08-1418 (SFD)4 P.O. BOX 1504 w
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application. Number: 08,_00001418 = Owner:
Property Address: 81394 RUSTIC CANYON DR SHEA LA QUINTA
APN: 764-280-999-171 -300236- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 225179
Contractor:
Applicant: Architect or Engineer: SHEA HOMES,. INC.
81260 AVENUE 62
"L) LA QUINTA, CA 92253
(760)777-6005
-� Lic. No.: 672285
------------------------------7-------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing' with
Section 7 00) o Division 3 of the os'ne and Professionals Code, and my License is in full force and effect.
Lice s License No.: 672285
Date. ontractor: -
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 1$5001.:
.1 _) 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 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 orshe did not build or
improve for the purpose of sale.).
(_ 1 1, 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 contractorls) licensed
pursuant to the Contractors' State License Law.). '
( ) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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 ISec. 3097, Civ. C.I.
Lender's Name: �)
Lender's Address: N
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
IID
------------------
WORKER'S COMPENSATION DECLARATION
Date: 8/27/08
`u
19-7
289a 1.
C�'°°vAf�f� A QUBjA�T,�
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 beco subject to the workers' compensation laws of California,
a d agree that, if I should becomes b ct t 'the workers' compensation provisions of Section
0 o the Labor Code, 1 s all fo th c mply with those provisions.
ate: ' licant:
WARNING: FAILURE TO SECURE WO E ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THECOST 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 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 t at I ha read this application and state that the above inform ion is correct. I agree to comply with all
city d o}y�ntyyyy,� o divan es and state laws relating to building construct ,and hereby authorize representatives
of is d�ty(o ter pon the above-mentioned prop�rty r inspectio purp as.
e: LLo i nature )Applicant or Agent):
E
Application Number .
. . . . 08-00001418
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
1080.50 Plan Check Fee
175.58
Issue Date . . . .
Valuation . . . .
225179
Expiration Date
2/11/09'
Qty Unit Charge
Per
Extension
BASE FEE
639.50
;126,00 3.5000
THOU RTT)f; lnn,nni-snn,nnn
441.40
-------r--------------------------------------------------------------------
r Permit
MECHANICAL
Additional desc.
Permit Fee,
74.50 Plan Check Fee
4.66
Issue Date . . . .
Valuation . .
0
Expiration Date
2/11/09
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
1.00 9.0000
EA MECH B/C <=3HP/10OK BTU
9.00
4.00 6.5000
EA ' MECH VENT FAN
26.00
1.00 6.5000
----------------------------------------------------------------------------
EA IMECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
117.85 Plan Check Fee
7.37
Issue Date . . . .
Valuation . . . .
0
Expiration_Date
2%11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2599.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
90.97
594.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
11.88
Permit . . .
PLUMBING
Additional desc .
Permit Fee . .
160.50 Plan Check Fee
10.03
Issue Date
Valuation
0
Expiration Date
2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
15.00 6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
n
is
J
LQPERMIT
C
Application Number . . . 08-00001418
Permit . . . . . . PLUMBING
Qty Unit Charge Per
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
8.00 .7500 EA PLB GAS PIPE >=5'
6.00
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.. 2/11/09
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------- ----------------
15.00
Permit . . SOLAR PERMIT
Additional desc .
Permit Fee . . . . 22.50 Plan Check Fee
1.41
Issue Date . . . . Valuation . . . .
225179
Expiration Date 2/11/09
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
------------------------------7---------------------------------------------
Special Notes and Comments
SFD - LOT 171, PLAN 5500C,--2599 SF. (149
SF. EXERCISE ROOM, 63 SF,BB, 83 SF.
GARAGE EXTENSION), PHOTOVOLTAIC SYSTEM
(1.7C-5KW). 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE ISSUANCE OF SAME
PERMIT TYPE. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY
APPROACH. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . ART IN PUBLIC PLACES -RES
62.94
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
17.56
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
Application Number . . 08-00001418
----------------------------------------------------------------------------
Other Fees . . DIF PARK MAINT FAC - RES 22.00
7 DIF PARKS/REC - RES 892.00
STRONG MOTION (SMI) - RES 22.51
DIF STREET MAINT FAC -RES 67.00 `
DIF TRANSPORTATION - RES 1930.00
Fee summary Charged Paid Credited Due'
-------------------------------------------------------
Permit Fee Total 1470•.85 .00 .00 1470.85
Plan Check Total 199.05 .00 .00 199.05
Other Fee Total 4578.01 .00 .00 4578.01
Grand Total 6247.91 .00 .00 6247.91
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING November, 5 2009
This CF -411 Issued by CaICERTS® is -for the home located at: 81394 Rustic Canyon Drive
La Quinta CA, 92253
Certificate Number: CC3-1798480091
Date Inspected: October, 26 2009
CalCERTS Rater: William Irvine
CC2004075'
HERS Analyst: Chinh Nguyen,_.
-
Builder/ Developer: Shea Homes, Inc. G'
Project: Trilogy in La Quinta (658),. ,
Phase: Release 906
Plan Name: 5500 `
Lot Number: 6171
Specifics about this home: r
General Information
Conditioned Floor Area: 2450 Square Feet
Conditioned Volume: 24704 Cubic Feet Testing & Verification Results '
Front Orientation: Cardinal
Number of Stories: 1 Sample # 139508 .
Heating and Cooling Systems
Heating Equipment: `.Furnace: 0.8
Cooling Equipment: ACSplit: 14.0
Heating Equipment: Furnace ,01.8
.Cooling Equipment: A/C<:14
HVAC Air Distribution N 3
Duct 'Locatio*6-. � , .' s Attie r
Duct Insulation,R-Value.
r•
Main System HVAC System ;!
Duct Sealing
Passed'
Installation of Thermostatic I Expansion Valve
(TXV)
Passed;
High Energy,Effiaency Ratio (EER;
Passed'
iFiighyQuality Insulation Installation ,Passed'
Ne�stemIHVAC System -
�Duct Sealing�.,� • 4,, ,-Z i
Passed
iinstallation,of Thermostatic Valve
Passed'.
High Energy Efficiency Ratio (EER; '
Passed'
High Quality Insulation Installatior.
Passed
Water Heating System Proposed '
QTY { Size Fuel EF Distribution
1 X50 Gas 0.62 Standard `
1 _
Water Heating System Actual '
QTY Size Fuel EF Distribution
i
50 Gas F7,62 Standard_ •
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 yc•u 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 6171 REL 906 81-394 RUSTIC CANYON 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 #
BY: TITLE:
' MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
BY: C . TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009
- s