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0402-347 (SFD)LICENSED CONTRACTOR DECLARATION "l 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 72,03102. t C / � % 9130/04 Date �� Signature of Contractor 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). ( ) 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 Labor Code, for the performance of the work for which this permit is issued. ()2) 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 INDL Policy No. MWBM609 (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 sub iect 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 shall forthwith comply with thosg 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 $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's, fees. IMPORTANT Applicatioh is hereby, made to the Director of Building and Safety for a permit subject to the conditions -and restrictions set forth on his application. ~ 1. Each persohupon whose behalf this application is made & each person at whose request`and for whose,benefit work,is performed under or pursuant to any permit issued as a result of this°applicaton agrees to, & shall, indemnify & hold, harmless the City of La Quinta, its officers, agents and employees. 2: Any permit •issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enterWu ,on the above-mentioned property.for inspection purposes. Signature (Owner/Agent) Fy� '�fi • Date J r ¢ BUILDING PERMIT PERMIT# 0402- � t DATE VALUATION LOT TRACT ' I4 11 29321 JOB SITE APN ADDRESS '79-"7 YJ�$ -1, Tio mun. -W-024 OWNER CONTRACTOR/DESIGNER/EN (NEER I.IOMA12 T-1:0 MES OF CIPAJMi NdInA T-.% .gP►RH014MI a QiT'9,,10RNU 7$-401 C I3IGlRVAY 111 78.401 C HIGI•M-kY ? 11 LA QUI71+NTA. CA 1:;'22.53 LA Ql "Ii TA CA 92253 (760)77.7-0131 CBLH 3434 USE OF PERMIT , r SW LOT 11; PLM4 4YkVPSRM1T 17OE,'S'NDT Po"CUUM S•LOCIC W'ALI,S, Pt 01.,;.'t1Pd+,, (JR. O`t I EW'AYA,PPROAS%1i MACT CijN,STRUC'fIOM x,911.00 SI+ P0.R.( 13fPAT10 53.00 S>: UATZAGEICARPCIW� 423,00 QF EMM.Alren Con OF comsnexTION IWAO"rlcy 1k. CONSTRUCTION PEE 101.OM-418.000 xINN54 PLAP? C;MC -1.' FEE, 39 MECHANICAL "T? 101.000421-000 $53.50 EL.WMITCAL. ate ' 10111-000-420 -000 $129.89 t�IrL�kU1 c'I 115 101 $164. STT;OOWO IMOT!L' N iii n��.'�',iL� 101-000.1.41-000 $14,54 i%AllI?d►if :t 101.000-423-009 $15.00 r1 :L' * ?•i.0!'. 1t. lArf P.t~"!' 1r i $;+1nba $4•;242.57 $0,W 2AIJ a, # 4p8..f'S.;V..1. IrSlsk:S�.4✓UE NOW APR 0 6 2904 CIT`! OF L A-QUNINJTA PINANCE UEPT. RECEIPT • DATE / / , BY 1 DATE FIN ED / IN PE OR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROV LS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings _ Ducts Slab Grade _ Return Air Steel _ _ Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Vents Grills _ Insulation i Fireplace P.L. Fireplace T.O. Fans & Controls Party Wali Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final jf Final 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 APPOVALS Gas Test Electric Final Waste Lines_ Heater Final Water Piping _ Plumbing Final Equipment Enclosure Plumbing Top Out Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test 99 avy Appliances Final COMMENTS: Final 107X474V Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels It Exterior Receptacles ej G.F.I. Smoke Detectors Temp. Use of Power LZQ Final Utility Notice (Perm) 1. n HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 of z CF -6R Site Address: •• 79-847 Viento Drive Permit Number: Tract Numbe: 29323 Plan #: 4Y Phase: 5 Lot Number:17 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:. I-Icntinn Pnllinmant v# of Efficiency Duct Equip. CEC CertifiedName Identicle (AFUE, etc.) Location Type and Model Name Systems (>= CF -1 R) (attic, etc.)'