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0402-341 (SFD)U) E- N_ U) W O =) M CY V 7 ' W Z CZD 0.O WWc�O I- o_ U) Z co L0 N ON UQ d — -QO. 0 J J 00 u< O a L H Z_ ao 5 r CY J 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 726102 D MC r 9;,$0/04 ate 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 perjyry 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: Carver CI,!} RI.i'L1.D.G1C'yNf U Policy No. MIM' 10977600 (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 tl�- prowls ons! Date: � :� %Applicant �- $'f��+'�,�` 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 property for inspection purposes. Signature (Owner/Agent) �-� ��*� Date f BUILDING PERMIT PERMIT# 0402-341 DATE *� VALUATION $1 ,6MA0 LOT 12TRACT M323 JOB SITE APN ADDRESS OWNER CONTRACTOR/DESIGNER/EN (NEER I. 1TAI2 HO O C A_ LTF iWLA L �1Z Fs"���"f�.�� OF t»At�t1: S3 i IA '78.401 C HICHMAY 111 7f 401 C It11C1. WAY I I I LII QTANITA Ch 02213 :LA QMTA CA 92253 0760)777.0131 CUO 3434 USE OF PERMIT 1�?iYI , FA,.�_.iL'Y' L� � G IdYtTC SIM • 1XIT 14 f1f..AN 4ZC. PL•'FtkIT 1XIF-s 1400 INC'LUDZ P004 SPA 0it. DAWLIW.AY tt PPROACH ,rmc'Y C0;'�3T%lIC:9`i6N 2,490.00 SP 00RCiNMATIO 33.00 SF OAIt.I'iG1":MAl PORT 425.00 8F ESIUW M. COST OF CONSTRUMION 14%69800 P. ''.,WT M SUMMARY CONY i RUCTION FJ E 101-000.418.000 $7.03.50 PLAN CHN'ik: FEE 101.000-4.39-318 $6514,18 MECHANICAL FEE. 101-e000-421-000 MIN 9L 9C— C'R.L1aEM 105-004-420-000 3129.90 1'Li)1VIF3.T1` n EC?i7 101-S1iJ0 19vt1Uti 1166.0 STA01,10 MOTION ME - R *LSID 101-00 0-241--000 $14.37 011RAD11W FEE - S.IS.64 DEVELOPER !MP.kCT I19Z $;403.Ctti AND PLAN 01MCK .L.IV05 PPX-PA.JU F,100 $4,25411 $0.00 JMES DUE .NowS4,254-15 or LAOti:;.SaA RECEIPT DATE BY I DAT F ALE INSPEC O INSPECTION RECOR® OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts _ Forms & Footings Ducts Slab Grade Air _Return Steel Combustion Air Roof Deck Exhaust Fans _ _ O.K to Wrap F.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 jo Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVAI S Gas Test Electric Final Waste Lines .� Heater Final _ Water Piping Plumbing Final Plumbing Top Out Equ) ment Enclosure Shower Pans K. for Finish Plaster Sewer Lateral/Pool Cover Sewer Connection Encapsulation _ _ Gas Piping Gas Test Appliances Final 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) COMMENTS: AUG -19-2004 THU 0817 AM TEAM HEATING & A/C FAX N0. 9096943803 P. 24 HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -611 Site Address: 79-790 Barcelona Ddve Permit Number: Tract Number: 29323 Plan * 4Z Phase: Lot Number: 12 Project: Esplanade Builder. Cornerstone Dev. An installation certificate Is required to be posted at the building site or made avallble for all appropriate inspections. After completion of tinal inspection, a copy must be provided to the Building peparbnent (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Of crenoy Duct Heating Heating quip. CEC Certifiedf Name Identicle (AFUE, etc.) Location Duct Load Capacity Type and Model Name Systems (>= CF -1R) (attic, etc.) 12 -value (BTU / Hr) (BTU i Hr) Kir a Ic UgWr— ---arc-- it a is Cooling Equipment of Etticlency Duct Cooling Cooling Equip. EC Certffiedr Name Identicle (SEER, etc.) Location Duct Load Capacity Type and Model Number Systems (>r -CF -1R) (attic, eta) R -value (BTU / Hr) (BTU / Hr) FIF_ US Air is US +r 561=0315 12 attic US—Mr— 993CNXI3118 12 a c 4,2 i, uie unuertstgnau, vway inat aqurpment mica atxtve w. i/ rs uw amuar equrpmarn mmunea, c/ aquivaa:m ro yr more efficient than that speclFied inttAcertlflcate of compliance (Form CF -1R) submitted for compliance with the Fnergy Efficiency Standards