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04-7907 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 04-00007907 Property Address: 8 11 b 8 70KIM-EL CACTUS RD APN: 764-270-999-35 -300233- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3075 Applicant: Architect or Engineer: 0 fA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Code, and my License is in full force and effect. License Cla License No.: 672285 �� 1 11'9 tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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.). (_ 1 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: Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 81260AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/20/04 DEC 20 2004 ciIa of L-A DUINTA 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. 7� I have and 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 issued. My workers' compensation insurance carrier and policy number are: Carrier NTL UNION INS Policy Number 6436568 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any an o as to becomes lett to the workers' compensation laws of California, 1 and agree that, if 1 sh Id become subje to the workers' compensation provisions of Section 3700 of the La I shall fo h 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. 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 bec as null and void if work is not commenced within 180 days from date of issuance of such pe it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application st that 4abinformation is correct. I agree to comply with all, city and cou ty or inances and stat aws titobstruction, and hereby authorize representatives ofthi�MntWrona ve-m tion prp r pses. Date: A or Agent): .F LQPERMIT Application Number . . . . . 04-00007907 Permit . . . WALL/FENCE PERMIT •Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3075 Qty. Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 - ---------------------------------------------------------------------------- Special Notes and Comments 75 L.F. 6' GARDEN WALL, 75 L.F. 3 - RETAINING WALL, BOTH ORCO SYSTEM Fee summary Charged Paid ----------------- Credited Due -------------------- Permit Fee Total 63.00 ---------- .00 ---------- .00 63.00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 .00 .00 63.00 LQPERMIT CEyTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 'n CF -4R - PH- 9A (Partial) P Iect�itie . Date '81158 Barrel Cactus:Rd. a uinta CA 92253 SHEA HOMES Projec Ad s Builder r 760-535-2192 4510 Ba Buil35 11r1 Henson (CCN #CC2004076) 7M-80OU7022 Plan P1aN�A Number HER R Telephone Sample Group Number 'Certifying Sign ure Date Sample House Number " Firm: BCI Testing HERS Provider: CALCERTS Street Address: PO Box 50575 City/State/Zip: Phoenix, AZ 85076 Copies to: Builder, HERS Provider HERS RAT COMPLIANCE STATEMENT The house was: 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. I MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM If fan flow is calculated as 400cfm/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) .TIC EXPANSION VALVE es ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass Measured values Liq (7 f) C� bOC� ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT I ❑ 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 11 Pass Fail 13 as . Fail ❑ ❑ Pass Fail Compliance Forms August 2001 A-16 JCM Inspections 39725 Garand Lane Suite F Palm DesertCA 92211JJI P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 5110/05 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 # 3035 Slab on Grade 3-25-05 Concrete 273471 Kitchen Required psi: 4000 6111-0 13 e teCH-t—vtt `� ,(� 9409 P-cZ 910 7 28 3720 5410 9411 28 539 CERTIFIED: '. L C-1 1 �� Inspections supplies the service of compression strength test results only. Per ASTMC39 0 Page 1 of 1 ... .._. :... ....... �.�... �. :: .....:..-, ...:..r: �..r..-.;F:•...riririx..ri�z./rir._i:/..ia:'✓i✓i./.__:�%✓.�:�: ixir.'iirirc.v ii%✓ .. . /:>i.r 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 81-158 BARREL CACTUS, LOT 3035, PHASE 9A, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-38 WALLS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-11 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE# 221517 BY. ITLE: ACCOUNT REPRESENTIVE DATE: — .. .. .. .:: : '... _.. _.r-.�.-T......�.+-^-T-r_.:�'.,-..i^.�...^.^!:.^—.+9T)..._^%".Y"/f�/-..,+N�':Jys}:5.:-Y.T�_�//_.._. %r".!�.Y.'�/�v::f�V.vFf'Ni..:: S•'W.:*i'.%:�%w:..iJ.�i._.�A^!.i'/✓....�...�.r_._.. 60 3ndd QINHOS NOnti�idd b0EZ9bE09L L0:60 5002/E0/90