05-3497 (RPL)P.O. BOX 1504 `
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00003497 x�.�E Owner:
Property Address: 44645 VIA VENICE D CABALLERO
APN: 604-032-999-12 -305212- AUG 1 1 ZOOS 44-645 VIA VENICE
Application description: POOL - RESIDENTIAL 3 LA QUINTA, CA
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253
Application valuation: 29700 C�TYGF u►QUINTA
FIiNANCE DEPT.
Contractor:
Applicant:. Architect or Engineer SUNAIR POOLS
WCC: STATE FUND
1 �, .•� WC: 0517316-2005
CSLB : 397.252
---------------------7-----------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing wito.
Section 7000) of Division 3 oBus:irnsan Pro essionals Code, and my Lii infutl force and effect.License Class: License No.:S t9,Erate:e ✓//`V7FContraOWNER-B IL WR�LARATION
I.hereby affirm under penaltyI am exempt fr tractor's State License Law for the
fallowing reason (Sec. 7031.5, Business and Professions Codety 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 Contractor's 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).:
(_) 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 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.).. -
(_ 1 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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: _
Le6der's Address:
LQPERAtIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (160) 777-7153
Date: 8/08/05
01/11/06
12/31/06
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
y 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 issued. My workers' compensation
insurance carrier and policy number are: '
Carrier C53 . Policy Number - - - - ----- - - - - - -
I certify that, in the performance fig work for which this permit is issued, I shall not employ any
person in any manner so aro bec me subject to the workers' compensation laws of California,
and agree that, if 1 shou b_co su 'act to t worker compensation provisions of Section
3700 of the Labor C e, I sh I F. with c `with ose provisions.
e4Applicant/
/WARNING: FAILURE TO SECU WORKERS' COMPENSATION COVERAG S 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.
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 Quinta, 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 abov ormation is rrect. ree to comply with all
city and county ordinances and state laws relating to "din o ru ion, reby horize representatives
of this coyrity to enter upon the above-mentioned operty o ns - ion p r ses.
Date. '-T� Qnature (Applicant or Agent):
,l
LQPERMPf'
Application Number . . . . . 05-00003497
Permit . . . BLDG POOL PERMIT.
Additional desc .
Permit -Fee 284:50 Plan Check Fee
184.93
Issue Date Valuation . . .
29700
Expiration Date 2/04/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
5.00 6.5000 THOU BLDG 25,001-50.,000
32.50
Permit . . . MECH POOL
Additional desc .
Permit Fee . . 26.00 Plan Check Fee
6.50
Issue Date Valuation.
0
Expiration Date 2/04/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA . MECH FURNACE >100K
11.00
Permit. . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee 4S.00*'Plan Check Fee
11.25
Issue Date Valuation
0
Expiration Date 2/04/06 '
Qty Unit Charge= Per
Extension
BASE FEE
15.00
1•.0.0 30.0000. EA ELEC PRIVATE SWIMMING POOL
-30.00
Permit PLUMBING
Additional desc
Permit Fee . . . . 33.00 Plan Check Fee..
8.25
Issue Date . . . . Valuation
0 .
Expiration Date 2/04/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
---------------------------------------------------------
Special Notes and Comments
POOL & SPA -ONLY. ALARMS/BARRIERS SHALL
LQPERMPf'
LQPERMIT
Application Number 05-00003497
-------------------------------------------------------
Special Notes.and Comments -
----------------------
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid
-----------------
Credited
Due
--------------------
Permit Fee Total 388.50 .00
--------------------
.00
388.50
Plan'•Check Total 210.93 .00
.00
210.93
Grand Total 599.43 .00
.00
599.43
LQPERMIT
G — 7 42171-11-3 4/
CITY OF LA QUINTA
BUILDING & SAFETY DE T.
APPROVED
FOR CONSTRUCTION
lqDATE' ] S BY T -A4 ..
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PLOT PLAN
GENERAL SPECIFICATIONS
Size / x 3 Z Code
Gv�
oe;o 3 to, Co to
Tile color G" JX
Coping 12• $ Can ilem
Polo capaaty / Z,o loo dare.
Pump Cly Pplt G.P.M.
FRW,: f%V i2 F y( Cf c 2' y p sq. R.
Pump. iIl''�'�I N H.P.
Fllter Rate L � O Q.P.M.
Turnover (r IS- Hrs.
%4wuum Une & Shimmer Z •
Retum Une Z- •
Main Dndn /
Skimmer Who - Z
Backwash to
AfW-Syphw rage L
Heater Lf Sim . z 5 0; n O &T.U.
t3iaslo+e by .5 y w ra 6.2 Electric W S 0 a 4 t-?&-
ugm
Tkm Clook Sw. b (�
S AAA
Bowd color }
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Phone $ 5' : O Q 3.T
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SINCE 1974
P.O. BOX 14095
PALM DESERT, CA 92261
PHONE (760) SU -4014
STATE UCENSE C•53397252
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i
�,ic"R� TIFICATE OF FIELD_ VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -
LA QUINTA DEL ORO PH- 8
6-14-05
Project Title
4.46.45 Via Venice, La Quinta, CA 92253
Date
LENNAR
dress
Pr"oject Ad _
Builder Name
Nacho Castenada 760-578-6968
Plan 2Y (pg. 1 of 1)
Build er� tact Tele hone
W ��iam Henson (CCN #CC2004076) 760-pL50-7022
Plan Number
Group 6
HERS Rater Telephone
Sample Group Number
6-14-05
12 (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 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
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
k 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) ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ 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
I ❑ 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 =
11 13
Yes for both I and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
Certificate of Insulation
Your home has been insulated with John Mansvi Ile Fiberglas insulation products, which are designed
for today's safety standards and tomorrow's energy requirements.
Fiberglass is inorganic and therefore permanently noncombustlble, 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.
Lennsr Homes •
Job Name: La Quints Dat Oro Tract: 34521 Plan# 2Y_ Phase: 8
Lot No: Job Address: SFR - 44645 Via Venice, La Quints, CA
Ceiling Area: R-36 blown and batt Insulation Garage Calling: Non -Access:
With Living'Above & Sloptng Areas
Exterior Walls R-1 3 batt Insulation Overhangs: Access Attic:
With Living Above
Between Floors: Interior Walls:
Subcontractor ... 0 J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 82276
Signed: iVi�n�n
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.
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