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04-6834 (SFD)0 e. ,�! �F.�w4�rw PERMIT BUILDING .& SAFETY DEPARTMENT '(760) .777-7012 FAX (760) 777-7011 INSPECTION REQUESTS' (760) 777-7153 Application Number U047_-0=0-000 68 4343 Date 10/19/04 Property Address 56849 VILLAGE DR APN: 764 -0 -50 -028 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 353009 Owner Contractor BIRDIE HOMES III, LLC FIRST PACIFICA DEV CORP 5 EAST CITRUS AVE. STE. 105. .300 EAST STATE ST, SUITE #100 REDLANDS CA 92373. REDLANDS CA 92373 (909) 798-368.8 WCC': STATE FUND WC: 00083532004, 01/01/05 CSLB: 760044 03/31/05 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 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 730-.00 PATIO SQ FTG 1044.00 NUMBER OF UNITS 1.00 FIRST FLOOR'- SQ FTG 4020:00 ---------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc :Permit. Fee . . . . 1528.50 Plan"Check Fee 248.38 Issue'Date Valuation . . . . 353009 Qty Unit Charge Per Extension BASE FEE 639.50 254.00 3.5000 THOU BLDG 1001001-500,000 889.00 ---------------------------------------------------------------------'-------- Permit MECHANICAL - Additional desc Permit Fee 140.50 Plan Check Fee 8..78 Issue Date Valuation.-.. 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27:00 3.00 9.0000 EA MECH.B/C <=3HP/100K BTU. 27.00 10.00 6.50,00 EA MECH'VENT FAN 65.00- 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 T4t ot 4 P.O. Box 1504 • ^/ 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: Applicant: Applicant's Mailing Address: I hereby affirm under Code, and my Licens ,_-CI'cense Class chitect or hitect or Date: -,� 'q Engineer: Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION ;tion 7000) of Division 3 of the Business and Professionals 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 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 which this permit is issued. have and will maintain worke ' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ued rke ' com en ion insurance cam a d olic u r e Carver _y d - ��liicy Number � �3��(" _ I certify that, in the pe ormance of 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 CalifQmia, and agWee that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosCiprovisions. i� A A R WARNING: FAILURE TO SECUREWORKERS' 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 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 applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, 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 abov information is correct. gree to comply with all city and county ordinances and state laws relating to building construction, nd hereby authorize representatives of this co u t to enter on he o entioned property for inspection purposes. dL Signature (Applicant or AgJ V ,�. Page 2 Application Number . . . . .04-00006834 Date 10/19/04 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 170:30' Plan Check Fee 10.65 Issu=.Date . . . . Valuation . . . . 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 ----------------------------7--------------------------------------- Permit, . . PLUMBING " Additional desc Permit Fee . . . . .233.25 Plan Check Fee 14.58, Issue Date . . . Valuation J , . 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 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 --------------------------- Permi- . . . GRADING PERMIT Additional desc Permi: Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Q -y Unit Charge Per' Extension . BASE, FEE i 15.00 Special Notes and Comments SFD - LOT 67,.PLAN 4B -C2. PERMIT DOES NOT I)JCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. r Other Fees .. . . . . . . . . ART IN PUBLIC PLACES -RES. 382.52 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 24.84 DIF FIRE PROTECTION -RES 97.00 Pag e 3 Applicat'ion'Number . . . 04-00006834 Date 10/19/04 Other Fees . . . . . . GRADING PLAN CHECK FEE ?- . ' . 