04-7112 (SFD)BUILDING & SAFETY DEPARTMENT
c ` P.O. -Box 1504 (760),777-701.2
OFTE9 ; % 78-495 CALLE •TAMPICQ ? e' T .`'FAX (760) 777-7011
LA QUINTA CALIFORNIA 92253. INSPECTION REQUESTS (760) 777-7153
BUILDING
PERMIT.
Application, Number 0.4-76-0.00_ :ZI72'�'^� -� Date 11/16/04
Property Address (5 3389 AVIA VISTA . ]
APN: "762-240=003-29 -300962-
Application description DWELLING".- SINGLE FAMILY DETACHED
Property. Zoning MEDIUM DENSITY'RES
Application valuation 87296
Owner Contractor
PUERTA AZUL PARTNERS DAVIS/REED'CONSTRUCTION INC
17700 SW UPPER BOONES FERRY*".RD` 169 SAXONY ROAD, STE #105..
SUITE .100, ENCINITAS CA".•9202.4
PORTLAND OR 97224' (7 60) '.634-2350,.
'WCC: STATE :FUND
WC: WC298892004_ 06/12/05
r. 'CSLB:. 813480 1.0/31/06
CCC :.., B
---------------------- Structure Information. -..---
Construction Type.. TYPE, -V NON RATED
Occupancy Type DWELLG/LODGING/CONG <=10
Flood "Zone, NON-AO.FLOOD ZONE
Other struct info. CODE EDITION 2001 'CBC
FIRE, SPRINKLERSNO' `
GARAGE, SQ FTG 269.0.0
PATIO Q FTG 244.00
NUMBER OF UNITS 1.00
FIRST `FLOOR. SQ FTG` 13.8.0: 00'
Permit BUILDING PERMIT
Additional desc
Permit Fee 58,5-.5.0 Plan Check Fee 95.15
Issue.Date" Valuation 87296
Qty Unit Charge Per Extension
BASE'•FEE'' 414.50
38.0.0 4:5000 THOU BLDG 50,001-10.0;000' 171.00
--------=---=-- -- ---- - - - -------- - - - --- -- -- -- --
-----------
Permit MECHANICAL
Additional desc
Permit Fee :. 78.50: Plan .Check- Fee 4.91
Issue Date
Valuation 0
Qty Unit Charge ..Per Extension
BASE - FEE15 .00
1.00 9.0000 EA MECH.FURNACE <=100K 9.00
1.00 9.Q000 EA MECH B/,C <=3HP/100K BTU 9:00.,,"
6.010 6. 5 0 0 0 EA _' MECH •VENT FAN 39.00 j'"
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: I !,0
Applicant: ---Architect or Engineer-fav
ngineer: '
4,�W7,,
Applicant's Mailing Address: -.--Architect or Engineers Address:
Lic. No.: -,-52r
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pend" perjury that I am licensed under provisions of Chap(er commencirf 'with Section 7000) of Division 3 of the Business and Professionals
Lode, and my License is f f force and effect. l 1
icense Class L�e No. T
Date 4 ontractor
OWNER -BUILDER DECLARATION
I hereb afr,. rider 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner,
WORKERS',COMPENSATION DECLARATION
1 hereby affirm under penalty cV perjury one of the following declarations:
I haveawillmtan a � i cate of consent to self -insure for workers' compensation, as provided for by Section 3700 ofthe Labor Code, for the performance
of lhch rmit is issued.X. haventai orkers' compensate surance, as required by Sectio�700 9f the Labor Code, for the ormance of the wo for whi this permit is
kers' men ion 1 ance carrier and policy number are:
er olicy Number LLnn
_ I e y t, ' fie rforma a he work for hich this ennit i W sued, I shall not efmploy any o i ma ner so as to become suZo the workers'
001 /compensation laws of Califo ia, and agre hat, if I s uld b me subject to tF�e-workers' com ensa on provisions of Section 3700 of the Labor Code, I shall
/ forthwityf comply with those rovisiods. /1 t!
