04-3462 (SFD)�F�Q�rw
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
Application Number .
Property Address . . .
APN:
Appl.ication description
Property Zoning
.Application valuation..
BUILDING PERMIT
Date 4/22/04
81841 BOWSTRING CIR
764-270-999-105 -300231-
. . . )DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
237508
Owner
Contractor
SHEA LA QUINTA
SHEA HOMES, INC.
C/Q JEFF MCQUEEN
81260 AVENUE 62
8800 N GAINEY CENTER
350 LA QUINTA
CA 9225.3
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/CONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS.
NO
GARAGE SQ FTG
755.00
PATIO SQ FTG
4.88.00
NUMBER OF UNITS
'1.00
=-----------------------------------
FIRST FLOOR SQ FTG
2676.00
----------
Permit.
------------------------------
BUILDING PERMIT
Additional desc
Permit Fee
1122.50 Plan Check Fee
729.63
Issue Date
Valuation
..237508
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
24.88
Issue Date. . . . .
Valuation
0
Qty Unit Charge Per
APR .2 2 2004
C 7 Zi L111 C X81,.1 WA
�r
II�Extension
u�l'�,iGv
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: U �. 3�{OR Date: '4 -0�i
Applicant Arca r Agin rvt��/��/f?a► �r��
Applicant's Mailing Address:i� F i 's Addres
d
3�2cz� b PT- k V)�)124z�L,
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affrm C!bkftdur�q�penaky d perjury riot 1 am licensed sunder proN = at lCh7 �(caemtenciq with section 7000) d Division 3 d to Business and Rolessioeals
Code. and my Ljo'�`e/�is in u bice and efled 1/ vim} ��UJ
OWNS -BUILDER DECLARATION
I hereby affirm under penalty of perjury rid I am.raampI from" Contractors' Stals License Law for the f "m n mason (Sec. 7031.5. Business and Prolessions Code: Any
city or county that requires a permit b consbuct. star, improve, dennoisfL a repair any stnxxraa, prior b is issuance. also requires Its applied for the perenil b pa s signed
stalemed drat to or gob licensed pursuant to the provisions of the Conbaebrs' Stab License Law (Chaplet 9 (Co orenchng wish Section 7000) d Division 3 d the Business
and Professions Code) or tat he or she is exenp riershom and to basis forte Meged euarptiar. Any violation of Section 7031.5 by arty appfiant ler a permit subjects
the appicad to a dvi penalty of not more than live hundred dollars 4500).):
U 1. as owner of to property. or my employees with wages as their sob compensation, will do the wok, and the struckne Is not intended or offered for sale (Sec 7044.
Business and Professions Code: The Contracbts' Stab License Law does not appy to an owner of property who builds or improves thereon. and who doss the work
hinnself or harseff or trough his or her own employees, provided that the improvements are not intended or oft for oak. K, however. the building or inprovernent is
sold within one year oloompletiorr, to owner4pAder wfi have to burden of prowling tat he a she did not build or improve forthe purposed sale.).
U Las owner of the property. am exclusively contracting with licensed contracbrs to construct to project (Sac. 7044. Business and Pidessions Code: The Cw*acboW
Stab License Law does not appy ban owner of property who bolds or improves theieon, and who cot h le for the projects with a conbacbr(s) ioansed pursuant b
One Contractors' Stab License Law.).
U I am exempt under Sec . BA P.C. for this reason
Dale Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate d cornsent to anWrnsure ler workers' compensation, as provided for by Section 3700 of" labor Code. forte performance
of the work for which this pemrlt is Issued.
1 have gadnd will maintain workms compensan kwtion insu�raneee..gass Mgwed by Section 3700 O the Labor Code. for the performance of the work for afrch Nis permit k
h7t U /1 tel- /L S ., _1 of�iry Number ) ! 1n i 3-2,
r aro:
I CO" that in tha Perbmnanoe of to work ler which tri permit is issued. I shall not employ any person to any manner so as to becorne subject to the workers'
campuu
on I should become subMd b to workeW compensation prwisions of Section 3700 of to labor Code, tforthwith comply with those pwAsiorm
stat
WARNING: FAILURE TO SECURE WORKERS' COMPENsA-noN COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE TM)SAlk DOLLARS (3100.000). 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 d perjury tat two is a construction lending agency for the peromnance of the work ler which this perm is issued (Sec 3097. Civ. C.).
Lehde's Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application Is hereby mode to the Director of Building and Salety ler a permit subject to the cormM ns and restrictions sat forth an Oft application.
t. Each person upon whose behalf tis application is made. each Person at whose request and for whose benefit work is performed under or pursuant to any pemrl
Issued as a result of tis application, the owner. and the appicad, each agrees b. and shat, defend. indemnity and hold tamress the City of Le Oukria, is
.dricerm agents and employees for any ac or omission relaid to the wok being performed under or following Issuance of Oils permit.
2. Any permit issuad as s resw d tits application becomes roti and void if wok is not commenced within 1611 d4ys from date at issuance of such perm or
cessation of work ler 160 days will subject per., b cancellation.
1 ow" that I have read this application and state that the abort information is coc 1 agree to comply with at city and county orda anoes and state laws retaar l b building
and hereby authorize representatives d this county above�rhahbor ed property for inspection purposes.
D 2' Signature (AW ):
Page 2
Application Number . . . . . 04-00003462 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
. . . .
123.76
Plan Check Fee
30.94
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2676.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
93.66.
755.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.10
----------------------------------------------------------------------------
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
BASE FEE
`�'r; �f�' �}�: z to i. f ` ':i�/.i^, ay ��'�'t�;r•
. d'
Extension
15.00
I
Page 3
Application Number
. . . . .
04-00003462 Date
4/22/04
----------------------------------------------------------------------------
Special Notes and Comments
SFD LOT 105 PLAN 6505B. PERMIT
DOES NOT
INCLUDE BLOCK WALL,
POOL, SPA
OR
DRIVEWAY APPROACH.
-----------------_.----------------------------------------------'-------------
Other Fees . . . .
. . .
ART•IN PUBLIC PLACES -RES
93.77
DIF COMMUNITY CENTERS -RES
97.00-
7.00DIF
DIFCIVIC CENTER '- RES
366.00 -
ENERGY REVIEW FEE
72.96
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
23.75
DIF STREET MAINT FAC -RES
15.00
•DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
1537.76
------------------------------
.00 .00
1537.76
Plan Check Total
829.70
.00 .00
829.70
Other Fee Total
2595.48
.00 .00
2595.48
Grand Total
4962.94
.00 .00
4962.94
I
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 thei building at ti
81-841 BOWSTRING CIRCLE, LOT 1105, PHASE 6A, LA QUIPITA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
I'
BY: TITLE:.
r
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 2 1517
VL V-+ /
BY: TITLE: ACCOUNT REPRESENTIVE DATE: � r
lJ
Y
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
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: IR -38
WALLS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: IR -13
GENERAL CONTRACTOR: LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE #221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
Installation Certificate: Residential CF -6R
Site Address
81-841 Bowstring Circle
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 #
SUBDIVISION: Trilogy @, 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
G40UH48B-090X
80%
4. COOLING INFORMATION
COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING
EQUIP. MAKE MODEL # SEER CAPACITY LOAD
A/C 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
--'Y*
Gar, 'FCannn cja DATE:
Signature Installing HVAC Contractor