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04-8234 (SFD)i/ P.O. Box 1504 (ewye 4 4.4" MPICO FORNIA 92253 BUILDING PERMIT Appl!catio�Nt��iib€ Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation . . Owner PONDEROSA HOMES II, INC. 6671 OWENS DRIVE PLEASANTON, CA PLEASANTON CA 94588 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04- 00082 4 Date 2/22/05 43083 CORTE DEL ORO 609 -380 -997 -17 -293233 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 173155 Contractor PONDEROSA HOMES II, INC. 6671 OWENS DRIVE 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 CRC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 654.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 1ST FLOOR'SQUARE FOOTAGE 2728.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 898.50 Plan Check Fee 146.01 Issue Date . . . . Valuation . . . 173155 Qty Unit Charge Per Extension BASE FEE 639.50 74.00 3.5000 THOU BLDG 100,001-500,000 259.00 ---------------------------------------------------------------------------- Permit .. . . . . . MECHANICAL Additional desc Permit Fee . . . . 77.00 Plan Check Fee 4.81 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 P.O. Box 1504 • 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: Date: 3-30'05 Applicant: I Architect or Engineer: Applicant's Mailing AddressU1111 IV: Archit ct or Engineer's Address: P. _ 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 i n full force and effect. 1 icense Class cense No. -7.52 25�, /bate 3–'l 0 -DS ontractor T (� W 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: 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 J4of the work for which this permit is issued. 1 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 issued. My workers' compensation insu a carrier end ' y number are: amer �'�11#.J2t– , cy Number r 7b) 1%0% — 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. ateoli plicant P�Vq. A),Z d— 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address _ t✓ APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ,,EGe 3-3 D—D$Signature (Applicant or Agent): J Page 2 Application Number . . . . . 04-00008234 Date 2/22/05 Qty Unit Charge Per Extension 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 123.56 Plan Check Fee 7.72 .Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2728.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 95.48 654.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL i 13.08 ----------------------------------------------- . . . . . . PLUMBING Additional desc Permit Fee . . . . 171.75 Plan Check Fee 10.74 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 -------------=-------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 P1an'Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 17. PLAN 1BXR, 2728 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE , ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3 Application Number . . . . . 04-00008234 Date 2/22/05 ------------------------------------- Other Fees . . . . . . . . . -------------------------------------- DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.60 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 17.31 DIF STREET MAINT FAC -RES 15.00 DIF.TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1285.81 ------------------------------ .00 - .00 1285.81 Plan Check Total 169.28 .00 .00 169.28 Other Fee Total 2436.91 .00 .00 2436.91 Grand Total 3892.00 .00 .00 3892.00 01/05/2006 13:37 9496312293 ACTION NOW MPH PAGE 03 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R PROJECT INFORMATION Climate Zone -15 Project Title: Mosaic @ Esplanade Project Address: La Quinta Builder Name: Ponderosa Homes Voice 0: 925-460.8900 Builder Contact: ' Jeff Nygren Voice #: Project ID #: 29323 Sample Group #: Phase: 10 Lot #: 17 Plan #: 1 Address: 43.083_Cbrte_DeLOro.. i HERS INFORMATION HERS Rater: Scott Johnson Jayme Carden Certification 0: CCNSJ614037 CCNJC615157 HERS Firm: Action Now Voice # : 949-631-2274 Address: 2575 Westminster Avenue. Costa Mesa, CA 92627 HERS provider, CHEERS Voice # : 111I10-424-3377 HERS Address: 9400 Topanga Canyon Blvd., Chatsworth, CA 91311 HERS RATER COMPLIANCE STATEMENT eT-24 Compliance Credit was Taken for Tight Ducts x T-24 Compliance Credit was Taken for TXV TXV Venfled Yes The house was: x Tested / Verfled =Approved as a part of sample, but was not:tested x The installer has Provided 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 Dud Diagnostic�Leakkaieing Results (Maximum 69'o Duct Leakage) CFA: eak Max OTested Leak System Indicate the male Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 6 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 (0.06) fan flow 21 7 H C f 0 BT . x 1,11eating 199801yin Thousands o utput U per hour) x (0.06) Measured Fan Flow X.013 uc Pressurization Test Results 5 PA) 100 x Test Leakegel Fen flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) Pass x a 5 ystem �j of indicate the max mum a owa le Duct Leakage and the calwletion 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 (0.06) 21.7 x (Heating Capati in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow X'06 uct Pressurization Test Re su s 5 PA) 100 x Test Leakagel fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass x System of indicate the max mum 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 & 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow 21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06) Measured Fan Flow X.06 uc Pressurization Tes! Resu is 5 PA) 100 x Test Leakage/ fen flow = % Leakage Check Box for Pass or Fail (Pass = 6%/J Less) Pass ai Raters Certifying Signature Date 1/4/2D06 F2001.02 (4.02) Action Now T-24CF4RTD&TXVmaoro.xls 12/29/2005 16:45 FAX 7149212187 ALLIANCE MECHANICAL Q011 INSTALLATION CERTIFICATE CF -6R Site Address Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, H INSTALLER COM The building was: ✓ at Occupancy and STATEMENT at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: L7 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 1 f 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. D Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ ❑ DUCT LEAKAGE REDUCTION Procedures for field verification and diagnostic tesdng of air distribution systems are available in RACM, Appendix RC4.9 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measuredi Values 1 Enter Tested Leakage Flow in CFM: g '"`'ei Fan Flow; Calculated (Nominal: ✓ YCooling ( ❑ Heating) or ✓ 0 Measured 2 if Fan Flow is Calculated as 400 eftn/ton x number of tons or as 21.7 cfhV(kBtu/hr) x Heating I*X Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: 3 Pass if Leakage Percentages 6% fo Final or 5 4% at Rough -in: 1Tawas 15,-7q s O Fail 100 x Line fit 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: ✓ Cooling ✓ O Heating) or ✓ 0 Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cftn/(k3tu/hr) x Heating I [�.�� Capacity in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here: / ✓ ✓ 3 Pass if Leakage Percentage_< 6%.for final or _<4% at Rough-in:j,rj- ass O Fail _ 100 x Line # 1 4UAine # 2)11 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM (x325 Pa) MeasuredT.�,3 Values ' 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ 0 Cooling ✓ 0 Heating) or ✓ 0 Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtulhr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: V/✓ 3 Pass if Leakage Percentages 6% for Final or 5 4% at Rough -in: ❑ Pass Fail 100 x Line # 1 / Line # 2 '/0 1, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply withMandatory requirements specified in Section 150 (m) of the 21105 Buildiw Energy Efficiency Standards. Signatu ate /f (�,, General Contractor (Co. (Co. Name) OR oIluitl .1. �. f1 Residential Compliance Forms March 2005 12/29/2005 16:45 FAX 7149212187 ALLIANCE MECHANICAL INSTALLATI®N CERTIFICATE LOT # U PLAN # Site Address r-^ N 1 Permit Number [a 010 CF -6R 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 (pkg. heat um CEC Certified Mfr. Name and Model Number k of Identical Systems Efficiency t (AFUE, etc.) 2CF-IR value Duct Location attic etc. Duct or Piping R value Heating Load Btu/hr Heating Capacity Btu/hr FURNACE nigM��SF ;P— 80% ATTIC ,2 �OVU Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr, Name and Model Number A of Identical systems Efficiencyt (SEER or EER) 20-1R value Duct Location aain etc. Duct 11 -value Cooling Load 8tat/hr Cooling Copucity Btu/hr A/C NAC2.4Z ;P— ��,V ATTIC 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. 1clude-both SEER and EER if compliance credit for high EER air conditioner is claimed. 1, the undersigned, vert that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that spe fiific d in the ate, of compliance (Form CF -1R) submitted for compliance with the Energy F,fcie y Standards or iden ' l b ildings, and 3) equipment that meets or exceeds the appropriate requirements for minu/a cured devic (4m tblAWItance Efficiency Regulations or Part 6), where applicable. ALLIANCE MECHANICAL CORP. 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 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 43-083 CORTE DEL ORO, LOT 17, PHASE 10, LA-QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-30 WALLS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38 GENE ONTRACTO ONDEROSA HOMES !!, INC. LICENSE 7 Z S'' y BY. is TITLE:1�c r/�il�u •iir PA ON.SC BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: `�G�� -� C- ��« y� TITLE: ACCOUNT REPRESENTIVE DATE: 4G L' V� Certificate of Occupancy0 -- 4 ti LATM roex OF'TBuilding & 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: 43-083 Corte Del Oro Use classification: Single Familv Dwelling Building Permit No.: 04-8234 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 By: Daniel P. Crawford Jr. Date: 1/20/05 Building Official POST IN A CONSPICUOUS PLACE 99