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0402-351 (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 ` / %" I'�� Signature of Contractor 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). . . . , ( ) I, 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: ( ) I have and will maintain a certificate of consent to self -insure for workers' ,compensation, as provided for by"Section 3700 of the tabor 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. Myrworkers' compensation insurance carrier & policy no. are: Carrier OL -1) ftL+PiJ:t LIC,11JI'M Policy No. ]AWC1071,609 (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 Phall forthwith comply with,those provisioris. �Date- �'/r''t"/ Applicant�"�� 114 4/7. � 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'`f. the above-mentioned property,for inspection purposes. lea -Signature (Owner/Agent) !i�l �/{ fir' i"� Date PERMIT# BUILDING PERMIT 0401,31 DATE VALUATION pA, sf+Y ay'r�1 ^/ pQ LOT +s'+ TRACT ray. ' $1%,)-, *i/'.Y•J�J ,h! 19-2 JOB SITE ADDRESS rcyh�F�` e. �dv a xe �' APN t'gS�4 OWNER CONTRACTOR / DESIGNER / ENGINEER 1OvW AFi. HOMES OF CA1II~01 k LEEN R R0iv9 .8 OF COALTFORNY.A 78-401 O 19011WAY 1.1'1 761-101 C:1- G—HWAY 111 1AQ3JIkITA OA 922M CA 92253 (760)777-0131 0'f3L4 34.34 USE OF PERMIY SPD : LOT 21, PLM 1R. PRERMl'1. DOES NOT INCLUDE SlDgY: WMAS, 1'C3ol , SPA OP DRWZWAY.;1aJ?PROACH TF(ACT CONST.RUbTIO.9 SP _ B ORC,WP.AiTIC ; x.00 Sir ,. (1AR lti C11rlC.ARPC,RT _. - 42100 SE" . i F.Ti An.rD C>'9�r"i'{�1!' CO.N6111 ;C110's R4D7,li�lr7dY CONSTRUCTION YZE 101.000=4163.000 $667,30 iPL&N CHECK FEE 161-000-$1.39-318 $550.50 1+AE.CFMOIC L 779 101-900-421.000 $47.00 ELECTRICAL ME 101-000-420••000 s105.7I PLUMB,11140 FEE 1.01-000-419-000 $140M STRONG M071014 FZZ- RES1D 3t;)1-000-231-000 S119.71 (3RAD1140 FEE 101.000.423.40. V5.00 DEVELOPER IMPACT "T' �3,�3Cp5.4i4f #CTI: $3,941.67 LE130 FRE -RAMS 1742 ,S MOO r 'JrOTAL lP1R3WVV F 11 S DI .tkoW $3,941.67 APR 0 6 2004 017Y Or 1. A C. ANTA Fi::+74Z,E DEPT. RECEIPT DATE BY DATE FINAIJED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROV S MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Oucts _ _ Slab Grade Return Air _ Steel Combustion Air Roof Deck Exhaust Fans m 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 ! ` S n S POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APP OVA S Gas Test Electric Final Waste Lines Heater Final Plumbing Final _ Water Piping 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 COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring 70 KIF Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 9 HVAC INSTALLATION, CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -6R Site Address: 79-783,Viento Drive ,Permit Number: Tract Number: 29323 Plan #: 1&1X Phase: 5 Lot Number: 21 Project: Esplanade Builder: Lennar'H.omes An installation certificate is required to be posted at the building site or made avalible for au 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). F HVAC SYSTEMS:. ` Heatiria Fauinment w - +# Of ciency 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) Air attic Coolinq Equipment of Efficiency Duct Cooling Cooling Equip. CEC Certifiedr Name. Identicle (SEER, etc.) Location Duct Load Capacity - Type, and. Model Number Systems (—CF -1 R) (attic, etc.) R -value (BTU J Hr) (BTU / Hr) TV— US Air attic 1, 1110 WWWW911cu, VU111y OIGICIiU I�/111G l 1 JL J auVvc 1J. 11 1J 111G Ouual cyulNnGnl uwlanrrY, �� cyun,v,v - - , .efficient than that specified in the cert' i f co pliance Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential b ildi s, d eq ip nt that meets or exceeds the appropriate requirements for, manufactured devices (from t Ian ff n eg ons or Part 6), here applicable. Team Heating & Air- ignature, Date 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 � 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) fan flow 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow x .06 bua Pressurization Test Resuits 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass oe Fail (Pass = 6% or Less) Passl x I Faill." PT -24 Compliance Credit was Taken for TXV TXV was installed,, System E::] 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 - 1, x.06 uct Pressurization Test Results 100 x Test Leakage / Fan Flow = % Leakage , r Check Box for Pass or Fail (Pass = 6% or Less) PassFaill QT -24 Compliance Credit was Taken for TXV TXV was installed 1 PAGE 1 ~ 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: 79-783 Viento Drive Permit Number: 0 Tract Number: 29323 Plan #: WX Phase: 5 Lot Number: 21 Project: Esplanade Builder: Lennar Homes System EQ of Indicate the maximum aowa le Dud 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 z (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 uct Pressurization Test Results 25 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) T-24 Compliance Credit was Taken for TXV ystem [� of Indicate the maximum a owa le Dud 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 uct 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 ystem [� of Indicate the maximum aowa le Dud 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) z (0.06) Measured Fan Flow uct Pressurization Test Results 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) 24 Compliance Credit was Taken for TXV PE-�3 of Indicate the maximum a owa le Dud 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 uct Pressurization Test Results 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) , =T-24 Compliance Credit was Taken for TXV I, the undersigned, verify that the above in conformance with the requirements fc CF -6R signed by the builder employees requirements for compliance credit.) Tests ignature, at Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy x .06 X.06 x .06 x .06 TXV,wa: 1� • Pass TXV was insti TXV wa; TXV wa: test results and the work I performed associated with the test(s) is, " re credi he builder shall provide the HERS provider a copy of the trpdprifying that diagnostic testing and installation meet the Team Heating & Air ; Installing Subcontractor(Co. Name OR General Contractor (Co. Name).OR Owner , PAGE 2 F2001-01 (4-02) Action Now T-24CF6-RT6&TXV macro C ertfflclolte'of Insulation Your Home has been insulated u-ith t;.ertainTeed Fiberglass Insulation products, which are designed dor today's safeh, standards and tomorrow's energy requirements. M Fiberglass is inorganic and therefore pemaniently noncourbustible, so it does not have to be treated" with fire -retardant chemicals that %ilI likely lose thisir effectiveness over time. It has not been treated CD with chemicals that can corrode wiring or.me.tl Fiberglass will not absorb moisture nor will it " settle over time as may other insulation materials. to _ This also certifies that CertainTeed Fiber talars IInsulamon has been professionally iasualled in this home ao provide the Ulowirig thermal performance: -Jlob-Name: - Tapestry Ca Esplanade— ... ,. _._ Tract: -. 29323_. ..__.1Phase:, Lot Plan: Illi Address: 791= 783 Vieato Dr., La Quints, CA j Ceiling Area: R-38 Blo",n Garage Ceiling: interior NVall"s: With Li%ing Above' Overhangs: Exterior Wallls: IR -13 Ilnfay.-d Batts Ceiling: Garage Wall: Cantidevered Inaccessible to Blow FloorOi',U%ing Above Subo tractor. +Dd lnsuk' n Co., Inc. 600 V at, A=s 41;02 6261612 Ucense"WSY09 Stigmedl" i r— Conchita Ortiz,. Secretcalryll' ea,surer --or-- R. Scott Jenkins, President--or-- Lou 1Verola-Director of Operations Officer t , _• R- means resistance to heat flow. Tale :higlher the R- value, the greater the insulating power. Ask your builder for the fact sheet, oa R- values.. Keep this certificate with }our other valued papers. If you ever sell this home, this certificate should) be passed on to the buyer. R M m ru m Q Owner EITY QF D X, F'. BUILDINU& S/ 7v it .`A QUINTA =.TY DEPARTMENT N REQUEST LINE ?'7'7153 LENNAR HOMES OF CALIFORNIA Contractor LENNAR HOMES OF CALIFORNIA Permit Number 0402-351 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 79-783 VIENTO DRIVE JOB ADDRESS SFD - LOT 21, PLAN 1P, PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE TIL OV D ROOF NAIL / PRE -ROOF - OKAY.TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL Yr INSULATION On 7 COVER NO WORK UNTIL ABOVE SIGNED 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 PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING akage & TXV Page 1 of 2 CF -6R Permit Number: Plan #: 1 & 1 X Phase: eject: Esplanade . Builder: Lennar Homes alible for all appropriate inspections. ?artment (upon request) and the building of Efficiency Duct Heating Heating denticle (AFUE, etc.) Location Duct Load Capacity Systems (>= CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr) attic #of Efficiency Duct Cooling Cooling (denticle (SEER, etc.) Location Duct Load Capacity Systems (>=CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr) attic lent installed, equivalent to or more itted for compliance with the Energy xceeds the appropriate requirements for .ere applicable. Team Heating & Air Installing Subcontractor(Co. Name OR General Contractor (Co. Name) OR Owner . NCE CREDIT ,eakage) x.06 . x.06 TXV wa! P TXV was PAGE 1 F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro