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04-6296 (SFD)J P.O. BOX 1504 O )F'ii� _ _�_.- 7=8-495 -CALLE TAMPICO ? _ LA-QULNTA', CALIFORNIA 92253 l P -X '; I��" BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 it N Applie_aton Number . . . . . .0� 4-0-0-0-0-.6-2-9-6_` Date 9/17/04 Property Address . . . . . . 81290 BARREL CACTUS RD APN: 764-270-999-24 -300233.- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 188529 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 Qty Unit Charge -Per Extension WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . ... . . . DWELLG/LODGING/CONG <=10 Flood Zone . .NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 552.00 .PATIO SQ FTG 221.-00 NUMBER OF -UNITS 1.00 FIRST FLOOR SQ FTG 2163.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 951.00 Plan Check Fee 618.15 Issue Date . . . . Valuation 188529 Qty Unit Charge Per Extension BASE FEE 639.50 89.00 3.5000 THOU BLDG 100,001-500,000 311.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation . . 0 Qty Unit Charge -Per Extension P.O. BOX 1504VOICE (760) 777-7012 T4hf44Q"- 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _Date: /0 Applicant: ' r>�c�ngiy(e Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: Ccj, BUILDING PERMIT DECLARATIONS LICENSED, CONTRACTOR'S DECLARATION I hereby affirm unoo4enalty of perjury that I am licensed under provisions of Chapter 9Vmmencing with Section 7000) of Division 3 of the Business and Professionals C e, and my Lic in full force and effect.V� License Class License No. I J Date `� r �" • ractor `� A190-1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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, 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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. aZve nd 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 su M workeAzpensation rance card r aid Bg n� ares, /Trarrier �'1 Policy Number auy`o 4 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, l shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' 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. 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 K� 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 Ouinta, 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 bove informatio rs correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of thi u to enter po)he above-mentioned property for inspection purposes. ate A�ignature (Applicaa(or Y Application Number . . . . 04-00006296 Page 2 Date 9/17/04 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 . . . . 101.75 Plan Check Fee 25.44 Issue Date . . . . Valuation . . . . 0 .Qty Unit Charge Per Extension BASE FEE 15.00 2163.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 75.71 552.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.04 --------=------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 147.00 Plan Check Fee 36.75 Issue Date . . . . Valuation . . . . 0 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 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments`, SFD - LOT 24, 5210B, 2163SF. PERMIT.DOES S i� Page 3 Application Number . . . . . 04-00006296 Date 9/17/04 7 -------------------------------------------------------------------- Special Notes and Comments NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 ENERGY REVIEW FEE 61.82 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited Due ----------------- Permit Fee Total 1280.25 ------------------------------ .00 .00 1280.25 Plan Check Total 696.72 .00 .00 696.72 Other Fee Total 2119.67 .00 .00 2119.67 Grand Total. 4096.64 .00 .00 4096.64 ITEN ■ IBAC1 AIR CONDITIONING INC. Installation Certificate : Residential CF-6R Site Address 81-290 BARREL CACTUS ROAD �� L 1. BUILDER INFORMATION SHEA TRILOGY LA QUINTA 81260 AVE 62 LA QUINTA, CA 92253 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors PERMIT # SUBDIVISION: Trilogy La Qunita CITY: LA QUINTA COUNTY: RIVERSIDE WESTPAC AIR CONDITIONING pICT OR PIPING R-VALUE Flexible Ductwork Will have a R-Value of 6.00 or Better I, the undersigned, verify that the equipment listed in the category above my signature is the equipment installed and that the equipment mee or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate complience with the Energy Efficiency Standards for residential buildings. 3. HEATING INFORMATION HEATING MANUFACT [HEATING UNIT EQUIP. MAKE MODEL # 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR EQUIP. I MAKE MODEL # ACTUAL EFF. HEATING E UIP HEATING AFUE CAPACITY LOAD ACTUAL EFF. COOLING EQUIP HEATING SEER CAPACITY LOAD The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. YES 0 NO 0 N/A 0 6. SUBMITTED BY: Z1'Q-s -? r-mcipscn Q-wl Signature Installing HVAC Contractor /z'-s-oy Date \\Alexis\CrystalReports\Purchasing\CF6R_Report.rpt