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07-0414 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000414 Property Address: 81845 VIA SAN CLEMENTE APN: 764-010-008-8 -31910 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Affid5t16n valuation: 183114 Applicant:rchi ect or Engineer: ---------------- --------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury t at I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin and Professionals Code, and my License is in full force and effect. License Cla License No.: 753190 Arl" S ontractor. OWNER -BUILDER DECLARATION .I hereby affirm under penalty of perjury t at I am exempt from the Contractor's 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 Contractor's 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).: 1 _ 1 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 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.). 1 _ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 F=Dat Owner:LA QUINTA 57 ESTATES INC78401 HWY 111 STE G LA QUINTA, CA 92253 oIn OF iiaQ_ Contractor: HERINGTON DEVELOPMENT, JAMES 0 40960 CALIFORNIA OAKS RD, #283 MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 ----------------------------------------------- WORKER'S 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 workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1542746-2006 I certify that, in the pert rmance of the work for which this permit is issued, I shall not employ any person in any mIWKERS' to become subject to the workers' compensation laws of California, and agree that, ibecome subject to the workers' compensation provisions of Section �,(/ Do of /the bI shall forthwith comply with those provisions. DeFe: / r plicant: /WARNING: FAILURE TO SECURCOMPENSATION 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. 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, indemnify 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 applicati becomes null and void if work is not commenced within 180 days from date of issuance of suc 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 a ove information is correct. I agree to comply with all city and county ordinances and state laws relating to buildin onstruction, and hereby authorize representatives of this u ty to nter upon the above-mentioned property f inspection purposes. te:�/ `ice Si ture (Applicant or Agent): Application Number . . . . . 07-00000414 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 933.50 Plan Check Fee 151.70 Issue Date . . . . Valuation . . . . 183114 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 639.50 84.00 ---------------------------------------------------------------------------- 3.5000 THOU':BLDG 100,001-500,000 294.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 128.48 Plan Check Fee 8.03 Issue Date ValuatioA . . . . 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 2949.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 103.22 513.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.26 Permit . . . PLUMBING Additional desc . Permit Fee 166.50 Plan Check Fee 10.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 07-00000414 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 ijermit . . . URPWINU P EhMiT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 18/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 8,PLAN 3BR, 2949 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 15.17 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 18.31 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 1326.98 .00 .00 1326.98 Plan Check Total 175.36• .00 .00 175.36 Other Fee Total 4528.48 .00 .00. 4528.48 Grand Total 6030.82 .00 .00 6030.82 LQPERMIT Empire Insulation, Inc. 4211 Latham St. Riverside, CA 92501 Phone: (951) 787-4844 Fax: (951) 787=4849 INSULATION CERTIFICATE This is to certify that Insulation has been installed in conformance with the =urrent Energy Regulations & Building Codes of the City, County and State Governing Agencies for the State of California. PROJECT: CAPISTRANO SITE ADDRESS: 81-845 VIA SAN CLEMENTE LA QUINTA Number city Lot 8 Plan CEILING AREA: BLOWN Manufacturer: GREENFIBER Thickness/Type: CEILING AREA: BATT Manufacturer: GUARDIAN Thickness/Type: ::A Sta =e 3 8.36" R -Value R-30 91/2" R -Value R-30 EXTERIOR WALLS: Manufacturer: GUARDIAN Thickness/Tyne: GENERAL BY: a ue -13 0. Herington Development, Inc. LICENSE #-7536190 TITLE: V.P. Construction DATE: a!o 47 INSULATION CONTRACTOR: EMPIRE INSULATION LICENSE # 860072 BY: JOHN MIRANDA DATE: 9 24 07 OCT -09-2007 07:59 AM P.08 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING ' CF4R Date t3ulldar me intactTelephone Plan ffumBer ��rcd.I_ Teleohone Sample Group Number C Ing Signature a Sample House Number Firm: •�� 4- soLas1_ HERS Provider: G #EIrk s StreetAddress. 7gab r4 ar'F"j C/rG /f' CltylState2ip: � Coplas to: Builder, HERB Provider HERS gATEIt COMPLOCEEN The house was: ❑ Tested pproved 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 mitis form. Istributlon system is fully ducted (i.e., does not use building cavities as plenums or platform retuma in lieu evf duct) Where doth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leeks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGS REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) . Measured Duct Pressurization Test Results (CFM Q 25 Pa) values Test Leakage Flow In CFM If fen flow is calculated as 400cfm/ton x number of tons enter calculated value here F fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Feil (Pasaw8% or lose) 13 ass Fail L;f-HERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent -Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for Inspection Yes is a pass U MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes C] 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, C7 Yea Q No TXV is installed or Fan flow has been ve0fled. If no TXV, Al verified fan flow matches design from CF -1 R. Measured Fan Flow Yes for both 1 and 2 Is a Pass ❑ ass Fail C3 0 Pass Fail