Date C
LURE/TO SECURE WORKEKS' COMPEN IOh&A6GERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
'TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
OF 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
IMPORTANT Application is hereby made to the Director of Building andZ y for a permit subject to the co ' ' ns and restrictions set forth on this application.
1. Each person upon whose behalf this application is each person at whose request and for whose efit work is performed under or pursuant to any permit
issued as a result of this application, the owner d the applicant, each agrees to, and shall, defend, indemn and hold harmless the City of La Quinta, its
officers, agents and employees for any act omission related to the work being performed under or following is ance of this permit.
2. Any permit issued as a result of this appli tion becomes null and void i ,%york is not commenced thin 180 days m date of issuance of such permit, or
cessation of work for 180 days will subject p mit to cancellation.
1 certify that I hav read t 's application and state that the a i
construction, a here authorize representatives of this county
i
ate / C ig/5 nature (Applicant or Agentl;,-
all city and county brdinances and state laws relating to building
for inspection purposes.
t
: K Page
2
Application
Number' a:. 04-.00007112 Date
11/16/04
Qty
Unit Charger Per . -
Extension
1.00.
6.5000 EA- MECH EXHAUST' HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL°
.Additional
desc
Permit Fee
;, 68.18 Plan Check Fee
4.26
Issue Date
-, Valuation ' .
0
} .
Qty
Unit . Charge.. ' Per, * ' '
Extens.ion
_ - BASE FEE
15.00
1380.00
:0350;=` ELEC NEW'RES - 1 QR .2 FAMILY
48.30
244.00
w:0200,.` ELEC`GARAGE OR NON' -RESIDENTIAL
4.88
Permit
. . PLUMBING.
Additional
desc '
Permit Fee
. . d 148.-50 Plan Check Feb
9.28
Issue Date`
'Valuation . . .
0
r Qty.
Unit Charge. Per ,-
Extension
-BASE +FEE
15.00
12.00'
6. 0000,. EA PLB FIXTURE
" 1.0015.0000
EA PLB BUILDING SEWER
15.00
1.00.-,
7.50.00 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
4.00
3.0000 EA - PLB GAS PIPE 1='4 OUTLETS
12.00
1.00
.15.0000 _EA PLB GASMETER=
15.00
Permit.
-,.,.GRADING PERMIT -
Additional
desc
Permit Fee
15:00 Plan Check Fee
00
Issue 'Date
4 Valuation
0,
Qty
Unit Charge ;',Per
Extension
------------
BASE FEE
15.00
--------------------
-Special Notes
----------------------------=----------------
and Comments' y
SFD - LOT
29 PLAN 1AR,"' .1380 SF WITH SIDE
t :PATIO OPTION.
PERMIT DOES NOT •INCLUDE ._,"
POOL, -SPA,
BLOCK WALLS, OR DRIVEWAY
APPROACH.
75,%.REDUCTION 'TO'PLAN CHECK
FEE DUE TO
MULTIPLE ISSUANCE OF SAME,
PLAN TYPE
Other Fees
"'ART -IN PUBLIC PLACES -RES
.00
Page 3
Application Number-' 04-00007112- Date 11/16/04
-------------
.Other Fees`'DIF COMMUNITY CENTERS -RES
97.00
CENTER - RES
366.00
,ENERGY. FEE
9.52 ,
y
` -DIF.FIRE--:PROTECTION-RES
97.00
i 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
8.72
DIF STREET MAINT FAC -RES
15.00
DIF:.TRANSPORTATION,= RES.,
'1098.00
Fee summary `- •` Charged`.- Paid"Credited
Due
- — _
' a — — — — — — — — — — — - - y3 — -
'
— — — — — —
,.
= , Permit Fee .Total ' 895:68 r .00 .00
— —— — — —
895.68-
Plan`.Check �Toi tal 1113 '60, .00- - . 0.0
113.60
Ot•her' Fee` Total ' 2423 :.24 "00 .00
2423 .24
Grand`Total t 00' 00
3432.52
, ,=3432.52
..
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.CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING_(Page 1 of 1) CF -4R
Project Address ( Puerta Azul]
Builder / Installer.
