04-6422 (SFD)2
ot
BUILDING & SAFETY DEPARTMENT
{vim P.O. Box 1504 (760).777-7012 ,
��►r'OF ' x_78_-.495-CAL-I:E7TAMPIC0 FAX (760) 777-7011
QUiI_NTA,lC�A�LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT .
CG N
App 11ca` tire nVNUmber . . . . . x`04 0000642-2 Date 9/24/04
Property Address �,82S�VIA PAVI_ON__
APN: 604-.032-999-18 -30.5212-
Application description . . . DWELLING SINGLE FAMILY'DETACHED
Property Zoning.. ... . . . LOW DENSITY RESIDENTIAL
Application valuation 270130
Owner
LENNAR HOMES OF CALIFORNIA..
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
i
Contractor
-----------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, SUITE C
LA QUINTA CA 92253
Qty Unit Charge Per
Extension
WCC: OLD REPUBLIC
IN
WC: MWC10877600
11/01/04
CSLB: 728102
09/30/04
CCC: B
------ Structure Information
PLAN 3Y W/2CAR, BONUS RM & CASITA
----=
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type. . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . . . . ..
. . . NON -AO FLOOD ZONE.
Other struct info . .
. . . CODE EDITION 2001
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
426.00
PATIO SQ FTG
236.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG 3201.00
-----------------------------------------------------------------------------
Permit . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . .
1238.00 ,Plan Check. Fee
804.70
Issue Date
Valuation . . .
270130,
Qty Unit Charge
Per
Extension
BASE FEE
639.50
171.00 3.5000
THOU BLDG 100,001-500,000.
598.50
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
77.00Plan Check Fee
19.25.
Issue Date
Valuation
0
Qty Unit Charge Per
Extension
P.O. BOX 1504 a4 4 �G���w
78-495 CALLS TAMPICO I�j� VOICE (760) 7',i-71)12
LA FAX (760) 777-7011
QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _ 0 6) C/ 2Z Date: /0 . 2Z -O c/
Applicant:C ect or Engineer:
Applicant's Mailing Address:
Archiloct or Engin is A4dress:
l�
G4
ti -c. NO.: _3a�
BUILDING PERMIT DECLARATIONS
- LICENSED CONTRACTOR'S DECLARATION
1 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 License is i full force and effect. �•1�
rise Class �nse No. --19-95
�D"ate % d �"� � ontractor
v
OWNER43UILDER 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 fora 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
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the pProfessions Code: The Contractors'
rojects with 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.
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
i lie ,�`�y w rs' corn ensatio1nS prance cam�y1n o -cy n mba
Carierejr� 7(Cp —Policy Number /y[ L,N)-M,& O
_ I 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.
bate 'v o� • O q/plicant A—�
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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 perforated 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 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 1 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�� Sigl nature (Applicant or Agent):
rQ
?4 9 i r
};y•
Page
2.
Application
Number
04-00006422 Date
9/24/04.
Qty.
Unit Charge.
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA
MECH FURNACE <=100K
18.00
2..00
9.0000
EA
MECH B/C <=3HP/100K•BTU
' 18.00
3.00,
6.5000•EA
MECH VENT.FAN
'19.50
1.00
6.5000
EA
MECH EXHAUST HOOD.
6.50
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
135.56
Plan Check Fee-.
33.89
Issue Date
Valuation
0
Qty .Unit•Charge
Per
Extension
BASE FEE
15.00
3201._00
.0350
ELEC NEW RES. -.1 OR 2.FAMILY
112.04 .
426:.00
.0200
ELEC GARAGE -OR NON-RESIDENTIAL
,.8.52
Permit
PLUMBING
Additional
desc
- Permit Fee
189.75
Plan Check Fee
39:.38
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE ,FEE
1-5.00
6.0000
EA
PLB FIXTURE
120.00
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
7.00 -
7500
EA
PLB GAS PIPE >=5 -
5.25
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 -18,3201
SF.
-Plan
3Y w/Bonus
9
.
Page
3
Application.Number
04-00006422 Date
9/24/04
-------------------------------------------
`Special Notes and
Comments
Rm & Detached Casita.
PERMIT -DOES NOT
INCLUDE POOL, SPA,
BLOCK WALLS
OR
DRIVEWAY APPROACH
'Other.Fees . . .
. . .
ART IN'PUBLIC PLACES -RES
175:32"
DIF'COMMUNITY CENTERS -RES
97..00
DIF CIVIC CENTER - RES.
366.00
ENERGY REVIEW FEE
80.47
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
2-7.01
DIF STREET MAINT FAC -RES
15.00.
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1655.31
.00 .00
1655.31..
Plan Check Total
897.22
..00 00
897.22
Other Fee Total,
2687.80
.00 .00
2687.80
Grand Total
5240.33
.00 .00
52.40.33'.
N
I,.
C0
Py
Certificate. of Insulation
�.
Your home has been insulated with,John Mansville F:berg!as. insulation products, which are designed
-
for today's.sefety standards and tomorrovis energy requirements.
ori
Fiberglass is inorganic and therefore permanently noacombust•ble, so it does not have to be treated
cnw•.
with fire-retardant chemicals that will likely lose their effectiveness over time: It has not been treated
-
m
with chemicals that can corrode wiring or, metal. Fiberglass will not absorb moisture nor will it
F
settle over time as may other insulation materials.
