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08-0804 (SFD)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT JBUILDING PERMIT Application Number: L.08-00000804 7 Owner: Property Address: 81613 RUSTIC CANYON.DR SHEA LA QUINTA APN: 764-280-999-59 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 3 Property Zgninq: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 159387 Contractor: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/08 l�> MAY 2 3 200 CITY OF LA QUINTA Applicant: Architect or Engineer: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Busine and Professionals Code, and my License is in full force and effect. Li ss: License No.: 672285 . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythatI am exempt from the Contractor's State License Law for the following reason ISec. 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 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 or she did not build or improve for the purpose of sale.). (_ I 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.). ( 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 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. K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy Number CA 1593364 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 become su{J,�Iiect to the workers' compensation provisions of Section 700 of the Labor Code I shW th comply with those provisions. l V ate. plicant: WARNING: FAILURE TO SECURE W I KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 that I have read this application and state that the above information is correct. I agree to comply with all city and ounty rdinances and state laws relating to building construct' o and hereby authorize representatives of t my to mer upon he above-mentioned property fo in pact oses. e: ature (Applicant or Agent): Application Number . . . . . 08-00000804 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 849.50 Plan Check Fee 138.05 Issue Date Valuation . . 159387 Expiration Date 11/03/08 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 4.10 Issue Date Valuation . . . . 0 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0.000 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 5.62 Issue Date . . . . Valuation . . . . 0 Expiration Date 11103/08 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 _ 7.50 Issue Date . . . Valuation . . . . 0 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 15.00. 10.00 6.0"000 EA PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 :LQPERMIT Application Number . . . . . 08-00000804 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 - Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 11/03/08 Qty. Unit Charge Per Extension BASE FEE : 15.00 ------------------------ Notes and Comments SFD - LOT 59, PLAN 4515A, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BOX BAY Q nook (24 SF.). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE, 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees .. . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES '74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 13.81 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 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 -Fee summary Charged Paid Credited Due Permit Fee Total 1139.84 00 .00 1139.84 Plan Check Total 155.27 00 .00 155.27 Other Fee Total 4524.74 .00 .00 4524.74 Grand Total 5819.85 .00 .00 5819.85 LQPERMIT CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 Project Address Builder Name 81613 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4515 HERS Rater Telephone Sample Group Number I Lot # if applicable) William Irvine 760-772-2954 97650 / 6059 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438236 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes/ CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on t -lis form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system. is fully ducted (i.e., does not use building cavities as plenums or platform retirns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Associated. 2 Fan Flow: Calculated (Nominal (2 Cooling Heating) or 0 Measured Associated Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )]: Associated Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out ....... .. . 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Associated Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System Associated for Duct System Alteration and/or Equipment Change -Out. Enter Reduction in Leakage for Altered Duct System Associated [Line 4 - Line 5] - (Only if Applicable) 7Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Asso:iated J6 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Associated ❑ Pass ❑ Fail 11 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 )]: Associated ❑ Pass ❑ Fail I 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Associated ❑ pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Associated El Pass El Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address Builder Name 81613 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer . 480 367-3792 4515 HERS Rater Telephone Sample Group Numberl NumberLot # (if applicable) William Irvine 760-772-2954 97650 / 6059 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438236 Firm: BCI Testing HERS Provider: Ca ICE RTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes/ CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on tris form complies with the diagnostic tested compliance requirements as checked on this form. R The installer has provided a copy of the CF -6R (Installation Certificate). nTHERMOSTATIC EXPANSION VALVE (TXV): Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page S of 8) CF -411 Project Address Builder Name 81613 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Te ep one Pan Number Kirk Bingenheimer 480 367-3792 4SIS HERS Rater Telephone Sample Group Num er Lot # if applicable) William Irvine 760-772-2954 97650 / 60S9 Compliance Method (Prescriptive) Climate Zone 1S Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438236 Firm: BCI Testing HERS Provider:Ca10ERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. W The installer has provided a copy of the CF -611 (Installation Certificate). RHIGH EER AIR CONDITIONER: Associated in Sample Procedures for verification are available in RACM, Appendix RI. ❑ Yes ❑ No EER values of installed systems match the CF -1R ❑ Yes ❑ No For split systems, indoor coil is matched to outdoor coil ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass I ® Pass ❑ Fall M CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8) CF -4R Project Address Builder Name 81613 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT Q QLD Eave vents prepared for blown insulation _ maintain net free -ventilation area ❑ W Knee walls insulated or prepared for blown insulation. Q ❑ Area under equipment platforms and cat -walks insulated or accessible for blown insulation Q El Attic rulers installed Yes No N/A ROOF/CEILING BATTS Q Q0 ❑ No gaps No voids over 3/4 in. deep or more than 10% of the batt surface area. 0 Insulation in contact with the air -barrier. 0 Recessed light fixtures covered Q ❑ ❑ Net free -ventilation area maintained at eave events Yes No N/A ROOF/CEILING LOOSE -FILL 0 E. ;❑ Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. 1 Q Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent Q ❑ Attic access insulated 0 Recessed light fixtures covered Q Insulation at proper depth - insulation rulers visible and indicating proper depth and R -Value Loose -fill mineral fiber insulation meets or exceeds manufacturer's minimum weight and thickness requirements for D Q the target R -value. Target R -value _. Manufacturer's minimum required weight for the target R -value _ (pounds -per -square -foot). Sample weight_ (pounds per square foot). Manufacturer's minimum required thickness at time of installation 10.59 (inches).Manu�acturer's minimum required settled thickness 10.27 (inches). Number of days since loose -fill insulation was installed 10 (days). At the time of installation, the insulation shall be greater than or equal to the manufacturer's minimum R ❑ ❑ initial insulation thickness. If the HERS rater does not verify the insulation at the time of inscallation, and if the loose -fill insulation has been in place less than seven days the thickness shall be greater then the manufacturer's minimum required thickness at the time of installation less 1/2 inch to account for settling. If the insulation has been in place for seven days or longer the insulation thinkness shall be greater than or equal to the manufacturer's minimum required settled thickness. Minimum thickness measured 10.5 (inches).