04-7085 (SFD)0 . TU
_7
BUILDING & SAFETY DEPARTMENT
.P.O. Box 1504 (760),777-7012
F f9 '78-495 CALLS: TAMPICo FAX (7.60) 777-7011.
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number �0.4-00007085 Date.: 11/16/04
Property Address 05'73-5-9—VIA VISTA - 7
APN :
7'6"2=2-4-0--0-0-3-::-2-4-- 3-0 *0 9 6 2 -
Application description `DWELLING - SINGLE FAMILY DETACHED
Property Zoning MEDIUM DENSITY RES
Application valuation -,.'',.I,85886.
.Owner Contractor .
----------------------
PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC
17700 SW UPPER BOONES..FERRY RD 1'69 SAXONYROAD, STE #105
SUITE 100' ENCINITAS CA 9202"4
PORTLAND OR 9722.4 (760) 634-2350
WCC: STATE FUND
WC:-WC298892004 06/12/05
CSLB: 813480. 10/31/06.
CCC.: B
--- -= -= -- ---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 2.001 CBC
# BEDROOMS. 2 00
FIRE SPRINKLERS NO
- GARAGE S,Q.. FTG 244.'00.
PATIO SQ. "FTG 163.00
NUMBER, OF,UNITS �,.. 1.00
FIRST FLOOR SQ FTG 1'380.00
Permit 'BUILDING PERMIT
Additional', desc
Permit Fee. 576`. 50 Plan -Check- .Fee 93.68
Issue Date Valuation 85886
Qt Y Unit'Charge' Per
Extension
BASE -FEE 414.50
36.00 4`: 5000. THOU'BLDG 50,001-100,000 162.00
-.--------- -.--- =---------------------
------
-------------------------
--
Permit. 'MECHANICAL
Additional desc
Permit -Fee 78,:50 Plan. Check Fee 4.91
Issue _Date -:Valuation 0
Qty Unit Chargee Per, Extension
BASE FEE 15.00
1.00 9.0.000 EA- MECH FURNACE <=100k 9.00,
1.00 91.'00,00 EA MECH._B/C <=3HP/100K BTU 9.,00
P.O.1 • ��
78-4955 C CALLSLE TAMPIVOICE (760) 777-7012
G FAX (760) 777-7011
LA QUINTA, CALIFORNIA 9225344 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q Date: (I'o • 0
Applicant: chitect'or Engineer:
Applicant's Mailing Address: --Architect or Engineers Address:
. No.: 22
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pen la lye perjury that I am licensed under provisions of apter 9 (wmmencl g(h Section 7000) of Division 3 of the Business and Professionals
C e, and my License is I force and effect. U
icense Class /-ticens�e No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the follo 'ng 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 penally 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.).
(-.) 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 perjury one of the following declarations:
I have and will intain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
K`✓/ oft work r wh' is permit is issue
have nd wi m - ' ain workers' ensation insurance, as required by Section 3700 of the Labor Code, for the performance of tpe work for which this permit is
e o e sation in1vance carrier and policy number are �'
rrier icy Number,� �bln�in
�certify that, in th erformance o the work for whi his permit is ' u , I shall not employ an pefany manner so as to become subject to the workers'
co _ens i laws of California, and agree t I should b bject to thelworkers' compensation provisions of Section 3700 of the Labor Code, I shall
fo wit co ply with those provisions.
Date
X, pplicant
WARN
/.URE TO SECURE WORKCOMPENS C RAGE IS UNLAWFUL, AND SHALL' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVILFI EO ONE HUNDRED THO ANDDOLIAa ($1 ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTIONF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
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 a M o and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related ork being perfUnned under or following issuance of this permit.
2. Any permit issued as a result of this application become and void if work is not commeR ed within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit ancellation.
1 certify that I have read this application and state that the ove information i orrect. I a comply ith all city and county ordinances and state laws relating to building
construction, a/ 'her y authorize representatives of t ' county to enter n abo a tinned p party for inspection purposes.
ate G (l' ignature (Applicant or Agent):
r
.
Page
2
Application Number 04'-00007085 Date
11/16/04
Qty Unit Charge ;Per
Extension .
6.00 6.5000.'8A MECH ' :VENT• FAN
39.00
1.00 ' 6.5"000 -'EA MECH`EXHAUST HOOD
6.50_
Permit ELEC=NEW RESIDENTIAL
Additional des.c
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" 15.000,0 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
_
SpecialmNotes and Comments
SFD:- LOT -24: PLAN 1A, 1380 -SF. PERMIT:
DOES NOT INCLUDE BLOCK. WALLS; POOL,., SPA.
OR DRIVEWAY APPROACH. -75% °PLAN CHECK FEE
REDUCTION APPLIED.FOR<MULTIPLE'ISSUANCE ,;-
OF SAME PLAN TYPE..
Other Fees ART IN PUBLIC -PLACES -RES
.00
Page•
' 3
Application Number 04-00007085 Date
11/16/04
Other Fees ;A DIF' COMMUNITY CENTERS -RES
' �97. 00
DIF; CIVIC CENTER-- RES
366.00
-{ -• F' ,- •' ENERGY , REVIEW FEE
9.:37
:. DIF FIRE PROTECTION=RES
97.00
.
