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05-4883 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00004883 Property Address: 81357-ULRICH DR APN: 764-270-999-55 -300234- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application Valuation: 165304 4 ILQING & SAFETY DEPARTMENT D PERMIT Owner: �f 7 1 SHEA LA QUINTA "�V 6 2005 C/O JEFF MCQUEEN jACHEDC8800 N GAINEY CENTER 350 \F�A�i2lu�.�_ SCOTTSDALE, AZ 85258 . Applicant: rchitect or Engineer: -------------------------------------------------- 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. - licenA�ss[ License No.: 672285 a<te:ate: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 (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 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: LQPERMrr Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (7 60) 777-7011 INSPECTIONS (760) 777-7153 7 ----- 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 performance of the work fo which this permit is issued, I shall not employ any person in any manner so as to become su • ct to the workers' compensation laws of California, and agree that, if I skc ome subjec o the workers' compensation provisions of Section 3700 of the L bb o e, I s all fort th comply with those provisions. A. . IRpplicant: - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW „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 1 have read this application and state that qdin ove information is correct. I agree to comply with all city and county ordinances and state laws relating to b construction, and hereby authorize representatives of this county to nter upoth above-mentione ro pection purposes. ate. nature (Applicant or Agent): _ $2 LQPERMIT Application Number . . . . . 05-00004883 ------ Structure Information PLAN 5505A ----- Construction.Type . . . . TYPE V - NON RATED ' Occupancy Type . . .. . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info ., CODE EDITION. 2001' GARAGE SQ FTG 456.00 PATIO SQ FTG 536.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------.--------------------. 1ST FLOOR SQUARE FOOTAGE 1847.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 870.50 Plan Check Fee 5.65.83 Issue Date . . . . Valuation . . . 165304 Expiration Date 5/01/06 Qty Unit,Charge Per Extension BASE FEE 639.50 66.00 3.500.0 THOU BLDG 100,001-500,000 231.00 Permit . . . MECHANICAL . Additional desc . Permit Fee . . 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Expiration Date 5/01/06 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 3.00 6.5000 EA MECH VENT FAN 19..50 1.00 6.5000 -------------------------------- --------------------- -------------------------------------------.---------- EA MECH EXHAUST HOOD ---------------------------------------------- 6.50 'Permit 'Permit . . ELEC-NEW RESIDENTIAL Additional des'c . Permit Fee . . . . 88.77 Plan Check Fee 22.19 Issue Date Valuation' 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 1847.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.65 456.00 .0200 ----------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL ------------------------------------- 9.12 Application Number . . . 05-00004883 Permit . . . PLUMBING Additional desc . Permit Fee 129.00 Plan Check Fee .. 32.25 Issue Date . . . . Valuation 0 Expiration Date 5/01/06 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 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 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. 55, Plan•5505A w/ Box Bay MBR (26sf) & Patio Extension (315sf). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS 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 56.58 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 STRONG MOTION (SMI) - RES 16.53 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00' Fee summary Charged Paid Credited Due LQPERMIT Application Number. 05-00004883 Permit Fee Total 1162.27 .00. .00 1162.27 Plan Check Total 635.02' .00 .00 635.02 Other Fee Total 3769.11 .00 .00 3769.11 . Grand Total 5566.40 :00 .00 5566.40 ti LQPERMIT - . APR 19,2006 16:59 BCI*TESTING,ril 000-000-00000 Page 1 ILI CENT IFI CATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Nage I o(8) CF -4K flrnlcct Address I'MILOGY AT LA QUiNTA- PHASE 1311; Hnildt.; N9nte t�,1357jJ1rich Urtve;_ La Quinti, CA 0 ❑ SIiCA I IOMES rlailde . Telepholic Plan Nionber Armando Ulloa 760-578819 5505 If Ruler i'clephonc Sample Croup Nnnibcr William Henson, CCN# CC2004076 760-772-2954 N/A Compliance Metll(id (PIC.,wft lf1w) ('aitnutc %.ane 15 CelfiNifig signature / / Dille Sanlplu (i.ol) Nionlm .l� V❑ Hcaling) or ✓❑ Mr.1surcd .;� Q•r`� 55 Fiuu IIIiRS Pnnidcr BCI TESTING ✓ ✓ CALCCRTS Strel.