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04-8058 (SFD)BUILCING & SAFETY DEPARTMENT cam+ P.O. BOX 1504 495 CALLS TAMPICO (760).777-7012 - FAX (76O) 777=7011 U QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 { MSR 14 2005 BUILDING PERMIT i CITY OF LA QUINTA I 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 04-00008058 52285 VIA CASTILE 772-410-998-12 -32453 - DWELLING- SINGLE FAMILY LOW DENSITY RESIDENTIAL 241870 Contractor Date. 1/11/05 DETACHED --------------------------------- 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 C&f 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760)777-7012 FAX (760) 777-70Y1 INSPECTIONS (760) 777-7153 Application Number: 0-g- 3059 Date: 3' 1.05^ Applicant: Architect or Engineer: Applicant's Marlin Address: 9 chitect or Engineers Address: 41 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licen d under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals Code, and my�ns� is in II force and effect. Q cense Class -Fi � icense No. -! Q ,,,0a 2 te '/'tet l—� nth Tactor OWNER43UILDER DECLARATION I hereby affirm under penally 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 stricture, 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).): (--) 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.). (--) 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. DG I 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 Ivo rs' com ensation rn nce carrier and policy n by are: mer . �t�o ty.tiD olicy Number _ B(S�b �j %j _ I certify that, in th rformanc 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, and 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 provision . _ r Applicant 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.). 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 perforated 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 tocancel) 1 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 r upon the above-mentioned property for inspection purposes. Date �I �'® Signature (Applicant or Agent): ----------------------------------------------------------------=----------- .,� Application Number . ---------------------------------------------------------------------------- . . . . 04-00008058 EA -------------------------- Structure Information ------------------------- EA Construction Type . . . . . TYPE V - NON RATED EA Occupancy Type . . . . . . DWELLG/LODGING/LONG <==0 EA Flood Zone . . . . . . . . NON -AO FLOOD ZONE EA Other struct info . . . . . CODE EDITION 2001 CBC 1.00 FIRE SPRINKLERS N0 - PATIO SQ FTG 270.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2949.00 Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1136.50 Plan Check !gee 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 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check ,ee 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 118.22 Plan Check -ee . . 7.39 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2949.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 103.22 ---------------------------------------------------------------------------- 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 '=ee 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 . . . . . 04-00008058 ---------------------------------------------------------------------------- •---------------------------------------------------------------------------- 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 12, PLAN 3B, 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 LO W 0 a rl Ln rL ti cn N m v m CD LD ti v Qi CDLO toCS) N r-1 CS) N CD Certificate of Insulation Your home has been inadated with John Mansv7le F lnsuladon products, which aro designed for today's safety standards and tomorrows energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire-�nt chemicals that will likely lose their effectiveness over time. It has not been treated with dwnlc ds that can corrode wiring or metal. Fiberglass will not absorb moisture nor will It settle overtime as may otbw insulation materials. This also certifies that insuiation have been professionally installed in