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04-8416 (SFD)0 BUILDING 8C SAFETY DEPARTMENT C� (760)„777=7012 `SOF 78-4 TAM,P1C0 FAX (760) 777-701 LA QUINTA LIFORNiA 92253. INSPECTION. REQUESTS (760') 777-7153 MAY 12 100.5 BUILDING PERMIT CITY OF LA QUINTA FINANCE DEPT. .Application Number . .. 04-00008416 Date 5/04/05 Property Address. 57735 RESIDENZA CT APN: 764-010-011'-84 -30092 - Application description”. DWELLING •SINGLE FAMILY DETACHED Property Zoning -,- LOW DENSITY RESIDENTIAL Application'Valuation . . . 196173 Owner Contractor K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA. ST. SITE. 402 1 4240`E. JURUPA STREET' CHINO; CA 9.17.10: ONTARIO, CA..91761 (9;09) 937-3270. WCC': .....,ZURICH . INS WC: WC343`666302 10/31/05 CSLB: 700788 10/31/05 CCC: B P.O. BOX 1504 • '�� 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 014- RU lb Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: _S • / Z • O 57 Archi t qr ginJer: III ewi rchitect or Engineer's Address: Ic. No.: �� z✓ s 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 C e, and my Licens in full force and effect. '2D o nse Class I �e No. %9-k' /'9T � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thelollowing 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: 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. ave 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 issut!d.My workers' compensation ince camer and o is n mberr e• artier t�/,!°ir� bin icy Number��A:// _ I certify that, in the performance of the work for which this perhfit is iss ed, 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions /J WARNING: FAILURE TO SECURE WORK -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 W I or 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 om'ssion 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 ly with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count titer upo the above do property for inspection purposes. ate d �(Si/gnat/ure (Applicant or Agent): #,---Application,N�imber 04-00008416 -------------z-------'------------------------------------------------------- Structure Information Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/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 . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 979.00 Plan Check Fee 159.09 Issue Date . . . . Valuation. 196173 Expiration Date 10/31/05 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 Plan Check Fee. 5.22 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 -------------- -------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit Additional desc Permit Fee . . . . Issue Date . . . . Expiration Date*. . ELEC-NEW RESIDENTIAL 140.71 Plan Check Fee . . Valuation . . . . 10/31/05 : :I as Qty Unit Charge Per Extension BASE FEE 15.00 3066.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.31 920.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.40 ----------------------------------------------------------------------'--=--- Permit .. . PLUMBING Additional desc Permit Fee . . . . 172.50 Plan Check Fee'. Issue Date . . . . Valuation . . . . Expiration Date 10/31/05 Qty Unit Charge Per BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 10.78 0 Extension 15. 0 0 102.00 15.00 +---------------- -------------------------------------------------------- f Application'Number . . . . . 04-00008416 19 -------------, --------------------------------------------------------------- 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 � '=• ` , r r r r ... .. i•rrs r.r.r. ..w,.,r: rr•.r�r rvir�r.irr r.y.•»•irr-r,+r r r�rrn,r rssr<r v..r iv •rrrs r ...r.. r.�... �,v ,- ..:,.�.. r . 'i r r •. syr= r ✓ r. r r r••rv..r,: ,r,r•r ` INSULATION CERTIFICATE ii This is to certify that insulation has been installed in conformance with the current energy i, regulation, California Administrative Code, Title 24, State of California, In the building located 57.735 RESIDENZA COURT, LOT 84, PHASE 1A, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATT MAU CTURI=R: Owens Corning THICKNESS: R-13 G ONTR : LICENSE # t' B TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 FI , I BY: L' ITLE: ACCOUNT REPRESENTIVE DATE: ,!i .(I ......