0402-348 (SFD)r
LICENSED CONTRACTOR DECLARATION
F ^; 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
172-1 02 B. WC
Date �� ``� �'7� Signature of Contractor17 ✓l
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 isnot 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 8, 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.
(y,) 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 L,r1SU Policy No. WC308' 7600
(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 shall forthwith comply with tfhos&provis"ions.
,Date: U. lr i� �i 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
I . addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
o 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 apXGEIton 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 property for inspection purposes. '
r
Signature (Owner/Agent) �'�� /1 149, Date.
PERMIT #
BUILDING PERMIT 04(ft..348
DATE VALUATION X Y� %0 LOT 113 TRACT
,
JOB SITEq& , i APN
ADDRESS
"Z
'.i•..• F..1�is�hbet j.%'✓�}e
OWNER CONTRACTOR/DESIGNER/EN (NEER
LE1q.k;.W-11 0Y L:'AWY:3:'t�' IM L MOTAR P f1b0.3 O1T CA TORItfsl
78.401 C Y31OH-WAY 111 '70A 01 C V_-1G:FMfXT 111
L,f'f.QuTwr1" CA. 92253 LAC UINTfJA, A 92253
(760)777-0131 r'SIX 3434
USE (VL.TIOFF PERMIT �j
MHOLE 1' ML LJ7i7i`MING .
:iftG%Y IdJ'I49, FL" i'Y. I�LYkNINT 1130ES NCY 11dC.:L U1& 2j1A UK WAL.i..-
P-00.t, SPA 011, DRIVRWAid APPROACH
'fstA T COtd97'Iti1f:'-'i`:bt:>'1d 2,3445.00 S /
PORIbI'idf L+.TIO 45.00 5i'
U&PA4OCKRPOR7' t ORO 3F
IM'3- d'C1Tt. CC1�:�1T3GT.[01��I.� C'rt�.'1
LI"1�
APP 0 6 2004
CITY OFLA C UfNTA
FiAIANCE DEPT.
T 0TM,.PFMv1JT =4 E, S DUE NOW
RECEIPT L'!. / ` BY X`� 1 /6) 5 4 INSPECTOR
9,36,342,M)
$4,164,75
$0,00
S""r,m` "s
lsihil "'Y
C>ON:`>Cl?UCTION ITZ'L
101-000-418-0.00
$709.00
PLAN CHECK FEE'
101-000-439-318
WX 29
914 •C1111KNICAL, FEE
101-00,0-421-000
$47,00
ELECTRICAL, .FE'`
10: -000-420-000
$114.01
P1.i1Ma1RIO FEE
101.000.419.000
�1 �K,'N1
UTRU1?03 LAOT1011a FFR - R�.r`+'SID
I €i'1-Or�0.,a41- .110
R3,8i
011ADRIGP
�Q1� C�nas$f 4�fYC3!)
SJ5.050
0Xr24>01PE 1MAACT FEE
A4030
IM'3- d'C1Tt. CC1�:�1T3GT.[01��I.� C'rt�.'1
LI"1�
APP 0 6 2004
CITY OFLA C UfNTA
FiAIANCE DEPT.
T 0TM,.PFMv1JT =4 E, S DUE NOW
RECEIPT L'!. / ` BY X`� 1 /6) 5 4 INSPECTOR
9,36,342,M)
$4,164,75
$0,00
S""r,m` "s
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPRV
MECHANICAL APPROVALS
Set Backs _�
Underground Ducts
Forms & Footings
Ducts
_
Slab Grade
Retum Air
Steel
Combustion Air
_
Roof.Deck r
Exhaust Fans
_
O.K. to Wrap v _ _ _
Framing �,
F.A.U.
Compressor
_ _
Insulation 'r ,�
Vents
_
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final �O o
BLOCKWALL A ROVALS
Final
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING AP OVA S
_
Waste Lines Y _
Water Piping _
Plumbing Top Out
Gas Test
Electric Final
Heater Final
lumbing Final
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection 0 -Z
Encapsulation
_
Gas Piping 7
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 Wv
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV
51te Aaaress: to -mi I viento urive ralnm lvunwcl.
Tract Number. 29323 Plan #: 2Y
Lot Number: , 18 Project. , Esplanade Builder:
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:
ue.�+inn•Cnunmcn4 -
w
CF -6R`
Phase: 5
Lennar Homes
I
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)
FC US Air attic
r`li— Gniummnnt
o iclencyDuct
Equip. CEC Certifiedr Name Identicle (SEER, etc.) Location
Type and Model Number Systems (-CF -1R) (attic, etc.)
Cooling Cooling
Duct Load Capacity
R -value (BTU / Hr) (BTU /1ir)
Ir attic
4.2
i
. 1
1, 1110 U11UC1alyncu, vcnly U10t c4U1F11 c 1L uaacu ouv.. - - ....,-, —--- -•---- ,- -- ------
efficient than that specked int rtificate of compliance (Form CF -1R) submitted for compliance with the Energy t
Efficiency Standards for resid tia ui i gs, and quipment that meets or exceeds the appropriate requirements for I
manufactured devices (�mt
p' n E icie egulations or Part 6), where applicable.
