04-3460 (SFD)1
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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 . .
. . ""' 003460)
Date 4/22/04
Property Address . .
. . 60617 WHITE SAGE DR
APN:
764-270-999-70 -303231-
Appl-ication description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning : . ..
LOW DENSITY RESIDENTIAL
.Application valuation..
.149793
Owner
Contractor
SHEA LA QUINTA
___--# SHEA HOMES, INC.
C/O. JEFF MCQUEEN __-_
- 8'1260 AVENUE 62
8.800 N GAINEY CENTER 3'50
LA QUINTA
CA 92253
SCOTTSDALE AZ
85258 (760) 777=60D5
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/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
1.77.00
NUMBER OF UNITS
•1.00
FIRST FLOOR SQ FTG
1685.00
Permit . . . . BUILDING
PERMIT
Additional desc
Permit Fee
814.50 Plan Check Fee
529.43
Issue Date . . . .
Valuation
. 149793
Qty Unit Charge
Per
Extension
BASE FEE
639.50
50.00 3.5000 THOU
-----------------------------------------------------------------------=----
BLDG 100,001-500,000
175.00
Permit . . . MECHANICAL
Additional desc'.
'Permit Fee
73.50 Plan Check Fee
18.38
Issue Date.-
Valuation
0
Qty Unit Charge Per
Extension
P.O. Box 1504 i, / VOICE (760)'777-7012.
78-495 CALLS TAMfICO FAX (760) 777-7011
LA QutNTA, CALIFORNIA 92233 44a
INSPECTIONS (760) 777-71 J'3
BUILDING & SAFETY DEPARTMENT
Application Number:- O y - & O I
Applicant: Date:
Mailing Address:
Aral ori ineq��r.�
Arcllit or Evngi r' Add s:
Lill
Lic. No.: ` ,acv C/o
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTORS DECLARATION
1 hereby atom under penalty of perjury that 1 am licensed under pvwhs
Code. and 7�my Lkens b GA force and � a Chapter 9 (oom�ancing w*h Section 7000) of Division 3 a Business and Businand Professionals
effect. D�
I hereby atrrm under perky a perjury that 1 am OWNER -BUILDER DECLARATION
dey or cohahty that requires a permit b oomstrhrci, a�ker tom the Contracbrs' Stab License Law f« the falowig mason (Sec 703115. Business and Professions code: Any
atatew that he «she B icen*ed 1 mPr0ve• demolish' «repay any $buck e, pkx b ks kmnnce, also rnequres fhe appf�cu6 l 1« the perm* b tie a siprad
Phe b e b the provisions n to Contr for th Stab Lloere Law (Chapbt 9 (eommandng with Section 7000) a Division 3 a the Business
the �Profeauions Code) e that f or ata is than
Iiv th hundred
and the basis lir to etagere exempbon. Any violation of section 7031.5 by any apt�er+t for a pal.. --Meets
I, as owner of the penalty
ef � a not more than tiv�e I..+dred ao+tars lss0o).r
U Property. Of my employees with wages as their sob comperation, wi do the wok and tle structure is not iaended or offered for sale (Sec 7044,
Business and Professions Code: The contractors' Stab License Law does not apply to an owner of property who buries «improves ttareom and who does the work
himselfel or � or through his « her own employees, provided that the inprovemerks aro not *Mended or otlered for sale. M• however. the bui6ng or improvement is
sold U 6 as owner a the 1 a ti owner-0hrlder will have the burden a Proving that he or she did not build or improve for the purpose 01
state License Law does not corrtraelig wilt ficense0 contractors b constrhrd to pe}ect 7044. Business and Piofessiorhs Code: The Carhtraclors'
apply b an owner a property who builds «improves t onion, and who contracts for the projects with a contractor(s)licensed purwantb
the Contractors' State License Law.).
U 1 am exempt under Sec . B.& P.C. for this reason
Date Owner
firm under
WORKERS, COMPENSATION DECLARATION
1 hereby affirm
PAY a Perjury one a Ila folowiq deGambons:
_ I have and will ormaintain a s psi..
i a consent b sag lir wens' c0npera86M a$ Provided f« by Section 3700 a to Labor Code, lir the pertomhanoe
of the wank lir which the permit Is issued.
hI ° M maintain a u requipred )e section 3700 a the Labor Code. r« the Performance a the work lir which this penin* k
7(''"y1 '"S°'� Pdlicy Number 7 7?S faro:
— I certify INK in the D of to work for which #a Permt is issued. l shah not employ any person in any name so as to become subject b the workers'
oormperhssGorh Ian of Cellomtia, and agree pmt t I should becomesubjed b the workers' compensation provisions of Section 3700 of to Labor Code. l *hal
Comply with case WvAgons, JJ
J
WARNING: FAILURE TO SECURE WORKERS' COkPENSAdnoN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL ON 3 6 F ONE HUNDRED O TH NTERESLMAND RAND AS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR ti
SECTION 3706 OF THE LABOR CODE, tfrEREST. AND ATTORNEY'S FEES. .
