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04-4599 (SFD)r;os V14 ff�# � P O. Box 1504 1. Al 7,8'-111495 CALLE TAMPICO QUINTA, CALIFORNIA 92253 V V BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 )n Number . . . . . 04-00004599 Date 7/09/04 Property Address . . . . . . 78410 VIA DIJON APN: 604-032-999-28 -305212- Application description . . . DWELLING - SINGLE FAMILY DETACHED' Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 169528 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 QUINTF. CA 92253 WCC: OLD REPUBLIC IN WC: MWC10877600 11/01/04 CSLB: 728102 09/30/04 CCC: B -------------------------- Structure Information -------------------.------ Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CO1`G <=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 FTC 2692.00 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 884.50 Plan Check Fee 574.93 Issue Date Valuation . . . . 169528 Qty Unit Charge Per Extension BASE FEE 639.50 70.00 3.5000 THOU BLDG 100,001-500,OCO 245.00 Permit . . . . . . ------------------- MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension 04 P.O. BOx 1504 • �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (�L�- L�S�I Date: my -o Applicant:�WcPjtect or Enaineer: Applicant's Mailing Address: Architect or Engineer4 Address: /�i �/) cr 16-fL 64-- S4 C4 Id 10/ Lic. NO.: 303t/r 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 and my License in full force and effect. License Class cense No.a— Date V` `Q ontractor 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 Kof 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 is e M work ��C pensation rysurance carrier and ppI'igy umber are: �arrier D��, � / -Policy Number /i/i02%OA —1-76140- I certify thai, 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 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.). Lenders Name Lenders Address JA 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. .,,�eV j` `� Si� (Applicant or Agent): Application Number . . . . 04-00004599 Page 2 Date 7/09/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=1001,: 18.00 2.00 9.0000 EA MECH B/C <=3HP/1001,: BTU 18.00 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 . . . . 118.46 Plan Check Fee 29.62 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2692.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.22 462.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.24 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 189.00 Plan Check Fee 47.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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 Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 28. PLAN 1Z. PERMIT DOES NOT 1�4 Page 3 Application Number . . . . . 04-00004599 Date 7/09/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, 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 (SMI) - RES 16.95 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1290.46 ------------------------------ .00 .00 1290.46 Plan Check Total 672.68 .00 .00 672.68 Other Fee Total 2479.44 .00 .00 2479.44 Grand Total 4442.58 .00 .00 4442.58 Certificate of Insulation ! Your home has been insulated with Johns Manville Fibeglass insula!ion products, wh-ch 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. 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, Inc. Job Name: La Quinta Del Oro Tract: 30521 Plan# 1Z Phase: 6 Lot No: 28 Job Address: SFR -78-410 Via Dijon, La Quinta, CA Ceiling Area: R-38 blown and batt insulation Exterior Walls R-13 batt insula!ion Between Floors: Garage Ceiling: With Living Above Overhangs: With Living Above Interior Walls: Non -Access: _ & Sloping Areas Access Attic: Subcontractor ...0 J Insulation, Inc. 77-227 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. 1. CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) La Quinta Del Oro 4/14/2005 Project Titl �0 Project Address BuilW6 am Menson 76J -*4 -QA HERS to Telephone Certifying Signatufe" J Date FiJCI Testing Street Address: PO Box 50575 Copies to: Builder, HERS Provider Date Lennar Builder Name Plan Numbr I Sample Grcup Number Sample Ho -ase Number HERS Provider: CalCerts City/State/Zip: ?hoenix, AZ 85076 CF -4R HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic t ting 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 F latform 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) ❑ 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- nedesign designon 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