6 . Team Heating & Air
Signature, Date Installing Subcontractor(Co. Name
OR General Contractor (Co. Name) OR Owner
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT t
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) I
CFA:
System . , �' of
Indicate the maxlmum.aowa le Duct Leakage and the calculation used: t
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 r
x 400 x (Cooling Capacity in Nominal Tons) x(0.06) • I
.. 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 2.90%
Check Box for Pass or Fail (Pass = 6% or Less) Passl x Faillj
�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 i
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
I 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x .06
'15uct Pressurization Test Results {
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Passl Faill
QT -24 Compliance Credit was Taken for TXV TXV was installedf
{
PAGE 1
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro
i
44
', HVAC'INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV
Page 2 of 2 CF -6R '
Site Address: 79-831 Viento Drive. Permit Number:
0
Tract Number:29323 _ ' Plan #: 2Y
Phase: 5
Lot Nurnberg 18 Project: Esplanade Builder:
Lennar Homes
System =J of
I
Indicate the maximum 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 25 -
100 x Test Leakage/ Fan Flow, _ % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Passl
Faill
PT -24 Compliance Credit was Taken for TXV TXV was installed
System � of
Indicate the maxrmum 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.] & 16
-__7
400 x (Cooling Capacity in Nominal Tons) x (0.06)
fan flow 0
•
21.7x (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
Fai
�T-24 Compliance Credit was Taken for TXV TXV was insta e
- System , EZ] of r
owa
��
Indicate the maximum ale Duct Leakage and the calculation used:
4
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 (CFM g? 25PAT
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass I
Faill
rJT-24 Compliance Credit was Taken for TXV TXV was installed
ys em 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
r'
flow, 0
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x :O6
"
uc
Pressurization Test Results25 PA)
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
1, the undersigned, verify that the above 'agnostic test results and the work I performed associated with the test(s) is
in conformance with -the requirements or plia ce cr 't. (rhe builder shall provide the HERS provider a copy of the
CF -6R signed by the builder employ or
tra(#q certifying that diagnostic testing and installation meet the
'
requirements for compliance credit.)
Team Heating & Air`
'
-Tests . ignature, Dikto Installing Subcontractor o. Name
Performed OR General Contractor (Co. Name) OR Owner -
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy t.
PAGE 2
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro '
Lo
OU
Ce"rfificate of linsulAtion
Your Home. has been insulated with CerminTeed"Fiberglass Insulation products.'which are designed • "
r
.
for today's safety standards and to energy requirements:
ti t
f
Fiberglass is inorganic and therefore pertmanently noncombustible, so.ii does not have to be treatedCD
t
w ,' with fire -retardant chernicals that will likely lose their effectiveness over tirne. It has not been treated
_ CD
4 with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it
` . sertl.e over tine a`s may other insulation mater"' Ls., e
r,.
This also certifies that CertainTeed Fiber Glass hl ufation has been professionally installed in this home -
to provide the following thermal performance:.
_
'sob Name: Tapestry Esplanade Vract: 29323 '. Fbase: S '
'
Lot Plan: 2X Address: 79 - 831 Vieoto Dr., La Quieta, CA.
Ceiling Area: 11•38`131ow•n Garage Ceiling: Interior Walls: '
With Living Above
Overhangs: Exterior Wafts: R71.3 Unfaced Batts - -
Ceiling: - Garage Wall: Cantilevered
Enaccessible to Blow + Floors W/Licinig Above -
.Srbtractor iOJ Insulation Co., Inc.
nt, Az ms 41702 (62 8 2.6070 License #465109
..
• V S igri e(� ' 1 r 1
Conchita Ortiz, .SecretcaryAreasurer --or R. Scott Jenkins, -President: =or--
Lou Merota, Director of CDp¢rutioras.a�cer
M , j{
R- means resistance to heat flow. The higher the R- value, the greater'the insulating power.
Ask your builder for the -fact sheet on R- values. Keep this certificate .N ith your 'other
valued papers. If you ever sell thii home, this certificate sbould be passer on to the buyer.
CD
L
I
CITY . FLA QUINTA
"o�S�• 'JQEBN' DING"&SSAFETYDEPARTMENT
--s 777-7012
r
INSPECT ON REQUEST LINE
777-7153
Owner LENNAR HOMES OF CALIFORNIA
Contractor. LENNAR HOMES OF CALIFORNIA
Permit Number 0402-348
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-831 MENTO DRIVE
SFD - LOT 18, PLAN 2Y. PERMIT DOES NOT
INCLUDE BLOCK WALLS, POOL, SPA OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS 77
U/G PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS /STEEL
AL -
CONCRETE SLAB
DO NOT POUR CONCRETE NTI ABO V IG
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH'PLUMBING ..
ROUGH MECHANICAL
INSULATION
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-/ - 6
COMMUNITY DEVELOPMENT DEPT. 12 -?-/O</ NZ _
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
3kage & TXV Page 1 of 2 CF -6R
Permit Number:
Plan #: 2Y Phase: 5
.)ject: Esplanade Builder: Lennar Homes
alible for all appropriate inspections.
)artment (upon request) and the building
Identicle 1(kFUE etc.) I Location I Duct I Load Capacity I
.Svstems (>= CF -1 R) (attic, etc.) R -value (BTU / Hr) (BTU / Hr)
Identicle I (SEER, etc.) I Location I Duct I Load a Capacity
Ss vstem(>=CF-1R) (attic, etc.) R -value (BTU / Hr) (BTU/,Hr).
pment installed, 2 equivalent to or more
)miffed for compliance with. the Energy
it exceeds the appropriate requirements for
where applicable.
Team Heating & Air
Installing Subcontractor o. ame
OR General Contractor (Co. Name) OR Owner
.IANCE CREDIT
;t Leakage)
.06)
1 x .06
0.06)
x .06
P
TXV was
TXV wa;
PAGE 1
F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro