SFD (04-8348)f. t4a"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760),.777-7012
At _Of�te` 78-495 TAMPICO
777- 1
LA QUINTA, CALIFORNIA 92253 INSPECTION77-
�(70
3
.,'';�,,BUILDING PERMIT
2005
CITY OF k4k� NTA
Application Number
00*0834
Property Address, .
. . . . .. 60355 LIVING STONE R
APN:
764-270-999-45 -300233-
Application description . . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
... . . MEDIUM HIGH DENSITY RES
Application.valuation
14.5707
Owner
Contractor
-- - - - - - - - - - - - - - - - - - - -
SHEA LA QUINTA
- - -1-, 7 7-7 7`7-:- ---------
SHtA HOMES, INC.
----
C/O JEFF MCQUEEN
8'1260 AVENUE 62
8800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE AZ 85258 (760) 777 -6005 -
WCC: NTL UNION
INS
WC: 6436568
08/01/05
CSLB: 672285
06/30/05
CCC:, 3
------ Structure Information
PLAN 4210A W/CASITA MBR BOX
BAY -----
Construction-Type . .
. . . TYPE V NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10'
Other struct info
CODE EDITION
2001
# BEDROOMS
4.00
FIRE SPRINKLERS'
NO
GARAGE SQ FTG
474,.00
PATIO SQ .FTG
3r8 . 00
.,..NUMBER 'OF' UNITS
1.00.
1ST FLOOR SQUARE FOOTAGE
1636.00-
- - - - - - - - - - - - --- - - - - - - - - - - -
Permit . . . . . .
- - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - -
BUILDING PERMIT
- - - - 7 - - - - - - - - - - -
Additional desc
Permit Fee . . . .
800.50 Plan Check Fee
130.08
Issue Date . . . .
Valuation . .
. . 145707
Qty Unit Charge
Per
Extension
BASE FEE
639.50
46.00 3.5000
THOU BLDG 100,001-500,000
161.00
7 -------------------------------------
Permit . . . . . .
---------- ---------------
MECHANICAL
7 --------
Additional desc
-Permit Fee
83.50 Plan Check Fee
5.22
Issue Date . . . .
Valuation,
0
Qty Unit Charge
Per
Extension
BASE FEE,
15.00
2.00 .9.0000
EAMECH,FURNACE <--'100K
,
18.00
2.00
MECH_,t�/C -,?,=3HP/100K BTU.
d8. 00
4.00 6.5000
EA MECH VENT FAN
26.00
P.O. Box 1 504 • / VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: L - &348 Date: Al
Applicant: Architect or Engineer:
Applicant's Mailing Address: rc ' ct or n ' eer' Add ess;,�,�r
t-Cic. No.: L_ 1107 C/
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Codeand License i full force and effect.11-
icense Classss _ icense No. ((!722 9 5
S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, 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 Contractors' 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 exempfion. 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).):
U 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 or 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.).
U 1, 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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.
I 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
"d, y rYrs' q/m) nsatior nce carrier aO�arrier,-Policy Number po y�hb�erg:
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 become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ate �5 cant /
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, INTEREST, AND ATTORNEY'S FEES.
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 _
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 permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction,
and hereby authorize representatives of this county to en po the above -m tioned ope for inspection pur oses.
/Date V ignature (Applicant or Agent):
Page
2
Application Number .
. . ... 04-00008348. Date
3/29/05,
Qty Unit Charge
Per
Extension
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee
81.74. Plan Check Fee
5.11
Issue Date . . . .
Valuation . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1636.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
57.26
474.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
9.48
Permit . . . . .
PLUMBING
Additional desc
Permit Fee
146.25 Plan Check Fee
9.14
.Issue Date . . . .
Valuation . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
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
---------------
Special Notes and Comments
SFD - LOT 45, Plan 4210A,
1636 SF.,
INCLUDES CASITA (255
SF) & MBR BOX
BAY (26 SF) . PERMIT DOES.
NOT INCLUDE
POOL, SPA, BLOCK WALLS
OR DRIVEWAY
APPROACH. 75% REDUCTION
TO PLAN CHECK
FEES DUE TO MULTIPLE
ISSUANCE OF SAME
PLAN TYPE.
-----------------------------------------------------------------------------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
.00
Page 3
Application Number
. . . . .
04-00008348 Date 3/29/05
----------------------------------------------------------------------------
Other Fees . .
. . . . ..
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
36.6.00
1
ENERGY REVIEW FEE
13.01
`
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
STRONG MOTION (SMI) - RES
14.57
DIF STREET MAINT FAC -,RES
15.00
DIF TRANSPORTATION -- RES
1098.00
Fee summary
Charged
Paid.. Credited^
Due
Permit Fee Total.
1126..9.9
.00 .00
1126.99
Plan Check Total
149.55
.00 .00
149.55
Other Fee Total
2432.58
.00 .00
2432.58`
Grand Total
3709.12.
.00 .00
'3709.12
a .
- JCM Inspections
39725 Garand Lane Suite, F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC Date: 6130105
Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274 7-
Set ID Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A Phase 9C - Lot # 3045 Slab on Grade 5-12-05 Concrete
273-512 Nook Required psi: 4000
70 7 2830
71 28 3820
72 28 3860
L ) V �h%V J�bl�iG D f` 7 73 49 4000
CERTIFIED:
M Inspections supplies the service
2of compression strength test results only.
Per ASTMC39
• 1
Page 1 of 1
o,
JCM Inspections
39725.Garand'Lane Suite F :.
Palm Desert, CA 92211. I.
INSPECTIONS �1 ;;t' Phone. 760-345.-5 •- Fax: 760-772-3895 INSPECTIONS.
REINFORCED CONCRETE,INSPECTION, REPORT Dates: Noted Below
Project Name: Project No: ,
Trilogy @ La Quinta - Shea Homes t 02-1109
Project Address: City:
817260 Avenue 62 Ila Quinta; CA
QIBC .
Title 24
Other:
-Client: Sufi=Contractor:! '
Shea La Quinta, LLC • DCCCC
General Contractor: Architect: Structural Engineer: .
Shea Homes Bassenian Lagoni Borm & Assoc, I nc/Suncoast.Post Tension LP
Slump (inches): rC --� C Supplier: Superior
Time Sampled:. ,q r 3 S Q rh Mix Design: D83625P
Time in Mixer (min.): ` Specified Strength (PSI):, 4000.
Water Added @ Jobsite (gals.):. Addmixture: • POZZ 322N
Concrete Temperature (F)c Truck #: L� Ticket #: Ll -4I c 1
Ambient -Air Temperature (F): Field ID Marking:. Set A - 4'cyli6ders . `
Weather:
Unresolved Items:
None
See Below
Location of Sample: S1 0Xll a. afh
4 Q No Samples Taken
Description of Work Inspected: Phase Lot# Product • Plan
•
60 o_
s- 1 _ Cita.
1) Received mill certifications for rebar and tendons placed.
2) Typical exterior Footings including Garage Footings/Door (11,12,13/SD-1), Tie Beams (20/SD-1); Typical Interior Footings/Rib including step (15,18/SD-1),
,
Seven Strand Tendons (4,10;12,13;16/SD-1), Sirripson Strong Walls--(24/SD,-1), AnchorsBoltand Holdowns (6,7,8/SD71),'Pad Footings and additional
rebar placed as per these details and as noted on --kl n irw, J.1
.oma PS ctQr ey�i.n� "
Also, typical details 2, 3/SD-1 and Notes on SN -1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were
securely tied and supported off the earth. Accepted for concrete placement..
1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on. Grade. Total cubic yards placed: approx o
A mechanical vibrator was used to consolidate the concrete. Approved #4 rebar slab dowels were placed @ 18" o.c. -
2) Molded 4 cylinders for compression tests with breaks at 7 days (1), 28. days (2) and one for holding purposes.
1) The placement of concrete for. Garage Interior Footings and Slab on Grade Total cubic yards placed: approx . Verified correct mix design.
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to,the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.. ,
Inspector: Jack C.Millin ;ICCCeificationo: 0842216-80' ,. '
Contractors Representative;
Copy 1 JCM Inspections
Copy 2 Project Superintendent .
V Copy 3� Governing Agency Page of 1�
�T
.0