SFD (05-5443)Application. Number. 0500005443
Property Address: 61105 Living Stone Dr
05-5443
APN: 764-270-999-46 -300234-
Application description: DWELLING SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 142817
Applicant:
Architect or Engir
12.04,
BUILDING & SAFETY DEPARTMENT
h
CIV C
�V O
DING PERMIT
LICENSED CONTRACTOR'S DECLARATION "
I hereby affirm under penalty of perjury hat I am licensed under provisions of Chapter 9 (commencing with
Section 000) ol Division 3 of th 'n ss and Profess, nals Code, and my License is in full farce and effect.
U n ess: Li ense No.: 672285
Dat: [� Contractor. t -
OWNER -BUILDER DECLARATION
I hereby affirm under.penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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.).
(_ 1 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. B.&P.C. for this reason
Date: - Owner:
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:
LQPERMIT
VOICE (760) 777-7012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .12/14/05
Owner:.
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800.N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
-------------------
WORKER'S 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier AMERICAN HOME Policy Number 1247619
_. I certify that, in the performance of the ark for which this permit is issued, I shall not employ any
person in any manners as to becom subject to the workers' compensation laws of California,
and agree that, if I s ul ecome su ect to the workers' compensation provisions of Section
700 of the Labor shall fo I with those provisions.
Da Applican .
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.
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 1 have read this application and state that the ove information ' correct. I agree to comply with all
city and coun ordinan es and state laws relating to buildi struction thorize representatives
of thi my r on the above-mentioned propert or in a pur es.
r
Date: ture (Applicant or Age
Application Number
05700005443
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
562.00
PATIO.SQ_FTG
457.00.'
NUMBER OF UNITS`
1.00
-------------------------------------------------------------------
1ST FLOOR SQUARE"FOOTAGE.
1556.00
Permit . .
BUILDING PERMIT
Additional desc..'
`
Permit Fee
790.00 Plan Check Fee
513.50
Issue Date . . . .
Valuation . . . .
142817
Expiration Date
6/12/06
Qty Unit Charge
Per
Extension
BASE FEE
6.39.50
43.00' 3.5000
-THOU BLDG 100,001-500,000
150.50
Permit . . .
MECHANICAL
Additional desc .
Permit -Fee
77.00 Plan Check Fee
19.25
Issue Date
Valuation
0 v
Expiration Date-
6/12/06
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.00 9.0000,EA
MECH B/C <=3HP/100K BTU
18.00
3.00 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . .
ELEC=NEW RESIDENTIAL
1" "
Additional desc .
Permit,Fee.
80.70 Plan Check "Fee,:'
20.18
.Issue'Date
Valuation
0
Expiration Date
.
Qty Unit Charge.
Per
Extension'
BASE FEE
15.00
1556.00 .0"350
ELEC NEW RES - 1 OR 2 FAMILY
54.46.
562.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.24
LQPERMIT
Application Number_ . . . 05-00005443
Permit PLUMBING
Additional desc .
Permit. Fee .123.00 Plan Check Fee
30.75
Issue Date -Valuation
0
Expiration Date 6/12/06.
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 3.0000 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" 15.0000 EA PLB GAS METER
15.00
Permit . . GRADING PERMIT
Additional desc,.
Permit Fee 15•.00 Plan* Check Fee
.00
Issue Date Valuation
0
Expiration Date '6/12/06
Qty Unit Charge Per
Extension
"BASE FEE
15.00
------------------------------------------------------------------------------
Special Notes and.Comments
SFD - LOT 46 PLAN 4510A, 1556 SF (26
SF BOX BAY @MBR, 83 SF GAR. EXT. 120/SF
PATIO EXT.PERMIT DOES NOT INCLUDE BLOCK
WALLS., POOL, SPA OR DRIVEWAY APPROACH
Other Fees ART IN'PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
51:35
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES.
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC.- RES
892.00
STRONG MOTION (SMI) - RES
14.28
DIF -STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION --RES
1666.00
Fee summary Charged Paid.' Credited
Due
iQPE
„
Application Number
. . . .
05-00005443
- -
Permit Fee Total
-----
1085.70
---- --- ---
.0.0
00
------ --
1085.70.
Plan Check Total
583.68'.
.00
.00
583.68
Other Fee Total
3761.63
.00
.00"
3761.63
Grand Total
5431.01
.00
.00
5431.01
,r
LQPERMIT
-
-
JCM Inspections
39725 Garand Lane Suite F
IL
Palm Desert, CA 92211
i
I N S P E C.T IO N S Phone: 760-345=5554 - Fax: 760-772-3895 ` i INS PEC T I ON 5.
F
k COMPRESSION STRENGTH TEST RESULTS,*
' Client: Shea La Quinta, LLC Date .3/13/06
- �-dam .. .. . .:' . .♦ . ., � `' ♦` � .. .. _t w• 1 r.
-,Pr @'L'a Quinta'-Shea Homes ` F` Project No `02-1109
^��81-260 Avenue 62 r. ;, ♦ i : w; f,
" La Quinta, CA 92274
Set ID Structure •, _ Age of Test Compression Strength
JCM ID Location ,' L , ' Date Cast • Cylinder ID (days) ,(psi)
Set A Phase 13C - Lot # 4046 Slab on Grade 2-7-06 Concrete !
