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04-7086 (SFD)r• p��,A.1,VLfQ. . • 1 - ciigl BUILDING & SAFETY DEPARTMENT P.O. Bok 1504 (760),777-7012 OF 78 -495.FAX (760) 777-7011' LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING -PERMIT Application Number 04-00007086 ---���� Property,Address Date 11/16/04 X57365 VIA VISTA , APN: '762-240-003-25 -300962- Applicat-ion description -DWELLING - SINGLE .FAMILY DETACHED Property Zoning MEDIUM DENSITY RES' Application valuation 85886 Owner Contractor" ------------------- ---- PUERTA AZUL PARTNERS, DAVIS/REED CONSTRUCTION INC 17700 SW -UPPER BOONES FERRY" -RD 169 SAXONY.ROAD, -STE #105 SUITE "100 ENCINI-TAS. CA 92024 PORTLANDOR 97224 (760). 6:34-2350. WCC: STATE FUND WC:WC298892.004 06/12/05 CSLB: 813480'' CCC B 10/31/06 S .` . ---- ---- =-------- tructure 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 CBC # BEDROOMS, 2.00 FIRE SPRINKLERS" NO " GARAGE -SQ FTG 244.0.0 PATIO. SQ ,FTG `. 163:00 NUMBER OFUNITS 1.00 FIRST.FLOOR SQ FTG 1380.00 ----------------- --------- Permit BUILDING PERMIT --_- -- Additional desc' Permit Fee 576:-50 Plan -Check Fee 93.68 Issue Date Valuation 85886 Qty: Unit' 'Charge" Per". Extension BASE FEE 414.50 36.. 0.0 4 . 5000 THOU BLDG 50,"001-1"00, 000 , 162:00 ---------------------- ----------- 162.1 .. MECHANICAL ------------------- Additional-desc - ,,Permit Fee" 78 50 Plan Check Fee 4.91 Issue Date Valuation 0 Qty Unit Charge- Per Extension BASE • FEE 1.00 9.0000 EA MECH:FURNACE'<=100K 15.00- 1.00" 9..0"000.• -EA • MECH'B/C <=3HP/100K BTU. 9.00 P.O. Box 1504• w VOICE (760) 777-7012 78-495 CALLS TAMPICO TFAX (7 60) 77 7 -7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Da e: ((0-0q- Applicant: •OyApplicant: Architect or Engineer: Applicant's Mailing Address: -Architect or Engineer's Address: ic. No.: lis BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of C 9' r 9 (comm ci with Section 7000) of Division 3 of the Business and Professionals Co e, and my License•i in ull force and effect. icense Clas��/ ^ icense No. OWNER -BUILDER DECLARATION f 1 hereb affiunder 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 tour lhat'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 fora 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner, I hereby affirm under p, I have and of the w hav an sue . arrier _ Ierti t E WORKERS' COMPENSATION DECLARATION Ity of perjury one of the following declarations: mai fain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance for pj�it hermit is issued. i t n workers' compensation insurance, as required by Section 3700 of the Labor Code, fo the performance of work for which this permit is m e s ti i ante carrier and policy number are:��� J�—j 7 6� oli amber K� v/ C_ i the performs e o work for which t ' rtnit' ssu �I not employ an person in any manner so a to become subject to the workers' on laws of Cal' ia, and agree tha I s out eco subject to the`workers' compensation provisions of Section 3700 of the Labor Code, I shall mp�with t se provisions. � F IWRE TO SECURE WO COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANtMPL•O.Y.ER TO CRIMINAL PENALTIES AND UP TO ONE HUNDRED SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY affirm I hereby arm 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 //►� Lenders 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 se reque ose benefit work Is performed under or pursuant to any permit issued as a result of this application, the owner, and the scant, each agrees to, and shall, defend, iRde nify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omis ' related to the work being performed unde or (lowing pante of this permit. 