0402-356 (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
Date `� /+ Signature of Contractor %k.1�%f
F ,
OWNER -BUILDER DECLARATION
I 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 *1 " Signature of Owner `
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 issued.
(f) 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 vtiLD FEPUDL1C. MEN; Policy No. NITYC1(}$'F +30 .
C (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/s al%,forthwith comply with thos pr �% ns.�
Date: / Applicant-/—//,//// l'
Warning: Failure to.secure Workers' Compensation 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 under 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:is
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 propertylor inspection purposes.
Signature (Owner/Agent);. ,` Date ,
BUILDING PERMIT PERMIT#
fid -35
DATE VALUATION LOT TRACT
$12%042,M 26 2.93,234
JOB SITE
APN "
ADDRESS 7.9_770 V17P:Mfo 1) r4Vy,
W9A MM4
OWNER
CONTRACTOR / DESIGNER / ENGINEER
11,99AR 17.0MIS Cid' CATIF016M%
LE.`�vvi AIR HOUR S 0r- CN.1F'a)1d:M ,.
78.401 C iRGH-WAY 1i'
78A 01 C 11101MAY 111
LA0 -T nt`, CA 9.225:4
1:.AQt.111:UA CA 02253
1600 177-0131 i• 0131 ML -ft 'Slj.', 4
USE OFPERMIT w
07.�•"1'~Ya.'1.�.b-) Y LINELUl. G
ii7kl`17
..
LOT 20, i',l.AN 2Y. PERMIT OCIESNOT INC 1,fine BWCK "(VALi.%
POO,, SPA Oft. DRIVEWAY. �,.4'i'?ZaAcii, Ys%kirm13'C"Fm To i'L6esm C13.wx
€ EE, DUE 7'6 it IRAIPLE ISSU.&NC E OF SAME PLAIT TYPE
TRACT CONSTRUCTION 3TRUCTION %349.00 OF
PORCHiPt .TIO 471.00 Sp ,
&AACIEJC,ARPORT ' 4 f 8.09 OF ,
EsTmui° i) r osu Car" Ci:►.t�bwrrzu ',["nm
136,342X0
y,�e
CONSTRUCTION ,;E, 101.000-418—Q00 "59149
PLAM CHECK.. FILE 101.€ 00-439-31 S
MECHANICAL FV_ 101-000-421-000 $47.00
ELS�.%,TRICA1, FEE 101-000420-000 S124.eo
PLUMBING.F99 101.000-419.000 S115817
STfEONO MOTION FEE- MND 101-000-Y -000 $13.63
CRAD540 FEE HH -000-423-000 $15,00
'033 'I:b.C.11'`ZA 1:41f ACT FEL'' $7,4Ct5:O0
` ON M"ft:+a"CTLONAND P:C W CHWK
$3,690.53
RR-PAU) IMM
APR 0 6 2004 ')TA], PX"WrD.UZ NOW
CITY OF LA QUINTA
FINANCE DEPT.
RECEIPT
DATEBY
r/ (�- . r, :
"X/
DAT FI ALE
1o
INSP C OR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROV LS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
_
Slab Grade
Retum Air
/
Steel
Combustion Air
_
Roof Deck A -
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing /
C pressor
_
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
G(.
Final
BLOCKWALL APPROVALS
steel
POOLS'. SPAS
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
_
Waste Lines Z
Water Piping v
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
_
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
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:
V
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2' CF -6R
Site Address: ( 79�7.7.02Viento-Drive. J Permit Number:
Tract Number: 29323 Plan #: 2Y Phase: 5
Lot Number: 26 Project: ' Esplanade Builder: Lennar Homes
An installation certificate is required to be posted at the building site or made avalible for all appropriate inspections.
After 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:
Heating Equipment
of Efficiency Duct Heating Heating
Equip. CEC CertifiedName Identicle (AFUE, etc.) Location Duct Load Capacity
Type and Model Name Systems (>= CFAR) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
FC S Air Tf UJAVO-9• attic
Cooling Equipment
of Efficiency Duct Cooling Cooling
Equip. CEC CertifiedName Identicle (SEER, etc.) Location Duct Load Capacity
Type and Model Number Systems (>=CF -1R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
USAirHP attic 2 .
J.
I, the undersigned, verify that equiVnVnt ustea aoove is: 1) is me acivai equipment instanea, z) equroaitun to or FuUm
-efficient than that specified in the rt icate of compliance (Form CF -1 R) submitted for compliance with the Energy
Efficiency Standards for residentiI b di n ) quipment that meets or exceeds the appropriate requirements for
manufactured devices (from the plice Gulations or Pa 6), where applicable.
J Q°c Team Heating & Air
Signature, 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 F7-1 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)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow , x.06 `
u f Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
PT -24 Compliance Credit was Taken for TXV TXV wa:
ystem E-::] of I—I
Indicate the maximum a` owa 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)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow 1 x .06
uct Pressurization Test Results
(GFM Cco. 25 PAT -
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) P
QT -24 Compliance Credit was Taken for TXV TXV was
PAGE 1
i
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 2 of 2 CF -6R
Site Address: 79-770 Viento Drive Permit Number: 0
.Tract Number: 29323 Plan #: 2Y Phase: 5
Lot Number: 26 Project: - Esplanade Builder: Lennar Homes
system E::D 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 ,
uc Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage 4
Check Box for Pass or Fail (Pass = 6% or Less) Pass Faill
F -71T-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
100 x Test Leakage/ Fan Flow = % Leakage -
Check Box for Pass or Fail (Pass = 6% or Less) Pass ai
PT -24 Compliance Credit was Taken for TXV TXV was installed
System 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
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 I Ix .06 -
uct Pressurization Test Results
100 x•Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Passl I Faill
�T-24 Compliance Credit was Taken for TXV TXV was installed
System � 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
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
MR Pressurization Test Results
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Passai
QT -24 Compliance Credit was Taken for TXV TXV was installed
I, the undersigned, verify that the abov iagnostic test results and the work I performed associated with the test(s) is
in conformance with the requirement for mpliance credit. (The builder shall provide the HERS provider a copy of the
CF -6R signed by the builder employMun certifying that diagnostic testing and installation meet the _
requirements for compliance credit.)
