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05-3898 (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: � 05-00003898 1 ~81559 ULRICH DR 764-270-999-66 -300234- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 170639 T`ht -4 XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA. C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 �rchitect or Engineer: lrr +�� cs Q(- L Z_LLQu '11, . - ------------------------------------------------- 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. License Claps: License No.: 672285 ate: I b ontractor: OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for they 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.). (_ 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 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: Iv 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: 9/06/05 nr.T 14 2005 CITY AF ---------=------------------------------------- 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 performanceof the work for ich this permit is issued, I shall not employ any person in any manner s s to become subjec the workers' compensation laws of California, and agree that, if I shou ec a subject to workers' compensation provisions of Section (� 700 of the L r CV9talorthwith rovisions. Date:) 1 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 permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stateAh8boveformati iscorrectIagee tocomplywith all city and county ordinances and state laws relatingructio nd hereby authorize representatives of this�°unt to ent r upon above-mentioned ection rposes. at0 e: _ ure IAp�lie`ant or Agen _t` Application Number . . . . . 05-00003898 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 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit BUILDING PERMIT Additional.desc . Permit Fee . . . . 888.00 Plan Check Fee 144.30 Issue Date . . . . Valuation . . . . 170639 Expiration Date 3/05/06 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 248.50 Permit _. . . MECHANICAL Additional desc . Permit Fee .. . . . 70.50_ Plan Check Fee 4.41 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/05/06 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ----------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . .Qty Unit Charge 1943.00 .0350 576.00 .0200 LQPERMIT k ELEC-NEW RESIDENTIAL 94.53 Plan Check Fee Valuation 3/05/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 5.91 0 Extension 15.00 68.01 11.52 Application Number . . 05-00003898 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 152.25 Plan Check Fee 8.95 Issue Date Valuation . . 0 Expiration Date .3/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 3.06- 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 3/05/06 Qty Unit Charge Pet Extension BASE FEE .15.00. ----------------------------------------- ---------------------------------- Special Notes and Comments SFD - LOT 66, PLAN 4520B, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR -26 SF 4- GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH.'75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---=--------------------------_---------------------------------------------- Other Fees . . . . ... ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.43 DIF FIRE PROTECTION -RES 97.00 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 17.06 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number . . . . 05-00003898 ------------------------------------7--------------------------------------- Other Fees . . . . . DIF TRANSPORTATION - RES 1098.00 Fee summary Charged- Paid .Credited Due ----------------- Permit Fee Total ---------- 1220.28 ---------- .00 -------------------- .00 1220.28 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 2436.49 .00 .00 2436.49 Grand Total 3820.34 .00 .00 3820.34 LQPERMIT MAR 20,2006 13:00 BCI*TESTING,ril 000-000-00000 Page 7 CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 2006 This CF -411 Issued by Ca10ERTS® is for the home located at: 81559 Ulrich Drive La Quinta CA, 92253 Certificate Number: CC3-1798358264 Date Inspected: March, 1S 2006 CaICERTS Rater: William Henson c Number of Stories: CC2004076 HERS Analyst: N/A : �= Builder/ Developer; Shea Homes, Inc. Project: Trilogy (6) La Quinta 1 Phase: Phase 13A t Plan Name: 4520 � Lot Number: 066 Specifics about this home: General Information Conditioned Floor Area: 1650 Square Feet Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stories: 1 Heating and Cooling Systems N/A Heating Equipment: Furnace: 0.8 Cooling Equipment: AC: 12 Tes Ing & Verification Results Main S stem HVAC System ested Duct Leakage: Yes • Passed ested TXV: Yes- Passed ested Duct Design Compliance: N/A ested Dud in Conditioned Space, N/A ested Reduced Duct Surface Area: N/A ested Infiltration Reduction Credit: N/A HVAC Air Distribution Tested Duct Location: Attic -• Duct Leakage Target: 6.0 Approved Aa Part Of Sample (Group Duct Insulation R -Value: 6 BCI Testing Air Infiltration Blower Door Target: 96 77-760 Country Club Drive, Suite I ` Palm Desert, CA, 92211 Water Heating S stem P=osed- -QTY Size I Fuel I EF Distribution J760-772-2954 Water Heating System Actual Certifying Signature Date OTY I Size I Fuel I EF Distribution The energy efficiency rating of this home, is determined using California Home Energy Rating System (C-t{ERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of but 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: CalCtRTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. ✓ , MAR 20,2006 13:00 BCI*TESTING,ri1 000-000-00000 Page 8 CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 2006 This CF -4R Issued by CaICERTS& is for the home located at: 81559 Ulrich Drive La Quinta CA, 92253 Certificate Number: CC3-17983.59873 Date Inspected: March, 15 2006 CaICERTS Rater: William Henson ;L CC2004016 t• HERS Analyst: N/A Builder/ Developer; Shea domes, Inc. , r� Project: Trilogy @ La Quinta 1• Phase: Phase 13A Plan Name: Casita Lot Number: 066 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 Heating Equipment: Furnace: 0.8 Cooling Equipment: AC: 12 HVAC Air Distribution Duct Location: Attic Duct Leakage Target: 6.0 Duct Insulation R -Value: 6 Air Infiltration Blower Door Target: 48 Water Heatirt S stern Pro osed TY I Size I Fuel EF Distribution Watcr licating System Actual TY I Size I Fuel I EF Distribution Testing & Verification Results in S stem HVAC 5 stem sted Duct Leaka e: Yes - Passed sted TXV- Ie Yes- Passed sted Duct Design Compliance: N/A Tested Duct in Conditioned Space: N/A Tested Reduced Duct Surface Area: N/A Tested Infiltration Reduction Credit: N/A Tested Approved As Pact Of Gmple Group BCI Testing 77.760 Country Club_Dtive, Suite I Palm Desert, CA, 92211 772-29,54 Certs ng „1C :ct ate The energy efficiency rating of this home is determined using California Hume Energy Rating System (C -HERS) rules. The rating considers heating, 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. flus 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: CaICFRTS Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. 03/02/2006 16:55 FAX PARAGONPSCHIMID Ia003/007 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 81559 ULRICH DR, LOT 4066, 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: PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: {� TITLE: ACCOUNT REPRESENTIVE DATE: 0 0 0 JCM Irispections t= 39725 Garand Lane Suite F " Palm Desert, 92211 g 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): 0 , Supplier: Superior Time Sampled: �t ; `'� Mix Design: D83625P Time in Mixer (min.): L Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): 10 Addmixture: POZZ 322N Concrete Temperature (F): L' Truck #: L�� Ticket #: 0 (Q Ambient Air Temperature (F): �- ��Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: © None E] See Below Location of Sample: 51R\j 0 -.1 GI -C e �e — Co C ;N r ❑ No Samples Taken Description of Work Inspected: Phase 3 L•ot# LA.��Dt� Product Plan ysa1, a 1) Received mill certifications for rebar and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (11,12,13/SDA), 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 detailsandas noted 3 �, 3 ` �� t, nI t- 61 -A -n r n n., V_. o Y1 s", rn1>E 6ok (�on M_,,t t ,1��� � ova e a 1 r 4,c�?1, rt -9 . 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) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 9 0 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 14 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. Milling ICC Crtifica��._..... 2216-80 � Conte, Representative:�.. IMM i Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 JCM Inspections 39725 Garar>id 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 13A - Lot # 4066 Slab on Grade 11-23-05 Concrete 273-634 Casita Required psi: 4000 1873 7 3160 1874 28 4750 1875 28 4710 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F ILRA JLM 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: �✓ 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 ca,n n tt Unresolved It s: 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 3 Lot#LA(')l4n Product Plan ' „ SS 9 Tn Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. Yes No LN 'tom dlc^ f rS \ 1'� �t �+� � /1 'Hh � � '1'.J ❑ Y .`ate (�w � ® ❑ .S u . I'.. r E' ❑ r(/` a3/ ®- ❑ 3y E ❑ C �-C t+ nnM 17 \ ❑ {sl ❑ R er 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 issue project completion. Inspector: Jack C. Millin( ICC Ce\rtification No: 0842216-89 ContractoegloFtep/r'e/sentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of