04-7106 (SFD)N
Tihf ��wQ"
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 . . ... <: �: 0 4=0-0-0"0-710-6\ Date 11/16/04
Property Address . . . . . . 8075 -2 --VIA PUERTA AZUL
APN: 762-240-003-23 300962 -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning MEDIUM DENSITY RES
Application valuation . . . . 98984
Owner
PUERTA AZUL PARTNERS.
17700 SW UPPER BOONES FERRY RD
SUITE 100
PORTLAND OR 97224
Contractor
DAVIS/REED CONSTRUCTION INC
169 SAXONY ROAD, STE.#105
ENCINITAS CA 92024
(760) 634-2350
WCC: STATE FUND
WC: WC298892003
- 06/12/05
CSLB: . 813480
10/31/06
CCC: B
---------------------------
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 CRC
# BEDROOMS
'2.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
251.00
PATIO SQ FTG
316.00
NUMBER OF UNITS
1.00
----------------------------------------------=-----------------------------
FIRST FLOOR SQ FTG
1571.00
Permit . . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee'
635.00 Plan Check'Fee
103.19
Issue Date
Valuation . . . .
989E4
Qty Unit Charge
Per
Extension
BASE FEE
414.30
49.00 4.5000
THOU BLDG 50,001-100,000.
220.50
------------------------------------------------------------
. . . . . .
----------------
MECHANICAL
Additional desc
Permit Fee . . . .
78.50 Plan Check Fee
4.91
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
S.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
P.O. BOX 1504 • �GI;��
r1Y 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: ALL- I (OG Date: 11. 1(0 -og
Applicant: c ' or Engineer:
Applicant's Mailing Address:
itect or Engineer's Address:
No.: �%�7_?__1 ?7 9
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underj=Qlty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licens�' n full force and effect. / 1� j G�
�icense Class /License No. 1 1 O
04 ContractorJD G\JA S
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.
I have and will maintain workers' compensate urance, as required by Section 3700 oFHa Labor Code, for the performance of the work for which this permit is
/sue M workers' com ensatio ' ante carrier an golicy n �r�rg;�., ,ZOC�y�
Carrier J C� � 1�i 5% olicy Number ` 25>�'1
I certify that, in the performa a of the work for whit s permit is issued, I she ploy any person in any manner so as to become subject to the workers'
compensation laws of C lifomia, and agree t I should become oe�f he workers' com nsation provisions of Section 3700 of the Labor Code, I shall
forthwith comply_wit/h those provisions.
/Date 6- � pplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG 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
Building
APPLiCAFT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Build ng 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 Quinta, its
officers, agents and employees for any act or omissiohrelated to the work be performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes'null and void if is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancel
1 certify that I have read this application and state that the above information is agree to ply wi a city and -county. ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter u ove-me ' ed property for inoection purposes.
ate 1 1 1 b � , �8 gt ne (Applicant or Agent):
f
Page
2
Application Number .
. . . . 04-00007106 Date
11/16/04
Qty Unit Charge
Per
Extension
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . . . . . ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
75.01 Plan Check Fee
4.69
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1571.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
54.99
251.00 .0200
ELEC GARAGE OR NON=RESIDENTIAL
5.02
----------------------------------------------------------------------------
Permit . . . . . PLUMBING
Additional desc
Permit Fee . . . .
145.50 Plan Check Fee
9.10
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
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
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
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
---------------------------------------- -----------------------------------
Special Notes and Comments
SFD - LOT23. PLAN 3BR,
1571 SF. PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
ti =
Page 3
Application Number
. . . . .
04-00007106 Date
11/16/04.
-=--------------------------------------------------------------------------
Other Fees . . . .
. . . . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
10.32
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
9.89
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
-----------
Due
Permit Fee Total
----------
949.01
----=----- ----------
.00 .00
949.01
Plan Check Total
121.89
.00 .00
121.89
Other Fee Total
2425.21
.00 ..00
2425.21
Grand Total
3496.11
.00 .00
3496.11
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INSULATION CERTIFICATE
• This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building at
80-752 VIA PUERTA AZUL, LOT 23, RELEASE 9, PHASE 2, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-11
WALLS: THICKNESS: R-19
TYPE: BATTS MANUFACTURER: Certainteed
GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE #
BY: TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY:
TITLE: ACCOUNT REPRESENT IVE DATE:
•
0
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TF.STTNG '- CF -4R
•
Builder Contact Telephone
-3 J)r Garin�7,0) ;Z/e- 5-72?
HERS Rater Teleph
�Oftifying Signature 'Datg
Firm:
Street Address: 7gbl/6 ,D/'4W-&4 C/YCAe,
Copies to: Builder, HERS Provider
uate
Builder Name
30-K
Plan Number
Sample Group Number
Sample House Number
HERS Provider: C HEt RS
City/State/Zip: L.0 QtJIr!lw Q%
HERS RATER COMPLIANCE STATEMENT
The house was:Tested E]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
comply with the diagnostic tested compliance requirements as checked on this form.
distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu
of ducts)
Owhere 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.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
• Test Leakage Flow in CFM
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) = �, b
Check Box for Pass or Fail (Pass=6% or less)
❑
Pass Fail
Lgp�HERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
s ❑ 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 ❑ No ACCA Manual D Design requirements have been met
(rater has verified that actual installation matches values in
CF -1 R and design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, '01
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
❑ ❑
• Yes for both 1 and 2 is a Pass
Pass Fail