04-8410 (SFD)Ot
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 t (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . ..,_04-00008410 Date • 4/27/.05
Property Address . . . . . . 52575 VIA CASTILE
APN: 772-410-998-26 -32453 -
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 254368
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 FUND
WC: 0460009232 01/01/06
CSLB: 746198 02/28/06
CCC: B C10
P.O. B O X 1504
T-Vf
7$-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:*Oy
Applicant: I Architect or Engineer: Date:
Applicant's Mailing Address:
or Engineer's Address:
No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licyfised under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C90e and se is in full force and effect.
cenIZ L( & I 7 B f
ise Classss en
icse No.
a
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 1, 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
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
_Xof the work for which this permit is issued.
I h ve and will ma' tain workers' compens tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ssu d w erg cojnger tion � rance carrier and polic rt�ber e
Carrier l%'"'t olicv Number _ (�J(Q o,2, 0 � 3
I certify that, in b6 performance o4wofor hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws ofCaliforniat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those pro
_ Applicant
WARNING: FAILURE TO SECURE WORK RS' 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
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 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 nul nd 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
cell ion.
I certify that I have read this application and state that the above info ation 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 er upon the above-mentioned property for inspection purposes.
at �� ignature (Applicant or Agent):
----------------------------------------------------------------------------
= Application Number
--------------------------------------------------------------------=-------
04-00008410
--------------------------
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
PATIO SQ FTG
426.00
NUMBER OF UNITS
.1.00
------------------------- 7
1ST FLOOR SQUARE FOOTAGE
------------•--------------------------------------
3078.0.0
Permit . . ... .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
1182.00 Plan Check Fee
768.30
Issue Date
Valuation . . .
. 254368
Expiration Date
10/24/05
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
20.88
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
10/24/05
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 BTL
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 . . . .
122.73 Plan Check Fee
30.68
Issue Date . . . .
Valuation
0
Expiration Date
10/24/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3078.00 .0350
----------------------------------------------------------------------------
ELEC NEW RES - 1 OR 2 FAMILY
107.73
Permit . . . . . .
PLUMBING
Additional desc
Permit Fee . . . .
184.50 Plan Check Fee
46.13
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/24/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
19.00 6.0000
EA. PLB FIXTURE
114.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
----------------------------------------------------------------------------
` Application Number .
----------------------------------------------------------------------------
. . . . 04-00008410
Permit . . . . . .
PLUMBING
Qty Unit Charge
Per
Extension
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
10/24/05
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes and,Comments
SFD - LOT 26, PLAN 1BR,
3078 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . . .
. . . . ART IN PUBLIC PLACE -RES
135.92
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
76.83
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
865.99 .00 .00
865.99
Other Fee Total
2643.18 .00 .00
2643.18
Grand Total
5096.90 .00 .00
5096.90
V
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.
m
N
N
m This also certifies that insulation have been professionally installed in this home to provide the
m following thermal performance.
0
co
r Job Name: A S M Construction .Tract: Plan# 1RB Phase:
Lot No:. 26 Job Address: >>:;�SFR - 52-575 VIa Castile, 1a, Qulnta; CA a
Ceiling: Area: R-30 Batt insulation ',,Garage Celli ng° - Non=Access: 7
With Living Above ., &,Sloping Areas "
(n r19
n_ -Exterior WaIIE R-19 battinsulation . ,ODverhang3: z . r Access AMC� ry
r
C With Living Above
o Between Floors: Interior Walls:
M
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
0
Signed: ��'1 c rf:•_ • <' r� �� �- x%Lfl �.� _.
M
W
N Mike Dickerson, General Manager - Palm Springs Division
�i
0 R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
co Ask your builder for the fact sheet on R -values. Keep this certificate with your other
0
CD valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
N
C
7
JUL-19-2006 07:41 AM
q
CERTIFICATE
Protect T1 e
Rater
,:a
Date
-r I
Bulkier e
Telephone Plan Number
z7e,e�y,�„a Sample Group Number
street Address: 7 Jy4J4n4 �lrL/ —
Copies to: Builder, HERS Provider
P.01
5� Sample House Number
HERS Provider:
City/Statelzlp:
aE ST TE MENT' -
The house was: Tested ❑ Approved as part of sample testing, but was not tested
As the HERS raterdiagnostic p infested compl anoorequirements and
ld ve as ttheckecd9on hlsefohm houses dentifted on this form
tom with the
Dlsirlbutl system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu
ducts)
Where cloth backed,bbebadheslve duct tapepo seal9 is aealk6 at duct connactio e�nda arE used in combination
(vT with cloth backed, ru
a(MMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
- _ -.._� �__..�.. Jue,.i.......► Bis, Hutt Leakaael
Duct Pressurization Test Results (CFM @ 26 Pa}
-•- Test Leakage Flow In CFM
If fan flow is calculated as 400cfrn/ton xnumber of tons calculated value hese d
�.J.. -
If fan now Is measure ,enter messyred value here
Leakage Percentage (100 )etsst Leakage/Fan s=low) _
Check Sox for Pass or Fall (pas 49=6% or less)
Measured
values
❑
Fail
THERMOSTATIC EXPANSION VALVE ITor Commission a roved equivalent,
Thermostatic Expansion Valve (or Commission approved
Yes ❑ No p
Access is provided foreSspectlon
❑
equivalent) is Installed and
ase Fall
Yes �s a pa
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
D No ACCA.Manual-DPM n requirements have been met
1. ❑ Yes ,
(rater has verified that actual Installation matches values in
)�
CF -1 R and design on plan.
4114
/
' �. y.1Ia.Y1v #i,•
TXV is Installed or'�an flow has been verified. If no TXV,
Z 0 Yes CJ No
verified fan now matches design.from CF•1 R.
Measured Fan.FI9w= __^—Cl
a
Y c - Yes for both 1 and 2 Is a Pass
Pass Fail
, y •
:ICS tri
I Cl QUINTA
BUILDING & TY DEPARTMENT
AUG 19 2605 012
INS N EQUEST LINE
CITY OF 4LA CIUiNTA 777 153
FINANCE DEPT.
Owner ND LA QUINTA PARTNERS, LLC
Contractor A & M CONSTRUCTION
TRUCTION
Permit Number 04-9410
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 52-575 VIA CASTILE
SFD -` ,,bT 26, PLAN 1RB. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION I DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE Z-
U/G ELECTRICAL / GROU I
FOOTINGS / STEEL jJ -41
- S
CONCRETE SLAB >/-' N - _ 5�_ I I _
DO NOT POUR CON RET UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF / p - -- 5
OKAY TO WRAP VW",/e' - /p 3
(FRAMING COMBIN TI - _ :5,
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL l - 3 -
INSULATION
N -
COVER NO WORK NTIL ABOVE SIGNED
.INTERIOR GYP. BD. DRYWALL r
EXTERIOR LATH
SEPTIC ABANDONMENT
SEWER CONNECTION 4
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
ELECTRICAL
PLUMBING -
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. =
FINAL) JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
001
Certificate of Occupancy
G OF9ti 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: 52-575 VIA CASTILE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8410
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 26, 2006
Building Official
POST IN A CONSPICUOUS PLACE