04-5754 (SFD)PFA
P.O. Box 1504
" `78=495 CAILLE TAMPICO
�--- =LSA--QUFN, T'A, CALIFORNIA 92253
BUILDING PERMIT
jrr -- --_.. -
Property Address . . . .
APN:
Application description
Property Zoning . . .
Application valuation . .
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
t�04-00005754 Date 7/29/04
81314 BARREL CACTUS RD
764 -270 -999 -22 -300233 -
DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
178971
Contractor
SHEA HOMES, INC.
81260 AVENUE 62.
LA QUINTA CA 92253
(760) 777-6005
Qty Unit Charge Per
Extension
WCC: NTL UNION
INS
WC: 1165833
08/01/04
CSLB: 672.285
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
456.00
PATIO SQ FTG
221.00
NUMBER OF UNITS
1.00
.FIRST FLOOR SQ FTG
2068.00
--------------------------
Permit . . . . . .
-----------------------------------
BUILDING PERMIT
---------------
Additional desc
Permit Fee
916.00 Plan Check Fee
595.40
Issue Date . . . .
Valuation . . .
. 178971
Qty Unit Charge
Per
Extension
BASE FEE
639.50
79.00 3.5000
THOU BLDG 100,001-500,000
276.50
-------------------------------------------
Permit . . . . . .
--------------------------------
MECHANICAL
Additional desc
Permit Fee . . . .
83.50 Plan Check Fee'.
20.88
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge Per
Extension
P.O. Box 1504ICE VOICE (760) 777-7012
78-495 CALLE TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: �' %J� Date:
Applicant: Mite
Ld� �-A_
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.: f l �C � [JLc'I6
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unnalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing Section 7000) of Division 3 of the Business and Professionals
Code, and Lice in full force and effect, j
rcense Class ss rcense No. �p
OWNER -BUILDER DECLARATION
V 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 projecs with a contractors) licensed pursuant to
the Contractors' State License Law.).
U 1 am exempt under Sec. . BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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 nd will maintain workers' compensation insuranc as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issue y workers' c pensation insu e c d lic y r
artier o icy Number
_ I certify that, in the pe o of the work for which this perp is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Secfion 3700 of the Labor Code, I shall
�fo1 with comply with those rovis' s.
/bate 1pplica .
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), 1N 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 perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name /�
Lender's Address l'�
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 wo r not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
1 certify that I have read this application and state that the abov ' formation is co if
to comply with all city and county ordinances and state laws relating to building
constructio , and h reby authorize representatives of this coun a Pon the a e-mentifonned property for inspection purposes.
�te Signature (Applicant or Age t '
V "'
I ./
Application Number . . . . . 04-00005754
Page 2
Date 7/29/04
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
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 .
. . .
96.50
Plan Check Fee
24.13
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2068.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
72.38
456.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.12
----------------------------------------------------------------------------
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 22,
5505A INCLUDES
247
SF.
i
.f
Fee summary Charged
Permit Fee Total 1264.00
Plan Check -Total 678.66
Other Fee Total 2482.43
Grand Total 4425.09
Paid Credited Due
---------- ---------- ----------
.00 .00 1264.00
.00 .00 678.66
.00 .00 2482.43
.00 .00 4425.09
Page
3
Application Number
. . . . . 04-00005754 Date
7/29/04
----------------------------------------------------------------------------
Special Notes and Comments
CASITA. PERMIT DOES
NOT INCLUDE BLOCK
WALLS, POOL, SPA OR
DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . .
. . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
59.54
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
17.89
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1264.00
Plan Check -Total 678.66
Other Fee Total 2482.43
Grand Total 4425.09
Paid Credited Due
---------- ---------- ----------
.00 .00 1264.00
.00 .00 678.66
.00 .00 2482.43
.00 .00 4425.09
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
I.: G P :. C 1 : 0 '; S Phone: 760-345-5554 - Fax: 760-772-3895
REINFORCED CONCRETE INSPECTION REPORT Date:
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
Q IBC
81-260 Avenue 62 La Quinta, CA
F-] Title 24
Client: Sub-Contractor:
Shea La Quinta, LLC DCCCC
Other:
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc, Inc/Suncoast Post Tension LP
Slump (inches): y,s 7 Supplier: r•r
Weather:
Time Sampled: is ; p �r,� Mix Design: >
J 13
Vo:"C
Time in Mixer (min.): 5 o Specified Strength (PSI):
Unresolved Items:
Water Added @ Jobsite (gals.): �n c. Addmixture:' j 3
None
Concrete Temperature (F):7:7-7 Truck #: a(0(0 Ticket #: y a7ar3o
Ambient Air Temperature (F):-7 a Field ID Marking "j
❑See Below
Location of Sample: D A> r r, E, &=A r r ^n �
❑ No Samples Taken
Description of Work Inspecte ty A jn Alt, oZ `o n ^r
I/ ili;xr� nrr,'nrr� it : .r , rr -Nr r.r' - h.. -'7'e ;'I i\-
(.c
r\ : r\_ c r. n, C tit c l�-r. r• .. r L n.\ T r n Q_ \ r X r r.>\ Cl.r, r r r 1-
♦\\ \\t'- C^ l-' R ,�\\ �' �f f�./i� �t r1 V R \\n \�•�J tl t. S"
r t- ` ti. l� '1 n ,t: 1. .\r t (' /. i��� t T- l \ `. /�/� �!'► tr .. n '�i' 1 rt-
V1 C "r ., r ^� ,.. , •1 • 1 G' �� r C•..� -�t 't .. t r l t'�.r r. r • �•� _ 1
1
��l 1 r \t r \ ..r :�}.•�r r r�t�.., lir t • .v , e• S o /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.
