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04-7617 (SFD)• - - - - f^ o � , CIA BUILDING &SAFETY DEPARTMENT �6 O. BO 04 (760).777-7012 LE TAMPICO - FAX (760) 777-7011 AOUIJIN, ACALIFORNIA 92253 w�INSPECTION REQUESTS (760) 777-7153 c�rro¢ LAQu� �' BUILDING PERMIT CE DE , pINAN A ication Number0.4-00007617 't Date 12/07/04 Property''Address V 57419 VIA VISTA APN: `� `- 762-240-003-34-300962- Application description • .DWELLING —SINGLE FAMILY DETACHED Property Zoning MEDIUM DENSITY RES Application valuation t 98984 Owner Contractor ------------------- -------------------- ---- .y} PUERTAAZUL PARTNERS -_ DAVIS/REED CONSTRUCTION' INC 17700 SW UPPER'BOONES FERRY'RD 169 SAXONY ROAD, STE #105 SUITE 100 ENC.INITAS CA 92024 PORTLAND OR 97224 ` (760) 634-2350 WCC: STATE FUND ti WC: WC298892003 06/12/05 CSLB: 813480 10/31/06 CCC: B ------------- -------------Structure -Information ---------------,----------- Construction'Type '. TYPE U'- 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 2,51.0 0 r PATIO SQ FTG %.,316.00 -. NUMBER-OF UNITS 1.00 1ST FLOOR SQUARE-FOOTAGE 1571.00 a -----.---------- =.--- -----------, -_-=n -- -- Permit ::,."BUILDING ,PERMIT. _;. .... ' Additional .desc' , Permit Fee 635'.00 Plan Check.Fee 412.,75 Issue, Date- Valuation . . . . 98984 Qty Unit Charge Per ' Extension BASE FEE_. 414.50 49'.00. '4 .500.0 THOU BLDG 50,0,01-100"000 ? r 220.50 Permit MECHANICAL Additional desc Permit Pee :` -78:50,-, -' Plan Check Fee 19.63 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 9.000T.EA MECH B/C <=3HP/100K BTU 9.00 P.O. BOX 1504 • ,�C�� 78-495 CALLS TAMPICO VOICE (760) 777-7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - (O/ 1 Date: Lc Jr• O.S Applicant: ---Architect or Engineer:,% r,r Applicant's Mailing Address: PP 9 ---Architect or Engineer's Ad ress: c. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u alty of perjury that I am licensed under provisions of Chaptey8�(commencing on 7000) of Division 3 of the Business and Professionals Cie, and my Lice in f+ll force and effect. I / e r .1\/ /V icense Class J �p Nn �) r /J l 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 properly, 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. , B.& 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 fori4fiF'�c chis permit is iseued. 1t I have andtWI ma workers' compensation insurance, as requiredNbe�00 of theb�orl2ddde, the erformance of the work for which this permit is issyed. ers' compensation i nce carrier and policyliNumber I certify0that, in the performance of the work for which this permit is ' all not employ any pe in any manner so as to ISecome subject to the workers' compensation laws of California, and agree th me su o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ose provisio s plica WARNING: FAILURE TO SECURE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OUSAND 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.). 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 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 applica to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omiss' ed to the work being pe ed under or following issuance of this permit. 2. Any permit issued as a result of this applicatio comes null and void if work is not comm ced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject ermit to cancellation. 1 certify that I have read this application and state that a above information is e . I agree to compl ith all city and county ordinances and state laws relating to building construction, and herebyaurepresentatives of IN u ses. ��v Signature (Applicant or Agent): r` \ Page 2 . Application Number, 04-000'0.7617 Date 12/07/04 Qty Unit Charge Per." ^FAN;. Extension 6.00 6.500.0 EA MECH VENT , 39.00 1.00 6.5000 EA MECH EXHAUST HOOD. 6.50 ------------ ------------- Permit I ---------------------------- ---------------------- ." ELEC-NEW RESIDENTIAL Additional desc Permit Fee 75.01 Plan:Check Fee,. 18.75 " Issue Date ;Valuation . . . . 0 Qt. Unit e Cha Charge g `Per Extension BASE FEE 15.00.. ' 15.71.00 '.0350,. 'ELEC NEW RES':- 1 OR 2 FAMILY 54.99 251,00 ;..0.20,0, ELEC GARAGE .OR NON-RESIDENTIAL 5.02 Permit . .° PLUMBING Additional desc Permit Fee 145:.50 Plan Check Fee 36.38 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;'50.00, EA,� PLB WATER HEATER/VENT 7.50 1.00 -3'.0000`EA PLB WATERINST/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 15.0000 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 ,.. Xt E ension - BASE FEE 15.00 FSpecial..Notes and Comments SFD -. LOT 34: PLAN. -3B,.', 1571 SF. PERMIT . 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,-00007617.