04-7486 (SFD)��, BUILDING?8L SAFETY DEPARTMENT
.0. Box 1504. ` �:• r "�"
(760),777-7,012
,, , . A; s- •. a\. Say ., .,.,+ J
495 CALLE TAMPICo. FAX (760) 777-7011
QUINTA, CALIFORNIA:922'53 INSPECTION REQUESTS (760) 777-71.53
JAN 04 2005 " -:BUILDING PERMIT
CITY AF 6.A QUANTA ;
FINANCE DEPT.
ica ion;•Number '. . ' . . . C040.O0A748-6 Date 11/29/04
Property Address ,., ;.; 432'92 PARKWAY. ESPLANADE W
APN: 609.-38,0-997-6,6 -29323.3-.
Application description DWELLI,NG•-'SINGLE FAMILY DETACHED
Property Zoning LOW-DENSITY RESIDENTIAL
Application valuation 1946.3'0
Owner. Contractor
V` .: 5♦� 1:. ..
PONDEROSA HOMES II; INC. ",PPNDEROSA,HOMES II, INC. s `
6671 :OWENS. DRIVE.- t, 6.6:.71 OWENS :DRIVE
PLEASANTON, CA PLEAS'ANTON CA 94588
PLEASANTON CA 94588 07.60) 318-7710
WCC: TANNER INSUR
WC' -J 156.71603 10/01/05
752884 08/31/06
CCC: B
-------------------------- Structure. Information -------------------------
Construction Type TYPE ,V-',- NON `RATED
Occupancy Type DWELLG/LODG.I'NG`%CONG <=10
Flood --Zone . . . . NON -AO:! FLOOD; ZONE
Other struct info, COD E° EDITLON
20-01 CRC
' #'BEDROOMS. .. 4.00
g FT;RE -SPRINKLERS NO
GARAGE SQ'FTG 681:'00
• a�, icy .. . -.,.
PATI.T-SQ FTG 500. .00
;NUMBER OF ;:UNITS - 1.00
l:ST'- FLOOR •SQUARE FOOTAGE. 3053.00
------------
Permit . . . . BUILDING -♦PERMIT
Additional desc
Permit Fee 972.60 Plan -Check Fee 631.80
Issue Date. Valuation . . . . 194630
Qty Unit Charge Per Extension
BASE' FEE 639.50
95.00 3.5000 THOU BLDG 100-,001-500,000 �� 332.50
-------------------------------
Permit MECHANICAL
Additional desc
Permit Fee 83.50 s�zPlan Check Fee 20.88
Issue'Date . . . . Valuation 0
Qty Unit Charge' Per Extension
BASE•.'FEE- =;::' 15.00
2.00 9.0000 'EA MECH FURNACE <=100K ?`1-8.00
2.00 9.0000 EA MECH.B/C <=3HP/100K.BTU 18.00
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q 744-(o Date: • �� OS
Applicant:—Architect or Engineer:
Applicant's Mailing Address: —Architect or Engineer's Address:
Lic. No.: SSt�o4
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (000) of Division 3 of the Business and Professionals
Code, and my Liceie is in full force and effect.
cense Class .0 icense No. -%SZ
e o actor 49=.
)
OWNER -BUILDER DECLARATION
I hereby affirn'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 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. , B.& P.C. for this reason
Date Owner.
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 3760 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation ' ance caner and policy number are:
arrier T.�JtEct6% �/1S. Policy Number /S67/dim 3
I certify that, in the performance of the work for which this permit is issued, l 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.
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
1 hereby affirm under penalty of penury 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 i''
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 O Signature (Applicant or Agent):
t.
I
Page
2
t.
Page
2
Application Number
. . . . . 64=0.0007486:- Date
11/29/04
Qty Unit
Charge Per
Extension
4 . 00-
6'. 5000.. EA' MECH VENT FAN
26.00
1.0.0
6 . 5 0 0'0 EA MECH . EXHAUST HOOD
6.50
Permit
ELEC-NEWRESIDENTIAL
Additional desc
Permit Fee
135.48 Plan Check Fee
33.87
Issue Date
%Valuation
0.
Qty Unit
Charge Per
Extension
BASE,FEE
15.00
3053.00
..03'50 .-ELEC_ NEW RES - 1 ,.OR 2 FAMILY
106.86
681-.00
020`0 ,-_::-ELEC-GARAGE OR NON-RESIDENTIAL
13.62
Permit
•PLUMBING
Additional. desc
Permit Fee
17'8.50 Plan Check Fee
44.63
Issue Date
Valuations . . . .
0
Qty Unit
Charge Per.
Extension
BASE:; .FLEE '. ,.
15.00
18..0 0
6. O,Q 0,0 EA PLB F IgXTURE
108.00
1.00.
