BLCK (04-7994)60455 Living Stone Dr
04-7994
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
F9 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA,.CALIFORNIA 9225.3 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number.04-00007994 Date 12/30/04
Property Address . . . 60455--L`;IVING STONE—DR
APN : -i64---2-7-0=9-9-9=5-0--J-0-0 2 3 3-
Application description WALL/FENCE
Property.Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . 3750
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 (7.60)777-6005
WCC: NTL UNION INS
WC: 6436568 08/01/0"5
CSLB: 672285 06/30/05
CCC: B"
JAN 13
1008
CIryOFL Ql11R1Tw
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: 047 79-qL4Date: ! • /.'�• OSS
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ur� enalty of perjury that I am licensed under provisions of Chapter 9 co encing with Section 7000) of Division 3 of the Business and Professionals
C , and ss Lic in full force and effect. �� 1.
icense Class ense No. 1 O
mete l 3FDontracto NQS
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 1, 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 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.
h ve�illrker workers' compensation insu ce, as req red b ectio�700 of the Labor Code, for the performance of the work for which this permit is
sekers compensation i nce car r�hd r
arrier olicv Number
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree t t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those o ' ' s.
at b
pplicen
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 / 1
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 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 thatthe abo ormation is rrect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this count nter up a above-mentioned property for inspection purposes.
Date
�� .�N �.
Signature (Applicant or Agent .
>..,:
Application Number 04-00007994
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 63.00 Plan Check
Fee
.00
Issue Date Valuation,
3750
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00, 9.0000 THOU BLDG 2,001-25,000
18.00
Special Notes and Comments
150 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited
Due
-----------------------------------------------
Permit Fee Total 63.00 .00
----------
.00
63.00
Plan Check Total .00. .00
.00
.00
Grand Total 63.00 .00
.00
63.00
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S
REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
❑✓ IBC
81-260 Avenue 62 La Quinta, CA
❑Title 24
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
Other:
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): 47na Supplier: Superior
Weather:
Time Sampled: r n n U rv1 Mix Design: D83625P
Time in Mixer (min.): Specified Strength (PSI): 4000
Unresolved Items:
Water Added @ Jobsite (gals.): Addmixture: POZZ 322N
n
None
Concrete Temperature (F): -!t _ Truck #: l2''"'C Ticket #: 2,1 3'7I9(
Ambient Air Temperature (F): O Field ID Marking: Set A - 4 cylinders
❑ See Below
Location of Sample: ,,,�, C, C'ft 0 n A on,0q
v ❑ No Samples Taken
Description of Work Inspected: Phase Lot# 3 0,C--0 Product Plan
fat's SS Lk V1n r, J1o&>f ra re.,
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�1Holdowns (6,7,8/SD-1), Pad Footings and additional
rebar placed as per these details and as noted on �Ll 4 . J_\tv i ti txx t
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.
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.
1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx I q 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 Certification o. 0842216-80
Con trac o�el Re .r_esen tive
v I q
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of A_