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SFD (04-8349)60375 Living Stone Dr 04-8349 (760).777-7012 OFTt�9 78-495 CALLE TAMPICO 6�+-'47z-j 011 LA QUINTA, CALIFORNIA 92253 , INSPECTI T -S..( i6 77 153 BUILDING PERMIT APR 0 4 2005 :CIP'IYoNaN,OF LA'QuINTa Application Number. . . . . .0 04---0-00083.4.9,;% 3/29/05 Property Address 60375 LIVING STONE DR APN: 764-270-999-46 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . MEDIUM HIGH DENSITY RES Application valuation 148309 Owner Contractor ------------------------ ------------------ SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 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: B. -------------------------- Structure Information -----------------------=- Construction Type . . . ... TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 488.'00 PATIO SQ FTG 1.77 .-,00 NUMBER-OF"UNITS '� " ,} 1.00 1ST FLOOR SQUARE FOOTAGE 1688.00 Permit . . . . . . BUILDING PERMIT..., Additional desc s Permit Fee811.00 Plan Check Fee 131.79 Issue Date . . . . Valuation . . 148309 Qty Unit Charge Per Extension BASE FEE 639.50 4'9.00 3.5000 THOU BLDG 100,001-500,000 171.50 Permit . . . . MECHANICAL Additional desc Permit Fee 64.00 Plan Check Fee 4.00 Issue Date Valuation . . 0 Qty Unit Charge Per. Extension BASE • FEE ` 15.00 2.00 9."0000 EA-. ,' MECH ^FURNACE <=100K - 18. OD 2-.00 9.0.0,0.0 EAu%'' MECH-B/' <='3HP/100K• BTU 18.00 1.00 6.5000 EA MECH VENT FAN 6.50 k- P.O. Box 1504 • 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: Date: �• /•OSS Applicant: Architect or Engineer: Applicant's Mailing Address: rchi or Engj7�r's • re � /y%2N2 04 ic. No.: 2 0gL01 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 Code, and my Licenses, in full force and effect. & 722Z S /�(_icens�efClass_ �•� C L e No. Date / D O ontractor Jul 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 exemption. Any violation of Section 7031.5 by any applicant fora 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 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.). 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' compensate insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d My workems' c pensation rance carrier—MOV n pi rn r amer olicy Number _ 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. 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 auth�ignature esentatives of this county to e r upon the abov -menti a perty for inspect* n purposes. Date D 6S (Applicant or Agent): t � 0 Page 2 Application Number 04-00008349 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 83.84 Plan Check Fee 5.24 Issue Date Valuation . . . . 0 Qty Unit Charge, Per Extension BASE FEE 15.0.0 1688.00 .0350 ELEC.NEW RES - 1 -OR 2 FAMILY 59.08 488.00 .0200 ------------------------------ ELEC GARAGE OR NON-RESIDENTIAL 9.76 Permit PLUMBING -------------------------------------------- .Additional desc Permit Fee*128.25 Plan Check Fee 8.02 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 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 46, 1688 SF PLAN 4520A/BOX BAY @.MBR=26 SF. PERMIT DOES NOT INCLUDE -BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE -OF SAME PLAN TYPE ----------------------------------------------- Other Fees �.1. ----------------------- ART IN PUBLIC PLACES -RES .00 Page 3 Application Number . . . . . 04-00008349 Date 3/29/05 ------------------------------------------------------------------------------ Other Fees . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 13.18 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 14.83 DIF STREET MAINT FAC -RES 15.•00 DIF TRANSPORTATION - RES. 1098.00 Fee summary Charged Paid -Credited 'Due ; Permit Fee Total 1102.09. .00 .00 1102.09 Plan Check Total 149.05 .00 .00 149.05 Other Fee Total 2433.01 .00 .00 .2433.01 Grand Total .3684.15 .00 .00 3684.15 j A . 1. JCM: Inspections 7J_ 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: 6/14105 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 81-260 Avenue 62 La Quinta, CA 9227.4 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder. ID (days) (psi) Set A Phase 9C - Lot #3046 Slab on Grade 5-12-05 Concrete 273-511 Kitchen Required psi: 4000 66 7 3310 67 28. 4620 ff V) Q(9ST6,J G C 9, 68 28 4670 Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F L] J Palm Desert, CA 92211 -INSPECTIONS Phone: 760-345-5.554�.- Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below. Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City:• 81-260 Avenue 62 La Quinta, CA [?]IBC E] Title 24 Others Client: Sub -Contractor: A Shea La Quinta, LLC DCCCCI General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm'& Assoc, Inc/Suncoast Post Tension LP ----------- Slump (inches): S, 00 Supplier: Superior Time Sampled: RI "!S-0 0 V" Mix Design:. D83625P Time in Mixer ixer (min.): (e)o Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): /0 Addmixture: PCIZZ 322N Concrete Temperature (F): Truck #: (=_3z:_Ticket #: -1 q 11 Ambient Air Temperature (F): a1 Field ID Marking: Set A - 4 cylinders We i ather: Unresolved Items: 1201one See Below Location of Sample: V1 E] No Samples Taken Description of Work Inspected: Phase CN, Lot# 3()q(oProduct- Plan 0 32GI o" 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), Simpson Strong Walls (24/SD-1), Anchor Bolts and Holdowns (6,7,8/SD-1), Pad Footings and additional rebar placed as per these details and as noted on -S W1 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. _0 1) The placement of -concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 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. Sl 13-oS .1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 3 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: A C. Millin ICC ffiCation No: '1 -80 Contractor's Representative: Copy 1 JCIVI Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of