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04-4037 (SFD)t LA QUINTA, CY 13 2004 Tihf 4 4QuAtw BUILDING& SAFETY DEPARTMENT (760).777-7012 MPICO FAX (760) 777-7011 FORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT FITP_�qt:E nErP7. Application Number Property Address APN: Application description Property Zoning . . . . Application valuation . Owner ------------------------ PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND OR 97224 04-00004037 Date 5/11/04 80902 VIA PUERTA AZUL 762-240-003-12 -300961- DWELLING - SINGLE FAMILY DETACHED MEDIUM DENSITY RES 112634 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-HIC -------------------------- 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 1..00 FIRE SPRINKLERS NO GARAGE SQ FTG 250.00 PATIO SQ FTG 617.00 NUMBER OF UNITS 1.00 ------------------------------------------------=--------------------------- FIRST FLOOR SQ FTG 1740.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 685.00 Plan Check Fee 111.31 Issue Date . . . . Valuation 112634 Qty Unit Charge Per Extension BASE FEE 639.50 13.00 3.5000 -=--------------------------------------------------------------------------- THOU BLDG 100,001-500,000 45.50 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 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: 'T' Date: -G+S! Applicant: Architect or Engineer: C p Itt y1 t . �i%�3sc jZi? 7 Applicant's Mailing Address: Architect or Engineer's Address: Z `�7 9Z Cc�i7 No. % g t3UILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed u�visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals rnrta.and my License is ini�ffull force and effect. License Class >�f / <' License No. r Date—�y�Fontwactor_ VYf L> AL'? P- 0 —� B" & - 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 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 tabor Code, for the performance of the work for which this permit is issued. 1 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 }}sssire My w9rkers' compensati;Hwork su mer and policy n beow Carier.:—F L& ' Z .4rYfg+ zr G oy ber lU� 1 1f �1'Z c�(� � _ 1 certify that, in the performance of 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. Date d plicent ��%�'� }� G ✓moi / WARNI G: FA URE 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 1 hereby affirm under penalty of perjury that the ' a cons 'on lendigogen for the perfo nce of the work for which this permit is Issued (Sec. 3097, Civ. C.). Lender's Name tAx/r��/Qin v/1�1, �f�✓ 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 a 1. Each person upon whose behalf this application is made, each pPl�ation' 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 Ouinta, its officers, agents and employees for any actor omissionrelated to being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes and void if work is not commenced within 180 days from date of issuance of such pertmit or cessation of work for 180 days will subject permit to cellation. I certify that I have read this application and state that the abov information is cc agree to 11 city and county ordinances and state laws relating to building construction, and here y authorize representatives of this coun o enter upon �bove�nen ' r inspection purposes. • e; s 0 Signature (Applicant or Agent): Application Number . . . . . 04-00004037 Page 2 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 80.90 Plan Check Fee 5..06 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1740.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 60.90 250.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 5.00 ---------------------------------------------------------------------------- Permit. . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 146.25 Plan Check Fee 9.14 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0'000 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 12. PLAN 4A..PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004037 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 11.13 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 11.26 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1005.65 ------------------------------ .00 .00 1005.65 Plan Check Total 130.42 .00 .00 130.42 Other Fee Total 2427.39 .00 .00 2427.39 Grand Total. 3563.46 .00 .00 3563.46 INSULATION CERTIFICATE This is; ­.o certify that insulation has been installed in conformance with the current energy regular Ion, California Administrative Code, Title 24, State of California, in the building located at 80-902 VIA PUERTA AZUL LOT 12, PHASE 2, LA QUINTA CA • CEILII, GS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLA: TYPI: BATTS MAUNFACTURER: Certainteed THICKNESS: R-19 GENFAl_ CONTRACTOR: DAVIS-REED CONSTRUCTION LICENSE # BY: TITLE: PAR, 1,GON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE# 221517 BY; TITLE: ACCOUNT REPRESENTIVE DATE: 0 0 'C-09-2004 10:32 PM P.09 d, , r: 0 Sample Group Number v "" ' Date Sample House Number Firm; .7~C. �- OGi HERS Provider; —7G oC ! Street Aftess: City/slate/Zip;�x Copies to; guilder, HERS Provider HERS A R CO IL CE TgIdENT The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, 1 certlfy that the houses Identified on this form co ly with the diagnostic tested bompllance requirements as checked on this form, Distribution system is fully'ducted (i,e,, does not use building cavities as plenums �'Where of ducts) P s or platform returns in lieu 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, 45MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM Q 25 Pa) Measured values If fan flow is calculated as xLeakag ea Flowof tonls 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 (Pass=6% or less) THE=RMOSTATIC EXPANSION VALVE~ TXV or Commission a roved a uivalent r� 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 Q Yes 0 No ACCA Manual D Design requirements have been met (rater has verified that actual installatlon matches values in CF -1 R and design on plan, 2. ❑ Yes D No TXV is installed or Fan flow has been verified, If no TXV, verified fan flow matches design from CF -11R, Measured Fan Flow = Yes for both 1 and 2 is a Pass Aass Fail ass Fail 0 ❑ Pass Fail /-, - ix. :...;CITY OF LA QVINTA BUILDING & SAFETY DEPARTMENT "�E �� 777-7012 4 INSPECTION REQUEST LINE J 777-7153 Owner PUERTA AZUL PARTNERS I Co; (traor AVIS REED CONST. ct_ Permit Number 04-4037 POST ON JOB IN CONSPICUOUS PUCE _ INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80"902 'VIA PUERTA AZU1, 1740 SF. SED PLAN 4-A LOT #12 PERMIT DOES NOT INCLUDE BLOCK WALL OR POOIL/SPA TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SE''BACKS U/G PLUMBING / WASTE 0 Al t'o•N U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL 4.Oy 06,e CONCRETE SLA13 D • O DO NOT POUR CONCRETE UNTIL ABOVE SIGIJED ROOF NAIL / PRE -ROOF B .14. Gey 6. M OKAY TO WRAP /o •J, • 04 ,p. f / F" ' MING COMBINATION JUGH ELECTRIC G •i!' INSULATION O • DSI sr +_ COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL / • /2 4� S N EX'rEAIGI�LLATH 1199 • y - SEWER CONNECTION 1 � � /•5/ DY ®'N - SEPTIC / GREASE INTERCEPTOR ONS STEEL _ POOL / SPA / WATER FEATURE INSPECTIONIS PRE•GUNITE / SETBACKS U/4PLUMBING PRE -PLASTER ALARMS /BARRIERS) I I FINAL INSPECTIONS PLUMBING MECHANICAL I IC WORKS DEPARTMENT CvlvIMUNITY DEVELOPMENT DEPT. I FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING E0/Z0 39dd 1SN00 1I33dSIAV(I - ,- Certificate of Occupancy C� OF'I'�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: 80-902 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4037 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 (damy By: GARY HARTMAN / Date: FEBRUARY 17, 2005 Building Official POST IN A CONSPICUOUS PLACE i �