09-0692 (SFD) Revision 1P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
09-00000692 .
81312 CANTOR CT
764-280-999-185 -300236-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
223553
T4ht 4 4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
Architect or Engineer:
d'/1
- __
kNSEDCNTRACTOR'S DECLARATION
1 hereby of rm under enalty of perjury thnsed and r provisions of Chapter 9 (commencing with
JDa
n 70 0) of iv sio of the Busi essi als ode, and my License is in full force and effect.
Lic se No.: 672285
r tor:
,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 01
LQPERMIT
Contractor: I
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
Lic. NO.: 672285
e�
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
J: 2INS
10/08/09
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
yl have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC6987825
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to �ecorne ubjec the workers' compensation laws of California,
and agree that, if I Id bec sut to te workers' compensation provisions of Section
3700 of the Labo Co I sh orthw' h comp t'th those provisions.
O.Iffi
t.pplicant:
r\_�
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any. permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permitto cancellation.
I certify at I have read this application and state that the above information is correct. 1 agree to comply with all
cit and ounty or inances and state laws relating building construction, and hereby authorize representatives
of hia c to ter upon the above-mentioned roparty for inspection purposes.
te: nature (Applicant or Age tl:
Application Number . . . . . 09-00000692
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
1073.50
Plan Check Fee
697.78
Issue Date . .
. .
8/24/09
Valuation
223553
Expiration Date
. .
2/23/10,
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
124.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
434.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
83.50
Plan Check Fee'.
20.88
Issue Date . .
. .
8/24/09
Valuation . . . .
0
Expiration Date
2/23/10•
Qty Unit
Charge
Per.
Extension
BASE
FEE
15.00.
2.00
9.0000
EA MECH
FURNACE <=100K.
18:00
2.00
9:0000
EA MECH
B/C <=3HP/100K BTU
18.00
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 . .
. .
116.19
Plan Check Fee
28.71
Issue Date . .
. .
8/24/09
Valuation . . . .
0
Expiration Date'.
2/23/10
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2599.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
90.97
511.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.22
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 160.50
Issue Date . . . . 8/24/09
Expiration Date . . 2/23/10
Plan Check Fee . .
Valuation . . . .
Qty Unit Charge Per
BASE FEE
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
40.13
0
Extension
15.00
90.00
15.00
Application Number . . . . . 09-00000692 ,
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
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
8.00 .7500 EA PLB GAS PIPE >=5
6.00
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 . . . . 8/24/09 Valuation . . . .
0
Expiration Date . . 2/23/10
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit . . . SOLAR PERMIT
Additional desc . .
Permit Fee . . . . 22.50 Plan Check Fee
5.63
Issue Date. 8/24/09 Valuation . . . .
220402
Expiration Date 2/23/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 185, PLAN 5500A, 2599 SF., 149 `
SF EXERCISE RM, BOX BAY Q MBR(63 SF) &
4' GARAGE EXT. (83 SF). PHOTO VOLTAIC
SYSTEM ( 1.7A&3KW). PERMIT DOES NOT
INCLUDE POOL, SPA," BLOCK WALLS OR
DRIVEWAY APPROACH. 2007 CODES.
CHANGE OF CONTRACTOR FEE ASSESSED TO
INSERT SHEA HOMES INC. AS NEW CONTRACTOR
OF RECORD.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
58.88
BLDG STDS ADMIN (SB1473)
9.00
CHANGE OF CONTRACTOR
4.50
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
69.78
LQPERMIT -
f
LQPERAIIT
Application Number
. . . .
09-00000692
----------------------------------------------------------------------------
Other Fees . . .
. . . . .
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
22.36
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
1471.19
1471.19 .00
.00
Plan Check Total
793.13
793.13 .00
.00
Other"Fee Total'
4639.52
4635.02 .00
4.50
Grand Total
6903.84
6899.34 .00
4.50
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING
CF -4R
December, 9 2009
This CF -411 Issued by CaICERTS@ is for the home located at: 81312 Cantor Court
La Quinta CA, 92253
Certificate Number:
Date Inspected:
CalCERTS Rater:
HERS Analyst:
Builder/Developer:
Project:
Phase:
Plan Name:
Lot Number:
CC3-1798482366
December, 1 2009
William Irvine
CC2004075
Chinh Nguyen
Shea Homes, Inc.
Trilogy in La Quinta (658)
Release 909
5500
6185
Specifics about this
General Information
Conditioned. Floor Area:
Conditioned Volume:
Front Orientation:
Numl
Hea tir
Heati
Coolie
Heati
Coolie
HVAC
Duct
Duct
water
home:
2450 Square Feet
24704 Cubic Feet Testing & Verification Results
Cardinal
QTY Size `
'Fuel
EF r" i Dlstr' u Gn
��_ 50
� _Gas
062 Standard—�
Water Heating System Actual
QTY Size Fuel EF Distribution
1 50 Gas 0.62 Standard
The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating
considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a
typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only
after the features listed have been verified and approved by the CaICERTS Certified Rater shown above. If you have a concern or
complaint regarding this report of the services used in obtaining it, you may contact: CalCERTS - Customer Service 31 Natoma St
Suite 120, Folsom, CA 95630.