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04-3447 (SFD)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 . . . . 7 Date 4/22/04 Property Address . . . . 60705 WHITE SAGE DR APN: 764-270-999-66 -300231- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL .Application valuation.. 187396 Owner Contractor --- --------------------- SHEA LA QUINTA ------------------------ SHEA HOMES, INC. C/O JEFF MCQUEEN 81.260 AVENUE 62 8800 N GAINEY CENTER 3.50 LA QUINTA - CA 92253 SCOTTSDALE AZ 85258 (760) 777-'6C05 WCC: NTL UNION INS WC: 71E5833 08/01/04, CSLB: 672285 06/30/05 CCC: B --=----------------------- Structure Information ------- ---- -------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG c=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG. 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS •1.00 FIRST FLOOR SQ FTG 2174.00 Permit ... . . . . BUILDING PERMIT Additional. desc Permit Fee 926.50 Plan Check_ Fee 602.23 Issue Date Valuation ..181091 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 3.5000 THOU BLDG 100,001-500,000 287.00 -------------------------- Permit . . .. . -------------------=-------------- MECHANICAL -----------_---- Additional desc Permit Fee 86.50 Plan Check Fee 21.63 Issue Date. Valuation 0 Qty Unit Charge Per ension P.O. Box 1504 cu LA78-495 CALLS TA14►ICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number Applicant: Architect or Eng' r. 1, N . .14 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:g-22-8 Architect or Engineer's', gddress- ��� )kz-1A�� C19' Lic. No. (,'P(p Z'V BUILDING PERMIT DECLARATIONS 1 hereby atfomn under LICENSED CONTRACTOR'S DECLARATM my LioenS hA force anddeefe t.ams 7M"ing w1th Section 7000 of Division 3 of the Business and Pmkssionefs I hereby affirm underwro OWNER -BUILDER DECLARATION dty or � � requires as Gert tom the Contractors' Stab License Law for the fallowing reason (Sec. 7031.5. Business and Professions Code: Any Statement that he or she is licensed pursuant b the provpvft. d or repair any structure. Prior b b th issuance. 8150 requires e applicant for the permit loss a signed provisions of the Contractors' Stab Il - i a Law (Chapter 9 (commencing with Section 7000) of Division3 of the Business wW Professions the aPP Code) or that he or she is exempt 9mmelmn and the basis for the alleged exemptiam. Any violation of Section 7031.5 by any applicant for a pan* subjects th I, as owner a the penalty of not more than live hundred doom a=)* property- 0r my employees with wages as their sole compensation, wwN do the woA4 and the stnrctmue is not intended a altered lot cab (Sec 7044. Business and Professions Code: The Contractors' Stab License Law does not appy b an owner d property who builds or immproves thereon, and who does the work sold wntlmself irmr herself of through his or her own emplOYees. Drovided that the it provemenls are not intended a offered for sale. It. tawever, the building or impr�overent a one year of corPletionm, the owner -builder wR have the burden of Proving that he or she didth not build or improve for e purpose of sale.). U ► 1, as owner of the DroDeRK ami exclusively owner o p pep licensed contractors b construct the project (Sec. 7044. Business and Professions Code: The Contractors' State License Law does not appy b an owner of propel who builds or improves thereon, and who contracts for the Projects with a 00 tractor(s) licensed pursuant b Mme Contractors' Stale License Lew.). U i am exempt under Sec. . 8 A P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby attar u penalty of Perjury one of the following declarations: _ I and oval maintain a certificate of consent b seg insure for workers' compensation. as provided for by Section 3700 of the Labor Code. for of the work forwhich Itis pet.. is issued the peAortnanoe / 1 have and wwal maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the work lex whict this per., Is Ps 1 - e0rnpensati0n nee'l amier and number are: — I � lhat in the L )Derformce cf wfhi h tis Permits issued. I shall not compensation laws of Calibmia. and agree that. 1 should become employ any person in any manner co as to becomhe subject b the wworkers' forthwith comply whh those subject b the workers'compensation provisions of Section 3700 of the Labor Code, l shaft ,--Paz— WARNING: /P WARNING: FAILURE TO SECURE WORKERS' Co pENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND SECCIVIFOES UP TO ONE HUNDRED C E. KTE E DOLLARS (1100.000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR O SECTION 3706 OF THE LABOR CODE, ttTEREST, AND ATTORNEYS FEES. . 1 hereby affirm Order Penalty of perjury that two is a oonsinrctionCONSTRUCTION LENDING AGENCY letmdng agency for the Performance of the work for which this Pe... is issued (Sec. 3097. Civ. C.). Lendees Name 10, Lenders Address IMPORTANT Application is APPLICANT ACKNOWLEDGEMENT Hereby made al the Director of Budding and Safety for a permit subject b the conditions and restrictions set forth on this application. I. d rise er ufl of tii5 a pon whose behalf �1 ori, ironIs er eatPMW M �e request and for whose benefit work is Performed under tx pursuant b arty permit officam- agents and employees for any act or omission related to the worrd. each k b, and chap. ndfend. indertn i and hoed harmless pas the City of U Ouimte, its 2 Any Permit Issued u a result of this a m0 peAomned under a following issuance of Mtis pemmtit application becomes nus and void K work is mol correnoed within 180 days from date of issuance of such pens' or cessation of work for 180 days wftl wtiject Permit b cancellation. I certify that I have read this application and state that the above led on Is I and sutl toe representatives of this ' agree to amply with all city and county ordinances and state laws relating to building �!nfy above- nentioned property for inspection purposes. Jute (Applicant or Agent): Page 2 Application Number. . . . . 04-00003447 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . 100.65 Plan Check Fee 3.77 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2174.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 ---------------------------------------------------------------------------- .Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 138.00 Plan Check Fee 34.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 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 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 Special Notes and Comments SFD LOT 66 PLAN 5515B. PERMIT DOES NOT Page 3 Application Number . . . . . 04-00003447 Date 4/22/04 ---------------------------------------------------------------------------- Special Notes and Comments 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 60.22 DIF FIRE PROTECTIO17-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 18.73 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary -- - - - - - - - - - - - - - -- Charged ---- - - Paid Credi-ed Due Permit Fee Total - - -- 1266.65 --- - - - - - ------ -- - - ---- .00 .00 -- - - - - - - 1266.65 Plan Check Total 662.13 .00 .00 662.13 Other Fee Total 2483.95 .00 .00 2483.95 Grand Total 4412.73 .00 .00 4412.73 A. Installation Certificate: Residential CF -6R Site Address 60-705 Whire Sage Drive j- 0 t �6 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 # © L/,- 3 9-117 SUBDIVISION: Trilogy @, La Quinta CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDI-TONING 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 80UHG4/5X-100 80% 100000 80% 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLIN3 EQUIP COOLING EQUIP. MAKE MODEL # SEER CAPACITY 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 :Yee .- AM nrpyr6Zi y DATE: 4f-3 0 —O IV Signature Installing HVAC Contractor