04-8339 (SFD)IE
4-
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPIco FAX '(760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760") 777-7.153
,,BUILDING PERMIT II"
Application,Number
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
04-00008339 gla.di 4 2SV/-29
81184 RED ROCK RDI L
764-270-999-150-300233CITY OFIAQUINTA
q
DWELLING - SINGLE FAM-I�,
MEDIUM HIGH DENSITY RES
139353
Contractor,
SHEA HOMES, INC.
8.1260 AVENUE 62 -
LA
2"LA QUINTA CA 92253
(760) 777-6005
WCC: NTL UNION INS
WC: 6436568,
08/01/05
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
47'9:00
PATIO " SQ ,FTG
33.7..00
NUMBER 'OF UNITS
" ` 1.00
1ST FLOOR SQUARE FOOTAGE
1553.00
--------------------------"------------------------
Permit . . . .
-------------------
. . BUILDING PERMIT
-------
Additional desc
,.
✓
Permit Fee . .
. . 779.50 Plan Check Fee
506.68
Issue Date . .
. . Valuation . .
. . 139353
Qty Unit
Charge Per''
Extension
BASE FEE
639.50
40.00
3.5000 .THOU BLDG 100,001-500,000
=-"-
----
140.00
--------------------
Permit . . . .
--------------------------------
. . MECHANICAL
----------------
Additional desc
Permit Fee
77,00 • Plan Check Fee
19.25
Issue Date
Valuation
0
Qty Unit
Charge Per"
Extension
BASE FEE;,
15.00
2.00
9.0000 EA �MECH FURNACE <=100K
18.00
2.00
9.0000`+EP,MECH�B�/C°<=3HP/100K BTU'
18.00
3.00
6.5000 EA MECH VENT FAN
19.50
P.O. Box 1504 •/// 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: 104-1933q Date: 14 • �• V
Applicant: Architect or Engineer:
Applicant's Mailing Address:
No.: G 2(Oyal
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code and License' 'n full force and effect.
icense Class
/lce/Ins'e No.1Q T `8
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 pen -nit 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 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.
_)�Fhave 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
s ed. My workp ers' clomnsation in ce carrier a b
artier%(tiatrt9m /I'J olicyNumber
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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
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, 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to ent upon the above -mention prorty for inspection purposes.
21,1
ate V dJ Si✓ 9nature (Applicant or Agent):
1
Application Number . . . . 04-00008339
Page 2
Date 3/29/05
Qty
Unit Charge
Per
Extension
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
------------=---------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
78.94 Plan Check Fee
19.74
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1553.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
54.36
479.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.58
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
123.00 _ Plan Check Fee
30.75
' Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
9.00
6.0000
EA PLB FIXTURE
54.00
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 .
. . I . . .
GRADING PERMIT
Additional
desc
Permit Fee
. . . .
15.00 Plan Check Fee
.00
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
'Per
Extension
BASE FEE
5.00
15.00-
-------------------------------------------------------
------------------------------------------------------=---------------------
Special Notes
and Comments
-SFD - LOT
150, PLAN 4510A/BAY
@ MBR 23
' SF, 1553 SF
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
r
Page 3
Application Number
. . . . .
04-00008339
Date
3/29/05
----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
ENERGY REVIEW FEE
50.67
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
13.93
DIF STREET MAINT FAC
-RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
-----------------
Charged
------=----
Paid Credited
Due
Permit Fee Total
1073.44
--------------------
.00
----------
.00
1073.44
Plan Check Total
576.42
.00
.00
576.42
Other Fee Total
2469.60
.00
.00
2469.60
Grand Total
4119.46
.00
.00
4119.46
r
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
I N s P E C T r o N s Phone:- 760-345-5554 Faz: 760-772-3895 INSPECTIONS
COMPRESSION STRENGTH TEST. RESULTS
Client: Shea La Quinta, LLC Date: 6114105
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 9.0 - Lot # 3150 Slab on Grade 4-29-05 Concrete
273A97 Master Bedroom Required psi: 4000
9823 7 3550
9824 28 4970
0oc R>o 9825 28 5� V
CERTIFIED: G .
UCdlnspe6tions supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
!'
'JCM`Inspectioris�`
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:
Project No:
Trilogy @ La Quinta - Shea Homes
02-1109
Project Address:
City:
�✓ IBC
81-260 Avenue 62
La Quinta, CA
Title 24
Client:
Sub -Contractor:
Shea La Quinta, LLC
Sun Coast Tensioning
Other:
General Contractor:
Architect:
Structural Engineer:
Shea Homes
Bassenian Lagoni
Borm & Assoc,lnc/Suncoast Post Tension LP
Weather:
Size and Type of Tendons:
1/2" Diameter Seven Strand Stress -Relieved Tendons
tarn
Unresolved-Is:
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
[None
43_j�np psi to 33.04 kips/33,000 Ibs
❑ See Below
Calibration Date:
Machine #
Phase G Lot# 3
Product l Plan y� 0 $l i o.`1 a` J
�s�f (?-9)
Description of Work Inspected:
Actual Elongation (in)
Specified
Complies within 7% +/- of specified elongation.
Lot # Location
Tendons Elongation (in)
Reference 11 h/SN2.
Yes
No
10-
❑
ER
❑
Ll �i
��
❑
e
a
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
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 C�bnNo: 2216-89
Contractor's Representative:
C,
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 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 Dates: Noted Below
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
❑✓ 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): 5 ''� Supplier: Superior
Time Sampled: D ; LI0 p V'" Mix Design: D83625P
Time in Mixer (min.):Lq Q Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.) Addmixture: POZZ 322N T�
,I z�T.j�^� r��
Concrete Temperature (F):—,5' Truck M �1 C)� Ticket #>c\"v• ry A';L6t%
Ambient Air Temperature (F):- �� Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
N None
❑ See Below
Location of Sample: S,` o, b on cf o &. .- M a i D r 11"A'00V'- '
❑ No Samples Taken
Description of Work Inspected: Phase 9 (2. Lot# 3 ,SV Product Plan Li s/
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 on
Also, typical details 2, 3/SD-1 and Notes on SNA 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 (ps ,
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.
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 rriy ability I have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector: Jack Millin_ QIC,C Certifi anon N - 0842216-80
c" NN4
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent C./ Copy 3 Governing Agency Page Iof