0402-354 (SFD)- LICENSED CONTRACTOR 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 Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
7 2R 1"02B BITC .0/•30/04
Date Signature of Contractor ,
OWNER -BUILDER DECLARATION
11 hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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 issued. My workers' compensation insurance carrier & policy no. are:
Carrier OLD REPUBLIC WOU Policy No. �t�JCil9ti'T"�00
(This. section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 /all forth�ith comply with those,pr.6visions�
Date: L./ /1 -,.A--,pplicantL,/l �(I✓' it t
Warning: Failure to secure WorkersCompensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed IN, or pursuant to
any permit issued as a result of this applicaton agrees to, ,& shall, indemnify
& hold harmless the City of La Quinta, its officers, agents` and employees.
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 js
Correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property -for inspection purposes. 3
Signature (Owner/Agent) Date
_ --v .
BUILDING PERMIT PERMITk
DATE VALUATION LOT �'�`TRACT '
�f . - • r ° 1 $1313,313AO 741 29323
JOB SITE
APN
ADDRESS 7-q-7 8 VILFMO A.DA'i��1Q
OWNER ',
CONTRACTOR/DESIGNER/ENGINEER
L TAT(, i-im.C6z bF cAunoRmA
IMTHAR HOWES OF 6%tZ C RMA
73-4-01 C IYUGH�TINT Ill I
78-401 C:l-3 G1 -*..0 VAY III
LAQT..,723m CA. 92253
LAQUlMA CA, 92253
C'760)717^0131 GBLO V4434
USE OF PERMIT
>'�I cfUl Mho i;§" D�!'L�LLDIGr
SI'1T - LOT,24,•PLA:tf 27, PEI2MIT IDOES NOTINCLUDE BLOCk'�dr,�i�L S,
P004 PA OR DRIVEWAY APP11-0AC H
TRAC"PCO-03TRUC`,fION x,338,00
iki:3x'CHIP TIO , 43.00 SF y/
0ARAMIc;ArPORT 447,00 SEP—
MT (; ► °r 01P C:`0jN,4s"i IJ(Mon
P.I} RYLIT.Fi'RF OUiiirflrUIZY
CaNST'RUC:TION FRE 101.000-418.000
PLAN C HPXK F'II;E� 101-000-439-3,18 $637.'t0
I*i:EC HAIRCAL ME 101-000-421-000 MGM
E"LECT ICALFELT, 101-000-420-000 $2:4.77'
!?I,1,2MB1140 FEE 101.000419-000 $160,0e
STIRONO MOTION M11Z - REBID 101-000-241-000 ' � $13,63
G RA.D1N0 Cry VS106
}JE`if'EIA)PER IMPACT FE: 2�4a'3.U0
:1 �.�� , t�f.�-1c 1tik:1.1{ '(.D9 AND {.'�L" CHE�s
.q �}�..;�
j8X
lrtil I. jJ SES PRE -PAM YE U11
APR 0 6 2004TFarm, RIMM�y �;� DUPI :Ivc��+
CITY OF LA Ct1I,4-iA
FINANCE 7)Z'.n.
R:
RECEIPT
DATE"
BY, ,
w�.l
DATE FI LED
6
INSPECT
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVA
MECHANICAL APPROVALS
Set Backs
Underground Ducts
_
Forms & Footings L_
Ducts
_
Slab Grade
Retum Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation ✓
Vents
_
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath '
Final
Final
BLOCKWALL APPROVALS
POOLS --SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
Gas Piping
PLUMBING APPROVAL
Gas Test
Electric Final
Waste Lines
Heater Final
Water PipingPlumbing
Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection - a—
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
SE
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Pagel of 2 - CF -6R
Site Address: 79-738 Viento Drive Permit Number:
Tract Number: 29323 Plan #: 2Z Phase:, 5
Lot Number: 24 Project: Esplanade Builder: Lennar Homes
An installation certificate is required to be posted at the building site or made avalible for all appropriate inspections.
Atter completion of final inspection, a copy must be provided to the Building Department (upon request) and the building
owner at occupancy, per Section 10-103(b).
HVAC SYSTEMS:
a
#of Efficiency Duct Heating Heating
Equip. CEC CertifiedName Identicle (AFUE, etc.) Location Duct Load Capacity
Type and Model Name Systems (>= CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
USAirFC 31 OJAV0661 10. AFUE80 attic 4.
US Air attic
of Efficiency Duct
Equip. CEC Certi ied Mtr Name Identicle (SEER, etc.) Location Duct
Type and Model Number Systems (>=CF -1 R) (attic, etc.) R -value
Cooling Cooling
Load Capacity
(BTU / Hr) (BTU / Hr)
HP it attic
it 663CNX018 SEER 12 attic
1, UIC UIIUCIbI911CU, vGnly u10L ayu,Nn, a uawu ov�.• w. .� .v u.v .......... ..1...1�...-,......_._..__, __�_.__._--_ __ -_.
efficient than that specified in the ce t m lian orm CF -1 R) submitted for compliance with the Energy
Efficiency Standards for residential ildi s, a ) q p ent that meets or exceeds the appropriate requirements for
manufactured devices (from the Ap ian ffI c g ns or Part 6), where applicable.