-,, Date 12/07/04 Other. Fees ENERGY- REVIEW FEE 41.28 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 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 Plan Check Total-- •487.51. :00 00 487.51.. Other Fee Total 2456.17.' .00. .00 2456.17 Grand Total :3.892:69 00 ..00 3892.69 i t 1, r - " 'Copies to: BUILDER; ITERS PROVIDER AND BUILDING DEPARTMENT j ' HERS RATER COMPLIANCE STATEMENT This house was: ✓ Tested' ..As the HERS rater providing diagnostic testing and field verification hce¢rt fy that the houses identified on this, fomi comply with the diagnostic. tested compliance'requirements as checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate) Atli �` ✓ Distribution system is fully ducted (i:e.,.does not building-cavrt�es`as'plenums;or platform returns in lieu of ducts): ✓. Where cloth backed, rubber adhesive duct tape }s installed, mastic.and'drawbands are used m combination with cloth backed; rubber adhesive duct tape to seal leaks at duct connection's, :b' ✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE -REDUCTION COMPL='IANCE.C-REDIT -. •,Duct Diagnostic Leakage Testing Results (Maximum 6%1Duct Leakage) N w System #;1 Duct Pressurization Test Results CFM. 25 Pa r ( @ . ) 4" 'Measured Values Test Leakage'Flow in CFM 78 : 5 If.fan flow,ts.calculated as 400cfrri/ton z numbecof tons enter calcula ed'value here ` ;If fan flow is mea�redy a ter'measured value here VW Leakage Percentage (1,00 x Tested Leakage /,Fan Flow) =V "3,9 Check Box for Pass or Fail (Pass=6% or less) : ✓ Pass : El Fail' (IEI!EI/R . r• M'. r t Residential Compliance Forms Generated by CIIIIEIEIRISO.http://www,CHEERS.org August•2001 CERTIFICATE OF FIELD VERIFICATION &,DIAGNOSTIC TESTING'(Page 1.of I):• 'CF -4R Project Address ] Puerta Azul,] " " Builder / Installer 1- 57-419 Via Vista/ La Quinta / CA 7 92253 • Puerta Azul'Partners, c/o Pacific Security Capital Builder /Installer Contact Telephone", Plan Number / Permit Number,' Mike Kwaske 7607027215L, . 1 6.- 1 HERS Rater r Telephone' Sample'GroupNumber Dave Bricker- CjHjEjEjRjS®ID #CCN99380828 . 7607743676. 6 - r Compliance Method (Prescriptive) . 1 Climate Zone 15 Certifying Signature: Date. Sample House Number 34 .. Firm - HERS Provider . -Energy'Driven Solutions CjIIjEjEjRjS® Address City/State/Zip 48 755'Still Water Street ti �Indio /CA /92201 r - " 'Copies to: BUILDER; ITERS PROVIDER AND BUILDING DEPARTMENT j ' HERS RATER COMPLIANCE STATEMENT This house was: ✓ Tested' ..As the HERS rater providing diagnostic testing and field verification hce¢rt fy that the houses identified on this, fomi comply with the diagnostic. tested compliance'requirements as checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate) Atli �` ✓ Distribution system is fully ducted (i:e.,.does not building-cavrt�es`as'plenums;or platform returns in lieu of ducts): ✓. Where cloth backed, rubber adhesive duct tape }s installed, mastic.and'drawbands are used m combination with cloth backed; rubber adhesive duct tape to seal leaks at duct connection's, :b' ✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE -REDUCTION COMPL='IANCE.C-REDIT -. •,Duct Diagnostic Leakage Testing Results (Maximum 6%1Duct Leakage) N w System #;1 Duct Pressurization Test Results CFM. 25 Pa r ( @ . ) 4" 'Measured Values Test Leakage'Flow in CFM 78 : 5 If.fan flow,ts.calculated as 400cfrri/ton z numbecof tons enter calcula ed'value here ` ;If fan flow is mea�redy a ter'measured value here VW Leakage Percentage (1,00 x Tested Leakage /,Fan Flow) =V "3,9 Check Box for Pass or Fail (Pass=6% or less) : ✓ Pass : El Fail' (IEI!EI/R . r• M'. r t Residential Compliance Forms Generated by CIIIIEIEIRISO.http://www,CHEERS.org August•2001 CERTIFICATE OF FIELD VERIFICATION &,DIAGNOSTIC TESTING'(Page 1.of I):• 'CF -4R Project Address ] Puerta Azul,] " " Builder / Installer 1- 57-419 Via Vista/ La Quinta / CA 7 92253 • Puerta Azul'Partners, c/o Pacific Security Capital Builder /Installer Contact Telephone", Plan Number / Permit Number,' Mike Kwaske 7607027215L, . 1 6.- 1 HERS Rater r Telephone' Sample'GroupNumber Dave Bricker- CjHjEjEjRjS®ID #CCN99380828 . 7607743676. 6 - r Compliance Method (Prescriptive) . 1 Climate Zone 15 Certifying Signature: Date. Sample House Number 34 .. Firm - HERS Provider . -Energy'Driven Solutions CjIIjEjEjRjS® Address City/State/Zip 48 755'Still Water Street ti �Indio /CA FEB -06=2006 04:40 PM„ P.11 CERTIFICATE OF FIEhn VERIFICATION AND DIAGNOSTIC TESTING CF -4R c ✓ fi,,F7ote�t Titl% Ole,, Date e y' 1 (43 ro L OT �, �9L✓ protect Addrels. BuwlldeUName Builder Contact Telephone Plan Number _in► Gar�►►v�% �7G0) gllr-5'7g 3 HERafar Tialephone Sample Group Number 459 rtifying Signature Data, _ Sample House Number Firm: �, t%. -t AiryC/alE i HERS Provider: / � E k .C- Street Address: C/YG le, .City/State/Zip: L 4 a/ Copies to: Builder, HERS Provider HgRS RATER CQMELIANCE STATEMENT:' The house was: Q Tested ' pproved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses Identified on this form CoTyly with the dlegnostic tested compliance requirements as checked on this form. Distribution system is fully ducted (i.e., does not use bullding cavitlea as plenums or platform returns In lieu ducts) 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 Results (Maximum 6% Duct Leakage) - Measured .Duct Preasurizatlon Test Results (CFM Pe) ® 25 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 Fail (Pass=6% or less) ❑ - ass Fail IERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access Is provided for inspection ❑ . i Yes Is a pass ass Fall ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE. CREDIT 1. O Yes O No ACCA Manual D Design requirements have been met (rater has verlfled that actual installation matches values in CF -1 R and design on plan; / )� �/ / 2. d 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