04-4604 (SFD)N
BUILDING & SAFETY DEPARTMENT
Box 1504 (760).777-7.012
)5 CALLE TAMPICO " FAX (760) 777-7011
UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
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 9.2253
04-000046,04 Date 7/09/04
44790 VIA MIRABEL
604-032-999-33 -305212
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
17.9811
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 ---------
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
462.00
PATIO SQ FTG
358.00
NUMBER OF UNITS
1.00
`
FIRST FLOOR SQ FTG
2902.00
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
919.50. Plan Check Fee
597.68
Issue Date
Valuation . . . .
179811
Qty Unit Charge
Per
Extension
BASE FEE
639.50
80.00 3.5000
THOU BLDG 100,001-500,000
280.00
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
70.50 Plan Check Fee
17.63
Issue Date . . .
i Valuation . . . .
- 0
Qty Unit Charge.
Per
Extension
P.O. BOX 1504 C&,Y/ 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING &i; SAFETY DEPARTMENT
Application Number: 0
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: q' 1 (0 10
No.. 31) -34j --
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
Ce, and my License is i full force and effect. J/
/License Class License No.
/ Date `�lf/ tractor
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
Kv�/ 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
yrocy;er�'�or�pen3atio urance carrier�rl¢ ggli�ynyrrJpgr,argy�L���
arner to Policy Number �l/l !/l/l/�Ui�
_ I certify that, i 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
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 1 have read this application and state that the above information is correct. 1 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 I c4 S' ignature (Applicant or Agent):
v
Page
2
Application Number
04=0.0004604
Date
7/09/04
Qty Unit.
Charge.
Per
Extension
BASE
FEE''
15.00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
' 2.00
9.0000
EA
MECH
B/C <=3'HP/100K BTU
18.00
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
125.81
-Plan Check Fee
31.45
Issue Date
Valuation
0
Qty Unit
Charge
:Per
Extension
BASE
FEE..
15.00.
2902.'00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
101.57
462.00
0200
ELEC
GARAGE OR NON-RESIDENTIAL
9':24
Permit . .
PLUMBING'
Additional desc
Permit Fee
189,75
Plan Check Fee
47.44
Issue Date
Valuation . .
0
Qty Unit
Charge
1Per
Extension
BASE
FEE
15.00
20.00
6:.0'000
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
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 33.
PLAN 2L
PERMIT DOES'NOT
X
f � y
aV -'
Page
3
Application Number
04=00004604 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
59.77
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
17.98
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1.320.56
.00 .00
1320.56
Plan Check Total
694.20
.00 .00
694.20
Other Fee Total
2482.75
.00 .00
2482.75
Grand Total
4497.51
.00 .00
4497.51
Certificate -of Insulation -
Your home has been insulated with Johns Manvi;,e Fibealass insulation products, which are des>gned
for today's safety standards and tomorrovJs energy requirements.
n Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated .�
v 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 overtime as may other insulation materials.
a This also certifies that insulation have been professionally installed in this home to provide the
tollowing thermal I wrformance. �.
Lennar Homes, Inc. d -
r
Job Name: La Quinta Del Oro Tract: 30521 Plan# 2Z Phase: 6.:
- Lot No: - 33 Job Address: SFR-44.790 Via Marabel, La Quinta, CA -
Ceiling Area: R-38 blown and batt insulation Garage Ceiling: Non -Access:
With Living Above & Sloping Areas
L Exterior Wall sR-13 batt insulation overhangs: Access Attic: "
IL With Living Above ,
E Between Floors: . ', Interior Walls:
Subcontractor :..0 J Insulation, Inc..
0 72-227 Adelaid St, Thousand Palms, CA 92270
n Signed: �1�� _ y
v - Mike Dickerson; General Manager - Palm Springs Division - -
R-means resistance to heat flow. The higher the R-value, the greater the insulating power.
NJ Ask your builder for the fact 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.
L
a -
33 -
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
CF4R
La Quinta Del Oro 4/14/2005
Project Title Date
Project Address Bui er ame
Build utact Telephone Plan Number
i iam Henson 760-"T-.�50
HERS Rate e Sample Group Number
/�yy YTelepho
S'
Ce fying ignature Date Sample House Number '
BCI Testing g HERS Provider: CalCertc
Street Address: PO Bo=x 50 City/State/Zip: '
Oen1X, AZ 850T6
Copies to: Builder, HERS Provider
HERS RATE COMPLIANCE STATEMENT
The house was: Tested 0 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 '
•th a 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.
'
MINIMU NI REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
`
- I Measured
Duct Pressurization Test Results (CFM @ 25,Pa) values ti
"
Test Leakage Flow in CFM ' T v
If fan flow is calculated as 400cf n/ton x number of tons enter calculated I ZED Z[jv
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)
❑
+ i i ass
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 CFAR 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.
t
Measured Fan Flow= r '
❑
❑
Yes for both 1 and 2 is a Pass ,Pass
Fail
Compliance Forms August 2001
A-16