09-0480 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
ve
09-00000480
60876 DESERT ROSE DR
764-270-999-183 -300233-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
159387
T4ht 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
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) f Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lice se C icense No.: 672285
te: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) 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 _ 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 _ 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.).
(_ 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/09
Contractor:
SHEA HOMES, INC. 4 ��
81260 AVENUE 62
LA QUINTA, CA 92253 �Jlt,p
(760)777-6005 01
n n
Lic. No.: 672285 G!T
Y� s�
----------------------------- -
-
---- --- ---
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.
C< 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,
and agree that, if I should b co a Subject to the.wor rs' co a tion provisions of Section
3 0 of the Lab ode, I al fo hwith comp) with h se ons.
I1
a Ap 'ant.
WARNING: FAIL E TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C AL 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 co act. agree to mply with all
city and ou y ordinances and state laws relating to builtling can truc ion, and he by a horize r esentatives
oft unt to e/upaotnu,.eabove-mentioned pro ty for ins ec on purposes.
t .� (Applicantor Agent):
1
LQPERMIT
Application Number . . . . . 09-00000480
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE. FEE
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
Issue Date
Expiration Date 11/10/09
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee* . . . . 22.50
Issue Date
Expiration Date . . 11/10/09
Plan Check Fee . . 1.41
Valuation . . . . 159387
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
7 ---------------------------------------
SFD - LOT 183, PLAN 4515C,
1773 SF.
WITH 4' GARAGE EXT. (103SF)
& BAY @ nook
(24 SF.), PHOTOVOLTAIC SYSTEM
(1.3A-3KW). 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE ISSUANCE OF SAME
PLAN TYPE. PERMIT DOES NOT
INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY APPROACH.
2007 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
13.81
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
. .00
DIF LIBRARIES - RES
355.00
Application Number . . . . . 09-00000480
Permit
. . .
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
849.50
Plan Check Fee
138.05
Issue Date
. . . .
Valuation . . . .
159387
Expiration
Date
11/10/09
Qty Unit Charge
Per
Extension
BASE
FEE639.50
60.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
210.00
Permit
. . .
MECHANICAL
Additional
desc . .
Permit Fee.
. . . .
65.50
Plan Check Fee
4.10
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/10/09
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
5.62
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/10/09
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 .
Permit Fee
. . . .
.120.00
Plan Check Fee
7.50
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
11/10/09
Qty Unit Charge
Per'
Extension
BASE
FEE
15.00
10.00
6.0.000
EA PLB FIXTURE
60.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . . . 09-00000480
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF,PARK MAINT FAC
- RES
22.00
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
156.68
.00
.00
156.68
Other Fee Total
4531.74
.00
.00
4531.74
Grand Total
5850.76
.00
.00
5850.76
LQPERMIT
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING
�W"' ra
1 Mi
CF -4R
November, 5 2009
This CF -411 Issued by CaICERTS® is for the home located at: 60876 Desert Rose Drive
La Quinta CA, 92253
Certificate Number:
CC3-1798480083
Heating Equipment:
Date Inspected:
October, 23 2009
ACSplit: 14.0
CalCERTS Rater:
William Irvine
CC2004075
-
HERS Analyst:
Chinh Nguyen
s
Builder/ Developer:
Shea Homes, Inc.
;.,.�•
Project:
Trilogy in La Quinta (658)
,,�*�►
Phase:
Release 905
Plan Name:
4515
Lot Number:
Specifics about
General Information
Conditioned Floor Area:
Conditioned Volume:
Front Orientation:
Number of Stories:
this home:
1773 Square Feet
17878 Cubic Feet
Cardinal
1
Heating and Cooling Systems
Duct Sealing
Installation of Thermostatic I Expansion Valve
(TXV)
Heating Equipment:
Furnace: 0.8
Cooling Equipment:
ACSplit: 14.0
Passed'
Testing & Verification Results
Sample # 139501
HVAC System
Duct Sealing
Installation of Thermostatic I Expansion Valve
(TXV)
Passed
passed
HighPEnergy',EfficiencyJRatio (EER)
Passed
�H 9 gualit,,Insulation Installation
Passed'
HVAC Air Distribution , �c
Duct Location: j "' ' Attie�'�s" s r_
Duct Insulation R -Value '6Y0 ? ti � �, , " •
_
Water Heating System Proposed
Q1 Y S 0
o
G sl 0.62 DiSta dat d
Water Heating System Actual
QTY (- Size Fuel EF Distribution
Gad -r 0.62 Standard
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 CaICERTS 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.
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 3183 REL 905 60-876 DESERT ROSE DR. 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:4LI-11,9,TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009
11