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0403-226 (SFD)LICENSED CONTRACTOR DECLARATION iOhereby 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 # tic. Class Exp. Date 7/rs 241 AD Date Date �,`�� "�/ 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 ( ) I, as owner of .the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date - ' Signature of Owner WORKER'S 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 Seciion 3700 of the Labor'Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: nCarrier OA.FCtIt:E�fd G'f3ai�� Policy No. TYQI Mo! 151 (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 s all forthwith comply with those,provisy n`s Applicant 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 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. l�� ° /, j Signature (Owner/Agent) r�°�j �� Date �r `!)l� BUILDING PERMIT PERMIT #, DATE. VALUATION U 77,,9)ll' 0 LOT• 55 TRACT 34152.1 +� JOB SITE "�'�"�` ADDRESS' 'IS� ` t J Ni ; �.= APN MA -01,21,-0M OWNER CONTRACTOR / DESIGNER / EN (NEER LEINWAR CG)M:PdTC.iNNZ11"S ;L.;CNINTAR COP><t 41314MES 24800 CI 2ISAN"j'AI MVE 4200 24.800 C','.I:II2iBIWA%? Y_17 AOR) WS`/ION uMTO CA 92091 1 ASIMIO f V'.C�.'0 I X2691 (949)5984506 C.EsiA 3, 434 USE OF PERMIT GIEFAYIr'lXG SM, Lt3T S5 PLAN :tr=s. PEiJvII i' D06S NOT INC1,.UDIF ffi1.,C:CK Pooi,-PA'oR mmrzwy A13&SP''oAciI, r TRACT G`O NSTR15C1It7ki a49Q.i)p OF Pi31a ;1i/PAT1C 236.00 SP i' 1.ARAtGE/CARPORT $39.t?tf SP $i,'MC AT.tfED COrr (IF CO.IVSTRVC-170TMd 177 1.00 P'.6nWa.T b ' L s'€.awmm-ow 470,11STI3.UCT1014 MERI (11=ui�nx4 a.8� t�1? QEa. is PLl C:1.11.= I4101 14gI-Ctt30��l��1$ �t8�.gf1 1vIE.CHANICAL, FEF 101-000.421-000 f~f..3?d".TRICAL FEF 101-00040410-000 Pi 1MBINO FEE 101.000.419-000 STRI MOT101-1 FEE - IMSi)a 101-000-3,41-000 t117 GRAtJMO M 101-000-423-000 �i�,�i► DEVELOPER.. D4PAZT FEE $2,405.00 -'t:cy.r�:, crftv�xtrtc�r:rci�sw�an �s�� CI•i11:c,i'� �s,��.r;.ta LES 3 ]PRE-PAU) RI C�.13t ' 1 MIT FRES ME Now OR Q' 6 s • EECEIPTBYDATE %r f_.� DATE FINALED INSPECTOR / /O z7 oG L V INSPEC7,iOH RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs AAA Forms & Footings _ Underground Ducts Ducts Slab Grade — Return Air Steel Combustion Air Roof Deck Exhaust Fans _ O.K. to Wrap _ _ / ` F.A.U. Framing Compressor _ Insulation i Vents _ _ Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall -Int. Lath Final B ;z 11f Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APP OVA ,, Gas Test Electric Final Waste Lines _ I _ _ _ Heater Final Water Piping i Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection -,9 Y 217 Encapsulation Gas Piping Gas Test ,S' Q ✓ Appliances Final COMMENTS: Final p ;2 7 Z -0i 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 /.. b y o Utility Notice (Perm) n 1 Q' a o` �oy • F Z CITY -OF -LA QUINTA BUILDING& SAFETY DEPARTMENT F^�OFrN�� _._...__.. 777-7012 INSPECTION REQUEST LINE 777.-7153 s ; Owner', LENNAR HOMES OF ('Ai.TFORNIA Contractor Permit Number 0403-226 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS . 78-345 VIA TUSCANY SFD, LOT 55 PLAN 3XZRA. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA TYPE OF INSPECTION DATE INSP. i TEMPORARY POWER SETBACKS i U/G PLUMBING / WASTE — f U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL i CONCRETE SLAB % } I f! DO NOT. POUR CONCRETE TIL ABOVE; ROOF NAIL / PRE -ROOF l-� I i OKAY TO WRAP f FRAMING COMBINATION rf!All ROUGH ELECTRIC s 1. ROUGH PLUMBING i ROUGH MECHANICAL INSULATION �'/ l COVER,NO WORK UNTI O I INTERIOR GYP BD. (DRYWALL) _ ^ It /J i EXTERIOR'LATH •� I GAS TEST' Q SEPTIC ABANDONMENT /SEWER CONNECTION -7 J/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 INSPECTIONS TEMP. USE OF PERMANENT POWER %:r ' c S ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT /U COMMUNITY DEVELOPMENT DEPT.' FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING . 101'27/2004 08:28 9516868786 x WESTERN INSULATION- .PAGE 02/07 R INS 'I rT, Dore 4211 Latham Street, Riverside, California 92501 ' Tel, (95 1) 686-8760 Fax (951) 686-8786 CF6R INSULATION CERTIF$CATE 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 OUINTA DEL ORO l PHASE 2 LOT 66 ' SITE ADDRESS: 78-365 VIA,TUSCANY - LA OUINTA, CA CEILINGS tN PL qNS 2 & 4: -BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 10.3" R- VALUE: R-38 - CEILINGS @ PLANS 2 $ 4- BATTS MANUFACTURER:. JOHNS MANVILLE THICKNESS: 13 R- VALUE;. R-38 CEILI GS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 6.1" R -VALUE: R-30 CEILINGS: BA7 MANUFACTURER: JOHNS MANVILLE THICKNESS: 11" R- VALUE, R-30' 'EXT_ERIOR WALLS_ BATTS MANUFACTURER'. KNAUF THICKNESS: 3 112" R -VALUE: R-13 GENERAL CONTRACTOR: LENNAR HOMES BY: , TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE-- �9 , - • . BY: TITLE: qPRODT ON NAGER DATE: SEPTEMBER 30, 2004 ' Desert - ENERGY �-- C o E PO. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (7601250-1852 Email: DESNRGOAOL.COM `CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7), CF -4R LA QUINTA DEL ORO 09-30=04 Project Title Date FRED WARING J CLINTON ST, 114DID CA I FNNAR HOMES Project AddressBuilder Name NACHO CASTENADA 76078-6968 PLAN 4-Y 2 UNITS . Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP 1 HERS R r Telephone - Sample Group Number AIy� #CCNAW183226 09-29-04 56-2 2 OF 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. ,. N The installer has provided a copy of CF -6R (Installation Certificate. N Distribution system is fully duIcted(Le., does not -use building cavities as plenums or platform returns in lieu of ducts) N 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. N MINIMUMREQUIREMENTSFOR DUCT LEAKAGE REDUCTION 7COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) s values; ry Test Leakage Flow in CFM 91 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1600 If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ 5.6875 CheckBox for Pass or Fail 6% (Pass=or, less) / Pass Fail N THERMOSTATIC EXPANSION VALVE JXV) N Yes ❑ No " Thermostatic Expansion Valve is installed and Access is ® a provided for,inspection y Dom,_ ENERGY A a E PO. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (760] 250-1852 Email: DESNRGOAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R LA QUINTA DEL ORO 09-30=04 Project Title Date FRED WARING 8. CLINTON ST, IN= CA t FNNAR HOMES Project Address Builder Name NACHO CASTENADA 76078-6968 PLAN 4-Y 2 UNITS Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP 1 HERS Rater Telephone Sample Group Number nn_13nsd G6_2 1 OF 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 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, 71 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1400 If fan -flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/FanFlow) = 5.071 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