04-5860 (SFD)l
BUILDING & SAFETY DEPARTMENT
B'o x 1504 (760).777-7012
`dor 1718-495 "CALLE TAMPICQ: FAX (760) 777-7011
AUS: 3 1 2004 11 QUINTA, &tIF,ANIn 92253 INSPECTION REQUESTS (760) 777-7153
clTYOF LAQUh1Ta BUILDINGPERMIT
FINANCE DEFT.
Application'Numb.er . . . 04-00005860. Date 8/06/04
Property Address -., : -•.43516 PARKWAY—ESPLANADE W
APN: 609-380-997-35 -293233-
Application description "DWELLING:.-•- SINGLE FAMILY DETACHED
Property Zoning ,,, ..'"LOW, DENSITY RESIDENTIAL
Application valuation 1.806,32..
Owner
Contractor
---- --- ------------------„----•-----
PONDEROSA.HOMES II,
--- -----------.----- .:
INC. PONDEROSA HOMES II, INC.'
-.f.”
6671 OWENS DRIVE
66.71 .,OWENS ,DRIVE
PLEASANTON,-CA
PL'EASANTON
'CA 94588
PLEASANTON''
CA '94588 (760) "'31'8'°-77:10
WCC REPUBLIC
WC ;15671602
10/01/04,
C•SLB sr 752884
08/31/04
-CCC:
------=-------------------
Structure Inform,.tion..=,.-._----------------------
Construction Type".
. . . . TYPE•V - NON RATED
Occupancy Type .
. . DWELLG/LODGING;/C,ONG.<.=10
Flood Zone
. NON-AO,FLOOD ZONE
Other struct 'info .
. CODE-`;rEDI.TI .N
2001 CRC
(•.•BEDROOMS
4.00
.,FIRE SPRTN. LERS.
NO ,
GARAGE. SQ -FTG -
671.00
PATIO. "SO' FTG
387.00 1.
NUMBER OF,..UNI�TS
1.00
FIRST FLOOR "S,Q,'FTG*
2838.100 '
Permit . . . . .
BUILDING PERMIT
.Additional_ desc
Permit Fee923:00
-Plan .Check. Fee ..
599.95
Issue Date . . . .
Valuation . .
. . 180632
Qty Unit 'Charge Per s.
Extension
BASE FEE
639.50
81.00 3.5000 THOU. BLDG 100,001-500,000
283.50
------------------------------------------------------------------------------
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 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: oz/- 5F60 Date: $ • X50.0 y
Applicant: Architect or Engineer:
Applicant's Mailing Address:
411 fAd-V
Arc itect or Engineers A dress:
cwt Ie C-0 �. " Ac_c-.�l3 S -
No.:_ C(4e3
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. '�� %S
T
/License Class ense No. Z o
,,---Date ontractor
0
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 civilpenalty 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
Kof 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 m e carrier and otic number are:
�m9r � OU r°JLI ollicy Number 6�� 1(1;02Z_
I c rtify 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'
co pensation 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
f hwilh comply with those provisions.
-/Date 64 plicant
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
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, 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.
1 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
construct 7o��dreby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
ate J Signature (Applicant or Agent):
Page
2
Application
Number .
. .04-000058.60. Date
8/06/04
Qty
Unit Charge
Pe'r.
Extension
BASE- FEE
15.00-
5.002.00
2.00
9. 0 0 0 0• EA MECH `FURNACE <=1,00K
18.0 0
2..00
9.0:000
EA MECH B/.0 <=3HP/.100K.BTU
18.00
5.00
6.5000
EA MECH VENT FAN. .
32.50
1.00
6 :. 5 0 0 0
EA MECH EXHAUST _ HOOD....
6.50
Permit
ELEC -NEW RESIDENTIAL
Additional
desc,.9
Permit Fee
127.75 Plan.Check Fee
31.94
Issue Date
. . . .
Val.-at,16-
0
Qty
Unit Charge
Per
Extension
BASE-, FEE
15.00
2838.00
.035'0
ELEC NEW. RES. -'.1 OR',.2 FAMILY
99.33
671.00
..0200
ELEC GARAGE OR NON=RESIDENTIAL
13.42
Permit
PLUMBING
Additional*desc
Permit Fee
172.50 Phan Check Fee
43.13
Issue Date
Valuation
0
Qty
Unit Charge.
