0403-231 (SFD)LICENSED CONTRACTOR DECLARATION
Y I I ereby 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 is in full force and effect.
License # Lic. Class Exp. Date
766241 C. AB Y03
Date �I �f f Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from.the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner the property, am exclusively contracting with licensed
contractors to consttruct.the project (Sec. 7044, Business & Professionals
Code). F-
O I am exempt under Section ' B&P.C.'for this reason
Date Signiature, of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm undo 'penalty of perjury'.one of the following declarations:
() I. have and will,Mintain a certificate of consent to self -insure for workers'
compensation, as;provided for by Section 3700 of the Labor Code, foi the
performance of thework for which this permit is issued.
(,) 1 "have and will maintain workers' compensation insurance, as required by
S ction, 3700 of. the will.,
Code, for the performance of the work for which this
permit is: issued. My workers' compensation insurance carrier & policy no. are:
Carrie. 'A'AERIC`:AN CARUAL Policy No. WconoI1s!
(This.section'need not be completed if the permit valuation is for $100.00 or less).
() I certify that 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/hall forthwith comply with ,1 o§e°provisions.,
6/ Z .Applicant %�( /ff/e/•./.�
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to' the conditions and restrictions set forth on .his
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 applicaton agrees to, & shall, indemnify
' & hold harmless the City of`La Quinta, its officers, agents and employees.
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
i ,correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) �' ` r Date
BUILDING PERMIT PERMIT#
CMM -2-31
DATE VALUATION x �i { y LOTTRACT
Yv. 50 30521
« + ! JJ
JOB SITE
A �v�
ADDRESS t'-E1LIT 1 [+M �' .tzs r—,
APN -E%�Z•.�
OWNER
CONTRACTOR / DESIGNER / EN (NEER
AR COMMUN.
MV AR CMWONTYIES -
Z4800 w
24'80(b CHRMANT.A. DMVEE 6,200
Ivt 3:{f3 'V; JO CA 92691'
INOMONMid CAS 9269i
(949)$98+8500 C&LO 3434
USE OF PERMIT
SFD, I OT 60 PLAN 3YRC. PERI 3T DOES NOT INC I.M DE 6LOCK VvAW1
P004 SPA OR DKrV'I;'CdALY°'.A PPROAC:`14..
TRACT I; OMIT UC<TION 2,84. BF
. .
.40J6
�t�Qlt2tkiA0�FJp1RP
W�1
iT SF
- - �•+.
gonlIgAnD CoST 01P Comm 'MON
CONSTRUCTION ION 1 x.17. 1019000-418-000 MI A'
`
��:-�0ECK! f!1'�EE 1t[?�i-�fg3f�?y0-�1: 93 318
s.
gPI.:Ay'F*d�
LfIdiN-CttW`2LW.Pf L, X. ,• [.4.'�MVI�"Js•?U�l-4C1S3 , ..... $60,0
'. '..
ELLPC1111C;AL FIRE 1 i11-fli3e:eY,2Cl-0tiQ $14171
KMAki AG Mi.Cllm ga$19^t300 �1G7, a
: J'
STRONG MOTION FBI, -S-TES 'a G1 �000D 241-000 Pial. 6
y01a000-423-000
bWEIDPER IM RACT .1001r,
�fOTAL C;ONMSUM-10 if Mr, ii i M=X'
LES. .$In—F'.AM IMEZ
;�fl,C7ffi
LJ
rT
0 6 2004
APR .
« C6T7 OF LA OIC"X
0 1, 0 CE DEFT.
RECEIPT,Y.
DATE'
BY p
DATE FINALED
INSPECTOR
i
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
cts
Slab Grade
Return Air
_
Steel
Combustion Air
Roof Deck 0 ,p 1
Exhaust Fans
O.K. to Wrap �
F.A.U.
Framing . p41
Compressor
Insulation — y
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath — 7 —
Final
Final // / d '`
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final / / D
Gas Piping
PLUMBING APPR VAS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection Z,. p-ifEncapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i '
E
o�
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
,777-7012
INSPECTION REQUEST LINE
t fi, _.. 777-7153 .
Owner. LENNAR HOMES OF CALIEOU IA
Contractor 'LENNAR HOMES OFGA161Wolj;wj*
Permit Number 0403-232
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 44-890 VIA MI ABEL
SFD LOT 61 PLAN 2YA. PERMIT DOES NOT
INCLUDE BLOCK -WALL, POOL, CPA OR
DRIVEWA
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE U TI OVE S E
? ROOF NAIL / PRE -ROOF
OKAY TO WRAP -
FRAMING COMBINATION F`.-%�
a ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL`
INSULATION ,
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH-
GAS TEST
'SEPTIC ABANDONMENT-
SEWER
BANDONMENTSEWER CONNECTION b dog(
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIO S
TEMP. USE OF PERMANENT POWER ld/ 0
ELECTRICAL.
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT `a, -6
COMMUNITY DEVELOPMENT, DEPT. IO o
FINAL' JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
' S
. _ ;WESTERN • � e e
4211 Latham 9tae¢t, FRivereide, California 92501
Tel. (951) 686-8760 Pax (051) 686-87B6
apdk imuLATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH ,
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT/PHASE; LA QUINTA DEL ORO I PHASE 2
LOT 60
SITE ADDRESS: 44-875 VIA MARABEL - LA.QUINTA,.CA
CEILINGS fit PLANS 2 & 4: BLOWN INSULATION
MANUFACTURER: GREENFIBER THICKNESS: .. 4.0.3" R-VALUE:.R-38
CEILINGS 0 PLANS 2 & 4: BATTS
MANUFACTURER:. JOHNS MANVILLE THICKNESS: 13" R- VALUE: R-38
CEILINGS: .BLOWN INSULATION
MANUFACTURER; GREENFIBER ', THICKNESS: 8.1" R- VALUE: R-30
CEILINGS: a BATTS
MANUFACTURER: JOHNS MANVILLE ,THICKNESS: 11" R— VALUE: R—:30
EXTERIOR WALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3 112" -R- VALUE; R-13
GENERAL CONTRACTOR: LENNAR HOME
BY:
TITLE: ..
DATE:
jNSWL61jQN rtg&M(;TOII: WI STERN -INSULATION, L.P. y
LICENWPRNAGER
BY;
TITLE:
DATE:004
t s7
+- +- �r... ..'++. �•+.�'+. � -,. r. - nn innnn rr.r rr••sn a.nn> irn rnr
De"t . -
ENERGY S.� A a E
Services
P0. Box 621 Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270 Cell: (760] 250-1852
Email: DESNRG OAOL.COM
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) ' CF -4R
LA QUINTA DEL ORO
Project Title - Date
FRED WARING 8 CLINTON ST, INDIO CA FV i IENNAR HOMES
Project Address r Builder Name
NACHO CASTENADA 760-578-6968 PLAN 3-Y 2 UNITS
Builder Contact Telephone Plan Number
ALAN WEAVER 760-880-5504 GROUP 1
HERS apter Telephone Sample Group Number
:Q #CCNAW183226 09-29-04 60-2
Certifying Signature Date Sample Lot Number
Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS,
Street Address: P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270
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
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 fullyducted(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
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) El
Pass Fail
❑THERMOSTATIC EXPANSION VALVE`(TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is ❑ ❑
provided for inspection