04-4483 (SFD)-.-- _ t�;
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
-LA QUINTA,'CALIFORNiA 92253 INSPECTION REQUESTS (760) 7*77-7153
I BUILDING PERMIT
Application Number . . .
Property'Address . . . .
APN :
Application -description
Property Zoning . . . . .
Application valuat.ion
Owner
7 --------------------
LENNAR HOMES OF CALIFORNIA
..78401 HIGHWAY 111, STE C
'LA-,QUINTA, CA
LA QUINTA !Fn) ./ft 9
Z—_04=0 -0_0_0F47478 3Date 6/02/04
78475 VIA PALOMINO'
604-1032-999-116 -305212-
DWELLING -`SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL -
182517
3
..Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, SUITE.0
LA.QUINTA CA 92253
WCC: OLD REPUBLIC,IN
JUN 61 d _4 WC: MWC10877600 11/01/04.
CSLB: 728102 --09/30/04
CITY OF a�QUINTA CCC: B
FINA
------------------------ ---------------------
Info rmation
Construction Type . . . . . . TYPE -V - NON RATED.
Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10
.Flood Zone .. . . . . . . . NON -AQ 'FLOOD ZONE
Other struct info CODE EDITION, 2001 CRC
FIRE SPRINKLERS NO
GARAGE, SQ FTG- 4-26-00
PATIO'SQ FTG 236.00
NUMBER OF,UNITS 1.00
FIRST FLOOR SQ FTG.2990.00
----------------- -------------------- 1 ------------ 7 -----------------------
Permit . . . . . . BUILDING PERMIT
Additional. desc
Permit Fee. 930`.00 Plan Check Fee 151.13
Issue Date Valuation . . . . 182517
Qty Unit Charge Per Extension
BASE FEE 639.50
83.,00 3.5000 THOU BLDG 100,001-500,000 290.50
--------------------- -----------------------
---------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee. . . . . 70.50.'- Plan Check Fee 4.41
Issue Date Valuation . . . . 0
Qty Unit Charge Per Extension
P.O. BOX 1504 _ e �4 a�
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 1
4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
or
itect or
5A- CA 019-1
a v i
tic. No. 323 `15
BUILDING PERMIT DECLARATIONS
Date:
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 Lice a is in full force and effect.
/License Class P dense No.
�. / aur -w• /u� 'I)
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, 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 sate (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 Cod
State License Law does not apply to an owner of property who builds or improves thereon, and who contracte: The Contractors's for the projects with a contractors) 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.
11 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
pykgis cpmpensabo�aeara�e carrier and � Policy �lumbgr re:
Carrier �ssuQq. ^OI/I IUI.1 (/ P� olicy Number _�/i W (i 1 V4�'1�(P ��
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner 5o 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 as
3700 of the Labor Code, I shall
forthwith comply with those provisions.
/Date C)' t
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 CONSTRUCTION LENDING AGENCY
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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and permit.
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 an
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City u s pointe, permit
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date is
cessation of work for 180 days will subject permit to cancellation. issuance of such permit or
I certify that I have read this application and state that the above information is cored 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.
/Gate 0 ure (Applicant or Agent):
r
C
:
Page
2.
Application Number
04-00004483 Date
6/02/04
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
2.00
6.5000
EA- MECH VENT FAN
13.00
1:00
6.5.000
EA MECH EXHAUST HOOD
,6.50
Permit
ELEC-NEW RESIDENTIAL.
Additional-desc
Permit, -Fee
128.17. Plan Check Fee
8.01'
Issue Date
Valuation. . . . .
0•
Qty Unit
Charge
Per
Extension
BASE FEE
15.00 ,-'
2990.00
.0350-
ELEC NEW RES = 1 OR 2 FAMILY
104.65
426.00
.0200
ELEC GARAGE"OR NON-RESIDENTIAL
'8.52
--------------------------------------------------------------------
Permit. . . .
.
PLUMBING
Additional desc
Permit Fee
18,9.75 Plan Check Fee
11.86
Issue Date .
. .
Valuation
0
Qty Unit
Charge
Per
Extension'
BASE FEE
15.00
20.00
6.0000
EA PLB FIXTURE
120.00
1.00
15.0000.
EA PLB BUILDING.SEWER
15.00'
1.00
7".5000
EA PLB WATER HEATER/VENT
7.50
1.100
3.0000
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 116..
PLAN 3Z.
PERMIT DOES NOT
J
Page
3
Application Number
-
04-000044`83 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
15.11
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
18.25
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00 _
Fee summary
Charged.
Paid Credited -
Due
Permit Fee Total
'Total,
1333.42
.00 .00
1333.42•
Plan Check
175.41
.00 .00
175.41
Other Fee'Total
2438.36
.00 .00
2438.36
Grand Total
3947.19
.00 .00
3947.19
f insulation
PY*,
.
Certificate o ns
Your home has been'insulated with Certain Teed Fiberglass insulation products, which are designed
for today's safety standards and tomorrows energy requirements. ~`
Fiberglass is inorganic and therefore permanently noncombustible, so it'does not have to be treated
r$j with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated {
with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it
d settle over time as may other` insulation materials.
This also certifies that insulation have been p.ofes3ionally installed in this home, to provide the
following thermal performance. .
• Job Name: Lannar Homes, Inc.. Tract: 30521 Plan# 3Z` . Phase: 4 -
r Lot No: 116 Job Address: SFR !7.8AT5>Via=-Palomino,.0 Quinta, CA
Ceiling Area: R-30 blown -in fiberilass insulation Garage Ceiling: Non -Access:
With Living Abov® .• & Sloping Areas
L, " Exterior Wall sR-13 batt insulation Overhangs: Access Attic:
IL U) With`Living Above r
E • Between Floors: Interior Walla:,.f
P.
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Perms, CA 92276
Signed: tlrj . g1Zlll�tri
-
- Mike Dickerson, General r. - ManagePalm Springs Bri nch
o.
c R•means resistance to heat flow. The higher the R•value, the grea!er the insulating power.
P Ask your bui!der 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.
LL
,.`
7
ENERGDeseft
Y �'� -- C DE
S��s -
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 01-28=15
Project Title Date
78-475 VIA PALOMINO LA QUINTA, CA. 92253 LENNAR
Project Address Builder Nami
NACHO CASTENADA 760-578-6968, P
Builder Contact Telephone Plan Number
RICHARD KROWN 760-260-1852_ GROUP
HERS Rater �.Telephone Sample GroL
�CNRK613292 02-08-05 116
Certifying Signature Date Sample Lot
Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEEF
Street Address: P.O. BOX 621 City/State%Zip: RANCH(
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested ® Approved as part of'sample testing but was not te:
As the HERS rater providing diagnostic testing and field verification, l certify' that the houses
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 or pl
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic anddrawbands are i
backed, rubber adhesive duct tape to seal leaks at duct connections.
{
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE'REDUCTION COMPLIAI
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) ,
4 N
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
value here
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%i or less)
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
ge I of 7) CF -4R
OMES
kN 3 2 UNITS
3
Number
3
Dumber
MIRAGE, CA. 92270
!ntified on this form comply
rrm returns in lieu of ducts)
d in combination with cloth
E CREDIT
;ured
ues
❑ ❑
Pass Fail
L N
f '
Does, ft
ENERGY
semces
PO. Box 621
Rancho Mirage, CA 92270
Email: DESNRG (a AOL:COM
Ph/Fax (760) 564-2044,
Cell: (7601250-1852
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
LA QUINTA DEL ORO PH 4 01-28-05
Project Title Date
78-475 VIA PALOMINO LA QUINTA, CA. 92253 LENNAR HOMES
Project Address Builder Name
NACHO CASTENADA 760-578-6968 CASITA 1 UNITS
Builder Contact Telephone Plan Number
RICHARD KROWN 760-250-185.2 GROUP 3
HERS Rat�. Telephone Sample Group Number #CCNRK613292 02-08-05. 116
Certifying Signature Date Sample Lot Number .
Firm: DESERT ENERGY SERVICES LLC. HERS Provider: CHEERS
Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270
Copies to: Builder, HERS'Provider '
HERS RATER COMPLIANCE STATEMENT
The- house was: ❑ Tested ®. Approved as part of sample testing but was not tested
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-61R(Installation Certificate.
❑ Distribution system is fully ducted(i.e., does not use building cavities as plenums or platform returns in lieu of ducts)
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth
backed, rubber adhesive duct tape to seal leaks at duct connections.
❑ MINIMUM.REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results.(Maximum 6% Duct Leakage) ,
'.Measured
Duct Pressurization Jest Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
value here
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) r ❑ ❑'
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is E] F-1provided for inspection
Ll