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04-7874 (SFD)oJAN 10 2005 IATY OF LA QUIN FIN ANCEOEPT.TA BUILDING. & SAFETY DEPARTMENT .'BOX 150 (760).777-7O OFTttti9 78-495 CALLE TAMPICO. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153 BUILDING PERMIT App.lication,Number 404=0007874 Date 12/29/04 Property. Address . . . _;7'7_8 -2140 -"VIA PAVION APN:. 604 -03 -2=9 -9 -9=9J305212 - Application description . . DWELLING SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW .DENSITY RESIDENTIAL Application valuation 151968 Owner Contractor LENNAR HOMES OF CALIFORNIA LENNAR�HOMES OF CALIFORNIA INC 78.401 HIGHWAY 111, STE C 78401 HIGHWAY 111, SUITE C LA QUINTA, CA LA QUINTA, CA 92253 LA.QUINTA,.CA 92253 WCC:. AON RISK SRVC WC: :MWC11114500 11/01/05 CSLB: 728102 09/30/06 CCC: B P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO TAt �r FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT - Application Number: (} (A - 7 FS % Date: L' /0.0§ Applicant: Archil Applicant's Mailing Address:—Architect Ic. o. Eri i r: or Engineer's Address: 'BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder p natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and Licens i II force and effect. l incense Class ss rcense No.__ u v mate U) .nn I � . U OWNER-BUILDERDECLARATION 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 worts, 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.). (, 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. , B.& 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. hhay and will maintain workers' compensation insurance, as required by Section 370 of the' Labor Code, for the performance of the work for which this permit is i e orkers' compensation inks trance came gppli�y u r a : artier o�licv Numbery V _ I ce mtymat, in the performance of the work for which this permit is issue ,.1 s II not employ, any person in any manner so as to become subject to the wo*ere' 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 shall forthwith comply with those provisions. / Date — W -O pplicant ((( WARNING: FAILURE TO SECURE WORKERS' CO SATION 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 Perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name p. Lenders Address r7 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. 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate 1 1 Signature (Applicant or Agent): 1 -------=----------------------------- Application ----------------------------------------------------------------------------- Number . . . . . 04-00007874 ------ Structure, Information SFD ----- Construction Type TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001, CBC FIRE SPRINKLERS NO GARAGE SQ.FTG• 462.00 PATIO SQ FTG 488.00 NUMBER OF UNITS 1.00 1ST'FLOOR SQUARE FOOTAGE 2385'.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee 821.50 Plan Check Fee 533.98 Issue Date Valuation 151968 Qty ,' Unit Charge Per Extension BASE -FEE 639.50 52,00 3.5000 THOU BLDG 100,001-500,000 182:00 Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . 65.50 Plan Check Fee 16.38 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST, -'HOOD- 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . .107..72 Plan Check Fee 26.93 Issue Date . . . Valuation- 0 Qty Unit'Charge Per Extension BASE' FEE 15.00 2385.00 .0350 ELEC NEW RES -:l OR 2 FAMILY $3.48 462.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.24 . Permit . . . . . . PLUMBING ..Additional desc Permit Fee -171.00 Plan Check Fee 42.75 Issue Date . . . . Valuation . . 0 'Qty Unit Charge Per Extension BASE FEE 15.00- 17.00 6.0000 EA PLB FIXTURE 102.00 .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 9.00.00 EA PLB LAWN.SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE 5=5 4.50 ---------------------------------------------------------------------------- ;' Application Number . . . • 04-00.007874 ----------'-=-----------------=--=------=----------•-------=------------------ Permit . . . . PLUMBING Qty Unit Charge Per Extension 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 9. PLAN 1, 2385 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 53.40 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 15.19 DIF STREET-MAINT_FAC-RES, 15.00 DIF• -TRANSPORTATION - RES 1098.00 Fee summary Charged Paid''-- Credited Due Permit Fee Total 1180.72 .00 00 '1180.72 Plan Check. Total,. 620.04 ..00, .00 620..04 Other Fee Total 2473.59 .00 .00 2473.59 Grand Total 4274.35 .0.000 4274.35 Certificate of Insulation ; Your home has been insulated with John Mansville Fiberala_s insulation products, which are designed ' for today's safety standards and tomorrow's energy requirements. Fiberglass ls.inorganic and therefore permanently noncombustible, so it does not have to be treated with fine -retardant chemicals that will likely lose their effectiveness overtime. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb: moisture nor will it, - ` settle over time 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 Name:. Ls Quint& Del -Oro < Tract: 30521 Plan# 1R Phase: 8 Lot No:. Job Address: SFR - 78-240 Via Pavilion, La Quints, CA - Ceiling Area, R-30 blown and batt Insulation Garage Ceiling: Non -Access: With Living Above & Sloping Areas - > Exterior Walla R-13 batt insulation Overhangs.Access Attic: With Living Above - Between Floors: interior Walls:: - Subcontractor ...0 J Insulation, Inc. - F 72-227 Adelaid St, Thousand Palms, CA 92276 , QQ ,(� Jt2 Q 111Zyt Signed:' M Ba Mike Dickerson, General Manager - Paley Springs Division - 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 ever sell this home, this certificate should be passed on to thebuyer. Street Address: PO Box 50575 City/State/Zip: Phoenix; AZ 85076 Copies.to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ TestedApproved 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 -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. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured 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 ❑ ❑ `CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) �; Pass LA QUINTA DEL ORO PH- 8 ❑ 6-14-05—j Project Titl I Date 2Mia_P.avion La Quinta, CA 92253 M_%7_8 4 0 LENNAR verified that actual installation matches values'in CF -1R and Projec!;AddressBuilder Name design on plan. Nacho Castenada 760-578-6968 Plan 1R (pg. 1 of 1) ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, Build e o tact koi yianl Henson (CCN #CC2004076) Tele hone 760-550-7022 Plan Number Group 6 verified fan flow matches design from CF -IR., HERS Rater Telephone Sample Group Number Measured Fan Flow = � 144)�irr`.� 6-14-05 9 (ph 8) Certifying Signature Date Sample House Number Yes for both I 'and 2 is a Pass Firm: BCI Testing ITERS 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: ❑ TestedApproved 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 -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. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured 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 I ❑ Yes ❑ No 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 -IR., Measured Fan Flow = o -a Yes for both I 'and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 f Southwest Inspecti®n and Testing, Inc. �k 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 WIT Job No. REGISTERED INSPECTORS'S DAILY REPORT Date 1 Z -4l oS TYPE OFReinforced Concrete 13Struc'turol Steel Assembly ❑ Quality Control INSPECTION 0 Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt p�. G OF1V1/ 6LO1.0r"CityL'4 C )L',���me rJobdre & 4Perrnii N . Issuggd BB Structurer Lf sour Architect / Material Description (Typerode. e) Engineer Contractor / Eti N * Rk( o ^I E5 InspectorTs) Name Subcontractor AJ TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES CI o A)r-, 7— INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRR.UCTT�. CONNECTIONS (WELD MADDElH.T. BOLTS TORQUED) CHECKED, ETC. S 1Z U G / D A/ < Ggqs�Ge L4 U o w c> rr / .C5C 1 O e ho e .mac oued l�G ,L; S A,i d S ec ,ccs. T Ll o 7A- CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE �_ OF I HEREBY CERTIFYTHAT I HAV SERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS WORK UNLESS OTHE TED. I HAVE UND THIS WORK TO C PLY WITH THE APPROVED PLANS, / 30'1,* � SPECIFICATION D LICA B SE I NS OF THE ILDING LAWS. V /`` l , �L✓' . All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. In addition, any in a ion extending past noon hour will be an'8, SIGNATURE OF REGISTERED INSPECTOR hour minimu �0 Z- 7 3 Approved by SPECIALTY NO. AGENCY Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY