04-4750 (SFD)'Lr
0�
BUILDING & SAFETY DEPARTMENT
Box 1504
(760).777-7012
>F FSS 78-495 CALLE TAMPICO FAX (760) 777-7011
UINTA, ; CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 04-00004750 Date 7/09,/04
Property Address . . . . . . 43280 BORDEAUX DR
APN: 609-380-997-64 -293233-
Application description . . . DWELLING.- SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 136306
Owner
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, SUITE C
LA QUINTA CA 92253
Qty Unit Charge Per
Extension
WCC: OLD REPUBLIC
IN
WC: MWC10877600
11/01/04
CSLB: 728102
09/30/04
CCC: B
--------------------------
Structure Information ------------ -------
------
Construction Type
TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001
CRC
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
425.00
PATIO -SQ FTG
53.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2225.00
----------------------------------------------------------------------------
P.ermit . . . . . .
BUILDING PERMIT.
Additional desc . .
Permit Fee
769.00 Plan -Check Fee
124.96
Issue Date
Valuation . . . .
136306
Qty Unit Charge
Per
Extension
BASE FEE
639.50
37.00 3.5000
THOU BLDG 100,001-500,000
129.5.0
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
39.50 Plan Check Fee
2.47
Issue Date
Valuation
0
Qty Unit Charge Per
Extension
P.O. BOX 1504 • 'GC��� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4aINSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04- 47.04--Arch#9cJ
Date: S .& ,0 y
Applicant: or, Engineer:,,„ _ _
Applicant's Mailing Address:
or
OA-
01- V-701
-Lic. No.: 3a3 -y-.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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' n full force and effect. -/ t ?-
� License Class --License No.y
i Date , t (O` OV 11�6—ntr.ctor 1�14 a
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_,) I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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
t,e 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
//j� u Y�r}�e ogpensation in�yrance carrier n Boli u er re:
artier !//%1je�s�/6 ���� 0//E olif�cy Number /A� �� 77&49
_1 certify that, in the performance of the work for which t is 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.
- 0-110 `Oy ant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 100 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agent):
NJ
Application Number
. . . 04-00004750
Page 2
Date 7/09/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit ... .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
101.38
Plan Check Fee
6.34
Issue Date
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2225.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
77.88
425.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
8.50
----------------------------------------------------------------------------
Permit . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
152.25
Plan Check Fee
9.52
Issue Date .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
14.00
6.0000
EA PLB
FIXTURE
84.00
1.00
15.0000
EA PLB
BUILDING SEWER
15.00
1.00
7.5000
EA PLB
WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA PLB
LAWN SPRINKLER SYSTEM
9.00
5.00
.7500
-EA PLB
GAS PIPE >=5
3.75
1.00
15.0000
EA PLB
GAS METER
15.00
----------------------------------------------------------------------------
Permit . . .
. . .
GRADING PERMIT
Additional desc
Permit Fee .
. . .
15.00
Plan Check Fee
.00
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00.
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT 64.
PLAN 4.
PERMIT DOES
NOT
Page 3
Application Number
. . .
04-00004750 Date
7/09/04
----------------------------------------------------------------------------
Special Notes and
Comments
INCLUDE BLOCK WALL,
POOL, SPA
OR
DRIVEWAY APPROACH.'75%
PLAN CHECK
FEE
REDUCTION APPLIED
FOR MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
12.50
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
13.63
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid, Credited
Due
-----------------
Permit Fee Total
----------
1077.13
------------------------------
.00 .00
1077.13
Plan Check Total
143.29
.00 .00
143.29'
Other Fee Total
2431.13
.00 .00
2431.13
Grand Total
3651.55
.00 .00
3651.55
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
' Tapestry @ Esplanade "'' 4/14/2005
Project Title
Project Address'
Build�I ontact Tele hone
Wiliam Henson 760-250-7022
HERS Rater
Certifying Signature Date
FirmBCI Testing
Street Address: PC) Rnu 50515
Copies to: Builder, HERS Provider
50
Date
Lennar
Builder Name
Plan Number
Sample Group Number
Sample House Number
HERS Provider: CalCerts
City/State/Zip: Phoenix, AZ 950 776
HERS RATER COMPL NCE STATEMENT
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic to ting and field verification, I certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked on this form.
❑ The installer has provided a copy of CF -6R (Installation Certificate.
❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts)
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth
backed, rubber adhesive duct tape to seal leaks at duct connections.
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfin/ton x number of tons enter calculated
value here
Measured
values
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) = '
Check Box for Pass or Fail (Pass=6% or less) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
❑ ❑
Pass Fail
❑ ❑
Pass Fail
Compliance Forms August 2001 A-16
0 \:
Q
Certificate of Insulation
Your home has been insulated with John MansvAe Fibeglass insulation products, which are designed
for today's safety standards and tomorrows energy requirements.
N
N Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated
a with fire -retardant chem --call thatwill likely lose their effectiveness over time. It has not been treated
m with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it
m settle over time as may other insulation materials.
0
(D This also certifies that insulation have been professionally installed in this home to provide the
.. following thermal performance.
Lennar Homes .
Job Name: Tapestry at Esplanade Tract: 29323 Plan# 4A Phase: 10
Lot No: 54 Job Address: SFR - 43-280 Bordeaux Drive, La Quinta, CA
Ceiling Area: R-38 blown and. batt insulation
Exterior Walls R-13 batt insulation
Between Floors:
Garage Ceiling: Non-Access:—
With Living Above S Sloping Areas
Overhangs:
With Living Above
Interior Walls:
Access Attic.
Subcontractor... 0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92278
• M
Mike Dickerson, General Manager - Palm Springs Branch
R -means resistance to neat flag_ The higher the R -value, the greater the insulating po'k'er.
Ask your builder for the fact sheet on R -values. Keep this certificate with your other
valued papers. If you ever se'I this home, this certificate should be passed on to the buyer.