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05-3891 (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: . 0500003891 i 81677 ULRICH DR 764-270-999-74 -300234- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 186748 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 1___1I1_rChitect or Engineer: Fc ->r-%. G&::)t-SL V0& ILLC1 Lk cl 1 -------------------------------------------------- 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: B License No.: 672285 /ate: ontractor: l 'i�l7 ��-►� 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.). (_) 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. ' , BAP.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: 1" 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 tn CT 14 2005 C11Y OF ilk iL:unu 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 becTthwi,comply to the workers' compensation laws of California, and agree that, if I shou"eKf ehe workers' compensation provisions of Section ��3700 of the labor Caowiththose provisions. ate: blp pplicant: (' WARNING: FAILURE TOSECURE 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 i permit to cancellation. I certify that I have read this application and state that t above information is correct. I agree to comply with all city and county ordinances and state laws relating to bui c nstructi , and hereby authorize representatives of this co ty to n(rt��er upon the above-mentioned pro for i spectio purposes. Date: `�' ture (Applicant or Agent LQPERMIT Application Number• . . . . . 05-00003891 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 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2166.00 Permit .. . . BUILDING PERMIT Additional desc . Permit Fee . . . . 944.00 Plan Check Fee '613.60 Issue Date Valuation . . . . 186748 Expiration Date 3/05/06 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 304.50 Permit . . . MECHANICAL Additional desc . Permit -Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Expiration Date : 3/05/06 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 3.00 .6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ------------------------------------------------------------- EA MECH EXHAUST HOOD --------------- 6.50 Permit . . .. ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 100.3.7 Plan Check Fee 25.09 Issue Date . . . . Valuation . . . 0 Expiration Date 3/05/06 Qty Unit Charge. Per Extension BASE FEE 15.00 2166.00 .0350 ELEC NEW RES -1 OR 2 FAMILY 75.81 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 LQPERMIT Application Number . . . . . 05-00003891 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 141.00 Plan Check Fee 35.25 Issue Date, Valuation 0' Expiration Date 3/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 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 74, PLAN 5515A. 22 SF BAY @MBR & NOOK -22 SF. PERMIT DOES NOT INCLUDE POOL, SPA BLOCK WALLS OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 61.36 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 18.67 . DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . 05-00003891 Permit Fee Total 1259.37 .00 00 1259.37 Plan Check Total 688:69 .00 .00 688.69 Other Fee Total 2485.03 .00. '.00 2485.03 Grand Total 4433.09 .00 .00 4433.09 LQPERMT MAR 21,2006 14:21 BCI*TESTING,ri1 000-000-00000 Page 3 CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 16 2006 This CF -4k Issued by CalCERTS® La Qis for the home located at: ui Ulrich ,rive La Quints CA, 92253 Certificate Number: CC3-1/983582/2 Date Inspected:. March, 1:3 2006 CalCERTS Rater: William Benson CC2004076 HERS Analyst: N/A Builder/ Developer: Shea Homes, Inc. Project: Trilogy @ La Quinta Phase: Phase 13A Plan Name; 5515 Lot Number: 074 Specifics about this home: General Information t Leaks e: Conditioned Floor Area;t 2100 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 Dud Leakage Target: 6.0 Duct Insulation R -Value: 6 Air Infiltration Blower Door Target: 120 Water lleating System Pro osed 7Y I Size I Fuel I EF Distribution Water Heating S stem Actual TY I Size I Fuel I EF Distribution Testing & Verification Results m HVAC S stem t Leaks e: Yes - Passed : V Yes -Passed d Desi n Com liance: N/At in Conditioned S ace: N/A uced Dud Surface Area: N/A ested Infiltration Reduction. Credit: N/A TZ Tested \Approved As Part Of Sample Group BCI Testing_ 77-760 Country Club Drive, Suite I Palm Desert, CA. 92211 760-772.29S4 Ce g i," -atur ate 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 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 obtalning it, you may contact: Ca10ERTS . Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. MAR 16,2006 16:10 BCI*TESTING,ri1 000-000-00000 Page 2 CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 16 2006 La Qui 922 rive This CF -4R Issued by Ca10ERTS® is for the home locates! at: LUlrich La uinta CA, 9223 Certificate Number: CC3-1/98358272 Conditioned Volume: Date Inspected: March, 13 2006 N/A CaICERTS Rater: William Henson Hearing and Cooling Systort>_s N/A CC2004076 Furnace: 0.8 HERS Analyst: N/A : t. Builder/ Developer; Shea Homes, T.nc. Project: Trilogy (d.) La Quinta t Phase: Phase 13A Plan Name: 5515 1 •_� Lot Number: 074 Specifics about this home: General Information Conditioned Floor Area: 2100 Square Feet Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stories: 1 Hearing and Cooling Systort>_s N/A 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: 120 Water Heating f stem Pro osed TY I Size I Fuel I EF Distribution Testisg & Verification Results Main System HVAC System 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 Approved Aa Put Of Sample Group BCI Testing 77-760 Country Club Drive, Suite I , Palm Desert, CA. 92211 760-772-2954 Water Heating 5 stem Arhial Certffylft Sqr..Maturd'ate TY I Size I Fuel I EF Distribution The energy efficiency rating of this home is determined using California Home Energy Rating System (C-1IERS) 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 hPhavior, 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, 1­015om. CA 95630. -- JCM Inspections 39725 Garand Lane Suite F I 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):l-i Supplier: Superior , nn Time Sampled: Mix Design: D83625P. Time in Mixer (min.): � Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): o Addmixture: POZZ 322N -Concrete Temperature (F): .Truck #: Ticket #: Scn «-�— Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®None ❑ See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: Phase Lot# L4 n-1(, Product Plan 1 ( 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 rebarrebaar placed as perthesedetails and as noted on r : `-� _ _ _ _ n"am"e ,r e•r rt r,•,,...•, � � � c ..... r�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. 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 iJ 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 Certifiction No: 0842216-80 \I Contractor's Represe tative: Copy 1 JCM Inspections ` Copy 2 Project Superintendent / / Copy 3 Governing Agency Page _�_ of I JCM Inspections 39725 Garand Lane Suite F Lm Palm Desert, CA 92211 �— INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS 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 # 4074 Slab on Grade 11-8-05 Concrete 273-626 Great Room Required psi: 4000 1789 7 4310 1790 28 5560 1791 28 5610 CERTIFIED: )i NN� ..� JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 ILM 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: I— Project Name: Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: Z✓ 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 C 1tAI'1f11. �y Unresolved Items: 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 # Product PlanrPhase t I sae Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. LJ n Yes No r+ (. �(r , A E] , Rr ❑ EV 1:1 r LJ ❑ t 1 7 U ❑ rW1-�,rA _Q Pn "3 12- ❑ I J41- 1 10 ❑ 1 �,• .�-- 2- ❑ EE' ❑ ❑ ❑ ❑ ❑ 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: JackC. Millin ICC Certification No¢ 0842216-89 Contractor's R poresen�Wive: MW Copy 1 JCM Inspectlons Copy 2 Project Superintendent Copy 3 Governing Agency Page of) r