07-1358 (SFD)P;O. BOX 1504 '
78-495 CALLE TAMPICO
LN QUINTA, CALIFORNIA 92253_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07 - 0.0.0.0.13-5.8
Property Address:_ 61662 TULARE LN
APN: 764-280-999-109 -300237-
Application description: DWELLING' - SINGLE FAMILY DETACHED
Property 20ning: MEDIUM HIGH DENSITY RES
Application valuation: 159387
Applicant: Architect or Engineer:
(�Y 1
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 thp BusinessandProfessionals Code, and my License is in full force and effect.
Licen 1 ss license No:: 672285
at i ontractor:.
-
'' ,OWNER -BUILDER DECLARATION
' I hereby affirm under penalty -of pp erjuryyry
that -I am exempt from the Contractor's State LicenseLaw 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 str66ture, prior toits issuance; also requires the applicant for the
P to -file a_ signedstatemenTthathe•or.she,is, licensed pursuant to the provisions, of. the Contractor's stater. .
License Law. (Chapter.9 (commericmg wrth$ection 70001of Division 3 of the eusmess and Professions Code) or
that he.or.she is:exempt therefrom and the.6isis for the: alleged;ezemption. Any violation of Section. 7031.5:by
any applicant for a permit subjects the applicant to ecivil penalty of not -more than five Hundred dollars 1$560).:
• 1 _d 1,.as.owner of the property, or my.employees with wages as their. sole:compensation will d67&work; and'
. the structure is not intended;oroffAie for ;ale lSec,; 7044 Business and'Pr6iessions; Code: The '
Contractors' State License Law does not apply to an'owner oflproperfy who:builds or improves. thereon,
and who does the work'himself or herself through his or her. own employees, provided that the
improvements are not'intended or offered for said. If, however, the building or impro%ement.is sold within
one-year of completion, the, owner -builder will have the burden W proving that he or she .did. not build or'
improve for the purpose of sale.).
(_ ) I, as owner of the property, am exclusively contracting with licensed contractors to construct.the'project (Sec.
7044, Business anb rofessions Coder The Contractors' State License Law does not apply to' ari owner of
property who builds'or improves thereon, and whocontractsfor the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). -
1 _ 1 I am exempt under. Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat 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
88.00 N GAINEY CENTER 350
SCO.T-TSDALE, AZ 85258
Contractor: D A
SHEA''HOMES; INC. y
81260 AVENUE 62 MAY o9 2001
LA QU I•NTA , CA 9 2 5
(760)777-6005' CITY OFL'AQUINTA
Lic. No.: 67228 FINANCE DEPT.
----------------------------------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one.of-the following, declarations:
I have and'will maintain a certificate of consenf fo,self-insure for workers' compensation, as provided
for by'Section 3700 of the Labor Code, for the perfo7mance of ;`he work forwhich this permit is
issued.,
d w: I -have and will maintain; workers' compensation insurance as reqect
uired by Sion 3700 of;therL.atior?
Code, for the performance of the work 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 permitis issued,rl shall not elrfploy, any
person in-any.manner so a'sto become subject to the�workers'ycompensation laws of California,
and agreethai,,if I`should.become sublect.to the workers compensation provisions of Section ,
O;of=the ' or' hall ort w th co with those provisions.
l�4
c
Date : - li an
+ •%WARNING FAICURETOSECUREWORKERS' COMP ENSATION.COVERAGEISUNLAWFUL;AND
,SHAIL'-,-
SUBJECT AN.EMPLOYER TO CRIMINAL PENALTIES;AND`CIVIL' FWES.UP to: ONE' UNDRED THOUSAND.
,DOLLARS 0100;000).. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS. PROVIDED FOR'IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND,ATTORNEY'S;FEES.
APPLICANT ACKNOWLEDGEMENT,p -
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 forany actor omission related to the.work beig
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 a c nt ordinances and state laws relating to bu' in construction, and hereby authorize representatives
y t �hsEr upon the bove-mentioned prop fonspec io p rp es a
•ate:. w-�5 ature (Applicant or Agent)
Application Number .
. . . 07-00001358
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
849.50 Plan Check Fee
138.05
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..
4.10
Issue'-Date
Valuation
0
Expiration Date '.
10/30/07
Qty ''Unit Charge
Per -
Extension
BASE FEE •
.'15 '0,0'
1.00 -9.0000
EA MECH . FURNACE "<=1-00K
9'40
1.00 9:0000
EA. MECH B/C�,<=3HP/100K BTU-
9.0.0,
)0
4.( .. `6 5.0 0;0
EPA* MECH :'VENT. FAN
26.-0&--
1.00-. `�6.5000'EA_..,i
F. -7 -- - - - - ------ - - - - -- ------
MECH EXHAUST HOOD
---- •-.----- - - - - ------------------------- -
6.50.
- - - ----• -- - --
Permit '-.ELEC-NEW..RESIDENTZAL
Additional desc
- .� .,Permit "Fee ' °'
189'`84 'Plan Check Fee
5.62—
Issue Date.
Valuation
0">,::'
_ Expiration 'Date
10.%30/07 f.
r
:.Qty, Unit Charge
., Per
Extension
-BASE 'FEE
15 00;,..
:17.,73.;0.0 0350"
` ELEC NEW RES :- l OR 2 FAMILY
62.06'°
639 , o- .0200:"
'' . .ELEC 'GARAOE' NON-RESIDENTIAL"
12.78
c-------------------------------------------------
-= ---- --------.------------
" :. Permit``'*._..PLUMBING
Additional desc
.
Permit Fee . . . .
120.00 Plan Check Fee
7.50
.Issue Date . . .
Valuation
0
b, Expiration Date
10/30/07
Qty Unit Charge
.Per
Extension
BASE FEE
15.00
10.00 6.0000
EA PLB-FIXTURE
60.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
i
' Application Number . . . . . 07-00001358
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 INST/ALT/REP
3.00
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
Expiration Date 10/30/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT,109, PLAN 45150, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BOX BAY @
MORNING ROOM (24 SF.). PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY. APPROACH. 75%.REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
2001 CBC, CMC, CPC, 2004 CEC, 2005
'ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995..00
ENERGY REVIEW FEE
`13: ,81
DIF FIRE PROTECTION -RES
140.00.
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES•- RES.
355.00
- DIF PARK MAINT FAC - RES
2'2.00
DIF'PARKS/REC - RES
892.00
STRONG' MOT -ION- (SMI) - RES
15.93
DIF STREET MAINT FAC -RES
67:00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 1139.84 .00 .00
1139.84
Plan Check Total 155.27 .00 .00
155.27
Other Fee Total 4524.74 .00 .00
4524.74
Grand Total 5819.85 .00 .00
5819.85
LQPERMIT
Application Number . .. . . 07-00001358
LQPERDIIT
. �►
��r1.� 11'A®,
AIR CONDITIONING INC.
Installation Certificate: Residential CF -6R
Site Address
61-662 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 UNjj:�:]
F
ACTUAL EFF.
,HEATING EQUIP
MAKE
MODEL #
I AFUE
I CAPACITY
4. COOLING INFORMATION
CiMS8U9U5C;X iSU"/o
COOLING
MANUFACT
COMPRESSORACTUAL
EFF.
EOUIP.
MAKE
MODEL #
SEER
A/C -STD SYSTEM Amana
Coil -STD SYSTEM Aspen
GSC 13.0601 A 13
CP60B2X EER
HEATING
LOAD
COOLING EQuiPT EQUIPCOOLING
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.
YESE::] NOF--] N/A Q
6. SUBMITTED BY:
WESTPAC AIR CONDITIONING 6/28/2007
Signature Installing HVAC Contractor Date
\\Claire\Crystal Reports\Purchasing\CF6R_Report.ipt
Job#: 6695 Lot: 7109 Bldg: - Unit: -
Sep 13 2007 16:34 HP LASERJET FIFIX P.11
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of Califomia, in the building located at:
61662 Tulare Lane, Lot 7109, Phase 17D-2, Trilogy Project, La Quinta, California
CEILINGS:
TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-38
VVALLS:
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: 9113/2007
•. ,- JCM Inspections
3972'5 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:
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 Tensi
Slump (inches): "'SZO' Supplier: Superior
Time Sampled: i `�'j` oiyn Mix Design: D83625P
Time in Mixer (min.):• --J�� Specified Strength (PSI): 4000• .
