04-7939 (SFD)c��o
(760),777.7'012
78 495 CALLS TAMPICO.
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(760),777.7'012
78 495 CALLS TAMPICO.
FAX (760) 777-7011
LA •QUINTA"•, CALIFORNIA 92253, INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
Application
Number
04-0000 939 Date 12/29/04
Property. Address
, . 7825-0 VIA PAVION
:APN:.
604 -032 -999 -10 -305212 -
Application
description
DWELLING— SINGLE FAMILY DETACHED
Property Zoning . . .
LOW DENSITY RESIDENTIAL
Application
valuation
166563
Owner
Contractor
LENNAR HOMES OF
CALIFORNIA
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY
111, STE C.
78401 HIGHWAY.111, SUITE C
LA.QU°INTA, CA
SLA QUINTA, CA 92253
LA.QUINTA;_ CA
92253
.(9.51)817-3600
WCC: AON RISK SRVC
WC:. MWC11114500 11/01/05
CSLB: .728102 09/30/06
.CCC: :. B'
1,
0
'k
..
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253 <l10. C
BUILDING & SAFETY DEPARTMENT
f A 11
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: D q— 793 9 Date:
Applicant:
Applicant's Mailing Address:
ArchilT gineer:
--Architect or Engineer's Address:
Ic, 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 and Professionals
Cod , and ss Licen i II force and effect. ��,, Z_ _6L6 rcense Class /` ""'e No. t
ate -6--C—.ntractor
OWNER$UILDER 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
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.
have and II intain workers' compensation insurance, as required by Section 00 of the Labor Code, for the perfomrance of the work for which this permit is
i Aorkers' compensation surence pri ppgl nymph►
artier T \� Policy
_ 1 ce ity that, in the perfomman a 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, I shall
forthwith comply with those provisions.
/ate Applicant
r WARNING: FAILURE TO SECURE WORKERS' C P NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN, EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND D RS ($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, indemnify 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 end state laws relating to building
construction, and hereby authorize representatives of thisco t to enter upon above mentioned property for inspection purposes.
Date - V Signature (Applicant or Agen
171- Application Number
----------------------------------------------------------------------------
04-00007939
----.----------------------
Structure Informat-ion -----------------.--------
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,
682.00
PATIO SQ FTG
358.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2595.00
Permit . . . . . .
BUILDING 'PERMIT
Additional desc
Permit Fee . . . .
874.00 Plan Check Fee
568.10
Issue Date. .
Valuation
.166563
Expiration Date
6/28/05
Qty Unit Charge.
Per
Extension
BASE FEE'
639.50
67.00, 3.5000
-----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
234.50..
Permit . . . .
MECHANICAL
Additional desc
. Permit Fee . . . .
52.50 Plan Check Fee
13.13
Issue Date
Valuation
0
Expiration Date
6/28/05
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
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc ,
Permit'Fee
119.47 Plan Check Fee,.'
29:87
Issue Date
Valuation . .
0
Expiration Date '.
6/28/05.
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
.2595.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
90.83.
682.00 .0200
ELEC"GARAGE OR NON-RESIDENTIAL
13.64
Permit
PLUMBING
Additional desc..
Permit.Fee
171.75 Plan Check Fee
42.94
Issue Date
Valuation
0
" Expiration Date
6/28/05
Qty Unit Charge,
Per
Extension
BASE FEE
15.00
17.00 6.0000
EA PLB FIXTURE
102.00
1.00 15.0.000
EA PLB BUILDING SEWER
15.00
`.Application Number .
- - - - - - - -' - - - - - - - - _. - - ----------------
---------------`.Application
. . . . 04-00007.939.
Permit . . . . . . PLUMBING
Qty Unit Charge,
Per.,
Extension
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
7.00 .7500
EA PLB' GAS PIPE >=.5
5.25 .
1.00 15.000.0
EA PLB GAS METER
15.00.
Permit . . . . GRADING PERMIT
Additional desc
Permit Fee
15.00 Plan Check Fee .
.00.
Issue -Date
Valuation
0
Expiration Date..
6/28/05
Qty Unit Charge
Per
Extension
BASE ' FEE
15.00
Special Notes and Comments
SFD = LOT 10, PLAN 2X,
2595 SF.,PERMIT
DOES NOT INCLUDE POOL,
SPA;. BLOCK WALLS
OR DRIVEWAY APPROACH
Other Fees .
