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04-4035 (SFD)i; La� a•� °�oTilf BUILDING& SAFETY DEPARTMENT 4�.0 Box 1504 (760).777-7012 PF 9 � 78-495 OnrrLE TAMPICO FAX (760) .777-7011 LA QUINyyTCALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 131004 BUILDING PERMIT CITY OF LA O ""INVA FINANCDELI Application Nu er . . . . . 04-00004035 Date 5/11/04 Property Address . . . . . 80908 VIA PUERTA AZUL APN: 762-240-003-11 -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-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 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 103.92 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 Permi.t . . . . MECHANICAL Additional desc Permit Fee . . . . 85..00 Plan Check Fee 5.31 Issue Date . . Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 - 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: lQZ/- 140,35 Date: ✓`' - /o? ` Applicant: FehitecL r En ineer i< -AM xyik-I- /R/,;K,yUa-,T�- Applicant's Mailing Address: Architect or ngineer's Address. A -Lc) l'O 1�� ' f z b c-- ) /Nc. No. Z5 -7-72 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice sed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice% a is in full force and cense Class /License No—& / Date �� C�ntraetoF (% _a- 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 ft 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' compens ion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued M workers' compensatio surance carrier and policy n m r a Cartier L -I I c -I C- �yyt "JC-Pt1 p�Number _ %UL J� 22,.t03 _ I certify that, in the -performance of the work for which this permit is issued, 1 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, 1 shall forthwith comply with those provisions. to �� 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm underyanafty of p 'ury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address �--"Z-OPLICANTTACKNOWLEDGEMENT IMPORTANT Appliq$o�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 uant 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 work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above into is Corr I agree to cal with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to an u abov ro y for inspection u p rposes. ��/Datel (Applicant or Agent): Application Number . . 04-00004035 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 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 4.65 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 9.28 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 -----------------------------------------7---------------------------------- 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 11. PLAN 2A. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004035 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 10.39 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 123.16 .00 .00 123.16 Other Fee Total 2425.34 .00 .00 2425.34 Grand Total 3513.82 .00 .00 3513.82 12/29/2004 10:13 17603401819 PAGE 03/04 INSULATION CERTIFICATE • This is :o certify that insulation has been installed in conformance with the current energy regulati:)n, California Administrative Code, Title 24, State of California, in the, building at VIA PUERTA AZUL LOT/11, PHASE 2, LA QUINTA CA CEILP! GS: TYPE: 13LOW MAUNFACTURER- Certainteed THICKNESS: R-38 WALL.:;: TYPE- BATTS MANUFACTURER: Certainteed THICKNESS: R-19 GENEI;:AL CONTRACTOR: DAVIS- REED CONSTRUCTION LICENSE it BY: TITLE: PARA.:.30N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 4 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: 41�261 0 • 0 EC -09-2004 10:32 PM P_08 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING P� � CF -4R oKje t Title u Da SL Project Aagress Buil r me u� Budder Cont ct Telephone Plan Number HER afar 05 Telephone Sample Group Number / -d F i Ing Signature ate Semple House Number Firm; ��. d-�.�5'pG;�g� HERS Provider; TG.��s�raG��s City/State/Zip: Street Atldress, ����yaY��DY� /{%l �Q� •�� k _TJ 21 Copes to: Builder, HERS Provider HER S RATER LIAN • ST T ENT The house was: ❑ Tested 9 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 (t,a., does not use building cavities aso lenums of ducts) p r platform returns in lieu 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) Duct Pressurization Test Results (CFM tC 25 Pa) Test Leakage Flow In CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here Measured values If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) Check Box for Pass or Fall (Pass -6% or less) ❑ 4ISS Fail THERMOSTATIC EXPANSION VALVE (TXV) or Comm ivalent En 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 0 No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. 2. ❑ Yes 0 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 ass Fail N)l14 O O Pass Fail �l000 Certificate of Occupancy0 Lwcavou�n4�• wn Ll' C� OF-i1Building & 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: 80-908 VIA PUERTA AZUL 1 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4035, 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 �o� r By: GARY HARTMAN Date: FEBRUARY 17, 2005 Building Official POST IN A CONSPICUOUS PLACE