04-6254 (BLCK)60117 Angora Ct
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BUILDING & SAFETY DEPARTMENT
P.O,1 Box
)FYNh ii. 9 A X1`504
(760).777-7012
/8-495-CAILPE TAMPICO
` I FAX (760) 777-7011
LA,Q>UINT A' ICALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Cffll07 BUILDING PERMIT
FINA%Cr: DEQ y
Application Number . . . . 04-00006254 Date 9/10/04
Property Address . . . . . . 60117 ANGORA CT
APN: 764-270-999-127 -300233-
Application description . . . WALL/FENCE
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation.. 6400
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
WCC: NTL UNION INS
WC: 6436568 08/01/05
CSLB: 672285 06/30/05
CCC: B
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Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 90.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 6400
Qty Unit Charge Per Extension
BASE FEE 45.00
5.00 9.0000 THOU BLDG 2,001-25,000 45.00
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Special Notes and Comments
160 L.F. 6' GARDEN WALL, 150 L.F. 3'
RETAINING WALL, BOTH ORCO SYSTEM
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 .00 .00 90.00
Plan Check Total .00 .00 .00' .00
Grand Total 90.00 .00 '.00 90.00
P.O. Box 1504 • �G/ 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: 6c/- (Q.2$4 1 Date:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
DIA
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder a alty of perjury that I am licensed under provision pt ommenc'nI g y.th Section 7000) of Division 3 of the Business and Professionals
` and my Licens i full force and effect.
icense Class en
A n/ i se No.
,.Date ��
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 1, 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 wot for which t 's permit is issued.
I Pale an II maintain rkers' compensation insu nce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ued. workers' pensation ins ce carni ran p mWef n
icy Number "_,,
_ I certify that, in the performance o the work for which M 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 oat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those visions.
IQm.
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
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 ijabo�ventfigned
commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to ca Ilation.
I certify that I have read this application and state that the above in
f atio ' correct.to comply with all city and county ordinances and state laws relating to building
const ction, and hereby authorize representatives of this county to e / up the property for inspection purposes.
ate ' `4-M �" Signature (Applicant or Agent): / '
^fXftA4rM;4 v
AIR CONDITIONING INC.
Installation Certificate: Residential CF -6R
Site Address 7
60-117 ANGORA COURT 1,0t 2*
1. BUILDER INFORMATION
SHEA TRILOGY LA QUINTA
81260 AVE 62
LA QUINTA, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwoik in
Attic and Between Floors
PERMIT #
SUBDMSION: Trilogy La Qunita
CITY: LA QUINTA
COUNTY: RIVERSIDE
WESTPAC AIR CONDITIONING
DICT OR PIPING R -VALUE
Flexible Ductwork Will have
a R -Value of 6.00 or Better
I III II VIII III VIII IIII
IE
15
I, the undersigned, verify that the equipment listed in the category above my signature is the equipment installed and that the equipment mee
or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more
efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate complience with the Energy Efficiency
Standards for residential buildings.
3. HEATING INFORMATION
HEATING I MANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING
EOUIP. MAKE [MODEL # AFUE CAPACITY LOAD
4. COOLING INFORMATION
COOLING MANUFACT COMPRESSOR
EQUIP. I MAKE dl MODEL #
ACTUAL EFF.
COOLING EQUIP
SEER
CAPACITY
HEATING
LOAD
The building design heat loss and design heat gain rate have been determined using a method specified in Section
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
5. THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
6. SUBMITTED BY:
-7r%5e Fcona are)
Signature Installing HVAC Contractor
\Alexis\CrystalReports\Purchasing\CF6R—Report.ipt
ob#: 4514 Lot: 3127
YES Q NOF7 N/A 0
02/04/2005 04:05 17603401819
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16
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, Califomia Administrative Code, Title 24, State of Califomia, in the building at
81-302 BARREL CACTUS RD, LOT 3023, PHASE 8A, LA QUINTA CA
CEILINGS:
TYPE: BLOW
MAU NFACTURER:Certainteed THICKNESS: R-38
WALLS:
TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: 'SHEA HOMES LICENSE#
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: -14-IZ
PAGE 13/21
02/04/2005 04:05 17603401819
PAGE 14/21
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17
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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 at
60-117 ANGORA CT, LOT 3127, PHASE 8A, LA QUINTA CA
CEILINGS:
TYPE; BLOW MANUFACTURER: Certainteed THICKNESS:
R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
8Y. TITLE:
l
i
PARAGON SCHMID 13UILDI G PRODUCTS A MASCO Company LICENSE 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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