04-4149 (SFD)P.O. Box 1504
78=495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
'Application Number . . .
Property Address
APN:
Application description
Property Zoning . . . . .
Application valuation
Owner
PONDEROSA HOMES II, LLC
400 S. FARRELL DRIVE, B103
PALM SPRINGS, CA 92264
LA QUINTA CA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
INSPECTI
MAY 2 4 2004
04-00004149 CTY1 ,at eIUM'TA5/
43509 CALLE - -
E S PADA 1�1�!l1tdCE DEF►7
609-580-011- -
DWELLING — SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
201360
Contractor
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON CA 94588
(760) 318-7710
1
3
ff
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
502.00
PATIO SQ FTG
500.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3232.00
-----------------------------------------
Permit . . . . . .
-----------------------------
BUILDING PERMIT
-------
Additional desc . .
Permit Fee996.50
Plan Check Fee
161.93
Issue Date . . . .
Valuation . .
. . 201360
Qty Unit Charge
Per
Extension
BASE FEE
639.50
102.00 3.5000
THOU BLDG 100,001-500,000
357.00
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
83.50 Plan Check Fee
5.22
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
P.O. Box 1504 '4 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: 04 414q I Date: S-.21-04
Applicant:
Applicant's Mailing Address:
Arch' t or Engineer:
Architect or Engineer's Address:
-P> -Z
�In � I c. No.:
BUILDING PERMIT DECLARATIONS �Z
LICENSED CONTRACTOR'S DECLARATION
I hereb (firm under penalty of perjury that I am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Co and my Licenseyn full force and effect.
ense CI ss \ L icense No. " / S% `T
ate Co ctor P��4�(M(I�ST�(�
OWNER -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 exempfion. Any violation of Section 7031.5 by any applicant fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, 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 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 I am exempt under Sec. , B.& P.C. for this reason
Date
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
�Iai��e' compen n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
s sation ' surance carrier a d oli y number are:
arrier olicy NumberI certify thatof the work for which this permit is is ied, T 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.
WARNING: FAILURE TO SECURE WORKERS'-SQaPENSATION CMERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND 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.).
Lenders Name Al
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 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. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, an .hereby authorize representatives of this county to enter upon the above-menfioned property for inspection purposes.
eV
l Sig ure (Applicant or Agent):
Application Number
04-00004149
Page 2
Date 5/13/04
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
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
138.16
Plan Check Fee
8.64
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3232.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
113.12
502.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.04
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee
178.50
Plan Check Fee
11.16
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
18.00
6.00.00
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 89.
PLAN 3CXR(3).
PERMIT DOES
Page 3
Application Number .. . . . .
04-00004149 Date
5/13/04
----------------------------------------------------------------------------
Special Notes and
Comments
NOT INCLUDE BLOCK
WALL, POOL,
SPA OR
DRIVEWAY APPROACH.
75% PLAN CHECK
REDUCTION APPLIED
FOR MULITIPLE ISSUANCE
OF SAME PLAN TYPE.
---------- ------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
16.19
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
20.13
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
1411.66
------------------------------
.00 .00
1411.66
Plan Check Total
186.95
.00 .00
186.95
Other Fee Total
2461.32
.00 .00
2461.32
Grand Total
4059.93
.00 .00
4059.93
�a Le)T'
0 0
W� LA QUINTA-
awl ~ =---B 1.DGNQ&SAFETY DEPARTMENT
II 1 �77-7012
4 2I�N$PER z. N REQUEST LINE
77-7153.
t de a aa"r.E, ; .
Ow- -- 90 jkg WHOM S II, INC
Contractor PONDEROSA HOMES II, INC
Permit Number 0.4-4149
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 43-509 CALLE.ESPADA
SFD — LOT 89 PLAN 3CXR(3). PERMIT DOES
NOT INCLUDE BLOCK. WALLS, POOL, SPA OR
DRIVEWAY APPROACH.
TYPE OF INSPECTION I DATE I INSP.
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE TIL A OVE
ROOF NAIL / PRE -ROOF
_OKAY TO WRAP -
ING COMBINATION
UGH ELECTRIC '
ROUGH PLUMBING `
ROUGH MECHANICAL
INSULATION
.COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR qYP BD. DRYWALL
EXTERIOR LATH p_ SSI -
GAS TEST
ti SEPTIC ABANDONMENT
SEWER CONNECTION
i
�.
SEPTIC / GREASE INTERCEPTOR C-
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE /.SETBACKS
U/G PLUMBING
U/G GAS e .
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER %x -I
ELECTRICAL
PI UMBING
AzS,HANICAL
LIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. ZZ e
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT.INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
12/28/2004 08:55
9496312293
ACTION NOW MPH
PAGE 02
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts $ TXV) CF4R
PROJECT INFORMATION Climate Zone:15
Project Title:
Mosaic @ Esplanade
Project Address:
La Quints
Builder Name:
Ponderosa Homes Voice #: 925460-8900
Builder Contact:
Jeff Nygren Voice #:
Project 10 #:
29323-1
Sample Group #!
6 Phage: 6
Lot #:
89
Plan #:
3
Address:
43-509 Calle Espoda
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification # ;
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now Voice 9:
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider,
CHEERS Voices;
HERS Address:
9400 Topanga Canyon Blvd„ Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
r x j T-24 Compliance Credit was Taken for Tight Ducts
x T-24 Compliance Credit was Taken for TXV TXV Verified
The house was:
M
Tested/Verfied Approved as apart of sample,. but was not tested
The Installer has provided a copy of CFVR
Air Distribution System is Fully Ducted (sheetmetal; ductboard or flax duct)
Where cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used In
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 Leek
System o
Indicate the maximum
a owe 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 (0.06)
Measured Fan X.06
uct Pressurization Test
Resu 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fa0 (Pass = 6% or Less) Pass x
System [-I:] of r -M
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'thmugh 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 (0.06)
Measured Fan Flow X.06
uct Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan Row = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x
System of F---1Indicate the 'max a 0wa le Duct Leakage and the calculation used:
0,7 x Floor Area x (0
0.5 x Floor Area x (0
400 x (Cooling Cape
21.7 x (Heating Cap:
Measured Fan Flow
uct Pressurization Test R
100 x Test Leakage( fan N
Check Box for Pass or Fail
Raters Certifying Signature
949-631-2274
600-424-3377
Yesr x
combination with
fan flow
fan Now
12/27/2004
12/29/2004 09:38 17603401819
INSULATION CERTIFICATE
This :3 to certify that insulation has been installed in conformance with the current energy
regul; ition, California Administrative Code, Title 24, State of California, in the building at
43-509 CALLE ESPADA, LOT 89, PHASE 6, LA QUINTA CA
CEIL. NGS:
TYPE:: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WAL—S:
TYPE.: BATTS MANUFACTURER: Owens Coming THICKNESS: R-13
GENE ;RAL CONTRACTOR: PONDEROSA HOMES 11, INC LICENSE #'
BY: TITLE:
PAR',GON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
�OTITLE: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is to cern hat insulation has been installed in conformance with the current energy
regula-t )n, Califor Administrative Code, Title 24, State of California, in thea building lova
CEILlhj3S
TYPE: ;SLOW MAUNFAC ER: Ce ed THICKNESS: R-38
WA L LC
TYPE: BATTS UNFACTURER: Certal ed THICKNESS: R-13
GENET: ,ALC TRACTOR: PONDEROSA HOMES 11, I LICENSE 9
BY:
TITLE:
PARA -:SON SCHMID BUILDING PRODUCTS A MASCO Company L INISE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
PAGE 03/04