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0202-074 (SFD)LICENSED CONTRACTOR DECLARATION -1 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 Date _-_'/Z�" fr�_1,:Signature of Contractor �M / r �'{ � 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: ( ) 1 -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. `V) 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:. Carver Policy No. COLDER ZAQ1Z 114131 ld'ch'C-1440ru,..03 (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 provisions. Date:?.Applicant / may. 7 /1 JE� Warning: Failureto 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. a` 1. Each,person upon whose behalf this application is made & each pers n .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 vol work is not commenced within 180 days from date of issuance of p y� permit, or cessation of work for 180 days will subject permit to cancelletjbn I certify that I have read this application and state that the above informa i6oJn i correct. I agree to comply with all City, and State laws relating to the b ilding-- construction, and hereby authorize representatives of this City to enter upon C the above-mentioned property for inspection purposes. Signature (Owner/Agent) ~. L.' Date �� BUILDING PERMIT PERMT# DATE / VALUATION LOT 02MV14 TRACT JOB SITE APN . ADDRESS 44720.1OITU1y4y.0 yK,W' 604-072-006 OWNER CONTRACTOR/ DESIGNER/ INEER OF;t�l�.i°GRY QA0,Vffl-L . 170INWO� .15 GE-107MY CROWELL C;OM,IV •1' 103 I m,45 sa tv VI'Tr1 .T, zrrv. ono 1.535 so, VD117'MILI'T.`, am. 0200 `AM MMARDINO CA 92408 SAN BMWARDWO Cts. 92,408 (.909)381-6007 CEO 2120 USE OF PERMIT Sri) o .1.,0117, Zu`fOwacti �, -, ;t:7 ;r9MIT-40E P1.01 4B. PL14",11,17 Di" rS 140T fi t'CWDE DF40tK: WADS, 000 SPA OR DRE' WAY APPROACH. PLAIT CHECK FFX TURD XED XX MUVrIPLE 1:3 TUANiCf? Ole SAAM PGA14TYP,f� TRACT COM'S UCTI€ N Z404.0 87 PORCH/PATIO S(; unmuA:4:2:e:L con i.✓.Y' c•VJ.7sTrzoS+Al o V. .R.`W I eTaJIC* 1� 7'it G`i1L7N E 10114tCJC3- 418,.000 b'r 11:G WN Pt.°.•a.1+1 CHECK FEE? 101-000439-318 $1fa3.�R MECHAW Ail .HE 101_000421 000 $66.50 !%EC'!1UCALFZ1P. 101 $14 S9 I*I,I3°,�dt311`i01!'�t�:S 5t31,1�?(I0�$ � 9-fJC80 33�d�.IhO M�9�."p1C}1Vt/till-fe?�}�fb».;fi�a%42�j} yaT.�0A9i3 ��4 �kj,4t.?,13 LU �.%.1�T10. E101-000-4 3-000 520.00 RA FM .� l 81-re-TOTAt,,1NJ10.RiT'Cvr1©.NTAIN:lf��nMA'JC'II"? .K. ( $3,w.6,6 l..'10TAL FEES ;a 14 2001 u. n,X ®F Qu DATEi l& BY DATE FINALED INSPECT .,/ /'l.� 5 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 3 — / — Z Underground Ducts Forms &Footings Ducts Slab Grade _ Z Return Air Steel — _ Combustion Air Roof Deck (�, — Z Exhaust Fans O.K. to Wrap — z F.A.U. Framing /y — Compressor Insulation - 6 — Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final — 6� Final s 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 PLUMBING APPROVALS Gas Test Electric Final 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 _ —06 —d 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) j� ESI/FME, Inc. Structural Engineers Date : - 05-02-02 By : R.W. 1800 East 16th Street Santa Ana, California 92701 Company: CENTURY HOMES Project Name MONTICELLO Address : 1535 South "D" Street