04-4600 (SFD)� oz
V
BUILDING & SAFETY DEPARTMENT
Cw4 P.Q.-Bax1504 (760)•777-7012
77 495 C��ALLE TAMPICo FAX (760) 777-7011
U
LA QUINCALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 V
BUILDING PERMIT
C►� of �►�:����'� • � ::, y
Kos cr,= 0 - . n
p 1'eaion Number . . .. . 04--000"04600 Date :7/09/04
Property Address . . 44710 VIA MIRABEL
APN: 604-032-999-29 -305212-
Application description,. DWELLING'- SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 185849
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CAL'IFORNIA'INC
78401 HIGHWAY.111, STE:C 78401 HIGHWAY 111, SUITE C
LA QUINTA, CA LA QUINTA CA 92253
LA QUINTA CA 92253
WCC: OLD REPUBLIC IN
WC: MWC1087760.0 11/01/04
CSLB: 728102 09/30/04
CCC: B
------ Structure Information SFD -----
Construction Type . . ... TYPE V - NON.RATED
Occupancy Type . . . DWELLG/LODGING/GONG <=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 1.00
FIRST FLOOR SQ FTG 3040.00
Permit . . BUILDING PERMIT...
Additional desc
Permit Fee 940.50 Plan Check Fee 611.33
Issue Date Valuation . . . . 185849
Qty Unit Charge Per Extension:
BASE FEE- 639.50•
86.00 3.5000 THOU BLDG 100,001-500,000 301.00.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------- -----------------
Permit
---------------Permit . . . MECHANICAL
Additional desc
Permit Fee 59.00 Plan Check Fee 16.63
Issue Date . . . Valuation 0.
Qty Unit Charge_ Per.. Extension
P.O. Box 1504 •
4 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _021-q (0 c) LDate:
Applicant: Arc' ct or Engin er:
Applicant's Mailing Address: Architect or Engineer's ddress:
f, t7&y%- JV-
k/2
f 6-t V70/
ic. No.: 3d ?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
Cede, and ss License iyy� full force and effect. /L CD
/License Class l� icense No.
Date i�0�0 L Contractor_4441 1dp`�
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 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.
4 1 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
su M r rs' eompensation surance carried rad,poLcy numbs are'
/C`arrier �/[ �lze /Policy Number �//NG/0 660
_ I certify th9I, in the performance of the work for whit this p� ermiI 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.
ate `DC plicant
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 A
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 Quinta, 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 theabove-mentionedproperty for inspection purposes.
Date U/' / i0 V Signature (Applicant or Agent):
Page
2
Application Number,
04=000046OG Date
7/09/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1.00
9,.0000
EA MECH FURNACE <=10'OK
9.00
1.00
9.0000
EA MECH B/C <=3HP/100K BTU
9.00
.00"
16.5000
EA MECH B/C >3-15HP/>100K-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
129.90 Plan Check Fee
3.77
Issue Date
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE.
15.00
3040.00
.0350
ELEC NEW RES -. 1"OR 2 FAMILY
106.40
425.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.50
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee..
-177.00 Plan Check Fee
44.25
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
1.
BASE FEE
.
15.00
18.00
6.0000
EA, PLB FIXTURE
108.00
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 P.LB 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 29.
PLAN 4Y.
PERMIT DOES NOT
1
Page
3
Application Number
04-00004600 Date-,
7/09/04
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
61.13
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
..0.0
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
18.58
D.IF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit'Fee Total
1321.40
.00 .00
1321.40
Plan Check Total
675.98
:00 .00
675.98
Other Fee Total
2484.71
.00 '.00
2484.71
Grand Total
4482.09
.00 00
4482.09
Certificate of insulation #
Your home has been insulated with Johns Manvil!e 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 - -
i _
with 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: -
4
Lennar Homes, Inc.
Job Name: La Quinta Dell Oro Tract:- 30521 Planit 4Y Phase: 6
Lot No: - 29 Job Address: SFR-44-710 Via Mlarabel, La Quinta, CA r
` -
Ceiling Area; R-38 blown and batt insulation - Garage Ceiling: Non -Access: .
