07-1354 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X0'7.-0'0'001-3:5-4
Property Address: 61634 TULARE LN
APN: 764-280-999-111 -300237-
Application description:. DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 159387
'f-it!t
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Applicant: rchitect or Engineer:
Yllyr— a+�,c�v
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that,l am licensed under provisions of Chapter 9 (commencing with
Section 000)of Division 3 of the Business ndProfessionals Code, and my.Cicense is in full force and effect.
Lice I i B L''eno.: 672285
Cat _ tractor.
-OWNER-BUILDER DECLARATION
I hereby affirm under -penalty of -perjury that 1 am'exempt'from the`Contractor's State License: Law for the
following reason (Sec. -7031 B; Business and Professions'Code: Any city Ior 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 Contractor's State
.License Law h r mm -n in wit i -n
(C apte 9 Ico e c g t Sect o 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 1_S500)::
( .,•J. 1, 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-.tiwlds of improves thereon,
and who does the work himself -or herself, through, hisor, her, own employees, providiid'that the
improvements are not intended. or offered for sale. If, however, the building -or improvement it sold within .
one year of completion,..tfie owner -builder will have the burden of: proving that he or she.did not build or
improve forthe purpose of salsa.
(_ 1 I, as owner otthe property, am exclusively contracting with licensed contractors to construct the. project ISec.
7044,6 usiness,and ProfessionsCode: The Contractors' State License Law does not apply to'an-owner of
property, -who builds of improves thereon, and who contracts for the projects with a•:contractor(s) licensed
pursuant to the Contractors' State License Law.). - -
I_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/03/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ'
D.
Contractor:
SHEA HOMES, IN
81260 AVENUE:6,
LA QUINTA, CA 22 1
(760)77776005
Lic. No.: 67228
a
350
MAY o 9 2007
------------------
WORKER'S 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 workfor which this permit is'. -
issued.
Lh lss.ve and will maintain -workers' compensation insurance, as required- y Section 3700 of the Labor
-Code, for the performance of they . for which this permit. is issued. My workers' compensation
insurance carrier and policy number are: - _
Carrier AMERICAN HOME Policy Number 1247619
I: certify that, in the performance of the work for which this permit is issued; I shall not employ any
RheA
an''to' become -subject to. the.workers` compensation laws of California,.
thecome subject to the wor. ` s',�compensation+provisions of Section
h fo 'Ecom t `se provisionsli c
WARNING: FAILURE TO, SECURE WORKERS` COMPENSATION COVERAGE Isi-UNLAWFUL, AND -SHALL
SUBJECT AN EMPLOYER TO -CRIMINAL PENALTIES -AND CIVIL -FINES UP TO ONE HUNDRED'THOUSAND
DOLLARS 0100,0001. IN ADDITION TO THE COST OF COMPENSATIbN_6'ANIAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES:- _
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,permitissued 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 tinder or following issuance of this permit. '
2. Anypermit 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 .1—, 1 have read this appIicglidh and state that the above information is correct. I agree to co ply with all
city an my or finances and to laws relating to bu' onstructi n,5a. hereby authorize rept sentatives
of t ' ty a ter, o e above-mentioned prop r i specti pse .
D gn ture (Applicant or Agen :
Application Number . . . . . 07-00001354
Permit . . . .
. .
BUILDING PERMIT
Additional desc
..
Permit Fee . .
. .
849.50
Plan Check Fee
552.18
Issue Date . .
. .
Valuation . . . .
159387
Expiration Date
10/30/07
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
60.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
210.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee
65.50
Plan Check Fee
16.38
Issue Date . .
. .
Valuation . . . .
0
Expiration Date*.
10/30/07
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
6.50.00
EA MECH
VENT FAN
26.00
1.00
---------------------------------------=-------------------
6.5000
EA MECH
EXHAUST.HOOD
-----------------
6..50
Permit .
. .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee
89.84
Plan Check Fee
22.46
Issue Date
Valuation . . . .
0
Expiration Date
10/30/07
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1773.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
62.06
639.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.78
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 120.00
Issue Date . .
Expiration Date 10/30/07
Qty Unit Charge Per
Plan Check Fee . .
Valuation . . . .
BASE FEE
10.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERM[T
30.00
0•
Extension
15.00
60.00
15.00
LQPERA11T.
Application Number . . . . 07-00001354
Permit . . . . . . PLUMBING
Qty Unit Charge Per..
Extension`
1.00. 7..:5000 EA PLB WATER HEATER/VENT
7.50 .
r
3.00
LQPERA11T.
Application Number . . . . 07-00001354
Permit . . . . . . PLUMBING
Qty Unit Charge Per..
Extension`
1.00. 7..:5000 EA PLB WATER HEATER/VENT
7.50 .
1.00 3.0000 EA PLB WATER I-NST/AL'T/REP
3.00
.6.00.. .7500 EA PLB - GAS PIPE° >=5
4; 50
1.00 15.0000 EA PtB_GAS METER
----------------------------------------------------------------------------
"15.00
Permit GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee..
00
Issue Date Valuation
0
Expirat-ion Date .' 10/30/07
Qty Unit -Charge Per,.*-.
Extension
BASE- FEE
.15.'00'
---------------------------------------------
Special Notes and Comments
S.FD - LOT --111;, PLAN 451SA, 1773 SF.
WITH 41 GARAGE EXT . (103 S F) & BOX' BAY- @
,
NOOK(24 SF.). PERMIT
DOES -NOT. -INCLUDE POOL, - SPA, BLOCK WALLS
- OR„ DRIVEWAY, APPROACH.
2001 CBC,, .,CMC;' CPC, '2004 CEC, 2005
ENERGY., CODES
------ -- ------------------------------------
Other Fee.- sART`-IN PUBLIC PLACES -RES,
20 t00 '
DIF COMUN
MITYr"CENTERS-RES
14..00-
DIF:CIVIC,,CENTERr RES.
995:00
- =ENERGY FEE`
55.22..
.REVIEW
DIF FIRE PROTECTION -RES
140`00 a
GRADING PLAN CHECK _EE
00` '
DIF LIBRARIES � - 'RES-.
355 '0'0 .
DIF=PARK�MAINT„FAC RES
22.66-
2 00DI-F
DIFPARKS/AEC-'-''' RES''
892.:00
STRONG MOTION .: (SMI) -:".,RES
15 ¢93
DIF ;STREET :1MAINT'-FAC=RES;.
67 . 00
DIF TRANSPORTATION -; RES`
1930.00
Fee summary Charged Paid Credited
Due
----- ---------- ----------
Permit.- Fee Total1139.'84 .00 .00
1139.84.
Plan Check Total 6-23:-.,.b2 00 ..010”
62.1.,02
Other Fee Total 4566.15 .00 .00
4566.15
Grand Total 6321.01 .00 .00
6327.01
Installation Certif cate : Residential CF -6R
AIR CONDITIONING INC.
Site Address
61-634 TULARE LANE,— Bldg: - Unit: -
1. BUILDER INFORMATION
Shea Trilogy La Quinta
60 -800 Trilogy Parkway
LA QUINTA, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwork in
Attic and Between Floors
PERMIT #
SUBDIVISION: Trilogy La Qunita
CITY: LA QUINTA
COUNTY: RIVERSIDE
WESTPAC AIR CONDITIONING
DUCT OR PIPING R -VALUE
Flexible Ductwork Will have
a R -Value of 6.00 or Better
I, the undersigned, verify that the equipment'listed in the category above my signature is the equipment installed and that the equipment
meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified -that the equipment is equivalent to or
more efficient than the equipment specified on the Certificate of Compliance submitted -to demonstrate complience with the Energy
Efficiency Standards for residential buildings.
3. HEATING INFORMATION
HEATING
EQUIP.
Furnace -STD
SYSTEM
MANUFACT
HEATING UN
1ACTUALEFF.
HEATING EQUIP
MAKE
E MODEL #
I AFUE
CAPACITY
4. COOLING INFORMATION
UMS80905CX 80%
COOLING MANUFACT
COMPRESSOR
ACTUAL EFF.
EQUIP. MAKE '
MODEL #
I SEER
A/C -STD SYSTEM Amana
Coil -STD SYSTEM Aspen
GSC130601A 13
CP60B2X EER
R
EATING
LOAD
COOLING EQUIP COOLING
CAPACITY LOAD
The building design heat loss and design heat gain rate have been determined using a method specified in Section
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
5. THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
6. SUBMITTED BY:
WESTPAC AIR CONDITIONING
Signature Installing HVAC Contractor
\\Claire\Crystal Reports\Purchasing\C F6 R_Report.rpt
Job#: 6695 Lot: 7111 Bldg: - Unit: -
YES Q NOF --j N/AF--]
6/28/2007
Date
Sep 13 2007 16:32 HP LASERJET FAX P.9
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, Califomia Administrative Code, Title 24, State of California, In the building located at.,
61634 Tulare Lane, Lot 7111, Phase 17D-2, Trilogy Project, La Quinta, California
CEILINGS:
TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-38
WALLS:
TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY:
TITLE:
PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 221517
BY: TITLE: OFFICE MANAGER DATE: 9/13/2007
• �JCM Inspections � �; `'
39725,Garand Lane. Suite 'F
i-_ Palm Desert, CA 92211It9_
INSPECTIONS Phone: 760-345-5554,-:,-, FaX 1 760-772-3895 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 Te.nsi
Slump,(inches):.: Supplier: Superior:
Sampled:, ` Mix Design: D83625P
Time �S`0'ltg
P q .�'1;
Time in Mixer (min.):. 40. Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): ````0�12� Addmixture: POZZ 322N
tV
Concrete Temperature (Fp'., Truck #: Ticket.#: _
Ambient Air Temperature,(F): Field ID Marking: Set A-•4.cylinde'rs ..
Q✓ IBC
Title 24
Other:
Unresolved Items:
None
0 See Below
FLocat�ion'of Sample:�G
0 No Samples Taken
Description of Work Inspected' Phase,' , 7 Y Lot# Product PI'an , .S
1) Received mill certifications for rebar and tendons placed.
2) Typical exterior, Footings Qincluding Garage Footings/Door (11,12,13/SD-1), Tie Beams (20/SD-1), Typical Interior Footings/Rib including step (15,18/SD-1),'°
''Seven StrandjTendons (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,npteO on'
AL
Also, typical details 2, 3/SD,-1 and Notes on SN=1 apply. Checked rebar for grade, size, placement, coverage an;splices. Rebar and tendons were
and supported off the earth. Accepted for concrete placement.
rsecurely,tied
4) 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 rebarslab'dowels were placed,@ 1'8" 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 my ability I have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector: JacktC. Millin ICC'C6rtificatin o: 0842216-49
L:.
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of '
54.
tp.-.�+�i�;. -0 r r�:. � TItF It �.j r...:.t• .
L
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:.o�lfl�ii-7
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
Sun Coast Tensioning,
General Contractor:
Architect: Structural Engineer:
Shea Homes for Active Adults
Bassenian Lagoni Borm & Associates, Inc./
Suncoast Post Tensi
Size and Type of Tendons:
1/2" Diameter Seven Strand Stress -Relieved Tendons
❑✓ IBC
❑ Title 24
Jack Machine Calibration:
Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
Other:.
psi to 33.04'kips/33,000 lbs
Unresolved Items;,
Calibration Date:
Machine # 39
❑ None.
Phase-) Lot#—1 I
^�
.Product A Plan S S 1 Q, �
See,Below.
Description of Work Inspected:
Actual Elongation (in)
Specified . Complies within 7% +/- of specified elongation. .
Lot# Location
Tendons' Elongation (in) Reference "11h/SN2.
Yes No
�. W"
�' ❑
n_
I VA Q
S
nc
O eA�
L.R. 1.. 3
❑
P- ❑
�
� 1
nom• ❑
ti
.qA
❑ ❑
I hereby certify that 1 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.
InspectorE\Jack C. Millin ICC C itifcation No: 0842216-89
Contractor's Representative:
Copy 1 JCM`Inspections Copy 2 Project Superintendent , Copy 3. - Goveming_Agency.
o'
Page 4— of
(
JCM LNSPEMONS
Complete General and Sp -CCW Inspection Services
39725 Gar -and Lkne, Suite F, Palm Desert, California 92.111
Phooe: 760 - 345 - 5554 Fax: 760 - 772 - 3895
QST' aPECIMEN DATA SHEEN'
e:� �..� G
l o Sv�e� C \`' iT1J2So S Ck
V'
cbent: ��� ti �'-o�l,0� �`'e ��QC', 3�� Daae
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Proje�ci`-�'�`� Project No:
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(C.)a kko�
%O isu;ti, --- _ CON'T'RACTOR:
STRUCTURE:
w w J
OCAnox IN,STBU
L. > n
REPORT OF STRENGTH TESTS: Mor r () Grout f 1 Concrccc Cythtr ( ;
SET K
Date Cast Slump (in): ®d
Date Received: l-3 Ad.tniztwe: ,0'z:—
Cast By: G ,
Time Sampled
Supplier. o�
Specfi�i_p si
Ticket Number:_ n
Age to be Tested:I:( Cc)�
Air Temp (F): q a
Coac Temp(F): Or)
Unit Wt (P -co
C—CC�
AirContent(%): -
Water Added (gal):
Time in Mixer (min):
Field M Markings.
FOR LABORATORY USE ONLY
L4bN
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D of Tcg.r
&0 dal��)
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