04-8236 (SFD)BUILDING & SAFETY DEPARTMENT
. 1504 (760).777-7012
ALLE TAMPICO FAX (760) 777-7011
LA 7A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7 15 3
MAR 312005
BUILDING PERMIT
CfTY OF LA GUINTA
FINANCE DEPT.
Application Number 04-OT00`aa8'�2 6 Date 2/22/05
Property Address .. . . . . . 43062 COR"TE DEL ORO
APN: 609-380-997-15 -293233-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 188445
Owner
Contractor
------------------------
PONDEROSA HOMES II, LLC
------------------------
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
6671 OWENS DRIVE
PLEASANTON
CA 94588 PLEASANTON
CA 94588
(760) 318-7710
WCC: TANNER INSUR
WC: 15671603
10/01/05
CSLB: 752884
08/31/06
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 CBC
# BEDROOMS
5.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
448.00
PATIO SQ FTG
387.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
3051.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
951.00 Plan Check Fee
618.15
Issue Date . . . .
Valuation . .
. . 188445
Qty Unit Charge
Per
Extension
BASE FEE
639.50
89.00 3.5000
THOU BLDG 100,001-500,000
311.50
-------------------------------------------=--------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.00 9.0000
EA MECH B/C <=3HP/.100K BTU
18.00
5.00 6.5000
EA MECH VENT FAN
32.50
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO y - FAX (760) 777-701 1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: o4 - I Date:, 3 3D'•05-
Applicant: A Architect or Engineer: ;-
Applicant's Mailing Address: rchite t or Engineer's Address: '
Zf
Ic. No.: G 4�t (3
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
/ `Cpeft and my License i 'n full force and effect. ., � �Qt►
icense Class v icense No. V -C
�te 3 — b ^ 5 ontractor YO'N
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
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
�[ of the work for which this permit is issued.
0(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
ce� d. My workers' compensation i ance carrier and
�
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.
,,,,�aate J -'_6 D ^05 A,. ' ant PO Y�c',(1 pS
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 Q
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 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.
Signature (Applicant or Agent): l�)y"e,
Application Number . . . . . 04-00008236
Page 2
Date 2/22/05
Qty
Unit Charge
Per
Extension
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
130.75 Plan Check Fee
32.69
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
3051.00,
.0350
ELEC NEW RES - 1 OR 2 FAMILY
106.79
448.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.96
----------------
Permit
------------=
. . . .
-----------------------------------------------
PLUMBING
Additional
desc
Permit Fee
. . . .
190.50- Plan Check Fee
47.63
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
20.00
6.0000
EA PLB FIXTURE
120.00
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
8.00
.7500
EA PLB GAS PIPE >=5
6.00
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
15.0.0
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT
15,3051 SF.
PLAN 2BXR-OPTION
BEDROOM 5/BATH
4(+213
SF)W/2 CAR GARAGE
(GARAGE 448
SF). PERMIT
DOES NOT INCLUDE
BLOCK WALLS,
POOL, SPA OR DRIVEWAY
APPROACH.
----------------------------------------------------------------------------
Other Fees
. . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
Page 3
Application Number
. . . . .
04-00008236
Date
2/22/05
---------------------------------------------------------7------------------
Other Fees . . .
. . . . . .
DIF CIVIC CENTER -
RES
366.00
ENERGY REVIEW FEE
61.82
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
18.84
DIF STREET MAINT FAC
-RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
----------
Due
Permit Fee Total
1377.25
----------
.00
----------
.00
1377.25
Plan Check Total
720.97
.00
.00
720.97
Other Fee Total
2485.66
.00
.00
2485.66
Grand Total
4583.88
.00
.00
4583.88
01/05/2006 13:37 9496312293 ACTION NOW MPH PAGE 05
E'
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (fight Ducts 8 TXV) CF -4R
PROJECT INFORMATION Climate Zone: 15
Project Title;
Mosaic (83 Esplanade
Project Address:
Le Quinta
Builder Name:
Ponderosa Homes
Voice-#: 925-460-8900
Builder Contact:
Jeff Nygren
Voice #:
Project to #:
29323
Sample Group 9: Phase: 10
Lot #:
1
Plan A
2
Address;
43.062 Corte 041-0—m
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification #:
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now
Voice #: 949-631-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voice #: 800-424-3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
x T-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified Yes��
The house was;
x Tested I Verfied Approved as a part of sample, but was not tested
x The installer has prow ed a copy of CF -6R
x Air Distribution System Is Fully Ducted (sheetmetal, ductboard or flex duct)
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 the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leaks a Testing Results (Maximum 8% putt Leakage)
CFA: CFA Leak Max Tested Leak
System
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 & 16
X 400 x (Cooling Capacity in Nominal Tons) x (0.08)
21.7 x (Heating Capacit In Thousands of Output BTU per hour) x
Measured Fan x .06
uct Pressurization Test
Resu IS 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System of
Indicate the marnmum 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 (0.06) for Climate Zones 1 through 7 9 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x.06
uc Pressurizatlon Test Res u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System of
Indicate the maximum a—ow—Ale Duct Leakage and the calculation used:
0.7 x Floor Area x (Q.%) lot Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.08)
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow I x .06
uct Pressurization Test Res u t6 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
fan flow L—J
Raters Certifying Signature Date 1142006
F2001.02 (4-02) Action Now T-24CF4RTD&TXVmacro.xis
12/29/2005 16:46 FAX 7149212187 ALLIANCE MECHANICAL
INSTALLATION CERTIFICATE
Site Address Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
Copies to: Builder, HERS Rater, Building Owner at Occupan2X and Bt
INSTALLER COMPL CE STATEMENT
The building was: ested at Final ✓ ❑ Tested at -Rough -in
Q015
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.
