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04-7614 (SFD)E, BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).7-77-7012 iZ e 5 -CML E T ICo FAX (760) 777-7011 `4i NIA 92253 INSPECTION RE• UESTS 760 777. ' \' L,� Q ( ) 7153 U ,1AN 08'2005 UILDING PERMIT' 21 CITY OF LA ®UINTA App liN�umber ,:` 04-0000761 Date 12/07/04 Property Address 57395 VIX -I-STA APN: 7.62-24.0-003-30 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_ 1'69 SAXONY.ROAD;.STE #105 SUITE 100 ENCINITAS CA 92024 PORTLAND OR 97224 (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 2001 CBC -BEDROOMS _ 2,00 FIRE SPRINKLERS NO GARAGE SQ FTG 244.00, .PATIO SQ. FTG 269.00 NUMBER OF UNITS 1.00 :1ST FLOOR SQUARE FOOTAGE 1380.00 -------------- Permit 'BU ILDING PERMIT Additional desc Permit Fee 585.50 Plan Check'Fee 380.58 Issue, Date Valuation• 87296 Qty Unit Charge Per Extension BASE FEE 414.50 38.00 4.50.00 THOU, BLDG 50,001-100,00.0 171.00. Permit MECHANICAL . Additional desc' Permit Fee .78.50 Plan Check Fee 19.63 Issue Date Valuation` 0 Qty Unit Charge.., Pe'r Extension " 'BASE FEE...... 15.00 1.00 9.0000 EA MECH FURNACE <'=.100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 P.O. Box 1504 • �� 78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QUiNTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (p/ Date:- /• .j^• D Applicant: hitect or Engineers & Applicant's Mailing Address: Architect or Engineef's Address: t3UILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under II, of p rjury that I am licensed under provisions of Chap! se comm c 't action 7000) of Division 3 of the Business and Professionals Code, and my Lice se i full f ce and effect. TA nClass -cense No. �8ate /n2t3ntractor 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 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 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 Xof the work�ffpywh�ich this permit is issued. have and W1maintain workers' compensation insurance, as required by Se ion 700 of the Labor Code, for th grformance of the work for which this permit is issurkers' compensation ' nce carrier and otic number r :je=n ®� yCarfier — ohcy Nu FVC L/ / I certiF y that, in the performance of the or which this permit is issued -I' alt employ any person in any manner so as to b e subject to the workers' forthwith cy with thos rovisions. compensation la alifom' , nd agree that, if I s be bje o the orkers' compensation provisions of Section 3700 of the Labor Code, I shall WARNING: FAILURE TO SECURE WORKK, OOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES S AND CIVIL FINES UP TO ONE HUNDREDTH US ND 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. 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.). Lenders 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 pers serequ or whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the ap ' , each agrees to, and shall, de d, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omissio ated to the work b ' e ed under following issuance of this permit. 2. Any permit issued as a result of this application mes null and void ' i men ced w' in 180 days from date of issuance of such permit, or cessation of work for 180 days will subject p it to cancellation. I certify that I have read this application and state th a above informati a to com with all city and county ordinances and state laws relating to building constr�Signature resentatives f this county to e e e -mention property for inspection purposes. (Applicant or Agent): Page 2 Application.Number. -04-00007614 Date, 12/07/04 Qty. Unit Charge .Per Extension 6. 00 `.6.50'00 EA'- MECH VENT` ,FAN 39.00 1.00' 6.5000 EA MECH EXHAUST HOOD 6.50 - Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 68.18 Plan "Check Fee 17.05 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 1 - Permit,Fee 139.5,0- Plan Check Fee 34.88 Issue Date Valuation 0 Qty UnitChargePer Extension BASE FEE. 15.00. 12.-00 6:0000' EA- -,.-TLB 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. 3.00.00 EA PLB WATER-INST/ALT-/REP 3.00 1.00 9.0000 EA PLB LAWN°SPRINKLER SYSTEM 9.00 1. 00, 3 ..0 0 0 0 EA'. PLB ,:GAS PIPE 1 -4 -OUTLETS 3 .00 1.-00 15.0000 EA PLB GAS METER 15.00 Permit --.'GRADING PERMIT Additional d"esc 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 -.30. PLAN '"1B,'- ERMIT- 1380 S'. F. PERMIT. DOES DOES NOT INCLUDE BLOCK"WALLS,_POOL, SPA OR DRIVEWAY APPROACH. ------------------------------------------------------------------------------- Other Fees ART"IN,PUBLIC PLACES -RES". .00. '.DIF, COMMUNITY -CENTERS'-RES 97.00 , DIF. CIVIC CENTER - RES 366.00 Page 3 Application Number 04-00007614., Date 12/07/04 Other Fees ENERGY'. REVIEW FEE. 38.06 DIF 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 8.72 DIF- STREET• MAINT _FAC -RES 15.00 DIF ;TRANSPORTATION - RES 1098.00 Fee,summary Charged Paid ;. Credited Due Permit Fee Total 886.68 :0`0 00 886.68 Plan Check, Total 452'.14 00 .00 452.14 Other Fee Total 2451.78 0.0 .00 2451.78 Grand Total -.379;0.60 :00 00 3790.60 r 'i FEB -06-2006 04:39 PM P.07 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING " CF -4R Project Title 6r OT 3 Pro ft Add ss Build r ame � ��1�= l Builder Contact Telephone Plan Number HERS star Tel p one Sample Group Number Zing Signature ate Sample House Number L: '�' /SrSSOC��Te: S HERS Provider: /yet IQ 5 Street Address: �g��b ,�l'4elLV' C/YCI City/State/21p: u 0107, At Copies to: Builder, HERS Provider HERSRATER OMPLIAN $ E T The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providin® diagnostic testing and field verification, I certify that the houses identified on this form`. COT with the diagnostic Tested compliance requirements as checked on this form. Distribution system is fullyducted (I.e., does not use building cavities as plenums or platform returns In lieu Wducts) here 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 Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @2.5 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 Leekage Percentage (100 x Test Leakage/Fan Flow) _ { Check'Box for Pass or Fail (Pass=6% or less) ❑ ass Fail IfflTHERMOSTATIC EXPANSION VALVE TXV or Commission approved a uivalent ��Yes' (] No Thermostatic Expansion Valve (or Commission approved equivalent) Is Installed and Access Is provided for Inspection ❑ Yes Is a pass Fas Fall ❑ 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 -IR and design on plan.A/)/ 2. Q Yes. ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches dealgn.from CF -1 R. Measured Fan Flow = ❑ I' 'Yes for both 1 and 2 is a Pass Pass Fail