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09-0475 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000475 Property Address: c81331 JASMINE CT APN: 764-280-999-37 -300236- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 159387 Tiht 4 4 Q", BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Applicant: Architect or Engineer: r ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section -Aooq of Division 3 of the Business and Professi nal s Code, and my License is in full force and effect. ass: B License No.: 672285 at ntractor: 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) of 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 _ 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.). (_) 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 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/13/09 ----------------------------------------- ------- 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 issued. 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 I 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' ompensation laws of California, 111 and agree that, if I should come subject to the rkers' co p nsation provisions of Section LI ©� 0 of thede, I all fo hObith co ly wi th i ns. ar nlirant WARNING: FAILURE TO SECUR,tW�RKERS' 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. 1. 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 corre I agree to comply with all city an ou ty ordinances and state laws relating to building construction, and her by a thor representatives rof ' c un to ter upon t e above-mentioned prop or ins cti pWoses a 'nature (Applicant or Agentl: Application Number . . . . . 09-00000475 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 849.50 Plan Check Fee 552.18 Issue Date Valuation . . . . 159387 Expiration Date 11/09/09 Qty Unit Charge Per Extension BASE FEE 639.50 60.00 -------------------------------------------7-------------------------------- 3.5000 THOU BLDG 100,001-500,000 210.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation 0 Expiration Date 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 - ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 89.84 Plan Check Fee 22.46 Issue Date . . . . Valuation 0 Expiration Date 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06 639.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . . PLUMBING Additional-desc . . f Permit Fee . . . 120.00 Plan Check Fee 30.00 Issue Date . . . . Valuation 0 Expiration Date 11/09/09 Qty. Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA •PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 09-00000475 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 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. Expiration Date 11/09/09 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 159387 Expiration Date 11/09/09 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 37, PLAN 4515C, 1773 SF. WITH 41•'GARAGE EXT. (103SF) & BAY @ nook " (24 SF.), PHOTOVOLTAIC SYSTEM (1.3C-3KW) PERMIT. DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES '22.00 LQPERMIT Application Number . . . . . 09-00000475 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1162.34 .00. .00 1162.34 Plan Check Total 626.65 .00 .00 626.65 Other Fee Total 4573.15 .00 .00 4573.15 Grand Total 6362.14 .00 .00 6362.14 LQPERMIT CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING November, 5 2009 This CF -411 Issued by CaICERTS® is for the home located at: 81331 Jasmine Court Conditioned Volume: 17878 Cubic Feet La Quinta CA, 92253 Certificate Number: CC3-1798480086 1 Date Inspected: October, 23 2009 Heating Equipment: CaICERTS Rater: William Irvine ACSplit: 14.0 CC2004075 -' HERS Analyst: Chinh Nguyen Builder/ Developer: Shea Homes, Inc. Project: Trilogy in La Quinta (658) Phase: Release 905 Plan Name: 4515 Lot Number: 6037 Specifics about this home: General Information Conditioned Floor Area: 1773 Square Feet Conditioned Volume: 17878 Cubic Feet Front Orientation: Cardinal Number of Stories: 1 Heating and Cooling Systems Heating Equipment: Furnace: 0.8 Cooling Equipment: ACSplit: 14.0 Testing & Verification Results Sample # 139501 HVAC System i Duct Sealing Passed Installation of Thermostatic I Expansion Valve (TXV) passed HigheEnecgy Efficiency Ratio (EER) Passed HighiQuality-In'sulation Installation Passed HVAC Air Distribution,,�. Duct Location: x° 1 Attic Duct Insulation R VJ�J'Jalue• ? x f 6!0 Water Heating System Proposed QTY Sf ize Fuel EF Distribution 50 Gas 0.62 Standard Water Heating System Actual Tiz S50e Fuestribu D'Standatd n_. 1Y -_Qio Gasl 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: CaICERTS - Customer Service 31 Natoma St Suite 120, Folsom, CA 95630. 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 located at: TRILOGY LOT 6037 REL 905 81-331 JASMINE CT. LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: GREEN FIBER Thickness: R-38 t 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: TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009 S 11