04-3463 (SFD)C
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA. CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
. . . . 4%sY=@**1SM16V*4 Date 4/22/04
Property Addre.ss . .
. . 81836 BOWSTRING CIR
APN:
764-270-999-106 -300231-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning
MEDIUM HIGH DENSITY RES
Application valuation..
237751
Owner
Contractor
------------------------
SHEA LA QUINTA
------------------------
SHEA HOMES, INC.
C/O JEFF MCQUEEN
81.260 AVENUE 62
8800 N GAINEY. CENTER
3.50 LA QUINTA CA 92253
SCOTTSDALE
AZ 85258 (760) 777=6005
WCC: NTL UNION INS
WC: 7165833 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 �� X42001 CBC
FIRE SPRINKLERS,,
`GARAGE
SQ FTG���-��755.00
PATIO SQ FTG �? nr 4.8;8. 0 0
LG;t
NUMBER OF UNITS2 �-��� <,��1 . 0 0
FLOOR SQ_;^��2-6�79. 00
-------------------------
------------------------------------------------
Permit
Permit . . . ..
--------FIRST
------------- - =-= ---------
BUILDING PERMIT���"e--..,�1
Additional desc
Permit Fee
1122.50 Plan Check Fee 729.63
Issue.Date
Valuation . . .237751
Qty Unit Charge
Per. Extension
BASE FEE 639.50
138.00 3.5000
THOU BLDG 100,001-500,000 483.00
--------------------- ------------------------
'Permit . . . . . .
=-------------------------- ----
MECHANICAL
Additional desc
Permit.Fee
.99.50 Plan Check Fee 6.00
Issue Date.
Valuation 0
Qty Unit Charge
Per Extension
P.O. Box 1504 a VOICE (160}711-7017)
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
Application Number: 0 41- 346-3
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
Date: 4 LZZ -O q
n�l
Aited aleor�• ( rSLl1 lam- � c�
Architect or inqeris
�Zl v
v �D
�► U�� l� l2 A� C/1
Lic. No. ( �
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm un a paalty of perjury that I am licensed under provisions of Chapter 9 (commerck wlth Sec km 7000) of Division 3 d the Business and P�o*n onob
Cgoe; and myis ti tuff foroe and effect �
CIM
OWNER -BUILDER DECLARATION
I hereby alum under penSkY of perjury that 1 am axo<mpt from the Cohtractos' State Licence Law for the followicq reason (Sec 7031.6. Business and Prokulom Code: Any
oily or county that requires a permit I* construct.oon, ahem. improve. dernoisth a repair any sbhrcfaae, prior b its Issuance. also requires the applicant for to penrhlt b ile a signed
'statement that he or ala Is licensed pursuant to the provisions of the Contracbrs' State License Law (Chapter 9 (oonnencig with Section 7000) of Division 3 of the Business
and Proleub rs Code) or that he or she is exempt theratom and the basis for the alleged exemption. Any violation of Section 7031.5 by any appicud for a penis subjects
the applicant b a civil penalty o(not more than five hundred dollars (soca)•)
U 1. as owner of the property. or my employees with wages as their sole compensation, will do the wok and the structure Is not intended or aft for sale (Sec ?044..
Business and Professions Cole: The ContracloW State License Law does not appy to an owner of property who buids or inproves thereon, and vire does the wok
himself or herself or trough his or her own employees, provided that the improvements aro not intended or offered ler sale. K, however, the building or improvement is
said within one year of completion the ownerbuilder will have the burden of proving that he or" did not build or improve torte purpose of sale.).
UL
as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec 7044. Business and Professions Code: The Contactors'
State License Law does not appy b an owner of property who bunds or knproves thereon, ed who contracts for the projects with a conbaeto(s) licensed purswnl to
the Contractors' Stab License Law.).
(..) I am exempt under Sec .13A P.C. for this reasoe
Date owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to seg-Insue ler workers' compensation, as provided ler by Section 3700 of the Labor Code, ler the performance
of the work for which this pentyl lsissued.
( have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work ler which this permit Is
My "I" compensation kMAWM � i and �y number are:
carrier nscompensation
. Policy Nr.mm !
