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04-4093 (SFD)
0 r i T -df 4 4 a" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application=Number 04-00004093i" Date 5/17/04 Property Address— it 80889 VIA PUERTA AZUL APN: M 762 -240 -003 -17 -300961 - Application description= DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 99599 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 06/12/04 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 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 415.68 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 ---------------------------------------------------------------------------- Perm -it . . . . . . MECHANICAL Additional desc Permit Fee . . . . 85.00 Plan Check Fee 21.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension C&f 4 P.O. Box 1504 44" 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: 04- yob Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT o,�nginee � or Engineer's A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Lic. No.: -7 ttiUILUINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION Code, and my jEyyfo and effect. I hereby affirm under penalty of perjury that I am licensed under �ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals „` Licen is /� = , /License Class J License No. r� V t Dat / ontractor '�/ OWNER43UILDER DECLARATION I hereby affirm under penalty of peA hat 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 sdle 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i;sued. My workers' compensation i nce came licy nu ra� pory�ber rem arrier% .�'1 i2 C �( 4-0A P-46 w -34W olicy Number I ce fy that, in the performance of the work for which this permit is is ued, I shall not employ any person in any manner so as to become subject to the workers' /mpensation 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 10� orthwfth comply with hthose provisions. ---C atppl" h scant P 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. I hereby affirm under penalty of perjury that there is a construction lendingCONSTRUCTION age cyothe Performa LENDING AGENCY of he work for which this Permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders 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 n atwhose-reand for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and th scant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any actor om' on related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicatio ecomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject pe it to cancellation. I certify that I have read this application and state that the ove inforttatio •rest. I ag o co ply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co above- ntio pro rt for %� P ' Y inspection purposes. �et'e `� y v ' nature (Applicant or Agent): Jv - Page 2 Application Number . . . . . 04-00004093 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 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 18.58 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 37.13 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 17. PLAN 2BR. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004093 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 41.57 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 ----------------- Charged Paid Credited Due Permit Fee Total ---------- 965.32 ------------------------------ .00 .00 965.32 Plan Check Total 492.64 .00 .00 492.64 Other Fee Total 2456.52 .00 .00 2456.52 Grand Total 3914.48 .00 .00 3914.48 -28-2005 08:00 AM P.04 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF -4R u� Az_ �� ProjecTitle 6 gl U� �vP ��l L. L ��-1 D� A -4 �fxvl r� ys Project Add r ss Sunder Name sit ti✓ B lder Cont ct Telephone Plan Number ��.� Builder HERS wer slap one Sample Group Number a5 JKifying Signature Dae Sample House Number Firm: '7-C. d'.4SSdG4g. HERS Provider: TG/��f,-AledGl�76 Street Address; 7Y6 ,8 �D nd OY� CSI LL City/State/Zip: L l C.Ytd /h ')a' C,#' ? 2_ S 3 Copies to: Builder, HERS Provider HERS B6TER COMPLIANCE STATtMEN The house was; ❑ 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 Identified on this form comp) 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 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 • Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400efm/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) ❑ ass Fail �ERMOSTA`Iric 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 ass Fail © MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 ID Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1R and design on plan, 2. © Yes O 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 = ❑ O Yes for both 1 and 2 Is a Pass Pass Fail ;/20/2005 08:17 17603401819 PAGE 04/09 ,r .. . r. r r-r•i, ri,r.r. rr , rii. c.. ii r.r..i•i+ivrs w'; irr r..•..i nr.v;rr r,.. err.. �: ..: . INSULATION CERTIFICATE This ; to certify that insulation has been installed in conformance with the current energy reguh: lJon, California Administrative Code, Title 24, State of California, in the building at 80-889 VIA PUERTA AZUL LOT 17, PHASE 3, LA QUINTAL CA CEILI AGS: TYPE:: BLOW MAUNFACTURER: Certainteed THICKNESS: R=38 WALI ,S: TYPE:: BATTS MANUFACTURER: Certainteed 'THICKNESS: R-19 GENT: RAL CONTRACTOR: DAVIS- REED CONSTRUCTION LICENSE # BY: TITLE: PAW GON ISCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 4TITLE: ACCOUNT REPRESENTIVE DATE: INSULATION CERTIFICATE r --,This is to certify that insulation has been installed in conformance with the current energy regrtxla:Ion, California Administrative Code, Title 24, State of California, in the building located at CEILII, .GS: TYPE: BLOW MAbREACTURER: C_eptg teed THICKNESS: R-38 WAL :'r_ ...�� TYPE: BATTS MPsl1NFACTURERA�Ce i teed THICKNESS: R-19 GENE ':AL CCiNTr�"ACTOR:. DAVIS-REED CON QN LICENSE # BY: d TITLE: PAR; .GON SCHMID BUILDING PRODUCTS A MASCO Company LICE 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: