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04-7107 (SFD)u�t,�cv 'ot BUILDING & SAFETY DEPARTMENT P.O. Box 1504: (760),777-7012 pF•9 78-495 ,CALLS TAMPICO ' FAX (760) 777-701'1 LA QUINTA,'CALIFORN.IA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04 0000710_7 �Date 11/16/04 Property Address X57383 VIA VISTA _ APN: 762-240-00-3-,28 -300962- Application description DWELLING -' SINGLE FAMILY DETACHED Property Zoning MEDIUM,DENSITY RES Application valuation 98984 Owner Contractor -- - - - - - - - - - - - -- -- -- - - -- . PUERTA.AZUL.PARTNERS DAVIS/REED CONSTRUCTION INC 17700 SW UPPER BOONES FERRY,RD,,- 169 SAXONY•ROAD, STE #105 SUITE 100 ENCINITAS CA 92024 " PORTLAND OR 97224 (760).,634-2350: WCC: STATE FUND WC.: WC298892003 06/12/05 CSLB:' 813480 10/31/06 .,CCC: B ---------------= ------ -- 'Structure Information---------------------------- Construction ---------------------Construction Type . . TYPE V NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CRC # BEDROOMS 2.00 FIRE SPRINKLERS NO GARAGE SQ=FTG 251.00 PATIO SQ, FTG 316.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1571.00 Permit BUILDING PERMIT Additional desc Permit Fee 635.00 Plan Check Fee 103.19 Issue Date Valuation . . . . 98984 Qty Unit'Charge Per Extension BASE FEE 414.50 49.00 4.5000 THOU BLDG 50,001-100,000 220.50 Permi-t . . . . : MECHANICAL Additional desc Permit Fee .. 78.50Plan Check Fee 4.91 Issue Date. Valuation 0 Qty Unit Charge, Per- Extension BASE FEE 15'.00 1.00 9.0.000 EA MECH FURNACE '<=100K 9.00,_ 1.00 9.0000 EA' MECH ,B/C,<=3HP/100K BTU 9.00 P.O. BOX 1504 • " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041- 710-7 Date: I l�•0� Applicant: gineer: Applicant's Mailing Address: . hitect or Engineer's Address: . No.: C 23 7 `A BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pS a y of perjury that I am licensed under provisions of Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professionals de, and my License i full force and effect.���� License Class � �, j � i—License No. Date `4 �' yContractor 1JcWl5 �z��•�c����VCt t;vl�nC_ OWNER -BUILDER DECLARATION I 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 1, 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 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 issue 11 have and will maintain workers' c nsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i sued. y wo rs' com ation insurance carrier and polic number a er. w �Z cy NuFhati.,cif �L $ _ I certify that, in the ormance o the work fh this permit is issu shall not employ any person in any manner so as to become subject to the workers' compensatio ws of California, and a I should beco subject to the ' orkers' compensation provisions of Section 3700 of the Labor Code, I shall l forthwith c ply with�those provision Date6—I pplicant , WARNING: FAILURE TO SECURE W RS' OMPENS�($0.0i()), ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND - CIVIL FINES UP TO ONE HUNDRED TH ND DOLLARIN 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 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 agrees to,and-shall. defend.-ndemA nd hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission relatedtt the w6�beinG performed under or following issuaftesof this permit. 2. Any permit issued as a result of this application beco ae nand void if evork is not commenced within 180 days from ate of issuance of such permit, or, cessation of work for 180 days will subject o cancellation I certify that I have read this application and state thafthe above inform rrect. I ree to o dinances and state laws relating to building construction, and herebyauthorize representatives of this cotmt e -mentioned property for' ection purposes. --- ate l - —U 1 ipplicant or Agent Page 2 Application'Number 04-00007107: Date 11/16/04 Qty Unit-Charge :'Per'. Extension 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 75".01. Plan Check Fee 4.69 . Issue Date Valuation 0 Qty Unit Charge, Pe:r Extension BASE FEE00 15.00 1571.- 0350 ELEC NEW :RES:- 1-OR 2. FAMILY , 54.99 251..,00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 5.02 ------------------------ Permit PLUMBING " Additional desc Permit Fee 145 .'50 'Plari Check Fee 9.10 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 9.0,000'EA PLB 'LAWN SPRINKLER SYSTEM 9.00 1.00 3.0000 EA PLB GAS PIPE 1-4OUTLETS 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, 15.00 Special Notes and Comments; SFD - LOT 28. PLAN 3A, 1571,SF. PERMIT','' DOES NOT INCLUDE BLOCK WALLS,; POOL, SPA OR DRIVEWAY APPROACH. 