r:
Inspector: J ck C. Millin ICC Cert' is fon No: 0842216-80
Contractor's Repre entative:
e'4 C_
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
rN S P E C T 10 NS
JCM Inspections
39725 Garand Lane Suite F
pis ,Palm Desert, CA492211 TM
Phone: 760-345-5554 - Fax: 760-772-3895 IN SPEC T I ON S
REINFORCED CONCRETE INSPECTION REPORT Date: 0_ IS- o
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Z IBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor:
Shea Homes
Architect:
Bassenian Lagoni
Structural Engineer:
Borm & Assoc, Inc/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 #:
Field ID Marking:
Ticket #:
Weather:
Unresolv ms:
® None
See Below
Location of Sample:
.® No Samples Taken
Description of Work Inspected.!�V
L<;�
550
X1314
�►cc� Cay ., �
:7)o '
1♦rAC ��✓
Q�)onC to e \c ,AA C3 �>> /1 M
57.1 rn_, W(�
l -i• T 1 ��/ � —1 �. �`'I ,r
�O`C`r?V%n- ..� '—I �� \ \ t�^• L A���i n.)n.` ` \J •c .'"
,r`C �r� fa 14iQ AQ ^/.•L C.
v
Lk
��,�� S a a�
�r�a �. �. �� .,o•
. ",
X c c a }_ �� e `mar �c
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.
4-1
Inspector: Jack C. MillinICC C , ificU
n Ido: 0842216-80
Contr or's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent LGSpy 3 Governing Agency Page 1— of r
.
tN S P E C T I O N S
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT
Date: ICa_ _o
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
ZIBC
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:
G r�
n ,.Al
Unresolved Items:
® None
See Below
Location of Sample:
L;
EMS, Arnm JCM Inspections ]JI I 5M
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: 1/13/05
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 Location Date Cast Cylinder ID (days) (psi)
Set A Phase 7C - Lot # 3022 Slab on Grade 10-18-04 Concrete
273-376 Master Bedroom Required psi: 4000
8012 7 3650
�4- C VS /QQ, 8013 28 5600
CJ 7 8014 28 563
CERTIFIED: --J" C.. , X\J
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
01/18/2005 08:35 17603401819 PAGE 30/37
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INSULATION CERTIFICATE
This is :o certify that insulation has been installed in conformance with the current energy
regulati :m, California Administrative Code, Title 24, State of California, in the! building at
81-31x6 BARREL CACTUS ROAD, LOT 3022, PHASE 7C, LA QUINTA CA
CEILIhI
TYPE: 1LOW MANUFACTURER: Certainteed THICKNESS: R-38
WALL:;
TYPE: ;SLOW MANUFACTURER: Certainteed THICKNESS: R^13
GENEF; AL CONTRACTOR: SHEA HOMES LICENSE #
BY: _ TITLE:
PARA(: ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: V TITLE: ACCOUNT REPRESENTIVE DATE: Q�
ia'�//li: F/. l/.'rr�. lFi%%%///.1••r%////,%%9%%Y/.'/,%!/.%-//N.%S%fl/I/INl i//h%'%i.�'I,l%%%Y///]%/ni///!%/% ,ir%i ii'/. %/I/ r/lr%////.%"J,'l I// •I././,/,i.i,/.'.r.:^•i •r '.•r.•, : . .
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\ INSULATION CERTIFICATE
This is ti: ce that insulation has been installed in conformance with the current energy
regulatia •i, Cali is Administrative Code, Title 24, State of California, in the building located
• CEILINC:;�: •
TYPE: E1 ,.OW MAUNFAC ER: Certainteed THICKNESS: R-38
WALLS:
TYPE: 3ATTS MA Ad CTURER: Owens orning THICKNESS: R-13
GENER,I,L CO ACTOR: LICENSE #
BY: TITLE,
PA !0N SCHMID BUILDING PRODUCTS A MASCO Company LI :iE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
:`i•//, n///7/r/%: r////../.!,.•/r. i,.I//%/:,^?.i/la.?:/f.•%Y�/:/l/I:R.•'///7%Y./JA%y%'�///.'N9.7,/:: /rN. /J/.”%/. N, J.%l% %�9/✓•?l/,%///./:1 ,:.%•Ila.///%�/.••,r�-�/,•M/:-,.,: .�,i.•r.l://r:...y.•: ••/.:......... ',