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04-4481 (SFD)P BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).-777-7012 78-495 CALLS TAMP.Ico FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253, INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application -Number C04-00004481) Date 6/02/04 Property Address . . . . . . 78445 VIA PALOMINO APN: 604 -032 -999 -114. -305212 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 178268 Owner Contractor LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC, 78401 HIGHWAY 111; STE;C 78401 HIGHWAY 111, SUITE C LA QUINTA,_,CA LA QUINTA CA .92253 LA QUINTA WCC: OLD.REPUBLIC INJ9 T(IF 2004 WC: MWC108776'00 11/01/04 CSLB: 728102 -09/30/04 CA QUINTA CCC: B -------------------------FIP formation ---------- Construction Type . . . . . .TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=1.0 Flood Zone--. NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CRC FIRE SPRINKLERS NO GARAGE SQ FTG 46}5.00 PATIO: SQ FTG 358:00 - NUMBER OF UNITS :. 1.00 FIRST FLOOR SQ FTG 2874.00 Permit . . . . . . BUILDING PERMIT Additional desc :. . Permit Fee 916.00: Plan Check Fee 148.85 Issue'Date Valuation 178268 Qty. Unit Charge Per Extension BASE FEE 639.50 79..00 3.5000 THOU BLDG 100,001-500,000 276.50 i. z Permit . . . . MECHANICAL .Additional desc Permit Fee 59.00 Plan Check Fee 3.69 Issue Date Valuation 0 Qty Unit Charge Per Extension --- P.O. BOX 78-495 CALLSLLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 4� Applicant: mpp icanrs mailing Address: or En CA qlal t) I Lic. No.: BUILDING PERMIT DECLARATIONS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 00) of Division 3 of the Business and Professionals Code, and ss License is in full.force and effect: ^� ` M License Class (L•� cense No. I hereby affirm under penaltyof OWNER -BUILDER DECLARATION 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, after, 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 fort 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 1, 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 safe. 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 contractors) licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , BA P.C. for this reason Date Owner I herebyaffirm under WORKERS' COMPENSATION DECLARATION 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, fort 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 u coo a '.compe on insurance cart'�(�Rd polis 9u be r� permit is Cartier—J[.1Jd.` �/j /�� Policy Number I✓LI U( �(J � (y D'D _ I certify, that, m the performance of the work for which this permit is issued. I shall not employ an y person in any compensation laws of California, and agree that, if I should become subject tot workers' compensation provisionsro Section 33so as to c7o of t me �bor Code rto the wol shall forthwith comply With those provisions. ate ` -( D 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. I herebyaffirm under y perjury CONSTRUCTION LENDING AGENCY penalty of a 'u 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT 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 Guinta, 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 day* from date of issuance of such permit, cessation of work for 180 days will subject permit to cancellation. construction, and hereby authorize representatives of this county to enter upon t above-mentioned to I certify that I have read this application and state that the above information is cod. neI agree to comply with all city and county ordinance's and state -laws rotating or r building ro P party for inspection purposes. Date Signature 9 (Applicant or Agent): Page 2 Application Number 04-00004481 Date 6/02/04 Qty Unit Charge Per Extension BASE FEE 15.-00 1.00 9.00.00 EA., MECH FURNACE <=100K - 9.00 1:00 9..0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50` 1.00 - 6.5000 EA MECH, EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL. Additional desc Permit Fee . . 124.89 Plan -Check Fee 7.81' Issue Date Valuation 0 e Qty Unit Charge Per Extension. BASE FEE 15.00 2874.00, .0350 ELEC NEW RES- 1 OR 2 FAMILY . 100.59 465.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.30 Permit .'PLUMBING Additional desc Permit Fee 183.75 Plan Check Fee 11.49 Issue Date Valuation . . . . 0 Qty `Unit Charge Per Extension BASE FEE 15.00 19;.00 6.0000 EA. PLB FIXTURE 114.00 1.00 15..0000 EA PLB BUILDING 'SEWER 15.00 1.00 7.5000 EA PLB•WATER HEATER/VENT 7.50 1.00` - 3.00:,00 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 PIPE >=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 Date . . . Valuation . . . 0 Qty + Unit Charge Per ,Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD.- LOT 114. PLAN 2Y. PERMIT DOES`NOT Page 3 Application Number 04-00004481 Date 6/02/04 Special ,Notes and Comments - INCLUDE'BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE ' REDUCTION APPLIED FOR°MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other Fees. . . . .. . . . .ART IN PUBLIC PLACES -RES .00" DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER_- RES 366.00 ENERGY REVIEW FEE 14.89 DIF FIRE,PROTECTION-RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 . _ DIF PARK MAINT FAC - RES "5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.82 DIF.STREET MAINT FAC -RES 15:00 DIF TRANSPORTATION -,RES 1098.00 Fee -summary f Charged Paid Credited Due Permit,Fee Total 1298..64 .00 .00. 1298.64" Plan Check Total 171.84 ."00 00 171.84. Other Fee Total 2437.71 .00 .00 2437.71 Grand.Total 3908.19 .00 .00 3908.19 D� ENERGY "' -- C �OE P0. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (760) 250-1852 Email: DESNRG (&AOL.COM CERTIFICATE OF FIELD VERIFICATION AND :DIAGNOSTIC TESTING I , LA QUINTA DEL ORO PH 4 Dt28�5 Project Title I Date 78-445 VIA PALOMINO LA QUINTA, CA. 92253 LENNA ro)ec ress { f Builder Na NACHO CASTENADA 760-578-6968; I Of 7) CF -4R 2-Y 2 UNITS Builder Contact Telephone i Plan NumbeY RICHARD KROWN 7601250-1852 GROUP i 3 HERS Rater Telephone j Sample Group Number Gam.. #CCNRK613292 02=08-057'. Certifying Signature Date i Sample Lotumber Firm: DESERT ENERGY SERVICES LLC j HERS'Provider: CHEEfR, i` RANCHO• MIRAGE CA. 92270 Street Address: P.O. BOX 621 City/State/Zip: Copies to: Builder, HERS Provider c 4 I HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested N Approved as part of sample testing but was not tot ad As the HERS rater providing diagnostic testing and field verification, I certify that the houses i� Jentified on this form comply with the diagnostic tested compliance requirements as checked`on this form. i ❑ The installer has provided a copy of CF -6R (Installation �fCertificate ❑ Distribution system is fully ducted(i.e., does not use building cavities as plenums or pla orm returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are lis ed in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct corinections.1 1 j ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIAN E CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage); M asured Duct Pressurization Test Results (CFM @ 25 Pa) blues i. i Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated j value here j If fan flow is measured enter measured value here `i i Leakage Percentage (100 x Test Leakage/Fan`Flow) _ Check Box for Pass or Fail (Pass=6% or less) ! ❑ ❑ i Pass Fail . I ❑ THERMOSTATIC -EXPANSION VALVE-(TXV) ❑ Thermostatic Expansion Valve is installed and Access is Yes ❑ No I ❑ ❑ provided for inspection I T j12) Certificate. of Insulation ` Your home has been insulated with Certain Teed Fiberalass insulation products, w-h:ch are.designed E for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore'permanently noncombustible, so it does not have tobe treated = cNu with fire -retardant chemicals. that will likely lose,their effectiveness over time. It has not been treated - M w►th chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nog wilt it settle over time as may other insulation materials. to This also certifies that insulation have been prolessiona'ly installed in this home to provide the - following thermal performance. Job Mame:_ Lennar Horses; Inc. Tract: 30521 - Plan# 2Y - Phase: 4 Lot No: 1.14 Job) Address:= , SFR - 88.445 Via Palomino, La Quints, CA * Ceiling Area: R•38 b'own•in fiberglass issutetion Garage Ceiling: Won -Access: " _ -.. With living Above & Sloping Areas. Y L Exterior Wali 9R-13 batt insulation Overhangs; Access Attic:' N With Living Above: E, Between Floors: Interior Walls: Subcontractor.-. 0- J Insulatioh, Inc. , 1 72-227 Adelaid St, Thousand Palms, CA 92278 - IL Signed: 1h'tstr,ti,�_:� c Mike Dickerson, General Manager - Palm Springs Branch _ c R -means resistance to heat flow. The higher the R -value, the greater the insulating power, a , Ask your builder for the fact sheet on. R -values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer.