04-4725 (BLCK)BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA,' CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . .
Property Address . . . . .
APN:
Application description
.Property Zoning . . . . . .
Application valuation
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
04-00004725 Date 6/10/04
60419 WHITE SAGE DR
.764-270-999-79-300231-
WALL/FENCE
MEDIUM HIGH DENSITY RES
1750
. Contractor
SHEA,HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92.253
(760) 777-6005
WCC: NTL UNION INS
WC: 7165833 08/01/04
CSLB: 672285 06/30/05
CCC: B
------------------------------=---------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 41.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 1750
Qty Unit Charge Per. Extension
BASE FEE- 0 15.00
13.00 2.0000 HND BLDG 501-2,000 26.00
-----------------------------------------------------------------------------
Special Notes and Comments
70 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
Permit Fee Total 41.00 .00 .00 41.00
Plan Check Total .00 .00 .00 .00
Grand Total 41.00 .00 .00 41.00
JUN 17 204
CITY OF LA QUANTA
FicJANCE DEPT-
r�
P.O. BOX 1504
78-495 CALLS TAMPICO � VOICE (760) 777-701:
LA QUINTA, CALIFORNIA 92253 FAX (760) 7777.701:
INSPECTIONS (760) 777-715:
BUILDING & SAFETY DEPARTMENT
Application Number: 0 �— 7 _S
Applicant: Architect or Engineer: Date:
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
I hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION
pequry that 1 am licensed under provision of C1th��aaappoter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Litz n in full farce antl effect.
/ License Class d
Tse No.
Date ctor1 y�-�
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION
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 signeo
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 (E500).):
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 1 am exempt under Sec. , BA P.C. for this reason
Date - Owner
I hereby affirm under Penaltyof WORKERS' COMPENSATION DECLARATION
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 per0'' nce
Of the work for which this permit is issued.
�fghvuand maintainworke 'compensationinsur nce, required b Section 3700 of the Labor Code. for the performance of the work for which this permit is
ed. ers' c nsati � nce ca li
/�arrier Policy Number
_ I certify that, in the performance of the work for which this permit is issued. 1 shall not employ an
y person in compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions onsro SSo aection 337s to ce of the Labor ode, I me sublect to the workers' sall
�D fortcomply with those provisions.
Date ✓ Applicant I`�
WARNING: FAILURE' 0' SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
I hereby affirm under penalty of perjury that there is a construction lending agency orlthe Perfor manGce of the work for which this
Lender's Name permit is issued (Sec. 3097, Civ. C.).
Lender's Address
IMPORTANT APPLICANT ACKNOWLEDGEMENT
Application is hereby made if the Director o Building and Safety fora 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 pertommgd under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Glar". 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 INS application becomes null and void if work is not commenced within 180 daytt 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 OcL I agree to comply with all city and county ordinances and state laves relating to building
construction, nd h74.
by authorize representatives of this court enter u
/ above.mentioned property for inspection purposes.
`�'"ate 7"' Signa 9 (Applicant or Agent).
02/09/200�2C�� 03:17 17607769980 HOLLY PAGE 04
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INSULATION CERT11=1CATE
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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 i
60-419 WHITE SAGE DRIVE L,OT 1075 P . ASE 6C, LA QUINTA CA
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CEILINGS: i
TYPE: BLOW MANUFACTURER:. Certainteed THICKNESS: R-38WALLS: 1
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TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE: I�
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY. TITLE: ACCOUNT REPRESENTIVE DATE:444/-a—y
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INSULATION CERTIFICATE
This is to ce that insulation has been installed in conformance with the current ene I
regulation, Cali fo Administrative Code, Title 24, State of California, in the bui g locathd
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CEILINGS:
TYPE: SLOW MAUNFACT ER: Certaint THICKNESS: R-38
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WALLS: i
TYPE: BLOW MAUNFA RER: Certai ed THICKNESS: R-13
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GENERAL CONTRACT SHEA HOMES LI SE # ; t
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BY: TITLE:
PARAG SCHMID BUILDING PRODUCTS A MASCO Company LI SE # 2215171
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BY TITLE: ACCOUNT REPRESENTIVE DATE:
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Installation Certificate: Residential CF -6R /--.0 / 11"0
Site Address
60-419 White Sage Drive
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
81260 Ave. 62
La Quinta, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
PERMIT #
SUBDIVISION: Trilogy @ La Quinta
CITY: La Quinta
COUNTY: Riverside
WEST PAC AIR CONDITIONING
DISTRIBUTION DUCT OR PIPING R -
TYPE VALUE
Flexible Ductwork Flexible Ductwork
in Attic and Will have a R -Value
Between Floors of 4.2 or Better
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.
