04-4877 (SFD)E
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
1Appl�ication 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) 777-701.1
INSPECTION REQUESTS (760) 777-7153
04-_00_0.048_Z7_— Date 6/15/04
43485 CALLE ESPADA
609-380-997-38 -293233-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
188445
Contractor
----------------------------
PONDEROSA HOMES II, INC. -
6671 OWENS DRIVE
PLEASANTON CA 94588
(760) 318-7710
Qty Unit Charge.,
IT
JUL t 0 2 2004
CITY OF LA QIAN TA
FINANrF nFPT.
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
5.00
FIRE SPRINKLERS
NO
GARAGE. SQ FTG
448.00
.PATIO SQ•FTG
387.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3051.00
------------------------------------
Permit . . . . . .
--------------------------------
BUILDING PERMIT
--------
Additional desc
Permit Fee . .
951.00 Plan Check Fee
618.15
Issue Date
Valuation
188445
Qty Unit Charge
Per
Extension
BASE FEE
639.50
89.00 3.5000
THOU BLDG 100,001-500,000
311.50
----------------------=-----------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge.,
IT
JUL t 0 2 2004
CITY OF LA QIAN TA
FINANrF nFPT.
Extension
P.O. Box 1504• �� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING &t, SAFETY DEPARTMENT
Application Number: o q- -8 % 1 Date: 7- 2 'U
Applicant:
Applicant's Mailing Address:
. wbo--�P6
—Architect or Engineer:
Architect or Engineer's Address:
?.->. Z-/ 6
ic. No. l " �2+��
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 a is in full force and effect.
/license Classes —Ti—cense No.
L
---Date tractor
W RBUILDER 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).):
(--) 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.).
(--) 1, 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 1 am exempt under Sec. , BA P.C. for this reason
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
s e . wo compensation ins u nce carrier and polic be
Carrier icy Number / 5
_ I certify that, in the performance o the work for which this P@fmit 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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
lz�)" Z" 161�
Date Applicant
WARNING: FAILU-*40RE TO SECURE WORKERO PENSAT N O RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND OLLARS ($1 000), 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, 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 160 days from date of issuance of such permit, or
cessation of work for 160 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct 1 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.
Date ignature (Applicant or Agent):
M
Application Number
. 04-00004877
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 .
. . .
130.75
Plan Check Fee
32.69
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3051.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
106.79
448.00
.0200
ELEC
GARAGE'OR NON-RESIDENTIAL
8.96
----------------------7------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
190.50
Plan Check Fee
47.63
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
20.00
6.0000
EA
PLB
FIXTURE
120.00
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
-----------------------------------------------------7----------------------
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
------------------=------------7--------------------------------------------
Special Notes
and Comments
SFD - LOT 38.
PLAN 2AXL(1).
PERMIT
DOES
z
Page .3
Application Number . .
04-00004877 Date
6/15/04
----------------------------------------------------------------------------
Special Notes and
Comments
NOT 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
61.82
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
18.84
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
--- - ------
Paid Credited
Due
Permit Fee Total
1377.25
---------- ---------- ----------
.00 .00
1377.25
Plan Check Total
720.97
.00 .00
720.97
Other Fee Total
2485.66
.00 .00
2485..66
Grand Total
4583.88
.00 .00
4583.88
;. •`-'03/01/2005 ' �03c�01 • •• 17603401819' .......: _ . ,., . •:.:;::. , �,;.. .::-,..: �: ; ,.:. ... PAGE ' 04/10....., ,
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 ;
43-485 CALLS ESPADA, LOT 38, 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:�j
PARAGON S6HMID BU1t-0DING PRODUCTS . A MASCO Company LICENSE # 221517
/
BY: TITLE: ACCOUNT REPRESENTIVE DAT
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/
SOLATION CERTIFICATE
This is r6fyr that insulation has been installed in conformance with the current energy
regulation, C rnia Administrative Code, Tide 24, State of Californ
ia, in the building lova
CEILINGS;
TYPE: BLOW MAUNFAC ER: Certainteed HICKNESS: R-38
WALLS:
TYPE: BATTS MAUNFAC ER: Certain d THICKNESS: R-13
GENERAL CONTRACT : PONDEROSA HOMES II, IN LICENSE #
BY: TITLE:
PAON SCHMID BUILDING PRODUCTS A MASCO Company LIC # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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03/25/2005 07:55 9496312293 ACTION NOW MPH PAGE '07
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 # : 925460-8900
Builder Contact:
Jeff Nygren Voice 4;
Project ID # ;
29323
Sample Group #
Lot 0:
Plan #:
Address:
HERS INFORMATION
HERS Rater:
Cartlflcation #
HERS Firm;
Address:
HERS Provider.
HERS Address:
Phase: 7
38
43.485 Calle Espada
Scott Johnson Jayme Carden
CCNSJ614037 CCNJC615157
Action Now Voice # ; 949-631-2274
2575 Westminster Avenue, Costa Mesa, CA 82627
CHEERS Voice # : 600-424-3377
9400 Topanga Canyon Blvd, Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
M T-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 rK:]Approved as a part of sample, but was not tested
x The installer has provided 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 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 Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow j"j X.06
u Pressurization Test Results FI010 25 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System L_.!j of 141
Indicate the mammum 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
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
D -U -a Pressurization Test Resu is 5 PA)
100 x Test Leakage/ fan flow Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System L ---j 04
Indicate the maximum a owl Is Duct Leakage and the calculation used:
0.7 x Floor Area x (0.(
0.5 x Floor Area x (0.(
400 x (Cooling Capac
21.7 x (Heating Capa(
Measured Fan Flow
uCt Pressurization Test Re
100 x TW Leakage/ fan fim
Check Box for Pass or Fail (
Raters Certifying Signature
3/18/2005