04-6205 (BLCK)1504
78-495 CALLS TAMPICO
LA QUI,NTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . . 04-0000.6205
Property Address . . . . . . 43385 CALLE ESPADA
APN: 609-380-997-36 -293233-
Application description . . . WALL/FENCE
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 1900
Owner
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON, CA
PLEASANTONu CA 94588
Contractor
Date 9/08/04
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON CA 94588
(76 0) 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 . . . . 43.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1900
Qty Unit Charge Per Extension
BASE FEE 15.00
14.00 2.0000 HND BLDG 501-2,000 28.00
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Special Notes and Comments
76 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 43.00 .00 .00 43.00
Plan Check Total .00 .00 .00 .00
Grand Total 43.00 .00 .00 43.00
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q ' �Do70 s Date: q"(1- Oy
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
.. (
Lic. 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
Code, and my Lic ,n full force and effect.
...�nse Class ,cense No. 7S2.E5Es4
Date 4 l Contractor
/ 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
ed. My workers' compensation urance carrier and polic umber are:
/Cartier lJ�olicy Number /N, 7/� b ��
I c rtify 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'
mpensation 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
/ fortt,,Mth comply with those provisions.
11-1
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 Quinta, 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 tha 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
constructio , and ereby authorize representatives of this county to ente upon the above-mentioned property for inspection purposes.
ate O .ture (Applicant or Agent):
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24; State of California, in the building at
00. 43-385 CALLE ESPADA, LOT 36, PHASE 7, LA QUINTA CA
ol
CEILINGS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38
r�rrr>s..,/'•_•sr�rvlYW:K��Cs�wssrra•'ANR+�I/N«i•'�R
WALLS:
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TYPE: BATTS
MANUFACTURER: Certainteed THICKNESS: 11-13
INSULATION CERTIFICATE
GENE CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #
is is to certify
BY:
TITLE:
s reg n, California Administrative. Code, Title 24, State of California, in the building to
PARAGON
ID B Dl G PRODUCTS A MASCO Company LICENSE # 221517
BY:
"TITLE: ACCOUNT REPRESENTIVE DATE: Zr
s
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INSULATION CERTIFICATE
is is to certify
that insulation has been installed in conformance with the current energy
s reg n, California Administrative. Code, Title 24, State of California, in the building to
s
CEILINGS:
TYPE: BLOW FACTURER: Ce ed THICKNESS: R-38
WAILS:
TYPE: BATTS NFACTURER: ainteed THICKNESS: R-13
GENERAI� TRACTOR: PONDEROSA HOMES. , C LICENSE #
BY:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company Llt�SE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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03/25/2005 07:55
9496312293
ACTION NOW MPH
PAGE 09
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (fight Ducts & TXV) CF4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address;
La Qvinta
Builder Name:
Ponderosa Homes
Voice # : 925-460-8800
Builder Contact:
Jeff Nygren
Voice #
Project ID # :
29323
Sample Group # :
Phase: 7
Lot #:
36
Plan A
3
Address:
43-385 Celle Espada
HERS INFORMATION
HERS Rater.
Scott Johnson Jayme Carden
CeRiflcallon # :
CCNSJ514037 CCNJC615157
HERS Firm:
Action Now
Voice #: 949-631-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider.
CHEERS
Voice 4; 800-424.3377
HERS Address;
9400 Topanga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
eT-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified Yes
The house was:
x Tested / Verfied Approved as a part of sample, but was not tested
x The installer has prove ed a copy of CF -6R
x Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex dud)
Where doth 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 the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE; COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max Tested Leak
System Of
Indicate the maxrmum 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 (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per h(
Measured Fan Flow X'06
uct Pressurization Test Ras u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail Pass = 6% or Less)
System of
Indicate the max murn 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)f (Cooling Capacity In Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x .06
uct Pressurization Test Ras u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System �mof
Indicate the axrmum a owa le Duct Leakage and the calculation used;
0.7 x Floor Area x (0,0(
0.5 x Floor Area x (0.0t
400 x (Cooling Capacit
21.7 x (Heating Capaci
Measured Fan Flow
u Pressurization Test Res
100 x Test Leakage/ fan flow
Check Box for Pass or Fail (F
Raters Certifying Signature
3/16/2005