.R-value Duct Heating Heating Load Capacity (BTU / Hr) (BTU / Hr) Ir, ; a Ic 4T— USIr attic 4. (`nnlinn Fnllinmant V# of Efficiency Duct Equip. CEC.Certified Mfr Name . Identicle (SEER, etc.) Location Type and Model Number Systems (>=CF -1 R) (attic, etc.) Cooling Cooling Duct Load Capacity R -value (BTU % Hr) (BTU / Hr) ---4-T— HP ]US Ir 563CNX048j attic ----4-2— USIr ` attic i, I, tilt: UIIUCIJIyllUU, VUllly ural cyulNlncnl IIQMU Cull!. w. 1r w 111. Q. - G4—F... —L ,n.a as u.,.., —1 ..y............ — — ...v efficient than that specified in th certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for resid ntia uildin , and uipment that meets or exceeds the appropriate requirements for manufactured devices (from t e A p n E iciaAcy egulations or Part 6), where applicable. Team Heating & Air Signature, Date nsta mg 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 hf-I Indicate the maximum a` oilowa 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 1600 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 .4.13% Check Box for Pass'or Fail (Pass = 6% or Less). Passl x Faill PT -24 Compliance Credit was Taken for TXV TXV was installed ystem � 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,l through 7 & 16 1200 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 I x .06 uct Pressurization Test Results 5 100 x Test Leakage / Fan Flow = % Leakage 4.92% Check Box for Pass or Fail (Pass = 6% or Less) Pass FaI OT -24 Compliance Credit was Taken for TXV TXV was insta PAGE 1 F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro • 1 . HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV r. Page 2 of 2 CF -6R Site Address: 79-847 Viento Drive Permit Number: 0 Tract Number: 29323 Plan #: 4Y Phase: 5 - Lot Number: 17 Project: Esplanade , Builder: LennarHomes. • 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) - f fan flow 0 21.7 x (Heating Capacity in Thousands of Output BTU per hour) z (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) PassF Fail [PT -24 Compliance Credit was Taken for TXV TXV was installed ystem F -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 0.5x Floor Area x (0.06) for Climate Zones 1 through7 & 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 �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 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 installed System [� 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) 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) PassE Fai =T-24 Compliance Credit was Taken for TXV TXV was installed I, .the undersigned, verify that the above diagnostic test results and the work l performed associated with the test(s) is in conformance with the requiremen r compliance credit. (The builder shall•provide the HERS provider a copy of the " CF -6R signed by the builder emplees u ntra certifying that diagnostic testing and installation meet the requirements for compliance credit ����• Team Heating & Air Tests igna ure, to 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 4L �� � �� �- o Insulation. Your Hoine Inas been insulated with ConainTeed Fiberglass tasulatioe products, which are designed for todays safety standards and tomorrow'senergy requirements. CD Fiberglass is inorganic and therefore permanently noncombusin-ble, so it does not have to be ureaaed %kith dire -retardant cheaucals that will likely lose their effectiveness over tinge. rt has not been treated CD with chemicals that can corrode wiring or tnetal. Fiberglass will not absorb moisture nor will it r- settle overtime as may other insulation materials. m This also certifies that CertainTeed Fiber GUss Iaswlation' bas been professionally installed in this home to pro,.^ide the followitag thermal performance: Job Name: Tapesery Esplanade Tract: 29323 Phase: 3 Lot ft.: $` -Plan: 4YR address: 70 - 947 Viento Dr.; La Quints, CA Ceiling Area: R-39 Bloom Garage'c6ung: Interior Walls: With Gsulag<:�boVe over) engs: Exterior `'Valls: R-13 UnfacedBatts Ceiling: Garage Wall: Cantilevered :• Inaccessible to Blow Floors .W/Lioing Above ondra o .. Uj Ifntiova a✓o., liar 600 -in a s Ca 70212-6070 License#465704 5t edConchila ®rtit, SeCf etar� 1freasurerR. Scott JeY kips, President—or- 0'- `- Lora Mei-oda, Director of Operations Officer R- means resistance to heat flow. The higher the'R- value, the greater' the insulating power. v Ask yowr builder for the fact sheet on R- values. Keep this certificate with your other_ valued papers. If you ever sell this home, this certificate sbould be passed on to the buyer. m m ru tb , • V S _. L 'a wwat l __ C d C ENERGY • . �. 