04-7650 (SFD)a
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ILS + BUILDING & SAFETY DEPARTMENT
,.r_,�. B ;Irk"
F' ° (760),777-7012
OF "4 MPICO"
FAX (760) 7,77-7011
LA QUtNTA, Gn FORNIA 92253 •INSPECTION REQUESTS (760) 777-7153
SAN 06 1UU5
Cmro�uaa�I:sA BUILDING PERMIT. �- A
FINANCE DEPT
f
Application' Number ,. 04-00-0076-5=0 Date .12/13/04
Property', Add. ress%. :"�"«` '57440 VIA VISTA.'.,
API: 762 -240 -0.03 -69 -300962 -
Application description'. • . DWELLING - SINGLE�FAMILY DETACHED"
Property.Zoning. MEDIUM'DENSITY RES
Application valuation-; 98984
Owner ,Contractor` d
--------------------------+t• �..a�: -- -- '—---"----- ---
PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC
17700.SW UPPER BOONES•FERRY RD 169 SAXONY ROAD; STE #105
SUITE •1.00. ENCINITAS CA 92024
PORTLAND OR.97224 (760) 634-2350
WCC: STATE FUND
WC: W.C298892003. 06/12/05
CSLB: 813480, 10/31/06
CCC: B
=--------=--------------- Structure Information ----------=-------------
Construction Type TYPE V - NON RATED
Occupancy Type DWELLG/LODGING/CONE <=10
Flood Zone.
NON-AO FLOOD ZONE
Other•struct info CODE EDITION 2001 CRC
# BEDROOMS" 2.00
FIRE SPRINKLERS. «�NO
-GARAGE SQ"•,FTG -k--251.00
r • "
''--.PATIO SQ FTG 316. 0 0
NUMBER,OF UNITS 1.00
1ST FLOOR SQUARE -FOOTAGE 1571.00
.
--------------------------------------- ------- Permit BUILDING -PERMIT.
Additional' desc
Permit -Fee 635.'00" Plan Check Fee 103.1 9
Issue Date Valuation 98984
Expiration Date•6/13/05
Qty Unit Charge Per Extension
BASE FEE. 414.50
49.00 4.5000 THOU BLDG 50,001-100,000 220.50
------------------------------
Permit.. . . . . . . MECHANICAL
Additional desc; ;.
Permit Fee 78:50. •'Plan Check Fee 4.91
Issue Date - Valuation 0
Expiration Date 6/13/=05._, ,
Qty' Unit Charge Per +" Exteision.
BASE FEE 15.00
P.O. Box 1504 '
78-495 CALLE TAMPICO�� VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 4VFAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q q - Date:' /• s' 05
Applicant:—Architect or Engineer: 2
Applicant's Mailing Address:—Architect or Engineer's Address:
ic. No. C
t3UILUINU VhKMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pe y of p rjury that I am licensed under provisions of Chapter 9 (co nctnghhh �y���nnn 7000) of Division 3 of the Business and Professionals
Code, and my License i i II fc ce and effect.{^'
�tr`ense Ctass .tft'€Rrse No. VT v
,---Date/— >fContractor
' 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. , B.& P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 issued.
I have a d main ain workers' compensation insurance, as required b Section 3700 t�e'Labor Code forth performanc f fhe work for which this permit is
S
rkers' compensation insurance ca po icy number a // 9Q .f�
Amer o icy N r L�YiI y
_ I ceAffy that, in the performance of the for w this permit ilpOlWved, I shaffnIft erhploy any person in any manner so adTo become subject to the workers'
compensation laws of California, agree if I should co subject to the work rs' compensation provisions of Section 3700 of the Labor Code,1 shah
forthwith comply with those pr sions.
�Cpplicant
WARNING: FAILURE TO SECURE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CO F COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706, OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I he 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 BuildingAPPLICANT
PLI AN or ACKNOWLEDGEMENT
1. Each person u pp Y permit subject to the conditions and restrictions set forth on this application.
pe 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 appli reeCtJgrees , anoar defend, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omissio ed to the work being toperformed un or following issuance of this permit.
2. Any permit issued as a result of this application omes null and void if work is not commenced ' in 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject pe it to cancellation.
I certify that I have read this application and state that the bove information is correct I a o comply with II city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this c to enter the ab on prope for inspection purposes.
–iSignature (Applicant or Agent):
F �.:gq[ .`.y'.. :i7��.i �. •s
``
Pip
Page
2.
Application Number 04'-0.0007650 Date
12/13/04
Qty. Unit Charge Per;
Extension
1.00 9.0000 EA '.MECH FURNACE, <=100K:
9.00
9.0000 EA:-" MECH B/C <=3HP/100K BTU
9.00
6.00 6..5000 EA"', MECH VENT FAN
39.00
1.00 6.5000 EA' MECH.EXHAUST HOOD
6.50
r- - - - - - - - - - - - --- - - - - - - - - -t- - - - - - - -.- - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - -
Permit: ELEC-NEW RESIDENTIAL
Additional•desc
Permit Fee - 75.01' Plan Check Fee
4.69
Issue Date Valuation
0
Expiration Date 6/13/05'
Qty Unit; Chargee Per
Extension
BASE FEE
15.00
1571.00 .0350 ``'. ELEC,NEW RES - 1 OR,2 FAMILY
54.99
251."00 0200- ELEC"GARAGE`OR NON-RESIDENTIAL
5.02
Permit PLUMBING
Additional desc ' i.
Permit Fee 145.50 Plan Check Fee
9.10
Issue Date Valuation
0
Expiration,Date .6/13/05
Qty Unit Charge Per ..
Extension
BASE FEE
15.00
13.00'-6.0006: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. 9.000O.EA PLB)LAWN SPRINKLER SYSTEM
9:00
1.00 31.0000 EA''- ` PLB. GAS. PIPE 1-A OUTLETS
3.00
1. 00 . ' 15 . 0000. EA- . ,. PLB `GAS METER
15.00
Permit GRADING PERMIT ~
Additional desc-
Permit Fee -.- t 15.00 Plan Check Fee
.00
.Issue,Date r Valuation _.
0
Expiration Daae 6/13/05 .
Qty Unit . Charge- Per ."
Extension
'BASE -FEE.
15.00
Special.Notes_and,Comments
SFD ,- LOT" 69.-PLAN,/3RA, 1571 SF. PERMIT
DOES NOT.INCLUDE-BLOCK WALLS, POOL, SPA
Page 3
Application Number
04-00007650 Date
12/13/04
Special Notes and
Comments
-------------------------------
OR DRIVEWAY.APPROACH.
75%, PLAN
CHECK FEE'
REDUCTION APPLIED. -FOR
MULTIPLE
ISSUANCE'"
;
OF . SAME PLAN TYPE.
Other Fees
ART IN"PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
, 97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
10.32
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK.FEE
.00
..DIF
LIBRARIES .- RES
225.00
DIF P,ARK.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. Q1.00
:00
•949.01
Plan Check Total_.
121:89
00 00
121.89
Other Fee Total.
242`5.2"1.
0011100
2425.21
Grand Total
'3496.11
00 ;. 00.
-3496.11
CERTIFICATE OF FIELD.VERIFICATION& DIAGNOSTIC TESTING (Page I'of 1).
CF -4R
Project Address ] Puerta Anil] ^'
} `
Builder /Installer
57-440 Via Vista / Ca Quinta / CA / 92253
Puerta Azul Partners, c/o Pacific Security Capital "
c'-
A
Builder / Installer Contact
Telephone"
Plan Number / Permit Number, v
Mike Kwaske ~ "� <- � ,
,• 7607027215°•
n'
V
A
HERS Rater
Telephone
Sample Group Number
Dave Bricker - CIHIEIEIRIS®.ID #CCN99380828
7607743676.
Compliance Method (Prescriptive)
Climate Zone 15
Certifying Signature,•„-'
Date.
Sample House Number ' _
r 3
Firm L. s
roer
HERS Provider
Energy Driven Solutions +�
CIHIEIEjRjS®
Address J ;� : •
City/State/Zip
48-755 StiIl.Water Street
;Indio /CA /92201.”
,5
Copies to: BUILDER, HER& PROVIDER AND BUILDING DEPARTMENT
'HERS RATER COMPLIANCE STATEMENT > i 1 - z•
•This house was ✓ Tested
As the HERS rater`providing diagnostic testing and field verification�+I,cert fy that.the houses identified on this form comply with the diagnostic.. '
tested compliancerequtrements as checked on this form.. "•
r ✓ The installer has provided a copy of CF -6R (Instaallation Certifiiccate).
✓ Distribution system is4fully ducted (re.; does not use building -cavities as plenums or,platform returns in lieu of ducts).
_'`� .4 '
✓ Where cloth backed rubber adhesive duct tape is installed, mastic.and drawbands are used m combination witcloth backed rubber adhesive
duct -tape to seal leaks at duct connecttone,;�`` ,
✓ MINIMUM REQUIREMENTS FOR DUCT�LEAKAGE REDUCTION COMPLIANCE-C-REDIT
i
Duct Diagnostic Leakage Testrog Results (Maxirouum;6.6% Duct Leakage)
j l 1 ' 1
,System # 1
4 f Duct Pressurization Test Results (CFM.@ 25 Pa) tom' Mas red Values
^ est lea aje.1716w i" CFM l 19: " r
1 If fan flow ts:calculated as 400ofm/torrxnumberof tons enter calculated value here ;
If fan fl6w is measwe enter' eased value here ; i -
Leakage Percentage(1,00 x Tested Leakage /Fan Flow) 5.9
t f + Check Box for Pass :or Fail (Pass 6% orless) ✓ Pass 0 Fail t )
LIE
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f • `Residential Complianc;Forms, Generated by CIHIEIEIRIS®.http://www.CH_EERS.Org }' August 2001
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• ` This' Certificate is issued pursuant to the 'requirements •of Section • 109 hof the California Building ,
r. .
`Code,✓ .certifying that; -at the .) time ;of'issuance, this structure was.., in compliance'.with , .the
.
provisions<`of the ,Buildings Code andf�.-thq-„various,-ordinances -of the City regulating building
h, construction and/or,use 1, ti t ,•
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BUILDING`ADDRESS.57=440 VIA:VISTA
P a .�
�,.. nor us + '• r Y �a c�♦-at .!1 r
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yUse classification' SINGLE FAMILY DWELLING.” �I ;�> ' Building Permit No::'047650
,. _
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_ •` 3 C of �� . .r _` +�. �� � C. '�,a .r' .r �� •`' I -�, n- . ti i! ,. j,'i
Occupancy`Group: R3 s " Type of.Construction: V -N t- �` I nd,Use Zone:'R-M
YP
.5 r z t
Y
Owner of -Building: PUERTA AZUL-PARTNERS,.LLC�'s '• '' " 3' r Address: 8905 SW NIMBUS AVE: STE '4 .:
' L City, ST, -21 P: BEAVERTON, OR'97008
By::.GARY HARTMAN
Date: MARCH 28,' 2006
Builcring Official,
x
1's k-.POST•IN'A CONSPICUOUS PLACE