04-4034 (SFD)APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner
BUILDING& SAFETY DEPARTMENT
(760).777-7012
ico FAX (760) 777-7011
;NIA 92253 INSPECTION REQUESTS (760) 777-7153
UILDING PERMIT
04-00004034 Date 5/11/04
80914 VIA PUERTA AZUL
762 -240 -003 -10 -300961 -
DWELLING - SINGLE FAMILY DETACHED
MEDIUM DENSITY RES
87296
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
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/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . .CODE EDITI.ON 2001 CBC
# BEDROOMS
2.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
244.00
PATIO SQ FTG
269.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
FIRST FLOOR SQ FTG
1380.00
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
585.50 Plan Check Fee
95.15
Issue Date . . . .
Valuation . . . .
87296
Qty Unit Charge
Per
Extension
BASE FEE
414.50
38.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
171.00
Permit . . . . . .
MECHANICAL -
Additional desc
Permit Fee . . . .
78.50 Plan Check Fee
4.91
Issue Date . . . .
Valuation
0
Qty Unit Charge Per Extension
.I- . w
P.O. Box 1504 �/
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: tQ 4/, ;70,7 Date:
Applicant: Archite or Eng inee
a �
Applicant's Mailing Address: Architect or Engineer' Address:
*/(-/Z -�At? 9,'--f Wi,;'-
- �l is. NO.: C Z-37 -72
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
and my License isand effect.
1 hereby affirm under penalty of perjury that I am licensed under pro ' ' ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals •.
m II force
'cense Class ��� �� �� incense No.9/ 3111-'9-0
_
C' -
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 1, 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.).
(, 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. , B.8 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. My w�yrkers' compensation�oeurance varier and policy number are:
�camer G•—/� : L�1 /� i cu ►1� e. Policy Number�z
_ 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.
Date Applicant �0;
/WAR ING: 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 and natty o jury that there is a nstruc�tiion lending agency f the performance of the work for which this permit is Issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address � ). �' (Ai ,(_, f\'L ( 7() J
/ C- C Z[7 �— 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 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 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 cis not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellatio
1 certify that I have read this application and state that the above info on is correct. I comply with all city and county ordinances and state laws relating to building
construction, an hereby authorize representatives of this county t enter n the a ad property for inspection u
p rposes.
/Date Zv ignature (Applicant or Agent):
Page
2
Application Number
.
. .
. . 04-00004034 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
4.26
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
8.72
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
3.0.0
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 10.
PLAN lA.
PERMIT DOES NOT
of _
Page 3
Application Number
. . ... .
04-00004034 Date
5/11/0.4
----------------------------------------------------------------------------
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.
--------------------------------------------7-------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
9.52
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
8.72
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
886.68
.00 .00
886.68
Plan Check Total
113.04
.00 .00
113.04
Other Fee Total
2423.24
.00 .00
2423.24
Grand Total
3422.96
.00 .00
3422.96
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INSULATION CERTIFICATE
• This i;: to certify that insulation has been installed in conformance with the current ener
regulzi ;ion, California Administrative Code, Title 24, State of California, in the building located at
80-914 VIA PUERTA AZUL LOT 10, PHASE 2, LA QUINTA CA
CEILII:GS:
TYPE BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALL: 3: ,
TYPE: BATTS MAUNFACTURER: Certainteed THICKNEESS: R-19
GENE: IRAL CONTRACTOR: DAVIS-REED CONSTRUCTION LICENSE #
TITLE:
PAF:IMN SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DAT
E. Aqw
:
. ,.. r ... r,r . �. �/:,;ir � r. r .., r:i: ; . r,. .. r.v: ,r.i.i/i. r: r,:�,r..• i� .r.i:r. rrr:ir. :: ;i ii: .r r r �
•
0
DEC -019-2004 10:31 PM
CERTIFICATE OF FIELD V
Project Title
• l v ev�rq
Projectmm Adfess
Builder CnntArt
sr
1(;ATION AND DIAGN
Telephone
2iv.C7,7 n
�
'A v
pr dame
Ian Number
Sample Group Number
P. 07
MIN
y�irying Signature Dat
G� Sample House Number
Irm HERS Provider:
Street Aadress; YJ DY
City/Slate/21p; ` N
Copies to; builder, HERS Provider
HERS RATER CO LI CE TAT ME T
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
coy 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
t ducts)
Where cloth backed, rubber adhesive duct tape is Installed, mastic and
with cloth backed, rubber adhesive duct tape to seal leaks at duct conn ctions�nds are used in combination
PMINIMUM 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
• If fan flow is calculated as 400cfm/tontxLnumberumbereakage Flow in CFM
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)
Pass Fail
THERMOSTATIC EXPANSION VALVE TXV or Commission approvrd a trivalent
12'Yes No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection
Yes Is a pass
CJ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT bass Fail
❑ Yes Q 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 0 Yes C] No TXV is installed or Fan flow has been verified, If no TXV,
verified fan flow matches design from CF -1R,
Measured Fan Flow =
Yes for both 1 and 2 is a Pass ❑
Pass Fail
i 'X-: ri�i✓fr�!"".....:. f.�:�h -f49' Iy,c+s eta, .. i.
67
0 /
CITY OF LA QUINTA
.� BUILDING & SAFETY DEPARTIV ENT
�r'o1,Tt1�O 777-7012
INSPECTION REQUEST LINE
777-7153
Owner PUERTA AZUL, PARTNERS
Contractor DAVIS REED CONST.
Permit Number 04-4034
POST ON JOB IN CONSPICUOUS PLACE
_INSPECTOR MUST SIGN ALL APPLICABLE SPACES
J013 ADDRESS 80-914 VIA PUERTA AZUL
1350 SF. SFD PIAN I -A LOT #10 PERMIT DOES
NOT INCLUDE BLOCK WALL OR POOL/SPA
I TYPE OF INSPECTION DATE INSP.
TE iPORARY POWER
SETBACKS
U/G PLUMBING /WASTE-- , 41614f.-6-0
U/G ELECTRICAL / GROUNDING
RETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE 51UPICU
ROt)F NAIL / PRE -ROOF
OKAY TO WRAP
r MING COMBINATION
/d a#
.)UGH ELECTRIC
ROUGH PLUMBING
_
MECHANICAL
_ROUGH
..INCIII ATInN
1d • O d3%
_ COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL) // � /Z - O N
cvt'co, a nruI /B • 1 Ali , 6 A/ Ls"r
SEWER CONNECTION O •Y 10 or
SEPTIC I GREASE INTEwRCEPTOR
MASONRY INSPECTIONS
POOL I SPA / WATER FEATURE INSPECTIONS
GAS
PR:: -PLASTER ALARMS / BARRIERS
FINAL INSPECTION
TEMP. USE OF PERMANENT POWER
Mr!CHANICAL
I E .IC WORKS DEPARTMENT Jz. "
CLIMMUNITY DEVELOPMENT DEPT. > a
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDINS
£0/Z0 39dd 1SN00 1I33dSIAV(I LSVTLLL09L Z£:9Z S00Z/ZZ/Z0
Certificate of Occupancy
U =
Qum&
Lrm �utnL4�
OF'TiBuilding 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: 80-914 VIA PUERTA AZUL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4034
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
By: GARY HARTMAN -
Date: FEBRUARY 17, 2005
Building Official
POST IN A CONSPICUOUS PLACE