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04-4040 (SFD)a Tdf °F 4Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . . . Property Address . . . . . APN: Application description . . . Property Zoning . . . . . . . Application valuation . . . . Owner PONDEROSA HOMES II, LLC 400 S. FARRELL DRIVE, B103 PALM SPRINGS, CA 92264 LA QUINTA CA 92253 INSP BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX !76(11 777-7011 7153 04-00004040��O-- I � F ateJ ls 79725 CORTE M EVair 609-580-006- - - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 194630 Contractor 13/04 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 -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 681.00 PATIO SQ FTG 500.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3053.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . 972.00 Plan Check Fee 631.80 Issue Date Valuation . . . . 194630 Qty Unit Charge Per Extension BASE FEE 639.50 95.00 3.5000 THOU BLDG 10.0,001-500,000 332.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Qty Unit -Charge Per Extension e P.O. Box 1504 • :�� VOICE (760) 777-7012 79-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O4 - q040 Date: -0 Applicant: Arch' or Engineer: Applicant's Mailing Address: ]Architect or Engineer's Address: ,n �� /04 Lic. No.: �� °� ��L2��1%21 BUILDING PERMIT DECLARATIONS q zcob c) LICENSED CONTRACTOR'S DECLARATION I hereW9ffim, under penalty of perjury that I am licensedunder isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C and my License . n full force and effect. icense Class icense 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.). 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 1 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' compensate insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is s �d. workers' ompensation i once carrier I certify that, in the per ormance 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 6f 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 wlh those provisions. WARNING: FAILURE TO SECURE WORKERSNI,�MPENSATION 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 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 ;ate structiand hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. J Q gnature (Applicant or Agent): �N� Page 2 Application Number . . . . . 04-00004040 Date 5/13/04 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 7 ------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 135.48 Plan Check Fee 33.87 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3053.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.86 681.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.62 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 178.50 Plan Check Fee 44.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------=------------------------ Permit . . . . ... GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 -----------.---------------------------------- Special Notes ------------------------------- and Comments SFD - LOT 84. PLAN 3AXR. PERMIT DOES NOT Fee summary Charged Permit Fee Total 1384.48 Plan Check Total 731.18 Other Fee Total 2487.64 Grand Total 4603.30 Paid Credited Due ---------- ---------- ---------- .00 .00 1384.48 .00 .00 731.18 .00 .00 2487.64 .00 .00 4603.30 Page 3 Application Number . . . . . 04-00004040 Date 5/13/04 ---.------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA, OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES a .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 63.18 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 19.46 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1384.48 Plan Check Total 731.18 Other Fee Total 2487.64 Grand Total 4603.30 Paid Credited Due ---------- ---------- ---------- .00 .00 1384.48 .00 .00 731.18 .00 .00 2487.64 .00 .00 4603.30 INSULATION CERTIFICATE This ksto certify that insulation has been installed inconformance with the current energy regulation, California Administrative Coda, Title 24. State of California, in the building at 79-725 CORTE NUEVO, LOT 84, PHASE 6, LA QUINTA CA CEILINGS: � TYPE: BLOW- MANUFACTURER: Certonteed THICKNESS: R-38 ^ � � WALLS: / TYPE: BLOW MAN UFACTURER.Oedninhaed THICKNESS: R-15 ' GENERAL CONTRACTOR: PONDEROSA HOMES U,INC LICENSE� TD�'E� � _ _ PARAGON 8CHK8|DBUILDING PRODUCTS AMASCO Company LICENSE #231517 � 414d T�LE:ACCOUNT REPRESENTK/E DATE . ~ � INSULATION CERTIFICATE This conformance with the current regulation, California-A«[nnisdradivoCodo. Title 24, State ofCalifornia, in th g |uuabad r`. CEILINGS: — ` MAUNFACTI GENERAL CONTRACTOR: LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTK/E DATE: ' . CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts $ TXV) CF -4R PROJECT INFORMATION Climate Zone: 15 Project Title: Mosaic @ Esplanade Pro)ect Address: La Quints Builder Name: Ponderosa Homes Voice 925-460-8900 Builder Contact: Jeff Nygren Voice # Project ID #: 29323 Sample Group # : Phase: 6 Lot #: 84 Plan #: 3 Address: 79-725 Corte Nuevo HERS INFORMATION HERS Rater: Scott Johnson Jayme Carden Certification # : CCNSJ614037 CCNJC615157 HERS Firm: Action Now Voir # : 949-631-2274 Address: 2575 Westminster Avenue, Costa Mesa, CA 92627 HERS Provider. CHEERS Voice # : 800-424-3377 HERS Address: 9400 Topanga Canyon Blvd., Chatsworth, CA 91311 HERS RATER COMPLIANCE STATEMENT T-24 Compliance Credit was Taken for Tight Ducts NheT-24Compliance Credit was Taken for TXV TXV Verified yes Ouse was: x Tested / Verfied Approved as a part of sample, but was not tested x The Installer has prov ed a copy of CF -8R 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 Duct Diagnostlo Leaks a Testing Results (Maximum 6% Duct Leakage) CFA: CFA Leak Max Tested Leak System Of Indicate the maximum a owa to Dud 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 (0,06) Measured Fan Flow I x .05 D-u'a Pressurization Test R ults 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass x Systemof 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 (0.116) 21.7 x (Heating Capacity In Thousands of Output BTU per hr Measured Fan Flow X.06 50 Pressurization Test Results 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) System L of Indicate the maximum a wa le Duct Leakage and the calculation used: 0.7 x Floor Area x (0 0.5 x Floor Area x (0 400 9 (Cooling Cape 21.7 x (Heating Cape Measured Fan Flow D -u-4 Pressurization Test A 100 x Test Leakage/ fan fl( Check Box for Pass or Fail fan now Raters Certifying Signature 11/18/2004