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SFD (07-2080)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 of BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-020.02-080----" Property Address: .61810 MESA CT APN: 764-280-999-62 -300237- Application description: DWELLING— - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 159387 Applicant: rchitect or E ineer: t -------------------------------------------------- . LICENSED CONTRACTOR'S DECLARATION I he by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. .. Sect n 7000) of ivision 3 of the B17jiness and Pr fessionals Code, and my License is in full force and effect: n e, las ' B f License No.: 672285 ate: tractor: 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 andProfessions 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 apermit subjects the applicant to a civil penalty of not more than five hundred dollars (5500):. 1 _) . 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 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.I. - Lender's Name: Lender's Address: PIP LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 7/17/07 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTE 0 SCOTTSDALE, AZ 8525 Q Contractor: JUL2 7 SHEA HOMES , . INC . C1 ry 81260 AVENUE 62 FIy�FL-AfdUtluT LA QUINTA, CA 92253 AIyCEDEPT A (760)777-6005 Lic. No.: 672285. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: - - 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. - A I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Y-' 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 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, , d agree that, if o•Id b orr(e`subject tot workers' compensation provisions of Section 00 of the La d ,Ise I forthwith ce. with those provisions.. - ate:p icant. 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 Applicationis 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 isnot commenced - within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject .permit cancellation. erti that to I'h ve read this application and state re above information is orrect. I agree to comply with all ci a c rdinances and state laws relati g to bu�'Idin construction, an h�reby authorize representatives of c unty ter upon the above -menti rty f insp do se . Date: nature (Applicant or Age .J Application Number . . . . 07-00002080 Permit . '. BUILDING PERMIT Additional desc . Permit Fee . . 849.50 Plan Check Fee 138.05 Issue Date Valuation 159387 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE • 639.50 60.00 3.5000 THOU BLDG 100,001-500,000 210.00 Permit MECHANICAL Additional desc . Permit Fee -. 65.50 Plan Check Fee .4.10 Issue Date . . . . Valuation . . 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 15..00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 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 . . . . 89.84 Plan Check Fee 5.62 Issue Date Valuation 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 " 1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62:06 639.00 0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit PLUMBING Additional desc. Permit Fee . . . . 120.O0 Plan Check Fee 7.50 Issue Date . . . . Valuation 0 Expiration Date. 1/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6:0000 EA PLB FIXTURE 60.00 1.00• 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT - - . Application Number 07-00002080 . 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 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,. 1/13/08 Qty Unit Charge."_ Per Extension BASE FEE 15.00 -------------------------------------- Special Notes -and Comments -------------- SFD - LOT 62', PLAN 4515B, 1,773 SF. 'WITH4GARAGE EXT. .(103SF) & BOX BAY CEJ NOOK(24 SF-). PERMIT • DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC',. CPC, 2004"CEC, 2005. ENERGY CODES -------------------------------------------------- Other Fees . . . ART IN PUBLIC PLACES -RES -------.---- 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY.REVIEW FEE'' 13.81 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 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1139.84 .60 .00 1139.84 Plan Check Total 155.27 .00 00 155.27 Other Fee Total 4524.74 ,.00 .00 4524.74 Grand Total 5819.85 ..00 .00' 5819.85 ' LQPERMIT - JCM Inspections Elm% 39725 Garand Lane Suite F Palm Desert, CA 92211 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): Lk -,I Supplier: Superior Time Sampled: Mix Design: D83625P Time in Mixer (min.): (_l e� Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.):Addmixture: POZZ 322N �n'►-s. Concrete Temperature (F): Truck #: , 1 Ticket Ambient Air Temperature (F): (� Field ID Marking: Set A - 4 cylinders IBC Title 24 Other: Unresolved Items: ❑ None See Below Location of Sample: No Samples Taken Description of work Inspected: Phase ?,Ga Lot# Product Plan C� — 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 A 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. Z' —1 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx r 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. )_ri -7 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 Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of L 091 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 TM. INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: �--S—cr Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Shea La Quinta, LLC Sub -Contractor: 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 _Sypa psi to 33.04 kips/33,000 lbs Calibration Date: 'Machine # �� ] Phase'%t;Z Lot#1Cj( Product_, Plan' �\� `(� rlcapu ❑✓ 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. 1'0(0c;. , Yes No tom` � � P '� �c j�c�.Q- �.acJ" 'T ��e�':S � �f � t � a� I � ®� ❑ Ir I ❑ �1- S'Aa- © El ,;I- �� ry� r El , 4 L l LJ ❑ riot * 1 / ElQa j� El Con1�,�Rca� cr�rY,i:-� ��.�-J i' l,t ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 pans, specifications -applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certificai�ti}on No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ` of S JCM Inspections 39725 Garand Lane Suite F _. Palm Desert, CA 92211 _ J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS.. Client: Shea La Quinta, LLC Date: 12/3/07 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 18C3 Lot # 7062 Slab on Grade 8-27-07 Concrete 273-922 Dining Room Required psi: 4000 - 8197 8 3500 8198 28 4990 CERTIFIED: - CM Inspections supplies the service - of compression strength test results only. Per ASTMC39 t , i r , Page 1 of 1 -