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05-3894 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 �w4ur,�rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �_05-00003894 Property Address: -81653 ULRICH DR APN: 764-270-999-72 -300234- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 242110 Applicant: --Architect or Engineer: ��aA --- 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 = and Professionals Code, and my License is in full force and effect. License Claus: B I License No.: 672285 Date: v ontractor: 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.). (_ 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: Q Lender's Address: r LQPERMIT Owner: SHEA LA QUINTA C/O JEFF.MCQUEEN 8800 N GAINEY CENTER -350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/06/05 Contractor: SHEA HOMES, INC. 81260 AVENUE 6.2 1PnrT LA QUINTA, CA -92253 Fn (760)777-6005 Lic. No.: 672285 14 2005 ----------------------- • WORKER'S COMPENS 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 ubject to the workers' compensation laws of California, and agree that, if I sho come subj t to the workers' compensation provisions of Section "700VthLor s all fth comply with those provisions. ate 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 state th a above inform tion is correct. I agree to comply with all city and co my or finances and state laws relating t bui Ai construc n, and hereby authorize representatives of this cou ty to ter upon the above-mentiane a for ' s n pur oses. e: O �ature (Applicant or Agawf.r Application Number . . . . . 05-00003894 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 741.00 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 22.50 Issue Date Valuation 0 Expiration Date 3/05/06 Qty Unit Charge Per Extension BASE FEE .15.00- 15.002.00 2.009.0000 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 ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 126.30 Plan Check Fee 31.58 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/05/06 Qty Unit Charge Per_ Extension BASE FEE 15.00 2769.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.92 719.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.38 LQPERMIT Application Number . . . . . 05-00003894 ---------------- 'Permit ---------------------------------------------- . . . PLUMBING -------------- Additional desc . Permit Fee . . . . 171.00 Plan Check Fee-. 39.75 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 72 PLAN 6430B 2769/108 S.F EXT. PATIO. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH -------------------------------------------------------------- Other Fees ----------------- . . . . . . . .... ART IN PUBLIC PLACES -RES 105.27 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE• 74.10 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 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . . . 05-00003894 ----------------- ---------- Permit Fee Total 1542.30 ---------- ---------- .00. .00 ---------- 1542.30 Plan Check Total - 834.83 .00 .00 834.83 Other Fee Total 2608.58 .00 .00 2608.58 Grand Total 4985.71 .00 .00 4985.71 S LQPERMIT MAR 20,2006 12:59 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING P age 1 FF CF -4R March, 20 2006 This CF -4R Issued by CaiCERTS@ is for the home located at: 0 81653 Ulrich Drive La Quinta CA, 92253 Certificate Number: Date Inspected: CaICERTS Rater: HERS Analyst: Builder/ Developer: Project: Phase: Plan Name: CC3-1798358270 March, 15 2006 William Henson CC2004076 N/A Shea Homes, Inc. Trilogy CW La Quinta Phase I 3 6430 Tested, Approxi Put of s mple Group BCI Tesx� ' i 77-780 Countrq Cfa Ignite I Lot Number. 072 Palm Desert, CA, 92211 Specifics about this home: General Information ted Duct Leakage; Conditioned Floor Area: 2800 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 Heating Equipment: Furnace: 0.8 Cooling Equipment: ACSplit: 17 HVAC Air Distribution Duct Location: Attic Duct Leakage Target: 6.0 Duct Insulation R -Value: 6 Air Inlillfation Blower Door Target: 96 Water I fearing System Pro osed I. TY I Size I Fuel EF Distribution 760-772.2954 Tcstinak�&�lIY1'S Date n System HVAC System ted Duct Leakage; Yes - Passed ted TXV: Yes - Passed ted Duct Design Compliance: N/A ted Duct in Conditioned Space., [New N/A esReduced Duct Surface Area: N/A System HVAC System ted Duct Leakage: Yes- Passed Tested TXV: Yes -Passed Tested 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 . Wator Hearing S str+.rn Arrual TY I Size Fuel I EF Distribution The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating considers heating, cooling and water heating and msumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior.'rhis Rating Completion Summary is provided only after the features listod have been verified and appruved by the CalCERTs Certified Rater shown above. It you have a concern or complaint regarding this roputt of the services used in obtaining it, you may contact: CaICERTS - Customer service 11 Naluma 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 ❑✓ 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): �i3�at_.. Supplier: Superior Time Sampled: ', >7 Mix Design: D83625P Time in Mixer (min.): ?'0 Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): 0oAddmixture: POZZ 322N Concrete Temperature (F):"- Truck #: 10-7Ticket#: RS -y o� Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ©-None ❑ See Below Location of Sample: ab ❑ No Samples Taken Description of Work Inspected: Phase Lot# L4 ] Product 3 Plan 1y30B %1-61G3 � as 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), Bolts and Holdowns (6,7,8/SD-1), Pad Footings and additional `Anchor rebar placed as per these details and as noted on 1..3 -\0 c \ I kz n �rr' 111.i A .1 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. ms - 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 Lo 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:Willin ICC Certificatiom o: 0842216-80 Contract is Re P senthtive: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of JCM Inspections 39725 Garand Lane Suite F L",Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C TJ O N S COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3/12/06 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 # 4072 Slab on Grade 11-11-05 Concrete 273-628 Master Bedroom Required psi: 4000 1805 7 3210 1806 28 4420 1807 28 4460 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 L"4 .J�= 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: 0✓ IBC 81-260 Avenue 62 La Quinta, CA F—] 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 �n U Unresolved Ite s: 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 # Phase Lot# 1- Product .3 Plan(, rt Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. I- Yes No l.. Z 1-1 V 14 1A ❑� ❑ 14 �' ©- ❑ Ll N l re r, — 11 ri IJ LA �! ( 2 ❑ ` J 2— ❑ ©~ ❑ 2- ❑ . \ 3l P,� . �.., '� I yiI ) y U ❑ ` ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Certification Wo --,10.8.4-2.216-89 Contractor's RReepr'e�;entative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of i