0402-333 (SFD)79846 Amora Dr
0402-333
LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
WProfessionals Code, and my License is in full force and effect.
O =) c Ltiense # Lic. Class Exp. Date
r- Q LO
LU 728102 ERIC 9W04
Z F-_ Date 523' 194 Signature of Contractor0.
"
O
J U•Cp OWNER -BUILDER DECLARATION
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ IZ License Law for the following reason:
Z_ ( ) 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.& Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
C'`3 () I am exempt under Section ' B&P.C. for this reason
LO
N Date A Signature of Owner
OQ 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 issued. My workers' compensation insurance carrier & policy no. are:
Carrier CIL + REPUBLIC INSU Policy No. htShYCsmJ ono
(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 f rtf) with comply with those prov S 1
IS..
Date: `t. q Applicant,
- 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.
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 to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 property4or inspection purposes.
Signature (Owner/Agent) f'+ ? w Date`s
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 0402-V.3 TRACT
`Mf
1 11.j c $1,36,342.00 29323
JOB SITE
ADDRESS
APN
7*9-84I o AWORA ORM
W9_38"24-
9.38►"24-OWNER
OWNER
CONTRACTOR/DESIGNER/EN (NEER
LENRAR. HOMES OF CAiIMIURA
UNNAP, HO.N OF CAL'C1+1"AUZA
78-401 C BIMAWAY 111
78-401 C HIGHWAY 111
I „k r^,,J1i7.I3.1'A CA 92253
LA Qi3.04TA CA 91:253
(760)777-0131 CBV;* 3434
USE OF PERMIT
SWOU" F -AI Y D»? Y acs
SFD - LOT 4, PLAN 2Yi K PERMIT I?OKS NOT INCLUDE BLOCK WALLS,
130014 SPA. OR C►R1'V'1's A APPROA.CII
TRACT,CONSTRUCTION 2149,110 3
I5C3iZvri!%47'IC1 63.00 51Y
0ARh,0131WIPOR`4' 41801D, 8T,
Z8rLMATXCv C06:,' OF CON8':C1ZUCTIOIN?
136.342.00 i
COAi3TRUC f1ON F'EE 101.000-418.000 i°9b;',d1A
PLAN CHECK IFEE 1014JI 0-=139-:313 $632.29
WIECHANICAL FEE 101-000-421-000 00.421-000 $47.00
ELY— RICAAL FiL; 101-000-420-000 $124.099
I'IX101110 FEE 101-C -000-419-000 1194.75
3T ROM0 MOVON FFM - RESSI17 101-000-241-000 S13.63
ORAtiiNt3 FEE 101-,000-423-000 W.00
DZYBLOPER IMPACT F99
SfP.-TO TAII COWSII`4iLtt;`,1`1014 AWD PLAN CR E'.OK
$4.164.75.
1,04 FYIM-PAIR V-90."
f7.Of
1'(3EAL F.LPr%%WW 7s`.5...I, S DOE X, OW
"J.64i.75
MAR 2 4 2004
CI,YOFLACISINTA /
IIIIIIIIVIIIIIIVIIIIIII 24
FHANCE DEPT. V
`INSP
RECEIPT
DATE
r
BY
DA,2 INALED
T
P
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVA
MECHANICAL APPROVALS
Set Backs J
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
vf
_ _ _
Steel
Combustion Air
_
Roof Deck
Exhaust Fans +
_
O.K. to Wrap _
.A.U.
Framing
Compressor
_
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover ,
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping I
PLUMBINGPPROVAL
Gas Test
Electric Final
_Ile,
Waste Lines .
Heater Final
_
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Penn)ZIy3 6
`
AUG -19-2004 THU 06;45 AM TEAM HEATING & A/C FAX N0, 9096943803
P. 08
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -611
Site Address: 79846 Amora Drive Permit Number.
Tract Number: 29323 Plan # 2Y Phase: 4
Lot Number: 4 Project Esplanade Builder. Cornerstone Dev.
An installation certificate is required to be posted at the building site or made avahbie for all appropriate Inspections.