With Living Above S Sloping Areas
Exterior Walls R-13 batt insUaron Overhangs: Access Attic:
With Living Above
Between Floors: interior Walls:
y
Subcontractor... 0 J Insulation, Inc.
72-227 Adelaid St: Thousand Palms: CA 92278
Signed: �1r Z1��-Psi
Mike Dickerson, Genera! 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 cern irate with your other
- valued papers. If you ever sell this home, this certificate should be passed on to the buyer. ,
t
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Pae 1 of 7)
La Ouinta Del Oro 4/14/2009
CF -4R
Pro ect Title , r I Da
-DLI _`-W6 11 i�c ON, f�Q� tennar
Project Address Builder Name
Builder Contact Plan Number
William Henson 76 NTb W
HERS Rat
Telephone Sample Group Number
i mg ignature Date Sample }io e�luemr
�l
Firm.BCI Testing a
HERS Provider:
Street Address: _PO Box 50575 City/State/Zip: Phoenix, AZ 85076
Copies to: Builder, HERS Provider
HERS RATER COMP NCE STATEMENT
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic tes 'ng 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 appy 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%o Duct Leakage)
Duct Pressurization Test Results (CFM 25 Pa) Measured
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) ❑
Pate Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV) -
❑ 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
i
C_rte�fica�te o f Occupancy
.
OF .Building Safety bepa rth?en
fThis" Certificate is issued - pursuant to'the' re uirements bf.Sectior 109- of the. California Buildin
Code, .7certifying,y that, .' at ,� the-, time 'of issuance,•, this structure, 'was �-in ,' compliance -with the; �-;
. �.Provisions of:,ahe.`Building
Code` and the 'var`ious ��oralinances�.of+ the Cify'-regulating. building
` construction�arid/or u_se:
,BUIL-DING ADDRESS; -44-710 VIA°MI•RABEL" ♦_ �� _ � ,: •
�+ Use classification: SINGLE YFAMILY .DWELLING .Buildi66 Permit No.: 04-4.600
it - �- :, i - ;: _. ., � ."-:.:.^� � -. 3 '� ■ - ` �, - i
Occupancy Group E3 Type of Construction. 181
VN Land Use Zone: RL
� :.Owner of Building.aL•ENNAR HOMES OF CALIFORNIA � Y =' � �_:, �'• LyAddress:•5000 CALLE SAN RAPHAEL
City, ST�ZIP: PALM SPRINGS; CA 92264 -
..� `"� �" Y v5' , _ ''� 4- • • w'; ` , rte" �� �' _By:,TOM`MORRISON
Date, APRIL 20, 2005 '`�• � "s ;
Building Official
+
',�` _ "� POST IN A CONSPICUOUS PLACE � .�� • -
i
C_rte�fica�te o f Occupancy
.
OF .Building Safety bepa rth?en
fThis" Certificate is issued - pursuant to'the' re uirements bf.Sectior 109- of the. California Buildin
Code, .7certifying,y that, .' at ,� the-, time 'of issuance,•, this structure, 'was �-in ,' compliance -with the; �-;
. �.Provisions of:,ahe.`Building
Code` and the 'var`ious ��oralinances�.of+ the Cify'-regulating. building
` construction�arid/or u_se:
,BUIL-DING ADDRESS; -44-710 VIA°MI•RABEL" ♦_ �� _ � ,: •
�+ Use classification: SINGLE YFAMILY .DWELLING .Buildi66 Permit No.: 04-4.600
it - �- :, i - ;: _. ., � ."-:.:.^� � -. 3 '� ■ - ` �, - i
Occupancy Group E3 Type of Construction. 181
VN Land Use Zone: RL
� :.Owner of Building.aL•ENNAR HOMES OF CALIFORNIA � Y =' � �_:, �'• LyAddress:•5000 CALLE SAN RAPHAEL
City, ST�ZIP: PALM SPRINGS; CA 92264 -
..� `"� �" Y v5' , _ ''� 4- • • w'; ` , rte" �� �' _By:,TOM`MORRISON
Date, APRIL 20, 2005 '`�• � "s ;
Building Official