04-4853 (SFD)_i
TA -4f aF 4Q�rw
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
Application Number 47Z_00.004853 Dane 6/15/04
Property Address,-.. .. . . . . 43476 CALLE ESPADA
APN:. 609 -380 -997 -40 -293233 -
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 194630
Owner
------------------------
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON, CA
PLEASANTON - CA 94588.
Contractor
------------------
PONDEROSA HOMES II, INC.
'6671 OWENS DRIVE
PLEASANTON CA 94588
(760) 318-77i0
Qty Unit Charge Pe D
,.. r
JUL,O 2 2004 ID
OF LA QUINTA
ANCE 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/LONG <=10
Flood Zone . . . . .
. . NON -AO FLOOD ZONE
Other struct info . .
. .. . CODE EDITION
2001 CRC
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
. GARAGE _ S.Q , FTG
6 81.0 0 .
.PATIO -SQ, FTG
` ' 500: 00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ.FTG
3053.00
---------------------------------------------------s
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . ..
972..00 Plan Check Fee
631.80
Issue Date . . .
Valuation . .
. . 194630
Qty Unit Charge
Per
Extension
BASE FEE
639.50
95.00 3".5000
THOU BLDG 100,001-500,000
332.50
Permit. . . . . ...
MECHANICAL'
Additional desc
Permit Fee
83.50 Plan Check Fee
20.88
•Issue Date
Valuation
0
Qty Unit Charge Pe D
,.. r
JUL,O 2 2004 ID
OF LA QUINTA
ANCE DEPT.
Extension
0
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: o - 4a,5 3 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.:
LjV!'I
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
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
Cie, and my Licens ' in full force and effect. /� �'j 6 A T/License Class —License No.
/Date f -d �ractor
(O4ABUILDER DECLARATION
hereby affirmunder penalty of perjury that Iam pt from the Con 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
WORKERS' COMPENSATION DECLARATION
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.
1 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
tej§s0@".y ompensation i rance carrier anum r
,--Mrier olicy Number
—I certRy Mat, in the performance of the work for which thiPermit is ss ed, I .al� 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.
WARNING: FAILURE TO SECURE WORKERS4Q,0 PENSATION ERA4E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($100,0W), 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, 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.
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.
at rg' nature (Applicant or Agent):
Page
2
Application
Number .
. . . . 04-00004853 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
4.00
6.5000
EA MECH VENT FAN
26.00-
6.001.00
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . ..
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
135.48 Plan Check Fee
33.87
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
3053.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
106.86
681.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
'
13.62
--------------------------------
Permit .
. . . . .
-------------------------------------------
PLUMBING
Additional
desc
Permit Fee
. . . .
178.50 Plan Check Fee
44.63
Issue Date
. . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
18.00
6.0000
EA PLB FIXTURE
108.00
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
40. PLAN 3CXR.
PERMIT DOES NOT
Page 3
Application Number
. . . . .
04-00004853 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
63.18
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
19.46
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due.
Permit Fee,Total
----------
1384.48
---------- ---------- ----------
.00 00
1384.48
Plan Check Total
731.18
.00 .00
731.18
Other Fee Total
2487.64
.00 .00
2487.64
Grand Total
4603.30
.00 .00
4603.30
03/U1/2005 03:01 17603401819 _ PAGE 06/10
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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
43-476 CALLE ESPADA, LOT 40, 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 II, INC LICENSE #.
BY: TITLE: -
PARAGO MID S IL ING PRODUCTS A MASCO Company. LICENSE # 221517
F
BY: TITLE: ACCOUNT REPRESENTIVE DATE: / U7
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INSULATION CERTIFICATE
This is to c fy that insulation has been installed in conformance with the current energy
regulation, Ca i is Administrative Code, Title 24, State of California. in the building ed
•• 3
CEILINGS:
TYPE: BLOW MAUNFAC ER: Certaint THICKNESS: R-38
WALLS:
TYPE: 13ATTS MAU CTURER: Certain d THICKNESS: R-13
GENERAL CONT OR: PONDEROSA HOMES II, IN LICENSE #
/
BY: TITLE:
PARAGO CHMID BUILDING PRODUCTS A MASCO Company LIC E # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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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 #:
40
Plan #:
3
Address:
43-476 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
Rxx T-24 Compliance Credit was Taken for Tight Ducts
T-24 Compliance Credit was Taken for TXV TXV Verified YesO
The house was:
x Tested / Verfied F—x lApproved 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 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 Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max Tested Leak O
System ot 2
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 Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x .06
uct Pressurization Test Res u is 25 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System of 2
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 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 L --J 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 Cap
21.7 x (Heating Cal
Measured Fan Flom
uct Pressurization Test
100 x Test Leakage/ fan f
Check Box for Pass or Fa
Raters Certifying Signatui
�I1
3 -if -0Y