05-1148 (BLCK)0
BUILDING &c SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
OF ��'8- 5 CA TAMPICO FAX (760) 777-7011
D TA LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
MAR 312005 BUILDING PERMIT
CITY OP'� ®UINTA
App icat ' �� . . . . . 05-00001148 Date 3/25/05
Prop r y Address . . . . 43107 CORTE DEL ORO
AP -N: 609-380-997-18 -293233-
Application description . . . WALL/FENCE
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 4075
Owner Contractor
---------------=-------- ------------------------
PONDEROSA HOMES II, INC. PONDEROSA HOMES II, INC.
6671 OWENS DRIVE 6671 OWENS DRIVE
PLEASANTON CA 94588 PLEASANTON CA 94588
(760) 318-7710
WCC: TANNER INSUR
WC: 156716.03 10/01/05
CSLB: 752884 08/31/06
CCC: B
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Permit . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 72.00 P1an'Check Fee .00
Issue Date Valuation . . . . 4075
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
163 L.F. 6' BLOCK WALL, 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 .00 72.00
P.O. BOX 1504�� VOICE (760) 777-7012
Taf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 _57 ` / ! �� Date: .3•.30 - v�
Applicant:
Applicant's Mailing Address:
L' D &OWA C,7 -o K
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
ode, and my Licens .s in full force and effect. 5 Z ,
cense Class IK License No.•// •7 $a
Ide'-3 `30—oS Contractor Z
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
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
issue My workers' compensation insurance car . nd
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, 1 shall
forthwith comply with those provisions.
Do"3-30^05 Applicant 1001� w0—
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
IV
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 ddys 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.
mte 3'Jl7"os Signature (Applicant or Agent): ✓ � �^
i t �3-A97
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: 926-4eo-8900
Builder Contact: Jeff Nygren Voice
Project ID # : 29323
Sample Group*: Phase: 10
Lot #; 1 a
Plan #: 2
Address: 43-107 Corte Del Oro
HERS INFORMATION
HERS Rater: Scott Johnson Joyme Carden
Certification # : CCNSJ614037 CCNJC615157
HERS Firm: Action Now Voice if : 949.631-2274
Address: 2575 Westminster Avenue, Costa Mesa. CA 92627
HERS Provider. CHEERS Voice 0: 800.424-3377
HERS Address' 9400 Topanga Canyon Blvd.. Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
Rxx T•24 Compliance Credit was Taken for Tight Ducts
T-24 Compliance Credit was Taken for TXV i TXV Verified Yee
The house was:
x Tested / Verfied Approved as a part of sample, but was not tested
x The installer has p—ro—vTed a copy of CF -6R
x Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
Where doth backed rubber adhesive duct tape Is Installed, mastic and drawbands are used in combinatlon with
cloth backed, rubber adhesive duct tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic�Leaksa Testing Results (Maximum a°� Duct Leekege)
CFA: CFA Leak Mex OTested Leak
System
Indicate the maowe 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 (0.06) tan flow
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fen FIOw X.06
DO Pressurization Test Kesu is PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 61h or Less) Passr77T= Faill
System[ of
Indicate the maximum a➢owabls Duct leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone a 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 Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
uct Pressurization Teat Renu 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x a
Systemof j—j
Indicate the msxrmum a owa Is 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)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
uct Pressurization Test Res u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 5%, r Less) Pass ar
Raters Certifying Signature
fan flow
Date 1/02006
F2001-02 (4-02) Action NowT-24CF4RTD&TXVmacro.xls
11.'431 ALLATIO N CERTIFICATE CF -6R
U& 1P:)
rL-
Site Address Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
at Occunancv and
INSTALLER COMPYANCE STATEMENT
The building was: ✓ ested at Final ✓ ❑ Tested at Rough -in
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.
0 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.
O Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used
✓ 0 DUCT LEAKAGE REDUCTION
ProceduresjorJreld verii Ication and diagnostic testing oJair distribution systems are available in R4 CM, Appendix RC4.3
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
2
Fan Flow: Calculated (Nominal: ✓ Wooling.VP Beating) or ✓ O Measured
If Fan Flow is Calculated 400 efin/ton x nulgiper of tons or as 21.7 afro/(kBtu/hr) x Heating
as
Ca aci in Thousands of BtWhr enter total calculated or measured fan flow in CFMhere:
1400,
Pass if Leakage Percentages 6% for—Final or:5 4% at Rough -in: Pass ❑Fail
3100
x Line # 1 / Line # 2--
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured�`
Values
I
Enter Tested Leakage Flow in CFM:
sn :. -
.,..
Fan Flow: Calculated (Nominal: ✓Cooling o Heating) or 1 0 Measured
2
If Fan Flow is Calculated as 400 e6ri/ton x num-Ber of tons or as 21.7 cfin/(kBtu/hr) x Heating
Capacity in Thousands of BtHRjr enter total calculated or measured fan flow in CFM here:
JAfn
3
inal or!9 4% at Roue. -in:
Pass if Leakage Percentage:_ ImLine
GJ "T
ss O Fail
100 x Line # 1 # 2
NEW
CONSTRUCTION:
Measured - `^
Duct Pressurization Test Results (CFM @ 25 Pa) �=
Values
1
Enter Tested Leakage Flow in CFM: -
Fan Flow: Calculated (;Nominal. ✓ O Cooling O Beating) or ✓ O Measured
2
If Fan Flow is Calculated as 400 cftn/ton x number of tons or as 21.7 cSn/(kBtu/hr) x Heating
Capacity in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here:
✓
3
I -Pass if Leakage Percentages 6% for Final or <_ 4% at Rough -in:
O Pass D Fail
100 x Line # 1 / Line # 2
./ ❑ 1, the undersigned, verify that the above diagnostic test results
were performed in co ormance ith the requirements for compliance'credit. 1, the undersigned, also certify that the newly
installer retrofit Distrib n System Ducts, Plenums and Fans comply with Mandatory requirements specified in
Section130 0 (m) of 42005 B ' diniz Energy Efficiency Standards._
Sign /I Date Installing Subcontractor (Co. Name) OR
l . a 12 I General Contractor (Co. Name)
Residential Compliance Forms March 2005
INSTALLATION CERTIFICATE CF -6R
LOT Al 195PLAN
Site Address 1-3-107 x , Dr'Q Permit 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
k . heat um
CEC Certified W.
Name and Model
Number
b of
Identical
S stems
Efficiency
(AFUE, etc.)
2CF-IR value
Ductpuel
Location
anic etc.
Duct Or
Piping
R•volue
Heating
Load
Btu/hr
Heating
Cap6ciy
Btu/hr)
FURNACE
NI�G2
2-
80%
ATTIC
R-4-2.
D00
Cooling Equipment
Equip Type
ok . heat um
.
CEC Certified M.
Name and Model
Number
A of
Identical
Systems
bfficiency
i
OUR or EER)
2CF-IR value
Duct
Location
anic etc.
Duct
R -value
Cooling
Load
Btu/hr
Cooling
Capacity
Bra/h(
A/C
NI�G2
��-U
ATTIC
R-- :Z
` ZNY
1. > symbol reads greater than or equal to what is indicated on the CF -1 R 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 7idenol
in the ificate of compliance (Form CF -1R) submitted for compliance with the Energy
E�ciehl> Standards ob ildings, and 3) equipment that meets or exceeds the appropriate requirements for•menu/agtured devic ( thX.Viance Efficiency Regulations or Part 6), where applicable.
ALLIANCE MECHANICAL CORP.
Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
COPY T0: Building Depaiftent
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, Califomia Administrative Cade, Title 24, State of California, in the building at
43.107 CORTE DEL ORO. LOT 18, PHASE 1o, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER. Certainteed THICKNESS: R-30
WALLS:
TYPE. BATTS MANUFACTURER: Certainteed THICKNESS: R-38
GENERAL CONTRACYR: PONDEROSA HOMES 11, INC. LICENSE/8 %Jrl g�
BY: ` lir 1 TITLE:�T
3CHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
TITLE: ACCOUNT REPRESENTIVE DATE: