05-3907 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
Application Number: t`
05-00003907
Property Address:
81617 ULRICH' DR
APN:
764-270-999-69 -300234-
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
191822
Tit!t4#Quift&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85256
Applicant:Architectt or Engineer:
_
-5'T
--------------------------------------------------
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 Class: 13 Li Liicceense�N�o.: 672285
ate:iv ontractor: l ,�+•'�"�j.
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 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_) 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:
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: 9/07/05
tOrT 14 2005
.CITY OF 4A QUINTA
FINANCE DEFT:
------------------
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 wor or which this permit is issued, I shall not employ any
person in any man r so as to become s b ct to the workers' compensation laws of California,
and agree that, if I uld b come subj the workers' compensation provisions of Section
37QO of the �r s all forthw' comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCINES 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 th bove informatPnd
rrect. I agree to comply with all
city and unty ordinances and state laws relating to buil ' c str. noreby authorizerepresentatives
of th' ounto en er upon th ove-mentioned prop n pection .
Date: `� ture (Applicant or Agent):
Application Number 05-00003907
Permit
. . ..
BUILDING PERMIT
Additional
desc .
Permit.Fee
. . . .
961.50
Plan Check Fee
624.98
Issue Date
Valuation
191822
Expiration
Date
3/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
-639.50
92.00
3.5000
THOU BLDG
100,001-500,000
322.'00
Permit
. . .
MECHANICAL
Additional
desc .
_ Permit Fee
65.50
Plan Check Fee
16.38
Issue Date
Valuation
0
Expiration
Date
3/.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
102.78
Plan Check Fee'.
25.70
Issue Date
Valuation . . . .
0
Expiration
Date
3/06/06
Qty. 'Unit Charge
Per
Extension
BASE
FEE
15.00
2212.00
..035'0
ELEC
NEW RES - 1 OR '2 FAMILY
77.42
518.00
---------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON_RESIDENTIAL
10.36
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
147.00
Plan Check Fee
36.75
Issue Date
. . . .
Valuation
0
Expiration
Date
3/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00.
13.00
6..0000
EA PLB FIXTURE
78.00
1.,00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number .
. . . . 05-00003907
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
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
3/06/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
-----------------------------------------=----------------------------------
Special Notes and Comments
SFD - Plan 5210A Lot
69, 2212 S.F. .
w/MBR Box Bay (26sf)
& Morning Bay
(23sf). Permit does not include block
wall, pool or driveway
approach.
------------------------------------------
Other Fees
----------------------------------
ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
62.50
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
19.18
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
1291.78 .00 .00
1291.78
Plan Check Total
703.81 .00 .00
703.81
Other Fee Total
2506.68 .00 .00
2506.68.
Grand Total
4502.27 .00 .00
4502.27
LQPERMIT
MAR 20,2006 12:59 BCI*TESTING,ri1 000-000-00000 Page 3
CF -4a
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 2006
17
This CF -4R La Qui Issued by CalCERTS® is for the home located at: Ulrich Drive
La QuiCA, 92253
Certificate Number: (:C:3-1798358267
Date Inspected: March, 1S 2006
CaICERTS Rater: William Henson
CC2004 076
HERS Analyst: N/A ;. 1
Builder/ Developer: Shea Homes, Inc. ti tic
Project: Trilogy Co) I a Quinta t•
Phase: Phase 13A
Plan Name: 5210
Lot Number: 069
Specifics about this home:
General Information
Conditioned Floor Area:
2000 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
HVAC Air Distribution
Duct Location:
Duct Leakage Target:
Dud Insulation R -Value:
Ah' Infiltration
Slower Door Target:
Tess. ng & Verification Results
Main System HVAC S stem
Tested Duct Leakage;
Yes- Passed
Tested TXV:
Yes- Passed
Tested Duct Design Compliance.,
N/A
Tested Duct in Conditioned Space:
N/A
Rested Reduced Duct Surface Area:
N/A
ested Infiltration Reduction Credit:
N/A
Tested
Attic ,
6.0
6 Approved Aa Part Of Smple Group
BCI Testin
120
Water Heating S stem Pro used
TY I Size Fuel I EF Distribution
77-760 Country Club Drive, Suite I
Palm Desert, CA. 92211
760-772-2954
Water Heating astern Actual CertifyingSir,nature '-44
Date
TY Size Fuel EF Distribution
The energy efficiency rating of this home is determined using Calduinia liorne 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, 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: CaICERTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630.
JCM Inspections
39725 Garand Lane Suite F
h. 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): y - as Supplier: Superior
Time Sampled: 9'- "A So r,1 Mix Design: D83625P
Time in Mixer (min.): Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): t Addmixture: POZZ 322N
p () $ Truck #: a. f Ticket #:
Concrete Temperature (F): '� 9(0 y 3w7
Ambient Air Temperature (F): --} 9 Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
❑� None
❑ See Below
Location of Sample: o� o c� G(c� — D IA( n D/n
❑ No Samples Taken
Description of Work Inspected: Phase 3 A Lot# LAO 69 Product Plan S�
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 StrongWalls(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 i CF y � *% 11 A k. rQ
r V
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 titled and supported off the earth. Accepted for concrete placement.
-• l� - oz -
1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 93 ,
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 Millin ICC Certificatib fNo: 0842216-80
c, - /
Contrac o Representative:
I.- IN./
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
CERTIFIED: \a _1. 0 _ Y \1\ -\)�._ ,.
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
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 Locadon Date Cast Cylinder ID (days)
(psi)
Set A Phase 13A - Lot # 4069 Slab on Grade 11-18-05
Concrete
273-631 Bedroom 3
Required psi: 4000
1837 7
4290
1838 28
5920
1839 28
5890
CERTIFIED: \a _1. 0 _ Y \1\ -\)�._ ,.
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
DtelPalm
JCM Inspections
39725 Garand Lane Suite F
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
Unresolved Item :
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
R None
psi to 33.04 kips/33,000 lbs
❑ See Below
Calibration Date: Machine # -��7
, p
Phase Lot#Product
fi
Plan f _ 1 c t
Description of Work Inspected:
Actual Elongation (in)
Specified Complies within 7% +/- of specified elongation.
Lot # Location
Tendons Elongation (in)
Reference 11 h/SN2.
0
Yes No
_�2
4r
a ❑
AA z
1211-- ❑
_ 1 n, n � , ,., '2
1
0-- ❑
v.A(_
o.Ay
�' ❑
�+
ree\nr �.�� n �,.1� .�.i.il .-Str�Gs
l
� 1
,
� ' :�
Pv� ❑ .
`
'U U❑
N`:.. V . , ., C � L
. LA T 1
A,—
L.LJ ❑
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 Certi�ficnation, ro 0842216-89
Contractor's
Contractor's Repreessseennt�attii
Ca . { v 1n
Copy 1 •JCM Inspections
Copy 2 Project Superintendent
Copy 3 Governing Agency
Page rof,