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07-2072 (SFD)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: < Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00002072 81940 RUSTIC CANYON DR 764-280-999-68 -300237- DWELLING — SINGLE FAMILY MEDIUM HIGH DENSITY RES 159387 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY'CENTER 350 SCOTTSDALE, AZ 85258 rchitect or Engineer: " r Contractor: . SHEA HOMES,.INC. 81260 AVENUE 62 LA QUINTA, CA 92 (760)777-6005 LiC. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/07 ------------------------------------.---------------------------------------------.---------------- LICENSED CONTRACTOR'S DECLARATION "WORKER'S COMPENSATION DECLARATION I her 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: Secti n 7000) f Division 3 of the B ink s and Prof ssionals 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 c �icense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: _tractor: -�01 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: . I hereby affirm under penalty of perjury that l 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 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to he 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 and agree that, if bec me subject to h t ers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or h�I � 100 e L or Go sh orthwitTt c mpl'y tMise provisions. that he or she is exempt therefrom and the basis foi the alleged exemption. Any violation of Section 7031.5 by +,.`y `,. - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: lice (_ 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 purposebf sale.). (_ I 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 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.). - Lender's .). - Lender's Name: Lender's Address: LQPERAIIT 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. Lcertik that I` averead this application and state at the above infor ation is corr ct. I agree to comply with all cit a count ordinances and state laws relati g to b nst cti and he authorize representatives - of tfii� n upon a above-mentio d property i sp ion rp Date: nature (Applicant or Ag Application Number 07-00002072 Permit . . BUILDING PERMIT Additional desc . ' Permit .Fee . . . . .849.50 Plan Check Fee 552.-18 Issue Date . . . . Valuation 159387 Expiration.Date .. 1/13/08 Qty. Unit Charge Per Extension BASE FEE 639.50 60.00.. 3.500.0 ---------------------------------------------------------------------------- THOU .BLDG'"10,0,001-500,000, 210.00 Permit . . MECHANICAL Additional desc .. Permit Fee 65.50 Plan Check Fee 16.38 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 22.46 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 .62.0.6 639.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit PLUMBING - _ Additional desc . Permit Fee 120.00 Plan Check Fee 30.00 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 . . . . . .07-00002072 ' Permit . . . . . . PLUMBING Qty. Unit Charge Per Extension' 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA WATER INST/ALT/REP 3.00 _PLB 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 68, PLAN 4515B, 1773_ SF. WITH 41-GARAGE EXT. (103SF) & BOX BAY Q NOOK(24 SF.). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK.WALLS OR DRIVEWAY APPROACH. .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 55.22 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 621.02 .00 .00 621.02 Other Fee Total 4566..15 .00 00 4566.15 ' Grand Total 6327.01 .00 .00 6327.01 LQPERMIT . JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 1 ME INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPOT 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): LAi Supplier: Superior Time Sampled: t;� Mix Design: D83625P Time in Mixer (min.): Li ey Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ND Addmixture: POZZ 322N Concrete Temperature (F): �o Truck #:$ ( Ticket l Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Q✓ IBC Title 24 Other: Unresolved Items: None See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: Phase , �� Lot# Product Plan 5�-1 n-6-7 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 (4,10,12,13,1.6/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 ts '� ��LAW. Cr, r nr . V xfl I n ` XN if 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 for.holding purposes. 54-1 _rS-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 cor-oply with the approved plans, specifications -applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Cj�eerttifida�tiibn No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections - Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of t ter' JCM Inspections • 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:$-a„3,6 t Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 60-800 Triolgy Parkway La Qjinta, CA Client: Sub-Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & 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 Unresolved Items: Calibration Date: Machine # $ _ �� ❑ None Phase,SL) Lot#-�O(oc6 Product i �Plan _, 4'.�r�Lt �� .t .- ❑See Below Description of Work Inspected: T Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. -7 DVp L Yes No �Cifc�1 i t ❑Vd ❑ Ll 0 El to ©' ❑ � t rfflk, y� ❑ El r e ea\"� c3 �.n dire c�.� t , c `� . -- C n.C• •""" �LJ ❑ rV ❑ ❑ 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 t of ` Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of ` T JCM Inspections - 39725 Garand Lane Suite F am 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 18C1 - Lot #7068 Slab on Grade 8-13-07 Concrete 273-912 Master Bedroom Required psi: 4000 8028 7 3760 8029 28 5290 8030 28 5330 CERTIFIED: . JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 RMA