04-7872 (SFD)0 JAN 10 •1005 �lu%ILICt/
cP�OFWQUIN.
SPT: BUILDING & SAFETY DEPARTMENT
;
(760):777-7012
OF78-495 CALLS TAMPICO. FAX (760)777-7011
LA QUINTA, CA[ IFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
{
Application Number 04-00007872 Date 12/29/04
Property. Address . . . C,'T823'0 VIA PA -Vi -ON -71
APN 604=032-999-8 -305212
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW.DENSITY RESIDENTIAL
Application valuation 185849
Owner Contractor
LENNAR HOMES. -OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
78401'HIGHWAY 111, STE C 78401 HIGHWAY 1.11, SUITE C
LA QUINTA, CA LA QUINTA, CA 92253
LA.QUINTA, CA '92253 WCC:. AON RISK SRVC
WC: MWC11114500. 11/01/05
CSL.B: 728102 09/30/06*
CCC:,. B...
x
P.O. BOX 1504
78-495 CALLE TAMPICD
LA QUINTA, CALIFORNIA 92253 1n�
BUILDING & SAFETY DEPARTMENT
Application Number: O c4 — 7$ % o;L-
Applicant: Arch'
Applicant's Mailing Address: itect
j -1C. -
No.
;r
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
or Ed ineer:
or Engineer's Address:
'BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penaft of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Lice and License i$ jfi 1 a and effect.
cen^ ^ /
Lise Class
Yy rcense No._ j !/
L/ OWNER-ODkDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors'StatelJcense 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 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
1 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.
141 have acd vAI maintain workers' compensation.insurance, as required by Section 3700 of the'Labor Code, for the performance of the work for which this permit is
�rtier �jte0� fray workers' compensation insurance camer �ryp li um a
\� 1v clicy Number
_ I certify that, in the performance of the work for which this permit is issued, 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, I shad
,\forthwith comply with those provisions.
/Date v O Applicant
WARNING: FAILURE TO SECURE WORKERS' COMP NSATION 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, indemnity 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 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
r ,construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
to 0 -O Signature (Applicant
Application
----------------------------------------------------------------------------
Number .
. . . . 04-00007872
------ Structure
Information
SFD
-----
Construction
Type . .
. . TYPE V - NON RATED
Occupancy
Type . . .
DWELLG/LODGING/LONG <=10;
Flood Zone
. . . . .
NON-AO FLOOD ZONE
Other struct
info .
CODE EDITION 2001 CBC,
FIRE SPRINKLERS NO
GARAGE SQ FTG
425.00
PATIO SQ FTG
273.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
3040.00
Permit
. . .
BUILDING PERMIT
Additional
desc
Permit Fee
. . . .
940.50 Plan Check Fee
611.33
Iss"ue Date
. . . .
Valuation . . . .
185849
Qty '-Unit
Charge
Per
Extension
BASE FEE
639.50
86.00
3.5000
THOU BLDG 1.00,001-500,000
301.00
Permit .
. ... . .
MECHANICAL
Additional
desc
Permit Fee
59.00 Plan Check Fee
16.63
Issue Date
Valuation
0
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
.00
16.5000
EA MECH B/C >3-15HP/>100K'-500KBTU
.00
3.00
6.5.000
EA MECH VENT FAN
19.50
1.00
------------------------------------------------------------------------------
6.500.0
EA MECH EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional'desc
Permit Fee
. . .
129.90 Plan Check Fee .
3.77
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
44.25
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
7.5000
EA PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB WATER INST/ALT/REP
.3.00
1.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
j
Application Number .
. . . . 04-00007872
Permit
PLUMBING
Qty` Unit Charge
Per
Extension
. 6.00 .7500
EA PLB GAS .PIPE >=5
4.E0
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 8. PLAN 4Y,,3040
'SF. PERMIT
DOES NOT INCLUDE BLOCK
WALL,,POOL, SPA
OR DRIVEWAY APPROACH.
Other Fees
ART IN PUBLIC PLACES -RES
.00
-DIF COMMUNITY CENTERS -RES
97.00
DIF.CIVIC.CENTER - RES
366.00
ENERGY REVIEW FEE,.
61..13
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
.675.98 .00 .00
675.98
Other Fee'Total
2484.71 .00 .00
2484.71
Grand Total
.4482.09 .00 .00
4482.09
r 64
Certificate of Insulation -
Your home has.been insulated with John Mansville Flberalas insulation products, which are designed
- for today's safety standards and tomorrows, energy requirements.,
Fiberglass is Inorganic and therefore permanently nonoombustible, so it does'not have to be treated '
with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated,.
- with chernicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will It
w - settle overtime as may other insulation materials.
This also certifies that insulation have been professionally Installed in this home to provide.the
following thermal performance:
Lennar Homes
" .Job Narrie: La-Quinta Del Oro 'fact: 30521 Plan# • 4Y Phase: 6
' f lot No: 'Job Adadressc SFR -f79:230 Vis PaylonLa Qulnta, CA --
.. - � • - ' • _ �. _ - - ._ _ . • ' � - , . f
-Gelling Arca: R -3e blown and batt insulatlon Garage Catling: Non -Access:
Witt Living Above a Sloping Areas
Exterior Walls R-13 batt insulation Overhangs:
Access Attic:
With Living Above -
Between Floors:. Interior Walls:
Su con actor... ® J insulation, Inc..t
1 - 72-227 Adelaid St, Thousand Palms, CA 92276
Signed: 1%1. .0 (Xt�
Mike Dickerson, General A9srrp9er - Pala Springs Dpvi4 oi�a
R -means -resistance to heat flow: The higher the R -value, the greater the insulating power.
Ask your builder for, the fact sheet on R -values. Keep this certificate with your other ,
valued papers. If you evef sell this home, this certificate should be passed onto the buyer.,
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
CF -4R
LA QUINTA DEL ORO PH- 8 6-14-05
Project Title Date
78230 Via Pavion, La Quinta, CA 92253 LENNAR
Project Address Builder Name
Nacho Castenada' 760-578-6968 Plan 4Y (pg. 1 of 1)
Build �C ct Tel hone Plan Number
#CC2004076)
Wiliam Henson (CCN 760-L50-7022 Group 6
HERS Rater Telephone Sample Group Number
,
[r��. 6-14-05 8 (ph 8)
A(
Certifying Signature Date Sample House Number
. Fes: BCI Testing HERS Provider: CALCERTS
Street Address: PO Box 50575 City/State/Zip: Phoenix, AZ 85076,
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 R
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 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.
` w
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
K
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
J
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM
If fan flow is calculated as 400cfin/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) ❑
❑
Pass
Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑
❑
Yes is a pass Pass
Fail
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT °
J. ❑ Yes ❑ Noy ACCA Manual D Design requirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
I Measured Fan Flow =
0
Yes for both I and 2 is a Pass Pass..
. Fail
Compliance Forms August 2001
A-16
03/01/2006 09:09 7607768091 CDFA RIFA' PAGE 02.
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