04-4032 (SFD)r
BUILDING-& SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-49'5 CALuEJAMPICO FAX (760) 777-7011
`La Q°UINrK,-i;C`A�LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
13 2004 BUILDING PERMIT
Appli-ca=t VAL"Nil' &r . . . . 04-00004032 _ Date 5/11/04
Property Address . . . . . 80920 VIA PUERTA AZUL
APN: 762-240-003-9 -300961-
Application description 'DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . MEDIUM DENSITY RES
Application valuation . . . . 87296
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/CONG <=10
Flood 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
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 . . . . . .
7 ---------------------------------------
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 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 Tar INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: p 41, 403.2 Date:
Applicant:chiteppt—pr heer: /
Applicant's Mailing Address: Archie or ,.r ;s yddress:
Ic. No.: 0 9� 7-2
BUILDING 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's in f�Con.
e and effect. /
License Class License No. Y V
/J
ate ctor
OWNER -BUILDER DECLARATION
I herey 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
1 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
issue wgrkers' yom ensation ' urance carrier and policynumber are: + ,g Q �+��D
�rrier Z c`"��yl4vftY�Lf Cp4 Policy Number �- C� `�
_ I certify that, in t e 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
rthwith comply with those provisions.
'
mate plicant
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 under penalty of)rry that there is a struction lending agency for performance of the work for which this permit is issued (Sec. 3097, Civ. C.)
Lenders Name
/LenersAddress %a)
P' ' 9 Zz6 -I— APPLICANT ACKNOWLEDGEMENT
IMPORTANT Appli�s 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 thezpplicani teach agrees to, and shall, defend, indemnity and hold harmless the City of Le Quinta, Its
officers, agents and employees for anpplication y isr sion related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this . becomes null and void if work is not commenced within 180 days from date of issuance of such pefmit, or
cessation of work for 180 days will su 'ect permit to cancellation.
I certify that I have read this application d state th above infomhati is correct g f mply with all city and county ordinances and state laws relating to building
construction, and hereby authorizer resentatives of this coun / the v ed property for inspection purposes.
ate Z Signature (Applicant or Agent):
Application Number . . . . . 04-00004032
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
6.5.000
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
3.00
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
9. PLAN 1A.
PERMIT DOES NOT
Page 3
Application Number
. . . . .
04-00004032 Date
5/11/04
----------------------------------------------------------------------------
Special Notes and
Comments
INCLUDE BLOCK WALLS,
POOL, SPA
OR
DRIVEWAY APPROACH.
175% 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
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
12/29/2004 10:13 17603401819 PAGE 02/04
• 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
0-920 VIA PUERTA AZUL LOT 9, PHASE 2, LA QUINTA CA
TYPE: 'BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALL:
TYPE: BATT,$ MANUFACTURER: Certainteed THICKNESS: R-19
GENERAL CONTRACTOR: DAVIS- REED CONSTRUCTION LICENSE 4—
BY: TITLE:
PARA3 ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRE*SENTIVE DATE:
•
I
DEC -09-2004 10:31 PM
U
C.
40
RTIP'YCATE OF FIF,L1) VE
IA
Dat '
G°✓r
i�, �yrr
oulldeMa
Plan Numberber
Sample Group Number
P.06
CF.