1.5. 00.00 ' EA PLB•-BUILDING ..SEWER,
15.00
1.00
7.5000. EA ,,PLB-WATER"HEATER/VENT
7.50
1.00
3.0000 EAS;; PLB'WATER -INST/ALT/REP-
3.00
1.00
-
9,.00D0 EA PLB; LAWN S:PR'INKLER SYSTEM
9.00
8.00
,75,00 EA PLB GAS` PlPE >=5'
6.00
1.00.
15:0.000 EA-PLB GAS :METER
15.00
Permit
GRADING PERMiT'
Additional desc
'
Permit Fee.
''.•15.00 Plan Check Fee
00
Issue Date
'Val`uat;on
0
Qty Unit
Charge Per
Extension
BASE FEE.
15.00.
Special Notes
andCommerits
SFD - LOT 66..
PL`AN, 3CXLL 3053 ASF. ' PERMIT.
DOES NOT INCLUDE.BLOCK
WALLS, POOL,.S.PA
OR DRIVEWAY APPROACH.
Other Fees. .
. . . . . . . . AR'T;IN PUBLIC PLACES -RES
.00
DI;F COMMUNITY CENTERS. -RES
'97.00
DI -F CIVIC CENTER - ,RES,
366.00
Page 3
Application Number
-------------------
04-0000748`6 Date 11/29/04
Other Fees
------------------------------------
ENERGY -REVIEW FEE
63.18
D -IF. -RES
97.00
GRADING .PLAN` CHECK FEE
.00
..DIF
LIBRARIES - '.RES
225.00
DIF PARK 'MAI'NTFAC - RES
5'.00
DIF. PARKS-/`REC. '= FRES
502.00
STRONG MOTION,, ;,(SMI), ,- RES
19.46
..DIF.
STREET MAIT FAC -RES
15.00
-`DIF_
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 00
2487.64
Grand Total
4603..30
.00 .00
4603..30
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
• ��43,2§;jP, RKWAYJESPLANDEJ,WEST LOT 66, PHASE 9, LA QUINTA, CA
CEILINGS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Owens Corning THICKNESS: R-13
i
GENERAL C NTRACTOR: PONDEROSA HOMES LICENSE #
BY: TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY J`"TTTLE: ACCOUNT REPRESENTIVE DATE:
.............:.........av:•�:,;i�.+.�,:.vFir:.e•.a.:...�'./.'!A/T///l'ALe:'f'O/%'f!Y::'<6l/,.r�:!%/'itri:ri.'.'_:^la.:/'!:'a.b^iG�•:'✓i/.L':!r:''1:i/F. v.. .. l.. -.. ... ..... .
•..v•:;
..:,i.•.�x.•.ir..i.�:.'!i1:':;•nP,!vn.'e>�:^.,r,�,v!'s:�lit�i'r>'i!il;�>r.+=•!.'�.vwr'./,r.v:lii;i.•sn:c-�:.'r.•;'l;;•;,�ir:'.7r:��.vP•!,'c'.
�ri�'.,ai:: •:: 1,�'l: i�-.�,:�,.,. ... .i. ..
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
• ��43,2§;jP, RKWAYJESPLANDEJ,WEST LOT 66, PHASE 9, LA QUINTA, CA
CEILINGS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Owens Corning THICKNESS: R-13
i
GENERAL C NTRACTOR: PONDEROSA HOMES LICENSE #
BY: TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY J`"TTTLE: ACCOUNT REPRESENTIVE DATE:
.............:.........av:•�:,;i�.+.�,:.vFir:.e•.a.:...�'./.'!A/T///l'ALe:'f'O/%'f!Y::'<6l/,.r�:!%/'itri:ri.'.'_:^la.:/'!:'a.b^iG�•:'✓i/.L':!r:''1:i/F. v.. .. l.. -.. ... ..... .
07/26/2005 08:54 FAX 925 734 9141 PONDEROSA HONES CONSTR h10SAIC Q001
LNST,'d.LATiON CERTIFICATE MOSAIC AT ESPLANADE- PLAN 3053 CF -6R
43-292 PARKWAY ESPLANADE (NEST 66 04-7486
• ---•-•----• --..._...:—...---
Site Address Lot # Permit Number
An inscdladon certificate is requires: to be posted at the building site or made available for all appropriate inspection- ('fire information
provided on this form is Tequirrd; however, use of this form to provide the information is optional.) After completion of final inspection,
a copy must be provided to the builc.ing department (upon request) and the building owner at occupancy, per Section 1 D -103(b).
HVAC SYSTFIAS:
Rated 1
Tank
Eff- External
Distribution
Equip. CEC Certified Cotnpcwor
Burring Equipment
Duct
Coallin8
Cooling
Type (pkg.. Unit MrfName and
identical (SEER etc.)
Equip.
P of
Efficiency
Duct
Duct or Fle atiog
Heating
Type (pku., CEC Certifited Mie Name
Identical
(AFUE, etc.)
Location
Piping Load
Capacity
Ixstlnonp) & Model Nwrbcr
_
_ Systems
a CF -1R value
(attic, etc.)
R-vatuc (BRift)
--
(Btu/kw)
Comfrmnakcr NBF075F16G1
2
80%
attic
4.2
75,000
CoolingEquipmenr
Rated 1
Tank
Eff- External
Distribution
Equip. CEC Certified Cotnpcwor
1i of Efficiency
Duct
Coallin8
Cooling
Type (pkg.. Unit MrfName and
identical (SEER etc.)
Location
Duct I.md
Capacity
-beat.pamp) Model Num_ttr
—
Systems — ? CF_iRvalue
(attic, etc.)
X -Value (Btrft)
(Bwft) -
Comfortmaker NAC242ARAS
1 12
attic
41
42.000
Comfortmaker NAC248AKA5
1 12
attic
42
42,000
I, the undersigned, verify that equipment listed 'above my signature (1) is actual equipment installed; (2) is equivalent to more efficient
than that specified in the certificatc;if compliance (Form CFAR) submitted for compliance with the Energy Efficiency Standards for
residevial buildings; and (3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the
Appliance Efficiency Regulations or Part 6), where applicable,
WATEIt BEATING SYSTEMS:
Rated 1
Tank
Eff- External
Distribution
IfRecir-
Hesta CEC Certified Mfr
Type (Std.
culation,
Type. Name & Model Num_Eao
hoim-or.Use)
Control type
Amcri,an FG62-50T40-3TiV
CirnilazingPtmtp
Tuner
$1 of
Rated 1
Tank
Eff- External
identical
Input (kw
Volume
ciency 1 Standby 1 Insulation
Systems
or BtuAtr)
(gallons)
(EF, RL•) Loss (%) R.value
One
40,000 BTU
So
.62 N/A WA
For small gas storage (rated input 4:75,000 Dbd)u), elecuic resistance and heat pump water beaters, list Energy Factor.
For large gas ttorrge water heaters rated input > 7S.000 Btuft), list Recovery Efficiency, Standby Liss and Rated InpYt.
For insta iumcous gas water heater:. list Recovery Efficiency, Stnndby Loss and tested 1npuL
Faucoi & Sbower Heads:
All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Subchapter 2, Scction 1 l 1.
I, the tuidersigrted, verify that equipment listed above my bignature (1) is actual equipment installed; (2) is equivalent to more cfi7cicnt
than that specified in the certificate of compliance (Dorm CF -IR) submitted for compliance with the Energy Efficiency Standards for
residartial buildings; and (3) the : quipmcnt meets or excueds the appropriate requirements for nunufactured devices (from the
Appliance )Efficiency Regulations a.• Part 6), where applicable.
...—...1 _-L, s —O S_ PONDEROSA HOMES 11,1NC.
Signature, Datc OWNER
COPY TO: Building Department/ Building Owner at Occupany
07/26/2005 08:54 FAX 925 734 9141 PONDEROSA HOMES CONSTR MOSAIC R002
w
MOSAIC AT ESPLANADE
-INSTALLATION CERTIFICATE ALL PLANS CF -6R
FENIESTRATION/GLAZIN G:
Manufactured
Operator Products Labelled Site Buildt Products Total
Type (e,g,,, Ll -value is 0 of Default Quantity Soua c comment/
ManufscturarfBrand Name fixed, slider) CF -1R Value 2 Panes U -Value 2 (Optional) Feet Speclal Features
Installed U -value must be less than or equal to value from GF -11R. Alternatively, installed weighted
average U -value for the total fenestration area is less than or equal to value from CF -1 R.
1, the undersigned, verify that Oe festration/glazing listed above my signature (1) is the actual fenestration product
installed; (2) is equivalent to or more efficient than the specified in the certificate of compliance. (Form CF -1 R)
submitted for compliance with -:he Energy Efficiency Standards for residential buildings; and (3) the product meets or
exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
PONDEROSA HOMES II, INC.
Item4s Signature, Date OWNER
(if applicable)
COPY TO:
Building Department
Building Owner at Occupancy
(GROUP LIKE PRODUCTS)
1.
Milgard 111 OH
_ Operable SI. .59
2.
Milgard 1510
— Operable 5h. _ .60
3.
Milgard 710
Fixed Windows_ _43
4,
Milgard 450
Sliding GIs dr. .58
S.
s.
7.
8.
9.
10.
11,
12.
13.
14.
15 -
Installed U -value must be less than or equal to value from GF -11R. Alternatively, installed weighted
average U -value for the total fenestration area is less than or equal to value from CF -1 R.
1, the undersigned, verify that Oe festration/glazing listed above my signature (1) is the actual fenestration product
installed; (2) is equivalent to or more efficient than the specified in the certificate of compliance. (Form CF -1 R)
submitted for compliance with -:he Energy Efficiency Standards for residential buildings; and (3) the product meets or
exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
PONDEROSA HOMES II, INC.
Item4s Signature, Date OWNER
(if applicable)
COPY TO:
Building Department
Building Owner at Occupancy