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06-4381 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: C06_-�00004381.J_ Property Address: 61634 TOPAZ .DR APN: 764-280-999-140 -300237-- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 150034 Applicant: Aect or Engineer: ` f Mss Coy, _Uk 1 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: SHEA HOMES, INC. A 81260 AVENUE 62 LA QUINTA, CA 92253 �,QuiN (760)777-6o65 Crr�(of 0Ep1 Lic. No.: 672285 F091ANCE Date: 12/26/06 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided LiQlass: License No.: 672285 - cens for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' issued. Date: L ntractor II If(1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - T-' Code, for the performance of the work for which this permit is issued. My workers' compensation ' OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the ' Carrier AMERICAN HOME Policy Number 1247619 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, 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 and agree that, i0sh d Tbecome subject to the orkers' compensation provisions of Section - 3700 of the b!fa11 f rth rith comply ith those provisions.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -(v ��1 `, _ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: - ate. pplicant: •• \ (_ 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 offeied for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT - (_ 1 I, as owner of the property, am exclusively contracting with licensedcontractorsto construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the , 7044, Business and Professions Code: The Contractors' State License Law does not apply tb an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed' 1 .. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is.performed under or pursuant to any permit issued as a result of this application, (_ I I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced - 7 within .180 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. , I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and Tunty rdinances and tate laws relatin it g constr coon, and her y authorize representatives - - - - - - - - - - - of thi co rr��e on eabove-mention d prop or-inspe tion ��`r Lender's Name: VR\ )vv1 - - e: nature (Applicant or Ag t : Lender's Address: - LQPERAIIT Application Number 06-00004381 Structure Information Construction Type . . . . . .TYPE V - NON RATED " Occupancy Type `. . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD -ZONE Other struct info.. CODE EDITION 2001 ' # BEDROOMS 3'.00 ' FIRE SPRINKLERS, NO GARAGE SQ FTG •576.00 PATIO`SQ FTG 177.00' NUMBER OF UNITS 10:00 1ST -FLOOR SQUARE FOOTAGE 1688.00• , Permit BUILDING PERMIT Additional-desc ' Permit Fee . . . . '818.00 Plan Check Fee 531.70 Issue Date . . . . Valuation . . . . 150.034 Expiration Date 6/24/07• Qty Unit. Charge Per Extension BASE .FEE- 639.50. 51.00 3:5000 THOU BLDG 100,001-500,000 T78.50_ i-' - -------------- ,- ' - - - - - - - - - - - - - - - - - - - - - -------------------------------------- -----------------------------------Permit Permit MECHANICAL Additional desc ... Permit Fee 64.00 Plan Check Fee .. 16.00 _ Issue. Date Valuation . . . . 0 -' Expiration Date 6/24/07 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/100_x•9TU' -18.00 ' 1.00 6.5000 EA MECH VENT'FAN 1.00 6.5000 EA MECH,EXHAUST HOOD 6.50 . - Permit' }. ELEC-NEW RESIDENTIAL. ' _ Additional desc , Permit Fee -85.60. Plan Check Fee -21.40.. • Issue Date Valuation 0 " ' Expiration Date 6/2'4/07 Qty Unit Charge Per .Extension BASE -FEE 15.00 1688.00 035.0 ELEC NEW RES = 1 OR 2 FAMILY 59.08. LQPERA11T - ' Application Number 06-00004381 _ Permit . . . . . . ELEC=NEW RESIDENTIAL Qty Unit Charge Per Extension ,. 576.001 .0200 ELEC GARAGE OR NON-RESIDENTIAL' 11.52 Permit . . PLUMBING Additional,desc . Permit Fee ". . . 128:25 Plan Check Fee 32.06 Issue Date Valuation . . . . 0 Expiration Date .' 6/24/07 Qty.' fUnit Charge Per Extension _ BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE _ 60.00 ` - - - 1% 00 " ' 15: 00.00 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 "-t 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 151.00 Plan Check Fee .00 Issue Date . . ... Valuation . . . . 