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SFD (07-2084)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00002084 61825 MESA CT 764-280-999-60 -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 242110 Tdvl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Fro rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under. provisions of Chapter 9 (commencing with Seco n 70001 f Division 3 of the Business and Professionals Code, and my License is in full force and effect. �c las : 's sem No.: 672285 ' Date: �o ractor. 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.). I—) 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 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/07 w U :J:U:L2:7 2007 CITY OF LA QUINTA 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 work for which this permit is issued, I shall not employ any person in any manner so as to become subject t he workers' compensation laws of California, ��^^d agree that, if),thou beco a subject to the rkers' compensation provisions of Section 31700 of the La r Cod , I shall orthwNb comp 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. 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 at I have read this application and statePat,the abov information ;orrecI agree tocomply with all city and. unty or finances and state laws relati t b '(ding c tructi , authorize representatives o"fZRI§4o my to a ter upon the above -mention prop for in coon p r Pate: AI/ ignature (Applicant or Agen . Application Number . . . . . 07-00002084 Structure Information Construction Type . . . . . TYPE V - NON RATED Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 719.00 PATIO SQ FTG 322.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2769.00 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee 1140.00 Plan Check Fee 741.00 Issue Date Valuation 242110 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 639.50 143.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 500.50 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 22.50 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 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 126.30 Plan Check Fee 31.58 Issue Date . . . . . Valuation 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 2769.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.92 719.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.38 LQPERA11T Application•Number . . . . . 07-00002084 -------------------------- Permit . . . ------------------------------------ PLUMBING -------------- Additional desc . Permit Fee 171.00 Plan Check Fee 39.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension - BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 1%13/08 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------=--------------------------- Special Notes and Comments SFD - LOT 60 PLAN 6430C 2769 SF, INCLUDES 108 S.F EXT. PATIO. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES = ---------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES ----------- 105.27 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 74.10 DIF FIRE PROTECTION -RES 140.0.0 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 24.21 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 LQPERAIIT LQPERNUT Application Number.. 07-00002084 Fee summary ---------- - ------ Charged Paid ---------- Credited Due .Permit Fee Total ---------- 1542.30 .00 --"-------- .00 ---------- 1542.30 Plan Check Total 834.83 .00 .00 834.83 -Other Fee Total 4618.58 .00 .00 4678.58 Grand Total 7055.71 .00 00 7055.71 JCM Inspections Trm 39725 Garand Lane Suite F Palm Desert, CA 92211 ITI� 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): '1 --� Supplier: Superior Time Sampled: �J .„u' t'tMix Design: D83625P Time in Mixer (min.): i 1 Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): f C Addmixture: POZZ 322N Concrete Temperature (F): I Truck #: y Q� Ticket #: a ` Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Q✓ IBC Title 24 Other: Unresolved Items: None See Below Location of Sample: S� �� b 1 C R� ... � p ❑ No Samples Taken Description of work Inspected: Phase (ZLot# 60 Product Plan L( 1(3 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 C �� �,2 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 f' 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 Certification No`:10842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of ..- 1. .ti ER INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 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: Shea La Quinta, LLC Sub -Contractor: Sun Coast Tensioning General Contractor: Shea Homes for Active Adults Architect: Structural Engineer: Bassenian Lagoni 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 �r Ll(),., psi to 33.04 kips/33,000 lbs Calibration Date: Machine # [7� �; "� _ C- PhaseR�Lot#q 0(pr) Product Plan(p l_ �0� �,� 1��� Co U(\ ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑ None ❑See Below Description of Work Inspected: Lot # Location Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Tendons Elongation (in) Reference 11 h/SN2. 0(Do Yes No Y4, �,,k-C ncr,' 1 3 = V ❑ 3 - s; 3 I ©- ❑ Cts t 1—I tLD ❑ El 2 ❑ © ❑ �1 np -- t C� � �� L ❑ \l 21" El • ❑/ ❑ C— VM n) — 51S V r-\ C' LA ', t 21 ❑ 0` ❑ ❑ ❑ 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 I of! 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: 1213107 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 # 7060 Slab on Grade 273-921 Den Page 1 of 1 8-23-07 Concrete Required psi: 4000 8163 7 3850 8164 28 5370 8165 28 5320 CERTIFIED: \— kl . C. 'JCM Inspections supplies the service of compression strength test results only. PerASTMC39