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04-5751 (SFD):i T44f 4 4 Q" BUILDING & SAFETY DEPARTMENT •P.O., Boxu1504 (760).777-7012 OFptlt 9 s � 7 p495._CAILLE TAMPICO FAX (760) 777-7011 �CALIF.ORNI AA QUINTAjA 92253 INSPECTION REQUESTS (760) 777-7153 il M, � BUILDING PERMIT 7VII ,NCE DEPT _ Application Number 04-00005751 Date 7/29/04 Property Address 81338 BARREL CACTUS RD APN: 764-270-999-20 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . MEDIUM HIGH DENSITY RES Application valuation 213557 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 • SCOTTSDALE AZ 85258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B -------------------------- 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 755.00 PATIO SQ FTG .37.6.00 NUMBER OF UNITS 1.00 .FIRST FLOOR SQ FTG 2398.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1038.50 Plan Check Fee 675.03 Issue Date Valuation . . . . 213557 Qty Unit Charge Per Extension BASE FEE 639.50 114.00 3.5000 THOU BLDG 100,001-500,000 399.00. -------------------------------------------=------------------------------=- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504�� VOICE (760) 777-7012 78-495 CALLE TAMPICO T-Vf 4 4 FAX (760) 77-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: [� �- 5 i 5 % Date: --o Applicant: gVEngi er:YI Applicant's Mailing Address: Architect or Engineer's Address: No.: "LC�_2(ecf0 ( BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un enalty of perjury that I am licensed under provisio s of apter an cin with Section 7(x10) of Division 3 of the Business and Professionals Cyd-; and my Lice n full force and effect. 3� rcense ClIlass -License No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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, 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 or 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.). U 1, 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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. �Txp. and II aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d N r o m ensation�ance care lit I@r�are� amer p / Policy Number l� p�y l S -Z—� I certify that, in the performance of the work for which this permit is issued, I shall not employ an _ ty pe p y y person in any manner so as to become subject to the workers' compensation laws of California, and agree Tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 1 forthwith comply with those proviajops. tf 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. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for ape ' subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at wh s 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 ag a 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 workg performed under or following issuance of this permit. 2. Any.permit issued as a result of this application becomes null and void if w 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 that I have read this application and state that the above int n is co I agree to comply with all city and county ordinances and state laws relating to building construc n, and ereby authorize representatives of this county a to n the a n 'oned property for inspection purposes. �te Signature (Applicant or Agent): 1�1 a Page 2 Application Number 04-00005751 Date 7/29/04 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 . . . . 114.03 Plan Check Fee 28.51 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2398.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 83.93 755.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.10 ---------------------------------------------------------------------------- Permit .. . . . . PLUMBING Additional desc Permit Fee . . . . 153.00 Plan Check Fee 38.25 Issue Date . . . . Valuation . . . . 0 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 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 20, PLAN 6505C, 2398 SF.. �4 .i Fee summary Charged Permit Fee Total 1386.03 Plan -Check Total 758.17 Other Fee Total 2527.74 Grand Total 4671.94 Paid Credited Due ---------- ---------- ---------- .00 .00 1386.03 .00 .00 758.17 .00 .00 2527.74 .00 .00 4671.94 Page 3 Application Number . . . . . 