0 Expiration Date .: 6/24/07 - Qty Unit Charge Per - `Extension . BASE FEE 15.00 -------------------------------------------------------------------- Special Notes and Comments ` SFD - LOT 140, Plan 4520C,1688 SF/ BOX BAY @.MASTER (26SF) & 4' EXT. GARAGE - (88SF).PERMIT DOES NOT INCLUDE POOL, •SPA BLOCK WALLS OR DRIVEWAY APPROACH., ti. 2001 CBC, CMC, CPC, 2004 CEC, 2005. _ ENERGY -CODES " Other Fees . . . . ... ART IN PUBLIC PLACES -RES .:00' 'DIF COMMUNITY CENTERS -RES. 74.00• '. DIF CIVIC ;CENTER - RES- 995.00 ENERGY REVIEW FEE 53.17 ` DIF -FIRE PROTECTION -RES' 140.00 GRADING PLAN CHECK FEE .00 ' DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES.' 22.00 LQPERD1IT - , Application Number . . . . . 06-00004381 --.--------------------------------------------------------------------------- Other Fees . . . . . DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.00 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged. Paid Credited Due Permit Fee. Total 1110.85 .00 .00. 1110.85 P1an.Che6k Total. 601.16 .00 .00 601.16 Other Fee Total '4543.17 .00 .00 4543.17 Grand Total 6255.18 .00 .00 6255.18 LQPF% IIT - - -. - � ;P 11,2007 11:46 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address Builder Name 61634 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. BuilderContaet Teluphane Plan Number 4520 STD HERS Rater Telephone Sample Group Numbor/ Lot # (it applicable) William Henson _ 760-772-2954 62087/ 7140 Cornnliance Method (Prescriptive) Climate Zone 15 Certifying Signature Firm: BC1 Testirf§ - Street Address: 41800 Washington St. Date Certificate Number April 26, 2007 CC3-1798402669 HERS Provider:CaICERTS Inc. City/State/Zip: Bermuda Dunes/ CA/ 92203 T Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, t certify that the house identified oil this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building, The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a ropy of the CF -611 (Installation Certificate). New Dlstnbutlon system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). (� Now systums where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive dud tape to seal leaks at duct connections. MINIMUM RE UIER514ENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM Gil 25 Pa) Measured Values 1 Enter Tested Leakage Row in CFM: 60 2 Fan Flow: Calculated (Nominal *..."Cooling' 'Heating) or'. Measured Enter Total Fan Flow in CFM: 1600 3 Vass if Leakage Percentage < 6% [ 100 Y ( Line 1 / Line 2 ))! 3.7S% t L`_I Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Row in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Filter Tested I eakage Row in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out, 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] • (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 X ( Line 5 / Line 2 )J: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage •: •- 15% [ 100 x ( Line 5 / Line 2)]: ❑ Pass ❑ Fail 10 Pass it Leakage to Outside Percentage <= 10%, ( 100 x ( Line 7 / Line Z )1; ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentd9e :.-= 60% ( 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection (.� Pass Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass []Fail Page 17 Ix'11,2007'11:46' BCI*TESTING,ril, 000-000-00000 Page 18" .CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8)' CF-411k Project Address : guilder Name > 61634 Topaz Dive - La Quinta, CA 92253 'Shea Homes, Inc. Builder Contact Telephone -Plan Number # 4520 STD HERS Rater� Telephone Sample Group Number/ Lot 1r (if applicable) C WilliaAi Hensc An - =r 760-772-2954 62087 /7140 ' Com liance MethodPrescri tive Climate Zone 15. �, • Certifying Signature �+ Dare Certificate Number ' April 26, 2007 CC3-1798402669 Firm: BCI=Testing HERS Provider,Ca10ERTS, Inc., Street Address:' 41800 Washington St.,�. City%State/Zip:6ermuda Dunes /.CA/ 92203 • Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT 'HERS RATER COMPLIANCE STATEMENT The house was R Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification. I certify that the house identified on this form complies with the diagnostic tested compllance requiremenfs as checkedon this form. The installer has provided a copy of the CF-61k (Installation Certificate). HERMOSTATIC"EXPANSION