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04-5862 (SFD)s' BUILDING & SAFETY DEPARTMENT P.O..-Box 1504 - - I � (760).777-7012 c��rpF ti9�-7-8_4.95 CALLE TAMPICo FAX (760) 777-7011 Q LA QUINITX, CAL.IFORNIA.92253 INSPECTION REQUESTS (760) 777-7153' AUG 2 1 2004 BUILDING PERMIT r.,T.K.OF tA.QUINTA Appl- jca,ti�OnT.Numb'er. . . . . 04-00+'005"8"620 Date 8/10/04 .e ! � +•+ Property Address _743;501 <PAR°KWAY ESPLANADE W APN: :,609 "380, 99.7-33-293233- Application descript'ion'. DWELLING SINGLE FAMILY DETACHED Property Zoning ;. LOW DENSTTY RESTDENTIAL Application valuation 2.0.1360 Owner Contractor ----------------------------.-------------------- ;. PONDEROSA HOMES II, LLC PONDEROSA.HOME,S II, INC. 400 S. F-ARRELL DRIVE, B103:.. 5671'-OWENS-DRIVE PALM SPRINGS, CA 92264. PLEASANTON' CA 94588 LA QUINTA ''' ' "" CA -'•922:5 3. (7 6 0) 318.- 7 7110 WCC: REPUBLIC WC: 156.71602 10/01/04 CSLB: 7=52,884: 08/31/04 CCC: 1B --------------------- ---- Structure'InfQrmatdon. ------------------------- Constructon Type TYPE V -;NON RATED Occupancy.Type . . DWELLG/LODGING/.LONG <=10; Flood Zone NON-AO FLOOD ZONE Other struct info . . . . . ..CODE EDITION 2001 CRC # %=.BEDROOMS. 5.00 FIRE..SPRINKLERS NO GARAGE: SQ °``F:TG 502.00 PATIO 'S.Q? FTG''` ' ` 500.00 NUMBER :SOF -=UNITS 1.00 FIRST FLOOR"SQ FTG. 3232.00-. ---------------------- -------.------------------_.--------------------------- Permi.t . . . BUILDING PERMIT Additional desc Permit-Fee 996.50 Plan Check Fee .647.73 Issue Date Valuation . . 201360 Expiration Date "2/10/05 Qty Unit Charge Per Extension BASE`FEE 639.50 102.00 3.5000 THOU BLDG 100.,001-500;000 357.00 Permit MECHANICAL Additional desc Permit Fee 83. 5'0>" 'P 1 an 'C40ck Fee 20.88 Issue Date valuation 0 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: Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engin In er's Address: Lic. No.: C -6.4-Q53 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 License= ' full force and effect. /License Class dense No. �SZ Date contractor 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 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 ed. My workers' compensatio urance carrier and polic number are: ,,--carrierr�r,la4J L Policy Number /5fo?/ & OZ I ceftify 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' mpenOtion 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 orthwi 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.). Lender's Name //�� Lender's Address A 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 Ouinta, 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 r ad 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 h by authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate nature (Applicant or Agent): Page 2 Applica,tion..Number . . . . . 04-00005$62. Date 8/10/04 Expiration Date 2/10'/05 Qty Unit Charge Per Extension BASE 15.00 2.00 9.00 0.0 .FEE; EA MECH FURNACE -<-_10:0K 18.00 2.00 9.0000 .EA'' MECH. B/C <=_2HP./;TOOK BTU 18.00 4.00 6.5'0.00 EA MECH .VENT FAN , ' 26.00 1..00 6.5000 EA ;MECH EXHAUST•'HOOD 6.50 Permit ELEC-NEW RESIDENTIAL: Additional desc Permit Fee. 138..1.6 Plan Check Fee 33.87 Issue Date Valuation .0 Expiration Date .2 0/,05 Qty Unit Charge. Per Extension BASE FEE 15.00. 3232.00 .0350 EL;EC•NEW RES,- 1 OR 2 FAMILY 113.12 502.00 .0200 EIEC GARAGE OR NON-RESIDENTIAL 10.04 ------------------------------------------------------------------------------ Permit . . . . PLUMBING Additional desc.. Permit Fee 196.50. Plan-. heck Fee 44.63 Issue Date Valuation 0 Expiration Date 2`/10%'0;5 Qty Unit Charge Per. Extension, BASE,.FEE 15.00 21.00 6-.0000 EA PLB-`FIXTURE 126.00 1.00 15.0000,EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB` WATER ?H;EATER/zVENT 7.50 1.00 3.0000 EA " 'PL•B'_WATER'.INST/,ALT/REP 3.00 1.00 9". 0000_ `EA. PLB- LAWN, 'SP. RINKLER SYSTEM 9.00 8.00 .7500 EA PLB'.,:,GAS XP.IPE >=S 6.00 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 Expiration Date 2/1,0/05., Qty Unit Charge' Per Extension Page 3 Application Number_. . . . .. •°-04-00.005862. Date 8/10/04 Qty Unit Charge Per Extension ,BASE FEE 15.00 Special Notes and Comment's SFD - LOT' --33. :PLAN ,3AXL'+OPTION. BEDROOM . 5 / BATH 4' (17 9 • • S F) . W / 2 CAR GARAGE' (GP RAGE 502 SF) PERMIT DOES NOT INCLUDE.;BLOCK WALLS, POOL, SPA, OR DRIVEWAY APPROACH. Other Fees . . . . . . ..• ART�'IN:­,-P•UB'LIC;•-'PLACES,;-RES 20.00 DIF COMMUNhTY CENTERS -RES 97.0'0 DIF CIVI&:,CENTER - RES 366.00 EN°ERGY.REVIEW. FEE 64.77 DhF�FIRE PROTECTION; -RES 97.00 GRADING 'PLAN CHECK FEE .00 DIF -'RES 225.00 ..,LIBR:ARIES DI°F PARK" MAINT 'FAC - RES 5.00 DIE PARKS RES 502.00 502.00 STRONG- MOTION• (SMI) - RES 19.46 ' DIF STREET MAINT'FAC-RES 15.00 DIF' TRANSPORTAT.ION'` - 'RES 1098.00 Fee summary Charged PaidCredited, Due -- - - - - - - - - -.- - - - --=--=--'-------- - - - - ------ - - - - ---- -- -- - - - - Permit Fee,Total'. 1429.66. 0.0.' .00 1429.`66 Plan Check Total 747.1.1 .00 .00 747.11 Other Fee Total 2509.23 .00 . r'' .00 2509.23 Grand• Total's 4686.00° .00 .0�0 4686.00 06/08/2005 14:51 P 9496312293 ACTION NOW MPH PAGE 04 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R PROJECT INFORMATION Climate Zone: 15 Project Title: Mosaic @ Esplanade Project Address: La Quints Builder Name: Ponderosa Homes Voice 9: 925-460-8900 Builder Contact: Jeff Nygren Voice 4; Project ID 0: 29323 Sample Group #: Phase: 8 Lot #. 33 Plan #: 3 Address:4.3 501_Parl vveyiEsplanade;West HERS INFORMATION HERS Rater: Scott Johnson Jayme Carden Certification >x : CCNSJ614037 CCNJC615157 HERS Firm: Action Now Voice # : 94931-2274 Address: 2575 Westminster Avenue, Costa Mesa, CA 92627 HERS Provider: CHEERS Voice # : 800-424-3377 HERS Address: 9400 Topangs Canyon Blvd.. Chatsworth, CA 91311 HERS RATER COMPLIANCE STATEMENT exx T-24 Compliance Credit was Taken for Tight Ducts T-24 Compliance Credit was Taken for TXV TXV Verlflad yes The house was: x Tested / Verfied =Approved as apart of sample, but was not tested x The installer has provided 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 drawbands are used in combination with doth backed, rubber adhesive duct tape to seal leaks at the connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagno9tic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: CFA Leek Max OTasted Leak 0 System Of Indicate the maximum a owa le Duct leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 6 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 Capacit in Thousands of Output BTU per hour) x Measured Fan Flow x .06 Vu -a Pressurization Test Resu t9 5 PA) 100 K Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass System Q of Indicate the maximum a owa le Duct Leakage and the calculation used: 03 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zoites 1 through 7 & 16 x 400 x (Cooling Capacity In Nominal Tons) x (0.08) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x Measured Fan Flow x .06 b-0 Pressurization Test Res u is 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass System z of m Indicate the max mum a owa to 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 (0.08) 21,7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.08) Measured Fan Flow 1 X.06 uct Pressurization Test Results 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pa95Faill Raters Certifying Signature fan flow 0 Date 6/812005 F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.xis i' wr -:••A'i�.{AN.-/JINF..+.vrlliM•X�/.