57-389. Via Vista / La Quinta'/'CA 192253
Puerta Azul Partners, c/o Security;Capital
.Pacific }
Builder / Installer Contact Tel bone
Plan Number / Permit Number ,
Mike Kwaske : j 7607027215'
1 _ `1
HERS Rater - Telephone'
Sample Group Number
Dave Bricker - CJHJEJEJRJS® ID #CCN99380828 7607743676 ,
11' t'
Compliance Methodrescrip ' e)
Climate Zone 15` °
Certifying Signatu Date
Sample House Number
Firm
HERS Provider ,
Energy Driven "Solutions -
CJHJEJEJRJS®
Address. ... ,
City/State/Zip .-
48-755 Still.Water Street '
Indio LCA /92201
Copies to:'BUILDER; BERS'PROVIDER AND BUILDING DEPARTMENT
-HERS RATER COMPLIANCE STATEMENT f
This house was' ✓Tested '
t
As the HERS rater providing diagnostic testing and field venficatiop` ,, ce that the'houses identified on this form comply with the diagnostic ;
tested compliance requirements.as checked on thismform.
✓ The installer has provided a -'copy of CF -6R (Installation Certificate)
✓ Distribution system is fully (.i.e., doe opt use building avit�es:' "plenums or plat returns in lieu of ducts).
Vft
IPF t :.
V. Where cloth backed, rubber adhesive duct tape is-installed,,ma§ "c'and drawbands are used combination with cloth backed, rubber adhesive
duct•tape to seal leaks atductconnections ` 4 '
MINIMUM REQUIREMENTS FOR, DUCTxLEA'KAGE REDUCTION COMPLIANCE-GREDIT 1
Duct Diagnostic Leakage Testing Results (Maximum.6% Duct,;Leakage) '
,System # 1
Duct Pressurization Test Results.(CFM.@ 25 Pa){` [ �''.. Measured Values - t
`Tes LeaKage FI w, in CFM,-.- '62
If fan flow is calculated as 400cfm/ton x`numbet: of tons enter calculated value here.
If fan flow, is measured".enter measured value here' /
' Leakage.Percentage (L00 Tested eakage ff Flow) = 3.9
Check ox for Pass or Fail (Pais=6% oiless) : ✓ Pass ❑ Fail
;4
Residential Compliance Forms'. Generated'by CIHIEIEIRISO http://www.CHEERS.big - : August 2001
. i ,
FEB -06-2006 04:38 PM - P.06
CET)(.FICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING ,
�Trl
2 v MIA
CF-4Rr "P
°e �Tyl
Pro eCt Adds Builder Nam
Builder Contact Telephone Plan Number
�a _
HERS Rater
T90P one Semple Group Number
Ifying Signature Dae Sample House Number
Firm: ¢ o
HERS Provide
Street Address: �� ,e�3rg�l��,-•( /I'C �� City/State/Zip: L rr 401)) 1,
.2? I. .
Copies to: Builder, HERS Provider
HERI RATER CQWPLIANCR STAtEMENT
The house was ❑ Testedf
pproved as part of sample. testing, but was not tested
As the HERS rater providing dlag ostic testing and field verification, I certify that the houses identified on this form
cOrO .with the diagnostic tested compliance requirements as checked on this form.
Distribution system Is fully ducted (i.e., does' -not use bulldlnp cavlties as plenums or platform return
UUU of ducts) s In lieu
here cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used in combination
with cloth backed, rubber adheslve 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)
Duct Pressurization Test Results CFM 25 Pa -. Measured
(CFM ) values
Teat 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 Fall (Pass=6% or less) d
4 ass Fail
THERMOSTATIC EXPANSION VALVE TXV or Commission a� roved equivalent
s 0 No Thermostatic Expansion Valve (or Commission aPP roved
equivalent) Is Installed and Access Is provided for Inspection0
Yes Is a pass ass Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
• d Yes q No ACCA Manual D Design requirements have been met
(rater has verified that actual Installation matches values In
CF -1R and design on plan: ,p
2• 0 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 Flow13
=
Yes for both 1,and 2 Is a Pass . Pass Fail