❑ 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 enswe that no cloth.ba6ed rubber adhesive duct tape is used
✓ ❑ DUCT LEAKAGE REDUCTION
Procedures for field veriReatlon and dlaenostic testinz of air distribution systems are available in RACM. ADDendix RC4.3
NEW CONSTRUCTION:
Measured =
IN
Duct Pressurization Test Results (CFM @ 25 Pa)
Duct
Values
I
Enter Tested Leakage Flow in CFM:Zi
7
Fan Flow: Calculated (Nomingl: ✓Cooling ✓ eating) or ✓ 0 Measured
2
If Fan Flow is Calculated as 400 cfm/ton x nu d tons or as 21.7 cfm/(kBtu/hr) x Heating
1 A o
Capacity in Thousands of Bvdhr, enter total calculated or measured fan flow in CFM here:
7V I/
3
Pass if Lcaka a Perecntage5 6% fot incl or S 4% at Rough -in:
O Pass D Fail
100 x Line # t ! ine # 2
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
MValuesa
I
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ Cooling ✓, 0 Heating) or ✓ 0 Measured
4
2
If Fan Flow is Calculated as 400 efmlton x number of tons or as 21.7 cfm/(kBtu/hr) )(Heating
Capacity in Thousands of Btulhr, enter total calculated or measured fan flow in CFM here:
Pass if Le ge PercentageS 6°o.f inal or 5 4% at Rough -in:
3 1. ❑ Pass D Fail
'A
_ 100 x (Line # 1) / (Line # 2)11
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
I
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ D Cooling ✓ ❑ Heating) or ✓ ❑ Measured
i
2
If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 efm/(kBtu/hr) x Heating
i
Capacity in Thousands of BhVhr, enter total calculated or measured fan flow in CFM here:
✓ f
3
Pass if Leakage Percents es 6% for Final or:5 4% at Rough -in:
O Pass Q Fall
100 x Line # 1/ Line # 2
/ ❑ I, the undersigned, verify that the above diagnostic test results
were performed in a otmanee with the requirements for compliance credit. 1, the undersigned, also certify that the newly
install e or retrofit Dis 'bution System Ducts, Plenums and Fans comply with Mandatory requirements specified in
Sectio 150 m of 20 Building Energy Efficiency Standards.
Installing Subcontractor (Co. Name) OR
General Contractor (Co, Name)
Residential Compliance Forms March 2005
12/29/2005 16:46 FAX 7149212187 ALLIANCE MECHANICAL 014
INSTALLATION CERTIFICATE CF -6R
LOT # F5 PLAN #-
Site Address 43-1%22. Mr--bC,- De I OQ:) Permlt Number
An installation certificate 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
p yp
It . htat tun
CEC Certirted Mfr.
Name and Model
Number
b of
Identical
-.Systems
Efficiency
(AFUe, etc.)
ZCF-1R value
Duct
Location
aisle etc.
Duct or
Piping
FL -value
Heisting
Load
Btu/hr
Healing
Capacity
81011r)
I
FURNACENIMN`75Fl
12.0
Z
80$
ATTICo
NAC -2
t
(2 0
mG
¢2
OLY�
Cooling Equipment
CEC Certified Mfr.
Equip Type Name and Model
k . heat um Number
k of
Identical
S stems
Efficiency
(SEER or EER)Ig
aCF- Iltvaluc
Location
attic etc.
Duct
R -value
Cooling
Load
Blurhr)
Cooling
Capein
(BIUMI)
A/C
12.0
ATTIC
JZ -1L
NAC -2
t
(2 0
mG
¢2
OLY�
I . > 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 spe ft in the ifteate of compliance (Form CF- 1R) submitted for compliance *with the Energy
EJTcie y Standards or siden ' I b ildings, and 3) equipment that meets or exceeds the appropriate requirements for
manufa Lured devie ( m t .4 lance Efficiency Regulations or Part 6), where applicable.
PIUK-]
COPY TO: Building Department
Hf -XS Rater (if applicable)
Building Owner at Occupancy
ALLIANCE MECHANICAL CORP.
Installing Subcontractor (Co. Name)
OR General Contractor (Co, Name) OR Owner
Residential Compliance Forms March 2005
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
43-062 CORTE DEL ORO, LOT 15, PHASE 10, LA-QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-30
WALLS:
TYPE: BATTS
GENE COD
BY:
PA ONSC
MANUFACTURER: Certainteed THICKNESS: R-38
CTO . PONDEROSA HOMES 11, INC. LICENSE!!
TITLE: Lea-,;,ol,41�41ei'-; `-
BUILDING PRODUCTS A MASCO Company LICENSE # 221517
�'�,'= -C--'-TITLE: ACCOUNT REPRESENTIVE DATE:
Certificate of Occupancy
G�
OFBuilding & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 43-062 Corte Del -Oro
Use classification: Single Family Dwelling Building Permit No.: 04-8236
Occupancy Group: R -3/U1 Type of Construction: VN Land Use Zone: RL
Owner of Building: Ponderosa Homes II, Inc Address: 6671 Owens Drive
City, ST, ZIP: Pleasanton, CA 94588
lam By: Daniel P. Crawford Jr.
Date: 1 /20/05
Building Official
POST IN A CONSPICUOUS PLACE