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05-4945 (SFD).-J. -.I P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,it!t440" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: roS-000.04945- Property Address: , _ 81535 ULRICH DR APN: 764-270-999-64 -300234- D �. Application description: 'DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 126075 Applicant: rchitect or Engineer: CITY OP PAA, C)C PR FINANCE 20- �i-�51� 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 the Business and Professionals Code, and my License is in full force and effect. Licenselasts: License No.: 672285 Detel f ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 fora 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 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 Coritractors' State License Law.). (_ I 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: n LQPERMIT Owner- iA LA QUINTA IrJEFF.MCQUEEN 0 N GAINEY CENTER 350 TTSDALE, AZ 85258 SHEh 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: 11/07/05 WORKER'S COMPENSATION DECLARATION 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 for which this permit is'issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I oul ecome bject to the workers' compensation provisions of Section 37 0 of the L hall fo with comply with those provisions. at'D e: LR plicant: 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 su)a'bov it, or cessation'of work for 180 days will subject, permit to cancellation. 1 I certify that I have read this application and state" t enformation is correct. I agree to comply with all city and co my ordinances and st laws relay to i ruptio�nd hereby authorize representatives of this ou o ter upon above -menti a prope pection purposek, Application Number .. . . 05-00004945 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 734.00 Plan Check Fee.. 477.10 Issue Date Valuation 126075 Expiration Date 5/06/06 Qty Unit Charge Per Extension BASE FEE 639.50 27.00 ---------------------------------------"------------------------------------- 3.5000 THOU BLDG 100,001-500,000 94.50 Permit MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 Issue Date . . . Valuation . . 0 Expiration Date ". 5/06/06 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 72.82 Plan Check Fee 18.21 Issue Date Valuation 0 Expiration Date 5/06/06 Qty Unit Charge Per Extension BASE FEE 15.00 1381."00" .0350 ELEC NEW RES - 1 OR 2 FAMILY 48.34 474.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 122.25 Plan Check Fee 25..88 Issue Date . . . . Valuation . . . . 0 Expiration Date'. 5/06/06 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 05-00004945 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 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 5/06/06 Qty Unit Charge Per Extension BASE FEE 15.00 -- Special Notes and Comments SFD - Lot 64, Plan 4210A w/Box bay (26sf) & Ext Patio (177sf). Permit does not include block wall, pool or driveway approach. ----------------------------------- Other FeesART ----------------------------------------- IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 47.71 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 12.60 DIF STREET MAINT FAG -RES 67.00 DIF TRANSPORTATION -:RES 1666.00 Fee"summary Charged ---------- Paid Credited --------------------=--------- Due ----------------- Permit Fee Total 1009.57 .00 .00. 1009.57 . Plan Check Total 537.57 .00 .00 537.57 Other.Fee Total 3776.31 .00 .00 3776.31 Grand Total 5323.45 .00 .00 5323.45 LQPERMIT APR'04,2006 11:08 BCI*TESTING,ril 000-000-00000 Page 15 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTICTESTING (Page I of 8) (:N'-4It Proiect Address TRILOGY AT i,A QIIiNTA- PHASE 13B Builder Name 81535 LJlrirh Drive, La Quinia, CA SHEA HOMES limldcr Contact Tcicphonc Plan Numim Armando Ulloa 760-578-6819 4210 IMRS Rater Sample Group Number William Herlsort, CCNU CC2004076 760-772-2954 N/A Compliance Method (Prescritive) Climate 7,4111C 15 CC-06'iott Sigl moon: % i nate Sample (lou%: (Lot) Number � 3/30/2006 64 Finn III:HS Provider BCI TESTING CALCERTS Street Address City/Stuti;Jip 77-760 Country Club Drive, Suite 1 Palm Desert, CA 92211 C 1 firs Ur: 0t.1II,I1114 1j"42S I'Icl VIOFA ANT) Itl!11.l)INC, I)FR%RTMFNT HERS RATER COMPLiANC:E STATEMENT 'llic hm a was: Wrested ✓❑ Approved os part of sample testing, but was not tested Ax the HERS rola pimiding da,gnavric testing and field verification, I ccrtity that the house identified on this form complies with the diagnostic tested compliant requirements as climkcd ✓ on this lirm. The HERS rater must check and verily that the new distribution system is filly dueled and correct tape is used before a CFAR may be released on every tested building. 'Ilia HERS fat(:Y nui.l fill[ fcloisr. the 0F414 urmtl a prolocriv completed and agned (.I' (rIt has heco received for the yamplc and iested hilld rips. RI The 111'aallcr h:rs pruvufei atopy ofCF-GR (111SIal6tiull Ccrtilicatd) 0 Now Nstribution system is firth• ducted (i.e., does not use building cavities as plenums or plullonu returns in lite of ducts). 0 Nat% &)NUIas whe,c -10rh hncke.d• rohtx:r adhesive.. duct tali. is m.,milled, mastic nrtd draw hands arc used Ill combination with cloth backed, rubber adhesive duct lupe to scul leaks tit duct connection-, Al M1SINIM111�M11 FtIrV1;IK1:M111sN'I'1 N'()K !)lli'l' I.h:1KA(:I�. Klil)11('I'IUN ('UM111'I.IAN('IS ('KISI)l'1 Pmcedurvs,f offal,] veriflea ion and cliagnoslir testin11 r J i it c/isiribuinru iystenrs are a rilahle in It -ICH, .1 ppen, ix l((.'4.3. Duct Diagnostic Leakage Testi tit, Results NF.µ' CONti I'RUCTION: 0 Yes 0 No MCLINUTed ✓ ✓ Svstcm 1 Duct 11(mitirizahon Tcst Rcsults WTM (ot? 25 I'a) I Enter lasted Loukage flume in CFM: 69 1 Fan Flow: talculated (Nominal: 0 Cowling ✓❑ Ilealinµ) or ✓❑ MQ9sllfod ` Enter Total Fan Plow in CFM: 1604) ✓ ✓ i IFass ill cake a Percentage <6% 1100 x (Line l: I (bine 112)11 4.31% 1 OPam ❑Fail Meusrncd ct Pressuriralion fest NLsults ((:FM !u; 25 1 Vahies 1crTooslcd i.cvk:, c Flow ill CFM: N n Flaw: (':dculaletl (Nominal- ✓❑ Crr,liny. ✓C] Holing) of ✓Cl Mea3LTca1let Total Fau 17uw in CFM.ss if LcIUAC Yciccutagc 5 69/b 1 100 x 1 (Lute -il) r (Linc li2)11 ❑Pas ❑Fail EI '1'1IR1LtitUS'1'A'1'iC' B!C.1.hS1UN V:1L�'L (1:\5') !'r�Kx�dur<•.�• /%�r tial,] vrrrJiculanr r�lrlccrna�.xt<Nrc at• r<uti�•rnrr vul��a•v rrnr rrvr+duhlc rn H.I<'A /, it rpcn<lr.c HL. Yes is u puss 0 Yes 0 No Acess is prue�dcd for inspection. The procedure shall consist of visiml iverificaliou lout the TXV is installed ou the system and installation of the specltic olutpaicsit shall bo vel'tlied. ✓ ✓ 0 ❑ 0 lll(:t1 I'ER :SIR CONDITIONER Pruceduresfor verific•ufivu (ire mwiluble in IZ•101, Appendix Rl. 1 0 Yes ❑ No I;1;1( milm of inslalled systems match the CV- I R 2 Ell Yes D No For split system, indoor coil is malched um outdixoT coil ✓ '✓ 3 ❑ Yes O No Tinic Delay Relay Verified (If Required) Id ❑ F, ill 1 and 2; and 3 (Itlfet uirc)) is a mass Pass Fail Residential C nlpliunce l arms April 2005 0 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: 3112106 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 # 4064 Footing 12-14-05 Concrete 273-645 Bedroom 2 Required psi: 4000 1221 7 3100 1222 .28 4550 1223 28 , 4780 CERTIFIED: d. , JC nspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 - INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 ER INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: I� L�_d(a- Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA �✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Shea Homes for Active Adults Architect: Structural Engineer: Bassenian Lagoni 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 SIAOO psi to 33.04 kips/33,000 lbs Calibration Date: Machine # )3L ) LA Phase 131, Lot# LI )(a L Product Plan �. Weather: uwn� Unresolved Items: M. None ❑ See Below Description of Work Inspected: Lot # Location Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Tendons Elongation (in) Reference 11 h/SN2. La q 0 (o Yes No 4.1SCJ/' ❑ r C %A'\ ?✓ "�i(VQ/ �� LTJ ❑ El n C' .s t� ntar-n — ago _ 1-4- 14 -AIV-. Kr ❑ ��. rangy -n .�-- � T� � ' ©� ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Certific ioi-n)No:0842216-89 C' \NU V'_ Contractor's Rep're46tativ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of _ 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 ❑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, r -)o Supplier: Superior Time Sampled: 10 a rA Mix Design: D83625P Time in Mixer (min.): '" Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): IJ n (,_Q_ Addmixture: POZZ 322N Concrete Temperature (F): -, $ Truck #: C (1) C) l Ticket #: + 0c� Ambient Air Temperature (F): "j 3 Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: None ❑ see Below Location of Sample: f'O i ,) q ❑ No Samples Taken Description of Work Inspected: Phase 3 Lot# Product J Plan 14, A RIs3s t)u�- t,lr-- I 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 pl`ace`d as per these die/hails and as noted o(\n� -T _ _� (n �, , u i 1] >i c �� i ,�.�. a U k W\/•x,71` x11..1 Q-. `f ' 1r1 ke e 0zrAftn AA 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. --ILi-0: 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. .00-_ 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 \CertificatlorY`i\iN/o: 0842216-80 �5 r • Contractor's RIepresentative:b�il %rte// r�i-- --- Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of I v 03/24/2006 10:44 FAX PARAGONPSCHIMID 1a010/013 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 81-535 ULRICH DRIVE, LOT 64, PHASE 13B, LA QUINTA, CA CEILINGS: TYPE. BLOW MANUFACTURER: Certainteed THICKNESS: R-36 WALLS: TYPE: BATTS MANUFACTURER: 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: 0