04-7842 (SFD)D
JAN 1.0 2005
U
CITY OF I.A
FINANCE D
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA•, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number %55ffVIA
-07842 Date 12/29/04
-Property. Address . . . . . TERRA NOVA_
APN: 604-032-999-3-----305212-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 155524
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 92.253
LA QUINTA, CA 92253 WCC: AON RIS{ SRVC
WC: MWC11114500 11/01/05
CSLB: 728102 09/30/06
CCC: B
'i
.. 1. �
� I
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: 0 q — 'I X y f -
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: l -10-Or
or tng(neer's Address:
tic. No. J?- UFA
BUILUINU PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
�C e, and my Licens�f0 qp force and effect.
nse Class 1► / �icense No._� U
/Date Lb ractor
l�$�OVWVNpn.RU",LDER'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 1, 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 1 am exempt under Sec. , B.& P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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' compensafion, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
���PPI ha and will m intain workers' compensation insurance, as q iced b aectjimn the Labor Code, for the -performance of the work for which this permit is
PP iss d. yrkers' compensation i nce e a d r) f�ejL, �*311`
b
olicy Numbei
_ I certat, 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 shad
forthwith comply with those provisions.
-LD
WARNING: FAILURE -TO SECURE WORKERS^t_-41PENSATION 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
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 laws relating to building
construction, and (here
by authorize representatives of this cou ter upon the above-mentioned property for inspection purposes.
i bate - (Applicant or Agent):
---`-------------------------------------------------------------------------
Application'Number . . . . . 04-00007842
------------'=---------------------------------------------------------------
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Per
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Extension
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
2385.00
FIRE SPRINKLERS
NO
ELEC
GARAGE SQ FTG
717.00
717.00
----------------------------------------------------------------------------
PATIO SQ FTG
488.00
ELEC
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2385.00
Permit . . . . . .
BUILDING PERMIT
Additional
Additional desc
Permit Fee . . . .
835.50 Plan Check Fee
543.08
Issue Date . . . .
Valuation . .
. . 155524
Qty Unit Charge
Per
Extension
BASE FEE
639.50
56.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
196.00
Permit . . . . . .
MECHANICAL
Additional desc
Extension
Permit Fee . . .
65.50 Plan Check Fee
16.38
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
FIXTURE
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
4.00 6.5000
EA MECH VENT FAN
26.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELEC-NEW RESIDENTIAL
112.82 Plan Check Fee . . 28.21
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2385.00
.0350
ELEC
NEW RES - 1 OR 2 F_kMILY
83.48
717.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
14.34
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
171.00
Plan Check Fee
42.75
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
6.00
.7500
EA
PLB
GAS PIPE >=5
4.50
----------------------------------------------------------------------------
Application'Number .
. . . .
04-00007842
----------------------------------------------------------------------------
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 :gee
.00
Issue Date ... . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 3, PLAN 1X,
2385 SF.
PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . .
. . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTER: -RES
97.00
ENERGY REVIEW FEE
54.31
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK F:: -]E
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
15.55
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
-----------------
Paid Credited
Due
Permit Fee Total
----------
1199.82
------------------------------
.00 D0
1199.82
Plan Check Total
630.42
.00 D0
630.42
. Other Fee Total
2108.86
.00 D0
2108.86
Grand Total
3939.10
.00 D0
3939.10
Certificate of Insulation
Your home has been insulated with John Mansville Fiberglas: 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 Tire -retardant chemicals that will likely lose their effectiveness over time. 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 Del Oro Tract: 30521 Piano 1 XR Phase: 8
Lot No: Job Address: SFR=`44-666 Via Tema Nova; L -a Quinta; CAS
Ceiling Area: R-30 blown and batt insulation Garage Ceiling: Non -Access:
With Living Above 3 Sloping Areas
Exterior Walls R-43 batt insulation Overhangs:
With Living Above
Between Floors: Interior Walls:
Access Attic:
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 82276
`r :JN_ % 32
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.
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 cf 'n CF -4R
LA QUINTA DEL ORO PH- 8
Project Title
44555'`V_ia--ra.Nova, La Quinta, CA 92253
Project Address
Nacho Castenada 760-578-6968
Buildel CAplar Henson (CCN #CC2004076) 76�ep1 (�e7022
HERS Rater � � Telephone
�iYr�� 6-14-05
Certifying Signature
Firm- BCI Testing
Street Address:
PO Box 50575
Copies to: Builder, HERS Provider
Date
6-14-05
Date
LENNAR
Builder Name
Plan 1XR (pg. I of 1)
PlaNumber
�iroup 5
Sample Group Number
3 (ph 8)
Sample House Number
HERS Provider: CALCERTS
City/State/Zip:
Phoenix, AZ 85076
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 CFXDIT
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)
❑ ❑
Pass Fail
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑ ❑
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 -1R 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 I and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16