•t Address (1.111C A I) / City.'State'7.ip ' 77-760 Country Club Drive, Suite I 91'an [31 -ail Palm Desert, CA 92211 c'n icy o; oL:u.i)Icrr, IIFT4s PROI'MFiz nvn Rlnr.nlNG DFP,%RnIFNI' HERS RATER COMPLIANCF. STATFMFNT 1'Itc house x :•1s• PI'I'cstcE ✓❑ Approved as part ill sample lusting, hill Nas Tint WW'd As the I IFRS tater pntiidiog diapoosiiu reshot, and field verification, i certify that the house identilicl on this loan complies with the diagnostic tested vumpilai ce rctiptircmenu as checked / on this loon. The I IERS rater nwsl clieck and verify that the new distribution "}•stent is full}• dueled and correct lupe is used bolitru a (:F -4R may he relcascd nn every tasted huilding. The 111 -IN mlix musl nut 1clrt5c the ('P—IU Mild a properly completed and signed CP -6R has buil received lite the scuuply and tualul buildings. Fj 'lite installur has provided a copy of CF -6R (Insndlutiwt Cerliliculr.) ® New Distribution t;vsleut is lully doule!I (tee.. does not use., huildinp, cavities as plenums or platform returns in lieu or duclsl. F) Now sxstcnls where cloth backed, rubber adhesive duct lupe is installed, nutslic. and dltm inulds ale used ill combination wilt 01,1111 backed. i uhhcr adhesive duel lap, to cal leaks at duct connections. Rl MINIMUM REOUIRINFINTS FOR DUO' LEAKAGE REDUCTION COMPLIAN"CF ('10 -DIT Provetbrres filr field reri/ivedian arrrl RliaXnusliti leslirrX u% erir dislriholiull .t} s(enrs err en•adable hr IUC H. Appc n(li.r RC,1.3. mart hiaannoir iA-mLsnr Textinu Results E1 'l'lilltD•[USl'A'I'[C 14SANS(Uv �':11.V4: ('I'xV) A ...... r., 11iuil u/7bdrul.icldli" !rmniChin valv,rc an, mailahlo in k.l(Al -I nmrldir kL_ Yes Is a pass El Yes ❑ No Acc,;s is provided for inspcclion. Thu prueuduru "boil consist of visaul verification that the'I'X V is installed on the system and instntlation of tlic s xilic cyuilimunl Nhall h!: tuliliud. ✓ ✓ 0 ❑ Mr+sura Svstcnl 1 Duct Pressuriitttinu bust RCslllrs (ChM oil? 25 1'a) Vallw- I E'nler Tested l.eaku�e Flow in CPM: 60 Fan hln.v; Calculated (Nnmiwil ISI Cildinit V❑ Hcaling) or ✓❑ Mr.1surcd 2 Lttler folal )•1111 HOW 111 (.'FM 2000 ✓ ✓ 3 Pass if I caka •c Pcwcnht tc 5 6% 1. 100 x (1.111C A I) / ('Linc 4-2)[ I 3.00% 91'an [31 -ail Mcasured St:skill 2 Duct P1c.raulrttum'1'rvt Itrsults(('I:M Q 25 Pa) Values I Rnlur •I'uNlcd 1.1,;uGngu Flaw Tit ('FM. Fan Flow: Caluulutcd (Nu ninul: -"13 Unsling VO Heating) or -113 Mmmircl 2 Fnlu1 Tnh,l hem Flow in ChM• '` ✓ ✓ :i Pill`s It-L.CIk, c Percents a <_ 60!6 1 1(ION I (I .inc .tl) / (Linc #2) ❑Pats ❑hail E1 'l'lilltD•[USl'A'I'[C 14SANS(Uv �':11.V4: ('I'xV) A ...... r., 11iuil u/7bdrul.icldli" !rmniChin valv,rc an, mailahlo in k.l(Al -I nmrldir kL_ Yes Is a pass El Yes ❑ No Acc,;s is provided for inspcclion. Thu prueuduru "boil consist of visaul verification that the'I'X V is installed on the system and instntlation of tlic s xilic cyuilimunl Nhall h!: tuliliud. ✓ ✓ 0 ❑ B IIIGII 11.iiR UR CONDITIONFU Presueihin•r fur veri/icealiwi um. available i i R40i. aaoi-ur/i.r lU. l A Yes ❑ No EER catdes of imlalled wslows matell the (,F'•1 R 2 El YC` ❑ No Fru N Ilii NVNtgnt, indcali eo11 IN 111it1(hed luunfdo,Ir C11i1 ✓ ✓ 3 ❑ Yes ON, L'iunl Dultty Rality Wiilied (it'Rt:quilud) ❑ Yes to I and 2: and 3 (IfReyuired) is u {puss prim Fall Residerdia! !.'uarpl iuru a l'orwns: I prit 2005 3 0, : G. &, c ���= lead Y JCM Inspections. 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 Locadon Date Cast Cylinder ID (days) (psi) Set A Phase 13B - Lot'# 4055 Slab on Grade 1-9-06 Concrete 273-654 Nook Required psi: 4000 2355 7 280 2356 28 4200 2357 28 4250 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 0 JCM Inspections IE—M 39725 Garand Lane Suite F Palm Desert, CA 92211 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 �unn Unresolved Ite s: Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips �LJU� psi to 33.04 kips/33,000 lbs © None ❑ See Below Calibration Date: Machine # )_1_1 10 l,--60-�– Phase13a Lot# L4() c;g' Product, Plan! ' OZ C.. '91l/t 1 C tic � %" f ; u Q-- Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. L,,A-- r,=S Yes No 'Y3� ©� ❑ Rr El 9- ❑ Ll E2- El �. Q nAZ "1 " Y ❑ ElJ���.� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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: J ck C. Millin ICC Certificat*on` i;i3O 0842216-89 \X\ Contractor's Representative: I \./ U — z. Copy 1 J4hspe66ons Copy 2 Project Superintendent Copy 3 Governing Agency Page _J_ ON JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 L�p a I N S P E C T I O N S 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 ❑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): �, Supplier: Superior Time Sampled: 9 '� 5 a �� Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): n� o Addmixture: POZZ 322N Concrete Temperature (F): --� f!�+ Truck #:4,� Ticket #: C I)—). - Ambient Air Temperature (F): ll;,Ck Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: None ❑ See Below Location of Sample: Q, I A Gr n,) rs ❑ No Samples Taken Description of Work Inspected: Phase Product Plan ���C r�Lot# • � / C �c�� ;�Nf: vo_ 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 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. 9 ,. r) /' 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx qa 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 13 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 Certiifi.E tion No: 0842216-80 'fin, �1 Contractor's Represennt�at"ve: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of_lj S 03/29/2006 11:28 FAX PARAGONPSCHIMID IaO06/007 y INSULATION CERTIFICATE r' 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 81.357 ULRICH, LOT 55, PHASE 13113, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 Lyn- 4>�_3 TYPE: BATTS MAUNFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE:3 O.6�p