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04-6455 (SFD):r Taf 4 4. a" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CAL"LE TAMPICO FAX (760) 777-7011 LA',QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . Property Address APN: Application description . . . Property Zoning . . . . . . . Application valuation . . . . Owner LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA CA 92253 r04-00006455` Date 9/27/04 78355 VIA DIJON 604-032-999-41 -305212- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 185849 Contractor LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA CA 92253 WCC: OLD.REPUBLIC IN WC: MWC10877600 11/01/04 CSLB: 728102 09/30/04 CCC: B ------ Structure Information SFD ----- Construction Type . . . . . TYPEV - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CCNG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 425.00 PATIO SQ FTG 273.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3040.00 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 940.50 Plan Check Fee 611.33 Issue Date . . . . Valuation . . 185849 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 THOU BLDG 100,001-500,000 301.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 59.00 Plan Check Fee 16.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension VN P.O. Box 1504 78=495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 1� (D 0455 Applicant: Applicant's Mailing Address: or VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: • /0. 22.0 -r9rchtt ct or Engineer'WAddress: /oma 1;5� . /ton— cS 0-4 1a -7o/ tic. No.: 3a3 q S ovil-ulm" rr-11i I utL;LAKATION5 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 Code, and my License in full force and effect. ;� r+1`icense Class cense No. �a Date 40 v)a • O L ontrector OWNER• 9UILDER 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 oicounty 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 Aas 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 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 Labar 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 er: O/is ue y Norl�e cPmpensation i�sarance carrier n policy number a // GG/O iC ��olicyNumber M U/C�Oi3 7loC>C� _ I certify tha , 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 the Labor Code, 1 shall forthwith comply with those provisions. /Date O'a a (� pplirant�.��jLG�C WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 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.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildingand Safety 1:' Each Apermit subject to the conditions and restrictions set forth on this application. 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 o1 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. ate � O ±a �'IPSignature (Applicant or Agent): A_aaW0.-, Page 2 Application Number . . . . . 04-00006455 Date 9/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 .00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU .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 . . . . 129.90 Plan Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3040.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.40 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 177.00 Plan Check Fee 44.25 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 7.5000 EA PLB WATER HEATER/'LENT 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 . . . . Valua-ion . . . . 0 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 41. PLAN 4Y, 3040 SF. PERMIT r - I-„ 0 Page 3 Application Number . . . . . 04-00006455 Date. 9/27/04 ----------------------------------------I-------------------7---------------- Special Notes and Comments DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC ?LACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 61.13 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 18.58 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1321.40 ------------------------------ .00 .00 1321.40 Plan Check Total 675.98 .00 .00 675.98 Other Fee Total 2484.71 .00 .00 2484.71 Grand Total 4482.09 .00 .00 4482.09 0 �I Certificate o ' f Insulation ! �� Ycur home has been insula!ed 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 overtime. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it sett'e over time as may other insulation materials. This also certifies that insulat*on have been profess`onally installed in this home to provide the fol'owing thermal performance. Lennar Homes Job Name: La Qvinte Del Oro Tract. 30521 Piano 4Y Phase: 7 Lot No: 41 Job Address: SFR- 78-366 Via Dijon, La Quinta, CA Ceiling Area: R-38 batt insulat-on Exterior Wall sR-13 batt insulat.on Between Floors: Garage Ceiling: With Living Above Non -Access:_ S Sloping Areas Overhangs: Access Attic: With Living Above Interfor Walls: Subcontractor ... 0 J Insulation, Inc. 72-227 Adelaid St, Thousand Palms, CA 92276 1 Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulat=ng paver. Ask your builder for the fact sheet on R -values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF4R LA QUINTA DEL ORO PH- 7 Project Title Builder Contact William Henson HERS Rater, /n Signature FirmBCI Testing PO Box 50575 Street Address: Copies to: Builder, HERS Provider 760-578-6968 05-05-05 Date I ennar Builder NTfan 4Y (pg. 1 of 1) Telephone Plan Num:)er 760-250-7022 Group 4 Telephone Sample Group Number 05-05-05 41 (ph 7) Date Sample ffiuse Number HERS Provider: City/State/Zip: CALCERTS Phoenix, AZ 85076 HERS RATER COMPLIANCESTATEMENT The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the hotues identified on this form comply with the diagnostic tested compliance requirements as checked on this form. ❑ The installer has provided a copy of CF -6R (Installation Certificate. ❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums o- platform returns in lieu of ducts) ❑ 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 duct connections. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass=6% or less) ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass ❑ ❑ Pass Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail Compliance Forms August 2001 A-16 a Southwest Inspecti®n and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 - (714),526-8441 • Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT sw T ob N Date s ', TYPE OF . 21'1?einforced Concrete ❑ Strtictural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt City �1 v} N .r.A - 1// Job Address 79-31-5— A 1 40iT O� O/Permit Job Nome 6 & UI � ! /�t �c/ v�t� Permiite'� . 'Sy Issued BY Type of Structure S Y ko Architect 66V A)69e- Materiol Description (type. grade. source) / j)oo /t (/ Engineer X jT ) / LJ 7 f_ Ir/ 7JIv% Contractor n f V4 � � r G/ I/`/ Inspector(s) Nome Subcontractor p r T� el kI -e �v TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES xI a s �, 3 INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. A c emevt of 3f V,4R4j e -f oue fnk- J lA,6 a.v 6 Ijf- comfl?e e- -(-),00// .Q ASS6 C141ec OLE .Sed &Z C II V�If) &)el2e Cast Slump L cis S CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TOTHE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND WLICABLE SECTDONS Of THE GDVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR&OU �7G �C C SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE TIME IN TIME OUT ':h 3 All inspections based on a minimum. Idition, any hour minimu Approved by PAGE OF -t REG. HOURS I O.T. HOURS I CYLINDERS m ofh urs and over 4 hours - 8 hour )n ex nqlng past noon hour will bean 8 Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - !OB SITE COPY