04-8054 (SFD)A
I
T4bf 4 4 Q"
). Box 1504
-495 CALLS TAMPICO
QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX j760) 777-7011
INSPECTION REQUESTS (760) 777-7153
ber . . . . . 041-00008054 Date 1/11/05
Property Address . . . . . . 52325 VIA CASTILE
APN: 772-410-998-15 -32453 -
Application description . . . DWELLING— SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 221781
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 F-JND
WC: 0009232-2005 01/01/06
CSLB: 746198 02/28/06
CCC: B -C10
P.O. BOX 1504 ot
w VOICE (760) 7'F7-7012
78-495 CALLS TAMPICO FAX (760) 777-7011 y
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: O e4- 30 ,x .ziDate: D S
Applicant: Architect or Engineer -
Applicant's a�
Applicant's Mailing Address: chitect or Engineer s Addr s:
- No.: '�`10R 40
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals
Ccens'e l ss Licens¢�s in full force and effect. �I A
rcense Class �—I cense No. `7
/Date B !ntractor
I 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 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 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:
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
,,,1of thework 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
i d._Morke Pcompengtion in_4usarrCe carrier and Iicy nu ber re:
gamer A�t� olicy N tuber w®4 f �j `-+Z6>b�j
I certify that, in the ormance of the work r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers"
compensation to of California, and ag that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. 4
/Date (� C5plicant
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
Lendefs 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 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 la on.
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 hereby authorize representatives of this county to ter upon the above-mentioned property for inspection purposes.
�Date�1 1 " �ignatue(Applicant or Agent):
;.1
N
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
109.61 Plan Check Fee . . 6.85
Valuation . . . . 0
Qty
Unit Charge
Per
Application Number .
----------------------------------------------------------------------------
.'. .'. 04-00008054
Extension
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
15.00
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone
NON -AO FLOOD ZONE
94.61
Other struct info . .
. . . CODE EDITION
2001 CBC
ELEC
# BEDROOMS
4.00
Permit .
FIRE SPRINKLERS
NO
GARAGE SQ FTG
646.00
Additional
PATIO SQ FTG
254.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTA3E
2703.00
Permit . . . . . .
BUILDING PERMIT
11.91
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
EA
Additional desc . .
FIXTURE
120.00
Permit Fee . . . .
83.50 Plan Check Fee
5.22
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
PLB
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
109.61 Plan Check Fee . . 6.85
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2703.00
.0350
ELEC
NEW RES - 1 OR 2 FF_MILY
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
----------- 7 ----------------------------------------------------------------
Application Number . . . . . 04-00008054
----------------------------------------------------------------------------
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 - RES
366.00
ENERGY REVIEW FEE
17.33
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
23.44
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1465.11
Plan Check Total 197.29
Other Fee Total 2531.87
Grand Total 4194.27
Paid Credited Due
---------- ---------- ----------
.00 .00 1465.11
.00 .00 197.29
.00 .00 2531.87
.00 .00 4194.27
w
a
a.
a_
LO
W
H
W
Cn
A
z
H
0
m
N
N
M
V
m
Q0
� •L
o,
m
Certificate of Insulation
Your home has been insulated with John Mansville FibergIass insulation products, which are designed
for today's safety standards and tomonxWs energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be Treated
with fire -retardant chemicals aunt will likely lose their ettectiveriess over time. It has not been treated
with chemicals that can corrode wiring or metal. Fiberglass will not abaft moisture nor will it
settle over time as may odd insulation materials.
This also certifies that insulation have been professionally installed in this home to provide the
following thermal performance.
.lob Name: A A M Construction Tract: Plan# 28 Phase: 1
Lot No: 15 Job Addleq: SFR - 524125 Vin Castile, Ln Quhft, CA
Ce1Nng Area: R-30 Batt Msulation GarW Coiling: Non-Accese:
Wftth Llving Above 3 Sloping Areas
Exterior WaN! R-49 batt insulation
Ov6rhWgs:
With Living Above
Between Floors: Interior Wails:
Access Aamic•
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
Mike Dickerson, General Manager - Palm Spring8 Division
R -means resistance to heat flow. The higher the R -value, the greater the insulating pourer.
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.
FEB -22-2006 06:59 All
CERTIFICATE OF FIELD VERIFICATION AND
HE
TESTING
Builder Name
Plan Number
Sample Group Number
P.01
i ing Signature 7Datr Sample House Number
Firm: HERS Provider:
n'
Street Address; 7���lS Ar4(ZA1'g /�'L �� City/state2lp; u �'v�✓11g� � �_ ��-.� ���
Copies to: Builder, HERS Provider
HERI RATER COMPLIANCE STAT
The house was; Tested ❑ Approved as. part of sample testing, but was not tesbd
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
Cornp!1y with the diagnostic tested compliance requirements !as checked on this form.
jff Distribution system is fully ducted (i.e., does not use building cavities as plenums or pl:atform returns in lieu
f ducts)
Where cloth backed, rubber adhesive duct tape is Insalled, mastic and drawbands are used in combination
with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
,P MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM Q 25 Pa) values
Test Leakage Flow In CFM �Q
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 Fail (Pass=6% or less) ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
od Yes ❑ No Thermostatic Expansion valve (or Commission approved
equivalent) Is Installed and Access is provided for Inspection `.; ❑
Yes Is a pass Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. ❑ Yes 17 No ACOA Manual D Design requ"ments have been met
(rater has verlfled that actual installation matches values in
CF -1 R and design on plan. !//x
2. ❑ Yes ❑ No TXV is Installed or Fan flow has been verged. If no TXV,
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
Q ❑
Yes for both 1 and 2 is a Pass Pass Fall
0 LC- Certificate of Occupancy
%aft ot
G OFTL'�9� 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: 52-325 VIA CASTILE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8054
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 2. 2006
Building fficial
POST IN A CONSPICUOUS PLACE