04-4879 (SFD)i
T--Idf °% 4artlKta
BUILDING '& SAFETY DEPARTMENT
P.O. BOX 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Qty Unit Charge
JUL 0.2 2004- ,
IlY OF LA Q JINTA
Extension
Application Number
<_.._04--00.004879 Date 6/15/04
Property Address
43435 CALLE ESPADA
APN:
609-380-997-37 -293233-
Application description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. ... . LOW DENSITY RESIDENTIAL
Application valuation
. . . . 173155'
Owner
Contractor
------------------------
PONDEROSA HOMES II, INC..
------------------------
PONDEROSA HOMES II, iNC.
6671 OWENS DRIVE
6671 OWENS DRIVE
PLEASANTON, CA
PLEASANTON
CA 94588
PLEASANTON
CA 94588 (760) 318-7710
WCC: REPUBLIC
WC: 15671602
10/01/04
CSLB: 752884
08/31/04
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 CRC
# BEDROOMS
3.00.
FIRE SPRINKLERS
NO
GARAGE SQ FTG
65-4.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2728.00
--------------------------------------------
Permit . . . . . .
---------------------
BUILDING PERMIT
-----------
Additional desc
Permit Fee . . . .
898.50 Plan Check Fee
584.03
Issue Date . . . .
Valuation . .
. . 173155
Qty Unit Charge
Per
Extension
BASE FEE
639.50
74.00 3.5000
THOU BLDG 100,001-500,000'
259.00
----------------------------------------"------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
77.00 Plan Check Fee
19.25
Issue Date
FF -7 ui luation . .
. . 0
Qty Unit Charge
JUL 0.2 2004- ,
IlY OF LA Q JINTA
Extension
P.O. BOX 1504• �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING &6 SAFETY DEPARTMENT
Application Number: 04- L4 9'7q Date: % - -O
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 Licensgjs in full force and effect. /
/Cicense CIaSs License No. T
1-1
\) OI`jJER35UILDER 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.).
(_,) I am exempt under Sec. , BA P.C. for this reason
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
work for which this permit is issued.
t4have d will maintain workers' compensate n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
w rk pensation rance carrier and olicy n mbe ar :
�arrier olicy Number
_ I certify that, in the performance of the work for which this#e�rffll is issuea, I sh II MI a Iv>•amy 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.
WARNING: FAILURE TO SECURE WORKE S' MPENSATION�QPVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAM 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 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
construnctil n, and hereby authorize representatives of this7ty to enter upon the above-mentioned property for inspection purposes.
ate V nature (Applicant or Agen
4
a
Page
2
Application Number .
. .
. . 04-00004879 Date
6/15/04
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 .
. . .
123.56 Plan Check Fee'.
30.89
Issue Date
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2728.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
95.48
654.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
13.08
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
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
15.0000
EA
PLB BUILDING SEWER
15.00
1.00
7.5000
EA
PLB WATER HEATER/VENT
7.50
1.00
.3.0000
EA
PLB WATER 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 37.
PLAN 1CXR.
PERMIT
DOES NOT
ul
Fee summary Charged
Permit Fee Total .1285.81
Plan Check Total 677.11
Other Fee Total 2480.71
Grand Total 4443.63
Paid Credited Due
-
----- - - ------ - - - - - - ----------
.00 .00 1285.81
.00 .00 677.11
.00 .00 2480.71
.00 .00 4443.63
Page
3
Application Number . . . .
. 04-00004879 Date
6/15/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALLS, POOL,
SPA OR
DRIVEWAY APPROACH.
------------------------------------------------7---------------------------
Other Fees ... . . . . .
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
58.40
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'
17.31
-
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total .1285.81
Plan Check Total 677.11
Other Fee Total 2480.71
Grand Total 4443.63
Paid Credited Due
-
----- - - ------ - - - - - - ----------
.00 .00 1285.81
.00 .00 677.11
.00 .00 2480.71
.00 .00 4443.63
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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
43-435 CALLE ESPADA, LOT 37, PHASE 7, LA 4UINTA CA
CEILINGS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13
1. GENERAL CONTRACTOR: PONDEROSA HOMES 11, INC LICENSE #
--�-- — TITLE: nT
By.—*
PARAGON MID B D) PRODU TS A MASCO Company LICENSE # 221517
s
� s
BY:1 zA F,�Ii E: ACCOUNT REPRESENTIVE DATE: O� ?
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INSULATION CERTIFICATE
This is fy that insulation has been fnstalled in conformance with the current energy _r.
regulation, mia Administrative Code, Title 24, State of California, in the building located
s
CEILINGS:
TYPE: BLOW MAUNFACTU Certainte THICKNESS: R-38
s
W LS:
TYPE: BATTS M ACTURER: Certainteed KNESS: R-13
GENERAL CON CTOR: PONDEROSA HOMES 11, INC LICE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 0221617
BY:. TITLE: ACCOUNT REPRESENTIVE DATE:
ol
O/r•..i•.v/.:..•r..'•..v.....v.JN.ri.iri ou/�•%ruJin.rvi JiiiYiu i%!ri.v:v/roil%on/i%/%iw�%rn/i/�//nrrp.i.rriAnJi/�i/%ry i/iJ.vJi%.�7 //i//�i7{u/i/i/i/i%»iri/innn/i. i%1
03/25/2005 07:55
9496312293
ACTION NOW MPH
PAGE 08
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R
PROJECT INFORMATION
Climate Zone; 15
Project Title:
Mosaic Q Esplanade
Project Address:
La Qulnta
Builder Name:
Ponderose Homes Voice #: 925-460-6900
Builder Contact:
Jeff Nygren Voice #:
Project ID #;
29323
Sample Group # ;
Phase: 7
Lot #:
37 ,
Plan #;
1
Address:
HERS INFORMATION
HERS Rater.
Certification #:
HERS Flrm:
Address:
HERS Provider.
HERS Address:
43-435 Celle Espada
Scott Johnson
CCNSJ614037
Action Now
2575 Westminster Avenue,
CHEERS
9400 Topanga Canyon Blvd
JayMe Carden
CCNJC615157
Costa Mesa, CA 92627
, Chatsworth, CA 91311
Voice #.- 949.631-2274
Voice # 800-424-3377
HERS RATER COMPLIANCE STATEMENT
Bx T-24 Compllance Credit was Taken for Tight Ducts
X T-24 Compliance Credit was Taken for TXV TXV Verified Yes
The house was:
M
Tested/Varned Approved as apart of sample, but was not tested
The installer has Prov ed a copy of CF -6R
Air Distribution System Is Fully Ducted (sheetmetal, ductboard or flex duct)
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 the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leaka a Testing Results (Maximum 6% Duct Leakage)
CF& CFA Leak Max Tested Leak
System o
Indicate the maximum 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 Capa �n Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow X.06
u Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x
System Q of
Indicate the maximum a7o'w—able 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 hour) x
Measured Fan Flow I Ix.06
uat Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan flow= % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System r---1 of
Indicate the maximum aiGweble 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 Capacity In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow X.06
uct Pressurization Test Res u 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or LAss) ---n Pass
fan flow
Raters Certifying Signature Date 3116/2005
F2001-02 (4-02) Action NOW T-24CF4RTD&TXVmacro.xls