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04-3554 (SFD)BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTAL CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . TA@MO. =8' =55 Date 4/22/04 Property Address . . . . 81818 BOWSTRING CIR APN: 764-270-999-107 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning : . .. . . MEDIUM HIGH DENSITY RES .Application valuation... . . . 240812 Owner ------------------------- SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 • SCOTTSDALE AZ 85258 Contractor SHEA HOMES—,__INC. $12 6 0 AVENUE -6=2_- __�` LA QUINTA ',CA' 9.22 53 (76 0) 777=4600.5ti'� WCC NTLGUNIdN,� : NS WC: 71.6.5-83`3 08/01/04 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 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2778.00 ----------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee 1133.00 Plan Check Fee 736.45 Issue Date Valuation ..240812 Qty Unit Charge Per Extension BASE FEE 639.50 141.00 3.5000 THOU BLDG 100,001-500,000, 493.50 -------------------------- Permit . . . . . -------------------—------------ MECHANICAL ----------- - =- - - - Additional desc . Permit.Fee 99.50 Plan Check Fee 22.13 'Issue Date. Valuation 0 Qty Unit Charge Per Extension P.O. BOX 1504ICE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFO1tNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. - 04- -5554 1 Date: 4 ' 2- 2 --Applicant Applicant's Mailing Architect or Engineer. Architect or i AddresbAL ' 2&,h4, MIWA Lic. No.f � �� ) BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under isnatty of perjury that 1 am licensed under of Chaplerr f commoncY�p with section 7'000) of Division 3 of to Business and Prolessionals Code. and my l ioe�/ in W/ force and affect:::7 No.M /t3oamee Class Date • U � ` . i OWNER BUILDER DECLARATION 1 hereby alfrmm under penally of perjury Out 1 am arerrpt tram the Contractors' Stab License law for the forovriq reason (Sec. 7031.5. Business and Professions Coda: Any city or county Viet requires a pemmit b consbucL alter, o .qx r. demoliisl or repair any structum prior b its issuance. also requires the applicant for Ilia pamdl to Iola a signed statemermt Mat he or she is Barnard pursuant b the provisions of rte ContraeloW Stab License Law (Chapter 9 (cortrnencing with Section 7000) of Division 3 of the Business and Professions Code) or rut he or she Is exempt 1heral om and the basis ter rte Mailed exenptipt Any violation of Section 7031.5 by any applicant bra permitsubjects the applicant to a dv1 penalty of not mons than live hundred dohiars (5500).7 U 1. as owner of the property. or my enpbyees with wages as Meir sob oompamsstion, will do that work, and the structure Is not intended or ollered for sale (Sec 7044, Business and Professions Coda The Contraclons• State License Law does not apply ban owner of property who builds or improves thersork and who does We work himself or herself or Brough his or ler own employees, provided that the irprovements aro not' mlenmded or oft for sale. M, howeyer. the l ul I n or inprovernent is sold with one year d comrpletion, the owner4 alder will have to burden of proving rut he or she did not build or improve for the purpose of sale.} UL as owner of the property. am uadusiraly aonrtract'q with foensed contractors to construct ere project (Sec. 7044. Business and Piolessbns Code: The Contracsors' State License law does not apply ban owner of property who builds or improves lfefo^ and who contracts for the projects whh a •contraetor(s) tioensed pusuaN b be Contractors' State License Law.). U I am exempt under Set . B.a P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of cormsent to selfinsur a for workers' compensation. as provided for by Section 3700 of the Labor Code. for to performance of the work for M ddm this permit is ksued / 1 have and will wmaintain worlkers'roe. asporeiq�uirneudr by Section 3700 of the Labor Code. for the perfomance a the work for which Us permit is /Cartier �� / 1 1 I7 Number �(o r— S ane. _ 1 certify IhA in the performanes of work for which this permit is issued. I shall not employ any person in any manner so as to become subject to to workers' oanpm -tion laws ofCalifornia. and agree that. If should becomme subject b the workers' compensation provisions of section 3700 of the Labor Code. l shM car ply with those / v� picant WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES LP TO ONE HUNDRED Ti10USIWD 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 1 hereby affirm ender penalty of perjury rat two