07-1152 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA'92253
Application Number: 07_-_00_001,152
Property Address:*, __W�061620'TULLARE LN
APN: 764-280-999-112 -300237-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2.125
Annlicant: Architect or Engineer:
PIP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N,GAINEY.CENTER 350
SCOTTSDALE,'AZ'85258
VOICE (760) 77.7-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 4/18/07
Contractor:
SHEA'' HOMES , INC . • e
60806:TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005 Q 9
Lic. No.: 672285 �� 3 Ci 20Q1
LICENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION DECLARATION - '..�7 .. -.
I hereby.affirm under penalty of perjury that Pam licensed under• provisions oudh4tec9 (commencii g,.with I hereby affirm under penalty of perjury one of the;following declarations: '
Section 7000) Division 3 of the Busi ess and Profe sionals Code my License is in full force and effect. _ I have.and will maintain a.certificate of consent to self-insurefor workers' compensation, as provided
U n - - - License No 672285.. for'6y Section 3700 of the L'atiar Code ifor the performance of therwork for which -this permit is
- ..._ issued }, - 1
P
r
ate �`a' ontraaor: - - - -Phave and -will maintain workers' compensationinsurance as reQuired: by Sec[ion3700•of the Labor.
Code; for the:p`erformance•of the work for which this permit is issued. My workers' compensation -
OWNER-'BUILDER.DECLARATIONr .. insurance carrier and policy number are: -- +a t -•+- i
�.r
hereby affirm under pehalty.of,perjury that I am exempt fro the Contractor's State License Law for the Carrier AMERICAN''HOME i Policy Number 1247619 S
- followmg reaso (Sec: 7031 .5, Business and Professions Code` Any city.or county that- :requires a permit to - I',certify'_that, m the:performance bf the work for which this: permit is issued 1, shall not employ any
ir--�.�,...
Cconstruct alter,.improve,demolish, or repair any structure pnor�to;rts issuance alsoArequves.the applicant for the person in any manner so as.to-becomesubject to the work �compensationlaws of California,
„ (permit to file a signed statement that he or she is licensed pursuant to tlie'proviswns rif,ttte.Convactor's State -' ; and•agree,that, if irs ouId edomeysutijecL to rite workers' pensaLon'piovisions of Section '
Gcens6Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Lab all fo with comp) with t rov Bions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violatiomof Section.7031.5 by - ``,^ _
Iny.appbcant for a permrtsubjects the applicantto a civil penally of not more than five hundred dollars($500).: ., - to plica
1' 1 I}asrowner of the property or my employees with wages as their sole compen �afion; will do the work,'and
`-the structure is norintendeil-or'offwed for sale (Sec..7044,+Businesrand�Professions Code The WARNING FAILURE:TO SECURE WORKERS': COMPENSATION COVERAGE IS' UNLAWFUL AND'.SHALL
Contractors', St ate License_ Law does not apply to an°owner of property who Builds or improves thereon, SUBJECS'AN"EMPLOYER TO CRIMINAL PENALTIES. AND CIVIL FINES.UP'TO ONEyHUNDRED THOUSAND '
and who does:the work himself orherselPthrough his orfier own employees, provided that the` - ' DOLLARS 15100;0001,` IN`ADDITION-TO THE COST OF COMPENSATION, DAMAGES -4S PROVIDED FOR IN
improvements are not intended or offered for sale. If/however, the building or.improvement is sold -within SECTION 3706 OF THE LABOR CODE,. INTEREST, AND ATTORNEY'S FEES.
. one year of completion, the owner -builder will have the burden of proving.that he. or she did notb'uild or ^ • + • -'F - - - =' - '
improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT
( '• 1 I, as owner of the property, am ezclustvely;contiacting` with licensed contractors to construct.the project (Sec. IMPORTANT Application is hereby mgade to the Director of Buildinand+Safety for permit subject to the
- 7044;, Business and.Professions Coder The: Contractors' State License Law does not apply to an owner of conditions.and restrictions set forth on this application.
property who.builds or improves,thereon, and who contracts for the projects with a-contractorl'"
s) licensed ',1, +:Eachperson upon whose.behalf this application is made,: each person;at whose request and for •,
pursuant to the Contractors' Stay&License law.). - whose benefit work is performed under or pursuant to'anypermii.ssu
ied as a result of this application,
(_ 1 I.am exempt under Sec. , B.&P.C. for this reason 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 actor omission related to the work being
performed under or following issuance of this permit. `
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and stAropee
inform ion is c ct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1. city anQ county ordinances and state laws relanst cti and r- y authorize representativeso th' �oy t enter upon the above-mentiospe ion rpo Lender's Name:ate:Signature (Applicant or As'
Lender's Address:
LQPERMIT
Application Number . . . . . 07-00001152
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 2125
Expiration Date
10/15/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000
9.00.
----------------------------------------------------------------------------
Special Notes and
Comments
85 L.F. 6' GARDEN
WALL, ORCO SYSTEM
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
54.00
.00
.00
54.00
Plan Check"Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.0.0
LQPERMIT
/
��T�.��®�®. Installation Certificate-. Residential CF -6R
AIR CONDITIONING INC.
Site Address PERMIT #
`61-620 TULARE_LANE Bldg: - Unit: -
1. BUILDER INFORMATION
Shea Trilogy La Quinta
60 -800 Trilogy Parkway
LA QUINTA, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwork in
Attic and Between Floors
SUBDIVISION: Trilogy La Qunita
CITY: LA QUINTA
COUNTY: RIVERSIDE
WESTPAC AIR CONDITIONING
DUCT OR PIPING R -VALUE
Flexible Ductwork Will have
a R -Value of 6.00 or Better
I, the undersigned, verify that the equipment listed in the category above my.signature is the equipment installed and that the equipment
meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or
more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate complience with the Energy
Efficiency Standards for residential buildings.
3. HEATING INFORMATION
HEATING
EQUIP.
Furnace-FAU 1
Furnace-CASITA
MANUFACT
HEATING UNIT
ACTUAL EFF.
HEATING EQUIP
MAKE
MODEL #
AFUE
CAPACITY
4. COOLING INFORMATION
GMS80704BX 80%
Allstyle AHK24-5ZOT+D+VP 80%
(Allstyle)
COOLING MANUFACT
COMPRESSOR
ACTUAL EFF.
EQUIP. MAKE
MODEL # `.
SEER
A/C-FAU 1
Coil-FAU 1
H/P-CASITA
Amana GSC130481A 13
Aspen
CP48A3B EER
Amana GSH 130241 A 13
HEATING
LOAD
COOLING EQUIP
COOLING
CAPACITY
LOAD
The building design heat loss and design heat gain rate have been determine"d 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.
5. THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
YES 0 NO 0 N/AF--]
6. SUBMITTED BY:
WESTPAC AIR CONDITIONING
Signature Installing,HVAC Contractor
\\Claire\Crystal Reports\Purchasing\CF6R_Report.rpt
Job#: 6695 Lot: 7112 Bldg: - Unit: -
6/28/2007
Date