04-4031 (SFD)0� ' '0
• ��GlGI
BUILDING& SAFETY DEPARTMENT
___P.O.,B.ox 1504 (760).777-7012
F�
pf.9 �78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
AIII- --&tion Number 04-00004031 Date 5/11/04
Property Address . . . . . 80926 VIA PUERTA AZUL
APN: 762-240-003-8 -300961-
Application description 'DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . MEDIUM DENSITY RES
Application valuation . . . . 98984
Owner Contractor
PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC
17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE 4105
SUITE 100 ENCINITAS CA 92024
PORTLAND OR 97224 (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 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 412.75
Issue Date . . . . Valuation 98984
Qty - Unit Charge Per Extension
BASE FEE 414.50
49.00 4.5000 THOU BLDG 50,001-100,00.0 220.50
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 78.50 Plan Check Fee 19.63
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 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date:
Applicant:chit t or Engineer -
22, G
Applicant's Mailing Address:
Architect or Engin r' Address:
�6/) �/� ,s 0,iL-
Lic. No.: C -ZZ ZZ
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under isions of Chapter 9 (co n with Section 7000) of Division 3 of the Business and Professionals
,be, and my License is in full force and effect.
License Class License
License No.
ate n Tactor
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.).
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 Labor Code, for the performance
Kof the work for which this permit is issued.
I have and will maintain workers' compens insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
-*+ i u`d My o ,ers'yompensati ' surance carrier and policy number are: /
amer �f 7�f'� _ Policy Number f ���
_ 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.
plicant
W NTNG: 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 under penalty of pe ' ry that there is a cons"'onllending agency f�hperformance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name Fil 6u "— 7 tori Z• `//,�k7
Lenders Address (,,c3
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, a on at w—fiose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and It pplicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omi on related to the work being performed under or following issuance of this permit
2. Any permit issued as a result of this application mas 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 pe 't to cancellation
I certify that I have read this application and state that thea a inform t; is correc r ' comply with all city and county ordinances and state laws relating to building
construction, a2d he by authorize representatives of this coun r upon th s "oned property for inspection purposes.
Date S' re (Applicant or A ear
N
Page
2
Application Number .
. . .
. 04-00004031 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
18.75
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
36.38
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
8. PLAN 3B.
PERMIT
DOES NOT
Fee summary Charged
Permit Fee Total 949.01
Plan Check Total 487.51
Other Fee Total 2456.17
Grand Total 3892.69
Paid Credited Due
.00 .00 949.01
.00 .00 487.51
.00 .00 2456.17
.00 ..00 3892.69
Page
3
Application Number
04-00004031 Date
5/11/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALLS, POOL,
SPA OR
DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . . . .
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
41.28
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
Permit Fee Total 949.01
Plan Check Total 487.51
Other Fee Total 2456.17
Grand Total 3892.69
Paid Credited Due
.00 .00 949.01
.00 .00 487.51
.00 .00 2456.17
.00 ..00 3892.69
INSULATION CERTIFICATE
`r
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
• 80-926 VIA PUERTA AZUL LOT 8, PHASE 2, LA QUINTA CA
t
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
r
i
WALLS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-19
GENERAL CONTRACTOR: DAVIS-REED CONSTRUCTION LICENSE #
BY: TITLE:
f
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
i
/
BYWIt4An 4,44TITLE: ACCOUNT REPRESENTIVE DATE:
s
f
C
PE
0
DEC -09-2004 10:30 PM
CERTIFICATE OF FIELD
C TESTING
WL9mI
Date
i�7
Builder.Name
Plan Number
Sample Group Number
Sample House Number
Firm- .J.C-. d- SS'OGi�f/�S _ HERS Provider;
Street Address: cr City/State/Zip; ZW t�t02ig (�y' t5' j
Copies to- Builder, HERS Provider
HERS RATER O PLIANCE S
The house was; FTested ❑ 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
comply 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
of 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 leaks at duct connections.
P.05
-4
INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
d
Duct Pressurization Test Results (CFM @ 25 Pa) Measured
Test Leakage Flow in CFM 3
If fan flow is calculated as 400cfm/ton x number of tons enter ��77
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 Fall (Pass=6% or less)
❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
es ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for Inspection
❑
Yes Is a pass
Q MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
Pass Fail
1. 0 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 ID Yes ❑ 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
❑ D
Pass Fail
0
12/23/2004 10:56 7607771457
M
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
�wOF rN° 777.7012
INSPECTION REQUEST LINE
777.7153
Owner PUERTA AZUL PARTNERS
COntract6rDAVIS REED CONST.
Permit NumberT�-4.031
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-926 VIA PUERTA AZUL
1571 SF. SFD PLAN 3B LOT #8 PERMIT DOES
NOT INCLUDE BLOCK WALL OR POOL/SPA
TYPE OF INSPECTION I DATE I INSP.
TEMPORARY POWER
. /oa
WG ELECTRICAL / GROUNDING
FOOTINGS I STEEL !o • /i/• o Al L*
CONCRETE SLAB 1 7 /S. O Y 10.41
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF 7..Z./• a,y 6 y
OKAY TO WRAP B • . 0&1 6.
F" -MING( COMBINATION 9'. .g , O 6a+
JUGH ELECTRIC
ROUGH PLUMBING
INSULATION 14. 9 -O y 9.4'
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL IY,27, 0-f 4",
EXTERIOR LATH 19 • g l • o'-1 64'
AARTFST I //• /A• 0A/ 4•4!
C9�'JI�.IK�1►L`1
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL/ SPA I WATER FEATURE INSPECTIONS
PRE•GUNITE / SETBACKS
U/G PLUMBING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER I
L
NG
IC WORKS DEPARTMENT I _i-,? - / I -of "--
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate ®f Occupancy
LutoxroenTm
G� OF'1'YBuilding & 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: 80-926 VIA PUERTA AZUL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4031
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RM
Owner of Building: PUERTA AZUL PARTNERS Address: 17700 S.W. UPER BOONES FERRY
City, ST, ZIP: PORTLAND, OREGON 97224
By: GARY HARTMAN
a' Date: DECEMBER 23, 2004
Building Official
POST IN A CONSPICUOUS PLACE