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04-7091 (SFD)B P.O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number 04-00007091 Date 11/16/04 Property Address . . . . . . 80770 VIA PUERTA AZUL 1 APN: 762-240-003-20 -300962- Application description-. DWELLING - SINGLE FAMILY DETACHED Property Zoning .. . . MEDIUM DENSITY RES . Application valuation . . . . 99599 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 255.00 PATIO SQ FTG 451.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1549.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee. 639.50 Plan Check Fee 103.92 Issue Date . . . . Valuation . . . . 99599 Qty Unit Charge Per Extension BASE FEE 414.50 50.00 4.5000 THOU BLDG 50,001-100,000- 225.00 -----------------=----------------------------------=----------------------- Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . 85.00 Plan Check Fee 5.31 Issue Date . . . . Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA ME CH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 P.O. Box 1504• VOICE (760) 777-7012 '78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 76 q Date: '0 Applicant:—Architect or Engineer: Applicant's Mailing Address:—_ -Architect or Engineer Address: ic. No.: BUILDING PERMIT DECLARATIONS " LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of ledury that I am licensed under provisions of Chapter 9 (commenci g with S97, n700of Division 3 of the Business and Professionals LCode and my Li nse is i ull- ce and effect. /�/ icense Class License h4o. / OWNER -BUILDER DECLARATION C/ z I hereby affi nder 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 and r penalty f perjury one of the following declarations: I have nd willertificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the perfo)rnance of a tf permit is issued_YI harkers'c en n insurance, as required by Section 3700 f Labor Code, for the ormanc�Of the wo forwhi his permit is i ue p ti nce carri� and policy number are: 7 � � Gs Carrier Policy Numb I Co t t, pe Mi of the work fo ch this permit is issued, I shat not employ any person ifaran anner so as to become ject to the workers' co s n aws of omia, and agr tKat, if I should be subj_V to the workers' compensation provisions of Section 3700 of the Labor Code, I shall / Date WARNAG: FAILURE TO SECURE W0RkERS' COMPS 0A`rION CAPRAGf-IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,OM), 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 re u ose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, eac o, and shall, defend, in a. and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application become and void if wo is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cellation. I certify that I have ead is application and state that the a information is ree mply with all city and county ordinances and state laws relating to building construction, an ere auth 'ze representatives of th' county to ent e- oned property for inspection purposes. Date / Signature or Agent E 3 Page 2 Application Number . . . . . 04-00007091 Date 11/16/04 Qty Unit Charge Per Extension 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 74.32 Plan Check Fee 4.65 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension . BASE FEE 15.00 1549.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 54.22 255.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 5.10 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 151.50 Plan Check Fee 9.28 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 x'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 20. PLAN 2B, 1549 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 n Page 3 Application Number . . . . . 04-00007091 Date 11/16/04 ---------------------------------------------------------7------------------ Other Fees . . . . . . . . . DIF COMMUNITY'CENTERS-RES 97.00 DI,F CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 10.39 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 9.95 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 965.32 .00 123.16 .00 2425.34 .00 3513.82 .00 Credited Due .00 965.32 .00 123.1.6 .00 2425.34 .00 3513.82 C RTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R &I- �n �✓ �7 �.S Project Title / Dat • ProtectlAddrQss Builder Dame Builder Contact p Telephone Plan Number S /Ih CarMDd�i ( 0) ;Z/? -.6- 7,7- 3 HERS Telephone Sample Group Number C ifying Signature Date " Sample House Number rirm: '37C. /C%SSo/C/a��S 0HERS Provider: C HES /Q S Street Address: %��bb �4'4�l�oV� C/YL e, City/State/Zip: u �tJJ7%k JC!9 q,2Z Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested [?F -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 cY�Distribution with the diagnostic tested compliance requirements as checked on this form. 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 duct tape is installed, mastic and drawbands are used in combination epr 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) _ Check Box for Pass or Fail (Pass=6% or less) ❑ ass Fail ff-THERMOSTATIC EXPANSION VALVE I I or Commission a �es ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection Yes is a pass ❑ 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, verified fan flow matches design from CF -1 R. Measured Fan Flow = • Yes for both 1 and 2 is a Pass uivalent 11 ass Fail 104 ❑ ❑ Pass Fail ° 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 8O'7TUVIA PUERTA AZUL, LOT 20'RELEASE 9'PHASE 3,LAC1U|NTA,CA TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-11 ' MANUFACTURER:Certa\nbeed THICKNESS: F-10 ' GENERALCONTRACTOR: CONSTRUCTION LICENSE � TITLE: ' ' PARAGON SCHK4\DBUILDING PRODUCTS AMASCO Company LICENSE #221517 ' ' � TITLE: ACCOUNT REPRESENTNE DATE - , X��=��==�=��=��====~�'=��.~,` 0 0