VALVE TXV : Main System Access is provided for inspection'. The procedure shall consist of visual verifii ation that the TXV,is installed on the system and installation of the specific equipment shall be verified. Main Systerti HVAC: System TXV RF,.. ❑ Fail NFAT 11,2007,11:46 BCI*TESTING,ril 000-000-000001 :. Page 19 CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TEST_ ING (Page 5 of 9) y ' r 5 ` CF-4R Project Address Builder Name' 61634 Topaz Drive - La Quintd, CA 92253_ Shea Homes, Iqc, r Builder Contact Telephone Plan Number 4_520 STD t HERS Rater s; TO'Phona Sample Group Number% Lot # (if applicable) William Henson ` 760-772-2954 62097/ 7140'. Compliance Method (Prescriptivej (PrescriptiveClimate Zone 15 " Certifying Signature,- Date Certificate Number, , April 26, 2007 CC3-1798402669 ` Frm: BCI 'Testing 1•1ERS Provider: CaICERTS, Inc._ Street Address:, 41800 Washington St. City/State/Zip: Bermuda Dunes / CA /92203, Co ies to: BUILDER HERS PROVIDER AND BUILDING DEPARTMENT, HERS RATER COMPLIANCE STATEMENT - The house was RTested ❑Approved as Part•of sample testing, but was riot tested, As the HERS rater, providingdiagnostic testing and field verification, I certify that the house identified on this form complies with the did noshe tosted'compliance requirements as checked on this form. The installer has.provided a copt of the CF-611 (Installation Certificate), , HIGH EER AIR CONDITIONER: Main System !r. Procedures�for veriFrcation ala available in RACM Appendix RI. , I Yes ❑ No EER value3 of installed systems match the CF-1R 2 © Yos ^❑ No _; For spilt systems'; indoor coil is matched to outdoor coil 3 n Yes 1 .1 No. Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pa-4PASS Fail :r. "'JC'M Inspedioni 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: 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): Supplier: superior Time Sampled: q" Lv,� Mix Design: D83625P Time in Mixer (min.): 4z- Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): O Addmixture: POZZ 322N Concrete Temperature (F): Truck #: C1 Ticket #: Ambient Air Temperature (F): SField ID Marking: Set A - 4 cylinders ZIBC E] Title 24 Other: UnresolvedItems: F� None See Below Location of Sample: E] No Samples Taken Description of Work Inspected: Phase 16v Lot# -71. Product - Plan LA 0 0 (A Z_ Ut V 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 A P k \111 \10 X n.,I) 0, )A Q\tre-c 4,00v`n 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 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. Inspector: Jack C—Millin ICC Certificaticin^No: 0842216-49 C, Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F I- Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 - INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:a Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Shea La Quinta, LLC Sub -Contractor: Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: Borm & Associates, Inc'/ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Sq r psi to 33.04 kips/33,000 lbs Calibration Date: Machine #) 49— � Phas ' W©\ Lot# -1,\ Lr Q Product -i Plan L.' nC, (n (o3LA Tnnr, � _ L]s°4„e� ❑✓ IBC ❑ Title 24:� Other: Z Unresolved Items: F-1 None ❑ See Below Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) \ Actual Elongation (in) Complies within 7% +/- of specified elongation. . Reference 11 h/SN2. -I L4 b Yes No F4� El 0 ❑ - �- ❑ .r - ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Certification No: 0842216-89 \", Q , C , � �� . Cont actor's Representative: tt f Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections ` 39725 Garand Lane Suite F Palm Desert, CA 92.211 I N S P E C.T I O N'S Phone: 760=345-5554 Fax 760-772-3895. INSPECTION S COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLCDate`. 3/25/07 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 60-800 Triolgy Parkway r� La Quinta, CA 92253 Set ID Structure 'r r Age of Test .Compression Strength JCM ID Location 'Date Cast Cylinder ID (days) (psi) Set A Phase 16D1 - Lot # 7140 Slab on .Grade 1-25-07 Concrete 273-849 Kitchen Required, psi: 4000 s,. y 5897 - , . 7 3280 5898 28 ` 4690' s , 5899 28 f 4630 CERTIFIED:.-�.. Inspections supplies the service rN of compression strength test results only. er PASTMC39 Page 1 of 1