SFD (05-1069)60415 Living Stone Dr
05-1069
INSPECTI EQUESTS (760) 77 153
APR 0-4 Z005
���. teamTA
YIN
Application Number-, .
. . �05�00001069_x,
Date •3/2-9/05
."Property Address
6.0415 LIVING STONE DR
APN:
764 -270 -999 -48 -300233 -
Application description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning'. .
MEDIUM'HIGH DENSITY RES
Application valuation
-. 139594
k
Owner
Contractor
a
SHEA LA QUINTA
SHEA HOMES, INC.
C/O JEFF ,.MCQUEEN• .
81260 AVENUE 62
8.800 N GAINEY CENTER.
350 LA QUINTA
CA .92253
SCOTTSDALE
AZ 85258 ,(760) 777-60,05
WCC: NTL UNION INS
WC: 64.36568
08/01/05
CS.LB:. 672285
06/30/05
CCC: B
------ Structure Information
SFD PLAN 4510 W/MBR. BAY 26SF
=----
Construction Type . .
. TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLER'S
NO
GARAGE SQ FTG
.,4 7 9' 0 0
PATIO., SQ FTG e�
:... 337,. 00
' LNUMBER OF UNITS
,. g"1.00
1ST FLOOR SQUARE FOOTAGE
1556.00
Permit . . .
BUILDING PERMI.T
'Additional des'c
- Permit Fee
779.50- Plan Check Fee
506.68
Issue Date
Valuation
139594
Qty Unit Charge
Per
Extension
BASE FEE
639.50
4.0.00 3.5000
THOU BLDG 100,001-500,000'
I
140.00
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 <=100K
18..00
2.0.0 9. &0166.1
,_EA MECH B' /C` <=3HP/100K'.BTU
18.00
4.00 6.5000
EA MECH VENT FAN
26.00
P.O. Box 1 504 • / VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: a!5 - �pq Date: 4• 1 • U
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Archi t or ggin1r'sdres
�,�h Eaire
No.: (f 26 4/0/
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 Licensefull force and effect. /_ 2
cense Class ense No. & 7.2yS
ate 7 �/ b5 ntractor SAaril
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 ($500).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is hot intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
.-Of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
y w rkeu�co�np�nsa n in ce carrier and�$oli
C er �(A/'J/Vl( dI'J icv Number
_ I certify that, in the performance of the work for which this permit is issued, I shall nTemploy 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 Ouinta, its
officers, agents and employeesfor 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:ignature
plication and st 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 aurize repre atives of this county to ent pan the abov -mention pr party for inspect i n purposes.
•
I
o bs (Applicant or Agent):
c
o � '
i
Page
2
Application Number
05-00001069 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
-79.04 Plan Check Fee
19.76
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1556.00
.'0350
ELEC NEW RES - 1 OR.2 FAMILY
54.46
479.00
----------------------------------------------------------=-----------------
..0200
ELEC GARAGE OR NON-RESIDENTIAL"
9.58
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. .
123.00 Plan Check -Fee
- 30.75
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
9.00
6.0000
EA PLB FIXTURE
54.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
1.00
3.000O.EA
PLB WATER.INST/ALT/REP
3.00
1'.00
9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA PLB GAS PIPE >=5
4.50
1.00
15.000O.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
Spe
----------- --------------------
----,---------------------
and Comments
SFD - Lot 48 Plan
45100 (1556'sgft)
w/MBR Box Bay
(26 sgft). Permit does not
include block
wall, pool or driveway
approach."2001
CBC
OtherFees .
. . . .
------------------------------------
--------------------------Other
. . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
-366."00
Page
3
Application Number
. .
05-00001069. Date
3/29/05
Other Fees.
. . .
ENERGY REVIEW.FEE
50.67
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
13.95
DIF STREET MAINT FAC -RES.
1.5.00.
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1080.04
..00 .00
1080.04
Plan Check Total
578.07
.00 ..00
578.0.7
Other Fee Total
2469.62
00 .00
2469.62
Grand Total
4127.73
00. .00
4127.73
JCM Inspections. .
1 39725 Garand Lane Suite F .
Palm Desert, CA 92211 I_
INSPECTIONS Phone: 760-345-5554s - 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
❑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): C�—�C Supplier: Superior
Time Sampled: C� I O w, . Mix Design: D83625P
Time in Mixer (min.): Sb Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): Addmixture: POZZ 322N
Concrete Temperature (F): --7 Truck #: (� Ticket #: 31
Ambient Air Temperature (F): —7�, Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
[`None
E] see Below
Location of Sample: St as, n a G r rl Flo - lL Tr VN o V%
❑ No Samples Taken
Description of Work Inspected: Phase G LLlot# —3 Q Product Plan
`V't ,� ren P.��. v.2...
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 �„ .Q • „� ,.,,k n e c,
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 C)
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: Jai C. Mi lin ICC Certi�tc'ation ' o: 0842216-80
Contra�et�or'srRepresentative:
Copy 1 JCM Inspections Copy 2 . Project Superintendent l.J Copy 3 Governing Agency Page of