04-4602 (SFD)Tiht
V
BUILDING & SAFETY DEPARTMENT
P:•O_G oX 1,504
(760).777-7012
O I�yiti .78-195 CALLE TAMPICO " FAX (760) 777-7011
p LA QU IINTA, CALIFORNIA.92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
CITY®1: LA X03136 A
t�IMA96C ®I'�
Application Number: 04-000,04602 Date 7/09/04
Property Address 44750 VIP; MIRABEL
APN: 604 -032 -999 -31 -305212 -
Application description- DWELLING:- SINGLE FAMILY DETACHED
Property Zoning . . . . LOW DENSITY RESIDENTIAL
Application Valuation 182517
Owner Contractor
LENNAR HOMES OF .CALIFORNIA LENNAR HOMES OF CALIFORNIA 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: MWC10877600 11/01/04
CSLB: 728102 09/30/04
CCC:' B
------------------=------- Structure Information --------------------------
Construction
----------------- ------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 426:;00
PATIO SQ FTG 236.`00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2990.00
Permit . . . BUILDING PERMIT
-Additional desc
Permit Fee _930.00 Plan Check. Fee 604.50
Issue Date Valuation 182517
Qty Unit Charge Per Extension
BASE FEE 639.50
83.00 3.5000 THOU BLDG 100,-001-500,000 290.50
Permit MECHANICAL
Additional desc ,
Permit Fee 70.50 Plan Check Fee 17.63
Issue Date Valuation . . . . 0
Qty Unit Charge Per Extension
P.O. Box 1504 • ��'� �
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
or
Date: $' /& -0 1.
ress:
Lic. No.: 3n`/f
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 Lice 6 is in full forcaand effect. 0d I�60�
�icense Class fel nse No. '
/Date tv `d ontractor t VC
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
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
n i u or its compensation insurance carrier n �qJ�y nymy� re
arrier t(/ LG C- —Policy Number
_ I certify tha , 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.
5. / / .. - /[1-LL1
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
Lenders 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.
ig� nature (Applicant or Agent): Aqa
r
-
Page
2
Application Number
04-00004602- 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 <=3HP/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
128.17 Plan Check Fee'.
32.04
Issue. Date
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE ' 4
15.00
2990.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
104.65
426.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.52
Permit . . .
.
PLUMBING
Additional desc
Permit,Fee
189,75
Plan Check Fee
47.44
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
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 31.
PLAN 3Z.
PERMIT DOES NOT
l
Page 3
Application Number
04=00004602 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
60.45
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
18..25
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary.
Charged
Paid Credited
Due
Permit Fee Total
13-33.42
.00, :00
1333.42
Plan Check Total
701.61
.•00•• .00
701.61
Other Fee Total
2483.70
.00 .00
2483.70.
Grand Total
4518.73
.00 .00
4518.73
ID
Certificate of Insulation
Your home has been insu!ated with Johns P1lanvil'e Fibeglass insulation products, which are designed _
for today's safety standards and tomorrow's 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 wring or metal. Fiberglass will not absorb moisture nor will it is
settle over time as may other insulation materials.
D This also certifies that insulation have been professionally installed in this home to provide the
following thermal performance.
Lennar Homes, Inc.
Job Name: La Ouinta Del Oro Tract: 30521 _ Plana V Phase: S
Lot No: 31 Job Address: SFR -44-750 Via Marabel; La ®uinta, CA
Ceiling Area: R-38 blown and batt insulation Garage Ceiling: Non -Access:
With Living Above & Sloping Areas
C
L Exterior Wall sR-13 batt insulation Overhangs: Access Attic:
n With Living Above
E " Between Floors: Interior Walls:
Subcontractor...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
IL
o Signed: M
1
U Mike Dickerson, Genera! Manager- Palm Springs Division
R -means resistance to heat flow. The higher the R -value, the greater the insulating power.
V Ask your builder for the fact sheet on R -values. Keep this certificate with your other
v valued papers. If you ever sell this home, this certificate should be passed onto the buyer
L
IL
L
f
`C
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7)
CF4R
La Quints Del Oro k 4/14/2005
Pr oject Title V DatLennar
C,
)1
U ' ` 1 C^
1
Project Address Builder Name 3
Build C ptact 7 T�1 n Plan Number
Jll�iam Henson 6
�,n
t HERS Rat Telephone Sample Group Number
C fying Signature Date Sample House, Number
Firm:BCI Testing{
HERS Provider: CalCeitS
Street Address: pO Box 50575 City/State/Zip: Phoenix, A7 85076
Copies to: Builder, HERS Provider
HERS RATER COMPL AJVCESTATEMENT, ,
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
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 cavifies 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.
t ❑ 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). ❑
❑
Pass'
Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is±installed and Access is
provided for inspection ❑
i 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. -Iino TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow_
*_ ❑
❑
Yes for both 1 and 2 is a Pass Pass
Fail
A-16
Compliance Forms August 2001