04-4470 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
_ _.Y
Application Number . . . . _04_--00-00=4.470Dat-e 6/02/04
Property Address . . . . . . 78420 VIA CALIENTE
APN: 604-032-999-107 -305212- `
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 177026
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 D 530
JUN Q 9 2004 WCC: OLD REPUBLIC.
IN
WC: MWC10877600
11/01/04
CITY OF LA QUINTA CSLB: 728102
09/30/04
FINANCE DEPT. CCC: B
--------------------------
Structure n ormation -------------------------
Construction Type
TYPE 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
426..00
PATIO -SQ FTG
236.00
NUMBER OF UNITS
1.00
-
FIRST FLOOR SQ FTG
2894.00
-------------------------
Permit . . . . . .
--------------------------------------
BUILDING PERMIT
------------
Additional desc .
Permit Fee
912.50 Plan Check Fee
593.13
Issue Date
Valuation . . . .
177026
Qty Unit Charge
Per
Extension
BASE FEE
639.50
78.00 3.5000
THOU BLDG_100,001-500,000
273.00
Permit . . . . . .
-------------------------------------------------------------------------------
MECHANICAL
Additional desc..
Permit Fee
52.50 Plan Check Fee
13.13
Issue Date
Valuation . . . .
0.
Qty Unit Charge
Per
Extension
I 1
_-- P.O. Box 1504 _ ��',/�
78-495 CALLS TAMPICO 1�N VOICE (760) 777-701:
LA QUINTA, CALIFORNIA 92253 4VFAX (760) 777-701 I
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's mailing Address:
Date: (9 � �] -O �
Ar itect or Enginee� r: _
Arch to t orArch t or En-
pineer's Address:
- 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, Licen is in full force and effect. ^�y/�
License Class cense No. /O o� I?
Date 01 ' . j
-IC76-ntractor
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION
perjury that I am exempt fm�om 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, 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 - Owner
WORKERS' COMPENSATION DECLARATION
.I hereby affirm under penalty of perjury one of the followinc declarations:
_Ihave and will maintain a certificate of sconse
ued.
of the work for which this permit is issued. n- to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
A'
UC 1 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
77T��//I�� �s d��jYyygrl� om ensation' rance carrier aid poli y uma ire, ^ Permit is
Cartier V /a Ue IC.t�1J1A �1 Policy Number Wt u�(r r lJ `r�'1 1 c D 0
_ I cenity that, irt the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became 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.
Beate '�` App plicent J✓1 t-�
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
Lenders 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 permit.
application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is pert under or pursuant to any permit
ormed und
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hot
officers, agents and employees for any act or omission related to the work being performed under or followid harmless the City of Le Quints, its
ng issuance of this
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180
cessation of work for 180 days will subject perm,t to cancellation. days from date is issuance of such permit or
I certify that I have read this applicatiori and state that the above information is coned. 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-irrmentioned property for inspection purposes.
ate k -O
ign� azure (Applicant or Agent) _
Page
2
Application Number
04-00004470 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
2.00
6.5000
EA
MECH VENT FAN'
13.00
1:00
6.5000
EA
MECH EXHAUST HOOD
6.50
-------------------------------------------------
Permit . ...
. . .
---------------------------..
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee :.
. . .
124.81
Plan Check Fee
31.20
Issue Date
Valuation . . . .
0
Qty ." Unit
Charge
Per
Extension
BASE FEE
15.00
2894.00
.0350.
ELEC NEW RES - 1 OR 2 FAMILY
101.29
426.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.52
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee
171.75
Plan Check Fee
42.94
Issue Date .
. . .
Valuation ..
0
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
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
7.00
.7500
EA
PLB GAS PIPE >=5..
5.25
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 107.
PLAN 3Y.
PERMIT
DOES NOT
1-f
Fee summary
-----------------
Permit Fee Total
Plan Check.Total
Other Fee Total
Grand Total
Charged Paid
1276.56
.00
680.4.0
.00
Page
3
Application Number
04-00004470 Date
6/02/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALLS, POOL,
SPA OR
DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . .. . . . .
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
'ENERGY REVIEW FEE
59.31
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
17.70
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check.Total
Other Fee Total
Grand Total
Charged Paid
1276.56
.00
680.4.0
.00
2482.01
.00
4438.97
.00
Credited Due
.00
1276.56
.00
680.40
.00
2482.01
.00
4438.97
IL
0
m
0
U)
0
N
0
A
a
LL
Certificateof Insulation
Your home has been insulated with Una in Teed Fiberglass insulation products, which are designed
for today's4afety standards and tomorrow's energy requirements.,
Fiberglass is inorganic and therefore permanently nonombustible, so it does not have to be treated
with fire-retafdant chemicals that will likely Ibse their effectiveness over time. It has not been treated
with chemica'.s that can corrode wiring or metal. Fiberglass will not absorb moisture ror will it
settle over time as may other insulation materials.
This also certifies that insulation have been professionally installed in this home to provide the
following thermal performance.
Job Name: Lannar Homes Tract: *30521 Plan# 3Y Phase: 4
Lot No: 107-3 Job Address: SFR - 78-420 Via Caliente, La Qulnta, CA
Ceiling Area: R-30 Blown Fiberglass Insulation Garage Ceiling: Non -Access:
With Living Above & Sloping Areas
Exterior Wall sR-13 urfaced batt insulation i Overhangs: Access Attic:
With Living Above
Between Floors: �. Interior Walls:
Signed:
Subcontractor. ..0 J Insulation, Inc.
72-227 Adelaid St. Thousand Palms, CA 92276
Mike Dickerson, General Manager - Palm Springs Branch
R -means resistance to heat flog. 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
valued papers. If you ever sell this home, this certificate should t:e passed on to the buyer.
ti
Down = -
ENERGY C A D E C
services —
P0. Box 821 Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270 Cell: (760] 250-1852
Email: DESNRG naAOL.COM
CERTIFICATE -OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
LA QUINTA DEL ORO PH 4 01-28205
Project Title Date
78-420 VIA CALIENTE LA QUINTA CA. 92253
rro]ect Aaaress
NACHO CASTENADA
760-078-6968
Builder Contact
Telephone
RICHARD KROWN
760-250-1852
HERS Rater
Telephone '
#CCNRK613292 02-02-05
Certifying Signature Date
Firm: DESERT ENERGY SERVICES LLC
Street Address: P.O. BOX 621
Copies to: Builder, HERS Provider
LENNAR HOMES
Builder Name
PLAN 3-Y 2 UNITS
Plan Number
GROUP 3
Sample Group Number
107
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) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑ ❑
r