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SFD (07-2082)P.O. BOX 1504 78-495 CALLE TAMPICO LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: _07j,00002082 Owner: Property Address: 61765 MESA CT - SHEA LA QUINTA APN: 764-280-999-57 -300237- C/O JEFF MCQUE. Application description: DWELLING - SINGLE FAMILY DETACHED 8800, N GAINEY' Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ Application valuation: 225179 Contractor: Applicant: �rchitect or Ejneer: SHEA HOMES, INC. (' Q 81260 AVENUE 62 LA , 92253 (760)0) 777-777-600505 i Lic. No.: 672285 VOICE (760) 777-7012 '.FAX (760),777-7011 INSPECTIONS (760) 777-7153 R 350 8 JUL 2 7.3 07 L�U/ CITY OF F1�ANr= QUINA Date: 7/17/07 DN I. _ LICENSED CONTRACTOR'S DECLARATION ------------------------------------- WORKER'S COMPENSATION DECLARATION • I here y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with , I hereby affirm under penalty of perjury one of the following declarations:. ' cti 70001 of Division 3 of the eiw sand Profes ionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ' sMb;�Cl License No.: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: tractor: 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 workerscompensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: ' hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number '1247619 following reason (Sec. 7031.5; Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this. permit is issued, I shalt not employ any - construct, alter, improve, demolish, or repair any structure,,prior to its issuance, also requires the applicant for the person in any man o as to become subject the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State nd agree that, if shou b m subeeet tot workers' compensation provisions of Section . - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ' `• ✓'n 740 of the La e,•s Ifo with co ' h those provisions. , 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 155001: `/j' ate: licant. 1 _ 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 WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to.an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - and who does the work himself or herself, through his or her own employees, provided that the DOLLARS 15100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvementis sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r 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.). - APPLICANT ACKNOWLEDGEMENT ° 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. _ r - ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ' (_) I am exempt under Sec. , B.&P.C. forthisreason 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. ' Date: Owner: 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 - CONSTRUCTION LENDING AGENCY • .1 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.1. permit to cancellation.- I ce ify that I have read this application and stateqal,'abo a m rmation is ect.Iagee to comply with all 'ty nd countyVi-dinances and state laws rela atng nstru 'on, and by authorizeepresentatives h uweq�t0 enter upon the above-mentione for pectinurposeDate: Lender's Name:o IVB S' ature (Applicant or Agen- Lender's Address: LQPERN1IT LQPERMIT Application Number . . . . . 07-00002082 Permit BUILDING PERMIT Additional desc . Permit `Fee . . . . 1080.50 Plan Check Fee 702.33 Issue Date Valuation 225179 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 639.50 126.00 3.5000 THOU BLDG 100,001-500,000 441.00 Permit MECHANICAL Additional desc . Permit Fee 74.50 Plan Check Fee 18.63 Issue Date . . . . - Valuation . . 0 Expiration Date'. 1/13/08 Qty, Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH.EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 117_85 Plan Check Fee 29.46 Issue Date Valuation . . 0 Expiration Date 1%13/08 Qty Unit Charge Per Extension BASE FEE E 15.00 2599.00 .0350., ELEC NEW RES - 1 OR 2 FAMILY 90.97 594.00 - .0200 ELEC GARAGE OR,NON-RESIDENTIAL 11.88 Permit PLUMBING Additional desc . Permit Fee 160.50 Plan Check Fee 40.13 Issue Date. . . . . - Valuation. 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE. 15.00 15.00. 6:0000 EA PLB FIXTURE 90.00 1:00 15.0000 EA PLB BUILDING SEWER 15.00 Application Number . . . .. . 07-00002082 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 8.00. .7500 EA PLB GAS PIPE >=5 6.00 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 1/1.3/08. ? Qty Unit'Charge Per Extension BASE FEE 15.00 -------------------------------------------------------- Special Notes and Comments SFD - LOT 57, PLAN 5500A, 2599 SF. (149 SF. EXERCISE ROOM, 63 SF,BB, 83 SF. GARAGE.EXTENSION). PERMIT DOES'NO"T INCLUDE POOL, SPA,_BLOCK WALLS OR DRIVEWAY APPROACH. 2001"CBC, CMC, CPC, 2004 CEC; 2005 ENERGY CODES ------------------.-------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 62.94 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 -ENERGY REVIEW FEE. 70.23 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 892.0.0 STRONG MOTION (SMI) - RES .22.51 DIF STREET MAINT FAC -RES 67.00,, DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1448:35 .00 00 1448:35 _Plan Check Total 790.55 .00 :00 790.55 Other Fee Total 4630.68 .00 00 4630.68 , Grand Total 686.9.58 ..00 .00 6869.58 LQPERAIIT - .; JCM Inspections Elm% 39725 Garand Lane Suite F Palm Desert, CA 92211 LT.R=JA INSPECTIONS Phone: 760-345-5554 - 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: 60-800 Triolgy Parkway La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): �� Supplier: Superior Time Sampled: t1 • �,.. rs Mix Design: D83625P Time in Mixer (min.): (�,fy� Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.):` Addmixture: POZZ 322N �J^ 4� Concrete Temperature (F): ct R Truck #: S-) f� Ticket M Ambient Air Temperature (F): !Rn �' Field ID Marking: Set A - 4 cylinders E p IBC Title 24 Other: Unresolved Items: F—] None See Below Location of Sample:l's r, c�, a, , No Samples Taken Description of Work Inspected: Phase Lot#ll Product Plan IF 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 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. E., _r 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx j oo , 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 r--- 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 No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections alm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 as% INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips L) r'?r) psi to -33.04 kips/33,000 lbs Calibration Date: Machine # �'" i ' Phase ISC;�Lot# -- 0$<17Product Plan- ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑ None ❑See Below Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. �& p Sri Yes No ._ El C nr� � civ t� G c- ©' ❑ Lk N, ©/ ❑ , �' � � �� cl coo W = �� t�+C.. }'"( 11 ❑ c E .GRcn nnc\ [E` ❑ 1����'<-AtCd:?^1- Ccs C' c>�.?� .'a � ❑ .» + ❑ ❑ ❑ ❑ 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 Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 0 JCM Inspections 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: 12/2/07 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 60-800 Triolgy Parkway La Quinta, CA 92253 Set ID Structure Age of Test' Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 18C2 - Lot # 7057 Slab on Grade 8-16-07 Concrete 273-917 Kitchen Required psi: 4000 8071 7 3070 8072 28 4490 8073 28 4450 n CERTIFIED: 6 M Inspections supplies the service of compression strength test results only. Per ASTMC39 }