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05-0816 (RPL)V P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation'. . Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 IIIIIIIIIIIIIIIIIIIIIIIII 33 IE BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760.) 777-7153 05-00000816 Date 60166 ALOE-CIR 764 -270 -999 -180 -300233 - POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 17000 Contractor 3/10/05 CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 •(760) 398-9222 WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 CCC: C8 -C27 -C29-053 ------------------------------------------------------------ .---------------- Permit . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 16760 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU BLDG 2,001-25,000 135.00 ---------------------------------------------------------------------------- Permit . . . . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan ec e (� 6.00 Issue Date . . . . Valu .0. nn 0 Qty Unit Charge Per U MAR 2 12005 ension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=1 01, CITY OF LA QUINTA 9.00 ----FINANCE-DEPT------------- Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc P.O. BOX 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ Os. ��j'P Date: Applicant: Applicant's Mailing Address: ED [\I I g,,,6,- C/To k Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Lice�9e is ' orce and effect. // / �7 f( cense Class %lam— Lice se NoV 656yU �e 2l / os Contractor- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or tha-. 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).): U 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 or 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.). U I, 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.). U I am exempt under Sec. BA P.C. for this reason Date Owner WORKERS' 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. I Pave and will me' Wcmpensation workers' compensation insurance, as required by Section 3700 of th Labor Code, for the performance of the work for which this permit is ss d. y wo-insurance tamer rl4e 96p a re/ / mer Policy Number c/ f �(/(J V (� (� _ I certify tbat, 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th�pro'ions. to Z!!6S— A.pplica WARNING: FAILURE TO SECURE WOR ERS' 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. ' CONSTRUCTION LENDING AGENCY I hereby affirm under penalty cf 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 4 Lender's Address 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 and void if ork 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 co I a ree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county)o r upon the v mentioned property for inspection purposes. U _ uate osSignature (Applicant or Agent V� Page 2 Application Number . . . . . 05-00000816 Date 3/10/05 Permit Fee 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00' 1.00 6:0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 240 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 15.00 Special Notes and Comments POOL ONLY. 15 L.F. 4' BLOCK WALL CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee Total 291.00 .00 .00 ---------- 291.00 Plan Check Total 141.00 ..00 .00 141.00 Grand Total 432.00 .00 .00 432.00 CONSTRUCTION AUTHORIZATION CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R TRILOGY AT LA QUINTA- PH 9A (Partial) 6-1-05 Project Title Date 5D 66._Aloe C:ir9725-3 —SHEA HOMES ProlefAd ftor 760-535-2192 B'ffi iN5% Box @ Mbr Builder Contact Telephone William Henson 760-250-7022 Firm: BCI Testing Street Address: 77-760 Country Club Drive, Ste I Copies to: Builder, HERS Provider Plan Number Grou 1 iple Gro Number 180 (ph�A_ Sample I se Number HERS Provider: C� C✓�CtrS City/State/Zip: Palm Desert, CA 92211 HERS RATER COMPLIANCE STATEMENT The house was: IQ 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. 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 (Ma�mum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400efrn/ton x number of tons enter calculated value here 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 N THERMOSTATIC EXPANSION VALVE (TXV) 0 Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Pass Fail ❑ 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. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 IIIIIII VIII III VIII IIII 32 IE 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 60-166 ALOE CIRCLE, LOT 3180; PHASE 9A, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE# BY: TITLE: PARAGON CHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY:--, ,'---TITLE: ACCOUNT REP RES ENTI VE DATE: INSULATION CERTIFICATE This is to certify that insulation has been instailed 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 ell B Y: eAf-- TITLE: ACCOUNT REPRESENTIVE DATE. ST 29Vd GINIHOS NOOVdVd V0CZ9VE09L L8:60 900Z/60/90 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Project: Trilogy @ La Quinta - Shea Homes 81-260 Avenue 62 La Quinta, CA 92274 Set ID Structure JCM ID Location Date: 5110105 Project No: 02-1109 Age of Test Compression Strength Date Cast Cylinder ID (days) (psi) Set A Phase 9A - Lot # 3180 Slab on Grade 3-2-05 273-456 Great Room Ct gtJ Page 1 of 1 Concrete Required psi: 4000 9210 7 3510 9211 28 5180 9212 28 514 CERTIFIED: C� JCM Inspections supplies the service of compression strength test results only. Per ASTMC39