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0403-228 (SFD)LICENSED CONTRACTOR DECLARATION ��I'.hereby affirm under penalty of perjury that I am licensed under provisions of t 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 AB r�< 7r3;iAiP� r `�>L/ k/lei 11w, • Date 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 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 fo.'r which this permit is issued. (y) 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 issued. My workers' compensation insurance carrier & policy no. are: Carrier A ERKAN LASUAL Policy No. WC132241151 (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 shall forthwith comply with those provslons. Date: y'lY7 Applicant— Warning: pplicant / r•r 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 willssubject 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.. Signature (Owner/Agent) Ir ✓r /r �1� `Date_.,_ BUILDING PERMIT PERMIT# t?L1C93149..;3 DATE / VALUATION O1 iiaF .�'a.�f'e LOT TRACT 30521 JOB SITE ADDRESS +` Ydti ss i a t`�' '� APN G, :/2--S��d� OWNER "' CONTRACTOR / DESIGNER / EN (NEER L'tq�:�+iF.-�+yyppa:IL��,�m�/l"twbYy�'ilA:l�Ytt�7LL��:i v�p 1 A1/:,1�1gd R e�:;r7OClt�/1�3t�uytilp�TIT'�:GS� �p n . 24600 Srd•1ta�.hxf 73`l.1;cA D.RI V40200 rq 24,8.00 W:.7S�.117-AW IJi•8 DIRIVE ft 200 M1agiS10hT V100 CA 92691 kXSI ON VWX11 CA 92-691 ` . - { q•9;?59Fi-L' (3d} CBL O 3434 USE OF PERMIT Sit` 0 Y.-FIJI;9MYT.SiXIF1_F.:M .SPD, Lf T 57 PL.AN !YC. €'EP11117 DOES VOT IINC.LUDE 8WCr ir''ALL, P0.04 9PA, R DANEW.&Y AP p1iOAC:`1.1, ;P1'i.ACT CONSTRUCTION WOO OF PO Ckll,P.f•+TI0 358.00 Sir C1.�,1?:.t�,cirdC,.ARpGRT 465.00 2F E57MATED Con Ori � 6.31'l"arl�E2CIC"1�C31Y ?16�?;�:3:��e17 , CONSTRUCTION ME .101-000-418-000 PLAN CHECK r,,'P,E $ d x -C]G C? X3.^451 31 t4 M9.70 MEC HAll ICAL FEE. 101.-000.421.000 1ST 31J - s,Lr.Civa�tL i�; :#C)1-tJt�-ZfI-S5(1128�3.3�1 P1,U1b4L'11T10FFY. 101.004-414.000 $1x.29 STP,014016 UT1ON FB1, - PaFSID 101-000-241-000 $16.99 ORADI NO Trig t32-rJt�U� �3-BC�fi �i 9.pt1 . ,7�1ii�:i.4:Pf'Jt lASiP.A:C'C :f�tr..� $7,,40.00 i Plu, -. r .. C.=i MUC``,':`iON AND -PLANc.°ki1~CK �XASS i�rRE-PALO 1`119.9 $4,440.;33 APR 06 2Q�� CITY OF LA QU!NTA FINANCE DEPT i RECEIPT DATE / Z / t'- - i tl BY f r' DATE FINALED INSPECTOR — i % I %d ;2 7 M INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings _ _ _ ..p _ ucts Slab Grade ✓ _ Return Air cop Steel _ _ _ _ _ _ _ Combustion Air Roof Deck . Exhaust Fans O.K. to Wrap _ _ _ F.A.U. Framing _ _ I Compressor Insulation _ _ _ Vents Fireplace P.L. _ Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ Drywall - Int. Lath . Final Final • jj 6G POOLS - SW 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 APPROVALS Gas Test Electric Final Waste Lines_�—" Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection �,?� .f) Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final • O a 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 . O ,7 o Utility Notice (Perm) — J �- CITY OF IA QUINTA BUILDING &•SAFETY DEPARTMENT SOF rN ,. 777-7012 a INSPECTION REQUEST LINE 777-7153 Owner `'T,ENNAR HOMES OEC''AT.TF(IRNTA Contractor LENNAR HOMES OF CALIFORNIA' Permit Number' 0403-228 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-385 VIA TUSCANY F SFD, LOT 57 PLAN 2YC. PERMIT DOES NOT INCLUDE•BLOCK WALL, POOL, SPA ORApppn� Rn 1-n TYPE OF INSPECTION DATE INSP. TEMPORARY POWER % SETBACKS " U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING i5 i i FOOTINGS / ST,=EL ` CONCRETE SLAB ✓ DO NOT POUR CONCRETE TILV,E S ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION), ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION / COVER NO WORK40N' ILABOVE SIGN INTERIOR GYP. BD. (DRYWALL)Z__ EXTERIOR LATH / GAS TEST SEPTIC ABANDONMENT' 3' - -SEWER SEWER CONNECTION" SEPTIC / GREASE INTERCEPTOR ,MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM? % jPOOL / 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 ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT -Q�Q COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED _ ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING ,4 - 10/27/2664 68:28 9516668796 �� WESTERN INSULATION PAGE 03/67 I I 4211 Latham Street, Rivcraide, California 92501 ' Tel. (95 L) 6B6-8760 Fax. (951) 686.6786 CF 6R INSULATION CERTIFICA'I'E ;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; TRACTiPHASE: LA QUINTA DEL ORO I PHASE 2 LOT 57 SITE ADDRESS: 78-385 VIA TUSCANY - LA QUINTA, CA --------------- --. ----------------- ---- _ CEILINGS P PLANS 2 & 4: BLOWN INSULATION - MANUFACTURER: GREENFIBER THICKNESS:* 10.3" R- VALUE: R-38 CEILINGS A PLANS 2 & 4: h BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS: 13" R-VALUE: R-38 - BLOWN INSULATION CEILINGS: - MANUFACTURER: GREENFIBER THICKNESS: 8.1" R-VALUE: R-30 C I, I L I N it BATTS MANUFACTURER: JOHNS MANVILLE THICKNESS: 11 R- VALUE: R-30 �I EXTERIOR WALLLS_:. li BATTS MANUFACTURER: KNAUF THICKNESS: 3 112" R- VALUE: R-13 - GENERAL CONTRACTOR: LENNAR HOMES BY: TITLE: DATE: �INSUN CONTRACTOR: WESTERN INSULATION, L.P. CENSE UMB 4 BY: TITLE: PROD TI N All AGER DATE: SEPT BER 30, 2004 f i! � a Dello - ENERGY A a E P0. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (760] 250-1852 Email: DESNRG (@AOL.COM . CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) LA QUINTA DEL ORO 09-30-04 Date Project Title FRED WARINr A CLINTON ST, INDIO CA LENN ame HOMES Project Address Builder Nam NACHO CASTENADA 760-578-6968 PLAN 3 2 UNITS Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP 1 HERSr LMS CF -4R Telephone Sample Group Number 183226 09-29-04 '57-2 ` 2 OF 2 Certifying Signature Date Firm: DESERT ENERGY SERVICES LLC Sample Lot Number 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 60 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1200 If fan flow is measured.enter measured value here' Leakage Percentage (100 x Test Leakage/Fan Flow) 5 Check Box for Pass or Fail, (Pass=6% or less) ® THERMOSTATIC EXPANSION VALVE (TXV) ® Yes ❑. No Thermostatic Expansion .Valve is installed and Access is provided for inspection I. Pass Fail KEWN CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R LA QUINTA DEL ORO 09-3044 Project Title Date FRED WARING & CLINTON ST, INnin.r-A LENNAR HOMES Project Address Builder Name NACHO CASTENADA 760-578-6968 PLAN 2-Y 2 UNITS Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP 1 HERS R , ^ Telephone Sample Group Number #CCNAW1 B3226 09-29-04 57-2 1 OF 2 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address . , P.O. BOX 621 . 41 Copies to: Builder, HERS Provider City/State/Zip: RANCHO MIRAGE, CA. 92270 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) 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) ® THERMOSTATIC EXPANSION VALVE ® Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection values 75 1400 c acs Pass Fail De"M ENERGY - C AD EC Semoes P0. Box 621 Rancho Mirage, CA 92270 Ph/Fax (760) 564-2044 Cell: (7601250-1652 Email: DESNRG anAOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R LA QUINTA DEL ORO 09-3044 Project Title Date FRED WARING & CLINTON ST, INnin.r-A LENNAR HOMES Project Address Builder Name NACHO CASTENADA 760-578-6968 PLAN 2-Y 2 UNITS Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP 1 HERS R , ^ Telephone Sample Group Number #CCNAW1 B3226 09-29-04 57-2 1 OF 2 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS Street Address . , P.O. BOX 621 . 41 Copies to: Builder, HERS Provider City/State/Zip: RANCHO MIRAGE, CA. 92270 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) 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) ® THERMOSTATIC EXPANSION VALVE ® Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection values 75 1400 c acs Pass Fail