04-3465 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . .
. . . -00-0034
Date 4/22/04
Property Address
60551 WHITE SAGE DR
APN:
764-270-999-73 -300231-
AppLication description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning : . ..
LOW DENSITY RESIDENTIAL
.Application valuation..
168914
Owner
ContractDr
-------------------------
SHEA LA QUINTA=
------------------------
�� - SHEA HOMES, INC.
ham',,.
C/O. JEFF MCQUEEN ��I
8'1260 AVENUE 62
8-800 N GAINEY CENTERi; 3 5
0 LA QUINTA
CA 92253
SCOTTSDALE i�P,Z
852b92 ��. (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 RATES
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
488.00
PATIO SQ FTG
177.00
NUMBER OF UNITS
'1.00
FIRST FLOOR SQ FTG
1943.00
-----------------------------------------------------------------------------
Permit ... . . . . BUILDING
PERMIT
Additional desc ..
Permit Fee
881.00 Plan Check Fee
572 .65
Issue Date
Valuation
...168914
Qty Unit Charge
Per.
Extension
BASE FEE
639.50
69.00 3.5000 THOU
BLDG 100,001-500,OOC
241.50
---------------------------------------------=-------------------------=----
Permit . . .. . MECHANICAL
Additional desc
Permit Fee
80.00 Plan Check Fee
20.00
"Issue Date. . . . .
Valuation
0
.Qty Unit Charge Per Extension
P.O. BOX 1504
78-495 CALLE TAMPico
LA QUINTA. CALIFORNIA 92253
Application Number.
Applicant:
Vpwant's Fuming i,rmdress:
• WA
BUILDING & SAFETY DEPARTMENT
�S
of
Lic. No.:�7 d
• 0,2�
VOICE (760) 777-7012
FAX (760) 77,7-7011
INSPECTIONS (760) 7f7 -7153 -
Date: . 4 -2 Z -o-
0
BUILDING PERMIT DECLARATIONS
1 herMy affirmLICENSED CONTRACTORS DECLARATION
Cype roof my force and eliuno* penalty of perjury Ihst e underam licensed provisions a Cl+aPbr 9 (oo�m�er p with Section 7000) of Division 3 of to Business and Pmkssionals
No. La
—gala -Z4 d /
I Irby stfi"n under penally d perjury amort 1 am OWNER•BUR.DER DECLARATION
I h a oourriy that requires t p f p0mit ur corm t I amct, a aro from fhe coerimclors' Side License Law for the following reason (Sec 7031.5. Business and Prolassions Code: Any
statement that he or she k ioenaed �• ' or� � b Its ksnarmce, also requires the awkent for Ms ParmR b t1a a signed
WW Probssions Code) or Mat Is or b the O ora of as Co nbaclors' Stab License Law (Chapter 9 (commencing with Section 7000) of Division 3 of ane Business
Mme applicant b a cava Penalty of not more � live hundreddor mss bask for the aMped exertnptior► My violation of Section 7031.5 bf' any applicant ter a permit subjects
U I, as owner of the property, a my ampl0yees with f it
Business and Profession Code. The ore as aneir sole compensation, wi do ane work• and Mme strmrcbrne Is sol Intended or altered for sorb (Sec lou,
himself Confraclors' Slate License Low does not appy b an owns of property who brads or improves thereon. and who does the work
or or through his or her own employees. provided that the irtgrovemenk are not intended or offered kx sate. If. howeger. the building or irpovement is
sold one yawof comt wr
� the otner balder will th
have e burden of proving that he or she did not build or improve teth
r e purpose of sorb.).
U 1, as amen of the
slab License Lawnot t does oorlrxting with licensed °0� 10 O0WJW the Project (Sec. 7044, Business and Professions Code: The Contactors'
apply b an owner of property WON" or wWw-es thereon, and who contracts for the projects with a oa+tadoe(s) fioermsed pwruanl b
the Ca Wadors' Stale License Law.).
U I am exempt under Sec . 8.3 P.C. for this reason
Date owner
1 hereby affirm under WORKERS' COMPENSATION DECLARA noN
Penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificate of consent to seM3nsue for workers' coo. nsabon, as provided for by Section 3700 of the Labor Code. bras putorersrnoe
of the work for whid anis pal.. Is Issued
_ I have and will maintain workers' nce, as required by Section 3700 of the Labor Code. for the Performance of the work for wtrdn anis permit is
p,, qct I h' vyo�kers oompensaticn canter ane Poky number are:
ITLGLCll /1S Number -')—1loll' V3 3
_ I certiy anal, in the P0rtwmance of ane work for ww ars pemK ms iswed, I" sol
Pe on taws of Caifomia, andaQ�pe Meat, r I sts Pe. - is ice employ any person in any manner so as b become subod b as workers'
lorthwkh �y wadi #nose Drovk1onsJ l subject b ane workers' compensation provisions of Section 3700 of the Labor Code, I rhea
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL.,, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
SECCIVIFINES 5 F ONE HUNDRED CO THOUSAND DOLLARS (5100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR COOS. NTERE*. AND ATTORNEYS FEES. .
1 hereby affirm under penalty of perjuy ant therek a oonstnrctien CONSTRUCTION LENDING AGENCY
bndi g agency ter the performance of the work ter which alis permit is issued (Sec. 3097. Civ. C.).
Lenders Name
Lenders Address
IMPORTANT Application is hereby "lode b the Diroebr ofBuidinp APPLICANT ACKNOWLEDGEMENT
and Safety dor a permit subject bas conditions and restrictions set forth on this
1. Each Person upon whose behalf this application is made, each person at whose
Issued as • result of ars appficalim the owner. and the 10. OW
shall. and for end.whoI ben nilfit weak Is ld har m e under it p f La Q ir any pentyl
oR10ers, agents and employees for any ad «anksion related to thew io ed under or defend. Indemnify and c a harmless the City of La OuinMa. its
2 Any perm Issued as a result of this application becomes mA and void k wort rma ttoortrmme"� w{pp following ksuanee of ars Pa.,
cessation of w for 180 days will subject permit b cancellation. days bonen date of Issuance of such pemrL a
1 certify that I have read this application and state Ihat the above int
and authorize re� I ag� b comply with all city and county ordinances and state qws buidirp
Presentatives of this Caxgy er the above -ambo ned property for inspection purposes. relating b
/Date ignah+re (APPfic d or
Application Number . . . . . 04-00003465
Page . 2
Date 4/22/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA
MECH FURNACE <=100K
9.00
1.00
11.0000
EA
MECH FURNACE >10DK
11.00
1.00
9.0000
EA
MECH BIC <=3HP/1D0K BTU
9.00
1.00
16.5000
EA
MECH BIC >3-15HP>>100K-500KBTU
16.50
2.00
6.5000
EA
MECH VENT FAN
13.00
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
15.06 Plan Check Fee
3.77
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
.04
1.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
.02
-------------------------------------------------
Permit .
. . . . .
PLUMBING
-_--------------------------
Additional
desc
Permit Fee
. . . .
152.25
Plan Check Fee
38.06
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
14.00
6.0000
EA
PLB FIXTURE
84.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
1.00
7.5000
EA
PLB WATER HEATERjVENT
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
1.0.0
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
Fee summary Charged
Permit Fee Total 1143.31
Plan Check Total 634.48
Other Fee Total 2479.16
Grand Total 4256.95
Paid Credited Due
---------- ---------- ----------
.00 .00 1143.31
.00 .00 634.48
.00 .00 2479.16
.00 .00 4256.95
Page
3
Application Number. . . . .
. 04-00003465 Date
--------------------------------------
4/22/04
--------------------------------------
Special Notes and Comments
-
SFD - LOT 72 PLAN 4520A. PERMIT DOES NOT
INCLUDE BLOCK WALL, POOL OR
DRIVEWAY
APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . . . . .
. ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CEN -ER - RES
366.00
ENERGY REVIEW FEE
57.27
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
16.89
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTP_TION - RES
1098.00
Fee summary Charged
Permit Fee Total 1143.31
Plan Check Total 634.48
Other Fee Total 2479.16
Grand Total 4256.95
Paid Credited Due
---------- ---------- ----------
.00 .00 1143.31
.00 .00 634.48
.00 .00 2479.16
.00 .00 4256.95
Installation Certificate: Residential CF -6R
Site Address
60-551 White Sage Drive
�-vt 73
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
60311 Trilogy Pkwy
La Quinta, CA 92253-7642
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 P, La Quinta
CITY: La Quinta
COUNTY: Riverside
WEST PAC AIF: 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 Lsing 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):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
Yes ❑ No ❑ N/A ❑
6. SUBMITTED BY
�C'�(' • �mC7f 6f'[�'� DATE: "_._ G 3c�—d 51
Signature Installing HVAC Contractor
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, it the building at
60-551 WHITE SAGE DRIVE LOT 1073, PHASE 6A, LA OIJI14TA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221 17
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
P
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1'
INSULATION CERTIFICATE r
This is t rtify that insulation has been installed in conformance with th•B current energy
regulation, omia Administrative Code, Title 24, State of California, irntho building locat
A
f�.
f
CEILINGS:
r TYPE: BLOW MAUNFAC ER: Certainteed THICKNESS: R-38
WALLS: p
TYPE: BLOW MAUNFACT R: Certain t THICKNESS: R-13
GENERAL CONTRACTOR- HEA HOMES LICEN
to
BY: TITLE:
F
PARAGO CHMID BUILDING PRODUCTS A MASCO Company LICENS 221517
Y.
a B TITLE: ACCOUNT REPRESENTIVE DATE:
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