05-0680 (RPL)Tiat 4 1wQr�(�ra
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . . 05-0000068,0 Date 2/25/05
Property Address .81194 BARREL CACTUS RD
APN: 764-270-999-32 -300233-
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . . . 10000
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA CA 92236
(760) 398-9222
WCC: SEABRIGHT INS
WC: BB1050510
01/01/06
CSLB: 656128
10/31/06
-
CCC: C8 -C27 -C29-053
-----_--------------
Permit . . . .
------
. .
----------------------------------------
BLDG POOL PERMIT
----------
Additional desc
. .
Permit Fee
117.00
Plan Check Fee
76.05
Issue Date . .
. .
Valuation . . . .
9680
Qty Unit
Charge
Per
Extension
BASE
FEE
45.00
8.00
9.0000
THOU BLDG
2,001-25,000
72.00
---------------------------------------------------------------------=------
Permit . . . .
. .
MECH POOL
Additional desc
Permit Fee . .
. .
24.00
Plan Check Fee
6.00
Issue Date . .
. .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=1.00K
9.00
----------------------------=-----------------------------------------------
. Permit . . . .
. .
ELEC POOL PERMIT -RES
Additional desc
Permit Fee . .
. .
45.00
Plan
11.25
Issue Date . .
. .
Valua
tn 21 2005
0
Qty Unit
Charge
Per
Ayt,
nsion
BASE
FEE
CITY OF LA QUINTA
15.00
CE DEPT
1.00 30.0000
EA ELEC
PRIVATE SWIM
.30.00
-------------------------------------------------7--------------------------
Permit . . . .
. .
PLUMBING
Additional desc
P.O. Box 1504I4 CE VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0.5- - 06io Date:
Applicant:
Applicant's Mailing Address:
onc7'0f.Ac 7-G) J<
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Bode, and my Lice a is force and effect. �/ !
1/License Class j� ce se o. Cd Z
I.te (�[ u C0� Contractor
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 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:
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.
SI have and will maint# workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ a1 isst�d/gfoly� compensation insurance car31r ¢�jicy,Otypber ate( / (,
amer �� It(i (((��� -Policy Number C.�f/� !/CICJ (p ba
_ I certify that, in the performance of the work for hich 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 t f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
LBate 3kt /cr A,.plicant
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
` i 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 fog 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
cessationof work for 180 days will subject permit to cancellation.
I certify that I have read this applicationand state that the above information is coect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and here
by authorize representatives of this county uppon th a e -mentioned property for inspection purposes.
ate O�Signature. (Applicant or Agent):
Page 2
Application Number . . . . . 05-00000680
Date 2/25/05
Permit Fee 27.00 Plan Check
Fee
6.75
Issue Date Valuation
. .
. . 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.0000 EA PLB FIXTURE
6.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. .
. . 320
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SPA ONLY. WATER FEATURE, GFI STUB, BBQ
ANSI #Z21-58-1995; FIREPIT 496 AGAL. 20
L.F. 4' BLOCK WALL, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED IN PERMIT.
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 228.00 .00
00
228.00
Plan Check Total 1.00.05 .00
.00
100.05
Grand Total 328.05 .00
.00
328.05
i -
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 0570101iow
TRILOGY @ LA QUINTA- . PH- 9A (Partial) 6-20-05
t Title Date
81194 Barrel Cactus Rd., La Quinta, CA 92253 SHEA HOMES
Ad s B 'lder Name
_''--tJoe`inor 760-535-2192 Plan 6420 Box Bay @ Mbr
Buildelt9i T18%t Henson (CCN #CC2004076) 7 g!ftle7022 Play.) X'or
HERS Rater
Firm: BCI Testing
Street Address: PO Box 50575
Copies to: Builder; HERS Provider
Telephon
6-20-05
Date
e Sample -Group Number
03�(phf9A)
Sample House Number
HERS Provider: CALCERTS
City/State/Zip: Phoenix, AZ 85076
HERS RATER COMPLIANCE STATEMENT
The house was: M Tested ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply
.with the diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R (Installation Certificate.
Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts)
u
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
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM/ �Z
If fan flow is calculated as 400chn/ton x number of tons enter calculated
value here Moo/, U 0
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) = S'.z /S,2—-
Check
S,ZCheck Box for Pass or Fail (Pass=6% or less) ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
Of -Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Compliance Forms
Measured Fan Flow =
Yes for both 1 and 2 is a Pass
August 2001
0 ❑
Pass Fail
❑ ❑
Pass Fail
A-16
s
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
E c T I o
NS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
w COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC Date: 5/10/05
Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274
Set ID
JCM ID_
Set A
273-488
Structure
ab on Grade
Bedroom 2
S / / q ,v B�� s
C
•
Page 1 of 1
Age of Test Compression Strength
Date Cast Cylinder ID (days) (psi)
3-22-05 Concrete
Required psi: 4000
9382 2800
9383 288 4120
9384 28 4080
CERTIFIED: 1. Q�K C-
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
0
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
81-194 BARREL CACTUS, LOT PHASE 9A, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNFACTURER: Owens Coming THICKNESS: R-19
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGONHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: &,,-,—TITLE: ACCOUNT REPRESENTIVE. DATE:
LO 39Vd aIWHOS NO9V8Vd V0EZ9VE09L L0:60 500Z/60/90
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Alp +AT OAVACC ]p L1A 9S. UXWALM DR YLVAY% LFTNS, 90 OWN TrE 4 h4 TK AMMS AM
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PFXA TO PRDNAM wSpreTLoA
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(7) 149 KT= THAT TTi3 PLANING 15 M M PII"'ft Cr CALA" XIMA OMS AND THAT AM Y
USE PRTHOIUT TIR{TTLI PETCIi'SraM CF CAUUM PDDLL W_ IS PROMOTED 9Y LA1TL
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SVAMMING PQC� PLAN FOR:
NAME I1E S RESIDENCE
STREET T - I t~NS
JOB ADDRESS CITY Ex n010
PHONE rDFFICE �l�j� �d- . �iS1 RES
LOT TRACT •� --2j- PAGE . BOOK
MAP BOOK PACE NO. CITY
MAIL ADDRESS �. , r...-
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE iDRAWN BY SOLD BY CHECKED BY
i /$- ^ 1 ■ - LA-0 Imo+ T JZfT
JOB 1,,-REVISONS DATE
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APPROVED
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FOR CONSTRUCTION
PEBB./PLAS
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SIGNATURE
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DRAINAGE !VOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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