04-8230 (SFD)B,pILDING,,& SAFETY DEPARTMENT
T.O,.- Box 1504
(760).777-7012
78-495 CALLS TAMPICO
FAX (760) 7774011
LA QUINTX'CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
An
66LD.140 PERMIT
MJF 31 2005
flu:bl, Dumber.: ml:�ber.:.- 2-31&
Appli a, ion Date, 2/18/05
Prope t UOUNTA. .43276 PARKW- Y''ESPLANADE W
APN: =F1NA=FnF-PT _J. -6Q9-3810-997-67, ..-29323.3-
Application..description' -,bWE0'
`LLIN,.' =",SINGLE FAMILY DETACHED.
Prope ' pty' Zoning LOW DENS:ITY,RESIDENTIAL
Appl,I`Cation valuation 19,4630-'.
Owner Contractor.
- - - - - - - - - - - - - - - - 7 - - - - - - - - - - -- ---- - - - - -
PONDEROSA HOMES I-I, INC. PONDEROSA HOMES II-, INC.
6671,QWENS DRIVE' 6,671 -OWENS DRIVE
PLEASANTON, CA PLEASANTON., CA 94588
PLEASANTON CA. °9.4 5J8 8'(,76 0)` .' 3.1;8 - 7.7 10
WC I C:' TANNER INSUR
WC:. 15,6.7160"3 10/01/05
CSILE`: 752884 08/31/06
• CCC:-" B
---------------------------- StructureInf rmdtion ----------------------
Construction Type'.,.,. TYPE V NON RATED
.occupancy Typo DWELLG/LbbG .- INGICONG <=10
Flood Zone 'NON-AO;FtbrbD ZONE
Cd*
Other struct info..,,.;•, 'iED I ITI ON 2001 .CRC
#-BEDR,
boM
4.00
FIRE RINKLERS NO,
GARAGE SQ FTG ...... 681.00
500.00
NUMBERPF-UNITS. 1.00
1ST FLOOR SQUARE.00OTAGE 3053.00
----------- 7 ---------------------------- ---------- ---------- -----------------
Permit' . . . . ... BUILDING PERMIT
Additional desc
Permit Fee 572.00- Plan. Check "Fee 631.80
Issue Date . . . . valua'E'ion ... . . . 194630
Qty Unit 'Charge Pejr.
Extension
BASE :FEE 639.50,
9.5.00 3.5000 THOU -BLDG 100,001-500.,0_00 332.50
------------------------------------- -------------------------------
Permit . . . .... MECHANICAL'
Additional des c
Permit Fee
83. 5.0 Plan,Check Fee 20.88
Issue Date,' Valuation 0
Qty Unit'Charge.. Per
2.00 9.0000 EA
2.00 9.0000 EA
Extension
'BASE PEE 15'. 00
MECH. FURNACE 1<=100K 18.00
MECH BTU 18.00
P.O. BOX 1504 • ��r��/
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _ U 41. 8a 30 Date: .3.3p ' OS
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
,--Architect or Engineer's Address:
qJ •P. � A�ot:�s
c. No.: C (OJ4 %S
13UILDING 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
Coen, and Licens in full force and effect. '752 %a14
icense Classss icense No.
,,,.,e�ate 3-'3 0-:Q5 tractor t0f7V1t 4.-,0 1�-. A
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).):
L) 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.).
L) 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.
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
issued. y workers' compensation i ante carrier and pQli�y number are:
arrier _ A
IV AJ eii. licy Number_ / 5(0 1 I (p® 3
I 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 Califomia, 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.
,,,,�ate 3 `30- 0 $ olicant
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
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 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-mentioned property for inspection purposes.
,,,/Date 0,5 lure (Applicant or Agent):
Page
2
Application Number .
. . . . 04"-0000823.0 Date
2/18/05
Qty Unit Charge
Per
Extension.
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
135.48. P1an..Check Fee ..
33.87
Issue Date . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE. FEE
15.00
3053.00 .0350
ELEC NEW RES;--" 1 ,.OR 2 FAMILY
106.86
681.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.62
Permit . . . . . .
PLUMBING
Additional desc
Permit Fee . . . .
178.50 'Plan Check�Fee
44.63
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
1.00 7.5000
�.4
EP, . PLB . WATER: HEATER"/. VENT
7.50
1.00 3.0000
EA PLB WATER INST'/`P;LT/REP' -
3.00
1.00 9.0000
EA PLB L4-WN'SPR1NKLER SYSTEM
9.00
8.00 .7500
EA PLB.GAS' PIPE >=5
6.00
1.00 .15.0000
EA PLB:. GAS METER-i
15.00
----------------------------------------------------------------------------
Permit . . . . . .
