04-4850 (SFD)BUILDING_&_S.AEOY.15 "'ENT
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
04-0000485.0 -
Date 6/14/04
Property Address
60526 DESERT SHADOWS DR
APN:
764 -270 -999 -4 -300231 -
Application description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. . .. LOW DENSITY RESIDENTIAL
Application valuation
121621
Owner
Contractor
SHEA LA QUINTA
SHEA HOMES, INC.
..0/O JEFF MCQUEEN
81260 AVENUE 62
8800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE
AZ 85258 (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/CONG <=10
Flood Zone . . .
. . . NON -AO FLOOD ZONE
Other struct info
CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
474.00
PATIO SQ FTG
214.00;
NUMBER OF UNITS
1.00'
FIRST FLOOR SQ'FTG,
1355.00
Permit
BUILDING PERMIT
Additional desc
Permit Fee
716.50 Plan Check Fee.
116.43
Issue Date
Valuation .
. . 121621
Qty Unit Charge
Per
Extension
BASE FEE
.639.50
22.00 3.5000
THOU BLDG 100,001-500,000
77.00
------------------------------------------
.Permit
----------------------------------
MECHANICAL
Additional desc
Permit Fee
65.50 Plan Check Fee
4.10
Issue Date
Valuation
0
Qty Unit Charge.
Per
Extension
P.O. Box 1504I4 CE VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Q �Q JDate:
Applicant:-Art�c,pr
Applicant's Mailing Address:
or Engineer's
Lic. No. • "—<,,;2 111
BUILDING PERMIT DECLARATIONS
w
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un r penalty of perjury that I am licensed under provisiops of�papter 9�r encing with Section 7000) of Division 3 of the Business and Professionals
:ode, and my Li a is in full force and effect. /(/�,�//�]J�
License Class Lice,ns/[er�N��o,/►
Date Q� OntrectOr{� '
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 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 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
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 ertnit is issued.
I e an m air wo rs' torpor insurance,
�Carier olicy Number
I certify that in the performance of the work for which is pe it ms 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, ' should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provision
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 1A 1
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 corrjo. I agree to comply with all city and county ordinances and state laws relating to building
constructi n, and,{ereby authorize representatives of this county to ente pon th ove-mentioned property for inspection purposes.
�t� V Signature (Applicant or Agent):
Application Number . . . 04-00004850
Page 2
Date 6/14/04
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 .
. . .
71.91 Plan Check Fee
4.50
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1355.00
.'0350
ELEC NEW RES - 1 OR 2 FAMILY
47.43
474.00
-------=--------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.48
Permit . . .
. . .
PLUMBING
Additional desc
. .
Permit Fee .
. . .
122.25
Plan Check Fee
7.64
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
5.00
7500
EA
PLB GAS PIPE >=5
3.75
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 4,PLAN
4210A.PERMIT
DOES NOT
Page 3
Application Number
. . . . .
04-00004850 Date
6/14/04
----------------------------------------------------------------------------
Special Notes and
Comments.
INCLUDE BLOCK WALLS,
POOL, SPA
OR
DRIVEWAY APPROACH.
75% REDUCTION TO PLAN
CHECK FEE DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
11.64
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
12.16
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
991.16
------------------------------
.00 .00
991.16
Plan Check Total
132.67
.00 .00
132.67
Other Fee Total
2428.80
.00 .00
2428.80
Grand Total
.3552.63
.00 .00
3552.63
PREPARED 3/15/11,
12:54:32
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 00004850
60526 DESERT SHADOWS DR
764-270-999-4
-300231-
000
000
B001
00
BUILDING
PERMIT
120
0001
FOOTINGS
7/26/04
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
9/13/04
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
9/21/04
APPROVED
GH .
000
000
B001
00
BUILDING
PERMIT
160
0001
DRYWALL NAIL t
9/21/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
900
0001
COMMUNITY DEVELOPMENT FIN
11/16/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
199
0001
FINAL
11/16/04
APPROVED
GH
000
000
B001
00
BUILDING
PERMIT
910
0001
PUBLIC WORKS FINAL
11/16/04
APPROVED
GH
000
000
E01
00
ELEC-NEW
RESIDENTIAL
310
0001
ROUGH ELECTRICAL
9/13/04
APPROVED
GH '
000
000
E01
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
MO1
00
MECHANICAL
405
0001
ROUGH MECHANICAL
9/13/04
APPROVED
GH
000
000
MO1
00
MECHANICAL
499
0001
MECHANICAL FINAL
11/16/04
APPROVED
GH
000'000
PO1
00
PLUMBING
200
0001
UNDERGROUND PLUMBING
7/13/04
APPROVED
GH
000
000
PO1
00
PLUMBING
210
0001
SEWER CONNECTION
7/13/04
APPROVED
GH .
•000
000
PO1
00
PLUMBING
230
0001
ROUGH PLUMBING
9/13/04
APPROVED•
GH -
000
000
PO1
00
PLUMBING
235
0001
GAS LINE / GAS TEST
10/08/04
APPROVED
GH
000
000
PO1
00
PLUMBING*
299
0001
PLUMBING FINAL
11/16/04
APPROVED
GH
02/09/2002 03:17 17607769980 HOLLY PAGE 12
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 v
60-526 DESERT SHADOWS DRIVE LOT 1004, LA QUINTA CA
CC I��,INGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
W LLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGO CHMID BUILD G P DUCTS A MASCO Company LICENSE # 221517
13 TITLE: ACCOUNT REPRESENTIVE DATE:
Fr.:-riii:.ii.i..•ir�r../ri ni-rnvvi� r � ia'ri.+yrii.>vii iir��.vi ,/;•�.:� n•�.�r.;•n�.vi�irniiir,-.•rirr.•iiirruvi.rii,•�:.n•�.�:i,•r,.ns�rn. •ri�.i •..ii..inr, �nii� i •.r....r...rr. •. •....� •,
,.:/:/,r,i,•.. r�nrir/�wi,:�m �'.•!J'�'VJ!�r/>'1.n."!s✓J.'�:?:4'/Y`Io{T..//lY:VfY•Y7:✓.J,/:b:•/:,/'rY.:Os:vY/:uv r.n..>'. �srrw:•.„��•�:vv�T%.:r'v.+svr:nr.:v:r.•..vr,>,. .r:.rr-.. ......
' r
INSULATION CERTIFICATE
T ' to certify that insulation has been Installed in conforman the current energy
regulatio alifomia Administrative Code, Title 24, State alifornia, in the building locate8 at
CEILINGS:
TYPE: BLOW MAU TURER: Certainteed THICKNESS: R-38
' Y
WALLS:
TYPE: B MAUNFACTURER: Certain THICKNESS: R-13
GE L CONTRACTOR: SHEA HOMES NSE #
r BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 22
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
.,r r. .r.,rr,, .. r., ,., ,. rr,-,.,.. r,-.......,•,r/rr,..r�ir•.....•.,.-,...,.�.r.../ryr.•...i•i•iri•rri-/rr..rr-i /r,rlir.•:r/tr,.�v;•,. ,r rr:•-r..•r•,.....r... r., ,. .
Installation Certificate: Residential CF -611
Site Address
❑ 60-526 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 Quints
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 !�
:dam -�,r�e.n� (, Com" • G` j DATE: O
Signature Installing HVAC Contractor
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
D & TXV) CF4R Page 1 of 1
INFORMATION UZ: 15
Project Title: Trilogy
Project Address: 60th St & Monroe, La Quints, CA
Builder Name: Shea Homes Voice #
Builder Contact: Chrtopher Nevins Voice #:
760.777.6026
Project ID #: Tract # 30023
Phase #: Macro
Lot #: 1004
Plan #: 4210
Address, 60526 Desert Shadow Drive
Conditioned Floor Area: Square Feet
HERS HERS PROVIDER INFORMATION
HERS Rater: Scott Johnson Jayme Carden
CertMcation # : CCNSJ514037 CCNJC815157
HERS Firrn: Action Now Voice #:
94931-2274
Address: 2575 Westminster Avenue, Costa Mesa, CA 92827
HERS Provider. CHEERS Voice #:
800.424.3377
HERS Address: 9400 To an a Canyon Blvd., Chatsworth, CA 91311
HERS RA MPLIANCE STATEMENT
The house / unit was;
Tested ! Verfied
x 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
x Air Distribution System Is Fully Ducted (sheetmetal, ductboard or flex duct)
Where cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used in combination with
cloth backed, rubber adhesive duct tape to seal leaks at the connections.
COOLING
System stem 2
stem S tem 4 m tem 6
' Nominal Cooling Tons
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
400 x (Cooling Capacity In Nominal Tons) x (0.06) 0 0
0 0 0
Measured Fan Flow 0 0
0 0 0
Dud Pressurization Test Results (CFM C 25 PA)
10o x Test Leakage / Fan Flow = % Leakage #DIV/0! /01
#DIV/0! #DIV101 #15IV/0! lViol
Check Box for Pass or Fail (Pass = 6% or Less)
T-24 Compliance Credit was Taken for TXV (Installed - Y / N)
HEATING
System 1 S stem 2
stem 3 System 4 tem 5 System
Nesting Capacity in Thousands of Output BTU per hour
21.7 x Heating Capacity in 1000's of Output BTU per hour 0.0 0.0
0.0 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 0.0 010 0.0
Duct Pressurization Test Results (CFM C 25 PA)
100 x Test Leakage / Fan Flow = % Leakage #DIV101 V!0!
#Dl #DIV/O! IV/0!
Pass or Fail (Pass = 6% or Less)
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 CF-4Rmacro.xls