04-8063 (SFD)0
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BUILCING & SAFETY DEPARTMENT
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(760),777-7012
►LLE TAMPICO FAX (760) 777-7011
A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
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App ica i r . . .
. .C;04-00008063' Date
1/11/05
Property Address . . . .
. . .52305 VIA CASTILE
APN:
772-410-998-14 -324D3 -
Appl.ication description
DWELLING'-' SINGLE FAMILY DETACHED
Property Zoning . . . . .
. . LOW DENSITY RESIDENTIAL
Application valuation . .
. . 254368
Owner
Contractor
---------------------------------
ND LA QUINTA PARTNERS
---------------------------------
A & M CONSTRUCTIJN
375 N FRONT ST STE 200
P.O. BOX 366
COLUMBUS, OH 43215
LA QUINTA, CA 92253
(760)564-4832
WCC: STATE FUND
WC: 0009.232-2005
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:_ (D4- eo&3 Date: 3•l1'0
Applicant: Architect or Engineer:
2c1twv ;s;
Applicant's Mailing Address:. chitect or Engineer's Addr s:
I
No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licen ed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals
Code, and Lice se is in full force and effect.. f�
rise Class
.. rcense No. L
Date '�� ntractor
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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , B;& 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
rs' compelsation c ce camer and licr are:
artier ss a wo olicV Number`T `Z Zfjd J�
_ I certify that, in tht0erformance of the worr�tt for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' -
of laws of California,: wo I 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
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 (5100,000), 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
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 employeesfor 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 cane tion.
I certify that I have read this application and state that the above info tion is correct I agree to comply with all city and county ordinances and state laws relating to building
construction. and herebby)�autho ize represen fives of this county to er upon the above-mentioned property for inspection purposes.
to / i nature (Applicant or A
. 6` 9 (APP Agent):
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;F Application Number ,04'00008063
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Structure Information
Construction Type . .
. . . TYPE V - NON RATED
EA
Occupancy Type
. . .
. . . DWELLG/LODGING/LONG <=10
1.00
Flood Zone . .
. . .
. . . NON -AO FLOOD ZONE
3.0000
Other struct info
. .
. . . CODE EDITION
2001 CBC
8.00
.7500
# BEDROOMS
4.00
15.0000
EA
FIRE SPRINKLERS
NO
PATIO SQ FTG
426.00
NUMBER OF UNITS
1.00
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1ST FLOOR SQUARE FOOTAGE
3078.00
Permit . . . .
.
BUILDING PERMIT
Additional desc
.
Permit Fee
1182.00 Plan Check Fee
192.08
Issue Date . .
. .
Valuation . .
. . 254368
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 I. . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
122.73 Plan Check Fee . . 7.67
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
3078.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.73
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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
r
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Application Number . . . . . 04-00008063
----------------------------------------------------------------------------
----------------------------------------------------------------------------
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 14, 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
-----------------
Paid Credited
Due
----------
Permit Fee Total
1587.73
------------------------------
.00 .00
1587.73
Plan Check Total
216.50
.00 •.00
216.50
Other Fee Total
2585.56
.00 .00
2585.56
Grand Total
4389.79
.00 .00
4389.79
FEB -23-2006 09:40 PM
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�r CERTIFICATE OF FI
J 41 Project tie
Projo.0 A dress
C TESTING ,.
Builder Name'
Telephone Plan Number
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Teleph ne Sample Group Number
�=
in Signature Da !. Semple Nouse Number
Flrm:yC. f�sso�f_ 5. HERS Provider:
Street Address: 2qea gr��oyr( t�IYL ��, i' Clty/State/Zip:
10013108 to' Builder, HERS Provider
r
E RATER COMPLIANCE ATM
The house was:Tested 13 Approved as.part of sample testing, but was not t""ed
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
com ly with the diagnostic tested compliance requirements ps checked on this form.
Istributlon system Is fully ducted (I.e., does not use'lullding cavities as plenums or platform returns in lieu
of ducts)
Where Goth backed, rubber adhesive duct tape is Installed, mastic and drawbandt 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 -OW"' bunt Leakage)
Duct Pressurization Test Results (CFM C 25 Pa) Measured
.j
values
Test Leekage Flow in CFM
If fan flow is calculated as 400dm/ton x number of tons enter
cat lated value here
If fan flow Is measured ®nter measured value here
Leakage Percentage (100 x•TestL'eakrge/Fan Flow) _
Check Box for Pass oil ( 'as6=8% or less)
I.CTHERMOSTATIC EXPANSION VALVE TXV .orComtnssion a oved euivalent
Yes ❑ No Thermostatic Expansion Valve (or Coriunission approved
equivalent) is installed and Accest'is pfovided for Inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN C64PLIANCE CREDIT
�. .❑ Yes -13No ACCA Manual D Design requirements have been met
(rater has verified that actual installation matches values in
CF -1R and design on plan.
2• ❑ Yes C3 No TXV 1s Installed or Fan flow has�ieen verified. If no TXV,
verified fan flow matches design'from CF -1R.
Measured Fan Flow =
Yes for both 1 and 2 Is a Pass
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P.02
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❑ i
Pass Fail
�❑ i
Pass Fall
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Certificate
of Insulation
Your home has been insulated with Jobn Manaville Film insulation products, which are designed
for today's safety standards and tomorrows energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does riot have to be treated
with fire -retardant chemicals that wit 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 processionally installed in this home to provide the
following thermal performance.
Joh Nene: A a M Coneeucdon Tract: PI" 1A Phane: 1
Lot No: 14 .lop Address: &FR • U -M via Co Mee. Le Quhrb, CA
Ceiling Area: R -W earl InwAstlon Garaile Calling: - - • - - - Iron: With Living Above & 91Wnp Ansae
Extortor Walir R-19 bait insulation Overhangs: Amen Attle:
With Living Above
Between Floors: Interior Walla:
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N Suboont wtor...0 J lnsulatlon, Inc.
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�l 72-227 Adelaid St, Thousand Patens, CA 92276
LDti
Signed:
01
CD Mike Dkkomon, General Manager- Palm Springs Division
LD
CS) R -means resistance to heart flow. The higher the R -value, the greater the insulating power.
04
Ask your builder for the fest sheet on 11 -values. Keep this oertificate with yore other
® valued papers, If you ever sell this home, this oeMcate should be passed on to the buyer.
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VII I VI `A VMI\ IM
gBUIL FETY DEPARTMENT
-7012
`+ MAR 1 4pS EC 7153 REQUEST LINE
Cl N ARTNERS, LLC
ContractorMNSTYUCTION
Permit Number 04=8063
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS "x`52==305MUI TCASTILE
SFD9 LOT -14, PLAN 1A. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH'�fw
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER I I n
WASTE
U/G ELECTRICAL/ GROUNDING 1- S --/f7 _ I /—
FOOTINGS
SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF - '�
OKAY TO WRAP - S -
FRAMING (COMBINATION) /79 /17
ROUGH PLUMBING I / a
ROUGH MECHANICAL _
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
.SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER -G
ELECTRICAL
PLUMBING 1 7X711 C'??a. 9
PUBLIC WORKS DEPARTMENT 'I I3
COMMUNITY DEVELOPMENT DEPT. I _Q • -a-&- p
FINAL / JOB COMPLETED�/3
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
0 Certificate of Occupancy
;ICS11111
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DCMFORAIM ��
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G OFT9� 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: 52-305 VIA CASTILE
Use classification: SINGLE FAMILY DWELLING BuildinPermit No.: 04-8063
Occupancy Group: R3 Type of Construction: VN and 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 3, 2006
Building Official
POST IN A CONSPICUOUS PLACE