%/.'i'IIN/.'iGpLG71f//�Rf•CHw'/Y.W/y////N:%/.gfN7�SN�!/if7W�':llM,'�0(/1.%!U7f✓.a`S1LYi///•[JWA't�:�I?�NNl/N1_�A_.1: /.'.Y11w�.:•.:�./::.'�.:'A.'. ,( l 's 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 budding at 43-501'PARKWAY-ESPLANADE. WEST, LOT 33, PHASE 8, LA QUINTA CA CEILINGS: TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: s TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL C RA R: PONDEROSA HOMES LICENSE # BY: TITLE: J PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE * 221517 a R BY: 4K TITLE: ACCOUNT REPRESENTIVE DATE: a..ac(A i-a-YrA •ltlC:'Jh'-J-'•C!T `13��aa1.'�C�. YJIf�{`S'biw}-tiAYt J.1'rl'SL1mtJY41G11G'i�PY2At"��+r"•'ti.�'- ONAQmiiL:ilV-i67YYCiGi'As�tlY�LW' '.Q�-�•`�""•"°` �'.wDR.NO'�-Y� /r ...:: V :•A•Al/+:'I.IY. %�•M/: U/ .: / /i/iW%_:'CiN.d9D'iR/YJ+W!/f.WI/✓/Nt/� �CN%/IhYNiil/iG'..vbN.V:ell'�✓/IXR'R�//NY/JYVyNlYI.aMI/1O•b•R'>J/tI47f/'.�l/.YJ/ice •I/.J : II•.:•/1l •I--'- .�-vy/ f - INSULATION CERTIFICATE r This is to. ' that insulation has been installed in conformance with the current energy s regulation. Ca Administrative Code, Tide 24, State of California, in the buildir`ig`located ay- { CEILINGS. TYPE: BLOW MAUNFACTU : CertainteedESS: R-38 WALLS: TYPE: BLOW GENERAL BY - THICKNESS: R-13 HOMES SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 1517 f BY: TITLE: ACCOUNT REPRESENTIVE DATE: .. �:/-i.•rr.•:..-.✓i:..--av-=i/.r.i•-::i-•.c:-n.i:rr. .oi i.v:-r/:'./o �%i://inui:-v-_ irtii�%tii x�ivr:/✓,ilii'://ivi,'i-�iinnnr.;/i.iii.:�.ai•::..:�..:/.'a•.:.v..:x�•:,:..•.:..- r HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -611 Site Address: 43—.501 Fbirj My 5-pI4 n44eVWermitNumber. Tract Number: Plan Number 3 Lot Number: 33 BED & BATH An installation certificate is required to be posted at the building efts Or made avelible for all appropriate inspections. After c4mpladon of final inspection, a copy must be provided to the Building Department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment ii of Efficiency Duct Heating Heating Equip. CEC Certified Mfr Name Identicle (AFUE, etc.) location Duct Load Capacity Type and Model Name systems - (>= CF -1 R) (aft etc.) R -value (BTU / Hr) (STY / Hr) # of Efficiency Duct Cool -mg Cooling Equip. CEO Certified Mfr Name Identice (SEER, etc.) Location Dud Load Capacity TWO and Model Number Systems (--CF-IR) (attic, eta) R -value (BTU / Hr) (Biu / Hr' effitdarrt than that gmclfled in the ceMticate of compliance (Fort CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buftngs, and 9) equipment that meets or exceeds the appropriate requirements for manor ctured devices (from th Appliance » ,Regulation or Pert 6), where applicable. ALLIANCE MECHANICAL`$`igna re, Date T u(Co. are HL OR General Contractor (Co. Name) OR Owner MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Ma)imum 6% Dud Leakage) CFA: System EM of r271 Indicate the maximum a15WAle Duct Leakage and the cal uletlon 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 / Fen Flow = % Leakage Check Box for Pass or Fall (Pass - 6% or Less) Passai �T-24 Compliance Credit was Taken for TXV TXV was installed y5 em =] of Indicate the maximum a le Dud Leakage and the calculation used: 0.7 x Floor Area x (0.05) for Climate Zone 8 through 15 0,5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 16 400 x (Cooling Capacity In Nominal Tons) x (0-06) 21.7 x (Heating Capacfty in Thousands of Output BTU per hour) X (0.06) Other D0 Pressurization Test Results (CFM @ 25 PA) 100 x Test leakage / Fan Flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) Pass a QT --24 Compliance Credit was Taken for TXV TXV was Installed PAGE 1 F2001-01 (402) Action Now T-24CF6-RTD&TXV macro i;� :L't101a1•.•.... ,ICT7T7af;T!'zVVJ''lh**"b:n*'!nn•7/7A inn