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04-7869 (SFD)D° JAN 101005005 PINMCEDEPT BUILDINC3 & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-4:95 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA•, CALIFORNIA 92253 INSPECTION.REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . ' . L_ _o4_ 00007869—___--_ Date 12/29/04 Property. Address . . . . . 44.540'VIA TERRA NOVA APN:' 604-032-999-5 -305212- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 169092 Owner- --------------------------------- L ENNAR wner--------------------------------- LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA, CA 92253 Contractor LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA, CA 92253 WCC: AON RISK SRVC WC: MWC11114500 11/01/05 CSLB: 728102 09/30/06 CCC: B P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALL$ TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q 7 R(o `j Date: (U ' O Applicant: Aror Eri freer: Applicant's Mailing Address: Architect or Engineer's Address: No.. 7 L5 "l '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 ,Cocle, and License Jafull force and effect. License Class _ t��� I cense No. i Date I " D � rector 1 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.). (, 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. 6.8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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 SII rpaintain workers' compensafion insurance, as required by Section 37 of the' Labor Code, for the performance of the work for which this permit is i y RvyVorkers' compensation insuu nce camer i u artier f�f✓?X acv Number `—t U _ I certify that, in the performance of the work for which this permit is issued, 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, l shad forthwith comply with those provisions. ,,—Date< kQ cant WARNING: FAILURE TO SECURE WORKERS' CO ENSATION 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 P 44 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, indemnify and hold harmless the City of La Ouinta, 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 taws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate 1�� —0 Signature (Applicant or Agent): ------------------------------------------------------------------------ Application Number . . . 04-00007869 ----=--------------------------------------------------------------------- Structure Information Construction Type . . . . . TYPE V - NON RATED 171.75 Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 . . . Flood Zone . . .NON -AO FLOOD ZONE . 0 Other struct info . . . . . CODE EDITION 2001 CBC Extension FIRE SPRINKLERS NO BASE GARAGE SQ FTG 637.00 17.00 6.0000 PATIO SQ FTG 236.00 FIXTURE 102.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- PLB 1ST FLOOR SQUARE FOOTAGE 2683.00 Permit . . . . . . BUILDING PERMIT PLB Additional desc'. . 1.00 3.0000 Permit Fee . . . . 884.50 Plan Check Fee 574.93 Issue Date . . . . Valuation . . . . 169092 Qty Unit Charge Per Extension EA PLB BASE FEE 639.50 70.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 245.00 Permit. . . . . . . MECHANICAL' Additional desc Permit Fee . . . . 52.50 Plan Check Fee 13.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 --------------------------------------------------------------------------- 6.5000 EA' MECH EXHAUST HOOD 6.50 Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . ELEC-NEW RESIDENTIAL 121.65 Plan Check Fee . . 30.41 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2683.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 93.91 637.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.74 ---------------------------------------------------------------------------- k Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 171.75 Plan Check Fee . . 42.94 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 ---------------------------------------------------------------------------- A l-ication Number . . . 04-00007869 ---- ----------------------------------------------------------------------- Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 5, PLAN 3X, 2683 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, 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 57.49 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 16.90 . DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited -------------------- Due Permit Fee Total 1245.40 ---------- .00 .00 1245.40 Plan Check Total 661.41 .00 .00 661.41 Other Fee Total 2479.39 .00 .00 2479.39 Grand Total 4386.20 .00 .00 4386.20 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 cf 'n CF -4R LA QUINTA DEL ORO PH- 8 6-14-05 Project it r Date ��; x .t: W44540'�1ia�Terrallova, La Quinta, CA 92253 LENNAR Project Address Builder Name Nacho Castenada 760-578-6968 Plan 3XR (pg. 1 of 1) Build e fact '= Henson (CCN #CC2004076) Tele hone Plan Number 760-L50-7022 Group 5 HERS Rater Telephone Sample Group Number '04aA,,e 6-14-05 5 (ph 8) Certifying Signature Date Sample House Number Firm: BCI Testing HERS Provider: CALCERTS Street Address: PO Box 50575 City/State/Zip: Phoenix, AZ 85076 Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested PlApproved 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 ccmbination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE Cr.EDIT 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 400cfin/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 (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ 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. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass ❑ ❑ Pass Fail ❑ ❑ Pass Fail 0 Pass Fail Compliance Forms August 2001 A-16 6 Certificate of Insulation Your home has been insulated with Kohn Mansville Flberalas insulation products, which are designed for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness overtime. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies that insulation have been professionally installed in this home to provide the following thermal performance. Lennar Homes Job Name: La Quints Dal Oro Tract: 30521 Plan# 3XR Phase: 8 Lot No: Job Address: SFR - 44- iW Via Terra Nova, La Quints, CA Ceiling Area: R-30 blown and batt insulation Garage Coiling: With Living Above Exterior Walls R-13 batt Insulation Overhangs: With Living Above Between Floors: Interior Walls: Non -Access: b Stoping Areas Access Attic: Subcontractor...0 J Insulation, Inc. 72-227 Adelald St, Thousand Palms, CA 92276 R. R R V. V*_ 107 tJ I M L I I A" Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values. Keep this certificate with your other valued papers. if you ever sell this home, this certificate should be passed on to the buyer. C