04-3444 (SFD)r '
a(Arav
C, E. BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760) 77,7-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . ' Date 4/22/04
Property Addre.ss . . . . 60727 WHITE SAGE DR
APN: 764-270-999-65 -300231-
Application description DWELLING - SINGLE FAMILY DETACHED
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation.. 166943
Owner
-------------------
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 3.50
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777=6005
Qty Unit Charge Per
d
R 2 2 � ,
Extension
WCC: NTL UNION
INS
WC: 7165833
08/01/04
CSLB: 672285
06'/30/05
CCC: B
------------------ - -------
Structure Information -------7-----------------
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
539.00
PATIO SQ FTG
5.37.00
NUMBER OF UNITS
•1.00
FIRST FLOOR SQ FTG
1847.00
7 ---------------------------------------------------------------------
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
856.50 Plan Check Fee
556.73
Issue Date . . . ..
Valuation
.161587
Qty Unit Charge
Per
Extension
BASE FEE
639.50
62.00 3.5000
----
THOU BLDG 100,001-500,000
217.00
----------------------
Permit . . . ... .
-------------------=---------------
MECHANICAL
---------------
Additional desc
Permit Fee
86.50 Plan Check Fee
21.63
Issue Date. . . . .
Valuation
0
Qty Unit Charge Per
d
R 2 2 � ,
Extension
P.O. Box 1504
78-495 CALLE TAM►ICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing
ect or
Architect or
kG4" /r /)2
v I Lic. No.: �� /—/0 l
BUILDING PERMIT DECLARATIONS
VOICE (760) 777-7012
FAX (760) 777-1011
INSPECTIONS (760) 777-7153
Date: 4 - zz —V
;gl 6,bb P� ��-
Cjl-,�y
1 hereby affirm undo LICENSED CONTRACTOR'S DECLARATION
and ply d perjury toe$ a am licensed under pp�sion/s d Chapbr y (rooe�m�enc�q with Seclion 7M) d Division 3 d toe Business and Prolessionafs
Class Lice fs in Iu1 brce and effect No.
OWNER -BUILDER DECLARATION
I hereby atfinmh under penallty d at perjury tI am
herr oohsry ant requires permit b exempt from toe • stow License Law for the k4owirq reason (Sec. 7031.6. Business and Pnobsdlons Coda: Any
statement that he or she Is licensed �•d sR a repair any structure, priorlo is Issuance. also requires the applicant br to permit b a a signed
and Processions Code) or that he or===,: toe Contractors' Stab License Law (Ctppbr 9 (Cormrencing with Section 7000) d Division 3 d to Business
the appicard b a dvl penalty d not more than rive hundred dollars the basis for too alleged exermhption Any oblation d Section 7031.5 by any appficet br a permit subjects
U 1. as owner d the property. or my employeas with t )•r
Business and Prdeswns Code: The CphtrscICW Stale License Law not a w# o to work, and the ty who b is not intended or opened for sob (Sec, 70•11,
himself or herself or aDDIY b an owner d property who builds a improves aoreon, and who does toe work
odd with one through his or her own enpbyeas, provided that the irprovemenfs are not intended or aft for sale. ff. however. the buiQrhg or i mmproveneni a
1 of completion, the owror-0ulder will have the burden Of proving tat he or she did not build or improve for the purpose of saw.}
U 1, as owner Of toe property. sm exclusively contracting with licensed contractors b
State License Law does not apply b an ownu d progeny who builds or irhproConstruct 11110 Pict (Sec 7044. Business and Piofessbns Code: The Contractors'
the Cormtractons' Stale tJeerhse Law.). ves thereon, and who contracts for the projects with a corkraetor(s) licensed pursuant b
U 1 am exempt under Sec . BA P.C. for anis reason
Dab Owrher
1 hereby affirm Urdu penally d WORKERS' COMPENSATION DECLARATION
_ 1 have and will natrrt�i oeNfipfa of consent b seg4rsuro for workers•
of the work for which this puma is issued. Compensation. as provided for by Section 3700 of the Labor Code. for to pefonmanoe
1Thave
}ieand will maintain workers' compensation insuwnce. as mWired by Section 3700 d the Labor Code, for the performance of the work br which this per.. Is
aW Policy number are:
ePoiky Number—7-7 %r 3
I certify that. in to perbranoe of the work lex which this pertrst is issued. I shall mol employ any Person in any r annar so as to beconne subject b the workers'
con enss6on taws of Caitornia. and ogee tl I stwuld become subject b to workers' Compensation provisions of section 3700 of to Labor Code. I sial
WARNING: FAILURE TO SECURE WORICERS' COMPENSATION COVERAGE IS UNUWFUt_ AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, t1TEREST. AND ATTORNEYS FEES. .
