04-4601 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
,. (760).777-7012
c��rpFi49--��-[495 CALLE TAMPICo 'FAX (760) 777-7011
'QUINTA, CALIFORNIA
92253 INSPECTION REQUESTS (760) 777-7153
cIa r
BUILDING PERMIT
t
tOA a�tzo_n _ mber
- 04-000,0460-1 2 Date '7/09/04
-r-operty Address . .
44730 VIA MIRABEL "
APN:
604 -032 -999 -30 -305212 -
Application description
: DWELLING - SINGLE FAMILY DETACHED
_Property "Zoning
LOW DENSITY RESIDENTIAL
Application valuation
177026
Owner,
Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, STE
C 78401 HIGHWAY 11,1, SUITE C
LA QUINTA', CA
LA QUINTA CA 92253
LA QUINTA CA
9225.3
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/CONG <=10
Flood Zone . . . . . .
NON -AO FLOOD ZONE
Other struct info',.
CODE EDITION 2001 CRC
FIRE SPRINKLERS NO
GARAGE SQ FTG 426.,00
PATIO SQ FTG 236.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2894.00
------------------------------------------------------------
Permit BUILDING
----------------
PERMiT '
Additional desc
Permit Fee
912.50 Plan Check Fee 593.13
Issue Date
Valuation 177026
Qty Unit Charge
Per Extension
BASE FEE' .639.50
78.00 3.5000 THOU
BLDG 100,001-500,000 `273.00
Permit .'. . . . MECHANICAL
Additional desc
Permit Fee . . .
52.50 Plan Check Fee ". 13.13
Issue Date
Valuation 0
Qty Unit Charge
Per, Extension
v
P.O. Box 1504 • .V
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
or
Date: 9. 160 - G
Address:
&�- '7a'I D /
Lic. 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
C90eand my Licens in full force and effect.
icense Class icense No. d-,Ot'0
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.
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
" su o ceps' cpmpensatiognsurance Garner pq�cy
�Garrier Lz Policy Number //Ulm?U
_ I certify th t, 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.).
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 the above-mentioned property for inspection purposes.
Date llv G Signature (Applicant or Agent):
f
r
Page
2
'Application Number
04-00004601 Date
7/09/04
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
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
124.81 Plan Check Fee
31.20
Issue Date' .
. . .
Valuation
0
Qty Unit
Charge-
Per
Extension
BASE FEE
15.00
.2.894.00
.0350
ELEC.NEW RES - 1 OR 2 FAMILY
101.29
426.00
.0200
'ELEC GARAGE OR NON-RESIDENTIAL
8.52
.Permit .'..
PLUMBING
Additional desc
Permit Fee
. .
171.75 Plan Check,Fee
42.94"
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
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
.00
Issue Date
Valuation
0
Qty -Unit.Charge
Per
'Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT 30.
PLAN 3Y..PERMIT
DOES NOT
Page 3
Application Number
04-00004.601
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
59.31
DIF
FIRE PROTECTION -RES
97.00
GRADING PLAN -CHECK FEE
t .•00
DIF
LIBRARIES - RES
225.00
DIF
PARK MAINT•FAC - RES
5.00
DLF
PARKS/REC - RES.
502.00
STRONG MOTION (SMI) - RES
17.70
'
DIF.STREET
MAINT FAC -RES
15.00
DIF
TRANSPORTATION - RES
1098.00
Fee summary
'Charged
Paid Credited
Due
Permit Fee Total
1276.56
.00 .00
1276.56
Plan Check Total
680.40
.00 .00
680.40
Other Fee Total
2482.01
.00. .00
2482.01
Grand Total
4438.97
.00. .00
4438.97
Certificate of Insulation
Your home has been insulated with Johns Manville Fibeglass insulation products, which are designed
for today's safety standards and tomorrapis 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 a'so certifies that insulation have been professionally installed in this home to provide the
following thermal performance
Lennar Homes, Inc.
-Job Name: Le Quinta Del Oro , Tract: 30521 Plan# 3Y Phase: 6 a :
Lot No: `30 Job Address: SFR44-730 Via Marabel, La Quinta, CA
Ceiling Area: R-38 bloom and batt insulation Garage Ceiling: Hon -Access:
c - With Living Above & Sloping Areas
Exterior Walls R-13 bett insulation Overhangs: Access Attic:
With Living Above
P
Between Floors: Interior Wells: -
Subcontractor ...0 J Insulation, Inc.
' 72-227 Adelaid St, Thousand Palms, CA 92276
Signed. -`'tel r3' �1 Q �►.� ^
Mike Dickerson, General Manager - Palm Springs Division
R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
i Ask your builder for the fact sheet on R -values. Keep this certificate with your other -
i 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) CF4R
La Quinta Del Oro 4/14/2005
Project Title Date
ti �i 1 V �. I �`�:ll Lennar
ProjectA dress Builder Name
Builder, ptact q Plan Number
WS=Henson z
HERS N Telephone Sample Group Number
Certifying Signature Date Sample House Number
Firm$CI Testing HERS Provider: CalCerts
Street Address: po RDx 50575 City/State/Zip: Phoenix, AZ 85076
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: Tested ❑ 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
wi h 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 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 .z : 3 7
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
value here 200 1200 /6U
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) _ — 42. b.
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑
Yes is a pass I kas 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