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04-4033 (SFD)T-Odf 4 4Quhrw P.O. Box 1504 28=_49,5-C.ALLE TAMPICO A ,Q— _�� UINTA�,' LCALIFORNIA 92253 BUILDING PERMIT •.j. •L Y'YYV/:+iYV'ri fG'1�1'IGr YY. y •1 Proper y Address . . . . . APN: Application description Property Zoning . . . . . Application valuation . . Owner PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND OR 97224 BUILDING& SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00004033 Date 5/11/04 80.890 VIA PUERTA AZUL 762-240-003-14 -300961- DWELLING - SINGLE FAMILY DETACHED MEDIUM DENSITY RES 85886 Contractor DAVIS/REED CONSTRUCTION INC 169 SAXONY ROAD, STE #105 ENCINITAS CA 92024 (760) 634-2350- WCC: 34-2350 WCC: STATE FUND WC: WC298892003 06/12/04 CSLB: 813480 10/31/04 CCC: B-HIC -------------------------- Structure Information ------------------------- .Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flo.od 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 1'63.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1380.00 ------------------------------------------------=--------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 576.50 Plan Check Fee 374.73 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 19.63 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504 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: 04- :7033 I _ Date: S = /� •d!f Applicant: Applicant's Mailing Address: /7<L-Z� s Architect or En in is Addre s: 1 71 tic. NO.: C Z3' 222 t$UILUING 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 f II force and effect. �i ,.% P �Lioense Class icense No. ` _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 contractors) 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 is iced; ry wo rs' compensa_ti�o�n w' eurance carrier and policy number are: /, 6 �rier 2f r i L KW(CP4 cy Number � C- e—� O S 9 Z, eo 3 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation 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 forthwith comply with those provisions. / uace Y'/Applicant %7s'"y r5 )«16-\r' 4--1 WAR NG: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under natty of`$�_ 7ury 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 ti r -J4✓ �' T �ender's Address APPLI ANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the D rector of Building and Safety for a permit subject to the conditions and restrictions set forth on this a 1. Each person upon whose behalf this application is made, each application. 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 2 officers, agents and employees for any act or omission related t rk-being.performed under or following issuance of this permit. Any permit issued as a result of this application become and void if work is not corn nced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit t ncellation. I certify that I have read this application and state that the ove information ' ecL I a mplyswith all city and county ordinances and state laws relating to building construction, he by authorize representatives of this ounty to ente pon the as on party for inspection purposes. /nate. Signature (Applicant or Agent): Page 2 Application Number .04-00004033 Date 5/11/04 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 . . . . 68.18 Plan Check Fee 17.05 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 34.88 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 14. PLAN 1AR. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004033 Date 5/11/04 -------------------------------------------7-------------------------------- 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 37.47 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 ---------- ---------- Paid Credited Due Permit Fee Total 877.68 -------------------- .00 .00 877.68 Plan Check Total 446.29 .00 .00 446.29 Other Fee Total 2451.05 .00 .00 2451.05 Grand Total 3775.02 .00 .00 3775.02 INSULATION CERTIFICATE • This is :o certify that insulation has been installed in conformance with.the current energy regulal, i)n, California Administrative Code, Title 24, State of California, in the building located at SOE-890 VIA =PUERTA AZUL LOT 14, PHASE 2, LA QUINTA CA CEILIN QS: TYPE:.13LOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALL', i_ TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR: DAVIS-REED CONSTRUCTION LICENSE # PAR/! GON SCHMID BUILDING PRODUCTS AMASCO Company LICEIqSE#221517 