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04-3455 (SFD)0 �F �wQ�rw BUILDING dt SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTAL CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number Date 4/22/04 Property Address . . . . . . 60694 WHITE SAGE DR APN: 764-270-999-104 -300231- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation.. 168537 Owner ------------------------ SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 3.50 SCdTTSDALE - AZ 85258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777=6005 WCC: NTL UNION INS WC:. 7165833 08/01/04 CSLB: 672285 .. 06/30/05 CCC: E ------=------------------- Structure Information ------- ---- -------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONC <=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 572.65 Issue Date Valuation 168537 Qty Unit Charge Per. Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,00C 241.50 -- - -- - - - - - - - - - - - - -- - - - - -= -- - -� �-=4=----------------- - Permit x MECHANICAL Additional desc �' Permit. Fee 80.00 w' P�lan�'9,'hEck Fee 20.00 Issue Date. . . . Valuation` 0 Qty Unit Charge Per Extension t P.O. BOX 1504 � VOICE (760) 777-7012 78-195 CALLE TAIa►ICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 44a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: on I Applicant: , Applicant's Mailing Address: I Lic. No.: ��LG BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm penally of perjury Iat 1 am lioensed under provisions of Chapter 9 lm+r+wCing with section 7000 of Division 3 of to Business and Professionals Code my en is in wl roroe.nd efrea J _� �� (�70 I hereby affirm under penalty of perjury that I am OWNS R41UIDER DECLARATION ri y a corshty that requires a Derek b from tM Con�oK* Stats License Law ler the bbwiq mason (Sec. 7031.5. Business and Professions Cods: Any cky or cat tint t1e «lithe k g00nged �• demoislTv «repair any structs , priorto Its issuance, also m1t ims the applicant t« the permit b fig a agne0 and Prohshat h Code) «Qhal In « b l a moons of fn Contraclom• Slab Lioahge Law (Chapter Q (commencing with section 7000) of Division 3 d the Business the applicant b a dvg than *4pt ^and the basis ler the sagged ercempbp� Any vW@Wn of Section 7031.5 by any applicant ler a permit subjects U I, as owner of ting Q°� of not mom than:ve hundred dollars ($500).): property. or inti a pbyees with wages as lhek sob compensation, will do the wok and the structure is not iterhded or oftered ler sale (Sec 7044. Business and Professions Code: The Contracgore Stab Lbense Law does not appy b an owner of property who builds «improves theman, and who dogs the work himselfel r thin� Or through Itis or her own enpbyess, provided that the itproverneft am not intended or of et t« sale. If, however. the building «inproremeM is U 1, as owner or the you dcompletion,property. am the owner will lav° the burden of proving Qat he or she did not build «improve f« the purpose at sale.). sold vely w State License Law does not oonMracbg o apply b an gh icansed contradoa b construct the P� (Sec 7044. Business and Piofessions Code: The Contactors' the Contr'artots' State License Law.). owner of property who builds Or irprov" Qhemon, and who contracts for the projects with a contaclon(s) icensed pursuant b U I am exempt under Sec. . B.& P.C. for ft reason Dsb Owrher WORKERS• COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the fobwkrp declarations: and will maintain a certificate of consent b setl4rrsraa f« rs• � workepensatien. as provided for by Section 3700 of the Labor Code. ler the anoe perfom d the work for which this Peretti! Is issued. 