for reside tl I b it gs, ape( 3) egjy+ip nt that meets or exceeds the appropriate requirements for manufactured devices ppli e a cy fregul ns or Part 6), where applicable. f-(-(�•Q'"' Team Mechanical gna re, a e installing SubcontractorName OR General Contractor (Co. Name) OR Owner MINIMUM REQUIREMENTS'FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6°/tt Duct Leakage) CFA: System © of Indicate the maximum a awa 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—"I u Pressurization Test Results�hM'25-PA) 100 x Test Leakage / Fan Flow - % Leakage Check Box for Pass or Fail (Pass � 6% or Less) T.24 Com Mance Credit was Taken for TXV ys em of F" 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 _ " I D—uff Pressurization Test Result: (Cl -M g 25 PTF - 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) r--IT-24 Compliance Credit was Taken for TXV X.06 TXV wa: TXV wai PAGE 1 F2001-01 (4-D2) Action Now T-24CF64iTD&TXV macro AUG -19-2004 THU 06%`47 AM TEAM HEATING & A/C FAX N0. 9096943803 P. 25 HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 2 of 2 CF -6R Site Address: 79-790 Barcelona Drive Permit Number: 0 Tract Number. 29323 Plan #7 4Z Phase: 4 Lot Number: 12 Project: . Esplanade Builder. Cornerstone Dev. System Q of F-" Indicate the maximum a o—wable 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 (0.08) 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 I Fan Flow = oA Leakage Check Box for Pass or Fail (Pass = 6% or Less) j�T-24 Com liance Credit was Taken for TXV ys em of Indicate the maximum aowa 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 r—_ u Pressurization Test Results (CI- (M 25PA)i 100 x Test leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) T-24 Com Ilanee Credit was Taken for TXV --YRM- of Indicate the maximum allowable Dud Leakage and the Calculation used: 0.7 x Floor Area x (0.05) forClimate 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 = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) IIT -24 Compliance Credit was Taken for TXV ys em iIximof owa Indicate the maum a 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 & 15 400 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 DUE[ 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 X'06 x .06 X.05 TXV wa: TXV was TXV we! TXV wa: I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirem for compliance credit. (The builder shall provide the HEIRS provider a copy of the CF -6R signed by the builder amp oy su ct ertifying that diagnostic testing and installation meet the requirements for compliance cre it.) 91 •q)f -� Team Mechanical eTsts lgne �at I I Installing Subcontractor o. Name Performed OR General Contractor (Co. Name) OR Owner COPY T0: Building Department HERS Provider (if applicable) Building Owner at Occupancy PAGE 2 F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro 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 foe -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 insulati on materials. This also certifies that CeriainTeed 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 #.: 12 Plan: 4Z Address: 79-790 Barcelona Dr., La Quinta, CA CeitiogArea: R-38 Blbwn Garage Ceiling: Overhangs: With Living Above Interior Walls: Exterior Walls: R-13 Unfaced Batts Ceiling: Garage Wall: Cantilevered : Inaccessible to Blow Floors NV1Living Above ,S b ontractor.. OJ Insulat'ol<i Co.; Inc. 00 iMen a a 9I70L (626 81 607 License #465709 Signed Conchita Ortiz, SecretarylTreasurer --or-- i Scott Jenkins, President—or— Lou Merola, Director of Operations Officer R- means resistance to beat 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. `F b N T