Heritage" San Bernardino, CA 92408 ESI / F M E Job No.: 1000-2408-7 Contact : Bill Miller Project Eng.: R.R.W. Phone: (760) 200-1533 FAX : (760) 200-4484 PH.: (714) 835-2800 / Fax 835-2819 EKI Phone Conversation E:1 Field Meet'g E] Meet'g Q Client's' In-House Meeting RE: FIX FOR GAP AT COLD JOINT - PLAN 4 (LOT 37�.. It has come. to our attention that there exists a. gap between the footing and the slab at the rear of the Living/Dining for a length of 10 feet. Therefore, we recommend retro -fitting 5/8° diameter anchor bolts at 24" o.c. with Simpson SET epoxy. In addition, we recommend that the gap be filled with Simpson ET epoxy or. better. Please see detail below. FIELD FIX FOR GAP AT COLD JOINT 2X STUD CONC. SLAB: Fill Gap 1 with Simpson Z COLD JOINT SIMPSON SET.: 1 3/4" EPDXY TIE W. "5/8"o F,t,,p " below exposed MIN. THREADED ROD of foating 'INSTALL IN ACCORDANCE WITH I.C.B.O REPORT # 5279 Oro SS/O�ql ALLOWABLE LOADS: i Uff 45 m (PER ICBO #5279 WITH 2000 PSI.CONCRETE)p '91-05 M SET W/ INSPECTION; 2,000 LBS. . MAX. ALLOWABLE LOAD W/ INSPECTION = .2,000 LBS.9VCTURP�' SPECIAL INSPECTION REQUIRED OFCALIFO� Y. file: ML050202 w 4 ESI/FME, Inc. Structural Engineers 1800 East 16th Street Santa Ana, California 92701 Date: 05-02-02 By: R.W. RE: FIX FOR GAP AT COLD JOINT - PLAN 4 (LOT 37). It has come to our attention that there exists a gap between the footing and the slab at the rear of the Living/Dining for a length of 10 feet. Therefore, we recommend retro -fitting 5/8" diameter anchor bolts at 24" o.c. with Simpson SET epoxy. In addition, we recommend that the gap be filled with Simpson ET epoxy or better. Please see detail below. FIELD FIX FOR GAP AT COLD JOINT Company: CENTURY HOMES Project Name : MONTICELLO Address : 1535 South "D" Street "Heritage" San Bernardino, CA 92408 ESI / F M E Job No.: 1000-2408-7 Contact : Bill Miller Project Eng.: R.R.W. Phone : (760) 200-1533 FAX : (760) 200-4484 PH.: (714) 835-2800 /Fax 835-2819 aPhone Conversation 1= Field Meet'g Meet'g @ Client's. a In -House Meeting RE: FIX FOR GAP AT COLD JOINT - PLAN 4 (LOT 37). It has come to our attention that there exists a gap between the footing and the slab at the rear of the Living/Dining for a length of 10 feet. Therefore, we recommend retro -fitting 5/8" diameter anchor bolts at 24" o.c. with Simpson SET epoxy. In addition, we recommend that the gap be filled with Simpson ET epoxy or better. Please see detail below. FIELD FIX FOR GAP AT COLD JOINT ALLOWABLE LOADS: (PER ICBO #5279 WITH 2000 PSLCONCRETE) SET W/ INSPECTION; 2,000 LBS. MAX. 'ALLOWABLE LOAD W/ INSPECTION = .2,000 LBS.. SPECIAL INSPECTION REQUIRED MAY 0 2 2002 2X STUD _ CONC. SLAB' Fill Gap with ' Simpson ED Z COLO JOINT SIMPSON SET.: 1 3/4" EPDXY TIE W.'5/8"o MIN. THREADED ROD * 5" below exposed top of footanq `INSTALL IN ACCORDANCE WITH I.C.B.O REPORT # 5279 FESsjO cr, _ �� R. w0 �q!„ ALLOWABLE LOADS: (PER ICBO #5279 WITH 2000 PSLCONCRETE) SET W/ INSPECTION; 2,000 LBS. MAX. 