04-5901 (SFD)t`
t'
,:....0 BUILDINb_.& SAFETY DEPARTMENT
w P.O Box 1504 ti (760) 777-7012
..OVI 49 ,JG 3 7.8124095 -C', L1 TAMPICO FAX (760) 777-7011
L LA Q:IJTNTA, JCALI.FORNIA-922=53 INSPECT-10N.REQU.ESTS (760) 777-7153
CIN OF LN e1R .E►
FINANCE DEFY.
BUILDING PERMIT
Application Number 0
pp ". • 4 ,000:05901 Date. ;8/11/04
Property Address :413469' PARKWAY ESPLANADE W
APN: 609=°380,-997-32;,. -29,3233-
Application description, ''DWELLING • S'INGGLE._ FAMILY DETACHED
Property Zoning I,O.W ,`DENSITY RESIDENTIAL
Application Valuation . 188445
Owner r Contractor
-- - - - - - - - - - - - - - - - - - - - --- --=:--=-----------------'-
PONDEROSA HOMES II, LLC PONDEROSA HOMES II, INC.
6671 OWENS.DRIVE 6671.OWENS•DRIVE
PLEASANTON CA 94588 PLEASANTON CA 94588
(76'0.) 318-77'10
WCC : REP,UBLIC
WC I: 15'6,71602 10/01/04
CSLB: 752.`884 08/31/04
CCC:`•; • B
---------.------------------ :.Structure 1nf'ormation. -- ---------- -------------
Construction Type . . . TYPE.V - VON.RATED
Occupancy,Type` : DWELLG/LODGING:/LONG <=10
Flood Zone . .. . . . . . NON -AO FLOOD SONE
Other struct info C.QDE"EDITION 2001 CBC
BEDROOMS ' 5.00
FIRE`::SP•RINkILERS .. NO
GARAGE ,SQ . FTG,.: 448 .�0 0
PATIO- SQ ,:FTG 387..00
NUMBER ',OF -' 'UNITS' P.00
F,IRST,.-FLOOR SQ`- FTG 3051.00
------------------------------------w---------------------------------------
Permit . . . BUILDI'NG PERMIT ...
Additional d'ese c-
Permit Fee q.: 951.00. "Plan. Check Fee 618.15
Issue Date Valuation` 188445
Qty Unit Charge- °'Per -.r. Extension
` BASE FEE 639.50
89:00. 3.5000 THOU BLDG .100,-001-50.0,'000 311.50
------------ --------- -------------------
------ 7 --- ---------------
Permit MECHANICAL;
Additional' .desc
Permit Fee - 90 00` Plan: Check Fee 22.50
Issue Date Valuation ° 0
Qty Unit Charge Per: Extension
P.O. Box 1504 • 1���7��/
VOCE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04-5qo I Date: $ " 30.04
Applicant: Architect or Engineer:
.Applicant's Mailing Address: Architect or Engjgeer's Address:
�.� �,L.�,4c IIs
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
e, and my License iS{n full force and effect.
icense Class LS '--L'icense No. 7 S Z& E54
/Data ctor
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 Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
t 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. My workers' compensation iy ance carrier and olicy number are:
Carrier zQU46C Z -Policy Number I Vto —71 S.OZ
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
forthwith comply with those provisions.
CEJ
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, 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 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. 1 agree to comply with all city and county ordinances and state laws relating to building
construccttiion, and reby authorize r�epresentatives of this county to enter upon the above-mentioned property for inspection purposes.
Date Qi Sign✓ Signature (Applicant or Agent):
Page
2
Application Number.
:;`.0.4-00005901 Date
8/11/04
Qty
Unit Charge.
Per.,
Extension
"BASE FEE
15.00
2.00
9.0000
EA
MECH FURNACE <=100K
18.00
..2.00
9.0000
-EA
MECH B%:C <=3HP/100K BTU
18.00
5.00
6.5*000.-EA
MECH..VENT.FAN
32.50
1.0'0
6.5000
EA
:MEGH,EXHAUST HOOD
6.50
- Permit .
. . . . . .ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
. . . .
130.7.5
Plan Check Fee
32.69
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
3051'.00
0350
ELEC"NEW RES - 1 OR 2 FAMILY
106.79
448.00.
----------------------------------------------------------------------------
.0200
ELEC.-GARAGE OR NON-RESIDENTIAL
8.96
Permit
. .
PLUMB11
G';*
Additional
desc
Permit Fee
. . . .
190.::`50
Plan Check' Fee
47.63
Issue Date
. . . .
Val.uat• ori'
0
Qty
Unit Charge
Per
Extension
BASE;, FEE .;.
15.00
20.00
6.00.00
EA
PLB" FIXTURE
120.'00
1.00
15.00b0.
EA,
PLB BUILDING SEWER., ;
15.00
1. 0 0
T. 5 0 0 0
EP;
PLB WATER ,HEATER`% VENT: -'.
7.50
1.00
3 -0x0:00
EA
>.
PLB „WP.TER INST/AI T/REP
3.00
1.00
Y'..,0000.
EA
PLB - LAWN SPRI°NKLER •'SYSTEM
9.00
-8.00
.7500
EA .
PLB. "GAS PIPE' >=5, .
6.00
1.00
15.00.0,0
EA
PLB%GAS.METER
15.00
Permit .
. . GRADING PERMIT
Additional
desc
Permit. Eee
15:00 Plan Check 'Fee
.00
Issue Date
Valuation
0
Qty
UnitChargePer
Extension
BASE _F,EE •
15.00
------------------------
Special:;-Notes
------------------
and Comments
-----------------------------------
SFD - LOT. -32
; 3 05`1 ``;SF .