Firm,. �— a �atb Semple House Number
`C, d'.47�soG� HERS Provider -4L
d`
Street Address; 2
�'�✓ OV City/State/Zip: G c/
Copies lo: Builder, HERS Provider r
HE S RATE COMpL1AN E S6TEM t4T
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
com I 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 f ducts) p s or platform returns in lieu
Where cloth backed, rubber adhesive duct tape is installed, mastic and draands are used in combination
with cloth backed, rubber adhesive duct tape to seal leaks at duct connections,
W -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
FlowCFM
If fan flow is calculated as 400cfmontxLeakage num err of toni
%s 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=B% or less) �� Q
Nags Fail
THERMOSTATIC FYDANSION VALVE TXV or Commissionsp2roved equivalent
es ❑ No Thermostattc Expansion Valve (or Comrnission approved
equivalent) is Installed and Access Is provided for inspection
Yes is a pass ❑
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT pass Fail
1 Q Yes 11 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 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 ❑ O
Pass Fail
---G9 �� F LAQUIN A
I a3tiafffiIN ' AFETY DEPARTMENT
0
t'77-7012
OLIN ECTibN REQUEST LINE
age DE�77-7153
Owner PUERTA AZUL PARTNERS, LLC
Contractor DAVIS REED CONSTRUCTION
Permit Number 044032-
POST
4-4032POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-920 VIA PUERTA AZUL
SFD - LOT -A PLAN IA. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSR
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
• OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GY
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
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
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING i
�- - - ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
1800 E. 16TH ST. • SANTA ANA, CA 92701 • (714)835-2800 • FAX(714)835-2819
STRUCTURAL OBSERVATION REPORT FORM
•:PROJECT NAME
iPUERTA AZUL
OWNER/DEVELOPER
:PACIFIC LAND MANAG
-
ESI/FME JOB NO.
STRUCT. OBSERVER
BLDG. TY�PHIASEAWU
402-3113
KEN SADLER
NALA^
C A
ESI/FME FILE NO.
PROJECT -LOCATION
FIELD REP.
REPORT NO, DATE -OF OB;
EMEN
3113-
LA QUINTA CA.
MARK ALEXANDER
/ZlC
OBSERVED STRUCTURAL ELEMENTS
i FOUNDATION U SHEAR WALL ASSEMBLY ❑X WALL FRAMING ❑X SHEAR TRANSFER
HARDWARE CONNECTIONS
FLOOR FRAMING O ROOF FRAMING ❑ STEEL FRAME/COL. ❑
f_
)T# - --_ 1
)ERV.
L DRAG TIES/STRUTS,
CHORDS & THEIR
❑ CONNECTIONS
# I LOCATION I REMARKS
:J .�E2.�9.2vF O:.alinlGi i2.6:)! -p P�v� — �iP4a5 P�^Z. Pc..at i�'7%?nl 6'ccG�� Nfk-L J:O'GL t ST2cv1G—Wl►Lt:.j' ��--
_ . .. .. _ _ .. - -- - -- --- �`1+rto F � A•'"� . Pao.f.o� .tilc1 r � GaA S -o:-2. � 3 a tc uF r>n.�..rc, -W� �
I _ . .. � zeVia Ajar a:dA bZ AS a�4c Ti1c!A!i
ALC--
A.
LCM
L _
- A.
I
'KETCHES AND/OR ADDITIONAL COMMENTS:
PREPARED BY: - -- QF f3S Ofy,
;ESI / F M E , Inc. QUO ��� ESTS 0 CHECK IF COMMENTS /SKETCHES CONTINUED ON ATTACHED SHEET
DISCLAIMER: ESUFME, INC. DID NOT INSPECT THE SUBJECT UNIT. THIS WAS A WALK-THROUGH
r 015316 � Z FRAMING REVIEW TO DETERMINE IF THE CONSTRUCTION SUBSTANTIALLY COMPLIES WITH THE
9/30/ m CONSTRUCTION DOCUMENTS AND STRUCTURAL DESIGN INTENT. OUR REVIEW COVERED MAJOR j
d r 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
P 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
-' IF APPLICABLE AS TO THEIR OBLIGATIONS TO FOLLOW THE PLANS AND ALL APPLICABLE CODES.-
Certificate of Occupancy
OF 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: 80-920 VIA PUERTA AZUL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4032
Occupancy Group.- R3 Type of Constructlon: VN Land Use Zone: RM
PUERTA AZUL PARTNERS LLC_ Address: 17700 SW UPPER BOONES FERRY
City, ST, ZIP: PORTLAND, OR 97224
Iled By: GARY HARTMAN
Date: FEBRUARY 17, 2005
Building Official
POST IN A CONSPICUOUS PLACE
i
_
