04-7875 (SFD)1504
78-495 CALLE TAMPICO
(760).777 -7012
FAX (760) 777-7011
LA QUINTA., CALIFORNIA 92253 INS.PECTION.RE'QUESTS (760) 777-7153
BUILDING PERMIT
Application Number 4 - 0,0-0,4D 7 8 7 5� Date12/29/04
Property -Address604-0"32=9"9"9=11 -4-6-6-5—V-I-A—VEN I�C E
APN:
- -305212-
Application description -DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 270130
Owner Contractor
---------------------------------- ----------- 7,7 ---------------
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 92253
LA QUINTA, CA 92253 WCC: AON RISK SRVC
WC: MWC11114500 11/01/05
CSLB: 728102 09/30/06
CCC: B
• i nY�11`1�f�1 L Y
P.O. BOX 1504 ! VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 it(INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT!^ s
Application Number: 404-7875 Date: ' /O.O
Applicant: I errh4,A^S ~ ca,.:..,.,,.. f
Applicant's Mailing Address:
or Engineer's Address:
No.
'BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under patty of perjury that I am licensed under provisions of Chapter 9 ( me ng with Section 7000) of Division 3 of the Business and Professionals
Code, and my Livens 'Iii II force and effect.
�nse Class _ nse No.
-0 -C
-OWNER-BUILDER'DECLARATION
1 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.).
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
XIAof the work for which this permit is issued.
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
i y workers' compensation insu�r nce carrier oli �urrr a permit is
amer �PCI1cy Number a=t, J s[ l �U
_ 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.
ate
WARNING: FAILURE TO SECURE WORKERSt'664APENSATION 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, 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 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 1 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.
Date ' ' IDO Signature (Applicant or Agent):
-- ------------------------------------------------------------------------
Application Number .
. . . . 04-00007875
------------------------------------------------------
---------------------
1 1.,
------ Structure Information
PLAN 3Y W/2CAR, BONUS RM & CASITA
-----
Construction Type
. .
. . . TYPE V - NON RATED
Occupancy Type
. . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone
. . . NON -AO FLOOD ZONE
Other struct info
. .
. . . CODE EDITION 2001
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
426.00
PATIO SQ FTG
236.00
NUMBER OF UNITS
1.00
----------------------
`
7 -----------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3201.00
Permit . . . .
. .
BUILDING PERMIT
Additional desc
Permit Fee . .
. .
1238.00 Plan Check Fee
804.70
Issue Date . .
. .
Valuation . . . .
270130
Qty Unit
Charge
Per
Extension
BASE FEE
639._50
171.00
----------------------------------------------------------------------------
3.5000
THOU BLDG 100,001-500,000
598.50
Permit . . . .
.' .
MECHANICAL
Additional desc
Permit Fee . .
. .
77.00 Plan Check Fee
19.25
Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE.FEE
15.00
2.00
9.0000
EA MECH FURNACE <=100K
18.00
2.00
9.0000
EA MECH B/C <=3HP/100K BTU
18.00
3.00
6.5000
EA MECH VENT FAN
19.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH.EXHAUST HOOD
6.50
Permit . . .
. .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . .
. .
135.56 Plan Check Fee
33.89
Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
3201.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
112.04
426.00
-----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
8.52
Permit . .
PLUMBING
Additional desc
Permit Fee . .
. .
189.75 Plan Check Fee
39.38
Issue Date . .
. .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
20.00
6.0000
EA PLB FIXTURE
120.00
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
-------------------------
Application Number .
----------------------------------------------------------------------------
------------------------------------
. . . . 04-00007875
-------- - - - - --
Permit . . . . . .
PLUMBING
Qty Unit Charge
Per
Extension
7.00 .7500
EA PLB GAS PIPE >=5
5.25
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 18,3201 SF.
Plan 3Y w/Bonus
Rm & Detached Casita.
PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK
WALLS OR
DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . .
. .,. ART IN PUBLIC PLACES -RES
175.32
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
80.47
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
27.01
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1655.31
Plan Check Total 897.22
Other Fee Total 2687.80
Grand Total 5240.33
Paid Credited Due
---------- ---------- ----------
.00 .00 1655'.31
.00 .00 897.22
.00 .00 2687.80
.00 .00 5240.33
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n CF-
` LA QUINTA DEL ORO PH- 8 6-14-05 —AS
nujccujnuwcsa
Nacho Castenada 760-578-6968
Builder<Co tact Telephone
William Henson (CCN #CC2004076) 760-250-7022
Fire, BCI Testing
Street Address: PO Box 50575
Copies to: Builder, HERS Provider
Date
LENNAR
Builder Name
. Plan 3YZ (pg. 1 of 1)
Plan Number
Group 6
Sample Group Number
11 (ph 8)
Sample House Number
HERS Provider: CALLER I a
City/State/Zip: Phoenix, AZ 85076
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested 19,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 c6py 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)
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfin/ton x number of tons enter calculated
value here
Measured
values
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 =
❑ ❑
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 Manville 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.
Lennar Homes
Job Name: La Quints Dal Oro Tract: 30521 Plano 3YZ Phase: 8
Lot No: Job Address: SFR - 44.685 Vie Venlce, La Qulnta, CA •
Ceiling Area: R-30 blown and batt insulation Garage Calling: Non -Access:
With Living Above & Sloping Areas
Exterior Wails R-13 batt insulation Overhangs: Access Attic:
With Living Above
Between Floors: Interior Walls:
Subcontractor... ® J Insulation, Inc.
72-227 Adelaid St, Thousand Palms, CA 92276.
r Q n
Signed: It,
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 I of 7) C
LA QUINTA DEL ORO PH- 8 6-14-05 _
Project Title Date
,f, 44625 Via Venice, La Quinta, CA 92253 LENNAR
Nacho Castenada 760-578-6968
BuildalHenson (CCN #CC2004076) 7MeFltt��5e� 7022
HERS,,Rater /� . ,� J Telephone
!/ ,/ 6-14-05
Certifying Signiture
Firm: BCI Testing
Date
Builder Name
Plan 1R (pg. I of I)
Pla Number
Group 6
Sample Group Number
13 (ph 8)
Sample House Number
HERS Provider: CALCER I a
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. y
❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Dtagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
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
Measured
values
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
❑ 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 1 and 2 is a Pass
❑ ❑
Pass Fail
❑ ❑
Pass Fail
Compliance Forms August 2001 A-16
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. Fibergiass 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: Le Quints. Del Oro Tract: 30521 Plans IR Phase: 8
Lot No: Job Address: SFR -'44-626 Via Venice. Le Qulnta, CA
Ceiling Area: R-30 blown and batt Insulation Garage Ceiling: Non -Access:
With Living Above b Sloping Areas
Exterior Waite R-13 batt Insulation Overhangs: Access Attic:
With Living Above
Between Floors: Interior Walls:
Subcontractor...0 J Insulation, Inc.
72-227 Adelald St, Thousand Palms, CA 92276
� nn
Signed: OAr�1A
Mike Dickerson, General Manager - Palm Springs Division
i 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 shouid be passed on to the buyer.
c