04-8111 (SFD);s
Tldf 4 4 a"
)4
E TAMPICO
CALIFORNIA 92253
BUILDING PERMIT
Property Address . . .
APN:
Application description
Property Zoning . .
Application valuation .
Owner
------------------------
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00008111 Date 1/31/05
81182 BARREL CACTUS RD
764-270-999-33 -300233-
DWELLING - SINGLE FAMILY DETACHED
MEDIUM-HIGH DENSITY RES
150034
Contractor
SHEA HOMES , . INC .
81260 AVENUE 62
LA QUINTA CA 92.253
(760) 777-6005
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/LONG <=10
Flood Zone . .
. . .
. . . NON -AO FLOOD ZONE
Other struct info
. .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO'
GARAGE SQ FTG
576.00.
PATIO SQ FTG
177.00
NUMBER OF UNITS
10.00
1ST FLOOR SQUARE FOOTAGE
1688.00
---------------------------------------------------------
Permit . . . .
. .
------------------
BUILDING PERMIT
Additioftal desc
Permit Fee
818.00 Plan Check Fee
531.70
Issue Date . .
. .
Valuation . . .
. 150034
Qty Unit
Charge
Per
Extension
• BASE FEE
639.50
51.00
3.5000
THOU BLDG 1001001-500,000
178.50
----------------------------------------------------------------------------
Permit . . . .
. .
MECHANICAL
Additional desc
. .
Permit -Fee . .
. .
64.00 Plan Check Fee
16.00
Issue Date
Valuation . . .
. 0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2.00 -
9.0000
EA MECH FURNACE <=100K
18.00
2.00
9.0000
EA MECH B/C <=3HP/100K BTU
18.00
P.O. BOX 1504 • �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04 49 11 ( Dole: I15;11��.
Applicant: hi rigieer.
Applicant's Mailing Address:—Architect or Engineer's Address.
Lir,, No.:� t
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm and natty of perjury that I am licensed under provisions o 8pt�r ng with Section 7000) of Division 3 of the Business and Professionals
gpde, and my L' ar in full force and effect. (/1
,,--'License Vass ce se No v
4mnat.A:L Cmntrarto
OWNER43UILDER DECLARATION
1 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.).
(__) I am exempt under Sec. , B.& 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 pegmit is issued.
ha a andkIlla,'intain wo P compensation insurance, as requir by ! n 37 0 of the Labor Code, for the performance of the work for which this permit is
s ued.ers' com sation insurance ca 'err li Feat
Carrier Policy Number V
_ I certify that, in the performance of the work for which permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif m, , and agree that, if hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
to with comply with those pr ion
e pplicant
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 Quinta. its
officers, agents and employees for any act or omission related to the work being PJrformed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if wo is t commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancel ion.
I certify that have read this application and state that the above info rrect. I ree to comply with all city and County ordinances and state laws relating to building
XII:
and reby authorize representatives of this county t upon abov ned property for inspection purposes.
r/
e ignature (Applicant or Agent):
Page
2
Application
Number .
. .
. . 04-00008111 Date
1/31/05
Qty
Unit Charge
Per
Extension
1.00
6.5000
EA
MECH VENT FAN
6.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
85.60 Plan Check Fee
21.40
Issue Date-
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1688.00
.0350
ELEC NEW RES - 1 OR 2 -FAMILY
59.08
576.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
128.25
Plan Check Fee
32.06
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
10.00
6.0000
EA
PL& FIXTURE
60.00
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
5.00
.7500
EA
PLB GAS PIPE >=5
3.75
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
Plan 4520C
1688
SF with Box
Bay @ Master
(26sf) &
4' Ext
Garage
(88sf) .
--------------------------
Other Fees
. . . . .
--------------------------------------------------
. .
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
w
Page 3
Application Number..
. . . . .
04-00008111 Date
1/31/05
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ENERGY REVIEW FEE
53.17
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
15.00
DIF STREET MAINT FAC -RES
15..00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
1110.85
------------------------------
.00 .00
1110.85
Plan Check Total
601.16
.00 .00
601.16
Other Fee Total
2473.17
.00 .00
2473.17
Grand Total
4185.18
.00 .00
4185.18
T j
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page CF -4R
TRILOGY @ LA QUINTA- PH- 9A (Partial) 6-21-05
Project Title Date
j c�81182 Barrel Cactus Rd., ' La Quinta, CA 92253 SHEA HOMES
Proje Joed inor 760-535-2192 '$M 4910 Box Bay @ Mbr
Buildeiffiam Henson (CCN #CC2004076) 7M -'ft ---1022 Platelumber
HERS Raters p
Certify n Sg ignature
Firm: BCI Testing
Street Address: PO Box 50575
Copies to: Builder, HERS Provider
Telephone
6-21-05
Date
Sample ,Group Number
..-,.33 (ph9A)
Sample House Number
HERS Provider: CALCERTS
City/State/Zip:
Phoenix, AZ 85076
HERS RATER COMTLIANCE STATEMENT
The house was:l 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)
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
If fan flow is calculated as 400cfin/ton x number of tons enter calculated '
value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) _
Check Box for Pass or Fail (Pass=6% or less) ❑
Pas s' Fail
O THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection ❑
Yes is a pass Pass Fail
❑ 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.
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
Compliance Forms August 2001 A-16
I
JCM Inspections
39725 Garand Lane Suite F I
Palm Desert, CA 92211
P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
1w 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 Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A—Phase 9A - Lot # 3033- Slab on Grade 3-23-05 Concrete
273469,Entry Required psi: 4000
9396 7 3240
L5i \ ���Z �-� r��� �� 9397 28 4240
l 9398 28 4220
CERTIFIED:
JC Inspections supplies the service
of compression strength test results only.
Per ASTMC39
•
•
Page 1 of 1
• 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 at
81-182 BARREL CACTUS, ;LOT 3033, PHASEr9A, LA QUINTA, CA
CEILINGS:
TYPE: BLOWTHICKNESS: R-38
MAUNFACTURER: Owens Corning
WALLS.
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE#
BY: TITLE:
PARAGON CHMfD BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY TITLE: ACCOUNT REPRESENTIVE DATE:
I
V0EZ9VE09L L0:60 500Z/E0/90