04-5648 (BLCK)U �
BUILDING & SAFETY DEPARTMENT
R.- . BOX 1504 (76,0)•777-7012
c��tpF\9^8,M 495 CALLS TAMPICO FAX (760) 777-7011
L�Aq QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
CITY OF LA QUINTA
FINANCE DEPT
Application Number . . . . . '04=00005648 Date 7/23/04
Property Address . . . . . .60100 DESERT ROSE DR
APN: 764-270-999-19 -300233-
Application description . . . WALL/FENCE
Property Zoning . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . . . 1250
Owner Contractor
SHEA LA QUINTA SHEA HOMES, INC:
C/O JEFF MCQUEEN 81260 AVENUE 62
8800 N GAINEY CENTER 350 LA QUINTA CA 92253
SCOTTSDALE AZ 85258 (760) 777-6005
WCC: NTL UNION INS
WC: 7165833 08/01/04
CSLB: 672.285 06/30/05
CCC: B
----------------------------------------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 31.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1250
Qty Unit Charge Per Extension
BASE FEE 15.00
8.00 2.0000 HND BLDG'501-2,000 16.00
---------------------------------7------------------------------------------
Special Notes and Comments
50 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
-----•-----------------------------=----------------------
Permit Fee Total 31.00 .00 .00 31.00
Plan Check Total .00 .00 .00 .00
Grand Total 31.00 .00 .00 31.00
P.O. Box 1504ICE VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: I Date: S r a —O `i
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
-a /4
r
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un natty of perjury that I am licensed under provisions of Chapter 9 (co ana�th Section 7000) of Division 3 of the Business and Professionals
Code, and my Licen t�St�full force and effect.
L c—ense lass icense No.
/�Bate 2- -C--ont.ctoL — e ra- 1Z
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that 1 am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 1, 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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
64.
the ark for which this permit is issued.
e a II maintain w ers' compensation ins
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 subject to the workers'
compensation laws of California, and agree that, if I sh Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fo with comply with those provisions.
/Date pplicant
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.
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.),
Lenders Name
Lenders Address 0 A
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 i of commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation. ,
1 certify the 1 have read this application and state that the above info is correct. I ree to comply with all city and county ordinances and state laws relating to building
const io and ereby authorize representatives of this coun en up n the o ntioned property for inspection purposes.
-1Sate Signature (Applicant or Agent): /
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: 1/13/05
Project: Trilogy @ La Quinta - Shea Homes
81-260 Avenue 62
La Quinta, CA 92274
Project No: 02-1109
Set ID Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A Phase 7C - Lot # 3019 Slab on Grade 10-14-04 Concrete
273-374 Great Room Required psi: 4000
60 /OV &`9&2&7- Alp- ,biz[
7976
7
3800
7977
28
5210
7978
28
5250
CERTIFIED:
i� .. -I •,
Page 1 of 1
.��✓l�iwi ..� � "^`�J` '�G[Wa�ii?'a i.°,. "1 �4Yp,; f
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Inspections supp es the service
of compression strength test results only.
Per ASTMC39
01/1e/2ee5 0e:35 17603401819
PAGE 27/37
INSULATION CERTIFICATE
This i:.; to certify that insulation has been installed in conformance with the current energy
r -: , tionC,
egul, aliforrila Administrative Code, Title 24, State of California; in the building at
60-100 DESERT ROSE DRIVE, LOT 3019, PHASE 7C, LA QUINTA CA
CEILI 1JGS:
TYPE - BLOW MANUFACTURER: Certainteed THICKNESS, R-38
WALT. ,5:
TYPE: BLOW MANUFACTURER- Certainteed THICKNESS: R-13
GENE:2ALCONTRACTOR: SHEA HOMES LICENSE#
BY: TITLE:
PARA, ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
I
Y: TITLE: ACCOUNT REPRESENTIVE DATE: "a7/0V
INSULATION CERTIFICATE
r
This s certify that insulation has been installed in conformance with the current energy
regulatic �,�Ilbrnia Administrative Code, Title 24, State of California, in the building located
CEILING; 1:
TYPE: I3 ..OW MAUN TURER: Certainteed WCrN—ESS-:. R-38
MAU
N TURER' Certainteed
WALLS:
M UR C
teed
TYPE: 1; ATTS MAUN URER: Ce THICKNESS: F:-13
S #
To LIC
GENER/1 I. CON"' OR: LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS AMASCO Company LNSE #221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
.1CM Inspections
39725 Garand Lane Suite F
tL— LIM •11�' Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
i
'Lm
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT
Date:
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 Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier:
Time Sampled: Mix Design:
Time in Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): Addmixture:
Concrete Temperature (F): Truck #: Ticket #:
Ambient Air Temperature (F): Field ID Marking:
Weather:
Unresolved Items:
None
❑ See Below
Location of Sample: Cc, c c \. ^ o�c c� 't Aar.,_ 1 r r A ,, r',n , ��yy ou-,o. faut-
c j1� _OLS ��-� ., .. etc�..� n C.�A, K'.'
