04-5867 (SFD)000
�..
BUILDING &'SAFETY DEPARTMENT
P : O. B O'x" 15 04
> (760).777-7012
,OF,Tt � 78-495 CALLE TAMPICO s FAX (760) 777-7011
D LA QUINTA, CALIFORNIA'92253 INSPECTION REQUESTS (760) 777-7153
.. err _. .. .. .;-�. '. ..
AUG 3 1 2004
s� BUILDING PERMIT r k
CITY OF LA QUINTA ...
FINANCE DEPT. i...
Application. Number X0_4,0-00.05:867 Date 8/06/04
Property Address_.: _ 43405'PARKWAY ESPLANADE W
APN: 609-•380_-997-3,0 -293233-
Application description ;. 'DWELLING.- ,SI`NGLE,FAM.,ILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 173155
Owner Contractor
PONDEROSA HOMES.II, INC. PONDEROSA HOMES II,: INC`.
6671 OWENS .DRIVE 6671''OWE,NS DRIVE
PLEASANTON', CA PLEASANTON CA 94588
PLEASANTON CA .945 8 8 (16 0) 318•=:7.710. .
r,. WC.C':. ' REPUBLIC
WC:.';' 15671602 10/01/04
CSLB:- 7,52.8,84 08/31-,/04
CCC: B
--------------------- ---- Structure Information. ---.--•--------------------
Construct-ion Type".. :°'TYPE..V - -'NON RATED
Occupancy Type DWELLG'/LODGING/CONG <=10
Flood Zone -NON==AO,*FLOOD 'ZONE
Other struct info -CODi�,-,EDIT:ION:. 2001 CRC
##. BEDROOMS, - 3.00
FIRE , SPRINKLERS NO
GARAGE SQ -,FTG 4 6:54 00
PATIO SQ FTG: '3`-2'3':00
NUMBER OF UNITS 1.00
FIRST FLOOR:SQ FTG 2728.00
— — — — — — — — — — — — — — — — — - — —7 — — — — — — — — — 9 — — — — — —
Permit . . . . BUILDING PERMIT
Additional de.sc .:.
Permi-t Fee. $:9'-8:50 Plan Check Fee,,'. 146.01
Issue Date Valuation 173155
Qty Unit Charge Per Extension
BASE FEE 63,9.50
74.00 3.5000 THOU BLDG 100,GO1-500,000 '` 25.9.00
PermitMECHANICAL
Additional'desc
Permit .Fee 77.0.0 Plan Check Fee 4.81
Issue.Date �VaTbat .ion . . . . 0
Qty Unit, Charge Per Extension
'#
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 5F& Date: 30.Oct
Applicant: Architect or Engineer:
Applicant's Mailing Address:
or Engin 's Address:
No.: C L�83
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 Licens «, in full force and effect.
�icense Class .p License No. 7%5z
DateoG ntractor D—
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).):
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
d 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
� 1. My w� rs' compensation i� urance carrier and oljcy number are:
.C.a er LAY I /Policy Number ��0'7 /(dj Z
_ 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 California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
jortt>�th 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
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.).
Lenders Name d
Lenders 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, indemnity 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 160 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
constructio , an hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date D Signature (Applicant or Agent):
Page
2
Application Number ...
. .
. 04-G0,005.8-67.1Date
8/06/04
Qty -Unit
Charge
Per
Extension
BASE: FEE
15.00
2.00
9.0000
EA
ME,@H FURNACE..<,=100K
18.00
2.00
9.00.00
EA
MECH B/C <=3HP/109K BTU
18.00
3.00
6.50.00
EA
. MECH`VENT FAN-
19.50
1.00
6:5000
EA
MECH EXHAUST HOOD
6.50
Permit
LEC-NE
desc
Permit Fee
123:.56-
:Plan Check Fee
7.72
Issue Date . .
. .
Valuation
0
Qty Unit
Charge"Per
Extension
BASE FEE
15.00
2728.00
.0350
ELEC NEWS RES .- 1 OR 2- FAMILY
95.48
654.00
.0200
'ELEC.GARAGE"..OR..NON-RESIDENTIAL
13.08
Permit
PLUMBING
Additional desc
Permit Fee
171.75
Plan -Check Fee
10.74
Issue Date
Valuation ... . . .
0
Qty Unit
Charge.
Per.
-
Extension
BASE FEE
15.00
17.,00
6°:0000
EA
PLB FIXTURE
102.00
1.00 15.0.00'0
EA
PLB BUILDING,$EWER-
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`PTPE>=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 Da_te
Valuation:.