JPer,.
Extension
BASE' FEE
15.00
17.00
6.0000
EA PLB, FIXTURE
.102.00
1.00
15.0000.:EA.:.
PLB iBUTLDING SEWER,
15.00
1.00
7.5000 EA PLR WATER HEATER/VENT,
7.50
1.00
3 . 00`0'0
EA" PLB WATER ,INST/ALT/REP
3.00
1.00
9'..0000-
EA PLB LP WNb`=S PRINRLER `SYSTEM
9.00
8.00
.7500
EA PLB"GAS PTPE >=5
6.00'
1_00
15 °.•,0 00 0
EA PLB ; :GAS METER
15.00
------------------------
Permit .
-- ----------------------- --------------
. .' .'GRADING -PERMIT.
--
Additional
desc
Permit •Fee
.
15. "60 - Plan .Check Fee
.00
Issue Date
Valuat-ion
0
Qty
Unit Charge
Per
Extension
'
BASE-,," FEE
15.00
,k•` Special Notes
and, Comments,;:.
' SFD - LOT
35. PLAN 2=BXR. PERMIT:DOES NOT
` %�`• _r3 ti4,
BUILDING & SAFETY DEPARTMENT
-P:O: Bo.x f504 " (760).777-7012
78-495 CALLS TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92'253 IN,SPECTIONrREQUESTS (760) 777-7153
BUILDING PERMIT
Page 3
Application Number 04-000058:60' Date 8/06/04
Special Notes and Comments
INCLUDE BLOCK WALLS, ,. POOL,•...SPA OR
DRIVEWAY APPROACH.
Other Fees ART:IN'PUBLIC PLACES -RES .00
DIF-COMMONI�TY:.CENTERS-.RES 97.00
DIF".CIVIC CENTER RES 366.00
` ENERGY REVIEW. FEE 60.00
DTF FIRE'PROTECTLON:*RES 97.00
GRADING ;PLAN." CHECK; FEE .00
DIF LIBRARIES RES 225.00
DI F `;PARK:, MAINT, FAC. -,:,RES 5.00
DIFQ.,PARKSs/REC RES 502.00
STRJONG MOTION��($M•I) ° RES 18.0.6
DrTF _ STREET INT,FAC-RES. 15.00
DIF. TRANSP.ORTAT:I0N =. RES 1098-00
Fee summary Charged Paid Credited Due
Permit F•ee Total 13`28:2'5 ` ;. 0:0' :00 1328.25
Plan Check Total6;9,7..52: 0.0 :4,00 697.52
Other Fee Total 248-3.06 '..00 00 2483.06
Grand Total 4508.8300 :00 4508.83
- ?. g
P.O. Box 1 504 • /i .
w 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:
Applicant:
Applicant's Mailing Address:
Date:
Architect or Engineer:
Architect or Engineer's Address:
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
Code, and my License is in full force and effect.
License Class License No.
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
issued. My workers' compensation insurance carrier and policy number are:
Carrier Policy Number
_ 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, 1 shall
forthwith comply with those provisions.
Date Applicant
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 Signature (Applicant or Agent):
06/08/2005 1-4:51
9496312293 ACTION NOW MPH PAGE 02
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts 13 TXV) CF4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address:
Builder Name:
La Quinta
Ponderosa Homes Voice # : 925.460-8900
Builder Contact:
Jeff Nygren Voice #
Project ID #;
29323
Sample Group #:
Phase: 8
Lot #:
35
Plan #:
2
Address:43-5.16 _Parkway, Esp_lanadMest
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification fk ;
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now Voice # : 949$31-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS voice # : 800-424-3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth. CA 91311
HERS RATER COMPLIANCE STATEMENT
T-24 Compliance Credit was Taken for Tight Ducts �
x T-24 Compliance Credit was Taken for TXV TXV Verified YesL—=J
The house was,
x Tested / VerfiedApproved as a part of sample, but was not tested
x The installer has prOviOed a copy of CF -6R
z Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
Where Cloth backed rubber adhesive duct tape is installed, mashy and drawbands are used in combination with
Cloth backed. rubber adhesive duct tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Ouct Diagnostic Leakage Testing Results (Maximum 6% Ouct Leakage)
CFA: CFA Leak Max Tested Leak
System a
Indicate the maz�mum a owe le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.08) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 8 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capecity In Thousands of Output 13TU per hour) x (0.06)
Measured Fan Flow I IX.08
uct Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fell Pass = 6% or Less) Pass x
System of
Indicate the mewmum I owa 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 8, 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Caped in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .08
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Less) Pass
System E� of
Indicate the maximum a Owe la Mirl Leakaee and the calculation used:
0.7 x Floor Area x (0.1
0.5 x Floor Area x (0.1
400 x (Cooling CapaG
21.7 x (Heating Capa
Measured Fan Flow
DUT Pressurization Test Rr
100 x Test Leakage/ fan flu
Check Bax for Pass or Fail
Raters Certifying Signature
fan flow
6/8/2005
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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
43-516 PARKWAY ESPLANADA WEST, LOT 35, PHASE 8, LA QUINTA CA
CEILINGS:
TYPE: BAITS MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS: L
TYPE: BATTS MANUFACTURER: Owens Coming THICKNESS: R-13
GENERAL CONTRACTOR: PONDEROSA HOMES LI NSE #
6Y: TITLE:
s
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: (TLE: ACCOUNT REPRESENTIVE DATE--
INSULATION
ATE
INSULATION CERTIFICATE
f
Th s to certify that insulation has been instaged in conformance with the current
regula . California Administrative Code, Title 24, State of California. in the b ' g looted at
T
CEI INGS:
TYPE: BLOW UNFACTURER: Certain THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNF Certainteed THICKNESS: R-13
GENERAL CON PONDEROSA H S LICENSE #
BY: TITLE:
SCHMID BUILDING PRODUCTS A MASCO
# 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
r
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HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & M Page 1 of
CF -6R
Site Address: 45--5416 Pb1yKV0yEWj4V1j444p Mfermit Number.
Tract Number_ Plan Number 2
Lot Number 55
An installation certificate is required to be posted at the building site or made avaable for all appropriate inspections.
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(b).
HVAC SYSTEMS:
Heating Equipment
# of Efficiency Dud Heating
Heating
Equip. CEC Certified Mfr Name Identice (AFUE, etc.) Location Dud load
Capacity
Tvoe and Model Name Systems (— CF -1 R) attic, eta) R -value (STU / Hd
(BTU / Hr)
0 of Efficiency Duct Cooling Cooling
Equip. CEC Certified Mfr Name Identide (SEER, eta) location Duct Load Capacity
Tvoe and Model Number Systems (>=CF -1R) (attic, eta) 11 -value (BTU / Hr) (BTU / Hi
1. e unde?i1gried, verity egwpMe is attvai egwpment installed, 2) equrvalent to or more
efficient than that specified in the eerthicate of compliance (Form CF -111) submitted for compliance with the Energy
Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
m nufactured devices om the Appliance Efficiency Regulations or Part 6), where applicable.
gAg IZ uam ALLIANCE MECHANICAL
igna ure, Date Installing gubcontractor ome
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Dud leakage)
CFA:
Sysc Fri of
Indicate the —m—mum awe b 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 Zones 1 through 7 & 16
—317 400 x (Cooling Capacity in Nominal Tons) x (0.06) 84
21.7 x (Heating Capacity In Thousands of output STU per houl x (0.06)
Other
bM Pressurization Test Results (CFM @ 25 PA)
100 x Test Leakage / Fan Flow o 0A Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass re
T-24 Compliance Credit was Taken for TXV TXV was installed �m p of M
Indicate the mai mum allowable 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 (o.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.067
21.7 x (Heating Capacity in Thousands of Output BTU per hours )( (0.06)
Other
b5a Pressurization Test Results (CFM S 26 PA)
100 x Test Leakage / Fan Flow 6 % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass s�
QT -24 Compliance Credit was Taken for TXV TXV was installed
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