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04-8417 (SFD) T4 BUILDING &t SAFETY DEPARTMENT P.O. B 04 (_760)..7-77-7.012 OF A 7 495 C E TAMPICO . D FAX (760) 77.7-.70F1 O UIN ALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153 MAY 12 INS BUILDING PERMIT Crrr OF LA QuP TA A plicattl E . , er 04-00008417 Date 5/04"/05 P erty Address. 57810 RESIDENZA CT. APN: 764-010-011-87 -30092 - Application description 'DWELLING,-',SINGLE FAMILY DETACHED' Property Zoning.. LOW-DENSITY RESIDENTIAL Application valuation 19617.3 Owner Contractor K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUP.A ST. .STE . 402. 4240 E..• JURUPA STREET,. ' CHINO, CA 91710. ONTARIO, CA 91761 (909) 937-.3270 WCC: ZURICH'INS WC: WC343666302 .10/31/05 CSLB: 700788 10/31./05 CCC: B P.O. BOX 1504• " VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 T 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04• ��.( �'�] Date: Applicant: Archi ct or E gin r: v, Applicant's Mailing Address: rc tect or Engineer's Address: ic. No.: 3� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter99 (comyencing with Section 7000) of Division 3 of the Business and Professionals C and my Licens s in full force and effect. —7�� cense Class _ ense No. / ,,orJate l d S /Contractor 1� - /Ul�✓%G�l�%% ✓L 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 WORKERS' COMPENSATION DECLARATION I 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. 61 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 r� issued My workers' compensation ms a carrier aPdpolicy nu ber e, arrier r%litvt�� i.P61'cy Number l�/C 2 L '� 66 _ I certify that, in the performance of the work for which thisperrM itis 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 bec a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio e L p�R plicant WARNING: FAILURE TO SECURE WO RS' 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 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 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 comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count n r upon the abov -m oned property for inspection purposes. ate / 1/ Signature (Applicant or Agent): ---------------------------------------------------------------------------- 'r.�.' Application Nutnber .04-00008417 -------------------------------------------------------------------------- Structure Information Construction Type TYPE V _ NON RATED Occupancy Type . . . DWELLG/LODGI•NG/LONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 920.00 PATIO SQ FTG 208.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3066.00 ---------------------------------------------------------------------------- Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . BUILDING PERMIT 979.00 10/31/05 Plan'Check Fee . . 159.09 Valuation . . . . 196173 Qty Unit Charge Per Extension BASE FEE 639..50 97.00 3.5000 THOU BLDG 100,001-500,000 339.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 83.50 Issue Date Expiration Date 10/31/05 Plan•Check Fee 5.22 Valuation 0 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 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 140.71 Plan Check Fee 8.80 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE .FEE 15.00 3066.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.31 920.00 --------------------------------------------------------------------7------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.40 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 172.50 Plan Check Fee'. 10.78 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ---=------------------------------------------------------------------- ApPlication Number . . . 04-00008417 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------ Special Notes and Comments ----------------------- _ SFD - LOT 84, PLAN 3A, 3066 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK.FEE DUE TO - MULTIPLE ISSUANCE OF SAME PLAN TYPE --------'-------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER --RES 366.00 ENERGY REVIEW FEE 15.91 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 19.61 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION.- RES 1098.00 Fee summary Charged. Paid Credited Due Permit Fee Total 1390.71 .00 .00 1390.71' Plan Check Total 183.89 .00 .00 183.89 Other Fee Total 2440.52 .00 .00 2440.52 Grand Total 4015.12 .00 .00 4015.12 s. INSULATION CERTIFICATE This is to certify that insulation has been installed In conformance with the current energy regulation, Callfornla Administrative Code, Title 24, State of California, in the building located 57.810 RESIDENZA COURT, LOT 87, PHASE 1A, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BA S MAU CTURER- Owens Corning THICKNESS: R-13 GE CONTRA LICENSE # TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Comp4ny LICENSE # 221517 BY: X'aai;P�LE: ACCOUNT REPRESENTIVE. DATE: INSTALLATION CERTIFICATE (Page 1 of 8) , CF -6R bite Addre$s Permit Number An installation certificate is requixed to be.posted at the building site or made available for all appropriate uispections: (The informati.on. provided