❑ No Samples Taken
Description of Work Inspected-IR�ck 3o t'u ;k— `�Jr. (r– C_
c'. Go CC, C1...r.
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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: 7Jack C. Millin ICC Certif'cation o: 0842216-80
0
Contractor's-Representative:
41�
Copy 1 JCM InsptTons Copy 2 Project Superintendent I C ,/ Copy 3 Governing Agency Page 1f
JCM Inspections
39725 Garand Lane Suite F
LM" •• . PS'Im Deser#, c*9221i1
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Date:
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
Title 24 AWS Q✓ UBC Other:
File # F -I D 1.1
App# ❑ D*1.4
EJOther
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engideer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): S� �� Supplier: up �,�� yr
Time Sampled: eZt7 art Mix Design:
Time in Mixer (min.): �An Specified Strength (PSI): L4
Water Added @ Jobsite (gals.): Addmixture:Q0,,.aA';k N
Concrete Temperature (F): --710 Truck #: LLILA Ticket 9.11�1
Ambient Air Temperature (F): —717 Field ID Marking:
Weather:
Unresolved Ite s:
Norie
❑ See Below
Location of Sample: q� e ire _ Gt t• s n7 ren
❑ No Samples Taken
Description of Work Inspecte
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Ar. t nD Q. • . c . Gq f? r\ ^n r
'% Q r" J \K ear �a . CCl f+ t- 46C
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IT
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: ck C. Millin ICC Ce fi tion No: 0842216-80
i
Cont r ctor's Representative:
Gam%'
Copy 1 JCM Inspections
f/
Copy 2 Project Superintendent ✓Copy 3 Governing Agency Page of
'� JCM Inspections
39725 Garand Lane Suite F
Palm'D.6s6rt'dA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
I
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date: Via.
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
[-]Title24AWS ZUBC
File # E] D 1.1
APP# E] D 1.4
Other
Other:
Client: .+ Sub-Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes l3assenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier:
Time Sampled: Mix Design:
-
Time In Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): Addmixture:
Concrete Temperature (F): Truck M Ticket #:
Ambient Air Temperature (F): Field ID Marking:
Weather:
SU nr
Unresolved4t ms:
None
E] See Below
Location of Sample:.
0 No Samples Taken
Description of Work Inspected: `-
1 n ,
' Y
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"_t' V X 1 c� r e- It, 1Zo C - -A r4 n c I
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r-Ac \Ul"C ck� Qe,r�.S w:11 A,t)14 .A0It.)mCf' � nJ CM .C3
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3)� '%cc��n_'(ioC'(AAVhl�CQnl�lIlk . nl� t '� TI+J} ��l�fRYlJ�in�ti� iQr1�[3!•oilSllb 1�4(��,
S\r�- s�anS�tn \w7r�tt}I `a/ Tzl f.���( ilCYNO{ 01 A+ oi1S. (((�°�g
n ti�'. d RA.tV i n 0 At2�a i CC C4+.� vc f- (�'� � tka, A� � CA S. h i4� O r-N
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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.
Inspecto Jack C. Millin ICC C rt'fEation No: 0842216-80
Cont actor's-Representative:
Copy 1 JCM Inspections
;: r
Copy 2 Project Superintendent
�-�Copy 3 Governing Agency Page of