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05-1707 (SFD)Tdy k r4 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 ... , ; 9 , • (7'60) 777-7012 �tpFWv, 78-495 CALLE TAMPICo FAX (760).777=7.OP1 LA U LiFORNIA 92253 INSPECTION, REQUESTS: (76.0).,7,77-7153 D ° BUILDING PERMIT MAY 1 App ation X05-00001707 Date -.` 5/04/05 Pro e Cf4 �?. . . . 57770 RES IDENZA CT APN: F1NA 764-0.10=011-86 -30092 - Appl cation description.. DWELLING' -'SINGLE FAMILY DETACHED Property. Zoning LOW DENSITY RESIDENTIAL Application valuation 175041' Owner Contractor K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 4240 `E'. JURUPA_ STREET CHINO, CA 917-1.0 ONTARIO;. CA 91761 (.90 9) 937732"-0 WCC ZURICH INS WC: WC3436166302_ 10/.31/05 CS -LB: 700788 10/31/05 CCC: B Other struct info . . . . . CODE EDITION' 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 629..00' PATIO .SQ .FTG 665.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 269-0.00- --------------- ---------------------- ----------- --------------------------- -P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 �� LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 05 -1:1Q1 Date: .5• 12 05 Applicant: Archit"t or gi►fyeer: L Applicant's Mailing Address: Architect or Engineer's Address: ic. No.: C, -l7- BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (co m encing with Section 7000) of Division 3 of the Business and Professionals / ' , and my License .� in full force and effect. �O'7 -cense Class -cense No. v,� n ate ontractor 4 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 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 I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of penury 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ssued. My workers' compensation- nce career agd oli p� err mer �� YLoliP icy Number W `/ �L, is Zs _ t certify that, in the performance 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 of California, and agree that, if I should b come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 /Ap plcant WARNING: FAILURE TO SECURE WORKERS' 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 Lenders Address PtA APPLICANT ACKNOWLEDGEMENT j 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 Ouinta, 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 1 have read this application and state that the above i ation is correct. I agree comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou to nter upo the abo oned property for inspection purposes. ate L ign/S ature (Applicant or Agent): ---------------------------------------- ------------------------ +4;,� Application Number . . . . . 05-00001707 -------------------------------------------------------------------------y Permit . . BUILDING PERMIT Additional desc Permit Fee . . . . 905.50 Issue Date Expiration Date 10/31/05 Plan Check Fee 588.58 Valuation . . . . 175041 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 ---------------------------------------------------------------------------- .3.5000 THOU BLDG 100,.001-500,000' 266.00 Permit . . . . MECHANICAL Additional desc.. Permit Fee . . . . 77.00 Plan Check Fee .19.25 Issue Date Valuation . . 0 Expiration Date 10/31/05 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 3,.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit.Fee. 121.73 Plan Check Fee 30.43 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 2690.00. .0350 ELEC NEW RES-- 1 OR 2 FAMILY 94.15 629.00 -----------------------7------------------7--------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.58 Permit . . . . . PLUMBING Additional desc Permit Fee . . . .� 155.25 Plan Check Fee 38.81 Issue Date . . . . Valuation 0 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 ---------------------------------------------------------------------------- g. Application Number, . . . 05-00001707 --LL-------------------------------------------------- Permit . . . . . GRADING PERMIT Qty Unit Charge Per 'Extension BASE FEE -----------------------------------------------------------------------"----- 15.00 Special Notes and Comments SFD - LOT 86, PLAN 1C,2690 SF. (PATIO 3-665 SF,GARAGE 3)PERMIT DOES NOT INCLUDE POOL,SPA, BLOCK WALLS OR DRIVEWAY APPROACH -----------------------------------------------------'----------------------- Other Fees .... . . . . . ...ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 - ENERGY REVIEW FEE 58.86 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.50 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 1274.48 ------------------------------ .00 .00 ` 1274.48 Plan Check Total 677.07 .00 .00 677.07 Other Fee Total 2516.36 .00 .00 2516.36 Grand Total 4467.91 .00 .00 4467.91 11/01/20605 -'14:52 7607769980 PARAGON SCHMID BUILD PAGE 02/03 .. ... .. .v .. '':.