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09-0636 (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: 0 9-00_000636 60960 DESERT ROSE DR 764-270-999-189 -300233- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 239845 c&ty/ 4 Xi& 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: Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA UINTA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/22/09 JUN 9 I rYOFk 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.)" ( 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 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. 1 certify that I have read this application and state that the above information is correct. I e�ar.�,,nt.tivesa ly wh ll city and county ordinances and state laws relating to building cons cti , and herebt autho ' of his c my toe ter upon the above-mentioned proper for ins cti � purpMes. ate. �/tg/ny(u/re (Applicant or Agent): r Q CA 9 2 2 5 3 °• ({!cA; a,. ��e%{�p (760)777-600S SPF Lic. No.: 672285 --------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION -.--------------------------------- WORKER'S COMPENSATION DECLARATION " I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licerl a CI ss: Ell 'cense No.: 672285 _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS Policy Number WC1894819 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ' 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 and agree that, if I should become subject to the work s' comp "at' on provisions of Section 700 of the Labor,Code, I sh f th�ith comp with os r sions. 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).: 111 O e: '� icant: fw�� (_) 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 WARNING: FAIL RE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS 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 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.)" ( 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 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. 1 certify that I have read this application and state that the above information is correct. I e�ar.�,,nt.tivesa ly wh ll city and county ordinances and state laws relating to building cons cti , and herebt autho ' of his c my toe ter upon the above-mentioned proper for ins cti � purpMes. ate. �/tg/ny(u/re (Applicant or Agent): r Application Number . . . . . 09-00000636 ------ Structure Information SFD PLAN 6420B W/CASITA,. MBR&NOOKBOX BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2007 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2781.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1129.50 Plan Check Fee 734.18 Issue Date . . . Valuation . . . . 239845 Expiration Date 12/19/09 Qty Unit Charge Per Extension BASE FEE 639.50 140.00 3.5000 - ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 490.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/19/09. Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2:00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 -------------------------------------------------------------------7-------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 124.64 Plan Check Fee 31.16 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/19/09 Qty Unit Charge Per Extension BASE FEE 15.00 2781.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.34 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 LQPERMTT Application Number . . . . . 09-00000636 Permit . . . PLUMBING Additional desc - . Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue•Date . . . . Valuation . . . . 0 Expiration Date 12/19/09 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 ----------------------------------7----------------------------------------- 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 12/19/09 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 . . . . 239845 Expiration Date . . 12/19/09 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 - Plan 6420C Lot 189 w/casita (255 sgft),'Box Bay@ MBR (26 sqft) & Bay @ Nook(23 sqft), PHOTOVOLTAIC SYSTEM (1.10C - 5KW) 2781 S.F. Permit does not include block wall, pool or driveway approach.2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 99.61 LQPERAIIT LQPERMIT 09-00000636 ------------------------------------------------- . . . . BLDG STD ADMIN (SB1473) 10.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 73.42 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 STRONG MOTION (SMI) - RES 23.98 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 rged Paid Credited Due 1552.14 .00 .00 1552.14 836.10 .00 .00 836.10 4682.01 .00 .00 4682.01 7070.25 .00 .00 7070.25 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING This CF -4R Issued by CaICERTS® is for the home located at: Certificate Number: Date Inspected: CaICERTS Rater: HERS Analyst: Builder/ Developer: Project: Phase: Plan Name: Lot Number: CC3-1798480085 October, 23 2009 William Irvine CC2004075 Chinh Nguyen Shea Homes, Inc. Trilogy in La Quinta (658) Release 905 6420 1-3189 Specifics about this home: General Information Furnace: 0.8 Conditioned Floor Area: 2503 Square Feet Conditioned Volume: 25030 Cubic Feet Front Orientation: Cardinal Number of Stories: 1 Heating and Cooling Systems Heating Equipment: Furnace: 0.8 Cooling Equipment: ACSplit: 14.0 Heating Equipment Cooling Equipment. �.�r Furnace:. -0..8 t -_u,_.. } A�/G: 14i Passed jHigh`Quality_In'sulation Installation r HVAC Air Distribution t Seal ng - Duct Location.:' r ' 'r,� -Attic- I _ Duct Insulation R -Value: ' _ 6.0 Water Heating System Proposed QTY SizeFp— uel E Distribution 1 50 Gas 0.62 Standard Water Heating System Actual QY S50 Gasl 0E6Ditn 2 Standard d 1 CF -4R November, 5 2009 60960 Desert Rose Drive La Quinta CA, 92253 Testing & Verification Results Sample # 139501 Main System HVAC System Duct Sealing Passed Installation of Thermostatic I Expansion Valve (TXV) passed High, EnergyEfficiency Ratio (EER) Passed jHigh`Quality_In'sulation Installation Passed e HVAC System t Seal ng - passed Installation of Thermostatic I Expansion Valve - -.- , (�TXV) - passed High Energy Efficiency Ratio (EER) Passed High Quality Insulation Installation Passed 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: 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 3189 REL 905 60-960 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: TITLE: ACCOUNT REPRESENTATIVE DATE: 10/29/2009