05-3895 (SFD)r 4'_..•'.'. �'
-i
P.O. BOX 1504
7&495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00003895
Property Address: 81629 ULRICH— R
APN: 764-270-999-70 -300234-
Application description: DWELLING. SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 242110
Applicant: _--A-rc—hitect or Engineer:
tSn
(LCE ZLe `-Eo
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 ivision 3 of the B es and Professionals Code, and my License is in full force and effect.
License C a / B ce se No.: 672285
/date: v [41IS-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).:
(_) 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.).
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:
LQPERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor: D
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
nl�42005
,l Y OF tAQ1111rT/!
-----------------
WORKER'S COMPENSATION 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 man r so as to beco a subject to the workers' compensation laws of California,
and agree that, if I oul bec bled to the workers' compensation provisions of Section
pp700 of the sh o iNathrovisions.
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 ave read this application and state that t above informati is correct. I agree to comply with all
city and my or 'nances and stat aws relating to bu nstructio and hereby authorize representatives
of t ou y to a er upon th ove-mentioned pr grispection ur
1 ✓
te: • lure (Applicant or Age t):
Application Number
05-00003895
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
719.00
PATIO SQ FTG
322.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2769.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1140.00 Plan Check Fee
182.25
Issue Date . . . .
Valuation . .
. . 242110
Expiration Date
3/05/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
143.00 3.5000
-------------------------------
THOU BLDG 100,001-500,000
--------------------------------------------
500.50,
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
5.63
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
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date
Expiration Date .
Qty Unit Charge
2769:00 .0350
719.00 .0200
LQPERMTT
ELEC-NEW RESIDENTIAL
126.30 Plan Check Fee .
Valuation . . .
3/05/06
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
7.90
0
Extension
15.00
96.92
14.38
Application Number . . . . . 05-00003895
----------------------------------------------------------------------------
Permit
PLUMBING
Additional
desc .
'Permit Fee
. . . . 171.00 Plan Check Fee
9.94
Issue'Date
. . . . Valuation . .
. 0
Expiration
Date 3/05./06
Qty Unit Charge Per
Extension
BASE FEE
15.00
17.00
.6.0000 EA PLB FIXTURE
.102.00
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 3/05/06
Qty Unit Charge Per,
Extension
BASE FEE
15.00
--------------=--------------------------------------------_-----------------
Special Notes and Comments
SFD - LOT 70 PLAN 6430C 2769/108 S.F
EXT. PATIO.
PERMIT'DOES NOT INCLUDE
BLOCK -WALLS, POOL, SPA OR DRIVEWAY
APPROACH. 75% REDUCTION TO PLAN CHECK
FEE DUE TO
MULTIPLE ISSUANCE OF SAME
PLAN TYPE
=
-----------------
Other Fees
----------------------------------------------
. . . . . . . . . ART IN PUBLIC PLACES -RES'
------------
105.27
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER --RES
366.00
ENERGY REVIEW FEE
18.23
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
24.21
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
LQPERMIT
Application Number
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
. . . 05-00003895
Charged Paid
1542.30 .00
205.72 .00
2552.71 .00
4300.73 .00
Credited Due
.00 1542.30
.00 205.72
.00 2552.71
.00 4300.73
MAR 20,2006 12:59 BCI*TESTING,ri1 000-000-00000 Page 2
CF -4R
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 20 2006
This CF -4R Issued by CaICERTSO is for the home located at:
Certificate Number:
Date Inspected:
CalCERTS Rater:
HERS Analyst:
Builder/ Developer:
project:
Phase:
Plan Name:
Lot Number:
CC3-1798358268
March, 15 2006
William Henson
CC2004076
N/A
Shea Homes, Inc.
Trilogy (9) La Quinta
Phase 13A
6,430
070
Specifics about this home:
General Information
Conditioned Floor Area:
2800 Square Feet
Conditioned Volume:
0 Cubic Feet
Front Orientation:
N/A
Number of Stories:
i
Heating and Cooling Systems
N/A
Heating Equipment:
Furnace: 0.8
Cooling Equipment:
AC; 12
Heating Equipment:
Furnace: 0.8
Cooling Equipment:
A( -,Split: 12
HVAC Air Distiibution
Duct Location: Attic
Duct Leakage Target: 6.0
Duct Insulation R -Value: 6
Air 1hriltratioa
Blower Door Target: 96
Water f leating System Pro osed
TY I Size I Fuel I EF Distribution
Water Heating System Actual
TY I Size I Fuel I EF I Distribution
81629 Ulrich Drive
Tested La Quints CA,52253
ID Approved As Part Of Sample Group
BCIelBtiA
77-780 Contry Club Drive, Suite I
Palm Desert, CA. -A2211
._a
Li„n; tura
TestinQ & Verification Results
Main System HVAC System
ested Duct Leakage,
Yes- Passed
ested TXV:
Yes • Passed
ested Duct Design Compliance:
N/A
ested Duct in Conditioned Space:
N/A
ested Reduced Duct Surface Area:
NIA
New System HVAC System
ested Duct Leakage:
Yes - Passed
ested TXV:
Yes - Passed
Tested Dud Desi n Compliance:
N/A
Tested Duct in Conditioned Space:
N/A
Tested Reduced Duct Surface Area:
N/A
Tested Infiltration Reduction Credit:
N/A
The energy efficiency rating of this home Is determined using California Home Energy Rating System (C-HFR +) 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 rise 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: Ca1C,ERTS - Customer Service it Natoma St Suite 140, Folsom, CA 95630.'
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
OIBC
❑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): (� , ()o Supplier: Superior
Time Sampled: " �Mix Design: D83625P
Time in Mixer (min.): ,� 5 Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): Addmixture: POZZ 322N
Concrete Temperature (F): Truck #: qjE2� Ticket #: L4 3 1 4
Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
®,None
❑ See Below
Location of Sample: A� k" ✓r
❑ No Samples Taken
Description of Work Inspected: Phase Lot# LJ()*'_7 0 Plan 66 430 C„
((Product
1) Received mill certifications for rebar and tendons placed.
2) Typical exterior Footings including Garage Footings/Door (I1,12,13/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 SN -1 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.
—0 '
1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 1 1
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 _ _ CYZ
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 C. Millin ICC Certif on No: 0842216-80
. l�1(
A A
Contractor's Representative:
\j
OX
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
C
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: 3112/06
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 13A - Lot # 4070 Slab bmGrade 11-16-05
Concrete
273-630 Kitchen
'Required psi: 4000
1825 7
3590
1826 28,
4940
1827 28
4980
i
t
Page 1 of 1
CERTIFIED:
TCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
'EhA
JCM 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:
Project Name:
Project No:
Trilogy @ La Quinta - Shea Homes
.02-1109
Project Address:
City:
7 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 Iteml:
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
��r>t
❑ See Below
Calibration Date:
Machine # 317 T, I
Phase—10 L O
Product 3 Plan ('t G _ (�
Description of Work Inspected:
Actual Elongation (in)
Specified Complies within 7% +/- of specified elongation.
Lot # Location
Tendons Elongation (in)
Reference 11 h/SN2.
0-70
Yes
No
11
VN %
_V
...�� C 3�
EV
❑
L
91
❑
cc .
I
❑
❑
❑
❑
❑
❑
❑
❑
❑
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. Milli((n�� ICC Certification No:0842216-89
Contractor'sR'e`pr entative:
..--
Copy 1 JCM I spection5 . Copy 2 Project Superintendent I v Copy3Governing Agency Page I of I