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05-4887 (SFD)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r 69-00004887 Property Address: L-81343 ULRICH DR APN: 764-270-999-54 -300234- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 187396 _DINC� & SAFETY DEPARTMENT LD 1�#,� PERMIT A`/� � LA + [/ Owner: SHE1'V��V ?o® C/OAJEFFQUINTA MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Applicant: Architect or Engineer: LtU -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Div ion 3 of the Business a d Profes na Code, and my License is in full force and effect. Licen a las B L ense No 672285 Date: tractor: - 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 (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 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.). (_ 1 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 _ 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: W3 1 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 ------------------ WORKER'S COMPENSATION DECLARATION Date: 11/02/05 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 Number 1247619 I certify that, in the p�erf rmance of the work f which this permit is issued, I shall not employ any person in any maer o as to become su l7 to the workers' compensation laws of California, and gree that, if sho •be o e subje SS the workers' compensation provisions of Section `1 37 0 of the Labo�da, s all forth comply with those provisions. to " 1/ icant: WARNING: FA RE 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 permit, -or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t a ve infor at n is correct. agree to comply with all city and co my ordi nces and state laws relating to buil Ing constr ctio wand.hereby authorize representatives of th' c u. y o nt upon the above-mentio et!-pr�pe fo, inspe ro purposes. I � Date: ature (Applicant o Age rt: Application Number . . . . . 05-00004887 LQPERMIT 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 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2174.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 926.50 Plan Check Fee 602.23 Issue Date . . . . Valuation . . 181091 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 3.5000 THOU BLDG 100,001-500,000 287:00 Permit . . . MECHANICAL Additional desc . Permit Fee 77.00 Plan Check Fee 21.63 Issue Date Valuation 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .00 11.0000 EA MECH FURNACE >100K .00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 .00 16.5000 EA MECH B/C >3-15HP/>100K-500K13TU .00 3.00 6.5000 EA MECH VENT FAN _19.50 1.00 6.5000 --------------------------------------=--------=------ EA MECH EXHAUST HOOD ---------------------- 6.50 Permit ELEC-NEW RESIDENTIAL. Additional desc Permit Fee 100.65 Plan Check Fee 3.77 Issue Date . . . Valuation 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT LQPERMIT c: Application Number . . . . . 05-00004887 Permit . . . . . ELEC=NEW RESIDENTIAL Qty Unit Charge Per. Extension 2174.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 76.09 478.00 .0200 ----------------------------------------------------------------------------. ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . . PLUMBING Additional desc . Permit Fee .138.00 Plan Check Fee 34.50 Issue Date Valuation . . . . 0 Expiration Date . 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 •7.5000 EA PLB WATER HEATER/ -VENT 7.50, 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 . . . GRADING PERMIT Additional desc . Permit Fee . . -15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date.. 5/01/06 ` Qty Unit Charge, Per Extension BASE FEE 15.00 -------------------------=-------------------------------------------------- Special.Notes and Comments SFD LOT 54 PLAN 5515C, 2174 SF,. INCLUDES 26 SF BOX BAY @ MBR & 26 SF BOX BAY @ NOOK. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY. APPROACH. Other Fees . . . . . . . . ART IN PUBLIC -PLACES -RES .00 DIF COMMUNITY CENTERS -'RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 60.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 LQPERMIT LQPER111IT Application Number .. . . . . 05-00004887 ---------- Other Fees . . . - ----------------------------------------------- . . . . . . STRONG MOTION (SMI) RES 18.73 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due_ Permit Fee Total --- 1257.15 ---------- ----- ----------- .00 .00 1257.15 Plan Check Total 662.13 .00 .00 662.13 Other Fee Total 3774.95 00 .00 3774.95 Grand Total 5694.23 .00 .00 5694.23 APR 19,2006 17:00 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFiCATION & 01AGN0,STIC TRSIANG (Page i of 8) CF' -4k Froiect Address 'TRILOGY AT LA QirINTA- PIIASE 130 lluilder Naute 81343 Ulrich Drive, La Quinta, CA SHEA HOMES BuilderCI)ntncT IC14:1111ltnl: PlintNtmikr Armando Ulloa 760-578-6819 5515(Casita IIRRS Rater 'Telephone Sample (irnup Number William Henson, CCN# C132004076 760-772-2954 NIA Compliance MrthaJ (11tesctr xivc) ClimateZone 15 Ccatit�,atg Sic -nature Dat,. Sample Hou" (Lo1) NnntVua '-% 54 Casita Fit -III 11FUS Provdci BCI TESTING CALCERTS Strect Address Cil)iSl>dC'%qi 77-760 Country Club Drive, Suite 1 Palm Desert, CA 92211 Cu tic,; ta: ttt al,ulrlt 1167t&'PI(01'IDFR ANT) BirII.D1NG DEP,1RT4tENT 'I•fERS RATER COMPLIANCE STATEMENT the houw as:uN' F1'Tested V Approved as parr ul'sample testing. but was licit tested As the IIERS ruler providing diugulectic Ic:sting:md Belli c-erifieation, I certifv that the house identilied on this lima complies with III(; dialLmO-SfiW i1AUd colmpiianee re(ptircnicnt% as chucked ✓ on this funs. ]lie HLRS rutcr must check cutd vcrit}'that the nciv distribution 4ystem is Lull }• ducted and corrod tube is used before a Ch -41t maty be rcicaaod on every tested huilding. The I lI{ILS rater must not roletasL The Cl: -4R until a properiv completed and signed CF -614 Ira,. leen received for the sample and tested buildings. 0 Thr. ifintfillel has piin•tded a copy of CF -hl( (Installation Unifieutc) m New Distribution sYstem is lulls ducted (i.e.. duos nut use building ciivttic., ;as plenums or platform returns in licit of ducts). El Ne-ty callow, where cloth hacked, rubber adhesive duel tape is installed, mustic alul drro bands auc used in combination with cloth backed. rnblw.r .jklh ive duct tape ht seal leak% at duct connections. El MININ•11'M REQUIREMENTS FOR 004L.1- LEAKAGE REl)CCf10N COMPLIANCE CREDI'l' l/rues plums /lir field wrri/irrainu and diugnnstia lesting of air dislrihruion systems «rr• avrrilabla in XICV. Appendix RC'J.3. Duct Diyanustic Untkut!e TesUne Results Q '1'11ERiN10S'l:A'I'1C EAANSiON VALVE (1'XV) llmrr•<l1rm..c w /irar/ wars/ir:uluua ul'tlar•.rnru.�•ludr e!apuu.vrnu vrrlve�.a lira uvwGehla. in RAt:'Al, ii)7/rM.rtdtl' R/.. Yr.'s 1N J p:,ss L$ Yes ❑. No Measurca ✓✓ System I Duct Pressurizediun •lust Result (CFM,'M 25 Pa) I Enter Tested Leukuge flow ill CFM. 30 Fun plow: Calcululed (Nunlittul: 0 Coiling ✓i7 Ifcatinp) r1r ✓❑ M0i811r(Ai r inter Total fan Flow in (.FM. Hao ✓ ✓ 3 Pass if LCllkal V Petcenta ,e. S 6% 100 i (i .1nc # l)r (Line 42) 11 3.75% 01'aw ❑Fail Measured $v.,;Tcn) 2 Duct llressllrmitinll'Twa 1(csults ((:1'M (n) 25 Ila) Vaucs I 1:111e1 'Tested Lc,eka Flo" in (:FM: Tani HmA- Calcolawd (Nominal• ✓❑ <:1u11in)r. ✓❑ l lcalinp.) or ✓❑ Mcasural 2 Enter Tout] fiat Flow in CIWd ✓ ✓ 3 Illass it Lcukaw Percentage 50% 1 100 N (Lute h i ).' ((.ire 1,2) eiYaa OEaal Q '1'11ERiN10S'l:A'I'1C EAANSiON VALVE (1'XV) llmrr•<l1rm..c w /irar/ wars/ir:uluua ul'tlar•.rnru.�•ludr e!apuu.vrnu vrrlve�.a lira uvwGehla. in RAt:'Al, ii)7/rM.rtdtl' R/.. Yr.'s 1N J p:,ss L$ Yes ❑. No ACc'" is provided tier inspudion. The pruccJurc shall couxi%t of visual verification that dte'I'X V is installed on the system and installation of ll,c specific eµaipmcnt shall In vcrilicd. ✓✓ L3 �2A El HIGH EER AIR CONDITIONER Proecelurc•s i<rr 1�e•rire•uliurr art• u�•uilrrGlr in ltd(.:A.(.: I vlx•rr<li.r KI. 1 El Yes ❑ NU L1iR euules Pt nlStIIIICd \'5(G115 ItlnlClt the C•1' -1R 2 El Yes O No 1 +1r split xyston. inklo1w col 1.� nhdchc,l to nwrhwlr (:nil ✓ ✓ 3 ❑ Yes ON(, Timc Ikluy Re hry VcrilicJ (]1'Rcyuilal) � ❑ Yes to I used 2.. and 3 (lfRe' uuad is lir piws Nus% Fail Husiehvrliul Cortildicifive 116rnis April 2005 Page 3 CERTIFIED: ,!C nspections supplies the service of compression strength test results only. • ` Per ASTMC39 Page 7 of 1 JCM Inspections FT 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3/13/06 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 13B - Lot # 4054 Slab on Grade 1-9-06 Concrete 273-655 Kitchen Required psi: 4000 2359 7 3190 2360 28 4550 2361 28 4500 CERTIFIED: ,!C nspections supplies the service of compression strength test results only. • ` Per ASTMC39 Page 7 of 1 Copy 1 JCM Inspe�ctioras/ Copy 2 Project Superintendent Copy 3 Governing Agency Page __� of 1 ti J,CM 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: I o(o 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 SSunn�t Unresolved Item : Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips © None psi to 33.04 kips/33,000 lbs ❑ See Below Calibration Date: Machine # /� ['�� Phase Lot# L4OS LA Product Plan j S Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. - q ns- Yes No n ,.fir ❑ ❑ 26 CA �.� AA , 1 I/A �/ �' ❑ "'. 5_ �� ❑ Er 1:1 •e 12- El A. 1 241 -_ U 33l ©, El-, 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: Jack1C. Millinn ICC Certi �catio No 0842216-89 � Contractor's Represent�at�iv. ice.. X I A-- t Copy 1 JCM Inspe�ctioras/ Copy 2 Project Superintendent Copy 3 Governing Agency Page __� of 1 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 F-] 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): s, S"a Supplier: Superior Time Sampled: r S n Mix Design: D83625P Time in Mixer (min.): �� Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): N� Addmixture: POZZ 322N Concrete Temperature (F):-1-1 Truck #: Ticket #: �`"� Ambient Air Temperature (F): —13 Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: None ❑ See Below Location of Sample: s�'1 n7 e% G c A k c.. ❑ No Samples Taken Description of Work Inspected: PhaseQLot# 14 Plan t�Product C] ��-2,L 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 on —T + N �, , A��(n Q r1 i. r, \Af �. �� •� ..� c tnoted A rft 4 tJ) r /N-_„ 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 — o (o 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx no, , 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. t) _V") 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 3 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: Jac C. Millin ICC Certifica io No: 0842216-80 ,.. t L 1 Contr�Rbresdntative: f//�--- Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _T of 03/29/2000 11:28 FAX PARAGONPSCHIMID INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulatlon, California Administrative Code, Title -24, State of California, in the building at 81-343 ULRICH, LOT 54, PHASE 138, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed WALLS: THICKNESS: R-38 TYPE: BATTS MAUNFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGO SCHMID BUILING PRODUCTS A MASCO Company LICENSE # 221517 BY:. r TITLE: ACCOUNT REPRESENTIVE DATE:' 001/007