I hereby alum undo CONSTRUCTION LENDING AGENCY
p Y d Perjury tat taro Is a construction kwxkV agency for the performance d the work for which tots perm4t is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address
IMPORTANT Application Is APPLICANT ACKNOWLEDGEMENT
1. Each person upon whose behalf Oft of �M and Safety 'or a Mm* subject b the conditions and restrictions set loch on this applicsom
Issued as • result d acs appica6on, the owner, theis e, each person at appGcSM, each m naw a Du►etit work Is performed under a pursuant b any pernK
Officers. agents and employees for any ad n o, and th relaid n the work b, and shall. defend. indemnify and hold harmless the City d La Quirts, its
2 Any permit Issued as a retuti dais application becomes null and void a worn is not performed
under
wiftor n 160 a ,�fr mddate id Wince of such per., or
Cessation d work for 180 days will subject peril b canoellaWn.
1 certify that t have read this application and state that the shove Information correct i
�tru.'fih.Zeuelorize representativesd ' b u a=roeto °OR�y with all city and county ordinances and state laws robtirg b Duldnpthe above•emontioned property br inspection purposes.
Da`� Signature (Appticart or Age
Application Number
. . . . 04-00003444
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 <=3HF/100K BTU
9.00
1.00
16.5000
EA
MECH
B/C >3-15HP/>100K-50OKBTU
16.50
3.00
6.5000
EA
MECH
VENT FAN
19.50
1.00
6.5000
EA
MECH
EXHAUST .FOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
81.19
Plan Check Fee
3.76
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1847.00
.0300
ELEC
NEW RES - MULTI FAMILY
55.41
539.00
.0200
ELEC
GARAGE, OR NON-RESIDENTIAL
10.78
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
120.00
Plan Check Fee
16.50
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
6.00
.7500
EA
PLB
GAS ?IPE >=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
-----------------------7----------------------------------------------------
BASE
FEE
15.00
Special Notes
and Comments
SFD LOT 65
PLAN 5505A.
PERMIT DOES
NOT
Page 3
Application Number
. . . . .
04-00003444 Date
4/22/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDE BLOCK WALL,
POOL, SPA
OR
DRIVEWAY APPROACH.
----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
ART IN PUBLIC ?LACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
55.67
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CEECK FEE
00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION ;SMI) - RES
16.15
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTA'=ION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid CL -edited
Due
Permit Fee Total
1159.19
------------------------------
.00 .00
1159.19
Plan Check Total
598.62
.00 .00
598.62
Other Fee Total
2476.82
.00 .00
2476.82
Grand Total
4234.63
.00 .00
4234.63
Installation Certificate: Residential
Site Address
60-727 Whire Sage Drive
`-. 0 7" � 5-
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 #
0 -3
SUBDIVISION: Trilogy 0, 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
80UHG4/5X-100
80%
100000
80%
4. COOLING INFORMATION
COOLING MANUFACT
COMPRESSOR
ACTUAL EFF.
COOLING 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 equ�ment 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�
j rrO // DATE:
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 this building at
60-727 WHITE SAGE DRIVE LOT 1065, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNE-S: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
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 located
60-705 WHITE SAGE DRIVE LOT 1066, LA QUINTA CA
CEILINGS
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: IR -13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: �% C