04-4854 (SFD)r
P.O. Box 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number . .
Property Address:
APN:
Application description
Property Zoning
-Application valuation
Owner
------------------------
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON, CA
PLEASANTON CA 94588
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
` 04-0.0004854= Date 6/15/04
4.3452 CALLE ESPADA
609 -380 -997 -41 -293233 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
.180632
Contractor
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON 'CA 94588
(760) 318-77i0
Qty Unit Charge
JUL 02 2004-L
CITY OF LA QUINTA, ,
FIWPMCE DEPT. '
Extension
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
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
671.00.
PATIO°SQ FTG
387.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ.FTG
2838.00
----------------------------------------------------
Permit . . . . . .
------------
BUILDING PERMIT
------------
Additional desc
Permit Fee. . . .
923..00 Plan Check Fee
599.95
Issue Date . . . .
Valuation . .
. . 180632
Qty Unit Charge
Per
Extension
BASE FEE
639.50
81.00 3".5000
THOU BLDG 100,001-500,000
283.50
-----------------------------------------------------------------------------
Permit. . . . . . .
MECHANICAL
Additional desc .
Permit Fee
90.00 Plan Check Fee
22.50
•Issue Date
Valuation . .
. . 0
Qty Unit Charge
JUL 02 2004-L
CITY OF LA QUINTA, ,
FIWPMCE DEPT. '
Extension
P.O. Box 1504ICE VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT ��II
Application Number: �� ..5� Date:
Applicant:
Applicant's Mailing Address:
LIP
chitect
Architect
or Engineer:
or Engineer's Address:
AIL
:S1
Lic. No.:Q T
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pedury 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 in full force and effect.— ppF/��I
License Class T-7—License No. �� ` )xT
_--Date
dor
WN -BUILDER DECLARATION
I hereby atfirn under penalty of perjury that I am ex pt from the Co dors' 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' compensa insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
pensatio urencecertier and lic mb a
Cartier Policy Number
_ I certify that, in the performance of the work for which this penrnt is i4sueZI, r'sfiMI'ffot em oy 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.
/Date Apt
WARNING: AIL RE TO SECURE WORKERS' C MPENSATIO VE GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100, 00), 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
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, indemnity 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.
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.
i
Date_q6� A Signature (Applicant or Agent):
i
Application Number
0
. . . . . 04-00004854
Page 2
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
5.00
6:5000
EA
MECH
VENT FAN
32.50
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
127.75
Plan Check Fee
31.94
Issue Date
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2838.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
99.33
671.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.42
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc..
Permit Fee .
. . .
172.50
Plan Check Fee
43.13
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
8.00
.7500
EA
PLB
GAS PIPE >=5
6.00
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 41.
PLAN 2BXL.
PERMIT
DOES NOT
Page 3
Application Number
. . . . .
04-00004854 Date
6/15/04
----------------------------------------------------------------------------
Special Notes.and
Comments
INCLUDE BLOCK WALLS,
POOL, SPA
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
60.00
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
18.06
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1328.25
---------- -------- 7- ----------
.00 .00
1328.25
Plan Check Total
697.52
.00 .00
697.52
Other.Fee Total
2483.06
.00 .00
2483.06
Grand Total
4508.83
.00 .00
4508.83
03/01/2005 03:01 17603401819 PAGE
07/10
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INSULATION CERTIFICATE
r
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
43-452 CALLS ESPADA, LOT 41, PHASE 7, LA QUINTA CA
;
CEILINGS:
TYPE: BATTS MANUFACTURER: •Certainteed THICKNESS: R-38
WALLS;
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: PONDEROSA HOMES 11, INC LICENSE #
BY: TITLE:"-J l
PARAGON iD BU IN PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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INSULATION CERTIFICATE
This to certify that insulation has been installed in conformance with the current energy
regulate California Administrative Code, Title 24, State of California. in the building IQcat
CEILINGS.
TYPE: SLOW MA ACTURER: C eed THICKNESS: R-38
F
TYPE: BATTS AUNFACTURER: ainteed THICKNESS: R-13
GENERAL CO RACTOR: PONDEROSA HOMES , C LICENSE #
BY: TITLE:
r
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company NSE # 221517
r DATE:
BY: TITLE: ACCOUNT REPRESENTI VE E:
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CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF-4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address:
La Quinta
Builder Name:
Ponderosa Homes
Voice #: 925-460-8900
Builder Contact:
Jeff Nygren
Voice #
Project ID # :
29323
Sample Group #:
Phase: 7
Lot #:
41
Plan #:
2
Address:
43-452 Calle Espada
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification # :
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now
Voice # - 949-631-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voice # - 800-424-3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
x T-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified YesO
The house was:
NWhere
Tested / Verfied rxlApproved as a part of sample, but was not tested
The installer has prove ed a copy of CF-6R
Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
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 Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max OTested Leak 0
System o
Indicate the maximum a Iowa 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 hour) x
Measured Fan Flow x .06
uct Pressurization Test Res u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System Q2 of
Indicate the maximum a7o-w--al3le 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
Measured Fan Flow I x .06
TTUff Pressurization Test Rasa s 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System L—i of
Indicate the maximum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x ((
0.5 x Floor Area x ((
400 x (Cooling Capa
21,7 x (Heating Cap
Measured Fan Flow
TJ—uc-t Pressurization Test F
100 x Test Leakage/ fan fl
Check Box for Pass or Fal
Raters Certifying Signatun