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04-6983 (SFD)BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-701,1 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number -Z-04-000069-8-3--," Date 10/27/04 Property Address 80854 VIA PUERTA AZUL APN: 762-240-003-6 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 85886 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 10/31/04 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 CBC # BEDROOMS 2.00 FIRE SPRINKLERS NO GARAGE SQ FTG 244.00 PATIO SQ FTG 163.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1380.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc . . Permit Pee 576.50 Plan Check Fee 93.68 Issue Date . . . . Valuation . . . . 85886 Qty Unit Charge Per Extension BASE FEE 414.50 36.00 4.5000 THOU 'BLDG 50,001-100,000 162.00 ---------------------------------------------------------------------------- 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 Page 2 Application Number . . . . . 04-00006983 Date 10/27/04 Qty Unit Charge Per Extension 6.00 6:5000 EA MECH VENT FAN 39.00 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 2-44.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.88 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 139.50 Plan Check Fee 8.72 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 X7.50 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 %'`;:y 15.00 --------------------------------------------------------------- Special Notes and Comments ------------ SVD - LOT 6. PLAN 1A. 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 . . . . . 04-00006983 Date 10/27/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 9.37 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 8.58 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 877.68 Plan Check Total 111.57 Other Fee Total 2422.95 Grand Total 3412.20 Paid Credited Due ---------- ---------- ---------- .00 .00 877.68 .00 .00 111.57 .00 .00 2422.95 .00 .00 3412.20 0 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: 041- &q 8.3 Date: M.3 • O Applicant: chitect or Engineer:f r r' ,/ V91 A� Applicant's Mailing Address: rchltect or EnMz, er's Address: i I ie1letx­ Aj e -W P,� 4, eco Cc,— 9 2r.C,0 I—Lic. No.: C 23% Z9 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapte�(comm�encinn 3 of the Business and Professionals Code, and ss License is in full force and effect. /L ^� icense Class icense No. �BvJ /Date/ 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.). U I am exempt under Sec. , B.& 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 Jae w for this permit is issued. Ind ill ma' tai workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wo which this permit is d. My wo er ' o pens ioyas�ranee carrier and policy number are: Carrier Q / oilcy Number �� Q% cffify tat, in the performan the work for whi hi e H is issued, I shall not employ anyerson in Ony m nner so come subject to the workers' compensation laws of C omia, and agree be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co y with t ose provisions. / Date ` ant WARNING: FAILURE TO SECURE W ERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND 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 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 be' g-perfo under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and ' work is not commenced -within IB0'days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancell ' �. I certify that I have read IN pplication and state that the above' anon is meet. I agre co with all city and county ordinances and state laws relating to building construction, and hereb �hohzerepresentatives of this cou to enter u th ffov do property for inspection purposes. 'e � � Si/ gnature (Applicant or Agent): OCT -03-2005 08:23 AM �t Y` CERTIFICATE OF FIELD VERIFICATION AND Project Title tjulr er Contact tl 7Z(2 Telephone lZ P. 06 STIC TESTING `. 1)m CF -4R Date r z1) Builder Name Plan Number Sample Group Number 7prying signature Da Sample House Number irm: �; e%. f �ssori�,- _� _ HEFTS Provider: Street Address: -a 6 ,Xe4id&�( Cies% City/state/zip: L �r Copies ' p o; Builder, HERS Provider ER RATER COMP CE STAT ENT The house was; ❑ Tested 0,M1 Approved as part of sample testing, but was not tested As the HERS rater providing diggnostic testing and field verification, I certify that the houses identified on this form com I with the diagnostic tested compliance requirements as checked on this form. istrIbutlon system is fully ducted (i,e,, does not use building cavities as plenums or platform returns In lieu UUU 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum B% Duct Leakage) Duct Pressurization Test Results CFM Measured ( � 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) [] amass Fail 5THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent eKyes ❑ 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 ass Pall 1. ❑ Yes Cl 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. 0 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