2. Any permit issued as a result of this application be mes null and void if is not comme ithin 11110 days m date of issuance of such permit, or cessation work for 180 days will subject permit to c cellation. I certify that I have ad thi applic tion and state that the above in ation ' co . I agre om ith all city and count \rdinances and state laws relating to building construction, and ereby utho representatives of this county to enter above- io a rope a inspection purposes. ate �r �� ignature (Applicant or Agent): L r Page 2 Application Number ;:;..",. 04-00007086 Date 11/16/04 , Qty, Unit Charge-. Per ..Extension. ;-' :6 . 00 6. 5000_ -EA . �' MECH VENT FAN < 39.00 - -1-.00 - 6.!5000 EA-_.. MECH2 EXHAUST HOOD ' 6.50 Permit ELEC-NEW RESIDENTIAL • - Additional.desc Permit Fee' 68 18- Plan Check Fee 4.26 k Issue Date `,, s< �, -4� ; Valuation : 0 `Qty Unit Charge'`Per J Extension r BASE FEE .. .. ` ' 15.00 _ 1380.00 •,`0350 ` NEW. RES -' 1' OR • 2 FAMILY 48.30 ' •' ---------------- ,,**.ELEC 244.00 }..0200••-7. ELEC •GARAGE'OR.NON-RESIDENTIAL V 4.88 ---------------------------------------- PermitPLUMBING r, w. • Additi onal •desc Permit Fee% 139:50 Ff ' 'Plan Check -Fee 8.72 Issue Date 'Valuation 0 - Qty Unit Charge Per Extension =• BASE .FEE _ 15.00 ' 12.00 - 6.,0.000' EA PLB ,FIXTURE 72 .00 '1.00 15.0000'EA PLB BUILDING SEWER 15.00 ' 1. 0.0,. 7.:5000 EA" k- PLB,_WATER'HEATER/VENT- 7.50 ' 1.00 3 . 0000 -EA. PLB .WATER'-INST/ALT/REP, 3.00 '-1 . 00 .'_9. 000,0, -.EA {•. { PLB LAWN' SPRINKLER SYSTEM 9.00 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 �,, t '• ' '.. p Permit Fee.' 15 00 Plan Check Fee .001 - Issue Date «;� Valuation 0 Qty -'Unit', Char%ge Per Extension T!- BASE FEE- « 15.00 - _ Special Notes and Comments- ' .,SFD -. LOT 25'. PLAN 1A,' 1380 SF:.}PERMIT` DOES NOT INCLUDE.BLOCK WALLS, o POOL, -SPA, OR DRIVEWAY,APPROACH.1.75% PLAN CHECK FEE • REDUCTION APPLIED FOR, MULTIPLE,<T,SSUANCE _ OF SAME PLAN TYPE --------------- - -- __ - - -- - -- - -- - ==-- ___ ____ Other Fees :''� ART -IN PUBLIC PLACES -RES _____ .00 f .. - s x Page 3 .-Application-Number Y, 04-00007086 Date 11/16/04 ------------- --. ---- - )"--------------- -- - --- - ------------ Other,Fees DIF,FCOMMUNITY CENTERS -RES. 97.0.0 ..DIF CIVIC.CENTER - RES 366.00 ENERGY,REVIEW.F'EE 9.37 DIF•FIRE PROTECTION -RES 97.00 .:GRADINGPLAN CHECK FEE r .00 -" DIF''L'IBRAR,IES_ -. RES + 225.00 DIF. PARK MAINT, FAC - RES ~" 5.00 ' - - 1'7 r` ° DIF PARKS/REC - RES 502 . 00 STRONG MOTION (SMI) = RES 8.58 DIF.,STREET MAINT FAC -RES 15.00 •,DIF TRANSPORTATION RES 1098..00 Fee summary Charged` �Paid Credited Due --------- f -- - - - - ------------- ------ Permit Fee, Total:' 877 68 -` 4 :.,00 .00 877.68 Plan Check, Total 111.57.