04-4475 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760).777.-7012
78-495 CALLS TAMPICO . FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . -jQ47-_00004475 Date 6/02/04
Property Address . . . 78410 VIA CALIENTE
APN: 604-032-999-108 -305212-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 185849
Owner: Contractor
------------------------ ------------------------
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
.78401 HIGHWAY 111, STE C 78401 HIGHWAY 111, SUITE C
LA QUINTA, CA LA QUINTA CA 92253
LA QUINTA ,_ rA_922.5z ,
Qty Unit Charge Per
Extension
WCC: OLD REPUBLIC
IN
JUN
09 2004
WC: MWC10877600
11/01/04
CSLB: 728102
09/30/04
CCC: B
CITYOFLA��
----Flip
ED uctu e Information
Construction Type .
. . . PE V - NON RATED
Occupancy Type . . .
. . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . .
. NON -AO FLOOD ZONE
Other struct info
. . . CODE EDITION 2001
CRC
FIRE SPRINKLERS NO
GARAGE SQ FTG
425.00
PATIO'SQ FTG
273.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3040.00
----------------------------------------------------------------------------
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
940.50 Plan Check Fee
152.83
Issue Date
Valuation
185849
Qty Unit Charge Per
Extension
BASE FEE
639.50
86.00 3.5000 THOU BLDG 100,001-500,000
301.00
----------------------------------------------------------------------------
Permit . . . . ...
MECHANICAL
Additional desc
Permit Fee
59.00 Plan Check Fee
3.67
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge Per
Extension
-- P.O. BOX 1504 - "
78-495 CALLE TAMPICO T&�p 4 4
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Appiicanus mailing Address:
VOICE (760) 777-701:
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: (P'4•0
Arcniloct or Engineer's A dress:
1 oo �,. �-
_S4 CA
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 Ucen p is in full force and effect.
License Class_ 11 J _-ticense No. 2 m ) l 021 -
Date CD r� . O L z=.00—ntra ctor n/II V t �(�M/1 i87L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law fort 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 fort 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 'hat 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 of sale. ).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct t project (Sec. 7044, Business and Pfpurpose
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects witessions Code: The Contractors'
h rof contractor(s) licensed pursuant to
the Contractors' State License Law.).
U 1 am exempt under Sec. . BA P.C. for this reason
Date • Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
-VI have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, fort 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
compensation ranee carrier and p licy number
Cartier llJ A (J Policy Number 0
_ 1 cenity that, irf the performance of the work for which this permit is issued, I shall not employ an
y person in any anner so as to become subject to the compensation laws of California. and agree that, if I should become subject tot
workers' compensation provisions o Section 3700 of t Labor Code,rI shall
forthwith comply with those provisions.
Date l% 1,Applicant
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.
I herebyaffirm under CONSTRUCTION LENDING AGENCY
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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 perforated under or prsuato an
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 Quints, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from dapermit.
te is issuance of such pemtit or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this applicatiori and state that the above information is comsct. 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-mentoned property for inspection purposes.
A Date •Si :
gnature (Applicant or Agent):
;
Application Number . . . . .
04-00004475
Page 2
Date 6/02/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA MECH FURNACE <=100K
9.00
1.00.
9.0000
EA MECH B/C <=3HP/100K BTU
9.00
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
. . . .
129.90 Plan Check Fee
8.12
.Issue Date
. . . .
Valuation . . . .
0
Qty-
Unit Charge
Per
Extension
BASE FEE
15.00
3040.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
106.40
425.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.50
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
177.00 Plan Check Fee
11.06
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
6.00
.7500
EA PLB GAS PIPE >=5
.4.50
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
------------------7---------------------------------------------------------
Special Notes and Comments
SFD - LOT
108. PLAN 4Y.
PERMIT DOES NOT
V.
r
9
Page 3
Application Number
. . . . .
04-00004475 Date
6/02/04
------------------------------------------
Special Notes,and
Comments
------------------------------------
INCLUDE BLOCK WALLS,
POOL, SPA
OR
DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED
FOR 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
15.28
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
18.58
DIF STREET MAINT FAC -RES
15.00
-DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1321.40
-----------=--------------=---
.00 .00
1321.40
Plan Check Total
175.68
.00, .00
175.68
Other Fee Total
2438.86
.00 .,00
2438.86
.Grand Total
3935.94
.00 ._001
3935.94
9
ENECADRGY ��' '- E
services— .
P0. Box 621
Rancho Mirage, CA 92270
Email: DESNRG aOAOL.COM
Ph/Fax(760)564-2044
Cell: (760] 250-1852
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
LA QUINTA DEL ORO PH 4 01-28-05
Project Title Date
78-410 VIA CALIENTE LA QUINTA CA. 92253 LENNAR HOMES
ProjectAddress
Builder Name
ASTENADA 760-578-6968
PLAN 4-Y 2 UNITS
Builder Contact Telephone
RICHARD KROWN 760-250-1852
HERS Rater/ Telephone
#CCNRK613292 02-02-05
Certifying Signature
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
Date
Plan Number
GROUP 3
Sample Group Number
108
Sample Lot Number
HERS Provider: CHEERS
City/State/Zip: RANCHO MIRAGE, CA. 92270
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ 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.
❑ The installer has provided a copy of CF -6R (Installation Certificate.
❑ 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 drawbands 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)
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes' ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
❑ ❑
Pass Fail
Certificate of Insulation +
Your home has been insulated with Certain Teed Fiberglass insulation products, which are des*gned
for today's safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be trWed
with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated
- with chemicals that can corrode wring or metal. Fiberglass wilt not absorb moisture nor wi4 it
settle over time as may other insulation materials.
This also certifies that insulation have been professionaliy installed in this home to provide the
following thermal performance.,
Job Name: Lennar Homes Tract: #34521 Plan# 4Y . Phase: 4
- Lot No: 108-3 Job Address: SFR - 78-410 Via Caliente, La Ouinta, CA
Ceiling Area: R-3813fown Fiberglass Insulation Garage Ceiling: Non -Access:
With Living Above & Sloping Areas
Exterior Walls RA unlaced batt insulation Overhangs: Access Attic:
With Living Above
Between Floors: .
Interior Walls:
Subcontractor ... 0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
Signed: (i'1 �,QJw�!✓�
Mike Dickerson, General Manager - Palm Springs Branch
R -means resistance to heat flag. The higher the R. -value, the greater the insulating power.
Ask your builder for the fact sheet on R -values. Keep this certificate with your other
valuer) papers. If you ever se'I this home, this certificate should be passed on to the buyer.