PLAN
2BXR-OPTION
Page 3
Application Number
04-000059:01 Date 8/11/04
Special Notes and
Comments.
BEDROOM 5 / BATH 4 (+213
SF) W/2` ..`CAR. ;,GARAGE
(GARAGE. 448 -SF) _ PERM'IT
DOES NO.T INCLUDE
BLOCK WALLS; POOL,
SPA OR"DRIaUEWAY
APPROACH.
---------
Other Fees
------------------------------- --------------------
ART. IN `'PUBLIC PLACES -RES
.00
DLF.COMMUNITY, CENTERS -RES
97.00
D'I F� CIVIC CENTER - RES
366.00
ENERGY REVIEW'FEE
61.82
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN:CHECK:FEE
.00
:DIF LIBRARLES,,- RES
225.00
..DIF ;,PARK MAINT 'FAC ` RES
5.00
,:, .
w DIF :PARKS/REC ES'
502'.00
STRONG MOTION' (SMI) . -. RES
18.84
DIF STREET:MAINT FAC, -RES
15.00
DIF.;TRANSPORTATION, RES
1098.00
Fee summary
:Charged Paid Credited
Due
Permit Fee Total
13.7:.7...,25: .: .:00 :00
1377.25
Plan Check Total
.. 00 , .-00
720.97
Other Fee. Total
248°5.66,:.: .00 ..00
2485.66
Grand Total
4583.88 00 00
4583.88
06/08/2005 14:51
9496312293
ACTION NOW MPH
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (fight Ducts $ TXV) CF -4R
PROJECT INFORMATION Climate Zone: 15
Project Title: Mosaic ® Esplanade
Project Address: La Quints
Builder Name: Ponderosa Homes Voice fa : 925-460-8900
Builder Contact: Jeff Nygren Voice #:
Project ID 0: 29323
Sample Group #: Phase: 8
Lot #: 32
Plan #: 2
Address: 43-469 Parkway Esplanade West
HERS INFORMATION
HERS Rater. Scott Johnson Jayme Carden
Certification #! CCNSJ614037 CCNJC615157
HERS Firm: Action Now
Address: 2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider: CHEERS
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 apart 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 drawband.
cloth backed, rubber adhesive duct tape to seal leaks at the connections.
Voice # : 949-631-2274
Voice # : 800-424.3377
TXV Verified Yes
are used In combination with
PAGE 05
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max Tested Leak
System I J Or
Indicate the maximum a owe 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 r�
x 400 x (Cooling Capacity In Nominal Tons) x (0.06) fan flow 1-J
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0,06)
Measured Fan Flow I Ix .06
uct Pressurization Test Results 5 PA) 65
100 x Test Leakage/ fan flow = % Leakage 1 4.64%
Check Box for Pass or Fail (Pass = 6% or Less) P895 xi,-alll
System Q of
Indicate the maximum a owe 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 (0,08) 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
Measured Fan Flow x .06
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or FailPass = 6% or Less) Pass
System Z Of
Indicate the maz mum a owe 1p t]utl Lookers and the celwlatlon used:
0.7 x Floor Area x (0.06
0.5 x Floor Area x (0.06
400 x (Cooling Capacitl
21.7 x (Heating Capecil
Measured Fan Flow
uc Pressurization Test Res
100 x Test Leakage/ fan flow
Check Box for.Pass or Fail (P
Raters Certifying Signature
V F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.xis
6/8/2005
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage 81 TXV Page 1 of 2 CF -6R
pplYyDI�yQ�SitAddress:.43� W�(Permit Number:
Tract Number
Plan Number 2
Lot Number: 32 BED & BATH
An installation certificate is regWred to ne posted at the building site or made avolible for all appropriate inspections.
After completion of final Inspection, a copy must tie provided to the Building Department (upon request) and the building
owner at occupancy, per Section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
S of Efficiency Duct Heating Heating
Eauio. CEC CoMW Mfr Name Identicle (AFUE, etc.) Location Duct toad Capacity
T and Model Name Systems (>= CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
e
Cooling Equipment
9 Or GmGierwy YYra a.Vu 4W lv a .Y
Equip. CEC Cendled Mfr Name Identicle (SEER, etc.) Location Duct Load Capacity
Tvoe and Model Number Systems (>=CF-1RI_(attic. eta) R -value (BTU / Hr) (BTU / He,
efficient than that specified In the certificate Of compliano* (Form CF-11� $ubmitted for compfianoa with the Energy
Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices Qrrom the Aollance Effide Regulations or Part 6), where applicable.
w . k I ': `� I ZI J� ALLIANCE MECHANICAL
n re, a or ame
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Ma)imum 6% Duct Leakage)
CFA:
System of
Indicate the maximum ali5igble 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
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)
Other
Pressurization Test Results (CFM @ 25 PA)
100 x Test Leakage I Fan Flow m % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass ar
r--IT-24 Compliance Credit was Taken for TXV TXV was Installed I
Y—S em M of Q
Indicate the maximum a o;ble Dud 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 701195 1 through 7 816
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)
Other
D-0 Pressurization Test Results (CFM ® 25 PA)
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less) Pang ac
QT -24 Compliance Credit was Taken for TXV TXV was (nstallkwd
PAGE 1
F2001.01 (4-02) Action Now T 24CF6-RTDdTXV macro
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