- `� .'00" 00 111.57 Other Fee Total '42422..95"i., -00 a .00 2422.95' Grand Total" " ,.,3412 .,20r u a .00" 00 3412.20 1 • • • - T w CERTIFICATE OF FIELD .VERIFICATION&DIAGNOSTIC, TESTING (Page:1 of 1)^ CF -4R Project Address j Puerta Azul] Bur lder /'Installer' 51-365 Via Vista/ La Quinta / CA / 92253 Puerta Azul Parfners, c/o Pacific'SecuFity Capital Builder / Installer Contact Telephone Plan Number /Permit Number._ t' Mike Kwaske 1607027215 ' 1 HERS Rater Telephone Sample Group Number ' Dave Bricker = CIHIEIEIRIS® ID #CCN99380828 7607743676 15 Compliance Method (Prescri five) ; , Climate Zone 15 r Certifying Signature Date'. Sample House Number w Firm t HERS Provider . Energy'Driven Solutions CIHIEIEIRIS®, Address'' ..; City/state/zip-n `. ' 48-755 Still Water Street l' • 'Indio /CA' /92201 • F ' Copies to: BUILDER; HERS PROVIDER'AND BUILDING DEPARTMENT' a HERS RATER:COMPLIANCE STATEMENT y 'This house was: ✓ Tested ' As the HERS raterproviding ia�ostic testing and field verification ,L.,cePr,t,i�fYrth..at the houses identified on this form comply .with the diagnostic.ostic 3 '.tested compliance.requiremen•ts as checked on this forma ✓ The installer' has 'provided a copy of CF -611 (Install+ation Certificate). ✓ Distribution system is fully ducted (,i.e., doers not use building•cavities•as plenums or platform returns in lieu of ducts). '• < _ { � Vic. �;.�•` f y� •: ,, �'.. •-. • V Where 'cloth'backed; rubberadhesive.duct tape is mstalled,, mastic.and'drawbands are used in,combmation with cloth backed;'rubber adhesive' duct tape to seal leaks afduct connectionAs e. 4 "` "wt ,• t MINIMUM REQUIREMENTS FOR DUCTyLEAKAGE-REDUCTION "COMPGR LIANCE-EDIT " ' i• ~ Duct Diagnostic Leakage Testing Results (Maxim m 6%I`Duct Leakage)JY '01:System # 1OOF C Duct Pressurization Test Results (CFM:@ 25 NO Measured Values 1 Test Leakage in CFM` 94 , If fan, flow is calculated as 400cfin/ton x number of tons enter calculated value here •If fan flow is measwed`enter measured value here Leakage Percentage (100 Tested eakage Fan Flow) 5.9 a Check Box for Pass or Fail (Pass=6% or less) ; :./Pass El Fail • , • i 1 } IN f Residential Compliance Forms Generated by CIHIEIEIRIS® htto://www.CHEERS.org' August 2001 - FEE -06-2006 04:37 PM CERTIFICATE OF FIJ P.02 Project Title i Date Project Add essBujlderName z 06 Builder ContactTelephone Plan Number �� ii, C a.-ivi o �•� 17o10 J HERS ater Tel ph ne Sample Group Number., D� ' rirm tying Signature et Sample House Number : HERS Provider: Street Address: 7 pl e(o AlaW o&4 City/State/Zip: /—a 0i17/,t Ci% 7,2zrz — Copies to: Builder, HERS Provider ' HERHER8 EATER COMPLIANCE STATEMENT' The house was: ❑ Tested pproved as part of sample testing, but was not tested As the HERS rater provlding diagnostic testing and field verification, (,certify that the houses Identified on this form comp) 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 vOOOj,a ducts) Where cloth backedJubber 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 Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM ® 25 Pa) 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=B%,or less) ❑ ass Fail LJ00THEI14MOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for Inspection ❑ Yea Is a pass ass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1, ❑ Yes O No ACCA Manual D Design requirements have been met (rater has verifled that actual installation matches_ values in CF -1 R and design on plan. r 2• 0 Yea ❑ No ` TXV Is installed orFanflow has been verified.. If no TXV, verified fan flow matches design from CF -1 R, Measured fan Flow = O ❑ Yes for both 1 and 2 Is a Pass Pass Fail -