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04-6301 (SFD)BUILDING & SAFETY DEPARTMENT P;O. Bo,x_L504, (760).777-7012 u�y=­ T8-495 CALLS T, MP" C FAX (760) 777-7011 r�,,Lk Q,U1,NTfAA;1'CAiIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04=-00.0-0-63-0- Date 9/17/04 Property Address . . . . . . X812-78 BARREL CACTUS RD APN: 764-270-999-25 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 211214 Owner Contractor SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B ------ Structure Information PLAN 5210C LOT 25 ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Other struct info CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 518.00 PATIO SQ FTG 221,.0,0 NUMBER -OF UNITS ti. 1.00 FIRST FLOOR SQ FTG 2452.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1031.50 Plan Check Fee 670.48 Issue Date . . . . Valuation 211214 Qty Unit Charge Per Extension BASE FEE 639.50 112.00 3.5000 THOU BLDG 100,001-500,000 392.00 ------------------------------------------=--------------=------------------ 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 1504�� VOICE (760) 777-7012 T-OdY 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: �� �0.� D te: �O' ��0�1 Applicant: ite t4Engir� Applicant's. Mailing Address: Architect or Engineer's Address: Lic. No.: j1C4�, 1^ BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Vie, and ss Lice in full force and effect. %� �? /License Class License No. ��" Date\�� Contra o 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 nd will maintaorkers' compensation insura rice. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss d y workers compensatio rance carrigr�d V pum C arrier Policy Number YsTI 7 to Y _ 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 th t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall t forthwith comply with tho provisions. Date `�A - 114�VDli 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 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, indemnity 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. 1 certify that I have read this application an -state that the abo informati thorize reon is co . I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby auentatives of this co ter upon a ove-mentioned property for inspection purposes. Date"Signature (Applicant or Agent): f Application Number . . . . . 04-00006301 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 . . . . 111.18 Plan Check Fee 27.80 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2452.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 85.82 518.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 10.36 ------------------------------------------------------------7--------------- 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 25 Plan 5210C (2452 sqft) Page 3 Application Number . . . . . 04-00006301 Date 9/17/04 ---------------------------------------------------------------------------- Special Notes and Comments w/Casita (266sf), ---------------------------------------------------------------------------- Morning Rm Bay (23sf) Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 28.03 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.05 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 21.12 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1370.18 ------------------------------ .00 .00 1370.18 Plan Check Total 751.41 .00 .00 751.41 Other Fee Total 2521.20 .00 .00 2521.20 Grand Total 4642.79 .00 .00 4642.79 PREPARED 3/15/11, 12:48:51 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA ------------------------------------------------------------=---------------------------------------------------- APPLICATION PROPERTY ADDRESS APN — ----------------- Alternate ID STRUCTR --------------------------------------------------------------------------------- PERMIT INSPECTION — ------------------------------------------------- RESULT DATE/STATUS INSPECTOR 04 00006301 81278 BARREL CACTUS RD 764-270-999-25 -300233- 000 000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 11/22/04 APPROVED ST 000 000 B001 00 BUILDING PERMIT 125 0001 SLAB 11/22/04 APPROVED ST 000 000 B001 00 BUILDING PERMIT 145 0001 FRAMING 1/12/05 APPROVED ST 000 000 B001'00 BUILDING PERMIT 135 0001 ROOF NAIL 1/18/05 APPROVED GH 000 000 B001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP. 1/18/05 APPROVED GH 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION 1/18/05 APPROVED GH 000 000 8001 00 BUILDING PERMIT 155 0001 LATH 1/21/05 APPROVED GH 000 000 B001 00 BUILDING PERMIT 160 0001 DRYWALL NAIL 1/21/05 APPROVED GH ' 000 000 B001 00 BUILDING PERMIT 900 0001 COMMUNITY DEVELOPMENT FIN 3/18/05 APPROVED GH 000 000 B001 00 BUILDING PERMIT 910 0001 PUBLIC WORKS FINAL 3/18/05 APPROVED GH 000 000 B001 00 BUILDING PERMIT 199 0001 FINAL 3/18/05 APPROVED •GH 000 000 E01 00 ELEC-NEW RESIDENTIAL 310 0001 ROUGH ELECTRICAL 1/12/05 APPROVED ST 000 000 E01 00 ELEC-NEW RESIDENTIAL 315 0001 TEMP USE OF PERMANENT POW 2/25/05 APPROVED - GH 000 000 E01 00 ELEC-NEW RESIDENTIAL 399 0001 ELECTRICAL FINAL 3/18/05 APPROVED GH 000 000 GP 00 GRADING PERMIT 197 0001 GRADING FINAL 3/18/05 APPROVED GH 000 000 MO1 00 MECHANICAL 405 0001 ROUGH MECHANICAL 1/12/05 APPROVED ST 000 000 MO1 00 MECHANICAL 499 0001 MECHANICAL FINAL 3/18/05 APPROVED GH 000 000 PO1 00 PLUMBING 200 0001 UNDERGROUND PLUMBING 11/09/04 APPROVED GH 000 000 PO1 00 PLUMBING 210 0001 SEWER CONNECTION 11/09/04 APPROVED GH 000 000 PO1 00 PLUMBING 230 0001 ROUGH PLUMBING 1/12/05 APPROVED ST 000.000 PO1 00 PLUMBING 245 0001 SHOWER PAN 1/12/05 APPROVED ST 000.000 PO1 00 PLUMBING 235 0001 GAS LINE / GAS TEST 2/09/05 APPROVED GH 000 000 PO1 00 PLUMBING 299 0001 PLUMBING FINAL 3/18/05 APPROVED GH ^KNA%.r • 7 His "AC' AIR CONDITIONING INC. Installation Certificate: Residential CF -6R Site Address 81-278 BARREL CACTUS ROAD Q 2 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 # SUBDMSION: Trilogy La Qunita CITY: LA QUINTA COUNTY: RIVERSIDE WESTPAC AIR CONDITIONING DICT 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 MANUFA:CT:11 HEATING UNIT ACTUALEFFJ HEATING EQUIP HEATING EQUIP. MAKE I MODEL # I AFUE I I CAPACITY I I LOAD 4. COOLING INFORMATION - COOLING MANUFACT COMPRESSOR I ACTUAL EFF. COOLING EQUIPHEATING EQUIP. I I MAKE L MODEL # SEER I I 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. YESE] NO 0 N/A Q 6. SUBMITTED BY: �QSP Ftyx Irg- n /) - A4 �Z �i�— 0 9, Signature Installing HVAC Contractor Date ,Alexis\CrystalReports\Purchasing\CF6R_Report.rpt ob#: 4514 Lot: 3025