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04-4038 (SFD)Tdf AMPICO IFORNIA 92253 APN: Application description Property Zoning . . . . Application valuation . Owner BUILDING PERMIT 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 ,.04-00.004038,:, Date 5/11/04 80896 VIA PUERTA AZUL 762 -240 -003 -13 -300961 - DWELLING - SINGLE FAMILY DETACHED MEDIUM DENSITY RES 98984 Contractor DAVIS/REED CONSTRUCTION INC 169 SAXONY ROAD, STE #105 ENCINITAS CA 92024 (760) 634-2350 Qty Unit Charge Per 'Extension 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 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 103.19 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 4.91 Issue Date . . . . Valuation 0 Qty Unit Charge Per 'Extension P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760)777- FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 04- 40,516 Dat Applicant:-Afchitec�r _g�ee�� ��f ) Z l� O (, t1 Applicant's Mailing Address: Architect,Or ngi eer's ddre 4 O.: .7%2 aUILUING 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 Vull force and effect. License Class_�7„� j—I e_ �e No. [ Y 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 1, 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 issued./rMy prkers'. mpensatio rence carrier d p�I number a Carrier Z /fir G�'it7ttQa"�r Policy Number _ �1�:-y' Z-(at�3 _ I certify that in the performance of the work for which this permit is issued, 1 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. Applicant_S)w) e WARNI G: 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 un natty, erjuthaatt there is a co)nstru ' n lend agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lendees Name ( �%e✓ /render'sAddress 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 applicalion is made, each person at whose request and for whose benefit work is performed under or pursuant to an issued as a result of this application, the owner, and the applicant, each a o, ands defend, indemnity and hold harmless the City of La Ouinta, its ��mt officers, agents and employees for any act or omission related to ork being performed ndar or following issuance of this permit. 2. Any permit issued as a result of this application becomes null ul d void if work is not n within 180 days from date of issuance of such permit or cessation of work for 180 days will subject permit to cant ation. I certify that I have read this application and state that the above inf tion is I ag all city and county ordinances and state laws relating to building construction, and re authorize representatives of this county to nter upon bov p rty for inspection purposes. rposes. Date Signature (Applicant or Agent): i' Page 2 Application Number . . . . . 04-00004038 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 . . . . 75.01 Plan Check Fee 4.69 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 9.10 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 3.0000 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 13. PLAN 3A. PERMIT DOES NOT Page 3 Application Number 04-00004038 Date 5/11/04 ---------------------------------------------------------------------------- Special Notes and Comments 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 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 10.32 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 121.89 .00 .00 121.89 Other Fee Total 2425.21 .00 .00 2425.21 Grand Total 3496.11 .00 .00 3496.11 12/29/2004 10:13' 17603401819 INSULATION CERTIFICATE This is :D certify that insulation has been installed in conformance with the current energy regulatl:)n, California Administrative Code, Title 24, State of California, in the building at 80-896 VIA PUERTA AZUL LOT 13, PHASE 2, LA QUINTA CA ' CEILIN 13S: TYPE: 13LOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALL! TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19 GENE'i!AL CONTRACTOR: DAVIS- REED CONSTRUCTION LICENSE st BY:—., TITLE: PARAO 'ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 TITLE: ACCOUNT REPRESENTIVE DATE: .0- 0 PAGE 04/04 DEC -09-2004 10:33 PM • 11 0 P.10 CERTIBICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (.KT CF -4R Project Titl / D U '� �'aucy� ✓� � Got- I� Det Prole Coress Builde a e Builder Cont ct Telephone Plan Number HER at /j7vt�✓1�%�=3 __ s -� f. w/ 7plephone Sampla Group Number u;�rtitying Signature D to Sample Mouse Number HERS Provider: Street Address: WQ , r��/ oY,� ,i /Q Cityistate/zlp, _�� (jc�i�,� ' Copses to: Builder, HERS Provider HgRS RATER COMPLIA E ST N The house was; ❑ Tested Approved as part of sample testing, but was not tested As th HERS rater providing dlagn tic testing and field verification, I certify that the houses identified on this form cc with the diagnostic tested compliance requirements as checked on this form. Distribution system is fully'ducted (Le,, does not use building cavities as plenums or platform returns in lieu 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 leeks at duct connections, Q MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maxlmum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Measured 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 Check Box for Pass or Fall (Pass=6% or less) U THERMOSTATIC EXPANSION VALVE i or COMMiSSion aDproved a uivalent 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 Q Yes 17 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. Q Yes 0 No TXV is installed or Fan flow has been verified, If no TXV, verified fan flow matches design from CF -IR, Measured Fan Flow = Yes for both 1 and 2 is a Pass ►'ass Fail t� ❑ Pass Fail Q ❑ Pass Fail CITY OF LA QUINI•A "° �w BUILDING & SAFETY DEPARTMENT 4e� op ° 777-7012 INSPECTION REQUEST LIN E 777-7153 Owner PUERTA AZUL PARTNERS Contractor DAVYS REED CONST. Permit Number 044038 POST ON JOB IN CONSPICUOUS PLJkCE _ INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 48x896 VIA PUERTA ALU] . 1571 SF. SFD PLAN 3-A LOT #13 PERMIT DOES NOT INCLUDE BLOCK WALL OR POOL/SPA TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE I., /W D �•N U/Ci ELECTRICAL / GROUNDING FOOTINGS / STEEL 6- CONCRETE CONCRETE SLAB o dVK _ DO NOT POUR CONCRETE UNTIL ABOVE SIG14ED ROOF NAIL/ PRE-ROOF R. 0. 4y 990 - OKAY TO WRAP Yo • - 04 sy r MING (COMBINATION) Ag -,6 OY H JU(3H ELECTRIC _ROUGH PLUMBING _ROUGH MECHANICAL INSULATION 6 • oq 7 _ COVER NO WORK UNTIL ABOVE SIGNED INA0WrHW9 BD. DRYWALL XTERIOR LAT /D• •o"1 ST GAS TEST PTIC A DONMENT SEW CONNECTION •lrSl• O 6•If� SEPTIC / GREASE INTERCEPTOR _ MASONRY INSPECTIONS FOOTINGS / STEEL POOL / SPA / WATER FEATURE INSPECTIONS I / BARRIERS) I FINAL WAPFCTIANS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MPCHANICAL I IC WORKS DEPARTMENT CVIv1MUNITY DEVELOPMENT DEPT. - Y • 0 FINAL / JOB COMPLETED A50VE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING E0/E0 39dd 1SNOD 1I336SIAV(l LSVTLLL09L ZE:9T 900Z/ZT/T0 - Certificate of Occupancy TAt!t Ot G� OF 1�. 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: 80-896 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4038 Ocoupanoy Group: R3 Typo of Construction: VN Land Use Zone; RM Owner of Building: PUERTA AZUL PARTNERS, LLC Address: 17700 UPPER BOONES FERRY City, ST, ZIP: PORTLAND, OR By: STEVE TRAXEL Date: January 14, 2005 Building Official POST IN A CONSPICUOUS PLACE