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04-6250 (SFD)60237 Angora Ct IIIIIII VIII III VIII IIII 54 IE BUILDING & SAFETY DEPARTMENT BOX 1504 (760).777-7012 ?5 CALLE TAMPICO FAX (760) 777-7011 'UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ember . . . 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 `0-4=40-0-0-6-2-5-0---] Date 9/10/04 6-0-2-3-7—ANGORA CT 764-270-999-123 -300233- WALL/FENCE MEDIUM HIGH DENSITY RES 4737 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 ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 4737 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ----------------------------------------------------------------------------- Special Notes and Comments 137 L.F. 6' GARDEN WALL, 82 L.F. 3' RETAINING WALL, BOTH ORCO SYSTEM Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total 00 .00 .00 .00 Grand Total 72.00 .00 .00 72.00 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011' LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 50 Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 0 /a Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under p rta ty of perjury that I am licensed under provision of Ch ter 9 (com cin with Section 7000) of Division 3 of the Business and Professionals erode, and my Licens full force and effect. 2 /License Class /Lr ense No. v /Date�] ✓ / ontractorL 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. , B.& 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 Jor which this gefmit is issued. &lphayyeandilll aintain wo e ' compensation insuran e, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is ed. y rkers' com sation i ce caner n o u ber �j amer olicy Number _ I certify that, in the perform nce of the work for hich this permit i ssued, I shall not ploy any person in any manner so as to become subject to the workers' compensation laws of C mia, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply plic. ov' 'ons. Date Ap' 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 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 work 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 in ti n is correct. 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 t n Pon the abo entioned property for inspection purposes. Date q ''I - nd/ bq Signature (Applicant or Agent). / ^KW';7%z' �►11E rl"aC. AIR CONDITIONING INC. Installation Certificate : Residential CF -6R Site Address L� 60-237 ANGORA COURT 1713 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 Ductwork Will have a R -Value of 6.00 or Better 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 EOUIP. MAKE MODEL # AFUE CAPACITY LOAD 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIdEATK 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. 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. YES 0 NO Q N/A Q 6. SUBMITTED BY: -�5as Signature Installing HVAC Contractor Date \Alexis\CrystalReports\Purchasing\CF6R_Report.rpt I IIIIIII VIII III VIII III 55 IE 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, 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 EOUIP. MAKE MODEL # AFUE CAPACITY LOAD 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIdEATK 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. 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. YES 0 NO Q N/A Q 6. SUBMITTED BY: -�5as Signature Installing HVAC Contractor Date \Alexis\CrystalReports\Purchasing\CF6R_Report.rpt