SFD (09-0565)61565 Living Stone Dr
09-0565
Applicant:
09-000'0.0565__
61565 LIVING STONE DR
764-280-999-16 -300236-
DWELLING SINGLE FAMILY
MEDIUM HIGH DENSITY RES
180462
T,iht 4 4 Qg!N&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT. .
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section000) of Division 3 of the Biqa and Profe io als Code, and my License is in full force and effect.
Lic s ass: BI cense No.: 672285
a tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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.).
1 _ 1 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.).
1 ) I am exempt under Sec. B.&P.C. for this reason
Date
Owner:
'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:
LQPERMIT
Contractor: D
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
'Date: 6/01/09
JUN 22 2009
vY OF LA QUINTA
WORKER'S 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 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
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC1894819
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 becom Pubject to the workers' compensation provisions of Section
3700 of the Labor Cod I all [hwith comply with those provisions.
te. � licant:
WARNING: FAILURE TO SECURE WOP0RS' 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.
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 an8 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 th t I have read this application and state that the above information is correct. I agree to comply with all
city a c my ordi nces and state laws relating to bui ing con coon, and hereby authorize representatives
of thi co torment pon t above-mentioned pro a y -for ins a tion purposes. -
ature (Applicant or Agentl:
Application Number
09-00000565
Permit . . .
BUILDING PERMIT
Additional desc
'
Permit Fee . . . .
923.00
Plan Check Fee
599-95
Issue Date• . . . .
Valuation . .
.180462
Expiration Date
11/30/09
Qty Unit.Charge
Per
Extension
BASE
FEE
639.50
81.00 3.5000
THOU BLDG
100,001-500,000
283.50
Permit
MECHANICAL
Additional desc
Permit Fee
75.00
Plan Check Fee
18.75.
Issue Date
Valuation
0
Expiration Date
11/30/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
EA MECH
FURNACE >100K
11.00
1.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
4.00 6.5000
EA MECH
VENT FAN
-26.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional-desc .
Permit Fee . . .
97.03
. Plan Check Fee
24.26
Issue Date` . . . .
Valuation . . . .
0
Expiration Date
11/30/09.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2082.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
72.87
458.00 .0200
--------------------------
ELEC
-----------
GARAGE OR NON-RESIDENTIAL
-----------------------------
9.16
-----------
Permit . . .
PLUMBING
Additional desc
Permit Fee . . .
147.00
Plan Check Fee
36.75
Issue Date . . .
Valuation.
0
Expiration Date
11/30/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
i
LQPERMIT
Application
Number .
. . . .
09-00000565
BASE FEE
Permit
. .. .
PLUMBING
Additional desc .
Qty Unit Charge
Per
Permit Fee . . . .
Extension
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
INCLUDE POOL, SPA,
Additional desc
BLOCK WALLS OR DRIVEWAY APPROACH. _2007
CODES.
Permit Fee
. . . .
15.00
Plan Check Fee
.00
Issue Date
. . . .
74.00
Valuation . . .
. 0
Expiration Date 11/30/09
Qty Unit Charge
Per
Extension
-----------------------------------------------7----------------------------
BASE FEE
15.00
Permit
SOLAR PERMIT
Additional desc .
Permit Fee . . . .
22.50 Plan Check Fee
5.63
Issue Date . .
Valuation . . . .
180462
Expiration Date
11/30/09
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 16, PLAN 5320A, 2082 SF.
INCLUDES 26 SF BOX*BAY Q MBR & 22 SF BOX
BAY @ NOOK & PHOTOVOLTAIC SYSTEM (1.6A &
3KW). PERMIT DOES NOT
INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH. _2007
CODES.
------------------------=---------------------------------------------------
Other Fees . . .
. . . . BLDG.STDS ADMIN (SB1473)
8.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
60.00
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
LQPERMIT
Application Number
. . . . .
09-00000565
----------------------------------------------------------------------------
Other Fees
. ..... .
STRONG MOTION (SMI) - RES
18.05
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION --RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1279.53
.00 .00
1279.53
Plan Check.Total
685.34
.00 .00
685.34
Other Fee Total
4561.05
.00 .00
4561.05
Grand Total
6525.92
.00 .0.0
6525.92'
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING November, 5 2009
This CF -411 Issued by CalCERTS® is for the home located at:
61565 Living Stone Drive
Passed
Installation of Thermostatic I Expansion Valve
(TXV)
La Quinta CA, 92253
Certificate Number:
CC3-1798480088
High`;,Quality;finsulation Installation
Date Inspected:
October, 23 2009
Duct Location:` i Attic
Duct Insulation R 6 0
CalCERTS Rater:
William Irvine
-Value
CC2004075
{
HERS Analyst:
Builder/ Developer:
Chinh Nguyen
Shea Homes, Inc.
C07
Project:
Trilogy in La Quinta (658)
-
Phase:
Release 905
Plan Name:
4510
Lot Number:
6�0
Specifics about this home:
General Information
Conditioned Floor Area: 1573 Square Feet
Conditioned Volume: 14157 Cubic Feet
Front Orientation: Cardinal
Number of Stories: 1
Heating and Cooling Systems
Heating Equipment: Furnace: 0.8
Cooling Equipment: ACSplit: 14,0
Testing & Verification Results
Sample # 139501
HVAC System
Duct Sealing
Passed
Installation of Thermostatic I Expansion Valve
(TXV)
Passed
High,Energy Efficiency Ratio (EER)
Passed'
High`;,Quality;finsulation Installation
Passed'
�� Sin �•
k } f t
�� R..:..._f�T"1�l7
HVAC Air Distribution
Duct Location:` i Attic
Duct Insulation R 6 0
'
-Value
{
Y
Water Heating System Proposed
I QTY ASize Fuel EF Distribution
i-
50 Gas 0.62 Standard
Water Heating System Actual
QTY i Sjze Fuel EF - Distribution-
50 Gas 0.62 Standard
Irl 1
ij
t.
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.
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:
TRILOGY LOT 6016 REL 905 61-565 LIVINGSTONE DR LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: R-38
WALLS:
TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: W-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
e
BY: TITLE:
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009