GRADING'-PERMIt
Additional desc
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . .....Valuation
. . . .
0
Qty Unit Charge
Per {,
Extension
BAS'E'FEE
15.00
Special Notes and Comments
SFD - LOT 67. PLAN 3BXR, 3053 SF. PERMIT
DOES NOT 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
d i
Page
3
Application.
Number.
,r'04-0,.0008=230. Date
2/18/05
Other Fees.,.
. .
'ENERGY ' RE -VIEW. FEE
63.18
-DIFF FIRE.. ;PRO.TECTION'-RES
97.00
=.
GRADING PLAN CHECK FEE
.00
D`IF ;LIBRARIES = RES;
225.00
DIF PARK:=-MAINT FAC' = RES
5.00
DIF::: PARKS/R.EC - RES'
502.00
STRONG MOT30N- ( SMI) r - RES
19. 4'6
"DI -F" STREET :MAINT- FAC -RES.
15.00
DIFF TRANSPORTATION - RES
1098.00
Fee summary,.
Charged
Paid Credited
Due
Permit .Fee 'Total
1384.48
:00 00
1384.48
Plan Check
Total'
731.18
00 00 :
731.18
Other Fee Total
2487.64
.00 0`0
2487.64
Grand Total
4603.30
00 00
4603.30
r
12/29/2005 16:44 FAX 7149212187 ALLIANCE MECHANICAL 9 002
INSTALLATION CERTIFICATE CF -6R
LOT # P AN
Site'Address '—P0VKVWyLbViQn9oeNPermit Number
Ari�stallation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) 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(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(Pkg. heat um
CEC Cenified Mfr.
Name and Model
Number
0 o f
Identical
$ stems
Efi•tciency
AF i
( U8. M¢.)
ZCF•IR value
Duct
Location
attic etc.
Duct or
Piping
R,valuc
Heating
Load
(Btu/hr)
Heating
Capeeiry
(Btu/ho
FURNACE
NIMN`7M
2-
80%
ATTIC
ASC
V
NAt 412
1
I
�2.a
12--0
ATTIC
A --MC-
�Z•v
IT
42,09D
Cooling Equipment
Equip Type
q p YP
(pkg. heat um
CEC Certified Mfr,
Name end Model
Number
p of
Identical
S stems
Efficiency
(SEER of EER)'
2CF-IRvelue
Location
attic etc.
Duct
R -value
Cooling
Load
Btu/hr
Cooling
Capacity
Btu/hr
ASC
V
NAt 412
1
I
�2.a
12--0
ATTIC
A --MC-
�Z•v
IT
42,09D
L > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
I, the undersigned, veri that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more
efficient than that spe fr d in the ificate of compliance (Form CF -IR) submitted for compliance with the Energy
Efcie y Standards or siders ' I b ildings, and 3) equipment that meets or exceeds the appropriate requirements for
manu�a cured devic ( ,4 lance Efficiency Regulations or Part 6), where applicable.
ALLIANCE MECHANICAL CORP.
Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
COPY TO: Building Department
HERS Rater (if applicable)
Building Owner at Occupancy
Residential Compliance Forms March 2005
I
i
q ..:. ...... :... xrsn-xms .,k q..,.. a -.w.. . .... 1,. .. xcr. . S.a-.
77777777777777
i. 7 F .. R: a +^C^a r
12/29/2005 16:44 FAX 7149212187 ALLIANCE MECHANICAL
INSTALLATION CERTIFICATE
Site Address
Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAFAGE
Cocies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department
INSTALLER COMPL NCE STATEMENT
The building was: ✓[Wrested at Final ✓ ❑ Tested at Rough -in
Q003
CF -6R
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
O Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior
finishing wall are properly sealed.
O If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
❑ Inspect all joints to ensure that no cloth.backed rubber adhesive duct tape is used
✓ ❑ DUCT LEAKAGE REDUCTION
Procedures for fleld veri a atlon and dlagnostic testing of 4ir distributions stents are available in RA CM, L4ppendLr RC4.1
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
I Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ O Heating) or ✓ Q Measured
2 if fan Flow is Calculated as 400 eft/ton x er of tons or as 21.7 efm/(kBtu/hr) x Heating
Capacity in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here:
3 Pass if LeajoF& Percentages 6% for -final or 5 4% at Rough -in:
11000 Line # I /. ine # 2
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
I Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ ❑ Cool}'�g
2 If Fan Flow is Calculated as 400 cfin/ton x tf9
Ca aci in Thousands of Btu/hr enter total caleu
C
I Heating) or ✓ ❑ Measured
of tons or as 21.7 cfm/(kBtu/hr) x Heating
ted or measured fan flow in CFM here:
Pass i f Leak a Percentages 6%. for incl or s 4% at Rough -in:
100 x Line # 1) / � JI.ine it 7111
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
I Enter Tested Leakage Flow in CFM: _
Fan Flow: Calculated (Nominal: ✓ D Cooling ✓ ❑ Heating) or ✓ O Measured
2 If Fan Flow is Calculated as 400 efin/ton x number of tons or as 21.7 efm/(kBwft) x Heating
Ca aci in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here:
3 Pass if Leakage Percentages 6% for Final or S 4% at Rough -in:
f 10 x ( (L ine # 1) ! (Line # 2)11
Measured
Values'`"�
KOM
MeasuredKIN.
Valuesr'-.
37r
✓
IPass
❑ Fail j
Values
tdPass ❑ Fail
MeasuredKIN.
Valuesr'-.
37r
rte,.
❑ Pass O Fail i
✓ ❑ 1, the undersigned, verify that the above diagnostic test results
were performed in rb nfo nee with the requirements for compliance credit, 1, the undersigned, Also certify that the newly
installed retrofit `ir-Di 'bution System Ducts, Plenums and Fans comply with Mandatory requirements specified in
Section I m of a 20 5 Building Energy Efficienc Standards.
Signar D to Installing Subcontractor (Co. Name) OR
�A LV—MA General Contractor (Co. Name)
Residential Compliance Forms March 2005
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R
PROJECT INFORMATION C Imate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address:
Le Quinta
Builder Name:
Ponderosa Homes Voice-#: 925.460.8900
Builder Contact
Jeff Nygren Voice 9:
Project ID #:
29323
Sample Group # :
Phase: 10
Lot 0:
67
Plan #:
3
Address: 43-276 Parkway Esplanade West
HERS INFORMATION
HERS Rater: Scott Johnson Joyme Carden
Cedfi+cation 0: CCNSJ614037 CCNJC615157
HERS Firm: Action Now Voice # : 949.631.2274
Address: 2575 Westminster Avenue. Costa Mese. CA 92627
HERS Provider: CHEERS Voice # : 800-424-3377
HERS Address: 9400 Topanga Canyon Blvd., Chatsworth. CA 91311
HERS RATER COMPLIANCE STATEMENT
RRx T-24 Compliance Credit was Taken for right Ducts
T-24 Compliance Credit was Taken for TXV TXV Verified Yes
The house was:
x Tested / Verfled Approved as a part of sample. but was not tested
x The installer has provr ed a copy of CF -6R
x Air Distribution System is Fully Ducted (sheetmetal, ductboard or Rex duct)
Where cloth backed rubber adhesive duct tape Is installed, mastic and drawbands are used in combination with
doth backed. rubber adhesive duct tape to seat leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leaks a Testing Results (Maximum 6% Duct Leakage)
CFA:CFA Leak Max Tested Leak
System o
Indicate the maximum a owe le Duct Leakage and the calculation used:
0.7 x 91660 Anja x (0.08) for Chmata Zone g through IS �—
0.5 x Floor Area x (0.06)for Climate Zones 1 through 7 S 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) 84 tan flow
21.7 x (Heating' Cepacit in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
u Pressurization Test Resu 5 PA)
100 x Test Leakage/ fen flow = % Leakage e
Check Box for Pass or Fall (Pass = 6% or Less) Pass x a+
System[� of (—�1
Indicate the ma um A—wa"lte Dud Leakage end the cetculation used:
0.7 x Floor Area x (0.06) for Climate Zone 6 through 15
0.5 x Floor Area x (0,06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capecity in Nominal Tons) x (0.06) Bro tan flow t�]
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fen Flow 1hz X.06
uct Pressurization Test Results(`rM Ln1 5 PA) 46
100 x Test Leakagel fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6°/6 or Less) Pass x a
System =of
Indicate the maximum a .owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.016
0.5 x Floor Area x (0.06
400 x (Cooling Capacit
21.7 x (Heating CspacB
Measured Fan Flow
DW Pressurization Test Res
100 x Test Leakage/ fen flow
Check Box for Pass or Fall (F
Raters Certifying Signature
F2001-02 (4 -OZ) Action Now I-Z4G1-4K I UIS I AVmaGro.XIS
12/29/2005
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
43-276 PARKWAY ESPLANADE WEST, LOT 67, PHASE 10, LA QUINTA. CA
CEILINGS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38
W
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-11
GENERAL ONTRACT : PONDEROSA HOMES 11, INC. LICENSE P ," 7, t
BY: TITLE'
PAR9 SCH A D 8 ING PRODUCTS A MASCO Company LICENSE # 221517
gY ��� '%';� „c �`✓y TITLE: ACCOUNT REPRESENTIVE DATE. l"j---3 ✓ -C'5