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04-8409 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . Property Address . . . . APN: Application description Property Zoning . . . . . . Application valuation . . . _04-00008409 Date 4/21/05 52545 VIA CASTILE 772-410-998-25 -32453 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 221781 Owner Contractor --------------------------------- --------------------------------- ND LA QUINTA PARTNERS A & M CONSTRUCTION 375 N FRONT ST STE 200 P.O. BOX 366 COLUMBUS, OH 43215 LA QUINTA, CA 92253' (760)564-4832 WCC: STATE FUND WC: 0460009 32 01/01/06 CSLB: 746198 02/28/06 CCC: B C10 P.O. Box 1504 f� 7H-49$ CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 IINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 �%— gqoq Date: �" Lg•o� Applicant: Architect or Engineer: Applicant's Mailing Address Architect or Engineer's Address: c. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I amkficensder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Ccense l ss L' se is full force and effect.I yb `/x�cense Class ��ense No, / Date - t Q '� OC.� 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 "'Or KE^S' CO?,-cw3ATiON 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. _4L -.I havy, and wil maintain rkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ue rker' o sa' n' urancecarrierand m r arrier 4andree ber 1027, I certify that, in the ormance ofhich this pe it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californiaat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, ( shall forthwith comply with thos prov ate l ppli 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 Lenders 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, indemnify 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 can Ilation. I certify that I have read this application and state that the above i rmation 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 enter upon the above mentioned property for inspection purposes. Date B r 0� Signplicant or Agent): ---------------------------------------------------------------------------- v Application Number . . . . . 04-00008409 ----------------=----------------------------------------------------------- Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 646.00 PATIO SQ FTG 254.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2703.00 Permit . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1066.50 Plan Check Fee 693.23 Issue Date . . . . Valuation . . . . 221781 Expiration Date 10/18/05 Qty Unit Charge Per Extension BASE FEE 639.50 122.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 427.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation 0 Expiration Date 10/18/05 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 . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 109.61 Plan Check :=ee 27.40 Issue Date . . . . Valuation _ 0 Expiration Date 10/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 2703.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.61 .00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL .00 Permit . . . . . . PLUMBING a Additional desc . . Permit Fee . . . . 190.50 Plan Check Fee 47.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 ---------------------------------------------------------------------------- ,, Application Number . . . . . 04-00008409 k ---------------- . . . . . . PLUMBING .00 Qty Unit Charge Per Extension 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 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 10/18/05 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 69.32 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1465.11 .00 789.14 .00 2583.86 .00 4838.11 .00 Credite3 Due .00 1465.11 .00 789.14 .00 2583.86 .00 4838.11 Certificate of Insulation Your home has been insulated with John Mansville Fiberglass insulation products, which are designed for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire -retardant chemicals that will 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 professionally installed in this home to provide the following thermal performance. Job Name: A & M Construction Tract: Plan# 2A. t .. Phase: _ ,2•. _... .. Lot No: 25 Job Address: .:SFR - 52-645 Via Castile 'La,Qulnta; CA-­;f.;W -_ Ceiling Area: R-30 Hatt insulation Garage Celling:° 9 Non=Access: _. :P With Living Above $ Sloping Areas Exterior Wall; R-19 balk insulation Overhangs 'Access -Attic With Living Above - Between Floors: Interior Walls: Subcontractor ...0 J Insulation, Inc. 72-227 Adelaid St, Thousand Palms, CA 92276 Signed: �`�''...� ���I- >�cll��, .,.. •w...> Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulating power. 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. JUL-20-2006 08:36 AM SO P.01 1281110-11WAI Sample Group Number rtlfying Signature D e Sample House Number Firm: -T,'�f. 4- AssoL/d?e. HERS Provider: Street Address:.2yats fydW!&'e �f/YL le City/State/zip: L 4r 4/nr4 1 Copies to: Builder, HERS Provider HERS RATER QOMg6IANCE STT The house was; ATested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verifloation, I certify that the houses identified on this form c7yi with the diagnostic Tested compliance requirements as.cheeked on this form. lstribution system is fully ducted (I.e., does not use building cavities as plenums or platform returns in lieu f ducts) Where cloth backed, rubber adhesive.duc'Udpe.is Installed,,mastic and drewbands are used In combination with cloth backed, rubber adhesive duct tape -to §eal'leaks at duct connections, � J MINIMUM REQUIREMENTS FOR bUCT'LEAXAG- E REVU&ION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 0% Duct Leakage) t 11 Measured Duct Pressurization Test Results (CFM @ 26-Paj' ' values --Testl.eakage•'F.low in CFM //4/ If fan flow is calculated as 400cfm/ton x ntambbr>of tons enter ADD :. ;, calculate.d;yalue here If fan flow is measured.enisr measured value here Leakage Percentage (100 •x Test Leakage/Fan Flow) Check Box for Pass or Fall (Pa88=6% or less) ❑ ass Fall THERMOSTATIC EXPANSION VALVE'(TXV);or: Commission approved equivalent gy—es ❑ No Thermostatic Expansion VaiVe,(or Con -1M' sion approved equivalent) is installed,and,Adcess is provided for Inspection ❑ eas ' Yes is a pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. D Yes A No ACCA Manual d IJas,ign,requirements have been met (rater has vedfled that actual Insta)lation.matches values in .- 104 CF -1 R and design on plan. 2. D Yes O No TXV is installed or Fan flow has Been verified. If no TXV, verified fan flow matches.design_fK.cm CF -1 R. Measured Fan Flow= . D D Yes for both 1 and 2 is a Pass Pass Fail y-+, n a�.f .. ';rii 96 i- t:.'i•:..T:�::. QUINTA DEPARTMENT -7012 INSPECTION REQUEST LINE t, .777-7153 Owner ND?--10IIiNTA PARTNERS, LLC Contractor A & M CONSTRUCTION Permit Number 04-8409 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-545 VIA CASTILE SFD'— LOT 25, PLAN 2A. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION I DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL/ GROUNDING - 3 FOOTINGS / STEEL - ,j' CONCRETE SLAB -,;, 5 DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF / zA 0 - /IV' fS OKAY TO WRAP,;? -2Y FRAMING COMBINATION ROUGH ELECTRIC 17 ROUGH PLUMBING ROUGH MECHANICAL INSULAT _LON, Oil COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) -4 EXTERIOR LATH > AL 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 -Q ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. s - a FINAL / JOB COMPLETED -Zlk ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING I'# Certificate of OccupancyO OF 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: 52-545 VIA CASTILE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8409 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: JULY 27, 2006 Building Official POST IN A CONSPICUOUS PLACE