750-8 PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE.ISSUANCE OF SAME PLAN TYPE. Other.Fees -ART IN-PUBLIC PLACES-RES .00 ..., Page 3 Application Number 04-00007107, Date .11/16/04 .--------- = - - - -- - - - - Other Fees f -- -- -- --- --------------------------- DIF COMMUNITY CENTERS -RES -------------- 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 10.32 'DI,F'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 9.89 DIF -STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged,` Paid _ Credited Due Permit. Fee Total 949.01 _ -.00 .00 949:01 w Plan Check Total_ `. •12-1°.89' ', .00 r .00 121.89 Other Fee Total 2425.21, 00 r ': 00 2425.21 • Grand Total<' '3496. 1.1 6J . 00 . 00 ' -3496.11 , z - , v - - .; s ki •} a r, , � . CERTIFICATE OF FIELD; VERIFICATION:& DIAGNOSTIC TESTING,(Page•l of 1)- CF -4R Project Address ( Puerta Azui:] 7Builder / Installer 57-38S Via Vista i La Quinta / CA [92253. ., Puerta'Azul Partners, c/o Pacific Security Capital " Builder /Installer Contact ' ` - Telephone Plan Number. /.Permit Number •;` . i Mike Kwaske.'7607027215' —. 1 I ( ] HERS Rater Telephone :Sample Group Number Dave Bricker : CjHjEjEjRjS® ID #CCN99386828 X7607743676.. „12 Compliance Method (Prescri Ove) Climate Zone 15 Certifying Signature , Date' Sample House Number ' _ 7 Firm HERS Provider Energy, Driven Solutions ' -CjHjEjEjRjS®•1. 7 Address.. .. City/State/Zip 1,- ;• 48-755 Still Water Street ' Indio'/CA-/92201- " r ' i' X r Copies to:.BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT ; HERSRATER COMPLIANCE STATEMENT This house .was ✓ Tested As the HERS rater providing diagnostic testing and field verification!4 ce that'the houses identified on this.foim comply with the diagnostic' e tested comp liance:requirements as checked•on this form. /,The installer has provided'a copy of CF -6R (Installation Certificate), �9ru.r ✓ Distribution system is fully ducted (i.e., does, n 'iase building cavihe as plenums or platform returns in lieu• of ducts). , ., ' f. • ► I e use^d. �m �combination with cloth backed; rubber. adhesive ✓ Where cloth backed rubber adhesive duct tape �s �nstalled;:mashc:and drawbands ar duct tape:to seal leaks at -duct connection ✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION C 1 LL.IANCE ;C-REDIT s aDuct Diagnostic Leakage Testing Results (Maximum 6% Duct. Leakage) .System #1, . Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values ' k Test Leakage Flow In CFM `82 ` If fan flow is calculated as 400cfin/ton x number of tons enterRcalculated value here:')O ..� h N .,I If fan flow is measured enter measured value here :k Leakage Percentage0;00 z Tested Leakage /,F Flow) 4.0 ` Check Boz for Pass or.Fail (Pass -6% or less) ✓ Pass ❑ Fail1H A Ff w Residential Compliance.Form_ s Generated by CIHIEIEIRISO http.//www.CHEERS.org `: August 2001 FEB -06-2006 04:38'PM jCERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING"' ' CF-4R rProtect Tllle�et ^�l Project Addr se BUlld®r N�me Builder ContactTelep hone .''Plan Number HER Rater Tel hone Sample Group Number ; rt tying Signature -Sample House Number Firm: _J. �._ f'%%SSOC/a�� S , HERS Provlder: C,%7/� s Street Address: 7g a15 so;,,W �&'w (f LV L IPS __ : 'Clty/State/Zip: L u' 4)U .2 Copies to: Builder, HERS Provider HERS MIEgCOMPL14NICE STAUMFM: . y The house was: ested 13 Approved as part of sample testing, but was not tested As the HERS rater Ooviding diagnostic testing and field verificatlon, I certify that the houses Identified on this form crED)LIFeitribut ith the diagnostic tested compliance requirements as checked on this form. ion system Is fully ducted (i.e does.noE use building cavities as plenums or platform returns in Iles ucts) 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 Diagnostic Leakage Testing ROsults (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM ® 25 Pa)-. values 4 e Test Leakage; Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here �_y If fan flow Is measured enter measured value here G Leakage Percentage (100 x Test Leakage/Fan Flow) Check Box for Pass or Fell (Pass=6% or less) ❑ 4 iss Fall THERMOSTATIC EXPANSION VALVE` TXV) or Commission approved equivalent e19 ❑ No Thermostatic Expansion Valve (or Commission approved equivalent). is Installed and Access is provided for Inspection ❑ Yes Is a pass o.pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ' ❑ 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. Q Yes ❑ No TXV is installed or Fan flow has been verified, If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes,for.both 1 and'2 Is a Pass Pass Fail