04-4043 (SFD)Ox 1504
i CALLE TAMPICO
INTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-701'1
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . . 104-00004043./ Date 5/13/04
Property Address . . . . . 43524 CALLE ESPADA
APN: 609-580-012- - -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation . . . . 194630
Owner
PONDEROSA HOMES II, LLC
400 S. FARRELL DRIVE, B103
PALM SPRINGS, CA 92264
LA QUINTA CA, 92253
Contractor.
PONDEROSA HOMES II, INC.
6671 OWENS"DRIVE
PLEASANTON CA 94588
(760) 318-7710
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
681.00
PATIO SQ FTG
500'.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
3053.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT'
Additional desc
Permit Fee
972.00 Plan Check Fee
157.95
Issue Date . . . .
Valuation
194630
Qty Unit Charge
Per
Extension
BASE FEE
'639.50
95.00 3.5000
THOU" BLDG 100,0017500,000
332.50
----------------------------------------------------------------------------
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 • !�'�� 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: D Ll ffQ4.5 { Date: .:�r —.7/-G
Applicant:
Applicant's Mailing Address:
�P"ect or Engineer:
Architect or Engineer's Address:
--rz7.—N .7
BUILDING PERMIT DECLARATIONSi
LICENSED CONTRACTOR'S DECLARATION
I here0y 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
Cq,0, and my License is in full force and effect. / ^ �
cense Class �1i-ccenseNo. • j ate 3 ntrator Vz%W-BA �Z _
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 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 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. , 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
��`ued.,(vl w e ' compensation i nce carrier and policy number are:
amer (�Yj olicv Number /z-L� / . � _
_ 1 certify that, in the performance of the work for which this permit ii"iss�tl,Tshall 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.
to T- p/i plicant
WARNING: FAILURE TO SECURE WORKERS'O PENSATION C RA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($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
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.).
Lenders 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.
I 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.
Signature (Applicant or Agent):
Page
2.
Application Number .
. .
. 04-00004043 Date
5/13/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA
MECH FURNACE <=100K
18.0'0
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
----------------------7-----7-----------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
135.48 Plan Check Fee
8.47
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
11.16
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
7.500.0
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 90.
PLAN 3BXR.
PERMIT DOES NOT
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1384.48
Page
3
Application Number . . . . .
04-00004043 Date
5/13/04
----------------------------------------------------------------------------
Special Notes and Comments
.00
INCLUDE BLOCK WALLS, POOL, SPA,
OR
DRIVEWAY APPROACH. 75% PLAN CHECK FEE
REDUCTION APPLIED FOR MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
-------------------- --------------------------------------------------------
Other Fees . . . . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
-DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
15.80
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
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1384.48
.00
182.80
.00
2440.26
.00
4007.54
.00
Credited Due
.00
1384.48
.00
182.80
.00
2440.26
.00
4007.54
7 _%
o�
-0�0��A QUI NTA
B.UJl. t G & SiAFETY DEPARTMENT
777'7012
'Y 2- AICTIONREQUEST LINE
ea77�,-7153
Own e P.AOME II, INC
Contractor PONDEROSS OIVIES II, INC
Permit Number . 0-4043
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 43-524 CALLE ESPADA
SFD — LOT 90 PLAN 1BXR(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 " Gi_9
DO NOT POUR CONCRETE
ROOF NAIL/ PRE -ROOF
OKAY TO WRAP
°RANG COMBINATION
UGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST /G q ®� •�
SEPTIC ABANDONMENT
' SEWER CONNECTION "
y SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL sr
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PI UMBING
ANICAL
LIC WORKS DEPARTMENT • p'
e COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
LL, L_, LUV" UU. JJ
e" t
J"JOJiLG7J
Hl+ 1IlUN NUW . MP'H
PAGE 05
l
CERTIFICATE OF FIELD VERIFICATION AND OIAGN STIC TESTI N G (Tight Ducts & TXV) CF4R
PROJECT INFORMATION Clate Zone; 15.
Project Title: Mosaic @ Esplanade
Project Address; La Quinta
Builder Name: Ponderosa Homes I Voice # : 925-460-8900
Builder Contact: Jeff Nygren I` Voice #
Project ID 0: 29323.1 1
Sample Group # : 6 Phase: 6
.Lot M, 90
Pian #: 3
Address: 43-524 Calle Espada
HERS INFORMATION
HERS Rater. Scott Johnson Jayme Carden
Certification # : CCNSJ614O37 CCN.j0815157
HERS Firm: Action Now Voice 0; 949-631-2274
Address: 2575 Westminster Avenue, CostaMesa, CA 92627
HERS Provider: CHEERS 1 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
T-24 Compliance Credit was Taken for TXV TXV Verified Yes
The house was;
x Tested / Verfied i-1Approved as a part of sample, but as not tested
x The installer has pro—vvi ed a copy of CF -6R
x
Air pistribution System is Fusty DuCC2d (sheetmetal, ductb M11 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 th connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIA CE CREDIT
Dud Diagnostic Leakage Testing Results (Maximum 6% Duct L skage)�
CFA: CFA Leak Max ��Tes Leak t�!J
System o
Indicate the maximum a owa le Duct Leakage and the calculati n used:
0:7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Cliugh mate Zones 1 thro7 & 1 1400
x 400 x (Cooling Capacity In Nominal Tons) x (0.06) EN fan flow
21,7 x (Heating Capacity in Thousands of Output BTU per our) x (0.06)
Measured Fan Flow I X..08
uct Pressurization Test Results ( 5 PA) 53
100 x Test leakage/ fan flow = °% Leakage i
Check Box for Pass or Fail (Pass:; 6% or Less) Passl x IFaill.
systemM of71
Indicate the maximum a owa le Duct Leakage and the calculatio 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 &'1
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) 96 fan flow
21.7 x (Heating Capacityin Thousands of Output BTU per our) x (0;06)
Measured Fan Flow X.08
uct Pressurization Test Resu s 5 PA)
100 x Test Leakage/ fan flow = °% Leakage 5.05%
Check Box for Pass. or Fail (Pass = 8% or Less) Passr x i a1
System of
indicate the maximum a owe le Duct Leakage and the calculatio 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 &.1.
400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow—�
21.7 x (Heating Capa m Thousands of Output BTU per h ur) x (0.06)
Measured Fan Flow ct� x .06
D-0 Pressurization Test Resu 5 PA)
100 x Test Leakage/ fan flow = % Leakage �
Check Box for Pass or Fail (Pass = 616 or less) / it IP89s I Faill
Raters Certifying Signature
Date 12127/2004
F2001 -q2 (4-02) Action Now T-24CF4RTD&TXVmacro.x1s
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INSULATION CERTIFICATE
J
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
43-524 CALLE ESPADA, LOT 90, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #
J
BY: TITLE:
r"
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
r` /(
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
------------
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 located F
r'.
CEILINGS:
TYPE: BLOW NI'AUNFACTURER: Certainteed TH.I•GKNESS: R-38
1
WALLS: �'
TYPE: BATTS MAUNFAC'T01RgR: Certainteed THICKNESS: R-13 r
GENERAL CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #
BY: TITLE--
ITLEPARAGON
PARAGONSCHMID BUILDING PRODUCTS A MAS C'Q Company LICENSE # 221517
TITLE: ACCOUNT
BY: REPRES�'i E DATE:
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