this home to provide the following thermal performance. Job NanM: A 3 Y Con bucdon Tra t: PWW 38 Pham l Lot No: 12 .lob Addrow:. BiFR - 52 Vim CaW1% La Qufnb, CA COMM Area: R-30 94 insukatlon Gsrape CWinp: NonAwaw: — - Wlh Uving Above b tllioping Arras ExbrW Wal! R49 trait insulation OveAiarigs: ' With UvIng Above aButwsen Rroon: hd rlior Vhft: 'AAooesa AWc; Subcontractor ...O J Insulation, Inc. 72-227 Adelaid St, Thousand Palms, CA 92276 Mike Dlckuson, Genual Alonegor - Palm Spifngs DhWon R -means resistance to heat flow. The higher the R -value, the greater the insulating firer. Asir your builder for the fed sheet on R -values. Keep this certificate wdh your other valued papers. If you eves sell this home, this certificate should be passed on to the buyer. -nn_ 4-4 ilii. 4 -A 3-20-2006- 06:'09 AM NIS Alt, j�- t CSR' CATE OF FIELD ON -CF-41t' ST, M �1, -'JU, , : Datd'f . 1. --2 -cc Projw se JA nuilder Name Builder 'oOOPqn FlsnNurbrHERS t9t Tele ho :Bample Group Namber op. zi 9 House N nq 81nature' HERB ProviderAE Cie 441 hey Yk C /Ststif, P Ad Copied to....! P OuRder, HERS Provider HERS SMOZOMEL _CIE 11TATEMEN .77 Y 16 hiuftwes. .13. Approv, Wthi W Was- not T A n, de -fthe hidus6i 10entW- on ..111 arm '.."N With the dIa tic rested complign(' reir i A* th HERS titer pm:vldlna dladn6ific texur4i gnos _q Vd. e-;,- .5,1"Iti to 115 1 4 ji­ .i 4 � 1, 1 Mg dr,oleftrW"., 48,1..11. VIM, 10[rog.ca pon rn. blttriiutla�i%Ystem Is fully OuOted (i.e., d6".'ridt" a P3 VVhei;e d6ih bicked, nftir adhesive dhesive duet. with cloth backed, rubber adhesive duct-taoildilse il'i d Iluai 4 . Z -F CE C 'M1NlMOM'RkaUlFtEmIENTg FOR DUCT toli Ud L REDIT no Oleo stlo Leakage Twmrig Results (maid 4': 1. :Loakagq) valti8i" rization Test Results (CFM 26 ft): i Measured NO P*86 r! -TN Maw In C #!Oh* flow Is calaWated a s400 4�"u 10 tons enter ca G: value here :1 :W If fen flow 13 messu value nits F Flow), Leakage Percentage (I P. Check Box for :ot'F of lees a F 3i A 1t1 fi !:Past: ill 'j stent WOSIATIC EXPAN61OW Tk P E VALVE 4 Y4 N6: Theimostatio' Expansion Vio" 1 60 g, I .i a ' i } , lira r , t `' ,t l {}'j) on �t-t01�1 q e I I i,Ins action 4 F . i* , .1 dad equiiva ent) 11 note d and e . bill j p a pan, , , -i -_ OON 10 LWC C jRt I PH, IM OR Duar q Om r.Manuel 0 P04101ye" ves 0 No AC�A: hove' (rater has verifled."thi.i6w ..9 Os in bn CF -11 Rand design �v 41 w.'C3 Yes :0 No TXV Is Installed ori flow hasYl: Fa #bOn' verified. It �6�-TXV verified fen flow tch met 9;,40010r il� pin CF Missured Fen F1 iY -ifF.bi A and rboth M Pass Fall We page 5t V4! 4 Vl_ t�'i J, eumber s°A sow Cc AT 'A a LA QUINTA �o� LVG FETY DEPARTMENT ° " -7012 'v � AMP,a I,I,ON REQUEST LINE I L.... 777-7153 �� UINTAi PARTNERS, LLC Owner f >Q Contractor A & M CUCTION Permit Number 04-8058 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-285 VIA CASTILE SFD, LN� 3B. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. SETBACKS I U/G PLUMBING / WAS77_ TEMP, USE OF PERMANENT POWERFf '�''ELECTRICAL ,_:-U/G ELECTRICAL/ GROUNDING .�:PLUMBING FOOTINGS / STEEL MECHANICAL CONCRETE SLAB c► — 173 ;3 ; g' FINAL / JOI DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF — OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICALil INSULATION�- -,S 6 - COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH l GAS TEST / SEPTIC ABANDONMENT SEWER CONNECTION — — SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS BOND POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING PRE -PLASTER (ALARMS / BARRIERS) I FINAL INSPECTIONS TEMP, USE OF PERMANENT POWERFf '�''ELECTRICAL ..; .�:PLUMBING �.►__ a _ MECHANICAL '$ PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. 173 ;3 ; g' FINAL / JOI ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 0 �a- Q�c- Certificate of Occupancyo o 1�1 U � ot��IVi�I N Emmot"M OF 'T1Buil din & Sa fe t Department 9► Y 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: 52-285 VIA CASTILE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8058 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: MARCH 23, 2006 Building Official POST IN A CONSPICUOUS PLACE __ I I