Water Added@ Jobsite (gals.):', ��' Addmixture: POZZ 322N
Concrete Temperature (F):%Dl., Truck #: S Ticket #: 19-�
Ambient Air Temperature (F): • Z� Field ID Marking: Set A - 4 cylinders
Q✓ IBC
ETTitle 24
Other:
Unresolved Items:
None
See Below
,Location of Sample-, \ C.`t7 Or'j Ca.�SL-�C eat `l��OdYI
No Samples Taken
Description of'.Work Inspected: • " Phase1—'7 b..G.Lot# r ) q Product Plan
PP
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 (15,1,8/SD-1), ,
Seven Strand Tendons (4,10,12;13,16/SD-1);•Simpson Strong Walls (24/SD-1), Anchor Bolts and Holdoowwns.(6;7,8/SD=1), Pad Footings and additional
rebarplaced as per these details and as noted on r' Ec s `� n 0. Q S!`0o
V,i:� .tee o t � • � , ;:
Also, typical details 2, 3%SD-1 and'Notes on SN -1, 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 s r
A mechanical vibrator was used'to'consolidate the concrete.:Approved #4 rebar slab dowels were placed @ X18" o.c.
2)Molded4 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 j have found this work to comply with the approved
plans, specifications _applicable building laws.. Final report issued•at:project completion..
Inspecfo : Jack C..Millin, IGC erti t ation No: 0842216-49
\!
A �'.' IM
Contractor's,Representative:
Copy 1 JCM Inspections Copy 2 . Protect Superintendent Copy 3 Goverhing Agency
Page 1 'ofk'
0
JCM Inspecitions,
39725.Garand Lane Suite F
Palm Desert, CA 92211•
INSPECTIONS Phone: 760-345-5454.-I Fax: 760-772-3895 INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT Date:
Project Name: 'Project No:
Trilogy @ La Quinta - Shea Homes • 02-1109
Project Address: City:
,60-800 Triolgy Parkway La Quinta, CA
FClient:aSub-Contractor:
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
F-] 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 #
EJ None
Phase Produc I t Plan L)SJ_S-C, (n I (n(A --V—,
F–] See Below
-7 7 1 .9'
Description of Work Inspected: Actual Elongation (in)
Specified Complies within 7% +/-.of specified, elongation'.
Lot # Location Tendons Elongation (in) Reference 11h/SN2.
Yed No
[A, El
IV El
nA
A-
1� El
e -
El '
El
11' E
1:1 E]
I hereby certify that I have inspec led all of the above work, unless otherwiseI 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.
s p ect Jack C. Millin ICC Ce' TIcation No: 0842216-89
Contractor's Representative:
Copy 1 JCIVI Inspections Copy 2 Project Superintendent
Copy 3 'Governing Agency Page
of
JCY1 INSPECTIONS S
Complete C�ner�1 end Special inspection Services _ V!`
39725 Garand Tine, Suite F, Palm Desert, California 92211�A�c
Pbone: 760 - 345 - 5554 Fay: 760 - 772 - 3895
ST SPECIMEN DATA SHEEN'
j U ea t cam? eS �c v'
Client;Date.
3'-7'0
Project t•�� :P�r�oj; �t N.0L ' t
CONTRACTOR--
k
STRUCt'URP,:;Jp � `� e � ��—
L&CATION.TN STRUCTURE: GC
REPgRT OF STRENGTH TESTS: Mortar () Grouc fi Coacrcts O?-hc�r
SET N
Date Cast (0,--
,—' a
Dace Rexived: U�-
t
Cast By: G
Time Sampled ; S3�C2yn
M—L- Design:
Suppliff or
Ticket Number:
:Age to be Tested:71 G
Slump (in):.
Admix-twe: �—
Ai.r: Temp (F):
Conc T'CMXF).-
Unit Wt (pco:
AirC0ntent(%):
Water Added'(gal):
Time in Mixer (min):
Field TD Nfarl ngs:
FOR LABORATORY IJSE ONLY
Lab N m .r-
D of
(0—c
—
t�ti7
ALeA do):
1 Co
00
Tested By- _
ZD
��� __f�.�
OP. N2�N�
��