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04-7620 (SFD)ro I. BUILDING & SAFETY DEPARTMENT P© B_O� 55004- (760).771'7012 C� 49 CS ALLE �MPICO. OFT4� � _ FAX (76 0) 777-7011 LA -q 1 �EORNIA 92253 INSPECTION REQUESTS (760) 777 • JAN• _v;� �5CA � ' -71,53• cl�roF p QUINTA BUILDING PERMIT FINANCE Application Numberr Date 12/07/04 Property-Addr'ess,. 57401 VIA VISTA ,'APN: 7627240-003.731 -300962- Application description' DWELLING-.,S-INGLE FAMILY DETACHED Property Zoning _MEDIUM"DENSITY RES Application valuation 85886 OwnerContractor, . ,. ---------------------- ------------- 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); 63.4-2350 "WCC: STATE FUND W 0 C. WC2988920 4 06/12/05 CSLB: 813480 10/31/06 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 #.BEDROOMS 2.00 FIRE SPRINKLERS NO GARAGE SQ,FTG 244- 0 0 PATIO :SQ FTG 183.00` NUMBER,OF UNITS 1.00 1ST FLOQR> SQUARE FOOTAGE 1380.00 . - - - -. - - - - - - - -. - - - - - - - - - - - .- -. - - - - - - _ --------- --------- -• ----------------------- Permit -----------1---------- 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, 36.00 4.5000 -THOU BLDG 50,001-100,000. 162.00 ---------------------------------- Permit- MECHANICAL Additional desc Permit Fee 78.50 -Plari Check Fee 4.91 Issue Date Valuation 0 Qty Unit Charge. Per _ 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 • /� . w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-.7011 LA QUINTA, CALIFORNIA 92253 - INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: •Cf ' �b Applicant:.—Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: ­Uc. CZ3% 77� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pe"a1 of perjury that I am licensed under provisions of Ch ter 9�rt�en ' th Section 7000) of Division 3 of the Business and Professionals C , and my Licens( is full trce and effect. EE ly0 \) icense Class i/L c�No. v — 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 Owner. 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 whi is permit is issued. have an ill nmyffain workers' compensation i surance, as required by Section 3 o t Labor Code, for the pe�forrnance of the work for which this permit is � issue My w ampensation i ce carrier and policy number are: G1 MFI— iCarcier olicy Number J (� T _ I certify at, in a performance of the work for which this not employ any person in any manner so as to tb�e subject to the workers' compensation laws of California, and agree tha s ould become subject to th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith coftf'i those provisions. WARNING: FAILURE TO SECURE WDKEQCOMPENSATION COVERAGE IS UNLAWFUL,- A— ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. TO CRIMINAL PENALTIES AND i AS PROVIDED FOR IN 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 nd for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the a i , each agrees to, and shal , d, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omissi elated to the work being performed under or owing issuance of this permit. 2. Any permit issued as a result of this application beco II and void if work is not commenced within 0 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informati correct. ith all city a d county ordinances and state laws relating to building construction; and hereby aut nrze presentatives of this county toe r pon the o ed property ction purposes. ate —V Signature (Applicant or Agen Page 2 Application Number 04-00007620" Date 12/07/04 - 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 . .. 68.1'8 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' PLBFIXTURE; 72.00 1.00 15.0000 EA PLB BUILDING SEWER _ 15.00 1.00 7.5000 'EAPLB 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 Special Notes and'Comments SFD _ LOT 31. PLAN 1B,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 r _ Page _ 3 Application Number- 04=00007620 Date 12/07/04 Other.Fees DIF. COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES" 366.00, ENERGY REVIEW FEE. 9.37 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 8.58 DIF STREET MAINT FAC -RES 15.00 DIF. TRANSPORTATION - RES 1098:00 Fee summary Char ed Paid ..