This also certifies that insulation.have been,professionally insta.!ed in this home to provide'the
following thermal performance.
Lennar Homes
Job Name; La Quinta Del Oro Tract: 30521 Plan# 3Y Phase: i
Lot ND: 18 Job Address: SFR"78'290 Yia Pavlon, La`Quinta, CA -
Ceiling Area: R-30 batt insu.aton Garage Ceiling: Non -Access:
"
N
to
• - With Living Above & Sloping Areas
t .•
- - _
�
- Exterior Walls R-13 batt insVetion Overhangs: Access Attic:
101-N
With Living Above -
..
Between Floors: Interior Walls: ..
E
- Subcontractor ... 0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms; CA 92276
- f Signed: t �nA/ ,. r
iu
Mike Dickerson, General a.inager - Palmi Springs Division
y
Ln
R-means resistance to heat flour: 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 .
.
o
- valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
LA QUINTA DEL ORO PH- 7 05-05-05
' Project Title Date
78?90 Via Pavion,II a Uinta, CA 92253 Lennar
Proje*Aaffioestastenada 760-578-696.8 ' Builder NawAan 3Y', (Pg. 1 of 1)
Builder Contact Telephone ' Plan Number.
William Henson 760-250-7022 Group 2 • -
HERS Rat Telephone. = Sample Group Number
05-05-05. 18 kph 7)
Cer%ingSign-Rl6e Date Sample House Number
' Firm:BCI Testing. HERS Provider: CALCERTS
• PO Box. 50575 Phoenix, AZ 85076
Street Address: a . City/State/Zip:
Copies to: Builder, HERS Provider
HERS RATER COMPLCE STATEMENT
The house was: Tested reproved 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 iise 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
V 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
1 ❑
yes, ❑ No ACCA Manual D Design requirements have been met (rater has
verified =that actual installation matches values in CF -1 R and
design on plan. f
' 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
• A
- PREPARED
1/24/11,
8:37541
-
INSPECTION HISTORY REPORT
-
PAGE 1 -
PROGRAM
BP521L
- 0/00/00
THRU 0/00/00
• CITY-OF
LA QUINTA
---------------------------
APPLICATION
—---------_----------------------------------------------------------------------------------------------
PROPERTY ADDRESS
APN • ,
Alternate_.ID
-
STRUCTR
PERMIT
INSPECTION -•
RESULT DATE/STATUS
-----------------------------------------
INSPECTOR
' F-400006422
78290 VIA PAVION
604-032-999-18 -305212-
-
- 000
000-
B001_00
BUILDING"PERMIT
120
0001
FOOTINGS `"
11/29/04
APPROVED
:- TM-
M
000
000
000
B001
00
BUILDING
PERMIT
- 125
0001
SLAB -
11/30/04
APPROVED
TM
000
000
B001
00
BUILDING
PERMIT
135" "0001
ROOF NAIL ..
2/03/05
APPROVED
TM _
. 000
000
B001
00
BUILDING
PERMIT
145
0001
FRAMING
3/01/05
APPROVED
TM - •'
. 000
000
B0.01
00
BUILDING
PERMIT
150
0001
INSULATION
3/01/05-APPROVED
TM
" 000
000
B001
OO.BUILDING
PERMIT - '"
155
0001
LATH"-
3/01/05,APPROVED
TM
000
000
B001
00
BUILDING
PERMIT
160
0001
DRYWALL NAIL
4/18/05
APPROVED
TM
f'-,000_.000
B001:90
BUILDING.
PERMIT_'—, __
_199
0001
FINAL:-: "-
,.-- 4/16/05
APPROVED -
----•--_-TM-.'
• 000
000
E01
00
ELEC-NEW"RESIDENTIAL
310
0001
ROUGH ELECTRICAL
3/01/05
APPROVED
TM
" - 000
000
E01
00
ELEC-NEW•RESIDENTIAL
3150001
TEMP USE OF.PERMANENT
POW 3/01/05-APPROVED"
TM
' 000
000
E01
00
ELEC-NEW.RESIDENTIAL
.399
0001
ELECTRICAL FINAL
4/18/05
APPROVED _"
TM
000
000:
GP
OO,GRADING
PERMIT
191
0001
GRADING FINAL
4/18/05
APPROVED
TM '
."000
000•
M01
'00
MECHANICAL -
- 405.
0001
ROUGH MECHANICAL
3/01/05
APPROVED
TM - -
000
000
M01
00
MECHANICAL
499
0001
MECHANICAL FINAL
4/18/05
APPROVED
TM
000
000
P01
00
PLUMBING
-
.200
0001
UNDERGROUND PLUMBING
11/19/04
APPROVED
TM
- - 000
000
P01
00
PLUMBING
210
0001
SEWER CONNECTION
12/09/04
APPROVED
TM "
000
000
P01.'
00
PLUMBING.,
•
230
0001
ROUGH PLUMBING
3/01/05
APPROVED
TM
000
000
P01
00
PLUMBING
235
0001
GAS LINE / GAS TEST'"
3/01/05
APPROVED
TM
000
000
P01
00
•PLUMBING.
-
299
0001
PLUMBING FINAL
4/18/05"APPROVED.
TM -