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04-5650 (BLCK)Ox 1504 CALLE TAMPICO INTA, CALIFORNIA 92253 er . . . Property Address . . . . APN: Application description Property Zoning Application valuation Owner BUILDING PERMIT 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 -04--00_05650 Date 7/23/04 8-1326 BARREL CACTUS RD .764-270-999-21 -300233- WALL/FENCE MEDIUM HIGH DENSITY RES 1875 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 --------------------------------------- --------------------------------------------------------------------------- Permit . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 43.0.0 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1875. Qty Unit Charge Per Extension BASE FEE 15.00 14.00 2.0000 HND- BLDG 501=2,000 28.00 -----------------=---------------------------------------------------------- Special Notes and Comments 75 L.F. 6' GARDEN•WALL, ORCO SYSTEM Fee summary Charged Permit Fee Total 43.00 Plan Check Total .00 Grand Total 43.00 Paid Credited Due ---------- ---------- ------- .00 .00 43.00. .00 .00 .00 .00 .00 43:00 P.O. Box 1504�� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: —O L? Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm.unde alty of perjury that I am licensed under provisions of Chap m g with Section 7000) of Division 3 of the Business and Professionals C e, and my Licari I force and effect. r"11 ce rise CI s ­�C icense 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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with•a contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance Y e ork for which this permit is issued. Vh�en will maintain wo rs' compensation insurance, required b`/-$ecttV of the Labor Code, for the performance of the work for which this permit is �d. workers'con i ce cameraCartier olicy Number _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, allagree that, i�Iou�ldcome subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall � forth comply with those pr ision Date W, c. 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 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, indemnity and hold harmless the City of La Ouinta, 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 i of 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 info o 's correct. I e to comply with all city and county ordinances and state laws relating to building constructio and h reby authorize representatives of this county to po the a v roperty for inspection purposes. i Date Signature (Applicant or Agent): 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:in, California Administrative Code, Title 24, State of California, in the! building at 181 - -326-BARREL CACTUS ROAD, LOT 3021, PHASE 7C, LA QUINTA CA TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-38 WAL.W.: TYPE: 3LOW MANUFACTURER: Certainteed THICKNESS: R-13 GENEf:AL CONTRACTOR: SHEA HOMES LICENSE # TITLE, PARA( -ON SGHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: INSULATION CERTIFICATE This ' tcertify that insulation has been installed in conformance with the current energy regulatW i C lifi)rnia Administrative Code, Title 24, State of California, in the building to CEILIN(: S - ..OW MR: TCK AU CTURECertainteed tHIINIESS: R-38 WALLS:M, TYPE: BATTS AUNF RER, ens8 CCoorning T THICCKNESS. R-13 GEN ER.i 1 L CONTRAC LICENSE BY: TITLE; PARA(:SCHMID BUILDING PRODUCTS A MASCO Company�ENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: PAGE 29/37 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: t�ILL Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA Q 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): �r-� o Supplier:i S Time Sampled: 1n : S r.1 Mix Design: Time in Mixer (min.):a Specified Strength (PSI): Water Added @ Jobsite (gals.): a n C Addmixture: ���.y -I-® Concrete Temperature (F): -7 S Truck #: !33l Ticket A7 Ambient Air Temperature (F): a Field ID Marking:- C L) , Weather: D�tccc�< Unresolved Items: None ❑ See Below Location of Sample: I c. .... CTrc, n -�t 1•1Art ❑ No Samples Taken Description of Work Inspected:`K\r.'Ckc, to rJ�l1`c_c pA A(rittf G t'i� cf\S CS �cri r `t r.� A Xlt� i.�C jig— l&9.e7r04 \}, �r`i 1 1n bnrn_ :1 Ar..{ nn .. A R/�. / O r n A x n s` n MOt.1, r CPCIP. 1 (� n . 4 n G,\t .k r. ` n r is Ar <� � n . G �O e- V r'.- 'e '- At ^ow � ! t1� _. 1. r\ � n� � n, , .n O r-' n t` ':� It C• rT C'Cc l\ 1"C' !i A 1 n 1 ^. \ o 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: Jac C. Millin ICC Certifi a i n No: 0842216-80 P Cont, ctor's Representative: P D Copy 1 JCM Inspections ons , Copy 2 Project Superintendent y (Copy; Governing Agency Page of T , 39725 Garand Lane Suite F JCM InspectionsiLm Palm Desert, CA 92211 INSPECTIONS Phone: 760-3,45-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: to-M-0 Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA Z IBC 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: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: « Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: Weather: Unresolv d Items: k None ❑ See Below Location of Sample: -L\j No Samples Taken Description of Work Inspecte s ctSQ,� C +--�� 3 Q 1 `(� o u •3 \q n `1 �, \3Q6 2>atrc, Cam �s RC� i J "Cc e:al•ekJ 1-N-\1 C•c c \.c � So,n-14 T6C�e��So r Q 1C�+n0 \ok %mss ' E r Ghr0.^'k_ �Vl iC ��„ \C �%X�F(•p! G•C <•'r, L pC©n'1S Val` `� Fi..w)�`�C?�A..� ��C'C'1 WCC S C11Grj C1 `` �p � ys.�( 1 �•3 � Ste. C.C`�j�C�11�:yt-C�.C2'.X'n!C''���. C�.� �C "aCiU�``©: 4 1`R`,� �'• �`_ S, 0 1J SCVQ r1 .,.)\ C U nLti2 \l't�1�0115 rC�/1 t �� •�\1'+'1 s�+A� a fCC11ri W , ! �� � ..5••1�'� 1'�J�C.�IOC,�D' S L r A �� �\ t�O� �jt a M 4� S C�•1 e Il:.� r7 -1 1 t 4 \ << 1� m,— C\ C� hS �nc- 1 Cr1Re Sr7e; \ac�VNI COV(CGr& ��iC C$� �C`QAr E; �eN 'O e' \ CCr CL -u cs �\ •� Et Su p,� ( e�. j i4tic. �a 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. Inspector: JAC. Millin ICC e I]fic do No: 0842216-80 Contra/ctor's re � ntative: v.. X ✓ Copy 1 JCM Inspections Copy 2 Project Superintendent /_0 opy 3 Governing Agency Page of I �• INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 A i INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 'OAS _0 Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA Q IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Shea Homes Architect: Structural Engineer: Bassenian Lagoni Borm & Assoc, Inc/Suncoast Post Tension LP Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gaals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: Weather: PQM\� C,o� ku Unresolved Items: None ❑ See Below Location of Sample: C' ,,rr a r' -,- A- n L --A OIL 0 rip u'nuA. ,N nutn Rn,sr n No Samples Taken Description of Work Inspected: atm Q t• �� � � a R+ At r• -+ n � 11N A f C Crh (! Cw CN r4 ] 0MV 7n�A� ^ n� S A IN Q A*1r1e1%r J' r• � n R. t C. R1 .lw� A C .. �y ,.. n C A f 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: JA k C. Millin ICCCertificationNos 0842216-80 Con . tor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent —Copy 3 Governing Agency Page I of r JCM Inspections ` 139725 Garand Lane Suite F l Palm Desert, CA 92211 -- LM 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 Locadon Date Cast Cylinder ID (days) (psi) Set A Phase 7C - Lot # 3021 Slab on Grade 10-18-04 Concrete 273-377 Kitchen Required psi: 4000 8008 7 3430 &-)2,6 /� �-' � 8009 28 4800 8010 28 .4 0 CERTIFIED: JC nspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1