04-7840 (SFD)4--
P.O. Box
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
DUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
INSPECTION.REQUESTS (760)'777-7153
Application Number --Q000784-0 Date 12/29/04
Property Address . . . . . 44595 -VIA TERRA NOVA
APN: 604-032-999=1 Application description description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 162251
Owner
------------------- -------------
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
w
78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 l' �INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04- 7$�0
Applicant:
Applicant's Mailing Address:
Date: — /V .0 5—
Arch' or E' i r:
Qzw,\-
--kchitect or ngineer's Address:
C. No.: 3 Z 3 LI Gj
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
Cede, and my Licens II force and effect.
/Cicense Classnse No. 7 7Cy !�-
/ Date_L:�
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 pernit 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.).
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 I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is
isAug,Q. �M� workers' compensation ' rance carter apq p��i�r rr�b�q ire I `
Carrier rINU/V olicyNumber_ IV�1/L11� 1111 :JV(�
_ 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 shad
forthwith comply with those provisions.
/ Date _ (6 ' /Aoolicant
WARNING: FAILURE TO SECURE WORKERS MPENSATION 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
IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT afetACKNOWLEDGEMENT
or A
1. Each Y permit subject to the conditions and restrictions set forth on this application.
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, indemnity 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 dale 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 hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
ate to Signature (Applicant or Agent):
1i-'---------------------------------------------------------------------------
Application Number . . . . . 04-00007840
----------------------------------------------------------------------------
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Per
Occupancy Type
. . .
. . . DWELLG/LODGING/LONG <=10
1.00
Flood Zone
EA
NON -AO FLOOD ZONE
7.5000
Other struct info
. .
. CODE EDITION 2001 CRC
EA
1.00
FIRE SPRINKLERS NO
EA
7.00
.7500
GARAGE SQ FTG
462.00
PATIO SQ FTG
3E8.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2555.00
Permit . . . .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
860.00 Plan Check Fee
559.00
Issue Date . .
. .
Valuation . . . .
162251
Qty Unit
Charge
Per
Extension
BASE FEE
639.50
63.00
----------------------------------------------------------------------------
3.5000
THOU BLDG 100,001-500,000
220.50
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 . . . .
. .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . .
. .
115.07 Plan Check Fee
28.77
Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2595.00
.0350
ELEC NEW RES.- 1 OR 2 FAMILY
90.83
462.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.24
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 171.75
Issue Date . . . .
Qty
Unit Charge
Per
17.00
6.0000
EA,
1.00
15.0000
EA
1.00
7.5000
EA
1.00
3.0000
EA
1.00
9.0000
EA
7.00
.7500
EA
Plan Check Fee 42.94
Valuation 0
BASE FEE
PLB FIXTURE
PLB BUILDING SEWER
PLB WATER HEATER/VENT
PLB WATER INST/ALT/REP
PLB LAWN SPRINKLER SYSTEM
PLB GAS PIPE >=5
Extension
15.00
102.00
15.00
7.50
3.00
9.00
5.25
---------------------------------------------------------------------------
=� Application Number . . . . . 04-00007840
----------------------------------------------------------------------------
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 1. PLAN 2,
2595 SF.
PERMIT
DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
36.5.00
ENERGY REVIEW FEE
53.90
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
16.22
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Paid Credited
Due
------------------ ----------
Permit Fee Total
1214.32
---------- ---------- ----------
.00 .00
1214.32
Plan Check Total
643.84
.00 .00
643.84
Other Fee Total
2477.12
.00 .00
2477.12
Grand Total
4335.28
.00 .00
4335.28
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n CF -4R
LA QUINTA DEL ORO PH- 8
Project Title
44595 Via Terra Nova, La Quinta, CA 92253
Project Address
Nacho Castenada 760-578-6968
Builder� tact Tele hone
W i��lam Henson (CCN #CC2004076) 760-250-7022
HERS Rater Telephone
�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 2 (pg. 1 of 1)
Plan Number
Group 6
Sample Group Number
I (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 compl j
with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -611 (Installation Certificate.
Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ductsl
® 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.
0 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 400cfin/ton x number of tons enter calculated
value here (00 00
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) = 612 Z.Ll - 0
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Faill
THERMOSTATIC EXPANSION VALVE (TXV)
El Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection El ❑
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 -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
Compliance Forms August 2001 A-16
PO
)S
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 fire -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.
Leanar Homes,
Job Name: La Quinta Dei Oro Tract: 30521 Plan# 2 Phase: 8
Lot No: Job Address: SFR - 44-S95 Vla Terre Nova, La Quinta, CA
Ceiling Area: R-36 blown and batt insulation Garage Ceiling: Non -Access:
With Living Above S Sloping Areas
Exterior Wells R-13 batt insulation Overhangs: Access Attic:
With Living Above
Between Floors: interior Walls:
Subcontractor ...0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276
Signed: 1 1
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 horne, Hila vartiriuite st,ould be passed on to the buyer.
PREPARED 1/25/11,
9:27:22
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM
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CITY OF
LA QUINTA
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APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
STRUCTR
------------------------------------------------------------------------------------------------------------------------------------
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
04 00007840
44595
VIA TERRA NOVA
604-032-999-1
-305212-
000
000
B001
00
BUILDING PERMIT
120
0001
FOOTINGS
12/09/04
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
125
0001
SLAB
12/09/04
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
100
0001
SETBACKS
2/03/05
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
140
0001
OKAY TO WRAP
3/01/05
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
135
0001
ROOF NAIL
3/01/05
APPROVED
TM
000
000
8001
00
BUILDING PERMIT
145
0001
FRAMING
3/01/05
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
150
0001
INSULATION
3/01/05
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
160
0001
DRYWALL NAIL
3/01/05
APPROVED
TM
000
000
B001
00
BUILDING PERMIT
155
0001
LATH
3/01/05
APPROVED
TM
' 000
000
B001
00
BUILDING PERMIT
199
0001
FINAL
6/01/05
APPROVED
TM
000
000
E01
00
ELEC-NEW RESIDENTIAL
310
0001
ROUGH ELECTRICAL
3/01/05
APPROVED
TM
000
000
E01
00
ELEC-NEW RESIDENTIAL
315
0001
TEMP USE OF PERMANENT
POW 4/18/05
APPROVED
TM '
000
000
E01
00
ELEC-NEW RESIDENTIAL
399
0001
ELECTRICAL FINAL
6/01/05
APPROVED
TM
000
000
GP
00
GRADING PERMIT
197
0001
GRADING FINAL
6/01/05
APPROVED
TM
000
000
M01
00
MECHANICAL
405
0001
ROUGH MECHANICAL
3/01/05
APPROVED
TM
000
000
M01
00
MECHANICAL
499.
0001
MECHANICAL FINAL
6/01/05
APPROVED
TM
000
000
P01
00
PLUMBING
200
0001
UNDERGROUND PLUMBING
12/09/04
APPROVED
TM
000
000
P01
00
PLUMBING
210
0001
SEWER CONNECTION
2/03/05
APPROVED
TM
000
000
P01
00
PLUMBING
230
0001
ROUGH PLUMBING
3/01/05
APPROVED
TM
000
000
P01
00
PLUMBING
245
0001
SHOWER PAN
3/01/05
APPROVED
TM
000
000
P01
00
PLUMBING
235
0001
GAS LINE / GAS TEST
4/18/05
APPROVED
TM
000
000
P01
00
PLUMBING
299
0001
PLUMBING FINAL
6/01/05
APPROVED
TM