04-6830 (SFD)�a,(;L�,• r •
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'BUILDING & SAFETY DEPARTMENT
P.0. Box 1504 '(760) 777-7012
C 9 70-495 'Cl AL T_AMPICO x'' FAX (760) 777=70.1,1
LA QuINTA, CAiIIIFORNIA 92253 INSPECTION REQUESTS (760) 777=7153
FEB"09 2005 BUILDING PERMIT
CiTY:OG LA QUINTA
FIf�ANCE DSP?
Applicat ion•Number., .. X04-0000683"0� Date _10/19/04
Property. Address 56793 VILLAGE.DR
APN:. 764-050-0;26- _
Application description . . . DWELLING -'SINGLE FAMILY DETACHED
Property., -Zoning LOW DENSITY RESIDENTIAL
Application .valuation .. ` 3.53009
v a,
Owner Contractor
----.------- ------------=- -------------------
BIRDIE
--- -- ------BIRDIE HOMES III, LLC FIRST PACIFICA DEV CORP °
5 EAST CITRUS. .AVE. STE. 105. 300 EAST STATE ST`, SUITE"#10.0
REDLANDS' CA 92373 REDLANDS, CA 92373
(909) 798-3688.
WCC: STATE. FUND
WC:' 00083532004' 01/01/05.
.•CSLB: :7.60044 03/31/05"
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
FIRE SPRINKLERS NO
GARAGE SQ FTG 730.00
PATIO SQ FTG 1044::00
NUMBER r OFA .UN;I TS
FIRST` FLOOR SQ FTG '4020.00
Permit BUILDING PERMIT.,
Additional desc
Permit Fee 1528.50` Plan Check Fee 993.53
Issue Date Valuation . . . 353009.
Qty Unit•Charge Per Extension
BASE FEE 639.50
254.00 .3.5000 THOU. BLDG 100,001-500,000 889.00
Permit MECHANICAL
Additional deso
:.� Permit Fee 140.50 Plan Check Fee,,. 35.13
w Issue Date Valuation 0
Qty Unit•Charge Per Extension,
BASE FEE. 15.00
3:,00 9.000'0 'EA MECH-FURNACE<=100K 27.00
3.00 9.0000 EA ME CH, B'/RC1:<-3HP/100PK BTU 27.00
10.00 6. 5'000 �rEA' MECH VENT FAN'` 65.00 '
1.00. 6.5000 EA MECH EXHAUST HOOD 6.50
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLE TAMP ICO FAX (760) 777-7011
LA QU.INTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 (0830 Date: �?' 9 •�
Applicant: --Architect or Engineea,,,, I Ali
Applicant's Mailing Address: hitect or Engineer's Ad s:
c. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (co m encing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licens in full force and effect �0 O
nse Class ' icensg,No.
OWNER -BUILDER DECLARATION
1 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 1, 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
1 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 issued.
have and will mai tn workers . compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
sued ri rs' comp tion ' nce cam and�Qli um �g
amer I 41%& „Z®OS
olicy Number
ce i y tha , in the performance f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those prokisions. A Al
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND 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
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, indemnity and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 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 I formation is correct I agr to comply with all city and county ordinances and state laws relating to building
construction, and heCauthofterepresentatives of this coun o enter upo the abov boned property for inspection purposes.
afe ture (Applicant or Ag
Page
2
Application Number.
04-00006830 Date
10/19/04
Permit . . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee
170.30 Plan Check Fee
42.58
Issue Date . .
Valuation
i
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4020,00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
140.70 '
730.00• .0200.
ELEC GARAGE OR NON-RESIDENTIAL
14.60
Permit-. . . . . .
PLUMBING
Additional desc
Permit Fee
233:25 Plan Check Fee
58.31
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
26..00 6.0000
EA PLB FIXTURE
156.00
1.00 15.0000
EA PLB BUILDING SEWER`
15.00.
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA• PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00.
7.00 .7500
EA PLB GAS PIPE >=5
5.25
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, i
0
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
Special Notes and'Comments.
SFD - LOT 6.5, PLAN 4A
-C2. PERMIT DOES
NOT INCLUDE POOL, SPA,
BLOCK WALLS,' OR
DRIVEWAY.APPROACH
----------------------------
Other Fees. . . . .
------------------- - -
ART IN PUBLIC PLACES -REST
382.52
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER --RES
366.00..
-.
ENERGY REVIEW.FEE
99.35
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
00
-DIF LIBRARIES - RES
225.00
Page 3
Application Number
04-00006.830
Date
10/19/.04
--------------------------------------------------------------------------
Other.'Fees
DIF PARK MAINT,FAC
- RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTI ON . ( SMI )"
.- RES
35.30
DIF.STREET MAINT FAC
-RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit -Fee Total
2087.55
.00
.00
2087.55
Plan Check Total
1.129.55
.00
0'0
1129.55
Other Fee Total
2922.17
.00
.00
2922.17
Grand Total
.6139.27
.00
00
6139.27
r
-
Jun 2-2406 09:49a THE PALMS
CITY OF LA QUINTA
BUILDING.& SAFETY DEPARTMENT
777=7012
INSPECTION- REQUEST LINE
777-7153
Owner BIRDIE HOMES III, LLC
Contractor FIRST PAC'IFIC'A DF,VELOPMFNT
Permit Number '04-6810
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 56-793 VILLAGE DRIVE
SFD — LOT 65, PLAN 4A -C2. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
UIG PLUMBING f WASTE 3772� 727
UIG ELECTRICAL 1 GROUNDING
FOOTINGS I STEEL . 1 3 -.,2, 7•d.3 37
DO NOf POUR CONCRETE UNT ABOVE SIGNED
ROOF NAIL 1 PRE -ROOF
OKAY TO WRAP ! 'J
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
EI,--�
INSULATION _ I_ _ _'_
COVER NO WORK UNTIL A13QVE SIGNED
INTERIOR GYP. BD. DRYWALL -)111D X -
EXTERIOR LATH
GAS TEST 9
SEPTIC ABANDONMENT
SEWER CONNECTION•''
SEPTIC 1 GREASE INTERCEPTOR'
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL 1 SPA I WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
UIG PLUMBING
UIG GAS
U/G ELECTRICAL
PRE -PIASTER ALARMS 1 BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT G
COMMUNITY DEVELOPMENT DEPT. -7
FINAL I JOB COMPLETED U
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part
1) CF -4R
The Palms 3A -Ax
Project Title Date
56-793 Village Dr. La Ouinta, CA First Pacifica Dev. Corp.
Project Address Builder Name
' Herb Herman (909) 322-7140 4-0
Builder Contact Telephone Plan Number
' T' 951 780-7265 6
HERS Rater ! Telephone Sample Group Number
Q
.65' SY& 1
Certifying Signature ate Sample House Number
Firm: Energy
.Calc Services. Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. 'City/State/Zip: Riverside, CA 92504-9638
Copies to: Builder, HERS Provider
)ETERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested Approved 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
dNply with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R ( Installation Certificate)
❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform
returns in lieu of ducts)
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands 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 @ 25 Pa) values _
Test Leakage Flow in CFM
If fan flow, is calculated as 400cfm/ton x number of tons enter
calculated value here 2000
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) ❑ ❑
Pass Fail
❑x THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
❑ Yes ❑ No . Thermostatic. Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection ❑ ❑
Yes is a pass Pass Fail
January 5, 2001
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R
The Palms
Project Title Date ,
56-793 Village Dr. - La Ouinta, CA First Pacifica Dev. Corp.
Project Address Builder Name
Herb Herman (909) 322-7140. 4-0
'Builder Contact j Telephone Plan Number
11 15 f%U �d
T �� )� � .951 780-7265 6
• HERS Rater. Lt Telephone Sample Group Number
I �/W 65 Sys.2
Certifying Signature D to Sample House Number
• Firm: 'Energy Calc Services, Inc HERS Provider: , CHEERS
!
Street Address: 16551 Mockingbird Cyn: Rd. City/State/Zip: Riverside, CA 92504-9638
Copies to: Builder HERS Provider '
' )ETERS RATER COMPLIANCE STA MENT
The house was: ❑ Tested ' Approved as part of sample testing, but was not tested
s the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
caVply with the diagnostic tested compliance requirements as checked on this form. ,
The installer has provided a copy of CF -6R ( Installation Certificate)
- ❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform
returns in lieu of ducts) -
❑ Where cloth backed, rubber adhesive duct tape -is installed, mastic and draw bands 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 @ 25 Pa) values ,
Test Leakage Flow in CFM '
If fan flow is calculated, as 400cfm/ton x number of tons enter
calculated value here 2000
t 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) ❑ ❑
Pass Fail
rXI THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access,is provided for inspection ❑ ❑
Yes is a pass . Pass Fail
January 5, 2001
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Parra lam) CF -4R
The Palms
- Project Title t Date
56-193 Village Dr. La Ouinta, CA First Pacifica Dev. Corp.
Project Address Builder Name
r `
Herb Herman (909) 322-7140 4-0
Builder Contact ry Telephone Plan Number
i
951 780-7265. 6
HERS Rater
Telephone Sample Group Number
`G
65 Sys.3
Certifying Signature Dae Sample House Number
firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638
Copies to: Builder HERS Pr vides
HERS RATER COMPLIANCE STXqEMENT
The house was: ❑ Tested Approved 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
c ply with the diagnostic tested compliance requirements as checked on this form. ..
The installer has provided a copy of CF -6R ( Installation Certificate) _
❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform
` returns in lieu of ducts)
` ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic'and draw bands 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
f
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 1000
{
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) ❑
❑
Pass
Fail
❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
❑ Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection ❑ -
❑
Yes is a pass Pass
Fail .
January 5, 2001
}
yTeV Certificate of Occupanc
y
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0F9�� Building Y p & Safety Department
3 11
This Certificate is issued pursuant to the requirements of Section 109 of the Calitornia Building;
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
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BUILDING ADDRESS: 56-793 VILLAGE DRIVE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6830
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Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
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Owner of Building: BIRDIE HOMES 111, LLC Address: 5 E. CITRUS, STE. 205
F'
City, ST, ZIP: REDLANDS, CA 92373
s
By: GARY HARTMAN
;
{1t
Date: JUNE 22, 2006
Building Official
_
POST IN A CONSPICUOUS PLACE
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