04-7900 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
04-00007900
Property Address:
VO—1-S-1 ALOE CIR
APN:
764-270-999-168 -300233-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
5475
T44t 4 4 Q"
Applicant: Architect or Engineer:
N I�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S 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 ass: / pLiiccense,N—o.: 672285
Date ntracto .
/ OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERA11T
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Date: 12/20/04
T
Ax
i�cC
232004
cn OiFLA QUINTA
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
�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 and policy number are:
Carrier NTL UNION INS Policy Nu r 6436568
I certify that, in the performance of the work which this permit is issued, I shall not employ any
person in any mann so as become su ' ct to the workers' compensation laws of California,
{1 and agree that, if I s u1 ec me subie o the workers' compens ion provisions of Section
37.00 of the Labor C , I sha forthw' cawta ions.
WARNING: FAILURE TO SECURFWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null d void if work is not commenced
within 180 days from date of issuance of such permit, or c sation of work for 180 days will subject
permit to cancellation.
I certify tha I have read this application and state that the aAve inforn tion is correct. I agree to comply with all
city and co my or inances and state laws relating to b constru on, and h representatives
of thi� c un to
ter upon t above-mentioned pr e y r in p on ses.
c
�e: nature (Applicant or Age
(III II
VIII
III
III I
(III 31
IE
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Date: 12/20/04
T
Ax
i�cC
232004
cn OiFLA QUINTA
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
�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 and policy number are:
Carrier NTL UNION INS Policy Nu r 6436568
I certify that, in the performance of the work which this permit is issued, I shall not employ any
person in any mann so as become su ' ct to the workers' compensation laws of California,
{1 and agree that, if I s u1 ec me subie o the workers' compens ion provisions of Section
37.00 of the Labor C , I sha forthw' cawta ions.
WARNING: FAILURE TO SECURFWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null d void if work is not commenced
within 180 days from date of issuance of such permit, or c sation of work for 180 days will subject
permit to cancellation.
I certify tha I have read this application and state that the aAve inforn tion is correct. I agree to comply with all
city and co my or inances and state laws relating to b constru on, and h representatives
of thi� c un to
ter upon t above-mentioned pr e y r in p on ses.
c
�e: nature (Applicant or Age
Application Number . . . . . 04-00007900
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 81.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 5475
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 THOU BLDG
2,001-25,000
36.00
----------------------------------------------------------------------------
Special Notes and Comments
155 L.F. 6' GARDEN WALL, 100 L.F.
3'
RETAINING WALL, BOTH ORCO SYSTEM
Fee summary Charged
-------------------------------------
Paid
Credited
Due
Permit Fee Total 81.00
----------
.00
----------
.00
81.00
Plan Check Total .00
.00
.00
.00
Grand Total 81.00
.00
.00
81.00
LQPERMIT
0
0
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n CF -4R
TRILOGY AT LA QUINTA- PH 9A (Partial)
Project Title
60166 Aloe Circle, La Oninta, CA 92253
PrcjeTAd or 760-535-2192
Builder Contact
William Henson
HERS
6-1-05
Date
SHEA 140MES
,.:. .
Telephone Plan Number
760-250-7022 Gr
ou 1
Telephone Je' Gro Number
'"
06 -01 -OS 1.801 h._ A
iSampie H - se Number
HERS Provider: CALGE44.:"s L�tr`S
City/State/Zip: Palm Desert, CA 92211
Date
Firm: BCI Testing
Street Address: 77-760 Country Club Drive, Ste I
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: 10 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
w'th the diagnostic tested compliance requirements as checked on this form.
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.
I 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 q33
If fan flow is calculated as 400cfm/ton x number of tons enter calculated
value here % Q
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow)
Check Box for Pass or Fail (Pass: --6% or less) ❑
Pas Fail
tQ THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
❑ Yes ❑ No
Compliance Forms
�IIII
�
IIIIIIIIII
IIII
32
IE
TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CFAR.
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
August 2001
❑
Pass Fail
❑ ❑
Pass Fail
A-16
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building at -
A QUI
31180,
_=Q U:1 NfTAtC,,A
PH AS E V�A, LN
LIN _
60-166 ALOE d1R_Cl1_X'E,3ME
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed
GENERAL CONTRACTOR: SHEA HOMES LICENSE#
BY: TITLE:
THICKNESS: R-38
THICKNESS: R-13
PARAGON 'CHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
60-196 ALOE CIRCLE, LOT 3179, PHASE 9A, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY:
TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE #221517
�16--el--TITLE: ACCOUNT REPRESENTIVE DATE:
BY4,?ty.
EZ Sgdd GIWHOS N09V�JVd V0EZ9VE09Z. L0:60 500Z/60/90
- JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC Date: 5/10/05
Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274
Set ID Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A Phase 9A - Lo -t # 3180=Slab on Grade 3-2-05 Concrete
273456 Great Room Required psi: 4000
9210 7 3510
9211 28 5180
- - 9212 28 514
CERTIFIED: Cr ,
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
•
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