04-4851 (SFD)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 . . . .704=0.00.04851Date 6/15/04
Propert>y Address . . . 43500 CALLE ESPADA
APN:. 609-380-997-39 -293233-
Application description . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation .173155
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) 318-7710
Qty Unit Charge Pe D A � Extension
JUL `0 2 2004
CITY OF LA
FINANCE
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
6.54.00.
PATIO SQ -'!FTG
323:0`0
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
Valuation . .
. . 0
Qty Unit Charge Pe D A � Extension
JUL `0 2 2004
CITY OF LA
FINANCE
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: 04-4951 Date: 7-
Applicant: chitect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.: 111013
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
gode and my Licens is in full force and effect.
� License Class 3 �nse No.
,,Date ri ontractor
O NER-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
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
n Gisj� y compensation ' ce camer� policy n mbe arr 7
artier \(r a�ll�t�C olicy Number
certify that, in the performance of the work for which this perm 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.
ate ppl�A icant
WARNING: FAILURE TO SECURE WORK S' MPENSA N VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU 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
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
Lenders 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 160 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.
4�te' Ti gnf ature (Applicant or Agent):
Page
2
Application Number .
. . .
. 04-00004851
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 .
. . .
165.75
Plan Check Fee
41.44
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
16.00
6.0000
EA
PLB
FIXTURE
96.00
1.00
15.000,0
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 39.
PLAN 1AXL(2).
PERMIT
DOES
Page 3
Application Number
. . . .
04-00004851 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
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
Paid Credited
Due
Permit Fee Total
----------
1279.81
------------------------------
.00 .00
.1279.81
Plan Check Total
675.61
.00 .00
675.61
Other Fee Total
2480.71
.00 .00
2480.71
Grand Total
4436.13
.00 .00
4436.13
U3/ 01 121JIJ . b IJJ:.Idl ..11603401819
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
reaulation. Califomia Administrative Code, Title 24, State of California, in the building at
43-S00 CALLE ESPADA, LOT 39, PHASE 7, LA QUINTA CA
CEILINGS
TYPE;BATTS MANUFACTURER: Certainteed THICKNESS: R-38
WALLSs
TYPE: BAITS MANUFACTURER: Certainteed THICKNESS; R-13
GENERAL CONTRACTOR: PONDEROSA HOMES 11, INC LICENSE#
A,
By. TITLE: ?
PARAGON Af--nKI I MID EQ111Z PRODUCTS A MASCO Company LICENSE # 22151
dA 11
PAGE 05/10
YTITLE: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
u ulation, California Administrative Code, Title 24, State of California, in the buildi d
lation, California Administrative
e
CEILINGS:
P
.BLOW
M
TYPE: BLOW MAUNFACTURER:Ce ed THICKNESS: R-38
WALLS:
TYPE: BATTS M FA RER: Certainteed THICKNESS: R-13
GENERAL CONT TOR: PONDEROS OMES 11, INC LICENSE 9
BY: TIT
PARAGON SCHMID BUILDING PRODUCTS A MA Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRES TIVE DATE:
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 #:
Builder Contact:
Jeff Nygren
Voice #:
Project ID # :
29323
Sample Group #:
Phase: 7
Lot #:
39
Plan #:
1
Address:
43-500 Calle Espada
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification # :
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now
Voice #:
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voice #:
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
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 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.
925-460-8900
949-631-2274
800-424-3377
Yes 0
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max Tested Leak
System*LLJ o 2
Indicate thmaximum 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)
System M of
Indicate the maximum all—owable Duct Leakage and the calculation
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
Pass
used:
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)
System E� of
Indicate the maximum a owa le Duct Leakage and the calculation
0.7 x Floor Area x (0
0.5 x Floor Area x (0
400 x (Cooling Capa
21.7 x (Heating Capi
Measured Fan Flow
uct Pressurization Test F
100 x Test Leakage/ fan fl(
Check Box for Pass or Fai
Raters Certifying Signature
Pass
used:
ffff*—,A�
3 �-o6---