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0402-350 (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 LU Professionals Code, and my License is in full force and effect. =) M License # Lic. Class Exp. Date w r "72810: ]a EM, 9020104 Z r— DateA �l Signature of Contractor 1 ,' H o U CD OWNER -BUILDER DECLARATION LU I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z_ ( ) 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). LO O I am exempt under SectionB&P.C. for this reason N Date (Signature of Owner D N 0) 1 Q • WORKER'S COMPENSATION DECLARATION IrI hereby affirm under penalty of perjury one of the following declarations: p () 1 have and will maintain a certificate of consent to self -insure for workers' 11 compensation, as provided for by Section 3700 of the Labor Code, for the _ . Q performance of the work for which this permit is issued. C) (N) 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 Hpermit is issued. My workers' compensation insurance carrier & policy no. are: Z Carrier OLD REPUBLIC M00 Policy No. wiciai9`fm 7D d J (This section need not be completed if the permit valuation is for $100.00 or less). () (`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 3 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:` / / Applicant- Warning: pplicant 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 fora 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, itgNofficers, a4ents and employees. 2. Any permit issued as a result of this application bec9mes null and void if work is not commenced within 180 days from date oil 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 withal] 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. ; Signature (Owner/Agent) / ZEA" /411A/ Date 7 BUILDING PERMIT PERM'T`.�, DATE VALUATION LOT 2l) TRACT JOB SITEA�'g7+ ADDRESS��r-'` 'r 44; ti1i. a sv�n Ku APN57�°Ytt�'i u+i. L•vS^w OWNER CONTRACTOR /DESIGNER /EN (NEER .gy.Lr AR71yM9 011.GALAR.yI-A y�• YyVNAR 1'J0Jyn ��SlUXA 78-401 CHIMMWXY 111 '78-401 . 1A QUI:AI`I`A CA 92,233 UQ=TA CSA, 92,Zi3 (T60)777-0131 CB19 34-$4 r USE OF PERMIT P004 SPA OR DRIVEWAY -APPROACH. f . TRACT CO1` STRUC TYON 2,1083.00 OF SO' . yPOp:R.Cs•i7iPATpt{i�.��r�y, /455.00 RY;8WATED CONT 122R PEWd r' FRIT RT1V1`69Jiatty CORMI;RUCTIO1411, 101 •SJ00-418-MICI PLS N (CHECK F 1 ial _000_4x9_319 MECHANICAL HANIC AL FEE, 101.000-421.000 940.60 ELECTRICA.L FEE 101-000-42.0-000 X119,35 PLUMBINO .PCE 101.000-194000 S'TitONO M(YT1ON FEE - MID 101-000-241-000 0PIN)I O RE 101.000.423-100 �i5.30 DEXTELO PEP, Ddr-Alar FEE rl iib __ ')=_ . CONSTRUC"i;.lOW A1: PLAN C�.4•�x ;ffAPRO 6 $4,037.86 004 CITY OF LA QU;NTA r-imArd :I: np-.PT. RECEIPT RECEIPT FDAT E DATE BY DATE FINALED INSPECTOR \I INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVAL MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Stab Grade _ Return Air Steel _ _ Combustion Air Roof Deck _ - Exhaust Fans O.K to Wrap _ A F.A.U. Framing Compressor Insulation _ _ _ -p Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath — Drywall - Int. Lath _ - -o'C Final Final o - s 'd POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ Heater Final Water Piping _ Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection �� '���/ _ Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Ublity Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring _ Low Voltage Wiring FbQures Main Service ef Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) I HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of 2 CF -6R - Site Address: 79-799 Viento Drive Permit Number: Tract Number: 29323 Plan #: 2&2X Phase: 5 Lot Number: Project: Esplanade Builder: Lennar Homes An installation ceniticate 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: Heatina EauiDment of Efficiency Duct Heating Heating Equip. CEC Certifiedr Name Identicle (AFUE, etc.) Location Duct Load Capacity Type and Model Name Systems (>= CF -1 R) (attic, etc.) R -value .