0402-0332 (SFD)79830 Amora Dr
0402-332
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
luofessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
728102 B MC, 9/310/04
Date "Z'g ' P ' Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). j
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S 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.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is is sued:pMy wo kers' compensation insurance carrier.,&-.polic,rno. are:
Carrier ' `' r a"vtL i.S . Ax `Policy No. 1 vrL.stitur asJl
(This section need not be completed if the permit valuation is for $100.00 or less).
() I certify that in the performance 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 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 prowl ions.`
Date— 2 I ,r, tl APPlicant. // d !
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to$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. l'L /%
•
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 toJ
any permit issued as a result of this applicaton agrees to, & shall, indemnif
& hold harmless the City of La Quinta, its officers, agents and employees. D
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 information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
.-Signature (Owner/Agent) T+%% L Datei• f
BUILDING PERMIT PERMIT040,1-332
DATE
DATE VALUATION $145; 2$, LOT 7 TRACT 29323
.7,
JOB SITE 7.9- j` 3O MORA I)MVE
APN 609 -YID -024
ADDRESS .
OWNER
CONTRACTOR / DESIGNER / EN (NEER
I"Wha ROIL OF CAT1IFOM, 416:
UMAR We OF CAUKRMA
78-401 C IRCaHVdAY 1 11
78-401 C HIGHWAY I I I
1-N QUWfA CA 92253
S..A Qi UWT'.A CA, 92253
(760)777-0131 C33LO' 3434
USE OF P,EgMI ,
-14-1 - LOT T 3 PLAN 4X= ? IUAC ' OCRs NOT
44C' 1 1WE 'Y!!C1.S 4
PC)04 SPA. C)R 4DIIIEt'7W'A i(ttPPRc7d-C H
Truk.CT C'•C NSTRUCTIUNK 4311.00 -F
PORCWPATIO 53.00 SF
0t►h`PstlWCARPORT QUO 3F
$j%UJ.Z.GT/FKR.i' ui/' J6Jly or COAYh' R .L 1.4.TCITO.t`f
, '1•:tM1w T. .20
j' ' , }
PERTUR 9U VAlVJ.MZ
CONSTRUCTION FEE, 101-000-418-000 S800.50
PllrW CHECK Ir'i;l 1111-( Jtl x.39• 'I13 o?y. o.R
MECIT&NICAL FEE 101.000.421 000 a ;t,Slt
ZL,ZCTPJCA_, FF it31-taJ{3 42f3,Q0fi y1 3.59
PL,UMRS1-31I. FFR 101.000-419-000 S I O$
;?:;t :. , •,'.,
STRONG MOTION FEE - P13,10 101 --000-241 -OCK)
%.
iii l,t INf3 FEE 101-000-423-000 S i u04
DEVELOPER. IMPACT FEF
CC} : U °.IObT AND PLAN C HEC1w
$4,242.57
.
& I:l s PRE -PAID 110
$0,00
BAR 2 4 2004 TOTAL FM?AUY 1 ', :5 DUE Now
t4A42 a7
LA QU
ctFh pwa -PT ,IIIIIIIIIIIIIIIIIIIIIIIII
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14
RECEIPT
DATE j
BY t
DAT ALED/
INSPEC R,%
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVA :
MECHANICAL APPROVALS
Set Backs _ +
Underground Ducts
Forms & Footings _ ,' _ _
Slab Grade ' _
Ducts
Return Air
Steel
Combustion Air
_
Roof Deck y
Exhaust Fans
_ _ _
O.K. to Wrap
F.A.U.
_
Framing
Compressor
_
Insulation
Vents
_
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
_
Exterior Lath
Drywall -Int. Lath
Final
Final .
POOLS - SPAS
ELOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROV Lo '
Waste Lines
Gas Test
Electric Final
Heater Final
Water Piping . _ a
Plumbing Top Out t
Plumbing Final
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral-7Pool
Cover
Sew Connection j -4-
Encapsulation
Gas Piping ,/
Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring Q
_
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) 6
AUG -19-2004 THU 06:44 AM TEAM HEATING & A/C FAX N0, 9096943803
P. 06
I IIIIIII VIII III VIII IIII 15
IE
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -6R
Site Address' 79-830 Amora Drive Permit Number.
Tract Number: 29323 Plan #: 4Yr Phase: 4
Lot Number: 3 Project Esplanade Builder: Cornerstone Dev.
An Installation certiticate is required to be posted at the building site or made avalible for all appropriate inspections.
Atter completion of final inspection, a copy must be provided to the Bullping Department (upon request) and the building
owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
ad Mfr Name Iden'Cie (AFUE, etc) Location Duct Load
Name Systems (>a CF -1 R) (attic, etc.) R -value (BTU / I
Equipment
Of uency Duct Coolln
i ie r ame Identicle (SEER, etc.) Location Duct Load
and Model Number Systems I (>=CF -1 R) I (attic, eta) R -value (RTU / I
e un ensign , vernythatequ an i above Is: is e actua equ pment installed, 2) equwarem to or more
efficient than that spec, the cerfiflp4te of liance(Form CF -1 R) submitted for compliance with the Energy
Efficiency Standaras for es e I b dl gs, a d ) equipment that meets or exceeds the appropriate requirements for
manufactured devices ( bm a ph n Effi ' gulations or Part 6 where applicable.
i'- -ream Mechanical
igna urs,aInstallingSubcontractor Name
OR General Contractor (Co. Name) OR owner
MINIMUM REQUIREMEN FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA:
System of
Indicate the maximum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 6 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow = I x .06
DUE Pressurization Test Results
100 x Test Leakage I Fan Flow = % Leakage 4.38%
Check Box for Pass or Fail (Pass = 6% or Less) Pass x ai
ll
W -r-24 Compliance Credit was Taken for TXV TXV was insta
m of
Indicate the ma—mmum a Dura le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
X 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow
21.7 x (Heating Capacity in Thousands of Output BTUer hour)
Measured Fan Flow I X.06
b -u -d Pressurization Test ResultsGFI(Ir8 Z5 PA)
100 x Test Leakage / Fan Flow % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x I Faill
=T.24 Compliance Credit was Taken for TXV TXV was insta
PAGE 1
r F2001-01 (4-02) Action NowT-24CF6-RTD&TXV macro
Capacity
BTU I Hr
AUG -19-2004 THU 06:45 AM TEAM HEATING & A/C FAX NO, 9096943803 P. 07
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 2 of 2 CF -6R
Site Address: 79-830 Amora Drive -Permit Number. 0
Tract Number: 29323
Lot Number: 3
Plan #: 4Yr Phase:
Project Esplanade Builder. Comerstone Dev.
System of
Indicate the maxpnum a owa le pact Leakage and the calculation used;
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 8 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU er hour) x (0.06)
Measured Fen Flow
ME Pressurization Test Renu
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
W-24 Compliance Credit was Taken for TXV
T
ys T [:::] of
Indicate the maximum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow
D'u'a Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
T 24 Compliance Credit was Taken for TXV
System =] of
Indicate the maximum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow
D-u—d Pressurization Test Results„
100 x Test Leakage./ Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
T-24 Compliance Credit was Taken for TXV
ys mof
Indicate the max mum a owa le Duct Leakage and the Calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow
YM Pressurization Test Results (GFM g 25 PA)
100 x Test Leakage I Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
QT -24 Compliance Credit was Taken for TXV
X.06
X.06
X.06
X.06
TXV wa:
Y►1R" r'-_T
11FATIM,
TXV wa:
I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the tests) is
in conformance with the requirements far compliance credit (The builder shall provide the HERS provider a copy of the
CF -6R signed by the builder employe r racto certifying that diagnostic testing and installation meet the
requirements for Compliance credit,)
8' [ Team Mechanical
esFfs SIgn'Fu re, installing Subcontractor(Co. Name
Performed OR General Contractor (Co. Name) OR Owner
COPY TO: Building Department
HERS Provider (If applicable)
Building Owner at Occupancy
PAGE 2
F2001-01 (4-02) Action Now T-24CF5-RTD&TXV macro
,.n
Certificate of Insulation
Your Home has been insulated with CertainTeed Fiberglass Insulation products, which are designed
for today's safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated
with chemicals that can corrode wiring or metal. Fiberglass vAlI not absorb moisture nor will it
settle over time as may other insulation materials.
This also certifies that CertainTeed Fiber Glass Insulation has been professionally installed in this borne
to provide the following thermal performance:
.lob Name: Tapestry at Esplanade Tract: 29323-2 Phase: 4
Lot il.: 3 Plan: 4YR Address: 79-830 Amora Dr., La Quiinta, CA
Ceiling Area: R-38 Blown Garage Ceiling:
Overhangs:
With Living Above
Ceiling:
Inaccessible to Blow
Signed
Exterior Walls:
Garage Wail:
Interior Walls:_
R-13 Unfaced Batts
Cantilevered :
Floors WUving Above
Co., Inc.
U mmse #465709
II II IIIIIIIIIIIIIIIIII 16
IE
Conch ita Ortiz, Secretary/TYeasurer--or'-'- R. Scott Jenkins, President--or--
Lou Merola, Director of Operations Officer
R- means resistance to heat flow. The higher the R- value, the greater the insulating power.
Ask your builder for the fact sheet on R- values. Keep this certificate with your other
valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
N
T