on this fort.. is required.; however, use of this fon.. to provide the information is optional.) After cotrtpleti.on of final inspection, a copy must be provided to the building department: (upon request) and the building owner at occupancy, per. Section 10-103(b). HVAC S1(ST.IC+M:S-. Pleating Equipment Equip. # of Efficiency Duct Duct or Heating heating Type CEC Certified Mf;; Identical (AFUE,etc.) Location Piping Load Capacity Fieat Pump Name and Model # Systems CF -1 R value attic e c. R-va ue (Btu/hr) (Btu/hr --!ZC2- �G Cooling Equipment Equip. CEC Ceitif cd Comprese..or # of. Efficiency Duct Cooling Cooling Type (Pkg. Unit Mfr Name and Identical (SBEA,ete.) Location Duct Load. Capacity Heat urnn Model'Number Systems (CF -IR value l , attic etc R. -value Btu/hr Btu/hr 1, the 'Wdersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) - equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1.R) submitted for compliance with the Energy l;fficiency Standards for .residentia.l buildings, and 3) equipment that meets or exceeds the appropriate .requirements for manufactured devices (from the appliance Eff ciency Regulatiofrs or Part 6), wbe.re applicable. 017,,e atu e, Tate stalling Subco tractor (Co. Name) OR General. Contractor (Co. Name) OR Owner Cl THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes 0 No Thermostatic Expansion Valve (or Commission approved equivalent) is installed. and Access is provided for inspection Yes is a pass Pass Fail Q D COPY TO: Building Department HERS Provider (if applicable) Builduag Owner at Occupancy 0 January 4, 200 0 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R Piazza Serena Project Title Date 57-810 Residenza Ct. Project Address Forecast Homes Builder Name Scott Adams (909) 322-8953 3-S Builder Contact Telephone Plan Number (951) 780-7265 2 HERS Rater Telephone Sample Group Number =a,L 87 Certifying Signature Date Sample House Number Firm: Energy Calc Services, Inc HERS Provider: CALCERTS Street Address: 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside, CA 92504-9638 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑X Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. El The installer has provided a copy of CF -6R ( Installation Certificate) ❑X Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfrn/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow = Check Box for Pass or Fail (Pass=6% or less) ❑ ❑ Pass Fail ❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent ❑x Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection 0 ❑ Yes is a pass Pass Fail January 5, 2001 INSTALLATION CERTIFICATE (Pape 3 of 13) .F -6R 57-810 Residenza Ct. (Lot 87) Piazza Serena, Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ SYS 1: DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction =/- 0.06 ❑ ❑ Pass Fail ❑ SYS 2: DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction =/- 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY— The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Dud Connections ❑ ❑ Pass Fail 0 THERMOSTATIC EXPANSION VALVE (TXV) ❑X Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ DUCT DESIGN 1. ❑ Yes ❑ No ACCA Manual D Design calculations have been completed. Duct Design is on the plans and duct installation matches plans. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = a ❑ Pass Fail ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Installing Subcontractor (co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms September 2002 A-25 Nov 02 2005 1:30PM HP LASERJET FAX p.4 SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk #A Santa Fe Springs, CA 90670 562-941-2990 714-526•-8441 Fax -562-946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C13B, C143, C172, C173, C?31, C1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 57-810 RESIDENZA CT. LA QUINTA JOB #: 50132 DATE: 07/12/2005 JOB NAME: PIAZZA SERENA/LA QUINTA 97 PERMIT #: 04-8417 ISSUED BY: ARCHITECT. K.T. G. Y. GROUP ARCH INC. ENGINEER: CONTRACTOR: 1'.. HOVNANIAN FORECAST SUB CONTRACTORS CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE: TR 30092 PH 1-A / LOT # 87 / GARAGE FOOTING CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: MIX #: D815P TYPE OF CEMENT ADMIXTURE: TICKET #: 7432385 SLUMP : 5" WATER ADDED: 0 GAL AIR TEMP: 83 F CONCRETE TEMP: 70 F MIXING TIME: 60 MIN TIME CAST: 9:36 AM DATE CAST: 6/4/2005 RECEIVED AT LAB: 6/6/2005 SPECIMENS MADE BY: PHIL LIMON JR. SPECIFIED PSI: 2500 FIELD IDENTIF=ICATION I A I B I C I D I E LAB IDENTIFICATION 509193 509193 : 509193 AGE DAYS 14 28 28 DATE TEST 6/18/2005 7/2/2005 : 7/2/4005 SIZE -IN. 6. 001 X 12 : 6. 003X 12 : S. 002X 12 AREA -SQ. IN. 28. 28 : 28.30 28.29 - CRUSH LOAD -LDS 66000 94600 93000 COMP•-STR. -PSI. 2330 3340 3290 I H/D CORR FACTOR CORR. STR. -FSI , TIME TESTED . FREAK TYPE C.T.M. USED REMARKS: ASTM C39, C1741 C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI RESPECTFULLY SUBMITTED SOUTHWEST IN SPECTI O,1 AND TESTING SAMPLES CAST BY OTHERS: �._ � F RENAN R. CRU LAB. MANAG8 gSTM C39 BREAKS A=: cone B= cone/and split C= cone D=shear E=columnar �