08-1409 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: :.08-00001409-'
Property Address: 81397 RUSTIC -CANYON DR
APN: 764-280-999-43 -3.00236-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 159387
s
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
i
ig
y of perjury that I am licensed under provisions of Chapter 9 (commencing with
of the �:�
d my License is in full force and effect.
: 672285
ractor:
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 acivil penalty of not more than five hundred dollars ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot 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, 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.).
(_ I 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
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/15/08
vj/
4_
city`
192
P/6
WORKER'S COMPENSATION DECLARATION -'
1 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 p ided
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
certify that, in the performance of the work for which this.permit is issued, I shall not employ any
person i any manner so as to bec a subject to the workers' compensation laws of California,
and agr that, if I should becomes bject to the workers' compensation provisions of Section,
� /1pZ00 o t e Labor CoI shall fo with comply with those provisions.
WARNING: FAI E TO SECURE WO S' 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 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 hat I hav read this application and state that the above inform ion is correct. I agree to comply with all
city d ounty o di ance and state laws relating to building constructs and hereby authorize representatives
of i u t o n u n the above-mentioned grope r iA r ses. -
ate: i i ure (Applicant or Agent):
Application Number .
. . . . 08-00001409
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee.
849.50 Plan Check Fee
552.18
Issue Date
Valuation . . . .
159387
Expiration Date
2/11/09
Qty Unit
Charge
Per
Extension
BASE FEE
639.50
- 60.00
3..5000
THOU BLDG 100,001-500,000
210.00
Permit
MECHANICAL
Additional desc
".
Permit Fee . .
. .
65.50 Plan Check Fee
16.38
Issue Date
Valuation
0
Expiration Date
2/11/09
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA MECH FURNACE <=100K
9.00
1..00
9.0000
EA MECH B/C-<=3HP/100K BTU
9.00
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 . .
. .
89.84 Plan Check Fee
22.46
Issue Date . .
. .
Valuation
0
Expiration Date
2/11/09
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1773.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
62.06
639.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
12.78
Permit .
. .
PLUMBING
Additional desc
.
Permit Fee . .
. .
120.00• Plan Check Fee
30.00
Issue Date . .
. .
Valuation
0
Expiration Date
2/11/09
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
Application Number . . . . 08-00001409
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
6.00 .7500 EA PLB GAS PIPE >=5
4.50
1.00 15.0000 EA PLB GAS METER
15.00
Permit GRADING PERMIT
Addielonal 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
5.63
Issue Date Valuation . . . .
159387
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
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 43, PLAN 4515C, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BAY @ nook
(24 SF.), PHOTOVOLTAIC SYSTEM (1.3C-5KW)•
PERMIT. DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH.
2007 CBC, CMC, CPC, 2004 CEC, 2007
ENERGY CODES
----------------------------------------------------------------------------
Other Fees I. . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
55.22
DIF FIRE PROTECTION -RES
140.00
- GRADING PLAN CHECK FEE
.QO
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
LQPERMIT
.Application Number
. . .
08-00001409
- ----- --- -
Other Fees
-
- ------
STRONG MOTION (SMI)I- RES
------------
15.93
DIF STREET MAINT•FAC-RES
67.00
DIF TRANSPORTATION -'RES.
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1162.34
.00 .00
1162.34
" Plan Check Total
626.65
.00. .00
626.65
Other Fee Total
4566.15
.00 .00
4566:15.
Grand '1'Cical
6355.i4
UU 00
6355.14
Front Orientation:
Cardinal
Number of Stories: ,.
1
Heating and Cooling Systems
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING
June, 30 2009
Cooling Equipment:
ACSplit: 14.0
This CF -4R Issued by CaICERTS@ is for the home located at:
81397 Rustic Canyon Drive
La Quinta CA, 92253
Certificate Number:
CC3=1798438220
Date Inspected:
June, 23 2009
Ca10ERTS Rater:
William Irvine
i
HERS Analyst:
CC2004075
Chinh Nguyen
f . .
Builder/ Developer:
Project:
Shea Homes, Inc.
Trilogy in La Quinta (658)
r
}
Phase:
New Phase
Plan Name:
4515
Lot Number:
6043
Specifics about this .home:
General Information
Conditioned Floor Area:
1773 Square Feet."
Conditioned Volume:
17878 Cubic Feet Testing & Verification Results
Front Orientation:
Cardinal
Number of Stories: ,.
1
Heating and Cooling Systems
High Quality Insulation Installati•7n'
Heating Equipment:
Furnace: 0.8
Cooling Equipment:
ACSplit: 14.0
HVAC System
Duct Sealing
Passed
I�V)lation of Thermostatic I Expansion Valve I
High Energy Efficiency Ratio (EER)
passed
Passed l
High Quality Insulation Installati•7n'
Passed
HVAC Air Distribution .
Duct Location: r Attic _
Duct Insulation R -Value: 6.0
Water Heating System Proposed
TY Size - - - - --
�Fuel EF Distribution ! '
1 50 Gas 0 62 J Standard
Water Heating System Actual
IQTY j Size Fuel EF J� -Distribution l -
l 1 50 Gas. I 0 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 Veather, thermostat settings, and quantities of hot water for a
typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Surnmary is provided only
after the features listed have been verified and approved by the CaICERTS 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 - Custome- Service 31' Natoma St
Suite 520, 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, StateIifornla;=in:the:buuildi�ng located at:
Trilogy Lot 6043 Release 901 .81-397 Rustic Canyon Dr-�
TYPE: BLOW MANUFACTURER GREEN FIBER Thickness: R-38
WALLS:
TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
BY= TITLE: ACCOUNT REPRESENTATIVE DATE: 6/30/2009
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