Atter completion of tlnal inspection, a copy must be provided to the Building Department (upon request) and the building
owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Lliinn 9= ,i -n+
of Efficiency Duct Hurting Heating
Equip. CEG Certlher:lf Name Identicle (AFUF, etc.) Location Duct Load Capacity
Type and Model Name Systems (>= CF -1 R) (attic, etc.) R -value (BTLl / Hr) (BTU / Hr)
Ir 31 DJAV0661 10 =UE 80 --aMc 42
rinnlinn Pnllinmcnl
of FIticiency Duct Cooling Cooling
Equip. CEC cartitledr Name Identlde (SEER, eta) Location Duct Load Capacity
T e and Model Number systems (>=CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
US Ir ---aMc 4.2
I, the uncersignao, venry rear equipment Ilstnu auuve Is: 1) lu We OLAunl oyuipuw"R i Wt0!wu, c) ayuwiiaw— w — nwa+
efficient than that specified the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy
Efficiency Standards for rid la b ' 'ngs, 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices
fir Ap I n jgfency Regulations or Part 6), where applicable.
. - a Team Mechanical
Igna ure, Date installing Subcontractor ame
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMEN OR DUCT LEAKAGE COMPI-.IANCE CREDIT
Duct Diagnostic Leakage Testing Results (Ma)imum 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 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)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow
u Pressurization Test Resu
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
r—jT 24 Compliance Credit was Taken for TXV
ys em M of
Indicate the maximum a w 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 (Fleating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow ,
u Pressurization Test Resu s 1v 0 PA)
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
OT -24 Compliance Credit was Taken for TXV
X'06
x.06
Pa
TXV was i
11 CAW.
PAGE1
F2001-01 (4-02) Acton Now T-24CF6-RTD&TXV macro
AUG -19-2004 THU 06:45 AM TEAM HEATING & A/C FAX N0. 9096943803
HVAC INSTALLATION CERTIFICATE for Tested Duct
Amora
Tract Number: 29323
Lot Number: 4
& TXV
Project: Esplanade
System Q of CJI
Indicate the maxrmum 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 +
MuE Pressurization Test ResuT
100 x Test Leakage 1 Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
WT -24 Compliance Credit was Taken for TXV
ys em rI of
Indicate the maximum Zile le Dud 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
ME 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 m 1 mof
Indicate the aximum a wa le Dud Leakage and the calculation used:
0,7 x Floor Area x (0.06) for timate 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
u Pressurization Test Resu
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
ysm of .
Indicate the max mum a owa le l]ud Leakage and the calculation used:
0.7 x Floor Area x (0,06) for Climate Zone a 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
Mu Pressurization Test Results
100 x Test Leakage / Fan Flow = °h Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
[=T-24 Compliance Credit was Taken for TXV
X .06
X .O6
TXV wa;
TXV wa:
2 of 2 CF -6R
Plan #: 2Y . Phase:
Builder. Cornerstone Dev.
TXV wa;
'W wa:
I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test($) is
in conformance with the requiramants, for compliance credit. (The builder shall provide the HERS provider a copy of the
CF -611 signed by the builder em oy e r s ntra rs ceRifying that diagnostic testing and installation meet the
requirements for compliance it) ) U
• • Team Mechanical
es'i—rs7— gna002
ns rng 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-24CF6-RTD&TXV macro
A
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 will 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 home
to provide the following thermal performance:
Job Name: Tapestry at Esplanade Tract: 29323-2 Phase: 4
Lot N.: 4 Plan: 2Y Address: 79-846 Amora Dr., La Quinta, CA
Ceiling Area: R-38 Blown Garage Ceiling:
Overhangs:
With Living Above
Interior Walls:
Exterior Wails: R-13 Unfaced Batts
Ceiling: Garage Wall:
Inaccessible to Blow
ontractor.. OJ Insui
Vincent, AUA Ca 917021 (626)
0
Cantilevered:
Floors WlLiving Above
Co., Inc.
License #465709
Conchita Ortiz, Secretary/Treasurer'--or- A 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 self this home, this certificate should be passed on to the buyer.
N
T
0
0