'ALLOWABLE LOAD W/ INSPECTION = .2,000 LBS.. SPECIAL INSPECTION REQUIRED MAY 0 2 2002 ES.I/FME, Inc. Structural Engineers Date : 05-02-02 By: R.W. 1800 East 16th Street Santa Ana, California 92701 Company: CENTURY HOMES Project Name MONTICELLO Address 1535 South "D" Street "Heritage" San Bernardino, CA 92408 E S I / F M E Job No. 1000-2408-7 Contact : Bill Miller Project Eng.: R.R.W. Phone : (760) 200-1533 FAX: (760) 200-4484 PH.: (714).835-2800 /Fax 835-2819 �. Phone Conversation = Field Meet'g a Meet'g Q Client's a In -House Meeting RE: FIX FOR GAP AT COLD JOINT - PLAN 4 (LOT 37� It has come to our attention that there exists a .gap between the footing and the slab at the rear of the Living/Dining for a length of 10 feet. Therefore, we. recommend retro -fitting 5/8" diameter anchor bolts at 24" D.C. with Simpson SET epoxy. In addition, we recommend that the gap be filled.with Simpson ET epoxy or better. Please see detail below. FIELD FIX FOR GAP AT COLD JOINT Z COLD. JOINT SIMPSON SET.. 1 3/4" EPDXY TIE W.*5/8"0 5" below exposed MIN. THREADED ROD, top of footing `INSTALL IN ACCORDANCE WITH LC.B.O REPORT # 5279 ALLOWABLE LOADS: (PER ICBO #5279 WITH 2000 PSI. CONCRETE) SET W/ INSPECTION; 2,000 LBS. MAX. ALLOWABLE LOAD W/ INSPECTION. _ • 2,000. LBS.. SPECIAL INSPECTION REQUIRED MAY 0 22002 r,- Installation Certificate: Residential CF -6R Site Address PERMIT # 44-720 Monticello Avenue 1. BUILDER INFORMATION Century Homes 1535 South D St. #200 San Bernardino, CA 92408 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors DUCT OR PIPING R - VALUE Flexible Ductwork Will have a R -Value of 4.2 or Better SUBDIVISION: Heritage CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDITIONING I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements 'of the Appliance Efficiency Standards. In addition; Ihave verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. 3. HEATING INFORMATION HEATING MANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING EQUIP:. MAKE MODEL # AFUE CAPACITY LOAD Furnace Lennox 4. COOLING INFORMATION G40UH-48B-090X 80% 88000 G40UH-36A-070X 80% 66000 COOLING MANUFACT COMPRESSOR ACTUAL EFF EQUIP. MAKE MODEL # SEER A/C Lennox 12ACB42 12 12ACB36 12 COOLING EQUIP COOLING CAPACITY LOAD The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. 5. SUBMITTED BY DATE: Signature Ins alling HVAC Contractor 10/17/2018 01:28 FAX W60-6 t INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building located at: 44-720 Monticello Avenue,Lot 37 Monticello -Heritage, La Quinta, California CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed Thickness: R-38 ALL s TYPE: BATTS MANUFACTURER: Certelnteed Thickness: R-13 GENEPAL CON CTOR: CENTURY CROWELL COMMUNITITES LICENSE BY: TITLE:_LJ�f%2✓ PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072 TITLE: ADMINISTRATIVE ASSISTANT DATE: 12/12/2002 .p. u_%/•%A. %''/,'b: i. //i;//I//,Vlw'ViI:IM+.iN,%V/✓I✓.'0/J4'/.✓a/rf�%�jl.'I/✓.•'lN./%hfP/J.'///.I//!!////./ry/.%//7//!%IIOiIV/NOM/:f!%I,•I,y/J.KV.I vii vl%I.WA%I//.j/ry�a;�l'/l ::: Cc Y ,G•• - 'L f '` `i. c. Tract{•C.����.�(/'`:' , Duct TestingL,ct �# :L . , .j�• !!,N Certification Form. ti f System of. „ (One form per system) Builder Name-.'I-V �, Project Name: Builder Field Coritact ffpp - Telephone No. HVAC Company Name: i ,� U�c HVAC Installer: ` A , .Telephone No: ^ 3�i�j• " • Self -certifier Results Duct Leakage Measured @ 25•PA " �' .� CFM } Indicate the maximum allowable Duct Leakage and the calculation method used :'I + ❑ 0.7-x Afloor' x (0.06) for. Climate Zone, 8 through 15 CFM ❑ 0.5 x Afloor x (0.06) for Climate Zone 1 •through 7 & 16. CFMX' 400 x (Cooling•'Capacity in Tons)x (0:06) CFM` s- ❑ 21:7 x (Heating Capacity in Thousands of output BTU per hour) x (0.06),'., -.CFM ` .uw (fie Print Name r Signature Date lfi S .3' iski?iA'Xfl^fu1�.T:..1.aX4.-..:Y«a4=L-NF,.:eW:T.cin.a,NlUn1"..a.^Rax:au.Nat:L^t...naytmarxcw. w:.a-Ynan hi�avn <e n. ..-.ve..-�.c. o-.. ......... n..n .�. .•...vee.. .. ,,. ... .. _ ..... ...... _ I LJ Jan 25 Oz 11:37a Richard Simpson 661.547-6888 1-loN 1 It_c t I a Mv(3 DUCT LEAKAGE AND DESIGN DIAGNOSTICS QUCT LEAKAGE REDUCTION Prassurizalion'rest Rcsulls ((.TM 0125 PA) 'Post Lcakagc (CFM) Ilan I'low If I'm Flow is Caloul" m 411111 of dton x number of Ions. or as 21.7 x Iloating Capaoity in Thousands of IhAr. enter caloulat d valuo hero v If fan flow is mcaaurul, cwtur mumurod value here Lockage Fra,:tion = Teat Loakagolft yurod or Caloulated Fan flow) n Pa%� if loakagu fraction:!; 0.06 ] ❑ Pass Dail ❑ For A EROSOL TYPE SEALANTS ONLY -The follow Ing diagnostic testing was completed: Dual Iran I'n;ssuriiatiun at rough -in mcasural Lcakagc (CI*M) CHECK AFTER FINISHING WALL: ❑ yes ❑ No ❑ PrO&%U1v pan I(k;t or 11ouso pre wurization 10.1 ❑ Ycs ❑ No ❑ Visual Inspucticn of Duct C:onnuuliows ❑ ❑ Pass fail THERMOSTATIC EXPANSION VALVE (TXV) Ya. ❑ No Thloymosiatle, Expau':iou Valve. (or Commission approved oquivalont) in installed and Av x % 6 pmid*d for mryaotiou )a Q Yw 6 a pass 118., Fail ❑ DUCT DESIGN I ❑ Yes ❑ No LCCA Manual D IkA& onlauialions have bwn eomplutud, Duet Dmign is on Iho plans and dud installation malohc;I plans. 2. ❑ Yes ❑ Nn TXV, is ia�allyd or Vim flow MIN btwa vuril[e.d. If no TXV, voriliud l'nn flow matchac do.ign front CT -I lZ Mcminrod Fan Flow = Ycn lvr both 1 and 2 is a Par, Pass Fall ❑ 1, the undursignud, vcuily that Iho above diaguo:rtio toot romltrrapd lir- work I perforinal amouiatud with thu tcsl(a) is in cunforntanw with Iho mquironwnls ibr cnmplianol: crudit_ I'l7ro buiidur shall provide the 1 IERS providur a copy of ibu CF -tilt aigue.d by tho buildor ramploycen or sub�ontraolors cartil'ying that diagnu•1iu lusting and iustallalion moot the ivgvuvinonbe All. d AA.cmnpliancu cn;dil. J � � • An IRVC.I..t'L Tvsls 'r alum, Datv , Installing Sabcoatractor (do. Nam-) nR �✓ Perrurmud (;vncW Contmaor (Co. Name) COPY TO: Budding Depnrtinoul I MRS 1'rovider (if apphoahlc) Building Owner ut OccugaOcy ' January 4, 2.001 Certificate of Occupancy City of La Quinta BuildingSafety -and Department This Certificate issued pursuant to the requirements of Section 109of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 44-720 MONTICELLO AVE. Use Classification: SINGLEFAMILY DWELLING Bldg. Permit No.: 03202-074 Occupancy Group: R/3 Type of Construction: V/N Land Use Zone: R/L Owner of Building: CENTURY CROWELL COMM. Address: 1535 SO. "D" STREET, STE # 200 City: SAN BERNARDINO CA.92408. By: GARY SHOWALTER - Date: 08/15/02 Building Official POST IN A CONSPICUOUS PLACE