273-667 Bedroom 2 /_�C �5 / . � i""� �� " r Required psi: 4000
2657 .7 - 3870 "
-• 2658 28. 5250
2659. _ 28 L
5310
CERTIFIED:.
nspections supplies the service
a f �,; 3 -.. ; , t . • of compression strength test results only.
Per ASTMC39
1f:'• ., • :w [ - r .tet, y' - -' -
+x
04 0
Page 1 of 1 "� �} a:• A a '? f �, . ,
JCM Inspections '
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - .Fax: 760-772-3895 I N S P E C T I o N s
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
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes for Active Adults Bassenian Lagohi Borm & Associates, Inc./ Suncoast Post Tensi
Slump (inches): Supplier: Superior
Time Sampled: n c,.,%"% Mix Design: D83625P'
Time in Mixer (min.): J f i Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): Al Addmixture: . POZZ 322N
Concrete Temperature (F): Truck M ���, Ticket#: /
Ambient Air Temperature (F): in�� Field ID Marking: Set A -'4 cylinders
Weather:
Unresolved Items:
® None
❑'See Below
Location of Sample: a� n , J n �Q . e,>`!rnnV,Il �.
No Samples Taken
Description of Work Inspected: Phase 3C_ Lot# O L`(Product PlanL
L't i, e, C��l o A Q,
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 £ , , nLA o (' a n CC Q xe� r, I r A
J
en
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
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 ICC Certific tl ' O.. 0842216-80
Co1ntractoes Representative;
Copy 1 JCM Inspections . Copy 2 Project Superintendent + Copy 3 Governing Agency Page A— of
+
JCM Inspections
39725 Garand Lane Suite F
I_
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION. REPORT Date:
Project Name:
Project No:
Trilogy @ La Quinta - Shea Homes
02-1109
Project Address: City:
OIBC
81-260 Avenue. 62 La Quinta, CA
❑ Title 24
Client: Sub -Contractor:
Shea La Quinta,,LLC Sun Coast Tensioning
Other:
General Contractor: Architect:
Structural Engineer:
Shea Homes for Active Adults Bassenian Lagoni
Borm & Associates, Inc./
Suncoast Post Tensi
Size and Type of Tendons: 1/2"'Diameter Seven Strand Stress -Relieved Tendons
Weather:
SUAt,u.
Jack Machine, Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
Unresolved -It ms:
S3,0ca psi to 33.04 kips/33,000 lbs
None
E] see Below
Calibration Date: Machine #
Phase GC Lot# L4duct Plan y ��
Description of Work Inspected:
Actual Elongation (in)
Specified
Complies within 7% +1- of specified elongation.
Lot Location Tendons Elongation (in)
Reference 11 h/SN2.
1#
y a"1
Yes No
n c c1 c. _CEJ` �1 � t\ 1
0
I 3�L
�� ❑
Q� S]� n o.�J—SitIlS..
S
� �
1�1i ❑
/ QSt
I
t 7
ED- El
nn
-Aj
El
❑ ❑
❑ ❑
❑ ❑
❑ . ❑l
❑ ❑
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 No: 0842216-89
Contractor's %Representatitive:
(A !
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of �
MAY 17,2006 12:55 BCI*TESTING,ri1 000-000-00000
Page 3
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING May, 15 2006
This CF -4R issued by CaICERTS® is for the home located at: 61105 Living Stone Drive
La Quinta CA, 92253
Certificate Number: CC3-1798363684 w)t{
Date inspected:
May, 15 2006
CaICERTS Rater;
William Henson
1573 Square Feet
CC7.004076 `
HERS Analyst:
Chinh Nguyen r:
Builder/ Developer:
Shea Homes, Inc. 1�
Project:
-Trilogy 2005 Standards
Phase:
13C
Plan Name:
4510 STD
Lot Number:
046 .
Specifics about this home:
General Information
Conditioned Floor Area:
1573 Square Feet
Conditioned Volume:
14157 Cubic Feet
Front Orientation:
Cardinal
Number of Stories:
1
Heating and Cooling Systems
Heating Equipment:
Furnace: 0.8
Cooling Equipment;
ACSplit: 13.0
HVAC Air Distribution
Duct Location: ALLIc:
Duct Leakage Target: 0
Duct Insulation R -Value: 6.0
Air Infiltration
Blower Door Target:
Water Heatino System Proposed
TY Size Fuel EF Distribution
1 50 Gas 0.62 Standard
Water Heating System Actual
TY Size I Fuel I EF Distribution
1 50 Gas 1 0.62 1 Standard
Testing & Verification Results
Main System HVAC 5 Stem
'Duct Scaling Passed
Installation of Thermostatic. I Expansion Valve Passed
TXV
High Energy Efficient Ratio EER Passed
Teated
QApproved Aa Part Of Sample ()roup
$ CI Testing
77-760 Country Club Bttite I
Palm Desert, CA, 92211
M-772-29,
_> =/S -
Certifying Signature Date
The energy efficiency rating of this hone Is deter'rnirled using California Home Energy Rating System (C -HERS) rUles. The rating considers
heating, cooling and water heating and assumes average weather, thermostat settings; and Quantities, of hot water for a typical household.
Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided unly after the features listed have
been verified and approved by tite CaICERTS Certified Rater shown above. If you haves a turners or complaint regarding this report of the
services used in obtaining it, you may contact: CaICFRTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630.
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building at
61-105 LIVING STONE DRIVE, LOT 4046, PHASE 13C, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Cocoon THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Borate THICKNESS: WA3
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: G
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