04-7883 (SFD)JAN 1 0 10
05
�
CITY OF LA
IN QUINTA
BUILDING &SAFETY DEPARTMENT
78-495
(760) 777-7012
FTt�9 CALLE TAMPICO.
FAX (760)- 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
. . . 04-00_8.83 Date 12/29/04
Property Address . .
. . . X4467_ O VIA VENICE
APN:'
604-032-999=15=305212-
Application description
. . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . .
. . . LOW DENSITY RESIDENTIAL
Application valuation
162251
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 92253
LA.QUINTA; CA 92253
WCC: AON RISK SRVC
WC: MWC11114500 11/01/05
CSLB: 728102 09/30/06
CCC: B
• •J
P.O. sox 1 soaVOICE (760) 777-7012
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253FAX (760) 777-7.011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: - 044 - "If"I , •
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ArchdeF�Date:Applicant: rigineer•
dNk.
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Applicant's Mailing Address:
or Engineer's Address:
No.:��1�
t$UILUINU PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penaltyApequry that I am licensed under provisions of (c0 ng with Section 7000) of Division 3 of the Business and Professionals
e, and my License is in �� o e and effect. f (�
License Class 11 / /se No� `'
/Grata f - lo- V ? . `.� .�. ( (,Q, r �.
V 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 pemnit 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 1, 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.
ve 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
rs y orkers' compensation insurance carQ �r n�� ppook� umb�
Cartier Policy Number' . `W l t1.
�
_ I certify that, in the performance of the work for which this permit is issued,.) sha 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 this workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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
Lenders 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 cored. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cou y enter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agent):
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`�, Application Number . . . . . 04-00007883
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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 CRC
2595.00
FIRE SPRINKLERS
NO
ELEC
GARAGE SQ FTG
462.00
462.00
------------------------------------------------------
PATIO SQ FTG
358.00
ELEC
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2595.00
Permit . . . . . .
BUILDING PERMIT
Additional
Additional desc
Permit Fee . . . .
860.00 Plan Check Fee
139.75
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
i ---
4
Permit . . . . . .
MECHANICAL
Additional desc
Extension
Permit Fee . . . .
52.50 Plan Check Fee
3.28
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
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
115.07 Plan Check Fee . . 7.19
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
Plan Check Fee
10.74
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 I.NST/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
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Application Number . . . 04-00007883
-
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Permit . . . . . . PLUMBING
,Qty Unit Charge Per Extension
1.00 15.0000 EA PLB'GAS METER 15.00
----------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
. GRADING PERMIT
15.00 Plan Check Fee .00
Valuation 0
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
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Special Notes and Comments
SFD - LOT 15. PLAN 2,
2595 SF.
PERMIT
DOES NOT INCLUDE BLOCK WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
75% PLAN
CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE
ISSUANCE
OF SAME PLAN TYPE.
---------------------------------------------------=------------------------
Other Fees . . . . .
. . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF.CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
13.98
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
Permit Fee Total 1214'.32
Plan Check Total 160.96
Other Fee Total 2435.20
Grand Total 3810.48
Paid Credited Due
.00 .00 1214.32
.00 .00 160.96
.00 .00 2435.20
.00 .00 3810.48
/S
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Pagel of 7) CF -
LA QUINTA DEL ORO PH- 8 6-14-05
MA
La Oui
rrojecT Huaress
. Nacho Castenada 760-578-6968
Buildetact Tele hone
ik lam Henson (CCN #CC2004076) 760-250-7022
HERS Rater
Telephone
6-14-05
Certifying Signature Date
Firm: BCI Testing
u Street Address: PO Box 50575
Copies to: Builder, HERS Provider
Date
LENNAR
Builder Name
Plan 2R (pg. 1 of 1)
Plan Number
Group 7
Sample Group Number
15 (ph 8)
Sample House Number
HERS Provider: CALCERTS
City/State/Zip: Phoenix, AZ 85076
HERS RATER COMPLIANCE STATEMENT
The house was:❑TestedApproved as part r7lrof 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)
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
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
❑ 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
0 0
Pass Fail
Compliance Forms- August 2001 A-16
It
Certificate of Insulation
Your home has been insulated with ,Zahn MansviH Fiberglas: Insulation products, which are designed
for today's safety standards and tomorrows 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 Quanta Del Oro Tract: 30521 Plan# 2R Phase: 8
Lot No: Job Address: SFR -44470 Via Venice, La Quints, CA
Ceiling Area: R-38 bkwn and batt insulation Garage Celting: Non -Access:
With Living Above i Sloping Areae
Exterior Walls R-13 batt Insulation Overhangs: Access Aftic:
With Living Above
Between Floors: Interior Walls:
Subcontractor... ® J Insulation, Inc. .
72-227 Adelaid St, Thousand Palms, CA 92275
i
i
Signed: M 1 Aurswmi
Mike Dickerson, General Manager - Palm Springs Division
n 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
V