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05-3890 (SFD)W P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: `05-00003890 Property Address: 81689 ULRICH- DR APN: 764-270-999-75 -300234- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 187396 Tit!t 4 a( Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Applicant: -,--,'In` hitect or Engineer: y6 SLA+ NA ,i ------------------ 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 Busines and Professionals Code, and my License is in full force and effect. License Cla B is se No.: 672285 ate: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 (5500).: 1 _ 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 _ 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: r/l 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 D ° QCT 142005 CITY ®FIA 0whrr� ----------------------------------------------- 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 247619 I certify that, in the performance of the ;,L� rk fermit is issued, I shall not employ any person in any manner so to ecomubjers' compensation laws of California, an agree that, if I shout co a suct tcompensation provisions of Section 37 0 of the La r Cod orthse provisions. �te:WNG: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA UL, 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 Ouinta, 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 andAthaboveis correct. I agree to comply with all cityand c my ordinances and state laws rend hereby authorize representatives of thi cou y to enter upon the above-mentoses. D Si ure (Applicant or Application Number .'. . . 05-00003890 LQPERMIT Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG <=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 2174.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 926.50 Plan Check Fee 602.23 Issue Date . . . . Valuation 181091 Expiration Date .. 3/05/06 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 3.5000 --•-------------------------------------------------------------------------- THOU BLDG 100,001-500,000 287.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 77.00 Plan Check Fee 21.63 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 .00 11.0000 EA MECH FURNACE >100K .00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 .00 16.5000. EA MECH B/C,>3-15HP/>100K-500KBTU :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 . . . . 100.65 Plan Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . . . .. 05-00003890 Permit ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension _2174.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit PLUMBING Additional desc . Permit Fee . . 138.00 Plan Check Fee 34.50 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 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA GAS PIPE >=5 4.50 1.00 15.0000 ---------------------------------------------------------------------------- _PLB 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 75 PLAN 5515B, 2174 SF, INCLUDES 26 SF BOX BAY @ MBR & 26 SF BOX BAY @ NOOK. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA 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 60.22 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 LQPERMIT WE LQPERMIT Application.Number . . . . . 05-00003890 7 ---------------------------------------------------------------------- Other Fees . . . . . . . STRONG MOTION (SMI). - RES 18.73 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION.- RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1257.15 ------------------------------ .00 .00 1257.15 Plan Check Total 662.13 .00 .00 662.13 Other Fee Total 2483.95 .00 .00 2483.95 Grand Total 4403.23 .00 .00 4403.23 MAR 21,2006 14:21 BCI*TESTING,ri1 000-000-00000 Page 2 i CF -4R CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTINGMarch, 16 2006 This CF -4R Issued by CaICERTS® Is for the home located at: 81689 Ulrich Drive La Quinta CA, 92253 Certificate Number: Date Inspected: CC3-1798358273 March, 13 2006 ` ���1 r� Bb, CaICERTS Rater: William Henson / YY( Number of Stories: CC2004076 1 - t� HERS Analyst: N/A 1' "( Builder/ Developer. Shea Flomes, Inc. Project: Trilogy (1 La Quinta Phase: Phase 13A Plan Name: 5515 Lot Number: 075 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 Heating and Cooling Systems 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 System Pru osed TY I Size I Fuel I EF Distribution Water Heating System Actual tY I Size I Fuel I EF Distribution Testlno & Verification Results ain System HVAC System lasted Duct Leakage; Yes- Passed ested TXV: r! Yes- Passed lasted 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 LTestJ ed ci Approved As Pott Of Sample Group BCY Testing r u �■ 77-760 Country Club Drive, Suite I Palm Desert, CA. 92211 76Q7772-2954 Certifying Signature ate The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating cunsiders 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 ur 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. MAR 16,2006 16:10 BCI*TESTING,ri1 000-000-00000 81689 Ulrich Drive Conditioned Volume: Page 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Certificate Number: Date Inspected: P�j% CF -4R March, 16 7006 This CF -4R Issued by CaICERTS® Is for the home located at: 81689 Ulrich Drive Conditioned Volume: 0 Cublc Feet La Quinta CA, 92253 Certificate Number: Date Inspected: CC3-1798358273 March, 13 2006YVj �6r'1P�iCQ Heating and Cooling Systems N/A Heating Equipment: CaICERTS Rater: William Henson AC; 12 . CC2004076 HERS Analyst: N/A Builder/Developer: Shea Homes, Inc- 1 { Project: Trilogy (9) 1 a Quinta ^` 1 Phase: Phase 13A �' Plan Name: 5515 •�_ Lot Number: 075 Specifics about this home: General Information Conditioned Floor Area: 2100 Square Feet Conditioned Volume: 0 Cublc 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: Attic Dud Leakage Target: 6.0 Duct Insulation R -Value: 6 Air Infiltration Blower Door Target: 120 Water Heating System Pro used TY I Size I Fuel I EF Distribution Water Heating S stem Actual OTY I Size I Fuel I EF I Distribution Testlno & Verification Results in System HVAC System sted Duct Leaka e: Yes -Passed sted TXV: Yes - Passed [estedDuct Desi n Com liance., N/A sted Duct in Conditioned 5 ace: N/A sted Reduced Duct Surface Area: N A sted I filtration Reduction Credit: N/A Tested Approved As Part Of Sample Group BCI Testing _ 77-760 Country Club Drive, Sults I Palm Desert. CA. 92211 '180-772-29.54 Certifvinc Signature ate The energy effirienry rating of this home is determined using California Home Energy Rating System (C -ITERS) 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 C:a1Ct:KlS 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 SUlte 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 ZIBC 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): S,�-- Supplier: Superior Time Sampled: \ \ ', n Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ,� Addmixture: POZZ 322N Concrete Temperature (F): 4 Truck #: Ticket M (,.�� Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: None ❑ See Below Location of Sample:J\ ��, , �l�-r n - �� nom.. ��1 r �n.✓t e ❑ No Samples Taken Description of Work Inspected: Phase 0_7Z -Product �q, Plan Ss` S FS ff QLoot# ty4 \ - 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 rebar placed as per these details and as noted on 3 Er �� „ �fJ� �,�,��,� C, lrq-w A I - (nn" t pl-,M- "-"�nAni,1 e? \4;\-A Le �h 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. \- 3--os- 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. \ —n 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 3 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. nnMillin ICC Cllediiffcation No: 0842216-80 C_�L '. ��..L L ---- Contractor's�R.epresentative: i' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 7]� 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 # 4075 Slab on Grade 11-3-05 Concrete 273-624 Master Bedroom Required psi: 4000 1753 7 3460 1754 28 4890 1755 28 4860 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 JCM Inspections L.TIMN 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 EER� AM INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA ❑✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips c,LI Cpn psi to 33.04 kips/33,000 lbs Calibration Date: Machine # )A, -;I I L4 Phase\3Lot# t46-7,<-- Product Plan SS I'.5 Weather: Unresolved Item . ® None ❑ See Below Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. �n L) 0 � Yes No � t Z n 4 n rn._ 0. tom. in t\ t 1 91 ❑ t� 12- El A\ � 1 K ©— ❑ t.1 Ll' Ca' ❑ v L�.3� ❑- ❑ , -I IA'- o" ❑ o' ❑ G -\,t -s.A,, a �- � �, ©- ❑ ❑ ❑ ❑ ❑ 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 No:0842216-89 Contractor's Repressennttative: Copy 1 JCM Inspec ons Copy 2 Project Superintendent r I— — Copy-- Copy 3 Governing Agency Page 1 of i M