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07-2075 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 •4 1 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number. 07-00002075 Owner: Property Address: 81925 RUSTIC CANYON DR SHEA LA QUINTA APN: 764-280-999-55 -300237- -C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY .DETACHED 8800 N GAINEY CENTER 3 Property Zoning: MEDIUM-HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 170639 Contractor: Applicant: <rchitectorEngineer: SHEA HOMES, INC- �ir5 81260 AVENUE 62 LA QUINTA, 92253 (760)777-600505 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I herey affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectioV ) o Division 3 of the Business and Professionals Code, and my License is in full force and effect. is s License No:: 672285 /ate: ractor: � � . ., OWNER -BUILDER DECLARATION 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 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 mthe 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: 1— LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/07 u JUL 2 7 2007 TY OF LA QUl TVAIVCE1) 11VTA . 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 m er as to become subject the workers' compensation laws of California, nd agree that if 1 shout be - ubfect tote orkers' compensation provisions of Section 00 of the�bo ode, I sh fort wtith cont t 'th those provisions. ate: plica. WARNING: FAIL RE 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 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 ihaf I have lead. this application and state t the ab ve inforrbation is co r ct. I agree to comply with all )D: d unty ordiances and state laws rela ' ilding onstr ion, and he e y authorize representatives Of, c u o n 1 on a above•mentio ed prop, y fo: speaio poses Signa ure (Applicant or Agent): �'� Application"Number 07-00002075 Structure Information L 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 576.00 " PATIO SQ FTG 177.00 TTTTMRRP (1F TTTTTTG 1'00 -- ----------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . . .. BUILDING PERMIT Additional desc Permit F6e . . . . 888.00 Plan Check Fee 144.30 Issue Date Valuation . . . . 170639 - Expiration Date ." 1/13/08 Qty Unit Charge Per Extension BASE FEE• 639-.50 71.00" 3".5000 THOU BLDG 100,001-500,000- 248_.50 Permit MECHANICAL Additional desc ... Permit Fee 70.50 Plan Check Fee .. 4.41 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ----------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . ELEC=NEW RESIDENTIAL Additional desc . " Permit Fee . . . 94.5.3 Plan Check Fee 5.91 Issue Date . . : . ,Valuation 0 Expiration Date". 1/13/08 Qty Unit.Charge" Per Extension BASE•FEE 15.00. 1943.00 ,0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 576.00 0200 ELEC.GARAGE OR NON=RESIDENTIAL 11.52 LQPERMIT -.. - Application Number . . ... . 07-00002075 Permit _. PLUMBING Additional desc . Permit Fee . . 152.25 Plan Check Fee 8.95 Issue Date Valuation 0. Expiration Date 1/13/08 Qty Unit Charge Per -Extension BASE FEE. 15.00 14.00 6.0000 EA- PLB FIXTURE 84.00 .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 5.00 .7500 EA PLB-GAS PIPE >=5 3.75 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`55, PLAN.4520A, 1943 SF/ 255 SF CASITA,BOX BAY 9 MBR -26 SF.4' GARAGE EXT -:88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY ' APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE ISSUANCE OF SAME, PLAN TYPE. 2001 CBC:, CMC, CPC, 2004 ' CEC, 2005 -ENERGY CODES ------------------------------------------------------------ ---------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 99.5.00 ENERGY REVIEW FEE 14.43 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 D'IF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES. 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI)'- RES 17.06 _. LQPERN11T - Application Number . . . 07-00002075 - ------------------------------ • Other Fees --------------------------------- DIF•STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930..00 Fee summary Charged Paid Credited Due Permit Fee Total 1220.28 ---------- ------ .00 .00 - --- 1220.28 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 4506.49 .00 .00 4506.49 Grand Total. 5890.34 .00- -- .00 -5890.34 v LQPERMIT - - JCM Inspections 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): Supplier: Superior Time Sampled: j x;30 �Y., Mix Design: D83625P Time in Mixer (min.): j Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): © RJQ_ Addmixture: POZZ 322N Concrete Temperature (F): Q�ls Truck #: L_ "1 � Ticket #: `�1 ��` Ambient Air Temperature (F): l� Field ID Marking: Set A - 4 cylinders Z✓ IBC Title 24 Other: Unresolved Items: None F] See Below Location of Sample: No Samples Taken Description of Work Inspected: Phase �� C� Lot# (,a-- c� Product Plan4..>ac) N -,Lk—Cam 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 �ti _3 �� , w� e1 �� �. ct� , �� Cf1 . :� c . L7! �t7 . (' n r 0 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. R - -� 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)Molded4 cylinders for compression tests with breaks at 7 days (1), 28 days (2) and one for holding purposes. C,- \S-0 7 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx \ L 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 I of i C\ JCM Inspections 39725 Garand Lane Suite F I I ETA! Palm Desert, CA 92211 I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: a3 , OVI Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Qjinta, 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 psi to 33.04 kips/33,000 lbs Calibration Date: Machine # 8 D , 6-7- Phasq,C.k Lot# --1U Product urian X =fZDescription ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑ None ❑ See Below of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. } �'I-- 7_7C= Yes No No t'_ \. Vr im (X�1 l� GJ El�,�c,>a — �� 3 ©- ❑ 0 El ❑ 9-_ ❑ LA C-4 S r� Y o n 1-�-\ '' s 1"' Lr! ❑ ❑ ❑ 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 com )ly 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 1 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: 12/2/07 Project: Trilogy @ La Quinta - Shea Homes, Project No: 02-1109 60-800 Triolgy Parkway, La Quinta, CA 92253 Set ID Structure JCM ID Location Set A Phase 18C1 - Lot # 7055 Slab on Grade 273-914 Great Room Page 1 of 1 Age :)f Test Compression Strength Date Cast Cylinder ID (days) (psi) 8-15-07 Concrete Required psi: 4000 8036 7 3050 8037 28 4490 8038 28 ' 4540 CERTIFIED: M Inspections supplies the service of compression strength test results only. Per ASTMC39