04-4852 (SFD)j�� r r• �ri'r
P.O. Box 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & NSAFE-Ij DEPAsRTMENT
(760),777-7012
FAX (760) 771-7011
INSPECTION REQUESTS (760) 777-7153
Application Number X0.4-00004852 Date 6/14/04
Property Address . . . 6'0504__DESERT'SHADOWS.DR
APN:. 764-270-999-3 -300231-
Application description . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation 139353
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
Qty Unit Charge Per Extension
WCC: NTL UNION
INS
WC: 7165833
0.8/01/04
CSLB: 672285.
06/30/05
CCC: B
-------=------------------
Structure Information --------------
----------
Construction Type . .
. . . TYPE V - NON RATED'.
`
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . . . . .
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
479.00
PATIO SQ FTG
337.00,
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
FIRST FLOOR.SQ'FTG\
1553.00
Permit . . . .
BUILDING PERMIT.
Additional desc
Permit Fee . . . .
779.50 Plan Check -Fee
506.68
Issue Date.
Valuation ...
139353
Qty Unit Charge
Per.
Extension
BASE FEE
639.50
40.00 3.5000
---------------------- '-----------------------------------
THOU. BLDG 100,001-500,000
--------------------
140.00
Permit . . . . . .
MECHANICAL
Additional desc .
Permit Fee
77.00 Plan Check Fee
19.25
.Issue Date
Valuation . .
0
Qty Unit Charge Per Extension
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0�- L��J`2 Date:
Applicant:
Applicant's Mailing Address:
ite or Eri�leer
&#�,
Architect or Engineer's Addr .
Lic. No.: RG�- 44"1 cath
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under enalty of perjury that I am licensed under provisions O a tern (comm gncjpg with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lice a in full force and effect. /rte—
License (J�
Class �nse No.
Date lel 716`1
OWNER -BUILDER DECLARATION
I 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 that requires a permit to constrict, 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 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 five hundred dollars ($500).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 e an 11 maintain wo rs' compensation insuran
arie olio Number
_ 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'
compensation laws of California, and agree that, if I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
/ forth (,c/omply with those prowsi s.
,y4—
/ a' i
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.).
Lender's Name
Lender's Address 0 it
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.
certify that I have read this application and state that the above information is correct. I a tion
with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter pon above entioned property for inspection purposes.
,-'VateqSi�e (Applicant or Agent):
I,4
Page
2
Application
Number
. . .
. 04-00004852 Date
6/14/04
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
3.00
6.5000
EA
MECH VENT FAN
19.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
78.94 Plan Check Fee
19.74
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1553.00
.0350
ELEC,NEW RES - 1 OR 2 FAMILY
54.36
479.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.58
---------------------------------------------------
Permit .
. . . . .
-------------------------
PLUMBING
Additional
desc
Permit Fee
. . . .
123.00 Plan Check Fee
30.75
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
9.00
6.0000
EA
PLB FIXTURE
54.00
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
-------------------------------------------------------------------='--------
Special Notes
and Comments
SFD - LOT
3; PLAN 4510A/BAY
@ MBR 23
Page 3
Application Number
. . . . .
04-00004852 Date
6/14/04
----------------------------------------------------------------------------
Special Notes and
Comments
SF. PERMIT DOES NOT
INCLUDE BLOCK WALLS,
POOL, SPA OR DRIVEWAY
APPROACH
------------------------------------_----------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
50.67
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
13.93
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid, Credited
Due
Permit Fee Total
----------
1073.44
------------------------------
.00 .00
1073.44
Plan Check Total
576.42
.00 .00
576.42
Other Fee Total
2469.-60
.00 .00
246.9.60
Grand Total
4119.46
.00 .00
4119.46
PREPARED 3/15/11,
12:53:55
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM
BP521L
0/00/00
THRU 0/00/00
CITY OF
LA QUINTA
----------------'-`-----------------------------------------------------------------------------------------------------------------
APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
STRUCTR
------------------`-----------------------------------------------------------------------------------------------------------------
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
04 00004852
60504
DESERT SHADOWS DR
764-270-999-3-300231-
000
000
B001
00
BUILDING
PERMIT
120
0001
FOOTINGS
7/29/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
125
0001
SLAB
8/30/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
135
0001
ROOF NAIL
8/30/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
140
0001
OKAY TO WRAP
9/07/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
145
0001
FRAMING
9/14/04
APPROVED
GH
000-000
B001
00
BUILDING
PERMIT
150
0001
INSULATION
9/16/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
155
0001
LATH
9/22/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
160
0001
DRYWALL NAIL
9/22/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
900
0001
COMMUNITY DEVELOPMENT
FIN 11/16/04
APPROVED
GH
000.000
B001
00
BUILDING
PERMIT
910
0001
PUBLIC WORKS FINAL
11/16/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
199
0001
FINAL
11/16/04
APPROVED
GH
000
000
E01
00
ELEC-NEW
RESIDENTIAL
310
0001
ROUGH ELECTRICAL
9/14/04
APPROVED
GH
000
000
EOl
00
ELEC-NEW
RESIDENTIAL
315
0001
TEMP USE OF PERMANENT
POW 10/22/04
APPROVED
ST
000
000
E01
00
ELEC-NEW
RESIDENTIAL
399
0001
ELECTRICAL FINAL
11/16/04
APPROVED
GH
000
000
GP
00
GRADING PERMIT
197
0001
GRADING FINAL
11/16/04
APPROVED
GH
000
000
MOl
00
MECHANICAL
405
0001
ROUGH MECHANICAL
9/14/04
APPROVED
GH
000
000
MO1
00
MECHANICAL
499
0001
MECHANICAL FINAL
11/16/04
APPROVED
GH
000
000
P01
00
PLUMBING
200
0001
UNDERGROUND PLUMBING
7/13/04
APPROVED
GH
000
000
POl
00
PLUMBING
210
0001
SEWER CONNECTION
7/13/04
APPROVED
GH
000
000
POl
00
PLUMBING
230
0001
ROUGH PLUMBING
9/14/04
APPROVED
GH
000
000
PO1
00
PLUMBING
235
0001
GAS LINE / GAS TEST
10/08/04
APPROVED
GH
000
000
Poi
00
PLUMBING
299
0001
PLUMBING FINAL
11/16/04
APPROVED
GH
02/09/2002 0_3:17 17607769980 HOLLY PAGE 11
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 at
r
60-504 DESERT SHADOWS DRIVE LO 1003, LA QUINTA CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
z
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 2215!17
14BY: k044'4 TITLE: ACCOUNT REPRESENTIVE DATE: 6
c,.iii.,.ii...ii.:•:,.,rJ...:/:.... J•,• i....:�: ✓• ii:•r: rir ri:vrr. ;.n i.�ir.•.•.sJirr.....:-iii:.,: i/ii,:.•; i..iii.iv.viiviJn. ..,r.,�iviii�iri,:..Ji.�.i1,/,...•.:. IA, 0;,.,r.:.•1.,
."1...,.•.YSJ�yr .r.!1 ••. •.ry/!..!•l:!.!•1!•ivi w.y..Jlss.:N:1.9�:y :i saAiri+r.%r'//`wT:•/.s:i."•^.`V.7:4:Y!?.0%J:4:•I iY/f:�:�:��.s.�r.'!YI•:.'7.•o: f:•/.•O.w:y:v:v:a:•ri r:t.:..rr%...^.%r....•i.•,••+ti,•,.. •i. � • i•..:.,.
1.
INSULATION CERTIFICATE
This is ify that insulation has been installed in conformance with the curr ergy
regulation, Ca i a Administrative Code, Title 24, State of California a building locatedl at
CEILINGS:
TYPE: BLOW MAUNFACTU rtainteed THICKNESS: R-38
WALLS:
TYPE: BLOW NFACTURER: Certainteed HICKNESS: R-13
ol
GENERAL CO CTOR: SHEA HOMES LICENS
BY: TITLE:
RAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
%-
Y.
TITLE: ACCOUNT REPRESENTIVE DATE -
;1.
S.. r•. .•... —. ..... .,...........Y... .. ..r^iii^n�n:;ni•.��r•.......;.....,.�•r�•r.r•,o•..rriri•ini•,•r-.�•n.,•,.,.,-,..r•:i•r•..r,r•r.:�:k•,:,..•/.,•.•.r. . .
02/09/2002 03:17 17607769980 HOLLY PAGE 10
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 at
60-482 DESERT SHADOWS DRIVE LO 1002, QUINTA CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
420011111111111�'
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON
C MIDDUCTS A MASCO Company LICENSE 2215
ITITLE; ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is-1scertify that insulation has been installed in
regulation,_0<1fornia Administrative Code, Title 24,,
X*11111WC14
TYPE: BLOW AU TU R R: Certainteed TYPE:
);YPE: BLOW MAUNFACTURER: Ce teed
GENERAL CONTRACTOR: SHEA HOMES
BY: TITLE:
pnee-Wfth the current energy
California, in the building locatediat
THICKNESS: R-38
THICKNESS: R-13
LICENSEN
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICeN$E#221517
BY:
TITLE.- ACCOUNT REPRESENTIVE
DATE-
.a M,.. -i . '; -
Installation Certificate: Residential CF -6R
Site Address
❑ 60-504 Desert Shadows Drive
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
81260 Ave. 62
La Quinta, CA 92253
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 @ 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 G40UH48B-090X 80% 88000
80%
4. COOLING INFORMATION
COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING
EQUIP. MAKE MODEL # SEER CAPACITY LOAD
A/C Lennox 13ACC-048 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.
&THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
Yes ❑ No ❑ N/A ❑
6. SUBMITTED BY
-X��'- r,�nr Zs[r3 �% • DATE:
Signature Installing HVAC Contractor
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (TD & TX
CF -4R Page 1 of 1
PROJECT INFORMATION 15
Project Title: Trilogy
Project Address: 60th St & Monroe, La Qulnta, CA
guilder Name: Shea Homes Voice 0:
Builder Contact: Chrtopher Nevins Voice #: 760-777-6026
Project ID #: Tract # 30023
Phase S: Macro
Lot *: 1003
Plan #: 4510
Address; 60504 Desert Shadow Drive
Conditioned Floor Area: Square Feet
HERS RATER & HERS PROVIDER INFORMATION
HERS Rater: Scott Johnson Jayme Carden
Certification * : CCNSJ614037 CCNJC615157
HERS Firm: Action Now Voice #: 94931-2274
Address: 2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider. CHEERS Voice 0: 600-424-3377
HERS Address: 9400 TO an a Canyon Blvd., Chatsworth, CA 91311
HERS TER COMPLIANCE STATEMENT
The house / unit was:
x Tested / Verfied
Approved as a part of sample, but was not Tested / Verified
No Diagnostic Credits have been taken (visual inspections only)
x The installer has provided a copy of CF -6R
x T-24 Compliance Credit was Taken for Tight Ducts
Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
P]xWhare cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used in combination with
doth backed, rubber adhesive duct tape to seal leaks at the connections.
COOLING
System 1 tem 2 System 3
System 4 Sptarn 6 System 6
Nominal Cooling Tons 4.0
0.7 x Floor Area x (0.06) for Climate Zone 8 through 15
0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16
X 400 x (Cooling Capacity In Nominal Tons) x (0.06) 0 0
0 0 0
Measured Fan Flow 1600 0 0
0 0 0
Duro Pressurization Test Results (CFM a 25 PA) 7
100 x Test Leakage / Fan Flow = % Leakage 4. #DIV/0!
#DIV/01 #DIV/01 #DIV/ !
Check Box for Pass or Fall (Pass = 5% or Less) ir—
=T-24 Compliance Credit was Taken for TXV (Installed - Y / N)
HEATING
System 1 tem 2 System 3
System 4 System 5 System 6
Heating Capacity in Thousands of Output STU per hour
21.7 x Heating Capacity in 1000's of Output BTU per hour 0.0 0.0
0.0 .0
21.7 x (Heating Cap. In 1000's of Output BTU per hour) x (0.06) 0.0 0.0
0.0 0.0
Duct Pressurization Test Results (CFM @ 25 PA)
i00 z Test Leakage / Fan Flow = % Leakage 1 #DIV/0!
#DIV/0! #DIV/0!
Pass or Fail (Pass = 6% or Leas)
NOTES: TXV are Installed on all systems in this house even If compliance credit was not taken for the TXV.
Raters Certifying Signature Date
11/10/2004
F2001-02 (4-02) Action Now T-24 CF4Rmacro.xls