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04-6979 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO -LA QUINTA, CALIFORNIA 92253 Application Number" Property Address . . . APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 L 04-000069791 Date 10/27/04 . . . 80878 VIA PUERTA AZUL 762-240-003-2 -300962- . . . DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM DENSITY RES . . . 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: WC298892004 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 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 Fee . . . . 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 P.O. Box 1 504 /� , 'i� 4 4 w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011'�Gi LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: chitect or Engineer" W .-,--Architect or En Ineer's Address: L4(011�� pec A -v ccli, c. No. C '),'3-7 cl BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 compegcing with Section 7000) of Division 3 of the Business and Professionals Co and License is in full force and effect. a cense Class ss cense No. c•j/ --. Lr r� Contractor 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 lam 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 oft a wok for which this permit is issued. --XLWe dl rp Mn in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanVofa work for which this permit is y w sm en anon ins a caner and policy number are: a arrier icy Number 7Q certify that, in the performance o the work f is pe ' is issued, I shall not employ any person in any manner so a to become subject to the workers' compensation laws of California, a r that, ' sho bec a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comy ith those pr ' io S. date L� Applicant 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 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 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 null and void if do is n ommenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellatio 1 certify that I have read is application and state that the above info io s "red agre 'co ply with all city and county ordinances and state laws relating to building construction, anpd here y authorize representatives of this county to nt u 0 e ov tione property for inspection purposes. �jf-V ate/ Signature (Applicant or Agent): Application Number . . . 04-00006979 Page 2 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 48.30 244.00 .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 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 2. PLAN 1B. 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 . . . . . 04-00006979 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 877.68 .00 111.57 .00 2422.95 .00 3412..20 .00 Credited Due .00 877.68 .00 -111.57 .00 2422.95 .00 3412.20 .....e.i.%'/:'.'i!/,•!r'!!!.'.'!.'!!,!:i/A:/%P.•,%:i/.'/!::!:f.'/.'fi J: /il'l'.•//'//.:/.%P....:.. ... .. .. ... .. :.. s .... .. .. ,.. 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 80-878 VIA PUERTA AZUL, LOT 2,RELEASE 6, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-38 J ' WALLS: TYPE:: TS MANUFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR: DAVIS —REED CONSTRUCTION LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: ,l TITLE: ACCOUNT REPRESENTIVE DATE: W v • OCT -03-2005 08:21 AM {' U�(G.CERTIFICATE OF FIELD VERIFICATION 1-1- kik' v lfr.4.G� Protea Addrs Builder Go act P.02 ID DIAGNOSTIC TESTING CF -41 Date/� ) l eT x /' r,/% Builder lime T elephone PlanNumber HERS R r T 9 one - Sample Group Number ce ng Signature Da Sample House Number m: J—, C- f'X�5-6.06 HERS Provider: C, Street Address: sl�� �yq��d�—�( CIYC �e. City/State/Zip: L a edit)r� , C,0� 2.,? Copies to: Builder, HERS Provider HE RATER COMPLIANCE STATEM NT The house wa�(/j� Tested Approved as part of sample testing,.but was not tested As the HERS o�/ager providing diegn (stic and field verification. I certify that the houses identified on this form co with the diagnostic tested compliancerequirementsas 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 tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. A- MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM Q 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 Measured values Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass=6% or less) [� ass Fail 1ERMOSTATIC EXPANSION VALVE or Commission a ved 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 1. 1D Yes 0 No ACOA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1 R and design on plan. 2, Q 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 ess El Fail 0 D Pass Fail