04-6202 (BLCK)Titf 4 4 Qakl
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number
Property--Addres's . .
APN:
Application description
Property Zoning . . . .
Application valuation .
Owner
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . 04-00006202 Date
. . . 43-380 CALLE ESPADA
609-380-997-44 -293233-
. . . WALL/FENCE
. . . LOW DENSITY RESIDENTIAL
5175
PONDEROSA HOMES'II, INC.
6671 OWENS DRIVE
PLEASANTON, CA
PLEASANTON CA 94588
Contractor
9/08/04
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON CA 94588
(760) 318-7710
WCC: REPUBLIC
WC: 15671602 10/01/04
CSLB: 752884 08/31/06
CCC: B
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Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . 81.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 5175
Qty Unit Charge Per Extension
BASE FEE 45.00
4.00 9.0000 THOU BLDG 2,001-25,000 36.00
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Special Notes and Comments
207 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 81.00 .00 .00 81.00
Plan Check Total .00 ...00 .00 .00
Grand Total 81.00 .00 .00 81.00
P.O. Box 1504ICE VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-701 1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:y �O��a Date: 9-47 •Oe1
Applicant: ` Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
AD IA
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
C e, and my Licensl� full force and effect. A
,cense Class LS ,cense No. i . -2–C8,
/ Detector
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 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. , 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
+sued. y workers' compensation ,n ce carrier and policy numb r ar Z�
�rrier ��,Oc� U C_ olicy Number /.STS 7P
_ I certify 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' compensafion provisions of Section 3700 of the Labor Code, I shall
f foohwith comply with those provisions.
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.
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
constructs n, an hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
'ate k-1 ignature (Applicant or Agent):
03/01/2005 03:01 17603401819
PAGE 10/10
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, Califomia Administrative Code, Title 24, State of California, in the building at
43-380 CALLS ESPADA, LOT 44, PHASE 7, LA QUINTA CA
CEILINGS:
,TYPE: BATTS
WALLS:
TYPE: BATTS
MANUFACTURER: Certainteed
MANUFACTURER: Owens Corning
THICKNESS: R-38
THICKNESS: R-13
r
r
T GENERAL CONTRACTOR: PONDEROSA HOMES 11, INC LICENSE #
BY: TITLE:�iv�
PARAGON SC IDB IN PRODUCTS A MASCO Company LICENSE # 221517
BY: _ 4JTITLE:.ACCOUNT REPRESENTIVE DATE; WO -5
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
gulation, California Administrative Code, Title 24, State of Califomia, in the building located
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainte THICKNESS: R-38
WALLS:
TYPE: BATTS MAUNF , ER: Certainteed THICKNESS: R-13
GENERAL CONTRACT O : PONDEROSA ES II, INC LICENSE #
BY: TITLE:
PARAGON SCHMILUILDING PRODUCTS A MASCOC any LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE TE:
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03/25/2005 07:55 9495312293 ACTION NOW'MPH PAGE 06
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (fight Ducts $ TXV) CF -4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address:
La Quints
Builder Name:
Ponderosa Homes Voice'# ; 925-460-8900
Builder Contact:
Jeff Nygren Voice #:
Project ID # :
29323
Sample Group # :
Phase: 7
Lot #:
44
Plan M
2
Address:
43-380 Calle Espads
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification #:
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now Voice #:
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS Voice #:
HERS Address:
9400 Topenga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
T-24 Compllance Credit was Taken for Tight Ducts
M T-24 Compliance Credlt was Taken for TXV TXV Verified
The house was:
x Tested 1 Verfied r-37Approved as apart of sample, but was not tested
x The installer has provr ed a copy of CF -6R
x Air Distribution System Is Fully Ducted (sheetmetal, ductboard or flex duct)
Where clout backed rubber adhesive duct tape is installed, mastic and drawbands are used in
cloth backed, rubber adhesive dud tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Dlagnostle Leakage Testing Results (Maximum 6% Duct Leakage)
CFA;CFA Leak Max OTested Leak
System o
Indicate the max mum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.08)
21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow X.06
uct Pressurization Test Resu is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x
System of
Indicate the maximum a owa le Duct Leakage and the calculation used;
0.7 x Floor Area x (0.06) for Cllmate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capaclty in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow X.06
u Pressurization Test Results (CFM 0 25 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x
System C] of
Indicate the maximum aT�a-ble Duct Leakage and the calculation used:
0.7 X Floor Area x (0.06) for Climate ,Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capaci In Thousands of Output BTU per hour) x (0.08)
Measured Fan Flow x .06
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass= 6% mess) lr Pass
949-631-2274
800-424.3377
Yeses J
combination with
fan flow
fan flow 11
fan flow
Raters Certifying Signature 6 Date 3/182005
jF2001-02(4-02).Actlon. Now T-24CF4RTD&TXVmacro.xls