04-7110 (SFD)CA&A_J4d W4,n -6-y,'A-
T-Vf 4 4 QUWOJ
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number -
Property Address `
APN:
Application description . .
Property Zoning . ... . .
Application valuation . . . .
Owner
PUERTA AZUL PARTNERS
17700 SW UPPER BOONES FERRY RD
SUITE 100
PORTLAND OR 97224
BUILDING & SAFETY DEPARTMENT
(760),777-7012
. `FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
_J
04-0 00 071.1 Date 11/16/,04
a47% VIA -PUERTA AZUL]
762-240-003-19 -3009'62-
DWELLING
-3009'62-
DWELLING - SINGLE FAMILY DETACHED
MEDIUM DENSITY RES
87296
Contractor
DAVIS/REED CONSTRUCTION INC
169 SAXONY ROAD, STE #105
ENCINITAS CA 92024
(760) 634-2350
WCC: STATE FUND
WC: WC298892004
06/12/05
CSLB: 81.3480
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 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
269.00
PATIO SQ FTG
244.00'
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
FIRST FLOOR SQ FTG`
138.0.00
Permit . . . .
. .
BUILDING PERMIT
Additional desc
Permit Fee . .
. .
585.50 Plan Check Fee
95.15
Issue Date . .
. .
Valuation . . . .
87296
Qty Unit
Charge
Per
Extension
BASE FEE
414.50
38.00
4.5000
THOU BLDG 50,001-100,000 -
171.00
-----------------------------------------------------------
Permit . . . .
----------------
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
9.00
1.00
9.0000
EA MECH B/C <=3HP/100K BTU
9.00
6.00
6.5000
EA MECH VENT FAN
39.00
.. . J
P.O. Box 1504 T-VY
44 �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number() 4 = /110 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address:—Architect or Engineer's Address:
' ic. No.
I hereby affirm under
cede, and my �/cens
License Class /
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
ry
an
A the Business and Professionals
P 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.).
(_.) I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalt lof perjury one of the following declarations:
I have d will aint ' certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of t work r h this permit is issued.
I ha�,r an w' m i ain worke compensation insurance, as required by Section 37 of the Labor Code. f the performance of the work for ' h this permit is
iss ers' con sation ins ance carrier and policy number a _
er o icy Number v
ce fy h , in a perfo nce of the�eroAc for Ries pe`rmitisissu II not employ any p rsa aN er �s to co subject to the workers'
f, pens tion laws of C 'fe — nd agree at, if I should bec subject orkers' compensation provisions of Section 37 of the Labor Code, I shall
f hwi comply hose provisions.
Datel A4 pplicant
WARN G: F IL SEC O N TI ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE 706RIMINAL PENALTIES AND
CIVI INE P TO NE HUNDRED THOUSAN;?0 OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SE ION 06 OF HE 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 A
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit su ' the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each w ose request and for w nefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and th scant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act oro wn related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this applicatio becomes null and void if work is not commence within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject pe 'tto cancellation.
1 certify that I hav ead this application and state that the abov rmation is co gr c ith all city and county ordinances and state laws relating to building
construction, an hereWy a�onze representatives of this county to enter u or insoection-ourooseS_
(Applicant or Agent):
Application Number
. . . 04-00007110
0
Page 2
Date 11/16/04
Qty
Unit Charge Per
Extension
1.00
----------------------------------------------------------------------------
6.5000 EA'
MECH EXHAUST HOOD
6.50
.Permit .
. . . . . ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
. . . .
68.18 Plan Check Fee
4.26
Issue Date
. . . .
Valuation
0
Qty
Unit.Charge Per
Extension
BASE FEE
15.00
1380.00
.0350
ELEC NEW RES - 1 OR'2 FAMILY
48.30
244.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
4.88
Permit .
. . . PLUMBING
Additional
desc
Permit Fee
. . . . 148.50
Plan Check Fee
9.28
Issue Date
. . . .
Valuation
0
Qty
Unit Charge Per
Extension
BASE FEE
15.00
12.00
6.0000 EA
PLB FIXTURE
72.00
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
4.00
3.0000.EA.
PLB GAS PIPE'1-4 OUTLETS
12.00
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
19 PLAN 1B, 1380
SF WITH SIDE
PATIO OPTION.
PERMIT DOES
NOT INCLUDE
POOL, SPA,
BLOCK WALLS, OR
DRIVEWAY
APPROACH.
75% REDUCTION TO
PLAN CHECK
FEE DUE TO
MULTIPLE ISSUANCE
OF SAME
PLAN TYPE
-----------------=-------------------------------------------------------'---
Other Fees
. . . . . . .
. . ART IN PUBLIC PLACES -RES
.00
Page 3
Application Number . . . . . 04-00007110 Date 11/16/04
------------ ---------------------------------------------------------------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00
DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 9.52
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 8.72
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
895.68
.00
113.60
.00
2423.24
.00
3432.52
.00
Credited Due
.00
895.68
.b0
113.60
.00
2423.24
.00
3432.52
�r�t RRTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
/ 7l !//N�vn� � � #Z4 / 9 Z-
• rrujuLa rruuress
Build re C n act Telephone
.
HERS
T
Ce mg Signature 139te
Fi : J, i%. �- ASoL/g7�,S
Street Address: %,q,,1,b b
Copies to: Builder, HERS Provider
Da if
BuilderAame
Plan Number
Sample Group Number
Sample House Number
HERS Provider: C HEt R S
City/State/Zip: Lu 1P0)7r4 16W
CF -4R
HERS RATER COMPLIANCE STATEMENT
The house was:Tested ElApproved as part of sample testing, but was not tested
As the HERS rate providing diagnostic testing and field verification, I certify that the houses identified on this form
com with the diagnostic tested compliance requirements as checked on this form.
dIistribution 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.
OE�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
_117U
v<
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fail (Pass=6% or less)
❑
'Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
-L�f
es ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection
❑
Yes is a pass
ass 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
n
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
Pass Fail
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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
80-776 VIA PUERTA AZUL, LOT 19, RELEASE 9, PHASE 2, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-11
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19
GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
.J
BY: Zj�Z�L TITLE: ACCOUNT REPRESENTIVE DATE:
..if,el.l...nlTrio./F•�,»ar�rzii/r./rim/siririi siziiii/aierwici_i...:e/lia/tz¢'arrir: rcal!�.i/: it_:r:rs,;�, e; .::r z:«st •ra.o.::.: ..
•