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07-2074 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application :Numr. be Property Address: APN: Application description: Property Zoning) Application valuation: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT �07-00002074 81952 RUSTIC CANYON DR 764-280-999-67 -300237- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH. DENSITY CZE,$ j 170639 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 CENTER 350 SCOTTSDA_LE, AZ,85258 In n �Z �1 [ Contractor. U �1 t� Applicant: chitect.or Engineer. -. SHEA HOMES, INC. U 1007 (��• 81260 AVENUE 62 r 1 LA QUINTA, CA 92.253 CFI�q�C C ZA (760) 777-6005 Ep"r Lic. No.: 672285 "LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION . I hery affirm under penalty of perjury 'at I am licensed nder provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: i 7000) o Division 3 of the at and Profes 'o Is 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 Lice s nse No.: 672285 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: ontractor. - 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: . I hereby affirm under penalty of perjury that I 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_ 1 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 to become subject to the wo ers' 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 th , if I s out ome ubje t o the worker ' ompensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or � 3700 of th Labor C e, I all fo hwith JplyM6, rovisions. 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 155001.: at p icant: (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN, ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' one year of completion, the owner-builderwill have the. burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT - I _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ` property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. .Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State ,License Law.). - whose benefit work is performed under or pursuant to any permit issued: as result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City -of La Quinta, its officers, agentsandemployees for any act or'omission related to the work being performed under or following issuance of this permit. Date: Owner:, - - 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 issua a of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Ice d read this application and st th t above i ormat'0n is corre agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.I; - Y nances and state laws re ting to uil g con uctior[� and her a thorize representatives of her upon the above -me oned pro rty r insp tion p*irpses.Lender's Name:_ate:nature (Applicant Lender's Address: r - - LQPERMIT Application Number .: . . . . 07-00002074 ' Structure Information „ Construction Type,.. TYPE V - NON RATED . Occupancy Type DWELLG/LODGING/LONG <=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 nTTTMRFp nF TTTTTTR 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 888.00 Plan Check Fee 577.20 Issue Date Valuation . . . . 170639 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,00.1-500,000 248.50 Permit . . . . MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17.63 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 94.53 Plan Check Fee 23.63' 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 LQPERA4IT Application Number 07-00002074 - y Permit ... PLUMBING Additional desc.;. Permit Fee 152.25 Plan Check*,Fee 35,.81` 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 67, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY Q MBR -26 SF 4' GARAGE 'EXT -- 88 SF. 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• .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 57.72 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 17.06 -DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 ' LQPERMIT .. .. Application Number 07700002074 Fee summary Charged Paid Credited Due -- Permit Fee Total ---------- 122.0.28 ---------- .00 ---------- .00 ---------- 1220.28 Plan Check Total 654.27 .00 .00 654:27 Other.Fee Total 4549..78 .00 .00 4549:78 Grand Total 6424.33 .00 .00 6424.33 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: --� `� n �y Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F):17-1 Truck #: L`A Ticket #: �, �,ta L1 Ambient Air Temperature (F): C1 Field ID Marking: Set A - 4 cylinders Z✓ IBC Title 24 Other: Unresolved Items_: ❑ None See Below Location of Sample: S` A� s -T F-] No Samples Taken Description of Work Inspected: Phase Lot# ()(,7:7Product Plan („1 -' C —� Ll 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 onN A,� r-, L1 e+.w h �.^ •[. \' re ` . A w, n �7 r�b � r r/�/?n'1 Also, typical details 2,-3/SD-1 and Notes 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. n- 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 1 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 com Sly 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 4 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: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Q iinta, 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 t-Jg=a psi to 33.04 kips/33,000 lbs Calibration Date: Machine #1 / p� O -0� Phase C Lot#, Product . L Plan _ -► � `� � Z IBC ❑ Title 24 Other: Unresolved Items: F-]None ❑See Below Description of Work Inspected: Specified Lot Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference IIh/SN2. --#, ©6-7 Yes No LI ❑ v❑ ❑ El El" El 1 t 3> a% VEl v t c % aG�t«� �'�,,5��r �--- o' El QCk .- 5k� IT C� El \\ ❑ ❑ ❑ ❑ ❑ ❑ 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 comely 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 I ♦j JCM Inspections . 39725 Garand Lane Suite F Ll= I- - E-- 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 # 7067 Slab on Grade 273-915 Bedroom 2 Age M Test Compression Strength Date Cast Cylinder ID (days) (psi) 8-15-07 Concrete Required psi: 4000 8032 7 3200 8033 28 4640 8034 28 4700 CERTIFIED: C, J M Ins;?ections supplies the service of compn?ssion strength test results only. Per ASTMC39