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04-3556 (SFD)Q&rav BUILDING & SAFETY DEPARTMENT 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 . . . . Property Address . . . APN: Appl.ication description Property Zoning : . ... Application valuation.. 30556 - Date 4/22/04 60573 WHITE SAGE DR 764-270-999-72 -300231- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 168537 Owner _ _ �_ �y Contractor -------------------- SHEA LA QUINTAI -- ------------------------ "`� �° !SHEA HOMES, IVC. �.� -WV 2 2 C/O JEFF MCQUEEN `_- .r --w;�',8-1260 AVENUE 62 8.800 N GAINEY CENTER Tb -0"'x, � LA QUINTA �� CA 92253 SCOTTSDALE � LAZ 8525'$ ��u (760) 777-6005 WCC: NTL JNION INS WC: 7165833 08/01/04 CSLB: 672295-. 06/30/05 CCC: B -------------------------- Structure Information ----------7-------------- Construction Type . . . . . TYPE V - NONRATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS '1.00 FIRST FLOOR SQ FTG 1917.00 ----------------------------------------------------------------------------- Permit ... . . . . BUILDING PERMIT Additional desc Permit Fee 881.00 Plan Check Fee 143.16 Issue Date Valuation .168537 Qty Unit Charge Per Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 -----------------------------------------------------------------------=---- Permit . . . . . MECHANICAL Additional desc . Permit.Fee . . . .. 80.00 Plan Check Fee 20.00 Issue Date... . . . Valuation 0 Qty Unit Charge Per Extension 1 P.O. BOX 1504 a U�/; , t 7E-495 CALLS TAM►ICO �/ VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 41 ' �. .�(o Date: Applicant: Eng' -- & S)i-- ft or Engineer's Adess: &h 'A V Lic. No.- Lq&) - i2wn.Lima rr-KMI I ULULARATIONS uncle 1 hereby afrawn LICENSED CONTRACTOR'S DECLARATION rally, d perjury tat I am licensed under provisions of Chapter 9 (oormhenonp with Section 7000) of Division 3 of to Business and Rotessionals fod6 a/Lice WI force and affectLicense Class No—62 Date . `Z52 . 1 hereby affrm under penalty d perjury Oat 1 am OWNW-BU DER DECLARATION �y or �y tat repr i es a pahwhil b Construct• Sher. from to Cahtractois' stab License Law for the foMowirq reason (Sec 7031 b. Busihess and Pnobssionh Code Any Wlertherrt Oat he a shhe is licensed �• er � any ' Orion b its "once. also nK*U to applicant for the pena0 b Sea spnad thePfOlesslOnS p is e e ire povinx, d to Cahtraebrs' State License Law (Chapter 9 (cwwnwwdng with Section 7000) d Division 3 d Ore awkum app Civil ) or Opal he or she k exempt imarefnonrw and time basis for Oho alleged exenp6 WL Any violation d Section 7031.5 by any appk= t for a pmmit subjects (..► I. ss Cowmen d toe f d not mere tan five INandred datars (5500).r OropattY. or MY employees with wages as their sob Cortpersaion, will do the work, and the strucure is not trwb ProfessionsBusiness and Codndee a otkned for sok (sec ?o44.. t s~ The contractors! stab Lberse Law does not apply b an owns d property who builds or improves thereon, and who does the work said within one t1f o1� his or her own errpbyees. provided Oat the iMxovenher ft are not intended or offered for sale. It. however, the buidirg or inprovenam a (.) 1, as owner d the Year of p cor ktion• the owner -builder will have thd at e burden pmvwV the or she did im not build or prove for the purpose at sale.). State License Law does not es wviflh licensed Contractors bnsct Oa CotruProject (Sec 7044. Business and Professions Code: The Contractors• the Contracbrs' Stab LicenseLa ) an owner d pnvperty who builds or irpmves taiaon. and who contracts for the projects with a contracior(s) licensed pursuant b U I am exempt under Sec. . aA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one Of to following durations: _ 1 have and will ormaintain • Certificate d Consent b seff4rhsure for work r�rr>pensafca, as provided tion by Section 3700 d the Labor Code. for the peAannamoe / d the work for which Itis per.. is Issued. I have and will maintain workers! Einsmr100 as regained by section 3700 d the Labor Code. for the performance d the work for which this per., Is 00rtpe^��n NSC perch and policy number ace: I Cftty IhK in ft Dafomanccs Of the work for which this p eis icwed. I shall no(empby any person in any manner so as to become subject b the workers• ConqM 'OF; Callommia• and agnea 01N I should become subject 10 to workeW compensation provisions d d the section 3700 Labor Cshall b Code. I I rohwitm coapt with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (=100.000). IN ADDIT N TO THE COST OF COMPENSATION. DAkAAGES AS PROVIDED FOR IN SECTION OF THE LABOR CODE, MEREST. AND ATTORNEYS FEES.. I hereby affirm under penalty d perjury tat two is a Constnrrdiorh CONSTRUCTION LENDING AGENCY ft Widig agency for the performance of the work for wh id this pet.. is issued (Sec. 3097. Civ. C.). Lendefs Name Lenders Address IMPORTANT Application is hereby made b the Direcbr of APPUCANT ACKNOWLEDGEMENT 1. Each person upon whose behalf Itis is Building and Safety for a permit subject b the Conditions and restrictions set forth on this application, Issued as a rests d Ort behal ion, �� Vie. each person at whom ro*" and for whose benefd work a performed under or pursuant b any pamhit dlicers, agents and employees for arty act or omission retaa�to the woach rk io and heda, under rera. iraemnity and hold f often the City d la OuMmta. Its 2 Any perm issued as a result d this application becomes null and void if wads noperformed o m eno�ed wit n 180 days dfollcowing issuance ilate d Issuance of such per,. or cessation d wok for 180 days will subject per., b cancellation. 1 Certify that I e d read thisOuth0d:eseniat appigion s aboveInfomationisI agree b Comply with as city and county ordinances and state haws rofainp b buk*V of this Y er the above-mentioned property for inspection purposes. 7 0 -(Applicant or Apart). I� Application Number 04-0.0003556 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 >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU" 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-:OOKBTU 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 . . . . 93.62 Plan Check Fee 23.41 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1917.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.10 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 ---------------------------------------------------------------------------- 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 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 Fee summary Charged Permit Fee Total 1221.87 Plan Check Total 224.63 Other Fee Total 2440.17 Grand Total 3886.67 Paid Credite3 Due ---------- ---------- ---------- .00 .00 1221.87 .00 .00 224.63 .00 .00 2440.17 .00 .00 3886.67 Page 3 Application Number . . . . . 04-00003556 Date 4/22/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 72 PLAN 4520A. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 98.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.32 DIF FIRE PROTECTION -:SES 98.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 6.00 DIF PARKS/REC - RES 503.00 STRONG MOTION (SMI) - RES 16.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1221.87 Plan Check Total 224.63 Other Fee Total 2440.17 Grand Total 3886.67 Paid Credite3 Due ---------- ---------- ---------- .00 .00 1221.87 .00 .00 224.63 .00 .00 2440.17 .00 .00 3886.67 Installation Certificate: Residential Site Address 60-573 White Sage Drive .4 or 7!1 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 CF -6R PERMIT # OIL 3 S e SUBDIVISION: Trilogy P, La Quinta CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDITIBNING 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 s.zing and selection. 6.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 Cry 7Grra _ nCU U? -7 � DATE: (;�_ 3C9 P 0 y Signature Installing HVAC Contractor