05-0726 (RPL)T44f 4 4 a"
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 . . . . . 05-00000726 Date 3/02/05
Property Address . . . . . . 81146 BARREL CACTUS RD
APN: 764-270-999-36 -300233-
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . . . 8000
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE JAZ'
L'
Contractor
------------------------
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA CA 9223.6
25� (760) 398-9222
a
�I WCC: SEABRIGHT INS
0-1 WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
CCC: C$ -C27 -C29-053
-- - - - - - - - - - - - - - - -- - - -- ---------------------------------------------
Permit . . . �-_ BLDG) POOL PERMIT
Additional desc
Permit Fee . . . . 99.00 Plan Check Fee 64.35
Issue Date . . . . Valuation . . . . 7760
Qty Unit Charge Per Extension
BASE FEE 45.00
6.00 9.0000 THOU BLDG 2,001-25,000 54.00
----------------------------------------------------------------------------
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 <=100K 9.00
----------------------------------------------------------------------------
Permit . . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
----=-----------------------------------------------------------------------
Permit . . . . . . PLUMBING
Additional desc
r
P.O. Box 1504�� VOICE (760) 777-7012
TVf
78-495 CALLE TAMPICO FAX (760) 777-701 l
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0_J-- 7-2 Date: 3 " '�-OS
Applicant:
Applicant's Mailing Address:
e4w nee G7-0 K
Architect or Engineer:
Architect or Engineer's Address:
NA
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licen72ns
visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
/Ekes and ss Licowie ja fuy)(orce and effect.//65 / 12_9
V License Cla/s�s/ C� J J / N6 (� Com! LXL-
�e� "[ ContraCI i
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.
Zv e willmain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�y w s'compensation insurance carrie poyEy�n�bgrarrier oPolicy Number
_ I certify that, in the performance of the work for w 'ch this permit is issued, I shall not empidy any person in any manner so as to become subject to the workers'
compensation laws of California, and agree th Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forth th comply with those p
G rovisions.
to A:,plicant
WARNING: FAILURE TO SECURE WORK RS' COMPE OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
WARNING: FAILURE TO SECURE WORKTRS' COMPE
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, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the eing performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and v if wo 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 above information is rrect. agree to comply with all city and county ordinances and state laws relating to building
constru�ction/and/hereby authorize representatives of this countyt nter upo th ab o e -mentioned property for inspection purposes.
Date ✓ -` `0 Signature (Applicant or A ent :,J/
9 (PP 9 )
Fee summary Charged
----------------- ----------
Permit Fee Total 210.00
Plan Check Total 88.35
Grand Total 298.35
Paid Credited Due
---------- ---------- ----------
.00 .00 210.00
.00 .00 88.35
.00 .00 298.35
Page
2
Application Number . . .
. . 05-00000726
Date
3/02/05
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 . . . .
240
Qty Unit Charge Per-
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and`Comments
SPA ONLY. 15 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
----------------- ----------
Permit Fee Total 210.00
Plan Check Total 88.35
Grand Total 298.35
Paid Credited Due
---------- ---------- ----------
.00 .00 210.00
.00 .00 88.35
.00 .00 298.35
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of
TRILOGY @ LA QUINTA- PH- 9A (Partial) -7 _ 5 —0!0
ProjectTitlec
8+1 P46 Barrel Cactus Rd., La Quinta, CA 92253
Projec oe 1Vllllor 760-535-2192
BuildeV�ltac�t Henson (CCN #CC2004076) 7e57022
HERS
Firm:
Street Address:
Testing
PO Box 50575
Copies to: Builder, HERS Provider
Date
■
SHEA HO
Bu$TL a 10 Box Bay
PlaWrer
Telephone -,-Sample Group Number
Date Sample House Number
HERS Provider: CALCERTS
City/State/Zip:
Mbr
Phoenix, AZ 85076
HERS RATE 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
wi#Vthe diagnostic tested compliance requirements as checked on this form.
The installer has provided a copy of CF -6R (Installation Certificate.-
Distribution
ertificate: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)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM (p �O:
If fan flow is calculated as 400cfin/ton x number of tons enter calculated
value here (y Vy
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) ❑.
PaAs Fail
THERMOSTATIC EXPANSION VALVE I
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 T V 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
Vas Fail
❑ ❑
Pass Fail
Compliance Forms August 2001 A-16
t
v- JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
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: 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 Locadon Date Cast Cylinder ID (days) (psi)
Set A Phase 9A - Lot # 3036 Slab on Grade 3-25-05 Concrete
273-072 Laundry Required psi: 4000
7 3820
9413
9414 28 5570
vv 9415 28 553
CERTIFIED:
•
•
Page 1 of 1
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
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 -146 BARREL CACTUS, LOT 3036, PHASE 6A, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEAHOMES. LICENSE#
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY:
TITLE: ACCOUNT RE PRESENTIVE DATE: &-03:.-Z0ZZ_5_
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NAME PER NE RESIDENCE
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PEBB. f PLAS
SIGNATURE
i7RAINAGE NOTE: Droinuge and irrigction for planters and pets, b
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