04-3466 (SFD)Q 9
°F raj
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
Application Number . .
Property Address . . .
APN:
Application description
Property Zoning
.Application valuation..
Owner
BUILDING PERMIT
60562 WHITE SAGE DR
764-270-999-109 -300231-
. . . DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
191498
Contractor
Date 4/22/04
DETACHED
SHEA LA QUINTA
SHEA HOMES, IWC.
C/O JEFF MCQUEEN
81260 AVENUE 62
8.800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE AZ 85258 (760) 777=6005
WCC: NTL UNION
INS
,j
WC: 7165233
08/01/04
22 CSLB: 672285
06/30/05
��
CCC: B
7--7
----------------------- ,�---ructure ;Information -------- --
--------------
Construction Type
, TY`RE 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
518.00
PATIO SQ FTG
221.00
NUMBER OF UNITS
•1.00
FIRST FLOOR SQ FTG
2208.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
961.50 Plan Check Fee
624.98
Issue Date . . . ..
Valuation
..191498
Expiration Date'.
10/22/04
Qty Unit Charge
Per
Extension
BASE FEE
639.50
92.00 3.5000
----------7-------7---------------------------------------------------------
THOU BLDG 100,001_500,000
322.00
Permit 'MECHANICAL
Additional desc
Permit Fee. .
75'.00 Plan Check Fee
23.25
Issue Date'
Valuation . .
. . 0
Expiration Date
10/22/04
P.O. BOX 1504cu
LA
7E-495 CALLE TAM►iC0
LA QUINT^, CALIFORNIA 92253 4 4
Application Number:
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
or
Lic. No.o,-3& �J
so
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: Lt -e,1,3-0
BUILDING PERMIT DECLARATIONS
1 heeeby affimn undo t d
LICENSED CONTRACTOR'S DECLARATION
Code and my license y force andarea
ioensed under ons d ChaPbr 9 (oam��an�an0 with Section 7000) d Division 3 d 1s1e Business and Professionals
Date
p
hereby under penalty d p�Y that I am oWNEa$ua oER DECLARATION
I ereby aluhcitor county that a pemrtit b en001ro from the COntrac�ors' Stale License Law f« the khowwtrq rosaon (Sec 7031.5. Business and Pnolessions Code: Any
statement fat to «she b rioeraed prrs b f P Improve. « any
tae' prior b ks ksw^ce' also roquires the appicant t« the Pam* b be a signed
and Professions Code) or that he or the is °f t � � 0 License Law,(ChWW 9 (Corranenotrhg with Section 7000) d Division 3 d to Business
On applicant b a dor exempt fherehom and the basis t«the arsped exemption Arty violationn ppic
d SeCtior► 7031.5 by any aanf for • ermit sueieds
penalty a not more than live hundred dollars M=).r
U 1. as Owner d Ill property. «my enpbyees vft wages as (heir sole oomperaation, will do the work and fa struclue Is not Mended or offered ler sale (Sec 7044, .
hires ss and Professions Code: The Contractors' Stab License law does not appy b an owner d property who builds or improves thereon, and who does the work
r or through his or her Own prpbyees, provided fat the irprovwnwfs aro not Mended «011m for sale. It. however, the building «irprovenanl is
sold within one U Las owner d the yew of ��
nDti the Ownw4Adwith w w'� a have the burden provirp « that he she lid not « build improve led r Ill purpose sale.).
Stab Lbense Law does not aproperty. am pply Io n ope ficsresed corhtraciors b oonstrhrd Oa project ($ec. 7044, Business and Professions Code: The Contractors'
apply b an owner d property who h" «improves thereon, and Who contracts ler the projects with s aontractogs) ioensed pursuant b
the Contraclons' Stab ljeense law.).
U 1 am exempt under Sec . 8.3 P.C. for this reason
Dab Owner
1 hereby affirm under penalty d perjury ono d fa tions: tlaOCOMPENSATION DECLARATION
_ I have and we maintain • certibcate of consent to self -insure f« workers'
d the work for wwhhich p is compensation. as provided for by Section 37(10 a the Labor Coda, for fa performance
/-1 haver and we maimlain� nce. as required by Section 3700 a the Labor Code. f« the
ilmmd Myinsurance performance a the work for which itis Derma is
Cartier n%1 1-Llel I �ie�I I �[!!r r►unb�r 4m1
—Policy Number 1/ l (05 7 ,S 3
_ I CWW fat in the performance of the work for which On per., is issued. I star not employ any parson in any mariner to as to baoon+e
forthwith
bwc of tea. and. apes fat. Y 1 should become subject b fa workers' compensation provisions d section 3700 axfa�Labor Code 1 Nor
I campy with those prw4siorm
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 (f1OOJM), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .
11 hereby affirm under penalty d CONSTRUCTION LENDING AGENCY
pexjtrry that faro B a eonstrurxion lending agency for the performance of the work ler whirlthis per,. is issued (Sec. 3097. Civ. C.).
LendWs Name
Lenders Address
IMPORTANT Application is hereby made b tha Daector ddnp APPLICANT ACKNOWLEDGEMENT
an
1. Each person upon whose Dela! Itis Burd Safety ler a pemhit subject b the conditions and restrictions set forth on this appicsfgm.
Issued es o result d this a application Is made, each person at whose request and f« whose benefd work is performed under «Pursuant b any permit
pp�ation, the owner. and ria applicant each agrees b. and shad, defend. indemnify and hold hamtiess the City of La Ouk". as
2epents sued aand s empbYareforthis any ad omission related b the work being performed under « following issuance of 1oftpemilL
My gemma issulteesd appiea«tion becomes nus and void U Work is not cornmeneed within 160
cessation d work ler 160 days Wm subject pemrtit b canoeftalion. d�lYs from date d issuance d such pemtit «
1 certify that I have read Itis appication and state that the above Morrration is 1
and hereby aulhontze representatives d this county upon at agree 10 y' as city and county ordinances and stab hoc rotatirhg b building Property for inspection purposes.
S' (Applicant or d :Age `
s j7
Application Number . . . . . 04-00003466
Page 2
Date 4/22/04
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00
11.0000
EA MECH FURNACE >100K
11.00
1.00
16.5000
EA MECH B/C >3-15HP/>1.00K-500KBTU
16.50
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
. . . .
15.06 Plan Check Fee
3.77
Issue Date
Valuation
0
Expiration
Date
10/22/.04
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
. . . .
147.00 Plan Check Fee
36.75
Issue Date
Valuation . . . .
0
Expiration
Date
10/22/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
13.00
6.0000
EA PLB FIXTURE
78.00
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
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
Expiration
Date ..
10/22/04
Qty
Unit Charge
Per
Extension
Application Number . . . . . 04-00003466
Page 3
Date 4/22/04
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD LOT 109 PLAN 5210A. PERMIT
DOES NOT
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
62.50
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
19.14
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1213.56
Plan Check Total 688.75
Other Fee Total 2486.64
Grand Total 4388.95
Paid Credited Due
---------- ---------- ----------
.00 D0 1213.56
.00 D0 688.75
.00 D0 2486.64
.00 D0 4388.95
Installation Certificate: Residential CF -6R
Site Address
60-562 Whire Sage Drive
L or /0 f
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: Tri[ogy (oLa Quinta
CITY: La Quinta
COUNTY: Riverside
WEST PAC AIR CONDITIONING
I, the undersigned, verify that the equipment listed in the category above my signature is th-- 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
80UHG4/5X400
80%
100000
80%
4. COOLING INFORMATION
COOLING
MANUFACT
COMPRESSOR
ACTUAL EFF.
COOLINC EQUIP
COOLING
EQUIP.
MAKE
MODEL #
SEER
CAPA:ITY
LOAD
A/C
Lennox
13ACC-060
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):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access. is provided for inspection.
Yes ❑ No ❑ N/A ❑
6. SUBMITTED BY
:Y M&na. 'r 6 ty DATE: I -,-3G _0 y
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, in the building at
60-562 WHITE SAGE DRIVE LOT 1109, PHASE 6A, LA QUINTA 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 RODUCTS A MASCO Company LICENSE# 221517
BY: BUILDING
ACCOUNT REPRESENTIVE- DATE:
INSULATION CERTIFICATE
This is ertify that insulation has been installed in conformance with the current erergy
h is is e i that INSULATION
t insulation has been
rt � ti C
regulation, 'fornia Administrative Code, Title 24, State of California, in the building located
C I� S.
CEILINGS:
�yp LOW M U C
TYPE: BLOW MAUNFAC ER: Certainteed �H�ICKNESS-. R-38
WALLS:
TYPE: BLOW MAUNF,
GENERAL CO
BY:
Certainteed\ THICKNESS. R-13
EA HOMES LICENSE
PARA90N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE #:e,,
BY: TITLE: ACCOUNT REPRESENTIVE DATE: