04-4597 (SFD)j!
0
P.O. Box 1504
X78-49
_ Q5ALLE TAM PI o
iLA-bu�INTA, CALIFORNIA 92253
lilr—` I'�i�'��
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
, • 3 �e�°1��V BUILDING PERMIT
��o, A
ApCOMAmber' . . . .
04-00004597 Date., 7/09/04
Prop°erty Address . . . . 78390 VIA DIJON
APN: 604-032-999-26 -305212-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 178268
Owner
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 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 100,001-500,000 276.50
------------------------------------------- :
. . . . . . 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 • "
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 5 L-Arc"ect
Date: �• /(' OApplicant: or Enqineer:
Applicant's Mailing Address:
Architect or En I e ress:
/04v g� N'
No.: 3 a 3 LIS -
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
C de, and my License is ull forc&and effect. �
cense Class A e License No. %a®G b9
,/Date -/(P-19 �rectod>fi4wx/-&�,
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 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. , BA P.C. for this reason
Date
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.
11� 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
Tn/ yued My (orjcgrs`commpensation i rance carrier app p lir nu"�nb r a
� rier l(/ U (/b olicy Number _[✓� MIMI 59 �'h&
I certify that, in the performanc 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.
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 pedury 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 Building and Safety for a permit 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, indemnify 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.
(Applicant or Agent):
i
Application Number
. . . 04-00004597
Page 2
Date 7/09/04
Ai
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/>10CK-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
Issue Date
. . . .
r.
Valuation
.00
0
Qty
Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT
26. PLAN 2Y.
PERMIT DOES NOT
Page 3
Application Number
. . . . .
04-00004597
Date
7/09/04
---------------------------7------------------------------------------------
Special Notes and Comments
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
Certificate of Insulation !
Your home has been insulated with Johns Manville Fibeglass 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
w<th fire -retardant chemicals that will likely lose their effectiveness over time_ It has not been treated
with chemicals that can corrode wiring or metal. Fibergrass 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
lol'owing thermal performance.
Lennar Homes, Inc.
Job Name: La Quinta Del Oro Tract: 30521 Plan# 2Y Phase:
Lot No: 26 Job Address: SFR -78-390 Via Dijon, La Quinta, CA
Ceiling Area; R-38 blown and batt insulation
Exterior Wall sR-13 batt insulation
Garage Ceiling:
With Living Above
Overhangs:
With Living Above
Between Floors: Interior Walls:
i
Non -Access:_
& Sloping Areas
Access Attic:
Subcontractor... OJ Insulation, Inc.
72.227 Adelaid St: Thousand Palms, CA 92276
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.
6
L(d tia
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
La Quinta Del Oro 4/14/2005
Project Title 1
1?5�Go V 1 0• A'� ()V\
Project
Buil ontac
i 11amtIenson 766*Y- 5
So ,)Z`L
HERS Rater Telephone
CW,Tying Signaturei—%g
Date
FirmBCI Testing
Date
Lennar
Builder Name'
o�
Plan Number
Sample Group Number
Sample House Plumber
Hon
HERS Provider:
Street Address: PO Box 50575 City/State/Zip: Phoenix, AZ 85076
Copies to: Builder, HERS Provider
CF -4R
HERS RATED COMPLIANCE STATEMENT
The house was: Tested )�,Approved as part of sample testing, but was not tested,
As the HERS ra providing diagnostic testing and field verification, I certify that the houses ideitified on this form comply
ybacked,
tic tested compliance requirements as checked on this form.
aller has provided a copy of CF -6R (Installation Certificate.
tion system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts)
loth backed, rubber adhesive duct tape is installed, mastic and drawbands are used n combination with cloth
rubber adhesive duct tape to seal leaks at duct connections.
4NIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
MeasLred
Duct Pressurization Test Results (CFM @ 25 Pa) valu:s
Test Leakage Flow in CFM
If fan flow is calculated as 400cfmhon 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 -IR 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