-'es ❑ No ❑ N/A ❑
6. SUBMITTED BY
��(��pC ism DATE: —
Signature Installing HVAC Contractor
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
PROJECT INFORM ION
(TD & Tk
Z: 15
Project True, Trilogy
Project Address; 60th St & Monroe, La Quinta, CA
Builder Name: Shea Homes Voice #
Builder Contact Ch►topher Nevins
Voice # :
Project ID #: Tract # 30023
760.777$026
Phase #; Macro
Lot #; 1079
Plan #: 4510
Adder' 80419 White Sage Drive
Conditioned Floor Area; Square Feet
HEIRS OFTIE'RTHERS PRO DER INFORM ION
HERS Rater. Scott Johnson Jeyme Carden
Certification # : CCNSJ614037 CCNJC615157
HERS Firm: Action Now Voice # :
Address: 2575 Westminster Avenue, Costa Mesa, CA 92627
999 631_2274
HERS Provider: CHEERS
Voice # :
HERS Address: 9400 L_ angs Can on Blvd., Chatsworth, CA 91311
800-124 3377
H RA ERCOMPLIANCE S ATEM NT
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
--prance Lorean 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
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 (0.08)
Measured Fan Flow
uat Pressurization Test Results (CFM @ 25 PA)
100 x Test Leakage / Fan Flow x % Leakage
Check Box for Pass or Fail (Pass - 6% or Less)
�T-24 Compliance Credit was Taken for TXV (Installed - Y / N)
HEATING
Heating Capacity in Thousands of Output BTU per hour
21.7 x Heating Capacity In 1000's of Output BTU per hour
21.7 x (Heating Cap. in 1000's of Output BTU per hour) x (0.06)
Duct Pressurization Test Results (CFM Q 25 PA)
100 x Test Leakage / Fan Flow = % Leakage
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.
Certifying Signature Date 11/10X2004
F2001-02 (4.02) Action Now T-24 CF4Rmacro.xls
CF -4R Page 1 of 1
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JCM�Inspedions
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INSPECTIONS + Phone: 760-345=5554 - Faic: 760-772-3895 I N S P E C T I O N S1
PRESTRESSED CONCRETE INSPECTION REPORT Date: g_O
Project Name: Project No:
Trilogy @ La Quinta --Shea Homes 02-1109
Project Address: City:
Title 24 AWS E✓ UBC Other:
81-260 Avenue 62 La Quinta, CA _,
File # ❑ D 1.1 r
App# Ej D 1.4 j
Client: Sub -Contractor:
Shea La Quinta, LLC Sun Coast Tensioning
Other f�
General Contractor: Architect: Structural Engineer:,
di
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Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Size and Type of Tendon-
Weather: 7
Sl1•n
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Jack Machine Calibration r V" SNA T' . r �.�,S�+., Caac\ "l��nQ Qr�tc r '�n P5'+ ���^
f,
Unresoly ems:.
®None
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Calibration Date
❑ See Below
Kc,n1_.� i.C. - 16117 A a,. r A Q\G 1 S1 D—c--lao zo v e.1
Description of Work Inspected: Specified
Lot # Location Tendons Elongation (in) AcUal Elongation (in)
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found tivs work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion. • --
Inspector: JacC. Millin ICBG Ce'rtaan)ko: 0842216-89
-
Contractor's Representatir'e. 1 ••
I
131' 1 C-, - � - il - - -
/-1-'V//7
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 ,.Governing Agency Page 1 of