04-6612 (BLCK)T4hf 4 4 a"
P.O. Box 1504
78-495 CALLE TAMPICO
_- LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
L-Application``Number . . .
Property Address
APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner
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LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00006612 7
43472 BORDEAUX DR
609-380-997-56 .-293233-
WALL/FENCE
LOW DENSITY RESIDENTIAL
4825
Date 10/05/04
Contractor
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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 . . . . 4825
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 .
126 L.F. 6' GARDEN WALL, 67 L.F.
COMBINATION BLOCK & IRON, BOTH ORCO
SYSTEM
Fee summary Charged Paid Credited Due
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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 1504I4 4 CE 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: 0 4— & i0 /C/�, I Date: l0 • 2,Z- 0 V
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
tj
A-
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
Cafrc
lcee, and License is in full force and effect.
/License Classss 1
icense No.
Date ontractor
OWNER -BUILDER DECLARATION
1 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 to 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
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.
-?�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
1 iss d. f �y o en' compensatio ante carcier and poli y nu er are:
�rzier � � Il 1 a M Policy Number M ti . 1� �1 to v
I certify tit, 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 Califomia, 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.
�6ate Applicant `
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 p -
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. 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.
ate I V - Signature (Applicant or Agent): 1��rJ CJS/
0
cn
Certificate of Insulation
Your home has been insulated with John Mansville Fibeglass insulation products, which are designed
for today's safety standards and tomorrovls energy requirements.
Fiberglass is inorganic and therefore permanently noncombustble, so it does not have to be treated
with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated
Wth chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture not wi11 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# 3A Phase: 10
Lot No: bfi Job Address: SFR - 43472 Bordeaux Drive, La Quinta, CA
Ceiling Area: R-38 blown and batt insulation
Exterior Walls R-13 batt insulation
Between Floors:
Garage Ceiling:
With Living Above
Overhangs:
With Living Above
Interior Walls:
Non -Access:
& Sloping Areas
Access Attic:
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St. Thousand Palms, GA 92276
Mike Dickerson, General Manager- Palm Springs Branch
R -means resistance to heat flour. The higher the R -value, the greater the insulating pourer.
Ask your builder for the fact sheet on R -values. Keep this certificate with your other
va'ued papers. If you ever sell this home, this certificate should be passed on to the buyer.
1. -
CERTIFICATE OF FIELD VERIFICATION AND 'DIAUNOSTIC TESTING (Page 1 of 7) CF4R
Tapestry @ Esplanade 4/14/2005
Project Title Date
�3•- �-1�17,Qi� rC��v1X d �
Project Address Buil er ame
Builder Contact Telephone Plan Number
William Henson 760-250-7022
HERS Rater i1
Telephone Sample Group Number
v
Certify g Signature Date
Firm: BCI Testing
Street Address: PE) Box 50575
Copies to: Builder, HERS Provider
Sample House Number
HERS Provider: calcerte
City/State/Zip:
oenix,
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested 19 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)
❑ 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
❑ ❑
Pass Fail
Compliance Forms August 2001 A-16
S(