is a construction landing agency for the performance of the work for which this permit Is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application is hereby mode b the Director of APPLICANT ACKNOWLEDGEMENT 1. Each person upon whose behalf Oris application issmma do e and person at at pemit subject a the conditions and it work set forth on this appica5on Issued as a result of omit appication, the owner, and re applicant each request and for whose benefit wok is performed under or pursuant in any permit ofrKms. agents and employees for any ad or omission rotated a the wow b, and shall, defeoder or indartrty and hod f Us essper the Cry of V OkrlrMs. its 2- Any permit issued as a result of Oft application becomes null and void lf wont not commenced within following ,4ys from date o(issuarm o1such permit or cessation of work for 160 days will subject permit a cancellation. 1 certify that 1 have road this application and &lata that the above W rmation # correct. I agree to comply with sit city and county ordinances and state laws relating a binding wr>struction, and hereby authorize representatives of On a eller the above�nentioned property for inspection purposes. 6jftiOW-re (App = or Application Number . . . . . 04-00003554 t Page 2 Date 4/22/04 Qty Unit Charge Per Extension BASE FEE 15:00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE'>100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16:50 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 124.53 Plan Check Fee 31.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2778.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.23 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 ----------7----------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ' BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 t Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 "h ik$.T,ra�.,�tkw7�t r•� ��r�p!!ii+',�,c�a�r �Pk�. 4 Page 3 Application Number . . . . . 04-00003554 Date 4/22/04 ------------ 7 ------------------------------------------------------ Special Notes and Comments =-------- SF LOT 107 PLAN 6420A. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 102.03 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 73.65 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 24.08 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited. -------------------- Due Permit Fee Total 1549.03 ---------- .00 .00 1549.03 Plan Check Total 833.96 .00 .00 833.96 Other Fee Total 2604.76 .00 .00 2604.76 Grand Total 4987.75 ..00 .00 4987.75 Installation Certificate: Residential CF -6R Site Address 81-818 Bowstring Circle L ,r to 7 1. BUILDER INFORMATION Shea Homes - Trilogy - LaQuinta 60311 Trilogy Pkwy La Quinta, CA 92253-7642 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors DUCT OR PIPING R - VALUE Flexible Ductwork Will have a R -Value of 4.2 or Better PERMIT # . © SS 4° SUBDIVISION: Trilogy P, La Quinta CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDITIONING I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, Ihave verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. 3. HEATING INFORMATION HEATING MANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING EQUIP. MAKE MODEL # AFUE CAPACITY LOAD Furnace Lennox G40UH48B-090X 80% 88000 G40UH36A-070X 80% 4. COOLING INFORMATION COOLING EQUIP. A/C MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING MAKE MODEL # SEER CAPACITY LOAD Lennox 13ACC-042 12 13ACC-036 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. 6.THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. Yes ❑ No ❑ N/A ❑ 6. SUBMITTED BY -;s:osc- FCQ'0CL= ARA4 DATE: 6 -36 --OV Signature Installing HVAC Contractor 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 81-818 BOWSTRING CIRCLE, LOT 1107, PHASE 6A, LA QUINTA CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: qn1W4 INSULATION CERTIFICATE This is to c61'tikthat insulation has been installed in conformance with the n* -ht energy regulation, Califo ' Administrative Code, Title 24, State of Californ ,' the building located f CEILINGS: '- TYPE: BLOW MAUNFACTUR Certainteed THICKNESS: R-38 WALLS: r TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS:R-13 GENERAL CONTRACTOR: LICENSE # BY: TITLE: ,F(ARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 1517 f �I BY: TITLE: ACCOUNT REPRESENTIVE DATE: 'r ...... / ... ��:T`/.:�Rri ✓/..%/f:Oc% %J"r.. y%///:/>I//%////Y,/1�•lI/%%l<'J/.'J.�//I.i%/ir'n!.T!/%/1'!%/%f/%!/✓!.'%!/:ii•i!. 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