04-6453 (SFD),I
Tdf 4 4 a9ba
P.O. BOX 1504
7=8495- CALLE TAMPICO
,LA QUINTA, CALIFORNIA 92253
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
BUILD.NG $ SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00006453 Date 9/27/04
78375 VIA DIJON
604-032-999-39 -305212-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
151968
Contractor
------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHVuAY 111, SUITE C
LA QUINTA CA 92253
Qty Unit Charge Per
Extension
WCC: OLD REPUBLIC
IN
WC: MWC10877600
11/01/04
CSLB: 728102
09/30/04
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPEV - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone.
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001
CRC
FIRE SPRINKLERS NO
GARAGE SQ FTG
462.00
PATIO SQ FTG
488.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2385.00
----------------------------------------------------------------------------
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
821.50 Plan Check Fee
133.50
Issue Date . . . .
Valuation . . . .
151968
Qty Unit Charge
Per
Extension
BASE FEE
639.50
52.00 3.5000
THOU BLDG 100,001-500,000
182.00
---------------------------------------------
Permit . . . . . .
-------------------------------
MECHANICAL
Additional desc . .
Permit Fee . . . .
65.50 Plan Cheek Fee
4.10
Issue Date . . . .
Valuation
0
Qty Unit Charge Per
Extension
P.O. Box 1504
7$-495 CALLS TAMPICO � VOICE (760) 777-701 -
LA QUINTA, CALIFORNIA 922$3 C&f 4 4 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q 5- Date: !O Z 2 O y
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or En Ineer's Address:
- I � DO t �Nt S -{-
6A �), ��a r
ic. No.: ) ,2.2 y rJ
DUIL.UIIV" rtKml I utGLAKATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 is in full force and effect.
lice
nse Classin
',cense No.
/,Date ontractor_ Il��
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.).
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 Labor Code, for the performance
Jof 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
iss ed. My workers' compensation i nce carrier and policy number are:
Carrier (�� Q-- �); D� (( , Number Yht '1 P. + 09 -1^11 aQA
— I certify thin 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
f forthwith comply with those provisions.
,-----Date 1h .1 _)-(IU1-4 !. �14.,rr7 fl ,.
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.
1 hereb affirm under CONSTRUCTION LENDING AGENCY
Y 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 ty Apermit 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, indemnity and hold harmless the City of La Quinte, 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
cessation of work for 180 days will subject permit to cancellation. issuance of such permit, or
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 authorizntatives of this county to enter upon the above-mentioned property for inspection purposes.
10 , -a
ate 1 Ot Signature (Applicant or Agent):
Application Number 04-00006453
Page 2
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
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
. . . .
107.72
Plan Check Fee
6.73
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2385.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
83.48
462.00
-------------------=--------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.24
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
171.00
Plan Check Fee
10.69
Issue Date
. . . .
Valuation_
0
Qty
Unit. Charge
Per
Extension
BASE FEE
15.00
17.00
6.0000
EA
PLB FIXTURE
102.00
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
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 Chick Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT -39.
PLAN 1,
2385
SF. PERMIT
Page 3
Application Number .
. . . .
04-00006453 Date
9/27/04
----------------------------------------------------------------------------
Special Notes and Comments
DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN
CHECK FEE
REDUCTION FOR MULTIPLE
ISSUANCE
OF SAME
PLAN TYPE.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
13.35
DIF FIRE PROTECTICN.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
15.19
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
1180.72
----- - ---- ---------- ----------
.00 .00
1180.72
Plan Check Total
155.02
.00 .00
155.02
Other Fee Total
2433.54
.00 .00
2433.54
Grand Total
3769.28
.00 .00
3769.28
� _:J
Certificate of Insulation
Your home has been insulated with John hlansvi?:e 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 tire -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.
Lennar Homes
Job Name; La Quinta Del Oro Tract: 30521 Plan# 1 Phase: 7
Lot No: 39 Job Address: SFR- 78-375 Via Dijon, La Quinta, CA
Ceiling Area: R-30 batt insulation Garage Ceiling: Non -Access:_
With Living Above & Sloping Areas
Exterior Walls R-13 batt insulation
Between Floors:
Overhangs:
With Living Above
Interior Walls:
Access Attic:
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
n /1
Signed:
Mike Dickerson, General Manager - Palm Springs Division
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) CF -411
LA QUINTA DEL ORO PH- 7
Project Title
Proie oetastenada 760-578-6968
Builder Contact Telephone
William Henson 760-250-7022
HERS Rater Telephone
05-05-05
Cerdfying Signature J Date
Firm•B_ CI Testing
PO Box 50575
Street Address:
Copies to: Builder, HERS Provider
05-05-05
Date
T .ennar
Builder NarMan 1 (pg. 1 of 1)
Plan Number
Group 3
Sample Group Number
39 inh 7)
Sample House Number
HERS Provider: CALCERTS
City/State/Zip: Phoenix, AZ 85076
HERS RATER COMPL CE STATEMENT
The house was: ❑ Tested A 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 usec 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) va_ues
Test Leakage Flow in CFM
If fan flow is calculated as 400chn/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)
0 -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 hae,
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
Compliance Forms August 2001
❑ ❑
Pass Fail
❑ ❑
Pass Fail
Pass Fail
A-16
Southwest Inspecti®n and Vesting, Inc.
10826 South Norwalk Blvd., Santa Fe Springs, CA 90670
(562) 941-2990 • (714) 526-8441 • Fax f562) *946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
0/
Da e
/j -�07
TYPE OF Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry - ❑ Asphalt
- 3 9 C,ty 1
Job AddressI 78. 3 ��01'.4
, .. Z j O V/ 101-39
`�T T
Job Name (A o C', ! lA Q KooN
Permit - / [jO Issuad By
Type of Structure S,
SP,
Architect /
L �
Material Description (type. grade, source) D
,L
Engineer �"�1,�
LIT z / A"!
M'- T- Oq'?
Contractor / meq
(1AI%
Inspector(s) Name i/ ' n
!✓
Subcontractor 1J_ e
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
60
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOE 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.
Sek(le ! em a,# PJ S' .f ti,c eek ' aP • G� O o-) GA+h
c c/ 1- y tae!°A 4d o vr. siei OF(,j�ex -e—
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, AND APPLICABJrE SEt;,TION,9OF T9 GOVERNING BUILDING LAWS.
SIGNATURE OF REGISTERED INSPECTOR
&—ca 101 'f/ Ill s--- YS T C
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE ❑ PAGE �-� OF
TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum. n addition, any inspection extending past noon hour will be an 8
hour minim
Approved by
Project Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY