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04-6457 (SFD)r o� ,�QuG�ra BUILDING & SAFETY DEPARTMENT P.O. Box 1504-7 7.8-495 CALLE TAMPICO FAX (760) 777-7011 —LA Q'UTNNTA, CALiF=I'A' , 92253 INSPECTION REQUESTS (760) 777-7153 �X Lr- ns2k, BUILD Application INu�mber Property Apddres`s APN: Application description . Property Zoning . . . Application valuation . . Owner LENNAR.HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA.QUINTA CA 92253 NG PERMIT 04-00006457 _ Date 9/27/04 78310 VIA PAVION 60 -999-43 T-305212 DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 169092 Contractor ------------------------ LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE'C. LA QUINTA CA 92253 WCC: OLD REPUBLIC IN WC: MWC10877600 11/01/04 CSLB.: 728102 09/30/04 CCC': B - -------------.-- - -=------- Structure Information --------------- ---------- 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 637.00 PATIO SQ FTG 236.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2683.00 ------------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 884.50 Plan Check Fee 574.93 Issue Date . . . Valuation 169092 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 13.13 Issue Date Valuation . . . . 0 Qty' Unit Charge Per Extension P.O. BOX 1504 'G`�� 78-495 CALLS TAMPICO VOICE (760) 777-701 LA QUINTA, CALIFORNIA 92253 44FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number:--a-4- -(PT5 1 I Date: e Applicant's Mailing Address: 04 14 Engineer: UW t Arcnitteect or Engineer's /006;- fir / t'0/ L �fi 1 4 Cfl ala -70/ Lic. No.: 3 3 Lif- 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 Code, and my, Licens,) in full force and effect. cense Class /� J ict nse No. Date /a °9'9- O` ontractor &4'(Q&d42� 11 OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 pedury 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 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 ��Ssu��j �Ay work ' corn ensation insu nce camefe poJ1c number r� Carrier �G( /C�Fi�L,(�(« p Number SVG GUL 7O f,3V'! &0 Q _ 1 certify tha , 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 shall forthwith comply with those provisions. J ate /Ad-; -O Applicant 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 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 Quints, 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 representatives of this county to enter upon the above-mentioned property for inspection purposes. ,,Xa te �VL _Q ignature (Applicant or Agent): _ 'Page 2 Application Number' 04-00006457 Date 9/27/04 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 121.65 Plan Check Fee°. 30.41 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00- 5.002683:00 2683.,00 .03-50, ELEC'NEW RES = 1 OR'2 FAMILY .93.91 637.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 12.74 Permit PLUMBING Additional' desc f Permit Fee 171.75 Plan Check Fee, 42.94 Issue Date Valuation".. 0 Qty Unit Charge Per Extension , BASE FEE 15.00' 17.00 6.0000 EA PLB FIXTURE 102.00 1.00-.. 1.5.0000, EA PLB BUILDING SEWER 15.00 1.00 7:5000 EA PLB WATER HEATER/VENT _ 7.50 1.00 3.0000. EA PLB WATER TNST/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 15.00�00.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 43, r PLAN 3X,.2683 SF. PERMIT , i tr Page 3 Application Number 04-00006457 Date 9/27/04, Special Notes and Comments DOES NOT INCLUDE POOL, SPA, BLOCK WALLS,, 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 16:90 DIF STREET MAINT FAC -RES, 15.00, DIF TRANSPORTATION - RES 1098•.00 Fee summary Charged Paid Credited Due Permit ,Fee Total 1245.40 .00 00 1245.40 Plan Check Total 6.61.41 .00 .00 661.41 Other'Fee Total •24791.39 ".00 .00 2479.39 Grand Total 4386.20. 0!0 '.0.0 4386.20 Certificate of Insulation r s is Your home has been insulated with John Mansville Fiberglas: insulation products, which are designed for today's safety standards and.tomorro-ov s energy requirements. m Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated -over N with fire -retardant chemicals that will likely lose their effectiveness time. It has not been treated . with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it a settle over time as may other insulation materials. tri - This also certifes that insulation have been professionally installed. in the home to provide the foP..owing thermal performance. Lennar Homes Job Name: to Quinta Del Oro Tract: 30521 Plan* 3 Phase: 7 Lot No: 43 Job Address: SFR- 7 Via Pavion, La Quinta, CA ... Ceiling Area: R-30 batt insulation Garage Ceiling: With Living Above & Sloping Areas as c, Exterior Walls R-13 batt Insulaticn -Overhangs: Access. Attic: With Living Above N Between Floors: Interior Walls: ' E - CL Subcontractor...0 J Insulation, Inc. 0 72-227 Adela'd St, Thousand Palms, CA 92276 Signed:CID a Mike Dickerson, General Manager- Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater tite insulating power. 0 Ask your builder for the fact sheet on R -values. Keep, this certificate with your other o valued papers. If you ever sell this home. this certificate should be passed on to the buyer, , r - E CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page.1 of 7) . CF4R LA QUINTA DEL ORO PH 05-05-05' --7 Project Title Date 78319 Via Rai ,on LaQanta, CA 92253 r .ennar °i�ac%oetastenada • 760-5.78-6968 BuilderNar�lan 3 (pg. 1 of 1) Budder Contact Telephone Plan Number William Henson 760-250-7022 Group 4 HERS Rater Telephone Sample Group Number 05-05-05 43 (ph 7) Cern g Signature Date Sample House Number FirmBCl Testing HERS Provider: CALCERTS PO Box 50575 Phoenix,• AZ 85076 Street Address: City/State/Zip: 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 versification, 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 1 ❑ 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 -1R. Measured Fan Flow ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16