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04-7104 (SFD)0 T-Vf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . .04=0_0_0_0_7_L04__� Date 11/16/04 Property Address . . . . . . 80758 VIA PUERTA AZUL APN: 762-240-003-22 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 Qty Unit Charge Per 1.00 9.0000 EA 1.00 9.0000 EA BASE FEE MECH FURNACE <=100K MECH BIC <=3HP/100K BTU Extension 15.00 9.00 9.00 WCC: STATE FUND WC: WC298892003 06/12/05 CSLB: 81.3480 10/31/06 CCC: B ----=--------------------- Structure Information - -------------- - --------- Construction Type . . . . . TYPE V -.NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=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 . . . . 98984 Qty Unit Charge Per Extension BASE FEE 414.50 49.00 4.5000'THOU ---------------------------------------------------------------------------- BLDG 50,001-100,000 220.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 78.50 Plan Check Fee 4.91 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 1.00 9.0000 EA 1.00 9.0000 EA BASE FEE MECH FURNACE <=100K MECH BIC <=3HP/100K BTU Extension 15.00 9.00 9.00 P.O. Box 1504 ��G�G/ VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011. LA QUINTA, CALIFORNIA 92253 4 4VINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Del- 7 to4 Date: • 1 Applicant: Applicant's Mailing Address: —Architect or Engineer: &01 ---Architect or Engineer' Address: lk-Hc. No.: 7� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penna�al�tt of perjury that I am licensed under provisions of Che 9 (commenc!,wit action 7000) of Division 3 of the Business and Professionals Code, and my Li Esnse is force and effect. cense Class--ti—cense No. --Date ontractor OWNER -BUILDER DECLARATION I here affi 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury a following declarations: _ I have a d will m Main f ate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of th work fo is permit is issued. Ir—I have n n orkers' cc nsation insurance, as required by Section 3700 P Labor Code, for the performance of the work for c is permit is is y o e n ' ce c�m�Yand-polic. number are: arrier olicy Number ce 1 rforna of the work for which this permit is issued, t employ any pers��ann so as to becomea! t to the workers' mpe tion laws of lifomia, and agree th f I should be a subject t e workers' compensation provisions of Section 3700 of the Labor Code, I shall ort ' comply nth hose provisions. 1 -bate /. pplicant WAR NG: AILUR OSE URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI VI FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE TIO 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 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 a r 'ndemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to o being performed under or follo iag issuance of this permit. 2. Any permit issued as a result of this application becomes n nd void if rk is not mmence ithin 180 day from date of issuance of such permit, or cessation of work for 180 days will subject permit to can lation. I certify that 1 h e rea this a plication and state that the above inf ation is cI. ee to ply wi I city and count, ordinances and state laws relating to building construction, d her y a orize representatives of this county to e r n o -ment' ed pr rty for inspection pu oses. Date , IN Signature (Applicant or Agent): Page 2 Application Number 04-00007104 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 7.50.00 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 - LOT 22. PLAN 3B, 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 Page 3 Application Number . . . . . 04-00007104 Date 11/16/04 -----------------------------------7---------------------------------------- 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 949.01 .00 121.89 .00 2425.21 .00 3496.11 .00 Credited Due .00 949.01 .00 121.89 .00 2425.21 .00 3496.11 • • 0 TIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING M rroieci itie �,)�-17Y!?�✓T 1 QUI LIQ L�J)� Project Builder Contact Telephone Cgr djg �7(4) 2/e- 5-79 3 HER ater I Telephone Date Builder Name Plan Number Sample Group Number CF -4R 9rtifyin-g�^Signature / Date Sample House Number Firm:y, C. �%S�o/L/u��S HERS Provider: C J�y}Et R S Street Address: "OV- C/YL�� City/State/Zip: Z z�t'yJ07%e, Z C!% Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATE ENT The house was: ❑ Tested a 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) Where 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. 0-11&AINIMUM 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) _ Check Box for Pass or Fail (Pass=6% or less) AiHERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ 'Pass Fail �es ❑ 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, /0/y verified fan flow matches design from CF -1 R. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail ^'A INSULATION CERTIFICATE � � Thisiohuna�hyUhatinsu|abonhoubeaninmba\odinonnfomnannew�h1hecurn�ntenergy �— |UonCa|ifornioAdminiatrotvo{�odeT�e24S�decfCa|�onnia.inthe buUd\ngut nagua . ' . . 80'758 VIApUERTA AZUL, LOT 22,RELEASE 9,PHASE 2,LAQU\NTA'CA ` TYPE: BLOW KAAUNFACTUREROwens Corning THICKNESS: R,11 ' ' THICKNESS: R,19 TYPE:BATT----- � S MANUFACTURER:Ce�ain�od � � GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE ` T i / BY:� � PARAGON SCHK4|D BUILDING PRODUCTS A MASCO Company LICENSE #221517 ^ TITLE: ACCOUNT REPRESENTIVE DATE ` ^ WWA i ..``