` Credited Due Permit Fee Total; 877:68'`, 00 00 877.68 Plan Check Total 111'.57, 00 .00 111.57 Other Fee Total 2422.95•, 00,- .00 2422.95` ..Grand Total 3412:20'. 00." .00 3412.20 .CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC.TESTING.(Page 1'of 1): ; CF -,4R r• r , Project Address I Puerta Azul] Builder / Installer 57401 Via Vista'/ -La Quinti / CA) 92253.. Puerta'Azul Partne_ rs; c/o Pacific' Security Capital Builder / Installer Contact Telephone .: Plan Number / Permit Number Mike ICwaske 7607027215 11-?� HERS.Rater Telephone Sample Group Number Dave Bricker - CIHIEIEIRlS®.ID'#CCN99380828 1607743676. 18 Compliance Meth (Prescripts (• Climate Zone 15- Certifying Signa r r ' Date' • Sample House Number Firm r HERS Provider Energy' Dirven Solutions = 1 CHEERS® ' .Address.•. :. .. " ". „r'• City/State/Zip '`48-755 Still.Water Street r ` Indio /CA /92201.' J s 'Copies to: BUILDER; HERS PROVIDER AND BUILDING'DEPARTMENT` . L HERS . ]RATERCOMPLIANCE STATEMENT - This house was: ✓ Tested As the HERS rater providing diagnostic testing and field verification`�IS rt%Tthat the houses identified on -this -form- comply with the diagnostic'. F tested compliance reguirements'as checked on'this form. ' ✓ The installer has provided a copy of CF -6R (Instpallation Certificate). ` ✓ Distnbution system is`ftilly ducted (i e., does not building -cavities as plenumsIt platform returns in lieu of ducts) ✓ Where cloth backed, 'rubber adhesive duct tape is installed, mastic., bands are used in combination with cloth backed rubber adhesive - duct tape to seal leaks at'duct connections"'',. ✓ MINIMUM REQUIREMENTS FOR DUCTLEAKAGE-REDUCTION COMP AANC-E-CREDIT Duct Diagnostic Leakage Testing Results (Maxim m 6%Duct Leakage) 1 f r 'System # 1. - ,Y^`ST�,. f:: - ] %, "�� '; _ {,,F• i"' f . Duct Pressurization Test Results (CFM @ 25 Pa) �• Measured Values 's ltt' Tdst Leakage'Flow in CFM If.fan flow is.calculated•as 460cfin/ton x number.of tons enter calculated value here 7.If fan flow is measifiire&dtittteer meas u devalue here Leakage Percentage(100 z Tested Leakage /Fan Flow) Check Box for Pass or Fail (Pass=6%,or less) ; # y`.:1y ✓Pass O Fail Residential Compliance Forms. • = Generat6d-by'CIHIF-IkIRISO.http://www.CHEERS.oig.'- j August 2001 ' FEB -06=2006 04:39 PM'- - ", P.08 CERTIFICATE OF FIEi.D VERIFICATIOPI AND DIAGNOSTIC TESTIN CF -4R �� p �� _ ✓ TSI .�+ . Project Itle v/'h 1s .Dat J ~ ProJgss Builder Builder Contact pp / Telephone Plan Number . -5 1b) t�i41YM d a 4 L ;V o) all - -1;'79 � HERS ater Tele hoe Sample Group Number . ifymg Signature ate . Sample House Number. . irm: �, �. �' /i�4S0r/ci7 _ S HERS Provider: Street Address: lS ` r CitylState/Zlp L u �P'�/1�9�ct �� C%11 Copies to: Builder, HERS Provider ' H R ATER C AT� EN The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and.fiald veriflcatlon; I certify that the houses identified on this form co p with the diagnostic tested compliance requirements as checked on this form. Distribution system Is fully ducted ([.e., does not use bullding cavities as plenums or platform returns in lieu f ducts) here cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In'combinatlon . with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. �INIMUM 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 Fall (Pass-f3°r6 or less) ❑. Pass Fail. ;iTHERMO'STATIC EXPANSION VALVE TXV or Commission a roved equivalent Yes ❑ No Thermostatic Expansion Valve (or.Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a.pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met 1 (rater has verified that actual installation, matches values m CF -1 Rand design on plan, 2. ❑ 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 = { 13 ti " 'Yes for both 1 and 2 Is a Pass Pass Fall