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07-2079 (SFD)1 P.O. BOX 1504 78-495 CALLE TAMPICO 'LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application description Property Zoninq: Application valuation: Applicant: 07-00002079-_� 81937 RUSTIC CANYON DR 764-280-999-56 -300237- DWELLING - SINGLE FAMILY M.E.DIUM HIGH DENSITY RES. 159387 T41Y 4z t�'.Gf�,iCv BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 'Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER srnTT.gnAT.F, A7 RS?SR Architect or Engineer: (�- LICENSED CONTRACTOR'S DECLARATION ' I here y affirm under penalty.of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) o Division 3 of the Busines and Professi nals ode, and my License is in full force and effect. r ris ,ss,,, ss ! Li' seNo.: 672285 a ontractor: 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).: (_ I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and , the structure is notintended 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.). (_) 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 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY - 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: a LQPERMIT Contractor: SHEA HOMES, INC. . 81260 AVENUE 62 LA QUINTA, CA 9225 (760)777-6005 Lic. No.: 672285 350 J VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/07 u AU 2 7 2V � ! `SOF QUify SFAM �>,rrA .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. lr' 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 certify that, in the performance of the work for which this permitisissued, I shall not employ any person m any m r so as to become sublec o the workers' compensation laws of California, and agree that, f I sh Id be m ubject to h workers' compensation provisions.of Section 3700 of t L , I sha fort ith c it those provisions. :te App"ca 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. - if that I av read this application and statehet4he,abov ' formationis c ect. I agree to comply with all city n o��('t or ances and state laws relati truct�p• n, and authorize representatives of t r ours . e� er upon the above-mention;fo s tion pur osate: �� //////VVVVVV��,''ature (Applicant or Age Application Number .07-0.0002079 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..5.0 60.00 3:,5000 THOU BLDG 100, 00J:-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 <=10.OK, 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 . . . . 120.00 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 .. .. - a, Application_Number . . . . . 07-00002079. '. Permit . . . . PLUMBING Qty Unit Charge Per Extension 1.00" 7'.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EAS 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 PRRMTT Additional desc . Permit Fee 15.00 Plan Check "Pee .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 56, PLAN 4515C, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BOX BAY Q 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. ENERGYCODES ' - ----------------------------------------------------------- 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 .00, .00" 1139.84' Plan Check Total 155.27 .00 .00 155.27 Other Fee Total ..4524.74 .00 0.0 4524.74 Grand Total 5819.85 .00 .00 5819'.85 LQPERMIT " •_ - =� JCM Inspections — 39725 Garand Lane Suite F _ w Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULT., 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 :)f Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 18C1 Lot #7056 Slab on Grade 273-916 Dining Room 8-16-07 Concrete Required psi: 4000 8075 7 3140- 8076 1408076 28 4710 8077 28 4660 CERTIFIED: C JCM Insaections supplies the service of compression strength test results only. Par ACTMC30 .1t 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): Lt �,� Supplier: Superior Time Sampled: �1 2 `5O 0.Mix Design: D83625P Time in Mixer (min.): L� S Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.):Addmixture: POZZ 322N Concrete Temperature (F): VA Truck #: `1 )O Ticket #: Ambient Air Temperature (F): j Field ID Marking: Set A - 4 cylinders IBC E]Title 24 Other: Unresolved Items: None See Below Location of Sample:��*1> No Samples Taken Description of Work Inspected: Phase Jl—Lot# Product .l Plan ` F NSTIC CAA YVM Z R . 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 Footir-gs/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 and as noted on �. J ` C� . uk �� G t 'cc P y. (, 60A `details J 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 fog 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-0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of C C JCM Inspections ' 39725 Garand Lane Suite F 1 ME Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: %,r33 —6„-7 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 Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm 8t Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons ❑✓ IBC ❑ Title 24 Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Other: psi to 33.04 kips/33,000 lbs T— Unresolved Items: Calibration Date: Machine # Q . 7 _ �� _ F–] None Phaselp Lot#'1()!;J, Product Plan u �� ( rn ❑ See Below 0 1 _L S )�� , r ► -. , r, Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. Yes No Ll �21 El \ A 1 � �� El �r U, El ` ` -\_1\11 R1, El ' � t o- ❑ _1 LA j ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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