04-5133 (BLCK)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 04-00.0-05-13-3, Date 6/23/04
Property Address 79705 CORTE NUEVO
APN: 609-580-008-
Application description . . . WALL/FENCE
Property Zoning . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 4775 .
Owner. Contractor
PONDEROSA HOMES II, LLC PONDEROSA HOMES II, INC.
400 S.,FARRELL DRIVE, B103 6671 OWENS DRIVE
PALM SPRINGS, CA 92264 PLEASANTON CA 94588
LA QUINTA ..CA 92253 (760) 31.8-7710
WCC: REPUBLIC.
WC: 15671602 10/01/04
CSLB: 752884 08/31/04
CCC: B
Permit . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee. 72.00 Plan Check Fee .00
Issue Date Valuation 4775
Qty Unit Charge Per. Extension
BASE FEE 45.00
3.00 9.0000 THOU' BLDG 2,001-25,000 27.00
Special Notes and Comments
191 L.F.:6''GARDEN 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
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- JUL 0 6 2004
CITY ®F, LA QUIPS TA
.. ^r- nr-PT.
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:
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 License in full force and effect. 9 �2 68 4
cense Class
L� License No.
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.).
(--) 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 1 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 self4nsure 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.
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
ed y compensation in trance carrier and polic
_ I certify that, in the performance of the work for which this p7rri is'isu ,s all not emp oy 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.
-L SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
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.).
.Lenders Name
Lenders 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, indemnity 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.
Date Signature (Applicant or Agent):
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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
A
79-105 CORTE NUEVO, LOT 86, PHASE 6, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-15
GENERAL CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: ` TITLE: ACCOUNT REPRESENTIVE DATE: i( o
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 located
CEILINGS:
-TYPE: BLOW MA CTUR ertainteed 7THLCKNESS ,t=3'8`
WALLS:
TYPE: BATTS / MAUNFACTURER: Certai ed THICKNESS: R-13
GENE CONTRACTOR: LICENSE #
TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LI NSE # 221517
BY:
TITLE: ACCOUNT REPRESENTIVE DATE:
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
(Tight Ducts $ TXV) CF -4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosalc @ Esplanade
Project Address;
La Qulnta
Builder Name:
Builder Contact:
Ponderosa Homes
Jeff Nygren
Voice p ; 825.460 8000
Project ID # :
29323
Voice #:
Semple Group #:
Phase: 6
Lot #:
86
Plan #:
3
Address;
79-705 Cone Nuevo
HERS INFORMATION
HER$ Rater.
Scott Johnson Jayme Carden
Certification #:
CCNSJ614037 CCNJC615157
HERS Firm:
Address:
Action Now
2575 Westminster Avenue, Costa Mesa, CA 92627
Voice # : 948-$31-2274
HERS Provider:
HERS Address:
CHEERS
9400 Topangs Canyon Blvd., Chatsworth, CA 91311
Volre # ; 800-424-3377
HERS RATER COMPLIANCE STATEMENT
ex T-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified Yes��
The house was:
m�i
Tested / Verfied Approved as a part of sample, but was not tested
The Installer has provided a copy of CF -45R
Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
Where cloth 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
Dud Diagnostic Leaka Testing Results (Maximum 6% Dud Leakage)
CFA: CFA Leak Max Tested Leak
system o
Indicate the maximum a owa Is Duct Leakage and the calculation used:
0.7 x Floor Area x (0.08) 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 Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x .06
u Pressurization Test Renu 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail Pass = 6% or Less) Pass
System of
Indicate the max mum I Iole 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 (0,05)
21.7 x (Heating Cape ' in Thousands of Output BTU per hour) x
Measured Fan Flow r X.06
U-0 Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan flow;; % Leakage
Check Box for Pass or Fall (Pass = 6% or Less) Pass
System I I of
Indicate the max mum a owa le Duct Leakage and the calculation used:
0,7 x Floor Area x (0.0E
0,5 x Floor Area x (0. (X
400 x (Cooling Capacit
21.7 x (Heating Capact
Measured Fan Flow
U59 Pressurization Test Res
100 x Test Leakage/ fan flow
Check Box for Pass or Fail (F
Raters Certifying Signature
11 /18/2004