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04-7109 (SFD)T-Vf 4 4V a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . Property Address . . . APN: Application description Property Zoning . . Application valuation . Owner ------------------------ PUERTA AZUL PARTNERS BUILDING & SAFETY DEPARTMENT (760),777-7012 r FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 . .0 4 — 0-0-0 710-9 _ Date 11/1.6/04 . . . `8-0782 VIA PUERTA AZUL 762-240-003-18 -300962- DWELLING - SINGLE FAMILY DETACHED MEDIUM DENSITY RES 87296 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: WC298892004 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 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 269.0.0 " PATIO SQ FTG 244.00 NUMBER OF UNITS 1.00 ------------------------ FIRST FLOOR SQ FTG 1380.00 . . . . ---------------------- . . BUILDING PERMIT Additional desc Permit Fee . . . . 585.50 Plan Check Fee 380.58 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 19.63 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 P.O. Box 1504 • 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: _ d4- 110 9 Date: '6 y Applicant: chitect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: ic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pin of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7'090) ppaDivision 3 of the Business and Professionals ,Code, and ss Li nse i II force and effect. r/' +-� � �. % ( \ / License Class �-, dense No. x +5 n 1 OWNER -BUILDER DECLARATION I her7(y affiryn under penaltyof perjury that I am exempt from the Contractors' State License Law for the following raafon (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 fora 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 1 am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under enalt f perjury e f the following declarations: I have d will aintain a rtif ate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of t e work trwhich is unit is ipf ued. av a i maintai ers' gensation insurance, as required by Section 0 of a Labor Code, for the performance of the work for which this reit is i ed ?ker e s i i urance carrier and policy number are: rier cr Number _�� 7 I rt! i t e F rformanc f the work for which this permit is issued, I shall not employ any pers n I m r o a o beco subj to the workers' co a alio s of Cali mia, and agree that ' e s nsation provisions of Section 3700 oft Labor Code, I shall forth co with those provisio VE URSECURE WO RS' COMP ATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 'TOHUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r 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 Quinta, 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 n�andid if wo thin 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to c 1 certify that I hav read t ' application and state that th ve informorrect. a to com ly with all city and county finances and state laws relating to building constructiopn, an ereb autho ' representatives of this t to enter Won the v actio oses. ate lam" ignature (Applicant or Agent): Application Number . 04-00007109 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 17.05 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 37.13 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 18 PLAN 1B WITH SIDE PATIO OPTION. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW.FEE 38.06 0 Page 3 Application Number . . . .. . 04-00007109 Date 11/16/04 ----------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 ----------------- Charged Paid Credited Due Permit Fee Total ---------- 895.68 ------------------------------ .00 .00 895.68 Plan Check Total 454.39 .00 .00 454.39 Other Fee Total 2451.78 .00 .00 2451.78 Grand Total 3801.85 .00 .00 3801.85 ---CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING '" Project Title • Project Addrss Builder Contact Telephone J /If► C-gKMd 'f ( %I,4) oZ/,?' 5_79 HERS Poter I Telep ho e ✓�� z /7f0 Date/ # ) guilder / me Pla umber Sample Group Number CF -4R C,Vffying Signature Date/ Sample House Number C/�7�5 HERS Provider: C HEt X S Street Address: 794111,6 ffY4d-La'd YL�� City/State/Zip: u IPU) 6& C!%2,2 ,r 5 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing dianfsticc testing and field verification, I certify that the houses identified on this form dstribution 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 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. NIMUM 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 THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ,?Ile—s ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass 0 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 J CF -1 R and design on plan. �A 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 ' ` This is to certify that insulation has been installed in conformance with the current energy -- vegu|o8nn. California Administrative Code, Title 24, State ufCalifornia, in the building at ' nn'rn»VIA PUERTA AZUL LOT 18, RELEASE 9, PHASE 2, LAQU(NTA, CA ' � TYPE: BLOW W4AUNFACTURER:Owens Corning THICKNESS: R-11 , THICKNESS: F�19 � K8ANUFACTURER:Ce�o�teod � � ^ / GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE � TITLE: ; � o, ` � PARAGON SCHM|DBUILDING PRODUCTS AMASCO Company LICENSE #221517 ' ` TITLE: ACCOUNT DATE: ' � _NIL��