09-0627 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 XP Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application. Number: X0.9'-0060067
Property Address: 81288 CANTOR CT
APN: 764-280-999-187 -300236-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 14830.9
Applicant:
Architect or Engineer:
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 35
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
VOICE (760) 77777012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
W\ Date: 6/17/09
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60800 TRILOGY PARKWAY
�I LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
Cie
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 0) of Di ision 3 of the Business and ProfessiIfCode, and my License is in full force and effect.
Lice se CI Ze
o.: 672285
Da actor:
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.).
(_ 1 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.).
(_) 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:
LQPERMIT
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
tJ issued.
1^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 WC1894819
_ 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and gree that, if I shout become uN ct to the workers' co mpe anon provisions of Section
at6�0 Labor sh '' c fo hw' h co�lply wit ose s.
plic nt:
WARNING: FAILURE TO SECURE WOR S' 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.
I . 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 becomes null and void if work 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 correct. I r e o comply with all
city and cou ty o inances and state laws relating to building c str tion, and hereby representatives
�ofh"isler the above-mentioned pro y for i i n purposere (Applicant or'Agent):
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Application Number . . 09-00000627
Permit . . . . . . PLUMBING-
Qty
LUMBING
Qty Unit Charge Per
Extension
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
5.00 .7500 EA PLB GAS PIPE >=5
3.75
1.00 15.0000 EA PLB GAS METER
---------------------------------------7------------------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . . .
0
Expiration Date 12/14/09
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee . . . . 22.50 Plan Check Fee
5.63
Issue Date . . . . Valuation . . . .
148309
Expiration Date 12/14/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00
----------------------------------------------- ----------------------------
Special Notes and Comments
SFD - LOT 187, PLAN 4520C, 1688 SF.
INCLUDES 26 SF BOX BAY AT MBR &
PHOTOVOLTAIC SYSTEM (1.2 A & 3KW).
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB147.3)
6.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
52.72
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
LQPERMIT
Application Number . . . 09-00000627
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 14.83
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1138.59 .00 .00 1138.59
Plan Check Total 605.30 .00 .00 605.30
Other Fee Total 4548.55 .00 .00 4548.55
Grand Total 6292.44 .00 .00• 6292.44
LQPERMIT
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING November, 5 2009
This CF -4111 Issued by CaICERTS® is for the home located at: 81288 Cantor Court
La Quinta CA, 92253
Certificate Number:
CC3-1798480084
(Passed
Date Inspected:
October, 23 2009
High.Energy Efficiency,Ratio (EER)
CaICERTS Rater:
William Irvine
Passed
CC2004075
i.
HERS Analyst:
Chinh Nguyen
Builder/ Developer:
Shea Homes, Inc.
Project:
Trilogy in La Quinta (658)
---.
Phase:
Release 905
Plan Name:
4520
Lot Number:
_6.187
Specifics about this home:
General Information
Conditioned Floor Area: 1688 Square Feet
Conditioned Volume: 15218 Cubic Feet
Front Orientation: Cardinal
Number of Stories: 1
Heating and Cooling Systems
Heating Equipment: Furnace: 0.8
Cooling Equipment: ACSplit: 14.0
HVAC Air Distribution
Duct Location: 'Attic.
Duct Insulation R Value 6.0 .
Water Heating System Proposed
QTY SizeFuel EF Distribution
50 Gas 0.62 Standard
Water Heating System Actual
t -
Testing & Verification Results
Samole # 139501
HVAC System
Duct Sealing
(Passed
Installation of Thermostatic I Expansion Valve
(TXV)
Passed
High.Energy Efficiency,Ratio (EER)
Passed
,;Hi9h,Quality;Insulati6n Installation
Passed
q QTY Siie_ Fuel EF �� _Distribution
0.62 Standard I
The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating
considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a
typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only
after the features listed have been verified and approved by the CalCERTS Certified Rater shown above. If you have a concern or
complaint regarding this report of the services used in obtaining it, you may contact: CalCERTS - Customer Service 31 Natoma St
Suite 120, Folsom, CA 95630.
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:
TRILOGY LOT 6187 REL 905 80-288 CANTOR CT. LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: R-38
WALLS:
TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: W-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
BY: r' TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009