04-6613 (BLCK)BUILDING & SAFETY DEPARTMENT
(760).777-7012
TAMPICO FAX (760) 777-7011
,ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
rCIO%
Applcation;�Number
Property -•"Address . . . . . .
04'F000066T3'`"'7 Date
43-4418—BORDEAUX-DR
10/05/04
AP
60-9-3-80-997--57�- -293233-
Application description
WALL/FENCE
Property Zoning . . . . .
LOW DENSITY RESIDENTIAL
Application valuation . . . .
4475
Owner
Contractor
------------------------
------------------------
LENNAR HOMES OF CALIFORNIA
LENNAR HOMES OF CALIFORNIA
INC
78401 HIGHWAY 111, STE C
.78401 HIGHWAY 1.11, SUITE
C
LA-QUINTA, CA
LA QUINTA
CA 92253
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 . .
4475
Qty Unit Charge Per.
Extension
BASE
FEE
45.00
3.00 9.0000 THOU BLDG
2,001-25;000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
109 L.F. 6' GARDEN WALL, 70 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 •.OQ 1
72.00
P.O. BOX 1504 •Ot VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: (Ot0 ' Date:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
4 /141
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed�devisions ofChapter 9(commencing with Section 7000) of Division 3 of the Business and Professionals
Cqoe and ss License i full force and effect./��� Oense Class � o.�
Date/0-d-d ��ntctor �L�GLI�fi�
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 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 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 I, 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.).
U I am exempt under Sec. , B.8 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.
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
i u M wo pompensation in�nce carrier and Boli y number are:
11_a er /� e �GL �� �licy Number l�/G��� 77COi9l�
_ I certify thaK, 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.
WARNING: FAILURE 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
Lenders 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 Quinta, 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 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. 1 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): ��
0
m
r.
L
IL
cr
c.
Certificate of Insulation
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 noncombusfble, so it does not have to be treated
with fire -retardant chemicals that will Nicely 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 overtime as may other insulation materials.
This also certifies that insulation have been professionally installed in th's home to provide the
following thermal performance.
Lennar Homes
Job Name: Tapestry at Esplanade Tract: 29323 Plan# 113 Phase:
Lot No: 57 .lob Address: SFR - 43-448 Bordeaux Drive, La Quinta, CA
? Ceiling Area: R-36 blovm and batt insulation
1
Exterior Walls R-13 batt insulation
Between Floors:
Garage Calling:
With Living Above
Overhangs:
With Living Above
Interior Walls:
Non -Access:
& Sloping Areas
Access Attic:
Subcontractor ...0 J Insulation, Inc.
72-227 AdeWd 5t, Thousand Palms, CA 92276
. L % 02R.i.
Mike Dickerson, General Manager- Palm Springs Branch
R -means resistance to heat f•.ow. The higher the R -value, the greater the insulating pov,er.
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.
10
51
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
It/ 1
Tapestry @ Esplanade
Project Title
(. -5 -11q C3 FDO cd�o„�x. li
Project Address
Builder Contact Telephone
William Henson 760-250-7022
HERS Rater T el h ��
Certifvine iena re Date
Firm: BCI Testing
Street Address: po u,.., cnc-rc
Copies to: Builder, HERS Provider
4/14/2005
Date
I erinar
Builder Name 1
Plan Number
Sample Group Number
Sample House Number
HERS Provider: CalCerts
City/State/Zip:
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested th Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic 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 400cfm/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) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE
❑ 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