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04-6451 (SFD)T-Vf 4 4 Q" P.O. Box 1504 78-49.5 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number J. Property Address . . . APN: Application description Property Zoning . . . . Application valuation . Owner BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 -04=0-0006451 Date 9/27/04 . . . 78380 VIA DIJON 604-032-999-25 -3.05212- . . . DWELLING - SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL . . . 169833 LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA CA 92253 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 . . . . TYPE -V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=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 r 1.00 FIRST FLOOR SQ FTG 2760.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . 884.50 Plan Cheek Fee 574.93 Issue Date . . . . Valuation . . . . 169833 Qty Unit Charge Per Extension BASE FEE 639.50 70.00 3.5000 THOU BLDG 100,001-500,000 245.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 52.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 a ����/: , 78-495 CALLS TAMPICO w VOICE (760) LA QUINTA, CALIFORNIA 92253 44FAX (760) INSPECTIONS (760) BUILDING & SAFETY DEPARTMENT 777-70 777-701' 777 -715 - Application Number: 45 1 Date: 16-12-04 Applicant: Architect or Enqineer: Hppncanrs mailing Address: or tic. No.:� 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 ode, and ss Licens is in full force and effect. /� �I'1 License Class icense No. 0 Date lD U-6_`IelTlctor_ 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 I, 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.). 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. , B.& 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 ss d. My we els ypmpensatioajs rrrance carier and policy number we er _d �t Q A (A_ (l ( i /Policy Number _ ►M W I I b S 'l -1406 / 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 the Labor code, I shall 11 q forthwith comply with those provisions. q� Q l Date L U " �oC �� cant_ Y ,If V 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.). Lenders 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, indemnity and hold harmless the City of La Ouinta, 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. Date O i___S�iglture (Applicant or Agent): _qLs�_ Page 2 Application Number . . . . . 04-00006451 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 ETU 9.00 .00 16.5000 EA MECH B/C >3-15HP/>10CK-500KBTU .00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 120.10 Plan Check Fee 30.03 Issue Date . . . . Valuation_ 0 Qty Unit Charge Per Extension BASE FEE 15.00 2760.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.60 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 ------------------------ Permit. . . . 7--------------------------------------------------- . . . PLUMBING Additional desc . . Permit Fee 165.00 Plan Check Fee 41.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15..00 1.00 7.5000 EA PLB WATER HEATER/VEN- 7.50. 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER S77STEM 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 . . . . Valuation 0 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 25. PLAN 4R, 2760 SF. PERMIT Page 3 Application Number . . . . . 04-00006451 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 57.49 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 (SM-) - RES 16.98 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Cred=ted Due Permit Fee Total ---------- 1237.10 ------------------------------ .00 .00 1237.10 Plan Check Total 656.34 .00 .00 656.34 Other Fee Total 2479.47 .00 .00 2479.47 Grand Total 4372.91 .00 .00 4372.91 Q Certificate of Insulation Your home has been insulated with John Mansville Fiberg!asinsulation products, which are designed for today's safety standards and tomorrow's energy requirements. W Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated ni with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated i with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it m settle over time as may other insu!ation materials. IL CD 0 N V) 0 ca 0 n M r This also certifies that insulation have been professionally installed in this home to provide the following thermal performance. Lennar Homes Job Name: La Quinta Del Oro Tract: 30521 Plan# 4 Phase: 7 Lot No: 25 Job Address: SFR- 78.380 Via Dijon, La Quinta, CA Ceiling Area: R-38 batt insulation Exterior Walls R-13 batt Insulation Between Floors: Garage Ceiling: With Living Above Overhangs: With Living Above Interior Walls: Non -Access: & Sloping Areas Access Attic: Subcontractor...0 J Insulation, Inc. 72-227 Adelaid St, Thousand Palms. CA 92278 Signed: M q, -C-)", , J QA I'm Mike Dickerson, General Manager - Palm Springs Division R-mears resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet cin R -values. Keep this certificate with your other valued papers. If you ever seil this home, this certificate should be passed on to the buyer. CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R LA QUINTA DEL ORO PH- 7 05-05-05 Project Title Date 7R3RO ViaI)� n , La Oni ta, CA 92253 1 ennar '*R eeastenada 760-578-6968 Builder Na Tian 4 (pg. I of 1) Builder Contact Telephone William Henson 760-250-7022 HERS Rater/ — Telephone 197 05-05-05 Certifying Signature Date FirmJ3CI Testing PO Box 50575 Street Address: Copies to: Builder, HERS Provider Plan Number Group 3 Sample Group Number 25 (ph 7) Sample House dumber HERS Provider: CALCERTS City/State/Zip: Phoenix, AZ 85076 HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested 0) 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 plan-orm 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. ❑ MEMMUM 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) ❑ ❑ Pass Fail ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is ❑ ❑ provided for inspection Yes is a pass Pass Fail ❑ 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 Compliance Forms August 2001 A-16 A o 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 SWIT Job No. 410 /S p F/3 - TYPE OF [5,Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address p - 3 000 / T " �O city I A �j (Jl , I il/ tl I �1 Job Name v�A f e Permit t�, - L Issued B 1'f dU%u F Type of Structure J (° r k /' Architect � Vf% / me.- Material Description (type, grade, source) Engineer Am 7tt �1 Contractor 1VA Inspector(s) Name I/' Subcontractor 1/' j „ TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 1� f 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. OR'Seelued- A c em -au t o f 31- cg, e FOP- s a o 6 14k, OoitcepLScls k �t� Sed G� C l f,Cl V.1 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, AAPP I BLE CTIOVOTHOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR �eca� '00 C V � i -1-11 :r C(-- SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE _���OF TIME IN TIME OUT REG. HOURS O.T. HOURS YLAIDERS 7 -ad 3 - 3 All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. In addition, any inspection exte ding past noon hour will bean 8 hour minimTn. �r Approved by WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY