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04-8059 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)1777-7012 495 CALLS TAMPICO FAX (760) 777-7011 D QUINTA•, CALIFORNIA 92253 INSPECTION -REQUESTS (760) 777-7153 MAR 142005 BUILDING PERMIT ITY OF LA QUINTA >\T,Imber . . . . . x`04 000-08059 Date 1/11/05 Property Address . . . . . . 52345 VIA CASTILE APN: 772-410-998-16 -324.53 - 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 CONSTRUCTION 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 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Off- BOSC% Date: 3 • l �' O $� Applicant: Architect or Engineer: 1,5rpw e Ze if7 MP � Applicant's Mailing Address: or Engineer's No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Li is i full force and effect. 7 u /- C cense Class icense No. ! ((D Tate )'�(� 0 / 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.). 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: _ 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. -1 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 is ed. y worke 'compensation in rnce carrier and policy number are: /_15arrier Ae!�IZ cyNumber ( 0 !!F23? Z,1110 _ I certify that, in the Wormanc6of the coo 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 a ree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith 2..lcomply with those provisions /PMe 7 l �� licant 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 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 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 cancella ' n. I certify that I have read this application and state that the above info on is correct 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize_representatives of this county to e r upon the above-mentioned property for inspection purposes. ate �� ~� mg8 nature (Applicant or Agent): Permit ... . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . ELEC-NEW RESIDENTIAL 118.22 Plan Check Fee Valuation . . 7.39 0 Qty f f• , Per - - - - - - - - - - - - - - - - - - - - - - - - : ,- ............ `� Application Number --------------------------------------------------------------------- : - - - - - - - - - ...... ----- - - - - - - - - - - - - - - - - - {". I." , 04-00008059 - - - - - - - - - - - - - - - - ------- -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED 15.00 Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE 103.22 Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO desc PATIO SQ FTG 270.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTA73E 2949.00 Permit . . . . . . BUILDING PERMIT Issue Date Additional desc Permit Fee . . . . 1136.50 Plan Check Fee 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 PLB Additional desc . . 120.00 1.00 Permit Fee . . . . 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension WATER HEATER/VENT 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 FAMILY 103.22 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Application Number 04-00008059 Permit . . . . . . GRADING PERMIT .00 Additional desc .00 2552.32 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 16, 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total. Grand Total Charged Paid 1543.72 .00 209.20 .00 2552.32 .00 4305.24 .00 Credited Due .00 1543.72 .JO 209.20 .30 2552.32 .JO 4305.24 FEB -10-2006 r� gkr .CERT1FIC, 07:1e AM LTE OF FIE' DIAGNOSTIC Plan Number = f-% .-7 Dbone Sample Group Number P.01 v fying Signature Dae Sample House Numaer Wl'tiHERS Provider: Firer; Street Addreee; C/r� �e' City/State/Zip: Copies to: Builder, HERS Provider HERS MIERC L) ST&TEMgNT - The house was: ested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form cam with the diagnostic festal compliance requirements as checked on this form. PDistribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu �f ducts) W here cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. 91NIMUM REQUIREMENTS FOR DUCT LEAKA©E REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) valuse Test Leakage Flow In CFM If fan now Is calculated as 400cfm/ton x number of tons enter calculated value here r2,IJ7JD If fan flow is measured enter measured value here y� Leakage Percentage (100x Test Leakage/Fan Flow) = S6 �v 5 7 Check Box for Pass or Fail (Pass=l3% or less) 0 Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) -or Commission approved equivalent ��-/--- L�Yes ❑ No Thermostatic Expansion Valve Or Commission approved UUU Is Installed and Access Is provided for Inspection d Kass equivalent) 0 Fail Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes D No ACCA Manuel D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. 2. M Yes 0 No TXV Is installed or Fan flow has been verified. If no TXV, / verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail 02/ 01112006 09: 41 7603432297 OJINDUSTRIES P S _2 k g� cr o $� a Fr 0m m to � a S 7603432297 OJINDUSTRIES P S ir PAGE 02 0 _2 k M� m � a ir PAGE 02 0 Certificate of Occupancy Log 4 OF'T'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: 52-345 VIA CASTILE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8059 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 1. 2006 Building Official POST IN A CONSPICUOUS PLACE