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04-6291 (SFD)60177 Angora Ct :i} IIIIIII VIII III VIII IIII 36 I,IIi IE BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 ELLE TAMPICO FAX (760) 777-7011 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT 3 A 0 4- 0 0 0 0 -62 -91 --- Date 9/15/04 roperty Address . UkPp . . . . 60177 ANGORACT PN: 764-270-999-125 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . MEDIUM HIGH DENSITY RES .Application valuation 146209 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 488.40 PATIO _SQ FTG 17.7.00 NUMBER' OF•' UNITS 1.00 FIRST FLOOR SQ FTG 1662.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc Permit Fee 804.00 Plan Check Fee 130.65 Issue Date Valuation 146209 Expiration Date 3/15/05 Qty Unit Charge Per Extension BASE FEE 639.50 47.00 3.5000 THOU. BLDG 100,001-500,000 164.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional,desc Permit Fee . . . . 64.00 Plan Check Fee 4.00 Issue Date . . . . Valuation 0 Expiration Date 3/15/05 P.O. Box 1504 • 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: 04- (Da7-/ Date: /Q ' q' () V Applicant:CK EnQITtS ,, . Applicant's Mailing Address: —Architect or Engineer's Address: 1c. No.: ` —c , BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u natty of perjury that I am licensed under provisions of Chapter 9 corn ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my LicerpeAjn full force and effect. cense Class (4) ��JJ 1_^ 6iL nse No. Date C) 0,1 ntractor � V'�c 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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance �of the work for which this permit is issued. l have and wiI[Nmr maintain wo rs' com�ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is il��, .cued. 'cor r satin rance carri$ IiQdumt�t� /-'Carrier Policy Number 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 fort with comply with those p_ro/xkisions. Date ` a Applicant 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 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, indemnity 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 voi 'f work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit 19 cancellation. I certify that I have read this application and state that the ab information is I agree to comply with all city and county ordinances and state laws relating to building construction, an hereby authorize representatives of thisn r on bove-m tioned property for inspection purposes. p v- Signature (Applicant or Agent): Application Number . i . . . 04-00006291 Page 1 2 Date 9/15/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 82.93 Plan Check Fee 5.18 Issue Date Valuation . . . . 0 Expiration Date 9/15/04 e_ Qty Unit Charge Per Extension BASE FEE 15.00 1662.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 58.17 488.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.76 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 128.25 Plan Check Fee 8.02 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/15/04 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 EA PLB GAS METER 15.00 ------=-------- Permit . ----------- . . --------------------------------------- GRADING PERMIT ----------- Additional desc Permit Fee . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 3/15/05 Qty Unit Charge Per Extension Page 3 Application Number . . . . . 04-00006291 Date 9/15/04 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 125, PLAN 45200, 1662 SF,: PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION -TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE --------------------------------------------------------------------=------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 13.07 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 502.0'0 STRONG MOTION (SMI) - RES 14.62 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 1094.18 .00 00 1094.18 Plan Check Total 147.85 .00 .00. 147.85 Other Fee Total 2432.69 .00 .00 2432.69 Grand Total 3674.72 .00 .00 3674.72 02/04/2005 04:05 17603401819 IIIIIIIIIIIIIIIIIIIIIIIII 37 PAGE 08/21 1E INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code,. Tile 24, State of California, in the building at 60-177 ANGORA CT, LOT 3125, PHASE SA, LA QUINTA CA CEILINGS: 5. TYPE: BLOW MANUFACTURER: Certainteed THICKNESS, R-38 WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 5 GENERAL CONTRACTOR: SHEA HOMES LICENSE BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: . `11�s► ri"AC AIR CONDITIONING INC. Installation Certificate: Residential CF -6R Site Address 60-177 ANGORA COURT L % 1. BUILDER INFORMATION SHEA TRILOGY LA QUINTA 81260 AVE 62 LA QUINTA, CA 92253 INSTALLING CONTRACTOR: 2. PROJECT. INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors PERMIT # SUBDMSION: Trilogy La Qunita CITY: LA QUINTA COUNTY: RIVERSIDE WESTPAC AIR CONDITIONING DICT OR PIPING R -VALUE Flexible Ductw6ik Will have a R -Value of 6.00 or Better IIIIIII VIII III VIII IIII 38 IE 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 MANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING EQUIP. MAKE MODEL # AFUE CAPACITY LOAD 4. COOLING INFORMATION PCOOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING E0 HEATING EQUIP• MAKE MODEL # *SEER CAPACITY 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. S. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. YES Q NO Q N/A Q 6. SUBMITTED BY: Signature Installing HVAC Contractor Date \W I exi s\Crystal Reports\Purchasing\CF6 R_Report.rpt 1..1.11. A C I A T -'117G