04-3448 (SFD)Q"Aw
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 . . . . . �Q4�0"0,0=04$ Date 4/22/04
Property Address . . . . . . 60683 WHITE SAGE DR
APN: 764-270-999-67 -300231-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENT=AL
Application valuation.. 196227
Owner Contractor
SHEA LA QUINTA SHEA HOMES, INC.
C/O JEFF MCQUEEN 81260 AVENUE 62
8.800 N GAINEY CENTER 3.50 • LA QUINTA CA 92253
SCOTTSDALE AZ 85258 (760) 777=6005
WCC: NTL UNION INS
WC: 7165333 08/01/04
CSLB: 672235 . 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 541.00
PATIO SQ FTG 245.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 2341.00
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc
Permit Fee 979.00 Plan Check Fee 636.35
.Issue Date Valuation . . .196227
Expiration Date*. 10/22/04
Qty Unit Charge Per Extension
BASE FEE 639.50
97.00 3..5000 THOU BLDG 100,001=500,000 339.50
-----=----------------------------------------------------------------------
Permit MECHANICAL
Additional desc
`Permit Fee . . . . . 93.00 ���Plai� Check�� Fee 23.25
r�
Issue Date . . . . � , �' Va2uat�or , i . . . . 0
Expiration Date 10/22/04 1t
y
APR 2 2 224
P.O. BOX 1504 a ��G��
78-495 CALLE TAM/ICO
LA QUINTA. CALIFORNIA 92253 44
Application Number
Applicant:
Applicant's Mailing Address:
/**') -11 Wi-l",
BUILDING & SAFETY DEPARTMENT
�fu
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
���Sr9
�� �"b
Z17 6A C 4-;_
Lic. No.: 4f26 L16
BUILDING PERMIT DECLARATIONS
1 Ioreby affirm under d LICENSED CONTRACTOR'S DECLARATION
Perjury tat I am icensed under provisions-Chapbr 9 ociiq wlh section 7000) d Division 3 d tie Business erd ftkuwab
Co4e. and myCj=in IuA force and effect No.
I hereby affn. under perafty of perjury tat I am OWNM41UILDER DECLARATION
city or county fiat requires a permg b corulrucL Abp t1ed• stab License Law for the blowing reason (Sec. 7031.5. Business and Prokssioru Code: Any
ssaeement Mat he a she is ioeraed pursuant b M provisions d the ra or r ' repair s e Uo ladructurIL � b its issumm. also requires the app6cani br to Permit b so a sipnad
MW Professiora Code) or Mat he or she is exempt therefiom and the basis for Mo . Any vi 9 toommsectio with Section 7000) d Division 3 aft* Business
the applicant b a cavi penalty d not more than Eve hundred dotars '�0d a1fO1"�011 Any viobfion d section 7031.s by any spPfi=d bra Pam* subjects
U 1. as owner d the property. or my employees with ( )•)
Business and Protesmns Code: The Corttraciors� Saab Doer seblaw ' wi do the work. and the structure is not intended or offered for sat (Sec. ?o44..
himseff or herseN or trough his or her own appy b an owner d property who builds or improves thereon, and who does to work
sold within one year d completion, the owner � have Mo n�ONements are not Mended or offered for sale. If. however. the holding or i provement is
U L as owner d the property. am *xdusmvely contracting with licensed cortbadors he she did not build or improve for the Purpose d saie.�
y b an owwor d property who bumlds or P *d (Sec 7044.13umess and Professions Code: The Consractere
State License Law does not app
the Contractors' Stab License Law.). theieom, and who contracts for the projects with a contractors) icensed pursuant b
U I am exempt under Sec. . BA P.C. for this reason
Date own"
1 hereby affirm Me peaty of WORKERS, COMPENSATION DECLARATION
perjury one d to Mowing dedarations:
grid will maintain a oertifi Ste Of consent to seItLnsue for workers' c=. nsatim as provided for by Section 3700 of the Labor Code. for the Pe{orma,>oe
d the work for wldd tis per.. k issued
I o and
wN maintain
ai �eW ��' u cc rte• as required by Section 3700 d the Labor Code. for the Perfommnce d the work fa which this permit is
Cartier certify d thwor
co pensat wrtix y� number ase:
Number __ ��(cs`7
Ibmanoe Pee k for which tis pemrt ns awed. l shag not empty any person in any manner to as to become subject to the workers'
Col.;sk ns.
PePtt coo with those and epee M OVA OVbecome subject b #0 workers' compensation Provirp d section 3700 d the Labor Code.1 shag
4
WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UPtL/1WFUl, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE HUNDRED TFIOUSANp DOLLARS (St00,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR W
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .
1 hereby affirm underCONSTRUCTION LENDING AGENCY
PAY d perjury tel rhes is a oonmdruckm lehdrng agency for the peAomnanoe of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lendefs Name
Lenders Address
IMPORTANT Application b APPLICANT ACKNOWLEDGEMENT
1 Each hw°by m*de to the ung � ety fora permit subject loft eon&Wns and restrictions set brlh on Mit app6cafion.
person upon whose WW Itis parson at whose request and for whose benefit work is
Issued as a result d this application, the owner. and the apPrc&nL each *pees b, and shad. defend. ' �0f"hM under it p f Le Q b array remit
Officers.
agents and employees for any ad or omission retated to the work indemnify l and hold Ramis permiL
r the City d U f]uiMa, gx
2 Any Permit issued as a resat d this appkalion becomes rug and ' It work not under
180 days � dateofIssuance of such per, or
Cessation of work for 180 days wit subject pemitb canceaation.
1 certify that I have read this app6ation and state that the above infomhati is correct. I spree b comply with al city and county ordinances and state laws relating 1e buiWrtq
=776'
hereby authorize rep, ntafives d this county er the above -Mentioned property for inspection purposes.
�(Apoti mt or Agent).
Application Number . . . . . 04-00003448
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
16.500.0
EA MECH
B/C >3-15HP/>100K-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
. . . .
107.76
Plan Check Fee
26.94
Issue Date
. . . .
Valuation
0
Expiration
Date
10/22/04
Qty
Unit Charge
Per
Extension
BASE
FEE
'15.00
2341.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
81.94
541.00
.0200
ELEC
GARAGE OR NON-RES-DENTIAL
10.82
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
153.00
Plan Check Fee
38.25
Issue Date
Valuation . . . .
0
Expiration
Date
10/22/04
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
17.00
6.0000
EA PLB
FIXTURE
102.00
1.00
15.0000
EA PLB
BUILDING SEWER
15.00
1.00
7.5000
EA PLB
WATER HEATER/VENT
7.50
1.00
9.0000
EA PLB
LAWN SPRINKLER SYSTEM
9.00
6.00
7500
EA PLB
GAS PIPE >=5
4.50
-----------------------------------------------------------------------------
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
Page 3
Application Number
04-00003448 Date
4/22/04
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
.Special Notes and Comments
SFD LOT 67 PLAN 5320A. PERMIT
DOES NOT
.INCLUDE BLOCK WALL, POOL, SPA
OR
DRIVEWAY APPROACH.
-----------------------------------------------------------
Other Fees . . . . . . .
-----------------
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTEP_S-RES
97.00
DIF CIVIC CENTER -. RES
366.00
ENERGY REVIEW FEE
63.64
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
REPLACEMENT INSP CARD
15.00
STRONG MOTION (SMI) - RES
19.62
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
------------------
Paid Credited
----------
Due
----------
Permit Fee Total 1347.76
--------------------
.00 .00
1347.76
Plan Check Total 724.79
.00 .00
724.79
Other Fee Total 2503.26
.00 .00
2503.26
Grand Total 4575.81
.00 .00
4515.81
Installation Certificate: Residential CF -6R
Site Address
60-683 Whire Sage Drive
/-o;e- i -7
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 #
® q 3 i 9'
SUBDIVISION: Trilogy n, 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 fie 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
80UHG4/5X-100
80% 100000
80%
4. COOLING INFORMATION
COOLING MANUFACT
COMPRESSOR
ACTUAL EFF. COOLING EQUIP COOLING
EQUIP. MAKE
MODEL #
SEER CAEACITY 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 ac -cess is provided for inspection.
Yes ❑ No ❑ N/A ❑
6. SUBMITTED BY
G!_-MCCASrid 24 A4 DATE: 6 =.-0 -- OW
Signature Installing HVAC Contractor
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current erergy
regulation, California Administrative Code, Title 24, State of California, in the building at
60-683 WHITE SAGE DRIVE LOT 1067, PHASE 6A, LA 4UIMTA 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 PRO UCTS
BY; TITLE:
A MASCO Company LICENSE # 221517
ACCOUNT REPRESENTIVE DATE:
,:.:.v.1"•:� Y". s:::'.`+'-Nv;•+;�J:?.'2:V.%L%L•:Y:'ca:oa:T:/:•JX'.NX%C.7-ti'%Z'/JiZfv:Y�:/x.etiY.YT7iJLt:Ltt/'•wiN'TO�:•J.:atof2':YJY/i:'J:�/.JLal7.•a�'VY�i4M1!Nn lfJ•:'>'.:u:•rs/.r ^.'YrrZs i7�'rv.»'r'l,Z�. % :: �J��••:'S. r.�.:?.:r'f
r INSULATION CERTIFICATE f
J
P
This is rtify that insulation has been installed in conformance with the current One
regulation, ornia Administrative Code, Title 24, State of California, in the rog located
CEILINGS:
TYPE: BLOW MAUNFACTU ainteed THICKNESS: R-38
WALLS:
TYPE: BATTS /JUI UNFACTURER: Certainteed THICKNESS: R-13
s
i
GENERAL CONfRACTOR: LICENSE #
BY:i TITLE:
/ PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # ? 17
BY: TITLE: ACCOUNT REPRESENTIVE DATE: F
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