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04-6380 (ELEC)�y � �tQrci�ra P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . `04-00006380 / Date 9/21/04 Property Address . . . . . . 43059 CORTE DEL ORO APN: 609-380-997-16 -293233- Application description . . . ELECTRICAL Property.Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 500 Owner Contractor ------------------------ ------------------------ PONDEROSA HOMES PONDEROSA HOMES II, INC. 400 S FARREL SUITE B-103 6671 OWENS DRIVE PALM DESERT CA 92260 PLEASANTON CA 94588 (760) 318-7710 (760) 318-7710 WCC: REPUBLIC WC: 15671602 10/01/04 CSLB: 752884 08/31/06 CCC: B Permit ELEC-TEMPORARY POWER Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000. EA ELEC-TEMPORARY POWER POLE 15.00 ---- ------------------------------------------------- Special Notes and Comments TEMP POWER POLE Fee summary Charged Permit Fee Total 30.00 Plan Check Total ..00 Grand Total 30.00 Paid - .00 .'00 .00 Credited .00 .00 .00 Due 30.00 .00 30.00 P.O. BOX 1504�� VOICE (760) 777-7012 TW� 78-495 CALLS TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0,(1-6 3 r'C/ Applicant: Applicant's Mailing Address: Date: Architect or Engineer: 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 Licens full force and effect. License Class License No. 77 S Z �� Date Q Z.v Contractor 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. . BA P.C. for this reason Date Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 'ss y workers' compensation insurance carrier and policy number are: Carrier _ %a. -A C Policy Number 15-16 711-© Z I certify th t, 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. Date 4, 2.1 04 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 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 harnless 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 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, d hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date 4 �I b Signature (Applicant or Agent): CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (right Ducts 8 TXV) CF4R PROJECT INFORMATION Clirtlate Zone: 16 Project Title: Mosaic @ Esplanade .Project Address: La QuInta Builder Name: Ponderosa Homes Voice 0: 925-460.8900 Builder Contact: Jeff Nygren Voice 0: Project ID # : 29323 Sample Group 0 : Phase: 10 lotff: �, 16 Plan #. 3 Address: 43-059 Corte Del Oro HERS INFORMATION HERS Rater: Certification 9. HERS Firm: Address: HERS Provider: HERS Address: Scott Johnson CCNSJ614037 Action Now 2575 Westminster Avenue. CHEERS 9400 Topanoa Canyon Blvd Jayme Carden CCNJC615157 Costa Mesa. CA 92627 Chalsworth, CA 91311 Voice a: 949.631-2274 Voice #: 800-424-3377 HERS RATER COMPLIANCE STATEMENT Pxx T-24 Compliance Credit was Taken for Tight Ducts T•24 Compliance Credit was Taken for TXV TXV Verified Yes�x The house was Mxx Tested / Verfied Approved as a part of sample, but was not tested x The installer has pro ed a copy of CF -6R Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct) Where Goth backed rubber adhesive dud tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at the connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Dlagnostic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: �CFAeek Max Tested Leak System oIndicate the max mum le Dud Leakage and the Calculation used: 0.7 x Floor Area x (0.06) for Climate Zone B through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 8 16 x 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan now 21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0,06) Measured Fan Flow I Ix .06 D-0 Pressurization Test Resu t5 5 PA) 84 100 x Test Leokage/ fan flow = % Leakage Check Box for Pass or Fal�ess = 5% or Less) Pass x a System M of 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 (0.08) for Climate Zones 1 through 7 8, 16 x 400 x (Cooling Capacity in Nominal Tons) x (0.06) 96 fan flow, 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow 1 X.06 uct Pressurization Test Results 5 PA) 96 100 x Test Leakage/ fan How = % Leakage Check Box for Pass or Fail (Pass : 6% or Less) Pass xI-aill System Q of Indicate the maximum a owe 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 8 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow 21.7 x (Heating Capacity in Thousands of Output STU per hour) x (0.06) Measured Fan Flow X.06 uc Pressurization