GRADING PLAN. CHECK.FEE
.00
*DIF.LIBRARIES - RES
225.00
- wZDIF- PARK'MAINT FAC -,RES-
5.00
DIF PARKS/REC- RES'
♦'"
502.00
1 {
' . f STRONG MOTION ( SMI) - RES
8.58
'•'DIF STREET MAINT FAC -RES
15.00
• .
' D _
I F -TRANSPORTATION. RES
1098.00
• • � ;: ; � q,� •, s
♦
Fee summary" Charged.. Paid,",,'.,.Credited •
-
Due
--------- ------ - - _2 --- "-- -------=-------
Per' it Fee , Total x':877 . 68 - ;00 00
x.7877.68
Plan. Check Total v� 111 '. 57 " .00 .00
111.57
Other Fee Total *'1�2422 . 95 ` ,' 00- - .00
2422.95
;• Grand Total '3412,.-20, ,.; . 00 00
3412.20
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CERTIFICATE OF FIELD,VERIFICATION-a DIAGNOSTIC TESTING.(Page I'of 1)' CF -4R
Project Address [ Puerta Aiul.] r
Builder / Installer :
57-359 Via Vista'/ La Quinti /CA? 92253 • F
Puerta'Azul Partners,'c/o Pacific Security Capital -
Builder / Installer Contactr ' .
Telephone''
Plan Number / Permit Number
Mike Kwaske
7607027215.
1 oy. 0 ,
HERS.Rater. : H
Telephone
Sample Group Number, ' ;' !
Dave Bricker - CIHIEIEIRIS®, ID #CCN99380828"
7607743676.
•"
'14:,r -
14Compliance
Compliance Method ( escriptiv•
Climate Zone 15
Certifying Signator
:_bite'
Sample House Number
Firm• -
HERS Provider .
Energy Driven Solutions "
r
"CjHjEjEjRjS®
Address - ..
City/State/Zip... '
48-755 Still Water "Street ' • ` '
_'Indio LCA'/92201.
k ' •
Copies to: BUILDER; HERS; PROVIDER AND BUILDING DEPARTMENT
HERSRATER:COMPLIANCE:STATEMENT
This house was:✓Tested r \'
n As.the HERS rater providmg diagnostic testing and field verification�Lce�rtiify-that the "houses identified on this form comply with the diagnostic; f
tested compliance requirements as checked on this form. '
✓ The installer has provided a copy of CF -6R (Installation Certificate)
:"'.
✓ Distribution system is fully'ducted ( i.e., does not use building cavities as plenums oraplatform returns' m Leu of ducts).
r 4 ai,� j "" y
:.�� ! '� 'p,al ^F'. _�f^ '' E
✓ Where cloth backed; rubber adhesive duct tape is installed, mashc.and drawbands are, us ed�mscombination with cloth backed; rubber adhesive
t
• duct'tape to seal leaks at ductc1onnections. 2, -•,w. - ti`+
'
:,./-MINIMUM REQUIREMENTS FOR DUCTrLEAKAGE-REDUCTION"CQMPLIANC-E•C-REDIT
-Duct Diagnostic Leakage Testing Results (Maximum -60/ Duct Leakage) _
System # 1 T AXE t^
Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values
Test akage 16 'i CFM t :72 i
If.fan flow is,calculated as 400cfin/tori x number of tons enter calculated value here
.- - r
If fan "flow is measulred`enter measu ed value here.
Leakage Percentage (100 x TesteLeakage /a`Fan,Flow) 4.5
Check Box for Pass or Fail{Pass=6%or less)":r ✓'Pass O Fail r '
r
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� ,. i r,• -� 7- `/_. '. ^.' . � is ,f - F �. 7 `/,'
101�
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Residential Compliance Forms .- -'Ginerat6dbyCIHIEIEIRIS@http://www.CHEERS.Org"..' August•2001 • '
`, 1
EB-06-2006 04:36 PM P.01
/'N✓�� CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING ' CF-4R
AbAA' 0
.,
Prect Title Dat
o5'� - 5 1/ leis4 .,Z-q LoT �rA-I-rlol /4z
Project Add ess Builder ame
Builder Contact Telephone Plan Number
HER Rater f T lephone Sample Group Number
rifying Signature D to _ Sample House Number
irm:�' �S�QLl�7� 5 t 4' HERS Provider"
Street Address: I�U&10 &As, lflr6' _ + City/State/Zlp:
Copies to: Builder, HERS Provider
HERS RSTATEMIEN
The house was:ested ❑ 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
c
oXly with the diagnostic tested compliance requirements as checked on this form.
Dlstribution system is fully ducted (i.e., 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.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Dlagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
' Measured
Duct Pressurization Test Results (CFM 251,Pa) values
Test Leakage Flow In CFM
If fan flow is calculated as 400cfm/ton x number of tons enter = A/ ,
calculated•value here � { L� D
If fan Flow is measured enter measured value here
Leakage Percent6ge"(100 x Test Leakage/Fan Flowj 7
Check Box For Pass or Fail (Pass-6% or less).. ❑
Fags Fail
- I �THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for Inspections ❑
Yes is a pass. „ .' Pass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. ❑ Yes ❑ No I ACCA Manual D Design requirements have been met
(rater has verified that actual Installation matches values in
CF-1R.and design on plan.
2. ❑ Yea. ❑ No TXV. is installed or Fan flow has been verified: If no TXV,
verified fan flow matches design, from CF-1 R.
MeasuredFanFlow -
Yes for both 1 and 2 is a Pass Pass . Fail