�1
• � / s, Team Heating & Air
ignature, ate Installing Subcontractor(Co. Name
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
CFA:
System M of
Indicate the maximum aowa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) - fan flow
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
uct Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage 4.30%
Check Box for Pass or Fail (Pass = 6% or Less)- ' Passx al
ll
�T-24 Compliance Credit was Taken for TXV TXV was installed
ystem F-2-1 of
Indicate the maximum allowable Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15,
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) 36 fan flow
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
uct Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage 0. o
Check Box for Pass or Fail (Pass = 6% or Less) Passl Faill
=T-24 Compliance Credit was Taken for TXV TXV was installed
PAGE 1
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro-
-
Page 2 of 2 CF -6R
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV
Site Address: 79-738 Viento Drive Permit Number:
0
Tract Number:: 29323 Plan #: 2Z
Phase: 5
Lot Number: 24 Project: Esplanade.', Builder:
Lennar Homes
System of
Indicate the maximum allowable Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate. Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1'through 7 & 16
"
400 x (Cooling Capacity in Nominal Tons) x (0.06)
fan flow
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
,
Measured Fan Flow x :06 -
uct Pressurization Test Results 5
100 x Test Leakage / Fan Flow = % Leakage f"
Check Box for Pass or Fail (Pass = 6% or Less) Pass Fai
PT -24 Compliance Credit was Taken for TXV TXV was insta e
System of
Indicate the maximum allowable Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06)'for Climate Zones 1 through 7 & 16 .
400 x (Cooling Capacity in Nominal Tons) x (0.06)
fan flow .0
-
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0-06) ,
Measured Fan Flow + , x..06
uct Pressurization Test Results 5
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass Fail
�T-24 Compliance Credit was Taken for TXV TXV was installede
System. of
Indicate the maximum allowable Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0-5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
fan flow 0
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
'
Measured Fan Flow x .06
uct Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage
-
Check Box for Pass or Fail (Pass = 6% or Less) Pass Fail
PTm -24 Compliance Credit was Taken for TXV TXV was insta e
ysteE� of
f
Indicate the maximum aowa le Duct Leakage and the calculation used:
0-7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0.06)
fan flow . 0
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) '
Measured Fan Flowx .06
u
Pressurization Test Results 5
100 x Test Leakage / Fan Flow = % Leakage
'
Check Box for Pass or Fail (Pass = 6% or Less) Pass Fail
=T-24 Compliance Credit was Taken for TXV TXV was installed
I, the undersigned, verify that the above diagnosti st results and the work I performed associated with the test(s) is
'
'
in conformance with the requirements for compli n redit. a builder shall provide the HERS provider a copy of the •
CF -6R signed by the builder employees or sub-ton.rs rU i t at diagnostic testing and installation meet the
requirements for compliance credit.)
Tests Signature, Date
Performed
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
m
Team Heating & Air
Tn–s—tafling Subcontractor(Co. Name
OR General Contractor (Co. Name) OR Owner
RAGE 2
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro
LA
-of Ins lato
Udir-fificate U ion- -
Your Horne has been insulated with CertainTeed.Fiberglass Insulation products which are designed f.
for today's safety standards and tomorrow's energy requirements..
r r -
Fiberglass is inorganic and therefore pernbanendy' noncombustible, so it does not have to be treated
- wiah fire -retardant chemicals that will lilcely lose their effectiveness over time. It hes not beat treated
with chemicals that can corrode UUM or metal. Fiberglass.wfll not absorb moisture nor will it
` settle over time as may other insulation materiaUs.
a_0
This also certifies that CertainTeed Fiber Glass Unsulatioo has bren professionally installed in this home -
01
to provide the following thermal performance:
.lob Name: Tapestry EspOonade Tract: 29323 Phase:- 5.
Lot il.: 4112,y )Plan: 2Z Address: 79 - 738 Viento Dr., La Quinti, CA
Ceiling area: - R-38 Blown Garage Ceiling: , tnterior Walls:
With Living Above _
®verbangs: " Exterior Walls: sR-13 Unfacedl-Batts
'
Ceiling: Garage NVadl: Cintilevered :
`
lnaccessible to Blotr Floori WfLi%ing Above
' x Subc -actor J Insulatioi . Co., Inc.
- -
600 S a :zus tY02 ( 6] 81 0 0 inease X465709 -
+
Signed
- ' ConchUd Or'tid, —or.— Scott Jenkins,'President—or-
37-
0
,SecrelarylTreasr�rer
' Lou Merola, Director of Opertations Officer
ro
'R= means resistance to krat flow. The higher the R- value, - the greater the insulating .power.: >
a
Ask your-'builder;for the fact &heel on R- values. Keep this certificate. with your. other .• `
�"' `
valued .papers. If you ever sell ahis home, dtis `certificate should be passed on to ,the buyer.--
1��&d$ � fir••- � L
y CABEC /
ENERGY
130. Box 621 Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270 Cell: (760) 250-1852
Email: DESNRG O)AOL.COM ' +
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R
TAPESTRY @ ESPLANADE PH 5 DATE TESTED 10-11-04
` Project Title Date '
79-738 VIENT® DRIVELA QIJINTA CA. 92253. LENNAR HOMES ,
ProLec Address Builder Name
TONY PASCANITE 1909-275-0204 CASITA
Builder Contact Telephone ' Plan Number ;
ALAN WEER 760-880-5504 GROUP
.HERS Rater ' Telephone Sample Group Number
##CCNAW183266 10-- 12-- O4 LOT 24-1 1 OF I
Certifying Signature Date -'- Sample Lot Number `
Firm: DESERT ENERGY SERVICES LLC HERS Provider: CHEERS
Street Address: _ P.O. BOX 621 City/State/Zip: RANCHO MIRAGE, CA. 92270
Copies to: Builder, HERS Provider f
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. r
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 J
Test Leakage Flow in CFM 34
If fan flow is. calculated as 400cfm/ton x number of tons enter calculated
• value here +- 600
If fan flow is measured enter measured value here -
Leakage Percentage (100 x Test Leakage/Fan Floe) = 5.667
+ Check Box for Pass or Fail (Pass=6% or less) 1z
Pass Fail '
THERMOSTATIC EXPANS-10N VALVE (TXV)
®' Yes . V ❑ No Thermostatic Expansion' Valve is installed and Access is
provided for inspection ® ❑
4
ENERGY
r3
i
- X60 Aces •
,
_•
130. Box 621 Ph/Fax (760) 564-2044
Rancho Mirage, CA 92270 Cell: (760] 250-1852
Email: DESNRG (a).AOL.COM
". CERTIFICATE OF FIELD VERIFICATIONAND DIAGNOSTIC TESTING (Page I of 7)L CF -4R
TAPESTRY @ ESPLANADE PH 5 DATE TESTED
Project Title Date
79-738 VIENTO DRIVE LA QUINTA'CA. 92253 LENNAR HOMES
,
Pro ec ress Builder Name
.- �ONY PASCANITE 909-275-0204PLAN 2 1 UNIT
'z
Builder Contact Telephone Plan Number
I
ALAN WEAVER 760-880-5504 GROUP 1.
.
HERS er Telephone Sample Group Number
"f c
#CCNAW183266 90 04 LOT 24-5 10F]
' Certifying Signature Date - Sample Lot Nurnber
J
• I Firm: DESERT ENERGY SERVICES LLCHERS Provider: CHEERS
- Street Address: P.O. BOX 621 City/State/Zip: RANCHO ;MIRAGE, CA. 92270
` • Copies to: Builder, HERS Provider
r 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 Aiagnostic 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) I
.. Measured.,
,'t
Duct Pressurization Test Results (CFM @ 25 Pa) •values `
` Test Leakage Flow in CFM 113
If fan flow is calculated as'400cfm/ton x number of tons enter calculated
value here 2000
If fan flow is measured enter measured value•here "
' Leakage Percentage (100 x-Test'Leakage/Fan Flow) = 5.65'"
r.
�'. .Check Box for Pass or Fail (Pass=6% or less) ® ❑
- Pass Fail,
THERMOSTATIC EXPANSION VALVE•(TXV) _ �'•4,
'.
"'
® Yes ❑ No Thermostatic Expansion. Valve is installed. and Access is, El
`
i
• provided for inspection '
1
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This Certificate•'is issued pursuant` to the requirements of Section_109 of the California Building
'Code; certifying that,, at the. 'time, of •issuance, ` this' structure was' in compliance;=w_ ith-the
,
4 i provisions kof the Buildin'gg Code -,and the var ous=ordinances� of the. City, regulating building
coristruction;and%r-"use. ',• y =,;,- _ ^_ r -
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Certificate.
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This Certificate•'is issued pursuant` to the requirements of Section_109 of the California Building
'Code; certifying that,, at the. 'time, of •issuance, ` this' structure was' in compliance;=w_ ith-the
,
4 i provisions kof the Buildin'gg Code -,and the var ous=ordinances� of the. City, regulating building
coristruction;and%r-"use. ',• y =,;,- _ ^_ r -
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BUILDING AD-DRESS:'79'738+Viento Drive
ti t
'.Use classification: Single Family Dwelling`-- ; j Pu No.: No.: 0402-354
- Obcu'pancy'Group R-3.:: Type of Construction: VN -- Land Use'Zone RL
.
Owner of Building: Lennar.Homes of California '� f ,, '' y� Address:,78-401 C•Hiahway`111 f • 1
-F s City, -ST, ZIP: La -92263
:. '' �• . -�{" - By:,Daniel P, Crawford.Jr.='�•�`
"Date: 10/13/04
' .• Building Official`
POST IN A CONSPICUOUS} PLACE