Test KeSU115 5 PA) 100 x Test leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 8% Or ss) Fall Raters Certifying Signature Date 1/4/2006 F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.xts 1INNIA;LLA ION CERTIFICATE Site Address Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, I- f_ INSTALLER COM The building was: -�/ Bu and STATEMENT at Final ✓ ❑ Tested at Rough -in CF -6R INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: O Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. O If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection.points are properly sealed. O Inspect all joints to ensure that no cloth.backed rubber adhesive duct tape is used ✓ ❑ DUCT LEAKAGE REDUCTION Procedures or field veri tcation and diagnostic testin of a& distributions stems are available in RACM Appendix RC4.9 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured r.:+N Values 1 Enter Tested Leakage Flow in CFM: An Fan Flow: Calculated (Nominal: ✓ O Cooling Heating) or ✓ O Measured 2 If Fan Flow is Calculated as 400 cfm/ton x num r of tons or as 21.7 cfrn/(kBtu/hr) x Heating 40 r/ Capacity in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here: _hit f ((/(�[,� ✓ ✓ Pass if Leakage Percentages 6% f r inal or:5 4% at hough -in: 3I00 y� ` r� ass O Fail x Line # 1 / Line # 2 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured ice''1 Values I Enter Tested Leakage Flow in CFM: NEW`k: Fan Flow: Calculated (Nominal: wl 0 Coolin ✓ l7 Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x nttber of tons or as 21.7 efm/(kBtu/hr) x Heating '/„�%� Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: (U �✓ 1/✓ 3 Pass if Lea ge Percentage5 6% for Final or <_ 4% at Rough -in: s 0 Fail 100 x Line # 1 / Line # 2)11 r NEW CONSTRUCTION: Duct -Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ 0 Cooling ✓ O Heating) or V rJ Measured 2 If Fan Flow is Calculated as 400 cfrn/ton x number of tons or as 21.7 of nl(kBtu/hr) x beating Capacity in Thousands of Btulhr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Le*aQe Percentage5 6% for Final or:5 4% at Rough -in: p Pass O Fal I 100 x Line # t / Line # 2)11 ✓ ❑ 1, the undersigned, verify that the above diagnostic test results were performed in co or nee with the requirements for compliance credit. I, the undersigned, also certify that the newly itt:talled cr retr fit A' Dis bution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m�of th 200 uildirtR Enemy Efficiency Standards. _ Signature kdd_Dl , Vjll la, Installing Subcontractor (Co. Name) OR 1 M Y i General Contractor (Co. Name) Residential Compliance Fors March 2005 INSTALLATION CER'T`IFICATE LOT # ((p PLAN # Site Address ^ Q W 1 0q) Permit Number CF -6R An instal lation'certiftcate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type ok ,heat um CEC Certified Mfr. Name and Model Number a of 'identical .S stems Efficiency I (AFVE, etc.) ZCF-IR value Duct Location anic etc. Dutr or Piping R•valucStu/hr Hennng Laad Heating Cepac ry I IBtu/hrl I FURNACE 1VgM���SF� 2 80% ATTIC r �Q �'I I Cooling Equipment Type kg. (p'. heat um CEC Certified W Name and Model Number f! or idanticaa S stems Efficiency r (SEER or EER) ZCF- IRvaluc Duct Location attic ate. Duct R -value Cooling Load 8tu/hr Cooling Capseip (Bru/Ar) A/C N � 2— 12, O ATTIC t� 1"1� t i I 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. include both SEER and EER if compliance credit for high EER air conditioner is claimed. 1, the undersigned, veri that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that spa fi in the ificate of compliance (Form CF -1R) submitted for compliance with the Energy E�cie y 5randardr or siden ' I b ildings, and 3) equipment that meets or exceeds the appropriate requirements for manu�a cured devic ( m lance Efciency Regulations or Patz 6), where applicable. ALLIANCE MECHANICAL CORP. 0C Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms March 2001 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 43-059 CORTE DEL ORO, LOT 16, PHASE 10, LA DUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-30 WALLS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38 GENERA GONTRACTO ONDEROSA HOMES II, INC. LICENSE $ 75��� BY: ,�/ TITLE: -"✓t/��-7— PARA QAd SCN BUILDING PRODUCTS A MASCO Company LICENSE 0 221517 j' TITLE; ACCOUNT REPRESENTIVE DATE: —44V-0-57-