1 thereby affirm under penalty of perjury that tansB a construction lending
LENDING AGENCY
agencY for to Performance of the work for whirl Otis Perm' is issued (Sec. 3097. Civ. C.).
Lenders Name
Lender's Address
of
IMPORTANT Application Is hereby made b the Dirocbr APPLICANT ACKNOWLEDGEMENT
Bukling and Safety lir a Permit wbject to the conditions and restrictions set forth on this
application.
1. EEachdpeas a nwA of rson w� behalf this
bon mer, and ade. each person at whose request and f« whose benne work is pedonned oder or pursuant b any Pam*
drr0ers, agents and employees for any act or omission rotated to thew applicant. each � to °� ced under or de. defend. indemnityng andand ce of harmlessisper the City a La OukMa. Its
2 Any Permit issued as • result a tris application becomes ntA and void If work raft commenced within 160 ddssfrom date a issswance a such Pe . or
cessation of w lir 180 days will subject pemtit b canceration.
I certify that I have read this application and state that the above information is I
agree b comply with al city and count «dinanoes and state fauns
oonstrudiorh,
authorize representatives a thhis county b upon abovearherhborhed property lir inspection purposes. fe�r'g b building
Date �� gnatre (Applicant « Agent):
'�7'", J 5.'•v
ti
•
Page
2
Application
Number
04-00003460 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-500KBTU
16.50
1.00
6.5000
EA
MECH VENT FAN
6.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
-------------------------------------------7--------------------------------
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
85.50 Plan Check ,ee
154.07
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1685.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
58.98
576.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
-----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. .
128.25
Plan Check Fee
32.06
Issue Date
Valuation _
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
10.00
6.0000
EA
PLB FIXTURE
60.00
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 1116.75
Plan Check Total 733.94
Other Fee Total 2472.91
Grand Total 4323.60
0
Paid Credited Due
---------- ---------- ----------
.00 .00 1116.75
.00 .00 733.94
.00 .00 2472.91
.00 .00 4323.60
Page
3
Application Number . . . .
. 04-00'003460 Date
4/22/04
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 70 PLAN 4520B, PERMIT DOES NOT
INCLUDE BLOCK WALL, POOL OR
BLOCK WALL.
----------------------------------------------------------------------------
Other Fees . . . . . . . .
. ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
52.94
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
14.97
DIF STREET MAINT FA_ --RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee -summary Charged
Permit Fee Total 1116.75
Plan Check Total 733.94
Other Fee Total 2472.91
Grand Total 4323.60
0
Paid Credited Due
---------- ---------- ----------
.00 .00 1116.75
.00 .00 733.94
.00 .00 2472.91
.00 .00 4323.60
InstallatOn Certificate: Residential
Site Address
60-617 White Sage Drive
/-0 t 70
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 #
o
SUBDIVISION: Trilogy P, La 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 the actual equipment
installed and that the equipment meets or exceeds the requirements of the Appliance Effic.ency 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% 880100
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.
&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
DATE:
Signature Installing HVAC Contractor
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the Curren: energy f
regulation, California Administrative Code, Title 24, State of California, in the building at
60-617 WHITE SAGE DRIVE LOT 1070, PHASE 6A, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-36
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
r
r
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY:
TITLE:
PARAGON SCHMID BUILDINP PR DUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
7t
.-._.--._.-.-.-.,...-.-....-.-.i.riririririri�iwvwrriri-ir//iti�i�'iP/YF/'.Vir/rc/liC/l/l'////•/F/!/l/F/!C'/.^f"l/.R/_%:%A//'.%✓'/.%:%tl/f/F/.f'///!/i/.:�:r,•;•'L/.�•l'.:
INSULATION CERTIFICATE
This is to certify that insulation een installed in conformance with the c:urrenil energy
regulation, California Administrative Title 24, State of California, in the buildin e ,
CEILINGS:
TYPE: BLOW
WALLS:
TYPE: BLOW
GENERAL CONT
BY:
>MAUNFACTURER: Certai d THI SS: R -3B
RER: Certainteed THICKNESS: R-13
OR: SHEA HOMES LICENSE # _
TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: