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04-3441 (SFD)I 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 . . . . 04-00003441 Date 4/22/04 Property Address . . . . . . 60749 WHITE SAGE DR APN: 764-270-999-64 -300231- Application description 'DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation 214050 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350' SCOTTSDALE AZ 85258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (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 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 572.00 PATIO SQ FTG 221.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2474.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 1042.00 Plan Check Fee 677.30 Issue Date Valuation . . . . 214050 Qty Unit Charge Per Extension BASE FEE 639.50 115.00 3.5000 ---------- THOU BLDG 100,001-500,000 402.50 ----------- Permit . . . . . . ----- ----- MECHANICAL - -- Additional desc Permit Fee . . . . 93.00 Plan Check Fee 23.25 Issue Date . . . . Valuation- 0 Qty Unit Charge. Per Extension P.O. BOX 1504• �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 44-3441 1 Date: `i - ZZ -o Y Applicant: Archit c r E ine r —z) Archit ct or E ineer' dress= �LI`z�U 1-bVe I Lic. No.: (f24`7 6 t BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionnls(of `Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and ms Licensi in full force and effect. Class ct License Date t-1 )2;L­)5�---6o­nIJ OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county Ihat requires a pem* to construct, alter, improve, demolish, or repair any stniclure, prior to its issuance, also requires the appticant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 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 rive hundred dollars (;500).): U 1, 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howevec, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or site did not build or improve for the purpose of safe- ) -U 1, 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 b an owner of property who builds or improves thereon, and who contracts for the projecls with a contractor(s) licensed pursuant to We Contractors' State License Law.). U I am exempt under Sec. . BA P.C. for this reason WORKERS' COMPENSATION DECLARATION 'I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to seff4nsure 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 perfomrance of the work for which this permit Is issu My wakgrrr'immponsation insurence canter and polM.y number are: I certify that in lite perronnance of Ute work for which fhis permrt isis issued, I s II not employ any person in any manner 6o as to become subject to the workers' compensation laws of Caliiomia, acrd agree 1ha ff I should become subject tD tite workers' compensation provisions of Section 3700 of Ute Labor Code,1 shall Date'f �Jcomply with those provisions. 1 plicant WARNING: FAILURE TO SECURE WORKERS' 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. 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.). Lenders Name Lenders Address 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 Ibis application, the owner, and the applicant, each agrees to. and shall, defend, indemnify and hold harmless the City of La Oulnta, its officers, agents and employees for any act or omission related to the work being performed under or fotloWng issuance of this perrnit. 2. Any permit issued as a result of this application becomes null and void it work is not commenced within 180 days from dale 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 informatio Is Correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of (his county to a ter the above-mentioned property for inspection purposes. �Ij -.—�. Date 1 rSalure (Applicant or Agent) Page 2 Application Number 04-00003441 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 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 215.99 Plan Check Fee 54.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2474.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 86.59 5720.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 114.40 ---------------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee 171.00 Plan Check Fee 42.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 FA .• J Page 3 Application Number . . . . . 04-00003441 Date 4/22/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 64 PLAN 5210A. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 35.12 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.73 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 21.40 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1536.99 .00 .00 1536.99 Plan Check Total 797.30 .00 .00 797.30 Other Fee Total 2529.25 .00 .00 2529.25 Grand Total 4863.54 .00 .00 4863.54 Installation Certificate: Residential CF -611 Site Address 60-749 Whire Sage Drive fat '/i 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 P, 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 80UHG4/5X-100 80% 100000 80% 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING EQUIP. MAKE MODEL # SEER CAPACITY LOAD A/C Lennox 13ACC-060 12 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 F-1 No II NIA I. —] 6. SUBMITTED BY :Msc- `r"CIO C r t ro a f4y DATE: 6 —3 0 —6,sl Signature Installing HVAC Contractor s..•-r.•y=v-•a-r�nrrrrr✓r-iraa.7.:�.ti<Yrx'rrrrrr.-rrsvyrrr�na.rinws.'-re!a•,-.wi•:r•i: A.,oc5a�.v�v.wrnRr.•..r �•� r.. r.=ni;.r..-.r,.fr<.errrrr:u;rvwvnvr�':r��irM•v'•ax�:'��r.�c• ri 5 S INSULATION CERTIFICATE r 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 60-7.49 WHITE SAGE DRIVE LOT 106.4, PHASE 6A, LA QUI14TA CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 3 x WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 R GENERAL CONTRACTOR: SHEA HOMES LICENSE # s BY: TITLE: 3 PARAGO SCHMID BUILDING P ODUCTS A MASCO Company LICENSE # 221517 r BY: TITLE: ACCOUNT REPRESENTIVE DATE: r r INSULATION CERTIFICATE This is t rtify that insulation has been installed in conformance with the curre y regulation, C " rnia Administrative Code, Title 24, State of California,] uilding located CEILINGS: TYPE: BLOW MAUNFAC ertainteed THICKNESS: R-38 WALLS: TYPE: BLO MAUNFACTURER: Certainteed ICKNESS: R-13 GENS L CONTRACTOR: SHEA HOMES LICENSE # TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: