04-7885 (SFD)1w1
° JAN �IGGIiiV
CIN�FLAQUINTA BUILDING & SAFETY DEPARTMENT
_
-P.O. B O FINANCE DEPT
OFTt�9 7$-495 CALLS TAMPICO. (760),777-7012
FAX (760) 777-7011
LA QUINTA, CALIFORNIA'92253 INSPECTION.REQUESTS (760)777-7153
BUILDING PERMIT
Application Number -"J04"0-0-0-0-7885 Date 12/29/04
Property,.. Address 7` "8-0 VIA ° PAVION
APN :, " 6 0 4'= 0-3-2--9-9-9_7_1_7_,--- 3 0 5 212 -
Application description DWELLING SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
.Application valuation 169833
Owner :t Contractor
LENNAR HOMES' -OF CALIFORNIA" LENNAR HOMES OF CALIFORNIA INC
78401 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..
r'
P.O. Box 1504
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253l ; INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: D % S S Date: �' /D • O S
Applicant: I Archtf 9d or Edoineer: _ rN
Applicant's Mailing Address:
or Engineer's Address:
No. �) Z SL4!�2
'BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penal f perjury that I am licensed under provisions of Chap 9 ( acing with Section 7000) of Division 3 of the Business and Professionals
�Csde, and my License is" e and effect. �7
cense Class cense No.
fie
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
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 Contractor;' 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 Contractor;'
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.
I have and will maintain workers' compensatio insurance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is
ss e y workers' compensation ' ace came�e�p�bl' umbfq
/Carrier olicy Number 1 � n � ` ` 4 AeA�?%
_f carti 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, I shad
forthwith comply with those provisions. 1
/ate L-� — -b C-)ar;�---
WARNING: FAILURE TO SECURE WORKERSUMPENSATION 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, 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 and state laws relating to building
construction, and hereby authorize presentatives of this county to enter upon the above-mentioned property for inspection purposes.
/ate D �A Signature (Applicant or Agent):
i
Application Number
. . 04-00007885
r
`
------ Structure Information
SFD
-----
i 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
2760.00
Permit
BUILDING PERMIT .
Additional desc
Permit Fee
884.50 Plan Check Fee
574.93
Issue Date . :
Valuation
,1698.33
Qty Unit Charge
Per
Extension
BASE FEE
639.50
70.00 3,5000
-------------------------------------------------------.-----------------
THOU BLDG 100,001-500,000
245.00
Permit . . .
MECHANICAL
Additional desc
Permit Fee,
52.50 Plan Check Fee..
10.13
" 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
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
120.10 Plan Check Fee
30.03
Issue Date . . . .
Valuation
0
Qty Unit -Charge
Per
Extension
BASE .FEE
15.00
2760.00 0350
ELEC NEW RES - 1 OR 2 FAMILY
96.60
425.00 0200
ELEC GARAGE OR NON-RESIDENTIAL
8-.50
Permit
PLUMBING
Additional desc
Permit Fee . . . .
165.00 Plan Check Fee
41.25
Issue Date
Valuation.
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
16.00 6.0000.
EA PLB FIXTURE
96.00
1.00 15.0000
EA PLB BUILDING SEWER ..
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT,
7.50
1.00 3.000.0.
-EA - PLB WATER.-INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM."
9.00
---------------------------------------------------------------------------
.Application Number . . . . .
04-00007885•
Permit . . . . . . PLUMBING
Qty Unit Charge Per.'
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 17. PLAN 4,`'.2760 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
57.49
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
16.98
'
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION -.RES
1098.00
Fee summary Charged
Paid Credited
Due.
Permit Fee Total 1237.10
.00 00
1237.10
Plan Check Total 656.34
.00 .00
656.34
Other Fee Total 2479.47
.00 .00
247.9.47
Grand Total. 4372.91
.00 .00
4372.91
` Certificate bf Insulation
r . Your home has been insulated Wirth John Nlansville Flbeiulas.insulatic products, which are designed
.
- for today's safety standards and tomorrow's energy requirements.as
ab
Fiberglass is inorganic and therefore permanently noncombustibte, so it does not have to be treated
N
- 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 perkmance.
Lennar Biomes •
Q
.lob Name: Le Quinta Det Oro Tract; 30521 Ilan#, 4R Phase: 8
�
Lot No, Job Address: SFR - 78-20 Vis Pattlotr, La Q�tlntaF CA
�
Ceiling Arab: R-38 blown and battinsutation Garage celling:
With LMpg Above & Stoping Areas
Exterior Welts R-13- batt insulation Overhangs: Access Atlfc:.
y
With Living Above
°
Between Floors: InteriorWalls:' .
SOc®ntrractor. o . ® J insolation, Inc.
• 72-227 Adelaid St. Thousand Palms, CA 92276
m.
Signed:t
y
CID
Mike Dickerson, General Managler, - Palm Sprvasgs Division
' R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
Ask .your bullder for the fact. sheet on R -values. Keep this certificate wkh your other
valued papers. If you.ever sell this home, this certificate should be passed, on to the buyer.
o ' ` CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n
LA QUINTA DEL ORO PH- 8 6-14-05
Project -Title Date
_78280 Via_)Pavion_,_ La Quinta, CA 92253 LENNAR
Project Address ' ; Builder Name
Nacho Castenada 760-578=6968 Plan 4R (pg. 1 of 1)
Buddeumber
*iriam Henson (CCN #CC2004076) 760 250-7022 Plan Group 7
HERS Rater Telephone Sample Group Number
6-14-05 17 (ph 8)
Certifying Signature a Date Sample House Number
Firm: 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 dra�vbands are used in combination with cloth•
backed, rubber adhesive duct tape to seal leaks at duct connections. '
❑ MINIMUM REQUIREMENTS_ FOR DUCT LEAKAGE REDUCTION COMOLIANCE CREDIT. ;
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
y 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
❑ MIN0 UM 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. YIf no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow '=
❑ ❑
Yes for both 1 and 2 is a Pass: , Pass Fail
Compliance Forms August 2001 A-16