04-4603 (SFD)i. �v'° P�IOABOX 1504
� 78�t 495 CALLE TAMPICO
J `� �Ln1 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
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX .(760) 777-7011
INSPECTION REQUESTS (760) 77.7-7153
04-0000460-3 Date 7/09/04
44770 -VIA MIRABEL
604 -032 -999 -32 -305212 -
DWELLING - SINGLE-FAMILY DETACHED'
LOW DENSITY RESIDENTIAL
178268
Contractor
-------------------------
LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 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 Inf.ormation -------------------------
Construction Type
TYPE V - 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
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
148.85
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
------------------------------------------------------------------------------
Permit . . . .
MECHANICAL
Additional desc
Permit Fee.
59.00 Plan Check'Fee
3.69
Issue Date
Valuation . . . .
0
Qty Unit Charge Per
Extension
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: QL/- 4&03 Date: $ 16-0q
Applicant: itect or Engine r:
Applicant's Mailing Address: Archit ct or EngindfJre ss:
All CY4
X70/
4 --tic. 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
Code, and my License i "n full force and effect. �
/__ License Class — License No.77dl.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 1 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.
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
ed w ers' o p cin�'psurance camer��d I' r
,--Carrier Policy Number
_ I certify that, ih the performance of the work for which Ihis 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.
Date ` tO ` 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
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, indemnity 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 10 Vr& `QS' ignature (Applicant or Agent): _ ��
Page
2
Application Number
.
.
. . 04-0.0004603
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
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
7.81
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
11.49
Issue Date .
.
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
19.00
6.0000`.EA
PLB
FIXTURE
114.00
1.00
15.000'0
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,.32.
PLAN 2Y. 'PERMIT
DOES
NOT
Page 3
Application Number
04-00004603 Date
7/09/04
----------------------------------------------------------------------------
' Special Notes and
Comments
INCLUDE BLOCK WALLS, POOL, SPA
OR
DRIVEWAY APPROACH.
75% PLAN CHECK FEE
REDUCTION APPLIED
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
14.89
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
171.84
.00' .00
171.84
Other Fee Total.
'2437.71-
.00 .00
2437.71
Grand Total
3908.19
.00 .00
3908.19
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.
J
n -
- Fiberglass is inorganic and therefore permanently noncombustib:e, so it does not have to be treated -
v
with fire -retardant chemicals that will likely lose their effectiveness over time. It has net 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.
D
This also certifies that insulation -have been professionally instal -led in this home to provide the
following thermal performance.
Lennar. Homes, Inc.
Job Mame: La Quints Del Oro Tract: 30521 Plan# 2Y Phase:. 6 "
-
Lot No: 32 Job Address: SFR -44.770 Via Marabef, La Quinia, CA F
Ceiling Area: R-38 blo%vn and batt insulation Garage Ceiling: Non -Access: `
- With Living Above * 8, Sloping Areas -,-
r
Exterior Wall sRA3 batt insulat;on Overhangs: Access Attic:
n
With Living'Above r
E
Between Floors: Interior Wails:
L -
w
Subcontractor...0 J Insulation, Inc. ;
72-227 Adelaid St, Thousand Palms, CA.92276
,.
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 foci sheet on R -values. Keep_ this certificate with your other
U
valued papers. If you ever sell this home, this certificate should be passed on to the buyer.
CLr
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R
La Quinta Del Oro 4/14/2005
Project• 1ct�
�1 J 1 C\ M ` r CA
6Z I Da L.ennar
Project Address Builder Name
Builder Contact I i
William Henson 7J6! Plan Number i
-U5C� ` u'
HERS R ter Telephone Sample Group Number
Certi ing Signature
Date Sample Hoa mer�ser
Firm: BCI Testing
a
HERS Provider: '
Street Address: pn Box 5057-5 City/State/Zip: Phoenix, AZ 85076
Copies to: Builder, HERS Provider
HERS RATER COMPI IANCE 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 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)
Duct Pressurization Test Results (CFM @ 25 Pa) Measured
values
Test Leakage Flow in CFM '
If fan flow is calculated as 400cfrn/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) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV) FF
❑ 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 -IR.
Measured Fan Flow
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail'
Compliance Forms August 2001
A-16