Ice" that in ffro pwWnmanm of the work for this permit is issued. I shat not enpby any person in any rammer so as to become subject b the wakes'
cormmpersation laws of Ceieoehta, and agree g I should become subject b the workers' compensation provisions of Section 3700 of the Labor Code. I sthah►
comply with those provisions.
Dab ApPieant
WARNING. FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES LIP TO ONE MMDRED THOUSAND DOLLARS ($100.000). M 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 affrm under penalty of perjury that there is a corsburAoh lending agency for the performance of the work ler wood this pem* Is issued (Sec. 3097. Civ. C.).
Lenders Name
Lenders Address
IF
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application Is hereby mode to the Dkeckx of Building and Safety ler 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 repvest and for whose bene% work Is perfom►ed under or pursuant to any permit
Issued as a result of this application, the owner. and the appicart, each agrees to, and shall. defend. indemnify and hold harmless the City of Le GuMa, its
olliioes, agents and employees for any ad or omission related to the work being performed under or following issuance of this peril
2. Any permit Issued as a result of thisapplication berm me null and void 1f work is not convneneed within 180 dalys from date o(Issusnce of such p ern or
cessation of work for 160 days will subject permit to cancellation.
1 certify that I have read this application and state that the above Information is I agree to comply with all city and county ordinances and stab laws relafirg to building
consUuction, and hereby authorize representatives of Itis county err the above-mhentioned property for inspection purposes.
N �
Bate Signature (Applicant or Agent
o
Page
2
Application Number
.
. .
. . 04-00003463 Date
4/22/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=100K
9.0.0
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
----------------------------------7-----------------------7-----------------
Permit . . .
. . .
ELEC-NEW
RESIDENTIAL
Additional desc
_-
Permit Fee .
. . .
15.0.6
Plan Check Fee
3.77
Issue.Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
I
BASE
FEE
15.00
1.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
.04
1.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
.02
----------------------------------------------------------------------------
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 .
. . ..
Valuation
0
Qty Unit
Charge
Per.
Extension
BASE
FEE`
15.00
�a
Page
3
Application/.Number
. . . .
04-00003463 Date
4/22/04
----------------------------------------------------------------------------
Special Notes and Comments
SFD LOT 106 PLAN 6505A.
PERMIT
DOES NOT
INCLUDE.BLOCK WALL,
POOL, SPA
OR
DRIVEWAY APPROACH.
--------------------------------------------------------------------------
Other,Fees . . . .
. . . . .
ART'IN PUBLIC PLACES -RES
94.37
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
145.92
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
23.77
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION.- RES
1098.00
Fee summary'.
------------
Charged
Paid Credited
Due.
Permit Fee Total
1429.06
.00 00
1429.06
Plan Check Total
783.65
.00 .00
783.65
Other Fee Total
2669:06
.00 .b0
2669.06
Grand Total
4881.77
.00 .00
4881.77
Installation Certificate: Residential CF -6R
Site Address PERMIT #
81-836 Bowstring Circle
Low /lO�
1. BUILDER INFORMATION SUBDIVISION: Trilogy P, La Quinta
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
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
G40UH48B-090X 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-042
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
fcouncl<� 19 %—f DATE: 0L36� —G LI
Signature Installing HVAC Contractor
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 at
81-836 BOWSTRING CIRCLE, LOT 1106, 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: V
4
r.,.,..er.... r...... :.x. c......,... c.r.-�.i.�.rr..•........�....ay.�...Y. w.v..ffus..zveuc. �. �. r.� .><. i...-.;.ir�.r..-�...•v..i.-.. r......:v,✓n:�.;r«�: r.•rr,;::r ter..•.: •i�c: �:cre.cr.:.,•n,,..:::�ar.�•a:.ua•���:
INSULATION CERTIFICATE
This is to cert' hat insulation has been installed in conformance with the current energy
regulation, Californ dministrative Code, Title 24, State of California, in the building located
z
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certa ed THICKNESS: IR -38
WALLS:
TYPE: BATTS MAUNFACTURER: :Ce:rtainteed THICK S: IR -13
GENERAL CONTRACTOR: LICE#
BY: TITLE:
PARAGON SCHMID B DING PRODUCTS A MASCO Company LICENSE # 221517
BY: - TITLE: ACCOUNT REPRESENTIVE DATE: