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04-4091 (SFD)Toldf " BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 c,=%w� -OFTt�9`� 78-495-CXL ft TAMP'I�CO -I FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92125'3 INSPECTION REQUESTS (760) 777-7153 �BUILDIN- PERMIT Application Numbers �: : `= 04��000040-91_- Date 5/17/04 Property Address . . . . . . .80877 VIA PUERTA AZUL APN: 762 -240 -003 -15 -300961 - 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 06/12/04 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 . . . . . . BUILDING PERMIT - Additional desc Permit Fee . . . . 635.00 Plan Check Fee 412.75 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 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 78.50 Plan Check Fee 19.63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension N P.O. Box 1504 nl 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: Applicant: Date: �p - Applicant's Mailing Address: X16�( or Engineer's Ad /Ua4k�lP J ze�fi . - 04 -q7 to L -(i No. /j, Z-3% %�7 t$UILUINU F hKMIT 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 Licens is i full force and effect. /r C/ /� cense Class��7�' cense No. ` /- c � r3ata 6/411 7" rr . ._- 0 1/4'7 f/ 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 s6le 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 of the work for which this permit is issued. I have and will maintain workers' compensati insurance, as required by Section 3780 f the Labor Code, for the performance of the work for which this permit is issu My rkers' compensation' ranee carriers Icy nu �e.�! L5 �rtier �KLLc.t izt2rC{ policy Number !//�`� I certify that, in the performance of the work for which this permit is issuetl. I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall )orthwi t comply with those provisions. FA r ra,01 - W.W.-O , , WAKNING: yFAILURE TO SECURE WORKERS'4t6MPENSATION 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 Lenders Address IMPORTANT Application is hereby made to the Director of Buildingand ACKNOWLEDGEMENT 1. Each person u pp Safety permit subject to the conditions and restrictions set forth on this application. pe 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 shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the w emg perforrted,under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null an id if work is nocorumenced within 180 days -from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancel! n. I certify that I have read this application and state that the above inf ati r rrect. �o construction, aFZ presentatives of this county ent u thea g . 0 roy with rt {dents and county ordinances and state laws relating to building Pe Y pection purposes. Date re (Applicant or Agent): r Page 2 Application Number . . . 04-00004091 Date 5/17/04 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 . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 75.01 Plan Check Fee 18.75 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 . . . . . . PLUMBING Additional desc . . Permit Fee 145.50 Plan Check Fee 36.38 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 3.000.0 EA PLB GAS PIPE 174 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 15. PLAN 33R. PERMIT DOES NOT 411 9 Page 3 Application Number . . . . . 04-00004091 Date 5/17/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA 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 41.28 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 Paid Credited Due ----------------- Permit Fee Total ---------- 949.01 ------------------------------ .00 .00 949.01 Plan Check Total 487.51 .00 .00 487.51 Other Fee Total 2456.17 .00 .00 2456.17 Grand Total 3892.69 .00 .00 3892.69 9 JAN -28-2005 07:59 AM CERTI7 v-� Pro's I Ti Builder TE OF FIELD N 7-7 Address P.02 AND DIAGNOSTIC TESTING CF -4R � Datel u Builder Name no Plan Number 9_ no Sample Group Number ertifying Signature 'Dag Sample House Number Firm:.rC SS'OGi�p� HERS Provider,G��i�S�OG/�z;S Street Address. 7y6k0 4--!&d:F0d Clrl,(e., _ City/State/zip: Z -V ou/n- Chi 9. &L. Copies to: Builder, HERS Provider HERS BATER 6OMP41ANCC §16TgMENT The Mouse was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing dlagnostic testing and field verification, I certify that the houses identified on this form corn)y 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 ,.,�'�Of ducts) lid W here 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 6% Duct Leakage) Measured '10 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 Fall (Passa6% or less) ❑ Pass Fail 10�THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent 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 t . D Yes ❑ No ACOA Manual D Design requirements have been met (rater has verifled that actual Installation matches values in CF -1R and design on plan, 2. ❑ Yes ❑ No TXV Is Installed or Fan flow has been verified, If no TXV, verified fan flow matches deslgn from CF -1 R. Measured Fan Flow = 'bass Fail 0 a Yes for both 1 and 2 Is a Pass Pass Fail • "m1/20/2005 08:17 17603401819 PAGE 02/09 ~ - . � . � This i! tonm�Uythat inew|mdonhas been in�o|�dinconformance vx�hthe ounnntenergy � ' | CaliforniadminimtmUwe Cn�� Title State ofin building � nequomn. . . California,` � 80-877 VIA PUERTA AZUL LOT 15, PHASE 3, LA QUINTA CA ' CEIL| ` ' ---- �AUNFA�TURER��edo[n�ed TH\�K�E��'. R- M TYp��uvu � ~ ' VVAL� ` ----:BATTS MANUFACTURER: Certoinbeed THICKNESS: R-19 � ^ � �GNE�AL DAVIS- REED LICENSE � ' 8Y�_ /// ^ -� ' � PAR/! 13ON 8CHKAID 8U|[D|NQ PRODUCTS AMA8C{)Cumpany LICENSE #221517 '. ' � mv./ TITLE:A��C]UNTRE9��ENTNE ��TG ' '/ / � ' INSULATION CERTIFICATE. . ' 'certify insulation has been installed inconformance with the current en � regulai'biz,,California Administrative Code, Title 24, State of California, in the bul�i�i ' CEILINGS: ' ----- ' TYPE: BLOW x*um� WALL,:): TYp[ 8ATTS GENE�AL N � 8Y�_ � . ' ' PARoGONSCHM|DBUILDING PRODUCTS /\ MASCO Company LICENSE # 27� BY., TITLE: ACCOUNT R2pR2SENTK/E DATE:__________ � . ' Certificate of Occupancy0 o Tjhf 4 Lrcwrowry �.�� of Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 80-877 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4091 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RM PUERTA AZUL PARTNERS, LLC. Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: PORTLAND, OR 97224 By: GARY HARTMAN Date: FEBRUARY 16, 2005 Building Official POST IN A CONSPICUOUS PLACE