04-6616 (BLCK)P.O-.-,Box 1504
78 ;,495 CALLE TAMPICO
LA .QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT '
:on Number . . . . . 04-00006616
eroperLy Address 43376 BORDEAUX bR
APN: 609-380-997-60 -293`233-
Application description . . . WALL/FENCE
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 4275
Owner
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
Date 10/05/04
Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401.HIGHWAY 111, SUITE C
LA QUINTA CA 92253
WCC: OLD REPUBLIC IN
WC: MWC10877600 11/01/04
CSLB: 728102 09/30/06
CCC: B
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Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . 72.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 4275
Qty Unit Charge Per Extension
.BASE FEE 45.00
3.00 9.0000 THOU BLDG 2,001-25,000 27.00
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Special Notes and Comments
87 L.F. 6' GARDEN WALL, 84 L.F.
COMBINATION BLOCK & IRON, BOTH ORCO
SYSTEM
Fee summary Charged Paid Credited Due
----------------- ----------- -------- -- ---------- ----------
Permit Fee Total 72.00 ..00 .00 72.00
Plan Check Total .00 .00 .00 .00
Grand Total 72.00 .00 .00 72.00
P.O. Box 1504 �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: _��' Z, Z •O�
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
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 in full force and effect.
License Class ___[.cense No.
�Date/a�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the follow ng 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 far 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 wdh 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 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 safe (Sec. 7044,
Business and Professions Code: The Contractors' Slate 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 Cade: The Contractors'
Slate Lice rise Law does not apply to an owner of property who builds or improves thereon, and who contrails for the projects with a Lon tractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , B.& P.C. for this reason
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
of the work for which this permit is issued.
-`I4,ave 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
rr er ion i
cn n3nce carrier olic number
rs'ompensat
-Policy Number a`re
ce p
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.
pA pit cant C' etl _
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 candilIons and restrictions set forth an this application.
1. Each person upon whose behalf this application is made, each person al whose request and for whose benefit work is performed under or pursuant to any permit
Issued as a result of this applica[ion, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Qulnte, its
offCers, agents and employees for any act or omission related to the work being performed under orfoilowing issuance of this permit.
2 Any permit issued as a result of this application becomes null and void if work is not commenced within tat] days from date of issuance of such permit, or
cessation of work for 180 days *11 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 county ordinances and state laws rotating to building
construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes.
Ia �� `�CI S� ignature (Applicant or Agent):" �-
ED
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Certificate of Insulation `�� �j-:J� `�
Your home has been insulated with John Mansville Fibeglass 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 no! have to be treated
With fire -retardant chemicals that will likely lose their effectiveness overtime. It has not been treated
with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nerwill it
settle over time as may other insulation materials.
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# 2B Phase: 10
Lot No: 60 Job Address: SFR - 43-376 Bordeaux Drive, La Quinta, CA
Ceiling Area: R-38 blown and batt insulation Garage Ceiling: Non -Access:_
With Living Above & Sloping Areas
Exterior Waits R-13 batt insulation
Between Floors:
Overhangs:
With Living Above
Interior Walls:
Access Attic:
Subcontractor.., Q J Insulation., Inc.
72-227 Adeiaid St, Thousand Palms, CA 92276
Mike Dickerson, Genera! Manager - Palm Springs Branch
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 sell this home, this certificate should be passed on to the buyer.
I
W
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
Tapestry @ Esplanade
Project Title
g -5- a-1 p 6,,c b r,,u-y,, A c -
Project Address
Builder Contact
William Henson
HERS Rater'Wo
4/14/2005
Date
Lennar
Builder Name
Telehone Plan Number
760-150-7022
= �elephone Sample Group Number
Certifying Signature ✓ Date
Firm: BCI Testing
Street Address: PO Boy. 50575
Copies to: Builder, HERS Provider
Sample House Number
HERS Provider: CalCerts
CF -4R
City/State/Zip:
Phoenix, A —85076
HERS RATER COMPL CE STATEMENT
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing dia,gnostic testing 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)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM
If fan flow is calculated as 400cfrn/ton x number of tons enter calculated
value here
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)
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑
Pass
❑
Fail
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
❑
❑
Yes is a pass
Pass
Fail
❑ 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
Compliance Forms August 2001
A-16