04-3472 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECT=ON REQUESTS (760) 777-7153
Application Number . .
Property Address . . .
APN:
Application description
Property Zoning
Application valuation..
BUILDING PERMIT
0i0-3� T�2 Date 4/22/04
. 60540 WHITE SAGE DR
764-270-999-110 -300231-
'DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
139594
Owner
------------------------
SHEA LA QUINTA
C/O JEFF MCQUEEN
88-00 N GAINEY CENTER 3.50 '
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253'
(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
479.00
NUMBER OF UNITS
1.00
FIRST FLOOR.SQ FTG
1556.00
------=---------------.-------
Permit . . . . .
-----------------------------------------------
BUILDING PERMIT
Additional desc
Permit Fee
779.50' Plan Check Fee
506.68
Issue Date
Valuation . . .
. 139594
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 . . . .
84.50 Plan Check Fee
21.13
'Issue Date
;Va�uation--�
0
Qty Unit Charge
Per i
Extension
BASE FEE 2 2
15.00
l
P.O. BOX 1504
VOICE (760) 777-7012
7E-495 CALLE TAM►ICO FAX (760) 777-701.1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: W of Date: - .Z -0
Applicant: Architect or r
MX
Applicant's Malting Address: Archited or Engi
ipper'sdress:
��0 U '�l12
Lic. No.. �� BUJ
BUILDING PERMIT DECLARATIONS
1 hereby aerrm LICENSED CONTRACTOR'S DECLARATION
and my a fyui foroe arnd eflI a licensed under, d Chapter 9 (�arrrnemcinp with Section 7000) d Division 3 d he Business andPidessione s
I hereby alum under OWNER�URlt.DER DECLARATION
penalty d vaf+rY hid I am strong: item the ContrUMM' She License Law for the torowkV reason (Sec 7031.5. Business and Professions Coda: Any.
city or county vim M41 *As a permit to impress,
construct. stet. demofistt or repair any structure, prior b Its is"Mme. also requires the sppliiark for tha permit b pe a *0 A
stalemart hat he or she isiansed pnawad b the prowisians d tha Ca+tradM' Stag Lease Law (Chapter 9 (Commencing with Section 7000) d Division 3 d he Business
and Professions Code) a that he or she 1s exa�pt heretrom and the tresis for he oMged euanptiom Any violation of Section 7031.5 by any applicant for a Wn* aubja is
the appiant b a dvi penalty d not more than live hundred k1ars (5500).):
U I, as owner d he Property, o my ampioyees With wages as heir s01e Compensation. will dote wok, end the structure is not Intended or offered for safe (Sac 7044,
Business and Professionsrthrough
Code: The Con emplo' Safe r oense Law does not appy b an owner d property who buids or improves thereat and who does he work
sold wihimselfthin
or � or of Cw his or her own enpipyees, pro Low
that the imprwertraks are not intended or offered for sale. M, however, he bWWV or improvement es
() Las owner d he > d the owner will have he burden d pawing hat he or she dud not build or improve for he purposed safe.).
f Y. am 4xdusheh Contracting with iansed contractors b Construct he Project (Sec 7044. Business and Profession Code: The Contractors'
State License Low does not appy ban ommu of property who buulds or improves hereat and who contracts ter he projects with roontrsctoi Q Licensed pursuantb
he Contractors' State Uanse Law.).
U I em exempt under sec. . BA P.C. for aft reason
Date Owner
1 hereby affirm undo penalty d WORKERS' COMPENSATION DECLARATION
perjury one d he following declarations:
_ I have and WE maintain a certificate d consent b seltirs' nsure for woAeeCompensation, as provided for by Section 3700 d the Labor Code, for
d the he pafanrnanoe
e work for which this per.. is issued.
_ I trove and VA maintain wakes' compensation kwxance. as reM-9000�gyuire�ed�by Section 3700 d he Labor Code. for he performance d he Work for which his permit is
ed �'J m�iPn� Nunber l / 10 c7 r 3
_ 1 -Ce" that in the PwWngr oe at he work for which his pem vt is issued. I shall not empioy any person in any manner so as to become s ubOd to the wakes•
col -IFA rosalion laws Cr ceifonnfa, No agree hat, r I should became subjed to he workers' compensation provisions of section 3700 of he tabor Code. I SW
forhwllh comply with hose rnvvlsionse /)
WARNING: FAILURE TO SECURE WORKERS' CO1,vEATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRgrNNAL PENALTIES AND
CIVIL FINES UP TO ONE AILJNDRED E. INTEREST.
. AN DOLLARS (:100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR TI
SECTION 3706 OF THE LABOR CODE. MEREST. AND ATTORNEYS FEES. .IN
1 hereby Mrrm ander penalty of perjury hal hereit a oortsoruction CONSTRUCTION LENDING AGENCY
brn*V +9e%cy for he Perfamd the e work for which hpen
.1 peult is issued (Sec. 3097. Civ. C.).
Lender's Name
Lenders Address IV
IMPORTANT Application Is hereby made b heDiecfor d APPLICANT ACKNOWLEDGEMENT
1. Each Person upon whose
behalf �'ng and Safety for a permit h
t w4W e conditions and restrictions set forth on this appiaion.
Issued as a result d his appicatim on is Vie•each person at whose request and for whose benefit oohs is pertomned under o pursuant b stmt pamlt
0lriars. agents and ampbyees for any ad or omission related to he wolcal)Pkant, each � performed to. and cdM. under
de or indemnify and hold frontless dL City d L a oulrMa. les
2. Any permit issued as a result d hit application becomes rW and void if worlds no oouencod n 1ap� i�� a this pemnl
cessation d work ter 180 days willsubject pemnk b cartocltatan. dafys from date d issuanoe d such pet., or
I certify that I have read this application and � a abo" Why �&-manboned
p� b ��y � ap City and county ordinances and state laws relating b buYd ft
construction. and suhorim ro count' property for inspection purposes.
,D
Page
2
Application Number .
. .
04-00003472 Date
4/22/04
Qty Unit
Charge
Per
Extension
2.00
9.0000
EA
MECH FURNACE <=100{
18.00
1.00
9.0000
EA
MECH B/C <=3HP/100K BTU
9.00
1.00
16.5000
EA
MECH B/C >3-15HP/>100K-500KBTU
16.50
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 .
. . .
15.06 Plan Cieck Fee
3.77
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension.
BASE FEE
15.00
1.00
.0350
ELEC NEW RES - 1 CR 2 FAMILY
.04
1.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
.02
-----------------------------------------------------------------------=----
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/`ENT
7.50
1.00
3.0000
EA
PLB WATER INST/ALX/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 110 PLAN 4510A. PERMIT
DOES NOT
ls'
�k
Page 3
Application Number
. . . . .
04-00003472 Date
4/22/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALL,
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
13.95
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
1017.06
------------------------------
.00 .00
1017.06
Plan Check Total
562.33
.00 .00
562.33
Other Fee Total
2469.62
.00 .00
2469.62
Grand Total
4049.01
.00 .00
4049.01
�'.ry;r,.rrr.F:'l.:'I/:4.!'r%1/%1.�^.l:%'%/%:/Y.•r'/•%l:lY.'!�."Y/%/.F:%A%:G:/.C/.•%/Y•%Y%/Y/•%/Y.."J/.:f3'IK•%P!/.%"J:IA✓+:l:sV..rJ.I/,I.'%/.%/.'G/%1%A%.t%`Y!/"1;l.'iI!%/.%'/Y.:%.:•+/✓.•l/%::::!✓,'!/•/".'/'/.i/Y.%/./�l/•%�.l.l/.•/.':�.:!/•/��1.:'!'.% I "., ��/.`f•:!.'/%!'/F
i
INSULATION CERTIFICATE
r
i
This is to certify that insulation has been installed in conformance with the current energy j
F regulation, California Administrative Code, Title 24, State of California, in the building at
60-540 WHITE SAGE DRIVE LOT 1110, PHASE 6A, LA QUINITA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKI4ESS: R-13
n.
r.
"r
GENERAL CONTRACTOR: SHEA HOMES LICENSE # s
BY: TITLE: N
a
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
E
•v;Y
r
y BY: OC
TITLE: ACCOUNT REPRESENTIVE= DATE:
F
�//"�:%f/l/f:'!i^.l/F/F/F/f/I'/w'/.!/!/!/f/l/lY!/I/�%F/F/1Yd/�C/r(%/%f/!N/J%I/t%!/!/l/F/F/l/J//.f%//d/.�'l�C/f/f//�/!: r%F/F/!/lil. �/.d'/Irit%A/FIAryFi./il/I/�/li%I/!////ry, �/Ii'%f%J/wYlil/i////'/•:�/F/I/r '�:%!
This int*certify
regulation, Z:agi
CEILINGS:
TYPE: BLOW
WALLS:
TYPE: BATTS
GENERAL
BY:
INSULATION CERTIFICATE
that insulation has been installed in conformance with the 50rf1qM energy
)rnia Administrative Code, Title 24, State of Californi a building located
MAUNFACTU �.ertainteed THICKNESS: R-38
NFACTURER: Certainteed
LICENSE #
TITLE:
ESS: R-13
ARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
.}
Installatibn Certificate: Residential
Site Address 1,07' //0
60-540 White Sage Drive
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
60311 Trilogy Pkwy
La Quinta, CA 92253-7642
CF -6R
PE IT #
SUBDIVISION: Trilogy n, La Quinta
CITY: La Quinta
COUNTY: Riverside
INSTALLING CONTRACTOR: WEST PAC AIR CONDITIONING
2. PROJECT INFORMATION
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 signa.ure is the actual equipment
installed and that the equipment meets or exceeds the requirements of the Applian:e 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.
6.THERMOSTATIC EXPANSION VALVE (TXV):
.=v
Thermostatic Expansion Valve (or Commision approved equivalent) is installed r-nd access is provided for inspection.
Yes ❑ No ❑ N/A ❑
6. SUBMITTED BY
mcr' f—mnn4= "'Y/W DATE:
Signature Installing HVAC Contractor