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04-4029 (SFD)_l U O� BUILDING & SAFETY DEPARTMENT cw� P.O. Box 1504 (760).777-7012 OFTt 9r 78 495 GXLLE TA•MPICO FAX (760) 777-7011 LA�Qi7INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760.) 777-7153 D f "A'Y 13 2004 �'gUILDING PERMIT cIT� c� LA c�s:cc�"3m, Applicta.onFNumbe�r�' 04-00004029 Date 5/11/04 Property Address . . . . . 80932 VIA PUERTA AZUL APN: 762-240-003-7 -300961- Application description 'DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 112634 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 (76 0) 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 445.25 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 19.63 Issue Date . . . . Valuation 0 Qty Unit Charge Pet Extension P.O. BOX 1504 /� • w 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: 921- Date: Applicant: chitect or Engineerg�l /-F40 C' Applicant's Mailing Address: Architec r Engineer's Ad ress: ^9 Id R69 -T 6:1 • 9y�� . No. (I ZZ 7 2,95 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen;ejs jnJullf �e and effect. L/ ----Mnse Class L`%/`j' License No. OWNER-81JILDER DECLARATION 1 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.). (..) 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. WW 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 erZissued. y w ers' m "nS i0 nce carrier and folic number � �' yT Pol ber L 40A 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 �foorrthw/ith comply with those p/si/o'S..----Date WARNING: 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 �I hereby affirm un Ity off ury a h ra is a constructio ng agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name f�.I�afiG ,6J Lenders Address / 4— IMPORTANT �� -—F-LrbAN r Ayruvum WLE0GEMENT Application is' ereb age to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. I. 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 being ing perfortrred under or following issuance of this Permit. 2. Any permit issued as a result of this application becomes null 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 can el ation. I certify that I have read this application and state that the above ' ormation is I agree with all ��Jf�YY and county ordinances and state laws relating to building construction, and hereby a thorize representatives of this coun to enter u bo v o 7roperty for'Aspection purposes. Z �iYte ature (Applicant or Agent): Page 2 Application Number . . . . .. 04-00004029. 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 20.23 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 36.56 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 15.0000 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 1 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 7.. PLAN 4B. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00004029 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 44.53 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 521.67 .00 .00 521.67 Other Fee Total 2460.79 .00 .00 2460.79 Grand Total 3988.11 .00 .00 3988.11 •��p,'•f�',y!!./,'%/!%l/'l%!/////,/%//!/,f.'lf/!ll'//!/'!/.%.'i/:%/!.%F//%%•/f/!/AY%%///'l//i%/f/•%%//.l/.%//fl/!//!/./%///.UrL/,•J/.!/F//f/.:f//!//f%l.%1.41%//AY/J;%//!/!/:!/.::/.%i"!.'!/!/90!//%i%'I/.e%%%F/:%i%.: /f/%;: �?//'!/.'/d I.'f: A'P'//.�::%i : /-.; INSULATION CERTIFICATE iThis 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 at 80-932 VIA PUERTA AZUL LOT 7, PHASE 2, LA QUINTA CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 s WALLS: a TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19 f GENERAL CONTRACTOR: DAVIS- REED CONSTRUCTION LICENSE # A , i BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 Z&BY: TITLE: ACCOUNT REPRESENTIVE DATE: s f 1 _. _. _. _. _. _. _. _.-.-.-.�..�......,�.�....-.. i�isi�ii.iw i�ic/�/e/n/�I/f/A/l/vi.�%l/f/l/fil/d/G/.'T/!/FiI.+F/A%l/P-:%l•. 3L • DEC -09-2004 10:30 PM CERTIFICATE OF FIELD VERIFICATION Project Title • b -93�' a ProjeCt Ad ress d Bulldgr Cont c� HER54Raler P.04 DIAGNOSTIC TESTING CF -4R GbT 7 Dated� Builder Name Telephone Plan Number Tele hone Sample Group Number ypnirying Signature Date Sample House Number Firm:.rC.-,��soG����. HERS Provider; TG_vt-/�SoGI�Tr_.S Sweat Address. �r:! o✓ City/State/Zip: Copies to: Builder, HERS Provider HER 3 RATER COMP NCE STATEMENT 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 ly 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 f 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. CJ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION CQMPLIANC E CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results� 25 Pa) CFM Measured ( values • Test Leakage Flow In CFM If fan flow is calculated as 400cfm/ton x number 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 F81I THERMOSTATIC EXPANSION VALVE TXV or Commission approved equivalent ky e s ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) Is Installed and Access is provided for Inspection�j Yes Is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT ass Fail t l3 Yes C] No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF -1R and design on plan, 400 2. b Yes 0 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 CD p Pass Fall DAVISREED CONST PAGE 02_/62 CIV' OF LA QUINTA •BUIL6tNG & SAFETY DEPARTMENT c£^� OF: :777-7012 INSPEC"tION REQUEST LINE �y 777.7153 Owner PUERTA AZUL -PARTNERS — Contractori'DAVIS RE6 CONST. — Permit Number"4029 — POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES,_ JOB ADDRESS 80-932 VIA PUERTA AZUL — 1740 SF. SFD PLAN 4B LOT V PERMIT DOES NOT INCLUDE BLOCK WALL OR POODSPA TYPE OF INSPECTION PATE INSP_ TEMPORARY POWER — SETBACKS U/G PLUMBING /WASTE c • !• A — U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL Z.,• O � CONCRETE SLAB �. DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF * $ • o-1 6' • OKAY TO WRAP • 3. a r' -MING COMBINATION I I )UGH ELECTRIC ROUGH PLUMBING INSULATION • O -Y T� COVER NO WORK UNTIL ABOVE SIGNED _ INTERIOR GYP BD. DRYWALL • .Z 7. BP/ �rf� EXTERIOR LATH 9'a? • 0 GAS TEST N SEPTIC ABANDONMENT SEPTIC MASONRY INSPECTIONS 3S /STEEL EAM POOL / SPA / WATER FEATURE INSPECTIONS _ 1:1=1 U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER // AW, Qy ELECTRICAL PLUMBING MECHANICAL F IC WORKS DEPARTMENT / 2 , i G.,I,AMUNITY DEVELOPMENT DEPT. ( r c FINAL I JOB COMPLETED 1 Z'v4- ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy T,vf 4 449&rw Building & 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: 80-932 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Owner of Building: PUERTA AZUL PARTNERS Building Official Type of Construction: VN Building Permit No.: 04-4029 Land Use Zone: RM Address: 17700 S.W. UPER BOONES FERRY City, ST, ZIP: PORTLAND, OREGON 97224 By: GARY HARTMAN Date: DECEMBER 23, 2004 POST IN A CONSPICUOUS PLACE