. ART TN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF .CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
56.81
DIF FIRE PROTECTION -RES
97.00
,GRADING PLAN CHECK FEE
.b 0 `
DIF .LIBRARIES - RES
225..00 ,
DIF PARK MAINT•,FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) -*RES
16.65
DIF STREET.MAINT FAC -RES.
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
1232.72 .00 00
1232.72
Plan Check Total
654.04 .00 .00
654:04'._
Other Fee Total
2478.46 .00 .00
.2478:46
Grand.Total
4365.22 .00 .00
`4365.22
n
CER4VICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n
C -
`LA QUINTA DEL ORO PH- 8 6-14-05
8 -�
Project Title Date
78250_V_ is P,av_ ion, La Quinta, CA 92253 LENNAR
Project Address Builder Name
Nacho Castenada 76ee��0-578-6968 Plan 2XR (pg. 1 of 1)
Buitder_Clt3plaactm Henson (CCN #CC2004076) 76U 508 7022 P1aGro p 6
HERS Rater Telephone Sample Group Number
6-14-05 10 (ph 8)
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
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 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) ❑
❑
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 =
❑
❑
Yes for both 1 and 2 is a Pass Pass
Fail
Compliance Forms August 2001
A-16
Certificate of- . insulation a
Your home has been insulated with John Msnevilte Flberalas insulation products, which are designed
for today's safety standards and tomorrows energy requirements.
Fiberglass is inorganic and thereforepermanently 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 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.
rofessionally Installed in this home to provide the
This also certifies that insulation have been p
following thermal performance. -
Lannar Homes
Job Name: La Quinta Del Oro Tract: 30521 Plan# 2XR � Phase: 8 '
Lot No: Job Address: SFR - 78-250 Via Pavion, La Quints, CA -
Ceiling Area: "R-38 blown`and batt insulation Garage Ceiling: - Non -Access: _
• - With Living Above i Sloping Areas
Exterior Walls R-13 batt insulation t3ver4ange: Access Attic:
With Living Above
Between Floors: Interior Walls:
Subcontractor:.. ® J ins-Ulatign. inc. y
72-227 Adelaid St, Thousand Palms, CA 92276
Signed:
Miike Dickerson,, General Maiwger - Palm Springs Division Y
•� R-means resistance to heat flow. Ttie 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
cate should, be passed on to the buyer.
valued papers: If you ever sell thi's home, this certifi
fir'., ':- . .. •._ - _ - ,. , - ., - _ � _ � .. .. -.. -
}
L
Southwest Inspection and Vesting, Inc.
10826 South Norwalk Blvd., Santa Fe Springs, CA 90670
(562) 941-2990 • (714) 526-8441 - Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT146116,
SWIT Job No.
Daie
Z- 4 -o S
TYPE OF Reinforced Concrete ❑ Stractural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
Job Address / 0 %, T / ► City
a U v �D�oiv 1A/�-
Job Name
0
Pe��. 3
Issuedly .,LO �(> >v� ,A
Type of Structure c � ,�j
J !,
L Architect / a
/L)O
Material Description (type. grade, source)
coo .'JCe
Engineer
5 FIN ,E
Contractor
ANN A40 /Lf e
Inspector(s) Name/� ; frE AJ ``
Subcontroctor, x.).7;:_-:JQ S C_G R�
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
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: STRUCT. CONNECTIONS (WELD MADEH..T. BOLTS TORQUED) CHECKED, ETC.
fT.
So G W G r S <20 Z,
3i; 5
a �iCS �ee
c5 c tit ke; e-0 l edq 74',E
1
2 A" 7Lr f s ; ( 440, . G U C/ Let H..S
e c i l=0. ( oivs `t -e.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS 0 NOTED. I HA FOUND THIS WOO 0 COMPLY WITH THE APPROVED PLANS,
SPECIFICAT APPLICA t,E SE ONS OF THE ING BUILDING LAWS.
SIGNATURE OF REGISTERED INSPECTOR
Cr /C /O 111C11
c �) 6 Z ;73,t-0
117
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE ❑ PAGE 2- OF
I TIME IN. I TIME OUT I REG. HOURS 1 O.T. HOURS I CYLINDERS
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum. In addition, any inspection extending past noon hour will be an 8
hour minimu
Approved by
Project
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY .: .