1 ,hav 1'1 e adnd willvmaintain workers! compensation ' nce. as required by Section 3700 of the Labor Code. Code. for the performance of the work for which this pet.. _ I certify that in the performance of the wok ler Itis permit is issued. l shall not employ any person in any manner to as to become subject to fro w«kers' Col. y � and aspee 1 sfwuld become subject a he workers' compensation provisions a sewn 6700 of Ire Labor Code. l altalt those -estee WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO CNE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR Qi SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm ander penally of perjury #W here Is a construction lendag agency for the Pertanrnarce of the work for whidr this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address IMPORTANT Application, is her by made b theDirector of APPLICANT ACKNOWLEDGEMENT 1. Each person uFor► whose behalf Iris is "ting and Safety ler a permit subject b the conditions and restrictions set forth on this application, Issued as • result of this application made,° person„ gree 0 r0Q11°� and t« whose benefit worts k Performed under «pursuant b arty pemtit offioens, agents and ernpioyees for any ad «omission rola b Q each agrees to � slag, defend. indemnify and hold harmless the City of La Quints. its 2 Any permit Issued as am” of this application becomes null and void It work is f under � sung I�^C° of Itis peril cessation of work ler 180 days wM wAjed Permit b canaMation d>!ys from date of issuance of such permit, « I oertiy that 1 d mad this horapplicationrep�� state o f the this�� � correct -I agree b comply with erg city and county ordinances and state laws relating b leu- sing eormtY b ter the above-mentioned property ler inspection purposes. _L o Unit Charge j A Application Number . . . . . 04-00003455 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-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 93.62 Plan Check Fee 23.41 Issue;,Date . . . . Valuation . . . . 0 .p, 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 w Page 3 Application Number . . . . . 04-00003455 Date 4/22/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 104 PLAN 4520C. 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 57.27 DIF FIRE PROTECTION -RES 98.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 503.00 STRONG MOTION (SVI) - RES 16.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 1221.87 ------------------------------ .00 .00 1221.87 Plan Check Total 654.12 .00 .00 654.12 Other Fee Total 2482.12 .00 .00 2482.12 Grand Total 4358.11 .00 .00 4358.11 Installation Certificate: Residential Site Address 60-694 White Sage Drive /- nr/Oy 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 # L SUBDIVISIOY: 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 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. COOING 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 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 X.cG Fpr%ac cn 9 . -A-1 DATE: 6—.30 -0':V Signature Installing HVAC Contractor '.N.r. % � ^i:/:.iy.�...xHift!/%.l//i/.n%i.Rc%x%/F.IY/.•%J%%%./YU'<'/+f%J%Y%J%L%V/%Y.:%Vw'I,/'%9.•%%r'N.�N'4.'ll.%/N/%%Y%':%J/F/•%V•I/%I./[0!/%Y.N.IA:(/. %'•%f.//:IY.%Y.%G%isf/l%w.•!I:t'%'%!/.:l/i!."l/%:F/Y<F.:.f,,%'i'F, w: :r'l•l!%/!'v /. •iw/ :�'�. f r INSULATION CERTIFICATE r This is to certify that insulation has been installed in conformance with the current energy s regulation, California Administrative Code, Title 24, State of California, in the building at 60-694 WHITE SAGE DRIVE LOT 1104, PHASE 6A, LA QUIMTA: CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # a BY: TITLE: / J 1 PARAGON SCHMID BUILDIN PRODUCTS A MASCO Company LICENSE # 221117 f, `r F BY: TITLE: ACCOUNT REPRESENTIVE= DATE: � I6 Iw 4%l'•'/%':!".%'%I%f%</.G'/l/.f.%,i^Yi/J%%%F.l:r%F/F!Y%l/i/.�YF/.i'/F/F////7F/!%IiR/1///l/�Y1H%L/I/.(%F/7N/I.fl'%/%J///l//YF/I/!/1%I/F/F//Y•!/Ip"J//l//LI.!/Y%!f/%//!Y////J.,/.l///l/!.,//.f/v//' �%!'r. i!'•`.?. INSULATION CERTIFICATE This is to C-0tity that insulation has been installed in conformance with current energy regulation, Califmia Administrative Code, Title 24, State of Calif a, in the; building located CEILINGS: TYPE: BLOW MAUNFACTU WALLS: TYPE: BATTS NFACTURER: Certainteed GENERAL CONT/KACTOR: LICENSE # BY: TITLE: THICKNESS: R-38 THICKNC-SS: R-13 SCHMID BUILDING PRODUCTS A MASCO Company LICENSIE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DA -E: