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0303-198 (SFD)LICENSED CONTRACTOR DECLARATION I,heieby 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 License is in full force and effect. License # Lic. Class Exp. Date 696486 -13�1'3O1t4 +Date 4/ ��»`' �' Signature of Contractor%'/r OWNER -BUILDER DiCLA ATION I hereby affirm under penalty jof, perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of'the property, or my employees with'wage's as'their sole' compensation, will do. the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am . exclusively contracting` with licensed' contractors to construct the project (Sec. 7044, Business &. Professionals Code). ' O I am exempt under Section B&P.C. for this reason Date Signature of Owner ' WORKER'S 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 in'surance�as required by Section 3700 of the Labor Code, for the performance of the work for'Which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STATS KrND Policy No. I'h -0 R (This section need not be completed if the permit valuation is for $100.00 or less): O I certify that in the performance of the work for which this permit 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'ihe Labor Code,'l shall forthwith comply with triose provisions. Date: �' �' Applicant "�—✓� ! �''"`T-� <. Warning: Failure to secure Wor,�e s' Compensation coverage -is unlawfu ,and shall subject an employer to cr�i/rfiinal penalties and civil fines up to $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. IMPORTANT Application is hereby made to:the Director of Building and Safety for • a permit subject to the conditions and restrictions set forth on his 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 applicator agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon., the above-mentioned property for inspection rpurpo ses. 1LSSignature (Owner/Agent) ` PERMIT# r, BUILDING PERMIT ".' ;; - - — ..x - DATE r VALUATION $177=,290 LOT ' • 7;7 s TRACT 30521 -c-, ;tel JOB SITE 44,M, VIA CATA�LWA APN a 6�.1''� ADDRESS • OWNER CONTRACTOR / DESIGNER / EN (NEER LikQUI ADlLORO 1467 T..,.P. 5005 � AUX PAN,WHA�L 590; f PAAJ,,3A +!�i? I G, 141 P.MAUVFe.111M CA 922.64 PALM 9MIGS :. CA 92264 • �'J6tij3d��42�9 G.I3I.�� w�t�'� „ •t,r•.;ia rvr a: r,vr ' USE OF PERMIT av �a eru. i+a.raa»re ♦i�.i ,. ' is •� • tJlplr ar I� c AWt w�'� `0't „i •-•tu»,e;, w.Nvt:ru l�wa • m.•,d ar • � - , WA LL % P001,: SPA t3ld.:�►, RFVY- WAY APPROACH ~ TRACT CON TAUCTfCaq : V40,00!)F PORCI-YPAM' i " ' 1,ou Sit_ 3 ' 425.04 F 'E9rWA.'eN D COST OF C0119,11MMON 177,032•90 HIMi%1 iSika' . CONSTl OCTION FR 101.000.418:4,m 9 . $02,a P1,AW CHL+'Cly Ftk 101.000439-:318 1749.16 ' ..NIEC; ANICAL IFE: F a 011 .6�.�9 . LLII3'RIC:A11 Fes', 101-000-420.00D $1.49.40 F14-01Vi8103 FEE ; • 10Y-OP0,419•:000. ' SM1,00' STRONG MOTION '"101.000-241-000 $1730 ; Cii�At~t>lTdt FFdI? ' •` " Ialtx000-423.000 �S,S.Qi► ?Wk.JlLRIMPACT.",E LEEDIPIP04PI3•.AJ'V�.'YQ.. _ ? .l •. SI'"�_�'Cy7"�'�, CONb RLTC"1?TCL�f Al � i�[ A11 , "f�3�.C:X. ,4 t�.2a DU APR 1' 6 2003. CITY OF.LA QIIINTA . FINANCEDEPT. ' r. RECEIPT DATE ✓ BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings14 - Ducts Slab Grade Return Air Steel Combustion Air Roof Deck i Exhaust Fans O.K. to Wrap F.A.U. Framing _2s 10 Insulation Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath ✓ -� Drywall - Int. Lath Final / b Final / d BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 26. 03 Sal Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection % — — Encapsulation Gas Piping Gas Test Appliances Final _ Final _.. M-, .. p T Utility Notice (Gas) ELECTRICAL APPROVALS' Temp. Power Pole Underground" Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior "Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final 74 Utility Notice (Perm) C? -11—'-'5 COMMENTS: tez�T Z �- Certificate of Insulation Your home has been insulated with John Mansville Fiberglas: insulation products, which are designed for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore permanently noncombustible; so it does not have to be treated . with fire-retardant chemicals that will likely lose their effectiveness over time. It has not been treated ` with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it , ' settle over time as may other insulation materials. ' This also certifies that insulation have been professionally installed in this home to provide the } ' _ following thermal performance. - Job Name: ; (,_pub(, pQ,p Tract: 305 Plan# Y Phase: Mattel. r Lot No: Job Address: qq •0c; Ul f cAi7�Lt eta - . � Ceiling Area: R?yo $l oc,, Garage Ceiling: Non -Access: 'With Living Above 8. Sloping Areas t { - Exterior Walls:` t3 UNFiat&D OPrT'Ir . Overhangs: • r `� Access Attic:'�4 3' With Living Above ~' Between Floors': - • 'Interior Walls• Subcontractor. , , Signed: R-means resistance to heat flow. The higher the R-value, the greater the insulating power. w • , Ask your builder for the fact sheet on R-values. , Keep this certificate with your other .• r r, 4. valued papers. If you ever sell this home, this certificate should be passed on to the buyer. _ w i CERTIFICATE OF FIELI) VERIFICATION AND DIAGNOSTIC TftiTING (Page I of 7) (:F 4R • LA QUINTA DEL Ol(O- PHASF- M0 r[,S ; . 9-7-05, Pnijea tTidc < ;... ... i;ow + 44930 Via Catalina La Quinti, CA , { JJFNNAR rt Prgiect Address , e • Builder Nante Dave Mitchell 760-275.08.87 Plan 4 (pg. Ialf t�.. , __•_ __ __ • fluildur C'ontaut - TelephonePlaca Number William Henson (('('N f/(('200407Ft), 760-250-7022 r+ ; Group 12 F Y , NkmRS lu ^ r Tel phone Samplc Group Number_ 9-7-05 _ _ ' 27 (MODEL) CcrtifyinA Signature . Dale Santplu I louse Nunthui ' Finn: ' 110 Testin _ » .. CALCCRTS • HCRR Pnwulcr. _.... _ - Stnmt Adllruss: PO Box 50575" _ -P4 c:ity/Stutc/Zip: Phoenix„A% 85076 s Copies to: Huildcr, HERS Provider ' HERS RATER COMPLIANCE STATEMENT . ,The house was: I'cstctl ❑ Approved as part or saniple testing, but wa, not tested , As Chu HERS rater pnividinb dial noetic testing and field verification, t certify that the hou-ts identified on this litrm Comply with th�r diagnostic wswd cuunpltamw rtxluircrnenLc as checked on this form. llte installer has provided a wpy til' (:f-6R (Installation Certificatc. k ' istrihtltion sy:ttcto is Cully ducted (i-e., does not use building cavities as plcnumi or platfurtn returns in lice of ducts) , ' Wherc cloth backed, rubber adhccivc duct tape i, irt,tallul, ruastic aiW Jtawhaodi are used in aNnhination w ith cloth asked, rubber adhesive duct tape to scat leaks at duct cunticetioos: -•MINIMUM REQUIREMEN S FOR Dl1CT LEAKAGERF.DUCnoN COMPLIANCE (M.01.1' LEAKAGE , �• s , ■ r Duct Diagnostic Lcukagc'I'ceHnS Results (Maximum G% Duct Lcakagt:) r Dom Pre.wnrizAlio Test Results (ChM (& 251'4) i _ � • values i+ Tcst LtekAl u Flow in CRM„ 1 if fan flow is calcuLttcd as 400o-fin/tun x ntmhor of darns ax wr calculate) �. value here t . �• 1f liar Qnw iv mtatcunAl rnu:r mea,ttn�1 vAh•c lave • • r Leakage t'Ceccntagc (IOU x'1`cst LcatagcJl an lluw) t C:htxk liiux for lass or hail (Pass=G%, m Im) �� ❑ T°a\ hail • i shy _ , .•• 7'II IsRMOYFA' IC EXPANSION VALVL (7'XV) r • _ Ya r: [3 No 'rhtxrrtu-cratir- r?xpamion Valve ix irWalled Hr;d ACCCtC lft provided for inspection E3. i 7• • -. , Yes i, J paati } V t'alY�' fail '. • ❑ MINIMUM REQUIREMENTS FOR DUCT DFSIC:N COMPLIANCR CRFDff +' 1 ❑ Yu, r ❑ No Af.CA Mammal 6Tksign na{uircna:nts have been rm!L (rn4;r his verilied that actual installation matches values in CF-1 R and design un plan. U. F _ i Yes ❑ No fXV is in%wllcd or Fan flow has ficctt•verified. Irno TXV, f A .verified 1•an llow matches desiin from CF. IIt+ w; Mimtsuml fan P,lir'� w . t ❑ 13 s Yes l'or both I and 2 is a Pass Pass Fail Compliance Forms August 2001 - .,� _ A-16 . t . •r T abed 00000-000-000 TTz'9NIZS31*I3a 8060 500VU d2S SEP -07-2005 WED 02:40 PM TEAM HEATING & A/C FAX N0, 9516943803 P. W s. Z-7 AC INSTALLATION CERTIFICATE for Tested Dud Leakage 8 TXV Page 2 of 2 CF -6R Tract Number. 30521 Lot Number: 27 Project System 0 of i"�1 Indicate the maximum a owable 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 timate Zones 1 through 7 & 16 400 x (Coding Capacity in Nominal Tons) x (0.08) 21.7 x (Heating Capaci in Thousands of OutputBTU er hour) x (0.06) Measured Fan Flow x tW Pressurization Test Results 100 x Test Leakage I Fan Flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) MT -24 Compliance Credit was Taken for TXV Indkate the 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 Capaci in Thousands of Output BTU per hour) x (0.06) Measured Fen Flow z DO Presowtallon Test 6611 tfi , 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) MT -24 Compliance Credit was Taken lir TXV Tatem � of Indicate the maximum eAaweble Dud 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 (0.08) for Climate Zones 1 through 7 816 400 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 Flowl X.05 VM Pressurization Test a to 100 x Test leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) r"') 24 Compliance Credit was Taken for TXV m Indicate the maxlmumowable Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone a through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 816 400 x (Coding Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Caacity in Thousands of Ry!Rut BTU er hour) x (0.06) Measured Fan Flow X.05 Va Pressurization Test Remults 2 A 100 x Test Leakage / Fan Flow = % Leakage Chedc Box for Pass or Fail (Pass = 6% or Less) OT -24 Compliance Credit was Taken for TXV Plan #, 4Y Phase: Models La Quints Det Oro Builder. Lennar Homes TXV wa: TXVw&, TXV wa: TXV wvA I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder em or tractors certifying that diagnostic testing and installation meet the requirements for compliance it.) 4 gn005 Team Heating 8 Air Conditioning �es� Ig a InalaHurg SuhkxiMractor (Co. Name) ON Performed General ContracWr (Co. Name) COPY TO: Building Department i HERS Provider (if applicable) Building Owner at Occupancy PAGE 2 F2001-01 (4-02) Action Now T-24CF6-RT06TXV macro SEP -07-2005 WED 02:40 PM TEAM HEATING & A/C FAX NO. y51by4JdU3 r, uu _ Pape 1 of 2 CF -CR HVAC INSTALLATION CERTIFICATE for Tested Duct Leak498 8 TXV Permit Number: Site Address: 44930 via Catalinapian #; 4Y Phase Models Tract Number. 30521 project: La Quinta .Det Oro Builder. Lennar Homes Lot Number: 27 An installation owtificate is required to be posted at the buildingsite or made avalide for all appropriate inspections. After completion of final inspection, a copy must be provided to the Building Department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment C0mf0 tmaker or W1 IIdenticle (AFUE, ebc Location Duct Load _ ti_ ,�. .�»:.. ok t R-Walue (BTU II (denticle SEER, etc Location Dud I Load R -%mice (BTU / I 1, ft un�rsigned, v tnal equipmem ny-nu awro ,a..� •o �,.• •• _, effluent than thatapaClIled In the eertifiMte of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for re ' ial ' ings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices ( . ncy Regulations or Part 6), where applicable. 7 �6POOb Team Healing 8 Air, Inc. or e OR General Contactor (Co. Name) OR Owner MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: Q System [n.01 �f Indicate the marmum a owable Dud 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 7 815 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capac in Thousands of output BTU per hour) x (.0 67 x Measured Fan Flow[ --- 10 pressurization Test esu fs TCTWQ 25 -PA 100 x Test Leakage / Fan Flow - % Leakage Check Box for Pass or Fail (Pass = 6% or Less) MT 'iCjT�24 Compliance Credit was Taken for'TXV '3W © of 11 Indicate the xx Floor Area x (0.08) f Climate Zone through 1e Duct Leakae and the 51ation used: 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 816 400 x (Cooling Capacllyy in Nominal Tons) x (0.06) 21.7 x (Heating Capacityin Thousands of Output BTU per hour) x (0.06) Measured Fan Flow X.06 u -a Pressurization Test Results (CFM ® a0 rA 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass x 8% or Less) =]T-24 Compliance Credit was Taken for TXV TXV wx TXV wa PAGE 1 F2001.01 (4.02) Action Now T-24CF6-RTCBTXV macro 1400 1600