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04-5135 (BLCK)�F�4�rw P.O. Box 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number X04=00.005135 Date 6/23/04 Property Address . . . . . . 79720 CORTE NUEVO APN: 609-580-010-. - - Application description . . . WALL/FENCE Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 8350 Owner Contractor PONnEROSA 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) 318-7710 WCC: REPUBLIC: WC: .15671602 10/01/04 CSLB: 752884 08/31/04 CCC: B ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee. 108.00 Plan Check Fee .00 Issue Date Valuation .8350 Qty Unit Charge Per Extension BASE FEE, 45.00 7..00 9.0000 THOU BLDG 2,001-25,000 63.00 Special Notes and Comments 334 L.F..6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total. 108.00 .00 .00 108.00 Plan Check Total .00 .00 .00 .00 Grand Total 108.00 .00 .00 108.00 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: 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 my License is in full force and effect. / License Class icense No._ f If - 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 1, 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: 1 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 su ers' compensation in nce carrier and p� icyAtynt a�� rierJolicy Number any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, it I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, t shall forthwith comply with those provisions. /Date plicant WARNING: FAILURE TO SECURE WORKERS OMPENSATI OV RAGE 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.). Lenders Name 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, 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. ate �ure (Applicant or Agent): 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 79-720 CORTE NUEVO,,LOT 88, 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: 11911k& INSULATION .CERTIFICATE This is tom ify that insulation has been installed in conformance with the current ene regulation, Carffonia Administrative Code, Title 24, State of California, in the buildipgA CEILINGS: TYPE: BLOW_ MAUNFACTU Certainteed,- �s:THICKNES R rim_ _ WALLS: TYPE: BATTS MAUNFACT R: Certainte THICKNESS: R-13 GENERAL CONTRACTO LICENSE # BY; / TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICEW # 221517 BY: TITLE: ACCOUNT.REPRESENTIVE DATE: CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts $ CF -4R rt~N PROJECT INFORMATION Climate Zone; 15 Project Title: Mosaic @ Esplanade Project Address; La Quinta Builder Name:. Builder Contact: Ponderosa Homes Voice # : 925-460.8900 Jeff Nygren Project ID 0: Voice # 29323 Sample Group # : Phase: 6 Lot Plan M. Address 2 _ 79=720 C o e uevo HERS INFORMATION HERS Rater: Scott Johnson Jayme Carden Certification # : CCNSJ814037 CCNJC615157 HERS Firm; Action Now Voice fi ; 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 MT -24 Compliance Credit was Taken for Tight Ducts rifi X T-24 Compliance Credit was Taken for TXV TXV Veed YesIx The use was: x Tested / Verfied =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 dud) Where Goth backed rubber adhesive dud tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal teaks at the connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Dud Diagnostic Lea�CFA a Testing Results (Maximum 6% Dud Leakage) 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 (0.06) 21.7 x (Heating Capak ' In Thousands of Output BTU per hour).x Measured Fan Flow X'06 u Pressurization Teat Resu s 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Feil Pass = 6% or Less) Pass System L_tj of Indicate the maximum a owe le Dud Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5)f 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 (Meeting Capacity in Thousands of Output BTU per liour) x (0.06) Measured Fan Flow x .06 71-0 Pressurization Test Results 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Paas or Fail Pass = 6% or Less) Pass x System = of Indicate the maximum a owe le Duct Leakage and the Calculation used: 0.7 x Floor Area x (O.N 0.5 x Floor Area x (0.0f 400 x (Cooling Capacit' 21.7 x (Heating Coped Measured Fan Flow D—u'a Pressurization Test Res 100 x Test Leakage/ fan flow Check Box for Pass or Fail (F Raters Certifying Signature fan flow 111`18/2004