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SFD (09-0455)61265 Living Stone Dr 09-0455 Application valuation: Applicant: T4'yl 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT =09-00000455 61265 LIVING STONE DR 764-280-999-4. -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 142817 Architect or Engineer: Owner: SHEA LA QUIN C/O JEFF MCQ 8800 N GAINE SCOTTSDALE, Contractor: SHEA HOMES, VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/09 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. NO.: 672285 • . ' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under enaIty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: .. Section 70 01 of Divi ion 3 of the B in ss and Profe sionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided r; License Cla B nse No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor • Code, for the performance of the work for which this permit is issued. My workers' compensation 4 OWNER -BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS Policy Number WC1894819 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permitis issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State a agree that, if I should be o esubject to the rkers' co a sation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 0 . e Labor e,1 sh tl rthwith co ly h those v ions. that he or she isexempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �11 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D p 'cant: ( _) 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 WARNING: FAI E TO SECURE O ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - - property who builds or improves thereon, and who -contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for ' .pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, . ( ). I am exempt under Sec.. , B.&P.C. for this reason - 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the I certify that 1 have read this application and state that the above information is corr ct. I ag a to Comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and ounty or nances and state laws relati to buil 'ng nstruction, a, here auth r e representatives of a Pon the above-mentio d proper[ fob spection pur ses. Lender's Name: \ at re (Applicant or Agan Lender's Address: �J LQPERMIT Application Number . . . . . 09-00000455 Structure Information Construction Type TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone ' . NON -AO FLOOD ZONE Other struct info CODE EDITION 2007 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 562..00 PATIO SQ FTG 457:00 NUMBER OF UNITS 1.00 1ST.FLOOR SQUARE FOOTAGE 1556,00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 790.00 Plan Check Fee 513.50 Issue Date Valuation 142817 Expiration Date 11/08/09 Qty Unit Charge Per Extension .BASE FEE 639.50 43.00 3.5000 -----------------------------=---------------------------------------------- THOU BLDG 100,001-500,000 150.50 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation 0 Expiration Date 11/08/09 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ------------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 80.70 Plan Check Fee 20.18 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/08/09 Qty Unit Charge Per Extension BASE FEE 15.00 1556.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 54.46* 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 Application Number . . . . 09-00000455 Permit . . . PLUMBING Additional-desc . Permit Fee . .. 123..00 Plan Check Fee 30.75 Issue Date . . . Valuation . . . . 0 Expiration Date 11/08/09 Qty Unit Charge PerExtension BASE FEE 15.00 9.00 6.0000 EA 'PLB FIXTURE 54.00 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 .00 Issue Date . . . Valuation 0 Expiration Date , 11/08/09 Qty Unit Charge. Per Extension BASE FEE 15.00.. Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . 142817 Expiration Date 11/08/09 Qty Unit Charge Per Extension, BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 4 PLAN 4510A, 1556 SF (26 SF BOX BAY @MBR, 83 SF GAR. EXT. 120 SF PATIO EXT., PHOTOVOLTAIC SYSTEM (1.2A-3KW). PERMIT DOES NOT INCLUDE BLOCK WALLS,"POOL, SPA OR DRIVEWAY ,APPROACH, 2007 CBC, CMC, CPC, 2004 CEC; 200.7 ENERGY CODES ff Application Number . . . . . 09-00000455 - Other Fees• . . . -- - - . . . . . . - - -- - - -- --------- ART IN PUBLIC PLACES-RES.'- -------- .00 ., BLDG STDS ADMIN•(SB1473) 6.00 _ DIF COMMUNITY CENTERS-RES. 74.00- DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 51.35 r 3 DIF FIRE PROTECTION-RES 140.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 " DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES '14.28 _ yry• DIF STREET MAINT FAC-RES 67.00' DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due ;'' ----------------- Permit Fee Total ---------- 1108.20 ------------------------------ .00 .00 .1108.20 Plan Check Total 589.31 .00 .00 589.31 ��. Other Fee Total 4546.63 .00 .00 4546.63 Grand Total 6244•.14 .00 .00 6244.14 ,'• LQPERMIT � J • r ' 14kAs: t Heating and�Cdoling Systems x Heating i,s­Equipment quipme l Furnace: ....0...8 Cooling qMipMeWi' 'kFAGSpli 14.0 . • HVAC Air Distribution .... . ...... Duct Locati&.ng, I ri.Siid, - 11 " ;'A.* Duct Sulaiffija I Water eati j stem Pro se MIT: :1 Standard 0� 8 Water Heating System Actual&.62, 5.4 ' Cis Distribution Standard QTY Size„ Fuer '� EF�;I � fin, Distribution Fue EF 1 50 Gas 0:62 CF -4 R' CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC` TESTING December, 9.2009 This CF -4R Issued by CalCERTS@,ls for the home located at Living Stone Drive La Quinia, CA, 92253, . . . . . ............... . Certificate Number: CC3-1798482362 -.Date Inspected: December,.7 2009- CalCERTS Rater: 'William Iryine A ERS ina yst: CC2004075,- Chinh Nguyen Builder/Developer: ,Shea Homes, Inc. Project: Trilogy in La.Quinta,(658) Phase:,, Plan Name: Release 909 4510 - Lot Numbem6004 Specifics about this home@ General Information _7 Conditioned Floor Area: 1573 Square'Feet' Conditiori6d Volume: - '14157 Cubic Feet Testing &,yerification'Results Front Orientation. Cardinal Number of Stories: 1 Sarnple-# 141778 14kAs: t Heating and�Cdoling Systems x Heating i,s­Equipment quipme l Furnace: ....0...8 Cooling qMipMeWi' 'kFAGSpli 14.0 . • HVAC Air Distribution .... . ...... Duct Locati&.ng, I ri.Siid, - 11 " ;'A.* Duct Sulaiffija I Water eati j stem Pro se MIT: :1 Standard 0� 8 Water Heating System Actual&.62, 5.4 ' Cis Distribution Standard QTY Size„ Fuer '� EF�;I � fin, Distribution Fue EF QTY ......... .. ..... The energy efficiency rating of this home is determined using California Home Energy Rating System '(C -HERS) rules. The'rating considers heating, cooling and water heating .and .assumes average weather, thermostat settings; and quantities of hot water for a_ typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is.provided only after the features listed have been verified and approved by the CalCERTS Certified Rater shown above. If you have a concern or, complaint regarding. this report of the,services used in obtaining it, you may contact: CalCERTS --Customer Service 31,Natoma St Suite 120, Folsom, CA 95630. — — --------- - - - e 2 't 4 y sA Size � Fue EF 1 50 Gas 0:62 HVAC System Duct 're_arMg__ Passed Installation,of Thermostatic I Expansion Valve (TXV) Passed Lg,tL.gpe,rgU,,,_.., EER),- �Passed M llation Fassed •