0
Qty Unit
Charge
Per
Extension
BASE.FEE.
15.00
-------------------------------------------------------------------------------
Special Notes and
-Comments
SFD - LOT 30. PLAN.
-1'BXR.
'PERMIT, DOES,' NOT
Page
3
Applicat"ion Number,
04.-0.00058'67" :;., Date
8/06/04
Special .Notes and; Comment's
INCLUDE BLOCK WALLS=, P_OO4,,_ SPA
OR -;
0
DRIVEWAY APPROACH.75% REDUCTION T6` PLAN ;
CHECK FEE DUE TO MULTIPLE ISSUANCE OF`
SAME'PL*AN TYPE
Other Fees
ART 'IN PUBLIC PLACES -RES
.00
DIF.;,'.COMMUNI�TY CENTERS -RES
97.'00
,..,
DIF',. CIVIC CENTER°.°"-. RES
3,6.6.00
ENERGY REVIEW:; FEE
14.60
'DIF FIRE"PR'OTECTION-ARES
97.00
GRADING.:P'LAN .CHECK FEE
00
DIF I BRA'RIES>� RES.
225.00
=DIF ' -PARK MAINT"'FAC - =' RES
5 . 0 0
DIF PARKS/REC -'RES;`
502.00
;STRONG MOTION= :,.,(SMI) - RES
17.31
DIF ,STREET MA"INT FAC;, -RES.
15.00
DIF 'TRANSPORTATION -4 RES
1098.00
Fee summary Charged
Paid:. 'Credited
Due
Permit:Fee Total 1285c81
" 00 0.0
1285.81
Plan Check Total 16'9.`28:
.00 .00
169.28
Other Fee Total ^` 2436.91
.00 .0.0
2436.91
Grand Total 3892.00
.00,*1 .00
3892.00
06/08/2005 1-4:51
9496312293
ACTION NOW MPH
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R
PAGE 07
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address;
La Quinta
Builder Nome:
Ponderosa Homes
Voice # : 925-460-8900
Builder Contact:
Jeff Nygran
Voice 0:
Project ID #:
29323
Sample Group* :
Phase: 6
Lot #:
30
Plan k;
1
Address:
dlllla3-"405:E'arkway Esplariade;Vtile6t
HERS INFORMATION
HERS Rater.
Scott Johnson Joyme Carden
Certlflcatlon 0:
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now
Voice # : 949-631-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voioe 4: 800-424.3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth. CA 91311
HERS RATER COMPLIANCE STATEMENT
BT -24 Compliance Credit was Taken for Tight Ducts
T-24 Compliance Credit was Taken for TXV
The house was:
x Tested / Verfied Approved as a part of sample, but was not tested
x The Installer has prove ed a copy of CF -6R
x Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
Where cloth backed rubber adhesive duct tape is installed, mastic and drawbande
cloth backed, rubber adhesive duct tape to seal leeks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Dud Leakage)
CFA: CFA Leak Max OTested Leak 0
System
Indicate the maximum a awe le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
uct Pressurization Test Reg u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% -or Less) Pass x
System of
Indicate the maximum a owa 1e Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 $ 16
X 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow(x .06
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less) Pass x
Systemof
Indicate theUm aowe Is Dud Leakage and the calculation used:
0.7 x Floor Area x (O.OE
0.5 x Floor Area x (0.0E
400 x (Cooling Capacil!
21.7 x (Heating Capscl'
Measured Fan Flow
uct Pressurization Test Res
100 x Test Leakage/ fan flow
Check Box for Pass or Fall (F
Raters Certifying Signature
TXV Verified Yesr_�
are used In combination with
fan flow
F2001-02 (4-02) Action Now T-24CF4RTO&TXVmacro.)ds
6/8/2005
[IMMI m I
777777-17,T,
OATE,,,
IBCALE
JOB N
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FICATE
INSULATION'C;€RTi
f .. r .. .
This is to certify that Insulation t>aa beenninstaited in conformance with tAe cuirent energy
regulation, California.,.dmin�tradve,Code,+Tid0 24; •State of�CaNfomia, m the:buitdmg at
" 43-408 PARKWAY` ESPLANADEWE8T, LOT 30, `PHASE e; LA QUINTA CA
C-ELLINGS;
TYPE: BATTS MAUNFACTURER: Certalnteed THICKNESS: R-38
s
WALLS
TYPE: BATTS MANUFACTURER:Ontens•Coming THICKNESS: R-13
GENERAL TRACTOR PONDEROSA HOMES :,U ENSE
...
TITLE ?'1
PARAGON SCHMID BUILDING: -PRODUCTS . A MASCO Company LICENSE # 221517
Y: E: ACCOUNT REPRESENTIVE DATE:
/ � n/rw tiff.: :!Y/.f .N/11.: •� XA'X///r�; A-NNNJ.'�0(qq/ANNN.N/yry:y/vNd.KNppplf,�ry.•/pdAriYll1.iR/.(4-JJYLyIdI/NAfiY:/yYyO'q/.t-yN.a/J.[NNX.A^I/ J.idNr VpNI//rq n'i/N /.sir
Y
y
INSULATION'CERT'iFICATE
--
' This is to
that insulation floe been installed in conforrnanoe wdti. the current energy
g regulation; Ca
rnla Administrative Code, T�tle;24; State of Cali' ib. in. the-6uilding l
CEILINGS:
o
TYPE: BLOW
MAUN URER: Certainteed THICKNESS: R-36
i
s WALLS:
P
TYPE: BLOW
MAUNF RER: Certs THICKNESS: R-13
GENERAL CONT n OR: ` PONDEROSA HOMES .,L E-0
BY:
TITLE:.
PA CON SCHMID
BUILDING�PRODUCTS, A- MASCO Company LI SE # 221517
E
7
BY:
TITLE: ACCOUNT;REPRESENTIVE DATE:
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A
HVAC INSTALLATION CERTIFICATE for,Tested;.Duct Leaka a &.TXV Page t of t CF-6R
siteA
ddress:' =-4os YK WAi --F-S0-4�----
- ermt umber:
TractNumber.
Plan Number 1'.
Lot Number. 50
An instanation eertiflcate is required to be posted at the wi ing'sits or rhade eveliale ror;all.approprWe-inspections-
Atter completion of final inspection, a copy: mustbe provided to Me Building Department (up" request) "and Me tiuuang
owner at occupancy, per Section 1u-103(b).
HVAC SYSTEMS:
Heating Equipment
# of Effidency Duet Heating F mft
Equip. CEO. Certified Mh Name identide (AFUE. etc) Location Duct Load Capacity
Type and Model Name stems a= CF=1Ft). r .(attic; ate). R-value BTU / HC (BTU / Kj
N&WL9751-15 ATM—
Cooling Equipment
it of rAciency Dud Cooring ung
Equip. CEC Certif .d Mfr, Name Idea f le (SEER, etc) LocationDuct Load - Cepacib
TWO and Model Number (-2CF-1 ettic,letr R-value I BTU l
CINIFORTMAKEK
--a Agr
is s . equ� _ , WORV � V more
equipfnent NMIefficient than dvat speditd M the cartilkate of c6rro line: (Fortin CF-1R) submWAd for cbmp.Sence with.the Energy
Ef iciencyStatld_ r&for MsIftntial buildings. and 3)."ulpmert that,meem or, e>aceeds°the"eppmpria I "Wreif a is tow
ma ufactured ces (from tine Appliance Efficiency ReBu�tioris or Part wftere appGcsble,
i1Bj0¢ AL6A1iCE'MECHANIGAL
►gna re,' a
pR'Geteral Contractgr (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR-DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing"Results (Maximum 61% Duct Leakage)
CFA
5lndicaM the maximum ajUrybb Duct Leakage, and the calculation used.
0.7 x Hoot Area x (006) for Cfimate Zcne a through 15
0.5 it Floor Area:x(0.06) for: Climate Zonis1 through 7 816
400 x.(Cooraig Capead► fn Nominal Tons) is (0.06)
21.7 x (Hearing Capacity in Thousands of Output BTU per hour) x (0.06
Other
ME Pmssurtietlon.Test Results (CFM 26 PA)
l W x TestLeafage / Fan Flow = 9t; Leakage;
Check Box for Pass or Fad (Pass n 6% or gess) Pass- a
r--IT-24 Cory Hance Credit was Taken for TXV TXV was insfe
Indicate the maximum eltowable Duct Leakage and the eafwiabon used:
0,7 x Fbor Area x (0.06) for Ornate Zone 819000 15 '
0.6 x Floor Am* x (0.06) for Crffna% Zones. I through 7 818 84
toll x (Cooling Capacity In Norniiiaf Torts) x{0.06).
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x(0.06),
Other
DM Pressurization Test Results(CFM @ 28 PA)
100 x Test Leakage,/ Fan Fbw = % Leakage
Sm Check Bfor Pass or Fall (Pass =.6% or less)Fwd
Pass ,
CDT-24 Contpriance Credit was Taken for TXV UV was: insta
PAGE 1
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