VCL Team Heating & Air ,
Tests ignature, D installing u contractor(Co. Name
Performed OR General Contractor (Co. Name) OR Owner
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
PAGE 2
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro
�.
CD
tL ertific�.fte oil Insulation
Your Home has been insulated with CertainTeed Fiberglass Insulation pr dvicts, which are designed
for today's safety standards and. tomorrow's energy requirement.
r`
CD Fiberglass: is inor,anic and therefore permanently noncombustible, so it does not have to be ireiated
LO with fine-retardant chemicals that will likely loss Their effectiveness over; lime. It has not been treated
CD with chernicaL: that can corrode wiring or metal. Fiberglass w dl not absoxb moisture nor will it
settlle aver time as may other insulaticra materials.
to .
This also certifies that CertainTeed Fiber Glass In ulattion has been prof.ssionaily installed in this hosuc:
,t to provide the following thertral peirfomnanea:
Job Name: Tspesti-� @Tsplanade Tract: - _29373 Phase:. .-
Lot#.: _ ^l$ 2l� IMP: 2Y address: 79- 770 Vientm Dr., La Quinta, CA r
Ceiling Area: R-38 Blo va Garage Ceiling: interior Walls:
With Living Above — ---
Overhangs: `Exterior INKalls: R-13 Unfaced Batts
Ceiling: Garage Wall; Cantilevered: _
Inaccessible to Blow —� Floors NV/Living Above
Subcola eton. i-Jfiasulat.lon, o., Inc.
600 S.4^ a tea I l (�16p 12 70L ir�hse 4463709
Signed
Cotachitca Ortiz, Seertetarylrreasurer --or- 'J?. wd Jenkins, President—or-
0
M
Lou Maions Officer
rf:e
R-means resistance to heat flow. The higher the. R- value,. the greater the insulating po.vrer.
Ask your bwilcier for the fact sheet on R- values. Keep this certificate with your other
valued papers. If you ever sell•this home, this certificate shouldl be passed on to the buyer.
R
CS)
ru
CD
' : ( � •rim.' ' _ � l
ENERGY
�<< CADI:C L.
' P0. Box 621, Ph/Fax (760) 564-2044
Rancho Miraoe, CA 92270 Ce 11:'(7601 250-1352 s
Email: DESNRG no AOL.COtV1
i
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
79-770 VIENTO DRIVE LA QUINTA CA. 92253 LENNAR HOMES
Pro c Address Builder Name
�+
ONY PASCANITE 909-275-0204 PLAN 2Y I UNIT' �
Builder Contact Telephone Plan Number
r a ALAN WEAVER 760-880-5504 GROUP 1
HERS Rater Telephone Sample Group Number
'#CCNAWI8' 3266 1,0:12-04'
0 04 LOT 26=5
'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 • _ '.
HERS RATER, COMPLIANCE STATEMENT. t
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'certiy that the houses ideintified on this form comply
with the diagnostic tested compliance requirements as checked on this form. '
0 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)
t Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM 85
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 `sere
•
Leakage Percentage (100 x Test Leakage/Fan Flow) = 4.25
Check Box for Pass or Fail (Pass=6% or less) ® 0
Pass Fail
® THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is r
provided for inspection ® ❑
�; CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
'i or• 1����� 777-7012
INSPECTION REQUEST LINE
777-7153
Owner EENNAR HOMES OF CALIFORNIA
Contractor LENNAR HOMES OF CALIFORNIA
Permit Number 0402-356
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-770 VIEN`I'O DRIVE
SFD - LOT 26, PLAN 2Y. PERMIT DOES NOT
INCLUDE BLOCK WALLS, POOL, SPA OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL Ink
CONCRETE SLAB
DO NOT POUR CONCRETE UjNTR,,4191QN�gj
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION'
.01
COVER NO WORK UNTIL ABOVE SI ED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL V('
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT /' "J-pyOyll
COMMUNITY DEVELOPMENT DEPT. 2-2 0
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
� s . �: •'i f . 3
Ce t, to o Oc.
r �r f -ccup,IJIn
�ca Y
.1
BUildin"g. &= Safety.DepartMent
This Certificate.iiissued pursuant'to the'requirements of Sectioin 109.�of.the•.California Building
Code, certifying that,' at, ;the time :-of issuance, ,, this, -structure•- was �. in compliance -`with , the
, ,.
I of. the' Building Code' and the`: various."ordinances -of the City` -regulating -building
y construction • andUor use.'-,
J
BUILDING yADDRESS:•79-770 Viento'Drive-
Use classification Single Family.Dwelling: Building Permit`No.:�0402=356
9
,.- ;.
:. •0ccupa6cy'Group: R-3 - =' ' - -Type of ConstructionNN Land Use Zone: RL -
Owner -of Building: Lennof ai-Hoiiies California Address:, 78-401 C.Highway 111
1 }.
• �� .� �. .- - '' ,City, ST,'ZIP:;La'Quinta, CA'92253 tt
By: Daniel P. Crawford Jr.- fa:
Date. 10/15/04 " � � . Y',-�' ' • �' �- •''
- . uilding Offic' . ' , o '
• .
( - - , t � I � �
�r ~ - �
'
•' 1 h
yam, .f 1' .. � �. � •,� y �,;- '
POST IN'A CONSPICUOUS PLACE
Not