+r...,r.r.r.i..iv..r.r,...r.... ... rr. r,r;. rr... ../,..rr r•.r ,.�n�.��...u....r.rr.•r :.r:.. w..•r,rrr. r.•. -r: .,.r. r. ,,,�.r. ,-.;r�. .v... ...� CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING I Piazza Serena Project Title „ 57-735 Residenza Ct. Project Address Scott Adams (909) 322-8953 Builder Contact Telephone C9%JGT"T/✓( (951) 780-7265 HERS Rater Telephone Cerfifying Signature Date Date J Forecast Homes Builder Name 3-S Plan Number 2 Sample Group Number 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 CF -4R 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. ❑x 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 400cfm/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 Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑x ❑ Yes is a pass Pass Fail January 5, 2001 57-735 Residenza Ct. (Lot 84) 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 Duct Connections ❑ ❑ Pass Fail El THERMOSTATIC EXPANSION VALVE aXV) 0 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 Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (co. Name) OR General Contractor (Co. Name) Compliance Forms September 2002 A-25 INSTALLATION CERTIFICATE, Pae 1 of 8 CF -6R , -7- 3 .s' Site Address PertbitNumber An installation certificate is required to be posted at the building site or trade available for all appropriate inspections. (The information. provided on this form 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 S�',`S'F�.EW: 'Oeating Equipluent Equip. # of Efficiency Duct Duct or Heating Heating Type C.EC Certified Mfg Identical (AFUE,etc.) Location Piping Load Capacity Heat Pumu Name and Model # 'Systems CF -IR value fqficjjq. R -due ffl u/hr Btu/hr G 7 Cooling Equipment Equip. CEC Certified Compressor # of. Efficiency Duct Cooling Cooling Type (.Pkg. Unit Mfr .Name and Identical (SEER,etc.) Location .Duct Load Capacity Heat um) Model Number S sv temsCj F -1R yaluel , attic etc R -value LBtu/lu Btu/hr) 1, the undersigned, 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 Energyb.' ficiency Standards for residential bivldings, and 3) equipnnent alat meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. - nature, late stall ng Subco tractor (Co. Name) OR General. Contractor (Co. Name) OR Owner ❑ THERMOSTATIC EXPANSION VALVE (XV) ❑ Yes ❑ No Therniostati.c Expa.nsi.on. Valve (or Commission approved equivalent').is installed. and Access is provided for inspection Yes is a pass Pass Fail ❑ 0 COPY TO: Building Departmeat Hj--R-S Provider (if applicable) Building owner at Occupancy January 4, 2001 Nov 02 2005 1:28PM HP LASERJET FAX P•1 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 OH TEST SPECIMENS ASTM C31, C138, C143, C172, C173, C231,, C1064 --� CONCRETE: X GROUT: MORTAR:: SHOTCRETE: CORES: GUNITE: ADDRESS: 57-735 RESIDENZA CT. LA WUINTA JOB: 50132 DATE: 07/11/2005 . JOB NAME: PIAZZA SERENA/LA AUINTA 97 PERMIT #: 04-8416 ISSUED BY: -. ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: CONTRACTOR: K. HOVNANIAN FORECAST SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. ---- ---------- --- - ----------------------------------------------------- LOCATION ------------ -LOCATION IN STRUCTURE: TR 30092 PH 1-A / LOT # 84 / GARAGE FOOTING -------------------------------- CONCRETE SUPPLIER: 5UPERIOR-RDY-MX PLANT: MIX # D815P TYPE OF CEMENT :' ADMIXTURE: TICKET #: 7432350 SLUMP`: 5" WATER ADDED: 5 UAL AIR TEMP: 90• F CONCRETE TEMP: 81 F MIXING TIME: 45 HIN TIME CAST: 1':20 PM ------------------------------------------ DATE CAST: 6/3/2005 RECEIVED AT LAB: 6/6/2005. SPECIMENS MADE ;BY: PHIL LIMON^JR. _ SPECIF•IED PSI: 2500 FIELD- IDENT IF= ICAT ION I A >3-____L_____G___------ ___D- "-- ---- E___ _ LAB IDENTIFICATI.ON ____---.--- ----- : 5Q�6691 506691 506691 ----------------------- AGE DAYS : 14 28 : 28 . DATE TEST 6/17/2005 7/1/2005 : 7/1/2005 SIZE: -IN. 6.'(bOOX 12 6.003x12 : 6. 002X 12 AREA -SCJ. IN. : 28.27 28. 30 : 28.29 CRUSH LOAD -LBS 68000 102300 100800 COMP-STR. •-PSI . 2405 36.10 3560 : H/D CORR FACTOR CORK. 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 SO WE' INSPECTI AND TESTING SAMPLES CAST BY OTHERS: RENAN R. CR.LIY—d LAB. MANAGER ASTM C39 BREAKS A= cone B- cone and split C= cone D=shear E=columnar