(BTU / Hr) (BTU / Hr) TU- US Air attic 4. Coolina EauiDment of Efficiency Duct Cooling Cooling Equip. CEC CertifiedName Identicle (SEER, etc.) Location Duct Load Capacity, Type and Model Number Systems (>=CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr) ,r 563CNX060 SEER 12 attic I, the undersigned, verity that eqw ent listed above is: i) is the actual equipment instanea, z) egwvaient to or more efficient than that specified in the Uin Dnd plia , Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residen I b ) quip ie that meets or exceeds the appropriate requirements for manufactured devices (frorl]_he pp Re ons or Part 6),. where applicable. ` PAGE 1 F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro Team Heating & Air ignature, ate Tristalling Subcontractor(Co. Name OR General Contractor (Co. Name) OR Owner MINIMUM REQUIREMENTS FO DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: System EIJ 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) 120 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 Check Box for Pass or Fail (Pass = 6% or Less) Passl x Fail PT -24 Compliance Credit was Taken for TXV TXV was installed 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) y fan flow I� 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 Faill =T-24 Compliance Credit was Taken for TXV TXV was insta e ` 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: 79-799 Viento Drive Permit Number: 0 . Tract Number: 29323 Plan #: 2&2X Phase: 5 Lot Number: 0 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 (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 I Faill ' T-24'Compliance Credit was Taken for TXV TXV was installed System of 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) 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 ai T-24 Compliance Credit was Taken for TXV .. TXV was installed ystemof ' 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 Flowx .06 uct Pressurization Test Results 5 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass Fai �T-24 Compliance Credit was Taken for TXV TXV was insta e ys em 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) Passl i Faili =T-24 Compliance Credit was Taken for TXV TXV was installed I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is • in conformance with the requirement o compliance credit. (The builder shall provide the HERS provider a copy of the CF-6R signed by the builder employ s r ra certifying that diagnostic testing and installation meet the requirements for compliance credit Team Heating. & Air ester ignature, QCeZ installing Subcontractor(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 r . _ T-e anon uerfineg," ir r sui Your Home has been insulated with CertainTeed (Fiberglass Insulation products, which are de'sigaed for today's safety standards ,and tomorrow's energy mquiuernents: Fiberglass is inorganic and ibere-fore pe.ratanently noncombustible, so it does mot have to be treated V1 with fine-retardant chemicals that will likely lose their effectiveness over time. It has not 'been treated _ W with chemicals that can corrode wiring or metal. `(Fiberglass will not absorbmoisture nor wiU it - = settle over time as may other insulation materials o This also certifies that CertaiaTeed Fiber Glass Insulation (has been professionally insmlled in this home to provide the following thermal performance., Job 1142nre Tapes t.rr• aG Espla>aade 'Tract: 2932:3 (Phase: 5 Lot At.: Plan: 2 Address: 79 - 79*9 V iiento Dr., La Quirtta, GA Ceiling Area: R-38 Blom Garage Ceiling: Interior Walls: - With Living Above . Overhangs: Exterior Waft R-13"Unfacaw Baas - ' Ceiling: Garage'1Y•'all:• CancRevered Inaccessible to Blow Floors W/Living Above Subco tractor.. J Insulation Co., file. 600 S '6n (,Azusa 1702 626) 1 License P.L465709 - r - a Signed Conchita Ortiz, Secretary/ireesurer —or(11R. Scott Jenkins, President—or- 0 . Lou MeroYa, Director of Operations ®cerP Y) R means resistance to beat flow. The higher the R-value, the greater the inaulatieg power. , ,r Ask your builder for the •fact sheet on, R- values. Keep this certificate, %,lith • your other f • "" valued papers. If you ever sell this home, this certificate should be- passed on to the buyer. 00