04-5134 (BLCK)Tdf
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION .REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . X04-00.005134 -� Date
Property Address . . . . . 79710 CORTE-NUEVO
APN: 609-580-009-. -
Application description . . . WALL/FENCE
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 3700
Owner
PONDEROSA HOMES II, LLC
_400 Si FARRELL DRIVE, B103
PALM SPRINGS, CA 92264
LA QUINTA CA 92253. ..
Contractor
6/23/04
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON CA 94588
(760) 318-7710
WCC: REPUBLIC.
WC: 15671602 10/01/04
CSLB: 752884 08/31/04
CCC: B
Permit . . . WALL/FENCE PERMIT
Additional desc
Permit Fee. 63.00 Plan Check Fee .00
Issue Date . . . Valuation 3700
..Qty Unit Charge Per Extension
BASE, FEE 45.00
2..00 9.0000 THOU BLDG 2,001-25,000 18.00
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Special Notes and Comments
148 L.F.'6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 .00 .00 63.00
Plan Check Total .00 .00 .00 .00
Grand Total .63.00 .00 .00 63.00
FYJUL� 0 6 2004
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
d�
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, andmy Lice nS�is in full force and effect.
�ticense Class r nse No. ��t?
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 basin 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
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' compensa 'on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ers' compensati ' . urance carrier and policy num!{a're,:
�arrier Policy Number / —
_ I certify that, in the performance of the work for which this perm is m sued1 , sh II 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.
WARNING: FAILURE TO SECURE WORKERS' CQMPENSATION COVSRAGNS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 1N 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 A
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 l have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this coup lo enter upon the above-mentioned property for inspection purposes.
,1a—t._061--'Signature
(Applicant or Agent):
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Ti ht Duds & TXV) CF4R
PROJECT INFORMATION Climate Zone: 15
Protect Title: 'Mosaic Q Esplanade
Project Address: La Quints
Builder Name: Ponderosa Homes Void # • 926-4811-8800
Builder Contact: Jeff Nygren Voice #'!
Project ID #: 29323
Sample Group #: Phase: 6
Lot #: 87
Plan #; 3
Address: �-79.710Corte Nuevo
HERS INFORMATION----
HERS
NFORMATION -HERS Rater. Scott Johnson Jayme Carden
Certifiestion #: CCNSJ814037 CCNJC815157
HERS Firm: Action Now Voice # ; 849.631-2274
Address: 2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider: CHEERS Voice N, 800-424-3377
HERS Address: 9400 Topanga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
F 7x 77 T-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified Yes�x�"
e house was:
EX
Tested / Verfied [Approved as a part of sample, but was not tested
The installer has provided a copy of CF -SR
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 combination with
cloth backed, rubber adhesive dud tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leaka a Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max ��Tested Leak
System o
Indicate the max mum a owa Is Duct Leakage and the calculation used:
0.7 x Floor Area x (0.08) 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 Flout IX.06
Uu-ff Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6°A or Less) Pass x
System [M of M
Indicate the maximum 4713w—able 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)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow )C,05
u Pressurization Test Res u 5 PA)
100 x Test Leakage/ fan flow = °% Leakage
Check Box for Pass or Feil (Pass = 6% or Less) Pass
System L --j of
Indicate the maximum a oWa le Duct Leakage and the Calculation used:
0,7 x Floor Area x (0.08) for Climate Zone a through 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacltv In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
5-ua Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6°A or,Less) n Pass
fan flow
Raters Certifying Signature -Z, -e- ( �Z
fan flow C�
Date 11/18/2004
F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.xls
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
79-710 CORTE NUEVO, LOT 87, PHASE 6, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING P ODUCTS A MASCO Company LICENSE # 221517
BY: TLE: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is to c ify that insulation has been installed in conformance with the current energy
regulation, Ca i nia Administrative Code, Title 24, State of California, in the buildin
CEILINGS:
TYPE: BLOW MAUNF
"--'THICKN`ES'S' �R-38:
WALLS:
TYPE:. MAUNFACTURER: Certaintee THICKNESS: R-13
GENUAL/CONTRACTOR: LICENSE #
By.: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 21517
BY:
TITLE: ACCOUNT REPRESENTIVE DATE: