04-4045 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 �j_) 777-7012
78-495 CALLE TAMPICO i ABX (a-fi07 �7-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS 760) 17-7153
�Y 2 4 2004
BUILDING PERMIT
Application Number
Property Address-
APN:
Application description
Property Zoning . . . .
Application valuation .
CITY OF LA QJIS47A
. . . 04-00004045 % Date 5/13/04
-43572 CALLE ESPADA.
609-580-014-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . LOW DENSITY RESIDENTIAL
. . . 182142
Owner Contractor
PONDEROSA HOMES II, LLC PONDEROSA HOMES II, INC.
400 S. FARRELL DRIVE,
B103 6671 OWENS DRIVE
PALM SPRINGS, CA 92264
PLEASANTON
CA 94588
LA QUINTA CA 92253 (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
415.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2967.00
----------------------------------------------------------------------------
Permit . . . . . . BUILDING
PERMIT -
Additional desc . .
Permit Fee . . . .
930.00 Plan Check Fee
604.50
Issue Date . . . .
Valuation . .
. . 182142
Qty Unit Charge
Per
Extension
BASE FEE
639.50
83.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
290.50
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . .
83.50 Plan Check Fee
20.88
Issue Date
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
P.O. BOX 1504�� VOICE (760) 777-7012
T-Vf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 01' 404,c5'- I Date: .2/-04
Applicant:
Applicant's Mailing Address:
G0'4
Archjiect or Engineer:
Architect or En eer's Address:
Zic.o.: G �j 7 �� /yu�y/7J��/ 'J�PA-
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
C and my License is in full force and effect..
icense ClassTl clef ense No. !25– 7I tie 4:
Luor—ateontractorpU!Ufl./JSTT b\Umis
OWNER -BUILDER DECLARATION
1 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 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 Owner
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
uepd w_,ork�e��Q m ensation i�rance carrier and policynumber are:
artierr P o�P licy Number
_ I certify that, in the performance of the work for which this Perffit i iss , IThMTnofemploy 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' compensafion provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
,Zra-te_5?/� plicaQTHOUSAN
WARNING: FAILURE TO SECURE9LLARS
TION C IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRE($100,000), IN A DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
1 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.
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
construct, nnd !hereby au=ionature
entatives of this county to enter upon the above-menfioned property for inspection purposes.
e 7 licant or Agent):
PP
Page
2
Application Number .
. . .
. 104-000040.45 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 BIC <=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 .
. . .
127.15 Plan Check Fee
31.79
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2967.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
103.85
415.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.30
----------------------------------------------------------------------------
Permit . . .
.
PLUMBING
Additional desc
Permit Fee .
. . .
189.75 Plan Check Fee
47.44
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
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 92.
PLAN 1BXR(3).
PERMIT DOES
Fee summary Charged
Permit Fee Total 1345.40
Plan Check Total 704.61
Other Fee Total 2483.66
Grand Total 4533.67
Paid Credited Due
---------- ---------- ----------
.00 .00 1345.40
.00 ..00 704.61
.00 .00 2483.66
.00 00 4533.67
Page
3
Application Number . . . . .
04-00004045 Date
5/13/04
----------------------------------------------------------------------------
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
60.45
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
18.21
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1345.40
Plan Check Total 704.61
Other Fee Total 2483.66
Grand Total 4533.67
Paid Credited Due
---------- ---------- ----------
.00 .00 1345.40
.00 ..00 704.61
.00 .00 2483.66
.00 00 4533.67
e.r O
LZ -t 9 7 - tMe
3
G:[ -Q LA Q U I N TA
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BUILDING SAFETY DEPARTMENT
MOF r 4 �� 7%77-7012
u _.INSP. EQTION REQUEST LINE
7 7-7153
ki'
Owner PONDE•RII, INC
Contractor PONDEROSA HOMES II, INC
Permit Number 04-4045 ;
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
-- 43-572' CALLE ESPADA
JOB ADDRESS --
SFD — LOT 92 PLAN JBXR. PERMIT DOES NOT
INCLUDE BLOCK WALLS, POOL, SPA OR
DRIVEWAY APPROACH.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS ILI
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
I
DO NOT POUR CONCRETE UVTIL OV
ROOF NAIL / PRE -ROOF J
OKAY TO WRAP -
"41NG COMBINATION
UGH ELECTRIC
ROUGH PLUMBING 77
ROUGH MECHANICAL
INSULATION 101o
COVER NO WORK UNTIL APOVVE SJGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
a SEPTIC ABANDONMENT
SEWER CONNECTION
i
q. SEPTIC / GREASE INTERCEPTOR �-
MASONRY INSPECTIONS
FOOTINGS / STEEL
/f BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS j
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER 2 /Y 6
ELECTRICAL
P1 I IMBING
I/4HANICAL
Pr ,6C WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. -Z $ v
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
12/29/2004 09:38 17603401819
INSULATION CERTIFICATE
This i,,: to certify that insulation has been installed in conformance with the current energy
regulal Ion, California Administrative Code, Title 24, State of California, in the building at
43-572 CALLE ESPADA, LOT 929 PHASE 6, LA QUINTA CA
TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-38
TYPE: BLOW MANUFACTURER: Certainteed
THICKNESS: R-15
GENET IAL CONTRACTOR: PONDEROSA HOMES II, INC LICENSE #_
BY;
TITLE:
PAGE 04/04
PARXXON SCHMID BUILDING PRODUCTS A MASCO Company Lll�ENSE # 221517
Ali
BY: i TITLE., ACCOUNT REPRESENTIVE DATE:
lo
INSULATION CERTIFICATE
Aze nt
This is , rtity that insulation has been installed in conformance with the cul -rent energy
regulatio .1
lifor ia Administrative Code, Title 24, State of California, in the building located
lifc
CEILINQ'�:
TYPE: B4OW MAUN TURER: Cedainteed THICK NESe-T r-38
WALLS:
TYPE: I ?ATTS MAUNFAC R: CF': -1 3
inteed THICKNESS:
GENERA, I. CONTRA :PONDEROSA HOMES 1, C LICENSE 9
TITLE-
PARZON SCHMID BUILDING PRODUCTS AMASCO Company CENSE#221517
BY: TITLE- ACCOUNT REPRESENT
IVE DAI�-:
1/
12/28/2004 08:55 9496312293 ACTION NOW MPH PAGE 03
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (right 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 0:
29323-1
Sample Group 0:
6 Phase: 6
Lot #:
92
Plan #:
1
Address:
43-572 Calle Espada
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification # :
CCNSJ614037 OCNJC815157
HERS Firm:
Action Now
Voice #: 949-6312274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider.
CHEERS
Volce #'. 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
X T-24 Compliance Credit was Taken for TXV TXV VeriFed Yes
The house was:
x Tested / Verfled Approved as apart 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 dud tape is Installed, elastic 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% Dud Leakage)
CFA: CFA Leak Max Tested Leak
System 1 1 1 o
Indicate the maxrmum a owe le Duct Leakage and the calculation used:
0.7 x Floor Area x (0,06) for Climate Zone 6 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 s 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fall Pecs = 6% or Less) Pass
System ".1.1of
Indicate the maximum a owe le Duct Leakage and the calculatlon used:
0.7 x Floor Area x (0.06) for Climate Zone B 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 Flow X.06
uc Pressurtiation Test Res u s 5 PA)
100 x Test Leakage/ fan now = % Leakage
Check Box for Pass or Fail (Pass = 6%6 or Less) Pass x
System Q of
Indicate the maximum a owe le Duct Leakage and the calculation used:
0.7 x Floor Area x go6) 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 Capaclt In Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow I X.06
uct Pressurization Test Results (CFM g 25 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6*pr Less) pass
fan flow
fan flow
Raters Certifying Signature 71411�— Date 12/27/2004
F2001-02 (442) Action Now T-24CF4RTD&TXVmacro.xls