BY: ldTITLE: ACCOUNT REPRESENTIVE DATE: 0 0 rDEC -09-2004 10:33 PM P. 11 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING 11147 CF-a�2 ��r v Project Title�^ �yk leo ,1 1_`i U% Date % Protect Add ass � Zl/I lr� ,�,.,� 6ulld r ,pe Builder �5o_�ntact Tele hone P Plen Number HERS Rater — T le hone Sample Group Number L;Zez' ifying Signature p to Sample HOu88 Number irm:HERS Provider: Street Address: 7i'.y OY City/State/Zip; Z4' ' Copies to: Builder, HERS Provider HER 5 RATER COMPLIANCE STAT NT 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 COI with the diagnostic tested 'compliance requirements as checked on this form, Distribution system is fully'ducted (i.e„ does not use building cavities aslenums or VVVf ducts) P platform returns In lieu rV1 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) Duct Pressurization Test Results (CFM @ 25 Pa) Measured values • n CFM If fan flow is calculated as 400cfmT ntxLnumbeer of tonFlow ls niter 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 (P8ss=6% or less) ass Fail THERMOSTATIC EXPANSION VALVE 111I or Cotnmiss' tin x rwcd equivalent Yes [] No Thermostatic Expansion Valve (or Commission approvcd equivalent) is Installed and Access Is provided for inspection ❑ Yes Is a passas ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT Pass Fail 1 0 Yes 0 No RCCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF. 1R and design on plan. ; .. 2. ❑ Yes 17 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 � n Pass Fail C: ; -72 f -D /0 'y� � 0 QUINTA `�C1TC rF"'oF I' .w ING & S DEPARTMENT 7 12 MPE�CaTIO R "QUEST LINE CI-ry OF LA 77-7 53 Owner i Contractor. DA RFFTI ((1NCTRUfM(j Permit Number04-4033 POST ON JOS IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS —S®-890 VIA P17FI13TA SF'D – LOT 14, PLAN IAR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE P�s:: TEMPORARY POWER U/G PLUMBING /WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION ' COVER NO WORK UNTIL ABOVE SIGNED I EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS /STEEL i BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING PLUMBING MECHANICAL • PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DE FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING ESI/FME,.Inc. STRUCTURAL ENGINEERS & CONSULTANTS 1800 E. 16TH ST. • SANTA ANA, CA 92701 • (714)835-2800 • FAX(714)835-2819 STRUCTURALOBSERVATION REPORT FORM :PROJECT NAME iPUERTA AZUL O WNER/DEVEL-OPER :PACIFIC LAND PAGE 1 of MANAGEME ESI/FME JOB NO. STRUCT. OBSERVER TYPE PHASE PLAN/UNIT # ELEV. r ILOT# 402-3113 KEN SADLER jBLDG. NA `° I PLAIJ ( -A 12 I I ESI/FME FILE NO. PROJECT LOCATION FIELD REP. REPORT NO: DATE OF OBS 3113- LA QUINTA CA. MARK ALEXANDER OBSERVED STRUCTURAL ELEMENTS j FOUNDATION U SHEAR WALL ASSEMBLY QX WALL FRAMING ❑X SHEAR TRANSFER O DRAG TIES/STRUTS, HARDWARE CONNECTIONS CHORDS & THEIR [j FLOOR FRAMING O ROOF FRAMING E] STEEL FRAME/COL.CONNECTIONS ----- --- f # I LOCATION REMARKS Ol" I ii�✓]lt_cr- De.l.,•t4 a.uc/oa: �.t—P¢rS e� P3t.�rS �.t3c:r� S7✓to,,c4-G✓Att_S Pte"+—' �:.�v�f Q I pp__f.?cv2__� <t-vi_ar-rr i* -rZZ !•F, . ix � � j�,s✓1Z �F G ,4i!/�f -, — ac r � i . i — SKETCHES AND/OR ADDITIONAL COMMENTS: I PREPARED BY: ;ESI/FME, Inc. �� . � Y X '0 CHECK IF COMMENTS / SKETCHES CONTINUED ON ATTACHED SHEET - 4�r DISCLAIMER ESUFME, INC. DID NOT INSPECT THE SUBJECT UNIT. THIS WAS A WALK-THROUGH 015316r" FRAMING REVIEW TO DETERMINE IF THE CONSTRUCTION SUBSTANTIALLY COMPLIES WITH THE I 9/�/� :10m CONSTRUCTION DOCUMENTS AND STRUCTURAL DESIGN INTENT. OUR REVIEW COVERED MAJOR j �'rn FRAMING ELEMENTS AS REFLECTED IN OUR CALCULATIONS. THIS REVIEW WAS BASED ON VISUAL OBSERVATIONS AND THERE IS NO CLAIM, EITHER STATED OR IMPLIED, THAT ALL CONDITIONS WERE �Q OBSERVED. WE DO NOT CERTIFY OR GUARANTEE THE CONSTRUCTION WORK IN ANY WAY. OUR _ VISIT DOES NOT RELIEVE THE DEVELOPERS, FRAMERS, CITY INSPECTORS AND DEPUTY INSPECTORS JF _ -" IF APPLICABLE AS TO THEIR OBLIGATIONS TO FOLLOW THE PLANS AND ALL APPLICABLE CODES.—_j ,- Certificate of Occupancy - _ -4ot Qum& G� OF'Tk�Building y p & 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: 80-890 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4033 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RM PUERTA AZUL PARTNERS LLC. Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: GARY HARTMAN Date: FEBRUARY 17, 2005 Building Official POST IN A CONSPICUOUS PLACE