00 DIF LIBRARIES - RES i 225.00, DIF PARK MAINT FAC - RES 5..00. DIF PARKS/REC - RES ; 502.00 STRONG MOTION,(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 282.39 .00 .00 282.39 Other Fee Total 2847.66 .00 - .00 2847.66 Grand Total 5217.60 00 .00 5217.6`0. i i i • a CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R The Palms r W Project Title Dat 56-849 Village Dr. La Quinta, CA First Pacifica Dev. Corp. Project Address Builder Name Herb Herman (909) 322-7140 4-0 Builder Contact Telephone Plan Number. OV951 780-7265 6' HERS Rater Telephone Sample Group Number `d 67 Sys. 1 Certifying Signature Date Sample House Number Firm: Energ4 Calc Services, Inc HERS Provider: CHEERS Street Address: 16551 Mockingbird Cyn. Rd. City/State2ip: Riverside, CA 92504-9638 Copies to: Builder HERS Provider KERS RATER COMPLIANCE STATEMENT r 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 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 = t; Check Box for Pass or Fail (Pass=6% or less) ❑ ❑ Pass Fail. 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 . 1 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4k The Palms SK . Project Title Date - 56 -849 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 m `V n n 6 S/'� f is V 951 780-7265 6 ERS Rater., Telephone Sample Group Number `�— Zi Ltb 67 Sys. 2 Certifying Signature Date Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS Street Address: 16551 Mockin-gbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 ". Copies to: Builder HERS Provider HERS RATER COMPLIANCE STAFEMENT The house was: ❑ Tested 10 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 ply with the diagnostic tested compliance requirements as checked on this form. N 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) s Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfin/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) ❑ ❑ l" Pass Fail 0 THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑ Yes . ❑ No ' 'Thermostatic Ex ansio'n Valve or Commission approved-', - . p ( PP 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 56-849 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 Tim—Yo—ph-6m b eyyyh lS �i''GL (951) 780-7265 6 HERS Rater. Telephone Sample Group Number 67 Sys.3 Certifying Signature Date Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CHEERS Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 Conies to: Builder, HERS Provider HERS 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 CQLnply 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) X Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM a If fan flow is calculated as 400cfin/ton x number of tons enter - calculated value here 1000- If 000-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 0 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 ❑ f ❑ Yes is a pass Pass Fail January 5, 2001 Jul 14 06 10:07a THE PALMS 7607771965' p..2 Tp` a � � y CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT F'�oFrH� i 777-7012 INSPECTION REQUEST UNE 777-7153 Owner BIRDIF. Nnws TIT,TIT -C Contractor EIRRT PACTFTCA DFVF7 01P NT Permit Number 04-6834 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST -SIGN ALL APPLICABLE SPACES JOB ADDRESS 56-849 VILLAGF. DRIVF SFD,— LOT 67, PLAN 4B -C2. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING ! WASTE 3 Z a U/G ELECTRICAL I GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOf POUR CONCRETE IdNTJL ABOVE SIGNED ROOF NAIL / PRE -ROOF s - , L5' 464 OKAY TO WRAP _ FRAMING COMBINATION ROUGH ELECTRIC . ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL G ice. EXTERIOR LATH C GAS TEST a 10 SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC IG R EASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS ! STEEL BOND BEAM POOL / SPA ! WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS , v U/G ELECTRICAL PRE-PLASTER(ALARMS lBARRIERS FINAL INSPECTIONS ' TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING I MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. I p /� FINAL /JOB COMPLETED E ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING :....i.,.�.._....�.<-,_.-4..,�...-»...._.�.-K-a,.ry.....-�.-..--.,,..v-.....��,.,yrs.....:..,.�........_.........:T..........t.�..'-_,�..e...�....-_•-••-__--•�-...-...«....«-,....,-. A A `A(�JL(IIYLQ Certificate,of Occapanco4 y ,- rya, �s O Buildin & Safety Department ' f �I This Certificate is issued pursuant to the requirements of Section 109 of the California 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. ' I� BUILDING ADDRESS: 56-849 VILLAGE DRIVE r, Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6834 Occupancy Group: R3 Type.of Construction: VN Land Use Zone: RL t " Owner of Building: BIRDIE HOMES 111, LLC Address: 5 E. CITRUS, STE. 205 F € City, ST, ZIP: REDLANDS, CA 92373 EWf By: GARY HARTMAN S Date: JULY 14, 2006 ;4 : s BLTilding Official f POST IN A CONSPICUOUS PLACE