04-6984 (SFD)r
TW!t 4 4 Q"
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-701.1
INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application-Number00006
498 � Date
10/27/04
Property Address. . .
. . . . 80848 VIA PUERTA AZUL
APN:
762-240-003-7 -300962-
Application description
. . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . .
. . . . MEDIUM DENSITY RES
Application valuation
. . 99599
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/CONG <=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 MECH FURNACE <=100K
9.00
1.00 9'.0000
EA MECH B/C <=3HP/100K BTU
9.00
P.O. Box 1504• ��/: •
w 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: - �09G; Date: 'O
Applicant: Architect or Enginee
Applicant's Mailing Address: Architect or Engine r'6 Address:
1le�AuC'
i�elx-S E6 Beack
No.: _-77!9
BUILDING
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is in force and effect.
icense Class icense No.
_--46ate `ontrector
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of penury 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 Owner
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
4 of the ork for which this permit is issued.
I ha an will m in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the ork for which this permit is
i e My w kers' c sation ' ance carrier and policy number are,mer olicy Number �8 9)
that, in the pert ance of the work f is this permit is iss I ffall not employ any person iron any manner so as o become subject to the workers'
compensation laws of California, a greet f I should b bfia t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comp with those pr ' ions.
/Date ' ca
WARNING: FAILURE TO SECUREO RS' COMF<NSATION 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
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 eing p ed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes ndl a void if work is not com enced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to c ellation.
I certify that I have read this application and state that the abov information ' correct a to co ply with all city and county ordinances and state laws relating to building
construc/tion, annddd hhereby thorize representatives of this coun to ent on th -me ' e property for inspection purposes.
Signature (Applicant or Agent):
Application Number . . . . 04-00006984
Page 2
Date 10/27/04
Qty Unit
r
Per
Extension
Application Number . . . . 04-00006984
Page 2
Date 10/27/04
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
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 32.
PLAN 2A.
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 . . . . . 04-00006984 Date 10/27/04
-----------------------------------------------------------------7----------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00
DIF 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
123.16
.00
2425.34
.00
3513.82
~
INSULATION CERTIFICATE
This�huca�h�that insu\at�nhas been insbaUedinconformance w�hthe ounenfenergy
rag
� ~~- u|aUon.California o|^ nn\aAdnniniotnsbve Cnde. Title 24. State of California, in the building at
` . oo
� BO�4WV��PUERTA AZUL, LOT ?, RELEASE <�PHASE 2.LA QU|NTA'CA
� .
'
'
TYPE: E� ~^~`' K8AUNFACTURER:Owens Corn THICKNESS: R'38
/
�
'
�
�
THICKNESS: R,19
MANUFACTURER: Ca�anbaad �
�
�
GENERAL CONTRACTOR: DAVIS
BY:
LICENSE
�
` TITLE:
� PARAGON SCHKA|O BUILDING PRODUCTS A MASCO Company LICENSE #221517
TITLE: ACCOUNT REPRESENTK/E DATE
0
0
OCT -03-2005 08:23 AM P.07
C:ERTI]F'ICATE OF FIEILD VERIFICATION AND DIAGNOSTIC TESTING : ` CF -4R
`oJ_�`7tle , , , /N �V P� g Z o 1 L—�i [m00% / Dat t;1 4
Pro— t Ad ss v Bu Ider Name
d
Builder ContactTelephone Plan Number
t::Z& c--AlrZA X7(0) ;/l?- 5"7a 3
HERS Rater -- ITplept)one Sample Group Number
C,4^ing
�Signature D e Sample House Number
rm: �1, t%. �SSOr/a��s / ! /- HERS Provider: / G r7 � i x
Street Address: 2yao. A�1 4�z -i� G-/YCle. City/State/Zip: Z. Q�)-f" I
Copies to: Duilder, HERS Provider
HERS RATFR COMPLIANgE STATEMENT
The house was: ❑ Tested 0 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
com 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
f ducts)
Where cloth backed, rubber adhesive duct ta0e Is Installed, mastic and drawbands are used in combination
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)
Duct Pressurization Test Results (CFM @ 25 Pa)
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 Pail (Pass=6% or less)
THERMOSTATIC EXPANSION VALVE
or Commission a
Measured
values
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 ❑ 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 M 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
rass 13
Fail
Pass Fail
❑ ❑
Pass Fail