71. ' P0. Box 621 Ph/Fax (760) 564-2044 • Rancho Mirage, CA 92270 Cell: .(760j 250-1852 Email: DESNRG Ca�AOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) y CF-4R TAPESTRY @ ESPLANADE PH s , DATE TESTED 10-11-04 Project Title mate 79-847 VIENTO DRIVE LA QUINTA CA. 92253 LENNAR HOMES Project Address Builder Name , + TONY PASCANITE • 909-275-0204 PLAN 4X 2 UNIT Builder Contact Telephone Plan Number ALAN WEAVER 760-880-5504 GROUP I HERS_ R t Telephone Sample Group'Number LOT 17-5 I ®F 2 • . ' #CCNA1iif183266 10-12-04 Certifying. Signature Date Sample Lot Number ' Firm: DESERT ENERGY SERVICES LLC HERS Provider: "CHEERS y Street Address: P:O. BOX 621 .City/State/Zip: ,RANCHO MIRAGE, CA. 92270 Copies to: Builder, HERS Provider 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 fhe houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. - - N 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) ; N Where clothibacked, 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 ' Test Leakage Flow in CFM 67 If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here , 1200 If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = 5.583 Check Box foi• Pass or Fail (Pass=6% or less) ® FT ' 1 Pass- Fail N THERMOSTATIC EXPANSION VALVE (TXV) " N Yes ❑ No Thermostatic Expansion Valve is installed and Access is N provided for inspection ❑; -4 rt YC A 0 E C: l____ arvicas _ P0. Box 621 Ph/Fax (760) 564-2044 Rancho Mirage, CA 92270 Cell: (760! 250-1£352 Email: DESNRG (a)AOL.COM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Pagel of 7) CF -4R TAPESTRY @ ESPLANADE PH 5 ®ATE TESTS® 10-11-04 , Project Title . Date 79-817 VI ENTO DRIVE LA QUINTA CA. 92253' LENNAR HOMES roc Address Builder Name TONY PASCANITE 909-275-0204, PLAN 4Y 2 UNIT Builder Contact Telephone Plan Number ALAN WEAVER 760-890-5504 GROUP 1 :i HERSRa�"e Telephone Sample Group Number #CCNAW183266 10 04 LOT 17-5 201`2 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 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. cS ® 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) - Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM84. If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 1600 If fan flow is measured enter measured value here Leakage Percentage (100 s Test Leakage/Fan Flow) 5.25 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 ® ❑ 1 �'. , fir' - - • f YY t s — w• .. s. R , ertincate of�OCCu anCY p _ ... 'r, "Yj, 14 Buildin 4'&=Safet De �artment g Y p of ., . .. ,.. � - t ' �' ,J, »-i �- `• '�. �zR- ' _, r • 3 •••\ .. r � r -- � � � , - � • . . rte: ± � • � s , , f � t This `Certificate; is' issued. " rsuant'to -the requirements- of Section 109'of the California Building Code, 'certifying that the; time- of;issuance; this structure was in�`compl ancewith the g g g ti ' `provisions of the Building ,Code and ,the various: `,ordinances hof the Cit re ulatin building, . . .,.y}. construction;and/or use. z _ _ BUILDING ADDRESS: 79-847 Viento Drive Ll Use classification Single Family Dwelling, Building -Permit No. `0402-347r y ". Occupancy Group:'R-3^ ,` ' Type of. Construction: VN '., ' Land UseJZone: RL .. I - - .� _ . l .� - -. _ � �_ '0 � - = .i, `ter{� •,� y � • J � 4 ��� .1, _, - • '1 -. • 1 W � ~ �1 , f ttiS 1 - '1 y . y ` • - _ - y 1 - `�' _ ! (,� . Owner=of Building: L'ennar. Homes of.Califocnia - ; - Address: 78-401 C Highway 111 City, ST, ZIP: La Quints, CA 92253 ; By: D n el P. Crawford Jr. .. Date: -510/13/04 Building Official' POST IN A CONSPICUOUS PLACE YY t s — w• .. s. R ,