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04-4477 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225.3 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . 0 4-00 0 0 4-4-7 7- Date 6,/02/04 Property Address .. . . . . .. 78465 VIA PALOMINO APN: „ 604-032-999--115'-305212- Application description . . . DWELLING.- SINGLE FAMILY DETACHED Property Zoning . . . . ... . LOW DENSITY RESIDENTIAL Application valuation 185849 Owner Contractor ------ v ----------- - - - - --------------------_-- LENN-:= AR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC 784'01 HIGHWAY 111,_ STE C' 78401 HIGHWAY 111,'SUITE C LA QUINTA, CA LA.QUINTA CA.92253' LAQUINTA 92 D WCC: OLD REPUBLIC IN UN 0.9 2004, WC: MWC10877600 JUN' 1.1/01/04 CSLB: 728102 09/30/04 CITYpp LAQUINTA CCC: B -------------------------F26ANre formation ,---------- Construction Typ TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info ,. -CODE EDITION 2001 CRC. FIRE SPRINKLERS NO GARAGE SQ FTG 425.00 PATIO•SQ FTG 273.00 NUMBER -OF UNITS 1.00 FIRST FLOOR SQ FTG 3040.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee,. .. 940.50 Plan Check Fee 152.83 . Issue Date Valuation 185849 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 THOU BLDG 100,001-500,000 301--.00 --------------------------------------------------- Permit . . . . . ...MECHANICAL Additional desc Permit Fee 59.00 Plan.Check Fee 3.67 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension --- P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: _ Q % 7 I Applicant: � ArPAitect or Enaineer: applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Ar� ; teect or E gill �e�'� Address: tie 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 Code• and my Ucensp�is in full )orce and effect: and Professionals!� License Class_ dense No. /9e) I V 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 o 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: 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. 1 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 plc rs=c m ensation insu nce cam r n i y a e' /e"arrier lssu �i,� L1 p Number (Q L I cleenity 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 t ,, /R� forthwith comply with those provisions. /Date �t "l ' ,cantPA� 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 hereby affirm under penalty of perjury that there is a construction lending agency for the LENDING Performance oC he work for which this g Lender's Name permit is issued (Sec. 3097, Civ. C.). 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 onThis application. I. 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 pemdt 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 Ctuinta, 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, 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 correcL 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. V ,0ate ' Si urs (Applicant or Agent): . l Page 2 Application Number . . . 04-00004477 Date 6/02/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 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 . . . 129.90 Plan Check Fee 8.12 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3040.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY', 106.40 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 Permit . . . ------------------------------------------------------- . :. PLUMBING Additional desc Permit Fee .177.00 Plan Check Fee". 11.06 Issue Date . . . . Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA PLB BUILDING'SEWER 15.00 1.00, 7.50,00 EA PLB WATER HEATER/VENT 7.5Q 1.00`x: 3.0000 EA PLB WATER INST/ALT/REP.. 3.00 .1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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'115. PLAN 4Y: PERMIT -DOES -NOT 1 Page 3 Application Number . . . . . 04-00004477 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 15..28 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 18.58 DIF STREET MAINT FAC -RES 15.00, DIF TRANSPORTATION - RES 1098.00' Fee summary Charged Paid Credited Due Permit Fee Total 1321.40. 00 .00 1321.40. Plan Check Total 175..68 .00 .00 175.68 Other Fee Total 2438.86 00,.._00. 2438+:86 Grand Total 3935.94 -.00 .00. 3'935.94 ' til ENERGY ��� E Services P0. Box 621Ph%Fax (760)564-20411 6 4-2 0414 Rancho Mirage, CA 92270 Cell: (760] 250-1852{ Email: DESNRG OAOL.COM i. CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (11)age I of 7) CF -4R LA QUINTA DEL ORO PH 4 Project Title Date 78-465 VIA PALOMINO LA'QUINTA, CA. 92253 II OMES Project Address Builder Nam' NACHO CASTENADA 760 78-6968 PC N 4-Y 2 UNITS , Builder Contact Telephone Plan Numb6 RICHARD KROWN 760-250-1852 " . GROUP i 3 HERS Rater Telephone Sample GroUP Number #CCNRK613292 02-08-05 11513 Certifying Signature Date Sample. Lo f i Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEER. Street Address: P.O. BOX 621 City/State/Zip: RANCH,,,, MIRAGE, CA. 92270 'Copies to: Builder, HERS Provider f HERS RATER COMPLIANCE STATEMENT I The house was: ❑ Tested ® Approved as part of sample testing but was not tested I�. As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. , ❑ The installer has provided a copy of CF -6R (Installation Certificate. ❑ Distribution system is fully ducted(i.e., does not use building cavities as plenums orpil E3Wi orm returns in lieu of ducts) here cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are: u ed in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections., ❑ MINIMUM, REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANT E CREDIT �IDuct Diagnostic Leakage Testing .Results (Maximum 6% Duct Leakage),, j • Melasured Duct Pressurization Test Results (CFM @ 25 Pa) values 1 Test Leakage Flow'.in CFM If fan flow is calculated as 400cfm/ton x number of tons enter, calculated value here I If fan flow is measured enter measured value. here Leakage Percentage (100 x Test Leakage/Fan Flow) _ Check Box for Pass or Fail (Pass=6%. or less) ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is ;I provided for inspection� I ❑ ❑ Certificate of Insulation Your home ha3 been insulated with Certain Teed Fiberglass insulation products, which are designed for today's safety standards and tomorrow's energy requirements. `N Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated ' �► with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treatsd . c*� with chemicals that can corrode wiring or metal. 'Fiberglass will not absorb moisture nor wi.l it settle.oYer time as may other insulation materials. , This also certifies that insulation have been professionally installed in this home to provide the ' follmving thermal performance. Q Job Name: s Lennar Norneb, Inc. Tract: 30521- Plan# 4Y Phase: 4 ' Lot No: -115 Job Address: - SFR': 78465-bla.P.,alominDvLa Duinta, CA Cehing Area: R-38 blovrn in fiberglass insulatio � Var`aga-Celling: - Non -Access: With•Living Above & Sloping Areas L Exterior Walls R-13 batt insulation `Overhangs: r Access Attic: w � With Living Above e Between Floors: ; Interior Walls: CL r. , _ - Subcontractor ...0 J Insulation inc. - 72-227 Adeleid.St, Thousand Palms; CA 92276 m Signed: 1 ` - c Mike Dickerson,_ General Manager - Palm Springs Branch o R -means resistance to heat flow. The higher the R -value, the greater the insulating power: ' Ask your burder for the fact sheet on R -values. Keep this certificate with your other -" valued papers. If you ever sell this home, Ihis certificate should be passed on to the buyer. -