04-6454 (SFD)P.OBOx 1504
78-495 CALLS TAMPICO
-LA QUINTA, CALIFORNIA 92253
�y BUILDING PERMIT
Application Number . . .
Property Address
APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner
BUILDING & SAFETY DEPARTMENT
(760).777-70 12
FAX (760) 777-7011
INSPECTICN REQUESTS (760) 777-7153
,�04 00006454:�' Date 9/27/04
.,1-78365 VIA DIJON
604 -032 -999 -40 -305212 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
178268
LENNAR HOMES OF CALIFORNIA
78401 HIGHWAY 111, STE C
LA QUINTA, CA
LA QUINTA CA 92253
Contractor
LENNAR HCMES 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 . . . . . TYPE'V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10
Flood Zone NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 465.00
PATIO SQ FTG 358.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2874.00
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc
Permit Fee . . . . 916.00 Plan Check Fee 595.40
Issue Date . . . . Valuation . . . . 178268
Qty Unit Charge Per Extension
BASE FEE 639.50
79.00 .3.5000 THOU BLDG 100,001-500,0010 276.50
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 59.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
P.O. BOX 1504
7X8495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 Tit
BUILDING & SAFETY DEPARTMENT
VOICE (760)
FAX (760)
INSPECTIONS (760)
777-7t.
777-70
777-7153
Application Number: L�rjDate:
Applicant: Architect or Engineer: _
�,.
Applicant's Mailing Address:
,Architect or Engineer's Addr ss:
l ic. No.: 3 3 C1 _13
tSUILUINU 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
�ode, and my License is in full force and effect.
icense Class —-Ccense No.
Date ' o Contractor
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 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. , 9.8 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
er n�i sued My works s, c mpensation inuence carrier and po icy nu are: _ w
/Jln i�olicy Number M �
_ I cert fy that, i the pe onnance'of the work for which this permit is issuelf. I shall ot�i 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' 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
1. Each ,son u Safety or APermit subject to the conditions and restrictions set forth on this application.
pe 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 Quints, 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 cf 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 re pre entatives of this county to enter upo the above-mentioned property for inspection purposes.
to 7 Signature (Applicant or Agent):
t�
Page
. 2
Application
Number .
. . .
. 04-00006454
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/>1,00K-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
. . . .
124.89
Plan Check Fee
31.22
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2874.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
100.59
465.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.30
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
183.75
Plan Check Fee
57.75
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
19.00
6.0000
EA
PLB
FIXTURE
114.00
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
40. PLAN 2YR,
2874
SF.
PERMIT
Page 3
Application Number.
. . . . .
04-00006454 Date
9/27/04
----------------------------------------------------------------------------
Special Notes and
Comments
DOES NOT INCLUDE BLOCK
WALL,
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
59.54
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
17.82
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit.Fee Total
----------
1298.64
------------------------------
.00 .00
1298.64
Plan Check Total
690.37
.00 .00
690.37
Other Fee Total
2482.36
.00 .00
2482.36
Grand Total
4471.37
.00 .00
4471.37
n
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70
LO
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40
C
Q.
LO
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M
(L
0
Job Name
Certificate of Insulation 1,
Your home has been insulated with John Mansville Fiberglas: insulation products, which are des`gred
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 wifl likely lose their effectiveness over time. It has not been trea'ed
with chemicals that can corrode wring or metal. Fiberglass will not absorb moisture nor wi-1 it
settle over time as may other insulation materials.
This also certifies that insulation have been professionally installed in this home to provide the
follvNing thermal performance.
Lennar Homes
La Quinta Del Oro Tract: 30521 Plan# 2Y Phase:
Lot No: 40 Job Address: SFR- TS -365 Via Dijon, La Quinta, CA
Ceiling Area: R-36 batt insulation
Exterior Walls R-13 batt insulation
Between Floors:
Garage Ceiling: Non-Access:—
With Living Above & Sloping Areas
Overhangs:
With Living Above
Interior Walls:
Access Attic:
Subcontractor ... 0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palma, CA ID2276
Signed: L-, (,� &—_%L \w --n
Mike Dickerson, General Manager- Pant Springs Division
7
R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
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 1 of 7) CF4R
LA QUINTA DEL ORO PH- 7 05-05-05
Project Title Date
18365 Vial n, La nnr. inter, CA 92253 T ennar
Prcjeg eesastenada 760-578-6968 BuilderNa'Plan 2Y (pg 1 of 1)
Builder Contact Telephone Plan Number
William Henson 760-250-7022 Group 3
HERS Rater Telephone Sample Group Number
05-05-05 L0 (ph 7)
CertifVmg gignature Date Sample House Number
FirmBCl Testing HERS Provider: CALCERTS
PO Box 50575 Phoenix, AZ 85076
Street Address: City/State/Zip:
Copies to: Builder, HERS Provider
HERS RATER COMPLCE STATEMENT
The house was: 13 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 houses 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 or 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 400cfin/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
• Southwest Inspection 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
S� %%
D%-�� 71
TYPE OF
INSPECTION
REQUIRED
Q� Reinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control
❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
❑ Reinforced Masonry ❑ Asphalt
Job Address 8 ,
f A � u ,O – O City 14 J&
Job Name
Permit
Issued B
Type of Structure
)t k
S'
eI/
Architect (&/
Material Description (type, grade. source) VD�rZ
`.S
Engineer
#
/
(p
Contractor j6 4,'( aM 1
C'W�
Inspector(s) Name
/ / �� Subcontractor
f eo / �J r
TESTS PERFORMED /�[
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
—3
t
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 ?ERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TOFQUED) CHECKED, ETC.
emv _
f a -t a f 3 J11A&Q r a C111UCA S
,vc P -,e
.. e - Set Of 9
Ns 4-
f t,14 S"
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE 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, A PP BLE CTIO OF T GOVERNING BUILDING LAWS.
SIGNATURE OF REGISTERED INSPECTOR
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE ❑ PAGE OF
TIME IN I TIME OUT REG_ HOURS I O.T. HOURS I CYLIN
All inspecti Qns based on a -ninimum of 4 hours and over 4 hours - 8 hour
minimum. Ilt�ddition, any inspection extyclip past noon hour will be an 8
hour minim f�
Approved by
Project
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY Cni r)PN ?or) - 1011 4Z1TF r0pv