%n R'./.. ..,.nA'.:N:Ai. i,!v/. .�:''%�;, it .. r. r, o �rNi. ..-�•.. - .. �.1; _. ... .!.1" .. .. .. - , , •1 , ... 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 „ .., t 57-770 RESIDENZA COST, LOT 86, PHASE 1A, LA QUINTA, CA CEILINGS:' THICKNESS: R-38 TYPE: BLOW MANUFACTURER: Certainteed WALLS: TYPE: BATTS MANUFAC RER: Owens Corning THICKNESS: R-13 G C NTRAC FORECAST HOMES LICENSE # B TITLE: C PARAGON SCHMID BUILDING. PRODUCTS A MASCO Company ' LICENSE # 221517 1 TITLE: ACCOUNT -REP RESENTIVE DATE BY: ' ...:.r..,r.::':: v:^: /,nT V T4f NY • /l vNS/."/1 1 .{�_ A A. i4/.f .W / /.. N r, v...v . .: ,t ...• .. c INSTALLATION CERTIFICATE (Page I of 8) CT -6R 5'7--7-7-a 2.Tloewz' Site Address )Permit plumber An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this forin is required.; however, use of this form. to provide the information is optional.) After completion 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-SYST-EMS: Heating Equipment Equip. # of Ffficiency Duct Duct or Heating Beating Type C.EC Certified Mfg Identical (AFUF,etc.) Location Piping Load Capacity Heat um _ Name anti Modcl_ S sv tems CF -IR value attic etc. R-va ue jBtu/hr(Btu/hr) Cooling Equipment Equip. CEC Certified Compr,,smr # of. Efficiency Duct Cooling Cooling Type (Pkg. Unit Mfr Nante and Identical (SEER,ete.) Location Duct Load. Capacity -feat um Model Number Systems fCF-l.R value] (attic etc R. -value (Btu/hr) fBtu/hr) 1, the undersigned, verify that: eq�Lipineut 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 Ener9j1 Taff ciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate .requirements for manufactured devices (&•ons the appliance Efficiency Regulations or Part 6), where applicable. 19 gria re, a e stalling Subcon .actor (Co. Name) OR General. Contractor (Co. Name) OR Owner 0 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 Depattmernt Hb`RS .Provider (if applicable) Building Owner at Occupancy January Qi, 2001 I r,. CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R Piazza Serena ti la—Z O'S Project Title Date 57-770 Residenza Ct. Project Address Scott Adams (909) 322-8953 Builder Contact Telephone lift1 C9 pf`f/"t/� (951) 780-7265 HERS Rater Telephone Z___1 (__ Certifying Signature Date Forecast Homes Builder Name ` Plan Number 2 Sample Group Number 86 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: 0 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. 0 The installer has provided a copy of CF -6R ( Installation Certificate) 0 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 400cfin/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 0 THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent 0 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 (Page 3 of 13) .F -6R ` 57-770 Residenza Ct. (Lot 86) 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 cfrn/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 Duct Connections ❑ ❑ Pass Fail ❑X 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 = ® ❑ 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 1:28PM HP LASERJET-FRX P.2 SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk #A Santa Fe Springs, CA 90670 562--941-2990 71.4-526-8441 Fax -562--946-0026 — __----____________^_____---_------ ---- - FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, C1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 57-770 RES IDENZA CT. LA QUINTA JOB #: 50132 DATE: 07/11/2005 JOB NAME: PIAZZA SERENA/LA QUINTA 97 PERMIT #: ISSUED BY: ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: CONTRACTOR: K. HOVNANIAN FORECAST SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE: TR 300922 FH 1--A / LOT #. 86 / GARAGE FOOTING -------------------------------------------------------------------------------------- CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: MIX #: D815P TYPE OF CEMENT : ADMIXTURE: TICKET #: 7432357 SLUMP : 5 WATER ADDED: 10 COAL AIR TEMP: 96 F CONCRETE TEMP: 73 F MIXING TIME: TIME -CAST: 2:40 PM -------------- DATE CAST: 6/3/2005 RECEIVED AT LAB: 6/6/2005 SPECIMENS MADE BY: PHIL LIMON JR. SPECIFIED PSI: 2500 FIELD IDENTIFICATIONI A 1 B 1 C I D I E LAB IDENTIFICATION : 506692' 506692 5OG692 AGE (JAYS 14 28 : 28 DATE TEST 6/17/2005 7/1/2005 7/1/2005 SIZE —IN. a 6.003X12 6.000X12 6.001)(12 AREA—SQ. IN. : 28.30 28.27 28.28 n CRUSH LOAD—LBS : 65700 98100 101000 � COMP—STR. —PSI. : 2320 3470 3570 I H/D , CORR FACTOR CORR. STR. —PSI TIME TESTED , BREAK TYPE . C.T.M. USED REMARKS: ASTM . C39, C174, 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 INSPECTI W AND TESTING SAMPLES CAST BY OTHERS: df RENAN R. CRU LAB. MANAGE ASTM C39 BREAKS A= cone B= cone ,j(nd split C= cone D=shear E=columnar