04-8091 (SFD)U
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14
E TAMPICO
�ALIFORNIA'92253
BUILDING PERMIT
IIIIIII VIII III VIII
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A13, -�onTNumber .
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
V I 1 i yr u• a1w• ..
AYa�t
A13, -�onTNumber .
. .04-000080.91
Date 1/31/05
Property Address
. . _610-13="IR
APN:
.764-270-999-174 -300233-
Application,description
. . . DWELLING'- SINGLE-FAMILY
DETACHED
Property Zoning . . .
. . . . MEDIUM HIGH DENSITY RES
Application valuation
. . . . . 237751'
Owner
Contractor
------------------------
SHEA LA QUINTA
------------------------
SHEA HOMES, INC.
C/O JEFF MCQUEEN
.81260 AVENUE 62
8800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE
AZ 85258 (760) 777-6005
WCC: NTL UNION INS
WC: 6436568
08/01/05
CSLB: 672285
06/30/05
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . . .NON
-AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
755.00
PATIO SQ FTG
488.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2679.00
----------------------------------------------------------------------------
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Pee . . . .
1122.50 Plan Check Fee
182.41
Issue Date . . . .
Valuation . .
. . . 237751
Qty Unit Charge
Per
Extension
BASE FEE
639.50
138.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
483.00
Permit . . . . . .
MECHANICAL
Additional desc . .
Permit Fee,
99.50 Plan Check Fee
6.22
Issue -Date
Valuation . .
. . 0
Qty Unit Charge Per
1.00 9.0000 EA
1.00 11.0000 EA
1.00 9.0000 EA
BASE FEE
MECH•FURNACE <=100K
MECH FURNACE•>100K
MECH B/C <=3HP/100K BTU
Extension
15-00
9.00
11.00
9.00
P.O. BOX 1504 • �II / VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q 4_,8C)
$d
Applicant: La
hit Erigin
Applicant's Mailing Address: ct or Engineer's Address:
BUILDING PERMIT DECLARATIONS
1 lr CAMQCr% f`AUVMAP1 1.�.w.l
:tion 7000) of Division 3 of the Business and Professionals
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 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).):
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 offerad 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 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.).
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�h ve aqdll maintain wo rs' compensation insura ce, as quired by S n 370Q of the Labor Code, for the performance of the work for which this permit is
�1-Irkers' co ensation insurance cartie a of ch r Y
amer olic Num cVVJ
_ I certify that, in the performance of the work for w c 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 t , i I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
orthwith comply with those pr visions.
/ Date Applicant
—jA
WARNING: FAILURE TO SECURE WORKERS' 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 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 11 L
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 Ouinta, 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 wo is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180days will subject permit to cancellation.
I certify that I have read this application and state that the above i tion is co I agree to comply with all city and county ordinances and state laws relating to building
constructi an hereby authorize representatives of this county t me upon a ve-menti ed properly for inspection purposes.
e
Signature (Applicant or Agent). (! -
J
Page
2
Application Number .
. . . . 04-00008091 Date
1/31/05
Qty Unit Charge
Per
Extension
1.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
16.50
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
---------------------------------------------------------
EA, MECH EXHAUST HOOD
6.50
-------------------------
Permit . . . .
-------------'-------------------------------------
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee
123.87 Plan -Check Fee
7.74
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
.15.00
.2679.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
93.77
755.00 •.0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
15.10
Permit . . . . . .
PLUMBING
Additional desc
Permit Fee
177.00 Plan Check Fee
11.06
Issue Date,
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1:00 3.0000
EA •PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS PIPE >=5
4.50
1.00 15.0000
---------------------------------------------
EA PLB GAS METER
15.00
Permit . . . . . .
------------------------------
GRADING PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check Fee
1.00
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes and Comments
SFD-LOT 174 PLAN 6505A „ 2679 SF.INCLUDES
255 SF CASITA, 26 SF BOX BAY @ MBR%
'PERMIT DOES NOT INCLUDE BLOCK WALL,
POOL, SPA OR DRIVEWAY
APPROACH. 750
REDUCTION TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE OF
SAME PLAN TYPE
;%
Page 3
Application Number . . . . . 04-00008091 Date 1/31/05
---------------- -----------------------------------------------------------
Other Fees'.. . . . . . . . ART IN PUBLIC PLACES -RES 94.37
DIF COMMUNITY CENTERS -RES 97.00
DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 91.20
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 23.77
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged. Paid
-- - - - - - - - - - -- - - ------ - - - - ------ - - - - - -
Permit Fee Total 1537.87 .00
Plan Check Total 207.43 .00
Other Fee Total 2614.34 .00,
Grand Total 4359.64 .00
Credited Due
.00
1537.87
.00
207.43
.00
2614.34
.00
4359.64
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R
TRILOGY @ LA QUINTA- PH- 9A (Partial)
Project Title
60331 Aloe Circle, La. QW CA .9225
Project Addresg
Joe Minor 760-535-2192
lde tact Telephone
Bui
i1iam Henson (CCN #CC2004076) 760-250-7022
HERS Rater Telephone
6-15-05 _
CefTfying Sigraat Date
6-15-05
Date
Builder Name
Plan 6505 Box Ba Mbr
Plan Number
N/A J"
Sample Group Number
174 (ph 9A)
Sample House Number
Firm: BCI Testing HERS Provider:
Street Address: PO Box 50575
Copies to: Builder, HERS Provider
City/State/Zip:
CALCERTS
Phoenix, AZ 85076
HERS RATER COMPLIANCE STATEMENT
The house was: 0 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 an this form.
The installer has provided a ropy 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.
9j MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400efin/ton x number of tons enter calculated
value here
Measured
values
q 15J67 goo IVA 1660
o
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) = 5 3 5 ti .FS
Check Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
JJ THERMOSTATIC EXPANSION VALVE (TXV)
filYes ❑ 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 RCCA 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
III II VIII III VIII IIII 77
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Ti tate of California, in the building at
60-331 ALOE CIRCLE, L0T 3174, ASE 9A, LA QUIINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: ainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
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BY: ��� TITLE: ACCOUNT REPRESENTIVE DATE:
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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
60-271 ALOE CIRCLE, LOT 3172, PHASE 9A, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-11
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BYE TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
r
TITLE: ACCOUNT REPRESENTIVE DATE:1 O�lJdj
IIIIII V I I I III III 78
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VO SJdd QINHOS NOnti�ldd V@EZ9VC09L LB :60 50aZ/E0/90
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JCM Inspections
39725 Garand Lane Suite F
/
—
Palm Desert, CA 92211
7Y
Phone: 760-345-5554 - Fax: 760-772-3895
IN S P E C ,j
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC
Project: Trilogy @ La Quinta - Shea Homes
81-260 Avenue 62
La Quinta, CA 92274
Date: 5/10/05
Project No: 02-1109
Set ID Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A Phase 9A - Lot # 3174 Slab on Grade 3-9-05 Concrete
273458 Casita Required psi: 4000
9254 7 3800
J LO /12� L C, 9255 28 5490
9256 28 5460
n
CERTIFIED: 1 SLC , uA
Inspections supplies the se
of compression strength test results only.
Per ASTMC39
Page 1 of 1