' M- APA TNERS, LLC Contractor A & M CONSTRUCTION Permit Number 04-8062 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB 52-245 VIA CASTILE SFD AN IA. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WAST!: U/G ELECTRICAL/ GROUNDING - FOOTINGS / STEEL CONCRETE SLAB . ;3 DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ,r ROOF NAIL/ PRE -ROOF OKAY TO WRAP - FRAMING COMBINATION rjley ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL ZI INSULATION COVER W),-VY9RIC NTIL ABOVE SIGNED EXTERIOPACATH GAS TFAT SEPT ABANDONMENT S R CONNECTION - -_ S TIC / GREASE INTERCEPTOR MASONRY Rt&l POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING 'U/G GAS /G ELECTRICAL ELECTRICAL Nl PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy Twf 4 xP a" 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: 52-245 VIA CASTILE Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Owner of Building: ND LA QUINTA PARTNERS �^1 Building Official Type of Construction: VN Building Permit No.: 04-8062 Land Use Zone: RL Address: 375 FRONT ST. STE. 200 City, ST, ZIP: COLUMBUS, OH. 43215 By: STEVE WILLETT Date: MARCH 29, 2006 OUS PLACE