04-00005751 Date 7/29/04 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH -------------------------------------------7-------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 33.89 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.50 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 21.35 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1386.03 Plan -Check Total 758.17 Other Fee Total 2527.74 Grand Total 4671.94 Paid Credited Due ---------- ---------- ---------- .00 .00 1386.03 .00 .00 758.17 .00 .00 2527.74 .00 .00 4671.94 01/18/2005 08:35 17603401819 .i INSULATION CERTIFICATE This is ;o certify that insulation has been installed in conformance with the current energy regulati:)n, California Administrative Code, Title 24, State of California, in the building at 81-338 BARREL CACTUS ROAD, LOT 3020, PHASE 7C, LA QUINTA CA CEILI GS-. TYPE: I3LOW MANUFACTURER: Certainteed THICKNESS: R-38 WALL.!;: TYPE: 13LOW MANUFACTURER: Certainteed THICKNESS: R-13 GENEI::AL CONTRACTOR: SHEA HOMES LICENSE TITLE: PARX:'ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE:— INSULATION CERTIFICATE Nhk�:i certify that insulation has been installed in conformance with the current ener%� regula•% -Administrat 1 Califom a lve Code, Title 24, State of California, in the bull ocated TYPE: 1: -LOW MALIN TURER: Certaintee THICKNESS: R-38 WALLS TYPE: BATTS MAU TURER: Owens rning THICKNESS: R-13 GENES: 'kL CON CTOR: LICENSE # BY:—, TITLE: PARk!;ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 1517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: PAGE 28/37 JCM Inspections 39725 Garand Lane Suite FPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 T INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: �,,� _ c Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA ❑✓ IBC F-] Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP Slump (inches): Supplier: Time Sampled: 10.1 L��4 h it Mix Design: S\- Q, Time in Mixer (min.): "70 Specified Strength (PSI): 4 000 Water Added @ Jobsite (gals.): h n .1-10 Addmixture:e1,,-,_7_ IN L Concrete Temperature (F): g3 Truck #: 53 Ticket #:71 �� 1 Ambient Air Temperature (F): Field ID Marking: — w Weather: S u nt� L1 Unresolved *s: ® None El see Below Location of Sample:, �� , ,� .� „ , n'"'caS �A�7 ❑ No Samples Taken Description of Work Inspected:�,,��� � �i,R n n._ 0-Q t �` �^�6lrQlSr •� q \Cf nr _. �n.rv, \Px. n.� l,"^�t'C.'.t+. nn i �'-. �• 1r_ nICr-Acr /' C�-at�1rn (� � `` yy If I.1 e . `n .,� ; '� \� r""Cn . .._gin c , to -ra .,s » �� eke, 1 4� (..� c S\���.`n..��\�► .ice n �.aC r e��nc��i ^� , la. �, C- rrtr. Pctr^S'��CS�R!' nor r ko, C�n P -A �r0(?I w�•..i ee . <>�111 I \ 3 1cn\ttr,� �n�lr, o f, e \&. S.., �9�,.. en,., �r�t�i.._,�tcSC. %'� c� �e►, its R (A) 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. ck C. Millin ICC Ce . if'cation No: 0842216-80 InspectoKV.0 RC * , _- - \ N Contr ctor's Representativ e: � Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 4 of Copy 1 JCM Inspections Copy 2 Project Superintendent �_Cop�/3 v Governing Agency Page _L of 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. Date: 10—la-04 Project Name: K Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: Title 24 AWS nUBC Other: 81-260 Avenue 62 La Quinta, CA File # D 1.1 App# EJ D 1.4 Client: Sub-Contractor: Shea La Quinta, LLC DCCCC ❑ Other General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP Slump (Inches): Supplier: Weather: Time Sampled: _ Mix Design: 'A Unresolved ms: Time In Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: None ,© Concrete Temperature (F): Truck #: Ticket #: Ambient Alr Temperature (F): Field ID Marking: E] see Below Location of Sample: No Samples Taken Description of Work Inspected. \1 ` (OsqGC_ Y CL t %111A 14 3^i t .� •� ��„� ' r' Q �. : At. 4 s. - nor, �R1Ve�.> 9 e4�J 4�� a ct-�' "N 1 IL t CIC" �r% E e c a x 9,Aw, 4 Q.,4 A' r� t CAd 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. Mill(inn ICC Certificatio o: 0842216-80 Contractor's Representative: . ..�1 Copy 1 JCM Inspections Copy 2 Project Superintendent �_Cop�/3 v Governing Agency Page _L of ON J INSPECTIONS JCM Inspections 39725 Garand Lane Suite F �,, Palm Desert, CA 92211 Phone: 760-M-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: lo—ICI-01114 Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Shea Homes Architect: Structural Engineer: Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: Weather: �n� y :. Unresolved Items: None See Below Location of Sample: t'J_C� No Samples Taken Descriptiop,of Work Inspected: �G Ss C. - tgto i5 Q3 19 ncC,� `r.,c ,_ Q O\C-. C_R_1M4 f?V V C%C 0& C-Anr CX &f ri n _ :1—A.", C n �` �F� .� r e C .. i A�► `��- c a �n \ n� C.0 , t , r n ?.L: _ r12 r 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: ack C. Millin ICC a ifi Glio No: 084 Contractor's Repre�ntative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of� JCM Inspections 39725 Garand Lane Suite F Palm DesertCA 92211 2�L" INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 1113105 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 81-260 Avenue 62 La Quinta, CA 92274 Set ID Structure Age of Test Compression Strength JCM ID Locadon Date Cast Cylinder ID (days) (psi) Set A Phase 7C - Lot # 3020 Slab on Grade 10-14-04 Concrete 273-375 Master Bath Required psi: 4000 7980 7 3080 ,J 7981 28 4780 7982 28 4720 CERTIFIED: Page 1 of 1 JCM Inspections supplies the service of compression strength test results only. Per ASTMC39