0402-334 (SFD)79862 Amora Dr
0402-334
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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
7 281 ii2 B .WC 9130/34
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:
( ) 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).
( ) 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 hage 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:
Carver GLIA REFUi)! 1C tNBU Policy No. ?f WC'10371600
(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 thdse p.o isionsll
.-Date: '% + Applicant—/_ r7
Warning: Failure to secure WorkersCompensation 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 property for inspection purposes.
Signature (Owner/Agent) , Date gor
U r?
BUILDING PERMIT PERMITN
DATE VALUATION LOT {W02-334. TRACT
✓, ' .; . , , j t126,292A0 5 2932;
JOB SITE
APN
ADDRESS 7.9-"2 AMMA DrOW
609-38" 24.
OWNER
CONTRACTOR / DESIGNER / ENGINEER
MM".HWMi OFCALIFOI NIA
LMIAlt HOMES OF POOL WORN IA
78-401 C 1310 ,WAY 1) 1
7v-401 C Mir .'IWA72' 111
LA QMZM . C3?. 92253
T A QLz.tMIA CA 92253
(760)777-0191 U.&A 3434
USE OF PERMIT
SWOLE]FA1v9Lt..Y D'tVELi:M0
SM - LOT 5, PLAN I VRB. PERA@1T DOES NOT INCLUDE BLOCK `tH'11LLS,
P004 SPA OR DRiVOWAYAPPROACH. 7,5 %REDUCt1014 TO MAN 04EC K
FEE DUE, TO WJLTIPLE 1S:+UANCE Of SAME PLPN TYPE
STRUC'!ION 2,441.00 ;[31r"
p1 'P )f..Cv-"T §f:UApry
ly
0ARA.t1LPJCAUORT 447,00 3F
SFiM.1.A`i° C -0,T' OF Ct3N1Y"1MICILIO.ly
120,292.40
0
PE AW 1f`E1: 8137t,DWly
CUMSTRUCTION FEES 101-000.418.000 $713.00
f"
PLAN CHECK MIE 101-000-439-313 d67.8!
rE ,A.:AA '
1 SECH irI1C. LiitsE 101-000.21-0e0 $531%..
...'r"Aft
tJ, ..,W,
RLECTRIC.AL FEE 101-000-420-000 $113.33
,:. :f.3
PLUMBiNO FEE 101-000.419-000 31S1S,7!
z
STRONG MOT1014 11%9 - RE'SID 101-000-241-000 $11.133
iiP',AD!140 F9 F. 101.000-423.000 315,00
MELOPER IMPACT FEE e,405.0U
Y.CAL. C ' Mt7c,'f1ON AND P.LAN TIIMCK
$3,618.0
MAf 24 2004 V- -PF)x S DW: NOW
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CITY Dept I
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IE
RECEIPT
DATE
BY
DPTEINALED/INSP
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V 41
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INSPECTION RECORD
' OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
_
Underground Ducts
Forms & Footings
-
Ducts
_
Slab Grade
Retum Air
Steel
_
/ _
Combustion Air
Roof Deck
_
Exhaust Fans
O.K. to Wrap
_ _ _ _ _
/
F.A.U.
_
Framing
_ _
Insulation
_ _ _ _ _—Compressor
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 I
Gas Piping
PLUMBING
i_S
Gas Test
RROV
_
'
Electric Final
Waste Lines
Water Piping
_ _ _
Heater Final
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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
2, A
Certificate of Insulation
Your Home has been insulated with CertainTeed Fiberglass Insulation products, which are designed
for todayls safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
with fine -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 CerlainTeed Fiber Glass Insulation bas.been professionally installed in this home
to provide the following thermal performance:
Job Name: Tapestry at Esplanade Tract: 29323-2 Phase: 4
Lot #.: S Plan: IYR Address: 79-862 Aurora Dr., La Quinta, CA
Ceiling Area: R-38 Blown Garage Ceiling:
Overhangs:
With Living Above
Interior Walls:
Exterior Walls: R-13 Unfaced Batts
Ceiling: Garage Wall:
Inaccessible to Blow
Signed.
Cantilevered :
Floors WflAving Above
/
T 0hcont/r ctor.. OJInsulation Co., Inc.
D S. vincil kasa CQ 91702 4261112-6070 License 4465709
Conchita Ortiz, Secretary/Treasurer --t4r-- 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 witb your other
valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
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-AUG -19-2004 THU 06:45 AM TEAM HEATING & A/C FAX N0. 9096943803
P. 10
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -611
Site Address: 79-662 Amora Drive Permit Number:
Tract Number: 29323
Plan #: Wr Phase:
Lot Number. 5 Project. Esplanade
An installation CeRificate Is required to be posted at the building site or made avalible for ail appropriate Inspections.
After completion of final 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:
Heating Equipment
Model Name
Cooling Equipment
and Model
Builder. Cornerstone Dev.
Identicle I (AFUE, etc.) I lotion I Dud I Load
Svstems (>= CF -1 R) (attic, etc.) R -value (BTU / I
Identide I (SEI=R, ek) I Location I Dud I Load
gvF.tems (> -CF-1 Rl (attic. etc.) R -value (BTU/ I
efficient than that specified in rtl6Cate of compliance (Form CF -1R) submitted for compliance with the Energy
Efficiency Standards for rasidefltibui 'ngs, d 3) a ment that meets or exceeds the appropriate requirements for
manufactured devices (fro ppii E trt9!!5s orPart 6), where applicable.
M • (G-p Team Mechanical
signature, Date Installing Subcontractor(Co. Name
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA
System of
Indicate the maximum a owa Is 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 E—
u Pressurization Test Resins ((;`FM025'FA)
100 x Test Leakage / Fan Flow = 96 Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
T-24 Compliance Credit was Taken for TXV
ys em = of
Indicate the (Ylaxgrnum 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
Vu --6f Pressurization Test Res fs (Z` -M a 25 PAT
-
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
QT -24 Compliance Credit was Taken for TXV
TXV wm
TXV was
PAGE 1
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro
Capacity
BTU / Hr
-AUG -19-2004 THU 06:45`AM TEAM HEATING & A/C FAX N0, 9096943803
P. 11
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 2 of 2 CF -6R
Site Address: 79862 Amora Drive Permit Number. 0
Tract Number: 29323
Lot Number. 5
Plan #: 1 Yr Phase:
Project: Esplanade . Builder: Comerstone Dev.
System of
Indicate the maximum alfowabie 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
IM Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less)
T-24 Compliance Credit was Taken for TXV
ysfem Q 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
Mu Pressurization Test Resu
100 x Test Leakage I Fan Flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less)
24 Compliance Credit was Taken for TXV
yemT [ :]of
Indicate the mawmum Ewe Ie 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
E--
TrM Pressurization Test Results
100 x Test Leakage I Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
(:T-24 Compliance Credit was Taken for TXV
y em r1 of -
Indicate the maximum allowable 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 (0.08)
Measured Fan Flow
71-0 Pressurization Test Results
100 x Test Leakage I Fan Flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less)
OT -24 Compliance Credit was Taken for TXV
x .06
X.06
X.05
TXV wa
TXV wa:
TXV wa
TXV was
I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the tests) is
in conformance with the requiremen r compliance credit (The builder shall provide the HERS provider a ropy of the
CF -6R signed by the builder emplo ees r racto certifying that diagnostic testing and installation meet the
requirements for compliance credit
• R. $4- Team Mechanical
76—sti "Tr 'Signature, 13a e ns alIffig 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