05-3908 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
1_05-00003908
61120 TOPAZ DR
764-270-999-68 -300234-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
149689
4 4 Qaum - \
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
�irchitect or Engineer:
'
IN. C_0&Sa+f
LICENSED CONTRACTOR'S DECLARATION
1 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 my License is in full force and effect.
License Class: B cense No.: 672285
[fate: b jjqla_ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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 Contractor's 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).:
1 _ 1 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 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.).
(_) 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.).
1 _) 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
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/07/05
nr
.T 141005 i
WORKER'S COMPENSATION DEC
CE �sa - —
--
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.
I have 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier AMERICAN HOME Policy Nu r 1247619
I certify that, in the performance of the wor fo which this permit is issued, I shall not employ any
person in any manner s as to become s j t to the workers' compensation laws of California,
nd agree that, if I s e subje the workers' compensation provisions of Section
I` 700 of the Labo ode I s I forthwi co hose provisions.
1: q pplicant:
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.
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 permAn'
aion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that bove is correct. I agree to comply with all
city and county ordinances and state laws relating ng conand hereby authorize representatives
of this cou ty to ter upo he above-mentione prop rt for
Oi ature (Applicant or Age
Application Number . . . 05-00003908
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. .
814.50
Plan Check Fee
529.43
Issue Date
Valuation . . . .
149689
Expiration
Date
3/06/06
Qty Unit Charge
. Per
Extension
BASE
FEE
639.50
50.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
175.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
90.00
Plan Check Fee
22.50.
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
3/06/06
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.
5.00
6.5000
EA MECH
VENT FAN
32.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
83.40
Plan Check Fee
20.85
Issue Date.
Valuation
0
Expiration
Date
3/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1636.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
57.26
557.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.14
Permit
PLUMBING
Additional
desc .
Permit Fee
146.25
Plan Check Fee
36.56'
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date ...
3/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00
6.0000
EA PLB FIXTURE
78.00
1.00
15.0000.EA
PLB BUILDING SEWER
15.00
LQPERMIT
LQPERMIT
Application Number . . . . . 05-00003908
Permit PLUMBING
Qty Unit Charge Per'
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.00.00 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
5.00 ..7500 EA PLB GAS PIPE >=5
3.75
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-, 3/06/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - Plan 4210C Lot 68,, 1636 S.F.
w/Casita (255sf), MBR Box Bay (26sf),
Ext Garage (83sf) & Ext Patio (177sf).
.
Permit does not include block wall,
pool or driveway approach.
----------------------------------------------------------------------------
Other Fees ART IN PUBLIC PLACES-RES
20.00
DIF COMMUNITY CENTERS-RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY.REVIEW FEE
52.94
DIF FIRE PROTECTION-RES
91.00
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
14.96
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged PaidCredited
Due
---------------------------------------------------------
Permit Fee Total 1149.15. .00 .00
1149.15
Plan Check Total 609.34 .00 .00
609.34
Other Fee Total 2492.90 .00 .00
2492.90
Grand Total 4251.39 .00 .00
4251.39'
LQPERMIT
MAR 20,2006 12:59 BCI*TESTING,ri1 000-000-00000 Page 4
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 7006
This CF -4R Issued by Ca10ERTS& is for the home located at: 61120 Topaz Drive.
La Quinta CA, 91253
Certificate Number:
CC3-1798358 ..66
Date Inspected:
March, 15 2006
CaICERTS Rater:
William Henson
Number of Stories:
CC200407G 1
HERS Analyst:
N/A
Builder/Developer:
Shea Hamrs, Inc,
Project:
Trilogy @ La Quinta
f
Phase:
Phase 13A
Plan Name:
4210
Lot Number:
068
Specifics about this home:
General Information
Conditioned Floor Area:500
Syuare.he t
Conditioned Volume:
0 Cubic, Feet
Front Orientation:
N/A
Number of Stories:
i
Heating and Cooling Systems
N/A
Heating Equipment:
Furnace: 0.8
Cooling Equipment:
AC: 12
HVAC AirDistribution
Duct Location:
Duct Leakage Target:
Duct Insulation R -Value:
Air Infiltration
Blower Door Target:
Testino & Verification Results
HVAC S stem
ct Leakd e:
Yes - PassedV:
ESystem
[ested
Yes Passedct
Desi n Com liance:
N/Act
in Conditioned Space.
N/A
ted Reduced Duct Surface Area:
N A
ested Infiltration Reduction Credit:
N A
Tested
Attic
6.0 Approved AA Part Of Sample Group
6
BCI Testing
99
Water Heating S stam Pro osed
TY I Size I Fuel I EF Distribution
7.760 Country Club Drive, Suite I
Palm Desert, CA. 92211
760.772-2954
a, %.S olo
Water Heating System Actual Certifying k',iC--atUrtf Date
TY I Size I Fuel I EF Distribution
The energy efficiency rating of this home is determined using California Horne Energy Rating System (C -HERS) rules, The rating considers
heating, couling and water heating and assumes average Weather, thermostat settings, and quantities of hot water for a typical household.
Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have
been verified and approved by the CaICERTS Certified Rater shown above. If you have a concern or complaint regarding this report of the
services used In obtaining it, you may contact: CaICERTS - Customer Service 11 Nalorna St Suite 140, Folsom, CA 95630.
MAR 20,2006 12:59 BCI*TESTING,ri1 000-000-00000 Page 5
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 2006
This CF -4R Issued by CaICERTS® is for the home located at: 61.120 Topaz Drive
La Quinta CA, 92253
Certificate Number: CC -3 1.798359874
Date Inspected: March, 1S 2006
CaICERTS Rater: William Henson
CC2004076
HERS Analyst: N/A t:
Builder/ Developer: Shea Homes, Inc. ,C
Project: Trilogy Cal I.a Quinta f•
Phase: Phase 13A
Plan Name: Casita
Lot Number: 068
Specifics about this home:
General Information _
Conditioned Floor Area:
400 Square -Feet'
Conditioned Volume:
0 Cubic Feet
Front Orientation:
N/A
Number of Stories:
1
Heating and Cooling Systems
N/A
Heating Equipment:
Furnace: U.ti
Cooling Equipment:
AC: 12
HVAC Air Distribution
Dud Location: Attic
Dud Leakage Target: 6.0
Duct Insulation R -Value: 6
Air Infiltration
Blower Door Target: 48
Water Heating 2a tem Pro osed
TY I Size Fuel I EF I Distribution
lest. nq & Verification Results
Main System HVAC System
ested Duct Leakage:
Yes - Passed
ested TXV:
Yes -Passed
ested Duct Design Compliance:
N/A
ested Duct in Conditioned Space:
N/A
ested Reduced Duct Surface Area;
N/A
ested Infiltration Reduction Credit:
N/A,
E,l I Tested
"�' App: oved As Part Of Sample Group
BCI Testing
77-760 Country Club Drive, Suite I
Palm Desert, CA. 92211
760-772-7n"•4
Water Heating System Actual Certiij is , : _;;_ =tLre Vats "
TY I Size I Fuel I EF Distribution
The energy effrcierity ratinti of this home is determined using California Home Energy Rating System (C-HER.S) rules. The rating considers
hoating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household.
Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have
been verified and approved by the CaICERTS Certified Rater shown above. If yuu have a concern or complaint regarding this report of the
services used in obtaining It, you muy contact: CaICERTS - Customer Service 11 Natnma St Sulte 140, Folsom, CA 95630.
03/02/2006 16:55 FAX PARAGONPSCHIMID 001/007
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 California, in the building at
61-120 TOAZ DR, LOT 4068, PHASE 13A, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Cacoon Stable THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Cacoon Borate THICKNESS: W-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAG SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: , TITLE: ACCOUNT REPRESENTIVE DATE:
0
JCM Inspections
39725 Garand Lane Suite F
LTI=%=4Palm 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
Z IBC
❑Title 24
Other:
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): —7.0o Supplier: Superior
Time Sampled: W, LA a n V't Mix Design: D83625P
Time in Mixer (min.): Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): IS Addmixture: POZZ 322N
Concrete Temperature (F): �� Truck #: 3c't ca--°ricket #: � i�
Ambient Air Temperature (F): 191�1 Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
® None
❑ See Below
Location of Sample: Stf n AC.,— (n SiTi
❑ No Samples Taken
Description of Work Inspected: Phase 3 Lot# "'1 0&f6) Product Plan
1— -7 -0:5-
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 \ K 4 ,n ( - 4
t,•\ !'1 '�!. C A S tT,1 � `�.. \.i R.-a\, � J\ t /1 �i i ) �- /1 �! Q %- '�1+� rXi
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.
1-14;-os-
1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx –7 Q
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 my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
C. Mullin ICC Certifioation No: 0842216-80
Inspector: Z_("D >, � . Vw�"'A__ .
Contrac or's Representative:
Copy 1 JCM Inspektions Copy 2 Project Superintendent / / Copy Governing_Ag y Page ( of
JCM Inspections
39725 Garand Lane Suite F
rL—ILM Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC
Dater 3/12/06
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 13A - Lot # 4068 Slab on Grade 11-18-05
Concrete
273-632 Casita
Required psi: 4000
1841 7
2940
1842 28
4220
1843 28
4270
CERTIFIED: C _
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211LTM%
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:
Q 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 for Active Adults Bassenian Lagoni
Borm & Associates, Inc./ Suncoast Post Tensi
Weather:
Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons
c
Suns
tA
Unresolved -It ms:
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
jp psi to 33.04 kips/33,000 lbsNone
❑ See Below
Calibration Date: Machine #3`-78
Phas Lot#L4 n(.,Producti— Plar)-4--a IC.. G — la C)
Z)f (V e.
Description of Work Inspected:
Actual Elongation (in)
Specified
Complies within 7% +/-
of specified elongation.
Lot # Location Tendons Elongation (in)
Reference 11 h/SN2.
L4
Yes
No
r
-g-
a
-�
01"
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
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: JacC,Millin ICC Certification No:0842216-89
Contractor's Rep er se, tative:
.Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1