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SFD (04-8347)60395 Living Stone Dr 04-8647 Date , 3/29/05 60395 LIVING STONE DR 764-270-999-47-300.233- DWELLING-- SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 145707 " Application Number,, . Property Address APN : _ Application description Property'Zoning Application valuation,. BUILDING & SAFETY DEPARTMENT (760). -7012 (-7-W 1-7011 INSPECTrj. RE UESTS 7 0) �U,1[7153 APR 0 4 2�1��a Owner Contractor •------------------------ -----------------.a i. .- SHEA LA QUINTA SHEA HOMES, INC. ' C/0 -JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER•'350. LA QUINTA CA,922-53 SCOTTSDALE AZ 85258 (760) 777-6005 " WCC: 'NTL UNION.'INS WC: 6436568• 08/01/05 CSLB: 672285 06/30/05 CCC: B --=--- Structure Information PLAN 4210A W/CASITA MBR BOX BAY --_-- Construction Type TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001. # BEDROOMS 4.00 FIRE -SPRINKLERS NO GARAGE.SQ FTG 474..`.00 z -PATIO. SQ FTG , r ..' 3.181,0.0 'NUMBE•R O'F UNITS l ` 00 IST FLOOR SQUARE FOOTAGE 1636.00 ----- - . Permit - . - . - . ----i-------- -... -- - . ---- --------------------------------- BUILDING PERMIT -------------- - ---. -- Additional desc Permit Fee 800.50 Plan Check Fee 520.33 Issue'Date - Valuation . . . . 145707. Qty unit Charge Per Extension BASE FEE .639.50 46.00_-------_ ------- 3._5000 -THOU BLDG 100,001-500,000 -f+`� 161.00 Permit MECHANICAL Additional desc Permit 'Fee 83-.50 Plan_ Check Fee ;. 20.88 Issue Date Valuation 0 Qty, Unit Charge, Per Extension �• BASE FEE 15.00 2.00' 9.0000 EA`. `• MECH FURNACE ,< =10 0 K 2.00 9. 0b,.0:&4 -EA,',-,- MECH 'B/;'Ci c=3HP•./100K 'BTU `' ;18.00 4.00. 6.5000 EA MECH VENT FAN 26.00 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: 04 - 8,341 Date: �• (• OS Applicant: Architect or Engineer: Applicant's Mailing Address: —ArchiX V or E i per's dre Ah ic. No.: � Z& q6 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Cod nd my Licens in full fort? and effect. 7 n2� ' ense Class cense No. (0 �[ ,,115—atetractor 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 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 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.). L) I am exempt under Sec. , B.8 P.C. for this reason Date Owner 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 i d. M w r���((�� cotn a sation ins a carrier and li r arrier L.I/3% A 1 � icy Number _� L 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. Date 01 Ej ppI�FC icant �/'%1L.K ���Q �• 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 Lenders Address Ilk 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. 1 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 re ntatives of this county toe er upon the abov - ention r perty for inspection purposes. Date J Signature (Applicant or Agent): t 1;• Page 2 Application Number 04-00008347 Date 3/29/05 Qty Unit Charge Pere Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 81.74 Plan -Check Fee 20.44 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 4.74.00 -.0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc Permit Fee . . . . 146.25' Plan Check Fee 36.56 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 47, Plan 421OC, 1636 SF., INCLUDES CASITA (255 SF)-& MBR BOX BAY (26 SF) . -------------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC -PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 52.03 Page 3 Application Number . . 04700008347 Date 3/29/05 Other Fees . . . . . 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 ---------- 1126.99 .00 .00 1126.99 Plan Check Total. 598.21 .00 .00 598.21 Other Fee Total 2471.60 .00, .00 2471.60 Grand Total 4196.80 .00 .00. 4196.80 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS, Phone:. 760-3454554 - 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 92274 Set ID Structure Age of Test Compression Strength JCM ID Location bate Cast Cylinder ID (days) (psi) Set A Phase 9C - Lot # 3047 Slab on Grade 5-10-05 Concrete 273-509 Kitchen Required psi: 4000 9978 7 3880 9979 _ 28 5156 663 1 s C, V Iv_� �V'iJa D(L, 9980 28 52/p\ Page 1 of 1 ..L JCM Inspections - 39725 Garand Lane Suite F _ _ Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554,.1- Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: (voted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA ❑✓ IBC F—] Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP Slump (inches): 5-'00 Supplier: Superior Time Sampled: R'+ 3o a�,,.1 Mix Design: D83625P . Time in Mixer (min.): G O Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F): -1(a Truck #: G""7s—Ticket #:"'� t, Ambient Air Temperature (F): "'t - Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: None ❑ See Below Location of Sample: `q� t a4-0 nv7 ❑ No Samples Taken Description'of Work Inspected: Phase Lot# 3 Q Product Plan n G 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 (_ %n c. i `OK W *\ hZ p vJ C' Q-.. Qr• Also, typical details 2, 3/SD-1 and Notes on SNA 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. S --I0 -oa 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. —05;.- 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 ICC Certifica\t1'o : 0842276-80 Contr ctor's Representative: v Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of