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04-6986 (SFD)r P.O. Box 1504 78-495 CALLE TAMPICO LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT 2 Application Number . . . . . 0400006986 '--�> Date 10/27/04 Property Address . . . . . . .80836 VIA PUERTA AZUL APN: 762=240-003-9 -300962 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 98984 Owner Contractor ------------------------ PUERTA AZUL PARTNERS ------------------------ DAVIS/REED CONSTRUCTION INC 17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE #105 SUITE 100 ENCINITAS CA 92024 PORTLAND OR 97224 (760) 634-2350 WCC: STATE FUND WC: WC298892003 06/12/05 CSLB: 813480 10/31/04' 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 . . . . . . 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 . . . . . . 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 P.O. BOX 1504 C&iye 4 4. Qt�A& 78-495 CALLS TAMPICO VOICE (760) 777-7012 FAX (760) 777-7011 La QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: /9 (10Date: .0 Applicant: ---Architect or Engineer " Applicant's Mailing Address: PP 9 --Architect 9LEngIneer's Address: COP-- Ive�aYe�c� PAY \ � 9, ic. No.: C23��9 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 enF with Section 7000) of Division 3 of the Business and Professionals Code, and my License it 'w full force and effect. icense Class fir arse No. Date ontractor 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.). L) I am exempt under Sec. , BA P.C. for this reason Date 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 ave nd will amtain wo ers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wo for which this permit is iss d. M ork rs' cg pensation �i .�urance carrier and policy number are: �� er Policy Number A)at> certif that, in the performance of the work for whi is p€tfru is hall not employ any pe on in any manner so as to be /mesubject to the workers' compensation laws of California, and a r at, forthwith comply wi those provisi if I should ubject a workers' compensation provisions of Section 3700 of the Labor Code, 1 shall _. WARNING: FAILURE TO'SECURE WORKERS' COMPENSATION COVERAGE 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 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 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, indemnity and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being omwxlA a er or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void iLw s not commenced in 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation 1 certify that I have read this a plication and state that the above info tion is e I agree m r I afy and county ordinances and state laws relating to building construction, and hereby a rize representatives of this county t nter up tl above- ti n r rty for i spection purposes. �6ate _;J mature (Applicant or Agent): 11F Page 2 Application Number . . . . . 04-00006986 Date 10/27/04 ---------------------------------------------------------------------------- Permit . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .0'0 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- 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 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 9. PLAN 3A. 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 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number 04-00006986 Date 10/27/04 ---------------------------------------------------------------------------- Other Fees . . . . . . 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 Permit Fee.Total 949.01 Plan Check Total 121.89 Other Fee Total 2425.21 Grand Total 3496.11 Paid Credited Due ---------- ---------- ---- ------ .00 .00 949.01 .00 .00 121.89 .00 .00 2425.21 .00 .00 3496.11 < �, ..r .../.9.ii:l,-F?:%!'f.'.%/:::.�f11.'f!!1/'!.'f.'f'�>lf.''Pl/./if/1//!":'!.'.:/1.1,I.�IJ11.:/,:/r%f"/il:i-�1f.%.'.'/'Ji /.'�•l,•,r.:....o: :/'rr .. .. r .. 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 80-836 VIA PUERTA AZUL, LOT 9 RELEASE 6, PHASE 2, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-38 WALLS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE # BY: TITLE:_ PARAGON CHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: G�K.�t�TITLE: ACCOUNT REPRESENTIVE DATE: J '.'r::..r.6..'r..r.F/.i::L.//%si.c-.'.%J//%!'/'/"✓.'d/Y.!f/.JJr.:d'..d/C/.A... /. e. d/.....f "/.t.':l:i ..': l: .r'.':..�; r.'_'/iii.:.i,�.!.0 .. .. :'i .. .../ ... � .. e.. .. � - :.. .... a OCT -03-2005 08:24 AM C RTIVICATE OF FIELD VERIFICATION AND DIAGNI Project Title - 14 Project Address Builder Contact nature Telephone ICP_ t-7 C TESTING P.09 �* �1) PI F -4R I r. 4' Date Builder Name Plan Number Sample Group Number Sample House Number / HERS Provider, C H}j� Z X 5 Street Address: [� CWC le, City/State/Zip: Z - u a)17. Copies to: Builder, HERS Provider MS R JR C9MPLIANCE STATE M ENI The house was: Q Tested 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 identlfied on this form com I 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 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, �lNIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Dlagnostic Leakage Testing Results (Maximum 8% 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) THERMOSTATIC EXPANSION VALVE (TXV) or Commission valent Yes ❑ 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 Q 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 Q ass Fail Q 48s Fail ❑ ❑ Pass Fall